CN104800292A - Massage cream for reducing muscular tension of spastic cerebral palsy children - Google Patents

Abstract

The invention relates to a massage ointment for reducing the muscle tension of children with spastic cerebral palsy, which can effectively solve the problem of medication for the muscle tension of children with spastic cerebral palsy. -35g, Speranthum 25-35g, Mori twig 25-35g, Safflower 15-25g, Spatholobus 25-35g, Fangfeng 15-25g, Dog Ridge 25-35g, Achyranthes bidentata 25-35g, Angelica 12- 18g, eucommia ulmoides 25-35g, borneol 8-12g and vaseline 15-25g, the present invention has rich raw materials, low price, scientific components, reasonable compatibility, and mutual support, and the combination of all medicines has the functions of promoting blood circulation and removing blood stasis, relaxing tendons and activating collaterals, expelling wind and dehumidification , Tongli joint effect, effectively used to treat muscle tension in children with spastic cerebral palsy, good curative effect, safe medication, is an innovation in the treatment of muscle tension in children with spastic cerebral palsy.

Description

A massage cream for reducing muscle tension in children with spastic cerebral palsy

technical field

The invention relates to the field of medicine, in particular to a massage cream for reducing muscle tension of children with spastic cerebral palsy.

Background technique

In recent years, due to air pollution and environmental deterioration, the incidence of children with cerebral palsy has been increasing. Children with spastic cerebral palsy account for 2/3 of the types of cerebral palsy. Children with this type have high muscle tension and hyperreflexia. Fist-like; both lower limbs are stiff, adducted into a cross shape, when standing up, the feet droop and turn inward, the toes touch the ground, and the heels cannot be stepped on flat; when walking, they show a scissors-like gait with pointed feet. It has seriously affected children's physical and mental health and quality of life, and caused great harm and economic burden to society, families and individuals. Therefore, seeking an effective treatment plan for spastic cerebral palsy is very important to improve the treatment effect of children with cerebral palsy and reduce the disability rate. Therefore, the improvement of drugs for reducing muscle tension in children with spastic cerebral palsy is an urgent problem to be solved at present.

Contents of the invention

In view of the above situation, in order to solve the defects of the prior art, the object of the present invention is to provide a massage cream for reducing the muscle tension of children with spastic cerebral palsy, which can effectively solve the problem of medication for the muscle tension of children with spastic cerebral palsy.

The technical scheme solved by the present invention is made from the following raw materials by weight: 25-35g of Streptococcus chinensis, 25-35g of Speranthemus sativa, 25-35g of Mori twig, 15-25g of Safflower, 25-35g of Spatholobus Spatholobus , Fangfeng 15-25g, Dog Ridge 25-35g, Chuan Achyranthes bidentata 25-35g, Angelica 12-18g, Eucommia 25-35g, Borneol 8-12g and Vaseline 15-25g, remove the above raw material drug borneol, Vaseline for external use 30- Soak in water at 60°C for 1.5-2 hours, then cut into thin slices below 0.5cm, add 8 times the weight of raw materials except borneol and vaseline each time, boil and extract 8 times, combine the extracts 8 times, let stand, and settle for 3 hours , take the supernatant, then simmer and condense to a thick paste with a relative density of 1.30-1.50 at 80-90°C, add vaseline and crushed borneol, mix well, and serve as a traditional Chinese medicine massage cream.

The invention has rich raw materials, low price, scientific components, reasonable compatibility and mutual support. The combined use of various medicines has the effects of promoting blood circulation and removing blood stasis, relaxing tendons and collaterals, expelling wind and dampness, and tonifying joints. Tension, with good curative effect and safe medication, is an innovation in the treatment of muscle tension in children with spastic cerebral palsy.

Detailed ways

The specific implementation of the present invention will be described in further detail below in conjunction with the examples.

Example 1

When the present invention is implemented, it can be made from the following raw materials by weight: 26g of Shenjincao, 26g of Sperancae, 26g of Ramulus mulberry, 16g of Safflower, 26g of Miltonia Spatholobus, 16g of Fangfeng, 26g of Dog Ridge, and Achyranthes bidentata 26g, Angelica 13g, Eucommia 26g, Borneol 9g, and Vaseline 16g, soak the above raw materials in water of 30-60℃ for 1.5-2h, then cut into thin slices below 0.5cm, each time add borneol, Vaseline Water with 8 times the weight of the raw material medicine, boiled and extracted 8 times, combined the extracts 8 times, left to stand, settled for 3 hours, took the supernatant, and then simmered and concentrated to a thick paste with a relative density of 1.30-1.50 at 80-90°C , add vaseline, crushed borneol, mix well, and serve as a traditional Chinese medicine massage ointment.

