CN117427139A - External application medicine bag for treating chronic mastitis and preparation and application methods thereof - Google Patents
External application medicine bag for treating chronic mastitis and preparation and application methods thereof Download PDFInfo
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- CN117427139A CN117427139A CN202210830772.2A CN202210830772A CN117427139A CN 117427139 A CN117427139 A CN 117427139A CN 202210830772 A CN202210830772 A CN 202210830772A CN 117427139 A CN117427139 A CN 117427139A
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Abstract
The invention provides an external application medicine bag for treating chronic mastitis and a preparation and use method thereof, wherein the medicine bag comprises the following traditional Chinese medicine decoction pieces in parts by weight: 13-17 parts of spina gleditsiae, 13-17 parts of radix paeoniae rubra, 4-8 parts of frankincense, 4-8 parts of myrrh, 13-17 parts of turmeric, 13-17 parts of garden balsam stem, 8-12 parts of Indian iphigenia bulb, 13-17 parts of radix trichosanthis, 8-12 parts of costustoot, 8-12 parts of radix angelicae and 13-17 parts of uniflower swisscentaury root. The medicine bag is based on traditional Chinese medicine decoction pieces, fully exerts the unique efficacy of each medicine, enhances the pharmacological action of compatibility of each medicine, plays roles of harmonizing nutrient and detumescence, warming and dredging channels and collaterals, clearing heat and detoxicating, promoting qi circulation and relieving pain, promoting granulation and healing, and can effectively treat breast lump, pain, non-healing ulcer and other symptoms caused by chronic mastitis.
Description
Technical Field
The invention relates to the field of traditional Chinese medicine formulas, in particular to a medicine composition of an external medicine bag for treating chronic mastitis and a preparation method and a use method thereof.
Background
Mastitis is a common disease of women and can be classified into acute mastitis and chronic mastitis according to different clinical manifestations. In recent years, the incidence rate of chronic mastitis is obviously increased, and the chronic mastitis is also called non-lactation mastitis which mainly comprises granulomatous lobular mastitis, plasmacytic mastitis, periductal mastitis and other types, and the clinical characteristics of the chronic mastitis are as follows: single or multiple lumps with different sizes, harder texture, unclear boundaries and tenderness in the breast; lump suppuration often forms breast and areola abscess; after abscess is broken, sinus tracts are easy to form, fistula is not closed for a long time, and the multiple focuses can exist simultaneously, so that the abscess has long disease course, is difficult to disappear for a long time and is easy to recur.
In the prior art, the main treatment methods for chronic mastitis include antibiotic treatment, glucocorticoid treatment, surgical treatment and traditional Chinese medicine treatment. However, antibiotics are used for a long time, and are easy to generate drug resistance; glucocorticoid treatment can rapidly reduce tumor mass but has great side effects, and relapse is easy after drug reduction or drug withdrawal; if breast abscess is small and shallow, the needle tube can be used for puncturing and drawing pus; the operation treatment needs to completely remove the lesions, the appearance and the function of the breast are easy to be damaged, and the operation is painful and the economic burden is brought to the patient.
Disclosure of Invention
The invention aims at solving the problems of easy drug resistance, large side effect, pain caused by operation and the like existing in antibiotic treatment, glucocorticoid treatment and operation treatment of chronic mastitis in the prior art, and provides an external application medicine bag which is used for treating the chronic mastitis, has obvious curative effect, is easy to prepare and is convenient to use based on traditional Chinese medicine.
The invention provides an externally applied medicine bag for treating chronic mastitis, which comprises the following traditional Chinese medicine decoction pieces in parts by weight: 13-17 parts of spina gleditsiae, 13-17 parts of red paeony root, 4-8 parts of frankincense, 4-8 parts of myrrh, 13-17 parts of turmeric and 13-17 parts of garden balsam stem, thereby achieving the purposes of harmonizing nutrient, detumescence, dredging collaterals, resolving hard mass and warming and dredging channels.
Further, the external application medicine bag for treating chronic mastitis at least further comprises the following traditional Chinese medicine decoction pieces in parts by weight: 8-12 parts of Indian iphigenia bulb and 13-17 parts of radix trichosanthis, and can clear away heat and toxic materials on the basis of resolving hard mass.
