CN103599343B - A kind of pharmaceutical composition for the treatment of diabetes and its production and use - Google Patents
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Abstract
本发明提供了一种治疗糖尿病的药物组合物,它是由包含如下重量配比的原料药制备而成的制剂:黄连10-60份、天冬10-60份、地黄10-60份、乌梅10-60份、人参5-20份、肉桂2-12份。本发明还提供了该药物组合物的制备方法和用途。本发明试验表明,本发明药物组合物配伍精当,能有效降低血糖,其药效活性显著优于经典方连梅汤和交泰丸,为治疗糖尿病的临床用药提供了新的选择。The invention provides a pharmaceutical composition for treating diabetes, which is a preparation prepared from raw materials in the following weight proportions: 10-60 parts of Coptidis Rhizoma, 10-60 parts of Radix Asparagus, 10-60 parts of Rehmannia glutinosa, ebony plum 10-60 parts, 5-20 parts of ginseng, 2-12 parts of cinnamon. The invention also provides the preparation method and application of the pharmaceutical composition. The test of the present invention shows that the pharmaceutical composition of the present invention has precise compatibility, can effectively lower blood sugar, and its pharmacodynamic activity is significantly better than that of classic prescription Lianmei Decoction and Jiaotai Pill, providing a new choice for clinical medication for treating diabetes.
Description
技术领域technical field
本发明涉及一种治疗糖尿病的药物组合物及其制备方法和用途。The invention relates to a pharmaceutical composition for treating diabetes and its preparation method and application.
背景技术Background technique
糖尿病是由遗传因素、免疫功能紊乱、微生物感染及其毒素、自由基毒素、精神因素等各种致病因子作用于机体导致胰岛功能减退、胰岛素抵抗等而引发的糖、蛋白质、脂肪、水和电解质等一系列代谢紊乱综合征,其病理机制主要是胰岛素分泌缺陷或胰岛素作用缺陷。主要特点是血糖过高、糖尿、多尿、多饮、多食、消瘦、疲乏。糖尿病主要分为四大类,即1型糖尿病、2型糖尿病、其他特殊类型糖尿病和妊娠期糖尿病。近年来,糖尿病已成为继肿瘤、心脑血管疾病之后严重危害人类健康的第三大疾病。全球糖尿病患者人数逐年递增。2008年我国糖尿病患者有4300万,每年增加约120万人,每天增加约3000人,成为全球糖尿病患者人数第一大国。其中,2型糖尿病在糖尿病患者中占了约95%。因此,加大防治糖尿病,特别是2型糖尿病的力度已经成为当务之急。Diabetes is a combination of sugar, protein, fat, water, and A series of metabolic disorder syndromes such as electrolytes, the pathological mechanism is mainly insulin secretion defect or insulin action defect. The main features are hyperglycemia, diabetes, polyuria, polydipsia, polyphagia, weight loss, and fatigue. Diabetes is mainly divided into four categories, namely type 1 diabetes, type 2 diabetes, other specific types of diabetes and gestational diabetes. In recent years, diabetes has become the third major disease that seriously endangers human health after tumors and cardiovascular and cerebrovascular diseases. The number of people with diabetes worldwide is increasing year by year. In 2008, there were 43 million diabetic patients in my country, with an increase of about 1.2 million people every year, and an increase of about 3,000 people every day, becoming the country with the largest number of diabetic patients in the world. Among them, type 2 diabetes accounts for about 95% of diabetic patients. Therefore, increasing the prevention and treatment of diabetes, especially type 2 diabetes, has become a top priority.
