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CN1778336A - A kind of preparation method of compound danshen dripping pill - Google Patents

A kind of preparation method of compound danshen dripping pill Download PDF

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CN1778336A
CN1778336A CN 200410072941 CN200410072941A CN1778336A CN 1778336 A CN1778336 A CN 1778336A CN 200410072941 CN200410072941 CN 200410072941 CN 200410072941 A CN200410072941 A CN 200410072941A CN 1778336 A CN1778336 A CN 1778336A
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ultrafiltration
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CN1778336B (en
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李旭
郑永锋
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Tasly Pharmaceutical Group Co Ltd
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Tianjin Tasly Pharmaceutical Co Ltd
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Abstract

A composite Danshen dripping pill is prepared from red sage root, notoginseng and borneol through extracting the liquid extract from red sage root and notoginseng in water or alcohol, clarifying, ultrafiltering, concentrating, adding borneol and preparing dripping pills.

Description

一种复方丹参滴丸的制备方法A kind of preparation method of compound danshen dripping pill

技术领域technical field

本发明涉及一种治疗冠心病的药物复方丹参滴丸的制备方法,属于中药领域。The invention relates to a preparation method of compound danshen dripping pills for treating coronary heart disease, belonging to the field of traditional Chinese medicines.

背景技术Background technique

随着生活水平的提高、世界人口老龄化及发病群体的年轻化,心脑血管病人逐年增加,已经成为危害人类健康的第二大疾病。心绞痛是一种由心肌暂时缺血、缺氧所引起的,以发作性胸痛或胸部不适为主要表现的临床综合症。冠心病心绞痛是指由于冠状动脉硬化或痉挛导致心肌缺血、缺氧所引起的心绞痛,约占心绞痛患者的90%。With the improvement of living standards, the aging of the world's population and the rejuvenation of the disease population, cardiovascular and cerebrovascular patients are increasing year by year, and have become the second largest disease that endangers human health. Angina pectoris is a clinical syndrome caused by temporary myocardial ischemia and hypoxia, with episodic chest pain or chest discomfort as the main manifestation. Coronary heart disease angina pectoris refers to angina pectoris caused by myocardial ischemia and hypoxia due to coronary artery sclerosis or spasm, accounting for about 90% of angina pectoris patients.

目前治疗心绞痛的方法以扩张血管、降低血黏度、抗血小板聚集、抗凝血为主。应用的传统西药为硝酸酯、亚硝酸酯类、β-受体阻制剂、钙拮抗剂等,但是均存在较大的毒副作用,不宜长期服用,多为症状性的治疗而对病程进展无较大作用。例如服用硝酸甘油后有时会出现头胀、头内跳痛、心跳加快,甚至昏厥[参见新编药物学[第14版)264页],近年来又发现有致严重低血压[参见中国现代医学杂志1997;7(4):42;陕西医学杂志1996;25(5):315]、易产生耐受性[参见南方护理杂志1996;3(5):7~9]等问题,阻碍了其在临床上的应用。The current methods of treating angina pectoris mainly focus on dilating blood vessels, reducing blood viscosity, anti-platelet aggregation, and anti-coagulation. The traditional western medicines used are nitrates, nitrites, β-receptor blockers, calcium antagonists, etc., but all of them have relatively large toxic and side effects, and should not be taken for a long time. great effect. For example, after taking nitroglycerin, sometimes there will be dizziness, throbbing pain in the head, rapid heartbeat, and even fainting [see the new pharmacology [14th edition] page 264], and it has been found to cause severe hypotension in recent years [see Chinese Journal of Modern Medicine 1997; 7(4): 42; Shaanxi Medical Journal 1996; 25(5): 315], prone to tolerance [see Southern Nursing Journal 1996; 3(5): 7~9] and other issues, which hinder its use in clinical application.

虽然亦有不少治疗心绞痛的中成药,其中丸、散、膏、丹、汤剂早已成为古老的历史,现代人极少应用。目前市场上有普通复方丹参片剂和胶囊等制剂出售,但普通片剂、胶囊生产工艺较落后,有效成分含量低,无质量控制标准,需口服经胃肠道吸收,在肝脏发生首过效应后吸收入血,生物利用度低,吸收慢,并不能适合心绞痛病人的急救之需。Although there are many Chinese patent medicines for treating angina pectoris, pills, powders, creams, pills, and decoctions have long been ancient and are rarely used by modern people. At present, there are ordinary compound Danshen tablets and capsules on the market, but the production process of ordinary tablets and capsules is relatively backward, the content of active ingredients is low, and there is no quality control standard. They need to be taken orally and absorbed through the gastrointestinal tract, and the first-pass effect occurs in the liver. After being absorbed into the blood, the bioavailability is low and the absorption is slow, so it is not suitable for the first aid needs of patients with angina pectoris.

复方丹参滴丸是一种起效快、疗效好的冠心病治疗药物,临床上深受患者的欢迎。为了改善复方丹参滴丸的制备工艺,本发明人从提取工艺方面进行了深入研究,完成了本发明。Compound Danshen Dripping Pill is a kind of drug for the treatment of coronary heart disease with fast onset and good curative effect, which is very popular among patients in clinic. In order to improve the preparation technology of compound danshen dripping pills, the inventor has carried out in-depth research on the extraction technology and completed the present invention.

发明内容Contents of the invention

本发明的目的在于提供一种新的复方丹参滴丸的制备工艺。The purpose of the present invention is to provide a new preparation process of compound danshen dripping pills.

本发明通过以下方案予以实施:The present invention is implemented through the following schemes:

本发明是通过下述技术步骤实现的:以丹参、三七和冰片为原料药,按照以下步骤进行制备:The present invention is realized through the following technical steps: using salvia miltiorrhiza, notoginseng and borneol as raw materials, it is prepared according to the following steps:

(1)将丹参、三七混合或单独制成水提液或醇提液;(1) Mix Salvia Miltiorrhiza and Panax notoginseng or make water extract or alcohol extract separately;

(2)对所述的提取液进行初步澄清处理;(2) Carry out preliminary clarification treatment to described extract;

(3)进一步对所述的提取液进行超滤处理;(3) further carry out ultrafiltration treatment to described extract;

(4)将超滤液浓缩成浸膏,将所得浸膏与冰片及辅料混和均匀后,制成滴丸。(4) Concentrate the ultrafiltrate into an extract, mix the obtained extract with borneol and auxiliary materials evenly, and make dropping pills.

上述原料药的重量百分比为丹参20%~97%、三七2%~79%、冰片0.2%~3%;优选为丹参63.0%~94%、三七4.0%~35.0%、冰片0.5%~2.0%;更优选为丹参75.2%~90%、三七9%~23.5%、冰片0.5%~1.3%;最佳为丹参82.87%、三七16.21%、冰片0.92%。丹参、三七、冰片的重量百分比之和为100%。The weight percentages of the above raw materials are 20%-97% of Danshen, 2%-79% of Sanqi, and 0.2%-3% of Borneol; preferably 63.0%-94% of Danshen, 4.0%-35.0% of Radix Notoginseng, and 0.5%-0.5% of Borneol. 2.0%; more preferably 75.2% to 90% of Danshen, 9% to 23.5% of Panax notoginseng, 0.5% to 1.3% of borneol; the best is 82.87% of Danshen, 16.21% of notoginseng, and 0.92% of borneol. The sum of the percentages by weight of salvia miltiorrhiza, notoginseng and borneol is 100%.

本发明技术步骤(1)中,醇提液可为不同浓度的低级醇如甲醇、乙醇、正丙醇、异丙醇、正丁醇、异丁醇等的提取液或其混合物的提取液。醇提液可不浓缩或适当浓缩后进行下一步的初步澄清处理。In the technical step (1) of the present invention, the alcohol extract can be lower alcohols of different concentrations such as methanol, ethanol, n-propanol, isopropanol, n-butanol, isobutanol, etc., or extracts of their mixtures. The alcohol extract can be subjected to the next preliminary clarification treatment without concentration or after proper concentration.

本发明技术步骤(2)中,初步的澄清处理可用一般的材料如纱布、丝绢等进行粗滤,也可用较专业的材料如陶瓷膜进行微滤,也可经高速离心后分取上清液,也可用絮凝剂如壳聚糖絮凝澄清剂、101果汁澄清剂、ZTC1+1天然澄清剂、蛋清絮凝剂等吸附澄清而除去药液中较大的悬浮颗粒,还可用醇沉法除去大部份杂质。既可单用上述澄清方法,也可联合应用,例如粗滤-吸附澄清,吸附澄清-高速离心,粗滤-微滤,粗滤-醇沉等。初步澄清处理的溶液可不浓缩或适当浓缩后进行下一步的超滤;优选不进行浓缩即进行下一步的超滤。In the technical step (2) of the present invention, preliminary clarification treatment can carry out rough filtration with general material such as gauze, silk silk etc., also can carry out microfiltration with more professional material such as ceramic membrane, also can get supernatant after high-speed centrifugation Liquid, also can use flocculant such as chitosan flocculation clarifier, 101 fruit juice clarifier, ZTC1+1 natural clarifier, egg white flocculant etc. Some impurities. The above clarification methods can be used alone or in combination, such as coarse filtration-adsorption clarification, adsorption clarification-high-speed centrifugation, coarse filtration-microfiltration, coarse filtration-alcohol precipitation, etc. The solution that has been preliminarily clarified can be subjected to the next step of ultrafiltration without concentration or after being properly concentrated; preferably, the next step of ultrafiltration is performed without concentration.

