CN102335362A - Traditional Chinese medicine for treating insulin resistance of type 2 diabetes - Google Patents

Traditional Chinese medicine for treating insulin resistance of type 2 diabetes Download PDF

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CN102335362A
CN102335362A CN201110346174XA CN201110346174A CN102335362A CN 102335362 A CN102335362 A CN 102335362A CN 201110346174X A CN201110346174X A CN 201110346174XA CN 201110346174 A CN201110346174 A CN 201110346174A CN 102335362 A CN102335362 A CN 102335362A
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chinese medicine
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diabetes mellitus
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CN102335362B (en
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葛鹏玲
李冀
孙丽英
温薇
孙阳
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Heilongjiang University of Chinese Medicine
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Heilongjiang University of Chinese Medicine
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Abstract

The invention relates to a traditional Chinese medicine for treating insulin resistance of type 2 diabetes, and is used for solving the problem that the safe and efficient drugs for treating insulin resistance of type 2 diabetes are not available at present. The traditional Chinese medicine for treating insulin resistance of type 2 diabetes is prepared from the following components in parts by weight: 10-20 parts of American ginseng, 20-40 parts of coix seed and 10-20 parts of alisma. The traditional Chinese medicine has mild drug property and low toxic and side effect, and is used for treating insulin resistance of type 2 diabetes with the main characteristics, such as deficiency of spleen qi and interior accumulation of dampness and turbid. Compared with the similar traditional Chinese medicines, the traditional Chinese medicine has clear main active ingredients and definite disease treatment effect, and can obviously improve insulin resistance of type 2 diabetes.

Description

A kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant
Technical field
The present invention relates to a kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant.
Background technology
Type 2 diabetes mellitus is main with insulin resistant, with hypoinsulinism.Insulin resistant (insulin resistance; IR) be meant that body target organ or tissue reduce or forfeiture the sensitivity of insulin biological effect; The ability that produces insulin in the type 2 diabetes mellitus patient body is not to completely lose; Interior insulin of the patient's body that has even generation are too much, but the action effect of insulin is had a greatly reduced quality.Therefore, the intravital insulin of patient possibly be in a kind of state of relative shortage.Up to the present, from the doctor trained in Western medicine angle, also do not treat the ideal medicament of insulin resistant.The euglycemic agent that use does not stimulate insulin secretion is advocated in the treatment of insulin resistant more; But this type of medicine can promote fat generation; And fat closely related with insulin resistant and diabetes, so doctor trained in Western medicine is inevitably treated contradiction to the treatment existence of type 2 diabetes mellitus insulin resistant.The Chinese medicine disease is paid attention to determination of treatment based on pathogenesis obtained through differentiation of symptoms and signs; Through the integrally-regulated pathological state of improving human body; Because Chinese medicine contains the number of chemical composition; Can be to a plurality of target spots of disease, resist at the treatment diabetes insulin and have special advantages aspect the complexity disease of this multifactor, many pathology target spot.Therefore, seek and further investigate the new Chinese medicine of treating the type 2 diabetes mellitus insulin resistant and become the major issue that the Chinese medicine worker needs to be resolved hurrily.Yet still lacking safely and effectively at present, Chinese medicine can be used to intervene the diabetes insulin opposing.
Summary of the invention
The present invention is the problem that will solve the safe and effective medicine that still lacks treatment type 2 diabetes mellitus insulin resistant at present, and a kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant is provided.
The Chinese medicine that the present invention treats the type 2 diabetes mellitus insulin resistant is by weight by 10~20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 20~40 parts Semen Coicis and 10~20 parts is processed.
Radix Panacis Quinquefolii---function cures mainly: boosting qi and nourishing yin, clearing away heat and promoting production of body fluid.It is thanks to cloudy to be used for the deficiency of vital energy, interior-heat, and cough with asthma expectorant blood, deficiency-heat is tired tired, quenches one's thirst dryness of the mouth and throat.
Semen Coicis---function cures mainly: the spleen invigorating eliminating dampness by diuresis, and eliminating impediment antidiarrheal, row is dense in heat clearing away.Be used for edema, beriberi, dysuria, arthralgia chiefly caused by damp pathogen contracture, diarrhea due to hypofunction of the spleen, lung abscess, acute appendicitis.
Rhizoma Alismatis---function cures mainly: diuresis, clearing away damp-heat.Be used for dysuria, edema distension, the oliguria of having loose bowels, dizziness due to fluid-retention, the puckery pain of pyretic stranguria.
