CN105169348A - Traditional Chinese medicine preparation for promoting pancreas incision drainage postoperative rehabilitation and preparation method therefor - Google Patents
Traditional Chinese medicine preparation for promoting pancreas incision drainage postoperative rehabilitation and preparation method therefor Download PDFInfo
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- CN105169348A CN105169348A CN201510678329.8A CN201510678329A CN105169348A CN 105169348 A CN105169348 A CN 105169348A CN 201510678329 A CN201510678329 A CN 201510678329A CN 105169348 A CN105169348 A CN 105169348A
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Landscapes
- Medicines Containing Plant Substances (AREA)
Abstract
The invention discloses a traditional Chinese medicine preparation for promoting pancreas incision drainage postoperative rehabilitation. The traditional Chinese medicine preparation is prepared from Rheum officinale, aucklandia root, radix paeoniae alba, rhizoma coptidis, radix scutellariae, lonicera japonica, Taraxacum mongolicum, forsythia suspensa, Bupleurum Chinese, Astragalus root, melia toosendan, cyperus tuber, citrus medica, purple perilla leaf, cablin pacholi, eupatorium fortunei, fried atractylodes macrocephala, poria cocos, codonopsis pilosula, Dioscorea opposita, Nelumbo nucifera, beans of white hyacinth dolichos, raw coix seeds, Fructus ziziphi jujubae, zingiber officinale and raw glycyrrhiza uralensis according to a certain weight proportioning ratio, has the effects of clearing away heat and toxic materials, reducing swelling and removing stasis, invigorating spleen and drying dampness and soothing liver and regulating Qi and can be used for accelerating the pancreas incision drainage postoperative recovery of patients.
Description
Technical field
The present invention relates to a kind of Chinese medicine preparation, be specifically related to a kind of Chinese medicine preparation promoting the postoperative rehabilitation of pancreas incision and drainage, the invention still further relates to the preparation method of this Chinese medicine preparation.
Background technology
Pancreas incision and drainage is mainly applicable to 1 at present, acute hemorrhage, necrotizing pancreatitis merge diffuse peritonitis, and abdominal cavity sepage is many, through non-operative treatment not improvement person.2, be formerly associated with biliary tract, do not take a turn for the better through treatment, be necessary to perform the operation and remove cause of disease person.3, concurrent abscess or pseudocyst person.The postoperative generation that should be noted that control pancreas fistula, pseudocyst and diabetes of pancreas incision and drainage.And should be noted that maintenance fluid and electrolyte balance.Maintain enough urine volume, prevention Delayed graft function.Because pancreas liquid has stronger Digestion to autologous tissue; except should absorbing in art as far as possible; art should apply zinc ointment protection drain mouth of pipe surrounding skin; with exempt from its digestion and rotten to the corn; but this often cause operation after pancreatic secretion not normal, cause other complication, if these symptoms process not in time; again and again can torment patient, allow patient subject no small pressure.
Pancreas incision and drainage causes certain injury to patient body, and postoperative nursing can not be ignored, and this quasi drugs is little on the market now, and be therefore badly in need of a kind of promotion patient postoperative rehabilitation, conditioning patient body, accelerates the medicine of operation place healing.
Summary of the invention
The object of the present invention is to provide a kind of Chinese medicine preparation promoting the postoperative rehabilitation of pancreas incision and drainage, it is obvious that this Chinese medicine preparation has curative effect for the wound that pancreas incision and drainage are postoperative, painful little, conditioning health, the feature not easily recurred.Accelerate the rehabilitation of patient, alleviate the slight illness of patient, improve the quality of life of patient.
Another object of the present invention is to provide the preparation method of the Chinese medicine preparation of the postoperative rehabilitation of these promotion pancreas incision and drainage.
Inventor is in clinical treatment practice for many years, and according to the law of development of this disease, and the combination principle of Chinese medicine, and by a large amount of clinical verifications, Exploration and conclusion goes out a kind of new formula promoting the Chinese medicine preparation of the postoperative rehabilitation of pancreas incision and drainage repeatedly.The present invention selects Radix Et Rhizoma Rhei, the Radix Aucklandiae, the Radix Paeoniae Alba, Rhizoma Coptidis, Radix Scutellariae, Flos Lonicerae, Herba Taraxaci, Fructus Forsythiae, Radix Bupleuri, the Radix Astragali, Fructus Toosendan, Rhizoma Cyperi, Fructus Citri Sarcodactylis, Folium Perillae, Herba Pogostemonis, Herba Eupatorii, Rhizoma Atractylodis Macrocephalae (parched), Poria, Radix Codonopsis, Rhizoma Dioscoreae, Semen Nelumbinis, Semen Lablab Album, Semen Coicis, Fructus Jujubae, Rhizoma Zingiberis Recens, Radix Glycyrrhizae to combine, these medicines being carried out combination makes each efficacy of drugs produce synergism, there is effect of heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, the spleen strengthening and damp drying, depressed liver-energy dispersing and QI regulating, thus play the postoperative nursing role of pancreas incision and drainage.
The effect of Chinese medicine of the present invention:
Wherein:
Radix Et Rhizoma Rhei: be polygonum rheum palmatum RheumpalmatumL., Rheum tanguticum RheumtanguticumMaximexBalf.Or Rheum officinale RheumofficinaleBaill.Dry root and rhizome.Nature and flavor: bitter, cold.Return spleen, stomach, large intestine, liver, pericardium channel.Effect: purging heat and dredging bowels, removing pathogenic heat from blood and toxic substance from the body, eliminating blood stasis and inducing menstruation.For excess-heat constipation, stagnant stomachache, dysentery is not well, jaundice due to damp-heat, and heat in blood tells nosebleed, conjunctival congestion, pharyngeal swelling, abdominalgia with intestinal abscess, carbuncle furuncle, blood stasis amenorrhea, traumatic injury, external treatment burn due to hot liquid or fire; Upper gastrointestinal hemorrhage.Radix et Rhizoma Rhei (stir-fried with wine) is apt to clear part of the body cavity above the diaphragm housing the heart and lungs noxious heat in the blood system.For conjunctival congestion pharyngeal swelling, gingivitis.Radix Et Rhizoma Rhei rushes down exerts oneself to delay, eliminating fire and detoxication.For pathogenic fire,toxin and furuncles.Charred Radix Et Rhizoma Rhei cooling blood and removing stasis stops blooding.Stasis of blood hemorrhage is had for heat in blood.This product bitter cold, has the effect of stronger relieving constipation by purgation, and has the effect of good blood circulation promoting and blood stasis dispelling, and the discharge function Main Function position of Radix Et Rhizoma Rhei, at large intestine, can increase enterokinesia, suppresses enteral moisture absorption, promotes defecation; Radix Et Rhizoma Rhei has anti-infectious function, all has inhibitory action to multiple Gram-positive and negative bacterium, due to wherein containing tannin, has the effect of stomach invigorating and function of gallbladder promoting.