本发明技术步骤(3)中,超滤所用的超滤膜可为二醋酸纤维素膜(CA)、三醋酸纤维素膜(CTA)、氰乙基醋酸纤维素膜(CN-CA)、聚砜膜(PS)、磺化聚砜膜(SPS)、聚醚砜膜(PES)、磺化聚醚砜膜(SPES)、聚砜酰胺膜(PSA)、酚酞侧基聚芳砜膜(PDS)、聚偏氟乙烯膜(PVDF)、聚丙烯腈膜(PAN)、聚酰亚胺膜(N)、纤维素膜、甲基丙烯酸甲酯-丙烯腈共聚物膜(MMA-AN)、聚丙烯腈/二醋酸纤维素(PAN/CA)共混膜,动态形成的超滤膜,以及上述膜的改性膜。优选为二醋酸纤维素膜(CA)、三醋酸纤维素膜(CTA)、聚砜膜(PS)、磺化聚砜膜(SPS)、聚醚砜膜(PES)、磺化聚醚砜膜(SPES)、聚砜酰胺膜(PSA),聚偏氟乙烯膜(PVDF)、聚丙烯腈膜(PAN)。In the technical step (3) of the present invention, the ultrafiltration membrane used for ultrafiltration can be cellulose diacetate membrane (CA), cellulose triacetate membrane (CTA), cyanoethyl cellulose acetate membrane (CN-CA), polyester Sulfone membrane (PS), sulfonated polysulfone membrane (SPS), polyethersulfone membrane (PES), sulfonated polyethersulfone membrane (SPES), polysulfone amide membrane (PSA), phenolphthalein side group polyarylsulfone membrane (PDS) ), polyvinylidene fluoride film (PVDF), polyacrylonitrile film (PAN), polyimide film (N), cellulose film, methyl methacrylate-acrylonitrile copolymer film (MMA-AN), poly Acrylonitrile/cellulose diacetate (PAN/CA) blend membranes, dynamically formed ultrafiltration membranes, and modified membranes of the above membranes. Preferably cellulose diacetate membrane (CA), cellulose triacetate membrane (CTA), polysulfone membrane (PS), sulfonated polysulfone membrane (SPS), polyethersulfone membrane (PES), sulfonated polyethersulfone membrane (SPES), polysulfoneamide membrane (PSA), polyvinylidene fluoride membrane (PVDF), polyacrylonitrile membrane (PAN).

上述超滤膜的截留分子量一般为6000~80000,优选为10000~70000,最佳为20000~50000。The molecular weight cut-off of the ultrafiltration membrane is generally 6000-80000, preferably 10000-70000, most preferably 20000-50000.

超滤既可采用错流过滤,也可采用死端过滤,但优选错流过滤。Ultrafiltration can be either cross-flow filtration or dead-end filtration, but cross-flow filtration is preferred.

超滤工艺的操作条件如下:The operating conditions of the ultrafiltration process are as follows:

(1)超滤的进液口压力为0.1~0.5MPa,优选为0.1~0.35Mpa,最佳为0.25~0.35Mpa;超滤的出液口压力比进液口压力低0.5~0.25kPa。超滤初期采用较低压力,然后慢慢升压;在超滤过程中,采用周期性压力波动,压力波动差为0.1~0.2Mpa。(1) The inlet pressure of the ultrafiltration is 0.1-0.5MPa, preferably 0.1-0.35Mpa, and most preferably 0.25-0.35Mpa; the outlet pressure of the ultrafiltration is 0.5-0.25kPa lower than the inlet pressure. In the initial stage of ultrafiltration, a lower pressure is used, and then the pressure is gradually increased; in the process of ultrafiltration, periodic pressure fluctuations are adopted, and the pressure fluctuation difference is 0.1-0.2Mpa.

(2)料液流速为1.0~4.0m/s,优选为2.0~3.0m/s。超滤过程中,采用周期性流量波动以便在膜通道内产生脉动流或不稳定流,流速波动差为1.0~2.0m/s。(2) The flow rate of the feed liquid is 1.0-4.0 m/s, preferably 2.0-3.0 m/s. During the ultrafiltration process, periodic flow fluctuations are used to generate pulsating flow or unsteady flow in the membrane channel, and the flow velocity fluctuation difference is 1.0-2.0m/s.

(3)在超滤系统中间歇通入高压惰性气体如氮气,形成气液脉冲流,周期为0.5h~2h通气一次,每次1分钟。(3) In the ultrafiltration system, high-pressure inert gas such as nitrogen is fed intermittently to form a gas-liquid pulse flow, and the cycle is 0.5h-2h to ventilate once, each time for 1 minute.

(3)料液温度为15~50℃,优选为20~40℃。(3) The feed liquid temperature is 15-50°C, preferably 20-40°C.

(4)当料液原液被浓缩1/15~1/5时,再加水或稀醇溶液超滤1~2次;优选为当料液原液被浓缩1/12~1/8时,再加水或稀醇溶液超滤1~2次。(4) When the stock solution is concentrated by 1/15 to 1/5, add water or dilute alcohol solution for ultrafiltration 1 to 2 times; preferably when the stock solution is concentrated by 1/12 to 1/8, add water Or dilute alcohol solution ultrafiltration 1 to 2 times.

(5)料液的PH值控制在5~9,优选为6.0~7.5;(5) The pH value of the feed liquid is controlled at 5 to 9, preferably 6.0 to 7.5;

(6)反冲洗条件:反冲洗压力为0.15~2.5MPa,反冲洗周期为0.5~1.5h、反冲洗时间为1min~10min。当将超滤组件并联使用交替反冲的方法时,其中一套或几套进行正常的超滤并分流出一部分滤液来反冲另一套或几套组件的超滤膜,间隔一段时间后交换进行,一般是工作10~20min,反冲30sec~3min。(6) Backwashing conditions: Backwashing pressure is 0.15-2.5MPa, backwashing cycle is 0.5-1.5h, and backwashing time is 1min-10min. When the ultrafiltration modules are connected in parallel to use the method of alternate backflushing, one or several sets perform normal ultrafiltration and part of the filtrate is flowed out to backwash the ultrafiltration membrane of another set or several sets of components, and exchange after a period of time To carry out, generally work for 10 to 20 minutes, and recoil for 30 seconds to 3 minutes.

(7)化学清洗周期为0.5个月~2个月,化学清洗药剂一般为稀酸、稀碱、表面活性剂,优选为稀碱例如0.5%~4.0%氢氧化钠,1.5%氢氧化钠和2%次氯酸钠的混合溶液等,pH值为10~12,清洗工作压力为0.05~1.0MPa。在用化学清洗剂清洗之后,再用水冲洗至近中性。(7) The chemical cleaning cycle is 0.5 months to 2 months. The chemical cleaning agents are generally dilute acids, dilute alkalis, and surfactants, preferably dilute alkalis such as 0.5% to 4.0% sodium hydroxide, 1.5% sodium hydroxide and The mixed solution of 2% sodium hypochlorite, etc., the pH value is 10-12, and the cleaning working pressure is 0.05-1.0MPa. After cleaning with chemical cleaners, rinse with water until nearly neutral.

在超滤过程中,既可单独使用周期性压力波动或者周期性流量波动或者周期性通入惰性气体,也可联合使用,即周期性压力波动和周期性流量波动联合使用,或者周期性压力波动和周期性通入惰性气体联合使用,或者周期性流量波动和周期性通入惰性气体联合使用,或者三者一起联合使用。In the ultrafiltration process, periodic pressure fluctuations or periodic flow fluctuations or periodic inert gas injections can be used alone, or in combination, that is, periodic pressure fluctuations and periodic flow fluctuations are used in combination, or periodic pressure fluctuations It is used in combination with periodic inert gas injection, or in combination with periodic flow fluctuations and inert gas injection, or in combination with the three.

本发明技术步骤(4)中,将超滤液浓缩成浸膏后,与冰片及辅料混和均匀后,加热化料,移入滴丸机的滴罐,药液滴至低温液体石蜡中,除去液体石蜡,选丸。In the technical step (4) of the present invention, after the ultrafiltrate is concentrated into an extractum, after mixing evenly with borneol and auxiliary materials, the chemical material is heated, moved into the dropping tank of the dropping pill machine, and the medicinal liquid is dropped into low-temperature liquid paraffin to remove the liquid Paraffin, choose pills.

