A kind of Chinese medicine composition for treating allergic rhinitis Asthma Syndrome
Technical field
The present invention relates to field of medicaments, particularly a kind of Chinese medicine composition for treating allergic rhinitis Asthma Syndrome.
Background technology
Allergic rhinitis (AR) and bronchial astehma (BA) have been classified as 21 century global health problem, are global morbidities
Rate rises most fast disease.Allergic rhinitis Asthma Syndrome (CARAS) is world's allergy tissue (WAO) proposition in recent years
New medical diagnosis term, refer to clinical or subclinical upper respiratory tract allergy (allergic rhinitis) and lower breathing occur simultaneously
The allergic conditions (asthma) in road, both often simultaneously and deposit.Epidemiology survey confirms that asthma is sent out in Allergic Rhinitis
Sick rate is high compared with normal person 4-20 times, and the asthma incidence of disease is about 2%-5% in normal population.Research in recent years shows, 70%-90%
Asthmatics with allergic rhinitis;40%-50% allergic rhinitis occurs together bronchial astehma.It is even it is believed that super
Asthma may be developed into or with lower respiratory tract symptom by crossing 60% allergic rhinitis.
At present treatment allergic rhinitis asthmatic syndrome Western medicine mainly with inhaled, take antihistamine etc.
Based on, the drug therapy CARAS such as hormone high recurrence rates, side effect are big, and inconvenience is long-term use of.Chinese medicine allergic rhinitis is roared
Asthma syndrome shows the superiority of uniqueness in clinical practice, turns into the focus of the current area research.It is substantial amounts of clinical and
Experimental study fully confirms, on the basis of traditional western medicine plus carries out Coryza Treated by Syndrome Differentiation with Chinese medicine and is improving curative effect, reduces west
Medicine adverse reaction, Western medicine dosage is reduced, reduce recurrence rate etc. and play a significant role.
Existing " one kind treats compound medicine of allergic rhinitis-Asthma Syndrome and its preparation method and application ", patent
Application number:201210326783.3 the compound medicine is applied to CARAS lung qi virtual loss, wind phlegm resistance lung card.CARAS is clinical at present
Medication can not meet that many patients are actually needed to treatment CARAS, and New drug discovery is imperative.Allergic rhinitis is treated to roar
The development and application for breathing heavily the Chinese medicine of syndrome is still current urgent problem.
The content of the invention
For the above situation, to solve the defect of prior art, the purpose of the present invention is just to provide one kind and treats anaphylaxis
The Chinese medicine composition of rhinitis Asthma Syndrome, can effectively solve the problems, such as the medication of allergic rhinitis Asthma Syndrome.
Allergic rhinitis Asthma Syndrome belongs to traditional Chinese medicine " allergic rhinitis ", " card of roaring " category.Its pathogenesis is physically weak evil criminal,
Lung Qi obstruction is caused, volt phlegm is detained, sent out to have a stuffy nose, stridulating, and it is void, is designated as reality, therefore tonifying lung spleen kidney is focused on when taking stopgap measures, and is controlled
Suitable lowering the adverse-rising QI to resolve phlegm is relievingd asthma, and strengthening spleen, tonifying kidney supports lung.Accordingly, the technical scheme that the present invention solves is to be by following parts by weight meter
Material medicine is made:American Ginseng 5-25 parts, HERBA EPIMEDII 20-40 parts, saline cistanche 10-30 parts, frutus cnidii 10-30 parts, fenugreek 10-
30 parts, rhizoma pinellinae praeparata 20-40 parts, aster 20-40 parts, tussilago 10-30 parts, Fructus Corni 10-30 parts, windproof 10-30 parts, the achene of Siberian cocklebur
10-30 parts, flower bud of lily magnolia 20-40 parts, cassia twig 20-40 parts, root tuber of aromatic turmeric 10-30 parts, rattletop 20-40 parts, Ligusticum wallichii 10-30 parts, hairyvein agrimony 10-
30 parts and radix glycyrrhizae 10-30 parts, American Ginseng, HERBA EPIMEDII, saline cistanche, the flower bud of lily magnolia are mixed, and add American Ginseng, HERBA EPIMEDII, meat
