CN103463261B - Traditional Chinese medicine preparation for treating lumbar intervertebral disc herniation - Google Patents
Traditional Chinese medicine preparation for treating lumbar intervertebral disc herniation Download PDFInfo
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Abstract
The invention belongs to the technical field of traditional Chinese medicines and provides a traditional Chinese medicine preparation for treating the lumbar intervertebral disc herniation. The traditional Chinese medicine preparation for treating the lumbar intervertebral disc herniation is prepared from the following raw materials in proportion by weight: radix rehmanniae preparata, eucommia, herba taxilli, dipsacus asperoids, rhzizoma drynariae, stir-baked squama manitis, pseudo-ginseng, olibanum, myrrh, fructus aurantii and ground beetle. The traditional Chinese medicine preparation can be conventionally decocted with water to obtain decoction to be taken, and can also be prepared into a granule preparation, a capsule or a concentrated watered pill. The traditional Chinese medicine preparation provided by the invention can be directly used for nourishing liver and kidneys, strengthening the bones and muscles, strengthening waist and back, promoting blood circulation, removing blood stasis, resolving hard lump, dispersing swelling and setting pain; and due to the traditional Chinese medicines in the prescription for relieving stagnant qi, removing phlegm, harmonizing stomach, and improving digestion, a patient can be nourished without stasis, the stagnant qi can be relieved, the stagnation can be promoted, and the vital qi is not hurt; and the herniated lumber intervertebral disc can be recovered, the fiber can be repaired, the pressed nerve root can be released, the stimulation on posterior longitudinal ligament can be eliminated, and the pain of the waist and lower lib can be relieved.
Description
Technical field
The invention belongs to technical field of Chinese medicines, be specifically related to a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc.
Background technology
Prolapse of lumbar intervertebral disc be from lumbago and skelalgia be one of main common orthopedics department illness.Originate from the person between twenty and fifty in 20-40 year, male is mainly in women, and primary disease belongs to the category of motherland's medical science " lumbago and skelalgia, the waist injury of tendon and muscle ".The formation of primary disease is mainly because of the degeneration of intervertebral disc itself, and some risk factor is as the result of the composite factors such as the invasion and attack of wound, chronic strain, lumbar strain or damp of having a cold outward in addition.
Lumbar vertebra is the pillar of people's body, is whole body stress mid point, and its loading weight and mobility comparatively thoracic vertebra are large, especially waist 4, waist 5, between waist 5 and sacral, loading weight and mobility are larger, so easily attractive prolapse of lumbar intervertebral disc.
Motherland's medical science is thought, waist is the mansion of stomach, and kidney is the master of waist." Plain Questions " six joint state of internal organs opinion " also, its Hua Fa, it fills at bone smart part for kidney person, main the dominator of storing essence of stinging ".The five internal organs generate a section and say: " kidney person closes also, and its flourish also." want precise and tiny opinion say again: " the five internal organs person, in keep also." say again: " internal organs of waist person kidney, incapable of turning round, kidney is by exhausted." say again: " person, the internal organs of marrow, can not standing for a long time, tottering while walking, bones being about to exhaust." say again: " the kidney pulse being hard,powerful and long, its yellowish-flushed complexion person, when disease is bowed." more than discuss be enough to confirm, waist and kidney are closely-related." Plain Questions " is said again: " in healthy energy deposits, heresy can not be done, gathering of heresy, and its gas must be empty." just illustrating that the occurrence cause of primary disease and deficiency of kidney-QI, deficiency of kidney-essence relation are most important.
Summary of the invention
The present invention, in order to solve the treatment problem of prolapse of lumbar intervertebral disc, provides a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc.
The present invention is realized by following technical scheme: a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc, is made up of the raw material of following weight proportion: Radix Rehmanniae Preparata 24-35 part, Cortex Eucommiae 20-28 part, Herba Taxilli 24-35 part, Radix Dipsaci 24-35 part, Rhizoma Drynariae 15-24 part, stir-baked SQUAMA MANITIS 15-24 part, Radix Notoginseng 15-24 part, Olibanum 10-15 part, Myrrha 10-15 part, Fructus Aurantii 15-24 part, Eupolyphaga Seu Steleophaga 15-24 part.