Example 2

When the present invention is actually implemented, it can also be made from the following raw materials by weight: 30g of Herba Sinensis, 30g of Sperancae 30g, 30g of Mori twig, 20g of Safflower, 30g of Millipede Spatholobus, 20g of Fangfeng, 30g of Dog Ridge, Chuan Niu Knee 30g, Angelica 15g, Eucommia ulmoides 30g, Borneol 10g, and Vaseline 20g, soak the above-mentioned raw material drug deicing sheet and petroleum jelly in 30-60℃ water for 1.5-2h, then cut into thin slices below 0.5cm, add deicing sheet and petroleum jelly each time Add water with 8 times the weight of the raw material drug, boil and extract 8 times, combine the 8 extracts, let stand, settle for 3 hours, take the supernatant, and then simmer and concentrate until the relative density is 1.30-1.50 at 80-90°C. ointment, add vaseline, crushed borneol, mix well, and serve as a traditional Chinese medicine massage ointment.

Example 3

When the present invention is actually implemented, it can also be made from the following raw materials by weight: 34g of Herba Sinensis, 34g of Sperancae 34g, 34g of Ramulus mulberry, 24g of Safflower, 34g of Millipede Spatholobus, 24g of Fangfeng, 34g of Dog Ridge, 34g of Chuan Niu Knee 34g, Angelica 17g, Eucommia ulmoides 34g, Borneol 11g, and Vaseline 24g. Soak the above-mentioned raw material drug deborneol and Vaseline in water at 30-60°C for 1.5-2h, then cut into thin slices below 0.5cm, and add deborneol and Vaseline each time. Add water with 8 times the weight of the raw material drug, boil and extract 8 times, combine the 8 extracts, let stand, settle for 3 hours, take the supernatant, and then simmer and concentrate until the relative density is 1.30-1.50 at 80-90°C. ointment, add vaseline, crushed borneol, mix well, and serve as a traditional Chinese medicine massage ointment.

In the prescription of the present invention, Herba Sinensis and Speranthium invigorate blood circulation and remove blood stasis, and access the meridians; Angelica Spatholobus and Millae Spatholobus nourish blood and activate blood circulation, relax muscles and collaterals; ; Gouji and Eucommia nourish liver and kidney, strengthen tendons and bones; Sichuan Achyranthes bidentata leads blood downward, and can lead various medicines directly to the sick place. A small amount of borneol can not only increase the penetration and absorption of medicines, but also make children feel cool and comfortable. Vaseline can not only increase the heat penetration effect of the massage, but also prevent the skin from chafing. The combination of massage techniques and drugs can improve the sensitivity of the body or local tissues and organs to the effects of drugs, promote the penetration of drugs into local muscles and nerves, unblock meridians, increase blood flow, and provide local nourishment with qi and blood, which is more conducive to the relief of muscle spasms. Improve muscle strength and reduce muscle tension, so as to achieve the purpose of treating both symptoms and root causes.

The above-mentioned components are scientifically and reasonably compatible and support each other. They have the effects of promoting blood circulation, removing blood stasis, relaxing muscles and collaterals, expelling wind and dampness, and benefiting joints. They are effective in treating muscle tension in children with spastic cerebral palsy. The clinical data has been fully proved, the relevant clinical data are as follows:

1 Materials and methods

1.1 Clinical data Selected 86 children with spastic cerebral palsy hospitalized in the Pediatric Rehabilitation Department of Henan Provincial Hospital of Traditional Chinese Medicine from January 2011 to December 2013, all of whom had joint spasms of upper and lower extremities. According to age, sex, height, body weight, muscle tension assessment, be divided into treatment group of the present invention and matched group at random. Wherein the present invention treats group 43 examples, male 23 examples, female 20 examples, age: 6 months ~ 1 year old 13 cases, 1 ~ 4 years old 16 cases, 4 ~ 5 years old 9 cases, 5 ~ 6 years old 5 cases; Body weight ≤ 27 cases of 12kg, 11 cases of 12-15kg, 4 cases of 15-17kg, 1 case of 17-20kg; 16 cases of height 81-89cm, 22 cases of 89-94cm, and 5 cases of 94-105cm. 43 cases in the control group. There was no statistically significant difference in gender, age, and basic disease information between the two groups, and they were comparable.

1.2 Case selection

1.2.1 Inclusion criteria: ① Diagnosis and typing are in line with the definition and diagnostic conditions of children with cerebral palsy formulated by the 2nd Changsha National Academic Conference on Children's Rehabilitation in 2006; ② Before and during the experiment, no drugs or treatments that affect muscle tone were taken; ③The diagnosis is supported by cranial CT or MRI examination, and the parents are willing to cooperate; ④The age is between half a year old and 5-6 years old.

