CN2571410Y - Multi-function acupoints therapeutic adhesive plaster - Google Patents

Multi-function acupoints therapeutic adhesive plaster Download PDF

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CN2571410Y
CN2571410Y CN 02221828 CN02221828U CN2571410Y CN 2571410 Y CN2571410 Y CN 2571410Y CN 02221828 CN02221828 CN 02221828 CN 02221828 U CN02221828 U CN 02221828U CN 2571410 Y CN2571410 Y CN 2571410Y
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treatment
pasted
therapy
acupoint
magnetic
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CN 02221828
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郑体成
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Abstract

The utility model belongs to the technical field of a medical appliance of iatrology, and discloses a multifunctional therapeutic plaster for acupuncture points. The utility model is composed of a sleeve 1 for a therapeutic plaster, a far infrared functional material layer 2, a medicine bag 3, a magnetic member 4, a core of the therapeutic plaster, an adhesive rubberized fabric 6, a heater 7, a penetration assistance medicine 8, etc., and has multiple functions of far infrared physiotherapy, thermotherapy, massage, magnetic therapy, medicine therapy, etc.; according to the theory of channels and collaterals of Chinese medicine, a user selects relative acupuncture points to carry out self therapy to common diseases; then, the efficacy of channel and collateral dredging, blood circulation promotion, blood stasis removal, inflammation elimination, pain alleviation, blood pressure reduction, vital energy regulation, cold dissipation, detoxification, etc. is realized. The therapeutic plaster for acupuncture points has the advantages of easy, convenient and safe use, low price, rapid function, wide application to diseases, conspicuous therapeutic effect and no toxic and side effect; thus, the utility model belongs to a popular self health care medical appliance with ' green ' therapy.

Description

The multifunctional acupoint treatment is pasted
Affiliated technical field
This utility model belongs to the technical field of medical instruments of medicine, relates to a kind of multifunctional acupoint treatment that is used for the Chinese medicine meridian therapy and pastes.
Background technology
As everyone knows, the method that the Applied Physics factor (as electric wave, magnetic field, infrared ray etc.) acts on human body prevention and treatment disease is called physiotherapy, is called for short physical therapy.Now, physiotherapy has been brought into play positive effect as important health therapy means in preventing and curing diseases, and particularly occupies a seat important position in family's Comprehensive Treatment.The kind of physiotherapy is a lot, mainly contains: electrotherapy; Phototherapy; Phonotherapy; Magnetic field therapy; Thermotherapy; Mechanical stimulus therapy (comprising acupuncture therapy, massotherapy, finger needling etc.) etc.Be noted that the Chinese medicine meridian therapy with motherland's medical tradition just belongs to this class of physiotherapy, it comprises: acupuncture, massage, magnetic therapy, finger needling etc.The Chinese medicine meridian theory points out that the meridians point is the acupuncture point, and it is distributed in the human body whole body, is the main acupuncture point of attacking a vital point and curing the disease.At present, the many multifunction physiotherapy instruments (device) of China all belong to acupoint curing instrument (device).This class acupoint curing instrument (device) for preventing and curing diseases and health care etc., has all been brought into play important function after promoting the use of, its therapeutic effect also is preferably.
