CN102138990B - Preparation method and new application of traditional Chinese medicine composition for invigorating qi, nourishing liver and clearing away heat and toxic material - Google Patents
Preparation method and new application of traditional Chinese medicine composition for invigorating qi, nourishing liver and clearing away heat and toxic material Download PDFInfo
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Abstract
The invention provides a preparation method and new application of a traditional Chinese medicine composition for invigorating qi, nourishing the liver and clearing away heat and toxic material. The traditional Chinese medicine composition is prepared from the medicinal materials such as radix astragali, giant knotweed, polyporus umbellatus, bupleurum, angelica sinensis, oldenlandia diffusa, rhubarb, white peony root, aweto hypha powder and the like, and is used for treating chronic persistent hepatitis and chronic active hepatitis.
Description
The present invention is for dividing an application, and the original bill application number is 200710119345.9, and the original bill applying date is on July 20th, 2007, and the original bill name is called a kind of QI invigorating nourishing the liver, Chinese medicine composition of heat-clearing and toxic substances removing and preparation method thereof.
Technical field
The present invention relates to a kind of QI invigorating nourishing the liver, Chinese medicine composition of heat-clearing and toxic substances removing and preparation method thereof relates in particular to a kind of chronic persistent active type hepatitis card that is used for and sees deficiency of both QI and YIN, and damp and hot unclear Chinese medicine composition that waits and preparation method thereof belongs to technical field of Chinese medicines.
Background technology
Before nineteen ninety-five be divided into chronic hepatitis B: two types of chronic persistent hepatitis (CPH) and chronic active type hepatitis ies (CAH).Nineteen ninety-five the 5th national infectious disease meeting, hepatopathy expert revises the viral hepatitis scheme of preventing and treating.Three types of, moderate slight, severes to no matter being that chronic hepatitis diagnosis that B-mode, third type, fourth type or new virus cause is all divided.
Hepatitis B (being called for short hepatitis B or hepatitis B) is a kind of infectious disease that China's current popular is the most extensive, harm is the most serious.Sanitary condition is relatively poor, the level of economic development is low is the popular basis of this disease.Clinical manifestation: weak, loss of appetite, detest oil, nausea,vomiting,diarrhea, abdominal distention, heating, jaundice, the concealment of half people onset is arranged; Find in the health check-up; Abnormal liver function; Serum and hepatitis B surface antigen, hepatitis B virus DNA, hepatitis B virus immune globulin M, deoxyribonucleic acid polymerase is all positive.
The chronic viral hepatitis B onset is slow, and the course of disease is long, and the state of an illness is changeable repeatedly, and delay is difficult.The treatment chronic hepatitis, doctor trained in Western medicine adopts interferon and ucleotides antiviral drugs more, but aspects such as the safety of this type of medicine late result, medicine and drug resistance all are difficult to guarantee.The traditional Chinese medical science thinks that the reason that chronic hepatitis B produces is that the human righteousness is not solid, invades in the epidemic disease caused by damp-heat pathogen poison, is reluctant to leave and does not go, and causes liver,spleen,kidney impaired, thereby forms the situation of vital QI being weakened and pathogen being violent.Wherein, the paathogenic factor that produces in the damp and hot and course of disease is blood stasis one by one, is the key factor of hepatitis chronicity.According to the degree of what and internal organs deficiency and excess of damp and hot, blood stasis, different pathological changes, and uses different method of treatment (a kind of method of treatment is main, and multiple method of treatment is share), selects for use different prescriptions to treat.The Chinese medicine chronic hepatitis B has definite curative effect, especially at anti-hepatic fibrosis, prevent the hepatitis chronicity, regulate immunity, aspects such as enzyme fall in hepatoprotective, curative effect is better.
Summary of the invention
The invention provides a kind of QI invigorating nourishing the liver, the pharmaceutical composition of heat-clearing and toxic substances removing is mainly used in the treatment of chronic persistent, active type hepatitis.
Another object of the present invention has provided this preparation of drug combination method.
Chinese medicine composition provided by the invention is prepared from the following weight proportion raw material:
Pharmaceutical composition of the present invention is preferably:
Pharmaceutical composition of the present invention is preferably:
Pharmaceutical composition of the present invention is preferably:
Pharmaceutical composition of the present invention also passes through scientific preparation process; Be prepared into various preparations such as the capsule that is fit to clinical practice, tablet, granule, oral liquid, soft capsule, drop pill, dispersible tablet, effervescent, slow releasing preparation; Not only overcome the shortcoming of Chinese medicine compound preparation, and significantly improved curative effect of medication.
