WO2021143042A1 - 一种治疗重度烧伤及皮肤坏疽的药物组合物及其应用 - Google Patents
一种治疗重度烧伤及皮肤坏疽的药物组合物及其应用 Download PDFInfo
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Definitions
- the present invention relates to the field of medicine, in particular, to a pharmaceutical composition for treating severe burns and skin gangrene and its application.
- Burns refer to heat, including skin and/or mucous membranes, even muscles, bones, and joints caused by hydrothermal fluid (water, soup, oil, etc.), steam, high-temperature gas, flame, hot metal liquid or solid (such as molten steel, steel ingot), etc. Even internal organs are damaged. Scald is a kind of tissue damage caused by hot liquid, steam, etc., which is a kind of thermal burn.
- Deep burns refer to burns that require more than 21 days for the wound to heal on its own. Including deep second-degree burns, third-degree burns, and fourth-degree burns with infection, which usually require surgical treatment.
- the epidermis of deep second-degree burns is whitish or brownish-yellow. After removing the necrotic skin, the wound surface is slightly wet or red and white, and the sensation is dull. There are red spots of millet size. It usually takes 3 to 4 weeks to heal.
- the local manifestations of third-degree burns may be Pale, yellow-brown, brown, and severe cases are scorched or charred, the skin loses elasticity, it is as hard as leather, it is dry and non-exudative, and it feels poor. It requires surgical skin grafting, and there will be scars after healing.
- Gangrene refers to special morphological changes such as black and dark green after tissue necrosis due to secondary spoilage infection and other factors.
- Gangrene is divided into dry gangrene and wet gangrene, and wet gangrene includes gas gangrene.
- Dry gangrene is mostly seen in the extremities, such as atherosclerosis, thromboangiitis obliterans and other diseases.
- the arteries are blocked and the veins return smoothly, so the water content of the necrotic tissue is low, and the water on the body surface is easy to evaporate, causing the lesion to dry and shrink and appear dark brown (the necrotic tissue is decomposed by spoilage bacteria to produce hydrogen sulfide, which interacts with hemoglobin.
- the iron that is decomposed in it combines to form iron sulfide, which makes the necrotic tissue appear black), and there is a clear boundary between it and the surrounding healthy tissue. Because the necrotic tissue is relatively dry, the spoilage bacteria infection is generally mild.
- necrotic tissue contains more water, the spoilage bacteria infection is serious, the local area is obviously swollen, and it is blue-green.
- the putrefaction bacteria decompose protein, produce indole, skatole, etc., causing bad odor. Due to the rapid development of lesions and diffuse inflammation, there is no obvious dividing line between necrotic tissue and healthy tissue.
- Common wet gangrene includes gangrenous appendicitis, intestinal gangrene, pulmonary gangrene and postpartum gangrenous endometritis.
- Gas gangrene is also a wet gangrene, which is caused by anaerobic bacteria such as Perfringens perfringens infecting deeper tissues. It develops quickly and has serious consequences. In addition to necrosis, it also produces a large amount of gas, causing the necrotic area to be twisted. feel. The incubation period is 6 hours to 6 days. The clinical symptoms are severe pain like swelling and cracking, the wound begins to be red and swollen, the skin is pale, and the skin is tense and shiny. Subsequently, the skin of the wound turned purple-black, blisters of dark red liquid appeared, and foul-smelling liquid could flow out. The muscles in the wound are dark red and swollen, lose their elasticity, and the knife does not contract or bleed. Systemic symptoms including sepsis appear later.
- the present invention provides a pharmaceutical composition for treating severe burns and skin gangrene, which can quickly heal severe burns.
- the invention also provides a medicine based on the medicine composition and a preparation method.
- the invention develops a traditional Chinese medicine formula capable of effectively resisting infection, promoting skin growth, and activating the tendons and collaterals to treat severe burns and skin gangrene.
