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CN103721102A - Chinese patent medicine for treating vascular dementia and preparation method thereof - Google Patents

Chinese patent medicine for treating vascular dementia and preparation method thereof Download PDF

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CN103721102A
CN103721102A CN201310734509.4A CN201310734509A CN103721102A CN 103721102 A CN103721102 A CN 103721102A CN 201310734509 A CN201310734509 A CN 201310734509A CN 103721102 A CN103721102 A CN 103721102A
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vascular dementia
extraction
treatment
cornus
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CN103721102B (en
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胡久略
卞华
史马广寒
张延英
张瓅方
马长德
路鹏
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Nanyang Institute of Technology
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Abstract

本发明公开了一种治疗血管性痴呆的中成药及其制备方法,是由下述重量组份的原料配制而成:熟地15~20份,山萸肉10~15份,黄芪8~12份,丹参12~18份,红花9~15份,川芎9~15份,竹茹6~12份,石菖蒲6~12份,甘草4~10份。本发明的药物具有益气补肾、祛瘀化痰、醒脑开窍的功效,能够改善血管性痴呆患者临床症状,对血管性痴呆患者的中医证候积分、认知能力、日常生活能力和脑神经递质均有改善作用,总有效率达85.4%,治疗血管性痴呆效果可靠,无明显毒副作用,并且生物利用度高,可控性和稳定性好。The invention discloses a Chinese patent medicine for treating vascular dementia and a preparation method thereof, which is prepared from raw materials with the following weight components: 15-20 parts of rehmannia glutinosa, 10-15 parts of cornus, and 8-12 parts of astragalus , 12~18 parts of Salvia miltiorrhiza, 9~15 parts of safflower, 9~15 parts of Chuanxiong, 6~12 parts of Zhuru, 6~12 parts of Shichangpu, and 4~10 parts of licorice. The medicine of the present invention has the effects of nourishing qi and tonifying the kidney, dispelling blood stasis and resolving phlegm, refreshing the brain and resuscitating the brain, can improve the clinical symptoms of patients with vascular dementia, and can improve the TCM syndrome scores, cognitive ability, daily living ability and cranial nerve function of patients with vascular dementia. All the transmitters have improvement effect, the total effective rate reaches 85.4%, the treatment effect of vascular dementia is reliable, there is no obvious side effect, and the bioavailability is high, and the controllability and stability are good.

Description

A kind of Chinese patent medicine for the treatment of vascular dementia and preparation method thereof
Technical field
The present invention relates to Chinese medicine technical field, particularly a kind of Chinese patent medicine for the treatment of vascular dementia and preparation method thereof.
Background technology
Vascular dementia (Vascular Dementia, VD) be the brain tissue damage being caused by a series of cerebrovascular diseases and a kind of dementia syndrome producing, being after intelligence fully develops, being caused the result of degeneration by the infringement of apoplexy, is one of main Types of senile dementia.With when anything crops up forgetful, can not be directed, misinterpretation, the mental disorder disease that the poor grade of computing power is principal character, wherein hypomnesis is early stage core symptom [1].Epidemiological study shows, VD sickness rate sharply rose along with the age, and dull-witted high prevalence and sickness rate have brought serious burden to family and society.Along with the development of social senilization, paralytic increases, and VD has become the main Types of China's dementia, and existing patient more than 500 ten thousand people not yet find the antidementia agent of desirable improvement intelligence up to now.Therefore, control VD, the quality of life of reducing sickness rate and improving patient has important social meaning and realistic meaning.
Modern medicine control VD mainly adopts the Comprehensive Treatment of controlling underlying diseases, improving the dementia such as cerebral circulation and brain protection.But because some pathways of drug action is not yet clear and definite, side effect is obvious, late result needs to be evaluated, and expensive, they often are only confined to control the aspects such as underlying diseases, it not plays a role for the pathogenetic each link of VD, thereby be difficult to obtain satisfied prevention effect, so seriously restricted its clinical practice.And tcm clinical control VD toxic and side effects is little, medicine source is abundant, cheap, and the adjusting allomeric function of energy multipath, too many levels, many target spots, improves clinical symptoms, in control VD, has demonstrated unique advantage.Therefore, develop the Chinese patent medicine of a kind of VD for the treatment of, will produce huge economic and social benefit.
