CN1857678A - Mastoproliferation treating medicine and its preparing method - Google Patents
Mastoproliferation treating medicine and its preparing method Download PDFInfo
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Abstract
本发明提供一种用于治疗乳腺增生病的药物及其制备方法,该药物由下述重量份配比的原料制成的药剂:赤芍12~24、柴胡12~24、当归12~24、香附6~15、郁金6~15、青皮6~15、夏枯草12~24、猫爪草12~24、山慈姑6~15、皂角刺6~15、僵蚕6~15、全蝎6~15、玄参6~15、土贝母12~24。该方法是采用超临界CO2流体萃取柴胡、香附、当归、郁金和青皮的有效成分;采用稀乙醇溶液提取僵蚕、全蝎和赤芍的有效成分;采用水煎煮法提取夏枯草、猫爪草、玄参、土贝母、山慈姑和皂角刺的有效成分;通过加入环糊精包合,最后制得产品。The invention provides a medicament for treating mammary gland hyperplasia and a preparation method thereof. The medicament is prepared from the following raw materials in proportions by weight: Radix Paeoniae Rubra 12-24, Bupleurum 12-24, Angelica 12-24 , Rhizoma Cyperus 6~15, Curcuma 6~15, Qingpi 6~15, Prunella vulgaris 12~24, Cat's Claw 12~24, Sagittarius 6~15, Saponaria thorn 6~15, Bombyx mori 6~15, Scorpio 6-15, Scrophulariaceae 6-15, Fritillaria 12-24. The method is to use supercritical CO 2 fluid to extract the active ingredients of Bupleurum, Rhizoma Cyperi, Angelica, Curcuma and Qingpi; The active ingredients of subtilis, cat's claw, scrophulariaceae, soil Fritillaria, sagittaria and saponins; the final product is obtained by adding cyclodextrin for inclusion.
Description
技术领域technical field
本发明涉及一种治疗乳腺增生病的药物,具体的讲是以中草药为原料制备的药物,本发明还涉及该药物的制备方法。The invention relates to a medicine for treating mammary gland hyperplasia, specifically the medicine prepared from Chinese herbal medicine, and also relates to a preparation method of the medicine.
背景技术Background technique
肿块是外科疾病的常见临床表现之一,分良性和恶性两大类,是危害人类健康的常见病、多发病。对于肿块性疾病的治疗,目前因缺乏有效的成药治疗,一般以手术切除为主,增加了患者的痛苦。而在祖国医学中,肿块性疾病不仅属于外科,还散载于内、妇、五官科等门类中。关于治疗,早在《内经》就提出总的治则。现代中医从整体出发,辨证施治,在部分门类中取得良效。而涉及采用中药制剂治疗乳腺增生病的药物,至今尚未见有报道。Mass is one of the common clinical manifestations of surgical diseases, which can be divided into two categories: benign and malignant. It is a common and frequently-occurring disease that endangers human health. For the treatment of mass diseases, due to the lack of effective drug treatment, surgical resection is generally the main method, which increases the suffering of patients. In Chinese medicine, mass diseases not only belong to surgery, but also are scattered in internal medicine, gynecology, ENT and other categories. Regarding treatment, general treatment principles were proposed as early as in the "Nei Jing". Modern Chinese medicine proceeds from the whole, and treats according to syndrome differentiation, and has achieved good results in some categories. And relate to the medicine that adopts Chinese medicine preparation to treat mammary gland hyperplasia, there is no report so far.
发明内容Contents of the invention
本发明的目的之一是提供一种疗效显著,无毒副作用的治疗乳腺增生病的药物。目的之二是提供一种达到目的之一的工艺简单,易于操作的该药物的制备方法。One of the objects of the present invention is to provide a medicament for treating mammary gland hyperplasia with remarkable curative effect and no side effects. The second purpose is to provide a preparation method of the medicine which achieves the first purpose and has a simple process and is easy to operate.
本发明的目的之一可通过如下技术措施来实现:One of purpose of the present invention can be realized by following technical measures:
本发明的药物是由下述重量份配比的原料制成的药剂The medicament of the present invention is a medicament made from the following raw materials in parts by weight
赤芍 12~24 柴胡 12~24 当归 12~24Paeoniae Rubra 12~24 Bupleurum 12~24 Angelica 12~24
香附 6~15 郁金 6~15 青皮 6~15Cyperus 6~15 Turmeric 6~15 Green skin 6~15
夏枯草 12~24 猫爪草 12~24 山慈姑 6~15Prunella vulgaris 12~24 Cat’s claw 12~24 Arrowhead 6~15
皂角刺 6~15 僵蚕 6~15 全蝎 6~15Saponaria thorn 6~15 Dead silkworm 6~15 Full scorpion 6~15
玄参 6~15 土贝母 12~24。Scrophulariaceae 6~15 and Fritillaria 12~24.
制备本发明药物的最佳重量份配比是The optimum weight portion proportioning of preparation medicine of the present invention is
赤芍 18 柴胡 18 当归 18Radix Paeoniae 18 Bupleurum 18 Angelica 18
香附 9 郁金 9 青皮 9Cyperus 9 turmeric 9 green skin 9
夏枯草 18 猫爪草 18 山慈姑 10Prunella 18 Cat's Claw 18 Arrowhead 10
皂角刺 9 僵蚕 9 全蝎 9Saponaria thorn 9 Bombyx silkworm 9 Full scorpion 9
玄参 15 土贝母 18。Scrophulariaceae 15 Soil Fritillaria 18.
本发明所说的剂型是任何一种药剂学上所说的剂型;所说的药剂剂型可以是粉剂、散剂、片剂、丸剂、颗粒剂或胶囊剂,其中以颗粒剂或胶囊剂为优选。Said dosage form of the present invention is any said dosage form in pharmacy; Said pharmaceutical dosage form can be powder, powder, tablet, pill, granule or capsule, wherein is preferred with granule or capsule.