Treatment by Chinese herbs of the present invention is the type 2 diabetes mellitus insulin resistant determined curative effect of principal character to accumulate in deficiency of spleen-QI, the turbid damp.Herbal nature of the present invention is gentle, and toxic and side effects is little, compares with similar Chinese medicine, and its main active is clear, and the treatment disease is clear and definite, can obviously improve the type 2 diabetes mellitus insulin resistant.The active component of treatment type 2 diabetes mellitus insulin resistant mainly is 20 (R) ginsenoside Rb1 in the Radix Panacis Quinquefolii according to the invention; The active component of treatment type 2 diabetes mellitus insulin resistant mainly is Semen Coicis polysaccharide A in the said Semen Coicis; The active component of treatment type 2 diabetes mellitus insulin resistant mainly is Alisol A-24-acetate in the said Rhizoma Alismatis.
Chinese medicine of the present invention can reduce the fasting glucose (FBG) and the FPI (FINS) of insulin resistance rat, rising insulin sensitivity index (ISI), the abnormal carbohydrate metabolism when improving insulin resistant.
The rising of serum triglycerides (TG) level and the generation of insulin resistant (IR) and type 2 diabetes mellitus are closely related, high TG long-term with glucose competition entering cell in, thereby hindered oxidation and the utilization of glucose and caused blood sugar increasing.Free fatty (FFA) can suppress picked-up and the utilization of peripheral tissues to glucose, is one of main non-hormone substance that causes IR.Clinical research shows that the rising of plasma F FA can reduce the clearance rate of whole machine body to sugar, weakens the inhibitory action that endogenous glucose is generated and the rising blood glucose of insulin-mediated simultaneously.Disorders of lipid metabolism is increasing of triglyceride (TG) and free fatty (FFA) particularly, is the initiating agent that causes insulin resistant (IR).Chinese medicine of the present invention can significantly reduce insulin resistance rat serum triglycerides and free fatty acid levels, can correct disorders of lipid metabolism, improves the type 2 diabetes mellitus insulin resistant.
Phylaxin (Resistin) be find recently a kind of it can influence glucose metabolism relevant with insulin action and lipid metabolism by the excretory peptide hormone of adipose cell, because of the function that has glucagon is named as phylaxin.Resistin can influence the formation of insulin resistant through acting on several ways such as Insulin receptor INSR and IRS, rise Suppressor of Cytokine Signaling-3.Tumor necrosis factor-alpha (TNF-α) plays crucial effect in mechanism of insulin resistance.TNF-α regulates insulin action through acting on insulin signaling pathway, suppresses the insulin signaling transduction.Leptin (Leptin) can promote steatolysis; Suppress lipogenesis; Leptin can cause the insulin resistant of fatty tissue to the decomposition of fat itself; Be that lipogenesis reduces, decomposes and increase, produce a large amount of FFA and cause the insulin resistant of liver and muscle, so Leptin plays an important role in insulin resistant.Adiponectin (APN) is the excretory a kind of adipose cell factor of fatty tissue, is the fatty factor that unique and body fat content are negative correlation in the body, is that the contact carbohydrate tolerance is impaired, the important step of insulin resistant and diabetic angiopathy.Chinese medicine of the present invention can significantly reduce serum phylaxin, leptin, tumor necrosis factor-alpha level, and the adiponectin level that raises simultaneously can be improved the type 2 diabetes mellitus insulin resistant through fatty factor level more than regulating.
The specific embodiment
Technical scheme of the present invention is not limited to the following cited specific embodiment, also comprises the combination in any between each specific embodiment.
The specific embodiment one: the Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant is by weight by 10~20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 20~40 parts Semen Coicis and 10~20 parts is processed.
The Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant can be processed oral formulations such as pill, tablet, powder, granule, drop pill, oral liquid according to existing conventional method.
The specific embodiment two: what this embodiment and the specific embodiment one were different is: the Chinese medicine of treatment type 2 diabetes mellitus insulin resistant is by weight by 10 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 20 parts Semen Coicis and 10 parts is processed.Other is identical with the specific embodiment one.
The specific embodiment three: what this embodiment and the specific embodiment one were different is: the Chinese medicine of treatment type 2 diabetes mellitus insulin resistant is by weight by 20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 40 parts Semen Coicis and 20 parts is processed.Other is identical with the specific embodiment one.
