Summary of the invention
It is a kind of to the Yuntongding medicine and the production technology thereof of having a headache, dizzy therapeutic effect is good that the object of the invention is to provide.
For reaching above-mentioned purpose, the present invention adopts following technical scheme: Yuntongding medicine, to make by Armillaria mellea fermentation culture medium and Rhizoma Chuanxiong or its extract, and Armillaria mellea fermentation culture medium parts by weight are 1.5-6 part, the Rhizoma Chuanxiong parts by weight are 1-30 part.
Armillaria mellea fermentation culture medium parts by weight are 1.5-2.5 part, and the Rhizoma Chuanxiong parts by weight are 5-10 part.
Armillaria mellea fermentation culture medium parts by weight are 1.8 parts, and the Rhizoma Chuanxiong parts by weight are 7.2 parts.
The Yuntongding medicine production technology in turn includes the following steps: (1) gets Rhizoma Chuanxiong, and water vapour distillation volatile oil, medicinal residues decoct with water, filter, filtrate concentrate the Rhizoma Chuanxiong concentrate; (2) Rhizoma Chuanxiong concentrate and Armillaria mellea fermentation culture medium mixing, drying; (3) in said mixture, add the Rhizoma Chuanxiong volatile oil mixing; (4) add adjuvant and make required dosage form; Armillaria mellea fermentation culture medium parts by weight are 1.5-6 part, and the Rhizoma Chuanxiong parts by weight are 1-30 part.
In the step (2) the Rhizoma Chuanxiong concentrate in 60-70 ℃ be dried into powder after with Armillaria mellea fermentation culture medium mixing, granulation, under 60-70 ℃ of temperature, carry out drying then.
Armillaria mellea fermentation culture medium parts by weight are 1.5-2.5 part, and the Rhizoma Chuanxiong parts by weight are 5-10 part.
Armillaria mellea fermentation culture medium parts by weight are 1.8 parts, and the Rhizoma Chuanxiong parts by weight are 7.2 parts.
Medicine of the present invention can be made into tablet (comprising coated tablet, effervescent tablet etc.), capsule, soft capsule, granule, pill and injection.
Among the present invention, the Armillaria mellea fermentation culture medium product that to be Armillaria mellea cultivate through liquid or solid fermentation, for light brown to chocolate brown powder; The effect that arresting convulsion is arranged, relieves dizziness, high fever, infantile convulsions, epilepsy, etc. can be used for treating dizziness and headache, infantile convulsion epilepsy, numb limbs and tense tendons, soreness of waist and knee joint.Rhizoma Chuanxiong nature and flavor suffering, temperature are returned liver, gallbladder, pericardium channel; The effect that blood-activating and qi-promoting, wind-expelling pain-stopping are arranged can be used for treating menoxenia, amenorrhea dysmenorrhea, WEIJIA stomachache, the twinge of the breast side of body, tumbling and swelling, headache, rheumatic arthralgia.
Every (grain) 0.3-0.4 gram of the made tablet of the present invention (capsule), using method is oral, every day 3 times, each 3-4 sheet (grain).Clothes backs idol has slight xerostomia, nauseating, drowsy etc., need not drug withdrawal.
Get medicinal tablet of the present invention with distilled water be mixed with 40% suspension with mice (Henan Medical Univ.'s Experimental Animal Center provides, the Kunming kind, body weight 20 ± 2g) is carried out acute toxicity test for experimental animal.24 ℃ of test chamber room temperatures, get 10 of mices, male and female half and half, irritated stomach 40% dizzy pain for the first time on an empty stomach at 8 o'clock in the morning and decide suspension 0.25ml/10g, irritated stomach for the second time at 13 o'clock, because of being difficult to irritate to the greatest extent, dosage changes 0.2ml/10g into, irritated stomach at 18 o'clock for the third time, because of being difficult to irritate to the greatest extent, dosage changes 0.15ml/10g into, after having irritated three times, accumulated dose is 24g/kg (this dosage is more than 300 times of clinical adult's dosage), and mice is quiet few moving, does not eat, recover gradually after 12 hours to look for food, observe none death in 7 days, dissect the mice of medication after 7 days, its heart of perusal, liver, kidney, lung, intestinal, the same not mice of medication of stomach.