The Radix Aucklandiae: be the dry root of feverfew Radix Aucklandiae AucklandialappaDecne..Nature and flavor: pungent, bitter, temperature.Return spleen, stomach, large intestine, three burnt, gallbladder meridians.Effect: promoting the circulation of QI to relieve pain, strengthening the spleen to promote digestion.For breast gastral cavity distending pain, heavy after dysentery, food stagnation does not disappear, anorexia.The real intestinal antidiarrheal of Radix Aucklandiae (roasted).For stomachache of having loose bowels.The pungent row of this product, hardship are let out, Wen Tong, benefaction stagnation of QI in spleen and stomach, are promoting the circulation of QI to relieve pain key medicine, and Radix Aucklandiae gas falls apart, and can control stagnation of QI due to dyspepsia.The pharmaceutical research Radix Aucklandiae has facilitating digestion liquid to secrete to gastrointestinal tract, and suppresses the effect of various bacteria and fungus.
The Radix Paeoniae Alba: be the dry root of dicotyledon ranunculaceae plant Radix Paeoniae PaeonialactifloraPall..Nature and flavor: cool, picric acid, is slightly cold.Effect: easing the affected liver of enriching blood, suppressing the hyperactive liver pain relieving, yin fluid astringing receives antiperspirant.Research shows: the paeoniflorin contained in the Radix Paeoniae Alba has antibacterial, antipyretic, antiinflammatory, increase coronary flow, improves the effect of myocardial nutritional flow, blood vessel dilating, antagonism acute myocardial ischemia, anticoagulant, calmness, analgesia, spasmolytic, antiulcer, adjustment blood glucose.Radix Paeoniae Alba decoct can suppress dysentery bacterium, streptococcus pneumoniae, escherichia coli, Bacillus typhi, Hemolytic streptococcus, bacillus pyocyaneus etc.This product energy nourishing the liver blood, holding back liver-yin, subduing the hyperfunction of the liver sun, dispersing liver-energy, can delay again that contraction is anxious, relieve the pain pain, is the good medicine of the various pain for the treatment of Liver Channel.
Rhizoma Coptidis: be the dry rhizome of ranunculaceae plant Rhizoma Coptidis CoptischinensisFranch., Coptis deltoidea C.Y.Cheng et Hsiao CoptisdeltoideaC.Y.ChengetHsiao or Coptis Teeta Wall CoptisteetaWall..Nature and flavor: bitter, cold.GUIXIN, spleen, stomach, liver, gallbladder, large intestine channel.Function cures mainly: heat clearing and damp drying, eliminating fire and detoxication.For damp and hot feeling of fullness, vomiting acid regurgitation, dysentery, jaundice, unconsciousness due to high fever, hyperactivity of heart-fire, dysphoria and insomnia, heat in blood tells nosebleed, conjunctival congestion, and toothache, quenches one's thirst, carbuncle furuncle; External treatment eczema, eczema, auditory meatus is suppurated.This product heat clearing and damp drying, eliminating fire and detoxication, often joins the treatment such as Radix Scutellariae, Fructus Gardeniae aphtha of the mouth and tongue, carbuncle furunculosis etc.Antibacterial action: staphylococcus aureus, Hemolytic streptococcus, streptococcus pneumoniae, meningococcus, dysentery bacterium, anthrax bacillus etc.Detoxication: antagonism bacteriotoxin, reduction staphylococcus aureus coagulase, hemolysin are tired, and reduce colibacillary virulence.Suppress kinds of experiments inflammation, effective ingredient is berberine, and Anti-inflammatory Mechanism discharges relevant with stimulation corticotropin.
Radix Scutellariae: be the dry root of labiate Radix Scutellariae ScutellariabaicalensisGeorgi.Nature and flavor: bitter, cold.Return lung, gallbladder, spleen, stomach, large intestine, small intestine meridian.Effect: heat clearing and damp drying, eliminating fire and detoxication, hemostasis, antiabortive, blood pressure lowering.The clinical practice of Radix Scutellariae is antibacterial relatively good, and does not develop immunity to drugs.This product has the merit of clearing away heat and cooling blood hemostasis, intimately flourishing with controlling, the haematemesis of the absurd row of forcing blood, and metrorrhagia, has blood in stool, and normal being equal to Radix Rehmanniae, Rhizoma Imperatae is used.
Flos Lonicerae: the flower that dry flower or band for caprifoliaceae plant Radix Ophiopogonis LonicerajaponicaThunb., Flos Lonicerae LonicerahypoglaucaMiq., Flos Lonicerae (hair calyx Radix Ophiopogonis) LoniceraconfusaDC. or hair style Radix Ophiopogonis LoniceradasystylaRehd. are just opened.Nature and flavor: sweet, cold.Return lung, the heart, stomach warp.Effect: heat-clearing and toxic substances removing, wind-dispelling heat-dissipating.This product is sweet in flavor and cold in property, can heat-clearing and toxic substances removing, again kind loose carbuncle detumescence, for treating the key medicine of all YANG syndrome carbuncle furuncle.Clinically for carbuncle furunculosis: be often equal to use with Herba Violae, Flos Chrysanthemi Indici, can antipyretic and antidote functions be strengthened, can in order to carbuncle furunculosis, congestion and swelling pain.Ancient prescription is recorded, and Flos Lonicerae controls all toxic swellings, pays no attention to and does not burst, or from the beginning of heating, and furuncle inguinal bubo, sore throat tonsillitis: Flos Lonicerae (connecting stem and leaf) half bowl, natural juice, decoct eight sub-services it, apply with dregs, relieve internal heat Tuoli, and fall apart gas and blood, and its merit solely wins.