Further, the external application medicine bag for treating chronic mastitis at least further comprises the following traditional Chinese medicine decoction pieces in parts by weight: 8-12 parts of costustoot, and the costustoot can promote qi circulation and relieve pain, and can effectively relieve breast pain.
Further, the external application medicine bag for treating chronic mastitis at least further comprises the following traditional Chinese medicine decoction pieces in parts by weight: 8-12 parts of dahurian angelica root and 13-17 parts of uniflower swisscentaury root, and achieves the purposes of expelling pus, relieving swelling, dredging collaterals, relieving pain, promoting granulation, closing in, promoting healing of breast ulcer and reducing scar formation.
The efficacy of each traditional Chinese medicine decoction piece of the externally applied medicine bag provided by the invention is analyzed as follows:
spina gleditsiae: pungent and warm; has effects in relieving swelling, removing toxic materials, promoting circulation of qi, regulating qi-flowing, promoting blood circulation, dispelling blood stasis, resisting cancer, relieving inflammation, removing hard mass, removing food retention, and expelling toxin and suppuration; can be used for treating carbuncle, cellulitis, and swelling and pain.
Radix paeoniae rubra: bitter and slightly cold; has effects of clearing heat, cooling blood, promoting blood circulation, relieving pain, removing blood stasis, and eliminating swelling; can be used for treating pain due to blood stasis, cooling blood, promoting blood circulation, and removing blood stasis; can penetrate through skin surface, and has effects of relieving swelling and eliminating stagnation.
Mastic gum: pungent, bitter and warm; has effects of promoting blood circulation, activating qi-flowing, relieving pain, detumescence, promoting granulation, relieving pain, relieving inflammation, accelerating exudation and excretion of inflammation, and promoting wound healing.
Myrrh: pungent, bitter and flat; can remove blood stasis, reduce swelling and relieve pain; has antimicrobial, antiinflammatory, astringent, repercussive, granulation promoting, wound healing, and exudation and excretion accelerating effects.
Turmeric: pungent, bitter and warm; has effects in removing blood stasis, promoting qi circulation, dredging channels, relieving pain, and relieving swelling; can be used for treating traumatic injury, promoting blood circulation, relieving swelling, removing blood stasis, and inhibiting scar hyperplasia.
Speranskia Tuberculata (L.) Makino: pungent, bitter and warm; has effects of dispelling pathogenic wind, removing dampness, relieving rigidity of muscles, promoting blood circulation, dredging channels and collaterals, removing blood stasis, relieving swelling, removing toxic substance, relieving pain, and promoting qi and blood circulation of channels and collaterals.
Pseudobulbus Cremastrae seu pleiones: sweet, slightly spicy and cool; has effects in clearing away heat and toxic materials, resolving carbuncle, resolving hard mass, eliminating phlegm, resolving hard mass, and enhancing immunity; the effective components have antiinflammatory and antibacterial effects; it is usually ground or mixed with water and applied to the affected area.
Radix trichosanthis: sweet, slightly bitter and slightly cold; is a heat-clearing and fire-purging medicine, and has the specific effects of clearing heat, purging fire, promoting the production of body fluid, quenching thirst, expelling pus and detumescence; it is used for treating pyretic disease, polydipsia, pyocutaneous disease, swelling, carbuncle, and hemorrhoid.
Radix aucklandiae: pungent, bitter and warm; has effects of activating qi-flowing, relieving pain, resisting bacteria, and relieving inflammation, and is mainly used for relieving pain.
Radix angelicae: pungent and warm; has effects of dispelling pathogenic wind, relieving itching, relieving swelling, expelling pus, promoting granulation and relieving pain; it is mainly used for treating sore, carbuncle, toxic swelling, skin dryness, itching, etc.
Radix Rhapontici: bitter and cold; has effects in clearing away heat and toxic materials, relieving swelling, expelling pus, promoting granulation, purging excessive fire, and removing toxic materials.
According to the description of the efficacy of the traditional Chinese medicine raw materials, the external application medicine bag for treating chronic mastitis provided by the invention can fully utilize the efficacy of each medicine and compatibility of medicines, so that the aim of treatment is fulfilled.