But the weak point of existing this class acupoint curing instrument (device) is: (1) carries inconvenience; Existing above-mentioned therapeutic instrument (device), most requirement fixed position socket power, and inconvenience portably uses or random shift position, to satisfy the requirement that can treat whenever and wherever possible.In addition, what have makes the Portable power supply into, but big or weight is heavier because of this therapeutic instrument (device) volume, also inconvenience is carried.(2) treatment is subjected to the restriction in time, place bigger; Existing above-mentioned therapeutic instrument (device) nearly all can't satisfy the requirement that can treat whenever and wherever possible.People even hope preferably can be in the working times or during nighttime sleep, also can treat.(3) price is more expensive, is unfavorable for that the whole people popularize use; Be noted that in the above-mentioned therapeutic instrument (device) that what have also must add medicinal bag, carrying out Drug therapy, otherwise just can only play health-care effect, and not have therapeutic effect.Like this, (or with 10~20 times after) medicinal bag of replacing that except that once buying the above-mentioned therapeutic instrument of platform, also needs 5~10 days, and the price of every bag of synergism medicine bag all is tens of units, this will increase patient's financial burden again.(4) overwhelming majority has the existing acupoint curing instrument (device) of massage functions, and its curative effect all is not so good as to adopt hands to impose traditional massotherapy of massage; Because above-mentioned acupoint curing instrument (device) is bigger with the contact surface of human body, partial mechanical stimulating action is located at the acupuncture point just have been weakened relatively, its massage curative effect add and underaction, and many maneuvers of tradition massage also can't be adopted, so can not show a candle to traditional massotherapy.In addition, traditional massotherapy also has weak point, be traditional massage or some maneuver of finger needling, the finger of employing hands or the effect that metacarpus imposes are also not ideal enough, so that after needing to impose with very little finger tip of contact surface or fingernail, effect is just a little better, but if operation is careless, may injure skin.Sometimes, in order to strengthen the effect of mechanical stimulus, again by means of some aids, as: toothpick, matchstick or nib and so on be the article of point, and this equally also may injure skin.(5) great majority have the existing acupoint curing instrument (device) of magnetic therapy functions, and it is bigger that scope is involved in its magnetic field, are not single-minded at relevant acupuncture point, have so just weakened the magnetic therapy effect that concentrates on the place, acupuncture point relatively.As everybody knows, what above-mentioned therapeutic instrument (device) all adopted is low-intensity magnetic field, this certainly to human body without any side effect, curative effect is preferably but arranged on the contrary.But it is bigger than normal that scope is involved in the magnetic field of existing acupoint curing instrument (device), just will certainly be on the weak side and directly act on the magnetic field intensity at meridian point place, and this will weaken the magnetic therapy effect to the acupuncture point.If will suitably strengthen magnetic flux,, then may negative consequence will be caused again to improve curative effect to the acupuncture point.For example, to the people body-centered, when treat at some acupuncture point, brain position, will to involve scope bigger because of magnetic field, heart or the brain to sensitivity may be caused harmful effect.(6) in existing acupoint curing instrument (device), the acupoint therapy that has a class to have medical treatment functions pastes, but their great majority all only have medical treatment functions.Wherein, also have minority to have magnetic therapy functions, but the magnetic part that this acupoint therapy pastes but all adopt single solid magnetic part, and only carry out magnetic therapy in " magnetostatic " mode.(7) great majority have the existing acupoint curing instrument (device) of medical treatment functions, and it is long-pending bigger that its medicinal bag (pad) applies capping, except that being enough to cover the relevant acupuncture point, have also wasted many medicines greatly, and this also is one of reason on the high side.In a word, the existing acupoint curing instrument (device) of great majority, in the motility of place to use and time, manufacturing cost and price, and there is above-mentioned deficiency in all many-sides such as specific aim of acupoint therapy.
Summary of the invention
This shows, seek a kind of easy to carryly, cheap, use simple and easy, convenient, safety, be convenient to maintenance, and multifunctional acupoint therapeutic instrument (device) evident in efficacy, will become the important goal and the direction of medical instruments field development, exploitation.
The purpose of this utility model is, provides a kind of multifunctional acupoint treatment subsides that the Chinese medicine meridian therapy combines with physical therapy method that are used for, in the hope of reaching above-mentioned requirements.This multifunctional acupoint treatment is pasted, and is mainly pasted cover, far-infrared functional material layer, medicinal bag, magnetic part, treatment subsides core, rubberized fabric and heater, is helped transdermal agent etc. to form by treatment.Wherein, medicinal bag, magnetic part, treatment subsides core are contained in treatment respectively and paste in the cover; , heater is used for heating in advance medicinal bag; Help the transdermal agent be smear or be sprayed on relevant human skin in advance respectively and medicinal bag lip-deep.When pasting the treatment human body diseases with the treatment of this multifunctional acupoint, the relevant Chinese medicine meridian with human body of the far-infrared functional material layer acupuncture point that then makes its treatment paste cover contacts, impose multiple treatments such as far-infrared physiotherapy, thermotherapy, magnetic therapy, massage, medication, and the physical therapy effect by far infrared, the thermogenetic effect of heating, the magnetic effect of magnetic part, the mechanical stimulus effect of massage and the medicine of medicinal bag penetrate effect etc., the Comprehensive Treatment effect of the compound superposition Conversion of energy that is produced is in the hope of reaching the purpose of curing the disease.
