Summary of the invention
The object of the invention is to provide the compound Chinese medicinal preparation of a kind of determined curative effect, safe treatment back pain caused by senile osteoporosis.
The traditional Chinese medical science thinks that the cause of disease of back pain caused by senile osteoporosis mainly is " qi-deficiency kidney-deficiency, the resistance of blood stasis network ".The present invention is with " vital energy benefiting and the kidney invigorating; the disperse blood stasis and dredge collateral " rule for the treatment back pain caused by senile osteoporosis; Follow " giving consideration to both the incidental and fundamental ", " prevention of diseae's " academic thought; Adopt the following raw material medicaments component to process compound preparation, through improving prevention and treatment back pain caused by senile osteoporosis such as lumbar vertebra local microcirculation, inflammation-inhibiting medium, delaying osteoporosis, the damage of reparation lumbar nerves.
Compound preparation of the present invention is processed by effective ingredient and pharmaceutical carrier, it is characterized in that said effective ingredient is made up of the crude drug component of following weight proportion scope: the Radix Astragali 450~250g, Herba Epimedii 350~150g, Herba Ecliptae 350~150g, Radix Salviae Miltiorrhizae 300~100g, Radix Achyranthis Bidentatae 300~100g, Caulis Sinomenii 300~100g (crude drug dosage).
The preferred weight ratio range of described crude drug is: the Radix Astragali 400~300g, Herba Epimedii 300~200g, Herba Ecliptae 300~200g, Radix Salviae Miltiorrhizae 250~150g, Radix Achyranthis Bidentatae 250~150g, Caulis Sinomenii 250~150g (crude drug dosage).
The more preferably weight proportion of described crude drug is: the Radix Astragali 350~250g, Herba Epimedii 250~150g, Herba Ecliptae 250~150g, Radix Salviae Miltiorrhizae 200~100g, Radix Achyranthis Bidentatae 200~100g, Caulis Sinomenii 200~100g (crude drug dosage).
Compound preparation of the present invention can be processed various oral formulations by conventional method, comprises tablet, granule, capsule, mixture, powder etc.
Further purpose of the present invention provides the method for preparing of above-mentioned compound preparation.
Compound preparation of the present invention prepares through following method and step:
1. take by weighing each medical material by prescription weight, soak 1h, decoct each 0.5~1.5h 1~3 time; One fries in shallow oil and adds 10~14 times in water, and two, three fry in shallow oil and add 6~10 times in water, merge decoction liquor; Filter, under 60~70 ℃ of temperature, it is 1.05~1.30 extractum that filtrating is concentrated into relative density.Wherein, preferably decoct 2 times, decoct 1h at every turn, one fries in shallow oil and adds 14 times in water, and two fry in shallow oil 10 times of amount of water, merges decoction liquor, filters, and it is 1.05~1.07 extractum liquid that preferred filtrating is concentrated into relative density;
2. add ethanol in the above-mentioned 1. extractum liquid, to concentration of alcohol be 50%~80%, preferably adding ethanol to concentration is 60%; Hold over night, precipitate with ethanol filters, and filtrating is at 60~70 ℃ of temperature recover ethanol, and to be concentrated into relative density be 1.35~1.40 equivalent extract;
3. above-mentioned 2. equivalent extract is drying under reduced pressure in the time of 70~80 ℃, is ground into fine powder, crosses 60 mesh sieves, gets the extract powder of drug component of the present invention;
4. according to extract powder: filler: disintegrating agent=12: 5: 1 weight proportion (extract powder 300g, microcrystalline Cellulose 101 is 125g, cross-linked carboxymethyl cellulose is received 25g); Get the above-mentioned component that 3. makes; The filler, the disintegrating agent that add the appeal ratio, mixing adopts dry granulation; Be pressed into 1000, the heavy 0.45g of sheet.The bag film-coat is processed finished tablet, promptly gets.