The optimum ratio scheme of each component of Chinese medicine preparation of the present invention is: 30 parts, Radix Rehmanniae Preparata, the Cortex Eucommiae 24 parts, Herba Taxilli 30 parts, Radix Dipsaci 30 parts, Rhizoma Drynariae 20 parts, stir-baked SQUAMA MANITIS 20 parts, Radix Notoginseng 20 parts, Olibanum 12 parts, Myrrha 12 parts, Fructus Aurantii 20 parts, Eupolyphaga Seu Steleophaga 20 parts.
Above-mentioned each raw material is mixed in proportion rear routine be decocted in water for oral dose, or pulverizes and make powder or capsule, or decocting filters, be condensed into cream and dry, be ground into 100 order fine powders with Chinese medicine special pulverizer, make the traditional Chinese drug inspissation watered pill.
In Chinese medicine preparation of the present invention, Radix Rehmanniae Preparata, property is sweet, tepor; Enter liver, kidney channel; YIN nourishing, to enrich blood; Control deficiency of YIN insufficiency of blood, waist knee flaccidity, chronic cough hectic fever due to YIN-deficiency, seminal emission, metrorrhagia, menoxenia, quench one's thirst, frequency of micturition, deafness, blurred vision.The Cortex Eucommiae, property is sweet, warm; Return liver, kidney channel; Invigorating the liver and kidney, bone and muscle strengthening, antiabortive; , blood leaking in gestation, frequent fetal movement, hypertension unable for lumbago due to renal deficiency, muscles and bones.Herba Taxilli, property is bitter, sweet, flat; Return liver, kidney channel; Invigorating the liver and kidney, bone and muscle strengthening, wind-damp dispelling, antiabortive unit; , metrorrhagia unable for rheumatic arthralgia, soreness of the waist and knees, muscles and bones is through many, blood leaking in gestation, frequent fetal movement, hypertension.Radix Dipsaci, bitter, pungent, tepor; Return liver, kidney channel; Invigorating the liver and kidney, bone and muscle strengthening, continuous injured, only metrorrhagia; For soreness of the waist and knees, rheumatic arthralgia, metrorrhagia, vaginal bleeding during pregnancy, traumatic injury.Rhizoma Drynariae, bitter, warm; Return kidney, Liver Channel; The kidney invigorating bone strengthening, continuous hinder pain relieving; For lumbago due to renal deficiency, Hiccough and deaf, odontoseisis, traumatic injury sprain and contusion, injured bone, external treatment alopecia areata, vitiligo.Stir-baked SQUAMA MANITIS is salty, be slightly cold; Return liver, stomach warp; Stimulate the menstrual flow stimulating milk secretion, detumescence and apocenosis, expel wind to dredge collateral; For Jing Bi WEIJIA, galactostasis, carbuncle sore tumefacting virus, arthralgia, numbness contracture.Radix Notoginseng, sweet, the micro-hardship of property, temperature; Return liver, stomach warp; Dissipating blood stasis hemostasis, subduing swelling and relieving pain; For spitting of blood, haematemesis, epistaxis, have blood in stool, metrorrhagia, traumatic hemorrhage, breast abdomen twinge, tumbling and swelling.Olibanum, property acrid, bitter, warm; Enter the heart, liver, spleen channel; Promoting blood circulation and stopping pain; For all pains of trusted subordinate, the contracture of muscle arteries and veins, traumatic injury, sore, carbuncle and painful swelling, externally used detumescence granulation promoting.Myrrha, property is bitter, flat; Enter Liver Channel; Eliminating stasis to stop pain, externally used detumescence granulation promoting; Swell and ache for traumatic injury congestion, ulcer sore pain, all pains of breast abdomen; External is controlled the open sore part and is not restrained for a long time.Fructus Aurantii, property is bitter, pungent, sour, warm; Return spleen, stomach warp; Regulating the flow of QI to ease the stomach, the stagnant relieving distension of row; For stopping in the breast side of body stagnation of QI, distension pain, accumulation of food in the stomach and intes tine due to indigestion, phlegm retention; Gastroptosis, proctoptosis, sub-official prolapsus.Eupolyphaga Seu Steleophaga, property is salty, cold, slightly poisonous; Return Liver Channel; Promoting blood circulation to remove blood stasis, inducing menstruation to relieve menalgia; Cure mainly traumatic injury, congestion swell and ache, amenorrhea, postnatal blood stasis stomachache.
