Four, the specific embodiment
Below in conjunction with embodiment the specific embodiment of the present invention is elaborated.
Embodiment 1
The present invention in the specific implementation, can realize by following scheme: make by Rhizoma Picrorhizae 10g, Cortex Moutan 10g, Indigo Naturalis 8g, Borneolum Syntheticum 1g, carbomer 934 P 2g, hydroxypropyl cellulose 2g, cyclamate 2.3g, glycerol 10ml and ethyl cellulose, dehydrated alcohol, wherein, the mass concentration that Indigo Naturalis is added 10 times of weight of Indigo Naturalis at every turn is 80% alcohol reflux secondary, each 0.5h filters merging filtrate, reclaiming ethanol and being concentrated into relative density is 1.05 concentrated solution, standby;
The mass concentration that Rhizoma Picrorhizae is added at every turn 10 times of weight of Rhizoma Picrorhizae is 65% alcohol reflux three times, and each 1h filters, and merging filtrate is standby;
Cortex Moutan extracts paeonol with vapor distillation, collects the aqueous solution after distilling, and adds the water of 8 times of amounts of Cortex Moutan weight in the medicinal residues, decocted 30 minutes, and got decocting liquid, with the aqueous solution merging after the distillation, concentrate, 50 ℃ are surveyed relative densities is 1.03, adds ethanol, makes to contain the alcohol amount and reach 55%, placed 24 hours, get supernatant and Rhizoma Picrorhizae filtrate and merge, reclaiming ethanol and being condensed into relative density is 1.1 Rhizoma Picrorhizae and Cortex Moutan thick paste, standby;
Ethyl cellulose adds dehydrated alcohol and is swelling to fully dissolving and is transparence, paints the thick film of 0.25cm as backing layer, and is standby; Carbomer 934 P 2g is with after hydroxypropyl cellulose 2g mixes, adding water, to be mixed with mass concentration be 3% clear solution, add Indigo Naturalis concentrated solution, Rhizoma Picrorhizae and Cortex Moutan thick paste, cyclamate 2.3g, after the limit edged stirs, again paeonol, Borneolum Syntheticum 1g, glycerol 10ml are ground well, slowly add, stir evenly, leave standstill and outgas into pastille film forming liquid, on the surface of ethyl cellulose, be coated with 2200ml/m
2Pastille film forming liquid, get final product.
Embodiment 2
The present invention in the specific implementation, also realize: make by Rhizoma Picrorhizae 11g, Cortex Moutan 11g, Indigo Naturalis 9g, Borneolum Syntheticum 1.5g, carbomer 934 P 3g, hydroxypropyl cellulose 3g, cyclamate 2.4g, glycerol 12ml and ethyl cellulose, dehydrated alcohol by following scheme, wherein, the mass concentration that Indigo Naturalis is added 10 times of weight of Indigo Naturalis at every turn is 85% alcohol reflux secondary, each 0.7h filters merging filtrate, reclaiming ethanol and being concentrated into relative density is 1.05 concentrated solution, standby;
The mass concentration that Rhizoma Picrorhizae is added at every turn 10 times of weight of Rhizoma Picrorhizae is 70% alcohol reflux three times, and each 1.5h filters, and merging filtrate is standby;
Cortex Moutan extracts paeonol with vapor distillation, collects the aqueous solution after distilling, and adds the water of 8 times of amounts of Cortex Moutan weight in the medicinal residues, decocted 40 minutes, and got decocting liquid, with the aqueous solution merging after the distillation, concentrate, 50 ℃ are surveyed relative densities is 1.04, adds ethanol, makes to contain the alcohol amount and reach 58%, placed 30 hours, get supernatant and Rhizoma Picrorhizae filtrate and merge, reclaiming ethanol and being condensed into relative density is 1.15 Rhizoma Picrorhizae and Cortex Moutan thick paste, standby;
Ethyl cellulose adds dehydrated alcohol and is swelling to fully dissolving and is transparence, paints the thick film of 0.25cm as backing layer, and is standby; Carbomer 934 P 3g is with after hydroxypropyl cellulose 3g mixes, adding water, to be mixed with mass concentration be 3% clear solution, add Indigo Naturalis concentrated solution, Rhizoma Picrorhizae and Cortex Moutan thick paste, cyclamate 2.4g, after the limit edged stirs, again paeonol, Borneolum Syntheticum 1.5g, glycerol 12ml are ground well, slowly add, stir evenly, leave standstill and outgas into pastille film forming liquid, on the surface of ethyl cellulose, be coated with 2200ml/m
2Pastille film forming liquid, get final product.
