CN103784571A - Orthopedic hot compress medicine - Google Patents

Abstract

The invention discloses a kind of orthopedic hot compress medicine, which is composed of Shenjincao, Tugucao, Pittogonia bark, papaya, Fangfeng, Difeng, Duhuo, red peony, safflower, Drynaria rhizome, acute child, Sichuan pepper, frankincense, Angelica dahurica Traditional Chinese medicines such as Achyranthes bidentata, Cassia twig and Daqing salt are mixed according to the proportion. After the preparation method of traditional Chinese medicine powder, they are evenly mixed, passed through a No. 2 sieve, powdered into coarse powder, and packed into 20 bags for later use. The method of use is: take two bags and put them in a water basin to soak for two minutes, put them in a steamer and steam them for 15 minutes, then take out one bag of medicine to cool slightly and put it on the affected area for hot compress, put it back into the pot to heat when the medicine is cool, and take out another bag at the same time The bag medicine is operated in the same way, repeated several times, once or twice a day, and seven consecutive days is a course of treatment. The present invention mainly treats bruises, blood stasis, swelling and pain, all pains of muscles and bones, lumbago due to wind-cold and dampness, arthralgia, rheumatism and rheumatoid diseases, and the total effective rate reaches more than 85% through clinical verification.

Description

orthopedic hot compress

Technical field

The invention belongs to the technical field of medical traditional Chinese medicines, and in particular relates to a hot compress medicine for orthopedics.

Background technique

As we all know, in clinical medicine, bruises, blood stasis, swelling and pain, pains in muscles and bones, lumbago due to wind-cold and dampness, arthralgia, rheumatism and rheumatoid are common and frequently-occurring diseases of human beings. For many years, Western medicine has mainly used anti-inflammatory and analgesic western medicines to treat such diseases, orally or externally, which relieved the symptoms on the surface, but often relapsed in the future, and could not be completely cured, that is, they could only treat the symptoms but not the root cause. Long-term use of anti-inflammatory and analgesic drugs Western medicine is easy to form drug dependence, and causes more and more complications. It damages kidney function, destroys people's physical and mental health, and shortens human life. Practice has proved that Western medicine or Western medicine methods are difficult to cure these diseases. Over the years, Chinese medicine has accumulated a lot of experience in the treatment and recuperation of such chronic diseases, including etiology and pathogenesis, syndrome differentiation and treatment rules, effective drug screening of traditional Chinese medicine, and comprehensive prevention and treatment. Many new theories and methods have been formed, and a series of new achievements have been made. the results. The theory of traditional Chinese medicine believes that for diseases such as bruises, blood stasis, swelling and pain, pain in muscles and bones, lumbago due to wind-cold and dampness, arthralgia, rheumatism and rheumatoid and other diseases, proceed from the overall concept and treat based on syndrome differentiation. Based on the principle of treatment, a satisfactory curative effect can be achieved by using both internal and external treatment methods. Among them, hot ironing method, as a traditional common external treatment method of orthopedics in traditional Chinese medicine, has been recorded as early as in the Ming Dynasty medical book "Puji Fang". On the affected area, the drug effect can be applied to the local area with the help of heat to achieve the purpose of healing. As a traditional treatment method, the hot ironing method adopts many types of Chinese medicines, and there are also many prescriptions configured, each of which has its own advantages and disadvantages in performance and efficacy. On the basis of traditional prescriptions, combined with the theory and practice of traditional Chinese medicine, the orthopedic department with better curative effect is configured for the treatment of bruises, blood stasis, swelling and pain, muscle and bone pain, lumbago due to wind-cold and dampness, joint pain, rheumatism and rheumatoid diseases Hot compress medicine is the goal that the field of traditional Chinese medicine is constantly pursuing, and it is also a Chinese medicine topic in this field.

Contents of the invention

The purpose of the present invention is to provide a kind of orthopedic hot compress medicine for treating bruises, blood stasis, swelling and pain, pains in muscles and bones, lumbago due to wind-cold-dampness, arthralgia, rheumatism and rheumatoid diseases and the like.

In order to achieve the above-mentioned purpose, the present invention summarizes the accumulation of experience in examining syndromes and seeking causes and treating syndromes based on syndrome differentiation in the theory of traditional Chinese medicine in the past hundred years, combined with traditional empirical prescriptions, according to different components, different doses, and through repeated screening of components and clinical experiments, Developed the formula of the present invention, concrete formula is as follows: a kind of orthopedic hot compress medicine, is prepared by mixing the following Chinese medicine raw materials by weight:

300g Shenjincao; 300g Sperantosporum; 150g Pittodia bark; 90g papaya; 150g Fangfeng, 150g Difeng; 90g solitary life; 150g red peony root; 90g safflower; ; Baizhi 90g; Sichuan Achyranthes bidentata 90g; Guizhi 150g; Daqing salt 300g.

Through the preparation method of traditional Chinese medicine powder according to the above formula, it is pulverized into coarse powder, passed through a No. 2 sieve, mixed evenly, divided into 8 parts, packed in non-woven bags, and set aside.