本发明的目的之二可通过如下技术措施来实现:Two of the object of the present invention can be realized by following technical measures:
将上述各组分制成本发明药物的生产方法是:The production method that above-mentioned each component is made into medicine of the present invention is:
a、取柴胡粉加入萃取釜中,超临界CO2流体萃取,得柴胡皂苷或柴胡挥发油;a. Take Bupleurum powder and put it into the extraction kettle, and extract with supercritical CO2 fluid to obtain saikosaponin or bupleurum volatile oil;
b、同a工序,不同的是用香附、当归、郁金、青皮混合粉取代柴胡粉,得挥发油;b. The same process as a, but the difference is that the Bupleurum powder is replaced by the mixed powder of Cyperus cyperi, angelica, turmeric, and green skin to obtain volatile oil;
c、取僵蚕、全蝎用稀乙醇溶液回流提取,滤去残渣,合并乙醇提取液,减压回收乙醇并浓缩成醇提膏;c. Take silkworms and scorpions and extract them under reflux with dilute ethanol solution, filter off the residue, combine the ethanol extract, recover ethanol under reduced pressure and concentrate it into an alcohol extract;
d、同c工序,不同的是用赤芍取代僵蚕、全蝎,得醇提膏;d, the same process as c, the difference is that red peony root is used instead of silkworm and scorpion to obtain alcohol extraction cream;
e、先取夏枯草、猫爪草、玄参、土贝母、山慈姑、皂角刺,用煎煮法煎煮,水煎液浓缩后自然冷却至室温,然后于搅拌下缓缓加入稀乙醇溶液,经沉淀、滤过,减压回收乙醇并浓缩成水煎醇沉浓缩膏;e. First take Prunella vulgaris, Cat’s Claw, Scrophulariae Scrophulariae, Soil Fritillary, Arrowhead, Saponaria, and decoct it by decocting. The decoction is concentrated and cooled to room temperature naturally, and then slowly add dilute ethanol under stirring. The solution is precipitated and filtered, and the ethanol is recovered under reduced pressure and concentrated into a concentrated paste of decoction and alcohol precipitation;
f、将c、d工序制备的醇提膏和e工序制备的水煎醇沉浓缩膏混合,加入200~800重量份的糊精和5~30重量份的甜叶菊糖,混匀,再于40~90℃喷雾干燥,粉碎得干膏粉;f. Mix the alcohol extraction paste prepared by steps c and d with the concentrated paste prepared by decoction and alcohol precipitation prepared by step e, add 200 to 800 parts by weight of dextrin and 5 to 30 parts by weight of stevioside, mix well, and then Spray drying at 40-90°C and pulverize to obtain dry cream powder;
g、取1~12重量份的β-环糊精,加入15~35倍重量份的蒸馏水,超声混匀成β-环糊精溶液;另取a工序制备的柴胡皂苷或柴胡挥发油,用3~8倍重量份的无水乙醇稀释,在20~60℃下,于超声过程中缓慢加入β-环糊精溶液中,经冷藏、抽滤,滤层分别用蒸馏水和无水乙醇洗涤,30~70℃下干燥得柴胡皂苷β-环糊精包合物粉末;g. Take 1 to 12 parts by weight of β-cyclodextrin, add 15 to 35 times the weight of distilled water, and ultrasonically mix to form a β-cyclodextrin solution; in addition, take saikosaponin or bupleurum volatile oil prepared in step a, Dilute with 3 to 8 times the weight of absolute ethanol, slowly add it to the β-cyclodextrin solution during the ultrasonic process at 20 to 60 ° C, refrigerate, filter with suction, and wash the filter layer with distilled water and absolute ethanol respectively , dried at 30-70°C to obtain saikosaponin β-cyclodextrin inclusion compound powder;
h、同g工序,不同的是用b工序制备的挥发油取代a工序制备的柴胡皂苷或柴胡挥发油,得挥发油β-环糊精包合物粉末;h, the same procedure as g, except that the volatile oil prepared by b procedure is used to replace the saikosaponin or bupleurum volatile oil prepared by a procedure to obtain volatile oil β-cyclodextrin inclusion compound powder;
m、将干膏粉与挥发油β-环糊精包合物、柴胡皂苷β-环糊精包合物混匀即成粉剂,将粉剂制成散剂或片剂或丸剂,按常规加入适量的制药用淀粉制成颗粒剂,将颗粒剂装入胶囊制成胶囊剂。m. Mix the dry paste powder with volatile oil β-cyclodextrin inclusion compound and saikosaponin β-cyclodextrin inclusion compound to form a powder. Make the powder into powder, tablet or pill, and add appropriate amount of Pharmaceutical starch is used to make granules, and the granules are packed into capsules to make capsules.
本发明的目的之二还可通过如下技术措施来实现:Two of the object of the present invention can also be realized by following technical measures:
a、b工序中所述的超临界CO2流体萃取是对萃取釜、解析釜分别进行加热或冷却至30~60℃,然后向系统中加入CO2气,当压力为20~50MPa时,恒温、恒压下萃取1.0~3.0小时;The supercritical CO 2 fluid extraction described in the steps a and b is to heat or cool the extraction kettle and the desorption kettle to 30-60°C respectively, and then add CO 2 gas into the system. When the pressure is 20-50MPa, the constant temperature 1. Extraction under constant pressure for 1.0 to 3.0 hours;
c、d工序中所述的稀乙醇溶液回流提取是加入僵蚕、全蝎的6~15倍重量份的50~80%的乙醇液,浸泡0.5~1小时,在50~100℃下回流2~3次,每次1~3小时;所述醇提膏的相对密度为1.10~1.50;The reflux extraction of dilute ethanol solution described in c and d operations is to add 50-80% ethanol solution of 6-15 times by weight of silkworm and scorpion, soak for 0.5-1 hour, and reflux at 50-100°C for 2 ~3 times, 1~3 hours each time; the relative density of the alcohol extraction paste is 1.10~1.50;
e工序中所述的煎煮法煎煮是加入夏枯草、猫爪草、玄参、土贝母、山慈姑和皂角刺6~15倍重量份的水,浸泡后煎煮2~3次,每次1~3小时,合并水煎液并浓缩至相对密度为1.03~1.50的水煎浓缩液;然后冷却至室温,在搅拌下缓缓加入浓缩液1~3倍重量份的60~95%的乙醇,继续搅拌10~40分钟,0~8℃下静置沉淀24~72小时,滤过,水煎醇沉浓缩膏相对密度为1.10~1.50;The decocting method described in the e process is to add Prunella vulgaris, Cat’s Claw, Scrophulariaceae Scrophulariae, Soil Fritillaria, Arthia chinensis and Saponaria japonica 6 to 15 times the weight of water, soak and decoct 2 to 3 times , 1 to 3 hours each time, combine the decoction and concentrate to a decoction concentrate with a relative density of 1.03 to 1.50; then cool to room temperature, and slowly add 60 to 95 parts by weight of the concentrate under stirring. % ethanol, continue to stir for 10-40 minutes, set aside to settle at 0-8°C for 24-72 hours, filter, and decoct in water and alcohol to precipitate the concentrated paste with a relative density of 1.10-1.50;
g工序中所述的冷藏时间为10~30小时。The refrigerating time described in the g process is 10 to 30 hours.