目前,药物治疗2型糖尿病多以西药为主。主要有以下几类降糖药物,如胰岛素分泌促进剂,其代表药物为格列美脲、格列本脲(黄酰脲类药物);双胍类,代表药物为二甲双胍;胰岛素增敏剂,代表药物有曲格列酮、罗格列酮和吡格列酮(噻唑烷二酮类);小肠α-糖苷酶抑制剂,代表药物有拜糖平(阿卡波糖);醛糖还原酶抑制剂,代表药物有托瑞司他和依帕司他;非黄酰脲类促胰岛素分泌药,代表药物为瑞格列奈、那格列奈,等。西药治疗2型糖尿病,具有有效控制餐后血糖的优点,但长期服用,容易产生耐受性,也会对身体带来较大的副作用。At present, the drug treatment of type 2 diabetes is mostly based on western medicine. There are mainly the following types of hypoglycemic drugs, such as insulin secretion enhancers, whose representative drugs are glimepiride and glibenclamide (xanthylurea drugs); biguanides, whose representative drug is metformin; insulin sensitizers, whose representative drugs are Troglitazone, rosiglitazone, and pioglitazone (thiazolidinediones); small intestinal α-glucosidase inhibitors, representative drugs include Baisupine (acarbose); aldose reductase inhibitors, representative drugs are Torrestat and epalrestat; non-xanthyl urea insulin secretagogues, representative drugs are repaglinide, nateglinide, etc. Western medicines for the treatment of type 2 diabetes have the advantage of effectively controlling postprandial blood sugar, but long-term use can easily lead to tolerance and cause serious side effects on the body.
中药在治疗糖尿病上有一定的优势:毒副作用小,适于长期服用;药源广,不易产生耐受性。近年来,国内发现了具有降血糖作用的单味中药就已超过了60种,还相继开发出了多个降血糖中成药,例如,发明专利200710300014.5,发明名称:用于治疗糖尿病的中成药及其生产工艺,该专利公开了一种治疗糖尿病的中成药,它含有如下原料:麦冬、天冬、玄参、黄连、泽泻、茯苓、地骨皮、黄芪、山茱萸、枸杞子、干地黄、熟地黄、天花粉、人参、鹿茸、白僵蚕,它能增强机体对胰岛素的敏感性、降低血糖、血脂及调理脏器,滋补肝肾。专利申请号:97100874.4,发明名称:渴必消丸、渴必消膏的配方及生产方法,该申请中也提供了一种内外治结合治疗糖尿病的药物,其中,外用药的处方中包括生鳖甲、五味子、地骨皮、熟地黄、生地黄、天门冬、麦门冬、乌梅肉、何首乌、党参、黄连、玄参、黄芪、茯苓、知母、泽泻、苦参、葛根、山药、浮萍草、河蚌粉、猪胰腺等20多味药材。陆雄等研究发现,交泰丸(黄连:肉桂=1:1)对高糖高脂饲料喂养联合低剂量链脲佐菌素注射的大鼠2型糖尿病模型有降血糖和血清甘油三酯的作用,但对体重、胰岛素水平无显著影响,其机制可能与改善胰岛素敏感性有关(陆雄,等,交泰丸降糖作用的实验研究,辽宁中医杂志,2007年34卷9期)。Traditional Chinese medicine has certain advantages in the treatment of diabetes: less toxic and side effects, suitable for long-term use; wide source of medicine, not easy to develop tolerance. In recent years, more than 60 kinds of single traditional Chinese medicines with hypoglycemic effect have been discovered in China, and many Chinese patent medicines for hypoglycemia have been developed successively. Its production process, the patent discloses a Chinese patent medicine for treating diabetes, which contains the following raw materials: Ophiopogon japonicus, Asparagus, Scrophulariaceae, Coptis chinensis, Alisma, Poria, Digupi, Astragalus, Cornus officinalis, Lycium barbarum, Dried rehmannia glutinosa , rehmannia glutinosa, trichosanthum pollen, ginseng, pilose antler, and white silkworm, which can enhance the body's sensitivity to insulin, lower blood sugar, blood lipids, regulate organs, and nourish the liver and kidney. Patent application number: 97100874.4, invention name: formula and production method of Kebixiao pills and Kebixiao ointment. This application also provides a medicine for treating diabetes by combining internal and external treatment. A, Schisandra, Digupi, Rehmannia glutinosa, Rehmannia glutinosa, Asparagus, Ophiopogon japonicus, Black plum meat, Polygonum multiflorum, Codonopsis, Coptidis, Scrophulariaceae, Astragalus, Poria, Anemarrhena, Alisma, Sophora, Pueraria, Yam, Duckweed grass, mussel powder, pig pancreas and more than 20 herbs. Lu Xiong et al. found that Jiaotai Pills (Huanglian: Cinnamon = 1:1) had the effect of lowering blood sugar and serum triglycerides in the rat model of type 2 diabetes fed with high-sugar and high-fat diet combined with low-dose streptozotocin injection. However, it has no significant effect on body weight and insulin levels, and its mechanism may be related to the improvement of insulin sensitivity (Lu Xiong, et al., Experimental Research on the Hypoglycemic Effect of Jiaotai Pills, Liaoning Journal of Traditional Chinese Medicine, Volume 34, Issue 9, 2007).