其中:辅料为聚乙二醇-6000,其凝点53~58℃,加入量为浸膏与冰片重量的2~6倍;化料温度为60~100℃;液体石蜡的温度为0~10℃(最佳为5~10℃);丸重为5~50mg/粒,直径1.95~4.29mm。Among them: the auxiliary material is polyethylene glycol-6000, its freezing point is 53-58 °C, and the addition amount is 2-6 times the weight of the extract and borneol; the temperature of the chemical material is 60-100 °C; the temperature of the liquid paraffin is 0-10 °C. ℃ (optimally 5-10 ℃); pellet weight 5-50mg/granule, diameter 1.95-4.29mm.

本发明方法制备的复方丹参滴丸治疗冠心病心绞痛疗效突出。The compound danshen dripping pill prepared by the method of the invention has outstanding curative effect in treating angina pectoris caused by coronary heart disease.

实验例复方丹参滴丸治疗冠心病心绞痛临床疗效观察Clinical Observation of Experimental Case of Compound Danshen Dripping Pills in Treating Angina Pectoris of Coronary Heart Disease

1临床资料1 clinical data

1.1病例选择  全部病例均按1979年全国中西医结合防治冠心病心绞痛座谈会修订的标准进行诊断,并按1979年国际心脏病学会和协会及世界卫生组织临床命名标准化联合专题组制订的《缺血性心脏病命名法》进行心绞痛分类。将102例心绞痛每周发作5次以上患者随机分为治疗组和对照组。治疗组51例,男30例,女21例;年龄39~76岁;病程1~20年;稳定劳累型心绞痛41例,不稳定型心绞痛10例(包括梗死后心绞痛1例);伴有高血压病15例,糖尿病2例,陈旧性心肌梗死1例。对照组51例,男29例,女22例;年龄40~75岁;病程1~20年;稳定劳累型心绞痛42例,不稳定型心绞痛9例(包括梗死后心绞痛1例);伴有高血压病14例,糖尿病2例,陈旧性心肌梗死1例。两组患者年龄、性别、病程、病情等方面均具有可比性(P>0.05)。1.1 Case selection All cases were diagnosed according to the standards revised by the 1979 National Symposium on the Prevention and Treatment of Coronary Heart Disease and Angina Pectoris with Integrative Traditional Chinese and Western Medicine, and according to the "ischemic disease" formulated by the International Society of Cardiology and Association and the World Health Organization Clinical Nomenclature Standardization Joint Task Force in 1979. Classification of angina pectoris in the Nomenclature of Cardiac Diseases. 102 patients with angina pectoris attack more than 5 times per week were randomly divided into treatment group and control group. The treatment group consisted of 51 cases, 30 males and 21 females; aged 39-76 years; disease course 1-20 years; 41 cases of stable exertional angina, 10 cases of unstable angina (including 1 case of post-infarct angina); There were 15 cases of blood pressure disease, 2 cases of diabetes, and 1 case of old myocardial infarction. The control group consisted of 51 cases, including 29 males and 22 females; aged 40-75 years; disease course 1-20 years; 42 cases of stable exertional angina, 9 cases of unstable angina (including 1 case of post-infarction angina); There were 14 cases of blood pressure disease, 2 cases of diabetes, and 1 case of old myocardial infarction. The two groups were comparable in terms of age, sex, course of disease, and condition (P>0.05).

1.2治疗方法  患者于治疗前1周停服抗心绞痛药,若心绞痛发作可含服硝酸甘油片,并记录用量。治疗组服用复方丹参滴丸,3次/天,每次10粒;对照组服用消心痛,3次/天,每次10mg。疗程均为4周。治疗期间,除心绞痛发作时口含硝酸甘油片外,停用其他抗心绞痛药。1.2 Treatment method The patient stopped taking anti-angina pectoris drugs one week before treatment, and could take nitroglycerin tablets if the angina pectoris occurs, and record the dosage. The treatment group took Compound Danshen Dripping Pills, 3 times/day, 10 capsules each time; the control group took Xiaoxintong, 3 times/day, 10 mg each time. The course of treatment is 4 weeks. During the treatment period, except for nitroglycerin tablets in the mouth when angina pectoris attacks, other anti-angina pectoris drugs were stopped.

1.3观察方法  在治疗前记录心绞痛发作次数、疼痛程度、持续时间、口含硝酸甘油片剂量及心率、血压、并做心电图检查。在服药后,每周作1次常规心电图检查,并记录上述各项指标。在治疗前后,做血、尿常规,胸部X线,肝、肾功能检查,血液流变学检查、心脏超声。1.3 Observation method Before treatment, record the number of angina pectoris attack, pain degree, duration, dose of nitroglycerin tablets in mouth, heart rate, blood pressure, and do electrocardiogram examination. After taking the medicine, a routine electrocardiogram was performed once a week, and the above-mentioned indicators were recorded. Before and after treatment, do blood and urine routine, chest X-ray, liver and kidney function tests, blood rheology tests, and echocardiography.

1.4疗效评定标准  疗效评定标准参考1987年卫生部制订的《心血管系统药物临床研究指导原则草案》。1.4 Efficacy Evaluation Standards Efficacy evaluation standards refer to the "Draft Guidelines for Clinical Research of Cardiovascular System Drugs" formulated by the Ministry of Health in 1987.

1.4.1临床疗效评定标准  显效:同等劳累程度不引起心绞痛发作或发作次数减少80%以上,硝酸甘油耗量减少80%以上。有效:心绞痛发作次数及硝酸甘油耗量减少50%~80%。无效:心绞痛发作次数及硝酸甘油耗量减少不到50%。加重:心绞痛发作次数增多,程度加重,持续时间加长,硝酸甘油消耗量增加。显效加有效计算总有效率。1.4.1 Evaluation criteria for clinical efficacy Marked effect: the same level of exertion does not cause angina pectoris attack or the number of attacks is reduced by more than 80%, and the consumption of nitroglycerin is reduced by more than 80%. Effective: the number of angina attacks and the consumption of nitroglycerin are reduced by 50% to 80%. Ineffective: The number of angina attacks and the consumption of nitroglycerin were reduced by less than 50%. Aggravation: the number of angina attacks increases, the degree increases, the duration increases, and the consumption of nitroglycerin increases. Significant effect plus effective calculation of the total effective rate.

1.4.2心电图疗效评定标准  显效:静息心电图恢复正常,限量运动试验由阳性转为阴性或运动耐量上升2级以上。有效:静息心电图缺血性ST段下降回复0.15mV以下,T波倒置变浅达50%以上,或运动耐量上升1级。无效:静息心电图与治疗前无变化。加重:静息心电图ST段压低,较治疗前下降>0.05mV,T波倒置加深>50%,或T波由直立变为平坦,或由平坦变为倒置。显效加有效计算总有效率。1.4.2 ECG Efficacy Evaluation Criteria Significantly effective: the resting ECG returns to normal, the limited exercise test turns from positive to negative or the exercise tolerance increases by more than 2 grades. Effective: Resting ECG ischemic ST-segment depression recovers below 0.15mV, T wave inversion becomes shallower by more than 50%, or exercise tolerance increases by 1 grade. Ineffective: The resting electrocardiogram remains unchanged from before treatment. Aggravation: resting ECG ST segment depression, decreased by > 0.05mV compared with before treatment, T wave inversion deepened > 50%, or T wave changed from upright to flat, or from flat to inverted. Significant effect plus effective calculation of the total effective rate.

1.5统计学处理数据用 x±s表示,采用t检验和Ridit分析进行数据处理。1.5 Statistical data processing x ± s means, using t test and Ridit analysis for data processing.

2结果2 results

2.1心绞痛症状疗效  经Ridit分析,两组有非常显著性差异,表明复方丹参滴丸对心绞痛症状的疗效显著优于消心痛,见表1。2.1 Curative effect of angina pectoris symptoms Ridit analysis showed that there was a very significant difference between the two groups, indicating that the curative effect of Compound Danshen Dripping Pills on angina pectoris symptoms was significantly better than that of Xiaoxintong, see Table 1.

                     表1两组在心绞痛治疗效果方面的比较   组别   n   显效   有效   无效   加重   总有效率/%   治疗组对照组   5151   208   2829   313   01   94.1①72.5 Table 1 Comparison of the therapeutic effects of the two groups on angina pectoris group no markedly effective efficient invalid aggravate Total effective rate/% Treatment group Control group 5151 208 2829 313 01 94.1①72.5

注:①与对照组比较,经Radit分析,U=3.039,P<0.01。Note: ①Compared with the control group, by Radit analysis, U=3.039, P<0.01.

2.2心电图疗效经Radit分析,复方丹参滴丸对心电图的改善显著优于消心痛,见表2。2.2 The curative effect of electrocardiogram According to Radit analysis, the improvement of electrocardiogram by Compound Danshen Dripping Pills is significantly better than that of Xiaoxintong, see Table 2.