The treatment of this multifunctional acupoint is pasted, and has the comprehensive effectiveness that the Chinese medicine meridian therapy combines with physiotherapy, integrates multiple usefulness, " multiple-effect unification ".Its available single (or a plurality of) treatment is pasted, and carries out many acupuncture points, multi-functional treatment simultaneously.And use simple and easyly, convenient, flexibly, be not subjected to the restriction in time, place, even when work or sleep, also can treat whenever and wherever possible.It carries out Heal Thyself to multiple common disease, and concrete characteristics are as follows: (1) has the far infrared element layer of far infrared resonant absorption effects; The far-infrared functional material layer that the treatment of this multifunctional acupoint is pasted, it is far IR fibre lining or the far-infrared ceramic particle lining with far-infrared functional.When it passes through to absorb the temperature of human body (or other external heat source), can give off the far infrared of specific wavelength 8-15 micron, and this section far infrared is consistent with the wavelength of human body emission, so can be by the human body resonance absorption.This physical effect, but blood circulation promoting, eliminate the blood stasis phenomenon, the expansion blood capillary, alleviating pain enhances metabolism, and improves body immunity etc.Above-mentioned far-infrared functional just is being applicable to the various commonly encountered diseases of treatment, chronic disease, syndrome.(2) has medicinal bag corresponding single acupuncture point, that contact area is less; The medicinal bag (or medicine sheet) that the treatment of this multifunctional acupoint is pasted, want much little than the existing medicinal bag that possesses the therapeutic instrument (device) of medical treatment functions, because of its specific aim very clear and definite, be exactly that it only imposes medication to the single acupuncture point of curing the disease, and every cover treatment is pasted, then can be according to the little medicinal bag (or medicine sheet) of the corresponding dissimilar pharmaceutical formulations of arrangements of curing the disease.This active remedy bag (sheet) is that main medicine is formulated by plurality of Chinese.It pastes for this treatment has increased the medical treatment functions that a kind of medicine penetrates effect, and " inner disease outer treat " is beneficial to further improve curative effect.The shape and the size thereof of medicinal bag (sheet) do not limit (but the size of its diameter or each length of side had better not greater than 60mm).Needs according to some common disease of treatment, for the potentiation of raising speed, sometimes can increase vigor that a kind of spy joins help the transdermal agent (as: respectively with wine, vinegar, oil, water etc. be solvent help the transdermal agent), it is smeared respectively or is sprayed on the surface and the corresponding skin of human acupoint of said medicine bag.(3) in order to strengthen the effect of dredging the meridian and blood circulation promoting and blood stasis dispelling, be provided with special heater; The heater that the treatment of this multifunctional acupoint is pasted is not normally put into the treatment subsides.It is to make the container of given shape with heat resistant plastice (or metal material), and the hot water more than 80 ℃ of packing into, in advance medicinal bag is carried out the contact conduction heating.Heating-up temperature is generally 40~60 ℃.Like this, medicine intensifies its effect component just by thermogenetic effect, and speed-raising penetrates corresponding acupuncture point, through diseased region, and outer the meridian dredging is with the raising curative effect of curing the disease.Simultaneously, the thermogenetic effect of above-mentioned heating still plays a part common thermotherapy.Certainly, also available other mode of heating or replace carrying out above-mentioned prior heating with hot water bag.(4) has magnetic part corresponding single acupuncture point, that contact area is less; The magnetic part that this multifunctional acupoint treatment is pasted, a plurality of (or single) bead of arranging, having given shape by many covers or single cover, by ad hoc fashion is formed.The quantity and the size thereof of magnet ring do not limit (but its internal diameter size had better not greater than 15mm).In addition, magnet ring has related parameter to decide according to helping strengthening the acupoint magnetotherapy effect.In the existing therapeutic instrument (device) that possesses magnetic therapy functions, its magnetic part great majority are solid big parts, and the contact area of itself and human body is bigger, and this has not only increased cost because of weight, and importantly, it is for the magnetic therapy effect at acupuncture point and bad.Magnetic part of the present utility model has adopted the magnet ring of specific annular hollow, and at the characteristics of acupoint therapy, has selected the size that adapts.This has not only reduced cost because of contact area is less, the magnetic line of force that it produced is more concentrated on around the acupuncture point, is beneficial to the more intensive relevant acupuncture point of human body that penetrates of the magnetic line of force, to obtain better curative effect.Magnet ring adopts the magnetic material of permanent magnetism to make.The visible accompanying drawing of particular arrangement mode of magnetic part of the present utility model.