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CN105434919A - Medicine composition treating deep-rooted boils, ice sores and carbuncle sores and preparation method and application thereof - Google Patents

Medicine composition treating deep-rooted boils, ice sores and carbuncle sores and preparation method and application thereof Download PDF

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CN105434919A
CN105434919A CN201510887407.5A CN201510887407A CN105434919A CN 105434919 A CN105434919 A CN 105434919A CN 201510887407 A CN201510887407 A CN 201510887407A CN 105434919 A CN105434919 A CN 105434919A
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parts
sores
external preparation
preparation
carbuncle
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夏冰芯
胡楚江
沈洋
姚志超
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Hunan University of Chinese Medicine
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Abstract

本发明提供了一种治疗火疔疮、冰疮、痈症疮的外用制剂,其活性成分由包括以下重量配比的药材制备而成:牛黄10~20份、僵蚕5~10份、防风5~10份、蝉蜕10~15份、天竺黄5~10份、硝石0~10份、薄荷10~20份、冰片5~10份、甘草10~20份、黄芩10~20份、全蝎10~20份、雄黄15~20份。本发明还提供了上述外用制剂的制备方法。本发明已用于临床实验证明,疗效显著,副作用少。The invention provides an external preparation for treating fire boils, ice sores and carbuncle sores, the active ingredient of which is prepared from medicinal materials in the following weight proportions: 10-20 parts of bezoar, 5-10 parts of silkworm, and Fangfeng 5-10 parts, 10-15 parts of cicada slough, 5-10 parts of Tianzhuhuang, 0-10 parts of saltpeter, 10-20 parts of mint, 5-10 parts of borneol, 10-20 parts of licorice, 10-20 parts of skullcap, scorpion 10-20 parts, realgar 15-20 parts. The present invention also provides a preparation method of the above-mentioned external preparation. The present invention has been used in clinical experiments to prove that it has remarkable curative effect and few side effects.

Description

一种治疗火疔疮、冰疮、痈症疮的药物组合物、其制备方法及用途A pharmaceutical composition for treating fire furuncle, ice sore and carbuncle sore, its preparation method and application

技术领域technical field

本发明具体涉及治疗火疔疮、冰疮、痈症疮的外用制剂、其制备方法及用途。The invention specifically relates to an external preparation for treating fire furuncle, ice sore and carbuncle sore, its preparation method and application.

背景技术Background technique

疔疮初起为毛囊口脓疮隆起呈圆锥形的炎性硬结,状如粟粒,色或黄或紫,红、肿、热、痛,数日内硬结增大,疼痛加剧;继而形成脓肿而硬结变软,疼痛减轻,溃脓后脓腔塌陷,逐渐愈合。如发生于四肢,患处有红丝上窜的,称“红丝疔”。如见寒战、高热、神昏、谵语、头痛、呕吐为全身性化脓性感染,中医称“疔疮走黄”。现代医学一般采用刺灸法和挑治法,但此种方法容易留有疤痕,大多数对外观比较在意的人不愿意尝试和接受。At the beginning, furuncle is a conical inflammatory induration raised by follicular abscess, shaped like milia, yellow or purple in color, red, swollen, hot, and painful. The induration increases within a few days and the pain intensifies; then abscess forms and induration It becomes soft, the pain is relieved, and the abscess cavity collapses after the ulceration, and gradually heals. If it occurs in the extremities, there are red threads running up the affected area, which is called "red thread boil". If you see chills, high fever, coma, delirium, headache, and vomiting, it is a systemic purulent infection, which is called "fever and yellowing" in traditional Chinese medicine. Modern medicine generally adopts acupuncture and moxibustion and picking, but this method is easy to leave scars, and most people who are more concerned about appearance are unwilling to try and accept it.

冰疮典型皮损为局限性指盖、蚕豆大小、暗紫红色隆起水肿性斑块或硬结,境界不清,边缘鲜红色,中央青紫色,表面紧张光亮、触之冰凉、压之褪色、去压后恢复较慢。重者肿胀加剧,表面可形成水疱,内含淡黄色或血性浆液、疱破后可形成糜烂或溃疡。多对称发生于四肢远端以手指、手背、足缘、足跟、面颊、耳廓等处多见,亦可单侧发生。多发生于儿童和青年女性,以肢端血运不良及手足多汗者多见。自觉有痒感、烧灼感、肿胀感。痒感受热后加剧,有糜烂或溃疡者自觉疼痛。每年冬季发病,天暖后自愈,病程迁延。Typical skin lesions of ice sores are localized finger caps, fava bean-sized, dark purple raised edematous plaques or indurations, unclear boundary, bright red edges, blue-purple center, tense and bright surface, cold to the touch, faded when pressed, Recovery after compression is slow. In severe cases, the swelling is intensified, and blisters may be formed on the surface, containing light yellow or bloody serum, and erosions or ulcers may be formed after the blisters break. Multiple symmetry occurs in the distal extremities, such as fingers, back of hands, feet, heels, cheeks, auricles, etc., and can also occur unilaterally. It mostly occurs in children and young women, and is more common in those with poor blood supply to the extremities and hyperhidrosis of the hands and feet. Consciously feel itching, burning, swelling. The itching is aggravated by heat, and those with erosions or ulcers feel pain. Falling ill every winter, self-healing after warm weather, protracted course of disease.