乳腺囊性增生病中医称乳癖,认为发病与情志、饮食、劳倦、内伤有关,多数医家从整体出发,辨证与辨病相结合,以其达到以调节内分泌,增强机体免疫力来治疗该病,目前乳腺囊性增生病的辩证治疗,主要根据不同阶段和证候分为肝郁气滞,痰瘀互结和冲任失调型,分别采用疏肝理气,化痰散结,活血化瘀,温肾助阳,调摄冲任等治法。本发明在多年治疗该病基础上总结出以疏肝活血为主,佐以化痰散结,调摄冲任,即在辩证与辨病的基础上,结合现代医学认识及中药现代药理研究而选方用药。本发明遵从《医宗金鉴》海藻玉壶汤及《杂病源流犀烛》破坚散和《医学心悟》消瘰丸,结合临床实际化裁而来,功能软坚散结,活血通络,消肿止痛。用于主治各种乳腺肿块性疾病,见于肿瘤、慢性炎块等疾病,均可有效治疗。本方重用赤芍、夏枯草,共为君药,以软坚散结、柔肝养阴。清·陈士铎在《石室秘录·软治法》中指出:“病有坚劲而不肯轻易散者,当用软治……久之而坚自软,柔能治刚之妙法也。”配伍山慈菇、土贝母、猫爪草、青皮化痰祛湿、解毒散结,其中青皮兼有健脾和胃之功,更能治痰之源,为臣药;配伍活血化瘀、消肿止痛以散结,以加强君药散结之力,柴胡、香附疏肝理气止痛,僵蚕、全蝎、皂角刺软坚散结,消肿托毒,既可加强夏枯草、山慈菇、猫爪草、青皮的散结之力,还可引导诸药直达病所,以达肿块消散之目的,共为佐药,当归、郁金、玄参补血行气,清热化郁作为使药。综观全方,共十四味药相辅相成,配方紧凑,以攻为主,攻中有补,共奏软坚散结、行气化痰、活血通络、消肿止痛之效。Cystic hyperplasia of the breast is called breast addiction in traditional Chinese medicine. It is believed that the onset is related to emotions, diet, fatigue, and internal injuries. Most doctors start from the whole and combine syndrome differentiation with disease differentiation to achieve endocrine regulation and enhance body immunity. At present, the dialectical treatment of cystic hyperplasia of the breast is mainly divided into liver depression and qi stagnation, phlegm and blood stasis and Chong Ren disorder according to different stages and syndromes. , warming the kidney and helping the yang, adjusting the camera, Chong and Ren and other treatment methods. Based on the treatment of the disease for many years, the present invention concludes that the main method is to soothe the liver and activate blood circulation, with the aid of resolving phlegm and dissipating stagnation, and adjusting photography and function, that is, on the basis of dialectical syndrome and disease differentiation, combined with modern medical understanding and modern pharmacological research of traditional Chinese medicine. Prescription medicine. The present invention complies with "Yi Zong Jin Jian" Haizao Yuhu Decoction, "Miscellaneous Diseases Origin and Flow Rhinoceros Candle" Pojian Powder and "Medical Heart Wu" Xiaoyu Pills, combined with clinical practice, the function is softening and resolving hard masses, promoting blood circulation and dredging collaterals , swelling and pain relief. It is used to treat various breast lump diseases, such as tumors and chronic inflammation, and can be effectively treated. This prescription reuses Radix Paeoniae Rubra and Prunella vulgaris, which are the monarch drugs together, to soften and resolve stagnation, soften the liver and nourish yin. Qing Dynasty Chen Shiduo pointed out in "Stone Chamber Secret Record Soft Treatment Method": "If the disease is strong and refuses to disperse easily, it should be treated with soft treatment... After a long time, it will become firm and soft, and softness can cure rigidity." Compatibility Arrowhead mushroom, Fritillaria chinensis, cat's claw, Qingpi reduce phlegm and dampness, detoxify and dissipate stagnation, among which Qingpi has the function of invigorating the spleen and stomach, and can cure the source of phlegm. Swell and relieve pain to dissipate stagnation to strengthen the power of monarch medicine to dissipate stagnation. Arrowhead mushroom, cat's claw grass, and green bark have the power to dissipate stagnation, and can also guide all kinds of medicines directly to the disease, so as to achieve the purpose of dissipating tumors. They are all adjuvant medicines. make medicine. Looking at the whole prescription, there are a total of fourteen herbs that complement each other, the formula is compact, and the attack is the main, and the attack has the effect of nourishing.
本发明药物以颗粒剂为例,在制剂室内灌装,每包3~10克。内服,每次服6~40克,每日2~3次,10~30天为一疗程,一般服用2~6个疗程。The medicine of the present invention takes granules as an example, which are filled in the preparation chamber, with 3-10 grams per pack. Oral administration, 6-40 grams each time, 2-3 times a day, 10-30 days as a course of treatment, generally 2-6 courses of treatment.