Summary of the invention
For the problems referred to above, the object of the invention is just to provide the Chinese patent medicine of the treatment vascular dementia that a kind of curative effect is reliable, toxic and side effects is little, with low cost.
Another object of the present invention provides a kind of preparation method of Chinese patent medicine for the treatment of vascular dementia.
The technical scheme that the present invention addresses the above problem employing is, a kind of Chinese patent medicine for the treatment of vascular dementia is characterized in that being that the raw material Chinese medicine by following weight portion makes:
15 ~ 20 parts, Radix Rehmanniae Preparata, 10 ~ 15 parts of Fructus Corni, 8 ~ 12 parts of the Radixs Astragali, 12 ~ 18 parts of Radix Salviae Miltiorrhizaes, 9 ~ 15 parts, Flos Carthami, 9 ~ 15 parts of Rhizoma Chuanxiongs, 6 ~ 12 parts of Caulis Bambusae In Taenia, 6 ~ 12 parts of Rhizoma Acori Graminei, 4 ~ 10 parts, Radix Glycyrrhizae; Fructus Corni, Rhizoma Acori Graminei and Caulis Bambusae In Taenia in said ratio prescription carries out the following method process of preparing Chinese medicine in use: Fructus Corni wine steams method; Rhizoma Acori Graminei is fried method with wheat bran; Caulis Bambusae In Taenia processed with Rhizoma Zingiberis Recens.
More preferably:
18 parts, Radix Rehmanniae Preparata, 12 parts of Fructus Corni, 10 parts of the Radixs Astragali, 15 parts of Radix Salviae Miltiorrhizaes, 12 parts, Flos Carthami, 12 parts of Rhizoma Chuanxiongs, 10 parts of Caulis Bambusae In Taenia, 9 parts of Rhizoma Acori Graminei, 6 parts, Radix Glycyrrhizae.
A preparation method for the Chinese patent medicine for the treatment of vascular dementia, is characterized in that preparing in the steps below:
1. get Rhizoma Acori Graminei, Rhizoma Chuanxiong two taste medicines, adopt supercritical CO 2method extraction volatile oil, gets two taste medicinal powders by above-mentioned dose, drops in extraction kettle, and separating still pressure is 5.5~6.0MPa, and extraction kettle pressure is 15MPa, 30 ℃ of extraction kettle temperature, and separating still temperature is identical with extraction kettle, regulates CO 2flow is 25.00L/h, and when extraction kettle pressure reaches 15MPa, first static extracting 30min, then dynamic extraction 3h, obtain volatile oil, and medicinal residues are standby;
2. by step 1 Chinese medicine slag and Radix Rehmanniae Preparata, Fructus Corni, the Radix Astragali, Radix Salviae Miltiorrhizae, Flos Carthami, Caulis Bambusae In Taenia, Radix Glycyrrhizae, merge to drop in extraction pot and carry out water extraction, add 6 ~ 9 times of amount drinking waters, infiltrate 1h, then heated and boiled is extracted 2h, extracting solution is put into concentration tank through filter screen, add 6 times of amount drinking waters again and extract 2h, secondary raffinate is also put into concentration tank through filter screen, and then concentrating under reduced pressure becomes cream, put in cleaner, standby;
3. take beta-schardinger dextrin-, add distilled water, its mass ratio is beta-schardinger dextrin-: distilled water=1:25, is heated to boiling, dissolve, then be cooled to 45 ℃, get volatile oil prepared by step 1, in mass ratio beta-schardinger dextrin-: volatile oil=6:1 adds, constant temperature stirs 1h, cold preservation 24h, filters, and precipitate is drying to obtain clathrate below in 50 ℃;
4. the clathrate of being prepared by step 3 adds in ointment prepared by step 2, then with sucrose, mixes, and granulates;
5. above-mentioned granule is dried (60 ± 5 ℃), then always mixed, granulate, subpackage and get final product.
