CN103989820B - Medicament for treating hyperlipidemia - Google Patents

Medicament for treating hyperlipidemia Download PDF

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CN103989820B
CN103989820B CN201410269395.5A CN201410269395A CN103989820B CN 103989820 B CN103989820 B CN 103989820B CN 201410269395 A CN201410269395 A CN 201410269395A CN 103989820 B CN103989820 B CN 103989820B
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parts
chinese medicine
medicine composition
fine powder
blood
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CN103989820A (en
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张华�
胡小燕
薛梅
王琳
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Qingdao City-Owned Hospital
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张华�
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Abstract

The invention discloses a traditional Chinese medicinal composition for treating hyperlipidemia, and belongs to the technical field of traditional Chinese medicines. The traditional Chinese medicinal composition is prepared from the following raw materials in parts by weight: 30-60 parts of trogopterus dung, 30-60 parts of rhizoma atractylodis, 12-20 parts of trichosanthes kirilowii maxim, 10-20 parts of medlar, 10-20 parts of salvia miltiorrhiza, 30-60 parts of selfheal, 6-12 parts of cortex lycii radicis, 6-12 parts of ephedra and 20-40 parts of radix bupleuri. The traditional Chinese medicinal composition for treating hyperlipidemia is high in cure rate, small in dosage, low in cost and simple in preparation process, does not have adverse response, and is suitable for popularization.

Description

A kind of pharmaceutical composition for the treatment of hyperlipidemia
Technical field
The invention belongs to technical field of Chinese medicine, relate to a kind of pharmaceutical composition for the treatment of cardiovascular and cerebrovascular disease, be specifically related to a kind of pharmaceutical composition for the treatment of hyperlipidemia and preparation method thereof.
Background technology
Blood fat refers to the general name of contained lipid in human plasma, it is that the important component part blood fat of blood combines with apolipoprotein formation lipoprotein, lipoprotein is dissolved in blood plasma to carry out transporting and metabolism, when lipid metabolism or running abnormal to make in blood plasma one or more lipids higher than time normal (when cholesterol in serum exceedes normal value 230mg/100ml, triglyceride is more than 140mg/100ml, when beta lipoprotein is more than 390 more than mg/100ml), what be namely called is hyperlipemia.Hyperlipemia is commonly encountered diseases, the frequently-occurring disease of middle-aged and elderly people, is cause one of atherosclerotic risk factor, and this disease is often attributed to the category face of " expectorant is turbid ", " the expectorant stasis of blood " by the traditional Chinese medical science.
Current Chinese traditional treatment hyperlipidemia mainly adopts following three sides:
1. function of spleen and stomach regulating eliminating phlegm and removing dampness." the spleen being the source of producing phlegm ", the prosperity and decline of spleen and the turbid generation of expectorant have important relationship.The spleen has the function to transport and transform nutrients and the lucid yang sending up, if the transportation capabilities of spleen are normal, then water Tianjin is able to biochemistry, and diseases caused by retention of fluid expectorant turbid being difficult is gathered; If usually addicted to food delicious food savoury, taste are impaired, its transporting abnormal ascending-descending of QI, and indigestion is precise and tiny, stifling cohesion becomes expectorant to become turbid.As Jing-Yue Complete Works is said: the body fluid of expectorant and people, the institute of water paddy nothing but, but change its just, then body is strong, and battalion defends fills; Just losing it if change, then cacosplanchnia, body fluid loses, and QI and blood " expectorant birth ".The turbid i.e. life of its expectorant, stockpiles in body, stasis sering and cause hyperlipemia.
2. nourishing the liver and kidney soft pulseization is turbid.Liver belonging to Yin in physique and Yang in function, rely on kidney water profit and support money life, liver body obtains it and moistens foster, and irritability bar reaches happy and thin exhibition freely, and QI and blood is gentle, and meridians are unobstructed, is meaning high and level tone and sun is secret.If lose because ferritic is cloudy, the deficiency of YIN can not contain sun, deficiency-fire stirring up, then deficiency of the yin of the liver, or the liver failing to maintain the normal flow of QI, stagnated QI transforming into fire, the cloudy blood of in-fighting, causes YIN fluid deficiency, production of dryness-heat in the interior, channels to lose soft, hot bright body fluid, become expectorant raw turbid.