1.2.2 Exclusion criteria: ① Those who meet the inclusion criteria but cannot receive treatment or stop treatment halfway; ② Exclude children with serious primary diseases such as heart, liver, kidney and hematopoietic system; ③ Exclude epilepsy, mental retardation and abnormal behavior; ④ Those who take anticonvulsant and antiepileptic drugs or receive botulinum toxin injections during the treatment period.

1.3 Treatment options

The control group was given massage rehabilitation treatment. Method: Carry out overall relaxing and massage techniques on abnormal limbs to relieve muscle spasms and smooth joints. For those with severe upper limb spasticity, the treatment of shoulders, elbows and wrist joints is added, and then massage and acupressure are performed on both sides of the spine from top to bottom to promote the lowering of the trunk center of gravity of the child; In the state of joint muscle position, use the pull and shake method to gradually increase the range of motion of the joint, and at the same time extend the contracted muscles and tendons. Once a day, 30 minutes each time; 30 consecutive days of treatment is a course of treatment.

The treatment group of the present invention added the massage ointment of the present invention on the basis of the same massage technique. Operation method: first apply the massage ointment to the paralyzed limb, and then massage the body surface of the child with the muscle-relaxing massage technique used in the observation group, 30 minutes each time, once a day. Continuous treatment for 30 days is a course of treatment. After massaging, wash off the cream with warm water.

1.4 Evaluation method

1.4.1 Evaluation time

Each child was evaluated for the first time before treatment, and after a course of treatment, the curative effect was evaluated again. The same group of physicians evaluated the muscle tension and joint range of motion of the children to reduce errors caused by subjective factors.

1.4.2 Evaluation method

1.4.2.1 Evaluation of muscle tone

Muscle tension was assessed using the modified Ashworth spasticity scale ^[4] . Grade 0: No increase in muscle tone, passive movement of the affected limbs in the entire range without resistance. Grade 1: Slightly increased muscle tone, passive flexion of the affected part within the range of motion of the joint, or "stuck" and "sudden release" sensations when extended, or minimal resistance at the end of the range of motion of the joint; Grade 1+: Slightly increased muscle tone, manifested as a slight stuck feeling, and accompanied by minimal resistance throughout the remaining range of joint motion (less than 1/2 ROM); Grade 2: Significantly increased muscle tone in most of the joint range of motion, However, the affected part is easy to move passively; grade 3: the muscle tone is severely increased, and passive movement is difficult; grade 4: the affected part is stiff in flexion or extension. Scores are 0, 1, 1.5, 2, 3 points in turn.

1.4.2.2 Measurement of joint range of motion

Before and after treatment, the same therapist measured the angles of adductor muscle, popliteal fossa, and foot dorsiflexion angles, and selected different specifications of goniometers according to the size of the joints to be measured. Strictly follow the regulations when measuring, and keep the subject in a fixed position. Each joint was measured 3 times, and finally the average value was calculated.

1.5 Evaluating Criteria for Efficacy

①Significant effect: the modified Ashworth score decreased by more than 2 grades or returned to normal, and the range of motion of the main joints increased by more than 20°; ②Effective: the modified Ashworth score decreased by more than 1 grade, and the range of motion of the main joints increased by more than 10°; ③Ineffective: the range of motion of the main joints increased by more than 10°; The condition did not improve significantly.

1.6 Statistical processing

Statistical software SPSS15.0 was used to process the data, count data was analyzed by independent sample rate χ2 test with joint table data, and measurement data was analyzed by t test and other statistical methods.

2 results

2.1 Evaluation of muscle tone

There was no significant difference in the Ashworth grading scores of muscle tension between the two groups before treatment (P>0.05). After treatment, the Ashworth grading scores of the observation group and the control group were lower than those before treatment (P<0.01).

Table 1 Comparison of modified Ashworth grading scores between the two groups before and after treatment ( )

2.2 Evaluation of joint range of motion

Before treatment, there was no significant difference in the extensibility of the joints between the two groups (P>0.05).

Table 2 Comparison of joint extension between the two groups before and after treatment

Table 3 Comparison of curative effect between the two groups before and after treatment

3 Conclusion

The main clinical manifestations of children with spastic cerebral palsy are muscle spasms caused by long-term excessive muscle tension, resulting in reduced joint activity, contractures of joint muscles, and joint fixation deformities; thus making it difficult for children to establish motor function and affect their daily life. ability.

The traditional Chinese medicine massage ointment of the present invention has the effect of promoting blood circulation, relieving muscle spasm, and reducing the muscle tension of children. Through clinical observation, it is found that a major feature of the present invention is that the combination of massage ointment and massage fully exerts the comprehensive effect, and has the advantages of simple operation, The advantages of being safe, effective, low in cost, and easy to be accepted by patients, the effect is good, and the curative effect is as high as 83%, which is not available at all in the existing treatment of children with spastic cerebral palsy. Improving the quality of our country's population and reducing social and family burdens is of great significance, strong practicability, and great clinical significance.