痈症疮此病多由郁热蕴盛而成。热气乘之,热胜于寒,则血肉腐败,化为脓,脓溃之后,其疮不瘥,故曰痈疮。呈一片稍隆起的紫红色浸润区,质地坚韧,界限不清,在中央部的表面有多个脓栓,破溃后呈蜂窝状。以后,中央部逐渐坏死、溶解、塌陷,象“火山口”,其内含有脓液和大量坏死组织。其易向四周和深部发展,周围呈浸润性水肿,局部淋巴结有肿大和疼痛。除有局部剧痛外,病人多有明显的全身症状,如畏寒、发热、食欲不佳、白细胞计数增加等。痈疮易并发全身性化脓性感染。本病现主要是外治疗法,但药材单一,药效不佳。Carbuncle sores This disease is mostly formed by the accumulation of stagnant heat. When heat takes advantage of it, heat is better than cold, and the flesh and blood will rot and turn into pus. After the pus ulcers, the sores will not heal, so they are called carbuncle sores. It was a slightly raised purple-red infiltrated area with tough texture and unclear boundaries. There were multiple pus plugs on the surface of the central part, which were honeycomb-like after ulceration. Later, the central part gradually necrotic, dissolved, and collapsed, like a "crater", which contained pus and a large amount of necrotic tissue. It is easy to develop around and deep, with infiltrative edema around, and local lymph nodes are swollen and painful. In addition to local severe pain, most patients have obvious systemic symptoms, such as chills, fever, loss of appetite, and increased white blood cell count. Carbuncle sores are prone to systemic suppurative infection. The present disease is mainly external therapy, but the medicinal materials are single and the efficacy is not good.

发明内容Contents of the invention

上述疔疮、冰疮和痈疮这三种疮均有所不同,而又有其相似之处,本发明主要通过清热解毒方向的研究,获得本发明的外用制剂,不仅能医治三种疮伤,并且治愈率高达95%。The above-mentioned boils, ice sores and carbuncles are all different, but have similarities. The present invention mainly obtains the external preparation of the present invention through the research on the direction of clearing away heat and detoxification, which can not only treat the three kinds of sores , and the cure rate is as high as 95%.

本发明提供的治疗疔疮、冰疮和痈疮的外用制剂,其活性成分由包括以下重量配比的药材制备而成:牛黄10~20份、僵蚕5~10份、防风5~10份、蝉蜕10~15份、天竺黄5~10份、硝石0~10份、薄荷10~20份、冰片5~10份、甘草10~20份、黄芩10~20份、全蝎10~20份;The external preparation for treating boils, ice sores and carbuncles provided by the present invention, its active ingredients are prepared from medicinal materials comprising the following weight proportions: 10-20 parts of bezoar, 5-10 parts of silkworm, 5-10 parts of Fangfeng , 10-15 parts of cicada slough, 5-10 parts of Tianzhuhuang, 0-10 parts of saltpeter, 10-20 parts of mint, 5-10 parts of borneol, 10-20 parts of licorice, 10-20 parts of skullcap, 10-20 parts of scorpion ;

本发明所述外用制剂,其中所述药材重量配比优选如下:牛黄11~20份、僵蚕5~9份、防风7~10份、蝉蜕10~13份、天竺黄5~8份、硝石5~7份、薄荷16~20份、冰片7~10份、甘草11~20份、黄芩13~17份、全蝎11~15份。The external preparation of the present invention, wherein the weight ratio of the medicinal materials is preferably as follows: 11-20 parts of Calculus bezoar, 5-9 parts of silkworm, 7-10 parts of Fangfeng, 10-13 parts of cicada slough, 5-8 parts of Tianzhuhuang, saltpeter 5-7 parts, 16-20 parts of mint, 7-10 parts of borneol, 11-20 parts of licorice, 13-17 parts of skullcap, 11-15 parts of scorpion.

本发明所述外用制剂,其中所述药材重量配比更优选如下:牛黄20份、僵蚕5份、防风10份、蝉蜕10份、天竺黄5份、硝石5份、薄荷20份、冰片10份、甘草15份、黄芩15份、全蝎15份。The external preparation of the present invention, wherein the weight ratio of the medicinal materials is more preferably as follows: 20 parts of bezoar, 5 parts of silkworm, 10 parts of Fangfeng, 10 parts of cicada slough, 5 parts of Tianzhuhuang, 5 parts of saltpeter, 20 parts of peppermint, 10 parts of borneol 15 parts of licorice, 15 parts of scutellaria baicalensis, and 15 parts of scorpion.

本发明的外用制剂可用于火疔疮、冰疮、痈症疮的治疗。在治疗痈症疮时,制备本发明所述的外用制剂的药材优选还包括雄黄15~20份。The external preparation of the present invention can be used for the treatment of fire boils, ice sores and carbuncle sores. When treating carbuncle sores, the medicinal materials for preparing the external preparation of the present invention preferably further include 15-20 parts of realgar.

