CN104013806A - Traditional Chinese medicine composition for treating diabetes mellitus - Google Patents

Traditional Chinese medicine composition for treating diabetes mellitus Download PDF

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Publication number
CN104013806A
CN104013806A CN201410287755.4A CN201410287755A CN104013806A CN 104013806 A CN104013806 A CN 104013806A CN 201410287755 A CN201410287755 A CN 201410287755A CN 104013806 A CN104013806 A CN 104013806A
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weight portions
parts
diabetes mellitus
radix
chinese prescription
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CN104013806B (en
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石岩
杨宇峰
刘世绮
王莉
刘晓溪
滕飞
杨晓阳
秦延斌
王宝琦
马跃海
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FIRST AFFILIATED HOSPITAL OF LIAONING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
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Abstract

The invention discloses a traditional Chinese medicine composition for treating diabetes mellitus. The traditional Chinese medicine composition for treating diabetes mellitus comprises the following raw materials in parts by weight: 25-35 parts of astragalus membranaceus, 10-20 parts of red ginseng, 30-40 parts of rhizoma polygonati, 10-20 parts of golden cypress, 10-20 parts of goldthread, 15-25 parts of root of red-rooted salvia, 10-20 parts of wolfberry, 15-25 parts of root of kudzu vine, 5-10 parts of panax notoginseng, 2-8 parts of torrefied rhubarb, 5-15 parts of schisandra chinensis, 15-25 parts of tuckahoe and 10-20 parts of white atractylodes rhizome. By adopting the traditional Chinese medicine composition, a method for cooling blood and activating blood is drawn up to treat diabetes mellitus on the basis of the method of tonifying the spleen and strengthening the middle warmer and supplementing qi and nourishing yin to treat diabetes mellitus for predecessors according to the ubiquitous blood stasis pathogenesis characteristic of the patient with the diabetes mellitus at present, the range of the adaptation disease of the theory studied by the predecessors is further expanded, and the traditional Chinese medicine composition has a good effect of reducing blood fat, can effectively resist oxidative damage, reduces IR, and simultaneously solves the problem of blood stasis of the patient with the diabetes mellitus effectively.

