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CN105708915B - Application of Wuwei Huanglian Pills in the Preparation of Medicines for the Treatment of Type Ⅱ Diabetes - Google Patents

Application of Wuwei Huanglian Pills in the Preparation of Medicines for the Treatment of Type Ⅱ Diabetes Download PDF

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CN105708915B
CN105708915B CN201410736446.0A CN201410736446A CN105708915B CN 105708915 B CN105708915 B CN 105708915B CN 201410736446 A CN201410736446 A CN 201410736446A CN 105708915 B CN105708915 B CN 105708915B
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魏永义
姬涛
李丽
任松鹏
赵延霞
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Jinhe Tibetan Medicine (shandong) Health Industry Co Ltd
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Abstract

The invention discloses an application of Wuwei Huanglian Wan in preparing a medicament for treating type II diabetes. The invention overcomes the technical prejudice in the application aspect of the Wuwei Huanglian pills, and discovers through clinical research that the Wuwei Huanglian pills have obvious curative effect on II-type diabetes, particularly the II-type diabetes accompanied with hyperlipidemia, in the aspects of reducing the contents of FBG, CHO, TG and LDL-C and increasing the content of HDL-C, and the effect of the Wuwei Huanglian pills has no obvious difference with the excellent sugar reduction of common medicines.

Description

五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用Application of Wuwei Huanglian Pills in the Preparation of Medicines for the Treatment of Type Ⅱ Diabetes

技术领域technical field

本发明属于医药领域,具体涉及五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用。The invention belongs to the field of medicine, and particularly relates to the application of Wuwei Huanglian Pills in the preparation of medicines for treating type II diabetes.

背景技术Background technique

Ⅱ型糖尿病多由于胰岛素分泌相对不足,或人体组织对胰岛素的敏感性降低而表现出以持续血糖增高为主要症状的疾病。糖尿病是心脑血管疾病的重要危险因素,高血糖、高血脂往往相伴而生,甚至相互促进,形成恶性循环,因此控制血糖并控制血脂至最佳水平可以降低糖尿病及血管并发症的发生风险。Type 2 diabetes is a disease characterized by persistent hyperglycemia as the main symptom due to the relative lack of insulin secretion or the decreased sensitivity of human tissues to insulin. Diabetes is an important risk factor for cardiovascular and cerebrovascular diseases. Hyperglycemia and hyperlipidemia often accompany and even promote each other, forming a vicious circle. Therefore, controlling blood sugar and controlling blood lipids to an optimal level can reduce the risk of diabetes and vascular complications.

目前,治疗Ⅱ型糖尿病的药物主要分为西药和中成药两大类。其中西药容易引起低血糖、消化道反应、过敏反应以及肝肾毒性等不良反应。At present, the drugs for the treatment of type 2 diabetes are mainly divided into two categories: western medicine and Chinese patent medicine. Among them, western medicine can easily cause adverse reactions such as hypoglycemia, gastrointestinal reactions, allergic reactions, and liver and kidney toxicity.

五味黄连丸处方来源于《中华人民共和国卫生部药品标准·藏药》(第一册),由以下药味组成:黄连300g,红花160g,诃子200g,渣驯膏80g,麝香1g。其功能主治为:消炎,止泻,止痛。用于胃肠炎,久泻腹痛,胆偏盛引起的厌食等。经文献及专利检索,尚未见该药对于治疗Ⅱ型糖尿病或血脂方面的报道。The prescription of Wuwei Huanglian Pill comes from the "Medical Standards of the Ministry of Health of the People's Republic of China·Tibetan Medicine" (Volume 1), which consists of the following medicinal flavors: 300g of Coptis chinensis, 160g of safflower, 200g of myrobalan, 80g of slag taming paste, and 1g of musk. Its functions and indications are: anti-inflammatory, antidiarrheal, and pain relief. For gastroenteritis, chronic diarrhea, abdominal pain, anorexia caused by excessive gallbladder. Through literature and patent searches, there is no report on the drug for the treatment of type 2 diabetes or blood lipids.

