CN104706793A - Traditional Chinese medicine anaesthesia pain relieving tincture for treating nerve-root type cervical spondylosis - Google Patents
Traditional Chinese medicine anaesthesia pain relieving tincture for treating nerve-root type cervical spondylosis Download PDFInfo
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- 208000002193 Pain Diseases 0.000 title abstract description 29
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- 206010041591 Spinal osteoarthritis Diseases 0.000 title abstract description 7
- 208000036319 cervical spondylosis Diseases 0.000 title abstract description 7
- 208000005801 spondylosis Diseases 0.000 title abstract description 7
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- 206010037779 Radiculopathy Diseases 0.000 claims description 12
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- 230000000202 analgesic effect Effects 0.000 claims description 9
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Abstract
The invention discloses a traditional Chinese medicine anaesthesia pain relieving tincture for treating a nerve-root type cervical spondylosis. The nerve-root type cervical spondylosis belongs to a pain paralysis type in traditional Chinese medicine and the range of arthralgia. The nerve-root type cervical spondylosis is mostly caused by trauma, strain, affection of exotenous wind-cold and damp pathogen, so that the situations of impeding circulation of qi and blood, stagnation of qi and blood stasis and the situation that stagnation of QI and blood may bring about pain are caused. The pain relieving tincture disclosed by the invention selects the traditional Chinese medicines of prolongated spleenwort herbs with roots, heterophyllouswingseedtree roots, ardisiavillosa, bauhinia championii, delavay fir seeds, Chinese carlesia roots, fragile blueberry roots, fragile blueberry roots, forrestdumasia fruits, trifidsopubia herbs, fiveleafakebia fruits and smoothfruitventilago roots and stems, and camphor and alcohol are added for preparing the pain relieving tincture. Through the clinical testing, the pain relieving tincture has an evident effect and has smaller side effect.
Description
Technical field
The present invention relates to a kind of Chinese medicine composition, particularly relate to a kind of Chinese drug anesthesia analgesic tincture for the treatment of cervical spondylotic radiculopathy.
Background technology
With the quickening pace of modern life, popularizing of computer, people bow work for a long time, the cervical region of human body is in a posture for a long time, be very easy to the fatigue, the regression that cause cervical region, cause the raising year by year of cervical spondylosis sickness rate, caused the extensive concern of medical circle, wherein cervical spondylotic radiculopathy accounts for the 60-70% of cervical spondylosis sickness rate, has a strong impact on the quality of life of patient.Western medical treatment cervical spondylotic radiculopathy, does not have a kind of specific medicament at present, and is main mainly with the pain symptom alleviated clinically, and effect is not very good, can only alleviate current pain symptom, and can not tackle the problem at its root.Chinese medicine external absorbs through skin, improves local metabolic, promotes microcirculation, reduces capillary permeability, alleviates the stimulation of nerve root local, in order to improve or to eliminate the pain of cervical spondylotic radiculopathy.The effect of Chinese drug anesthesia analgesic tincture is direct, avoids orally to absorb the too many levels deactivation run into through digestive tract, and side effect is less, economical, safely, be easy to be accepted by patient, applies clinically and achieves gratifying effect.
Summary of the invention
The object of this invention is to provide a kind of Chinese drug anesthesia analgesic tincture for the treatment of cervical spondylotic radiculopathy.Cervical spondylotic radiculopathy belongs to arthralgia pain type in the traditional Chinese medical science, belongs to the scope of arthromyodynia.Many due to wound, strain and affection of exogenous wind-cold damp, cause QI-blood circulation not smooth, qi depression to blood stasis, stagnation of QI and blood may bring about pain.
The object of the invention is to be achieved through the following technical solutions, the Chinese drug anesthesia analgesic tincture of this treatment cervical spondylotic radiculopathy is made up of the Chinese medicine of following weight portion: Herba asplenii prolongati 10-15 part, Radix Pterospermi Heterophylli 10-15 part, Radix ardisiae villosae 5-10 part, Caulis Bauhihiae Championii 6-10 part, Semen Abietis Delavayi 8-12 part, Radix Carlesiae Sinensis 5-8 part, Folium Vaccinii Fragilis 8-12 part, Fructus Dumasiae forrestii 8-10 part, Herba sopubiae Trifidae 4-6 part, Fructus Akebiae 10-20 part, Radix seu Caulis Verntilaginis Leiocarpae 10-20 part.
Preferably, Herba asplenii prolongati 12 parts, Radix Pterospermi Heterophylli 12 parts, Radix ardisiae villosae 7 parts, Caulis Bauhihiae Championii 8 parts, Semen Abietis Delavayi 10 parts, Radix Carlesiae Sinensis 6 parts, Folium Vaccinii Fragilis 10 parts, Fructus Dumasiae forrestii 9 parts, Herba sopubiae Trifidae 5 parts, Fructus Akebiae 15 parts, Radix seu Caulis Verntilaginis Leiocarpae 15 parts.