发明内容Contents of the invention
本发明的目的在于提供一种治疗糖尿病的药物组合物及其制备方法和用途。The object of the present invention is to provide a pharmaceutical composition for treating diabetes and its preparation method and application.
本发明提供了一种治疗糖尿病的药物组合物,它是由包含如下重量配比的原料药制备而成的制剂:The invention provides a pharmaceutical composition for treating diabetes, which is a preparation prepared from raw materials comprising the following weight ratios:
黄连10-60份、天冬10-60份、地黄10-60份、乌梅10-60份、人参5-20份、肉桂2-12份。10-60 parts of coptis, 10-60 parts of asparagus, 10-60 parts of rehmannia glutinosa, 10-60 parts of black plum, 5-20 parts of ginseng, and 2-12 parts of cinnamon.
进一步地,它是由包含如下重量配比的原料药制备而成的制剂:Further, it is a preparation prepared from raw materials comprising the following weight ratios:
黄连30份、肉桂6份、人参15份、天冬30份、地黄30份、乌梅30份。30 parts of coptis, 6 parts of cinnamon, 15 parts of ginseng, 30 parts of asparagus, 30 parts of rehmannia glutinosa, and 30 parts of dark plum.
更进一步地,它是由如下重量配比的原料药制备而成的制剂:Furthermore, it is a preparation prepared from raw materials with the following weight ratio:
黄连25-35份、肉桂4-8份、人参12-18份、天冬25-35份、地黄25-35份、乌梅25-35份。Coptidis 25-35 parts, cinnamon 4-8 parts, ginseng 12-18 parts, asparagus 25-35 parts, rehmannia glutinosa 25-35 parts, ebony plum 25-35 parts.
优选地,它是由如下重量配比的原料药制备而成的制剂:Preferably, it is a preparation prepared from raw materials in the following weight ratio:
黄连30份、肉桂6份、人参15份、天冬30份、地黄30份、乌梅30份。30 parts of coptis, 6 parts of cinnamon, 15 parts of ginseng, 30 parts of asparagus, 30 parts of rehmannia glutinosa, and 30 parts of dark plum.
更进一步地,所述地黄选自生地黄。Further, the rehmannia glutinosa is selected from raw rehmannia glutinosa.
该药物组合物中,黄连,苦寒降糖,为君药;乌梅,味酸,降糖生津;生地,清热凉血养阴生津;天冬,养阴生津;共为臣药;人参,保护胰岛细胞,大补元气;肉桂,温补命门,制约黄连苦寒之性味;与黄连共用,交通心肾,共为佐药。上述各药配伍后,发挥了协同作用,药效作用显著增强。In the medicinal composition, Coptis chinensis, bitter cold and hypoglycemic, is the monarch drug; ebony, sour, hypoglycemic and promotes fluid; Shengdi, clearing heat and cooling blood, nourishing yin and promoting fluid; asparagus, nourishing yin and promoting fluid; a total of ministerial drugs; ginseng, protecting pancreatic islets Cells, nourishing vital energy; cinnamon, warming and nourishing vitality, restricting the bitter and cold nature and flavor of Coptis chinensis; shared with Coptidis chinensis, it communicates with the heart and kidney, and is an adjuvant drug. After the above-mentioned medicines are compatible, they play a synergistic effect, and the drug effect is significantly enhanced.