发明内容SUMMARY OF THE INVENTION

本发明目的是提供五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用。The purpose of the present invention is to provide the application of Wuwei Huanglian Pills in the preparation of medicines for treating type II diabetes.

术语说明:Terminology Description:

五味黄连丸是《中华人民共和国卫生部药品标准·藏药》(第一册)中记载的药品名称,标准号为WS3-BC-0273-95,市场可购。Wuwei Huanglian Pill is the name of the drug recorded in the "Medical Standards of the Ministry of Health of the People's Republic of China · Tibetan Medicine" (Volume 1), the standard number is WS3-BC-0273-95, and it is available in the market.

本发明是通过如下技术方案实现的:The present invention is achieved through the following technical solutions:

五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用。Application of Wuwei Huanglian Pills in the preparation of medicaments for the treatment of type II diabetes.

优选的,本发明所述的应用,尤其指制备治疗伴有血脂异常的Ⅱ型糖尿病药物中的应用。Preferably, the application of the present invention especially refers to the application in the preparation of a medicament for the treatment of type II diabetes accompanied by dyslipidemia.

优选的,本发明所述的应用,其用法用量为:一次1~2g,一日2~3次。Preferably, for the application of the present invention, the usage and dosage are: 1-2 g at a time, 2-3 times a day.

优选的,本发明所述的应用,其用法用量为:一次2g,一日3次。Preferably, for the application of the present invention, the usage and dosage are: 2 g at a time, 3 times a day.

优选的,本发明所述的应用,包括按照五味黄连丸配方组成制备提取物组合物后,进一步制成药剂学上可接受的任何制剂。Preferably, the application of the present invention includes preparing the extract composition according to the formula composition of Wuwei Huanglian Pills, and further preparing any pharmaceutically acceptable preparation.

有益效果:Beneficial effects:

五味黄连丸原功能主治为:消炎,止泻,止痛。用于胃肠炎,久泻腹痛,胆偏盛引起的厌食等,本发明克服了上述应用方面的技术偏见,通过临床研究发现,五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用。The original functions of Wuwei Huanglian Pills are: anti-inflammatory, antidiarrheal, and pain relief. It is used for gastroenteritis, chronic diarrhea and abdominal pain, anorexia caused by excessive gallbladder.

具体实施方式Detailed ways

实验例1.五味黄连丸对实验性Ⅱ型糖尿病大鼠血糖和血脂水平的影响实验Experimental Example 1. Effect of Wuwei Huanglian Pill on blood glucose and blood lipid levels in experimental type Ⅱ diabetic rats

1、实验材料1. Experimental materials

1.1药物与试剂1.1 Drugs and Reagents

五味黄连丸由金诃藏药股份有限公司提供,生产批号:20130501;诃子细粉,黄连细粉,金诃藏药股份有限公司提供,批号分别为20130512,20130322,由药材超微粉碎制得;优降糖(格列本脲片),亚宝药业太原制药有限公司生产,批准文号:国药准字H14023991,批号:20130420;链脲佐菌素(STZ)为Sigma公司产品;葡萄糖(GLU)试剂盒、甘油三酯(TG)试剂盒、总胆固醇(CHO)试剂盒、高密度脂蛋白(HDL-C)试剂盒、低密度脂蛋白(LDL-C)试剂盒,均为中生北控生物科技股份有限公司产品。Wuwei Huanglian Pills were provided by Jinhe Tibetan Medicine Co., Ltd., production batch number: 20130501; Myrobalan fine powder, Coptidis fine powder, provided by Jinhe Tibetan Medicine Co., Ltd., batch numbers 20130512 and 20130322, were obtained by ultra-fine grinding of medicinal materials ; Youjiangtang (Glibenclamide Tablets), produced by Yabao Pharmaceutical Taiyuan Pharmaceutical Co., Ltd., approval number: Guoyao Zhunzi H14023991, batch number: 20130420; Streptozotocin (STZ) is a product of Sigma Company; Glucose ( GLU) Kit, Triglyceride (TG) Kit, Total Cholesterol (CHO) Kit, High Density Lipoprotein (HDL-C) Kit, Low Density Lipoprotein (LDL-C) Kit, all are Zhongsheng Products of Beijing Enterprises Biotechnology Co., Ltd.

