CN102389533B - Medicinal composition for treating cerebral apoplexy and preparation method thereof - Google Patents

Medicinal composition for treating cerebral apoplexy and preparation method thereof Download PDF

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CN102389533B
CN102389533B CN2011103555785A CN201110355578A CN102389533B CN 102389533 B CN102389533 B CN 102389533B CN 2011103555785 A CN2011103555785 A CN 2011103555785A CN 201110355578 A CN201110355578 A CN 201110355578A CN 102389533 B CN102389533 B CN 102389533B
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CN102389533A (en
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王贤军
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Jiangsu Xinyuan Pharmaceutical Co Ltd
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Abstract

The invention relates to a medicinal composition for treating cerebral apoplexy. The composition is prepared from the following raw materials, by weight, 35 parts of Chinese angelica, 30 parts of chrysanthemum, 25 parts of safflower, 20 parts of Radix Puerariae, 18g of mint, 18 parts of peach kernel, 16 parts of white peony root, 12 parts of antler, 12 parts of Rhizoma Cibotii, 10 parts of Salvia miltiorrhiza, 10 parts of Radix Astragali, 8 parts of Cassia Twig, 8 parts of rhizoma gastrodiae, 6 parts of Achyranthes bidentata, 6 parts of Lycium chinense, 3 parts of cinnamon and 3 parts of Radix Polygalae. After clinical verification, the medicinal composition of the invention allows twenty-five cases to be cured, is effective to twelve cases and is ineffective to two cases when thirty-nine cases is treated by the medicinal composition for 2-3 months, so the total effective rate is 95%. The medicinal composition of the invention, which has the advantages of simple preparation, simultaneous treatment of principal and subordinate symptoms, no side effect, and low price, has a wide application prospect.