Preparation of drug combination method of the present invention is:
More than nine the flavor, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 1~3 time; Each 1~3 hour, collecting decoction was concentrated into relative density 1.20-1.40 (60 ℃), vacuum drying; Pulverize; With the Chinese caterpillar fungus bacterial filament powder mix homogeneously, add the various preparations that suitable adjuvant is prepared into clinical practice, comprise capsule, tablet, granule, oral liquid, soft capsule, drop pill, dispersible tablet, effervescent, slow releasing preparation etc.
The preferred manufacturing procedure of pharmaceutical composition of the present invention is:
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, and with the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulates, and promptly gets.
Radix Astragali invigorating QI to consolidate the body surface resistance in the pharmaceutical composition of the present invention, promoting urination to remove dampness, the Rhizoma Polygoni Cuspidati heat-clearing and toxic substances removing, the dampness removing jaundice eliminating is monarch drug altogether.Polyporus eliminating dampness by diuresis spleen invigorating, Radix Paeoniae Alba easing the affected liver, relieving spasm to stop pain, Chinese angelica blood supplementing is invigorated blood circulation, pain relieving, more than each medicine be ministerial drug altogether.The Radix Bupleuri dispersing the stagnated live-QI to relieve the stagnation of QI, Herba Hedyotidis Diffusae heat-clearing and toxic substances removing, diuresis, the Radix Et Rhizoma Rhei heat-clearing and toxic substances removing, the Cordyceps invigorating the lung and the kidney, more than each medicine be adjuvant drug altogether.We's QI invigorating nourishing the liver, heat-clearing and toxic substances removing is used for deficiency of both QI and YIN, damp and hot card clearly, chronic persistent active type hepatitis has above-mentioned disease person.Pharmaceutical composition of the present invention has embodied the Chinese traditional treatment chronic hepatitis B and has consolidated the characteristics of taking stopgap measures, and not only Liver and kidney QI of the spleen and stomach blood obtains tonification, and damp and hot poison is able in body, remove.
Beneficial effect:
Test Example one
1. materials and methods
1.1 laboratory animal: kunming mice, cleaning level, male and female dual-purpose, sub-cage rearing, body weight 18-23g, totally 60.
1.2 divide into groups: 120 kunming mices are divided into 8 groups at random, and 15 every group, the A group is the normal control group; The B group is model control group; C, D, E organize positive control drug (commercially available liver DAKANG PIAN) treatment group; F, G, H group are the medicine composite for curing group of the present invention according to embodiment 1 preparation.
1.3 modeling method: adopt the method for bacillus calmette-guerin vaccine and lipopolysaccharide associating to set up the immunologic liver injury mouse model.After each treated animal adaptability is fed 3d, except that the normal control group, 1 tail vein injection bacillus calmette-guerin vaccine 5 * 10 of every mice
7Individual viable bacteria, 12d intravenous injection lipopolysaccharide 7.5 μ g/ Mus are put to death behind 16h and draw materials after injection of BCG, and the normal control group is all injected the equivalent normal saline with same procedure 2 times.
1.4 administration and processing: played the beginning gastric infusion, 1 time/d in first day of the intravenous injection bacillus calmette-guerin vaccine.Normal control group and model control group: normal saline is irritated stomach, irritates the medication capacity of stomach amount with medication therapy groups; Positive control medicine treatment group: the large, medium and small dosage of liver DAKANG PIAN medicine (dose of quite being grown up 10,20,30 times) administration; Medication therapy groups of the present invention: according to the large, medium and small dosage of medicine of the present invention of embodiment 1 preparation (dose of quite being grown up 10,20,30 times) administration.Normal control group 16h behind the 12d injecting normal saline, the eyeball rear vein beard is got blood, and puts to death animal and get the hepatic tissue censorship; All the other 3 groups 16h behind the intravenous injection lipopolysaccharide, the eyeball rear vein beard is got blood, and puts to death animal and get the hepatic tissue censorship.
1.5 observation index and detection method: 1. detect glutamate pyruvate transaminase (ALT): adopt chemical colorimetry to measure.2. endogenous nitric oxide (NO) is measured: adopt radioimmunology, cut open and get the 0.5g liver and process 10% liver tissue homogenate, and under 4 ℃ of conditions, 3000 commentaries on classics/min, centrifugal 10min gets supernatant.3. Endothelin (ET) detects: adopt and put the method for exempting from and directly measure blood plasma ET concentration.4. pathological observation: after continuing to irritate stomach 12d, all the eyeball of mouse blood sampling is put to death, and cuts open immediately and gets hepatic tissue; Gross examination of skeletal muscle liver quality, color and luster, have or not tuberosity, hemorrhage etc., and get the same position of liver organization and do the pathology section, fix with 10% formalin; Conventional dehydration; Specimens paraffin embedding slices, HE dyeing, light microscopic is observed the hepatic pathology morphological change down.