The using method of this granule is: per day for adults 3 times, each 10g, one after each meal.
Medicine of the present invention is being studied successive dynasties document and is summing up on the basis of clinical practice for many years, using drugs to form a prescription, wherein the special beneficial essence of Radix Rehmanniae Preparata merit is filled out marrow, nourishing YIN and supplementing blood, the function with anti-cerebral ischemia damnification and raising learning and memory, can reduce model mouse cerebral tissue MDA content and AchE activity, increases Ach content in brain, improve central cholinergic system function, thereby produce nootropic effect; Fructus Corni is the good merchantable brand of benefiting essence-blood, invigorating the liver and kidney, and they are different extracts compositions and can improve the ability of learning and memory of VD Mus due to chronic cerebral ischemia, suppresses AchE activity of hippocampus activity, the effect of performance neuroprotective unit; The Radix Astragali can strongly invigorating primordial QI, the Fructus Alpiniae Oxyphyllae of calming the nerves, thereby astragaloside can improve ability of learning and memory by the synaptic density that increases Hippocampus; Flos Carthami has the merit of blood circulation promoting and blood stasis dispelling, and its main component Carthamus yellow, S-A Hydroxysafflor yellow A have obvious protective effect to focal cerebral ischemia, can improve rats with cerebral ischemia behavioristics's symptom, alleviate ischemia and reduce histo pathological change due to its cerebral infarct size; Rhizoma Chuanxiong is the gas medicine in blood, there is promoting flow of QI and blood, the merit of wind-expelling pain-stopping, its main extract ligustrazine (TMP) easily sees through blood brain barrier, can significantly alleviate leukocyte and the vascular endothelial cell adhesion of cerebral ischemia reperfusion injury, and suppress the expression of inflammatory cell release proinflammatory factor (as TNF-ɑ), remove free radical, the generation of lowering NO, alleviates the inflammatory reaction of peripheral tissues; Radix Salviae Miltiorrhizae has the merit of removing heat from blood and promoting blood circulation, nourishing blood to tranquillize the mind, and its effective ingredient TANSHINONES can anti-cerebral ischemia, cerebral anoxia, has the effects such as the microcirculation of improvement, and the danshensu in its water-soluble bolt composition significantly anti-platelet aggregation, antithrombotic forms, promotes fibrinolytic activeness; Rhizoma Acori Graminei have eliminate the phlegm have one's ideas straightened out, the merit of removing dampness to restore normal function of the stomach, the mind calming and mentality promoting, its total volatile oil, the decoct that deoils, beta-Asarone, a-asaricin all have improvement in various degree to various dysmnesia models; The effect that Caulis Bambusae In Taenia has clearing heat and relieving fidgetness, eliminates the phlegm and have one's ideas straightened out, its extract can improve learning and memory function; Radix Glycyrrhizae QI invigorating and in, coordinating the actions of various ingredients in a prescription.Said medicine combination makes each efficacy of drugs produce synergism, thereby plays the merit of vital energy benefiting and the kidney invigorating, dissipating phlegm and removing blood stasis, consciousness-restoring and orifice-opening.
Abundant raw materials of the present invention, preparation method is simple, cheap, patient's taking convenience, clinical efficacy is remarkable, and bioavailability is high, and controllability and good stability are the innovations on treatment vascular dementia medicine.
The specific embodiment
Below in conjunction with embodiment, the specific embodiment of the present invention is elaborated.