优选地,在治疗痈症疮时,本发明所述的外用制剂,其中所述药材重量配比如下:牛黄20份、僵蚕5份、防风10份、蝉蜕10份、天竺黄5份、硝石5份、薄荷20份、冰片10份、甘草15份、黄芩15份、全蝎15份、雄黄15份。Preferably, when treating carbuncle sores, the external preparation according to the present invention, wherein the weight ratio of the medicinal materials is as follows: 20 parts of bezoar, 5 parts of silkworm, 10 parts of Fangfeng, 10 parts of cicada slough, 5 parts of Tianzhuhuang, saltpeter 5 parts, 20 parts of mint, 10 parts of borneol, 15 parts of licorice, 15 parts of skullcap, 15 parts of scorpion, and 15 parts of realgar.

本发明所述外用制剂,可以制成任何一种外用剂型,包括但不限于软膏剂、凝胶剂、喷雾剂、油剂、涂膜剂、散剂、酊剂,优选蜂蜜。The external preparation of the present invention can be made into any external dosage form, including but not limited to ointment, gel, spray, oil, film coating, powder, tincture, preferably honey.

根据剂型的不同,本发明的外用制剂不仅可以加入生理盐水,还可以包括适量的各种其他的辅料,辅料的选择与剂型相匹配,优选蜂蜜;According to different dosage forms, the external preparation of the present invention can not only add physiological saline, but also include appropriate amounts of various other auxiliary materials. The selection of auxiliary materials matches the dosage form, preferably honey;

上述辅料加入的量以能够制备出性能良好的剂型为目的,本领域普通技术人员根据现有技术、不需要创造性劳动即可确定上述辅料的加入量。例如,如果剂型是油剂或蜂蜜时,辅料的加入量以能将药物组合物调至成糊状物即可。The amount of the above-mentioned excipients added is for the purpose of being able to prepare a dosage form with good performance, and those skilled in the art can determine the amount of the above-mentioned excipients according to the prior art without creative work. For example, if the dosage form is oil or honey, the amount of the auxiliary materials can be adjusted to form a paste.

本发明还提供了上述药物组合物的制备方法,包括如下步骤:The present invention also provides a preparation method of the above-mentioned pharmaceutical composition, comprising the following steps:

(1)按比例将药材加工成粉末;(1) Process the medicinal material into powder in proportion;

(2)将步骤(1)的粉末加入与适量的生理盐水进行混合,至有浓稠丝状物;(2) Add the powder in step (1) and mix it with an appropriate amount of physiological saline until there are thick filaments;

(3)将所述步骤(2)所得的浓稠丝状物与适量的蜂蜜混合、调制成糊状物。(3) Mix the thick filament obtained in the step (2) with an appropriate amount of honey to prepare a paste.

本发明的外用制剂通过对发病机制的控制,针对性的运用中药的药理作用,本发明的组合物是由清热解毒/增强免疫的药物及辅料组成,疗效显著,不但能有效地控制病情,还能减轻对皮肤的伤害,且能减少单一药物治疗而形成的耐药性。本发明的药物组合物处方简单、不需要特殊处理,减少了工作程序的繁琐。The external preparation of the present invention controls the pathogenesis and uses the pharmacological effects of traditional Chinese medicines in a targeted manner. The composition of the present invention is composed of medicines for clearing away heat and detoxification/enhancing immunity and auxiliary materials. It can reduce the damage to the skin and reduce the drug resistance formed by single drug treatment. The pharmaceutical composition of the present invention has simple prescription, does not require special treatment, and reduces cumbersome work procedures.

本发明的外用制剂在治疗火疔疮、冰疮、痈症疮时有特殊效果,疗效显著,副作用少,能显著改善目前针对疮伤治疗的有效率和疮口化脓、破裂等处理。The external preparation of the present invention has special effects in treating fire boils, ice sores and carbuncle sores, has remarkable curative effect, has few side effects, and can significantly improve the current effectiveness of treating sores and the treatment of sores suppurating and rupturing.

具体实施方式detailed description

下面通过具体的实施例和试验例进一步说明本发明。下述实施例是用于说明本发明而不是对本发明的限制,根据本发明的实质对本发明进行的简单改进都属于本发明要求保护的范围。The present invention is further illustrated below through specific embodiments and test examples. The following examples are used to illustrate the present invention rather than to limit the present invention, and the simple improvements carried out to the present invention according to the essence of the present invention all belong to the protection scope of the present invention.

实施例中描述到的各种材料和试剂的取得途径仅是提供一种实验获取的途径以达到具体公开的目的,不应成为对本发明材料试剂来源的限制。事实上,所用到的材料试剂的来源是广泛的,任何不违反法律和道德伦理能够获取的材料都可以按照实施例中的提示替换使用。The acquisition methods of various materials and reagents described in the examples are only to provide an experimental acquisition method to achieve the purpose of specific disclosure, and should not be a limitation on the sources of the materials and reagents of the present invention. In fact, the sources of the materials and reagents used are extensive, and any materials that can be obtained without violating laws and ethics can be replaced and used according to the tips in the examples.

