2020年12月7日星期一

hemorrhoids essential oils,Introduction and comments on topical Chinese patent medicine commonly used in dermatology

    001 compound camphor cream

    002 Paeonol Ointment

    003 Dehumidifying and antipruritic ointment

    004 Dragon Ball Ointment

    005 Skin Zhiqing Ointment

    006 Qingpeng Ointment

    007 Jieeryin Lotion

    008 Qingbai Cleansing Lotion

    009 Compound Cork Liquid

    010 Kangfu New Liquid

    001 compound camphor cream

    Commodity name: Harem

    [Ingredients] camphor, menthol, methyl salicylate, diphenhydramine, chlorhexidine gluconate, glycyrrhetinic acid.

    [Indications] Insect bite dermatitis, eczema, pruritus, neurodermatitis, allergic dermatitis, papular urticaria, etc. It can also be used for scapular soreness, muscle pain and skin pain after burns.

    [Precautions] A small number of irritants are contraindicated in children under two years of age. Not for use in rupture.

    【Usage and Dosage】Apply the affected area 2 to 3 times a day.

    [Packing] 10g/bottle, 15g/bottle

    [Doctor Wu's comment]: Among the ingredients of this medicine, camphor, menthol and diphenhydramine are antipruritic, methyl salicylate has the effect of reducing swelling, pain and itching, and glycyrrhetinic acid has hormone-like anti-inflammatory effects , Chlorhexidine is an antiseptic. In this recipe, camphor, menthol and methyl salicylate are all volatile and have varying degrees of irritation to the skin (on the one hand, it cools and relieves itching, on the other hand, it dilates and congests local blood vessels), so the damaged area is not used, near the mucosa Use with caution, and banned for children under two years old. But on the other hand, because it does not contain hormones, it can have a synergistic effect with hormones for external use, and there is no need to worry about secondary skin infections.

    002 Paeonol Ointment

    【Properties】White or yellowish ointment.

    [Ingredients] Paeonol and clove oil.

    【Functions and Indications】: Anti-allergic medicine, has anti-inflammatory and antipruritic effects. It is used for all kinds of eczema, dermatitis, skin itching, mosquito and bug bites, redness and swelling, etc. It also has certain effects on allergic rhinitis and cold prevention.

    【Usage and Dosage】Apply externally to the affected area. 2~3 times a day;

    【Regulation  格】15 grams/piece

    [Doctor Wu's comment]: This medicine has two main ingredients, one is paeonol and the other is clove oil. Paeonol is a small molecule needle-like crystal extracted from the root bark of peony flower. Molecular formula: C9H10O3; Molecular weight: 166.18; It has analgesic, anti-inflammatory, antipyretic and anti-allergic effects. These are confirmed by experiments. Other effects include: sedation, hypnosis, antibacterial, anti-inflammatory, antioxidant, and blood pressure lowering effects. Some people use it for skin whitening and spot removal, while others use it in toothpaste and tooth powder to prevent and treat dental caries, cover bad breath, and clean the mouth. Clove oil is a kind of spice that has antiseptic, antibacterial and analgesic effects. It can quickly treat toothache and can also cure skin wound infections such as calf ulcers.

    Generally speaking, this medicine is purely plant-derived. Its mechanism of action is unique. It can relieve itching, analgesic, and antibacterial, but I don’t know how effective it is. These two ingredients are somewhat irritating to the skin, so be aware of the possibility of allergies when using them.

    003 Dehumidifying and antipruritic ointment

    [Ingredients] Cnidium, Coptis, Phellodendron, White Moss Bark, Sophora flavescens, Polygonum cuspidatum, Viola spp., Phenix spp, Yinchen, Atractylodes, Prickly ash, Borneol, etc.

    [Properties] This product is light brown-yellow ointment; it is fragrant.

    [Functions and Indications] Clearing heat and removing dampness, dispelling wind and relieving itching. For the adjuvant treatment of acute subacute eczema syndrome of damp-heat or damp resistance. Especially suitable for the treatment of skin diseases in infants, pregnant women and lactating women

    [Usage and Dosage] Apply to the affected area 3 to 4 times a day.

    [Specifications] 10g; 20g.

    [Doctor Wu's comment] It is not difficult to see from the prescription that the main functions of this medicine are: (1) Coptis, Phellodendron, Sophora flavescens, White moss bark, Cnidium, plus borneol, which is almost a classic for external use in dermatology. All itch medicines are included, and it should be said that the anti-itching effect will be good; (2) Phenix vulgaris, Yinchen, Atractylodes, and Zanthoxylum bungeanum: all have the effect of drying dampness; (3) Polygonum cuspidatum and Viola spp. . Therefore, this prescription dehumidifies, relieves itching, and prevents bacterial infection. Because there are Chinese pepper and borneol, children who are too young should be careful.