Embodiment 1
Treat a Chinese patent medicine for vascular dementia, by the raw material Chinese medicine of following weight portion, made:
Radix Rehmanniae Preparata 18g, Fructus Corni 12g, Radix Astragali 9g, Radix Salviae Miltiorrhizae 15g, Flos Carthami 12g, Rhizoma Chuanxiong 12g, Caulis Bambusae In Taenia 6g, Rhizoma Acori Graminei 9g, Radix Glycyrrhizae 6g.Fructus Corni, Rhizoma Acori Graminei and Caulis Bambusae In Taenia in said ratio prescription carries out the following method process of preparing Chinese medicine in use: Fructus Corni wine steams method; Rhizoma Acori Graminei is fried method with wheat bran; Caulis Bambusae In Taenia processed with Rhizoma Zingiberis Recens.
Above-mentioned raw materials Chinese medicine is prepared as follows:
1. get Rhizoma Acori Graminei, Rhizoma Chuanxiong two taste medicines, adopt supercritical CO 2method extraction volatile oil, gets two taste medicinal powders by above-mentioned dose, drops in extraction kettle, and separating still pressure is 5.5~6.0MPa, and extraction kettle pressure is 15MPa, 30 ℃ of extraction kettle temperature, and separating still temperature is identical with extraction kettle, regulates CO 2flow is 25.00L/h, and when extraction kettle pressure reaches 15MPa, first static extracting 30min, then dynamic extraction 3h, obtain volatile oil, and medicinal residues are standby;
2. step 1 Chinese medicine slag and Radix Rehmanniae Preparata, Fructus Corni, the Radix Astragali, Radix Salviae Miltiorrhizae, Flos Carthami, Caulis Bambusae In Taenia, Radix Glycyrrhizae merging are dropped in extraction pot and carry out water extraction, add 6 ~ 9 times of amount drinking waters, infiltrate 1h, heated and boiled is extracted 2h again, and extracting solution is put into concentration tank through filter screen, then adds 6 times of amount drinking waters extraction 2h, secondary raffinate is also put into concentration tank through filter screen, then concentrating under reduced pressure becomes cream, puts in cleaner, standby;
3. take beta-schardinger dextrin-, add distilled water, its mass ratio is beta-schardinger dextrin-: distilled water=1:25, is heated to boiling, dissolve, then be cooled to 45 ℃, get volatile oil prepared by step 1, in mass ratio beta-schardinger dextrin-: volatile oil=6:1 adds, constant temperature stirs 1h, cold preservation 24h, filters, and precipitate is drying to obtain clathrate below in 50 ℃;
4. the clathrate of being prepared by step 3 adds in ointment prepared by step 2, then with sucrose, mixes, and granulates;
5. above-mentioned granule is dried (60 ± 5 ℃), then always mixed, granulate, subpackage and get final product.
Embodiment 2
Treat a Chinese patent medicine for vascular dementia, by the raw material Chinese medicine of following weight portion, made: Radix Rehmanniae Preparata 20g, Fructus Corni 15g, Radix Astragali 10g, Radix Salviae Miltiorrhizae 12g, Flos Carthami 15g, Rhizoma Chuanxiong 15g, Caulis Bambusae In Taenia 9g, Rhizoma Acori Graminei 10g, Radix Glycyrrhizae 9g.Fructus Corni, Rhizoma Acori Graminei and Caulis Bambusae In Taenia in said ratio prescription carries out the following method process of preparing Chinese medicine in use: Fructus Corni wine steams method; Rhizoma Acori Graminei is fried method with wheat bran; Caulis Bambusae In Taenia processed with Rhizoma Zingiberis Recens.
Preparation method: with embodiment 1.
Embodiment 3
Treat a Chinese patent medicine for vascular dementia, by the raw material Chinese medicine of following weight portion, made: Radix Rehmanniae Preparata 15g, Fructus Corni 10g, Radix Astragali 8g, Radix Salviae Miltiorrhizae 10g, Flos Carthami 9g, Rhizoma Chuanxiong 12g, Caulis Bambusae In Taenia 6g, Rhizoma Acori Graminei 9g, Radix Glycyrrhizae 5g.Fructus Corni, Rhizoma Acori Graminei and Caulis Bambusae In Taenia in said ratio prescription carries out the following method process of preparing Chinese medicine in use: Fructus Corni wine steams method; Rhizoma Acori Graminei is fried method with wheat bran; Caulis Bambusae In Taenia processed with Rhizoma Zingiberis Recens.