Getting medicinal tablet of the present invention is mixed with 10% and 20% suspension with distilled water and carries out long term toxicity test with rat (Kaifeng institute of Pharmaceutical Industry animal housing wislar kind, six weeks of age are provided) for experimental animal.Concrete test is as follows:
One, rat is observed a week, select 80 of eligibles to be divided into four groups, every group 20, male and female half and half are by following four dosage gastric infusions (dizzy dose 3.6g every day that is grown up surely bitterly, press the body surface area conversion, rat dosage every day is 0.48g/kg, and through prerun, it is 1.0g/kg that dizzy pain is irritated the dosage that stomach makes this batch rat produce obvious sedation surely): 1, matched group, distilled water 10ml/kg irritates stomach every day once; 2, small dose group, dizzy pain is decided 1g/kg, irritates stomach every day once; 3, middle dosage group, dizzy pain is decided 2g/kg, irritates stomach every day once; 4, heavy dose of group, dizzy pain is decided 4g/kg, irritates stomach every day once.
Two, four groups of rat feed with the stable equilibrium feedstuff, freely drink water at duration of test, press above-mentioned dosage gastric infusion 40 days.
Three,, observe rat general signs, outward appearance, behavior at duration of test.Take by weighing body weight weekly once.Urine and blood sampling are collected in administration after 40 days, do blood, routine urinalysis check; Put to death then, extract blood and do liver, renal function and other blood tests, the heart of taking-up, liver, kidney, brain, stomach are made perusal and check pathological section.
Four, result
1, dizzy pain is fixed irritates stomach and gives and rat with low dose of (1g/kg), middle dosage (2g/kg), heavy dose of (4g/kg), all can cause tangible sedation, show as the Fu Shaodong that crouches, few reason hair and fur are phenomenons such as manure contamination, and two group of one all this phenomenon later on of low dose of, middle dosage alleviates gradually; Maincenter symptoms such as movement disorder appear in heavy dose of group Fu Shaodong for sleeping in all the time simultaneously, and the movement disorder phenomenons disappear after two weeks.Illustrate that the fixed central inhibitory action of dizzy pain is more obvious, but along with administration time prolongs, body has adaptation to it, each administration group rat extremity, eye, mouth color and luster are normal, breathe normally.
2, duration of test, administration group and matched group rat body weight all have increase, but middle dosage group and heavy dose of group weight increase are less.
3, each administration group rat hemogram and matched group no significant difference.
4, compare with matched group, dizzy pain is fixed slightly influential to administration rat renal function, but difference is not remarkable.
5, compare with matched group, dizzy pain is fixed to have certain influence to administration rat liver function, and heavy dose of group glutamate pyruvate transaminase is obviously raise, but not obvious to low dose of and middle dosage group influence, the glutamate pyruvate transaminase of each administration group is compared with matched group, and difference is not obvious.
6, perusal and check pathological section finding do not have the obvious damage effect to organs such as the heart of rat, liver, kidney, brain, stomaches, with the relatively equal no significant difference of matched group.
Yuntongding medicine I phase observation on Clinical Application is summarized as follows:
One, observational technique: this observation is carried out at neurosis and non-rotating vertigo patient, two kinds of diseases all are object with outpatient, patient is divided into three groups at random: the dizzy pain of each clothes is decided 3 (every 0.3 gram) groups, 4 groups, 5 groups, obey every day 3 times, do blood, routine urinalysis, electrocardiogram, liver function test before and after the treatment, 10 days is a course of treatment, and end was followed up a case by regular visits to patient and made efficacy evaluation the course of treatment.
Two, diagnostic criteria:
1, migraine: the headache of (1) discontinuity, start-stop is more unexpected; (2) violent throbbing pain or jumping pain; (3) mostly be inclined to one side side, the companion or without feel sick, symptoms such as vomiting, ophthalmoplegia, hemiplegia, sense partially, aphasia; (4) have or absence of prodrome; (5) there is or do not have family history; (6) platelet aggregation strengthens.