Preferably, the external application medicine bag for treating chronic mastitis comprises the following traditional Chinese medicine decoction pieces in parts by weight: 15 parts of spina gleditsiae, 15 parts of red paeony root, 6 parts of frankincense, 6 parts of myrrh, 15 parts of turmeric, 15 parts of garden balsam stem, 10 parts of Indian iphigenia bulb, 15 parts of radix trichosanthis, 10 parts of costustoot, 10 parts of radix angelicae and 15 parts of uniflower swisscentaury root.
Preferably, the external application medicine bag for treating chronic mastitis comprises the following traditional Chinese medicine decoction pieces in parts by weight: 13 parts of spina gleditsiae, 13 parts of red paeony root, 4 parts of frankincense, 4 parts of myrrh, 13 parts of turmeric, 13 parts of garden balsam stem, 8 parts of Indian iphigenia bulb, 13 parts of radix trichosanthis, 8 parts of costustoot, 8 parts of dahurian angelica root and 13 parts of uniflower swisscentaury root.
Preferably, the external application medicine bag for treating chronic mastitis comprises the following traditional Chinese medicine decoction pieces in parts by weight: 17 parts of spina gleditsiae, 17 parts of red paeony root, 8 parts of frankincense, 8 parts of myrrh, 17 parts of turmeric, 17 parts of garden balsam stem, 12 parts of Indian iphigenia bulb, 17 parts of radix trichosanthis, 12 parts of costustoot, 12 parts of dahurian angelica root and 17 parts of uniflower swisscentaury root.
In clinical application, the doctor can increase or decrease the medicine component according to the disease condition of the patient, judge to match with the oral prescription and/or the external fire needle according to other physical and chemical indexes, and add or subtract the prescription for oral administration and external application according to the clinical symptom sign condition, B ultrasonic detection and blood examination index of the patient under the condition of multiple treatment modes.
Furthermore, the invention also discloses a preparation method of the external application medicine bag for treating chronic mastitis, which comprises the following steps:
step 1: weighing the preferred weight parts of traditional Chinese medicine decoction pieces;
step 2: drying, crushing and sieving the weighed Chinese medicinal decoction pieces;
step 3: and filling the crushed traditional Chinese medicine decoction pieces into a medical non-woven fabric bag and sealing.
The Chinese medicinal decoction pieces in the formula are divided into several groups according to different textures such as rhizome, leaf, etc., smashed respectively, sieved by a sieve of 50-100 meshes, preferably 60 meshes, and then all the medicinal powder are put together, mixed uniformly, sieved again, packaged and sealed. The crushed traditional Chinese medicine can fully exert the efficacy of each medicine in the subsequent use. The compatibility of the medicines increases the pharmacological action, so that the treatment effect is improved.
Furthermore, the invention also discloses a using method of the external application medicine bag for treating the chronic mastitis, the external application medicine bag is soaked with clear water or warm boiled water before being used, and the external application medicine bag is placed on a steamer or a microwave oven to be heated to a proper temperature; applying on the affected part of breast lump until the medicated bag is cooled;
the medicine bag is soaked by clear water or warm boiled water, and no water dripping is used as a standard; the temperature of the heated medicine bag should be in a temperature range acceptable to human body, so as to avoid excessive temperature and scald of the tumor, and if the medicine bag is used, skin allergy phenomenon should be immediately stopped.
Preferably, the topical pack is soaked with clear water and rice vinegar before use, and heated to a suitable temperature; the medicine is applied to the affected part until the medicine bag is cooled.
The application mode disclosed by the invention is to apply the medicine bag to an affected part by using damp-heat external application, and the medicine bag for external application for treating chronic mastitis can also be prepared into corresponding hot compress bags or hot compress patches by adopting other heat radiation materials or modes such as a heating body, a far infrared patch and the like to release medicine efficacy.