Preparation method: with embodiment 1.
Medicine major function of the present invention and treatment disease:
1. major function: vital energy benefiting and the kidney invigorating, eliminate stagnation and dissolve phlegm, consciousness-restoring and orifice-opening.
2. treatment disease: vascular dementia, Chinese medical discrimination is shenxu-tanyu type.
3. usage and consumption: per day for adults 3 times, each 10g, one after each meal.
The clinical observation of medicine of the present invention:
Use Chinese medicine granules treatment vascular dementia of the present invention, patient's taking convenience, good effect, has no side effect, and concrete relevant clinical data of the present invention is as follows:
1. patient clinical data
(1) physical data
Choose VD patient's 70 examples that Affiliated Hospital of Nanyang Institute of Technology in year March in May, 2010 to 2012, Nanyang institute of traditional Chinese medicine meet inclusive criteria, adopt SPSS14.0 statistical package that treatment group and matched group are produced to random coded in the ratio of 5: 2 by method of randomization, according to this random number, by testing irrelevant personnel with this, medicine encoded and preserve random table, during clinical research, by the medicine numbering of distributing and the selected order of case, using successively.Wherein treatment group 50 examples, man's 32 examples, female's 18 examples, matched group 20 examples, man's 14 examples, female's 6 examples, rejecting data is incomplete, 4 examples such as do not take medicine in accordance with regulations, meet totally 66 examples that research requires, wherein treatment group 47 examples, matched group 19 examples, two groups of patients have comparability at equal not statistically significants of aspect difference (P > 0.05) such as sex, age, the cerebrovascular course of disease, the dull-witted course of disease, schooling, common merging diseases.
(2) diagnostic criteria
Figure 2013107345094100002DEST_PATH_IMAGE001
vascular dementia (VD) is according to the Americanism morbidity statistics of American Psychiatric Association (APA) in 1994 formulation and the 4th edition (DSM-IV) standard diagnostics of diagnosis handbook.
2. the dialectical standard of traditional Chinese medical science shenxu-tanyu type is with reference to " vascular dementia diagnosis, differentiation of symptoms and signs for classification of syndrome and efficacy assessment standard " (tentative program) of < < new Chinese medicine guideline of clinical investigations (try) > > in 2002 and the formulation of neurological branch of China Association of Traditional Chinese Medicine.
3. inclusive criteria: a, meet VD diagnostic criteria; B, age 50-80 year; C, in Cerebral Vascular Disease 3 months, occur dull-wittedly, and dementia symptom continues more than 3 months d, meets the dialectical standard of traditional Chinese medical science shenxu-tanyu type; E, stop using western medicines in treatment at least January.
4. exclusion standard: a, be associated with severe cardiac, lung, renal dysfunction, disease of hematopoietic system, and other Organ dysfunctions person; Dementia due to b, other sacred disease and systemic disease; C, merging depression person; The Chinese and western drugs person of d, recent application other treatment dementia.
2. method
(1) Therapeutic Method
Matched group: give hydergine tablet oral (Tianjin Hua Jin pharmaceutical factory produces, 1mg/ sheet), 2 pieces/times, every day 3 times.Treatment group: give Chinese medicine granules of the present invention, every day 3 times, each 10g.Decocting divides sooner or later each 1 clothes.Two groups of equal medications 2 months, two groups during treating, except with hypertension, diabetes or be associated with and infect class Disease and can add depressor, antidiabetic drug or anti-infective beyond the region of objective existence, other drug is stopped using without exception.