The ethanol that desert cistanche, the mass concentration of 8 times of weight of the flower bud of lily magnolia are 75%, heating and refluxing extraction 2 hours, filtering, obtains the first filtrate, and first
Decompression filtrate recycling ethanol, decoction is obtained, and be concentrated into the 1/2-1/3 of original volume, A liquid is made;The dregs of a decoction after ethanol is extracted again
With frutus cnidii, fenugreek, rhizoma pinellinae praeparata, aster, tussilago, Fructus Corni, the windproof, achene of Siberian cocklebur, cassia twig, root tuber of aromatic turmeric, rattletop, Ligusticum wallichii, celestial being
Crane grass, radix glycyrrhizae mix, and add the water of 6 times of weight of material medicine, decoct twice, 1.5 hours every time, collecting decoction, filtering,
The second filtrate is obtained, the second filtrate decompression is concentrated into the 1/2-1/3 of original volume, B liquid is made, and then mixes A liquid and B liquid, concentration
Relative density is 1.10-1.30 clear cream (medicinal extract) to 50 DEG C, the 20-60% of clear cream weight auxiliary material is added, according to medicine
Chinese medicinal composition preparation clinically is made in preparation customary preparation methods;Described auxiliary material be sucrose, starch, dextrin, talcum powder,
Magnesium stearate, calcium sulfate, Steviosin one or more kinds of composition therein, described Chinese medicinal composition preparation are capsule
Agent, pill, granule, one kind of tablet or oral liquid.
Traditional Chinese medicine composite of the present invention is enriched, simple production process, and drug safety is reliable and stable, good effect, is treatment
The active drug of allergic rhinitis Asthma Syndrome, it is that the one of the field of Chinese medicines innovates greatly.
Embodiment
The embodiment of the present invention is described in further detail with reference to embodiments.
Embodiment 1
In the specific implementation, Chinese medicine composition of the present invention can be made up of the material medicine of following parts by weight meter:American Ginseng
10 parts, 20 parts of HERBA EPIMEDII, 15 parts of saline cistanche, 15 parts of frutus cnidii, 15 parts of fenugreek, 25 parts of rhizoma pinellinae praeparata, 25 parts of aster, tussilago 15
Part, Fructus Corni 15, windproof 15 parts, 15 parts of the achene of Siberian cocklebur, 25 parts of the flower bud of lily magnolia, 20 parts of cassia twig, 15 parts of root tuber of aromatic turmeric, 25 parts of rattletop, 15 parts of Ligusticum wallichii,
10 parts of 15 parts of hairyvein agrimony and radix glycyrrhizae, American Ginseng, HERBA EPIMEDII, saline cistanche, the flower bud of lily magnolia are mixed, add American Ginseng, HERBA EPIMEDII,
The ethanol that saline cistanche, the mass concentration of 8 times of weight of the flower bud of lily magnolia are 75%, heating and refluxing extraction 2 hours, filtering, obtains the first filtrate, the
One decompression filtrate recycling ethanol, decoction is obtained, and be concentrated into the 1/2-1/3 of original volume, A liquid is made;Medicine after ethanol is extracted again
Slag and frutus cnidii, fenugreek, rhizoma pinellinae praeparata, aster, tussilago, Fructus Corni, the windproof, achene of Siberian cocklebur, cassia twig, root tuber of aromatic turmeric, rattletop, Ligusticum wallichii,
Hairyvein agrimony, radix glycyrrhizae mix, and add the water of 6 times of weight of material medicine, decoct twice, 1.5 hours every time, collecting decoction, mistake
Filter, obtains the second filtrate, and the second filtrate decompression is concentrated into the 1/2-1/3 of original volume, and B liquid is made, and then mixes A liquid and B liquid, dense
The clear cream (medicinal extract) that relative density at 50 DEG C is 1.10-1.30 is reduced to, the 20-60% of clear cream weight auxiliary material is added, according to medicine
Thing preparation conventional method makes Chinese medicinal composition preparation clinically;Described auxiliary material is sucrose, starch, dextrin, talcum powder, hard
Fatty acid magnesium, calcium sulfate, Steviosin one or more kinds of composition therein, described Chinese medicinal composition preparation are capsule
Agent, pill, granule, one kind of tablet or oral liquid.
