Background technology
In the process that the puerpera produces, perineum cuts and the laceration suture is the most frequently used operations of obstetrics.Postoperative, because the special anatomical position of perineum wound, infect easily, particularly suffer from colpitic various common gynecological disease patients such as candidiasis, infusorian, gonococcus in trimester of pregnancy or early stage, more be prone to wound infection, existing in addition many utilizations can absorb gutstring with continuous sewing method sew up wound, and gutstring is implanted muscular tissue and absorbed more, the difficult decomposition, easily formative tissue reaction, puerperal, perineal douche was important measures that prevent and solve above-mentioned perineum wound infection usually.Traditional perineal douche 0.1% bromo geramines that adopt more, bromo geramine is a cationic surfactant, belongs to the low toxicity disinfectant, skin allergy can appear in the weak and part patient of bactericidal action; Also have and adopt 0.1~0.3% Iodophors diluent, 0.3% efficient iodine diluent, cure rate generally is lower than 80%.Through to adopting the western medicine nonresponder to investigate discovery: the heavier person of the wound infection difficulty that heals at first, symptom repeatedly the time dosage big and treatment time prolong; Other medical history or frequent medication person are arranged before secondly pregnant, prolong owing to drug resistance makes treatment time.In addition; how the puerpera that the whole body antiinflammatory time is long is reluctant breast feeding from protection neonate angle, and puerperal, physical weakness, wound swelled and ache in addition; the puerpera is in the painful inconvenience of the spirit and the human body, and the increasing of medicine spending has more increased the weight of the financial burden of low-income group.
To this, each side is also carried out relevant research already, " international medical and health Leader " the 9th (11) phase in 2003 (second monthly magazine) has been published Tian Hongxia and has waited " BAIAI XIYE prevention perineum wound infection 85 examples are analyzed ", observed the effect of BAIAI XIYE (Main Ingredients and Appearance is Radix Sophorae Flavescentis, the Radix Stemonae, Cortex Phellodendri, Folium Artemisiae Argyi etc.) prevention perineum wound infection, though certain prevention and therapeutic effect are arranged, but all be at bromo geramine, and its component is comparatively complicated, cost is higher relatively; " Hebei medical science " 2000 the 6th (5) periodicals have been stepped on chapter passeris montani saturati English and have been waited " treatment perineal incision such as Folium Isatidis infects 40 examples ", adopt Chinese herbs decoction (component Folium Isatidis, Rhizoma Atractylodis, Cortex Phellodendri) soak and local infrared ray radiation, as seen it also need adopt the particularly not available auxiliary facilities in rural area of wide geographic area except that component comparatively complexity is; " external treatment with Chinese medicine magazine " 1999 the 8th (3) periodicals have been stepped on Hu Yaner and have been waited " Rhizoma Coptidis liquid treatment perineal incision infects 40 examples ", but the preparation not a duck soup of Rhizoma Coptidis liquid, cost is also high; " the Heilungkiang nursing magazine is that 1998 the 4th (3) periodicals have been stepped on Li Juan and waited " metronidazole perineal douche in puerperal prevention perineum infects observation of curative effect " and adopt Western medicine to handle problems; " folks of china therapy " 2004 the 12nd (11) periodicals have been stepped on Zhong Hua and have been waited " Chinese traditional herbal medicine treatment perineal incision in puerperal infects 26 examples ", and its fumigation and wash method prescription closes the combination of the rotten plus-minus of SHENGJISAN to the greatest extent with wuwei xiaodu drink and forms: Flos Lonicerae, Herba Taraxaci, purple DIHUA fourth, Flos Chrysanthemi Indici, Cortex Phellodendri, Caulis Lonicerae, Olibanum, Myrrha, Sanguis Draxonis, catechu; " the Tianjin traditional Chinese medical science " 1999 the 16th (4) periodicals have been stepped on Liu Yongzhi work " herb liquid demibain treatment perineum wound infection clinical observation in puerperal ", adopt herb liquid (component Rhizoma Atractylodis, Cortex Phellodendri, Radix Scutellariae, Radix Et Rhizoma Rhei, Radix Sophorae Flavescentis, Radix Gentianae) demibain treatment, contrast with the potassium permanganate liquid demibain simultaneously.
From above-mentioned existing method as seen, demibain is a kind of simple and easy to do method of preventing and treating at the perineum wound infection, and is good with the Chinese medicine demibain.But existing side group only is suitable for basically in large hospital or medical condition area preferably, to the relatively poor rural area of health and medical condition and inapplicable.
Summary of the invention
The problem that the present invention need solve provides the gynecological's detergent that is used for the treatment of puerpera's perineum in puerperal vagina wound infection that a kind of prescription is simple easily, can implement, prevent and treat good effect, suitable especially rural area whenever and wherever possible.