Description

A kind of Chinese prescription that is used for the treatment of diabetes
Technical field
The present invention relates to tcm field, a kind of Chinese prescription that is used for the treatment of diabetes is provided especially.
Background technology
Treat for the differential diagnosis in tcm for the treatment of diabetes the Chinese patent medicine category that scheme is drafted based on the modern times, wherein mainly with spleen invigorating invigorating middle warmer, supplementing QI and nourishing YIN legislation, such Chinese patent medicine of clinical research confirmation can improve the thirsty polydipsia of diabetics, the symptoms such as fatigue and lack of strength, have good preventive and therapeutic effect to diabetes complicated microangiopathy and hyperlipidemia.
But along with the differentiation of modern genius morbi, in clinical practice, we find, blood stasis runs through in the whole course of disease in the pathogenic process of diabetes, has a strong impact on treatment and the rehabilitation of diabetics.
Therefore, research and development one can effectively solve blood stasis problem, is used for the treatment of the Chinese prescription of diabetes, becomes people's problem demanding prompt solution.
summary of the invention
Given this, the object of the present invention is to provide a kind of Chinese prescription that is used for the treatment of diabetes, cannot effectively solve with what at least solve that Chinese prescription in the past exists the blood stasis problem that diabetics exists, can also effectively reduce the hyperlipidemia of diabetics simultaneously, diabetics is had to anti oxidative damage, and minimizing insulin resistant (Insulin Resistance, IR).
The Chinese prescription that is used for the treatment of diabetes provided by the invention, it is characterized in that, described Chinese prescription comprises: the Radix Astragali 25 ~ 35 weight portions, Radix Ginseng Rubra 10 ~ 20 weight portions, Rhizoma Polygonati 30 ~ 40 weight portions, Cortex Phellodendri 10 ~ 20 weight portions, Rhizoma Coptidis 10 ~ 20 weight portions, Radix Salviae Miltiorrhizae 15 ~ 25 weight portions, Fructus Lycii 10 ~ 20 weight portions, Radix Puerariae 15 ~ 25 weight portions, Radix Notoginseng 5 ~ 10 weight portions, wine army 2 ~ 8 weight portions, Fructus Schisandrae Chinensis 5 ~ 15 weight portions, Poria 15 ~ 25 weight portions, the Rhizoma Atractylodis Macrocephalae 10 ~ 20 weight portions.
Preferably, described Chinese prescription comprises: the Radix Astragali 30 weight portions, Radix Ginseng Rubra 15 weight portions, Rhizoma Polygonati 35 weight portions, Cortex Phellodendri 15 weight portions, Rhizoma Coptidis 15 weight portions, Radix Salviae Miltiorrhizae 20 weight portions, Fructus Lycii 15 weight portions, Radix Puerariae 20 weight portions, Radix Notoginseng 7.5 weight portions, wine army 5 weight portions, Fructus Schisandrae Chinensis 10 weight portions, Poria 20 weight portions, the Rhizoma Atractylodis Macrocephalae 15 weight portions.
Further preferably, described Chinese prescription also comprises: Hirudo 2 ~ 5 weight portions, Scorpio 2 ~ 5 weight portions.
Further preferably, in described Chinese prescription, Hirudo is that 3.5 weight portions, Scorpio are 3.5 weight portions.
Further preferably, also comprise requirement adjuvant, the dosage form of described Chinese prescription is granule.
The Chinese prescription for the treatment of diabetes provided by the invention, it is the spleen invigorating invigorating middle warmer forefathers, supplementing QI and nourishing YIN ruling by law is treated on the basis of diabetes, according to the ubiquitous blood-stasis feature of modern diabetics, draft the ruling by law of removing heat from blood and promoting blood circulation and treat diabetes, further expand the indication scope of forefathers' research theory, there is the blood fat of reduction effective, effectively anti-oxidative damage, reduces IR, has the beneficial effect such as blood stasis problem of effective solution diabetics simultaneously.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is described in detail, but the multitude of different ways that the present invention can be defined by the claims and cover is implemented.
