CN1095659C - A set of external baths with anti-inflammatory, anti-itch and anti-bacterial effects - Google Patents
A set of external baths with anti-inflammatory, anti-itch and anti-bacterial effects Download PDFInfo
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Abstract
Description
一种具有消炎、止痒、抗菌作用的外用浴剂,适用于临床皮肤疾病的止痒、消炎、抗菌治疗,特别是对皮损广泛的疾病如亚急性或慢性湿疹、全身性搔痒病、弥漫发红的皮炎或湿疹、银屑病等,本浴剂有极佳的疗效。An external bath agent with anti-inflammatory, anti-itching and anti-bacterial effects, suitable for anti-itching, anti-inflammatory and anti-bacterial treatment of clinical skin diseases, especially for diseases with extensive skin lesions such as subacute or chronic eczema, generalized pruritus, diffuse For reddened dermatitis, eczema, psoriasis, etc., this bath has excellent curative effect.
在祖国医学中,用中药煮水后浸泡或沐浴治疗各类皮肤病,已有较长的历史。现代医学也证明,在浴水中加入某些药物可以有一定的治疗作用,如寻常天疱疮病人可以用高锰酸钾稀溶液洗澡,能够杀菌除臭;手部有化脓性损害时可用稀释的复方硫酸铜溶液洗手;有糜烂性足癣的病人也可常用它来泡脚;皮损广泛的亚急性或慢性湿疹病人可进行焦油浴,即是在浴水中加入适量的煤焦油溶液,立即可以减轻痒觉,使病人觉得舒适,全身皮肤发红脱屑及发痒的红皮病患者可以进行碱浴,即在浴水中加入碳酸氢钠,也能使症状暂时减轻;全身性搔痒病、弥漫发红的皮炎或湿疹、银屑病病人可以进行淀粉浴,即是将淀粉煮成稀糊状倒入浴水中,煮饭的米汤亦可,但上述各种药浴,因为药浴时间短,药物浓度低,治疗效果不大,有些药物还会刺激皮肤或致敏,甚至于可以经皮肤大量吸收而引起全身中毒的危险,因此,寻求一些高效低毒的外用消炎、止痒、抗菌浴剂,一直是临床医务工作者急待解决的热门课题。In traditional Chinese medicine, it has a long history to use traditional Chinese medicine to boil water and then soak or bathe to treat various skin diseases. Modern medicine has also proved that adding certain drugs to the bath water can have a certain therapeutic effect. For example, patients with pemphigus vulgaris can take a bath with a dilute solution of potassium permanganate, which can sterilize and deodorize; Wash your hands with compound copper sulfate solution; patients with erosive tinea pedis can also use it to soak their feet; patients with subacute or chronic eczema with extensive skin lesions can take a tar bath, that is, add an appropriate amount of coal tar solution to the bath water, and immediately Relieve itching and make patients feel comfortable. Erythroderma patients with red, desquamated and itchy skin can take alkaline baths, that is, adding sodium bicarbonate to the bath water can also temporarily relieve symptoms; generalized pruritus, diffuse Patients with red dermatitis, eczema, and psoriasis can take starch bath, that is, boil starch into a thin paste and pour it into bath water, or rice soup for cooking. The concentration is low, the therapeutic effect is not great, and some drugs can also irritate the skin or sensitize, and even cause the danger of systemic poisoning due to the large amount of absorption through the skin. It has always been a hot topic that clinical medical workers urgently need to solve.
本发明的目的,是要提供一种具有止痒、消炎并有抗菌作用,皮肤毒性低的外用浴剂,该浴剂可用于治疗各种皮肤病的搔痒症及各类湿疹,皮炎,对细菌、真菌感染也有极佳疗效,为皮肤病的防治提供一个新的疗法及制剂。The purpose of the present invention is to provide a bath agent for external use with antipruritic, anti-inflammatory, antibacterial and low skin toxicity. , fungal infection also has an excellent curative effect, providing a new therapy and preparation for the prevention and treatment of skin diseases.
