Background
Dysmenorrhea refers to the condition of periodic lower abdominal pain, or pain in the lumbosacral region, even severe pain and syncope during or before menstruation. It is classified into primary dysmenorrhea and secondary dysmenorrhea according to the existence of pelvic organic disease. The former has undefined etiology and is not accompanied with pelvic organic diseases. The latter has clear etiology and causes menstrual abdominal pain caused by pelvic organic diseases.
The earliest discussion of dysmenorrhea was found in the syndrome-treatment of miscellaneous diseases and pulses in women, jin Kui Yao, Fu ren, and so on: "leukorrhagia, irregular menstruation, fullness and pain in the lower abdomen, and recurrent menstruation", it is mainly indicated by the root of paniculate Falsemii. Zhang Zhongjing considers that the disease is caused by blood stasis. The modern famous physicians' nest Yuan Fang is recorded in the theory of all pathogenic factors, the symptoms of miscellaneous diseases of women and abdominal pain due to water in the moon: the key points of clinical differentiation of this syndrome are that the deficiency of the body is caused by overexertion of blood and qi, and the blood and qi are affected by wind-cold, which affects the collaterals of uterus, damages the thoroughfare and conception vessels … …, and causes pain by the blood deficiency and wind-cold impact of blood and qi when the body is immersed in the water. Song Dynasty 'Ladies' records: "Wen Jing Tang" for treating dysmenorrhea caused by congealing cold is established up to now because wind-cold is in the Chong and ren channels of uterus. In the golden age, Zhu Danxi, based on the theory of qi and blood, can cause abdominal pain during menstruation due to qi stagnation, deficiency of qi and blood, and blood stasis. In Ming Dynasty, the theory of deficiency and excess was proposed in the book of Jingyue, Furen regular, menstrual abdominal pain. The relation between five zang organs and dysmenorrhea is proposed by Qing Dynasty Fu Qing dynasty, and the disease is considered to be related to liver depression, kidney deficiency and cold-dampness. Modern doctors generally agree that dysmenorrhea occurs during and around menstrual period, and due to the change of qi and blood, stagnant blood blocks uterus and chong ren fails to nourish, thereby causing pain due to obstruction and pain due to lack of nourishment. The disease is manifested as pain due to the change of qi and blood in Chong and ren meridians and uterus. Dysmenorrhea is mainly classified into 6 types of syndromes of congealing cold with blood stasis, qi stagnation and blood stasis, liver and kidney deficiency, yang deficiency with internal cold, qi and blood deficiency, and damp-heat stagnation, wherein the syndromes of congealing cold with blood stasis and qi stagnation and blood stasis are the most. At present, western medicine treatment for primary dysmenorrhea mainly takes non-steroidal anti-inflammatory drugs and contraceptives as main materials, and methods for treating primary dysmenorrhea in traditional Chinese medicine are various, the curative effect is definite, the side effect is little, but most of the methods are oral preparations, so that the invention of the traditional Chinese medicine navel-applying agent for treating primary dysmenorrhea is imperative.
Disclosure of Invention
In view of the above situation, the present invention aims to provide a Chinese medicinal navel patch for treating primary dysmenorrhea, which can effectively solve the problem of primary dysmenorrhea.
The technical scheme of the invention is that the traditional Chinese medicine is prepared from the following components in parts by weight: 12-18g of semen cuscutae, 8-12g of sliced antler, 12-18g of astragalus, 8-12g of codonopsis pilosula, 7-11g of fried bighead atractylodes rhizome, 9-15g of radix bupleuri, 7-11g of radix curcumae, 12-18g of curcuma zedoary, 5-7g of leech, 5-7g of scorpion, 7-11g of prepared aconite accessory piece, 15-25g of fried white paeony root and 4-6g of honey-fried licorice root.
The Chinese medicinal preparation is prepared from pure Chinese medicaments, can relieve the toxic and side effects of the medicaments on liver and kidney, can avoid the stimulation of orally taken medicaments on gastrointestinal tracts, is easy to accept by patients, can effectively relieve primary dysmenorrhea, and is an innovation of the Chinese medicinal navel-sticking agent for treating the primary dysmenorrhea.
Detailed Description
The following examples further illustrate the embodiments of the present invention in detail.