    004 Dragon Ball Ointment

    [Ingredients] Artificial musk, artificial bezoar, pearl, amber, borax, borneol, calamine. Accessories: Vaseline, Lanolin.

    [Properties] Light brown ointment; air fragrance, cool feeling.

    [Functions and Indications] Clearing heat and detoxification, reducing swelling and pain, dispelling rot and promoting muscle. It is suitable for sore boils, redness, heat pain and mild burns.

    [Specifications] 10 grams each

    [Usage and Dosage] External use. Take an appropriate amount of plaster and apply it on the affected area or spread it on gauze, once a day. The application should be thick before the ulcer, and thin after the ulcer.

    [Indications] Acne, shingles, chronic ulcers, bedsores, pressure sores, frostbite, skin abscesses, solar dermatitis, postoperative wound healing, mild burns and various trauma bacterial infections.

    【Notes】Oral use is prohibited. Pregnant women use it with caution.

    [Doctor Wu's comment] The main medicines of this medicine are musk, bezoar, pearl, and amber. They are all good things: musk pungent powder, has a good function of promoting blood circulation, reducing swelling and pain; bezoar clearing away heat and detoxifying, and pearl astringent Muscle, amber can eliminate blood stasis. So put together, this medicine has an effect on boils and ulcers caused by bacterial infections. The borax in the other prescription still has antiseptic and protects skin and mucous membranes.

    005 Skin Zhiqing Ointment

    Ingredients: golden fruit lan 50g, rhubarb 50g, cork 20g, cinnabar root 30g, wild chrysanthemum 30g, purple flower Di Ding 40g, snow gall 20g, sophora flavescens 50g, borneol 16g, heavy building 20g yellow yam seeds 20g turmeric 20g, Chinese elm 50g nankuding tea 20g menthol 3g sorbitol 60g Guar gum 4.2g

    Betacyclodextrin 30g Stearic acid 10g Monoglyceride 80g Polysorbate 80 20g Span 80 40g Paraffin oil 20g Azone 10g Benzoic acid 6g Ethyl paraben 1.5g Stearyl alcohol 80g 1000g

    Properties: This product is a light brown-yellow ointment with greenish tinge; slight air.

    Adverse reactions: Small rash or slight redness and swelling of the skin at the application site.

    Taboo: This product is forbidden for people allergic to this product, and for pregnant women.

    Specifications: Each pack (1) 10g (2) 15g (3) 35g

    Function Indication

    To clear away heat and detoxify, remove blood stasis and swelling, remove dampness and relieve itching. It is used for tinea corporis, tinea corporis, tinea abdomen, sore sores, internal hemorrhoids, external hemorrhoids, swelling, pain, bleeding, and sickness caused by damp-heat accumulation.

    Usage and dosage: external use. First wash the affected area with warm water, apply an appropriate amount of this product directly to the affected area or inject it into the affected area. Mild cases once a day, severe cases once in the morning and evening.

    Precautions:

    (1) Massage gently when used to treat skin diseases such as ringworm, sore sores, and itchy skin.

    (2) For people with allergies or children, it is advisable to dilute this product 1:5 with warm boiled water and apply it locally on the face. If there is no rash or discomfort after 30 minutes, use the diluent to massage and leave it for two hours.

    (3) To treat tinea pedis, rub the medicine on the affected area, massage for 2 minutes and keep it until the next day.

    (4) Inject the medicine deep into the vagina when treating the offending disease. It is normal for the vulva and vagina to feel cool.

    (5) To treat hemorrhoids and perianal diseases, you will feel a little irritation when you first apply it, and you will feel comfortable after a few seconds.

    [Doctor Wu's comment] This is a Miao medicine. There are many kinds of medicines in this prescription. The main two medicines, Jin Guolan and Rhubarb, are all medicines for clearing away heat, detoxifying, removing blood stasis and reducing swelling, which is the main basis for the treatment of various skin ringworms. But how effective are they against fungi? It remains to be seen. In addition, this recipe contains (1) wild chrysanthemum and purple flower Di Ding are mainly anti-inflammatory and sterilizing; (2) cork, sophora flavescens, borneol, and menthol are antipruritic; (3) turmeric and sanyu hemostatic and cooling blood. Based on this analysis, this prescription is mainly based on sterilization and detoxification, and has both antipruritic and hemostatic effects. Therefore, the treatment of hemorrhoids and bleeding is extremely symptomatic, and it is also possible to treat secondary infections of eczema. Of course, the dosage form must be considered.

    006 Qingpeng Ointment

    [Ingredients] Oxytropis falciformis, sub-rhubarb, iron hammer, myrobalan, myrobalan, amla, benzoin, etc.

    【Properties】Light yellow ointment. Breathless.