The specific embodiment four: what this embodiment and the specific embodiment one were different is: the Chinese medicine of treatment type 2 diabetes mellitus insulin resistant is by weight by 15 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 40 parts Semen Coicis and 20 parts is processed.Other is identical with the specific embodiment one.
The specific embodiment five: what this embodiment and the specific embodiment one were different is: the Chinese medicine of treatment type 2 diabetes mellitus insulin resistant is by weight by 20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 25 parts Semen Coicis and 15 parts is processed.Other is identical with the specific embodiment one.
The specific embodiment six: what this embodiment and the specific embodiment one were different is: the Chinese medicine of treatment type 2 diabetes mellitus insulin resistant is by weight by 10 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 30 parts Semen Coicis and 20 parts is processed.Other is identical with the specific embodiment one.
The specific embodiment seven: the Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant is by weight by 15 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 30 parts Semen Coicis and 15 parts is processed.
The Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant can prepare by following method: get the Radix Panacis Quinquefolii of 15g by weight, the Semen Coicis of 30g and the Rhizoma Alismatis of 15g, the 3h that is soaked in water, decocting 1h then; Taking liquid, decocting 1h again, taking liquid; Merge medicinal liquid, be concentrated into 50mL, promptly get.
Experiment one: the Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant is to glycometabolic influence
(1) type 2 diabetes mellitus insulin resistance rat Preparation of model
After 70 SD male rat adaptabilities fed for 1 week; Be divided into modeling group (60) and blank control group (10) at random; Blank control group feed normal diet, modeling group feed high lipid food (processing by 12% Adeps Sus domestica, 48% normal feedstuff, 15% sugar, 10% Semen arachidis hypogaeae, 10% egg yolk, 5% salt and 0.03% Fel Sus domestica salt) by the quality percentage composition.Feed (the 8th week) therebetween, the modeling group is injected 0.25% STZ solution (being dissolved in citric acid solution) by 25mg/Kg BW disposable celiac; The isopyknic citrate buffer of blank control group lumbar injection.After 10 weeks, detect each Mus fasting glucose and FPI level, calculate insulin sensitivity index (ISI).
(2) grouping and administration
With the insulin sensitivity index is screening index; Screening modeling success rat is 54 in the modeling group, is divided into the Chinese medicine high dose group (13) of this embodiment, Chinese medicine low dose group (13), rosiglitazone group (14) and the model group (14) of this embodiment at random.The Chinese medicine high dose group of this embodiment is pressed crude drug amount 10.8g/kg dosage gastric infusion; The Chinese medicine low dose group of this embodiment is pressed crude drug amount 5.4g/kg dosage gastric infusion; The rosiglitazone group is by 0.4mg/kg dosage gastric infusion (the rosiglitazone batch number is 0409002); Blank control group and model group are irritated the normal saline 10mL/kg of clothes equal volume every day.
(3) observation index
The general situation observation of rat: the situation such as food ration, body weight, outward appearance and behavior variation of observing rat.Detect the serum insulin level.Use blood glucose meter and detect fasting glucose (FBG); Adopt radioactive immunoassay to measure serum insulin (FINS); Calculate insulin sensitivity sex index ISI=ln [1/ (FBG * FINS)] simultaneously.
Data are used the SPSS software processes; The data of normal distribution representes that with data of nonnormal distribution is carried out statistical analysis after all taking from right lognormalization.
(4) experimental result
The observation of the general situation of rat: before the modeling, each is organized, and activities in rats agility, fur are bright and clean, food ration, amount of drinking water, urine amount are all normal.Except that blank control group, all the other rat aggregate performances are lethargy, bradykinesia, hair is withered and yellow unglazed after the modeling, and food ration, amount of drinking water and urine amount increase.
The Chinese medicine of this embodiment is seen table 1 to the influence of rat fasting blood-glucose (FBG), FPI (FINS), insulin sensitivity index (ISI).
The Chinese medicine of this embodiment of table 1 is to the influence
Figure BDA0000105678870000042
of rat FBG, FINS and ISI
Figure BDA0000105678870000043
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 1 result shows, compares with blank control group, and model group rat FBG, FINS level raise, and ISI descends, and significant difference (P<0.01) is arranged, and explains that insulin resistant model duplicates successfully.Compare with model group, each administration group rat FBG, FINS descend (P<0.01), and ISI raises (P<0.05) to some extent simultaneously, and difference has statistical significance.The result shows that the Chinese medicine of this embodiment can reduce the FBG and the FINS of insulin resistance rat, rising ISI, the abnormal carbohydrate metabolism when improving insulin resistant.