Example 1
The invention, when embodied, may be made from the following by weight: 13g of semen cuscutae, 11g of sliced antler, 13g of astragalus mongholicus, 11g of codonopsis pilosula, 8g of fried bighead atractylodes rhizome, 14g of radix bupleuri, 8g of radix curcumae, 17g of curcuma zedoary, 5g of leech, 7g of scorpion, 8g of prepared aconite, 24g of fried white paeony root and 4g of honey-fried licorice root.
Example 2
When the invention is implemented, the invention can also be prepared by the following weight portions: 15g of semen cuscutae, 10g of sliced antler, 15g of astragalus membranaceus, 10g of codonopsis pilosula, 9g of fried bighead atractylodes rhizome, 12g of radix bupleuri, 9g of radix curcumae, 15g of curcuma zedoary, 6g of leech, 6g of scorpion, 9g of prepared aconite, 20g of fried white paeony root and 5g of honey-fried licorice root, and the medicine is prepared by grinding the medicines into powder and blending ginger juice into paste.
Example 3
When the invention is implemented, the invention can also be prepared by the following weight portions: 17g of semen cuscutae, 9g of sliced antler, 17g of astragalus mongholicus, 9g of codonopsis pilosula, 10g of fried bighead atractylodes rhizome, 14g of radix bupleuri, 8g of radix curcumae, 13g of curcuma zedoary, 7g of leech, 5g of scorpion, 10g of prepared aconite, 16g of fried white paeony root and 6g of honey-fried licorice root.
The invention has the following composition analysis: the dodder seed and the antler slice in the formula for tonifying kidney essence are the monarch drugs. Ginseng, atractylodes rhizome and astragalus root, invigorating spleen, nourishing blood and benefiting vital energy; radix bupleuri and radix curcumae are ministerial drugs for soothing liver and regulating qi. Rhizoma Curcumae, Hirudo, and Scorpio have blood stasis dispelling, blood stasis removing, and analgesic effects; preparing radix Aconiti lateralis Preparata for dispelling cold and relieving pain, and treating cold accumulation in uterus; parched white peony root and prepared licorice root, radix Glycyrrhizae Praeparata, as assistant drugs, nourish blood, nourish liver, relieve spasm and alleviate pain. The whole formula is overall viewed, and the effects of tonifying kidney and spleen, regulating qi and blood and relieving pain are achieved.
The components are scientific and reasonable in compatibility and mutually supported, have the effects of tonifying the kidney and strengthening the spleen, and regulating qi and blood and relieving pain, are effectively used for treating primary dysmenorrhea, have obvious curative effect, and are fully proved by clinical data, and the relevant clinical data are as follows:
1 object
1.1 selection of objects
120 patients with primary dysmenorrhea were diagnosed in a hospital, and after evaluation, the patients were divided into 2 groups, 60 groups of control group and treatment group, respectively, according to the pain degree. In each group, 20 patients had mild, moderate and severe pain.
Mild: pain but no influence on daily activities, little influence on work, no systemic symptoms and few use of analgesics; medium: pain affects daily activities and working ability, few general symptoms exist, and pain relieving medicines are needed and effective; and (3) severe degree: the pain obviously affects daily activities and work, the general symptoms are obvious, and the effect of the analgesic is not good.
2 inclusion criteria:
menstrual pain, often spasmodic, is concentrated in the lower abdomen, and other symptoms include headache, weakness, dizziness, nausea, vomiting, diarrhea, lumbago and skelalgia. Without obvious pelvic organic disease.
Combined with laboratory examinations: secretion test and hormone level test. Other auxiliary checks: b ultrasonic, laparoscope, hysteroscope, hysterosalpingography.
3 exclusion criteria:
patients with chronic pelvic pain and chronic pelvic pain should be clinically diagnosed to exclude secondary dysmenorrhea and early endometriosis.
4 treatment protocol:
control group: conventional treatments, taking general nonspecific analgesics, such as: salicylate has antipyretic and analgesic effects. Starting three days before the treatment, 1 ibuprofen is taken once, every other day is taken for 1 time, and 5 days are 1 treatment course.
Treatment groups: on the basis of a control group, the navel patch is applied to the navel (Shenque acupoint) by gauze, once a day for three days before menstruation and once a day for two days before menstruation, and 5 days is a treatment course.