The above-mentioned Chinese medicine of preparation method is pulverization altogether, adds Camphora 10 parts, 95% ethanol is appropriate, bottle airtight, often shake, make it fully dissolve, filter for subsequent use after 1 week.
Fang Zhong: Herba asplenii prolongati wind-damp dispelling, promoting blood circulation to remove blood stasis, to get round by bribery; Radix Pterospermi Heterophylli expelling wind and removing dampness, promoting blood circulation and detumescence; Radix ardisiae villosae expelling wind and removing dampness, promoting blood circulation and stopping pain; Caulis Bauhihiae Championii expelling wind and removing dampness, stasis-dispelling and pain-killing; Semen Abietis Delavayi warming spleen and stomach for dispelling cold, regulating QI to relieve pain; Radix Carlesiae Sinensis warming spleen and stomach for dispelling cold, the wind dispelling therapeutic method to keep the adverse QI flowing downwards, invigorating blood circulation analgesia, stomach invigorating dysentery relieving; Folium Vaccinii Fragilis relaxing muscles and tendons and activating QI and blood in the collateral, promoting blood circulation and stopping pain; Fructus Dumasiae forrestii relaxing muscles and tendons and activating QI and blood in the collateral, pain relieving; Herba sopubiae Trifidae relaxing muscles and tendons and activating QI and blood in the collateral, pain relieving, the kidney warming; Fructus Akebiae depressed liver-energy dispersing and QI regulating, promoting blood circulation and stopping pain, relieving restlessness diuresis; Radix seu Caulis Verntilaginis Leiocarpae benefiting vital QI and blood, dispelling, collateral-activating.
Clinical data
1, the routine cervical spondylotic radiculopathy of physical data out-patient treatment 75.Wherein man 45 example, female 30 example; Minimum 31 years old of age, maximum 66 years old; Restriction of neck motion, side shoulder arm hands numb pain 65 example; Restriction of neck motion, bilateral shoulder arm hands numb pain 10 example; Companion's great thenar atrophy 3 example; Companion's dizziness and tinnitus 12 example, companion's grasp weakness 6 example, is divided into test group 40 example, matched group 35 example, two groups of patients no significant difference in sex, age, the course of disease, the state of an illness.
2, diagnostic criteria is with reference to the diagnostic criteria of national Second Committee cervical spondylosis symposium cervical spondylotic radiculopathy in 1992: (1) cervicodynia companion upper limb radiating pain.(2) pressurized nerve root skin sections areal area decreased sensation, key reflectance anomaly, amyotrophy, muscular strength goes down.(3) brachial plexus nerve distraction test or the intervertebral foramina squeeze test positive.(4) the visible hyperosteogeny of cervical X-ray, uncovertebral joint hypertrophy is obvious, and intervertebral space intervertebral foramina diminishes.(5) after the visible vertebral body of CT/MRI, vegetation and nerve root canal narrow.1,4 is definite diagnostic criteria, and 2,3,5 is auxiliary diagnosis standard.
3, treatment and care method test group use narcotic analgesic tincture of the present invention, take Herba asplenii prolongati 12g, Radix Pterospermi Heterophylli 12g, Radix ardisiae villosae 7g, Caulis Bauhihiae Championii 8g, Semen Abietis Delavayi 10g, Radix Carlesiae Sinensis 6g, Folium Vaccinii Fragilis 10g, Fructus Dumasiae forrestii 9g, Herba sopubiae Trifidae 5g, Fructus Akebiae 15g, Radix seu Caulis Verntilaginis Leiocarpae 15g.Pulverization, adds Camphora 10g, 95% ethanol 500mL, bottles airtight, often shake, make it fully dissolve altogether, filters for subsequent use after 1 week.Dip filtrate with cotton swab and embrocate affected part, till making local skin rubescent, with manual reduction massage after coating, every day 2 times 10 days is 1 course for the treatment of.
Matched group uses Dicolfanac Sodium Sustained Release Tablets (Nova Lab SDN. BHD produce, the accurate word H19980297 of traditional Chinese medicines), specification: 75mg, 10, every box, and boiled water is taken after mixing it with water, one time 1,1 time on the one.
4, criterion of therapeutical effect neck-shoulder pain measures the pain determining method of application NIH Clinical Research Center application, namely the straight line of O-10cm is used, be divided into 10 deciles, indicate number, patient is allowed to judge according to the pain sensation of oneself and to be drawn in numerically, all there is patient to draw the position at bright pain place before treatment and after treatment, finally judge that the degree of pain is marked by doctor.1-3cm, mild pain, does not affect work, life; 4-6cm, moderate pain, affects work, does not affect life; 7-10cm, severe pain, sharp ache, affects work and life.