3. Huatan Zhuyu reinforcing kidney and strengthening resistance.Suffer from the turbid disease of expectorant with the passing of time, contain in cloudy turbid heresy, yang-energy difficulty is stretched, and causes weakness of spleen-YANG eventually and undermines kidney yang.Kidney yang is that yang-energy is basic, insufficiency of kidney-YANG, can not warm spleen soil, and the transportation capabilities of spleen are difficult to normally.The kidney being a water ZANG-organ, main promote the circulation of qi and water, why water liquid can run by compress in vivo, depends on the gasification of kidney.If kidney yang deficiency, QI failing to transform into body fluid, then stop in aqueous vapor, is aggregated into expectorant and becomes turbid.Therefore Zhang Jingyue is said: " change of expectorant is invariably at spleen, and the basis of expectorant is invariably at kidney.Expectorant is turbid is disease, and its property viscous is coagulated puckery, and often can cause through BI-syndrome involved the blood vessels resistance, raw in blood stasis, expectorant is turbid not to be understood with blood stasis knot, mutually transforms, and mutually doublely holds under the arm, makes the state of an illness more numerous and diverse.
Doctor trained in Western medicine achieves larger achievement to the research of hyperlipidemia and treatment, and Western medicine as Statins, fibrate etc., but needs long-term prescription, and long-term prescription can cause the side effect such as blood fat knock-on after hepatic and renal function, muscle damage and drug withdrawal mostly.Can be described as index effect very good, but do not effect a permanent cure.Chinese medicine, in the treatment of hyperlipemia, has side effect little, and has fundamentally, regulates the equilibrium between yin and yang of body on the whole, treating both the principal and secondary aspects of a disease, the long-range advantage such as respond well and be subject to the favor of increasing patient.Give full play to the characteristic of differentiation of tcm and the few advantage of herbal toxic effect, application compound Chinese medicinal preparation or single medicinal material treatment hyperlipemia are research emphasis of the present invention.
Summary of the invention
An object of the present invention is to provide the Chinese medicine composition for the treatment of hyperlipidemia that a kind of good effect, cure rate are high, have no side effect.
In order to realize object of the present invention, Chinese medicine composition of the present invention is made up of the raw material of following weight portion:
Oletum Trogopterori 30-60 Rhizoma Atractylodis 30-60 Fructus Trichosanthis 12-20 Fructus Lycii 10-20
Radix Salviae Miltiorrhizae 10-20 Spica Prunellae 30-60 Cortex Lycii 6-12 Herba Ephedrae 6-12
Radix Bupleuri 20-40.
As preferably, Chinese medicine composition of the present invention is made up of the raw material of following weight portion:
Oletum Trogopterori 40 Rhizoma Atractylodis 40 Fructus Trichosanthis 15 Fructus Lycii 15 Radix Salviae Miltiorrhizae 15
Spica Prunellae 60 Cortex Lycii 8 Herba Ephedrae 8 Radix Bupleuri 30.