本发明还提供了上述药物在制备降血糖的药物或/和保健品中的用途。The present invention also provides the application of the above-mentioned medicine in the preparation of medicine or/and health care product for lowering blood sugar.
进一步地,所述药物或/和保健品是治疗或预防糖尿病的药物或/和保健品。Further, the medicine or/and health product is a medicine or/and health product for treating or preventing diabetes.
更进一步地,所述糖尿病为2型糖尿病。Furthermore, the diabetes is type 2 diabetes.
本发明试验表明,本发明药物组合物配伍精当,能有效降低血糖,其药效活性显著优于经典方连梅汤和交泰丸,为治疗糖尿病的临床用药提供了新的选择。The test of the present invention shows that the pharmaceutical composition of the present invention has precise compatibility, can effectively lower blood sugar, and its pharmacodynamic activity is significantly better than that of classic prescription Lianmei Decoction and Jiaotai Pill, providing a new choice for clinical medication for treating diabetes.
具体实施方式Detailed ways
实施例1本发明药物组合物的制备The preparation of embodiment 1 pharmaceutical composition of the present invention
取黄连30g、肉桂6g、人参15g、天冬30g、生地黄30g、乌梅30g;加入8倍量水煎煮3次,每次0.5h,合并水煎液,滤过,滤液浓缩后,加适当可溶性淀粉,制粒。Take 30g of Coptis chinensis, 6g of cinnamon, 15g of ginseng, 30g of asparagus, 30g of rehmannia glutinosa, and 30g of black plum; add 8 times the amount of water and decoct 3 times, each time for 0.5h, combine the decoction, filter, and after the filtrate is concentrated, add appropriate amount Soluble starch, granulated.
实施例2本发明药物组合物的制备The preparation of embodiment 2 pharmaceutical composition of the present invention
取黄连30g、肉桂6g、人参15g、天冬30g、生地黄30g、乌梅30g;加入8倍量水煎煮3次,每次0.5h,合并水煎液,滤过,滤液浓缩、干燥后,加入适量微晶纤维素,混匀,装胶囊。Take 30g of Coptis chinensis, 6g of cinnamon, 15g of ginseng, 30g of asparagus, 30g of rehmannia glutinosa, and 30g of ebony plum; add 8 times the amount of water and decoct 3 times, each time for 0.5h, combine the decoction, filter, concentrate the filtrate, and dry, Add an appropriate amount of microcrystalline cellulose, mix well, and pack into capsules.
实施例3本发明药物组合物的制备The preparation of embodiment 3 pharmaceutical composition of the present invention
取黄连35g、肉桂4g、人参12g、天冬25g、生地黄25g、乌梅25g,加80%v/v乙醇回流提取2次,醇提液备用;药渣加入8倍量水煎煮2次,合并水煎液;醇提液回收乙醇后,与水煎液合并,浓缩后,加适当可溶性淀粉,制粒,即得颗粒剂。Take 35g of Coptis chinensis, 4g of cinnamon, 12g of ginseng, 25g of asparagus, 25g of rehmannia glutinosa, and 25g of ebony plum, add 80% v/v ethanol for reflux extraction twice, and use the alcohol extract for later use; Combine the water decoction; recover ethanol from the ethanol extract, combine with the water decoction, concentrate, add appropriate soluble starch, and granulate to obtain granules.
实施例4本发明药物组合物的制备Embodiment 4 Preparation of the pharmaceutical composition of the present invention
取黄连25g、肉桂8g、人参18g、天冬35g、生地黄35g、乌梅35g,打粉,过筛,加入适量微晶纤维素,混匀,装胶囊即得胶囊剂。Take 25g of Coptis chinensis, 8g of cinnamon, 18g of ginseng, 35g of asparagus, 35g of rehmannia glutinosa, and 35g of black plum, grind into powder, sieve, add appropriate amount of microcrystalline cellulose, mix well, and pack into capsules to obtain capsules.