Experiment two: the Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant is to lipometabolic influence
(1) type 2 diabetes mellitus insulin resistance rat Preparation of model
After 70 SD male rat adaptabilities fed for 1 week; Be divided into modeling group (60) and blank control group (10) at random; Blank control group feed normal diet, modeling group feed high lipid food (processing by 12% Adeps Sus domestica, 48% normal feedstuff, 15% sugar, 10% Semen arachidis hypogaeae, 10% egg yolk, 5% salt and 0.03% Fel Sus domestica salt) by the quality percentage composition.Feed (the 8th week) therebetween, the modeling group is injected 0.25% STZ solution (being dissolved in citric acid solution) by 25mg/Kg BW disposable celiac; The isopyknic citrate buffer of blank control group lumbar injection.After 10 weeks, detect each Mus fasting glucose and FPI level, calculate insulin sensitivity index (ISI).
(2) grouping and administration
With the insulin sensitivity index is screening index; Screening modeling success rat is 54 in the modeling group, is divided into the Chinese medicine high dose group (13) of this embodiment, Chinese medicine low dose group (13), rosiglitazone group (14) and the model group (14) of this embodiment at random.The Chinese medicine high dose group of this embodiment is pressed crude drug amount 10.8g/kg dosage gastric infusion; The Chinese medicine low dose group of this embodiment is pressed crude drug amount 5.4g/kg dosage gastric infusion; The rosiglitazone group is by 0.4mg/kg dosage gastric infusion (the rosiglitazone batch number is 0409002); Blank control group and model group are irritated the normal saline 10mL/kg of clothes equal volume every day.
(3) concentration of triglyceride (TG), T-CHOL (TC) and these three kinds of materials of free fatty (FFA) in the detection serum.
(4) experimental result
The Chinese medicine of this embodiment of table 2 is to the influence of rat blood serum T-CHOL, triglyceride
Divide into groups n TG(mmol/L) TC(mmol/L)
Blank control group 10 0.69±0.21 1.78±0.14
The Chinese medicine high dose group of this embodiment 13 1.04±0.41 1.88±0.52 ★★
The Chinese medicine low dose group of this embodiment 13 1.34±0.22 ★★ 2.04±0.28
The rosiglitazone group 14 1.25±0.30 ★★ 1.96±0.46 ★★
Model group 14 2.15±0.19 ▲▲ 3.36±0.32 ▲▲
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
The Chinese medicine of this embodiment of table 3 is to the influence
Figure BDA0000105678870000061
of rat blood serum free fatty
Divide into groups n FFA(μmol/L)
Blank control group 10 656.2±89.7
Model group 14 1309.8±93.7 ▲▲
The rosiglitazone group 14 839.9±78.1 ★★
The Chinese medicine high dose group of this embodiment 13 861.6±75.8 ★★
The Chinese medicine low dose group of this embodiment 13 906.7±64.2 ★★
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 2 and table 3 result show, compare model group rat blood serum T-CHOL (TC), triglyceride (TG) level rising (P<0.01) with blank control group; Compare each administration group Serum TC, TG level decline (P<0.01) with model group.Table 3 result shows, compares model group rat blood serum free fatty (FFA) level rising (P<0.01) with blank control group; Compare each administration group rat blood serum FFA level decline (P<0.01) with model group.Above experimental result shows that the Chinese medicine of this embodiment can obviously reduce serum TC, TG and the FFA level of insulin resistance rat, the hyperlipidemia state when improving insulin resistant.
Experiment three: to the influence of the fatty factor
(1) type 2 diabetes mellitus insulin resistance rat Preparation of model
After 70 SD male rat adaptabilities fed for 1 week; Be divided into modeling group (60) and blank control group (10) at random; Blank control group feed normal diet, modeling group feed high lipid food (processing by 12% Adeps Sus domestica, 48% normal feedstuff, 15% sugar, 10% Semen arachidis hypogaeae, 10% egg yolk, 5% salt and 0.03% Fel Sus domestica salt) by the quality percentage composition.Feed (the 8th week) therebetween, the modeling group is injected 0.25% STZ solution (being dissolved in citric acid solution) by 25mg/Kg BW disposable celiac; The isopyknic citrate buffer of blank control group lumbar injection.After 10 weeks, detect each Mus fasting glucose and FPI level, calculate insulin sensitivity index (ISI).