                   表2两组在心电图疗效方面的比较   组别   n   显效   有效   无效   加重   总有效率/%   治疗组对照组   5151   112   2017   2030   02   60.837.3 Table 2 Comparison of the curative effect of the electrocardiogram between the two groups group no markedly effective efficient invalid aggravate Total effective rate/% Treatment group Control group 5151 112 2017 2030 02 60.8 37.3

注:①与对照组比较,经Rtdit分析,U=2.685,P<0.01。Note: ①Compared with the control group, analyzed by Rtdit, U=2.685, P<0.01.

2.3血液流变学指标变化  治疗组4周高切、低切、血浆黏度、红细胞聚集指数较治疗前均有明显降低;对照组上述参数虽有一定程度降低,但无统计学意义(P<0.05)。两组间比较:复方丹参滴丸组疗效显著高于消心痛组,P<0.01或P<0.05。见表3。2.3 Changes in hemorrheology indexes The high-shear, low-shear, plasma viscosity, and erythrocyte aggregation index in the treatment group were significantly lower than those before treatment; although the above parameters in the control group were reduced to a certain extent, there was no statistical significance (P<0.05 ). Comparison between the two groups: the curative effect of the Compound Danshen Dripping Pill group was significantly higher than that of the Xiaoxintong group, P<0.01 or P<0.05. See Table 3.

            表3两组治疗前后血液流变学指标变化( x±s)   组别   n   项目   全血黏度高切/mPa.s   全血黏度低切/mPa.s   血浆黏度/mPa.s   红细胞聚集指数   对照组治疗组   治疗前治疗后治疗前治疗后   5.43±3.155.39±0.365.12±0.134.01±0.11   1138±1.1211.26±1.3311.32±1.267.16±1.19   2.51±0.122.49±0.162.45±0.151.98±0.68   5.43±3.155.39±0.365.12±0.134.01±0.11   5.43±3.155.39±0.365.12±0.134.01±0.11 Table 3 Changes of hemorheology indexes in the two groups before and after treatment (x±s) group no project Whole blood viscosity high shear/mPa.s Whole blood viscosity low cut/mPa.s Plasma viscosity/mPa.s erythrocyte aggregation index control group treatment group before treatment after treatment before treatment after treatment 5.43±3.155.39±0.365.12±0.134.01±0.11 1138±1.1211.26±1.3311.32±1.267.16±1.19 2.51±0.122.49±0.162.45±0.151.98±0.68 5.43±3.155.39±0.365.12±0.134.01±0.11 5.43±3.155.39±0.365.12±0.134.01±0.11

2.4对左室收缩功能的影响复方丹参滴丸自经治疗1个月后复查超声心动图示:左室收缩功能,可见SV,CO,EF和FS均有增加,差异有显著意义(P<0.05),而对照组在用药前后无明显改变,见表4。2.4 Effects on left ventricular systolic function Compound Danshen Dripping Pills re-examined echocardiographic images after 1 month of treatment: left ventricular systolic function, SV, CO, EF and FS all increased, and the difference was significant (P<0.05 ), while the control group had no significant change before and after treatment, as shown in Table 4.

                表4两组用药前后左室收缩功能比较( x±s)   组别   n   项目   SV/mL·搏-1   CO/L·min-1   EF/%   FS/%   治疗组对照组   5151   治疗前治疗后治疗前治疗后   71±1876±2261±2062±29   5.2±2.05.6±2.04.6±1.44.4±1.7   53±1256±1258±1156±12   29±1831±831±830±8 Table 4 Comparison of left ventricular systolic function between the two groups before and after treatment (x±s) group no project SV/mL Po -1 CO/L·min -1 EF/% FS/% Treatment group Control group 5151 before treatment after treatment before treatment after treatment 71±1876±22 61±2062±29 5.2±2.05.6±2.0 4.6±1.44.4±1.7 53±1256±12 58±1156±12 29±1831±8 31±830±8

注:①用药前后比较,P>0.05;②用药前后比较,P<0.05。Note: ①Comparison before and after medication, P>0.05; ②Comparison before and after medication, P<0.05.

通过对复方丹参滴丸的临床研究,认为复方丹参滴丸能扩张冠脉,改善冠脉流量,增加心肌的血氧供应,使ST-T变化和Q-T延长的心肌缺血性损害及心肌复极不良得到改善或恢复正常状态,使心肌缺血引起的心悸、胸闷和心前区疼痛等心功能障碍症状得到缓解(总有效率在90%以上)。口服复方丹参滴丸后,不但起效快(多在4~5min即起效),且持续时间达2~3h,比硝酸甘油长。因此具有保心和救心的临床价值。Through the clinical research on Compound Danshen Dripping Pills, it is believed that Compound Danshen Dripping Pills can dilate coronary arteries, improve coronary flow, increase myocardial blood oxygen supply, and cause myocardial ischemic damage and myocardial repolarization caused by ST-T changes and Q-T prolongation. The symptoms of cardiac dysfunction such as palpitation, chest tightness and precordial pain caused by myocardial ischemia are relieved (the total effective rate is over 90%). After oral administration of Compound Danshen Dripping Pills, not only the onset of effect is fast (mostly within 4-5 minutes), but also the duration is 2-3 hours, which is longer than that of nitroglycerin. Therefore, it has the clinical value of protecting and saving the heart.

具体实施方式Detailed ways

以下结合实施例对本发明作进一步的阐述。这些实施例仅用于例举的目的,而不是以任何方式限制本发明。The present invention will be further elaborated below in conjunction with embodiment. These examples are for illustrative purposes only and do not limit the invention in any way.

实施例一Embodiment one

原料药采用丹参55.8g、三七3.4g、冰片0.8g。The raw materials are 55.8g of Danshen, 3.4g of Radix Notoginseng, and 0.8g of Borneol.

用乙醇提取丹参和三七,得到丹参和三七的乙醇提取液,用纱布将此提取液过滤,收集滤液。滤液用截留分子量为6000的二醋酸纤维素膜进行超滤,过滤方式采用错流过滤。超滤工艺的操作条件为:超滤的进液口压力为0.1Mpa,超滤的出液口压力比进液口压力低0.5kPa。超滤初期采用较低压力,然后慢慢升压;在超滤过程中,采用周期性压力波动,压力波动差为0.1Mpa。料液流速为1.0m/s,超滤过程中,采用周期性流量波动以便在膜通道内产生脉动流或不稳定流,流速波动差为1.0m/s,在超滤系统中间歇通入氮气,形成气液脉冲流,周期为0.5h通气一次,每次1分钟。料液温度为15℃,当料液原液被浓缩1/15时,再加水或稀醇溶液超滤1次,料液的PH值控制在5。反冲洗压力为0.15MPa,反冲洗周期为0.5h、反冲洗时间为1min。当将超滤组件并联使用交替反冲的方法时,其中一套或几套进行正常的超滤并分流出一部分滤液来反冲另一套或几套组件的超滤膜,间隔一段时间后交换进行,工作10min,反冲30sec。化学清洗周期为0.5月,化学清洗药剂为0.5%~4.0%氢氧化钠、1.5%氢氧化钠和2%次氯酸钠的混合溶液,pH值为10~12,清洗工作压力为0.05MPa。在用化学清洗剂清洗之后,再用水冲洗至近中性。Extracting the salvia miltiorrhiza and notoginseng with ethanol to obtain the ethanol extract of the salvia miltiorrhiza and notoginseng, filtering the extract with gauze, and collecting the filtrate. The filtrate was ultrafiltered with a cellulose diacetate membrane with a molecular weight cut-off of 6000, and the filtration method was cross-flow filtration. The operating conditions of the ultrafiltration process are: the pressure of the liquid inlet of the ultrafiltration is 0.1Mpa, and the pressure of the liquid outlet of the ultrafiltration is 0.5kPa lower than the pressure of the liquid inlet. In the initial stage of ultrafiltration, a lower pressure is used, and then the pressure is gradually increased; in the process of ultrafiltration, periodic pressure fluctuations are used, and the pressure fluctuation difference is 0.1Mpa. The flow rate of the feed liquid is 1.0m/s. During the ultrafiltration process, periodic flow fluctuations are used to generate pulsating flow or unstable flow in the membrane channel. The difference in flow rate fluctuations is 1.0m/s. Nitrogen is intermittently fed into the ultrafiltration system , to form a gas-liquid pulse flow, and the period is 0.5h to ventilate once, each time for 1 minute. The temperature of the feed liquid is 15°C. When the original feed liquid is concentrated by 1/15, add water or dilute alcohol solution for ultrafiltration once, and the pH value of the feed liquid is controlled at 5. The backwash pressure is 0.15MPa, the backwash cycle is 0.5h, and the backwash time is 1min. When the ultrafiltration modules are connected in parallel to use the method of alternate backflushing, one or several sets perform normal ultrafiltration and part of the filtrate is flowed out to backwash the ultrafiltration membrane of another set or several sets of components, and exchange after a period of time Carry out, work for 10min, recoil for 30sec. The chemical cleaning cycle is 0.5 months, the chemical cleaning agent is a mixed solution of 0.5%-4.0% sodium hydroxide, 1.5% sodium hydroxide and 2% sodium hypochlorite, the pH value is 10-12, and the cleaning working pressure is 0.05MPa. After cleaning with chemical cleaners, rinse with water until nearly neutral.