(一)具体实施例(1) Specific examples

实施例1本发明的药物组合物的制备The preparation of embodiment 1 pharmaceutical composition of the present invention

(1)按比例称取以下药材:牛黄20份、僵蚕5份、防风10份、蝉蜕10份、天竺黄5份、硝石5份、薄荷20份、冰片10份、甘草15份、黄芩15份、全蝎15份。挑选称重混合在同一器皿中;(1) Weigh the following medicinal materials in proportion: 20 parts of bezoar, 5 parts of silkworm, 10 parts of windproof, 10 parts of cicada slough, 5 parts of Tianzhuhuang, 5 parts of saltpeter, 20 parts of mint, 10 parts of borneol, 15 parts of licorice, 15 parts of skullcap 15 servings of whole scorpion. Pick and weigh and mix in the same container;

(2)将步骤(1)中的成分碾磨成粉末,备用;将粉末加入相应分量的生理盐水调制,至有浓稠丝状物;(2) Grind the ingredients in step (1) into powder and set aside; add the powder to the corresponding amount of physiological saline to prepare until there are thick filaments;

(3)将步骤(2)中配置所得的浓稠丝状物,溶于蜂蜜中,调至成糊状即可。(3) Dissolve the thick filaments prepared in step (2) in honey and adjust until it becomes a paste.

实施例2本发明的药物组合物的制备The preparation of embodiment 2 pharmaceutical compositions of the present invention

配方为:牛黄20份、僵蚕5份、防风10份、蝉蜕10份、天竺黄5份、硝石5份、薄荷20份、冰片10份、甘草15份、黄芩15份、全蝎15份、雄黄15份;The formula is: 20 parts of bezoar, 5 parts of silkworm, 10 parts of Fangfeng, 10 parts of cicada slough, 5 parts of Tianzhuhuang, 5 parts of saltpeter, 20 parts of mint, 10 parts of borneol, 15 parts of licorice, 15 parts of skullcap, 15 parts of scorpion, 15 parts realgar;

制备方法同实施例1。The preparation method is the same as in Example 1.

实施例3本发明的药物组合物的制备The preparation of embodiment 3 pharmaceutical composition of the present invention

配方为:牛黄20g、僵蚕5g、防风10g、蝉蜕10g、天竺黄5g、硝石5g、薄荷20g、冰片10g、甘草15g、黄芩15g、全蝎15g、雄黄15g。The formula is: 20g bezoar, 5g silkworm, 10g windproof, 10g cicada slough, 5g geranium, 5g saltpeter, 20g mint, 10g borneol, 15g licorice, 15g skullcap, 15g scorpion, and 15g realgar.

制备方法与实施例1相同。The preparation method is the same as in Example 1.

实施例4本发明的药物组合物的制备The preparation of embodiment 4 pharmaceutical composition of the present invention

配方为:牛黄15g、僵蚕8g、防风10g、蝉蜕5g、天竺黄10g、硝石5g、薄荷25g、冰片5g、甘草18g、黄芩16g、全蝎10g、雄黄35g。The formula is: 15g bezoar, 8g silkworm, 10g windproof, 5g cicada slough, 10g geranium, 5g saltpetre, 25g mint, 5g borneol, 18g licorice, 16g skullcap, 10g scorpion, 35g realgar.

制备方法与实施例1相同。The preparation method is the same as in Example 1.

实施例5本发明的药物组合物的制备Embodiment 5 Preparation of the pharmaceutical composition of the present invention

配方为:牛黄150g、僵蚕40g、防风100g、蝉蜕50g、天竺黄100g、硝石50g、薄荷200g、冰片50g、甘草180g、黄芩160g、全蝎100g、雄黄100g。The formula is: 150g bezoar, 40g silkworm, 100g windproof, 50g cicada slough, 100g geranium, 50g saltpeter, 200g mint, 50g borneol, 180g licorice, 160g skullcap, 100g scorpion, 100g realgar.

制备方法与实施例1相同。The preparation method is the same as in Example 1.

实施例6本发明的药物组合物的制备Embodiment 6 Preparation of the pharmaceutical composition of the present invention

配方为:将儿科七厘散成品500g碾磨。The formula is: grind 500g of Pediatric Qilisan finished product.

制备方法与实施例1相同。The preparation method is the same as in Example 1.

实施例7本发明的药物组合物的制备Embodiment 7 Preparation of the pharmaceutical composition of the present invention

配方为:将儿科七厘散成品500g、雄黄150g。The formula is: 500g of Pediatric Qilisan finished product and 150g of realgar.

制备方法与实施例1相同。The preparation method is the same as in Example 1.

试验例:Test example:

下面将描述本发明的试验例,更进一步了解本发明。Next, test examples of the present invention will be described for further understanding of the present invention.

临床实验clinical experiments

(1)火疔疮试验:(1) Fire boil test:

选择符合纳入标准的20例患者为受试者,将受试者完全随机分为2组:A本发明治疗组、B市面一般治疗药膏罗红霉素对照组,每组10人。治疗前后,进行火疔疮恢复程度记录分析,感染病例分析及疤痕恢复随访。Select 20 patients who meet the inclusion criteria as subjects, and divide the subjects into 2 groups at random: A, the treatment group of the present invention, and B, the general treatment ointment roxithromycin control group on the market, with 10 people in each group. Before and after treatment, record and analyze the recovery degree of fire boils, analyze infection cases and follow-up for scar recovery.