- the technology of the present invention is as follows:
- composition A The pharmaceutical composition for treating severe burns and skin gangrene of the present invention includes composition A and composition B, wherein:
- the pharmaceutical composition A includes the following traditional Chinese medicine raw materials:
- the pharmaceutical composition B includes the following traditional Chinese medicine raw materials:
- 15-25 parts of wild chrysanthemum 15-25 parts of Aesculus vulgaris, 15-25 parts of Xu Changqing, 15-25 parts of gentian, 15-25 parts of Bupleurum, 15-25 parts of scutellaria, 15-25 parts of ghost and arrow feather , Alisma 15-25 parts, Dilong 15-25 parts, Mutong 15-25 parts, Plantain 15-25 parts, Atractylodes 15-25 parts, Tangerine peel 15-25 parts, Wild chrysanthemum 15-25 parts, Dandelion 15-25 servings.
- the invention also provides the application of the above-mentioned pharmaceutical composition in the preparation of a medicine for treating severe burns and skin gangrene.
- the present invention also provides a pharmaceutical preparation for treating severe burns and skin gangrene.
- the pharmaceutical preparation includes the above-mentioned Chinese medicine composition.
- the pharmaceutical preparations of the present invention include external spray A and internal powder B;
- the external spray A includes the following Chinese medicine raw materials:
- the oral powder B includes the following traditional Chinese medicine raw materials:
- 15-25 parts of wild chrysanthemum 15-25 parts of Aesculus vulgaris, 15-25 parts of Xu Changqing, 15-25 parts of gentian, 15-25 parts of Bupleurum, 15-25 parts of scutellaria, 15-25 parts of ghost and arrow feather , Alisma 15-25 parts, Dilong 15-25 parts, Mutong 15-25 parts, Plantain 15-25 parts, Atractylodes 15-25 parts, Tangerine peel 15-25 parts, Wild chrysanthemum 15-25 parts, Dandelion 15-25 servings.
- the external spray A includes the following traditional Chinese medicine materials: 20 parts of honeysuckle, 20 parts of Isatis root, 20 parts of toad skin, 20 parts of rhubarb, 20 parts of angelica, bitter 20 copies of Ginseng, 20 copies of White Moss Bark, 20 copies of Gongying, 20 copies of Wang Buliu Xing, 10 copies of Indigo Naturalis;
- the oral powder B includes the following raw materials of Chinese medicine: 20 parts of wild chrysanthemum, 20 parts of Aesculus vulgaris, 20 parts of Xu Changqing, 20 parts of Gentian, 20 parts of Bupleurum, 20 parts of Scutellaria baicalensis, 20 parts of Ghost Arrow Feather, 20 parts of Alisma orientalis Parts, 20 parts of Dilong, 20 parts of Plantago Seed, 20 parts of Atractylodes macrocephala, 20 parts of dried tangerine peel, 20 parts of wild chrysanthemum, 20 parts of dandelion.
- the present invention also provides a method for preparing any one of the above-mentioned pharmaceutical preparations, including the following steps:
- the external spray A is to soak the raw materials of traditional Chinese medicine (refer to the conventional operation in the field for the specific soaking time) and then boil for 20-30 minutes, and then continue to decoct for 1-3 hours. After the decoction, the residue is removed and the liquid medicine is left (or The raw materials of traditional Chinese medicine are brewed with 40-65° white wine for more than one month, then the residue is removed and the liquid is left);
- the powder B for oral administration is pulverized and ground through a 60-200 mesh sieve.
- topical spray A three times a day, 10 mL each time
- internal powder B three times a day, 20 g each time.
- Gentian grass relieves the heat of the Jueyin and Liver Meridian of the foot, Chaihu clears the heat of the Shaoyang Meridian of the foot, Scutellaria baicalensis clears the lungs and the heat of the Triple Burner, Alisma orientalis, Mutong, and Psyllium purify the small intestine, and the wet bladder comes out of urine, so it gets wet. Heat up.
- the combination of these bitter and cold medicines can easily damage the spleen and stomach, but also reduce dryness and yin. Therefore, adding licorice to reconcile the nature of bitter and cold, and angelica nourishes blood and nourishes the liver.
- the liver and gallbladder meridian has real fire, damp heat and pain in the hypochondrium. Deafness, ear swelling, poor urine color, urethral pain, swelling and itching, etc. can be eliminated by this prescription. Wild chrysanthemum and dandelion can enhance detoxification and swelling. Aesculus and Xu Changqing can clear away heat and detoxify and cool the liver.