本发明药物具有活血化瘀、疏肝化痰散结、消肿止痛之功效。用于治疗乳腺增生病,具有高效、长效、速效低毒、副作用少的积极效果。本发明药物以汤剂为例,进行了临床使用,证明具有软坚散结,行气化痰,活血通络,消肿止痛之功效,用于治疗各种乳腺肿块性疾病,如肿瘤、慢性炎块等,取得了显著效果。本发明采用超临界CO2流体萃取技术和环糊精包合技术,如制备成颗粒剂,使质量更加稳定可控,便于服用和提高疗效。The medicine of the invention has the effects of promoting blood circulation and removing blood stasis, soothing the liver, resolving phlegm and resolving stagnation, reducing swelling and alleviating pain. It is used for treating mammary gland hyperplasia, and has the positive effects of high efficiency, long-acting, quick-acting, low toxicity and few side effects. Taking decoction as an example, the medicine of the present invention has been clinically used, and it has been proved that it has the effects of softening and resolving hard masses, promoting qi and resolving phlegm, promoting blood circulation and dredging collaterals, reducing swelling and relieving pain, and is used for treating various breast lump diseases, such as tumors, chronic inflammation, etc. Blocks, etc., have achieved remarkable results. The invention adopts supercritical CO2 fluid extraction technology and cyclodextrin inclusion technology, such as preparation into granules, so that the quality is more stable and controllable, easy to take and improve curative effect.
本发明药物的药效学试验:Pharmacodynamics test of medicine of the present invention:
1、抗炎作用:1. Anti-inflammatory effect:
小白鼠二甲苯致炎法,本发明药物高、中、低剂量组能明显减轻炎症反应,与对照组比较有显著性差异,有量效关系。大鼠足甲醛致炎法,本发明药物能够明显抑制炎症反应。本发明药物在0.3~4.0h效果最好,无量效关系。本发明药物能降低小鼠腹腔毛细血管的通透性。In the xylene-induced inflammation method of mice, the high, medium and low dose groups of the medicine of the present invention can obviously reduce the inflammatory reaction, and there is a significant difference compared with the control group, and there is a dose-effect relationship. In the rat foot formaldehyde-induced inflammation method, the medicine of the present invention can obviously inhibit the inflammatory response. The medicine of the present invention has the best effect at 0.3-4.0 hours, and there is no dose-effect relationship. The medicament of the present invention can reduce the permeability of the capillaries in the peritoneal cavity of mice.
2、抑菌作用2. Antibacterial effect
本发明药物对金黄色葡萄球菌、致病性大肠杆菌、伤寒沙门氏菌、肺炎双球菌有不同程度的抑菌作用。对绿脓杆菌无作用。The medicine of the present invention has different degrees of antibacterial effects on Staphylococcus aureus, pathogenic Escherichia coli, Salmonella typhi, and Streptococcus pneumoniae. No effect on Pseudomonas aeruginosa.
3、镇痛作用3. Analgesic effect
本发明药物能使小鼠扭体次数明显减少,与对照相比有显著性差异,且有量效关系。The medicament of the invention can significantly reduce the times of writhing in mice, which is significantly different from that of the control, and has a dose-effect relationship.
4、免疫功能试验4. Immune function test
本发明药物高、中、低剂量组对以血清凝集素指标的体液免疫有显著增强作用。无量效关系。The high, medium and low dose groups of the medicine of the present invention have significant enhancing effect on humoral immunity as indexed by serum agglutinin. No dose-effect relationship.
5、本发明药物对家兔凝血时间的影响5, the influence of medicine of the present invention on rabbit coagulation time
本发明药物有明显延长凝血时间的作用(P<0.05)。The medicine of the present invention has the effect of obviously prolonging the coagulation time (P<0.05).
本发明药物的毒理学试验:The toxicology test of medicine of the present invention:
本发明药物在一日内给小鼠灌胃(20~60)g/kg/d[人用量(0.1~1.0)g/kg/d],连续观察七天,无一死亡,相当于临床用量的120倍以上,表明本药无毒、安全。临床推荐的成人日用剂量6~40g,10~30天为一疗程,急性毒性实验中未测出该药LD50,其最大耐受量为临床用量100倍以上,故选用临床(人按60kg计算)用量60倍为高剂量,30倍为低剂量分别给大鼠用药,根据长毒时间为临床疗程2-4倍的原则,确定长毒连续给药时间为45天,鉴于本实验没做出明显毒性,且方中无十八反十九畏等药物,故免做狗的长期毒性实验。总之,本发明药物临床拟定用药剂量和用药周期安全、无毒。The medicine of the present invention is administered to mice (20~60) g/kg/d [human dosage (0.1~1.0) g/kg/d] within one day, observes continuously for seven days, none dies, is equivalent to 120 of the clinical dosage. times, it shows that the medicine is non-toxic and safe. The clinically recommended daily dose for adults is 6-40g, and 10-30 days is a course of treatment. The LD50 of the drug was not detected in the acute toxicity test, and its maximum tolerated dose is more than 100 times the clinical dose. ) dosage of 60 times is a high dose, and 30 times is a low dose to give medicine to rats respectively. According to the principle that the long-term poisoning time is 2-4 times of the clinical course of treatment, the continuous administration time of long-term poisoning is determined to be 45 days. Obvious toxicity, and there are no drugs such as eighteen anti-nineteen fears in the prescription, so long-term toxicity experiments on dogs are avoided. In a word, the drug of the present invention is safe and non-toxic in clinically planned dosage and cycle.