(2) grouping and administration
With the insulin sensitivity index is screening index; Screening modeling success rat is 54 in the modeling group, is divided into the Chinese medicine high dose group (13) of this embodiment, Chinese medicine low dose group (13), rosiglitazone group (14) and the model group (14) of this embodiment at random.The Chinese medicine high dose group of this embodiment is pressed crude drug amount 10.8g/kg dosage gastric infusion; The Chinese medicine low dose group of this embodiment is pressed crude drug amount 5.4g/kg dosage gastric infusion; The rosiglitazone group is by 0.4mg/kg dosage gastric infusion (the rosiglitazone batch number is 0409002); Blank control group and model group are irritated the normal saline 10mL/kg of clothes equal volume every day.
(3) concentration of detection serum phylaxin (Resistin), fat plain (APN), Serum Leptin Levels (Leptin) and tumor necrosis factor-alpha (TNF-α).
(4) experimental result
The Chinese medicine of this embodiment of table 4 is to the influence
Figure BDA0000105678870000071
of rat blood serum Resistin, APN
Divide into groups n Resistin(ng/mL) APN(ng/mL)
Blank control group 10 13.74±3.05 4.31±0.68
The Chinese medicine high dose group of this embodiment 13 15.04±2.73 ★★ 4.22±0.58 ★★
The Chinese medicine low dose group of this embodiment 13 15.86±2.19 3.51±0.63
The rosiglitazone group 14 19.47±3.24 3.98±0.51 ★★
Model group 14 19.65±3.11 ▲▲ 2.53±0.62 ▲▲
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 4 result shows, compares model group rat blood serum phylaxin (Resistin) level rising (P<0.01) with blank control group; With model group relatively, star-spangled banner pool core group rat blood serum Resistin level descends, high dose group P<0.01 wherein, low dose group P<0.05.Compare model group rat blood serum adiponectin (APN) level decline (P<0.01) with blank control group; With model group relatively, the Chinese drug-treated group rat blood serum APN level of this embodiment raises, high dose group P<0.01 wherein, low dose group P<0.05.
The Chinese medicine of this embodiment of table 5 is to the influence
Figure BDA0000105678870000072
of rat blood serum Leptin and TNF-α
Divide into groups n Leptin(ng/mL) TNF-a(ng/mL)
Blank control group 10 2.548±0.523 1.873±0.194
The Chinese medicine high dose group of this embodiment 13 4.013±0.657 ★★ 1.928±0.207 ★★
The Chinese medicine low dose group of this embodiment 13 4.563±0.692 ★★ 2.197±0.223
The rosiglitazone group 14 5.018±0.783 2.054±0.215 ★★
Model group 14 5.906±0.628 ▲▲ 2.549±0.201 ▲▲
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 5 result shows, compares model group rat blood serum leptin (Leptin) level rising (P<0.01) with blank control group; Compare the Chinese medicine high and low dose group rat blood serum Leptin level decline (P<0.01) of this embodiment with model group.Compare model group rat blood serum tumor necrosis factor-alpha (TNF-α) level rising (P<0.01) with blank control group; With model group relatively, the Chinese drug-treated group rat blood serum TNF-a level of this embodiment descends, high dose group P<0.01 wherein, low dose group P<0.05.
The Chinese medicine of this embodiment can significantly reduce serum phylaxin, leptin, tumor necrosis factor-alpha level, and the adiponectin level that raises simultaneously can be improved the type 2 diabetes mellitus insulin resistant through fatty factor level more than regulating.
The specific embodiment eight: the Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant is by weight by 20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 30 parts Semen Coicis and 10 parts is processed.
The Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant can prepare by following method: get the Radix Panacis Quinquefolii of 20g by weight, the Semen Coicis of 30g and the Rhizoma Alismatis of 10g, the 3h that is soaked in water, decocting 1h then; Taking liquid, decocting 1h again, taking liquid; Merge medicinal liquid, be concentrated into 50mL, promptly get.
Experiment one: the Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant is to glycometabolic influence
(1) type 2 diabetes mellitus insulin resistance rat Preparation of model
After 70 SD male rat adaptabilities fed for 1 week; Be divided into modeling group (60) and blank control group (10) at random; Blank control group feed normal diet, modeling group feed high lipid food (processing by 12% Adeps Sus domestica, 48% normal feedstuff, 15% sugar, 10% Semen arachidis hypogaeae, 10% egg yolk, 5% salt and 0.03% Fel Sus domestica salt) by the quality percentage composition.Feed (the 8th week) therebetween, the modeling group is injected 0.25% STZ solution (being dissolved in citric acid solution) by 25mg/Kg BW disposable celiac; The isopyknic citrate buffer of blank control group lumbar injection.After 10 weeks, detect each Mus fasting glucose and FPI level, calculate insulin sensitivity index (ISI).