本发明的目的是这样实现的,采用中药薄荷或从薄荷提纯获得的薄荷脑,再与明矾组成复方制剂。将此两药研磨成粉状,按1∶30混合分装成30~50g一包,临用前,把其溶于50~60℃的热水之中,稍凉后用于浸浴患者的患部,即可收到消炎、止痒、抗菌等疗效,从而发挥治疗各类皮肤病的作用。The object of the present invention is achieved by adopting traditional Chinese medicine Peppermint or menthol purified from Peppermint, and then forming a compound preparation with alum. Grind these two medicines into powder, mix them according to 1:30, and pack them into 30-50g packs. Before use, dissolve them in hot water at 50-60°C, and use them for bathing patients after cooling slightly. The affected area can receive anti-inflammatory, antipruritic, antibacterial and other curative effects, so as to play the role of treating various skin diseases.
明矾是一种常用中药,在皮肤病治疗中常把其作为收敛剂和保护剂,因其有收缩血管而发挥“消炎”作用,抑制皮脂腺和汗腺分泌而使炎症分泌物减少而发挥“收敛”作用。现代药理研究已证明,明矾有显著的抗菌作用,对金葡菌和变形杆菌有抑制作用(试管法),对大肠杆菌、绿脓杆菌、炭疽杆菌、痢疾杆菌、伤寒杆菌、副伤寒甲杆菌、变形杆菌、以及葡萄球菌、白色念珠菌等亦有明显的抑制效力(纸碟、平板法),对绿色链球菌、溶血性链球菌、肺炎球菌、白喉杆菌作用最强;对牛型布氏杆菌,百日咳杆菌、脑膜炎球菌作用次之,对流感杆菌无作用(纸片法),高浓度明矾液对人型(H37RV)及牛型结核杆菌也有抑制作用,研究还表明,明矾还有明显的抗阴道滴虫作用(中药大辞典,P680),明矾的这种作用机理一般认为是由于其有强烈的凝固蛋白质的作用,从而使细菌生长发育受抑制甚至死亡。薄荷或其提取物薄荷脑,在皮肤病治疗中把其归为止痒剂,其促进血液循环和消炎、止痒等作用现已公认。临床应用于消炎、止痒、止痛、减轻浮肿等,研究表明,薄荷脑应用于皮肤,由于刺激神经末梢感受器,首先产生冷的感觉,随后有轻微的刺灼感。此时皮肤温度并不降低,甚至略升高,且可缓慢透入皮内,引起长时间的充血,并反射性引起深部血管变化,调整血管的功能,而达到治疗作用(中药现代研究和临床应用,P683),体外实验还证实,薄荷对金黄色葡萄球菌、白色葡萄球菌、甲型链球菌、乙型链球菌、卡他球菌、肠炎球菌、福氏痢疾杆菌、炭疽杆菌、白喉杆菌、伤寒杆菌、绿脓杆菌、大肠杆菌、变形杆菌、白色念珠菌均有抗菌作用,研究还表明,薄荷单纯疱疹病毒、牛痘病毒、Semliki森林病毒和流行性腮腺炎病毒均有抑制作用(中药现代研究与临床应用,P683),晚近的研究还表明,薄荷煎剂、薄荷脑对皮肤真菌如红色毛癣菌、石膏样毛癣菌、絮状表皮癣菌等均有抑制作用,其中薄荷油、薄荷脑尚有较好的杀菌作用。此外,薄荷油、薄荷脑对白色念珠菌也有杀灭作用[胡丽芳,消毒与灭菌,1989,6(1):10]。薄荷或其提取物与明矾组成复方制剂,可以使其抗菌作用相互加强,抗菌谱增加,用于皮肤病的治疗,抗炎效果及止痒效果特别明显,本方经临床观察疗效十分肯定。Alum is a commonly used traditional Chinese medicine. It is often used as an astringent and protective agent in the treatment of skin diseases. It has an "anti-inflammatory" effect by constricting blood vessels, and inhibits the secretion of sebaceous glands and sweat glands to reduce inflammatory secretions, thereby exerting an "astringent" effect. . Modern pharmacological studies have proved that alum has significant antibacterial effects, and has inhibitory effects on Staphylococcus aureus and Proteus (test tube method), and has antibacterial effects on Escherichia coli, Pseudomonas aeruginosa, Bacillus anthracis, Shigella, typhoid bacillus, paratyphi A, Proteus, as well as Staphylococcus, Candida albicans, etc. also have obvious inhibitory effect (paper plate, plate method), the strongest effect on Streptococcus viridans, Hemolytic Streptococcus, Pneumococcus, Bacillus diphtheria; on Brucella bovis , followed by pertussis bacillus and meningococcus, and has no effect on influenza bacilli (disc method). High-concentration alum liquid also has inhibitory effects on human type (H 37 RV) and bovine type Mycobacterium tuberculosis. Research also shows that alum also has Obvious anti-trichomonas vaginalis effect (Dictionary of Traditional Chinese Medicine, P680), the mechanism of action of alum is generally believed to be due to its strong coagulation protein effect, thereby inhibiting the growth and development of bacteria or even death. Peppermint or its extract, menthol, is classified as an antipruritic agent in the treatment of skin diseases, and its effects of promoting blood circulation, anti-inflammatory, and