将所述的超滤液浓缩得到相对密度为1.35~1.39(55℃)的浸膏。取浸膏和冰片,与聚乙二醇-6000 18g混和均匀,加热至温度85℃,化料20~120分钟后,移至罐温保持在85~90℃的滴丸机滴罐中。药液滴至7~8℃液体石蜡中,取出滴丸,除油,筛网选丸,制成1000粒滴丸,即得。Concentrating the ultrafiltrate to obtain an extract with a relative density of 1.35-1.39 (55° C.). Take the extract and borneol, mix them evenly with 18g of polyethylene glycol-6000, heat to a temperature of 85°C, and after 20-120 minutes to make the material, move it to a dropping tank of a dripping machine whose tank temperature is kept at 85-90°C. Drop the drug solution into liquid paraffin at 7-8°C, take out the dropping pills, remove the oil, select the pills through a sieve, and make 1000 dropping pills.

实施例二Embodiment two

原料药采用丹参59.3g、三七6.38g、冰片0.34g。The raw materials used are Danshen 59.3g, Panax notoginseng 6.38g and Borneol 0.34g.

将粗粉碎的丹参加5倍量水,煎煮2小时,滤过,滤渣进行第二次提取,加入4倍量水,煎1小时,滤过,滤渣弃去,合并滤液,得丹参提取液。用70%乙醇提取三七,得三七提取液。将上述丹参提取液和三七提取液合并,静置,滤过。滤液用截留分子量为80000的聚砜膜进行超滤,过滤方式采用死端过滤。超滤工艺的操作条件为:超滤的进液口压力为0.5Mpa,超滤的出液口压力比进液口压力低0.25kPa。超滤初期采用较低压力,然后慢慢升压;在超滤过程中,采用周期性压力波动,压力波动差为0.2Mpa。料液流速为4.0m/s,超滤过程中,采用周期性流量波动以便在膜通道内产生脉动流或不稳定流,流速波动差为2.0m/s,在超滤系统中间歇通入氮气,形成气液脉冲流,周期为2h通气一次,每次1分钟。料液温度为50℃,当料液原液被浓缩1/5时,再加水或稀醇溶液超滤2次,料液的PH值控制在9。反冲洗压力为2.5MPa,反冲洗周期为1.5h、反冲洗时间为10min。当将超滤组件并联使用交替反冲的方法时,其中一套或几套进行正常的超滤并分流出一部分滤液来反冲另一套或几套组件的超滤膜,间隔一段时间后交换进行,工作20min,反冲3min。化学清洗周期为2个月,化学清洗药剂为0.5%~4.0%氢氧化钠、1.5%氢氧化钠和2%次氯酸钠的混合溶液,pH值为10~12,清洗工作压力为1.0MPa。在用化学清洗剂清洗之后,再用水冲洗至近中性。Decoct the coarsely crushed Salvia miltiorrhiza in 5 times the amount of water for 2 hours, filter, and extract the filter residue for the second time, add 4 times the amount of water, fry for 1 hour, filter, discard the filter residue, and combine the filtrates to obtain the salvia miltiorrhiza extract . Extract the notoginseng with 70% ethanol to obtain the notoginseng extract. The above-mentioned Danshen extract and Panax notoginseng extract were combined, allowed to stand, and filtered. The filtrate was ultrafiltered with a polysulfone membrane with a molecular weight cut-off of 80,000, and the filtration method was dead-end filtration. The operating conditions of the ultrafiltration process are: the pressure of the liquid inlet of the ultrafiltration is 0.5Mpa, and the pressure of the liquid outlet of the ultrafiltration is 0.25kPa lower than the pressure of the liquid inlet. In the initial stage of ultrafiltration, a lower pressure is used, and then the pressure is gradually increased; in the process of ultrafiltration, periodic pressure fluctuations are adopted, and the pressure fluctuation difference is 0.2Mpa. The flow rate of the feed liquid is 4.0m/s. During the ultrafiltration process, periodic flow fluctuations are used to generate pulsating flow or unstable flow in the membrane channel. The difference in flow rate fluctuations is 2.0m/s. Nitrogen is intermittently fed into the ultrafiltration system , to form a gas-liquid pulse flow, and the period is 2h to ventilate once, each time for 1 minute. The temperature of the feed liquid is 50°C. When the raw liquid of the feed liquid is concentrated by 1/5, add water or dilute alcohol solution for ultrafiltration twice, and the pH value of the feed liquid is controlled at 9. The backwash pressure is 2.5MPa, the backwash cycle is 1.5h, and the backwash time is 10min. When the ultrafiltration modules are connected in parallel to use the method of alternate backflushing, one or several sets perform normal ultrafiltration and part of the filtrate is flowed out to backwash the ultrafiltration membrane of another set or several sets of components, and exchange after a period of time Carry out, work for 20 minutes, recoil for 3 minutes. The chemical cleaning cycle is 2 months, the chemical cleaning agent is a mixed solution of 0.5% to 4.0% sodium hydroxide, 1.5% sodium hydroxide and 2% sodium hypochlorite, the pH value is 10 to 12, and the cleaning working pressure is 1.0MPa. After cleaning with chemical cleaners, rinse with water until nearly neutral.

将所述的超滤液浓缩得到相对密度为1.35~1.39(55℃)的浸膏。取浸膏和冰片,与聚乙二醇-6000 20g混和均匀,加热至温度85℃,化料20~120分钟后,移至罐温保持在85~90℃的滴丸机滴罐中。药液滴至7~8℃液体石蜡中,取出滴丸,除油,筛网选丸,制成1000粒滴丸,即得。Concentrating the ultrafiltrate to obtain an extract with a relative density of 1.35-1.39 (55° C.). Take the extract and borneol, mix them evenly with 20g of polyethylene glycol-6000, heat to a temperature of 85°C, and after 20-120 minutes to make the material, move it to a dropping tank of a dripping machine whose tank temperature is kept at 85-90°C. Drop the drug solution into liquid paraffin at 7-8°C, take out the dropping pills, remove the oil, select the pills through a sieve, and make 1000 dropping pills.

实施例三Embodiment three

原料药采用丹参36.0g、三七23.2g、冰片0.8g。The raw materials are 36.0g of Danshen, 23.2g of Radix Notoginseng, and 0.8g of Borneol.

用80%乙醇提取丹参和三七,得到丹参和三七的乙醇提取液,将此提取液高速离心后分取上清液。将此液体用截留分子量为50000的聚砜膜进行超滤,过滤方式采用错流过滤。超滤工艺的操作条件为:超滤的进液口压力为0.35Mpa,超滤的出液口压力比进液口压力低0.20kPa。超滤初期采用较低压力,然后慢慢升压;在超滤过程中,采用周期性压力波动,压力波动差为0.2Mpa。料液流速为3.0m/s,超滤过程中,采用周期性流量波动以便在膜通道内产生脉动流或不稳定流,流速波动差为2.0m/s,在超滤系统中间歇通入氮气,形成气液脉冲流,周期为2h通气一次,每次1分钟。料液温度为40℃,当料液原液被浓缩1/8时,再加水或稀醇溶液超滤2次,料液的PH值控制在7.5。反冲洗压力为2.5MPa,反冲洗周期为1.5h、反冲洗时间为10min。当将超滤组件并联使用交替反冲的方法时,其中一套或几套进行正常的超滤并分流出一部分滤液来反冲另一套或几套组件的超滤膜,间隔一段时间后交换进行,工作20min,反冲3min。化学清洗周期为2个月,化学清洗药剂为0.5%~4.0%氢氧化钠、1.5%氢氧化钠和2%次氯酸钠的混合溶液,pH值为10~12,清洗工作压力为1.0MPa。在用化学清洗剂清洗之后,再用水冲洗至近中性。The salvia miltiorrhiza and notoginseng are extracted with 80% ethanol to obtain the ethanol extract of the salvia miltiorrhiza and notoginseng, the extract is centrifuged at high speed and the supernatant is collected. The liquid is ultrafiltered with a polysulfone membrane with a molecular weight cut-off of 50,000, and the filtration method adopts cross-flow filtration. The operating conditions of the ultrafiltration process are: the pressure of the liquid inlet of the ultrafiltration is 0.35Mpa, and the pressure of the liquid outlet of the ultrafiltration is 0.20kPa lower than the pressure of the liquid inlet. In the initial stage of ultrafiltration, a lower pressure is used, and then the pressure is gradually increased; in the process of ultrafiltration, periodic pressure fluctuations are adopted, and the pressure fluctuation difference is 0.2Mpa. The flow rate of the feed liquid is 3.0m/s. During the ultrafiltration process, periodic flow fluctuations are used to generate pulsating or unstable flows in the membrane channel. The difference in flow rate fluctuations is 2.0m/s. Nitrogen is intermittently fed into the ultrafiltration system , to form a gas-liquid pulse flow, and the period is 2h to ventilate once, each time for 1 minute. The temperature of the feed liquid is 40°C. When the original feed liquid is concentrated by 1/8, add water or dilute alcohol solution for ultrafiltration twice, and the pH value of the feed liquid is controlled at 7.5. The backwash pressure is 2.5MPa, the backwash cycle is 1.5h, and the backwash time is 10min. When the ultrafiltration modules are connected in parallel to use the method of alternate backflushing, one or several sets perform normal ultrafiltration and part of the filtrate is flowed out to backwash the ultrafiltration membrane of another set or several sets of components, and exchange after a period of time Carry out, work for 20 minutes, recoil for 3 minutes. The chemical cleaning cycle is 2 months, the chemical cleaning agent is a mixed solution of 0.5% to 4.0% sodium hydroxide, 1.5% sodium hydroxide and 2% sodium hypochlorite, the pH value is 10 to 12, and the cleaning working pressure is 1.0MPa. After cleaning with chemical cleaners, rinse with water until nearly neutral.