Fang Zhong: Oletum Trogopterori: property is sweet, temperature, promoting blood circulation to remove blood stasis.Have a pain for trusted subordinate's congestion, dysmenorrhea, blood stasis amenorrhea.Rhizoma Atractylodis: pungent, bitter, temperature.Drying damp and strengthening spleen, expelling wind and cold, improving eyesight.For distension and fullness in the abdomen, have loose bowels, edema, beriberi flaccidity of feet with lamenness, rheumatic arthralgia, anemofrigid cold.Fructus Trichosanthis: sweet, micro-hardship, cold.Clearing away heat and eliminating phlegm, relieving stuffiness of the chest by dispersing aggregation of pathogens, moisturizes laxation.For cough due to lung-heat, the turbid Huang of expectorant is thick, obstruction of qi in the chest and cardialgia, blocked-up chest feeling of fullness, acute mastitis, lung abscess, and acute appendicitis swells and ache, constipation.Fructus Lycii: sweet is flat.Nourishing the liver and kidney, replenishing vital essence to improve eyesight.For asthenia damage of essence, soreness of waist and knee joint, vertigo and tinnitus, interior-heat is quenched one's thirst, blood deficiency and yellow complexion, and blurred vision is failed to understand.Radix Salviae Miltiorrhizae: bitter, is slightly cold.Stasis-dispelling and pain-killing, promoting blood circulation to restore menstrual flow, clear away heart-fire relieving restlessness.For menoxenia, amenorrhea dysmenorrhea, lump in the abdomen, breast ventral spine pain, pyretic arthralgia pain, skin infection swells and ache, dysphoria and insomnia; Hepatosplenomegaly, angina pectoris.Spica Prunellae: pungent, bitter, cold.Relieve inflammation or internal heat, improving eyesight, eliminating stagnation, detumescence.For conjunctival congestion and swelling pain, order pearl nyctalgia, has a headache dizzy, scrofula, goiter, and acute mastitis swells and ache; Thyromegaly, tuberculous lymphadenitis, cyclomastopathy, hypertension.Cortex Lycii: sweet, cold.Removing heat from blood removes and steams, lung heat clearing pathogenic fire reducing.For deficiency of YIN hectic fever, hectic fever due to YIN-deficiency night sweat, cough due to lung-heat, spitting of blood, epistaxis, interior-heat is quenched one's thirst.Herba Ephedrae: pungent, micro-hardship, temperature.Diaphoresis cold expelling, depressed lung-energy dispersing, inducing diuresis to remove edema.For anemofrigid cold, uncomfortable in chestly to breath with cough, edema due to wind pathogen edema; Bronchial asthma.Herba ephedrae nourishing the lung to arrest cough.Be used for table disease to separate, asthma and cough.Radix Bupleuri: bitter, is slightly cold.Reconciling superficies and interior, soothing the liver, yang invigorating.For cold, fever, alternate attack of chill and fever, distending pain in the chest and hypochondrium.Through clinical verification, the present invention's all tastes medical material share can blood fat reducing disappear addiction, the liver and kidney nourishing, invigorate blood circulation and rush down turbid, invigorating middle warmer spleen invigorating, good effect is achieved to the treatment of hyperlipidemia.
Another object of the present invention is to provide a kind of preparation method for the treatment of the Chinese medicine composition of high blood ester disease, comprises the following steps:
1) by recipe quantity, Oletum Trogopterori, Rhizoma Atractylodis, Fructus Trichosanthis, Fructus Lycii, Radix Salviae Miltiorrhizae is got, with 95% alcohol reflux 2-3 time, each 1-2 hour, merge extractive liquid, reclaims ethanol, concentrated extracting solution, vacuum drying, obtain extract, extract is ground into fine powder, cross 100 mesh sieves;
2) by recipe quantity, get Spica Prunellae, Cortex Lycii, Herba Ephedrae, Radix Bupleuri mixing, be dried and crushed into fine powder, cross 100 mesh sieves;
3) by step 1) and step 2) gained fine powder fully mixes, and is prepared into tablet, capsule, granule or oral liquid with pharmaceutically acceptable carrier.
The present invention compared with prior art has the following advantages:
1. Chinese medicine composition consumption of the present invention is few, evident in efficacy, without any side effects.
2. Chinese medicine composition of the present invention is regular dosage form, and preparation technology is simple, instant edible, carries, and can preserve for a long time.