以下通过试验例具体说明本发明的有益效果。The beneficial effects of the present invention will be specifically described below through test examples.
试验例1糖尿病的治疗作用Therapeutic effect of test example 1 diabetes
1、试验药物1. Experimental drug
黄连组:取黄连单味药材适量Coptidis group: take appropriate amount of Coptidis single herbs
乌梅组:取乌梅单味药材适量Dark plum group: take an appropriate amount of single herbal medicine of dark plum
交泰丸组:黄连:肉桂=30:30Jiaotai pill group: coptis: cinnamon = 30:30
连梅汤组:云连:乌梅:麦冬:生地:阿胶=30:45:45:45:30Lianmei soup group: Yunlian: Wumei: Ophiopogon japonicus: Habitat: donkey-hide gelatin=30:45:45:45:30
黄连+乌梅组:黄连:乌梅=30:30Coptidis + ebony group: Coptidis: ebony = 30:30
生地+天冬+黄连+乌梅组,生地:天冬:黄连:乌梅=30:30:30:30Habitat + asparagus + coptis + ebony group, habitat: asparagus: coptis: ebony = 30:30:30:30
生地+天冬+黄连+乌梅+人参+肉桂组,生地:天冬:黄连:乌梅=30:30:30:30:15:6Habitat + Asparagus + Coptidis + Black Plum + Ginseng + Cinnamon Group, Habitat: Asparagus: Coptidis: Dark Plum = 30:30:30:30:15:6
上述各组药材,分别加8倍水煎煮3次,合并水煎液,适量浓缩后,备用,即为试验药物。The above-mentioned medicinal materials of each group were decocted for 3 times with 8 times of water respectively, and the decoctions were combined, concentrated in an appropriate amount, and set aside for later use, which was the test drug.
2、试验方法2. Test method
实验分8组,每组12只Wistar大鼠,采用腹腔注射STZ55mg/Kg造模。除模型组外,所有治疗大鼠均中药灌胃8周(W),各中药组剂量均为20mg/Kg(此剂量以原生药计算)。检测空腹血糖(FPG)和餐后2h血糖(2hPG)。The experiment was divided into 8 groups, 12 Wistar rats in each group, and the model was established by intraperitoneal injection of STZ55mg/Kg. Except for the model group, all treated rats were given Chinese medicine for 8 weeks (W), and the dose of each Chinese medicine group was 20mg/Kg (the dose was calculated based on the original medicine). Fasting blood glucose (FPG) and 2h postprandial blood glucose (2hPG) were detected.
3、试验结果3. Test results
参见下表。See table below.
表1Table 1
统计软件SPSS16.0,统计方法:单因素方差比较。统计结果:Statistical software SPSS16.0, statistical method: one-way variance comparison. statistical results:
黄连+乌梅组与黄连组比较,P<0.05;Coptidis+black plum group compared with Coptidis group, P<0.05;
黄连+乌梅组与乌梅组比较,P<0.01;Coptidis+black plum group compared with dark plum group, P<0.01;
黄连+乌梅组与连梅汤组比较,P>0.05;Coptidis+black plum group compared with Lianmei decoction group, P>0.05;
生地+天冬+黄连+乌梅组与黄连组比较,P<0.01;The comparison between Shengdi + Asparagus + Coptidis + Wumei group and Coptidis group, P<0.01;
生地+天冬+黄连+乌梅组与乌梅组比较,P<0.01;Shengdi + Asparagus + Coptidis + Wumei group compared with Wumei group, P<0.01;
生地+天冬+黄连+乌梅组与连梅汤比较,P<0.05;Compared with Lianmei decoction, Shengdi + Asparagus + Coptis chinensis + Wumei group, P<0.05;
生地+天冬+黄连+乌梅组与交泰丸组比较,P>0.05;Shengdi + Asparagus + Coptidis + Wumei group compared with Jiaotai Pill group, P>0.05;
生地+天冬+黄连+乌梅+人参+肉桂组与连梅汤组比较,P<0.05;The comparison between Shengdi + Asparagus + Coptidis + Black Plum + Ginseng + Cinnamon group and Lianmei Decoction group, P<0.05;
生地+天冬+黄连+乌梅+人参+肉桂组与交泰丸组比较,P<0.05;Shengdi + asparagus + coptis + black plum + ginseng + cinnamon group compared with Jiaotai pill group, P<0.05;
生地+天冬+黄连+乌梅+人参+肉桂组与黄连组比较,P<0.01;Shengdi + asparagus + coptis + black plum + ginseng + cinnamon group compared with the coptis group, P<0.01;
生地+天冬+黄连+乌梅+人参+肉桂组与乌梅组比较,P<0.01;Shengdi + asparagus + coptis + ebony + ginseng + cinnamon group compared with ebony group, P<0.01;
模型组与各组比较P<0.01。P<0.01 between the model group and each group.