1.2实验动物1.2 Experimental animals

雄性SD大鼠68只,质量175-220g,由山东鲁抗医药股份有限公司提供,许可证号:SCXK(鲁)2013-0001。68 male SD rats, mass 175-220 g, were provided by Shandong Lukang Pharmaceutical Co., Ltd., license number: SCXK (Lu) 2013-0001.

2、实验方法2. Experimental method

2.1模型复制2.1 Model Replication

所有大鼠实验前适应性喂养1周后按质量编号,以随机数字表法随机抽取8只为空白组;其余大鼠参照《中药药效学研究与评价[M].陕西:陕西科学技术出版社,2005》方法给以65mg/kg剂量一次性腹腔注射STZ溶液(0.1mol/L枸橼酸钠缓冲液,pH4.2),2周后测定空腹血糖(禁食12h后),随机选择血糖值≥16.67mmol/L的大鼠40只,喂以高热量饲料(22%脂肪、52%蔗糖、18%蛋白质及少量混合盐、维生素及纤维素等,热量为20J/g),连续8周,制成Ⅱ型实验性糖尿病及肥胖大鼠模型。All rats were adaptively fed for 1 week before the experiment, and were numbered according to the quality, and 8 rats were randomly selected as the blank group by random number table method; the rest of the rats were referred to "Research and Evaluation of Traditional Chinese Medicine Pharmacodynamics [M]. Shaanxi: Shaanxi Science and Technology Publishing. Society, 2005" method to give a one-time intraperitoneal injection of STZ solution (0.1mol/L sodium citrate buffer, pH 4.2) at a dose of 65mg/kg, measure fasting blood glucose after 2 weeks (after fasting for 12h), randomly select blood glucose 40 rats with a value of ≥16.67mmol/L were fed a high-calorie diet (22% fat, 52% sucrose, 18% protein and a small amount of mixed salt, vitamins and cellulose, calorie 20J/g) for 8 consecutive weeks , made a type Ⅱ experimental diabetes and obesity rat model.

2.2分组及治疗2.2 Grouping and treatment

将上述模型大鼠按体重随机分为5组,每组8只,即模型组、阳性对照组、诃子组、黄连组、五味黄连组。第2d开始灌胃,空白组、模型组给予等容量的生理盐水,阳性对照组、诃子组、黄连组、五味黄连组分别给予优降糖1.65mg/(kg·d)、诃子细粉0.17g/(kg·d)、黄连细粉0.26g/(kg·d)、五味黄连丸0.63g/(kg·d),每天1次,连续灌胃14d。用药开始后全部动物均喂以普通饲料。The above-mentioned model rats were randomly divided into 5 groups according to their body weight, with 8 rats in each group, namely model group, positive control group, myrobalan group, Coptis chinensis group, and Wuwei Huanglian group. On the 2nd day, gavage was started, the blank group and model group were given equal volume of normal saline, and the positive control group, myrobalan group, Huanglian group, and Wuweihuanglian group were given Youjiangsu 1.65 mg/(kg·d), myrobalan fine powder, respectively. 0.17g/(kg·d), Coptis Coptidis fine powder 0.26g/(kg·d), Wuwei Huanglian Pills 0.63g/(kg·d), once a day, for 14 days. All animals were fed with common chow after the drug was started.