将所述的超滤液浓缩得到相对密度为1.35~1.39(55℃)的浸膏。取浸膏和冰片,与聚乙二醇-600020g混和均匀,加热至温度60℃,化料20~120分钟后,移至罐温保持在90℃的滴丸机滴罐中。药液滴至7~8℃甲基硅油中,取出滴丸,除油,筛网选丸,制成1000粒滴丸,即得。Concentrating the ultrafiltrate to obtain an extract with a relative density of 1.35-1.39 (55° C.). Take the extract and borneol, mix evenly with 20g of polyethylene glycol-6000, heat to a temperature of 60°C, and after 20-120 minutes of compounding, move to a dripping tank of a dripping machine whose tank temperature is kept at 90°C. Drop the drug solution into methyl silicone oil at 7-8°C, take out the dropping pills, remove the oil, select the pills through a screen, and make 1000 dropping pills, to get ready.

实施例四Embodiment four

原料药采用丹参41.1g、三七8.0g、冰片0.46g。The raw materials used are Danshen 41.1g, Panax notoginseng 8.0g, and Borneol 0.46g.

将粗粉碎的丹参、三七药材至提取罐中,加5倍量水,煎煮2小时,滤过,滤渣进行第二次提取,加入4倍量水,煎1小时,滤过,滤渣弃去,合并滤液。滤液用截留分子量为6000的二醋酸纤维素膜进行超滤,过滤方式采用错流过滤。超滤工艺的操作条件为:超滤的进液口压力为0.1Mpa,超滤的出液口压力比进液口压力低0.5kPa。超滤初期采用较低压力,然后慢慢升压;在超滤过程中,采用周期性压力波动,压力波动差为0.1Mpa。料液流速为1.0m/s,超滤过程中,采用周期性流量波动以便在膜通道内产生脉动流或不稳定流,流速波动差为1.0m/s,在超滤系统中间歇通入氮气,形成气液脉冲流,周期为0.5h通气一次,每次1分钟。料液温度为15℃,当料液原液被浓缩1/15时,再加水或稀醇溶液超滤1次,料液的PH值控制在5。反冲洗压力为0.15MPa,反冲洗周期为0.5h、反冲洗时间为1min。当将超滤组件并联使用交替反冲的方法时,其中一套或几套进行正常的超滤并分流出一部分滤液来反冲另一套或几套组件的超滤膜,间隔一段时间后交换进行,工作10min,反冲30sec。化学清洗周期为0.5月,化学清洗药剂为0.5%~4.0%氢氧化钠、1.5%氢氧化钠和2%次氯酸钠的混合溶液,pH值为10~12,清洗工作压力为0.05MPa。在用化学清洗剂清洗之后,再用水冲洗至近中性。Put the coarsely crushed Danshen and Panax notoginseng into the extraction tank, add 5 times the amount of water, decoct for 2 hours, filter, and extract the filter residue for the second time, add 4 times the amount of water, fry for 1 hour, filter, and discard the filter residue To, combine the filtrates. The filtrate was ultrafiltered with a cellulose diacetate membrane with a molecular weight cut-off of 6000, and the filtration method was cross-flow filtration. The operating conditions of the ultrafiltration process are: the pressure of the liquid inlet of the ultrafiltration is 0.1Mpa, and the pressure of the liquid outlet of the ultrafiltration is 0.5kPa lower than the pressure of the liquid inlet. In the initial stage of ultrafiltration, a lower pressure is used, and then the pressure is gradually increased; in the process of ultrafiltration, periodic pressure fluctuations are used, and the pressure fluctuation difference is 0.1Mpa. The flow rate of the feed liquid is 1.0m/s. During the ultrafiltration process, periodic flow fluctuations are used to generate pulsating flow or unstable flow in the membrane channel. The difference in flow rate fluctuations is 1.0m/s. Nitrogen is intermittently fed into the ultrafiltration system , to form a gas-liquid pulse flow, and the period is 0.5h to ventilate once, each time for 1 minute. The temperature of the feed liquid is 15°C. When the original feed liquid is concentrated by 1/15, add water or dilute alcohol solution for ultrafiltration once, and the pH value of the feed liquid is controlled at 5. The backwash pressure is 0.15MPa, the backwash cycle is 0.5h, and the backwash time is 1min. When the ultrafiltration modules are connected in parallel to use the method of alternate backflushing, one or several sets perform normal ultrafiltration and part of the filtrate is flowed out to backwash the ultrafiltration membrane of another set or several sets of components, and exchange after a period of time Carry out, work for 10min, recoil for 30sec. The chemical cleaning cycle is 0.5 months, the chemical cleaning agent is a mixed solution of 0.5%-4.0% sodium hydroxide, 1.5% sodium hydroxide and 2% sodium hypochlorite, the pH value is 10-12, and the cleaning working pressure is 0.05MPa. After cleaning with chemical cleaners, rinse with water until nearly neutral.

将所述的超滤液浓缩得到相对密度为1.35~1.39(55℃)的浸膏。取浸膏和冰片,与聚乙二醇6000 21g混和均匀,加热至温度60℃,化料20~120分钟后,移至罐温保持在90℃的滴丸机滴罐中。药液滴至7~8℃液体石蜡中,取出滴丸,除油,筛网选丸,制成1000粒滴丸,即得。Concentrating the ultrafiltrate to obtain an extract with a relative density of 1.35-1.39 (55° C.). Take the extract and borneol, mix evenly with 21g of polyethylene glycol 6000, heat to a temperature of 60°C, and after 20 to 120 minutes of compounding, move to a dropping tank of a dripping machine whose tank temperature is kept at 90°C. Drop the drug solution into liquid paraffin at 7-8°C, take out the dropping pills, remove the oil, select the pills through a sieve, and make 1000 dropping pills.

实施例五Embodiment five

原料药采用丹参29.0g、三七30.6g、冰片0.6g。The raw materials used are 29.0g of Danshen, 30.6g of Radix Notoginseng, and 0.6g of Borneol.

将粗粉碎的丹参、三七药材至提取罐中,加5倍量水,煎煮2小时,滤过,滤渣进行第二次提取,加入4倍量水,煎1小时,滤过,滤渣弃去,合并滤液。滤液用截留分子量为80000的聚砜膜进行超滤,过滤方式采用死端过滤。超滤工艺的操作条件为:超滤的进液口压力为0.5Mpa,超滤的出液口压力比进液口压力低0.25kPa。超滤初期采用较低压力,然后慢慢升压;在超滤过程中,采用周期性压力波动,压力波动差为0.2Mpa。料液流速为4.0m/s,超滤过程中,采用周期性流量波动以便在膜通道内产生脉动流或不稳定流,流速波动差为2.0m/s,在超滤系统中间歇通入氮气,形成气液脉冲流,周期为2h通气一次,每次1分钟。料液温度为50℃,当料液原液被浓缩1/5时,再加水或稀醇溶液超滤2次,料液的PH值控制在9。反冲洗压力为2.5MPa,反冲洗周期为1.5h、反冲洗时间为10min。当将超滤组件并联使用交替反冲的方法时,其中一套或几套进行正常的超滤并分流出一部分滤液来反冲另一套或几套组件的超滤膜,间隔一段时间后交换进行,工作20min,反冲3min。化学清洗周期为2个月,化学清洗药剂为0.5%~4.0%氢氧化钠、1.5%氢氧化钠和2%次氯酸钠的混合溶液,pH值为10~12,清洗工作压力为1.0MPa。在用化学清洗剂清洗之后,再用水冲洗至近中性。Put the coarsely crushed Danshen and Panax notoginseng into the extraction tank, add 5 times the amount of water, decoct for 2 hours, filter, and extract the filter residue for the second time, add 4 times the amount of water, fry for 1 hour, filter, and discard the filter residue To, combine the filtrates. The filtrate was ultrafiltered with a polysulfone membrane with a molecular weight cut-off of 80,000, and the filtration method was dead-end filtration. The operating conditions of the ultrafiltration process are: the pressure of the liquid inlet of the ultrafiltration is 0.5Mpa, and the pressure of the liquid outlet of the ultrafiltration is 0.25kPa lower than the pressure of the liquid inlet. In the initial stage of ultrafiltration, a lower pressure is used, and then the pressure is gradually increased; in the process of ultrafiltration, periodic pressure fluctuations are adopted, and the pressure fluctuation difference is 0.2Mpa. The flow rate of the feed liquid is 4.0m/s. During the ultrafiltration process, periodic flow fluctuations are used to generate pulsating flow or unstable flow in the membrane channel. The difference in flow rate fluctuations is 2.0m/s. Nitrogen is intermittently fed into the ultrafiltration system , to form a gas-liquid pulse flow, and the period is 2h to ventilate once, each time for 1 minute. The temperature of the feed liquid is 50°C. When the raw liquid of the feed liquid is concentrated by 1/5, add water or dilute alcohol solution for ultrafiltration twice, and the pH value of the feed liquid is controlled at 9. The backwash pressure is 2.5MPa, the backwash cycle is 1.5h, and the backwash time is 10min. When the ultrafiltration modules are connected in parallel to use the method of alternate backflushing, one or several sets perform normal ultrafiltration and part of the filtrate is flowed out to backwash the ultrafiltration membrane of another set or several sets of components, and exchange after a period of time Carry out, work for 20 minutes, recoil for 3 minutes. The chemical cleaning cycle is 2 months, the chemical cleaning agent is a mixed solution of 0.5% to 4.0% sodium hydroxide, 1.5% sodium hydroxide and 2% sodium hypochlorite, the pH value is 10 to 12, and the cleaning working pressure is 1.0MPa. After cleaning with chemical cleaners, rinse with water until nearly neutral.