(2) observation index and method
MMSE integration: evaluation cognitive competence and disturbance of intelligence are improved situation, changes and judges its curative effect according to the integrated value before and after its treatment, efficacy determination method and standard foundation, the dialectical and curative effect determinate standard of the diagnosis of vascular dementia;
Evaluation of activities of daily living: adopt < < activity of daily living (ADL) scale > >, comprise instrumental activity of daily living (IADL) and two parts of corporality activity of daily living (PSMS), the activity of daily living for the treatment of Patients Before And After is tested and assessed;
Tcm syndrome integration evaluation: evaluate two groups of patient treatments front and back tcm syndrome integrations;
In brain, neurotransmitter is measured: mainly measure acetylcholine and monoamine neurotransmitter inhibin (INH), excitatory transmitter 5-hydroxy tryptamine (5-HT), dopamine (DA), norepinephrine (NE), acetylcholine (ACH) etc., each detection 1 time before and after treatment;
Safety indexes: untoward reaction during basic vital signs, medication.
(3) criterion of therapeutical effect
MMSE curative effect determinate standard: according to integration before and after scale treatment, be divided into effective to treat rear MMSE total score increase >=5; Increasing by 4~2 is divided into effectively; Increase≤2 points or drop to invalid.20 evaluation criterias of ADL viability: be divided into effective to treat rear ADL total score decline >=6; Decline 5~3 is divided into effectively; 3 points of decline < or ascensionist are invalid.
Evaluation of activities of daily living standard: Barthel scoring method by ADL ability be divided into good, in, differ from 3 grades: be greater than 60 be divided into good; 60~41 are divided into, and have dysfunction, slightly rely on; Be less than 40 and be divided into poorly, rely on more obviously or completely and rely on.
(4) safety evaluatio
1 grade is safety, without any untoward reaction; 2 grades is safer, if any untoward reaction, does not need to do any processing and can continue administration; 3 grades is to have safety issue, has moderate untoward reaction, after processing, can continue administration; 4 grades is to end to observe because of untoward reaction.
(5) statistical method mean ± standard deviation for data (
Figure 2013107345094100002DEST_PATH_IMAGE003
± s) represent.Adopt SPSS14.0 statistical package statistical analysis, enumeration data adopts χ 2check, measurement data adopts t check.
3. result
(1) two groups of cognitive ability curative effect comparison
Treatment group 48 examples, effective 15 examples, effective 26 examples, invalid 7 examples, total effective rate 85.42%, matched group 20 examples, effective 5 examples, effective 11 examples, invalid 4 examples, 80%, two group of comparing difference not statistically significant P < 0.05 of total effective rate
MMSE integral contrast before and after (2) two groups of treatments
Table 1 shows, after treatment group treatment, calculating and total mark are all obviously improved (P < 0.05) compared with matched group, two groups of orientations, memorize and language integral contrast difference not statistically significant (P < 0.05), treatment group is except language integration, all other and total mark are all obviously improved (P < 0.05 or P < 0.01) before treatment, the directed integration of matched group and total mark are treated obviously (P < 0.05) of front improvement, other every integrations and the front comparing difference not statistically significant (P < 0.05) for the treatment of.
MMSE integral contrast before and after table 1 liang group VD patient treatment (point,
Figure 219021DEST_PATH_IMAGE003
± s)
Figure 930081DEST_PATH_IMAGE001
Note: this group and the front relatively * P for the treatment of < 0.05, * * P < 0.01; With comparison Δ P < 0.05 after treatment of control group.Activity of daily living and tcm syndrome integral contrast before and after (3) two groups of treatments
Table 2 shows, after treatment group treatment, PSMS integration improves obviously (P < 0.05) compared with matched group, two groups of ADL, IADL integration statistical discrepancy not statistically significant (P < 0.05), treatment group ADL, IADL integration are treated obviously (P < 0.05) of front improvement, treatment group PSMS integration and control group A DL, IADL, PSMS integration and the front comparing difference not statistically significant (P < 0.05) for the treatment of.