(2) grouping and administration
With the insulin sensitivity index is screening index; Screening modeling success rat is 54 in the modeling group, is divided into the Chinese medicine high dose group (13) of this embodiment, Chinese medicine low dose group (13), rosiglitazone group (14) and the model group (14) of this embodiment at random.The Chinese medicine high dose group of this embodiment is pressed crude drug amount 10.8g/kg dosage gastric infusion; The Chinese medicine low dose group of this embodiment is pressed crude drug amount 5.4g/kg dosage gastric infusion; The rosiglitazone group is by 0.4mg/kg dosage gastric infusion (the rosiglitazone batch number is 0409002); Blank control group and model group are irritated the normal saline 10mL/kg of clothes equal volume every day.
(3) observation index
The general situation observation of rat: the situation such as food ration, body weight, outward appearance and behavior variation of observing rat.Detect the serum insulin level.Use blood glucose meter and detect fasting glucose (FBG); Adopt radioactive immunoassay to measure serum insulin (FINS); Calculate insulin sensitivity sex index ISI=ln [1/ (FBG * FINS)] simultaneously.
Data are used the SPSS software processes; The data of normal distribution representes that with
Figure BDA0000105678870000081
data of nonnormal distribution is carried out statistical analysis after all taking from right lognormalization.
(4) experimental result
The observation of the general situation of rat: before the modeling, each is organized, and activities in rats agility, fur are bright and clean, food ration, amount of drinking water, urine amount are all normal.Except that blank control group, all the other rat aggregate performances are lethargy, bradykinesia, hair is withered and yellow unglazed after the modeling, and food ration, amount of drinking water and urine amount increase.
The Chinese medicine of this embodiment is seen table 1 to the influence of rat fasting blood-glucose (FBG), FPI (FINS), insulin sensitivity index (ISI).
The Chinese medicine of this embodiment of table 1 is to the influence
Figure BDA0000105678870000091
of rat FBG, FINS and ISI
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 1 result shows, compares with blank control group, and model group rat FBG, FINS level raise, and ISI descends, and significant difference (P<0.01) is arranged, and explains that insulin resistant model duplicates successfully.Compare with model group, each administration group rat FBG, FINS descend (P<0.01), and ISI raises (P<0.05) to some extent simultaneously, and difference has statistical significance.The result shows that the Chinese medicine of this embodiment can reduce the FBG and the FINS of insulin resistance rat, rising ISI, the abnormal carbohydrate metabolism when improving insulin resistant.
Experiment two: the Chinese medicine of this embodiment treatment type 2 diabetes mellitus insulin resistant is to lipometabolic influence
(1) type 2 diabetes mellitus insulin resistance rat Preparation of model
After 70 SD male rat adaptabilities fed for 1 week; Be divided into modeling group (60) and blank control group (10) at random; Blank control group feed normal diet, modeling group feed high lipid food (processing by 12% Adeps Sus domestica, 48% normal feedstuff, 15% sugar, 10% Semen arachidis hypogaeae, 10% egg yolk, 5% salt and 0.03% Fel Sus domestica salt) by the quality percentage composition.Feed (the 8th week) therebetween, the modeling group is injected 0.25% STZ solution (being dissolved in citric acid solution) by 25mg/Kg BW disposable celiac; The isopyknic citrate buffer of blank control group lumbar injection.After 10 weeks, detect each Mus fasting glucose and FPI level, calculate insulin sensitivity index (ISI).
(2) grouping and administration
With the insulin sensitivity index is screening index; Screening modeling success rat is 54 in the modeling group, is divided into the Chinese medicine high dose group (13) of this embodiment, Chinese medicine low dose group (13), rosiglitazone group (14) and the model group (14) of this embodiment at random.The Chinese medicine high dose group of this embodiment is pressed crude drug amount 10.8g/kg dosage gastric infusion; The Chinese medicine low dose group of this embodiment is pressed crude drug amount 5.4g/kg dosage gastric infusion; The rosiglitazone group is by 0.4mg/kg dosage gastric infusion (the rosiglitazone batch number is 0409002); Blank control group and model group are irritated the normal saline 10mL/kg of clothes equal volume every day.