Detailed description of the invention
Below by way of the description of detailed description of the invention, the invention will be further described, but this is not limitation of the present invention, those skilled in the art are according to basic thought of the present invention, various amendment or improvement can be made, but only otherwise depart from basic thought of the present invention, all within the scope of the present invention.
the preparation of EXAMPLE l capsule
prescription:
Oletum Trogopterori 40g Rhizoma Atractylodis 40g Fructus Trichosanthis 15g Fructus Lycii 15g Radix Salviae Miltiorrhizae 15g
Spica Prunellae 60g Cortex Lycii 8g Herba Ephedrae 8g Radix Bupleuri 30g.
preparation method:
1) by recipe quantity, Oletum Trogopterori, Rhizoma Atractylodis, Fructus Trichosanthis, Fructus Lycii, Radix Salviae Miltiorrhizae is got, with 95% alcohol reflux 2 times, each 2 hours, merge extractive liquid, reclaim ethanol, concentrated extracting solution, vacuum drying, obtains extract, and extract is ground into fine powder, crosses 100 mesh sieves;
2) by recipe quantity, get Spica Prunellae, Cortex Lycii, Herba Ephedrae, Radix Bupleuri mixing, be dried and crushed into fine powder, cross 100 mesh sieves;
3) by step 1) and step 2) gained fine powder fully mixes, and No. 0 Capsules is inserted in sterilizing, obtains capsule of the present invention.
the preparation of embodiment 2 granule
prescription:
Oletum Trogopterori 60g Rhizoma Atractylodis 45g Fructus Trichosanthis 15g Fructus Lycii 12g Radix Salviae Miltiorrhizae 15g
Spica Prunellae 42g Cortex Lycii 9g Herba Ephedrae 9g Radix Bupleuri 24g.
preparation method:
1) by recipe quantity, Oletum Trogopterori, Rhizoma Atractylodis, Fructus Trichosanthis, Fructus Lycii, Radix Salviae Miltiorrhizae is got, with 95% alcohol reflux 2 times, each 2 hours, merge extractive liquid, reclaim ethanol, concentrated extracting solution, vacuum drying, obtains extract, and extract is ground into fine powder, crosses 100 mesh sieves;
2) by recipe quantity, get Spica Prunellae, Cortex Lycii, Herba Ephedrae, Radix Bupleuri mixing, be dried and crushed into fine powder, cross 100 mesh sieves;
3) by step 1) and step 2) gained fine powder fully mixes, and adds suitable amount of sucrose and hydroxypropyl methylcellulose, alcohol granulation, pack and get final product after dry.Every bag of 10g, containing crude drug 2g.
the preparation of embodiment 3 tablet
prescription:
Oletum Trogopterori 40 Rhizoma Atractylodis 30 Fructus Trichosanthis 12 Fructus Lycii 15 Radix Salviae Miltiorrhizae 15
Spica Prunellae 40 Cortex Lycii 8 Herba Ephedrae 8 Radix Bupleuri 30.
preparation method:
1) by recipe quantity, Oletum Trogopterori, Rhizoma Atractylodis, Fructus Trichosanthis, Fructus Lycii, Radix Salviae Miltiorrhizae is got, with 95% alcohol reflux 2 times, each 2 hours, merge extractive liquid, reclaim ethanol, concentrated extracting solution, vacuum drying, obtains extract, and extract is ground into fine powder, crosses 100 mesh sieves;
2) by recipe quantity, get Spica Prunellae, Cortex Lycii, Herba Ephedrae, Radix Bupleuri mixing, be dried and crushed into fine powder, cross 100 mesh sieves;
3) by step 1) and step 2) gained fine powder fully mixes, adds suitable amount of sucrose and hydroxypropyl methylcellulose, alcohol granulation, tabletting, obtain Tablets.
the preparation of embodiment 4 oral liquid
prescription:
Oletum Trogopterori 40g Rhizoma Atractylodis 40g Fructus Trichosanthis 15g Fructus Lycii 15g Radix Salviae Miltiorrhizae 15g
Spica Prunellae 60g Cortex Lycii 8g Herba Ephedrae 8g Radix Bupleuri 30g.