Herba Taraxaci: Herba Taraxaci, also known as bed-wetting grass, is feverfew Herba Taraxaci ToraxacummongolicumHand.Mazz., alkali ground Herba Taraxaci ToraxacumborealisinenseKitam. or the dry herb belonging to several plants together.Nature and flavor: sweet, micro-hardship, cold.Return liver, stomach warp.Effect: heat-clearing and toxic substances removing, dispersing swelling and dissipating binds.Herba Taraxaci has effect of antiinflammatory, antibacterial, antitumor, heat-clearing and toxic substances removing, and applied range on modern clinic, makes good use of.For furuncle swelling toxin, acute mastitis, scrofula, conjunctival congestion, pharyngalgia, lung abscess, acute appendicitis, jaundice due to damp-heat, the puckery pain of pyretic stranguria.Acute mastitis caused by pyretic toxicity is swollen and ache, furuncle has good effect, juice can be decocted separately and take orally, or external application local; Also the same use of other heat and toxic materials clearing away medicine can be coordinated, as Flos Lonicerae, Fructus Forsythiae, Herba Violae, Flos Chrysanthemi Indici, Radix Paeoniae Rubra etc.
Fructus Forsythiae: be Oleaceae plants Fructus Forsythiae Forsythiasuspensa(Thunb.) dry fruit of Vahl.Nature and flavor: bitter, are slightly cold.Return lung, the heart, small intestine meridian.Effect: heat-clearing and toxic substances removing, dispersing swelling and dissipating binds.For carbuncle, scrofula, acute mastitis, erysipelas, anemopyretic cold, epidemic febrile disease from the beginning of, warmly join the army, high hot excessive thirst, coma sends out speckle, pyretic stranguria urine retention.Fructus Forsythiae is normal with the same use of Flos Lonicerae, Fructus Forsythiae bitter in the mouth cool in nature, gently clearly to float, and can control all heat of the part of the body cavity above the diaphragm housing the heart and lungs, outstanding energy removing toxicity for eliminating carbuncles and eliminating stagnation, therefore is the key medicine of persons particularly liable to develop skin infection.Fructus Forsythiae has broad-spectrum antibacterial action, has very strong inhibitory action to staphylococcus aureus, Hayes dysentery bacterium, has certain inhibitory action to other pathogenic bacterium, influenza virus, fungus.There is antiinflammatory action.Antibacterial action: Fructus Forsythiae concentrated decotion has antibacterial action in vitro, can suppress Bacillus typhi, Salmonella paratyphi, escherichia coli, dysentery bacterium, diphtheria corynebacterium and vibrio cholera, staphylococcus, streptococcus etc.Fructus Forsythiae antimicrobial spectrum is very wide, has obvious antiinflammatory action.
Radix Bupleuri: be root or the herb of Umbelliferae herbaceos perennial Radix Bupleuri BupleurumchinenseDC. Radix Bupleuri.Nature and flavor: bitter, pungent, be slightly cold.Return liver, gallbladder meridian.Effect: reducing fever by reconciliation, dispersing the stagnated live-QI to relieve the stagnation of QI, ascending up spleen-Qi and Yang.Modern pharmacological research proves: " medicineization justice ": Radix Bupleuri, and property is gently clear, and main liter falls apart, mildly bitter flavor, main soothing the liver." book on Chinese herbal medicine through separate ": " Radix Bupleuri, stagnation of QI person in its main trusted subordinate's the intestines and stomach, trusted subordinate's the intestines and stomach, five hide six mansions also, and Zang Fu totally ten two warps; all 11 hide and all depend on gallbladder, and Radix Bupleuri is gently clear, and rise and reach courage, courage bar reaches; then 11 hide from Xuanhua, therefore in trusted subordinate's the intestines and stomach, all have stagnation of QI, all can fall apart also.Its main diet accumulator, lid diet enters stomach, the spleen transporting essential substances to the liver, the evacuation of liver, borrow again few positive gallbladder be the master of hair growth promoting also, Radix Bupleuri liter reaches courage, then liver can fall apart essence, and diet gathers from lower.Shaoyang channel row half exterior and half interior, few sun, by evil, evilly also then to be trembled with fear in the moon, evil and in Yang Zere, Radix Bupleuri treating SHAO YANG disease by mediation, therefore the pathogen of main cold and heat also.Radix Bupleuri has the effect of good dispersing the stagnated live-QI to relieve the stagnation of QI, is the key medicine for the treatment of irritability stasis, to the pain over the hypochondriac region no matter in by stagnation of liver-QI, outer by hindering servant person, all can apply, Chang Peiwu Rhizoma Cyperi, Rhizoma Chuanxiong etc.
The Radix Astragali: be leguminous plant Radix Astagali Astragalusmembranaceus(Fisch.) Bge.var.mongholicus(Bge.) Hsiao or Radix Astragali Astragalusmembranaceus(Fisch.) dry root of Bge..Nature and flavor: sweet, tepor.Return lung, spleen, liver, kidney channel.Effect: tonifying Qi and lifting yang, consolidating superficial resistance arresting sweating, inducing diuresis to remove edema, the evacuation of pus of holder skin ulcer, regulating fluid apssage.On the books in " book on Chinese herbal medicine converges and says ": " Radix Astragali, tonifying the lung spleen invigorating defend arresting sweating in fact, and the medicine of wind dispelling fortune poison also.Therefore the people of yang deficiency, spontaneous perspiration frequently comes, be exterior deficiency and interspaces of skin and muscles being loose also, he the Radix Astragali can be defended and arresting sweating in fact; The card of typhoid fever, row is delivered and evil no sweating, and be interior deficiency and also weary in healthy energy, the Radix Astragali can help Tianjin to help antiperspirant; The disease of harmful wind, inclined invasion of vessels and brothers are not with person, and the Radix Astragali can flourish muscles and bones; The card of carbuncle and ulcer, pus and blood internal ulceration, deficiency of YANG QI and do not hold back person, the Radix Astragali can granulation promoting meat, and the erosion of vulva can not rise and send out again, deficiency of YANG QI and unhealed, and the Radix Astragali can granulation promoting meat." this product all has inhibitory action to dysentery bacterium, anthrax bacillus, α-hemolytic streptococcus, beta hemolytic streptococcus, diphtheria corynebacterium, bacillus pseudodiphthericus, Diplococcus pneumoniae, staphylococcus aureus, Staphylococcus citreus, bacillus subtilis etc. in vitro.