antipruritic are now recognized. It is clinically used for anti-inflammatory, anti-itching, pain-relieving, reducing edema, etc. Studies have shown that when menthol is applied to the skin, due to the stimulation of nerve ending receptors, it first produces a cold sensation, followed by a slight tingling sensation. At this time, the skin temperature does not drop, or even rises slightly, and can slowly penetrate into the skin, causing long-term congestion, and reflexively causing changes in deep blood vessels, adjusting the function of blood vessels, and achieving therapeutic effects (modern research and clinical practice of traditional Chinese medicine) Application, P683), in vitro experiments also confirmed that peppermint has the effect on Staphylococcus aureus, Staphylococcus albus, Streptococcus type A, Streptococcus type B, catarrhal bacteria, enterococcus, Shigella flexneri, Bacillus anthracis, Bacillus diphtheria, typhoid fever Bacillus, Pseudomonas aeruginosa, Escherichia coli, Proteus, and Candida albicans all have antibacterial effects, and studies have also shown that mint herpes simplex virus, vaccinia virus, Semliki forest virus and mumps virus all have inhibitory effects (Modern Research on Chinese Medicine and Clinical application, P683), recent studies also show that peppermint decoction and menthol have inhibitory effects on skin fungi such as Trichophyton rubrum, Trichophyton gypsum, Epidermophyton flocculus, etc., wherein peppermint oil, menthol There is still a good bactericidal effect. In addition, peppermint oil and menthol also have a killing effect on Candida albicans [Hu Lifang, Disinfection and Sterilization, 1989, 6(1): 10]. Peppermint or its extracts and alum form a compound preparation, which can strengthen the antibacterial effect and increase the antibacterial spectrum. It is used for the treatment of skin diseases. The anti-inflammatory effect and antipruritic effect are particularly obvious. The curative effect of this prescription is very positive through clinical observation.
在上述基本方的基础上,可增加下述一些药物,使其对某些皮肤病发挥更佳的治疗作用:On the basis of the above basic prescription, some of the following drugs can be added to make it play a better role in the treatment of certain skin diseases:
1、在上述处方<1>的基础上,再加进3~5份硼酸组成处方<2>,按前法进行配制,可加强处方<1>的抗菌消炎作用,对皮肤病的糜烂,渗出性损害疗效更佳。1. On the basis of the above prescription <1>, add 3 to 5 parts of boric acid to form the prescription <2>, and prepare it according to the previous method, which can strengthen the antibacterial and anti-inflammatory effects of the prescription <1>, and has a good effect on the erosion and infiltration of skin diseases. Outgoing damage curative effect is better.
2、在上述处方<2>的基础上,再加进硫磺粉2~4份,按前法配制和使用,对疥疮、痤疮、脂溢性皮炎、神经性皮炎、各类癣症等所致的皮肤损害,有极佳的疗效。本方也可直接用其粉剂涂剂患处,对某些癣症等皮肤病也可取得同样的疗效。2. On the basis of the above prescription <2>, add 2 to 4 parts of sulfur powder, prepare and use according to the previous method, and treat scabies, acne, seborrheic dermatitis, neurodermatitis, various ringworms, etc. It has excellent curative effect on skin damage. This prescription can also be used directly on the affected area with its powder coating, and it can also achieve the same curative effect on some skin diseases such as ringworm.