preparation method:
1) by recipe quantity, Oletum Trogopterori, Rhizoma Atractylodis, Fructus Trichosanthis, Fructus Lycii, Radix Salviae Miltiorrhizae is got, with 95% alcohol reflux 2 times, each 2 hours, merge extractive liquid, reclaim ethanol, concentrated extracting solution, vacuum drying, obtains extract, and extract is ground into fine powder, crosses 100 mesh sieves;
2) by recipe quantity, get Spica Prunellae, Cortex Lycii, Herba Ephedrae, Radix Bupleuri mixing, be dried and crushed into fine powder, cross 100 mesh sieves;
3) by step 1) and step 2) gained fine powder fully mixes, adds correctives, dextrin and distilled water, obtain oral liquid of the present invention.
clinical laboratory data:
Chinese medicine composition of the present invention is in June, 2009 to 2014 year bed observation in January hyperlipidemia 266 patient, and clinical report is as follows:
1, physical data
In 266 routine patients, male 162 example, women 106 example, at minimum 28 years old of age, maximum 70 years old, the course of disease was many at 10 months to 10 years, 46.8 years old mean age.
2, diagnostic criteria
With reference to " new Chinese medicine guideline of clinical investigations ":
2.1 Western medicine diagnose standards: in normal diet situation, 2 weeks interior survey for 2 times serum total cholesterol (TC) all >=6.0mmol/L(230mg/dL), or triglyceride (TG) >=1.54mmol/L(140mg/dL), or HDL-C (HDL-C) man≤1.04mmol/L (40mg/dL), female≤1.17mmol/L(45mg/dL) person.
2.2 Standards of Chinese Medical Syndrome Differentiations: dizzy, headache, uncomfortable in chest, face purple lip is dark, spiritlessness and weakness, extremities being not warm, distension and fullness in the abdomen, indigestion and loss of appetite loose stool, soreness of the waist and knees, dimly red tongue or purple dark or have petechia ecchymosis or have that tooth prints, Tai Bai or greasy in vain, deep-thready pulse or heavy.
3, inclusive criteria
Include in: 1. close diagnostic criteria person; 2. 20-70 age, person year; 3. any treatment is not done in February before all morbidity; 4. card belongs to that expectorant is turbid checks or hepatic and renal YIN deficiency person; 5. sign Informed Consent Form during first visit, agree to that accepting Therapeutic Method obeys arranger.
4, exclusion standard
Get rid of: 1. do not meet above-mentioned inclusive criteria person; 2. the serious hepatorenal disease person of concurrent infection disease immune diseases Cancer; 3. the special disease person that other have an impact to blood fat is suffered from; 4. corticosteroid hormone or immunosuppressant person was applied in 12 months.
5, Therapeutic Method
Medicine: capsule prepared by embodiment 1.Each 4-6 grain, every day 2 times 30 days was 1 course for the treatment of.Serve on 3 courses for the treatment of.
6, observation index
Get detection in peripheral blood of patients underwent before and after 6.1 health giving quality observation index treatments, adopt enzyme process to measure TC, TG, HDL-C, LDL-C at full automatic biochemical apparatus.
The general health check-up item inspection of 6.2 safety monitoring index: comprise blood pressure, height, weight, heart rate, heart and lung auscultation, liver,spleen,kidney abdominal touch etc.; Blood, urine, feces are conventional; The heart, Liver and kidney function inspection; Untoward reaction that other may occur is observed, and comprises clinical symptoms, sign, lab testing and the order of severity of observing untoward reaction, record process and method, is used for its safety of objective evaluation.
7, criterion of therapeutical effect
Criterion of therapeutical effect is formulated with reference to " Blood Lipid Abnormality in Chinese Adults guideline of prevention and treatment ".
Cure: clinical symptoms, sign disappear, the every inspection of laboratory recovers normal.
Effective: clinical symptoms, sign disappear substantially, lipids detection reaches following any one person: TC decline >=20%, TG decline >=40%, HDL-C rising >=0.26mmol/L(10mg/dL), TC-HDL-C/HDL-C declines >=20%.