2, tension headache: the inducement that (1) has anxiety, depression, anxiety or specific positions etc. to cause muscle (anxiety) to shrink; (2) persistent ache; (3) multidigit is in occiput, cervical region, head or two temples; (4) for dull pain, stiff feeling, constriction or zonesthesia are arranged; (5) no family history, absence of aura, simultaneous phenomenon are few; (6) the electromyogram inspection sees that occipitalia and temporo (portion) flesh are contraction state; (7) 17-KS and 17OHS can increase.
3, neurosis: (1) spiritedness stimulates inducements such as wound.Neural quality can be arranged, and what are relevant with Nervous and Mental Factors, tired environment for the weight of symptom; (2) long, persistence of medical history time, the time gently all the time; (3) mostly be full headache, or the position is changeable; (4) mostly be distending pain, heating sense, vexed pain are arranged; (5) simultaneous phenomenon is various, is mainly that higher nervous activity weakens and the autonomic nervous dysfunction; (6) check out that tendon reflex symmetry is active, bilateral Rossolimo or Hoff-monn can the positive outside, surplus nothing location sign.
4, all organic headaches: encephalitis, meningitis, intracranial space-occupying lesion, intracranial pressure is high and low and other.
5, cervical spondylosis (comprise neck headache, neck dizzy): (1) headache, mainly be positioned at neck, occipitalia, and can radiate in the crown, eye socket and upper limb is one-sided or bilateral, for aching and aching and tired sense, neck is strong; (2) dizzy and disequilibrium is dizzy or dizzy heavy sense, astasia.At rotation head or excessively stretch when bending cervical region or dizzy increase the weight of and can be during the position flip-flop with tinnitus, deafness, visual disorder (blurring of vision, dim eyesight); (3) restriction of neck motion, when compressing or drawing head, symptom can increase the weight of or alleviate; (4) take the photograph sheet and look hyperosteogeny of cervical vertebra, narrowing of intervertebral space, cervical stability poor (extending through Qu Weixian excessively); (5) the movable and sensory disturbance of critically ill patient, as the spastic paralysis of extremity hypodynia, true property bulbar paralysis, ataxia etc. also can have autonomic nervous dysfunction's symptom.
6, rotatory (property on every side) is dizzy: (1) onset is fast, discontinuity outbreak, persistent period short (several hours, several days, a few week); (2) acutely dizzy (self or environmental movement sense); (3) when outbreak is with deafness, tinnitus, bulge of the ear; (4) head movement can make and dizzyly obviously increase the weight of; (5) vegetative nerve symptom obviously (feel sick, vomiting, pale complexion etc.), and be directly proportional with dizzy; (6) be more common in inner ear labyrinth, vestibular nerve pathological changes.
7, nonrotary (central) is dizzy: (1) onset is slow, longer duration (several weeks, several months, several years); (2) dizzy heavy sense, unstable sense are arranged; (3) can be with nervus centralis symptom; (4) head movement is dizzy does not increase the weight of; (5) vegetative nerve symptom is not obvious, if its degree is arranged with dizzy inconsistent; (6) be more common in maincenter and General Symptoms.
Three, curative effect judging standard
1, invalid: symptom no change before and after the treatment.
2, effective: main suit's symptom take a favorable turn, and headache, dizziness alleviate (alleviating approximately below 1/2), and attack times reduces below half.
3, produce effects: main suit's symptom is clearly better, and headache, dizziness alleviate (alleviate approximately 1/2 and more than), and attack times reduces over half.
4, the basic healing (base more): main suit's symptom disappears in the following up a case by regular visits to of back 10 days of treatment or longer time substantially, or does not reaccess between follow-up period.