Fructus Toosendan: be the dry mature fruit of Meliaceae plant Fructus Toosendan MeliatoosendanSieb.etZucc..Nature and flavor: bitter, cold; Slightly poisonous.Return liver, small intestinal, urinary bladder channel.Effect: soothing liver-QI promoting the circulation of QI to relieve pain, anthelmintic.For the breast side of body, abdominal distention, colic, abdominal pain due to worm stagnation.
Rhizoma Cyperi: be the dry rhizome of sedge dried tuber CyperusrotundusL..Nature and flavor: pungent, micro-hardship, micro-sweet are flat.Return liver, spleen, tri-jiao channel.Effect: promoting QI circulation for relieving depression, menstruction regulating and pain relieving, antiabortive, regulate the flow of vital energy Shu Yu, harmonizing the liver and stomach.The pungent loose hardship of this product is let out, and is the key medicine of depressed liver-energy dispersing and QI regulating, can be used for all pain cards caused by irritability stasis." the southern regions of the Yunnan Province book on Chinese herbal medicine ": adjust the gas in blood, dissipating depression of QI, alleviating distention in middle-JIAO, helps digestion." book on Chinese herbal medicine is looked for the truth ": Rhizoma Cyperi, exclusive dissipating depression of QI falls apart gas, and with Radix Aucklandiae circulation of qi promoting, looks are with real different, and Radix Aucklandiae abnormal smells from the patient hardship is bad, therefore ventilation is very prompt, and this is then bitter and not very, therefore resolving depression is in the majority, and property and in the Radix Aucklandiae, therefore can add and subtract discrepancy, thinks circulation of qi promoting obstruction-removing prescription, otherwise should this and those ears unsuitable.
Fructus Citri Sarcodactylis: be the dry fruit of rutaceae Fructus Citri Sarcodactylis CitrusmedicaL.var.sarcodactylisSwingle.Nature and flavor are pungent, bitter, sour, temperature.Return liver, spleen, lung meridian.Effect: liver-smoothing, qi-regulating, and stomach and alleviating pain, dispersing the stagnated live-QI to relieve the stagnation of QI, drying dampness to eliminate phlegm.For stagnation of liver-QI and stomach-QI, distending pain in the chest and hypochondrium, gastral cavilty feeling of fullness, lack of appetite is vomitted.Modern clinical research, Fructus Citri Sarcodactylis quintessence oil has the effect of strengthening to nervous system, and one of three zones is exactly treatment melancholy and anxiety, pacifies indignation, improves the anxiety of women's heart.As neural fatigue, nerve insomnia, worn out mentally and physically time can to releive pressure.But Fructus Citri Sarcodactylis is not excited quintessence oil, it can be inspired enthusiasm and allow mental relaxation.
Folium Perillae: be stem, the leaf of Labiatae annual herb plant Folium Perillae.Nature and flavor: pungent, warm.Return lung, spleen channel.Effect: relieving the exterior syndrome by diaphoresis, relieving QI stagnancy in the stomach, solving toxin of fish and crab.This product lightly floats, and acrid in the mouth is warm in nature, can open fur, relieving the exterior syndrome by diaphoresis.《 Lv Cliff rock book on Chinese herbal medicine " middle record: it is hemorrhage that Folium Perillae stops incised wound; Treat haemorrhoids, decoct soup and wash it.
Herba Pogostemonis: be the herb of labiate Herba Pogostemonis CablinPotchouliHerb or Herba Pogostemonis WrinkledGianthyssopHerb.Nature and flavor: pungent, tepor.Return lung, spleen, stomach warp.Effect: fast gas, and in, ward off dirty, damp eliminating.Cure cold heat-damp in summer, cold and heat, and headache, breast gastral cavity painful abdominal mass is vexed, and vomiting is had loose bowels, malaria, dysentery, halitosis.
Herba Eupatorii: be the dry aerial parts of feverfew Herba Eupatorii EupatoriumfortuneiTurcz..Nature and flavor: pungent are flat.Return spleen, stomach, lung meridian.Effect: removing dampness by means of aromatics, appetizing of being amusing, delivers expelling summer-heat.For turbid damp obstructing in middle-JIAO, gastral cavity painful abdominal mass vomiting and nausea, sweet greasy in mouth, halitosis, sialism, heat-damp in summer table disease, feeling of fullness in the head is uncomfortable in chest.Treatment hygropyrexia disease key medicine, the medicine fit applications such as normal and Herba Pogostemonis, Radix Scutellariae, Semen Coicis.In addition, the disease that sweet greasy sialism in damp-heat blocking in the body, mouth, implication are rancid is applicable to again.For interiorly to accumulate, fear of cold, heating, feeling of fullness in the head, the disease such as uncomfortable in chest, anorexia, often coordinate Herba Pogostemonis, Cortex Magnoliae Officinalis, Folium Nelumbinis with using.
Rhizoma Atractylodis Macrocephalae (parched): the Rhizoma Atractylodis Macrocephalae is the dry rhizome of feverfew Rhizoma Atractylodis Macrocephalae AtractylodesmacrocephalaKoidz..Rhizoma Atractylodis Macrocephalae (parched), for be sprinkled in hot pot by processed with honey wheat bran, adds Rhizoma Atractylodis Macrocephalae sheet in time smoldering, and fry to coke yellow, effusion burnt odor gas, take out, sieve removes processed with honey wheat bran.Every 100kg Rhizoma Atractylodis Macrocephalae sheet, with processed with honey wheat bran 10kg.Nature and flavor: bitter, sweet, temperature.Return spleen, stomach warp.Effect: invigorating the spleen and benefiting QI, dampness diuretic, hidroschesis, antiabortive, the Rhizoma Atractylodis Macrocephalae can air making-up and spleen enlivening, again can dampness diuretic, is the key medicine of the spleen strengthening and damp drying.In the sweet temperature compensation of the Rhizoma Atractylodis Macrocephalae, can air making-up and spleen enlivening, also can strengthening superficial resistance to stop perspiration, and the Radix Astragali, Radix Pseudostellariae compatibility, play the merit of spleen reinforcing lung altogether.To rule together asthenia, the weak person of overstrain.Rhizoma Atractylodis Macrocephalae antibacterial action is obvious: infusion has inhibitory action to acrothesium floccosum, star nocardia in vitro.Decoct also has inhibitory action to meningococcus.The Rhizoma Atractylodis Macrocephalae also has the function promoting hemopoietic.