The method for preparing of medicine activity component of the present invention; Adopt water extraction method and preferred extracted chemical compound, the phenolic acid compound in the Radix Salviae Miltiorrhizae and the danshensu of Saponin class in the Radix Astragali, the Herba Epimedii and the main effective ingredient in other component after decocting number of times, time and amount of water; The density and the concentration of alcohol of preferred then precipitate with ethanol carry out the precipitate with ethanol purification; Effective component extracting and remove impurity to greatest extent; Down concentrated, dry at the decompression cryogenic conditions, simultaneously adjuvant, method of granulating and the condition etc. of drying means and condition, preparations shaping technology have been carried out examination, screening, optimize the preparation technology who is suitable for suitability for industrialized production.
The interim decoction before compound preparation of the present invention can avoid Chinese medicine decoction to take; Put for a long time and be prone to enzyme and lose rotten and bring a lot of inconveniences to the patient; According to the clinical application characteristics, preserve the physicochemical property of main flavour of a drug in the prescription and combine modern preparation technique; Process solid preparations such as granule, tablet, capsule, powder, the demand that has satisfied the patient easily and effectively.
The present invention has carried out zoopery, and the result shows:
Mice hot plate experiment, compound preparation 2 multiple dose groups of the present invention, etc. multiple dose group, 0.5 multiple dose group, 0.25 multiple dose group pain threshold all be higher than matched group at 60min and 120min, significant difference is arranged;
Mice ear experiment, compound preparation 2 multiple dose groups of the present invention, etc. multiple dose group, 0.5 multiple dose group inhibitory rate of intumesce all be lower than matched group, significant difference is arranged;
Cytologic experiment, mtt assay testing result show that compound preparation of the present invention can obviously promote osteoblastic propagation, compare with matched group, and significant differences (P<0.01) is arranged;
The real-time fluorescence quantitative PCR reaction result shows; Compare with matched group; Compound preparation of the present invention can promote the expression (P<0.01) of osteoblast BMP-2 mRNA, promotes the expression of osteoblast Type I Collagen mRNA, promotes osteoblast BGP mRNA to express (P<0.01).
The result confirms; Compound preparation of the present invention not only can be removed back pain caused by senile osteoporosis clinical symptoms sign; And can be through improving aspect prevention back pain caused by senile osteoporosis such as lumbar vertebra local microcirculation, inflammation-inhibiting medium, delaying osteoporosis, the damage of reparation lumbar nerves; The after treatment effect reduces recurrence, embodied " giving consideration to both the incidental and fundamental ", " prevention of diseae's " academic thought.
The specific embodiment
Embodiment 1
Raw material prescription: Radix Astragali 450g, Herba Epimedii 350g, Herba Ecliptae 350g, Radix Salviae Miltiorrhizae 300g, Radix Achyranthis Bidentatae 300g, Caulis Sinomenii 300g.
1. take by weighing medical material by composition weight, soak 1h, decocts 2 times, decoct 1h at every turn, one fries in shallow oil and adds 14 times in water, and two fry in shallow oil 10 times of amount of water, merge decoction liquor, filter, and filtrating and being concentrated into relative density is 1.05~1.07 extractum liquid, subsequent use;
2. add ethanol in the above-mentioned 1. extractum liquid, to concentration of alcohol be 60%.Hold over night, precipitate with ethanol.Filter, filtrating is at 60~70 ℃ of temperature recover ethanol, and to be concentrated into relative density be 1.35~1.40 equivalent extract;
3. above-mentioned 2. equivalent extract is drying under reduced pressure in the time of 60~80 ℃, is ground into fine powder, crosses 60 mesh sieves, promptly gets the active component of medicine of the present invention;
4. get the above-mentioned 3. active component 250~350g of preparation, add microcrystalline Cellulose 101 120~130g, cross-linked carboxymethyl cellulose and receive 20~30g, mixing.Adopt dry granulation, and be pressed into 1000, the bag film-coat is processed tablet, promptly gets.