The invention has the following beneficial effects:
1. the external application medicine bag for treating chronic mastitis provided by the invention has the advantages that all the used traditional Chinese medicine decoction pieces are effectively compatible, and the medicine property is exerted together; can effectively treat chronic mastitis, has the effects of harmonizing the nutrient and detumescence, dredging collaterals and resolving hard mass, warming and activating meridian, clearing heat and detoxicating, promoting qi circulation and relieving pain, promoting granulation and healing up, and has remarkable curative effect; is suitable for the period of breast lump and the period of ulcer of chronic mastitis, and has symptoms of breast lump with pain or the symptoms of short time of closing after lump is crushed, etc.
2. The traditional Chinese medicine package for treating chronic mastitis provided by the invention is treated by transdermal administration through external application, has the advantages of simple treatment process and small side effect, is simple in manufacturing steps and convenient to use, does not need complicated steps, and can be applied to a tumor until the package is cooled after being soaked and heated to a proper temperature.
Detailed Description
In order to make the objects, technical solutions and advantageous effects of the present invention more apparent, the present invention will be described in further detail below with reference to examples, and it is apparent that the described examples are some, but not all, examples of the present invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
The embodiment discloses an external application medicine bag for treating chronic mastitis, which comprises the following traditional Chinese medicine decoction pieces in parts by weight: 15 parts of spina gleditsiae, 15 parts of red paeony root, 6 parts of frankincense, 6 parts of myrrh, 15 parts of turmeric, 15 parts of garden balsam stem, 10 parts of Indian iphigenia bulb, 15 parts of radix trichosanthis, 10 parts of costustoot, 10 parts of radix angelicae and 15 parts of uniflower swisscentaury root.
The preparation method of the external application medicine bag further discloses the preparation method of the external application medicine bag, which comprises the following steps:
step 1: accurately weighing the components of each traditional Chinese medicine decoction piece according to gram weight;
step 2: the weighed Chinese medicinal decoction pieces are dried and crushed, the storage of medicinal bags is facilitated, the crushed Chinese medicinal decoction pieces can fully exert the efficacy of each medicament when being used later, wherein the Chinese medicinal decoction pieces in the formula are divided into a plurality of groups according to different textures such as rhizomes, leaves and the like, are respectively crushed and sieved by a sieve of 50 meshes to 100 meshes, preferably, the Chinese medicinal decoction pieces are sieved by a sieve of 60 meshes, and all medicinal powder are mixed together and sieved again;
step 3: placing the crushed Chinese medicinal decoction pieces into medical non-woven fabric bag, sealing, and storing the prepared medicinal bag in shade and dry place.
The application method of the external application medicine bag is further disclosed:
step 1: taking out the medicine bag, soaking with clear water or warm boiled water until no water drops;
step 2: heating the wet medicine bag;
step 3: taking out the warm medicine bag, and applying to the affected part when the temperature can be tolerated;
step 4: after the medicine bag is cooled by external application, the above operation can be repeated, and each external application is ensured to be carried out for about 20 minutes.
The medicated bag can be applied to affected part for about 20 min each time by 1 bag each day for two times; when the repeatedly used medicine bag is soaked, the dosage of clear water or warm boiled water should be properly reduced; when in use, the skin allergy-free medicine should be immediately stopped for people.
Example two
The embodiment discloses an external application medicine bag for treating chronic mastitis, which comprises the following traditional Chinese medicine decoction pieces in parts by weight: 13 parts of spina gleditsiae, 13 parts of red paeony root, 4 parts of frankincense, 4 parts of myrrh, 13 parts of turmeric, 13 parts of garden balsam stem, 8 parts of Indian iphigenia bulb, 13 parts of radix trichosanthis, 8 parts of costustoot, 8 parts of dahurian angelica root and 13 parts of uniflower swisscentaury root.
The method of making and using the specific package is the same as in example one and will not be repeated here.
Example III
The embodiment discloses an external application medicine bag for treating chronic mastitis, which comprises the following traditional Chinese medicine decoction pieces in parts by weight: 17 parts of spina gleditsiae, 17 parts of red paeony root, 8 parts of frankincense, 8 parts of myrrh, 17 parts of turmeric, 17 parts of garden balsam stem, 12 parts of Indian iphigenia bulb, 17 parts of radix trichosanthis, 12 parts of costustoot, 12 parts of dahurian angelica root and 17 parts of uniflower swisscentaury root.