(5) treatment of this multifunctional acupoint is pasted and is had massage functions; This acupoint therapy pastes is before its not relevant with human body acupuncture point touch, and by several different massage maneuvers massage treatment is carried out at the acupuncture point.Be noted that the magnetic line of force that causes magnetic part to produce is cut by human body owing to massage makes the magnetic part relative motion.Like this, because of cutting magnetic line, and make " magnetostatic " become " moving magnetic ".This " moving magnetic " effect, " electromagnetic induction " effect that promptly it has often been said, and existing field effect therapeutic equipment, low frequency electromagnetic pulse therapeutic device etc. all are to have utilized this electromagnetic induction effect equally.Therefore, the treatment of this multifunctional acupoint is pasted, and " magnetostatic " effect of existing magnetic therapy has its " moving magnetic " effect again.(6) quantity of this multifunctional acupoint treatment subsides, and medicinal bag and magnetic part etc. all have simple and easy, convenient, the flexible characteristic of adjustment.The treatment rule of curing the disease according to the traditional Chinese medical science, especially because of the time, because of the rule of treatment of ground, giving treatment in accordance with the patient, it has demonstrated fully organic conception and principle and spirit and the property of determination of treatment based on pathogenesis obtained through differentiation of symptoms and signs in clinical practice that the traditional Chinese medical science is cured the disease.Therefore, require the treatment of this multifunctional acupoint to paste, when " suiting the remedy to the case ", " being cured the disease in the cave ", can select relevant acupuncture point, medicinal bag and magnetic part etc. flexibly for use, to adapt to " ruling together in many caves ", " many diseases are ruled together ".So the quantity that this acupoint therapy pastes, and each medicinal bag of this treatment subsides and magnetic part etc., all can be as required, and increased and decreased or change (in case of necessity, even can arbitrarily take down), to satisfy the above-mentioned requirement of curing the disease.
The treatment of this multifunctional acupoint is pasted, by over one year to the checking of the clinical treatment of multiple commonly encountered diseases, effects such as it can reach dredging the meridian, blood circulation promoting and blood stasis dispelling, antiinflammatory, detumescence, pain relieving, antidiarrheal, blood pressure lowering, calmness, regulate the flow of vital energy, cold expelling, detoxifcation all have than obvious curative effects treating multiple commonly encountered diseases.Its medicable commonly encountered diseases mainly contains: flu; Headache; Pharyngitis, rhinitis, bronchitis, gastritis and intestinal inflammation; Coronary heart disease; Hypertension; Hyperlipemia; Diabetes; Arthritis; Scapulohumeral periarthritis; Cervical spondylosis; Prostatitis; Lumbago and skelalgia; Lumbar muscle strain; Prolapse of lumbar intervertebral disc; Hyperosteogeny; Gynecological, orthopaedic disease etc.In a word, this multifunctional acupoint treatment is pasted, and has simple and easy, convenient, the safety of use, and is cheap, and effect is rapid, and indication is wide, and is evident in efficacy, and advantage such as have no side effect.Should, it belongs to the popular medical apparatus and instruments of self health care " green " therapy.
Description of drawings
Below in conjunction with accompanying drawing and example, this utility model is done further narration.
Fig. 1 is this multifunctional acupoint treatment pinup picture.
Fig. 2 is for using the capable acupoint therapy sketch map of this multifunctional acupoint treatment exchange premium.
Fig. 3 pastes several arrangement mode figure of magnetic part for the treatment of this multifunctional acupoint.
Cover is pasted in 1. treatments among the figure, 2. far-infrared functional material layer, and 3. medicinal bag, 4. magnetic part, 5. core is pasted in treatment, 6. rubberized fabric, 7. heater 8. helps the transdermal agent, 9. human skin.