After two groups of treatments, tcm syndrome integration all obviously improves (P < 0.05 or P < 0.01) before treatment, and after treatment group treatment, tcm syndrome integration is obviously better than matched group (P < 0.05).
Activity of daily living and tcm syndrome integral contrast before and after table 2 liang group VD patient treatment (point,
Figure 136161DEST_PATH_IMAGE003
± s)
Figure 2013107345094100002DEST_PATH_IMAGE002
Note: this group and the front relatively * P for the treatment of < 0.05, * * P < 0.01; With comparison Δ P < 0.05 after treatment of control group.
(4) full brain neurotransmitter SET value situation of change comparison
Table 3 shows that the rear ACH for the treatment of group treatment and NE obviously improve (P < 0.05) compared with matched group, after treatment group treatment, ACH, DA, NE obviously improve (P < 0.05 or P < 0.01) before treating, and comparing difference not statistically significant (P < 0.05) before NH, 5-HT and treatment, all kinds of mediators and the front equal not statistically significant of comparing difference (P < 0.05) for the treatment of after treatment of control group.
A full brain neurotransmitter (SET value) comparison before and after table 3 liang group VD patient treatment (
Figure 853582DEST_PATH_IMAGE003
± s)
Figure 909538DEST_PATH_IMAGE003
Note: this group and the front relatively * P for the treatment of < 0.05, * * P < 0.01; With comparison Δ P < 0.05 after treatment of control group, Δ Δ P < 0.05
(3) the routine VD patient safety of safety evaluatio treatment group 48 index shows no obvious abnormalities.
4. conclusion
Chinese medicine granules treatment vascular dementia of the present invention is evident in efficacy, and without obvious toxic-side effects, patient compliance is good, is a kind of effective Therapeutic Method.

Claims (3)

1.一种治疗血管性痴呆的中成药,其特征是在于由下列重量份的原料中药制成:  1. A Chinese patent medicine for the treatment of vascular dementia, characterized in that it is made from the following raw materials by weight: 熟地15~20份,山萸肉10~15份,黄芪8~12份,丹参12~18份,红花9~15份,川芎9~15份,竹茹6~12份,石菖蒲6~12份,甘草4~10份;上述配比组方中的山萸肉、石菖蒲和竹茹在使用时进行如下方法炮制:山萸肉用黑豆制;石菖蒲用麸皮炒法;竹茹用姜制。 Rehmannia glutinosa 15-20 parts, cornus 10-15 parts, astragalus 8-12 parts, salvia miltiorrhiza 12-18 parts, safflower 9-15 parts, Chuanxiong 9-15 parts, Zhuru 6-12 parts, Shichangpu 6~ 12 parts, 4~10 parts of licorice; the cornus, calamus and bamboo rutabagas in the above formula are processed in the following ways: cornus is made from black beans; Made with ginger. 2.如权利要求1所述的一种治疗血管性痴呆的中成药,其特征是在于由下列重量份的原料中药制成:熟地18份,山萸肉12份,黄芪10份,丹参15份,红花12份,川芎12份,竹茹10份,石菖蒲9份,甘草6份。 2. A kind of Chinese patent medicine for treating vascular dementia as claimed in claim 1, characterized in that it is made of the following raw materials by weight: Rehmannia glutinosa 18 parts, Cornus cornus 12 parts, Astragalus 10 parts, Salvia miltiorrhiza 15 parts , 12 parts of safflower, 12 parts of Chuanxiong, 10 parts of Zhuru, 9 parts of Shichangpu, and 6 parts of licorice. 3.