Designed a kind of detergent in use for department of gynecology according to the problems referred to above, its formula constituent is Dicranopteris dichotoma and Folium et Cacumen Psychotriae Rubrae, and its proportioning in percentage by weight wt% is a Dicranopteris dichotoma 10~90, Folium et Cacumen Psychotriae Rubrae (having another name called Red Psychotria Leaf) 10~90, and above-mentioned component sum is 100%.Preferable span is in percentage by weight wt%, and Dicranopteris dichotoma and Folium et Cacumen Psychotriae Rubrae proportioning are Dicranopteris dichotoma 30~70, Folium et Cacumen Psychotriae Rubrae 30~70.
Add man-hour, with Dicranopteris dichotoma and Folium et Cacumen Psychotriae Rubrae by the proportioning combination after, add 5~10 kilograms of dense frying in shallow oil of water by every kilogram to 2.5~5 kilograms.
During use, get 1~5 kilogram of medicinal liquid after dense the frying in shallow oil, 25~45 ℃ of fluid temperature are sat basin and were soaked every day 1~3 time, continuous 3~10 days 10 minutes~1 hour.
Prescription of the present invention is simple and practical, concocts easily, and is evident in efficacy.The present invention uses theory of Chinese medical science, traditional Chinese medical science property theory and pathology is inquired into combine, and administration time is short, and antibacterial and anti-inflammation functions is strong, and clinical cure rate is higher than prior art, and only 2~3 yuan of every pair of medicine medicine valencys, and is cheap, belongs to a kind of nonpain treatment and medication.Used medical material is wild former plant, plucks easily, can obtain the whole year and need not to cultivate, and resource is distributed widely in areas to the south, China the Changjiang river, is beneficial to development and use.Through verification (see " Guangdong medicinal plants handbook, " Chinese medicine voluminous dictionary " etc.), Dicranopteris dichotoma and Folium et Cacumen Psychotriae Rubrae can be oral medicine, contain multiple compositions such as glycoside, alcohols, shikimic acid, protocatechuic acid, fragrant alkene, glycosyloxy benzene and Psychotria rubra (Lour.) Poir. lignin, Hemolytic streptococcus and streptococcus pneumoniae are had inhibitory action, and the Psychotria rubra (Lour.) Poir. element also has obvious anti-nasopharyngeal cancer cell effect.Through on probation showing in the patient, Dicranopteris dichotoma and Folium et Cacumen Psychotriae Rubrae have stronger antiinflammatory dissolving blood stasis and detoxication pain relieving and removing the necrotic tissue and promoting granulation effect, the patient use the present invention after 5~7 days cure rate more than 95%, only have small number of patients latter half of gestation merge serious diseases such as candidiasis disease need be with 10 days about.
The specific embodiment
Mentality of designing of the present invention is to utilize efficient, convenient, the cheap advantage of Chinese herbal medicine proved recipe, with " Chinese medicine voluminous dictionary ", " pharmacology, the property of medicine that Guangdong medicinal plants handbook, " pocket grass coloured picture spectrum ", " primary colors Chinese herbal medicine figure allusion quotation " provide are foundation, and design Dicranopteris dichotoma and prescription scheme that Folium et Cacumen Psychotriae Rubrae cooperatively interacts, complements one another.
From Chinese medicine property theory nature and flavor, return as can be known through characteristics such as, liftings, perineum wound infection and can absorb gutstring tissue reaction, may be the blood stasis of disorders of blood reason, promptly the stagnation of QI that causes because of a variety of causes, cold coagulation, accumulation of heat, traumatic hemorrhage etc. make blood vessels stagnate obstructed in a certain local stasis of blood that takes place.At this, the perineum wound is obstetrics' damage locations, when being subjected to infecting after damage, will forming the local stasis of blood and stagnate obstructed; Gutstring tissue reaction causes and absorbs difficulty, has cut off the healing of perineal position, and the circulation of retardance blood vessels causes the long-pending piece of swollen thing, stimulate partial musculature, cause local pain, return through aspect be the regulate the flow of vital energy blood stasis of blood imbalance scope of disorders of blood.Because Dicranopteris dichotoma and Folium et Cacumen Psychotriae Rubrae belong to cold, cool property medicine, have clearing away heat-fire, detoxifcation yin nourishing, change the effect that the block up hemostasis is invigorated blood circulation, in the five tastes, belong to sweet little hardship, have dampness and discharge function; In lifting, this two herbal medicine is thick slightly when just frying in shallow oil, it is thin frying in shallow oil to a half, the property of medicine is dispersed, diarrhea, and the present invention has utilized this characteristic of medicine just, again according to the state and the partial clinical manifestation of puerpera's puerperal asthenia, only to local application, change partial pathological state, the adjustment patient's condition is sunk or superinverse is dispeled in the heresy of table in the lining, the no medication taboo so two medicines match.