The basic pathogenesis of diabetes is that the deficiency of YIN is scorching.When Chinese traditional treatment primary disease, be main rule mainly with boosting qi and nourishing yin.And " based on heat-clearing and toxic substances removing, removing heat from blood and promoting blood circulation " thinking of the invention treatment diabetes.
Chinese prescription provided by the invention comprises: the Radix Astragali 25 ~ 35 weight portions, Radix Ginseng Rubra 10 ~ 20 weight portions, Rhizoma Polygonati 30 ~ 40 weight portions, Cortex Phellodendri 10 ~ 20 weight portions, Rhizoma Coptidis 10 ~ 20 weight portions, Radix Salviae Miltiorrhizae 15 ~ 25 weight portions, Fructus Lycii 10 ~ 20 weight portions, Radix Puerariae 15 ~ 25 weight portions, Radix Notoginseng 5 ~ 10 weight portions, wine army 2 ~ 8 weight portions, Fructus Schisandrae Chinensis 5 ~ 15 weight portions, Poria 15 ~ 25 weight portions, the Rhizoma Atractylodis Macrocephalae 10 ~ 20 weight portions.
Wherein, the Radix Astragali, Radix Ginseng Rubra, Rhizoma Polygonati: QI invigorating is held concurrently with yin nourishing; Poria, the Rhizoma Atractylodis Macrocephalae: spleen invigorating invigorating middle warmer; Fructus Lycii, Fructus Schisandrae Chinensis: kidney tonifying YIN nourishing; Cortex Phellodendri, Rhizoma Coptidis, wine army: heat-clearing and toxic substances removing; Radix Salviae Miltiorrhizae, Radix Notoginseng: removing heat from blood and promoting blood circulation and non-blood trouble; Radix Puerariae: promoting the production of body fluid to quench thirst; And Poria, the Rhizoma Atractylodis Macrocephalae and the Radix Astragali in this Chinese prescription, Radix Ginseng Rubra are compatible, get adopted Radix Astragali decoction of four noble drugs, and function is built Central Region in large scale, and eliminating dampness by diuresis is eliminated the phlegm.Taking type 2 diabetes mellitus from spleen, opinion is controlled as guiding theory, and can remove the pathological products such as phlegm retention water that with the passing of time type 2 diabetes mellitus given birth to is wet.
This Chinese prescription is according to following weight proportion, effect is better, is specially: the Radix Astragali 30 weight portions, Radix Ginseng Rubra 15 weight portions, Rhizoma Polygonati 35 weight portions, Cortex Phellodendri 15 weight portions, Rhizoma Coptidis 15 weight portions, Radix Salviae Miltiorrhizae 20 weight portions, Fructus Lycii 15 weight portions, Radix Puerariae 20 weight portions, Radix Notoginseng 7.5 weight portions, wine army 5 weight portions, Fructus Schisandrae Chinensis 10 weight portions, Poria 20 weight portions, the Rhizoma Atractylodis Macrocephalae 15 weight portions.
Part by weight between the each component embodying by above-mentioned weight portion mixes the prescription good effect making.Concrete composition may further include: Hirudo 2 ~ 5 weight portions, Scorpio 2 ~ 5 weight portions, preferably, Hirudo is that 3.5 weight portions, Scorpio are 3.5 weight portions.
Wherein, Hirudo: removing blood stasis stimulates the menstrual flow, Zhu Yu Xiao Disorder; Scorpio: removing obstruction in the collateral to relieve pain (mainly), endogenous wind stopping spasmolytic.Hirudo, Scorpio and Radix Notoginseng, wine army compatibility in Chinese prescription, strengthen former side's blood circulation promoting and blood stasis dispelling strength, pathological metabolism process that with the passing of time must the hemopoietic stasis of blood for type 2 diabetes mellitus, and have the function of the meridian dredging, can well improve type 2 diabetes mellitus peripheral nerve complication.
Chinese prescription provided by the invention preferably also comprises requirement adjuvant, and dosage form is granule.
The Chinese prescription its preparation method mixing is according to the above ratio: take each Chinese medicine ingredients according to aforementioned proportion and carry out decocting in water, filter to get filtrate, filtrate decompression is concentrated to obtain to thick paste I, by thick paste I precipitate with ethanol, leave standstill to obtain alcohol deposit fluid, by alcohol deposit fluid decompression recycling ethanol, obtain thick paste II, add adjuvant to make soft material, soft material carries out pelletize the most at last, makes granule.
Embodiment