2.3标本采集与处理2.3 Specimen collection and processing

末次给药前动物禁食12h,腹腔注射2%戊巴比妥钠生理盐水溶液40mL/kg麻醉,腹股静脉取血,按试剂盒说明测定FBG、TG、CHO、HDL-C、LDL-C。采用SPSS17.0统计软件处理,用t检验进行组间比较。Before the last administration, the animals were fasted for 12 hours, anesthetized by intraperitoneal injection of 40 mL/kg of 2% sodium pentobarbital sodium saline solution, and blood was collected from the abdominal femoral vein to determine FBG, TG, CHO, HDL-C, and LDL-C according to the kit instructions . SPSS17.0 statistical software was used for processing, and t test was used for comparison between groups.

3结果:见表1。3 Results: see Table 1.

表1对实验性Ⅱ型糖尿病大鼠血糖和血脂的影响(

Figure BDA0000625510560000032
单位:mmol/L,n=8)Table 1 Effects on blood glucose and blood lipids in experimental type Ⅱ diabetic rats (
Figure BDA0000625510560000032
Unit: mmol/L, n=8)

Figure BDA0000625510560000031
Figure BDA0000625510560000031

注:与对照组比较:##P<0.01;与模型组比较:*P<0.05;**P<0.01;与五味黄连组比较:P<0.05,△△P<0.01。Note: Compared with control group: ## P<0.01; compared with model group: * P<0.05; ** P<0.01; compared with Wuwei Huanglian group: P<0.05, △△ P<0.01.

4、结论4 Conclusion

结果表明,模型组中FBG、CHO、TG和LDL-C的含量明显高于正常组,HDL-C的含量明显低于正常组,两组比较,具有显著性差异,有统计意义(P<0.01),表明模型复制成功。用药治疗14d后,阳性对照组、五味黄连组FBG、CHO、TG、LDL-C含量明显低于模型组,HDL-C含量明显高于模型组,与模型组比较,差异有统计意义(P<0.01或P<0.05),表明五味黄连丸能明显降低STZ空腹血糖及肥胖模型大鼠CHO、TG和LDL-C的含量,升高HDL-C含量。与模型组比较,诃子组、黄连组FBG、CHO、TG降低,差异具有统计学意义(P<0.05),差异无统计学意义(P>0.05),说明诃子、黄连具有降低空腹血糖、CHO、TG的作用,对LDL-C、HDL-C的含量作用不明显;五味黄连组与诃子组、黄连组比较,FBG、TG差异具有统计学意义(P<0.05),说明五味黄连组比诃子、黄连降空腹血糖及甘油三酯效果好;阳性对照组及五味黄连组2组之间差异无统计意义(P>0.05)。The results showed that the contents of FBG, CHO, TG and LDL-C in the model group were significantly higher than those in the normal group, and the contents of HDL-C were significantly lower than those in the normal group. ), indicating that the model was successfully replicated. After 14 days of drug treatment, the contents of FBG, CHO, TG and LDL-C in the positive control group and Wuwei Huanglian group were significantly lower than those in the model group, and the content of HDL-C was significantly higher than that in the model group. Compared with the model group, the differences were statistically significant (P< 0.01 or P<0.05), indicating that Wuwei Huanglian Pills can significantly reduce the fasting blood glucose of STZ and obese model rats CHO, TG and LDL-C content, and increase HDL-C content. Compared with the model group, the FBG, CHO and TG of the Myrobalan and Coptidis groups were decreased, and the difference was statistically significant (P<0.05), but the difference was not statistically significant (P>0.05). The effect of CHO and TG had no significant effect on the content of LDL-C and HDL-C. Compared with the Myrobalan group and the Coptidis group, the differences in FBG and TG were statistically significant (P<0.05), indicating that the Wuwei Huanglian group had a statistically significant difference (P<0.05). Compared with Myrobalan and Coptidis, the effect of lowering fasting blood sugar and triglyceride was better; there was no significant difference between the positive control group and Wuwei Coptidis group (P>0.05).