Clinic control: monosymptom disappears or substantially disappears, therapeutic index >=90%; Effective: monosymptom obviously improves, therapeutic index >=70%, <90%; Effective: monosymptom take a favorable turn, therapeutic index reaches >=and 30%, <70%; Invalid: monosymptom is not improved, therapeutic index reaches less than 30%;
5, after therapeutic outcome terminates two groups of courses for the treatment of, the total effective rate of test group treatment is 95.00%, and the total effective rate of matched group is 88.57%.The clinic control of test group to pain reaches 50%, and test group is apparently higher than matched group (2.86%).Test group has no adverse reaction.There is headache and stomachache, constipation, diarrhoea, feel sick in matched group 9 example, the gastrointestinal reaction such as dyspepsia, and untoward reaction such as having a headache, dizzy, dizzy appears in 2 examples.
subjective pain (VAS) comparitive study after table 1 liang group treatment
group number of cases clinic control (%) effective (%) is (%) invalid (%) effectively
test group 40 20 (50.00) 12 (30.00) 6 (15.00) 2 (5.00)
matched group 35 1 (2.86) 13 (37.14) 17 (48.57) 4 (11.43).
Detailed description of the invention
Embodiment one: take Herba asplenii prolongati 12g, Radix Pterospermi Heterophylli 12g, Radix ardisiae villosae 7g, Caulis Bauhihiae Championii 8g, Semen Abietis Delavayi 10g, Radix Carlesiae Sinensis 6g, Folium Vaccinii Fragilis 10g, Fructus Dumasiae forrestii 9g, Herba sopubiae Trifidae 5g, Fructus Akebiae 15g, Radix seu Caulis Verntilaginis Leiocarpae 15g.Pulverization, adds Camphora 10g, 95% ethanol 500mL, bottles airtight, often shake, make it fully dissolve altogether, filters for subsequent use after 1 week.
Embodiment two: take Herba asplenii prolongati 15g, Radix Pterospermi Heterophylli 10g, Radix ardisiae villosae 10g, Caulis Bauhihiae Championii 6g, Semen Abietis Delavayi 12g, Radix Carlesiae Sinensis 5g, Folium Vaccinii Fragilis 12g, Fructus Dumasiae forrestii 8g, Herba sopubiae Trifidae 6g, Fructus Akebiae 10g, Radix seu Caulis Verntilaginis Leiocarpae 20g, pulverization altogether, add Camphora 10g, 95% ethanol 500mL, bottle airtight, frequent shake, make it fully dissolve, filter for subsequent use after 1 week.
Embodiment three: take Herba asplenii prolongati 10g, Radix Pterospermi Heterophylli 15g, Radix ardisiae villosae 5g, Caulis Bauhihiae Championii 10g, Semen Abietis Delavayi 8g, Radix Carlesiae Sinensis 8g, Folium Vaccinii Fragilis 8g, Fructus Dumasiae forrestii 10g, Herba sopubiae Trifidae 4g, Fructus Akebiae 20g, Radix seu Caulis Verntilaginis Leiocarpae 10g, pulverization altogether, add Camphora 10g, 95% ethanol 500mL, bottle airtight, frequent shake, make it fully dissolve, filter for subsequent use after 1 week.
Claims (2)
1. treat a Chinese drug anesthesia analgesic tincture for cervical spondylotic radiculopathy, it is characterized in that this Chinese drug anesthesia analgesic tincture is made up of the Chinese medicine of following weight portion: Herba asplenii prolongati 10-15 part, Radix Pterospermi Heterophylli 10-15 part, Radix ardisiae villosae 5-10 part, Caulis Bauhihiae Championii 6-10 part, Semen Abietis Delavayi 8-12 part, Radix Carlesiae Sinensis 5-8 part, Folium Vaccinii Fragilis 8-12 part, Fructus Dumasiae forrestii 8-10 part, Herba sopubiae Trifidae 4-6 part, Fructus Akebiae 10-20 part, Radix seu Caulis Verntilaginis Leiocarpae 10-20 part.
2. a kind of Chinese drug anesthesia analgesic tincture for the treatment of cervical spondylotic radiculopathy as claimed in claim 1, is characterized in that this Chinese drug anesthesia analgesic tincture is made up of the Chinese medicine of following weight portion: Herba asplenii prolongati 12 parts, Radix Pterospermi Heterophylli 12 parts, Radix ardisiae villosae 7 parts, Caulis Bauhihiae Championii 8 parts, Semen Abietis Delavayi 10 parts, Radix Carlesiae Sinensis 6 parts, Folium Vaccinii Fragilis 10 parts, Fructus Dumasiae forrestii 9 parts, Herba sopubiae Trifidae 5 parts, Fructus Akebiae 15 parts, Radix seu Caulis Verntilaginis Leiocarpae 15 parts.
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CN105582440A (en) * | 2016-02-15 | 2016-05-18 | 王雪晴 | Traditional Chinese medicine dicentrine for treating cervical spondylotic radiculopathy |
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Application publication date: 20150617 |