By the composition weight of implementing and adopt the made Chinese medicinal tablet of above-mentioned method for preparing, every heavy 0.45g, every is equivalent to crude drug 1.75g.Production unit can amplify corresponding multiple in this ratio according to production scale separately.
Embodiment 2
Raw material prescription: Radix Astragali 400g, Herba Epimedii 300g, Herba Ecliptae 300g, Radix Salviae Miltiorrhizae 250g, Radix Achyranthis Bidentatae 250g, Caulis Sinomenii 250g.
1. take by weighing medical material by composition weight, soak 1h, decocts 2 times, decoct 1h at every turn, one fries in shallow oil and adds 14 times in water, and two fry in shallow oil 10 times of amount of water, merge decoction liquor, filter, and filtrating and being concentrated into relative density is 1.05~1.07 extractum liquid, subsequent use;
2. add ethanol in the above-mentioned 1. extractum liquid, to concentration of alcohol be 60%.Hold over night, precipitate with ethanol.Filter, filtrating is at 60~70 ℃ of temperature recover ethanol, and to be concentrated into relative density be 1.35~1.40 equivalent extract;
3. above-mentioned 2. equivalent extract is drying under reduced pressure in the time of 60~80 ℃, is ground into fine powder, crosses 60 mesh sieves, promptly gets the active component of medicine of the present invention;
4. get the above-mentioned 3. active component 250~350g of preparation, add microcrystalline Cellulose 101 120~130g, cross-linked carboxymethyl cellulose and receive 20~30g, mixing.Adopt dry granulation, and be pressed into 1000, the bag film-coat is processed finished tablet, promptly gets.
Embodiment 3
Raw material prescription: Radix Astragali 350g, Herba Epimedii 250g, Herba Ecliptae 250g, Radix Salviae Miltiorrhizae 200g, Radix Achyranthis Bidentatae 200g, Caulis Sinomenii 200g.
1. take by weighing medical material by composition weight, soak 1h, decocts 2 times, decoct 1h at every turn, one fries in shallow oil and adds 14 times in water, and two fry in shallow oil 10 times of amount of water, merge decoction liquor, filter, and filtrating and being concentrated into relative density is 1.05~1.07 extractum liquid, subsequent use;
2. add ethanol in the above-mentioned 1. extractum liquid, to concentration of alcohol be 60%.Hold over night, precipitate with ethanol.Filter, filtrating is at 60~70 ℃ of temperature recover ethanol, and to be concentrated into relative density be 1.35~1.40 equivalent extract;
3. above-mentioned 2. equivalent extract is drying under reduced pressure in the time of 60~80 ℃, is ground into fine powder, crosses 60 mesh sieves, promptly gets the active component of medicine of the present invention;
4. get the above-mentioned 3. active component 250~350g of preparation, add microcrystalline Cellulose 101 120~130g, cross-linked carboxymethyl cellulose and receive 20~30g, mixing.Adopt dry granulation, and be pressed into 1000, the bag film-coat is processed tablet, promptly gets.
By the composition weight of implementing and adopt the made Chinese medicinal tablet of above-mentioned method for preparing, every heavy 0.45g, every is equivalent to crude drug 1.75g.Production unit can amplify corresponding multiple in this ratio according to production scale separately.
Embodiment 4
Radix Astragali 300g, Herba Epimedii 200g, Herba Ecliptae 200g, Radix Salviae Miltiorrhizae 150g, Radix Achyranthis Bidentatae 150g, Caulis Sinomenii 150g.