以下实施例均能实现上述实验例的效果。实施例所使用的五味黄连丸为青海金诃藏药药业股份有限公司生产的产品。The following embodiments can all achieve the effects of the above experimental examples. The Wuwei Huanglian Pills used in the examples are products produced by Qinghai Jinhe Tibetan Medicine Pharmaceutical Co., Ltd.

实施例1.五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用Example 1. Application of Wuwei Huanglian Pills in the preparation of medicines for the treatment of type Ⅱ diabetes

其用法用量为:一次2g,一日3次。Its usage and dosage are: 2g once, 3 times a day.

实施例2.五味黄连丸在制备治疗伴有血脂异常的Ⅱ型糖尿病药物中的应用。Example 2. Application of Wuwei Huanglian Pills in the preparation of medicines for the treatment of type II diabetes with dyslipidemia.

其用法用量为:一次2g,一日3次。Its usage and dosage are: 2g once, 3 times a day.

实施例3.五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用。Example 3. Application of Wuwei Huanglian Pills in the preparation of medicaments for the treatment of type II diabetes.

其用法用量为:一次1g,一日2次。Its usage and dosage are: 1g at a time, 2 times a day.

实施例4.五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用。Example 4. Application of Wuwei Huanglian Pills in the preparation of medicaments for the treatment of type II diabetes.

其用法用量为:一次1g,一日3次。Its usage and dosage are: 1g at a time, 3 times a day.

实施例5.五味黄连丸在制备治疗伴有血脂异常的Ⅱ型糖尿病药物中的应用。Example 5. Application of Wuwei Huanglian Pills in the preparation of medicines for the treatment of type II diabetes with dyslipidemia.

其用法用量为:一次2g,一日2次。Its usage and dosage are: 2g once, 2 times a day.

实施例6.五味黄连丸在制备治疗伴有血脂异常的Ⅱ型糖尿病药物中的应用。Example 6. Application of Wuwei Huanglian Pills in the preparation of medicines for the treatment of type II diabetes with dyslipidemia.

其用法用量为:一次1g,一日3次。Its usage and dosage are: 1g at a time, 3 times a day.

Claims (4)

1.五味黄连丸在制备治疗Ⅱ型糖尿病药物中的应用,所述Ⅱ型糖尿病同时伴有血脂异常。1. Application of Wuwei Huanglian Pills in the preparation of medicines for the treatment of type II diabetes mellitus, which is accompanied by dyslipidemia. 2.根据权利要求1的应用,特征在于,其用法用量为:一次1~2g,一日2~3次。2. The application according to claim 1, characterized in that its usage and dosage are: 1-2 g at a time, 2-3 times a day. 3.根据权利要求2的应用,特征在于,其用法用量为:一次2g,一日3次。3. according to the application of claim 2, it is characterized in that, its usage and dosage is: once 2g, 3 times a day. 4.根据权利要求1的应用,特征在于,所述药物,包括五味黄连丸及按照其配方组成制备提取物组合物后,进一步制成的药剂学上可接受的任何制剂。4. The application according to claim 1, characterized in that, the medicines include Wuwei Huanglian Pills and any pharmaceutically acceptable preparations further prepared after preparing the extract composition according to the formula composition thereof.
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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1736461A (en) * 2004-08-17 2006-02-22 江苏中康药物科技有限公司 Composite vegetable drug for treating type II diabetes and increasing insulin sensitivity, extracts and extraction method
CN103349762A (en) * 2013-06-14 2013-10-16 张静 Traditional Chinese medicine used for treating type II diabetes

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1736461A (en) * 2004-08-17 2006-02-22 江苏中康药物科技有限公司 Composite vegetable drug for treating type II diabetes and increasing insulin sensitivity, extracts and extraction method
CN103349762A (en) * 2013-06-14 2013-10-16 张静 Traditional Chinese medicine used for treating type II diabetes

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