Above medicine: Radix Rehmanniae Preparata, the Cortex Eucommiae, Radix Dipsaci, parasitism share energy invigorating the liver and kidney, bone and muscle strengthening, strong spinal column, relieve the pain pain; Olibanum, Myrrha, stir-baked SQUAMA MANITIS, Radix Notoginseng energy promoting blood circulation and breaking stagnation, hard masses softening and resolving, subduing swelling and relieving pain; The capable expectorant of Fructus Aurantii dispelling the stagnated QI, stomach function regulating helps digestion.All medicines share, and can make that the lumbar intervertebral disc given prominence to is received again, fiber reparation, and the nerve root of pressurized loosens, and posterior longitudinal ligament stimulates and disappears, and waist and lower limb pain are alleviated.Occur during intervertebral disk hernia that passages through which vital energy circulates blocks, QI and blood is obstructed, then there is " stagnation of QI and blood may bring about pain ", so the present invention is directly can play tonifying liver and kidney and strengthening bones and muscles, strong spinal column, promoting blood circulation and breaking stagnation, hard masses softening and resolving, for the purpose of subduing swelling and relieving pain, in addition the capable expectorant of dispelling the stagnated QI in side, the product that stomach function regulating helps digestion, and invariably and not stagnant, dispelling the stagnated QI clots absorbing does not hinder the fraud of healthy energy.
It is as follows that Chinese medicine of the present invention is used for clinical situation: in May, 1994 so far period 30-50 year patient 1800 example, wherein man 1000 example, female 800 is routine, the course of disease at least 2 months.Patient's every day oral embodiment 2 powder, every day 4 times, each 8g was a course for the treatment of with seven days, be used in conjunction two the course for the treatment of observe the curative effect.
Diagnosis basis: according to the regulation of " People's Republic of China's traditional Chinese medicine industry standard-Chinese medical disease Standardization of diagnosis and curative effect (ZY/T001.1-94) ", with reference to " diagnosis basis of prolapse of lumbar intervertebral disc ": have waist wound, chronic strain or be subject to cold-damp history; Major part patient has chronic back pain history at premorbid; Often betide person between twenty and fifty, lumbago is to buttocks and lower limb radiation, and when abdominal pressure increases (as cough, sneeze), pain increases the weight of; Scoliosis, waist physiology radians disappears, and diseased region vertebra is other tenderness, and to lower limb radiation, waist limitation of activity; The lower limb innervation district that gets involved feels irritated or blunt, and course of disease elder can occur amyotrophy; Leg raising straight or the reinforcement test positive, knee joint, Achilles tendon reflex weaken or disappear, and big toe dorsiflexion power weakens; X-ray takes the photograph sheet inspection: scoliosis, and waist physiology lordosis disappears, and pathological interspinal dish may narrow, and neighboring edge has osteophytosis; CT examination can show position and the degree of intervertebral disk hernia.
Efficacy evaluation: according to the regulation of " People's Republic of China's traditional Chinese medicine industry standard-Chinese medical disease Standardization of diagnosis and curative effect (ZY/T001.1-94) ", with reference to " efficacy evaluation of prolapse of lumbar intervertebral disc ", cure: lumbago and skelalgia disappears, leg raising straight more than 70 °, the extensive recovery operation of energy; Take a turn for the better: lumbago and skelalgia alleviates, waist movable function improves; Do not heal: symptom, sign are without improvement.
Therapeutic Method: get Radix Rehmanniae Preparata 30g, Cortex Eucommiae 24g, Herba Taxilli 30g, Radix Dipsaci 30g, Rhizoma Drynariae 20g, stir-baked SQUAMA MANITIS 20g, Radix Notoginseng 20g, Olibanum 12g, Myrrha 12g, Fructus Aurantii 20g, Eupolyphaga Seu Steleophaga 20g.Pulverize after above-mentioned each raw material is mixed in proportion and make powder, often wrap 34g, every day 3-4 time, each 5-8g, 7 days courses for the treatment of.
Therapeutic outcome: healing person 1530 example accounts for 85%, improvement person 238 example accounts for 13.22%, and more person 32 example does not account for 1.78%.Total effective rate reaches 98.22%.Use other embodiments of the invention and use the therapeutic effect of the present embodiment 2 without significant difference.