1. take by weighing medical material by composition weight, soak 1h, decocts 2 times, decoct 1h at every turn, one fries in shallow oil and adds 14 times in water, and two fry in shallow oil 10 times of amount of water, merge decoction liquor, filter, and filtrating and being concentrated into relative density is 1.05~1.07 extractum liquid, subsequent use;
2. add ethanol in the above-mentioned 1. extractum liquid, to concentration of alcohol be 60%.Hold over night, precipitate with ethanol.Filter, filtrating is at 60~70 ℃ of temperature recover ethanol, and to be concentrated into relative density be 1.35~1.40 equivalent extract;
3. above-mentioned 2. equivalent extract is drying under reduced pressure in the time of 60~80 ℃, is ground into fine powder, crosses 60 mesh sieves, promptly gets the active component of medicine of the present invention;
4. get the above-mentioned 3. active component 350~250g of preparation, add microcrystalline Cellulose 101 120~130g, cross-linked carboxymethyl cellulose and receive 20~30g, mixing.The method that is used in is granulated, and is pressed into 1000, and the bag film-coat is processed finished tablet, promptly gets.
Embodiment 5
Radix Astragali 250g, Herba Epimedii 150g, Herba Ecliptae 150g, Radix Salviae Miltiorrhizae 150g, Radix Achyranthis Bidentatae 100g, Caulis Sinomenii 100g (crude drug dosage).
1. take by weighing medical material by composition weight, soak 1h, decocts 2 times, decoct 1h at every turn, one fries in shallow oil and adds 14 times in water, and two fry in shallow oil 10 times of amount of water, merge decoction liquor, filter, and filtrating and being concentrated into relative density is 1.05~1.07 extractum liquid, subsequent use;
2. add ethanol in the above-mentioned 1. extractum liquid, to concentration of alcohol be 60%.Hold over night, precipitate with ethanol.Filter, filtrating is at 60~70 ℃ of temperature recover ethanol, and to be concentrated into relative density be 1.35~1.40 equivalent extract;
3. above-mentioned 2. equivalent extract is drying under reduced pressure in the time of 60~80 ℃, is ground into fine powder, crosses 60 mesh sieves, promptly gets the active component of medicine of the present invention;
4. get the above-mentioned 3. active component 350~250g of preparation, add microcrystalline Cellulose 101 120~130g, cross-linked carboxymethyl cellulose and receive 20~30g, mixing.Adopt dry granulation, and be pressed into 1000, the bag film-coat is processed finished tablet, promptly gets.
Embodiment 6
With gained active component in embodiment 1,2 or 3, pulverize by conventional method, add dextrin, granulate behind the mix homogeneously, 60~65 ℃ of dryings, granulate promptly gets.
Embodiment 7
With gained active component in embodiment 1,2 or 3, pulverize by conventional method, add microcrystalline Cellulose, calcium carbonate, mix homogeneously incapsulates.
Embodiment 8
With gained active component in embodiment 1,2 or 3, pulverize by conventional method, add disintegrating agents such as carboxymethyl starch sodium, guar gum, sodium alginate, granulate or direct compression.
Embodiment 9
With gained active component in embodiment 1,2 or 3, pulverize by conventional method, add adjuvants such as stevioside, Tween 80, add water to capacity, filter packing.
The embodiment 10 compound preparation treatment relevant pharmacological researches of back pain caused by senile osteoporosis () of the present invention compound preparation of the present invention (is called for short: the detumescence strong close osteocomma of waist), analgesic experiment research
1, medicine: strong four kinds of concentration of the close osteocomma of waist: 2 multiple dose groups, etc. multiple dose group, 0.5 multiple dose group, 0.25 multiple dose group and normal saline group relatively, by the kg body weight conversion, dosage is equivalent to clinical 60KG body weight patient dosage; Dosage is confirmed " herbal medicine efficacy research thinking and method " P18-19 according to people and animal body surface conversion relation, and " modern medicine experimental zoology P335 " is equivalent to clinical equivalent dosage.Dosage is confirmed according to people and animal body surface conversion relation, is waited multiple dose group dosage to be equivalent to clinical equivalent dosage.