2. result
Table 1 is respectively organized the situation of change of mice pathology integration
The situation of change that table 2 is respectively organized Serum ALT, ET, NO compares
* compare * P<0.05, * * P<0.01 with model group; △ and positive controls compare, △ P<0.05.
Can find out that from above result medicine of the present invention has significance to improve to ALT, ET, NO content in the hepatic injury mice serum, with the positive control medicine significant difference is arranged relatively.
2, to the protective effect of chronic hepatic injury
Rat skin lower injection 10%5ml/kg carbon tetrachloride oil solution, 2 times weekly, injected continuously 3 months, cause carbon tetrachloride chronic hepatic injury animal model, observe the protective effect of medicine of the present invention to the damage liver.
Table 3 medicine of the present invention is to the protective effect of chronic hepatic injury rat (X ± SD)
* compare * P<0.05, * * P<0.01 with model group; △ and positive controls compare, △ P<0.05.
Experimental result shows, compares with model group, and the SGPT of the large, medium and small dose groups of positive control medicine and medicine of the present invention, SGOT content obviously reduce; The A/G value of the large and small dose groups of positive control medicine and the large, medium and small dose groups of medicine of the present invention obviously raises; Hydroxyproline content obviously reduces in the large, medium and small dose groups serum of medicine of the present invention, hydroxyproline content no significant difference in the large, medium and small dose groups serum of positive control medicine.Above result shows that medicine of the present invention is superior to the positive control medicine to the protective effect of chronic hepatic injury rat.
3, function of gallbladder promoting, jaundice eliminating effect
3.1 choleretic effect
The choleretic effect of table 4 drug regimen of the present invention (X ± SD)
* compare * P<0.05 * * P<0.01 with the normal control group; △ and positive controls compare, △ P<0.05.
Experimental result shows, compares the bile amount showed increased of the big or middle dose groups of positive control medicine, and the bile amount showed increased of the large, medium and small dose groups of medicine of the present invention, positive control medicine small dose group no significant difference (P>0.05) with normal group; Medicine of the present invention and positive control medicine compare, and the mice choleresis has significance to increase.
3.2 jaundice eliminating effect
Table 5 pharmaceutical composition of the present invention is to the protective effect of obstructive jaundice mice (X ± SD)
* compare * P<0.05 * * P<0.01 with the normal control group; △ and positive controls compare, △ P<0.05.
Experimental result shows, compares with normal group, and SGPT, SB content obviously raise in the serum of model group; Compare with model group, the big or middle dose groups of positive control medicine and medicine of the present invention and the SGPT content of medicine small dose group of the present invention obviously reduce; The SB content of the big or middle dose groups of medicine of the present invention obviously reduces.Above result of the test shows that medicine of the present invention significantly is superior to the positive control medicine to the protective effect of obstructive jaundice mice.
3.3 to of the influence of engulfing clean up ability of mice reticuloendothelial system to inertia carbon granules in the blood flow
Table 6 pharmaceutical composition of the present invention is to the influence of macrophage phagocytic function (X ± SD)
* compare * P<0.05 * * P<0.01 with the normal control group; △ and positive controls compare, △ P<0.05.
Experimental result shows, compares with normal group, and the K value of model group obviously reduces (P<0.01).Compare with model group, the medicine small dose group K value big or middle dose groups of positive control medicine and medicine of the present invention and of the present invention obviously increases (P<0.01), and the low dose of effect not obvious (P>0.05) of positive control medicine.Medicine of the present invention has significance to improve the phagocytic function of macrophage than the positive control medicine.
Above results of pharmacodynamic test shows that medicine of the present invention has significance to reduce to intravital ET of immunologic liver injury mice and ON level, and anti-hepatic fibrosis can effectively be treated chronic hepatitis.The chronic hepatic injury rat there is remarkable protective effect, effectively improves the mice choleresis, obstructive type icteric hepatic injury mice is had protective effect, engulf the clean up ability of mice reticuloendothelial system to inertia carbon granules in the blood flow is significantly increased.
Test Example two
1.1 physical data
Selection is diagnosed as being in hospital of chronic hepatitis B and part clinic case 200 examples are classified the object of observation as, is divided into treatment group and matched group at random.The concrete distribution like following table:
Table 7 clinic case grouping basic condition
Can find out that from last table treatment group and matched group do not have significant difference on each item basic index distributes.