Embodiment 3
The present invention is made by Rhizoma Picrorhizae 12g, Cortex Moutan 12g, Indigo Naturalis 10g, Borneolum Syntheticum 2g, carbomer 934 P 4g, hydroxypropyl cellulose 4g, cyclamate 2.5g, glycerol 14ml and ethyl cellulose, dehydrated alcohol, wherein, the mass concentration that Indigo Naturalis is added 10 times of weight of Indigo Naturalis at every turn is 90% alcohol reflux secondary, each 1h, filter, merging filtrate, reclaiming ethanol and being concentrated into relative density is 1.05 concentrated solution, standby;
The mass concentration that Rhizoma Picrorhizae is added at every turn 10 times of weight of Rhizoma Picrorhizae is 80% alcohol reflux three times, and each 2h filters, and merging filtrate is standby;
Cortex Moutan extracts paeonol with vapor distillation, collects the aqueous solution after distilling, and adds the water of 8 times of amounts of Cortex Moutan weight in the medicinal residues, decocted 45 minutes, and got decocting liquid, with the aqueous solution merging after the distillation, concentrate, 50 ℃ are surveyed relative densities is 1.05, adds ethanol, makes to contain the alcohol amount and reach 60%, placed 48 hours, get supernatant and Rhizoma Picrorhizae filtrate and merge, reclaiming ethanol and being condensed into relative density is 1.2 Rhizoma Picrorhizae and Cortex Moutan thick paste, standby;
Ethyl cellulose adds dehydrated alcohol and is swelling to fully dissolving and is transparence, paints the thick film of 0.25cm as backing layer, and is standby; Carbomer 934 P 4g is with after hydroxypropyl cellulose 4g mixes, adding water, to be mixed with mass concentration be 3% clear solution, add Indigo Naturalis concentrated solution, Rhizoma Picrorhizae and Cortex Moutan thick paste, cyclamate 2.5g, after the limit edged stirs, again paeonol, Borneolum Syntheticum 1~2g, glycerol 14ml are ground well, slowly add, stir evenly, leave standstill and outgas into pastille film forming liquid, on the surface of ethyl cellulose, be coated with 2200ml/m
2Pastille film forming liquid, get final product.
Rhizoma Picrorhizae of the present invention not only clearing away damp-heat but also clearind deficient heat are monarch drug; The Cortex Moutan clearing away heat and cooling blood, the Indigo Naturalis heat-clearing and toxic substances removing, removing heat from blood is ministerial drug altogether; The Borneolum Syntheticum clearing away heat to alleviate pain is adjuvant drug; All medicines share and play clearing away damp-heat, deficiency-heat altogether, detoxifcation, the merit of cooling blood and relieving pain; Cure mainly asthenic fire, excess-fire, the damp and hot oral ulcer that is mingled with of deficiency-heat.
Traditional oral mucosa drug-delivery preparation (as buccal tablet, powder etc.) holdup time in the oral cavity is short, and medicine often enters gastrointestinal tract by involuntary deglutition with saliva, causes drug loss.It is shorter that the pelliculae pro cavo oris of listing sticks the time at present, can not unidirectionally discharge.Ulcer healing membrane agent of the present invention is composited by the drug-loaded layer of tool bioadhesive and the backing layer of bioadhesive of not having, belong to bioadhesive one-way release membrane, has the powder incomparable advantage: the physiological characteristics that more meets the oral cavity, overcome the shortcoming of powder, no matter be that any position generation ulcer can both attach to site of action preferably in the oral cavity, be difficult for moving.Experimentation shows that the ethyl cellulose backing layer does not dissolve, and can stop medicine to see through in the oral cavity, medicine is only discharged to the inside, has increased Concentraton gradient, and has kept local higher concentration, has alleviated the uncomfortable taste of medicine simultaneously.Medicated layer adopts bio-adhesive material carbomer and hydroxypropyl cellulose, and its adhesive effect to mucosa is comparatively tight, has increased preparation in the intraoral time of staying.Experimental result shows that this membrane can reach 2~3 hours in the time of sticking in affected part, oral cavity, and the release in vitro of main chemical compositions meets the Higuch equation, belongs to sustained release film formulation.Said preparation has prolonged drug treating time, thereby improves curative effect greatly, shortens the course of treatment, reduces the medication number of times, improves patient's compliance.Membrane of the present invention is to the covering of ulcer surface and to stick the time longer, has the stimulation of blocking-up extraneous factor to ulcer surface, plays the effect of protection wound surface, to alleviate the patient suffering.