2, laboratory animal: Male Kunming strain mice, cleaning level (department of the Chinese Academy of Sciences of laboratory animal section of Fudan University, credit number: Scxk Shanghai 2003-0003, the laboratory animal certification of fitness: 0019761); Body weight: 20 ± 2 grams; Number of animals: 12 of every group of mices; Be divided at random: 2 multiple dose groups (14.6g/Kg body weight/day), etc. multiple dose group (7.3g/Kg body weight/day), 0.5 multiple dose group (3.65g/Kg body weight/day), 0.25 multiple dose group (1.825g/Kg body weight/day), normal saline group.The every 10g body weight of dosage administration 0.1ml, effect experiment is carried out in administration 3 days, last administration after 1 hour.
1. mice hot-plate analgesic test
Screen qualified mice, mice is placed on the hot plate to the pain threshold of sufficient required time (s) as this Mus occurring licking.All lick the foot the used time less than 5s or greater than 60s or leaper, give it up.Qualified mice is divided into 7 groups at random, surveys its pain threshold again, as the pain threshold before this Mus administration.
Mice fasting 12h before the test, each organizes equal gastric infusion, after the administration 30,60,120min surveys the mice pain threshold respectively.Still reactionless like 60s, mice to be taken out, calculate with 60s its threshold of pain.
The result shows, mice hot plate experiment pain threshold, 2 multiple dose groups, etc. multiple dose group, 0.5 multiple dose group, 0.25 multiple dose group and matched group relatively, 60min and 120min all have significant difference.Each dosage group there was no significant difference, 0.5 multiple dose group is superior to other treatment group.
Table 1 is mice hot-plate analgesic test result.
Table 1
Compare with matched group
*P<0.05,
*P<0.01
2. xylene induced mice ear swelling experiment
30min after the last administration, mouse right ear are coated with xylene 0.1ml/ and only cause inflammation, and left ear is contrast; Taking off the neck mortar behind the 15min puts to death; Cut ears along the auricle baseline; The ear same position sweeps away auricle in the left and right sides with the 6mm corneal trephine, and on electronic analytical balance, weigh (being accurate to 0.1mg), auris dextra weight deducts the difference (unit: mg) be the swelling degree of left ear weight; Calculate and respectively to organize average swelling degree and to obtain inhibitory rate of intumesce (%), inhibitory rate of intumesce (100%)=(auris dextra heavy-left ear is heavy)/left ear heavy * 100%.
The result shows: the mice ear suppression ratio, 2 multiple dose groups, etc. multiple dose group, 0.5 multiple dose group and matched group significant difference is relatively arranged, wherein 2 multiple dose groups are superior to 0.5 multiple dose group and wait the multiple dose group.There was no significant difference between each dosage group.
Table 2 is experiment mice ear swelling suppression ratio.
Table 2
Compare with matched group
*P<0.05,
*P<0.01
(2) compound preparation of the present invention (is called for short: the cytologic experiment research strong close osteocomma of waist)
A cleaning level SD rat, body weight rat 300 ± 20g (the medical experiment animal certificate of competency that management of laboratory animal committee in Shanghai City issues, the quality certification number: " Shanghai is moving closes the card word No. 152 "; Zoopery environmental facility grade: cleaning level; The environmental facility quality certification number: " the moving word of doctor 02-24 number ").Divide into groups as follows:
(1) negative control group, normal rat serum;
(2) the strong close osteocomma 1/4 multiple dose group rat blood serum (2.1875g/Kg body weight/day) of waist;
(3) the strong close osteocomma 1/2 multiple dose group rat blood serum (4.375g/Kg body weight/day) of waist;
(4) the strong close osteocomma 1 multiple dose group rat blood serum (8.75g/Kg body weight/day) of waist;
(5) the strong close osteocomma 2 multiple dose group rat blood serums (17.5g/Kg body weight/day) of waist;
(6) positive controls, BMP-2 purifying protein (50ng/ml).