将所述的超滤液浓缩得到相对密度为1.32~1.40(55℃)的浸膏,取浸膏和冰片,与聚乙二醇-6000 20g混和均匀,加热至温度60℃,化料20~120分钟后,移至罐温保持在90℃的滴丸机滴罐中。药液滴至7~8℃液体石蜡中,取出滴丸,除油,筛网选丸,制成1000粒滴丸,即得。Concentrate the ultrafiltrate to obtain an extract with a relative density of 1.32 to 1.40 (55° C.), take the extract and borneol, mix with 20 g of polyethylene glycol-6000, heat to a temperature of 60° C. After 120 minutes, move to the dripping tank of the dropping pill machine where the tank temperature is maintained at 90°C. Drop the drug solution into liquid paraffin at 7-8°C, take out the dropping pills, remove the oil, select the pills through a sieve, and make 1000 dropping pills.

实施例六Embodiment six

原料药采用丹参21.0g、三七38.0g、冰片0.4g。The raw materials are 21.0g of Danshen, 38.0g of Panax notoginseng, and 0.4g of borneol.

取经粗粉碎的丹参、三七药材至提取罐中,加入0.89g碳酸氢钠,加4倍量水,煎煮2小时,滤过,滤渣进行第二次提取,加入4倍量水,煎煮1小时,滤过,滤渣弃去,合并滤液。滤液用截留分子量为50000的聚砜膜进行超滤,过滤方式采用错流过滤。超滤工艺的操作条件为:超滤的进液口压力为0.35Mpa,超滤的出液口压力比进液口压力低0.20kPa。超滤初期采用较低压力,然后慢慢升压;在超滤过程中,采用周期性压力波动,压力波动差为0.2Mpa。料液流速为3.0m/s,超滤过程中,采用周期性流量波动以便在膜通道内产生脉动流或不稳定流,流速波动差为2.0m/s,在超滤系统中间歇通入氮气,形成气液脉冲流,周期为2h通气一次,每次1分钟。料液温度为40℃,当料液原液被浓缩1/8时,再加水或稀醇溶液超滤2次,料液的PH值控制在7.5。反冲洗压力为2.5MPa,反冲洗周期为1.5h、反冲洗时间为10min。当将超滤组件并联使用交替反冲的方法时,其中一套或几套进行正常的超滤并分流出一部分滤液来反冲另一套或几套组件的超滤膜,间隔一段时间后交换进行,工作20min,反冲3min。化学清洗周期为2个月,化学清洗药剂为0.5%~4.0%氢氧化钠、1.5%氢氧化钠和2%次氯酸钠的混合溶液,pH值为10~12,清洗工作压力为1.0MPa。在用化学清洗剂清洗之后,再用水冲洗至近中性。Take the coarsely crushed Danshen and Panax notoginseng medicinal materials into the extraction tank, add 0.89g sodium bicarbonate, add 4 times the amount of water, decoct for 2 hours, filter, and extract the filter residue for the second time, add 4 times the amount of water, decoct After 1 hour, filter, discard the filter residue, and combine the filtrates. The filtrate was ultrafiltered with a polysulfone membrane with a molecular weight cut-off of 50,000, and the filtration method was cross-flow filtration. The operating conditions of the ultrafiltration process are: the pressure of the liquid inlet of the ultrafiltration is 0.35Mpa, and the pressure of the liquid outlet of the ultrafiltration is 0.20kPa lower than the pressure of the liquid inlet. In the initial stage of ultrafiltration, a lower pressure is used, and then the pressure is gradually increased; in the process of ultrafiltration, periodic pressure fluctuations are adopted, and the pressure fluctuation difference is 0.2Mpa. The flow rate of the feed liquid is 3.0m/s. During the ultrafiltration process, periodic flow fluctuations are used to generate pulsating or unstable flows in the membrane channel. The difference in flow rate fluctuations is 2.0m/s. Nitrogen is intermittently fed into the ultrafiltration system , to form a gas-liquid pulse flow, and the period is 2h to ventilate once, each time for 1 minute. The temperature of the feed liquid is 40°C. When the original feed liquid is concentrated by 1/8, add water or dilute alcohol solution for ultrafiltration twice, and the pH value of the feed liquid is controlled at 7.5. The backwash pressure is 2.5MPa, the backwash cycle is 1.5h, and the backwash time is 10min. When the ultrafiltration modules are connected in parallel to use the method of alternate backflushing, one or several sets perform normal ultrafiltration and part of the filtrate is flowed out to backwash the ultrafiltration membrane of another set or several sets of components, and exchange after a period of time Carry out, work for 20 minutes, recoil for 3 minutes. The chemical cleaning cycle is 2 months, the chemical cleaning agent is a mixed solution of 0.5% to 4.0% sodium hydroxide, 1.5% sodium hydroxide and 2% sodium hypochlorite, the pH value is 10 to 12, and the cleaning working pressure is 1.0MPa. After cleaning with chemical cleaners, rinse with water until nearly neutral.

将所述的超滤液浓缩得到相对密度为1.32~1.40(55℃)的浸膏,取浸膏和冰片,与聚乙二醇-6000 18g混和均匀,加热至温度85℃,化料20~120分钟后,移至罐温保持在85~90℃的滴丸机滴罐中。药液滴至7~8℃液体石蜡中,取出滴丸,除油,筛网选丸,制成1000粒滴丸,即得。Concentrate the ultrafiltrate to obtain an extract with a relative density of 1.32 to 1.40 (55° C.), take the extract and borneol, mix it with polyethylene glycol-6000 18 g, heat to a temperature of 85° C. After 120 minutes, move to the dropping tank of the dropping pill machine whose tank temperature is kept at 85-90°C. Drop the drug solution into liquid paraffin at 7-8°C, take out the dropping pills, remove the oil, select the pills through a sieve, and make 1000 dropping pills.

Claims (14)