疮口直径>1cm时首先切开疮伤部位的泡状突起,挤出当中的脓水,如果疮口<1cm则不需要切开疮口,将按实施例1方法制备的药物组合物均匀涂抹于疮伤周围,留出疮口中间部分不涂药膏,用纱布包扎,防止感染,每24小时取下纱布换一次药,至伤口结痂后即可。When the diameter of the sore > 1cm, first cut the bubbly protrusion of the sore, squeeze out the pus, if the sore is <1cm, it is not necessary to cut the sore, and apply the pharmaceutical composition prepared by the method of Example 1 evenly on the sore Around, leave the middle part of the sore without ointment, and wrap it with gauze to prevent infection. Take off the gauze and change the medicine every 24 hours until the wound scabs.

1.1治疗前后火疔疮愈合人数数据统计:见表11.1 Statistics on the number of people who healed fire boils before and after treatment: see Table 1

表1治疗前后火疔疮愈合人数数据情况统计Table 1 Statistics of the number of people with fire boils healed before and after treatment

注:与各组内治疗前比较,与火疔疮治疗后比较;Note: compared with before treatment in each group, compared with after treatment of fire furuncle;

1.2治疗火疔疮合并感染人数统计分析:见表2./1.2 Statistical analysis of the number of patients with fire boils co-infected: see Table 2./

表2治疗前后火疔疮合并感染人数情况统计Table 2 Statistics on the number of people with fire boils co-infected before and after treatment

1.3临床疗效分级及疤痕愈合人数的比较:见表31.3 Comparison of clinical curative effect grading and number of scars healed: see Table 3

表3患者中医证候疗效分级及疤痕愈合人数情况统计Table 3 The classification of curative effects of TCM syndromes and the statistics of the number of scars healed

组间比较:P<0.05。Comparison between groups: P<0.05.

结果提示:表1~2显示,两组药物对患者的进行火疔疮恢复程度记录分析。均有显著的改善作用。其中在改善患者火疔疮方面,治疗组优于对照组(P<0.05=,可见本发明改善主要症状的效果优于市面一般治疗药膏罗红霉素,提示治疗组主要是通过对火疔疮清热解毒,提高机体免疫,预防感染,改善患者病情,治愈率显著提高来改善病情。Results prompt: Tables 1-2 show that the two groups of medicines have recorded and analyzed the recovery degree of patients with fire boils. All have significant improvement. Wherein improving patient's fire furuncle aspect, treatment group is better than matched group (P<0.05=, shows that the present invention improves the effect of cardinal symptom and is better than market general treatment ointment roxithromycin, prompting treatment group is mainly by treating fire furuncle. Clear away heat and detoxify, improve the body's immunity, prevent infection, improve the patient's condition, and significantly increase the cure rate to improve the condition.

表3显示,两组疗效分级的组间比较本配伍显著优于罗红霉素(P<0.05);其中本配伍在临床治愈和显效两个级别优于罗红霉素(P<0.05。Table 3 shows, this compatibility is significantly better than roxithromycin (P<0.05) between the group comparison of two groups of curative effect grades; Wherein this compatibility is better than roxithromycin (P<0.05) in two levels of clinical cure and marked effect.

(2)冰疮试验:选择符合纳入标准的40例患者为受试者,将受试者完全随机分为2组:A本发明组、B市面纯典牌蛇油冻疮膏15g对照组,每组20人。治疗前后,进行冰疮恢复程度记录分析,冰疮合并破裂恢复程度病例分析。(2) ice sore test: select 40 routine patients who meet the inclusion criteria as the experimenter, and the experimenter is completely divided into 2 groups at random: A group of the present invention, B market pure code brand snake oil chilblain ointment 15g control group, each Group of 20 people. Before and after treatment, record and analyze the recovery degree of ice sore, and analyze the recovery degree of ice sore combined with rupture.

将按实施例1方法制备的药物组合物均匀涂抹于疮伤周围,留出疮口中间部分不涂药膏,用纱布包扎,防止疮口破裂,每24小时取下纱布换一次药,至伤口结痂后即可。Apply the pharmaceutical composition prepared by the method of Example 1 evenly around the sore, leave the middle part of the sore without ointment, wrap it with gauze to prevent the sore from breaking, take off the gauze and change the medicine every 24 hours, until the wound is scabbed That's it.

2.1治疗前后冰疮愈合人数统计比较:见表12.1 Statistical comparison of the number of scabies healed before and after treatment: see Table 1

表1治疗前后冰疮愈合人数情况统计Table 1 Statistics on the number of people with scabies healed before and after treatment

注:与各组内治疗前比较;与冰疮治疗后比较;Note: compared with before treatment in each group; compared with after ice sore treatment;

2.2治疗冰疮合并破裂恢复人数数据情况分析:见表42.2 Analysis of data on the number of people recovering from ice sore combined with rupture: see Table 4

表4治疗前后冰疮合并破裂恢复人数情况统计Table 4 Statistics on the number of people recovering from ice sore combined with rupture before and after treatment

结果提示:表1显示,两组药物对患者的进行冰疮恢复程度记录分析。均有一定的改善作用,但效果不是特别显著。其中在改善患者冰疮方面,治疗组优于对照组(P<0.05),可见本配伍改善主要症状的效果优于冻疮膏,提示治疗组主要是通过对冰疮患者,提高机体免疫,预防疮口破裂,改善患者病情。The results suggest that: Table 1 shows that the two groups of drugs have recorded and analyzed the degree of ice sore recovery of the patients. All have a certain improvement effect, but the effect is not particularly significant. Among them, in terms of improving ice sores, the treatment group is better than the control group (P<0.05). It can be seen that the effect of this combination on improving the main symptoms is better than chilblain ointment, suggesting that the treatment group mainly improves the body’s immunity and prevents sores by treating ice sore patients. rupture and improve the patient's condition.