    [Functions and Indications] To relieve pain and reduce swelling. Used for swelling, pain and herpes caused by gout and damp arthralgia.

    【Usage and Dosage】Apply an appropriate amount of this product to the affected area, 2 times a day.

    【Adverse reactions】No adverse reactions.

    【Notes】For external use only, not internal use.

    [Doctor Wu's comment]: This is a Tibetan medicine. The names of these medicines all sound weird. It turned out to be an external analgesic. In recent years, it has been reported to have an effect on the pain of herpes zoster, and it can also relieve itching. The specific effect needs to be observed.

    007 Jieeryin Lotion

    Specifications: 2000ml-60ml per bottle; 10ml per bag.

    Ingredients: Cnidium, Mugwort, Acorus calamus, Mint, Cork, Scutellaria, Sophora flavescens, Kochia scoparia, Cymbidium chinense, Vitex edulis, Gardenia, Honeysuckle etc.

    Properties: brown to dark brown liquid, aromatic gas.

    Indications: clearing away heat and dampness, killing insects and relieving itching.

    1. Attending women in humid tropics. Symptoms are genital itching, redness and swelling, a large amount of discharge, yellow or bean dregs-like color, bitter mouth, dry mouth, yellow urine and stool. Suitable for fungal, trichomonas and non-specific vaginitis who see the above symptoms.

    2. Acute eczema (damp-heat type), contact dermatitis (heat toxin-damp type), tinea cruris (rheumatic fever type).

    Dosage:

    1. Vulva and vaginitis: scrub the vulva with 10% concentration lotion (that is, take 10 ml of this product and warm boiled water to 100 ml and mix well), and use a douche to send 10% Jieeryin lotion to the vagina to rinse the vagina , 1 time a day, seven days as a course of treatment.

    2. Contact dermatitis and eczema: use 3% concentration lotion (take 3 ml of this product and mix with cold water to 100 ml) wet compress the affected area, for mild skin lesions 2-3 times a day, 30-60 each time Minutes; if there is no ulcer, it can be directly rubbed with the original liquid, 3-4 times a day; 7 days is a course of treatment.

    3. Tinea corporis: Rub the affected area with a 50% concentration lotion, 3 times a day, 21 days as a course of treatment.

    Adverse reactions: aggravated flushing and tingling of the skin of individual patients.

    Precautions:

    1. This product is for external use and oral administration is prohibited. It is forbidden for women during menstruation and pregnancy.

    2. Do not touch the mucous membranes such as eyes and mouth. Skin ulceration at the disabled.

    4. Avoid sexual intercourse during the treatment. If the spouse has an infection, they should be treated at the same time.

    5. If irritation occurs during use and skin flushing becomes worse, stop using it.

    [Remarks by Doctor Wu]

    The prescriptions in Jieeryin can be divided into: (1) Cnidium, wormwood, peppermint, Kochia scoparia are mainly used to relieve itching; (2) Acorus calamus, Phellodendron amurense, Scutellaria baicalensis, Sophora flavescens, Yinchen, Vitex spp. Gardenias are mainly bitter cold and dry dampness. Gold has anti-inflammatory and bactericidal effects. In summary, dehumidification and itching are the main functions.

    008 Qingbai Cleansing Lotion

    [Ingredients] Sophora flavescens, Coptis, Cnidium, Phellodendron, Chinese pepper, Astragalus, Polygonum multiflorum, Kochia scoparia, Daqingye, Red peony root, Angelica. The excipients are sodium lauryl sulfate and benzoic acid.

    [Properties] This product is brownish-red liquid; smells and has a small amount of precipitation

    [Indications] Clearing heat and detoxification, drying dampness, killing insects and relieving itching, used for vulvar itching, vulvar eczema caused by damp-heat betting, and pruritus caused by trichomonas and fungal vaginitis.

    【Specifications】 200ml

    [Usage and Dosage] External use, vulvar itching, vulvar eczema: 2 caps (10ml) once, twice a day, apply to the affected area of ​​the genitals, rinse off after 15 minutes, or add 10 times the amount of warm water to bathe the genitals; vaginitis: once 2 bottle caps (10ml), diluted with 10 times warm water, rinse the vagina with a vaginal douche, twice a day.

    [Adverse Reactions] Occasionally, skin and mucous membrane irritation reactions are observed.

    [Contraindications] Prohibited for women during menstruation and pregnancy; for those who are allergic to this product.

    [Precautions] Do not touch the mucous membranes such as eyes and mouth. Skin ulceration at the disabled. Unmarried or postmenopausal patients should be used under the guidance of a physician. White lesions of the vulva, itching caused by diabetes should not be used. Symptoms are not relieved after 7 days of medication, and you should go to the hospital for treatment.

    [Packing] Each box contains 1 bottle of liquid medicine and 1 set of external flushing device. The liquid medicine is packaged in plastic bottles.