The method of making and using the specific package is the same as in example one and will not be repeated here.
The invention is provided by way of example in the first, second and third embodiments, and the external application medicine bag provided by the invention is used in a specific clinical use process, and is from the typing, differentiation and staged starting of patients, and the prescription dosage can be modified according to the illness state and the indication, and the prescription can obtain satisfactory curative effect.
Example IV
The embodiment discloses a using method of an external application medicine bag for treating chronic mastitis, which comprises the following steps:
step 1: taking out the medicinal bag, soaking with 50ml of clear water and rice vinegar respectively until no water drops;
step 2: heating the soaked medicine bag on a steamer for about 2-3 minutes with strong fire until the medicine bag is warm;
step 3: taking out the warm medicine bag, and applying to the affected part when the temperature can be tolerated;
step 4: after the medicine bag is cooled by external application, the above operation is repeated, and each external application lasts about 20 minutes.
The medicated bag can be applied to affected part for about 20 min each time by 1 bag each day for two times; when the repeatedly used medicine bag is soaked, the dosage of clear water and rice vinegar should be properly reduced; when in use, the skin allergy-free medicine should be immediately stopped for people.
Example five
In order to further verify the use effect of the external application medicine bag of the traditional Chinese medicine, the embodiment is based on the use of the external application medicine bag for treating chronic mastitis disclosed by the invention and is combined with a medical record.
Cases 1 and Yang Mou, women, 35 years old, initial diagnosis time 20X1 year 1 month 13 days, after the patient is postpartum for more than 2 years, after the patient is in urgent need of vital energy generation before 3 weeks, the right breast is suddenly red, swollen and painful, and the blood routine is checked to be higher than a normal value; b ultrasonic: the right external lower quadrant and the glands around the nipple are disordered, and a plurality of hypoechos and moderate echos are seen in the catheter, which suggests that the possibility of inflammatory lesions is high. Blood routine is still higher than normal after 1 week of taking antibiotics, and for further clear diagnosis, rotary cut biopsy of breast tumor under ultrasound guidance is performed.
Western diagnosis: chronic mastitis; the diagnosis is based on the following:
(1) Clinical manifestations: the patient was 35 years old and had a unilateral disease in the right breast during non-lactation. With the depression of the nipple at the right side, the onset of the disease is rapid, and the initial lump is red, swollen and painful. The mass in the lower quadrant of the right breast was 11 x 9cm, the skin was reddish, the tongue was dark red, the coating was yellow and greasy, and the pulse was slippery.
(2) Laboratory examination: blood convention: WBC:10.66*10 9 /L↑，NEUT％:77.5％↑，NEUT：8.26*10 9 L ≡, LYM%15.7 ≡CRP:24.76ug/L ≡, inflammatory cells and C-reactive protein (CRP) were seen to be elevated.
(3) Imaging examination: the patient has breast B ultrasonic: the right milk has a disturbance of the structure of the lower outer quadrant, in which multiple hypoechoias are visible, the larger size being about 8 x 6cm, and inflammatory changes are likely. Breast ultrasound contrast cues: the right lower external quadrant of the milk and the glands around the nipple are disordered, suggesting that the possibility of inflammatory lesions is high.
(4) Pathology examination: right mammary gland diseases, and massive acute and chronic inflammatory cell infiltration of interstitium.
Diagnosis of traditional Chinese medicine: acne-like acute mastitis and liver meridian stagnation heat syndrome.