表2显示,两组疗效均对有破裂的冰疮预后差,恢复缓慢。但是总体上的愈合率治疗组明显高于对照组。说明控制疮口破裂是临床预后的主要手段之一。Table 2 shows that the curative effect of both groups is poor for ruptured ice sores and the recovery is slow. But the overall healing rate of the treatment group was significantly higher than that of the control group. It shows that the control of ulcer rupture is one of the main means of clinical prognosis.

(3)痈症疮试验:选择符合纳入标准的30例患者为受试者,将受试者完全随机分为2组:A本发明治疗组、B市面一般西药组合:磺胺甲硝唑加甲氧嘧啶为对照组,每组15人。治疗前后,进行痈症疮恢复程度记录分析,感染病例分析及疤痕恢复随访。(3) carbuncle sore test: select 30 patients who meet the inclusion criteria as subjects, and the subjects are completely randomly divided into 2 groups: A treatment group of the present invention, B market general western medicine combination: sulfametronidazole plus formazan Oxypyrimidine was used as the control group, 15 people in each group. Before and after treatment, record and analyze the recovery degree of carbuncle sores, analyze infection cases and follow-up for scar recovery.

疮口直径>1cm时首先切开疮伤部位的泡状突起,挤出当中的脓水,如果疮口<1cm则不需要切开疮口,将按实施例2方法制备的药物组合物均匀涂抹于疮伤周围,留出疮口中间部分不涂药膏,用纱布包扎,防止感染,每24小时取下纱布换一次药,至伤口结痂后即可。When the diameter of the sore > 1cm, first cut the bubbly protrusion of the sore, squeeze out the pus, if the sore is <1cm, it is not necessary to cut the sore, and apply the pharmaceutical composition prepared by the method of Example 2 evenly on the sore Around, leave the middle part of the sore without ointment, and wrap it with gauze to prevent infection. Take off the gauze and change the medicine every 24 hours until the wound scabs.

3.1治疗前后痈症疮愈合人数统计比较:见表13.1 Statistical comparison of the number of healed carbuncle sores before and after treatment: see Table 1

表1治疗前后痈症疮愈合人数情况统计Table 1 Statistics of the number of carbuncle sores healed before and after treatment

注:与各组内治疗前比较,与痈症疮治疗后比较;Note: compared with before treatment in each group, compared with after treatment of carbuncle sore;

3.2治疗痈症疮合并感染人数统计分析:见表43.2 Statistical analysis of the number of co-infected people treated with carbuncle sores: see Table 4

表4治疗前后痈症疮合并感染人数情况统计Table 4 Statistics on the number of co-infected carbuncle sores before and after treatment

3.3临床疗效分级及疤痕愈合人数统计比较:见表33.3 Classification of clinical curative effect and statistical comparison of the number of scars healed: see Table 3

表3患者中医证候疗效分级及疤痕愈合人数情况统计Table 3 The classification of curative effects of TCM syndromes and the statistics of the number of scars healed

组间比较:P<0.05。Comparison between groups: P<0.05.

结果提示:表1~2显示,两组药物对患者的进行痈症疮恢复程度记录分析。均有显著的改善作用。其中在改善患者痈症疮方面,治疗组优于对照组,可见本发明改善主要症状的效果优于市面一般西药组合药物磺胺甲硝唑加甲氧嘧啶治疗,提示治疗组主要是通过对痈症疮清热解毒,提高机体免疫,预防感染,改善患者病情,治愈率显著提高来改善病情。The result prompts: Tables 1-2 show that the two groups of medicines have recorded and analyzed the recovery degree of carbuncle sores in patients. All have significant improvement. Wherein in improving patient's carbuncle sores, the treatment group is better than the control group, it can be seen that the present invention improves the effect of the main symptoms better than the market general western medicine combination medicine sulfametronidazole plus metmethoxine treatment, suggesting that the treatment group is mainly through the treatment of carbuncle. Sores clear away heat and detoxify, improve the body's immunity, prevent infection, improve the patient's condition, and the cure rate is significantly improved to improve the condition.

表3显示,两组疗效分级的组间比较本配伍显著优于西药组合(P<0.05);其中本配伍在临床治愈和显效两个级别优于西药组合(P<0.05)。Table 3 shows that this combination is significantly better than the western medicine combination (P < 0.05) in the group comparison of the curative effect classification of the two groups; wherein this compatibility is better than the western medicine combination (P < 0.05) in two levels of clinical cure and marked effect.