Below be indefiniteness embodiment of the present invention, concrete proportioning can be regulated according to patient's injury situation, and its decocting method is that the demibain method is consistent with use.Generally speaking, under the fried system prerequisite consistent with using method, the variation of proportioning does not have substantial effect to the property of medicine.
Take by weighing and account for the heavy Dicranopteris dichotoma of gross weight 50%, 50% heavy Folium et Cacumen Psychotriae Rubrae,, amounts to 1 kilogram, add 6 liters of dense frying in shallow oil of water, promptly mate and add that dense frying in shallow oil to the water yield reduces by half behind the water, then stored for future use according to concrete dose to 3 liters as respectively accounting for 500 grams.During use, the medicinal liquid of getting after dense the frying in shallow oil is an amount of, fluid temperature is the suitable temperature of human body for 25~45 ℃, sit basin and soak 10 minutes~1 hour (mostly being about half an hour), every day 1~3 time, continuous 3~10 days, the number of times of demibain every day and time herein from bathing, and can be according to patient's concrete condition free hold, control from the natural law of bathing.
Medicinal liquid of the present invention after dense frying in shallow oil is a brownish red suspendible liquid, has left standstill small amount of precipitate, and sweet and slightly bitter taste is puckery, and is flat.Include β-close sterol glucoside, stigmasterol heteroside, Quercitroside, shikimic acid, protocatechuic acid, right-β-Folium Symplocoris Caudatae glycosyloxy styrene, 1-(1-ethoxy)-4-β-Folium Symplocoris Caudatae glycosyloxy benzene, afzclin etc.Use and zoopery shows through human body, the present invention has inhibitory action to Hemolytic streptococcus and streptococcus pneumoniae, gonococcus.
Beginning in clinical use, through hundreds of the clinical use checkings of patient, mostly obtains recovery from illness, following summary typical clinical case by the inventor before this patent drug regimen several years in different time:
Case one.Zhu Yongquan, woman, 30 years old, 2 pregnant 1 tires.Give a birth in health clinics in towns and townships in October, 1998, and because of excessive the cutting of fetus head circumference cut, silk suture is used in the back, and three days puerperal, wound healing was left hospital.The 7th day puerperal wound sutures place approximately long 2 centimetres, wide 1 centimetre, the dark 1 centimetre breach that splits, conscious tearing pain, redness and purulence thing appear in the wound, there is burning sensation the wound part, and is limited during seat.Stick no positive effect through antibiotic therapy and FUYINJIE wet tissue.Diagnosis and treatment are located to the inventor in the back, are considered as wound infection, advise earlier with warm saline or with the juice of the present invention recoil basin immersion that cleans a wound, continuous three days, each half an hour, then local burning sensation disappears, and redness goes down, and ulcer attempts shoaling, the inflammation area dwindles, and sitting does not have pain, and the purulence thing reduces; Reuse is the subjective symptoms disappearance after three days, and wound healing is continuous with two days, and the ulcer depression disappears, and the wound is entirely normal healing back skin histology.
Case two.Chen Shizhu, woman, 26 years old, 1 pregnant 1 tire.Perineum is cut and is cut during product, catgut suture, and three days puerperal, wound healing was left hospital.Leaving hospital back second day is to be the 4th day puerperal conscious perineal incision place and distending pain on every side, and pain sensation aggravation has yellow sepage during seat.The examination of commune hospital, town is wound infection, carry out antibiotic therapy and cooperate irradiation with medical bulb, though alleviate to some extent through treatment in three days, it is big and dark to infect area, there are 2 centimetres, hyperemia in wound inflammation bosom, and pain is collectd dense sexual secretion and failed effectively to control and eliminate.Locate diagnosis and treatment to the inventor in March, 2000, gets Dicranopteris dichotoma and Folium et Cacumen Psychotriae Rubrae and give birth to product, and the dense back extracting juice of frying in shallow oil is sat the basin immersion, continuous three days, hyperemia, pain, swelling obviously disappeared, and the long period is from the appearance analgesia, purulent secretion significantly reduces, and continues four days symptoms of medication and all disappears, and follows up a case by regular visits to and does not have recurrence.
Case three.Yang Huizhen, woman, 29 years old, 1 pregnant 1 tire.Childbirth in October calendar year 2001, perineum nature laceration during product, catgut suture, in conscious wound pain in the 5th day puerperal, obvious inflammation is not seen in the wound, but white point is arranged and accompany yellow sepage, and see one section unabsorbed gutstring, doubtful and gutstring is failed to decompose to absorb and is caused foreign body to stimulate, and influences wound healing.Through locating diagnosis and treatment to the inventor, soak with the present invention that gutstring tissue reaction disappears after five days, pain is removed, and the wound growth is complete, follows up a case by regular visits to healing normally.