Description

A kind of pharmaceutical composition for the treatment of apoplexy
Technical field
The invention belongs to field of medicaments, relate to a kind of Chinese medicine composition for the treatment of apoplexy, relate in particular to a kind of pharmaceutical composition of cerebral infarction.
Background technology
Apoplexy (Stroke) is the formal name used at school of apoplexy, is a kind of cerebral blood circulation obstacle disease of unexpected onset.Be cerebrovascular accident again.The patient who refers at cerebrovascular disease, because various risk factors cause stricture of artery in the brain, inaccessible or break, and cause the acute brain disturbance of blood circulation, show as a sings and symptoms of crossing property or permanent disordered brain function clinically. apoplexy is divided in the ischemic cerebral apoplexy and hemorrhagic apoplexy.
Cerebral infarction is the cerebral infarction of broad sense, refers to that the local feeding artery blood perfusion of the cerebral tissue that takes place suddenly reduces or blood flow interrupts fully, stops blood supply, oxygen supply, supplies sugar etc., and this local brain tissue disintegrate is destroyed.The main cause of cerebral infarction is: cerebral embolism, a variety of causes cause due to the embolus in thromboembolism, heart source due to the atherosclerosis vasculitis, blood vessel injury and wound etc.Cerebral infarction is generally fallen ill in nighttime sleep, and Chang Weici WA in morning is found limb adynamia or hemiplegia, how unconscious obstacle, and blood pressure can be normal or higher, and the arteriosclerosis history can be arranged.Cerebral infarction accounts for the over half of cerebral apoplexy patient sum, mainly comprises cerebral thrombosis and cerebral embolism.
Treatment cerebral infarction main method is to improve the blood circulation of brain at present, the blood flow in half blanking bar district of increase ischemic region and the supply of oxygen, and the control cerebral edema is prevented and treated complication.Along with the application of evidence-based medicine EBM concept, both at home and abroad cerebrovascular information is sought, estimate.By the meta-analysis evaluation of circulation medical science, have only 4 kinds of therapies that Ischemic Stroke is had sure curative effect at present, that is exactly acute stroke unit, thromboembolism treatment, Antiplatelet therapy and anticoagulant therapy.The surgical intervention carotid endarterectomy is suitable for the outer section of internal carotid artery cranium seriously narrow (stenosis surpasses 50%), and narrow positions is at the following operator of angulus mandibulae and can.Inaccessible 24 hours of completeness also can be considered operation with interior, inaccessiblely surpasses 24-48 hour, and cerebral malacia person has been taken place, should not perform the operation.
The medicine of cerebral infarction has multiple, and the first kind is vasodilator.Think in the past as long as medicine can make cerebral vasodilators, blood multithread from the blood vessel that stops up is gone over.Find that but not only Pimobendane do not accomplish this point, the blood reflux of diseased region is flow in the healthy cerebral tissue go (this is called steal syndrome in the brain), so do not advocated to use this type of medicine.Second class is thrombolytic medicine, is ideal if use the purpose that this type of medicine can reach the dissolving embolus, but often needs heavy dose during the systemic vein medication, causes danger of bleeding sometimes.Present multidirectional patient recommends to use interventional therapy, by conduit embolus is dissolved at the position that medicine directly injects infarction exactly, but take the front and back of this Therapeutic Method all will do cerebral angiography one time, this itself just has certain danger again, in addition interventional therapy requires patient carrying out in 6 hours after being ill, has often missed opportunity sometimes.The 3rd class medicine is the medicine that prevents platelet aggregation, aspirin for example, and hematoblastic cohesion is the beginning of cerebral thrombosis often, if the cohesion of blocking platelet effectively, the osmanthus of perhaps preventing stopping blooding further forms.At present this class medicine is used very extensively in the world, not equal to but be to be more appropriate as prophylactic agent as medicine, because the acute stage of apoplexy, use this class effect of drugs unsatisfactory.The 4th class is Chinese medicine.The main effect of Chinese medicine is activating blood circulation to dissipate blood stasis, and application is extremely extensive at home now, and oral medicine is not only arranged, and also has intravenous injection and intramuscular injection medicine, uses easily.Some patient and family members think that the Chinese medicine cow-bezoar bolus for resurrection is apoplexy " specific drug " now; but assign to analyze from the one-tenth of cow-bezoar bolus for resurrection; medicine have bring down a fever, the relieving convulsion and effect of having one's ideas straightened out; apoplexy to unconsciousness, hyperpyrexia and convulsion is effective; and it is just not necessarily effective to other types; so can't generally be called " specific drug ", should come medication according to the determination for the treatment of based on pathogenesis obtained through differentiation of symptoms and signs principle of apoplexy.
This shows, need a kind of Chinese herb medicine of effective treatment cerebral infarction in the prior art, and can not produce more serious toxic and side effects.
Summary of the invention
In order to overcome the deficiencies in the prior art, the invention provides pharmaceutical composition of a kind of effective treatment cerebral infarction and preparation method thereof.
The objective of the invention is in order to overcome disadvantages of background technology, and pharmaceutical composition of a kind of effective treatment cerebral infarction that provides and preparation method thereof.The present application people in conjunction with secret prescription handed down in the family from generation to generation according to forefathers' experience and oneself medical practice for many years, by the research to Chinese medicine, and in conjunction with dialectical demonstration, collect the length of many families in many ways, seek therapeutic regimen, adopt the natural Chinese medicines raw material, be mixed with the Chinese herb medicine of cerebral infarction of the present invention meticulously in conjunction with traditional lunar physics technique, its compound method is simple, can use in hospital with the medicine of said composition preparation, also can provide for oneself, need the time spent to modulate use voluntarily.
The technical problem of the desired solution of the present invention realizes by following technological approaches.
A kind of pharmaceutical composition for the treatment of cerebral infarction, it is got than feedstock production by following weight:
Radix Angelicae Sinensis 35, Flos Chrysanthemi 30, Flos Carthami 25, Radix Puerariae 20, Herba Menthae 18, Semen Persicae 18, the Radix Paeoniae Alba 16, Cornu Cervi 12, Rhizoma Cibotii 12, Radix Salviae Miltiorrhizae 10, the Radix Astragali 10, Ramulus Cinnamomi 8, Rhizoma Gastrodiae 8, Radix Achyranthis Bidentatae 6, Fructus Lycii 6, Cortex Cinnamomi 3, Radix Polygalae 3.