Specific embodiments
As Fig. 1, Fig. 2, shown in, multifunctional acupoint of the present utility model treatment is pasted, and pastes cover 1 by treatment, far-infrared functional material layer 2, medicinal bag 3, magnetic part 4, core 5 is pasted in treatment, rubberized fabric 6, heater 7 helps transdermal agent 8 compositions such as grade.Wherein, far-infrared functional material layer 2 is surface layers that cover 1 is pasted in treatment; Medicinal bag 3, magnetic part 4, treatment is pasted core 5 and is contained in respectively in the treatment subsides cover 1; Heater 8 is in order to heating medicinal bag 3.
As shown in Figure 3, the magnetic part 3 that the treatment of this multifunctional acupoint is pasted, it is formed by the hollow circular ring assembled arrangement of a plurality of (or single) given shape.The annulus of this hollow circular ring shape section is to adopt the magnetic material of permanent magnetism to make.Several assembled arrangement modes of magnetic part 3 all can make the magnetic line of force of generation more concentrate on place, the relevant acupuncture point of human body, can favourablely penetrate the corresponding skin 9 of human acupoint, so that commonly encountered diseases is carried out the potentiation magnetic therapy.
In this year, it is a lot of that the patient adopts this multifunctional acupoint treatment to paste the example of the multiple commonly encountered diseases of Heal Thyself, has many commonly encountered diseases can not need to take medicine or adopt other Therapeutic Method, can accomplish to make gradually that sb.'s illness took a favorable turn, transference cure, until disease recovery from illness and radical cure, its curative effect is comparatively obvious.Below, by several examples, brief description is operating position and therapeutic effect of the subsides of this acupoint therapy a bit.
Example 1. treatment scapulohumeral periarthritis;
It is existing for many years that certain patient suffers from scapulohumeral periarthritis, and bad during fashion, when being in a bad way sometimes, the hands of Ipsilateral can't lift, pain unbearably, especially night even more serious, with induced insomnia.Once hospital treatment and taking medicine was not for a long time repeatedly seen remission yet.The back is pasted with this acupoint therapy relevant acupuncture point is treated: treat each about 8~10 hours every day 1 time; During each treatment, be attached to place, acupuncture point massage 3~5 minutes with treatment earlier, and then will treat to paste and be affixed on the acupuncture point of being correlated with rubberized fabric and locate.Behind the treatment two weeks, scapulohumeral periarthritis is cured fully, and curative effect is comparatively obvious.
Example 2. treatment prostatitis;
Certain patient suffers from chronic prostatitis, hypertrophy (hypertrophy) is existing for many years, frequent frequent micturition, urgent micturition, urine retention etc., and also acute by chronic commentaries on classics sometimes, above-mentioned symptom is more serious.With the subsides of this acupoint therapy only first quarter moon is treated at relevant acupuncture point, just obtain obvious curative effects.Subsequently again through after treatment January, radical cure substantially now, recurrence again.
Example 3. treatment of arthritis;
Certain patient suffers from rheumatic arthritis for many years, the frequent gonalgia, the quasi drugs that " SHANGSHI ZHITONG GAO ", " SUANTONG LING " are arranged standing among the old family.Treatment is pasted with this acupoint therapy in the back: main acupuncture point is (can select) such as gb 33 cave, point ex-le 5, cave, Liangqiu, sea of blood cave, Ashi point, cave, knee joint pass, SANYINJIAO acupoint, TAICHONG acupoint; Each treatment 8~10 hours (when treating at every turn, be attached to place, acupuncture point massage 3~5 minutes with treatment earlier, and then touch).Only treat 3 times, above-mentioned pain complete obiteration returns to normal substantially, subsequently again through two weeks of after treatment (every other day treating 1 time).Now, pass by half a year, do not see recurrence again.Therefore, the curative effect of this acupoint therapy subsides is comparatively obvious.
Example 4. treatment cholecystitis;
Certain patient suffered from cholecystitis 8 years, and acute attack is sometimes also very felt bad.After taking medicine for a long time, the commentaries on classics of also not getting better.Before half a year, once during acute attack, through pasting treatment with this acupoint therapy: main acupuncture point is (can select) such as tan shu cave, gallbladder cave, bl cave, SHENJUE acupoint, PIYU acupoint, sp 9 cave, SANYINJIAO acupoint, the tsusanli acupoints; Each treatment 8~10 hours (when treating at every turn, be affixed on treatment and paste again after massage at the place, acupuncture point).Only treat 2 times, the pain complete obiteration returns to normal substantially, subsequently again through three weeks of after treatment (treatment every other day once).Now, pass by half a year, do not see the cholecystitis recurrence.