- Atractylodes macrocephala invigorating the spleen and drying dampness, tangerine peel, regulating qi and helping the movement and transformation of water and dampness, ghosts and arrows feathers, Yanhu, removing blood stasis and relieving pain, rhubarb to clear away heat and blood stasis, and has the beauty of axe, in short
- the taste of bitter and cold is used to break its heat to prevent it from escaping and deepening or spreading, qi and blood stagnation, meridian blocking, and pain if it is blocked.
- the prescription re-uses the ghost arrow feathers that promote blood circulation and break blood stasis, rhubarb, relieves meridians, and clears away heat. , Promote qi and blood dredging, and relieve pain.
- the essence of the whole prescription is to take the meaning of "combating its heat, fighting poison with poison, expelling the basic evil, and restoring its righteousness". It has the meaning of extinguishing the fire when the virus is not congregating, and following the "external governance is the same as According to the principle that internal and external medicines are also internal medicines, according to the principle of treating different diseases at the same time in Chinese medicine, satisfactory results have been achieved in clinical application.
- the improved medicament of the present invention has strong broad-spectrum bactericidal power, removes heat and clears away heat, detoxifies, cools the liver and calms convulsions, promotes blood circulation and breaks blood stasis, relaxes meridians, has strong penetrating power, and controls infection It has a good effect, protects injured and uninjured tissues, reduces the chance of infection, accelerates tissue repair, shortens the treatment time, and generally has no scars after healing, no sequelae, short course of disease, 3-10 days recovery, average 6.5 days, low treatment cost, It reduces the economic burden of patients, reduces the unbearable pain, and has received satisfactory clinical results.
- Fig. 1 is a schematic diagram of the experimental group in Example 4 of the present invention
- Fig. A shows a scald area of 9*10cm
- Fig. B shows the surgical removal of dead skin on the second day, and a wound area of 10*14cm
- Fig. C shows a wound infection 10 days after the operation
- D shows the wound area enlarged to 11*15cm due to infection at 17 days
- Figure E shows the wound area is 9*10cm due to heavy infection and treated with the Chinese medicine spray and powder of the present invention
- Figure F shows the wound at 7 days of treatment The area is 5*11cm
- Figure G shows the wound area of 3*6cm (11 days), after which the medication is stopped
- Figure H shows the wound area of 1*2.5cm (25 days).
- Figure 2 is a schematic diagram of the control group in Example 4 of the present invention.
- Figure A shows a burn area of 12*13 cm
- Figure B shows the 5th day after surgical removal of dead skin
- Figures C and D show death 10 days after surgery.
- Figure 3 is a schematic diagram of the drug of the present invention used to treat skin gangrene, in the figure, A is before treatment, and B is 15 days after treatment.
- a medicine for treating severe burns and skin gangrene comprising topical spray A and oral powder B; in parts by weight, said topical spray A includes the following traditional Chinese medicine raw materials: honeysuckle 20g, isatis root 20g, toad skin 20g, rhubarb 20g , Angelica 20g, Sophora flavescens 20g, White moss bark 20g, Gong Ying 20g, Wang Buliu line 20g, Indigo Naturalis 10g;
- the oral powder B includes the following traditional Chinese medicine materials: 20g wild chrysanthemum, 20g Aesculus aesculus 20g, 20g Xu Changqing, 20g gentian, 20g Bupleurum, 20g scutellaria, 20g ghost arrow feather 20g, Alisma orientalis 20g, earthworm 20g, Mutong 20g, Plantago Seed 20g, Atractylodes Macrocephala 20g, Tangerine Peel 20g, Wild Chrysanthemum 20g, Dandelion 20g;
- Powder B is obtained by pulverizing the above-mentioned medicine and sieving through 80 mesh.