Aforementioned pharmaceutical compositions can be prepared from by the method for preparing pill or tablet well known in the art, preferred version is: crude drug is made medicated powder according to a conventional method respectively, cross 100 mesh sieves, take by weighing in proportion, stirring and evenly mixing, every 100g add refined honey 30g and 10g water, general ball, the heavy 10g of every ball, drying, namely.
The specific embodiment
For the present invention is described better, the present invention partly describes content of the present invention in detail by embodiment, but the embodiment part can not be interpreted as the restriction of spirit of the present invention.
Embodiment 1,
A kind of pharmaceutical composition for the treatment of cerebral infarction, it is got than feedstock production by following weight:
Radix Angelicae Sinensis 35, Flos Chrysanthemi 30, Flos Carthami 25, Radix Puerariae 20, Herba Menthae 18, Semen Persicae 18, the Radix Paeoniae Alba 16, Cornu Cervi 12, Rhizoma Cibotii 12, Radix Salviae Miltiorrhizae 10, the Radix Astragali 10, Ramulus Cinnamomi 8, Rhizoma Gastrodiae 8, Radix Achyranthis Bidentatae 6, Fructus Lycii 6, Cortex Cinnamomi 3, Radix Polygalae 3.
Crude drug is made medicated powder according to a conventional method respectively, cross 100 mesh sieves, take by weighing in proportion, stirring and evenly mixing, every 100g add refined honey 30g and 10g water, general ball, and drying, namely.
Embodiment 2
Medicine of the present invention is to the influence because of the rat brain artery ligation:
Laboratory animal: male SD rat, body weight 280-300g, totally 90;
Medicine: medicine group of the present invention; Control drug group, control drug are nimodipine tablet, Zhengzhou Rui Kang pharmacy, and the 20mg/ sheet is configured to 1ml/mg; The normal saline group.Every group of 30 rats.
Application dosage: medicine group of the present invention: 1g/kg/d; The control drug group, 20mg/kg/d; Normal saline group: the normal saline of same volume.
Experimental technique: rat is implemented cerebral arteries ligation operation, postoperative 20min oral administration according to the Tamura method.
Experimental result: normal rat use medicine of the present invention after 30 minutes cerebral blood flow obviously increase, 60 minutes cerebral blood flows still keep higher level behind the medicine, prolongation in time later on, increasing degree is by ashamed reduction, blood pressure is not had influence, and the normal saline group does not have effect, and the control drug group has certain effect, but it is not obvious
After taking medicine three days, detect the level (table 1) of neural factor NGF in glutamic acid, SOD and the brain of respectively organizing in the laboratory animal cerebral tissue:
Table 1
Figure GSB00001058626500031
Conclusion: compare with the normal saline group, medicine group glutamic acid of the present invention obviously reduces, and the SOD level obviously raises, and neural factor NGF improves P<0.01 greatly in the brain; Compare with the control drug group, medicine group glutamic acid of the present invention reduces relatively, and the SOD level raises, and neural factor NGF improves in the brain, and P<0.05 possesses significant statistical significance.
Embodiment 3
Clinical trial
The clinical observation on the therapeutic effect experiment of traditional Chinese medicine composition for treating patients with cerebral apoplexy of the present invention
One, the physical data of experimental subject: adopt Chinese medicine composition of the present invention to treat 53 routine patients altogether, male 31 examples wherein, women 22 examples; The oldest person 73 years old, the age reckling has only 2 years old.
Usage and dosage: adopt the prepared medicament of the embodiment of the invention, its usage and consumption are as follows: the each 2-3 grain of pill, every day 3 times, a course for the treatment of two Mondays, take 3-5 the course for the treatment of continuously.
The therapeutic evaluation standard:
Cure: physical signs such as the interior neural factor NGF of glutamic acid, SOD and brain recover normal, and diet is normal, weight increase, and action is normal, and sign is improved fully, and the patient does not have any bad sensation, and mental status is good.
Effectively: physical signs such as the interior neural factor NGF of glutamic acid, SOD and brain change to some extent, and part index number is normal, and diet is normal, weight increase, and pronunciation and action are normal substantially, and the sign major part makes moderate progress, and mental status takes a turn for the better.
Invalid: physical signs such as the interior neural factor NGF of glutamic acid, SOD and brain obviously do not change, and it is not obvious that sign changes, and diet and body weight slightly increase, and lethargy is depressed.
In the 39 routine cases of accepting for medical treatment, through treatment in 2-3 month, wherein cure 25 examples, produce effects 12 examples, invalid 2 examples, total effective rate reaches 95%.The result shows that Chinese medicine composition of the present invention has extremely significant curative effect to the treatment apoplexy.
Above-mentioned each Chinese medicine that the present invention adopts is made compatibility mutually, can bring into play its collaborative effect of curing the disease, having drug effect between each composition of used raw material of Chinese medicine is interweaved and mutually promotes and coordinate usefulness, through clinical verification, constipation there is good therapeutic effect, in the medical practice in nearly ten years of the applicant, the case number of curing is numerous, all obtain good effect, and with low cost, alleviate patient's burden.The Chinese medicine composition of the application's treatment constipation is with low cost, evident in efficacy, has broad application prospects.
Model case:
1, Lee so-and-so, man, 5 years old.During inspection, find that it influences the brain blood supply wretched insufficiency, cause the brain function ateliosis, cerebral blood flow is on the low side, the motor system hypoevolutism, just can stand up about eight or nine months, just slowly can sit after 13 months, can creep during two October, can hold up in the time of two years old the station and hold up away, two upper limb muscular tension can not have, and two muscle tension of lower extremities are high slightly, two ankle shake contraction positives.Took Chinese medicine composition of the present invention 3 months, symptom disappears substantially, and it is normal that biochemical indicator recovers, and can ownly freely play, and walks substantially freely, and body weight and diet heighten, with normal child of the same age and indistinction.
2, model so-and-so, woman, 46 years old.No matter ictal right side limbs followed dysphonia 10 days, cerebral infarction, right limb activity ability, hypertension, brain blood supply wretched insufficiency, and endocrine confusion.After taking medicine, cerebral infarction partly disappears, and it is normal that biochemical indicator recovers, and walks substantially freely, and body weight and diet heighten, and the right limb activity ability is normal.