    [Doctor Wu's comment] It is not difficult to see that the main medicines in this prescription are Sophora flavescens, Coptis, Cnidonia, Phellodendron, and Zanthoxylum bungeanum as the main antipruritic drugs, plus some astragalus, Polygonum multiflorum and Angelica to nourish qi and blood The medicine may be for gynecological diseases. Of course, Daqingye has antibacterial and insecticidal effects. So to sum up, this prescription is mainly used to relieve itching, and has anti-bacterial and anti-inflammatory effects. It can be used not only for the genitals, but also for other skin diseases. In addition, there are benzoic acid and other substances in the auxiliary materials, so it may be a little irritating, so do not use it on damaged parts.

    009 compound yellow cypress liquid:

    【Prescription】Forsythia Phellodendron Honeysuckle Dandelion Centipede

    【Properties】This product is reddish brown liquid.

    【Functions and Indications】Clear heat and detoxify, reduce swelling and rot. It is used for patients with yang syndrome after wound infection.

    [Usage and Dosage] External use. Soak gauze strips and apply externally to infected wounds or ulcerated abscesses. If the ulcer is deep, a sterile rubber tube with a diameter of 0.5 to 1.0 cm can be inserted into the deep part of the ulcer, and the product can be drawn with a syringe for washing. The dosage is generally 10-20ml, once a day. Or follow the doctor's advice.

    [Note] (1) Before using this product, you should pay attention to clean or debride the lesion according to the conventional dressing change method; (2) After opening the bottle, it is not easy to store; (3) Pregnant women use it with caution.

    [Specifications] Each bottle contains (1) 20ml; (2) 100ml

    [Remarks by Doctor Wu]

    The main ingredients are forsythia, cork, honeysuckle, and dandelion, all of which are antibacterial. Centipede can attack poison and dispel stagnation and promote wound healing. It seems to be a standard medicine for treating ulcers. Although the manufacturer says that there is no irritation or allergies, it can directly wash the wound or soak and drain the gauze. But after all, there are centipedes, and there may be allergies. In addition, the initial secretions of this medicine may increase, which can dispel decay and grow muscles.

    010 Kangfu New Liquid

    [Main ingredients] Alcoholic extract of American cockroach. Kangfuxin is a biological preparation that is isolated and refined from the dried worm extract of the American cockroach insect of the family Periplaneta americana.

    [Properties] Light brown liquid; slightly fishy smell, sweet taste.

    【Pharmacology】

    (1) Promote the growth of granulation tissue: It can significantly promote the growth of granulation tissue, promote angiogenesis, accelerate the shedding of necrotic tissue, and quickly repair various ulcers and wounds.

    (2) Anti-inflammatory and eliminate inflammatory edema: It can inhibit the exudation of pigment in mice skin caused by tissue ammonia and inhibit the swelling of mouse ears caused by xylene.

    (3) Improve the immune function of the body: it can improve the phagocytic ability of macrophages; increase the activity of lymphocytes and serum lysozyme, so that the SOD value in the body rises, and the physiological balance of the body is adjusted.

    [Functions and Indications] Tongli blood vessels, nourishing yin and muscle. Oral administration is used for the treatment of blood stasis block, stomach pain and bleeding, gastric and duodenal ulcer; and auxiliary treatment of yin deficiency pulmonary tuberculosis and tuberculosis. External use is used for wounds of golden sores, traumas, ulcers, fistulas, burns, scalds and bedsores.

    [Usage and Dosage] Oral, 10ml each time, 3 times a day, or as directed by a doctor; for external use, use medical gauze soaked in the medicinal solution and apply to the affected area. Debride the infected wound and then rinse with this product, and use the gauze soaked in this product Pack or apply.

    [Adverse Reactions] No adverse reactions were found.

    [Specifications] (1) 100ml; (2) 50ml; (3) 10ml.

    Drug efficacy and mechanism of action:

    For the inflammatory reaction period: anti-inflammatory, eliminate inflammatory edema, anti-infection, promote the shedding of necrotic tissue, and create a strip for tissue repair; For cell proliferation period: can significantly promote the growth of granulation tissue, promote angiogenesis, and accelerate the shedding of necrotic tissue, To make a foundation for the rapid repair of various ulcers and wounds; for the tissue reconstruction period: to accelerate wound healing, promote structural and functional recovery, improve the body’s immune function, increase the phagocytic ability of macrophages, and increase lymphocytes and serum lysozyme Activity, so that the SOD value in the body rises, and adjust the body's physiological balance.

    [Doctor Wu's comment] The ingredient is a unique American cockroach, which should be said to be unique. Our department has used several refractory patients with stubborn erosions and ulcers. According to nurses, the effect of dressing changes is good.

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