(3) concentration of triglyceride (TG), T-CHOL (TC) and these three kinds of materials of free fatty (FFA) in the detection serum.
(4) experimental result
The Chinese medicine of this embodiment of table 2 is to the influence
Figure BDA0000105678870000101
of rat blood serum T-CHOL, triglyceride
Divide into groups n TG(mmol/L) TC(mmol/L)
Blank control group 10 0.63±0.21 1.78±0.23
The Chinese medicine high dose group of this embodiment 13 1.01±0.51 1.79±0.45 ★★
The Chinese medicine low dose group of this embodiment 13 1.33±0.18 ★★ 2.04±0.25
The rosiglitazone group 14 1.18±0.30 ★★ 1.96±0.56 ★★
Model group 14 2.05±0.15 ▲▲ 3.33±0.29 ▲▲
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
The Chinese medicine of this embodiment of table 3 is to the influence
Figure BDA0000105678870000102
of rat blood serum free fatty
Divide into groups n FFA(μmol/L)
Blank control group 10 653.7±88.1
Model group 14 1279.9±95.4 ▲▲
The rosiglitazone group 14 834.9±79.4 ★★
The Chinese medicine high dose group of this embodiment 13 854.4±75.1 ★★
The Chinese medicine low dose group of this embodiment 13 900.2±65.2 ★★
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 2 and table 3 result show, compare model group rat blood serum T-CHOL (TC), triglyceride (TG) level rising (P<0.01) with blank control group; Compare each administration group Serum TC, TG level decline (P<0.01) with model group.Table 3 result shows, compares model group rat blood serum free fatty (FFA) level rising (P<0.01) with blank control group; Compare each administration group rat blood serum FFA level decline (P<0.01) with model group.Above experimental result shows that the Chinese medicine of this embodiment can obviously reduce serum TC, TG and the FFA level of insulin resistance rat, the hyperlipidemia state when improving insulin resistant.
Experiment three: to the influence of the fatty factor
(1) type 2 diabetes mellitus insulin resistance rat Preparation of model
After 70 SD male rat adaptabilities fed for 1 week; Be divided into modeling group (60) and blank control group (10) at random; Blank control group feed normal diet, modeling group feed high lipid food (processing by 12% Adeps Sus domestica, 48% normal feedstuff, 15% sugar, 10% Semen arachidis hypogaeae, 10% egg yolk, 5% salt and 0.03% Fel Sus domestica salt) by the quality percentage composition.Feed (the 8th week) therebetween, the modeling group is injected 0.25% STZ solution (being dissolved in citric acid solution) by 25mg/Kg BW disposable celiac; The isopyknic citrate buffer of blank control group lumbar injection.After 10 weeks, detect each Mus fasting glucose and FPI level, calculate insulin sensitivity index (ISI).
(2) grouping and administration
With the insulin sensitivity index is screening index; Screening modeling success rat is 54 in the modeling group, is divided into the Chinese medicine high dose group (13) of this embodiment, Chinese medicine low dose group (13), rosiglitazone group (14) and the model group (14) of this embodiment at random.The Chinese medicine high dose group of this embodiment is pressed crude drug amount 10.8g/kg dosage gastric infusion; The Chinese medicine low dose group of this embodiment is pressed crude drug amount 5.4g/kg dosage gastric infusion; The rosiglitazone group is by 0.4mg/kg dosage gastric infusion (the rosiglitazone batch number is 0409002); Blank control group and model group are irritated the normal saline 10mL/kg of clothes equal volume every day.
(3) concentration of detection serum phylaxin (Resistin), fat plain (APN), Serum Leptin Levels (Leptin) and tumor necrosis factor-alpha (TNF-α).
(4) experimental result
The Chinese medicine of this embodiment of table 4 is to the influence of rat blood serum Resistin, APN
Divide into groups n Resistin(ng/mL) APN(ng/mL)
Blank control group 10 13.52±3.11 4.29±0.60
The Chinese medicine high dose group of this embodiment 13 15.75±2.52 ★★ 4.22±0.54 ★★
The Chinese medicine low dose group of this embodiment 13 15.52±2.02 3.51±0.73
The rosiglitazone group 14 19.54±3.87 3.72±0.46 ★★
Model group 14 19.65±3.45 ▲▲ 2.76±0.71 ▲▲
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 4 result shows, compares model group rat blood serum phylaxin (Resistin) level rising (P<0.01) with blank control group; With model group relatively, star-spangled banner pool core group rat blood serum Resistin level descends, high dose group P<0.01 wherein, low dose group P<0.05.Compare model group rat blood serum adiponectin (APN) level decline (P<0.01) with blank control group; With model group relatively, the Chinese drug-treated group rat blood serum APN level of this embodiment raises, high dose group P<0.01 wherein, low dose group P<0.05.