Example 5. treatment cervical spondylosiss;
Certain patient suffers from cervical spondylosis for many years, after long-term various treatments, and the commentaries on classics of also not getting better.Treatment is pasted with this acupoint therapy in the back: main acupuncture point is (can select) such as DAZHUI acupoint, Tianzhu point, point Fengfu, Fengchi acupoint, brain toana, neck hundred labor caves; Each treatment 8~10 hours (when treating at every turn, be attached to place, acupuncture point massage 3~5 minutes with treatment earlier, and then touch).Only treat 10 times, the pain complete obiteration at cervical vertebra position returns to normal, subsequently again through two weeks of after treatment (treatment every other day once).Now, it is many to have pass by half a year, does not see the cervical spondylosis recurrence.Therefore, the curative effect of this acupoint therapy subsides is better.

Claims (2)

1. the multifunctional acupoint treatment is pasted, and it pastes cover, far-infrared functional material layer, medicinal bag by treatment, magnetic part, core, rubberized fabric, heater are pasted in treatment, help compositions such as transdermal agent, it is characterized in that, far-infrared functional material layer (2) is the precoat that cover (1) is pasted in treatment; Medicinal bag (3), magnetic part (4), treatment are pasted core (5) and are contained in respectively in the treatment subsides covers (1); Heater (7) is used for heating in advance medicinal bag (3); Rubberized fabric (6) is used for that cover (1) is pasted in treatment and is fixed in place, relevant acupuncture point; Magnetic part (3) is to adopt the magnetic material of permanent magnetism to make specific section magnet ring (single or multiple), if form one when overlapping magnetic part (4) with a plurality of magnet rings, several specific arrangement modes of one-tenth then capable of being combined.
2. multifunctional acupoint treatment according to claim 1 is pasted, and it is characterized in that, during for some disease of treatment, also medicinal bag (3) can be pasted in the cover (1) from treatment and take out, and directly uses heater (7) that medicinal bag (3) is carried out limit heating, limit treatment.
CN 02221828 2002-03-13 2002-03-13 Multi-function acupoints therapeutic adhesive plaster Expired - Fee Related CN2571410Y (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102151224A (en) * 2011-04-13 2011-08-17 张思鹰 Infantile cerebral palsy acupuncture point heat treatment plaster
CN106963630A (en) * 2017-03-30 2017-07-21 深圳市博纳教育科技有限公司 A kind of acupuncture point electric massage patch
CN108042923A (en) * 2017-12-25 2018-05-18 深圳市知本石墨烯医疗科技有限公司 Multifunction physiotherapy instrument and physical therapeutic system
CN111388870A (en) * 2020-03-21 2020-07-10 武汉天天健康生物工程有限公司 Far infrared magnetic therapy patch and preparation method thereof
CN111616953A (en) * 2020-06-24 2020-09-04 福建三和济医疗器械有限公司 Therapeutic plaster for acupoint application
WO2022104793A1 (en) * 2020-11-23 2022-05-27 黄克兵 Infrared electrotherapy patch

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102151224A (en) * 2011-04-13 2011-08-17 张思鹰 Infantile cerebral palsy acupuncture point heat treatment plaster
CN102151224B (en) * 2011-04-13 2012-09-12 张思鹰 Infantile cerebral palsy acupuncture point heat treatment plaster
CN106963630A (en) * 2017-03-30 2017-07-21 深圳市博纳教育科技有限公司 A kind of acupuncture point electric massage patch
CN108042923A (en) * 2017-12-25 2018-05-18 深圳市知本石墨烯医疗科技有限公司 Multifunction physiotherapy instrument and physical therapeutic system
CN111388870A (en) * 2020-03-21 2020-07-10 武汉天天健康生物工程有限公司 Far infrared magnetic therapy patch and preparation method thereof
CN111616953A (en) * 2020-06-24 2020-09-04 福建三和济医疗器械有限公司 Therapeutic plaster for acupoint application
WO2022104793A1 (en) * 2020-11-23 2022-05-27 黄克兵 Infrared electrotherapy patch

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