本发明药物的临床资料:The clinical data of medicine of the present invention:
本发明药物治疗前后,患者乳房胀痛症状改善及乳房结节状肿块变化结合电脑红外光检查,彩超检查的变化,观察本发明药物对乳腺增生病的治疗作用、不良反应及本发明所述药物对试验动物、抗炎、镇痛等作用。以比较全面了解该药对乳腺囊性增生病的治疗作用。为了很好的完成这一研究内容,本发明按(国家中医药管理局颁布的《中医病症诊断疗效标准》ZY/T001.2-94)及诊断参考标准(2002年中华中医外科学会乳腺病专业委员会第八次会议通过)作为该课题的研究诊断标准,制定了病历选择方法,全部入选患者均符合上述标准,并结合电脑红外光乳腺检查仪、彩超或病理辅助诊断排除乳腺癌,乳腺纤维瘤或其它乳腺疾病者。详细观察,记录病人治疗前后症状及体征变化判定疗效,以进一步观察本发明药物的临床确切疗效。整个过程精心安排,周密组织,互相协调,严格标准,临床观察病例79例,其中治疗组45例,服用本发明药物每日三次,每次10g,10天为一疗程,一般用2~3个疗程可明显见效,5~6个疗程可痊愈。其中痊愈29例,占64.4%;有效12例,占26.6%;总有效率为91.1%;对照组34例,用乳康片治疗,每日三次,每次2粒,疗程同治疗组,其中痊愈17例,占50%,有效12例,占35%,;总有效率为85%,两组总有效率比较有显著性差异,P<0.05,本发明药物治疗效果明显优于乳康片组。两组治疗后症状体征疗效比较:治疗组明显优于对照组。治疗组治疗后血液流变学指标:全血黏度、红细胞压积、纤维蛋白原较治疗前均有明显下降。Before and after the drug treatment of the present invention, the improvement of the patient's breast distending pain symptoms and the change of the nodular lump in the breast are combined with computer infrared light inspection and color Doppler ultrasound examination to observe the therapeutic effect of the drug of the present invention on mammary gland hyperplasia, adverse reactions and the drug of the present invention. It has anti-inflammatory and analgesic effects on experimental animals. In order to fully understand the therapeutic effect of the drug on cystic hyperplasia of the breast. In order to complete this research content well, the present invention presses (" Chinese medicine disease diagnosis curative effect standard " ZY/T001.2-94 issued by the State Administration of Traditional Chinese Medicine) and diagnostic reference standard (2002 Chinese Medical Association of Surgical Association breast disease specialty Adopted at the 8th meeting of the committee) as the research diagnostic standard of this subject, formulate the selection method of medical records, all the selected patients meet the above standard, and combined with computer infrared breast examination instrument, color Doppler ultrasound or pathological auxiliary diagnosis to exclude breast cancer, mammary fibroid or other breast diseases. Observe in detail, record the changes of symptoms and signs before and after the patient's treatment to determine the curative effect, so as to further observe the clinical definite curative effect of the medicine of the present invention. The whole process is carefully arranged, carefully organized, coordinated with each other, and strictly standardized. 79 cases of clinical observations, including 45 cases of the treatment group, take the medicine of the present invention three times a day, 10g each time, 10 days is a course of treatment, generally 2 to 3 A course of treatment can be obviously effective, and 5-6 courses of treatment can be cured. Among them, 29 cases were cured, accounting for 64.4%; 12 cases were effective, accounting for 26.6%; the total effective rate was 91.1%; 34 cases in the control group were treated with Rukang Tablets, three times a day, 2 capsules each time, and the course of treatment was the same as that of the treatment group. 17 cases were fully cured, accounting for 50%, and 12 cases were effective, accounting for 35%. Group. Comparison of curative effects of symptoms and signs between the two groups after treatment: the treatment group was significantly better than the control group. After treatment, hemorheology indicators in the treatment group: whole blood viscosity, hematocrit, and fibrinogen all decreased significantly compared with those before treatment.
具体实施方式Detailed ways
实施例1:Example 1:
按下述配比称取原料(千克):Weigh raw materials (kg) according to the following proportioning ratio:
赤芍 16 柴胡 20 当归 18Radix Paeoniae 16 Bupleurum 20 Angelica 18
香附 8 郁金 8 青皮 10Cyperus 8 Turmeric 8 Green Peel 10
夏枯草 18 猫爪草 16 山慈姑 10Prunella 18 Cat's Claw 16 Arrowhead 10
皂角刺 8 僵蚕 10 全蝎 12Saponaria thorn 8 zombie silkworm 10 full scorpion 12
玄参 12 土贝母 18。Scrophulariaceae 12 Soil Fritillaria 18.
生产方法如下:The production method is as follows:
超临界CO2流体萃取:采用超临界CO2流体(SFE-CO2)萃取柴胡中主要有效成分柴胡皂苷及柴胡挥发油。将柴胡干粉投入萃取釜中,对萃取釜、解析釜I、解析釜II、贮罐分别进行加热或冷却。当达到选定的温度30℃时,开启CO2气瓶对系统进行加压,当达到所选定的压力50MPa时,关闭气瓶,循环萃取,并保持恒温、恒压。当达到选定的萃取时间后1.0h,从解析釜I、解析釜II出料口出料,得柴胡皂苷或柴胡挥发油。Supercritical CO 2 fluid extraction: use supercritical CO 2 fluid (SFE-CO 2 ) to extract the main active components saikosaponin and bupleurum volatile oil in Bupleuri. Put the Bupleurum dry powder into the extraction kettle, and heat or cool the extraction kettle, desorption kettle I, desorption kettle II, and storage tank respectively. When the selected temperature is 30°C, open the CO2 gas cylinder to pressurize the system, and when the selected pressure is 50MPa, close the gas cylinder to circulate the extraction and keep constant temperature and pressure. When the selected extraction time is up to 1.0h, the material is discharged from the outlets of the analysis kettle I and the analysis kettle II to obtain saikosaponin or bupleurum volatile oil.
以60%乙醇为夹带剂,用CO2超临界萃取香附、当归、郁金、青皮药材中挥发油。将一定量的香附、当归、郁金、青皮混合干粉投入萃取釜中,对萃取釜、解析釜I、解析釜II、贮罐分别进行加热或冷却。当达到选定的温度时30℃,开启CO2气瓶对系统进行加压,当达到所选定的压力50MPa时,关闭气瓶,循环萃取,并保持恒温、恒压。当达到选定的萃取时间后1.0h,从解析釜I、解析釜II出料口出料,得挥发油。按《中国药典》2000版一部附录41页第一法,测得其相对密度为1.0。With 60% ethanol as entrainer, CO 2 supercritically extracts the volatile oils from Cyperus cyperi, Angelica sinensis, Curcuma turmeric, and Qingpi medicinal materials. A certain amount of mixed dry powder of Cyperus cyperi, angelica, turmeric, and green skin is put into the extraction kettle, and the extraction kettle, desorption kettle I, desorption kettle II, and storage tank are heated or cooled respectively. When the selected temperature is 30°C, open the CO2 gas cylinder to pressurize the system, and when the selected pressure is 50MPa, close the gas cylinder to circulate the extraction and keep constant temperature and pressure. When the selected extraction time is reached 1.0h, the material is discharged from the outlets of the analysis kettle I and the analysis kettle II to obtain volatile oil. According to "Chinese Pharmacopoeia" 2000 edition one appendix 41 page first method, measure its relative density to be 1.0.