- a medicine for treating severe burns and skin gangrene comprising topical spray A and oral powder B; by weight, the topical spray A includes the following Chinese medicine raw materials: honeysuckle 15g, isatis root 15g, toad skin 15g, rhubarb 15g , Angelica 15g, Sophora flavescens 15g, White moss bark 15g, Gongying 15g, Wangbuliuxing 15g, Indigo Naturalis 5g;
- the oral powder B includes the following raw materials of traditional Chinese medicine: 15g wild chrysanthemum, 15g aesculus aesculus 15g, 15g Xu Changqing, 15g gentian, 15g Bupleurum, 15g scutellaria, 15g ghost arrow feather, 15g Alisma, 15g earthworm, Mutong 15g, Plantago Seed 15g, Atractylodes macrocephala 15g, Tangerine Peel 15g, Wild Chrysanthemum 15g, Dandelion 15g;
- Powder B is obtained by pulverizing the above-mentioned drug and sieving through a 60-mesh sieve.
- a medicine for treating severe burns and skin gangrene comprising topical spray A and oral powder B; by weight, the topical spray A includes the following Chinese medicine raw materials: honeysuckle 25g, isatis root 25g, toad skin 25g, rhubarb 25g , Angelica 25g, Sophora flavescens 25g, White moss bark 25g, Gong Ying 25g, Wang Buliu Xing 25g, Indigo Naturalis 15g;
- the oral powder B includes the following raw materials of traditional Chinese medicine: 25g wild chrysanthemum, 25g Aesculus aesculus 25g, 25g Xu Changqing, 25g gentian, 25g Bupleurum, 25g scutellaria, 25g ghost arrow feather, 25g Alisma, 25g earthworm, Mutong 25g, Plantago Seed 25g, Baizhu 25g, Tangerine Peel 25g, Wild Chrysanthemum 25g, Dandelion 25g;
- the powder B is obtained by pulverizing the above-mentioned medicine through a 200-mesh sieve.
- Example 1 The medicine prepared in Example 1 was used for the animal pig skin scald model test. When taking the medicine, follow the topical spray A, three times a day, 10mL each time; oral powder B, three times a day, 20g each time.
- the burn area is 9*10cm
- Figure B is the second day of surgery to remove dead skin
- the wound area is 10*14cm
- C is the wound infection 10 days after the operation
- D is the wound area expanded to 11*15cm due to infection on the 17th day
- E The wound area is 9*10cm when the infection is too heavy, using the Chinese medicine spray and powder of the present invention, the wound area is 9*10cm
- F is the wound area of 5*11cm when the treatment is 7 days
- G the wound area is 3*6cm (11 days), After that, the medication was stopped
- H wound area was 1*2.5cm (25 days).
- Control group 114-day-old sow weighing 11.6kg, burned area of 12*13cm, soldering iron burn (deep third degree burn); operation started 3 days after the burn, wound area of 10*11cm, and died of infection 10 days after the operation ( Figure 2).
- Example 1 of the present invention is administered as external spray A, three times a day, 10 mL each time; powder B is internally taken three times a day, 20 g each time.
- Figure 3 a schematic diagram for the treatment of skin gangrene. After 15 days of treatment, the gangrene skin grows with new fleshy teeth and gradually removes the scabs, and it healed after 25 days of treatment ( Figure 3).
- the invention can effectively achieve the effects of anti-infection, anti-inflammatory, activating blood circulation, promoting ischemic tissue regeneration, etc., and can effectively treat deep burns and gangrenous skin defects.
- the burn treatment effect has been verified in a large animal pig model.
- the legs of patients with gangrene have been validated for the treatment of clinical skin defects.
- the overall effect is very satisfactory, meets expectations, and can meet the needs of large-scale promotion.