Claims (4)

1. one kind is reduced the massage cream of children with spastic cerebral palsy muscular tension, it is characterized in that, be made up of the material medicine of following weighing scale: Herba Lycopodii 25-35g, Herba speranskiae tuberculatae 25-35g, Ramulus Mori 25-35g, Flos Carthami 15-25g, Caulis Spatholobi 25-35g, Radix Saposhnikoviae 15-25g, Rhizoma Cibotii 25-35g, Radix Cyathulae 25-35g, Radix Angelicae Sinensis 12-18g, Cortex Eucommiae 25-35g, Borneolum Syntheticum 8-12g and vaseline 15-25g, by above-mentioned raw materials medicine except Borneolum Syntheticum, the water soaking 1.5-2h of vaseline external 30-60 DEG C, then the thin slice of below 0.5cm is cut into, add except Borneolum Syntheticum at every turn, the water of the material medicine 8 times of weight outside vaseline, boil extraction 8 times, merge 8 extracting solution, leave standstill, sedimentation 3h, get supernatant, slow fire is concentrated into the relative density when 80-90 DEG C is again the thick paste of 1.30-1.50, add vaseline, finely divided ice, mixing, Chinese medicine massage cream.

2. the massage cream of reduction children with spastic cerebral palsy muscular tension according to claim 1, it is characterized in that, be made up of the material medicine of following weighing scale: Herba Lycopodii 26g, Herba speranskiae tuberculatae 26g, Ramulus Mori 26g, Flos Carthami 16g, Caulis Spatholobi 26g, Radix Saposhnikoviae 16g, Rhizoma Cibotii 26g, Radix Cyathulae 26g, Radix Angelicae Sinensis 13g, Cortex Eucommiae 26g, Borneolum Syntheticum 9g and vaseline 16g, by above-mentioned raw materials medicine except Borneolum Syntheticum, the water soaking 1.5-2h of vaseline external 30-60 DEG C, then the thin slice of below 0.5cm is cut into, add except Borneolum Syntheticum at every turn, the water of the material medicine 8 times of weight outside vaseline, boil extraction 8 times, merge 8 extracting solution, leave standstill, sedimentation 3h, get supernatant, slow fire is concentrated into the relative density when 80-90 DEG C is again the thick paste of 1.30-1.50, add vaseline, finely divided ice, mixing, Chinese medicine massage cream.

3. the massage cream of reduction children with spastic cerebral palsy muscular tension according to claim 1, it is characterized in that, be made up of the material medicine of following weighing scale: Herba Lycopodii 30g, Herba speranskiae tuberculatae 30g, Ramulus Mori 30g, Flos Carthami 20g, Caulis Spatholobi 30g, Radix Saposhnikoviae 20g, Rhizoma Cibotii 30g, Radix Cyathulae 30g, Radix Angelicae Sinensis 15g, Cortex Eucommiae 30g, Borneolum Syntheticum 10g and vaseline 20g, by above-mentioned raw materials medicine except Borneolum Syntheticum, the water soaking 1.5-2h of vaseline external 30-60 DEG C, then the thin slice of below 0.5cm is cut into, add except Borneolum Syntheticum at every turn, the water of the material medicine 8 times of weight outside vaseline, boil extraction 8 times, merge 8 extracting solution, leave standstill, sedimentation 3h, get supernatant, slow fire is concentrated into the relative density when 80-90 DEG C is again the thick paste of 1.30-1.50, add vaseline, finely divided ice, mixing, Chinese medicine massage cream.

4. the massage cream of reduction children with spastic cerebral palsy muscular tension according to claim 1, it is characterized in that, be made up of the material medicine of following weighing scale: Herba Lycopodii 34g, Herba speranskiae tuberculatae 34g, Ramulus Mori 34g, Flos Carthami 24g, Caulis Spatholobi 34g, Radix Saposhnikoviae 24g, Rhizoma Cibotii 34g, Radix Cyathulae 34g, Radix Angelicae Sinensis 17g, Cortex Eucommiae 34g, Borneolum Syntheticum 11g and vaseline 24g, by above-mentioned raw materials medicine except Borneolum Syntheticum, the water soaking 1.5-2h of vaseline external 30-60 DEG C, then the thin slice of below 0.5cm is cut into, add except Borneolum Syntheticum at every turn, the water of the material medicine 8 times of weight outside vaseline, boil extraction 8 times, merge 8 extracting solution, leave standstill, sedimentation 3h, get supernatant, slow fire is concentrated into the relative density when 80-90 DEG C is again the thick paste of 1.30-1.50, add vaseline, finely divided ice, mixing, Chinese medicine massage cream.