In Chinese prescription provided by the invention, each Chinese medicine ingredients is commercially available.
The concrete preparation process of this Chinese prescription is as follows: proportionally take each Chinese medicine ingredients and carry out decocting in water, after boiling, after filtration, medicinal residues are given up, obtained filtrate, filtrate decompression is concentrated to obtain to thick paste I, by thick paste I precipitate with ethanol, leave standstill to obtain alcohol deposit fluid, by alcohol deposit fluid decompression recycling ethanol, obtain thick paste II, add adjuvant calcium carbonate to make soft material, soft material carries out pelletize the most at last, makes granule.Each embodiment is all prepared according to the method below.
Embodiment 1
A kind of Chinese prescription consists of the following composition, the Radix Astragali 25 weight portions, Radix Ginseng Rubra 20 weight portions, Rhizoma Polygonati 30 weight portions, Cortex Phellodendri 10 weight portions, Rhizoma Coptidis 20 weight portions, Radix Salviae Miltiorrhizae 25 weight portions, Fructus Lycii 20 weight portions, Radix Puerariae 15 weight portions, Radix Notoginseng 5 weight portions, wine army 8 weight portions, Fructus Schisandrae Chinensis 5 weight portions, Poria 25 weight portions, the Rhizoma Atractylodis Macrocephalae 10 weight portions.
Embodiment 2
A kind of Chinese prescription consists of the following composition, the Radix Astragali 35 weight portions, Radix Ginseng Rubra 10 weight portions, Rhizoma Polygonati 40 weight portions, Cortex Phellodendri 20 weight portions, Rhizoma Coptidis 10 weight portions, Radix Salviae Miltiorrhizae 15 weight portions, Fructus Lycii 10 weight portions, Radix Puerariae 25 weight portions, Radix Notoginseng 10 weight portions, wine army 2 weight portions, Fructus Schisandrae Chinensis 15 weight portions, Poria 15 weight portions, the Rhizoma Atractylodis Macrocephalae 20 weight portions.
Embodiment 3
A kind of Chinese prescription consists of the following composition, the Radix Astragali 30 weight portions, Radix Ginseng Rubra 15 weight portions, Rhizoma Polygonati 35 weight portions, Cortex Phellodendri 15 weight portions, Rhizoma Coptidis 15 weight portions, Radix Salviae Miltiorrhizae 20 weight portions, Fructus Lycii 15 weight portions, Radix Puerariae 20 weight portions, Radix Notoginseng 7.5 weight portions, wine army 5 weight portions, Fructus Schisandrae Chinensis 10 weight portions, Poria 20 weight portions, the Rhizoma Atractylodis Macrocephalae 15 weight portions.
Embodiment 4
A kind of Chinese prescription consists of the following composition, the Radix Astragali 28 weight portions, Radix Ginseng Rubra 17 weight portions, Rhizoma Polygonati 32 weight portions, Cortex Phellodendri 18 weight portions, Rhizoma Coptidis 16 weight portions, Radix Salviae Miltiorrhizae 18 weight portions, Fructus Lycii 12 weight portions, Radix Puerariae 22 weight portions, Radix Notoginseng 8 weight portions, wine army 6 weight portions, Fructus Schisandrae Chinensis 13 weight portions, Poria 16 weight portions, the Rhizoma Atractylodis Macrocephalae 18 weight portions, Hirudo 2 weight portions, Scorpio 2 weight portions.
Embodiment 5
A kind of Chinese prescription consists of the following composition, the Radix Astragali 32 weight portions, Radix Ginseng Rubra 12 weight portions, Rhizoma Polygonati 38 weight portions, Cortex Phellodendri 12 weight portions, Rhizoma Coptidis 12 weight portions, Radix Salviae Miltiorrhizae 14 weight portions, Fructus Lycii 18 weight portions, Radix Puerariae 18 weight portions, Radix Notoginseng 6 weight portions, wine army 4 weight portions, Fructus Schisandrae Chinensis 8 weight portions, Poria 22 weight portions, the Rhizoma Atractylodis Macrocephalae 12 weight portions, Hirudo 5 weight portions, Scorpio 5 weight portions.
Embodiment 6
A kind of Chinese prescription consists of the following composition, the Radix Astragali 30 weight portions, Radix Ginseng Rubra 15 weight portions, Rhizoma Polygonati 35 weight portions, Cortex Phellodendri 15 weight portions, Rhizoma Coptidis 15 weight portions, Radix Salviae Miltiorrhizae 20 weight portions, Fructus Lycii 15 weight portions, Radix Puerariae 20 weight portions, Radix Notoginseng 7.5 weight portions, wine army 5 weight portions, Fructus Schisandrae Chinensis 10 weight portions, Poria 20 weight portions, the Rhizoma Atractylodis Macrocephalae 15 weight portions, Hirudo 3.5 weight portions, Scorpio 3.5 weight portions.