1.2 diagnostic criteria
Unite the diagnostic criteria of " viral hepatitis is prevented and treated scheme " of revising and relevant chronic viral hepatitis B and formulate with reference in JIUYUE, 2000 China medical association infectious disease and parasitic disease credit meeting, the Xi'an meeting of hepatopathy association.Chinese medical discrimination standard and symptom and sign quantitative criteria are formulated with reference to " new Chinese medicine clinical research guideline ".
1.3 the standard of including in
1. meet hepatitis B Western medicine diagnose standard person.
2. the age between 18~65 years old, male or female.
3. the course of disease is more than half a year.
1.4 exclusion standard
1. merge HAV, HCV,, HDV, HFV the infected.
2. the hepatitis gravis due to the HBV, decompensated liver cirrhosis and liver cancer patient.
3. long-term alcoholic, psychotic and anemia of pregnant woman.
4. be associated with serious protopathy person such as cardiovascular and cerebrovascular vessel, breathing, urinary system and hemopoietic system.
5. the patient of under-18s or over-65s.
2 Therapeutic Method
2.1 treatment group
According to the pharmaceutical composition of the present invention of embodiment 1 preparation, dose, one time 3~4,3 times on the one.
2.2 matched group
Commercially available liver DAKANG PIAN, dose, one time 8~10,3 times on the one.
Be 6 courses of treatment observing time, and wherein some cases can extend the period of treatment to 1 year.Treatment was followed up a case by regular visits to 6 months after finishing.
Viewing duration is forbidden adding and is used immunologic function and the influential other medicines of virus replication. like interferon, thymus skin, virazole, acyclovir etc.
3 results
3.1 observation index
Observe hypochondriac pain, appetite, weak, abdominal distention, yellow cellulitis, hepatosplenomegaly, tongue fur, pulse condition etc. adopt the integration method record.Liver function index: alanine aminotransferase (ALT), aspartate amino transferase (AST), glutamyl transpeptidase (GGT), alkali phosphatase (ALP), serum bilirubin (TB), albumin (A), globulin (G); Nosetiology index (HBsAg, anti-HBs; HBeAg, anti-HBe, anti-HBe, the swimming of egg
white appliances; Hepatic fibrosis index: hyaluronic acid (HA), layer mucoprotein (LN) and IV Collagen Type VI.
3.2 comprehensive therapeutic effect evaluation criteria
Reply the normal again .HBV-DNA of (produce effects): ALT fully, HBeAg, HBsAg are all cloudy to be changeed; Part is replied normal again .HBV-DNA of (effectively): ALT and the cloudy commentaries on classics of HBeAg, but HBsAg is still positive; No response (invalid): do not reach These parameters person.
3.4 general curative effect analysis
In the treatment, the treatment after do not see any untoward reaction.
(1) symptom and sign: the treatment group respectively organize symptom all have in various degree improve P<0.01; Weak, the yellow cellulitis of matched group, abdominal distention also have certain improvement, P<0.05; Compare with matched group, pharmaceutical composition of the present invention can obviously improve patient's hypochondriac pain, poor appetite symptom .P<0.05 and see table 1).
Before and after table 8 treatment symptom, sign integration change (x ± s, n=100)
Compare * * P<0.01 before and after each group treatment; * P<0.05, treatment group and matched group be
P<0.05 relatively.
(2) comprehensive therapeutic effect:
Table 9 Comprehensive Treatment situation
Can find out that from above result medicine total effective rate of the present invention is significantly higher than the positive control medicine on the curative effect of treatment chronic hepatitis B.
3.5 liver function changes
Serum aminotransferase activity is for diagnosis of viral hepatitis.The understanding hepatocyte decreases the degree of going has certain reference value. and the transaminase often has rising when the hepatitis B activity.Medicine of the present invention and positive control medicine are to the change of chronic hepatitis B patient liver function, and the result sees the following form.
Liver function change before and after table 10 treatment (x ± s, n=100)
Annotate: each group is treated front and back relatively, * P<0.05
Can find out that from last table pharmaceutical composition of the present invention and positive control medicine have significance to improve to the chronic hepatitis B patient liver function, the effect of medicine of the present invention is superior to the positive control medicine.