Poria: be On Polyporaceae Poria Poriacocos(Schw.) dry sclerotia of Wolf.Nature and flavor: sweet, light, flat.GUIXIN, lung, spleen, kidney channel.Effect: promoting diuresis to eliminate damp pathogen, spleen invigorating mind calming.Sweet the providing additional supplies of this product is oozed, and not only mends but also sharp, and effect is gentle, and property is flat and partially without cold and heat, is the key medicine of promoting diuresis to eliminate damp pathogen.Treatment water wet the edema of expert time, often join Rhizoma Alismatis, Polyporus.Poria decoct has obvious sedation." modality ": " cure mainly Ji Rou Shun muscle of throbbing with fear cautious, dizziness agitation is controlled on side." this product is by heart-spleen boosting and tranquilizing mind.Be used for deficiency of both the heart and spleen, the irritability of insufficiency of vital energy and blood.
Radix Codonopsis: be Campanulaceae Radix Codonopsis Codonopsispilosula(Franch.) Nannf., element flower Radix Codonopsis CodonopsispilosulaNannf.var.modesta(Nannf.) dry root of L.T.Shen or radix codonpsis tangshen CodonopsistangshenOliv..Nature and flavor: sweet, flat.Return spleen, lung meridian.Effect: mend strengthening spleen and lung, nourishing blood to promote the production of body fluid.For deficiency of the spleen and lung, breathe hard, cardiopalmus, anorexia and loose stool, dyspnea due to deficiency cough, interior-heat is quenched one's thirst." Bencao Congxin " is recorded: " invigorating the spleen and replenishing QI and taste, relieving thirst and restlessness.Middle feeble QI is weak, mends in order to adjust, very smooth and proper." acid mucopolysaccharide in Radix Codonopsis has anticoagulant, can reduce blood fat and reduce blood viscosity and plasma viscosity, and have blood pressure lowering, blood fat reducing, antioxidation, defying age, improves the immunity of human body.Old myocardial infarction and cerebral thrombosis recovery phase are made moderate progress, has and purify the blood, prophylaxis of hypertension, the effect of cardiovascular and cerebrovascular disease.
Rhizoma Dioscoreae: be the dry rhizome of Dioscoreaceae plant Rhizoma Dioscoreae DioscoreaoppositaThunb..Nature and flavor: flat, sweet.Return spleen, lung, kidney channel.Effect: spleen reinforcing nourishing the stomach, promote the production of body fluid lung benefiting, the kidney invigorating arresting seminal emission.For insufficiency of the spleen lack of appetite, incessant chronic diarrhea, the deficiency of the lung is breathed with cough, emission due to deficiency of the kidney, leukorrhagia, frequent micturition, and deficiency-heat is quenched one's thirst.Rhizoma Dioscoreae (parched with bran) spleen reinforcing stomach invigorating.For insufficiency of the spleen lack of appetite, loose stool of having loose bowels, leukorrhagia.
Semen Nelumbinis: be the dry mature seed of nymphaeaceae plant lotus NelumbonuciferaGaertn..Nature and flavor: sweet, puckery are flat.Return spleen, kidney, heart channel.Effect: spleen reinforcing antidiarrheal, kidney tonifying arresting seminal emission, tranquilizing by nourishing the heart.For insufficiency of the spleen chronic diarrhea, seminal emission leukorrhagia, palpitation and insomnia." Wang Shi case ": Semen Nelumbinis, most mends gastric qi and town void is inverse, if regurgitation is due to insufficiency of stomach, and person is not received in gas punching. but day chew carefully with dry Semen Nelumbinis and swallow it, be better than his medicine many.All gastric qis thin weak person's informal dress Fomitopsis officnalic Bond.et Sing ball, can make us fertile strong.To keep silent mouth to dysentery disease, pathogenic heat hinders gas cleer and peaceful in its stomach, therefore lets out with Rhizoma Coptidis hardship that it is evil, namely holds its stomach of Semen Nelumbinis Gan Zhen.Modern wantonly middle Semen Nelumbinis is all pseudo-, and bitter in the mouth instead can injure one's stomach, and can't use.Only fresh Semen Nelumbinis decoct it, and delicate fragrance is not muddy, and the merit of town stomach solely wins, and as without fresh lotus, dry lotus also can.
Semen Lablab Album: be the dry mature seed of pulse family Dolichos plant Seem Lablab Album DolichoslablabL..Nature and flavor: sweet, tepor.Return spleen, stomach warp.Effect: invigorating the spleen for eliminating dampness, and in relieve summer heat.For weakness of the spleen and stomach, inappetence, diarrhea, leukorrhagia, heat-damp in summer is vomited and diarrhoea, abdominal distention uncomfortable in chest.
Semen Coicis: be grass Semen Coicis Coixlacryma-jobiL.var.ma-yuen(Roman.) dry mature kernal of Stapf.Nature and flavor: sweet, light, cool.Return spleen, stomach, lung meridian.Effect: spleen invigorating eliminating dampness by diuresis, eliminating impediment pain relieving, clearing away heat and discharging pus.For edema, beriberi, dysuria, arthralgia chiefly caused by damp pathogen contracture, diarrhea due to hypofunction of the spleen, lung abscess, intestinal carbuncle; Verruca plana.
Fructus Jujubae: be Rhamnaceae jujube Fructus Jujubae ZiziphusjujubaMill.var.inermis(Bunge) dry mature fruit of Rehd..Nature and flavor: sweet, temperature.Return spleen, stomach warp.Effect: really (Fructus Jujubae): invigorating the spleen and replenishing QI, nourishing blood to tranquillize the mind.For insufficiency of the spleen lack of appetite, weak loose stool, woman hysteria.Bark: antiinflammatory, hemostasis, antidiarrheal.For tracheitis, enteritis, dysentery, metrorrhagia; Traumatic hemorrhage is controlled in external.Root: circulation of qi promoting, invigorates blood circulation, regulating menstruation.For menoxenia, redly to collapse, leucorrhea." herbal classic ": main trusted subordinate's pathogen, regulating the spleen and stomach supports spleen, helps 12 warps.Flat gastric qi, logical nine orifices, mends weak breath, few body fluid, not enough, frightened in body, heaviness of limbs, and hundred medicines." book on Chinese herbal medicine is new again ": invigorating the spleen and replenishing QI, nourishing kidney warming the stomach, controls the deficiency of YIN.