Comparative example 1
A Chinese prescription for the treatment of diabetes, comprising: Radix Astragali 25g, Radix Ginseng Rubra 10g, Rhizoma Polygonati 25g, Cortex Phellodendri 10g, Rhizoma Coptidis 10g, Radix Salviae Miltiorrhizae 15g, Fructus Lycii 15g, Radix Paeoniae Rubra 10g, Radix Puerariae 15g, Radix Notoginseng 5g, the 3g of wine army, Fructus Schisandrae Chinensis 10g.
Embodiment 7
Male patient, 60 years old age
Head examines: mouth and nose are dry, occasionally has loose stool, diabetic history (FPG:9.3mmol/L), and pale tongue with thin fur is white, ectopia arteriae radialis.
Dispose: the every twice-daily of prescription in embodiment 1 for oral use, each 20, take surrounding.
Two examine: if lose loose stool, dryness in the nasal cavity is clearly better, FPG:7.3mmol/L, and pale tongue with thin fur is white, ectopia arteriae radialis.
Dispose: according to the state of an illness, adjust with two weeks amounts of embodiment 2 Chinese patent medicine particles dosage form, require patient's twice-daily oral, each 20.
Three examine: readme is without significant discomfort symptom, and different blood glucose levels is good, and FPG level fluctuates between 6.5-7.2.
Dispose: continuous with the oral curative effect of consolidating of granule dosage form in embodiment 2.
Embodiment 8
Male patient, 40 years old age
Head examines: weak, and diabetic history (FPG:8.7mmol/L, 2hPG:13.4mmol/L), light red tongue tongue is white, deep-thready pulse.
Dispose: this patient examines so that glycemic control is bad, and dialectical is syndrome of deficiency of both qi and yin, give two weeks amounts of granule in embodiment 3, twice-daily is oral, each 20.
Two examine: weak being clearly better, readme glycemic control good (FPG:7.1mmol/L, 2hPG:9.9mmol/L test oneself before examining), blood lipid level abnormal (TG:5.1u/L, LDL-C:1.2u/L), light red tongue white fur BOHUANG, thready pulse.
Dispose: give two weeks amounts of granule in embodiment 4 according to the state of an illness, twice-daily is oral, each 20.
Three examine: without significant discomfort main suit, different blood glucose levels is good, and FPG fluctuates between 6.9-7.4mmol/L, and blood lipid level also recovers normal level, and pale tongue with thin fur is white, thready pulse.
Dispose: continue and take with embodiment 4 prescriptions, after treatment.
Embodiment 9
Female patient, 42 years old
Head examines: fasting glucose 9.4mmol/L, red tongue is dark, indentations at the margin of the tongue, the few Tianjin of white and thin fur, thready and weak pulse.
Dispose: give granule surrounding amount in embodiment 5, twice-daily is oral, each 20.
Two examine: without significant discomfort, this time menorrhagia is abnormal in private prosecution, and fasting glucose is less than 7.
Dispose: granule in embodiment 6 is taken in change, consolidates.
Embodiment 10
Male patient, 53 years old age
Head examines: emaciated physique, and constipation with dry stool, easy sweating at night, light red tongue secretly lacks tongue, and arteries and veins is number slightly, fasting glucose 9.2mmol/L.
Dispose: take granule surrounding amount in embodiment 6, twice-daily is oral, each 20.
Two examine: sweating at night symptom obviously alleviates, and diet two is just normal, light red tongue HongShaoJin(SIC), and deep-thready pulse, blood sugar level control is good.
Embodiment 11
Adopt embodiment 1 ~ 6, the prescription in comparative example 1 is tested, and result is as follows:
Adopt required standard, gastric infusion, has obvious reducing effect to normal mouse blood sugar level; Alloxan model hyperglycemic rat, Rabbits ' Blood Sugar level, the high sugar of Mouse Kidney upper parathyrine are had to obvious reducing effect, but reduction effect in comparative example 1 is poor; Embodiment 1 ~ 6 all can make rabbit alloxan model hyperglycemia rabbit glucose tolerance curve obviously move down, and can obviously improve rabbit carbohydrate tolerance, also can promote rabbit insulin secretion under high sugared state; The pancreatic tissue damage that 4 ~ 6 pairs of alloxan of embodiment cause has good repair, and blood stasis situation is had clear improvement, and wherein the effect in embodiment 6 is the most outstanding.