In sum, ulcer healing membrane agent characteristics of the present invention have three: the first, adopt pure Chinese medicine, any side effect is not seen in clinical observation; The second, have bioadhesive, stick the time in the oral cavity longer, belongs to slow releasing preparation; The 3rd, guarantee the unidirectional release of medicine, good effect, and proved fully that through clinical data its relevant clinical data is as follows:
1. physical data
1.1 case source: observe totally 50 examples, recurrent oral ulceration 30 examples wherein, simple property oral ulcer 20 examples, male's 28 examples, women's 22 examples from 2009.6~2009.12 oral ulcer patients.At 7~70 years old age, the course of disease 1 day was to discontinuity 3 years.
1.2 case is selected
1.3 diagnostic criteria: with reference to Ministry of Public Health " new Chinese medicine clinical research guideline " (2002 publish) and " People's Republic of China's Chinese medicine industry standard. TCM E.N.T. Dept. case diagnosis criterion of therapeutical effect " (enforcement on January 1 nineteen ninety-five).
2. diagnostic criteria
2.1 with the part aphtha appears, scorching hot pain is the oral mucosal disease of feature, comprises recurrent oral ulceration and simple property oral ulcer.
2.2 diagnosis basis
2.2.1 the ulcer of or several diameter 2~5mm single with the oral mucosa appearance, scorching hot pain is cardinal symptom.
2.2.2 it is very fast to play pain, recovery from illness in general about 7 days, if rise one after another, then the course of disease prolongs.The normal easily recurrence of healing.
2.2.3 examination of mouth: stomatocace is shown shallow, and is circular or oval.1~2 at least of quantity, individual surplus in the of 5 at most, surperficial faint yellow secretions adheres to, and is congested mostly around the ulcer.
2.2.4 should differentiate mutually with inflammation around behcet's syndrome (hu huo syndrome), the recurrent gangrenosum acne mucosa and herpetic stomatitis.
3. traditional Chinese medical science differential diagnosis of diseases standard
3.1 accumulation of heat in the heart and spleen card: pain in mouthful, thirsty, halitosis, short urination Huang, constipation.Aphtha quantity is many, on every side congested obviously, red tongue, yellow fur, rapid pulse.
3.2 syndrome of hyperactivity of fire due to deficiency of YIN: pain, xerostomia, feverish sensation in the palms and soles, weak in mouthful.1~2 or 2~3 of aphtha, slight on every side congested.Red tongue, few, the thready and rapid pulse of tongue.
3.3 deficiency of qi and blood: mouth is not thirsty, or accompanies fear of cold, loose stool.Aphtha quantity is few, and is fuzzy on every side not congested.Light red tongue, white and thin fur, thready and weak pulse.
4. case is included standard in
Meet the primary disease diagnostic criteria and the differential diagnosis in tcm person can include the test case in.Get rid of the case standard:
4.1 gestation or women breast-feeding their children, allergic constitution or to this medicine allergy sufferers.
4.2 used the other drug therapist.
4.3 be associated with serious constitutional disorder such as cardiovascular, lung, liver, kidney and hemopoietic system, psychotic.
4.4 allly do not meet the standard of including in, not medication in accordance with regulations, can't judge that curative effect or data are not congruent and affect the treatment and safety judgement person.
5. Therapeutic Method
Take out the medicine film, medicine film hair side is affixed on the affected part.Every day 3~4 times.
6. observation index
Curative effect determinate standard
Recovery from illness: medication 3 days is with interior oral cavity ulcer healing, local no sense of discomfort.
Take a turn for the better: medication 3 days is little or do not enlarge pain relief with the interior oral ulcer reduction of area of healing.
Invalid: medication 3 days enlarges with the interior oral ulcer face of healing, and pain increases the weight of.
7. statistical procedures
The ulcer healing membrane clinical observation result
Clinical observation result shows that this product is to recurrent oral ulceration effective percentage 93.3%, to simple property oral ulcer effective percentage 95.0%.
7.2 untoward reaction: do not see any untoward reaction.
7.3 find for initial stage ulcer surface diameter 1~2mm person that at viewing duration medication is more obvious to ulcer healing and pain symptom control effect, generally transference cure in 1~3 day.Ulcer surface diameter 2~4mm person, may command ulcer area after the medication, but prevent that it from enlarging and alleviating pain.The above person of ulcer surface diameter 4mm, the course of treatment, then effect was not good enough person more than 4 days.The early stage use of prompting this product is very important, and cure rate can reach 100% to the course of disease with interior person in 3 days.Of the present invention succeeding in developing is the innovation on the treatment stomatocace medicine, and economic and social benefit is huge.