Four, clinical data
1, neurosis:
(1) physical data: totally 30 examples, man 12, woman 18, age distribution be 11-20 year 2 examples, 21-30 the year 9 examples, 31-40 the year 12 examples, 41-50 the year 3 examples, 51-60 the year 4 examples, teacher's 2 examples, student's 3 examples, cadre's 6 examples, peasant's 6 examples, technician's 1 example, soldier's 1 example.Medical history: half a year following 6 examples, half-1 year 4 example, 1-2 5 examples, 2-3 3 examples, 3-4 1 example, 4-5 1 example, 10 examples more than 5 years.Headache character: persistent ache 13 examples, persistent ache paroxysmal increase the weight of 2 examples, discontinuity 15 examples, can 1 day several times or several days 1 time, 1 half a day or several days, no certain regularity; The headache position: except that 1 example does not have the record, indefinite person's 5 examples in headache position, two whisker pain 5 examples, 7 examples, front and headache 3 examples, headache 2 examples, two whisker and headache 1 example, front 7 examples, front and headache 3 examples, headache 2 examples, left side 1 example of having a headache of having a headache entirely of having a headache entirely; Headache is because of: angry person's 13 examples, back headache person's 10 examples of requiring mental skill, nervous 5 examples, insomnia 12 examples, tired 8 examples, overcast and rainy, illumination, reading cause each 1 example, and environment make a lot of noise 1 example, no inducement 4 examples are removed also vascular headache of 1 example, tell sometimes and before the headache surplus equal absence of aura is arranged outside the dim eyesight symptom; Headache character: expand, dull pain 19 examples, jumping pain 3 examples, distending pain merge jumping pain 4 examples, drilling pain 2 examples, nervous pain or sense 2 examples of attaching the names of pre-determined candidates; The headache degree: adhere to worker's 9 examples, severe pain unbearably 1 example, mother have headache 3 examples, ancestral, mother, father, elder sister that each 1 example of headache history is arranged, no family history 24 examples, 1 example is not put down in writing, except that 2 routine hypertensions, the general physical examination of blood pressure, neurologic examination are all normal.
(2), therapeutic outcome: because this disease symptoms complexity, efficacy determination is with the main foundation that is changed to of " bitterly " before and after the treatment, and other symptoms perform an analysis in addition as the variation before and after simultaneous phenomenon and the treatment, can give prominence to the fixed clinical effect of dizzy pain like this.See better from produce effects, see no significant difference between 3 groups, for simultaneous phenomenon better curative effect is arranged also, no significant difference between 3 groups from effective percentage with 3 groups and 5 group.
Each organizes therapeutic outcome
The medicine group |
The example number |
Base more |
Produce effects |
Take a turn for the better |
Invalid |
Total obvious effective rate |
Total effective rate |
Total inefficiency |
3 groups |
10 |
3 |
3 |
3 |
1 |
60% |
90% |
10% |
4 groups |
10 |
0 |
4 |
5 |
1 |
40% |
90% |
10% |
5 groups |
10 |
3 |
4 |
1 |
2 |
70% |
80% |
20% |
With variation before and after the treatment of headache simultaneous phenomenon
The main concomitant symptoms before the treatment: feel sick, cardiopalmus, dizziness, insomnia, poor memory, weak, absent minded, perspiration, defecation frequency is many, limb is numb, shed tears etc. |
Treatment back situation: medicine group |
Transference cure |
Obviously alleviate or alleviate |
No change |
Effective percentage |
3 groups (10 example) |
4 |
5 |
1 |
90% |
4 groups (10 example) |
0 |
9 |
1 |
90% |
5 groups (10 example) |
1 |
7 |
2 |
80% |
(3), curative effect time of occurrence: according to 25 example records, 1-3 days person's 7 examples, 3-6 days person's 13 examples, 6-10 days person's 5 examples.