醇提药物的提取:称取处方量的的僵蚕、全蝎加入7倍重量份的80%乙醇,浸泡约0.5h,50℃下加热回流提取3次,每次1.h,滤去残渣,合并乙醇提取液,减压回收乙醇并浓缩成相对密度为1.5的醇提膏。Extraction of alcohol extraction drugs: Weigh the prescribed amount of silkworm and scorpion, add 7 times the weight of 80% ethanol, soak for about 0.5h, heat and reflux at 50°C for 3 times, each time for 1.h, filter off the residue , combine the ethanol extracts, recover the ethanol under reduced pressure and concentrate it into an ethanol extract with a relative density of 1.5.
赤芍的提取:称取处方量的的赤芍,加7倍重量份80%的乙醇,浸泡约0.5h,50℃下加热回流提取3次,每次1h,滤去残渣,合并乙醇提取液,减压回收乙醇并浓缩成相对密度为1.5的醇提膏。Extraction of Radix Paeoniae Rubra: Weigh the amount of Radix Radix Radix Radix Paeoniae Rubra, add 7 times the weight of 80% ethanol, soak for about 0.5h, heat and reflux extraction at 50°C for 3 times, each time for 1h, filter off the residue, and combine the ethanol extract , ethanol is recovered under reduced pressure and concentrated into an alcohol extract with a relative density of 1.5.
水煎醇沉药物的提取:称取处方量的的夏枯草、猫爪草、玄参、土贝母、山慈姑、皂角刺,加入7倍重量份的水,浸泡后用煎煮法煎煮3次,每次1h,合并水煎液,浓缩成相对密度为1.1的水煎浓缩液,将水煎浓缩液自然冷却至室温,在搅拌下缓缓加入水煎浓缩液1倍重量份的90%的乙醇,继续搅拌10min,于1℃温度条件下静置沉淀70h,滤过,水煎醇沉浓缩膏,水煎液浓缩后自然冷却至室温,然后于搅拌下缓缓加入50%的稀乙醇溶液,经沉淀、滤过,减压回收乙醇并浓缩成相对密度为1.10的水煎醇沉浓缩膏。Extraction of decocted and alcohol-precipitated medicines: Weigh the prescribed amount of Prunella vulgaris, Cat’s Claw, Scrophulariaceae, Solanum Fritillaria, Arthia sativa, Saponaria thorn, add 7 times the weight of water, soak and decoct Boil 3 times, each time for 1 hour, combine the decoction, concentrate into a decoction concentrate with a relative density of 1.1, naturally cool the decoction concentrate to room temperature, slowly add 1 times the weight of the decoction concentrate under stirring 90% ethanol, continue to stir for 10 minutes, set aside to settle at 1°C for 70 hours, filter, decoct in water to precipitate the concentrated ointment, cool the decoction to room temperature naturally after concentration, and then slowly add 50% of The dilute ethanol solution is precipitated and filtered, and the ethanol is recovered under reduced pressure and concentrated into a decoction and alcohol precipitation concentrated paste with a relative density of 1.10.
醇提膏的混合与干膏粉的制备:将上述的醇提膏和水煎醇沉浓缩膏混合,加入800重量份的糊精、5重量份的甜叶菊糖,混合均匀,于85℃喷雾干燥,粉碎,得干膏粉。Mixing of alcohol extraction cream and preparation of dry cream powder: Mix the above-mentioned alcohol extraction cream and decoction and alcohol precipitation concentrated cream, add 800 parts by weight of dextrin and 5 parts by weight of stevioside, mix well, and spray at 85°C Dried and crushed to obtain dry cream powder.
挥发油β-环糊精包结物的制备:称取1重量份的β-环糊精,加入15重量份的蒸馏水,超声混匀成β-环糊精溶液;另取a工序制备的柴胡皂苷或柴胡挥发油,用3重量份的无水乙醇稀释,在60℃下,于超声过程中逐滴入β-环糊精溶液中,取出,经2℃下冷藏30小时、抽滤,滤层分别用蒸馏水和无水乙醇洗涤,将滤层取出,30℃下干燥得挥发油β-环糊精包合物粉末;Preparation of β-cyclodextrin inclusion complex of volatile oil: Weigh 1 part by weight of β-cyclodextrin, add 15 parts by weight of distilled water, and ultrasonically mix to form a β-cyclodextrin solution; Saponin or bupleurum volatile oil, diluted with 3 parts by weight of absolute ethanol, was added dropwise into the β-cyclodextrin solution during ultrasonication at 60°C, taken out, refrigerated at 2°C for 30 hours, suction filtered, and filtered The layers were washed with distilled water and absolute ethanol respectively, the filter layer was taken out, and dried at 30°C to obtain β-cyclodextrin inclusion compound powder of volatile oil;
柴胡皂苷β-环糊精包结物的制备:称取1重量份的β-环糊精,加入15重量份的蒸馏水,超声使混合均匀。另取a工序制备的柴胡皂苷或柴胡挥发油,用4重量份的无水乙醇稀释,在60℃下,于超声过程中逐滴入β-环糊精溶液中,取出,经8℃下冷藏10小时、抽滤,滤层分别用蒸馏水和无水乙醇洗涤,将滤层取出,30℃干燥得白色疏松状包合物粉末,即柴胡皂苷β-环糊精包结物粉末。Preparation of saikosaponin β-cyclodextrin inclusion complex: Weigh 1 part by weight of β-cyclodextrin, add 15 parts by weight of distilled water, and mix uniformly by ultrasonication. Separately take the saikosaponin or bupleurum volatile oil prepared in step a, dilute it with 4 parts by weight of absolute ethanol, drop it into the β-cyclodextrin solution in the ultrasonic process at 60°C, take it out, Refrigerate for 10 hours, filter with suction, wash the filter layer with distilled water and absolute ethanol respectively, take out the filter layer, and dry at 30°C to obtain a white loose inclusion compound powder, namely saikosaponin β-cyclodextrin inclusion compound powder.