个案研究:Case study:

(一)病例1:(1) Case 1:

张某某,女,28岁,于2014年6月22日就诊,因腿部见一红肿疮口,自觉疼痛。一诊见:视诊见腿部有一皮肤红肿区,直径约2cm,并伴有烧灼样疼痛,诊断为火疔疮。用消毒后手术刀将疮部划开,放出其中脓液,给予清热治疗,将实施例1的外用制剂均匀涂抹于疮伤周围,留出疮口中间部分不涂药膏,用纱布包扎,防止感染,每24小时取下纱布换一次药。二诊见:隔七天再次就诊,症状好转,疮伤处已开始愈合,伤口开始结痂,将药物用法同上,纱布可隔两天换一次。三诊:症状继续好转,可摘除纱布,直接用药于患处。四诊:红肿痛症状基本消失,疤痕掉落,新皮长出。未再处方开药,嘱其清淡饮食。一个月后随访正常。Zhang Moumou, female, 28 years old, went to see a doctor on June 22, 2014, and felt pain because of a red, swollen sore on her leg. Examine and see: inspect and see that there is a skin red and swollen area in the leg, about 2cm in diameter, and with burning pain, it is diagnosed as fire furuncle. Cut open the sore with a scalpel after disinfection, release the pus therein, and give heat-clearing treatment, apply the external preparation of Example 1 evenly around the sore, leave the middle part of the sore without ointment, and wrap it with gauze to prevent infection. Remove the gauze and change the medicine every 24 hours. See the second clinic: see a doctor again every seven days, the symptoms have improved, the sores have begun to heal, and the wounds have begun to scab. The usage of the medicine is the same as above, and the gauze can be changed every two days. Third diagnosis: the symptoms continue to improve, the gauze can be removed, and the medicine can be directly applied to the affected area. Fourth diagnosis: the symptoms of redness, swelling and pain basically disappeared, the scars fell off, and new skin grew. Did not prescribe medicine again, advise its light diet. Follow up a case by regular visits to after one month and be normal.

(二)个案研究2:(2) Case study 2:

王某某,女,21岁,于2014年12月25日就诊,因天气寒冷,双手部长满冻疮,用冻疮膏涂抹后无效。一诊见:视诊见患者双手皮肤红肿至指节,部分呈青紫色,蚕豆大小、暗紫红色隆起水肿性斑块或硬结,境界不清,边缘鲜红色,中央青紫色,表面紧张光亮、触之冰凉、压之褪色、去压后恢复较慢,手掌与手指间有部分裂口,诊断为冰疮。将实施例1的外用制剂均匀涂抹于手掌疮伤及其周围,防止裂口处感染,每24小时换一次药。二诊见:隔十天再次就诊,症状好转,裂伤处已开始愈合,伤口开始结痂,将药物用法同上。三诊:症状继续好转,应继续用药。四诊:红肿痛症状基本消失,疤痕掉落。未再处方开药,嘱其防寒保暖。一个月后随访正常。Wang Moumou, female, 21 years old, went to see a doctor on December 25, 2014. Due to the cold weather, her hands were covered with chilblain, and it was ineffective after being applied with chilblain ointment. First visit: the skin of the patient's hands was red and swollen to the knuckles, some of them were blue-purple, the size of broad beans, dark purple-red raised edematous plaques or induration, with unclear boundary, bright red edges, blue-purple center, tense and bright surface, Cold to the touch, discoloration after pressure, slow recovery after decompression, partial cracks between palms and fingers, diagnosed as ice sores. The external preparation of embodiment 1 is evenly applied to the sore on the palm and its surroundings to prevent infection at the breach, and change the medicine every 24 hours. See the second clinic: see a doctor again every ten days, the symptoms have improved, the laceration has begun to heal, the wound has begun to scab, and the usage of the medicine is the same as above. Third diagnosis: symptoms continue to improve, and medication should be continued. Fourth diagnosis: the symptoms of redness, swelling and pain basically disappeared, and the scars disappeared. Did not prescribe medicine again, advised it to keep warm from the cold. Follow up a case by regular visits to after one month and be normal.

(三)个案研究3:(3) Case study 3:

刘某某,男,36岁,于2014年5月12日就诊,因背部见红白色脓疮,触痛,自感畏寒、发热、食欲不佳。一诊见:视诊见背部呈一片稍隆起的紫红色浸润区,质地坚韧,界限不清,在中央部的表面有多个脓栓,破溃后呈蜂窝状。腋窝淋巴结肿大并伴有疼痛。用消毒后手术刀将水泡划开,放出其中脓液,给予清热治疗,将实施例2的外用制剂均匀涂抹于疮伤周围,留出疮口中间部分不涂药膏,用纱布包扎,防止感染,每24小时取下纱布换一次药。二诊见:隔七天再次就诊,症状好转,疮伤处已开始愈合,伤口开始结痂,将药物用法同上,纱布可隔两天换一次。三诊:症状继续好转,可摘除纱布,直接用药于患处。四诊:痈症疮症状基本消失,肿大淋巴结恢复正常,疤痕愈合,新皮长出。未再处方开药,嘱其清淡饮食,烟、酒、鱼、虾、肉、香草、蟹黄等发物不可食,甘露茶之类凉性饮料,亦不可饮之。一个月后随访正常。Liu XX, male, 36 years old, went to see a doctor on May 12, 2014. Because of red and white pustules on the back, tenderness, he felt chills, fever, and loss of appetite. First examination: visual examination showed a slightly raised purple-red infiltration area on the back, with tough texture and unclear boundaries. There were multiple pus plugs on the surface of the central part, which were honeycomb after ulceration. Axillary lymph nodes are swollen and painful. Cut open the blister with a scalpel after disinfection, release the pus therein, give heat-clearing treatment, apply the external preparation of Example 2 evenly around the sore, leave the middle part of the sore without ointment, and wrap it with gauze to prevent infection. Remove the gauze and change the medicine every 24 hours. See the second clinic: see a doctor again every seven days, the symptoms have improved, the sores have begun to heal, and the wounds have begun to scab. The usage of the medicine is the same as above, and the gauze can be changed every two days. Third diagnosis: the symptoms continue to improve, the gauze can be removed, and the medicine can be directly applied to the affected area. Four examinations: the symptoms of carbuncle sore basically disappeared, the enlarged lymph nodes returned to normal, the scars healed, and new skin grew. No further prescriptions were prescribed, and he was instructed to eat a light diet, and he was not allowed to eat tobacco, alcohol, fish, shrimp, meat, herbs, crab roe, etc., nor to drink cold beverages such as nectar tea. Follow up a case by regular visits to after one month and be normal.

Claims (9)

1. treat an external preparation for fiery furuncle, ice skin ulcer, carbuncle disease skin ulcer, its active component is prepared from by the medical material comprising following weight proportion: Calculus Bovis 10 ~ 20 parts, Bombyx Batryticatus 5 ~ 10 parts, Radix Saposhnikoviae 5 ~ 10 parts, Periostracum Cicadae 10 ~ 15 parts, Concretio Silicea Bambusae 5 ~ 10 parts, 0 ~ 10 part, Sal Nitri, Herba Menthae 10 ~ 20 parts, Borneolum Syntheticum 5 ~ 10 parts, 10 ~ 20 parts, Radix Glycyrrhizae, Radix Scutellariae 10 ~ 20 parts, Scorpio 10 ~ 20 parts.
2. external system as claimed in claim 1, wherein said medical material weight proportion is as follows: Calculus Bovis 11 ~ 20 parts, Bombyx Batryticatus 5 ~ 9 parts, Radix Saposhnikoviae 7 ~ 10 parts, Periostracum Cicadae 10 ~ 13 parts, Concretio Silicea Bambusae 5 ~ 8 parts, 5 ~ 7 parts, Sal Nitri, Herba Menthae 16 ~ 20 parts, Borneolum Syntheticum 7 ~ 10 parts, 11 ~ 20 parts, Radix Glycyrrhizae, Radix Scutellariae 13 ~ 17 parts, Scorpio 11 ~ 15 parts.
3. external preparation as claimed in claim 2, wherein said medical material weight proportion is as follows: Calculus Bovis 20 parts, Bombyx Batryticatus 5 parts, Radix Saposhnikoviae 10 parts, Periostracum Cicadae 10 parts, Concretio Silicea Bambusae 5 parts, 5 parts, Sal Nitri, Herba Menthae 20 parts, Borneolum Syntheticum 10 parts, 15 parts, Radix Glycyrrhizae, Radix Scutellariae 15 parts, Scorpio 15 parts.
4. the arbitrary external preparation as described in claims 1 to 3, is characterized in that, described medical material also comprises Realgar 15 ~ 20 parts.
5. external preparation as claimed in claim 4, wherein said medical material weight proportion is as follows: Calculus Bovis 20 parts, Bombyx Batryticatus 5 parts, Radix Saposhnikoviae 10 parts, Periostracum Cicadae 10 parts, Concretio Silicea Bambusae 5 parts, 5 parts, Sal Nitri, Herba Menthae 20 parts, Borneolum Syntheticum 10 parts, 15 parts, Radix Glycyrrhizae, Radix Scutellariae 15 parts, Scorpio 15 parts, Realgar 15 parts.
6. the arbitrary external preparation as described in Claims 1 to 5, wherein also comprises appropriate normal saline and appropriate Mel as adjuvant.
7. the preparation method of the arbitrary external preparation described in right 1 ~ 6, comprises the steps:
(1) in proportion by processing of crude drugs powdered;
(2) powder of step (1) is added mix with appropriate normal saline, to there being dense thick filament;
(3) the dense thick filament of described step (2) gained is mixed with appropriate Mel, is modulated into pastel.
8. the application of the arbitrary external preparation described in Claims 1 to 5 in the medicine of the fiery furuncle of preparation treatment, ice skin ulcer, carbuncle disease skin ulcer.
9. the application of the arbitrary external preparation described in claim 4 or 5 in the medicine of preparation treatment carbuncle disease skin ulcer.
CN201510887407.5A 2015-12-04 2015-12-04 Medicine composition treating deep-rooted boils, ice sores and carbuncle sores and preparation method and application thereof Pending CN105434919A (en)

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EP1304115A1 (en) * 2000-07-26 2003-04-23 Yuuzou Tsuchida Antipruritic compositions and compositions promoting wound healing
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Application publication date: 20160330