(4), blood, urine, liver, mood condition and toxic and side effects before and after the treatment
In 30 examples, during 1 routine oral medicine sense weak, surplus no special sense of discomfort does not have blood, urine, the heart, liver yet and to show infringement
2, the dizzy disease of nonrotary
(1) physical data: totally 25 examples, wherein male 14 examples, women 11 examples.Age distribution: 21-30 year 2 examples, 31-40 year 3 examples, 41-50 year 3 examples, 51-60 year 10 examples, 61-70 year 6 examples, 71-80 year 1 example; Medical history: do not have the record except that 1 example, 24 examples of surplusing are: 7 examples, half a year-1 year 4 examples, 1-2 1 example, 2-3 2 examples, 4-5 2 examples, 8 examples more than 5 years below half a year; Persistence dizzy 6 examples of 19 examples, discontinuity of swooning; Except that 2 examples suddenly onsets be dizzy, surplusly be dizzy heavy sense, or merge slight spinning sensation sometimes; 1 example is dizzy is brought out by Body Position Change, and dizzy the change with position of 18 examples increased the weight of, and 6 examples are irrelevant with Body Position Change; Belong to dizzy person's 2 examples of ear source property, central person's 17 examples of swoon, not clear person's 6 examples, central is swooned and is mainly caused (neck is or/and arteriosclerosis) by vertebra-Ji tremulous pulse blood supply insufficiency.
(2) therapeutic outcome (seeing the following form): efficacy determination also with the main foundation that is changed to of " swooning " before and after the treatment, has also been done observation to simultaneous phenomenon.
Each organizes therapeutic outcome
The medicine group |
The example number |
Base more |
Produce effects |
Take a turn for the better |
Invalid |
Total obvious effective rate |
Total effective rate |
Total inefficiency |
3 groups |
9 |
2 |
4 |
1 |
2 |
66.7% |
77.8% |
22.2% |
4 groups |
10 |
1 |
7 |
1 |
1 |
80% |
90% |
10% |
5 groups |
6 |
|
|
1 |
5 |
|
16.7% |
83.3% |
Change before and after the simultaneous phenomenon treatment
The main concomitant symptoms before the treatment: headache, cardiopalmus, tinnitus, agitation, heartburn, vomit, perspire, walk unstable, nystagmus |
Treatment back situation: medicine group |
Transference cure |
Obviously alleviate or alleviate |
No change |
Effective percentage |
3 groups (9 example) |
2 |
5 |
2 |
77.8% |
4 groups (10 example) |
1 |
8 |
1 |
90% |
5 groups (6 example) |
|
1 |
5 |
16.7% |
(3), curative effect time of occurrence: according to 16 example records, the 1-3 days person of taking effect 7 examples, the 3-6 days person of taking effect 7 examples, the person's of taking effect 2 examples more than 6 days.
(4), blood, urine, liver, mood condition and toxic and side effects before and after the treatment: in 3 group 9 examples, 2 examples have been told the sense of feeling sick, and 1 example is told xerostomia; In 4 group 10 examples, the red pimple of skin appears in 1 example after taking medicine 5 days, and merging is healed after taking chlorphenamine.Blood, urine, liver, the heart there is not the demonstration toxicity damage.
Five, preliminary brief summary
1, dizzy pain is fixed has short-period clinical (only having done the short-term observation) preferably to neurosis and the dizzy disease of nonrotary, to treating based on pain and dizzy disease, the short-term obvious effective rate is respectively 56.7% and 56.6%, effective percentage is respectively 86.7% and 68.0%, and other complicated symptoms that these two kinds of diseases are followed also have better therapeutical effect.
2, dizzy pain Dingan County complete, have no side effect, only skin rashes appears in 1 example in taking, continue to take medicine (merge and use chlorphenamine) disappears again, and the heart, liver, kidney and hemopoietic system are not seen obvious damage, patient takes like a shot.
3, II phase clinical observation is carried out in suggestion.
Yuntongding medicine II phase observation on Clinical Application is summarized as follows:
One, observational technique
1, the object of observation and standard: before the begin treatment, determine the object of observation by cooperation unit and the joint research of the medicine unit of providing of participating in observation.The headache group is observed: migraine, tension headache, neurosis, cervical vertebra headache, organic headache; Dizzy group is divided into dizzy two groups of the dizzy and dizzy commentaries on classics of nonrotary based on observation of symptoms.Diagnostic criteria is with I phase observation on Clinical Application.