Embodiment 2
The preparation method of granule specifically follows the steps below:
(1) each material medicine is weighed respectively by following weight:American Ginseng 100g, HERBA EPIMEDII 200g, saline cistanche 150g, cnidium monnieri
Sub- 150g, fenugreek 150g, rhizoma pinellinae praeparata 250g, aster 250g, tussilago 150g, Fructus Corni 150g, windproof 150g, the achene of Siberian cocklebur
150g, flower bud of lily magnolia 250g, cassia twig 200g, root tuber of aromatic turmeric 150g, rattletop 250g, Ligusticum wallichii 150g, hairyvein agrimony 150g and radix glycyrrhizae 100g;
(2) American Ginseng, HERBA EPIMEDII, saline cistanche, the flower bud of lily magnolia that weigh up are mixed, adds American Ginseng, HERBA EPIMEDII, meat desert
The ethanol that Rong, the mass concentration of 8 times of weight of the flower bud of lily magnolia are 75%, heating and refluxing extraction 2 hours, filtering, obtain the first filtrate, the first filter
Ethanol is recovered under reduced pressure in liquid, obtains decoction, and is concentrated into the 1/2-1/3 of original volume, and A liquid is made;
(3) dregs of a decoction after ethanol is extracted and frutus cnidii, fenugreek, rhizoma pinellinae praeparata, aster, tussilago, Fructus Corni, it is windproof,
The achene of Siberian cocklebur, cassia twig, root tuber of aromatic turmeric, rattletop, Ligusticum wallichii, hairyvein agrimony, radix glycyrrhizae mix, and add the water of 6 times of weight of material medicine, decoct two
It is secondary, 1.5 hours every time, collecting decoction, filtering, the second filtrate is obtained, the second filtrate decompression is concentrated into the 1/2-1/3 of original volume, system
Into B liquid;
(4) A liquid and B liquid are mixed, are concentrated at 50 DEG C, relative density is 1.10 clear cream, adds sucrose and dextrin, is mixed
It is even, particle is made, dries, produces.
Embodiment 3
The preparation method of tablet specifically follows the steps below:
(1) each raw material is weighed respectively by following weight:American Ginseng 50g, HERBA EPIMEDII 400g, saline cistanche 100g, frutus cnidii
300g, fenugreek 100g, rhizoma pinellinae praeparata 400g, aster 200g, tussilago 300g, Fructus Corni 100g, windproof 300g, the achene of Siberian cocklebur
100g, flower bud of lily magnolia 400g, cassia twig 200g, root tuber of aromatic turmeric 300g, rattletop 200g, Ligusticum wallichii 300g, hairyvein agrimony 100g and radix glycyrrhizae 300g;
(2) American Ginseng, HERBA EPIMEDII, saline cistanche, the flower bud of lily magnolia that weigh up are mixed, adds American Ginseng, HERBA EPIMEDII, meat desert
The ethanol that Rong, the mass concentration of 8 times of weight of the flower bud of lily magnolia are 75%, heating and refluxing extraction 2 hours, filtering, obtain the first filtrate, the first filter
Ethanol is recovered under reduced pressure in liquid, obtains decoction, and is concentrated into the 1/2-1/3 of original volume, and A liquid is made;
(3) dregs of a decoction after ethanol is extracted and frutus cnidii, fenugreek, rhizoma pinellinae praeparata, aster, tussilago, Fructus Corni, it is windproof,
The achene of Siberian cocklebur, cassia twig, root tuber of aromatic turmeric, rattletop, Ligusticum wallichii, hairyvein agrimony, radix glycyrrhizae mix, and add the water of 6 times of weight of material medicine, decoct two
It is secondary, 1.5 hours every time, collecting decoction, filtering, the second filtrate is obtained, the second filtrate decompression is concentrated into the 1/2-1/3 of original volume, system
Into B liquid;
(4) A liquid and B liquid are mixed, are concentrated at 50 DEG C, relative density is 1.30 clear cream, adds starch and mixes, does
It is dry, crush, add talcum powder and magnesium stearate, mixing is tabletted, every weight 0.5g.