The initial diagnosis fashion of 20X1 year 1 month 27 belongs to the main stage of lump formation without breaking, but a small amount of micro-abscess is found during puncture, and the traditional Chinese medicine comprehensive treatment is adopted. Orally taken, modified five-flavor disinfection decoction of traditional Chinese medicines for soothing liver and activating blood, clearing heat and detoxicating, and one dose of the decoction is taken in the morning and evening; the external application medicine bag provided by the invention is externally applied;
re-diagnosis is performed for 2 months and 3 days in 20X1 years, the pain of the right breast mass of the patient is improved, the local mass is not red, the oral administration of the five-ingredient disinfection drink is continued, and the medicine bag is externally applied;
three diagnoses of 20X1 years, 2 months and 5 days, and auxiliary treatment of fire needle acupuncture at the local micro abscess by external treatment;
four diagnoses are carried out on the right breast lump of the patient in 20X1, 2 months and 9 days, the pain is relieved, the tongue is red, the tongue fur is yellow and greasy, the pulse is deep and thin, and the mammary gland B ultrasonic display is carried out: right mastitis was accompanied by local abscess formation, right axillary lymph nodes were visible, and reactive hyperplasia was considered. The traditional Chinese medicine treatment method is used for clearing heat and detoxicating, expelling pus and going out, an oral administration proved recipe of 'Jiangru No. 2' traditional Chinese medicine formula is externally applied to a medicine bag, and a fire needle is used for assisting in treatment, so that local medicine changing is realized;
after the clinic treatment is continued for 7 months, the right breast lump disappears, the crumple heals, a small amount of local pigmentation is formed, the blood convention and the mammary gland B ultrasonic are checked again, the patients are basically healed, and the patients do not relapse after follow-up half a year.
Cases 2, liu Moumou, 40 years old for women, initial diagnosis time: the patient has left breast lump with red swelling and pain for more than 3 months at 20X0, 8 months and 11 days. The drainage operation is cut before hospital delivery, and 20 mg/day of prednisone is taken together with traditional Chinese medicines for oral administration, which is not obviously improved.
Western diagnosis: chronic mastitis; the diagnosis is based on the following:
(1) Clinical manifestations: the patient was 40 years old, and had a single side disease in the non-lactation period, with a lump in the left breast with red swelling and pain. The left nipple is concave, the upper quadrant of the left breast is a lump with the size of about 10 x 5cm, and a crumple is visible in the middle of the lump. The depth of the detected sinus is about 2cm, and the local Pi Fuse is red; the lower quadrant lump in left milk, about 6 x 4cm in size, soft and red; right milk examination was free of abnormalities.
(2) Laboratory examination: blood convention: WBC:10.12*10 9 /L↑，NEUT％:78.1％↑，NEUT：7.31*10 9 L ≡, LYM ≡16.9%, CRP:20.81ug/L ∈ and the rise of inflammatory cells and C-reactive protein (CRP).
(3) Imaging examination: b ultrasonic display of the mammary gland of the patient: multiple hypoechoic and combined abscesses in the left milk, the largest size was about 8.5 x 3.2cm, with multiple sinus tracts.
(4) Pathology examination: acute and chronic inflammatory cell infiltration of left milk is accompanied by granuloma formation.
The diagnosis is the post-ulcer period of chronic mastitis abscess.
Because of the poor treatment effect of the prior surgery and the glucocorticoid, the traditional Chinese medicine is adopted for traditional Chinese medicine treatment, and the traditional Chinese medicine is used for treating by differentiating symptoms, clearing heat, relieving swelling, dredging collaterals, resolving masses and expelling pus in the middle-jiao.
The five-flavor disinfection drink is taken orally for addition and subtraction in 20X0, 8 months and 16 days, one dose is taken in the morning and evening; the external application medicine bag provided by the invention is externally applied; and gradually deactivate the hormone.
During 20X0, 8 and 20 days and hormone withdrawal period, new tumor appears outside the breast, and the traditional Chinese medicine method is continued to treat the local micro abscess by performing fire needle acupuncture and moxibustion with assistance.
The pain of left breast lump of the patient is improved after 20X0 years and 8 months and 27 days, the lump begins to break, and the oral administration of the Xianfang Huoming decoction is continued to be combined with the addition and subtraction of the pus-expelling powder, and the combination of the external medicine bag and the fire needle acupuncture is carried out.
The left breast ulcer is basically healed after 20X0 and 12 months, the breast lump is reduced, the red swelling is resolved, but 2 lumps are left on the inner side, the sizes are about 5cm by 6cm and 4cm by 3cm respectively, the skin is not red in the middle, and the B ultrasonic examination shows that the breast hypoechoic nodule is accompanied by sinus tracks.