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Abstract
Description
Claims (6)
- 一种治疗重度烧伤及皮肤坏疽的药物组合物,其特征在于,所述药物组合物包括组合物A和组合物B,按重量份计,所述药物组合物A包括以下中药原料:金银花15-25份,板蓝根15-25份,蟾蜍皮15-25份,大黄15-25份,当归15-25份,苦参15-25份,白藓皮15-25份,公英15-25份,王不留行15-25份,青黛5-15份;按重量份计,所述药物组合物B包括以下中药原料:野菊花15-25份,七叶一枝花15-25份,徐长卿15-25份,龙胆草15-25份,柴胡15-25份,黄芩15-25份,鬼箭羽15-25份,泽泻15-25份,地龙15-25份,木通15-25份,车前子15-25份,白术15-25份,陈皮15-25份,野菊花15-25份,蒲公英15-25份。
- 权利要求1所述药物组合物在制备治疗重度烧伤及皮肤坏疽的药物中的应用。
- 一种治疗重度烧伤及皮肤坏疽的药物制剂,其特征在于,所述药物制剂包括权利要求1所述的中药组合物。
- 根据权利要求3所述的药物制剂,其特征在于,所述的药物制剂包括外用喷剂A和内服粉剂B;按重量份计,所述外用喷剂A包括以下中药原料:金银花15-25份,板蓝根15-25份,蟾蜍皮15-25份,大黄15-25份,当归15-25份,苦参15-25份,白藓皮15-25份,公英15-25份,王不留行15-25份,青黛5-15份;所述内服粉剂B包括以下中药原料:野菊花15-25份,七叶一枝花15-25份,徐长卿15-25份,龙胆草15-25份,柴胡15-25份,黄芩15-25份,鬼箭羽15-25份,泽泻15-25份,地龙15-25份,木通15-25份,车前子15-25份,白术15-25份,陈皮15-25份,野菊花15-25份,蒲公英15-25份。
- 根据权利要求4所述的药物制剂,其特征在于,按重量份计,所述外用喷剂A包括以下中药原料:金银花20份,板蓝根20份,蟾蜍皮20份,大黄20份,当归20份,苦参20份,白藓皮20份,公英20份,王不留行20份,青黛10份;所述内服粉剂B包括以下中药原料:野菊花20份,七叶一枝花20份,徐长卿20份,龙胆草20份,柴胡20份,黄芩20份,鬼箭羽20份,泽泻20份,地龙20份,车前子20份,白术20份,陈皮20份,野菊花20份,蒲公英20份。
- 一种权利要求4或5任一项所述药物制剂的制备方法,包括以下步骤:所述外用喷剂A是将各中药原料浸泡后煮沸,然后文火煎煮后去渣留药液;或者,将各中药原料用40-65°白酒泡制一月以上后去渣留药液;所述内服粉剂B是将各中药原料粉碎研磨后过60-200目筛。
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US6468553B1 (en) * | 2000-05-05 | 2002-10-22 | Pharmaceutical Industry Technology And Development Center | Formula and preparation method of an improved ointment for treating burns and scalds |
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US20080181919A1 (en) * | 2007-01-31 | 2008-07-31 | Kaohsiung Medical University | Shiunko nanomicell for skin treatment and preparation method for the same |
CN102091257A (zh) * | 2011-02-19 | 2011-06-15 | 孙铭晓 | 一种治疗新生儿脓疱疮的中药洗剂 |
CN104740039A (zh) * | 2013-12-25 | 2015-07-01 | 盖春美 | 一种治疗脓耳的中药口服汤剂 |
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CN1164299C (zh) * | 2001-09-07 | 2004-09-01 | 张印昌 | 治疗急慢性炎症的中药制剂克炎口服液及制作方法 |
CN102048894B (zh) * | 2010-12-22 | 2013-03-13 | 陈远征 | 一种治疗烧伤的中药组合物及其制备方法 |
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CN1157734A (zh) * | 1996-08-21 | 1997-08-27 | 姚明佐 | 烧创溃康药 |
US6468553B1 (en) * | 2000-05-05 | 2002-10-22 | Pharmaceutical Industry Technology And Development Center | Formula and preparation method of an improved ointment for treating burns and scalds |
CN1709331A (zh) * | 2005-06-11 | 2005-12-21 | 范传运 | 一种烧烫创疡油及其配制方法和用途 |
US20080181919A1 (en) * | 2007-01-31 | 2008-07-31 | Kaohsiung Medical University | Shiunko nanomicell for skin treatment and preparation method for the same |
CN102091257A (zh) * | 2011-02-19 | 2011-06-15 | 孙铭晓 | 一种治疗新生儿脓疱疮的中药洗剂 |
CN104740039A (zh) * | 2013-12-25 | 2015-07-01 | 盖春美 | 一种治疗脓耳的中药口服汤剂 |
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