In the preparation process of the present invention, the quality inspection is carried out on the medicinal material components before feeding, so that their quality meets the quality standards stipulated in the "Chinese Pharmacopoeia" and other relevant regulations; system, so the degree of crushing the selected medicinal materials will be moderate, and experiments show that the present invention adopts No. 2 medicinal sieves to meet the technical requirements.

According to the physical and chemical properties of orthopedic hot compress medicine, the present invention refers to relevant regulations such as "Chinese Pharmacopoeia" to measure the properties, identification, inspection and content of this product, so as to ensure that the drug is safe and effective. The determination method and results are as follows:

1. Properties This product is a yellow-brown coarse powder of medicinal materials; fragrant and bitter

2. Identification

2.1 Microscopic identification: Take the powder of this product and observe under a microscope: the pollen grains are obvious, spherical or oval, with a diameter of 62-83um, 3 germination holes, and short spines and verrucous protrusions (safflower) on the outer wall. Calcium oxalate clusters are clustered or round; the vessels are mostly reticulate and less threaded; the cork cells are light yellowish brown with thin walls; there are many starch grains, single spherical or oval (Angelica dahurica).

2.2 TLC identification

2.2.1 TLC identification of Radix Paeoniae Rubra, take 5g of this product powder, add 20ml of ethanol, ultrasonically treat for 30min, filter, evaporate the filtrate to dryness, add 20ml of water to the residue, extract 3 times with n-butanol saturated with water, 20ml each time, combine The n-butanol solution was evaporated to dryness, and the residue was dissolved by adding 2ml of ethanol as the test solution. Take another paeoniflorin reference substance, add ethanol to make a solution containing 2mg per 1ml, as the reference substance solution. According to the test of thin-layer chromatography (Appendix VIB, Chinese Pharmacopoeia 2005 Edition), draw 5 μL of each of the above two solutions, respectively spot on the same silica gel G thin-layer plate, and use chloroform-ethyl acetate-methanol-formic acid (40 : 5: 10: 0.2) as the developer, develop, take out, and dry. Spray with 5% vanillin sulfuric acid solution and heat until the spots are clear in color. In the chromatogram of the test product, at the position corresponding to the chromatogram of the reference product, the same blue-purple spots appear.

2.2.2 TLC identification of cinnamon twig medicinal materials Take 10g of the test sample powder, add 40ml of ethanol, soak for 20min, shake it from time to time, filter, evaporate the filtrate to dryness, add 1ml of ethanol to the residue, and use it as the test solution. Take another cinnamon aldehyde reference substance, add ethanol to make a solution containing 1uL per 1ml, as the reference substance solution. According to the thin-layer chromatography (Appendix VIB, Chinese Pharmacopoeia, 2005 edition), draw 10 μL of the above-mentioned test solution and 2 μL of the reference solution respectively on the same silica gel G thin-layer plate, and use petroleum ether (60-90°C)- Ethyl acetate (17:3) was used as the developer, developed, taken out, and dried in the air. Spray with dinitrophenylhydrazine solution. In the chromatogram of the test product, at the position corresponding to the chromatogram of the reference product, the same orange-yellow spots appear.

2.2.3 TLC identification of safflower medicinal materials Take 5g of this product powder, add 10ml of 80% acetone solution, seal it, shake it for 15min, let it stand still, absorb the supernatant, and use it as the test solution. Take another 0.5 g of safflower reference medicinal material, and make a reference medicinal material solution in the same way. According to the thin-layer chromatography (Appendix VIB of the Chinese Pharmacopoeia 2005 edition), draw 15 μL of the above-mentioned test solution and 5 μL of the reference solution respectively on the same silica gel H thin-layer plate with sodium carboxymethylcellulose as the binder. , using ethyl acetate-formic acid-water-methanol (7:2:3:0.4) as the developing solvent, develop, take out, and dry in the air. In the chromatogram of the test product, there are spots of the same color at the position corresponding to the chromatogram of the control medicinal material.

Detailed ways

The specific formula of the present invention is described in detail by the following examples: a kind of orthopedic hot compress medicine is prepared by mixing the following traditional Chinese medicine raw materials in parts by weight:

300g Shenjincao; 300g Sperantosporum; 150g Pittodia bark; 90g papaya; 150g Fangfeng, 150g Difeng; 90g solitary life; 150g red peony root; 90g safflower; ; Baizhi 90g; Sichuan Achyranthes bidentata 90g; Guizhi 150g; Daqing salt 300g.

According to the above formula, go through the preparation method of traditional Chinese medicine powder, mix evenly, pulverize into coarse powder, pass through No. 2 sieve, mix evenly, divide into 8 parts, pack in non-woven bags, and set aside.