3、在上述三组处方的基础上,尚可增加炉甘石,加强其收敛及止痒作用,炉甘石一般按2~5份比例加入上述任一处方之中,该方对荨麻疹、急性湿疹、接触性皮炎、多形红斑等皮肤病损有较佳的疗效。3. On the basis of the above three groups of prescriptions, calamine can still be added to strengthen its astringent and antipruritic effects. Generally, calamine is added to any of the above prescriptions in a ratio of 2 to 5 parts. This prescription is effective for urticaria, Acute eczema, contact dermatitis, erythema multiforme and other skin lesions have better curative effect.
4、在上述四组处方的基础上,尚可增加水杨酸,加强本方的抗真菌作用,水杨酸可按1~5份的比例加进上述任一处方之中,本组方对花斑癣、体癣、手足癣、叠瓦癣等有显著的疗效,对神经性皮炎、慢性湿疹及结节性痒疹等也有较佳的疗效。4. On the basis of the above four groups of prescriptions, salicylic acid can still be added to strengthen the antifungal effect of this prescription. Salicylic acid can be added to any of the above prescriptions at a ratio of 1 to 5 parts. Tinea versicolor, tinea corporis, tinea manus, pedis, and tinea imbricate have significant curative effects, and also have better curative effects on neurodermatitis, chronic eczema and prurigo nodularis.
5、在上述五组处方的基础上,尚可增加雷琐辛,加强本方的抗真菌作用,雷琐辛可按1~3份的比例加进上述任一处方之中,本方对体癣、股癣、花斑癣、皮肤念珠菌病疗效特佳。5. On the basis of the above five groups of prescriptions, resuoxin can still be added to strengthen the antifungal effect of this prescription. Resuoxin can be added to any of the above prescriptions at a ratio of 1 to 3 parts. Ringworm, jock itch, tinea versicolor, and skin candidiasis are particularly effective.
现介绍几个应用实例;Here are a few application examples;
实例一:处方<1>:薄荷脑、明矾按1~2∶40~的比例研磨成粉状,分装成每包30~50g,临用前加进50℃~60℃的热水5公斤之中,搅拌溶解,浸泡患处,每日一至二次,可使患部炎症,搔痒等症状缓解或消失,有效率达99%。Example 1: Prescription <1>: Grind menthol and alum into powder at a ratio of 1~2:40~, pack into 30~50g per pack, add 5kg of hot water at 50℃~60℃ before use Among them, stirring and dissolving, soaking the affected area once or twice a day can relieve or disappear symptoms such as inflammation and itching in the affected area, with an effective rate of 99%.
实例二:处方<2>:薄荷脑1份,硼酸3份,明矾30份,分别研磨或粉碎成细粉,分装成30g/包,临用前加进50℃~60℃的热水5公斤之中,搅拌溶解,浸泡或湿敷患处,每日一至二次,对皮肤病的糜烂,渗出性损害疗效更佳、对尿道炎、阴道炎、外阴炎、肛周皮炎、会阴部皮炎等也有较佳的疗效。Example 2: Prescription <2>: 1 part of menthol, 3 parts of boric acid, 30 parts of alum, grind or pulverize into fine powder respectively, pack into 30g/bag, add hot water at 50°C to 60°C before use 5 In kilograms, stir to dissolve, soak or wet compress the affected area, one to two times a day, it is better for skin erosion and exudative damage, and for urethritis, vaginitis, vulvitis, perianal dermatitis, perineal dermatitis etc. also have better curative effect.
实例三:处方<3>:取薄荷脑1份,硼酸3份,明矾30份,硫磺粉3份,分别研磨或粉碎成细粉,分装成30g/包,临用前加进50℃~60℃热水中,搅拌溶解,浸泡或湿敷患处,每日一至二次,本方对痤疮、疥疮、银屑病、脂溢性皮炎、神经性皮炎、药疹、痒疹、玫瑰糠疹、淋病及非淋病性感染有较佳的疗效,对各类癣症也有一定的效果。Example 3: Prescription <3>: Take 1 part of menthol, 3 parts of boric acid, 30 parts of alum, and 3 parts of sulfur powder, grind or pulverize them into fine powders respectively, pack them into 30g/bag, and add them at 50℃~ Stir and dissolve in hot water at 60°C, soak or wet compress the affected area, once or twice a day, this prescription is effective for acne, scabies, psoriasis, seborrheic dermatitis, neurodermatitis, drug eruption, prurigo, pityriasis rosea, gonorrhea And non-gonococcal infection has better curative effect, also has a certain effect on all kinds of ringworm.