药粉的混合与颗粒的制备:将上述干膏粉与挥发油β-环糊精包结物粉末、柴胡皂苷β-环糊精包结物粉末混合均匀即成粉剂,将粉剂按常规制成散剂或片剂或丸剂或加入适量的制药用淀粉制成颗粒剂,将颗粒剂装入胶囊制成胶囊剂。Mixing of medicinal powder and preparation of granules: mix the above-mentioned dry cream powder with volatile oil β-cyclodextrin inclusion complex powder and saikosaponin β-cyclodextrin inclusion complex powder to form a powder, and make the powder into a powder according to the routine Or tablets or pills, or add appropriate amount of pharmaceutical starch to make granules, and put the granules into capsules to make capsules.
实施例2:Example 2:
按下述配比称取原料(千克):Weigh raw materials (kg) according to the following proportioning ratio:
赤芍 20 柴胡 18 当归 18Radix Paeoniae 20 Bupleurum 18 Angelica 18
香附 12 郁金 8 青皮 12Cyperus 12 Turmeric 8 Green Peel 12
夏枯草 20 猫爪草 18 山慈姑 10Prunella 20 Cat's Claw 18 Arrowhead 10
皂角刺 10 僵蚕 12 全蝎 10Saponaria thorn 10 Bombyx silkworm 12 Full scorpion 10
玄参 10 土贝母 20。Scrophulariaceae 10 Soil Fritillaria 20.
生产方法如下:The production method is as follows:
超临界CO2流体萃取:采用超临界CO2流体(SFE-CO2)萃取柴胡中主要有效成分柴胡皂苷及柴胡挥发油。将柴胡干粉投入萃取釜中,对萃取釜、解析釜I、解析釜II、贮罐分别进行加热或冷却,当达到选定的温度60℃时,开启CO2气瓶对系统进行加压,当达到所选定的压力20MPa时,关闭气瓶,循环萃取,并保持恒温、恒压。当达到选定的萃取时间后3.0h,从解析釜I、解析釜II出料口出料,得柴胡皂苷或柴胡挥发油。Supercritical CO 2 fluid extraction: use supercritical CO 2 fluid (SFE-CO 2 ) to extract the main active components saikosaponin and bupleurum volatile oil in Bupleuri. Put Bupleurum dry powder into the extraction kettle, heat or cool the extraction kettle, desorption kettle I, desorption kettle II, and storage tank respectively, and when the selected temperature reaches 60°C, open the CO2 cylinder to pressurize the system, When the selected pressure of 20MPa is reached, close the cylinder, circulate the extraction, and keep constant temperature and pressure. When the selected extraction time is reached 3.0h, the material is discharged from the outlets of the analysis kettle I and the analysis kettle II to obtain saikosaponin or bupleurum volatile oil.
以50%乙醇为夹带剂,用CO2超临界萃取香附、当归、郁金、青皮药材中挥发油。将一定量的香附、当归、郁金、青皮混合干粉投入萃取釜中,对萃取釜、解析釜I、解析釜II、贮罐分别进行加热或冷却,当达到选定的温度时55℃,开启CO2气瓶对系统进行加压,当达到所选定的压力20MPa时,关闭气瓶,循环萃取,并保持恒温、恒压。当达到选定的萃取时间后3.0h,从解析釜I、解析釜II出料口出料,得挥发油,按《中国药典》2000版一部附录41页第一法,测得其相对密度为0.70。With 50% ethanol as entrainer, CO 2 supercritically extracts the volatile oils from Cyperus cyperi, Angelica sinensis, Curcuma turmeric, and Qingpi medicinal materials. Put a certain amount of mixed dry powder of Rhizoma Cyperi, Angelica, Curcuma, and Qingpi into the extraction kettle, and heat or cool the extraction kettle, desorption kettle I, desorption kettle II, and storage tank respectively. When the selected temperature is reached, 55°C, Open the CO 2 gas cylinder to pressurize the system, and when the selected pressure reaches 20MPa, close the gas cylinder, circulate the extraction, and keep constant temperature and pressure. After reaching the selected extraction time 3.0h, discharge the material from the discharge port of the analysis kettle I and the analysis kettle II to obtain volatile oil, according to the first method on page 41 of an appendix of "Chinese Pharmacopoeia" 2000 edition, record its relative density as 0.70.
醇提药物的提取:称取处方量的的僵蚕、全蝎加入14倍量的50%乙醇,浸泡约1h,100℃下加热回流2次,每次3h,滤去残渣,合并乙醇提取液,减压回收乙醇并浓缩成相对密度为1.15的醇提膏。Extraction of alcohol extraction drugs: Weigh the prescribed amount of silkworm and scorpion, add 14 times the amount of 50% ethanol, soak for about 1 hour, heat and reflux at 100°C for 2 times, each time for 3 hours, filter off the residue, and combine the ethanol extract , ethanol was recovered under reduced pressure and concentrated into an alcohol extract with a relative density of 1.15.
赤芍的提取:称取处方量的的赤芍,加14倍量50%的乙醇,浸泡约1h,100℃下加热回流提取2次,每次3h,滤去残渣,合并乙醇提取液,减压回收乙醇并浓缩成相对密度为1.10的醇提膏。Extraction of Radix Paeoniae Rubra: Weigh the amount of Radix Radix Radix Radix Paeoniae Rubra of the recipe, add 14 times the amount of 50% ethanol, soak for about 1 hour, heat and reflux at 100°C for 2 extractions, 3 hours each time, filter off the residue, combine the ethanol extracts, reduce The ethanol is recovered under pressure and concentrated into an alcohol extract with a relative density of 1.10.