5, the judgment standard of curative effect is as follows:
the effect is shown: the clinical symptoms and physical signs are obviously relieved;
the method has the following advantages: the clinical symptoms and physical signs are reduced;
and (4) invalidation: no improvement or aggravation of clinical symptoms and signs.
6 statistical treatment
120 cases of patients with primary dysmenorrhea are selected, the traditional Chinese medicine patch provided by the invention is pasted according to the treatment scheme, statistics is carried out after 1 treatment course, the clinical effects are 25, 33 cases of effects and 2 cases of ineffectiveness, the total effective rate reaches 96.67%, the clinical effects of a control group are 16, 28 cases of effects and 16 cases of ineffectiveness, and the total effective rate is 73.33, so that the traditional Chinese medicine patch has an obvious effect of treating primary dysmenorrhea, achieves the aim of clinical treatment, and has no obvious adverse reaction in the treatment process.
To illustrate the treatment in more detail, typical cases and the efficacy of the treatment are given below:
typical case 1:
liu, 23 years old, clerk, not married. Initial diagnosis: year 2013, month 5 and day 10. Abdominal pain during menstruation lasts for more than 6 years. The patient has an initial tide of 15 years of menstruation, 1-2 days after each menstruation, 3-4 days after menstruation, neutral temperament depression and dislike communicating with people. Before menstruation and menstruation, the lower abdomen is plump and painful, the lower abdomen is painful and swollen with waist soreness and breast distending pain discomfort, the pain is relieved in the second day of menstruation, the lower abdomen is painful and tender, the face is pale, cold sweat is produced, the menstrual blood is dark and light, blood clots exist, and the pain is relieved. The pain can be relieved by taking the pain relieving tablet. The last menstruation lasts for 6 days in 4 months and 14 days, and when the menstruation is going, the patients feel the pain of the lower abdomen, soreness of the waist, distending pain of the breast, thin stools, purple and dark tongue with thin and white coating, and wiry and unsmooth pulse. B ultrasonic mode: the uterus and the attachments are not abnormal. And (3) diagnosis: primary dysmenorrhea (type of qi stagnation and blood stasis).
Twice diagnosis in 5 months and 26 days: after the navel patch is used, the menstruation comes within 5 months and 15 days, the abdominal pain, waist soreness and breast swelling and pain during the menstrual period are all obviously relieved, the rest symptoms are also relieved, and the menstruation is clean for 6 days. If the menstrual cycle is regulated continuously, the dysmenorrhea is cured and is not found yet.
"an" refers to the blood as the principal factor and qi and blood as the secondary factors, the thoroughfare and conception vessels are engorged and overflow in the uterus, and it is menstruation water in the month. If the emotion is well-conditioned, the physique is strong, and qi is smooth and harmonized with blood, the meridians are smooth and smooth, and there is no pain of dysmenorrhea. Otherwise, dysmenorrhea is easily caused. The patients with the disease are mostly depressed, the liver qi is uncomfortable, the emotion is injured again before the menstruation, the liver qi is disordered and smooth, the qi activity is stagnated, the blood is also stagnated, and the chong and ren blocking occurs during the menstruation, the blood circulation is not smooth, the obstruction causes pain, and the onset is dysmenorrhea. The patient essentially inherits the kidney deficiency, so the initial tide is late, the spleen and the stomach are the origin of the acquired disease, the spleen qi is weak, the stool is loose, the thin and white tongue coating has teeth marks which are both the symptoms of the spleen qi deficiency, the spleen and the kidney are both weak, the essence deficiency, the qi and the blood are weak, the chong and ren are deficient, the uterus vessel is not nourished to cause pain, and the qi deficiency, the blood stagnation, the weakness circulation and the pain channel are generated simultaneously. So it is indicated for tonifying kidney and spleen, regulating qi and blood and alleviating pain. After conditioning, the stasis is removed, the deficiency of the vital qi is supplemented, the thoroughfare vessel and the qi and blood are harmonized, and the dysmenorrhea is cured.
8 conclusion
The navel-sticking agent is simple and easy to implement, has the functions of tonifying kidney and spleen, regulating qi and blood and relieving pain, can reduce the toxic and side effects of the medicine on liver and kidney, can avoid the stimulation of the oral medicine on gastrointestinal tracts, is easy to accept by patients, can effectively treat primary dysmenorrhea, has obvious curative effect through clinical application, and has practical clinical significance and good popularization and application values.