一种治疗血管性痴呆的中成药的制备方法,其特征在于按下述步骤制备: 3. A preparation method of a Chinese patent medicine for the treatment of vascular dementia, characterized in that it is prepared according to the following steps: (1)取石菖蒲、川芎两味药,采用超临界CO2方法萃取挥发油,按上述药量取二味药材粉末,投入萃取釜中,分离釜压力为5.5~6.0MPa,萃取釜压力为15MPa,萃取釜温度30℃,分离釜温度与萃取釜相同,调节CO2流量为25.00L/h,待萃取釜压力达到15MPa时,先静态萃取30min,再动态萃取3h,得挥发油,药渣备用; (1) Take the two herbs of Shichangpu and Chuanxiong, extract the volatile oil with supercritical CO 2 method, take the powder of the two herbs according to the above dosage, put them into the extraction kettle, the pressure of the separation kettle is 5.5-6.0MPa, and the pressure of the extraction kettle is 15MPa, The temperature of the extraction kettle is 30°C, the temperature of the separation kettle is the same as that of the extraction kettle, and the CO2 flow rate is adjusted to 25.00L/h. When the pressure of the extraction kettle reaches 15MPa, the static extraction is carried out for 30 minutes, and then the dynamic extraction is performed for 3 hours to obtain volatile oil and medicinal residues for later use; (2)将步骤1中药渣与熟地、山萸肉、黄芪、丹参、红花、竹茹、甘草合并投入提取罐中进行水提,加6~9倍量饮用水,浸润1h,再加热煮沸提取2h,提取液经滤网放入浓缩罐,再加6倍量饮用水提取2h,二次提取液亦经滤网放入浓缩罐,然后减压浓缩成膏,置洁净器中,备用; (2) Put the traditional Chinese medicine dregs in step 1 together with rehmannia glutinosa, cornus, astragalus, salvia miltiorrhiza, safflower, bamboo fungus, and licorice into the extraction tank for water extraction, add 6 to 9 times the amount of drinking water, soak for 1 hour, and then heat and boil Extract for 2 hours, put the extract into the concentration tank through the filter, add 6 times the amount of drinking water to extract for 2 hours, and put the secondary extract into the concentration tank through the filter, then concentrate under reduced pressure to form a paste, put it in the cleaner, and set aside; (3)称取β-环糊精,加入蒸馏水,其质量比为β-环糊精:蒸馏水=1:25,加热至沸腾,溶解,然后降温至45℃,取步骤1制备的挥发油,按质量比β-环糊精:挥发油=6:1加入,恒温搅拌1h,冷藏24h,滤过,沉淀物于50℃以下干燥即得包合物; (3) Weigh β-cyclodextrin, add distilled water, the mass ratio is β-cyclodextrin:distilled water=1:25, heat to boiling, dissolve, then cool down to 45°C, take the volatile oil prepared in step 1, press The mass ratio of β-cyclodextrin: volatile oil = 6:1 was added, stirred at constant temperature for 1 hour, refrigerated for 24 hours, filtered, and the precipitate was dried below 50°C to obtain the clathrate; (4)将步骤3制备的包合物加入步骤2制备的药膏中,再加蔗糖,混匀,制粒; (4) Add the clathrate prepared in step 3 to the ointment prepared in step 2, add sucrose, mix well, and granulate; (5)将上述颗粒进行干燥(60±5℃),然后总混,整粒,分装即得。 (5) Dry the above-mentioned granules (60±5°C), then blend them together, granulate them, and pack them separately.
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Publication number Priority date Publication date Assignee Title
CN104587191A (en) * 2015-02-02 2015-05-06 张成杰 Traditional Chinese medicine for treating vascular dementia
CN104983962A (en) * 2015-06-30 2015-10-21 虞志秋 Traditional Chinese medicine capsules for preventing and treating senile dementia
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CN104984110A (en) * 2015-06-30 2015-10-21 虞志秋 Traditional Chinese medicine decoction for preventing and treating presenile dementia
CN105031325A (en) * 2015-06-30 2015-11-11 虞志秋 Chinese herbal capsule for preventing and curing presenile dementia
CN105012611A (en) * 2015-08-20 2015-11-04 金思思 Medicine for treating Alzheimer disease
CN107982442A (en) * 2017-12-15 2018-05-04 兖矿集团有限公司总医院 A kind of kidney tonifying resolving sputum, the medicament composing prescription of opening the orifice and activating blood circulation

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