Model case:
1, section, female, 30 years old, because of lumbar strain, there is saddle area pain, numbness in peasant, defecation difficulty, and x-ray takes the photograph sheet inspection display, scoliosis, and waist physiology lordosis disappears, and pathological interspinal dish may narrow, and neighboring edge has osteophytosis; Be diagnosed as prolapse of lumbar intervertebral disc, take Chinese medicine and western medicine and be showed no effect in two weeks.Take medicine of the present invention in June, 1994, after two courses for the treatment of, described symptom all disappears, and follows up a case by regular visits to and does not recur so far.
2, Lu, man, 43 years old, peasant, more than the lumbago and skelalgia moon, take Chinese medicine and western medicine and be showed no effect, if lumbago and skelalgia electric shock sample is felt, night can not fall asleep, and have no chance to rise again, dynamic then more very, CT examination display fifth lumbar vertebra intercalated disc is given prominence to, seek medical advice in many places, once acupuncture was adopted, massage, the methods such as traction, all can not get controlling, alleviate, within 97 years, come to go to a doctor, lean on crutch, walk with difficulty, examine as prolapse of lumbar intervertebral disc, after taking two courses for the treatment of of medicine of the present invention, pain relief, can walk voluntarily, continue to take two courses for the treatment of, symptom all disappears, take again two the course for the treatment of consolidate curative effect, follow up a case by regular visits to and do not recur so far.
3, high certain, female, 49 years old, teacher, in June, 2012 must not walk because of lumbago and skelalgia, dosses and has no chance to rise again, when cough, sneeze, pain increases the weight of, waist limitation of activity, scoliosis, waist physiology radians disappears; diseased region vertebra is other tenderness, and x-ray takes the photograph sheet inspection: scoliosis, and waist physiology lordosis disappears; pathological interspinal dish narrows, and neighboring edge has osteophytosis; Be diagnosed as prolapse of lumbar intervertebral disc, take two courses for the treatment of of medicine of the present invention, pain disappears, and life freely, can normally be gone to work, and x-ray is taken the photograph sheet and checked transference cure, follows up a case by regular visits to and does not recur so far.
4, Hu, man, 40 years old, cadre, can not walk because of lumbago and skelalgia, can't take care of oneself for 2011, CT examination display waist 4, waist 5 intervertebral disk hernia, take 3 courses for the treatment of of medicine of the present invention, lumbago and skelalgia disappears, and can normally go to work, life is as ordinary person, continue to take one the course for the treatment of consolidate curative effect, CT examination display transference cure, follows up a case by regular visits to and does not recur so far.
Detailed description of the invention
Below in conjunction with embodiment, the present invention is described in further detail.
Embodiment 1: a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc, is made up of the raw material of following weight proportion: Radix Rehmanniae Preparata 24g, Cortex Eucommiae 20g, Herba Taxilli 24g, Radix Dipsaci 24g, Rhizoma Drynariae 15g, stir-baked SQUAMA MANITIS 15g, Radix Notoginseng 15g, Olibanum 10g, Myrrha 10g, Fructus Aurantii 15g, Eupolyphaga Seu Steleophaga 15g.Above-mentioned each raw material is mixed in proportion rear routine be decocted in water for oral dose, every day 3 times, 7 days courses for the treatment of.The present embodiment institute pharmacy, same adopts above-mentioned diagnosis basis, criterion of therapeutical effect and Therapeutic Method to carry out clinical trial, treats, therapeutic outcome to 900 patients: healing person 738 example accounts for 82%, improvement person 144 example accounts for 16%, non-healing person 18 example accounts for 2%.Total effective rate reaches 98%.
Embodiment 2: a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc, is made up of the raw material of following weight proportion: Radix Rehmanniae Preparata 30g, Cortex Eucommiae 24g, Herba Taxilli 30g, Radix Dipsaci 30g, Rhizoma Drynariae 20g, stir-baked SQUAMA MANITIS 20g, Radix Notoginseng 20g, Olibanum 12g, Myrrha 12g, Fructus Aurantii 20g, Eupolyphaga Seu Steleophaga 20g.Pulverize after above-mentioned each raw material is mixed in proportion and make powder, often wrap 34g, every day 4 times, each 5g, 7 days courses for the treatment of.