Rhizoma Zingiberis Recens: be the fresh rhizome of zingiber ZingiberofficinaleRosc..Nature and flavor: pungent, tepor.Return lung, spleen, stomach warp.Effect: relieving the exterior syndrome by diaphoresis, warming middle-JIAO to arrest vomiting, warming the lung to relieve cough, solving toxin of fish and crab, separates poison of drug.Especially for fish Eriocheir sinensis poison, the drug intoxication such as the Rhizoma Pinelliae, Rhizoma Arisaematis has Detoxication.Rhizoma Zingiberis Recens can act on sympathetic nerve and vagal system, and have the effect suppressing stomach function and direct excited pipe smooth muscle, Rhizoma Zingiberis Recens has inhibitory action to central nervous system.
Radix Glycyrrhizae: the dry root and rhizome being glycyrrhizic legume GlycyrrhizauralensisFisch., Glycyrrhiza inflata Bat. GlycyrrhizaInflataBat. or Glycyrrhiza glabra L. GlycyrrhizaGlabraL..Nature and flavor: sweet are flat.GUIXIN, lung, spleen, stomach warp.Effect: spleen reinforcing stomach function regulating, Yiqi and vein recovery." Japan hanako materia medica ": peace soul determines soul.Mend five kinds of strain and seven kinds of impairment, all be deficient, palpitation with fear, unhappy, forgetful.Logical nine orifices, sharp hundred arteries and veins, beneficial intensive culture gas, strengthening bone and muscle, separates cold and hot.
Side's solution of the present invention is: Radix Et Rhizoma Rhei removing pathogenic heat from blood and toxic substance from the body in side, eliminating blood stasis and inducing menstruation, Radix Aucklandiae promoting the circulation of QI to relieve pain, strengthening the spleen to promote digestion, the Radix Paeoniae Alba is enriched blood easing the affected liver, suppressing the hyperactive liver pain relieving, Rhizoma Coptidis, Radix Scutellariae heat clearing and damp drying, eliminating fire and detoxication, Flos Lonicerae, Herba Taraxaci, Fructus Forsythiae heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, above eight tastes are monarch drug altogether, first eliminating blood stasis and inducing menstruation, remove the total body water of the operation of patient body endogenous cause of ill and generation, electrolyte balance is lacked of proper care, monarch drug has heat-clearing and toxic substances removing more in addition, the effect of anti-inflammation, be equivalent to the antibiotic medicine of Western medicine, but drug dependence and bacterial drug resistance can not be produced, prevent operation place wound infection, accelerate the healing of incision, promote the recovery of patient.Radix Bupleuri dispersing the stagnated live-QI to relieve the stagnation of QI, ascending up spleen-Qi and Yang, Radix Astragali inducing diuresis to remove edema, Fructus Toosendan, Rhizoma Cyperi promoting the circulation of QI to relieve pain, Fructus Citri Sarcodactylis liver-smoothing, qi-regulating and stomach and alleviating pain, Folium Perillae relieving QI stagnancy in the stomach, the fast gas of Herba Pogostemonis and in, Herba Eupatorii removing dampness by means of aromatics, appetizing of being amusing, above eight tastes are ministerial drug altogether, not only can increase the efficacy of a drug of monarch drug, also there is effect of dispelling wind for relieving itching, promoting blood circulation to remove blood stasis, increase affected part blood circulation, be conducive to the improvement in affected part.Rhizoma Atractylodis Macrocephalae (parched) invigorating the spleen and benefiting QI, dampness diuretic, Poria promoting diuresis to eliminate damp pathogen, Radix Codonopsis nourishing blood to promote the production of body fluid, Rhizoma Dioscoreae spleen reinforcing nourishing the stomach, Semen Nelumbinis spleen reinforcing antidiarrheal, nourishing blood to tranquillize the mind, Semen Lablab Album invigorating the spleen for eliminating dampness, Semen Coicis clearing away heat and discharging pus, Fructus Jujubae invigorating the spleen and replenishing QI, nourishing blood to tranquillize the mind, Rhizoma Zingiberis Recens warming middle-JIAO to arrest vomiting, above a few taste is adjuvant drug altogether, mainly based on invigorating the spleen for eliminating dampness, clearing away heat and discharging pus, pancreas belongs to a part for spleen, operation brings irreversible damage, therefore adjuvant drug to after all the internal organs of patient, focuses on supporting the scholar of patient body, strengthen patient's body constitution, accelerate the improvement of the state of an illness.Radix Glycyrrhizae spleen reinforcing stomach function regulating, priming return through, for making medicine.The all medicines of this side share, and the monarch and his subjects pull together, and assistant makes auxiliary altogether, plays the merit of heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, the spleen strengthening and damp drying, depressed liver-energy dispersing and QI regulating altogether.Effectively can accelerate the healing of pancreas incision and drainage post-operative wound.
Medicine material consumption of the present invention is groped to sum up to draw through inventor in a large number, each raw material dosage is for all to have good curative effect in following weight parts scope: Radix Et Rhizoma Rhei 5-15g, Radix Aucklandiae 7-17g, Radix Paeoniae Alba 10-20g, Rhizoma Coptidis 3-9g, Radix Scutellariae 7-17g, Flos Lonicerae 10-20g, Herba Taraxaci 13-23g, Fructus Forsythiae 10-20g, Radix Bupleuri 13-23g, Radix Astragali 25-35g, Fructus Toosendan 10-20g, Rhizoma Cyperi 7-17g, Fructus Citri Sarcodactylis 7-17g, Folium Perillae 7-17g, Herba Pogostemonis 7-17g, Herba Eupatorii 7-17g, Rhizoma Atractylodis Macrocephalae (parched) 10-20g, Poria 10-20g, Radix Codonopsis 10-20g, Rhizoma Dioscoreae 10-20g, Semen Nelumbinis 10-20g, Semen Lablab Album 13-23g, Semen Coicis 15-25g, Fructus Jujubae 4-14g, Rhizoma Zingiberis Recens 3-9g, Radix Glycyrrhizae 1-5g.