1.一种复方丹参滴丸的制备方法,以丹参、三七和冰片为原料药制成,其特征在于其制备的工艺步骤为:1. a kind of preparation method of compound danshen dripping pill is made with salvia miltiorrhiza, Radix Notoginseng and Borneolum as raw material medicine, it is characterized in that the processing step of its preparation is: (1)将丹参、三七混合或单独制成水提液或醇提液;(1) Mix Salvia Miltiorrhiza and Panax notoginseng or make water extract or alcohol extract separately; (2)对所述的提取液进行初步澄清处理;(2) Carry out preliminary clarification treatment to described extract; (3)进一步对所述的提取液进行超滤处理;(3) further carry out ultrafiltration treatment to described extract; (4)将超滤液浓缩,将所得浸膏与冰片及辅料混和均匀后,制成滴丸。(4) Concentrate the ultrafiltrate, mix the obtained extract with borneol and auxiliary materials evenly, and make dropping pills. 2.根据权利要求1所述的制备方法,其特征在于所述的原料药的重量百分配比为:2. the preparation method according to claim 1 is characterized in that the weight percent distribution ratio of described crude drug is: 丹参20%~97%,Salvia miltiorrhiza 20%~97%, 三七2%~79%,Panax notoginseng 2%~79%, 冰片0.2%~3%。Borneol 0.2% to 3%. 3.根据权利要求2所述的制备方法,其特征在于所述的原料的重量百分比为:3. preparation method according to claim 2 is characterized in that the weight percent of described raw material is: 丹参63.0%%~94%,Salvia miltiorrhiza 63.0%~94%, 川芎4.0%~35.0%,Chuanxiong 4.0%~35.0%, 冰片0.5%~2.0%。Borneol 0.5% ~ 2.0%. 4.根据权利要求3所述的制备方法,其特征在于所述的原料的重量百分比为:4. preparation method according to claim 3 is characterized in that the weight percent of described raw material is: 丹参75.2%~90%,Danshen 75.2% ~ 90%, 川芎9%~23.5%,Chuanxiong 9%~23.5%, 冰片0.5%~1.3%。Borneol 0.5% ~ 1.3%. 5.根据权利要求1~4所述的制备方法,其特征在于所述的醇提液为选自以下的低级醇或其混合物的提取液:甲醇、乙醇、正丙醇、异丙醇、正丁醇、异丁醇。5. according to the described preparation method of claim 1~4, it is characterized in that described alcohol extraction liquid is the extraction liquid of the lower alcohol or its mixture selected from following: methanol, ethanol, n-propanol, isopropanol, n-propanol, Butanol, isobutanol. 6.根据权利要求1~4所述的制备方法,其特征在所述的醇提液为乙醇提取液。6. The preparation method according to claims 1-4, characterized in that the alcohol extract is an ethanol extract. 7.根据权利要求1~4所述的制备方法,其特征在所述步骤(a)得到的是丹参和三七混合制成的乙醇提取液。7. The preparation method according to claims 1-4, characterized in that what is obtained in the step (a) is the ethanol extract prepared by mixing Salvia miltiorrhiza and Radix Notoginseng. 8.根据权利要求1~4所述的制备方法,其特征在所述步骤(a)得到的是丹参和三七混合制成的水提取液。8. The preparation method according to claims 1-4, characterized in that what is obtained in the step (a) is the water extract prepared by mixing Salvia miltiorrhiza and Radix Notoginseng. 9.根据权利要求1~4所述的制备方法,其特征在所述步骤(a)为:取经粗粉碎的丹参、三七药材至提取罐中,加入适量碳酸氢钠,加水煎煮二次,滤过,滤渣弃去,合并滤液,得提取液。9. The preparation method according to claims 1 to 4, wherein said step (a) is as follows: take the coarsely crushed Danshen and Panax notoginseng medicinal materials into the extraction tank, add an appropriate amount of sodium bicarbonate, add water and decoct twice , filtered, and the filter residue was discarded, and the filtrates were combined to obtain an extract. 10.根据权利要求1~4所述的制备方法,其特征在于所述的初步澄清处理为粗滤-吸附澄清、吸附澄清-高速离心、粗滤-微滤或粗滤-醇沉。10. The preparation method according to claims 1-4, characterized in that the preliminary clarification treatment is coarse filtration-adsorption clarification, adsorption clarification-high-speed centrifugation, coarse filtration-microfiltration or coarse filtration-alcohol precipitation. 11.根据权利要求1~4所述的制备方法,其特征在于所述超滤处理所用的超滤膜选自:二醋酸纤维素膜、三醋酸纤维素膜、氰乙基醋酸纤维素膜、聚砜膜、磺化聚砜膜、聚醚砜膜、磺化聚醚砜膜、聚砜酰胺膜、酚酞侧基聚芳砜膜、聚偏氟乙烯膜、聚丙烯腈膜、聚酰亚胺膜、纤维素膜、甲基丙烯酸甲酯-丙烯腈共聚物膜、聚丙烯腈/二醋酸纤维素共混膜,动态形成的超滤膜,以及上述膜的改性膜;其超滤膜的截留分子量为6000~80000。11. The preparation method according to claims 1 to 4, characterized in that the ultrafiltration membrane used in the ultrafiltration treatment is selected from: cellulose diacetate membrane, cellulose triacetate membrane, cyanoethyl cellulose acetate membrane, Polysulfone membrane, sulfonated polysulfone membrane, polyethersulfone membrane, sulfonated polyethersulfone membrane, polysulfone amide membrane, polyarylsulfone membrane with phenolphthalein side group, polyvinylidene fluoride membrane, polyacrylonitrile membrane, polyimide Membranes, cellulose membranes, methyl methacrylate-acrylonitrile copolymer membranes, polyacrylonitrile/cellulose diacetate blend membranes, dynamically formed ultrafiltration membranes, and modified membranes of the above membranes; the ultrafiltration membranes The molecular weight cut-off is 6000-80000. 12.根据权利要求11所述的制备方法,其特征在于所述超滤膜选自:二醋酸纤维素膜、三醋酸纤维素膜、聚砜膜、磺化聚砜膜、聚醚砜膜、磺化聚醚砜膜、聚砜酰胺膜,聚偏氟乙烯膜、聚丙烯腈膜;其超滤膜的截留分子量为10000~70000。12. The preparation method according to claim 11, wherein the ultrafiltration membrane is selected from the group consisting of: cellulose diacetate membrane, cellulose triacetate membrane, polysulfone membrane, sulfonated polysulfone membrane, polyethersulfone membrane, Sulfonated polyethersulfone membrane, polysulfoneamide membrane, polyvinylidene fluoride membrane, polyacrylonitrile membrane; the molecular weight cut-off of the ultrafiltration membrane is 10,000-70,000. 13.根据权利要求1~4所述的制备方法,其特征在于所述超滤处理的操作工艺条件如下:超滤的进液口压力为0.1~0.5MPa,超滤的出液口压力比进液口压力低0.25~0.5kPa;料液温度为15~50℃;料液的pH值控制在5~9;当料液原液被浓缩1/15~1/5时,再加水或稀醇溶液超滤1~2次。13. The preparation method according to claims 1 to 4, characterized in that the operating conditions of the ultrafiltration treatment are as follows: the pressure of the liquid inlet of the ultrafiltration is 0.1 to 0.5 MPa, and the pressure of the liquid outlet of the ultrafiltration is higher than that of the inlet The pressure at the liquid port is 0.25-0.5kPa lower; the temperature of the feed liquid is 15-50°C; the pH value of the feed liquid is controlled at 5-9; when the raw liquid of the feed liquid is concentrated by 1/15-1/5, add water or dilute alcohol solution Ultrafiltration 1 to 2 times. 14.根据权利要求13所述的制备方法,其特征在于,在所述超滤的过程中单独或者联合采用下述方法:周期性压力波动、周期性流量波动、间歇地通入惰性气体;其中周期性压力波动的压力波动差为0.1~0.2Mpa,周期性流量波动的流速波动差为1.0~2.0米/秒,间歇地通入惰性气体为0.5小时~2小时通气一次,每次1分钟。14. The preparation method according to claim 13, characterized in that, in the process of the ultrafiltration, the following methods are used alone or in combination: periodic pressure fluctuations, periodic flow fluctuations, intermittently feeding inert gas; wherein The pressure fluctuation difference of the periodic pressure fluctuation is 0.1-0.2Mpa, the flow velocity fluctuation difference of the periodic flow fluctuation is 1.0-2.0 m/s, and the inert gas is intermittently injected every 0.5-2 hours for 1 minute each time.
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CN101167838B (en) * 2006-11-06 2010-12-01 张文武 Traditional Chinese medicinal preparation for treating coronary heart disease and angina pectoris and its preparing process
CN102028740A (en) * 2009-09-29 2011-04-27 天津天士力现代中药资源有限公司 Medicament for treating coronary heart disease and preparation process thereof
CN101088522B (en) * 2006-06-13 2012-07-04 天津天士力制药股份有限公司 Chinese medicine composition containing red sage, notoginseng and musk or muskone and its prepn
CN102686220A (en) * 2010-02-23 2012-09-19 天士力制药集团股份有限公司 Capsule of complex danshen drop pill

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CN1161140C (en) * 2001-11-09 2004-08-11 天津天士力制药股份有限公司 Medicine for preventing and treating coronary heart disease and angina pectoris and its prepn and other use

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Publication number Priority date Publication date Assignee Title
CN101088522B (en) * 2006-06-13 2012-07-04 天津天士力制药股份有限公司 Chinese medicine composition containing red sage, notoginseng and musk or muskone and its prepn
CN101167838B (en) * 2006-11-06 2010-12-01 张文武 Traditional Chinese medicinal preparation for treating coronary heart disease and angina pectoris and its preparing process
CN102028740A (en) * 2009-09-29 2011-04-27 天津天士力现代中药资源有限公司 Medicament for treating coronary heart disease and preparation process thereof
CN102686220A (en) * 2010-02-23 2012-09-19 天士力制药集团股份有限公司 Capsule of complex danshen drop pill
CN102686220B (en) * 2010-02-23 2014-03-05 天士力制药集团股份有限公司 Capsule of complex danshen drop pill
US9205123B2 (en) 2010-02-23 2015-12-08 Tasly Pharmaceutical Group Co., Ltd. Capsule of compound danshen dripping pills

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