水煎醇沉药物的提取:称取处方量的的夏枯草、猫爪草、玄参、土贝母、山慈姑、皂角刺,加入7倍重量份的水,浸泡后用煎煮法煎煮2次,每次3h,合并水煎液,浓缩成相对密度为1.5的水煎浓缩液,将水煎浓缩液自然冷却至室温,在搅拌下缓缓加入水煎浓缩液3倍重量份的60%的乙醇,继续搅拌40min,于8℃温度条件下静置沉淀24h,滤过,水煎醇沉浓缩膏,水煎液浓缩后自然冷却至室温,然后于搅拌下缓缓加入80%的稀乙醇溶液,经沉淀、滤过,减压回收乙醇并浓缩成相对密度为1.50的水煎醇沉浓缩膏。Extraction of decocted and alcohol-precipitated medicines: Weigh the prescribed amount of Prunella vulgaris, Cat’s Claw, Scrophulariaceae, Solanum Fritillaria, Arthia sativa, Saponaria thorn, add 7 times the weight of water, soak and decoct Boil twice, 3 hours each time, combine the decoction, concentrate into a decoction concentrate with a relative density of 1.5, cool the decoction concentrate to room temperature naturally, slowly add 3 times the weight of the decoction concentrate under stirring 60% ethanol, continue to stir for 40 minutes, set aside to settle at 8°C for 24 hours, filter, decoct in water to precipitate the concentrated ointment, cool the decoction to room temperature naturally after concentration, and then slowly add 80% of The dilute ethanol solution is precipitated and filtered, and the ethanol is recovered under reduced pressure and concentrated into a water decoction and alcohol precipitation concentrated paste with a relative density of 1.50.
醇提膏的混合与干膏粉的制备:将上述的醇提膏和水煎醇沉浓缩膏混合,加入250重量份的糊精、25重量份的甜叶菊糖,混合均匀,于45℃喷雾干燥,粉碎,得干膏粉。Mixing of alcohol extraction cream and preparation of dry cream powder: Mix the above-mentioned alcohol extraction cream and decoction and alcohol precipitation concentrated cream, add 250 parts by weight of dextrin and 25 parts by weight of stevioside, mix well, and spray at 45°C Dried and crushed to obtain dry cream powder.
挥发油β-环糊精包结物的制备:称取11重量份的β-环糊精,加入30倍重量份的蒸馏水,超声混匀成β-环糊精溶液;另取a工序制备的柴胡皂苷或柴胡挥发油,用8倍重量份的无水乙醇稀释,规定的温度下,在超声的过程中逐滴入β-环糊精的溶液中,在30℃下,于超声过程中逐滴入β-环糊精溶液中,取出,经12℃冷藏12h,抽滤,滤层分别用蒸馏水和无水乙醇洗涤,将滤层取出,65℃下干燥得白色疏松状包合物粉末,即挥发油β-环糊精包结物粉末。Preparation of β-cyclodextrin inclusion complex of volatile oil: Weigh 11 parts by weight of β-cyclodextrin, add 30 parts by weight of distilled water, and ultrasonically mix to form a β-cyclodextrin solution; Saponin or bupleurum volatile oil is diluted with 8 times the weight of absolute ethanol, and is added dropwise into the solution of β-cyclodextrin during the ultrasonic process at a specified temperature. Drop into the β-cyclodextrin solution, take it out, refrigerate at 12°C for 12 hours, filter with suction, wash the filter layer with distilled water and absolute ethanol respectively, take out the filter layer, and dry at 65°C to obtain a white loose clathrate powder. That is, volatile oil β-cyclodextrin inclusion complex powder.
柴胡皂苷β-环糊精包结物的制备:称取10重量份的β-环糊精,加入35重量份的蒸馏水,超声使混合均匀。另取a工序制备的柴胡皂苷或柴胡挥发油,用7倍量的无水乙醇稀释,在25℃下,于超声过程中逐滴入β-环糊精的溶液中,取出,经3℃下冷藏28小时、抽滤,滤层分别用蒸馏水和无水乙醇洗涤,将滤层取出,60℃干燥得白色疏松状包合物粉末,即柴胡皂苷β-环糊精包结物粉末。Preparation of saikosaponin β-cyclodextrin inclusion complex: Weigh 10 parts by weight of β-cyclodextrin, add 35 parts by weight of distilled water, and mix uniformly by ultrasonication. Separately take the saikosaponin or bupleurum volatile oil prepared in step a, dilute it with 7 times the amount of absolute ethanol, put it dropwise into the solution of β-cyclodextrin during the ultrasonic process at 25°C, take it out, and heat it at 3°C Refrigerate for 28 hours, filter with suction, wash the filter layer with distilled water and absolute ethanol respectively, take out the filter layer, and dry at 60°C to obtain a white loose inclusion compound powder, namely saikosaponin β-cyclodextrin inclusion compound powder.
药粉的混合与颗粒的制备:将上述干膏粉与挥发油β-环糊精包结物粉末、柴胡皂苷β-环糊精包结物粉末混合均匀即成粉剂,将粉剂按常规制成散剂或片剂或丸剂或加入适量的制药用淀粉制成颗粒剂,将颗粒剂装入胶囊制成胶囊剂。Mixing of medicinal powder and preparation of granules: mix the above-mentioned dry cream powder with volatile oil β-cyclodextrin inclusion complex powder and saikosaponin β-cyclodextrin inclusion complex powder to form a powder, and make the powder into a powder according to the routine Or tablets or pills, or add appropriate amount of pharmaceutical starch to make granules, and put the granules into capsules to make capsules.
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CN108721574A (en) * | 2018-08-23 | 2018-11-02 | 盐城刘氏健康咨询有限公司 | A kind of medicine for removing tumour object and preparation method thereof |
CN109078154A (en) * | 2018-10-31 | 2018-12-25 | 中山市六安堂健康管理有限公司 | A kind of pharmaceutical composition and its preparation method and application for treating the proliferation of mammary gland |
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