Wherein be preferably: Radix Et Rhizoma Rhei 10g, Radix Aucklandiae 12g, Radix Paeoniae Alba 15g, Rhizoma Coptidis 6g, Radix Scutellariae 12g, Flos Lonicerae 15g, Herba Taraxaci 18g, Fructus Forsythiae 15g, Radix Bupleuri 18g, Radix Astragali 30g, Fructus Toosendan 15g, Rhizoma Cyperi 12g, Fructus Citri Sarcodactylis 12g, Folium Perillae 12g, Herba Pogostemonis 12g, Herba Eupatorii 12g, Rhizoma Atractylodis Macrocephalae (parched) 15g, Poria 15g, Radix Codonopsis 15g, Rhizoma Dioscoreae 15g, Semen Nelumbinis 15g, Semen Lablab Album 18g, Semen Coicis 20g, Fructus Jujubae 9g, Rhizoma Zingiberis Recens 6g, Radix Glycyrrhizae 3g.
A kind ofly promote that the preparation method of the Chinese medicine preparation of the postoperative rehabilitation of pancreas incision and drainage is as follows:
Step one: by weight proportion of the present invention, first becomes medicated bag by Fructus Forsythiae, Fructus Toosendan, Fructus Citri Sarcodactylis, Semen Nelumbinis, Semen Lablab Album, Semen Coicis, Fructus Jujubae bundle, is put in water and soaks 40-50 minute, filters, for subsequent use;
Step 2: by weight proportion of the present invention, take Radix Et Rhizoma Rhei, the Radix Aucklandiae, the Radix Paeoniae Alba, Rhizoma Coptidis, Radix Scutellariae, the Radix Astragali, Rhizoma Cyperi, Rhizoma Atractylodis Macrocephalae (parched), Rhizoma Zingiberis Recens, Rhizoma Dioscoreae, marmite put into by Radix Codonopsis, add the cold water in step one, exceed powder 3-4 centimetre, after being fried boiling with high heat, again with 20-30 minute at a simmer, filter, obtain filtrate, the water of 2-3 centimetre is added in residue medicinal residues, then Herba Taraxaci is added, Radix Bupleuri, Folium Perillae, Herba Pogostemonis, Herba Eupatorii, Poria, medicated bag in Radix Glycyrrhizae and step one continues to decoct 15-20 minute, finally add Flos Lonicerae, decoct 10 minutes, both the Chinese medicine decoction of the postoperative rehabilitation of alleviation pancreas of the present invention incision and drainage.
Medicine of the present invention has effect of heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, the spleen strengthening and damp drying, depressed liver-energy dispersing and QI regulating, and curative effect is obvious, painful little, and conditioning health, not easily recurs, alleviate the slight illness of patient, improves the quality of life of patient.According to clinical 80 routine patient view statistics, use medicine of the present invention the total effective rate course for the treatment of 90%, two the total effective rate course for the treatment of 97.5%.
Detailed description of the invention
Embodiment one, Radix Et Rhizoma Rhei 5g, Radix Aucklandiae 7g, Radix Paeoniae Alba 10g, Rhizoma Coptidis 3g, Radix Scutellariae 7g, Flos Lonicerae 10g, Herba Taraxaci 13g, Fructus Forsythiae 10g, Radix Bupleuri 13g, Radix Astragali 25g, Fructus Toosendan 10g, Rhizoma Cyperi 7g, Fructus Citri Sarcodactylis 7g, Folium Perillae 7g, Herba Pogostemonis 7g, Herba Eupatorii 7g, Rhizoma Atractylodis Macrocephalae (parched) 10g, Poria 10g, Radix Codonopsis 10g, Rhizoma Dioscoreae 10g, Semen Nelumbinis 10g, Semen Lablab Album 13g, Semen Coicis 15g, Fructus Jujubae 4g, Rhizoma Zingiberis Recens 3g, Radix Glycyrrhizae 1g.
Embodiment two, Radix Et Rhizoma Rhei 10g, Radix Aucklandiae 12g, Radix Paeoniae Alba 15g, Rhizoma Coptidis 6g, Radix Scutellariae 12g, Flos Lonicerae 15g, Herba Taraxaci 18g, Fructus Forsythiae 15g, Radix Bupleuri 18g, Radix Astragali 30g, Fructus Toosendan 15g, Rhizoma Cyperi 12g, Fructus Citri Sarcodactylis 12g, Folium Perillae 12g, Herba Pogostemonis 12g, Herba Eupatorii 12g, Rhizoma Atractylodis Macrocephalae (parched) 15g, Poria 15g, Radix Codonopsis 15g, Rhizoma Dioscoreae 15g, Semen Nelumbinis 15g, Semen Lablab Album 18g, Semen Coicis 20g, Fructus Jujubae 9g, Rhizoma Zingiberis Recens 6g, Radix Glycyrrhizae 3g.
Embodiment three, Radix Et Rhizoma Rhei 15g, Radix Aucklandiae 17g, Radix Paeoniae Alba 20g, Rhizoma Coptidis 9g, Radix Scutellariae 17g, Flos Lonicerae 20g, Herba Taraxaci 23g, Fructus Forsythiae 20g, Radix Bupleuri 23g, Radix Astragali 35g, Fructus Toosendan 20g, Rhizoma Cyperi 17g, Fructus Citri Sarcodactylis 17g, Folium Perillae 17g, Herba Pogostemonis 17g, Herba Eupatorii 17g, Rhizoma Atractylodis Macrocephalae (parched) 20g, Poria 20g, Radix Codonopsis 20g, Rhizoma Dioscoreae 20g, Semen Nelumbinis 20g, Semen Lablab Album 23g, Semen Coicis 25g, Fructus Jujubae 14g, Rhizoma Zingiberis Recens 9g, Radix Glycyrrhizae 5g.
Here is the clinical statistics data that patient uses medicine of the present invention:
One, physical data
Accept pancreas incision and drainage postoperative patient person 80 example for medical treatment.Wherein male 51 example, women 29 example, M-F 1.76:1,33 years old mean age, patient age, sex, etc. every basic document substantially identical, no significant difference (P > 0.05).