How to use: Take two of the bags and soak them in a water basin for two minutes, put them in a steamer and steam them for 15 minutes, take out one bag of medicine, let out a little heat, and put it on the affected area for hot compress without burning the skin. After heating, put it back into the pot to steam, then take out another bag of medicine and do the same, repeat several times (about an hour) once or twice a day, and use it continuously for seven days as a course of treatment.

Example

The cases were all from the Department of Orthopedics, Beijing Jishuitan Hospital.

1. Clinical cases of orthopedic hot compresses in the treatment of lumbar disc herniation

Lumbar disc herniation is a common disease in orthopedics. It is a disease characterized by pain in the lower back of the human body accompanied by pain and numbness in one or both lower extremities.

Taking 57 outpatients with lumbar disc herniation as subjects, the diagnostic criteria were included in the "Diagnostic and Curative Criteria for Diseases of Traditional Chinese Medicine": ①Having a history of lumbar trauma, chronic strain, or exposure to cold and dampness, most of the patients had a history of chronic low back pain before the onset. ② Low back pain radiates to the buttocks and lower limbs, and the pain is aggravated when the abdominal pressure increases. ③Scoliosis, the physiological curvature of the waist disappears, there is tenderness beside the spine at the lesion site, and radiates to the lower extremities, and the waist movement is limited. ④There is hyperesthesia or dullness in the innervated areas of the affected lower limbs, and muscle atrophy may occur in the elderly with the course of the disease. The straight leg raising or strengthening test was positive, the knee and Achilles tendon reflexes were weakened or disappeared, and the dorsiflexion of the thumb was weakened. ⑤ X-ray film examination: scoliosis, lumbar lordosis disappears, diseased intervertebral disc may become narrow, and there is osteophyte hyperplasia on the adjacent edge. CT examination can show the location and degree of intervertebral disc herniation.

Apply orthopedic hot compress medicine externally, soak the medicine bag in water for two minutes before use, control it to dry, put it in a steamer and steam it for 10 minutes, put it in a steamer until the temperature does not burn the skin, and apply heat to the affected part, once a day, 1 hour each time, 15 minutes One day is a course of treatment.

Clinical observation results: Among the 57 cases, 25 cases were cured, 32 cases were markedly effective, and the cure rate was 87.7%.

2. Clinical cases of orthopedic hot compresses in the treatment of knee osteoarthritis

Osteoarthritis of the knee joint is a common clinical disease in the Department of Orthopedics and Traumatology. Its pathological features are primary or secondary changes in articular cartilage and the resulting degeneration, softening and gradual disappearance of articular cartilage, changes in subchondral bone, bone Lamellar bone sclerosis, followed by subchondral and marginal osteophyte formation, secondary joint synovitis, joint capsule contracture, joint space narrowing, causing joint dysfunction and other symptoms.

A total of 64 patients with knee osteoarthritis were selected to observe the clinical efficacy and radiological changes of Teng Yao in the treatment of knee osteoarthritis. Refer to the diagnostic criteria in the "Guiding Principles of Clinical Research of New Chinese Medicines"; A. Clinical a. Knee pain on most days in the previous month; b. Bone sound when moving joints; c. Morning stiffness <30 minutes; d. Age greater than or equal to 38 years old; e. . Knee examination showed bony hypertrophy. The diagnosis can be made by the presence of a, b, c, d or a, b, c or a, d, e. B. Clinical and radiological a. Knee pain on most days in the previous month; b. X-ray showed osteophyte at the joint margin; c. Arthritis laboratory test consistent with osteoarthritis; d. Age greater than or equal to 40 years old; e. Morning stiffness < 30 minutes; f. There is a bone sound when the joint is moved. The diagnosis can be made by the presence of a, b or a, c, e, f or a, d, e, f.

Apply orthopedic hot compress medicine externally, soak the medicine bag in water for two minutes before use, control it dry, heat and steam in a steamer for 15 minutes, put it in a steamer until the temperature does not burn the skin, and apply heat to the affected area, once a day, 1 hour each time, 15 minutes One day is a course of treatment.

Clinical observation results: Among the 64 cases, 49 cases were markedly effective, 8 cases were effective, and the total effective rate was 89.1%.

The above clinical cases prove that this formula has a significant curative effect on the treatment of blood stasis and swelling, muscle and bone pain, wind-cold-damp lumbago, arthralgia, rheumatism and rheumatoid and other diseases. Another name of this orthopedic hot compress is Orthopedics Teng Yao.

Claims (1)

1. A hot compress medicine for orthopedics, prepared by mixing the following Chinese medicine raw materials by weight: 300g Shenjincao; 300g Sperantosporum; 150g Pittodia bark; 90g papaya; 150g Fangfeng, 150g Difeng; 90g solitary life; 150g red peony root; 90g safflower; ; Angelica dahurica 90g; Sichuan Achyranthes bidentata 90g; Guizhi 150g; Daqing salt 300g; Through the preparation method of traditional Chinese medicine powder according to the above formula, it is pulverized into coarse powder, passed through a No. 2 sieve, mixed evenly, divided into 8 parts, packed in non-woven bags, and set aside.