实例四:处方<4>:薄荷脑1份,硼酸3份,水杨酸3份,硫磺粉3份,明矾30份,分别研磨或粉碎成细粉,分装成30g/包,按前法应用,本方对荨麻疹、急性湿疹、接触性皮炎、多形红斑等有较佳的疗效。Example 4: Prescription <4>: 1 part of menthol, 3 parts of boric acid, 3 parts of salicylic acid, 3 parts of sulfur powder, 30 parts of alum, grind or pulverize into fine powder respectively, pack into 30g/bag, according to the previous method Application, this prescription has better curative effect on urticaria, acute eczema, contact dermatitis, erythema multiforme, etc.
实例五:处方<5>:薄荷脑1份,硼酸3份,水杨酸3份,硫磺粉3份,明矾30份,分别研磨或粉碎成细粉,分装成30g/包,按前法应用,本方对花斑癣、体癣、手足癣、叠瓦癣等有显著的疗效,对神经性皮炎、慢性湿疹及结节性痒疹也有较佳的疗效。Example 5: Prescription <5>: 1 part of menthol, 3 parts of boric acid, 3 parts of salicylic acid, 3 parts of sulfur powder, 30 parts of alum, respectively ground or crushed into fine powder, divided into 30g/bag, according to the previous method Application, this prescription has significant curative effect on tinea versicolor, tinea corporis, tinea manuum, tinea imbricate, etc., and also has better curative effect on neurodermatitis, chronic eczema and prurigo nodularis.
实例六:处方<6>:薄荷脑1份,水杨酸6份,硫磺粉5份,明矾20份,分别研磨或粉碎成细粉,分装成30~50g/包,按前法应用,本方对银屑病稳定期及消退期有较好的疗效。Example 6: Prescription <6>: 1 part of menthol, 6 parts of salicylic acid, 5 parts of sulfur powder, 20 parts of alum, grind or pulverize into fine powder respectively, pack into 30-50g/bag, apply according to the previous method, This prescription has a good curative effect on the stable and regressing stages of psoriasis.
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| AU6065500A (en) * | 1999-06-30 | 2001-01-31 | Don H. Girvan | Compositions and methods for the treatment of skin disorders |
| US6656928B1 (en) * | 1999-09-02 | 2003-12-02 | Mccadden Michael E. | Composition for the topical treatment of rashes, dermatoses and lesions |
| US6479058B1 (en) | 1999-09-02 | 2002-11-12 | Mccadden Michael E. | Composition for the topical treatment of poison ivy and other forms of contact dermatitis |
| CN101167855B (en) * | 2007-11-01 | 2010-09-08 | 郑瑞 | Medicine for treating tinea pedis and tinea manuum |
| CN104042462A (en) * | 2013-03-16 | 2014-09-17 | 李江水 | Preparation and production of sulfurous spring powdery bath salt |
| CN107375452A (en) * | 2017-09-29 | 2017-11-24 | 梁正文 | Tinea medicinal powder and its preparation and application |
| CN108126173A (en) * | 2017-12-30 | 2018-06-08 | 湖南三五二环保科技有限公司 | A kind of composition of medicine for treating fungal dermatopathy and preparation method thereof |
| CN108014182A (en) * | 2018-02-06 | 2018-05-11 | 威海惠高生物科技有限公司 | A kind of Chinese medicine composition and production method for being used to treat pruitus |
| CN109010100A (en) * | 2018-09-06 | 2018-12-18 | 黄犟兵 | A kind of acne-removing composition and anti-acne antiallergic cream and preparation method containing the composition |
| CN108853410B (en) * | 2018-09-07 | 2021-02-05 | 陕西省万安药业有限公司 | Traditional Chinese medicine medicament for preventing and treating gynecological diseases and preparation method and application thereof |
| CN109316552A (en) * | 2018-11-30 | 2019-02-12 | 无锡福祈制药有限公司 | A kind of pharmaceutical composition for treating tinea pedis |
| CN110179956B (en) * | 2019-05-09 | 2021-07-20 | 重庆医药高等专科学校 | Traditional Chinese medicine external lotion for treating hyperhidrosis and erosive athlete's foot |
| CN117018101A (en) * | 2023-08-30 | 2023-11-10 | 华南农业大学 | An external Chinese medicinal lotion for treating equine mite disease and its preparation method |
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