3.6 hepatic fibrosis index changes
LN is an extracellular matrix glycoprotein, is the main component of basement membrane, with fibrosis, portal hypertension degree good dependency is arranged; HA is the important component of extracellular matrix. sensitivity, specificity to the diagnosis liver cirrhosis are higher; Synchronous detecting blood.Clear HA, LN, IV Collagen Type VI can react the degree of hepatic fibrosis basically.The result sees the following form:
Hepatic fibrosis index variation before and after table 11 treatment (x ± s, n=100)
Annotate: each group treatment front and back relatively; * P<0.05;
P<0.05 is compared with positive controls in * P<0.01.
Observed result shows: after drug group of the present invention and the treatment of positive controls case. hyaluronic acid (HA), layer mucoprotein (LN), IV Collagen Type VI hepatic fibrosis indexs such as (IVC) all have improvement in various degree.The serum HA that two groups of patients raise, LN, IV Collagen Type VI all, there were significant differences before the treatment.The positive control medicine that is superior to evident in efficacy of medicine of the present invention.
Can find out that from above clinical test results medicine of the present invention has better curative effect to the treatment of chronic hepatitis B, and does not have clinical adverse.
Following further explain technical scheme of the present invention, but therefore the present invention does not receive any restriction.
Specific embodiment
Embodiment 1
More than nine the flavor, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 1~3 time; Each 1~3 hour, collecting decoction was concentrated into relative density 1.20-1.40 (60 ℃), vacuum drying; Pulverize; With the Chinese caterpillar fungus bacterial filament powder mix homogeneously, add the various preparations that suitable adjuvant is prepared into clinical practice, comprise capsule, tablet, granule, oral liquid, soft capsule, drop pill, dispersible tablet, effervescent, slow releasing preparation etc.
Embodiment 2
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, and with the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulates, and promptly gets.
Embodiment 3
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, and with the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulates, and promptly gets.
Embodiment 4
More than nine the flavor, except that Chinese caterpillar fungus bacterial filament powder,
is inferior in decocte with water; Each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying; Pulverize; With the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulate, promptly get.
Embodiment 5
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction concentrated
To relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, with the Chinese caterpillar fungus bacterial filament powder mix homogeneously,
Incapsulate, promptly get.
Embodiment 6
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, and with the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulates, and promptly gets.
Embodiment 7
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, and with the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulates, and promptly gets.
Embodiment 8
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, and with the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulates, and promptly gets.
Embodiment 9
More than nine flavors, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying is pulverized, and with the Chinese caterpillar fungus bacterial filament powder mix homogeneously, incapsulates, and promptly gets.
Embodiment 10
More than nine the flavor, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times; Each 2 hours, collecting decoction was concentrated into relative density 1.36-1.38 (60 ℃), vacuum drying; Pulverize,, granulate with the Chinese caterpillar fungus bacterial filament powder mix homogeneously; Drying, granulate adds a small amount of magnesium stearate; Mixing,
clothing promptly gets.
Embodiment 11
More than nine the flavor, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours; Collecting decoction is concentrated into relative density 1.36-1.38 (60 ℃), and vacuum drying is pulverized, with the Chinese caterpillar fungus bacterial filament powder mix homogeneously; Fine drug powder and fused Macrogol 4000 are even according to 3: 7 mixed, 70~80 ℃ of insulations, at the uniform velocity, splash in the refrigerative liquid paraffin; Drop is liquid coolant to the greatest extent, and drying promptly gets drop pill.
Embodiment 12
More than nine the flavor, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours; Collecting decoction is concentrated into relative density 1.36-1.38 (60 ℃), and vacuum drying is pulverized; With the Chinese caterpillar fungus bacterial filament powder mix homogeneously, fine drug powder and vegetable oil add an amount of suspending agent according to 1: 1 mixed; Mixing is pressed into soft capsule, promptly gets.
Embodiment 13
More than nine the flavor, except that Chinese caterpillar fungus bacterial filament powder, decocte with water 2 times, each 2 hours; Collecting decoction is concentrated into relative density 1.36-1.38 (60 ℃), adds ethanol and makes and contain alcohol amount and reach 65%, leaves standstill 24h; Get supernatant and reclaim ethanol, vacuum drying is pulverized; With Chinese caterpillar fungus bacterial filament powder and appropriate amount of starch mix homogeneously, incapsulate, promptly get.
Claims (7)
5. treat the application in the chronic hepatic injury medicine like the medicine of the arbitrary said method preparation of claim 1-4 in preparation.
6. treat the application in the chronic hepatitis medicine like the medicine of the arbitrary said method preparation of claim 1-4 in preparation.
7. treat the application in the obstructive type icteric liver injury medicament like the medicine of the arbitrary said method preparation of claim 1-4 in preparation.
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