Embodiment 3: a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc, is made up of the raw material of following weight proportion: Radix Rehmanniae Preparata 35g, Cortex Eucommiae 28g, Herba Taxilli 35g, Radix Dipsaci 35g, Rhizoma Drynariae 24g, stir-baked SQUAMA MANITIS 24g, Radix Notoginseng 24g, Olibanum 15g, Myrrha 15g, Fructus Aurantii 24g, Eupolyphaga Seu Steleophaga 24g.Above-mentioned each raw material is mixed in proportion rear decocting to filter, be condensed into cream and dry, being ground into 100 order fine powders with Chinese medicine special pulverizer, making the traditional Chinese drug inspissation watered pill, every ball 7g, every day 3 times, each ball, 7 days is a course for the treatment of.The present embodiment institute pharmacy, above-mentioned diagnosis basis, criterion of therapeutical effect and the Therapeutic Method of same employing carries out clinical trial, 850 patients are treated, therapeutic outcome: healing person 680 example accounts for 80%, improvement person 145 example accounts for 17.06%, non-healing person 25 example accounts for 2.94%.Total effective rate reaches 97.06%.
Embodiment 4: a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc, is made up of the raw material of following weight proportion: Radix Rehmanniae Preparata 35g, Cortex Eucommiae 28g, Herba Taxilli 35g, Radix Dipsaci 35g, Rhizoma Drynariae 24g, stir-baked SQUAMA MANITIS 24g, Radix Notoginseng 24g, Olibanum 15g, Myrrha 15g, Fructus Aurantii 24g, Eupolyphaga Seu Steleophaga 24g.Above-mentioned each raw material is mixed in proportion rear routine be decocted in water for oral dose, every day 3 times, 7 days courses for the treatment of.The present embodiment institute pharmacy, above-mentioned diagnosis basis, criterion of therapeutical effect and the Therapeutic Method of same employing carries out clinical trial, 950 patients are treated, therapeutic outcome: healing person 770 example accounts for 81.05%, improvement person 142 example accounts for 14.95%, non-healing person 38 example accounts for 4%.Total effective rate reaches 96%.
Embodiment 5: a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc, is made up of the raw material of following weight proportion: Radix Rehmanniae Preparata 35g, Cortex Eucommiae 28g, Herba Taxilli 35g, Radix Dipsaci 35g, Rhizoma Drynariae 24g, stir-baked SQUAMA MANITIS 24g, Radix Notoginseng 24g, Olibanum 15g, Myrrha 15g, Fructus Aurantii 24g, Eupolyphaga Seu Steleophaga 24g.Pulverize after above-mentioned each raw material is mixed in proportion and make capsule, every 2g, every day 4 times, each 8g, 7 days courses for the treatment of.The present embodiment institute pharmacy, same adopts above-mentioned diagnosis basis, criterion of therapeutical effect and Therapeutic Method to carry out clinical trial, treats, therapeutic outcome to 700 patients: healing person 581 example accounts for 83%, improvement person 84 example accounts for 12%, non-healing person 35 example accounts for 5%.Total effective rate reaches 95%.
Claims (2)
1. treat a Chinese medicine preparation for prolapse of lumbar intervertebral disc, it is characterized in that: be made up of the raw material of following weight proportion: Radix Rehmanniae Preparata 24-35 part, Cortex Eucommiae 20-28 part, Herba Taxilli 24-35 part, Radix Dipsaci 24-35 part, Rhizoma Drynariae 15-24 part, stir-baked SQUAMA MANITIS 15-24 part, Radix Notoginseng 15-24 part, Olibanum 10-15 part, Myrrha 10-15 part, Fructus Aurantii 15-24 part, Eupolyphaga Seu Steleophaga 15-24 part.
2. a kind of Chinese medicine preparation for the treatment of prolapse of lumbar intervertebral disc according to claim 1, is characterized in that: be made up of the raw material of following weight proportion: 30 parts, Radix Rehmanniae Preparata, the Cortex Eucommiae 24 parts, Herba Taxilli 30 parts, Radix Dipsaci 30 parts, Rhizoma Drynariae 20 parts, stir-baked SQUAMA MANITIS 20 parts, Radix Notoginseng 20 parts, Olibanum 12 parts, Myrrha 12 parts, Fructus Aurantii 20 parts, Eupolyphaga Seu Steleophaga 20 parts.
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CN103751586A (en) * | 2013-12-31 | 2014-04-30 | 余姚市江腾塑业有限公司 | Preparation method of medicine for treating lumbar intervertebral disc protrusion of workers in plastic plant workshops |
CN103893463A (en) * | 2014-04-15 | 2014-07-02 | 韩世昌 | Traditional Chinese medicine composition for treating lumbar disc herniation and preparation method thereof |
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