Then, the external application treatment of the external application medicine bag provided by the invention is started, and after 2 months, the left breast lump of the patient is basically disappeared, and the left breast crumple is healed. B ultrasonic examination: bilateral hyperplasia of mammary glands, left mammary duct dilation, multiple slightly hypoechogenic lesions seen in left mammary duct, larger 0.8 x 0.2cm. Clinical remission, drug withdrawal observation, follow-up 6 months, review of B-ultrasound: bilateral hyperplasia of mammary glands and left mammary duct dilation. The disease has no recurrence.
Example six
In a certain woman, 33 years old, first visit time: 20X1, 6 and 25 days, the symptoms are represented by red, swelling and ulceration of left breast mass, and the patient self-states: left breast lumps are found in 33 weeks of pregnancy 2 months before being broken for 1 week, and then gradually increased, so that the left breast lumps have no red swelling pain and are not treated in related diagnosis; after 1 week of production, the swelling and pain of the breast lump are aggravated and broken, the swelling is improved after the drainage operation is performed by cutting, but the lump is not obviously resolved.
Western diagnosis: chronic mastitis; the diagnosis is based on the following:
(1) Clinical manifestations: the patient was 33 years old, had a single side disease in the non-lactation period and had a lump in the left breast. The left nipple is concave, the size of the left lower quadrant lump is about 13 x 5cm, 2 crumple openings are arranged in the middle of the lump, a small amount of secretion is generated, and the right milk is free from abnormality.
(2) Laboratory examination: blood convention: WBC:9.92*10 9 /L↑，NEUT％:79.5％↑，NEUT：7.02*10 9 L ≡, LYM ≡18.4% ≡CRP:15.56ug/L ≡, inflammatory cells and C-reactive protein (CRP) were seen to be elevated.
(3) Imaging examination: b ultrasonic display of the mammary gland of the patient: the maximum size of the left breast multiple hypoechoic combined abscess is about 11 x 3.3cm, accompanied by multiple sinus tracts, suggesting that the possibility of inflammatory lesions is high.
(4) Pathology examination: left mammary gland disease, massive inflammatory cell infiltration of the interstitium.
Because the tumor does not obviously subside after the operation treatment, the traditional Chinese medicine treatment is started, and the traditional Chinese medicine treatment is performed by differentiating the symptoms and signs, clearing heat and detoxicating, resolving masses and detumescence, and expelling pus in the middle energizer.
The medicine bag provided by the invention is externally applied to the tumor part after the traditional Chinese medicine is taken orally after 20X1 years, 6 months and 25 days.
The abscess appears at the lump after the re-diagnosis for 7 months of 1 year at 20X1, and the pus flows out at the breast ulcer after the external application of the medicine bag by matching with a fire needle and traditional Chinese medicine rotting debridement and dressing change, so that the lump becomes small and the pain is relieved.
The traditional Chinese medicine is intermittently taken after the medicine bag is continuously applied for external application within half a year.
The examination was repeated for 1 month at 20X2 years, the left breast mass completely resolved, the ulcer healed, the wound scar was light in color, the areola pigmentation resolved, and the breast size and appearance were normal. B ultrasonic display: the hypoechoic area below the left nipple, 2.5 x 0.8cm in size, was considered for inflammation. The disease is basically relieved, and the observation and follow-up of drug withdrawal are carried out. B-ultrasound was reviewed for 4 months of 20X 2: left milk hypoechos 1.5 cm by 0.8cm, breast does not touch the tumor, and the disease is not recurrent.
The fifth and sixth embodiments show that, for chronic mastitis in different ages and different disease development periods, the external application medicine package of the present invention has significant effects on chronic mastitis tumor and abscess treatment:
olibanum, myrrh, red paeony root and turmeric have the effects of promoting blood circulation, regulating ying, dredging collaterals and resolving hard mass; pseudobulbus Cremastrae seu pleiones and radix Trichosanthis have effects of clearing heat and detoxicating, and resolving hard mass; radix aucklandiae has effects of activating qi-flowing and relieving pain; radix angelicae and radix rhapontici promote tissue regeneration and close; speranskia Tuberculata and fructus Gleditsiae Abnormalis are used for regulating the flow of channels and collaterals. The compatibility of the medicine composition aims at the main pathogenesis characteristics of non-lactation mastitis, and aims at ensuring that qi and blood channels and collaterals of breasts are unobstructed, resolving masses, detumescence, detoxification and granulation promoting. Is suitable for the period of lump and ulcer of the breast of the chronic mastitis, and the symptoms are that lump abscess of the breast is accompanied with pain, or the lump is not closed up for a long time after the ulcer, and the like.
