Self-dissolving stones Tonga Tonglin Paishi offensive treatment of urinary stones in clinical application

Author: U.S. Wangyou Lan CAO Zhi-yong Cao Deli Lifu Peng Zhao

[Abstract] Objective To observe the self dissolving stones pill Tonga Tonglin Paishi offensive treatment of urinary calculi treatment. Method of randomly selected 456 cases of urinary tract stones, set A (comparison group and B group (treatment group, A group of 228 cases, a simple oral Shi Wei San. B group 228 cases, the use of offensive Tonga Tonglin pill dissolving stones stone row treatment, the results in group A row of stone total rate 68%, B group, the total discharge rate of 90% of the stone, the two groups was significant difference (P <0.05. Conclusion Tonglin dissolving stones pill Tonga offensive Paishi treatment of urinary stones can significantly increase rate of the row of stone.

[Keywords] Tonglin pill dissolving stones stone soup was mounted row of Clinical studies of urinary calculi
Urinary stones often ipsilateral spinal paroxysmal abdominal cramps or dull as the main clinical manifestations, often accompanied by urinary frequency, urgency, dysuria, hematuria, bladder irritation and other symptoms is a country medicine 'Shilin' 'sand-leaching '' discredited 'aspects of the disease can be recurrent, prolonged healing, and seriously endanger the patient's health, this article on hospital nearly two decades of exploration and improvement, summed up a more satisfactory treatment of urinary stones program, the report is as follows.

1. General information
1.1 Case Source: Retrospective random sample from March 2005 to February 2010 in our hospital Medical records of some patients, a total of 456 cases were selected, the selected cases, 296 cases of male and female 160 cases, male to female ratio: 1 : 0.54, age of onset at 16 years old -69 years, mean age 45.18 + -13.03 years old.

1.2 Clinical manifestations and diagnosis of this group of patients with typical pain patient's waist and abdomen 232 cases of intermittent lower abdominal cramps in patients with urinary frequency, urgency, dysuria, hematuria patients with 112 cases of bladder irritation, the patient pale, sweating, restless, or in a health checkup examination found in other asymptomatic patients, 63 patients with simple treatment of dysuria, 49 cases.

1.3 Diagnosis of patients with typical history, symptoms, signs and imaging diagnosis and more in this group of cases, the B-diagnosed 288 cases, or KUB KUB confirmed 114 cases, CT diagnosis of 54 cases.

(2) treatment
Based on the patient condition, the Medical side to provide two sets of treatment options for patient choice, in line with the principle of voluntary patients, is set to A (comparison group and B group (treatment group), A group of simple oral Shi Wei San (Universal Relief, Group parties are as follows: Plantago talc 12g 9g 9g Dianthus superbus 3g Shiwei white elm wood through 5g 9g 9g Dong Kuizi Poria 12g red licorice 3g. add water, 800 ml, suffering a slow fire for 20 minutes, juice 300ml oral, day one. Group B applications from soup to be Tonglin dissolving stones pill prescription form as follows: Two forsythia flowers 30g 15g 15g walnuts money grass Licorice 10g 20g 15g Achyranthes Pyrrosia talc 30g 15g 12g Plantago Bodhisattva Curcuma 12g 12g 20g Tri amber 6g (Gallus gallus domesticus 12g blunt Yuan Hu 10g. fried as above. Paishi offensive scheme are as follows: 8:00 to drink boiled water 1000ml, 8:30 dissolving oral self Tonglin Pai Shi Tang a, 9:00 progesterone 40mg , anisodamine 10mg intramuscular injection, 9:30 furosemide 20mg plus 50% glucose intravenously 20ml, 100ml 20% mannitol infusion (to avoid renal damage, 3 days regardless of the success of the row of stone were disabled, 10:00 Push to pass through the treatment instrument 30 minutes.

3 evaluation standard
Refer to <<improved disease diagnosis and cure based on the standard>> [2], cured: clinical symptoms and signs disappeared, X-ray, B-, and other examination confirmed renal or ureteral stones no longer Effective: significant improvement in symptoms and signs, X-ray or B-show stones downward> 5mm.

Markedly: improvement in symptoms and signs, X-ray or B-show stones down 2-4mm. Invalid: symptoms and signs is improving, but the X-ray or B-show stones in place without change.

Treatment groups were as follows: (Table

Two groups of patients cure rate as follows: (Table II
Links to free download http://www.hi138.com 4. Result
Statistical analysis and conclusions: A total effective rate was 67.54%, B group, the total efficiency of 89.47%. Ridit analysis, - RA group = 0.5622,95% CI (0.5278,0.5967, - RB group (A = 0.4378,95 % CI (0.4104,0.4653, according to confidence intervals overlap, the two groups 95% CI do not overlap. Therefore, according to @ = 0.05 level, two drugs that effect in the row of stone there differences due to the efficacy level is 'good 'to' poor 'in the order, R is effective the smaller the value, so the efficacy of group B in the row of stone is better than the A group.

5. Conclusion
As can be seen from the above data, 456 cases of selected patients, A group of 228 cases, cured 120 patients, effective in 11 cases, effective in 23 cases, 74 cases, the total rate of 68% (74/228, B group of 228 cases of patients were cured 169 cases, effective in 6 cases, effective in 29 cases, ineffective in 24 cases, total effective rate was 90% (24/228) using offensive Paishi treatment of urinary stones treatment, with treatment time is short, low-cost treatment etc., this group of patients, A group, the average treatment time of 10 days, B group, the average of 5 days, indicating the treatment group B was significantly better than the A group.