Embodiment 4
The preparation method of capsule specifically follows the steps below:
(1) each raw material is weighed respectively by following weight:American Ginseng 250g, HERBA EPIMEDII 200g, saline cistanche 300g, frutus cnidii
100g, fenugreek 300g, rhizoma pinellinae praeparata 200g, aster 400g, tussilago 100g, Fructus Corni 300g, windproof 100g, the achene of Siberian cocklebur
300g, flower bud of lily magnolia 200g, cassia twig 400g, root tuber of aromatic turmeric 100g, rattletop 400g, Ligusticum wallichii 100g, hairyvein agrimony 300g and radix glycyrrhizae 100g;
(2) American Ginseng, HERBA EPIMEDII, saline cistanche, the flower bud of lily magnolia that weigh up are mixed, adds American Ginseng, HERBA EPIMEDII, meat desert
The ethanol that Rong, the mass concentration of 8 times of weight of the flower bud of lily magnolia are 75%, heating and refluxing extraction 2 hours, filtering, obtain the first filtrate, the first filter
Ethanol is recovered under reduced pressure in liquid, obtains decoction, and is concentrated into the 1/2-1/3 of original volume, and A liquid is made;
(3) dregs of a decoction after ethanol is extracted and frutus cnidii, fenugreek, rhizoma pinellinae praeparata, aster, tussilago, Fructus Corni, it is windproof,
The achene of Siberian cocklebur, cassia twig, root tuber of aromatic turmeric, rattletop, Ligusticum wallichii, hairyvein agrimony, radix glycyrrhizae mix, and add the water of 6 times of weight of material medicine, decoct two
It is secondary, 1.5 hours every time, collecting decoction, filtering, the second filtrate is obtained, the second filtrate decompression is concentrated into the 1/2-1/3 of original volume, system
Into B liquid;
(4) A liquid and B liquid are mixed, are concentrated into the clear cream that relative density at 50 DEG C is 1.20, added starch and mix, dry,
Crush, add calcium sulfate and talcum powder, mix, particle is made, load capsule, every weight 0.5g.
Embodiment 5
The preparation method of pill specifically follows the steps below:
(1) each raw material is weighed respectively by following weight:American Ginseng 200g, HERBA EPIMEDII 350g, saline cistanche 200g, frutus cnidii
200g, fenugreek 200g, rhizoma pinellinae praeparata 300g, aster 300g, tussilago 200g, Fructus Corni 250g, windproof 250g, the achene of Siberian cocklebur
250g, flower bud of lily magnolia 300g, cassia twig 300g, root tuber of aromatic turmeric 250g, rattletop 300g, Ligusticum wallichii 200g, hairyvein agrimony 250g and radix glycyrrhizae 200g;
(2) American Ginseng, HERBA EPIMEDII, saline cistanche, the flower bud of lily magnolia that weigh up are mixed, adds American Ginseng, HERBA EPIMEDII, meat desert
The ethanol that Rong, the mass concentration of 8 times of weight of the flower bud of lily magnolia are 75%, heating and refluxing extraction 2 hours, filtering, obtain the first filtrate, the first filter
Ethanol is recovered under reduced pressure in liquid, obtains decoction, and is concentrated into the 1/2-1/3 of original volume, and A liquid is made;
(3) dregs of a decoction after ethanol is extracted and frutus cnidii, fenugreek, rhizoma pinellinae praeparata, aster, tussilago, Fructus Corni, it is windproof,
The achene of Siberian cocklebur, cassia twig, root tuber of aromatic turmeric, rattletop, Ligusticum wallichii, hairyvein agrimony, radix glycyrrhizae mix, and add the water of 6 times of weight of material medicine, decoct two
It is secondary, 1.5 hours every time, collecting decoction, filtering, the second filtrate is obtained, the second filtrate decompression is concentrated into the 1/2-1/3 of original volume, system
Into B liquid;
(4) A liquid and B liquid are mixed, are concentrated into the clear cream that relative density at 50 DEG C is 1.20, added starch and mix, dry,
Crush, add sucrose and talcum powder, mix, pill is made, the weight 0.5g per ball.