Claims (2)

1. pharmaceutical composition that is used for cerebral infarction is characterized in that described pharmaceutical composition is got than feedstock production by following weight:
Radix Angelicae Sinensis 35, Flos Chrysanthemi 30, Flos Carthami 25, Radix Puerariae 20, Herba Menthae 18, Semen Persicae 18, the Radix Paeoniae Alba 16, Cornu Cervi 12, Rhizoma Cibotii 12, Radix Salviae Miltiorrhizae 10, the Radix Astragali 10, Ramulus Cinnamomi 8, Rhizoma Gastrodiae 8, Radix Achyranthis Bidentatae 6, Fructus Lycii 6, Cortex Cinnamomi 3, Radix Polygalae 3.
2. pharmaceutical composition as claimed in claim 1 is characterized in that, described pharmaceutical composition is prepared from by the following method: crude drug is made medicated powder according to a conventional method respectively, cross 100 mesh sieves, take by weighing in proportion, stirring and evenly mixing, every 100g add refined honey 30g and 10g water, general ball, drying, namely.
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CN101766685B (en) * 2008-12-31 2012-11-21 成都中医药大学 Pharmaceutical composite for treating cerebral stroke, preparation method and application thereof
CN102106999B (en) * 2011-02-11 2016-05-11 冯学功 A kind of compound Chinese medicinal preparation for the treatment of dysphagia after apoplexy and preparation method thereof

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