2, observational technique:
(1) case is chosen as at random and patient is divided into two groups, and dizzy pain is decided the treatment group and is divided into headache group and dizzy group again, all decides 4 (every 0.3 grams), 1 course of treatment of 3 times, 10 day every day with the dizzy pain of each clothes, finishes promptly to do efficacy evaluation the course of treatment; Matched group also is divided into headache group and dizzy group, and the headache group compares with aspirin, obeys 0.3g, every day 3 times at every turn, and dizzy group compares with dizzy drug withdrawal, obeys 25mg, every day 3 times at every turn, is 1 course of treatment with 10 days all, finishes to do efficacy determination the course of treatment.
(2) two groups of patients are at viewing duration, forbid to come into operation again any analgesic, relieving fainting agent, few as far as possible with or without other drug, so that the evaluation curative effect.
(3) the preceding patient of treatment will do blood, routine urinalysis, liver function, Electrocardioscopy and other necessary inspections as electroencephalogram, cervical vertebra film making, and treatment is checked after finishing, to judge poisonous side effect of medicine.
(4) efficacy evaluation: be accurately evaluation curative effect, and be not single disease that simultaneous phenomenon is more, so unified being defined in when judging curative effect with " bitterly " and " swooning " is changed to main foundation treating front and back based on headache, dizziness.Curative effect determinate standard is with I phase observation on Clinical Application.
Two, physical data
Dizzy pain is treated various headaches surely and is observed 308 examples altogether, treats various dizzinesses and observes 108 examples altogether.With aspirin treatment headache, observe 69 examples altogether as the matched group of the fixed treatment headache of dizzy pain, observe 35 examples so that the diphenidol treatment is dizzy altogether as the dizzy matched group of the fixed treatment of dizzy pain.
1, various headache 308 examples of dizzy pain fixed (treatment group) treatment, wherein, have a headache 104 examples, neck headache 31 examples, tension headache 44 examples, organic headache (as headache, intracranial hemorrhage, encephalitis, cerebral cysticercosis, cerebral trauma etc.) 31 examples of migraine 98 examples, neurosis.Matched group is treated various headache 69 examples with aspirin, wherein, migraine 25 examples, neurosis 31 examples, muscle tonus 13 examples of having a headache, two groups of patient's courses of disease are as follows:
Group |
Disease |
<half a year |
Half a year-1 year |
1-2 |
2-3 |
3-4 |
4-5 |
More than 5 years |
Not quite clear |
The course of disease is the shortest |
The course of disease is the longest |
The treatment group |
Migraine |
23 |
7 |
8 |
8 |
4 |
2 |
46 |
|
45 days |
30 years |
Neurosis |
22 |
13 |
16 |
8 |
5 |
5 |
35 |
|
6 days |
20 years |
The neck headache |
9 |
4 |
1 |
2 |
2 |
1 |
12 |
|
30 days |
20 years |
The muscle tonus headache |
9 |
5 |
6 |
6 |
2 |
2 |
14 |
|
5 months |
20 years |
Organic headache |
11 |
4 |
5 |
3 |
|
|
2 |
6 |
8 days |
2 months |
Add up to |
74 |
33 |
36 |
27 |
13 |
10 |
109 |
6 |
|
|
Matched group |
Migraine |
3 |
3 |
2 |
|
1 |
|
16 |
|
2 months |
20 years |
Neurosis |
6 |
6 |
7 |
1 |
1 |
2 |
8 |
|
15 days |
10 years |
The muscle tonus headache |
6 |
3 |
2 |
|
|
|
2 |
|
30 days |
16 years |
Add up to |
15 |
12 |
11 |
1 |
2 |
2 |
26 |
|
|
|
2, fixed dizzy (treatment group) patient totally 108 examples for the treatment of of dizzy pain, nonrotary dizzy (as vertebral-basilar artery insufficiency, cerebral arteriosclerosis etc.) 57 examples wherein, rotatory vertigo (as Menieres disease etc.) 51 examples, be that matched group is treated dizzy 35 examples of nonrotary altogether with the diphenidol.Patient is as follows:
Group |
Disease |
The man |
The woman |
Add up to |
<10 years old |
11-20 years old |
21-30 years old |
31-40 years old |
41-50 years old |
51-60 years old |
61-70 years old |
71-80 years old |
Add up to |
The treatment group |
Nonrotary is dizzy |
27 |
30 |
57 |
|
2 |
9 |
14 |
14 |
13 |
4 |
1 |
57 |
Rotatory vertigo |
18 |
33 |
51 |
1 |
1 |
8 |
16 |
10 |
12 |
3 |
|
51 |
Add up to |
45 |
63 |
108 |
1 |
3 |
17 |
30 |
24 |
25 |
7 |
1 |
108 |
Matched group |
Nonrotary is dizzy |
19 |
16 |
35 |
|
|
1 |
8 |
6 |
13 |
7 |
|
35 |
Group |
Disease |
<half a year |
Half a year-1 year |
1-2 |
2-3 |
3-4 |
4-5 |
More than 5 years |
Not quite clear |
The course of disease is the shortest |
The course of disease is the longest |
The treatment group |
Nonrotary is dizzy |
21 |
12 |
6 |
6 |
4 |
1 |
7 |
|
14 days |
12 years |
Rotatory vertigo |
20 |
5 |
6 |
7 |
2 |
|
9 |
2 |
20 days |
20 years |
Add up to |
41 |
17 |
12 |
13 |
6 |
1 |
16 |
2 |
|
|
Matched group |
Nonrotary is dizzy |
12 |
5 |
|
|
|
1 |
9 |
8 |
3 days |
16 years |
Three, therapeutic outcome
1, to treat various headache curative effects as follows for the fixed and aspirin of dizzy pain:
Group |
Disease |
Total routine number |
Base more |
Produce effects |
Effectively |
Invalid |
Obvious effective rate |
Effective percentage |
The treatment group |
Migraine |
98 |
32 |
37 |
25 |
4 |
70.4% |
95.5% |
Neurosis |
104 |
19 |
38 |
35 |
12 |
54.8% |
88.5% |
The cervical vertebra headache |
31 |
10 |
14 |
6 |
1 |
77.4% |
96.8% |
The muscle tonus headache |
44 |
7 |
16 |
11 |
10 |
52.3% |
77.3% |
Organic headache |
31 |
3 |
12 |
12 |
4 |
48.4% |
87.1% |
Add up to |
308 |
71 |
117 |
89 |
31 |
61.0% |
89.9% |
Matched group |
Migraine |
25 |
3 |
10 |
8 |
4 |
52.0% |
84.0% |
Neurosis |
31 |
3 |
9 |
13 |
6 |
38.7% |
80.6% |
The muscle tonus headache |
13 |
1 |
3 |
6 |
3 |
30.8% |
76.8% |
Add up to |
69 |
7 |
22 |
27 |
13 |
42.0% |
81.2% |
As seen, it is 61.0% that dizzy pain is treated various headache total effective rates surely, and total effective rate is 89.8%.Wherein, with to migraine, cervical vertebra headache better effects if.Relatively poor to the organic headache effect, migraine is compared P<0.05 with organic headache, and the cervical vertebra headache is compared P<0.025 with organic headache, and all there were significant differences.Matched group aspirin is treated various headache obvious effective rates 42.0%, effective percentage 81.2%, and with regard to obvious effective rate, dizzy pain is fixed to be compared with aspirin, P<0.05, there were significant differences.
2, to treat dizzy curative effect as follows for the fixed and diphenidol of dizzy pain:
Group |
Disease |
Total routine number |
Base more |
Produce effects |
Effectively |
Invalid |
The treatment group |
Rotatory vertigo |
51 |
15 |
17 |
12 |
7 |
Nonrotary is dizzy |
57 |
11 |
18 |
17 |
11 |
Add up to |
108 |
26 |
35 |
29 |
18 |
Matched group |
Nonrotary is dizzy |
35 |
6 |
4 |
14 |
11 |
Dizzy pain is treated the dizzy obvious effective rate 56.5% always of the dizzy and dizzy commentaries on classics of nonrotary surely, and total effective rate is 83.3%, and the obvious effective rate and the effective percentage of nonrotary dizziness is respectively 83.3%, and the obvious effective rate and the effective percentage of rotatory dizziness is respectively 50.9% and 80.7%.Obvious effective rate, the effective percentage of the dizziness of diphenidol treatment nonrotary are respectively 28.6%, 68.3%, learn by statistics and handle, and dizzy pain is better than diphenidol (P<0.05) surely.