For allergic rhinitis Asthma Syndrome clinical symptoms diversity, pathogenetic complexity, the present invention based on
The principle of organic conception and diagnosis and treatment, using individualized treatment as characteristic, treated from Mutiple Targets, too many levels, multipath expansion,
Chinese medicine composition of the present invention has rapid-action, curative for effect, safe and reliable in clinical practice, can be obviously improved allergic rhinitis heavy breathing
The advantages such as the occurrence and development of syndrome patient's patient's condition are breathed heavily, there is wide potential applicability in clinical practice, and achieve through clinical test
Satisfied effect, relevant testing data are as follows:
Case scenario
Select in March, 2012 in September, 2013 our hospital's treat-and-release 86 allergic rhinitis Asthma Syndrome patients,
It is age 20-65 year, average 32.5 years old;The course of disease is -4 years 6 months, average 28 months.Patient is randomly divided into two groups:Experimental group 43
Example, control group 43.Control group and experimental group patient are in age and the course of disease and the order of severity etc. no significant difference (P>
0.05)。
1. diagnostic criteria
1.1 Western medicine diagnostic criteria
(1) allergic rhinitis, light, the moderate diagnostic criteria of bronchial astehma (stage of attack):WHO is respectively referred in 2001
Relevant criterion in the allergic rhinitis diagnosis and treatment standard of formulation and 08 edition " global asthma preventing and treating is proposed " (GINA).(2) breathe heavily
Cease, cough, coughing up phlegm, the state of an illness of wheezing sound symptom and sign and the degree criteria for classifying are formulated for 1993 with reference to health ministry bureau of drug administration
" Chinese medicine (new drug) guideline of clinical investigations " in relevant criterion.
1.2 tcm diagnosis standard
Reference《Traditional Chinese and western medicine clinic respirology》(China Traditional Chinese Medicine Publishing House, 98 years), " Chinese medicine developed and published in 2002
Clinical Researches of New Drugs guideline ", " Chinese medical disease Standardization of diagnosis and curative effect " lung deficiency of the kidney void of nineteen ninety-five implementation, wind phlegm resistance lung card:
Primary symptom:Sneeze, asthma, uncomfortable in chest, laryngeal stridor;Secondary disease:1. have a stuffy nose, cough up white foam phlegm;2. aversion to cold and cold limbs, easy catching a cold;3. cough, chest
Suppress turgor;4. pale tongue with white fur, deep thready pulse.Possess primary symptom and binomial (or more than 2) secondary disease person is i.e. diagnosable.
1.3 case inclusive criterias
(1) diagnosis of all doctors trained in Western medicine meet simultaneously allergic rhinitis, bronchial astehma (stage of attack, chronic sustained phase) it is light, (II
Level), the patient of moderate (III grade) diagnostic criteria;(2) patient that Chinese medical discrimination category lung deficiency of the kidney is empty, wind phlegm hinders lung;(3) age exists
Person between 20-65 year;(4) informed consent.
1.4 case exclusion standards (including inadaptable card and rejecting standard)
(1) severe asthma (or status asthmaticus);(2) chronic cor pulmonale (heart function decompensation
Phase);(3) confirm on inspection by the chronic patient that pants caused by the factors such as tuberculosis fungi, tumour;(4) it is associated with angiocarpy, liver,
The severe primary disease such as kidney and hemopoietic system, mental patient;(5) pregnant woman or women breast-feeding their children;(6) all do not meet includes mark
Standard, not by regulation medication, it can not judge curative effect or data does not affect the treatment judgement person entirely.
2. test method
2.1 group technology:This research use (RCT methods) is random, check experiment is observed, and experiment disease is included to above-mentioned
Example uses random pair group technology, treatment group and control group is found on random table, and ensure two groups of cases in severity extent
And sex, age, the course of disease etc. no difference of science of statistics (P>0.05).
2.2 therapeutic scheme
Control group (single use of western medicine group):Via intranasal application inhalation of budesonide aerosol 400 μ g, 2 times/d, while oral Meng Lusi
Special 10mg, 1 time/d, 2 weeks/course for the treatment of.
Experimental group (shares Chinese medicine group):Conventional therapy (via intranasal application inhalation of budesonide aerosol 400 μ g, 2 times/d, together
When time oral montelukast 10mg, 1 time/d) while, Chinese medicine composition prepared by oral the inventive method, 10g/ times, 3 times/day,
2 weeks/course for the treatment of.
3. curative effect judge index
3.1 sniffle is classified scoring criteria:Change according to the revision in 1997 of Otolaryngology branch of Chinese Medical Association
Answering property rhinitis examines standard and efficacy assessment standard:1 point:Sneeze continuous 3-9, runny nose blows nose≤4 time daily, occasionally there is nasal obstruction,
Disconnected rhiocnesmus;2 points:Sneeze continuous 10-14, runny nose blows nose 5-9 times daily, usually has a stuffy nose, and rhiocnesmus ant row sense but can endure;3 points:
Sneeze is continuous >=and 15, runny nose blows nose >=15 time daily, and lasting nasal obstruction, the sense of rhiocnesmus ant row is unbearably;Asymptomatic 0 point of note.According to
Upper standard, by doctor, rear each judgement is scored once before the treatment.