Two, Therapeutic Method:
According to Medications Example two of the present invention, and the preparation prepared of preferred preparation method, every day, potion, took at twice, within 10 days, was a course for the treatment of.
Three, efficacy assessment standard:
1, cure: pancreas incision and drainage Post operation health recovers completely, pain and uncomfortable symptom disappear completely, and affected part is recovered as before;
2, take a turn for the better: pancreas incision and drainage Post operation body constitution is recovered gradually, pain and uncomfortable symptom disappear substantially;
3, invalid: pancreas incision and drainage Post operation is without any improvement.
Four, therapeutic outcome statistics
According to statistical result showed, Chinese medicine of the present invention for the recovery of pancreas incision and drainage post-operative wound there is good clinical effectiveness, effectively can improve the cure rate for the treatment of, be worth promoting in clinical practice.
Model case and curative effect:
Case one, patient Lee, man, 42 years old, patient suffers from pancreatitis, but because abdominal cavity sepage is many, non-operative treatment DeGrain, so the pancreas incision and drainage that gone to hospital to do, doctor notes nursing after requiring corrective surgery, to avoid and infect or recurrence, patient adopts made preparation in the embodiment of the present invention two, after taking a course for the treatment of, patient's appetite obviously increases, body constitution also takes a turn for the better to some extent, wound is pain not, patient adheres to again having taken a course for the treatment of, health is recovered completely, operative incision also heals intact, remove examination in hospital, indices all shows normally, post-operative recovery is good.
Case two, patient's model, female, 65 years old, patient has done pancreas incision and drainage in hospital, because patient is older, doctor exhorts that patient will carry out postoperative rehabilitation work, and patient takes made preparation in the embodiment of the present invention two, after taking a course for the treatment of, patient feels that health is clearly better, and removes examination in hospital, and water, electrolytic condenser Post operation are significantly recovered, and there is not the generation of pseudocyst and diabetes, post-operative recovery is good.
Claims (4)
1. one kind promotes the Chinese medicine preparation of the postoperative rehabilitation of pancreas incision and drainage, it is characterized in that, this Chinese medicine preparation is made up of the medicine of following weight portion: Radix Et Rhizoma Rhei 5-15g, Radix Aucklandiae 7-17g, Radix Paeoniae Alba 10-20g, Rhizoma Coptidis 3-9g, Radix Scutellariae 7-17g, Flos Lonicerae 10-20g, Herba Taraxaci 13-23g, Fructus Forsythiae 10-20g, Radix Bupleuri 13-23g, Radix Astragali 25-35g, Fructus Toosendan 10-20g, Rhizoma Cyperi 7-17g, Fructus Citri Sarcodactylis 7-17g, Folium Perillae 7-17g, Herba Pogostemonis 7-17g, Herba Eupatorii 7-17g, Rhizoma Atractylodis Macrocephalae (parched) 10-20g, Poria 10-20g, Radix Codonopsis 10-20g, Rhizoma Dioscoreae 10-20g, Semen Nelumbinis 10-20g, Semen Lablab Album 13-23g, Semen Coicis 15-25g, Fructus Jujubae 4-14g, Rhizoma Zingiberis Recens 3-9g, Radix Glycyrrhizae 1-5g.
2. a kind of Chinese medicine preparation promoting the postoperative rehabilitation of pancreas incision and drainage according to claim 1, it is characterized in that, be made up of the medicine of following weight portion: Radix Et Rhizoma Rhei 10g, Radix Aucklandiae 12g, Radix Paeoniae Alba 15g, Rhizoma Coptidis 6g, Radix Scutellariae 12g, Flos Lonicerae 15g, Herba Taraxaci 18g, Fructus Forsythiae 15g, Radix Bupleuri 18g, Radix Astragali 30g, Fructus Toosendan 15g, Rhizoma Cyperi 12g, Fructus Citri Sarcodactylis 12g, Folium Perillae 12g, Herba Pogostemonis 12g, Herba Eupatorii 12g, Rhizoma Atractylodis Macrocephalae (parched) 15g, Poria 15g, Radix Codonopsis 15g, Rhizoma Dioscoreae 15g, Semen Nelumbinis 15g, Semen Lablab Album 18g, Semen Coicis 20g, Fructus Jujubae 9g, Rhizoma Zingiberis Recens 6g, Radix Glycyrrhizae 3g.
3. the Chinese medicine preparation of the postoperative rehabilitation of promotion pancreas according to claim 1 and 2 incision and drainage, is characterized in that: described Chinese medicine preparation is decoction.
4. one kind promotes the preparation method of the Chinese medicine preparation of the postoperative rehabilitation of pancreas incision and drainage, it is characterized in that, preparation method is as follows: step one: by weight proportion of the present invention, first Fructus Forsythiae, Fructus Toosendan, Fructus Citri Sarcodactylis, Semen Nelumbinis, Semen Lablab Album, Semen Coicis, Fructus Jujubae bundle are become medicated bag, be put in water and soak 40-50 minute, filter, for subsequent use, step 2: by weight proportion of the present invention, take Radix Et Rhizoma Rhei, the Radix Aucklandiae, the Radix Paeoniae Alba, Rhizoma Coptidis, Radix Scutellariae, the Radix Astragali, Rhizoma Cyperi, Rhizoma Atractylodis Macrocephalae (parched), Rhizoma Zingiberis Recens, Rhizoma Dioscoreae, marmite put into by Radix Codonopsis, add the cold water in step one, exceed powder 3-4 centimetre, after being fried boiling with high heat, again with 20-30 minute at a simmer, filter, obtain filtrate, the water of 2-3 centimetre is added in residue medicinal residues, then Herba Taraxaci is added, Radix Bupleuri, Folium Perillae, Herba Pogostemonis, Herba Eupatorii, Poria, medicated bag in Radix Glycyrrhizae and step one continues to decoct 15-20 minute, finally add Flos Lonicerae, decoct 10 minutes, both the Chinese medicine decoction of the postoperative rehabilitation of alleviation pancreas of the present invention incision and drainage.
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张继涛: "中药清胰汤结合外、内引流术治疗胰腺假性囊肿", 《现代医药卫生》 * |
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CN109276616A (en) * | 2018-11-30 | 2019-01-29 | 江苏贝塔仕生物科技有限公司 | A kind of pair of wound has the essence of therapeutic effect |
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