Claims (5)

1. one kind is used for the treatment of the Chinese prescription of diabetes, it is characterized in that, described Chinese prescription comprises: the Radix Astragali 25 ~ 35 weight portions, Radix Ginseng Rubra 10 ~ 20 weight portions, Rhizoma Polygonati 30 ~ 40 weight portions, Cortex Phellodendri 10 ~ 20 weight portions, Rhizoma Coptidis 10 ~ 20 weight portions, Radix Salviae Miltiorrhizae 15 ~ 25 weight portions, Fructus Lycii 10 ~ 20 weight portions, Radix Puerariae 15 ~ 25 weight portions, Radix Notoginseng 5 ~ 10 weight portions, wine army 2 ~ 8 weight portions, Fructus Schisandrae Chinensis 5 ~ 15 weight portions, Poria 15 ~ 25 weight portions, the Rhizoma Atractylodis Macrocephalae 10 ~ 20 weight portions.
2. according to the Chinese prescription that is used for the treatment of diabetes described in claim 1, it is characterized in that, described Chinese prescription comprises: the Radix Astragali 30 weight portions, Radix Ginseng Rubra 15 weight portions, Rhizoma Polygonati 35 weight portions, Cortex Phellodendri 15 weight portions, Rhizoma Coptidis 15 weight portions, Radix Salviae Miltiorrhizae 20 weight portions, Fructus Lycii 15 weight portions, Radix Puerariae 20 weight portions, Radix Notoginseng 7.5 weight portions, wine army 5 weight portions, Fructus Schisandrae Chinensis 10 weight portions, Poria 20 weight portions, the Rhizoma Atractylodis Macrocephalae 15 weight portions.
3. according to the Chinese prescription that is used for the treatment of diabetes described in claim 1 or 2, it is characterized in that, described Chinese prescription also comprises: Hirudo 2 ~ 5 weight portions, Scorpio 2 ~ 5 weight portions.
4. according to the Chinese prescription that is used for the treatment of diabetes described in claim 3, it is characterized in that: in described Chinese prescription, Hirudo is that 3.5 weight portions, Scorpio are 3.5 weight portions.
5. the Chinese prescription that is used for the treatment of diabetes described in arbitrary according to claim 1 ~ 4, is characterized in that: also comprise requirement adjuvant, the dosage form of described Chinese prescription is granule.
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104826014A (en) * 2015-05-07 2015-08-12 杨宇峰 Traditional Chinese medicine preparation for treating type-II diabetes and preparation method thereof
CN106389832A (en) * 2016-08-31 2017-02-15 洪雅县瓦屋山药业有限公司 Preparation method of radix coptidis deltoideae health care capsules beneficial for diabetes treatment
CN114009722A (en) * 2021-10-29 2022-02-08 瑞纳康(北京)生物科技有限公司 Lipid-lowering and stasis-removing konjac poria cocos fine powder and preparation method thereof

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CN101401908A (en) * 2008-11-12 2009-04-08 辽宁中医药大学 Traditional Chinese medicine for reducing blood sugar, governing blood fat and anti-DNA damnification, and preparation method thereof

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CN101401908A (en) * 2008-11-12 2009-04-08 辽宁中医药大学 Traditional Chinese medicine for reducing blood sugar, governing blood fat and anti-DNA damnification, and preparation method thereof

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104826014A (en) * 2015-05-07 2015-08-12 杨宇峰 Traditional Chinese medicine preparation for treating type-II diabetes and preparation method thereof
CN104826014B (en) * 2015-05-07 2018-12-07 杨宇峰 A kind of Chinese materia medica preparation and preparation method thereof for treating diabetes B
CN106389832A (en) * 2016-08-31 2017-02-15 洪雅县瓦屋山药业有限公司 Preparation method of radix coptidis deltoideae health care capsules beneficial for diabetes treatment
CN114009722A (en) * 2021-10-29 2022-02-08 瑞纳康(北京)生物科技有限公司 Lipid-lowering and stasis-removing konjac poria cocos fine powder and preparation method thereof

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