The invention discloses an external application medicine bag for treating chronic mastitis and a preparation method and a using method thereof, and particularly discloses a formula of the external application medicine bag, a using method and a matched application of other treatment means.
The present invention is not limited to the above-mentioned embodiments, and any changes or substitutions that can be easily understood by those skilled in the art within the technical scope of the present invention are intended to be included in the scope of the present invention.
Claims (10)
1. An externally-applied medicine bag for treating chronic mastitis is characterized by comprising the following traditional Chinese medicine decoction pieces in parts by weight: 13-17 parts of spina gleditsiae, 13-17 parts of red paeony root, 4-8 parts of frankincense, 4-8 parts of myrrh, 13-17 parts of turmeric and 13-17 parts of garden balsam stem.
2. The topical pharmaceutical pack for treating chronic mastitis according to claim 1, further comprising at least the following pieces of herbal medicine in parts by weight: 8-12 parts of edible tulip and 13-17 parts of radix trichosanthis.
3. The external application medicine bag for treating chronic mastitis according to claim 2, further comprising the following traditional Chinese medicine decoction pieces in parts by weight: 8-12 parts of costustoot.
4. The topical pharmaceutical pack for treating chronic mastitis according to claim 3, further comprising at least the following pieces of herbal medicine in parts by weight: 8-12 parts of dahurian angelica root and 13-17 parts of uniflower swisscentaury root.
5. The external application medicine bag for treating chronic mastitis according to claim 4, comprising the following traditional Chinese medicine decoction pieces in parts by weight: 15 parts of spina gleditsiae, 15 parts of red paeony root, 6 parts of frankincense, 6 parts of myrrh, 15 parts of turmeric, 15 parts of garden balsam stem, 10 parts of Indian iphigenia bulb, 15 parts of radix trichosanthis, 10 parts of costustoot, 10 parts of radix angelicae and 15 parts of uniflower swisscentaury root.
6. The external application medicine bag for treating chronic mastitis according to claim 4, comprising the following traditional Chinese medicine decoction pieces in parts by weight: 13 parts of spina gleditsiae, 13 parts of radix paeoniae rubra, 4 parts of frankincense, 4 parts of myrrh, 13 parts of turmeric, 13 parts of garden balsam stem, 8 parts of Indian iphigenia bulb, 13 parts of radix trichosanthis, 8 parts of costustoot, 8 parts of radix angelicae and 13 parts of uniflower swisscentaury root.
7. The external application medicine bag for treating chronic mastitis according to claim 4, comprising the following traditional Chinese medicine decoction pieces in parts by weight: 17 parts of spina gleditsiae, 17 parts of red paeony root, 8 parts of frankincense, 8 parts of myrrh, 17 parts of turmeric, 17 parts of garden balsam stem, 12 parts of Indian iphigenia bulb, 17 parts of radix trichosanthis, 12 parts of costustoot, 12 parts of dahurian angelica root and 17 parts of uniflower swisscentaury root.
8. A method for preparing an external application medicine bag for treating chronic mastitis, which is characterized by comprising the following steps:
step 1: weighing the traditional Chinese medicine decoction pieces according to any one of claims 1-7;
step 2: drying and pulverizing the weighed Chinese medicinal decoction pieces;
step 3: filling the crushed traditional Chinese medicine decoction pieces into a medical non-woven fabric bag and sealing;
wherein the crushing granularity of the traditional Chinese medicine in the step 2 is 50-100 meshes.
9. A method of using a topical pack for the treatment of chronic mastitis according to any of claims 1 to 7, wherein the pack is soaked with clear water and rice vinegar prior to use and heated to a suitable temperature.
10. A method of using a topical pack for the treatment of chronic mastitis according to any of claims 1 to 7, wherein the pack is soaked with clear or warm water prior to use and heated to a suitable temperature.
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