1. mtt assay is observed the influence to osteoblastic proliferation: the trophophase osteoblast of taking the logarithm, behind conventional trypsinization, process single cell suspension.Counting cells, the adjustment cell density is 1 * 10
4About/ml.Cell is moved in 96 well culture plates, and every hole 200ml puts into 37 ℃, 5%CO then
2Cultivate in the incubator, the culture fluid in the hole is removed in suction on the secondth, by the administration respectively of above-mentioned group technology, and 8 every group multiple holes; Every hole 200ul pastille serum cell culture fluid afterwards, is put into 37 ℃, 5%CO2 incubator continuation cultivation, after cultivating 48 hours again; Take out culture plate and carry out mtt assay and detect, every hole adds 20ul MTT solution (5mg/ml), after putting into 37 ℃, 5%CO2 incubator and hatching 4 hours, and abandoning supernatant; Every hole adds DMSO 180ul, jolts mixing, and crystallization is dissolved fully; Go up immediately ELIASA and measure the OD value, wavelength is 490nm, is the blank hole with the simple culture fluid of doing simultaneously.
The mtt assay testing result shows: the strong close osteocomma of waist can obviously promote osteoblastic propagation (P<0.01), and is wherein the most obvious with 1/4 multiple dose.
Table 3 is that the mtt assay observation influences osteoblastic proliferation.
Table 3
Annotate: relatively there is significant difference * P<0.01 with the normal control group.
2. the real-time fluorescence quantitative PCR reaction detection is to the influence of BMP-2, Type I Collagen and BGP mRNA expression in the osteoblast
Primer is by retrieving the full length gene sequence, then according to factors such as primer length, Tm temperature, the GC% the most suitable primer of design and synthetic among the Genebank data base.Sequence is following:
BMP-2:5’-GATC?TGTA?CCGC?AGGC?ACTC-3’,5’-TTCC?CACT?CATC?TCTG?GAAGTT-3’;Type?I?Collagen:5’-CATT?TGCA?CTGG?GTCA?CACG?TA-3’,5’-GAAT?CTGG?CCAT?GTTT?GTGC?TC-3’;Osteocalcin:5’-CCCT?CTCT?CTGC?TCACTCTG?CT-3’,5’-CTTA?TTGC?CCTC?CTGC?TTGG-3’;β-actin:5’-CTGT?CCCTGTAT?GCCT?CTG-3’,5’-ATGT?CACG?CACG?ATTT?CC-3’。
Sample cDNA is carried out the quantitative fluorescent PCR reaction respectively.After question response finishes, carry out the absolute quantitation analysis automatically according to standard curve, and result of calculation, carry out relatively with the ratio of the copy number of the copy number of the contained genes of interest of each sample and its β-actin internal control gene with Rotor Gene6.0 software.
The real-time fluorescence quantitative PCR reaction result shows that the strong close osteocomma of waist can promote the expression (P<0.01) of osteoblast BMP-2 mRNA, and wherein the most obvious with 1/4 multiple dose, 1/2 multiple dose takes second place; The strong close osteocomma of waist can promote the expression of osteoblast Type I Collagen mRNA, wherein with 2 multiple doses the most obviously (P<0.01), and 1/4 multiple dose take second place (P<0.05); The strong close osteocomma of waist can promote the expression (P<0.01) of osteoblast BGP mRNA, and wherein the most obvious with 1/4 multiple dose, 1/2 multiple dose takes second place.
Table 4 is influences that treatment back BMP-2, Type I Collagen and BGP mRNA express.
Table 4
Annotate:
*Relatively there is significant difference P<0.05 with the normal control group; * relatively there is extremely significant difference P<0.01 with the normal control group.
(3) acute toxicity testing
Kunming mice is irritated stomach, and (7.52g crude drug/ml), maximum volume (40ml/kg) administration volume be good for the close osteocomma solution of waist, and 2 administrations in 1 day were observed 14 days continuously, and result's demonstration overt toxicity do not occur and reacts none dead mouse by Cmax.The strong clinical people's consumption of the close osteocomma of waist is 70g (crude drug)/60kg/ day, and through calculating, the oral maximum dosage-feeding of mice is 32.72g dried cream powder/kg, i.e. 600.37g crude drug/kg is equivalent to 513 times of clinical people's consumption (every kg body weight).