由上述结果可知:It can be seen from the above results that:
(1)本发明中将黄连与乌梅联合使用后,其降糖作用明显优于黄连、乌梅单用,表明两者配伍后发挥了协同增效作用;同时,与经典方连梅汤相比,本发明黄连乌梅组明显缩减了药味,且改变了黄连和乌梅的配伍用量,其药效活性与连梅汤相当。(1) In the present invention, after the joint use of Coptis chinensis and ebony plum, its hypoglycemic effect is obviously better than that of Coptis chinensis and ebony plum, which shows that the combination of the two has played a synergistic effect; at the same time, compared with the classic Fanglianmei decoction, the present invention Coptidis ebony group significantly reduced the medicinal taste, and changed the compatible dosage of Coptis chinensis and ebony plum, and its medicinal activity was equivalent to that of Lianmei decoction.
(2)本发明将黄连、乌梅与生地、天冬配伍使用后,其降糖作用明显优于单味药物,表明上述配伍发挥了协同增效作用;同时,与经典方连梅汤相比,其餐后2h血糖值更低,且组间比较有统计学意义(p<0.05),说明本发明组合物药效作用更强。(2) After the combination of Coptis chinensis and black plum with Shengdi and Asparagus in the present invention, its hypoglycemic effect is obviously better than that of single medicine, indicating that the above-mentioned compatibility has played a synergistic effect; at the same time, compared with the classic Fang Lianmei soup, its meal The blood glucose level in the next 2 hours was lower, and the comparison between the groups was statistically significant (p<0.05), indicating that the composition of the present invention has a stronger medicinal effect.
(3)本发明将黄连、乌梅与生地、天冬、人参、肉桂配伍使用后,其降糖作用明显优于经典方连梅汤和交泰丸,表明上述药物配伍后,发挥了协同作用,药效作用显著增强。(3) The hypoglycemic effect of Coptis chinensis and ebony plum combined with Shengdi, Asparagus, ginseng and cinnamon in the present invention is significantly better than that of the classic prescription Lianmei Decoction and Jiaotai Pills, indicating that the above-mentioned medicines have played a synergistic effect after being compatible. The effect is significantly enhanced.
本发明试验表明,本发明药物组合物配伍精当,能有效降低血糖,其药效活性显著优于经典方连梅汤和交泰丸,为治疗糖尿病的临床用药提供了新的选择。The test of the present invention shows that the pharmaceutical composition of the present invention has precise compatibility, can effectively lower blood sugar, and its pharmacodynamic activity is significantly better than that of classic prescription Lianmei Decoction and Jiaotai Pill, providing a new choice for clinical medication for treating diabetes.
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养阴法在消渴病各阶段治疗中的应用;张龙等;《辽宁中医药大学学报》;20120331;第14卷(第3期);148-150 * |
黄连为主药系列经方在糖尿病辩证中的运用;仝小林;《中医杂志》;20130228;第54卷(第3期);209-211 * |
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