3, the fixed other treatment effect of dizzy pain
In the disease processes of treatment based on headache and dizzy, other symptoms of following with it as feel sick, vomiting, cardiopalmus, perspiration, irritability, photophobia, shed tears, have a sleepless night, fatigue etc., with the alleviating or disappear of headache, dizziness, also alleviate to some extent or disappear.
4, curative effect time of occurrence
According to 68 routine migraineurs are added up 1-3 days produce effects person 26 examples, 3-4 days person 21 examples, 6-10 days person 21 examples.
Four, side effect
1, subjective sensation: with dizzy pain fixed and aspirin, diphenidol contrast treatment are had a headache, in the dizzy process, patient's subjective sensation malaise symptoms is as follows:
Group |
Medicine |
The example number |
Gastrointestinal tract |
Skin heart |
Maincenter |
Xerostomia |
Feel sick |
Vomiting |
The abdomen discomfort |
Other |
Red heat |
Erythra |
Itch |
Perspire |
Other |
Drowsy |
Irritated |
Blurring of vision |
Other |
The treatment group |
Dizzy pain is fixed |
416 |
10 |
6 |
|
|
|
1 |
1 |
1 |
1 |
|
9 |
3 |
2 |
4 |
Matched group |
Aspirin |
58 |
3 |
7 |
1 |
8 |
2 |
|
|
|
1 |
|
2 |
|
|
1 |
Diphenidol |
27 |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
2 |
2, lab testing
(1) heart: look into 180 examples altogether, all normal person's 156 examples of Electrocardioscopy, unusual person's 24 examples before and after the treatment, abnormal conditions are as follows:
Before the treatment |
After the treatment |
Slow and arrhythmia 1 example of hole |
Hole delays 1 example |
Normal 2 examples |
Hole delays 1 example |
Hole delays 3 examples |
Normal 2 examples, no change 1 example |
Myocardial ischemia 12 examples |
Normal 4 examples, 1 example that takes a turn for the better, no change 7 examples |
Ventricular premature contraction 1 example takes place frequently |
Normal 1 example |
Conduction block 2 examples |
Normal 1 example, no change 1 example |
ST hangs down 1 example |
Normal 1 example |
Limb lead low-voltage 2 examples |
Normal 1 example, no change 1 example |
Illustrate: dizzy pain is fixed does not only have adverse effect to the blood supply of cardiac muscle and the rhythm of the heart, and the effect of the blood supply of cardiac muscle of improvement is seemingly arranged.
(2) liver: look into 199 examples altogether, all normal person's 192 examples of liver power checking before and after the treatment, GPT height, still high person's 4 examples of treatment back GPT before the treatment, normal person's 3 examples illustrate that dizzy pain is fixed harmless to liver.
(3) uroscopy: look into 209 examples altogether, all normal person's 203 examples of uroscopy before and after the treatment, person's 6 examples that the front or rear routine urinalysis of treatment has the mile abnormality, unusual person's situation is as follows:
Before the treatment |
After the treatment |
Urine protein 2 examples |
Normal 2 examples |
Normal 1 example |
Urine protein 1 example |
High 3 examples of greasy urine cell |
Normal 2 examples, no change 1 example |
(4) routine blood test: all check leukocytic 113 examples before and after the treatment, rising person's 45 examples are compared in front and back, increase by 5300,50 of minimum increases at most, on average raise scope 1120-2500; Reduction person's 67 examples reduce 2300 at most, minimumly subtract 500, decreased average scope 1447-2233, the leukocyte that causes for infection change be not counted in.28 examples that change of red blood cell is arranged before and after the treatment, wherein rising person's 15 examples, minimizing person's 13 examples; Hemoglobin variation person 42 examples are arranged, wherein rising person's 18 examples, minimizing person's 13 examples, no change person 11 examples.All in all, it is bigger that dizzy pain is decided the dialogue impact cell, little to erythrocyte and hemoglobin influence.