Wang Yong-Zhi, Guo Chun-Yu, Zhong Hong-Gang, Zhang Wan-Nian, Wang De-Long, Wang Xuan, Dong Fu-Hui
Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing, PR China.
BMC Complement Altern Med. 2008 Sep 15;8:51. doi: 10.1186/1472-6882-8-51.
Soft tissue injury imposes major public health burdens worldwide. The positive effect of China's Tibetan medicine and the Lamiophlomis rotata-based herbal Pain Relieving Plaster (PRP) on healing closed soft tissue injury (CSTI) has been reported. The herbs contained in Plaster are also referred as 'blood-activating and stasis-dispelling' in herbal medicine. The formula of the plaster contains four China's Tibetan medical herbs, including Lamiophlomis rotata, Oxytropis falcate Bunge, Curcuma longa Linn, and Myricaria bracteata. Two of these herbs (Lamiophlomis rotate; Curcuma longa Linn) are commonly used in different formulae of Chinese medicine. The objective of this study is to use an interdisciplinary approach to test the hypothesis that the formula and its components influence the process of CSTI.
In vivo models have been established in 30 rabbit ear pinnae and studied for: (1) blood flow velocity (BFV) which was affected by pressure of 21.2 kg/cm2 for 30 second over the local rabbit ear tissue; (2) edema formation of the closed soft tissue injury; (3) in vivo local temperature change.
The results of in vivo studies indicated that CSTI significantly increased the velocity of blood flow and increased edema formation within the control group. The PRP extracts for 5 hours significantly slowed down the BFV of CSTI in rabbit ears, markedly decreased the elevated edema level from the 3rd to the 5th day.
The ingredients contained in the formula have positive effects in healing CSTI and further study is worth exploring.
软组织损伤在全球范围内给公共卫生带来了重大负担。据报道,中国藏药以及以独一味为基础的草药止痛膏(PRP)对闭合性软组织损伤(CSTI)的愈合具有积极作用。该膏药中的草药在草药学中也被称为“活血化瘀”。该膏药配方包含四种中国藏药,包括独一味、镰形棘豆、姜黄和水柏枝。其中两种草药(独一味;姜黄)常用于不同的中药配方中。本研究的目的是采用跨学科方法来验证该配方及其成分会影响CSTI愈合过程这一假设。
在30只兔耳耳廓上建立了体内模型,并对以下方面进行了研究:(1)局部兔耳组织受到21.2 kg/cm2压力30秒后所影响的血流速度(BFV);(2)闭合性软组织损伤的水肿形成情况;(3)体内局部温度变化。
体内研究结果表明,在对照组中,CSTI显著增加了血流速度并加重了水肿形成。PRP提取物作用5小时后,显著减慢了兔耳CSTI的BFV,从第3天到第5天明显降低了升高的水肿水平。
该配方中的成分对CSTI的愈合具有积极作用,值得进一步研究探索。