3.2 chest symptom score evaluation criteria:0 point:Without any symptom, all activities can be participated in;1 point:Pant and send out weekly
Make<2 times or suction relax pant weekly>2 times, heavy physical labour can not be participated in, night there are light symptoms but do not influence to sleep;2 points:
Pant and break out weekly>2 times or suction albuterol>2 times, daily routines have symptom, and night is waken up with a start by symptom often;3 points:Asthma
Breath is daily or persistently breaks out, and stiff, night-time attack frequently has difficulty in going to sleep.According to above standard, by doctor before the treatment after
It is each to judge to score once.
3.3 lung function tests:Lung function tests is carried out using lung function instrument (HI-198 types, Chest companies), no matter treated
Front and rear, 12h disables respective medicine to two groups of patients before detection.In view of the age of patient, height, sex and weight can influence
The absolute value of PFT, thus surveyed the 1st second forced expiratory volume (FEV1) result represented with the percentage of predicted value.This
Text is according to the MAIN OUTCOME MEASURES of FEV1% and maximum expiratory flow rate (PEFR) as PFT.
3.4 measurement of bronchial responsiveness:Treated respectively using measurement of bronchial responsiveness instrument (TCK6100 types, Chest companies)
It is front and rear to be measured with sucking gradually the histamine of progressive concentration, made with respiratory resistance at initial stage (Rrs.c) and the threshold of reaction (Dmin)
For observation index.
4. result
Comparative result between the pretherapy and post-treatment symptom score of 4.1 two groups of patients and group
After drug therapy by 1 course for the treatment of, treatment group is substantially better than pair in terms of sniffle and chest symptom is improved
According to group (P<0.01), it is shown in Table 1.
Results contrast between pretherapy and post-treatment group of patient of 1 two groups of table
Note:The aP compared with before treatment<0.05,bP<0.01;The aP compared with control group<0.05,bP<0.05.
The pretherapy and post-treatment pulmonary ventilation function testing result of 4.2 two groups of patients
After drug therapy by 1 course for the treatment of, treatment group and control group can significantly improve the pulmonary ventilation work(of asthmatic patient
Can, pretherapy and post-treatment the 1st second forced expiratory volume (FEV1) and the statistically significant (P of maximum expiratory flow rate (PEFR) difference<
0.01).Compare the statistically significant (P of PEFR differences between two groups<0.05) 2, are shown in Table.
The pretherapy and post-treatment pulmonary ventilation function detected value of 2 two groups of patients of table
Note:The aP compared with before treatment<0.05,bP<0.01;The cP compared with control group<0.05.
The pretherapy and post-treatment measurement of bronchial responsiveness result of 4.3 two groups of patients
After drug therapy by 1 course for the treatment of, treatment group and control group respiratory resistance at initial stage (Rrs.c) and the threshold of reaction
(Dmin) can significantly improve, the statistically significant (P of difference<0.01), the statistically significant (P of Dmin differences is compared between two groups<
0.05) table 3, is referred to.
The pretherapy and post-treatment measurement of bronchial responsiveness results contrast of 3 two groups of patients of table
Note:The aP compared with before treatment<0.01,bP<0.01;The cP compared with control group<0.05.
Follow-up situation recurs 7 to 86 allergic rhinitis Asthma Syndrome follow-up of patients 1 year after sharing the treatment of Chinese medicine group
Example (16.3%), Western medicine decrement person 32, stops user 7 completely;36 (83.7%) are recurred after the treatment of single use of western medicine group, control
Group and treatment group compare recurrence rate significant difference (P<0.05).Share the secondary digestive tract ulcer of Chinese medicine group, allergic rash,
Deng adverse reaction totally 3, alone hormone group 11, both significant difference (P<0.05).
Traditional Chinese medicine composite of the present invention is enriched, simple production process, and drug safety is reliable and stable, good effect, is treatment
The active drug of allergic rhinitis Asthma Syndrome, it is that the one of the field of Chinese medicines innovates greatly, there is actual clinical meaning.