6. Discuss
Urinary calculi is clinically common disease, including kidney, ureter, bladder and urethral stones. Often with low back pain, hematuria, the urine out of sand and gravel as the main clinical manifestations, is a country medicine 'sand-leaching', 'Shilin' 'discredited' category. Modern medicine does not completely understand the causes of stone, there is no good control measures. in recent years with the rise of Western medicine, urology in this regard has made a great contribution, but although the surgery, in vitro gravel, holmium laser to relieve pain in some patients, but the high cost of treatment, trauma, and other shortcomings easy to relapse for most patients is difficult to accept. motherland medicine, Chinese medicine is a valuable cultural heritage, already has thousands of years of history, in treatment of this disease has accumulated rich experience, which has a very important in the clinical status, according to syndrome differentiation principle, in clinical practice to achieve more satisfactory results. Self-dissolving stones pill Tonglin Tang Fang: honeysuckle [3], forsythia: antibacterial, antiviral, anti-inflammatory, antipyretic, immune and so on. Money Grass: sweet, salty, slightly cold, gall bladder, kidney, bladder, heat diuretic Tonglin, good consumer stones, particularly appropriate treatment Shilin, hot shower, Shi Wei: sweet, bitter owned by the diuretic Tonglin bladder, cooling blood to stop bleeding, particularly appropriate discredited, hot shower, Shilin. hemostatic effect with heat, for hot shower, discredited, Shilin, difficulty in urination, leaching Lek astringent pain. diuresis and promote the role of ureteral peristalsis in traditional Chinese medicine is 'row of stone' effect. Plantago, talc: sweet, light, heat and cold owned by the diuretic Tonglin bladder, sexual slip Lee awakened, to clear bladder heat and Tom Lee waterways. Amber: sweet, stasis to stop bleeding, diuretic pass leaching can rule discredited, urinary frequency, dysuria and urination Dysuria the card. Bodhisattva, Gallus gallus domesticus based firm niter, with RONGSHI role, peach kernel, triangular, Curcuma blood circulation, Endometriosis, a pass in the attack the next role. Modern Medical research shows that walnuts, triangular, Curcuma excitement can cause smooth muscle contraction to strengthen, increase tension, accelerate the stones. Yuan Hu, licorice has analgesic effect than fifteen herb combination, compatibility and reasonable treatment stronger, Fang: Money Grass, Shi Wei, Bodhisattva, Gallus gallus domesticus four drugs were King and medicine, Plantago, talc and amber three drugs were the minister herbs, combined with double flowers, forsythia detoxification, Yuan Hu, triangular, Curcuma, peach kernel blood circulation of qi pain, Achyranthes diuresis Tonglin, cited drugs down, licorice priorities pain, reconcile the various drugs two drugs were to make drugs, acting on the urinary system, the system can be enhanced ureteral peristalsis, narrow stone will eventually discharge stones, so that stones were recovered.

Row of stone in the offensive scheme, the first drink boiled water 1000ml, make full fluid reserves. About 30 minutes after the liquid has begun to absorb, this time to give Tonglin dissolving a row of stone soup, Fang of peach, triangular, Curcuma can cause smooth muscle contraction to enhance excitement, tension increases, so that the urine in the kidney or tissue space storage, traditional Chinese medicine 30 minutes before serving to give progesterone 40mg, 10mg anisodamine choline intramuscular progesterone, compared with choline Anisodus strong lifting of the ureter, urinary tract smooth muscle spasm [4] so that the whole urinary tract smooth muscle in a relaxed state, this time to give furosemide, mannitol, water, medicines and other strong benefits, accelerated the flow of urine, the same increase to the stones. the impetus for the stones removed from the body. Push to pass through instrument (Beijing Institute of technology, China Medical new products) in the treatment of renal and ureteral stones is based on Chinese meridian theory, theory of organs, and acupoints theory, information theory and the unique Chinese massage, the use of modern electronic technology, the resulting programmable pulse signal to stimulate acupuncture points so that the electrical characteristics of acupoints and human bio-electricity coupling phase, the body happen 'resonance.' massage the kidneys produce, eliminate blood stasis, accelerate blood circulation, promote contraction of renal collecting system, ureter expansion effect, to restore urinary system functions, thus promoting the stones down, excreted [5].

In summary, since the proposed Tonglin dissolving stones pill Tonga offensive Paishi treatment of urinary stones with effective, reliable, low cost of treatment, the patient less pain during treatment and after treatment, patients need special rehabilitation, as long as the indications to grasp properly, identifying diseases Bianzheng reasonable, although the rapid development in urology today, is still regarded as the treatment of urinary stones a good way.

References
[1] TRADITIONAL. Chinese Internal Medicine, Beijing: People's health Press, 2002.309.

[2] Yan Huifang. Urolithiasis therapy [J]. Practical Medicine, 1998,11:130.

[3] Yi Ji-Lan. Self-Tong-Lin Pai Shi Tang treatment of urinary tract stones in 62 cases [J]. Hebei Traditional Chinese Medicine 2005,27 (6): 424.

[4] Zheng osmanthus, Jiang Haibo, when Qiao Xia. Integrative Medicine offensive treatment of ureteral stone disease [J]. Chinese Journal of Practical Medicine 2007,2 (34:154. Links to free download http://www. hi138.com