Effective: clinical symptoms, sign all take a favorable turn, lipids detection reaches following any one person: TC declines >=0% but < 20%, TG declines >=20% but < 40%, HDL-C rising >=0.104mmol/L(4mg/dL) but < 0.26mmol/L(10mg/dL), TC-HDL-C/HDL-C declines >=10% but < 20%.
Invalid: symptom, sign and the lipids detection person of being not improved after treatment.
8, statistical method
Data acquisition SPSS13.0 software carries out statistical analysis, measurement data with represent, before and after treatment, Indexes Comparison adopts t inspection; Enumeration data adopts X 2inspection.P < 0.05 represents that difference has statistical significance.
9, result
Before 9.1 Blood Lipid treatments, indices compares, no significant difference p > 0.05, after treatment, TC, TG, LDL-C all decline, and HDL-C rises, with this group before treatment, difference has statistical significance P < 0.05 to indices.Refer to table 1.Safety indexes period in a medicine, 266 routine patients, without any discomfort, have no untoward reaction.
Front and back Blood Lipid for the treatment of table 1 compares ( ) mmol/L
Note: * represents and compares before and after treatment, P P < 0.05.
9.2 efficacy results: in 266 routine patients, cure 184 examples (69.2%), effective 45 examples (16.9%), effective 27 examples (10.1%), and invalid 10 examples (3.8%), total effective rate is 96.2%.

Claims (5)

1. treat a Chinese medicine composition for hyperlipidemia, its spy is being that the raw material by following weight portion is made:
2. Chinese medicine composition according to claim 1, its spy is being that the raw material by following weight portion is made
3. Chinese medicine composition according to claim 1 and 2, is characterized in that: described Chinese medicine composition is peroral dosage form.
4. Chinese medicine composition according to claim 3, is characterized in that: described peroral dosage form is tablet, capsule or granule.
5. the preparation method of Chinese medicine composition as claimed in claim 4, comprises the following steps:
1) by recipe quantity, Oletum Trogopterori, Rhizoma Atractylodis, Fructus Trichosanthis, Fructus Lycii, Radix Salviae Miltiorrhizae is got, with 95% alcohol reflux 2-3 time, each 1-2 hour, merge extractive liquid, reclaims ethanol, concentrated extracting solution, vacuum drying, obtain extract, extract is ground into fine powder, cross 100 mesh sieves;
2) by recipe quantity, get Spica Prunellae, Cortex Lycii, Herba Ephedrae, Radix Bupleuri mixing, be dried and crushed into fine powder, cross 100 mesh sieves;
3) by step 1) and step 2) gained fine powder fully mixes, and is prepared into tablet, capsule or granule with pharmaceutically acceptable carrier.
CN201410269395.5A 2014-06-17 2014-06-17 Medicament for treating hyperlipidemia Expired - Fee Related CN103989820B (en)

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Publication number Priority date Publication date Assignee Title
CN105168323A (en) * 2015-09-03 2015-12-23 佛山市朗达信息科技有限公司 Composition with blood-fat-reducing effect and preparation method of composition
CN105663794A (en) * 2016-04-11 2016-06-15 烟台市蓝洋之草医药生物科技有限公司 Application of traditional Chinese medicine composition in preparation of medicine for treating hyperlipidemia
CN105816696A (en) * 2016-04-11 2016-08-03 烟台市蓝洋之草医药生物科技有限公司 Traditional Chinese medicinal composition for treating hyperlipidemia

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CN1853702A (en) * 2005-04-26 2006-11-01 杨吉星 Chinese medicinal preparation for lowering blood sugar, blood fat and blood pressure, improving blood flow and immune and its making method
CN102657277A (en) * 2012-05-29 2012-09-12 郑小玲 All natural tri-hypo-effects (hypoglycemic, hypolipaemic and hypotensive effects) tea

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