The Chinese medicine of this embodiment of table 5 is to the influence
Figure BDA0000105678870000121
of rat blood serum Leptin and TNF-α
Divide into groups n Leptin(ng/mL) TNF-a(ng/mL)
Blank control group 10 2.753±0.541 1.657±0.146
The Chinese medicine high dose group of this embodiment 13 3.956±0.543 ★★ 1.975±0.251 ★★
The Chinese medicine low dose group of this embodiment 13 4.630±0.642 ★★ 2.452±0.218
The rosiglitazone group 14 5.247±0.764 2.154±0.210 ★★
Model group 14 5.876±0.528 ▲▲ 2.549±0.185 ▲▲
Annotate: 1. compare with blank control group: P<0.05, ▲ ▲2. compare with model group P<0.01: P<0.05, ★ ★P<0.01
Table 5 result shows, compares model group rat blood serum leptin (Leptin) level rising (P<0.01) with blank control group; Compare the Chinese medicine high and low dose group rat blood serum Leptin level decline (P<0.01) of this embodiment with model group.Compare model group rat blood serum tumor necrosis factor-alpha (TNF-α) level rising (P<0.01) with blank control group; With model group relatively, the Chinese drug-treated group rat blood serum TNF-a level of this embodiment descends, high dose group P<0.01 wherein, low dose group P<0.05.
The Chinese medicine of this embodiment can significantly reduce serum phylaxin, leptin, tumor necrosis factor-alpha level, and the adiponectin level that raises simultaneously can be improved the type 2 diabetes mellitus insulin resistant through fatty factor level more than regulating.

Claims (6)

1. Chinese medicine of treating the type 2 diabetes mellitus insulin resistant, the Chinese medicine that it is characterized in that treating the type 2 diabetes mellitus insulin resistant is by weight by 10~20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 20~40 parts Semen Coicis and 10~20 parts is processed.
2. a kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant according to claim 1, the Chinese medicine that it is characterized in that treating the type 2 diabetes mellitus insulin resistant is by weight by 10 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 20 parts Semen Coicis and 10 parts is processed.
3. a kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant according to claim 1, the Chinese medicine that it is characterized in that treating the type 2 diabetes mellitus insulin resistant is by weight by 20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 40 parts Semen Coicis and 20 parts is processed.
4. a kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant according to claim 1, the Chinese medicine that it is characterized in that treating the type 2 diabetes mellitus insulin resistant is by weight by 15 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 40 parts Semen Coicis and 20 parts is processed.
5. a kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant according to claim 1, the Chinese medicine that it is characterized in that treating the type 2 diabetes mellitus insulin resistant is by weight by 20 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 25 parts Semen Coicis and 15 parts is processed.
6. a kind of Chinese medicine of treating the type 2 diabetes mellitus insulin resistant according to claim 1, the Chinese medicine that it is characterized in that treating the type 2 diabetes mellitus insulin resistant is by weight by 10 parts Radix Panacis Quinquefolii, and the Rhizoma Alismatis of 30 parts Semen Coicis and 20 parts is processed.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106138861A (en) * 2015-04-05 2016-11-23 云南云百草实验室有限公司 A kind of Chinese medicine treating type-II diabetes and preparation method thereof
CN112592396A (en) * 2020-12-14 2021-04-02 上海交通大学 Bioactive peptide VDPFSKKDW, and preparation method and application thereof

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
莫娜: "中医药治疗2 型糖尿病胰岛素抵抗用药分析", 《陕西中医》 *

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106138861A (en) * 2015-04-05 2016-11-23 云南云百草实验室有限公司 A kind of Chinese medicine treating type-II diabetes and preparation method thereof
CN112592396A (en) * 2020-12-14 2021-04-02 上海交通大学 Bioactive peptide VDPFSKKDW, and preparation method and application thereof
CN112592396B (en) * 2020-12-14 2022-10-21 上海交通大学 Bioactive peptide VDPFSKKDW as well as preparation method and application thereof

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