CN104922604A - Traditional Chinese medicine composition for treating seasonal allergic conjunctivitis and application of traditional Chinese medicine composition - Google Patents

Traditional Chinese medicine composition for treating seasonal allergic conjunctivitis and application of traditional Chinese medicine composition Download PDF

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CN104922604A
CN104922604A CN201510397379.9A CN201510397379A CN104922604A CN 104922604 A CN104922604 A CN 104922604A CN 201510397379 A CN201510397379 A CN 201510397379A CN 104922604 A CN104922604 A CN 104922604A
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medicine composition
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Qingdao Chenda Biotechnology Co Ltd
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Abstract

The invention belongs to the field of traditional Chinese medicine and relates to a traditional Chinese medicine composition and the medical application thereof, in particular to a traditional Chinese medicine composition for treating the seasonal allergic conjunctivitis and the application of the traditional Chinese medicine composition. The traditional Chinese medicine composition for treating the seasonal allergic conjunctivitis comprises 15 parts of radix achyranthis bidentatae, 6 parts of radix paeoniae rubra extractive, 10 parts of honeysuckle, 10 parts of jasmine, 10 parts of rhizoma cimicifugae, 20 parts of mugwort, 20 parts of rhizoma alismatis, 10 parts of corydalis tuber, 5 parts of sticktight, 5 parts of turmeric and 10 parts of poria cocos. The traditional Chinese medicine composition has the very good treating effect on treating the seasonal allergic conjunctivitis and has the obvious clinical popularization value.

Description

A kind of Chinese medicine composition and application thereof for the treatment of seasonal allergic conjunctivitis
Technical field
The invention belongs to field of medicaments, be specifically related to a kind of Chinese medicine composition and the application as seasonal allergic conjunctivitis medicine thereof.
Background technology
Conjunctivitis (conjunctivitis) is the commonly encountered diseases of ophthalmology, be conjunctival tissue in the effect of the extraneous and body oneself factor general designation of inflammatory reaction that occurs.Because most of conjunctiva directly contacts with the external world, therefore the stimulation of infectious (as antibacterial, virus and chlamydia etc.) and non-infectious factor (wound, chemical substance and physical factor etc.) in surrounding is easily subject to, and the blood vessel of conjunctiva and lymphoid tissue are enriched, the antigen in self and the external world easily makes its sensitization.Seasonal allergic conjunctivitis has another name called hay fever conjunctivitis (hay fever conjunctivitis), and be the modal type of ocular allergies disease, its sensitinogen is mainly the pollen of plant.This sick principal character is seasonal outbreak (usually in spring); Usual eyes morbidity, onset is rapid, shows effect when contacting sensitinogen, and after departing from sensitinogen, symptom is alleviated very soon or disappears.Modal symptom is ophthalmic pruritus, and nearly all patient all can occur, light and heavy degree differs.Also can have foreign body sensation, burn feeling, shed tears, the performance such as photophobia and mucus secretions, exacerbation of symptoms under hot environment.
Seasonal allergic conjunctivitis main physical signs is conjunctival congestion and non-specific palpebral conjunctiva nipple hypertrophy, and be sometimes associated with chemosis or blepharoedema, child Geng Yi occurs.Seldom affect cornea, occasionally have the performance of slight PEK.Many patients have allergic rhinitis and bronchial asthma medical history.
Treatment clinically for seasonal allergic conjunctivitis adopts the merging of eye drop eye drip to take Claritin to treat usually, and achieve good clinical short-term curative effects, but because these Western medicine mostly have potential hepatotoxicity, and action target spot is single, long-term taking can affect the health status of patient.Therefore research and develop the effective medicine of a kind of conjunctivitis to be of great practical significance.
The history of Chinese medicine conjunctivitis is of long standing and well established, and as an importance of modern oculopathy Comprehensive Treatment, more and more receives publicity in recent years.Zhang Yanli use in " Chinese medicine moves back the observation of curative effect of red collyrium to acute conjunctivitis " is moved back red collyrium flushing conjunctival sac treatment acute conjunctivitis and is achieved good clinical therapeutic efficacy.Wu Qingbo " herbal fumigation treatment vernal conjunctivitis in Functional observation " in disclose a kind of Chinese medicine compound (Herba Schizonepetae 10g, art thief 10g, Flos Chrysanthemi Indici 12g,
Periostracum Cicadae 10g, the Fructus Kochiae 109, Fructus Atriplicis Sibiricae 10g, Radix Aconiti Preparata 3g, Herba Asari 3g Herba Siegesbeckiae 15g, Radix Sophorae Flavescentis 10g, Zaocys lO g, Radix Platycodonis 10g, Semen Armeniacae Amarum 10g, Cortex Dictamni 12g, Radix Glycyrrhizae 12), the effect taking afterwards and can have treatment and prevention of recurrence to vernal conjunctivitis first smoked by this medicine.
Summary of the invention
For the deficiency of current conjunctivitis clinical treatment medicine, first object of the present invention is to provide a kind of Chinese medicine composition for the treatment of conjunctivitis, and this Chinese medicine composition has good therapeutic effect in treatment inflammatory conjunctivitis, bacterial conjunctivitis, viral conjunctivitis and anaphylaxis conjunctivitis.Chinese medicine composition of the present invention, raw material primarily of following weight portion obtains: Radix Achyranthis Bidentatae 15 parts, Radix Paeoniae Rubra extract 6 parts, Flos Lonicerae 10 parts, Fructus Gardeniae 10 parts, Rhizoma Cimicifugae 10 parts, Radix Artemisia ordosicae 20 parts, Rhizoma Alismatis 20 parts, Rhizoma Corydalis 10 parts, Herba Bidentis Bipinnatae 5 parts, 5 parts, Rhizoma Curcumae Longae, 10 parts, Poria, wherein the preparation method of Radix Paeoniae Rubra extract is: get Radix Paeoniae Rubra dry product grinding and sieving, use the aqueous acetone solution reflux, extract, 2h of 50%, filter, filtering residue uses the aqueous acetone solution reflux, extract, twice of 50% again, merge extractive liquid, after centrifugal, supernatant is evaporated to the extractum of relative density 1.05-1.10, extractum is dried and is pulverized to constant weight, obtain Radix Paeoniae Rubra extract.
The method preparing Chinese medicine composition of the present invention is as follows: each medical material getting above-mentioned components by weight percent, adds the 5-15 water doubly of medical material gross weight, soaks 10-60 minute, decoct 1-4 time, each 1-3 hour, filter, merging filtrate, filtrate reduced in volume is to the extractum of relative density 1.05-1.25, and this relative density is testing result at 60 c, and adding ethanol to alcohol content is 60-90% (v/v), leave standstill 24 hours, get supernatant, reclaim ethanol to concentrated, after drying, namely obtain Chinese medical concrete; Pulverized the Radix Paeoniae Rubra extract adding recipe quantity after making dried cream powder, Chinese medicine composition of the present invention can be obtained.The above-mentioned Chinese medicine composition of the present invention can be prepared into pharmaceutical preparation conventional clinically further, is preferably mixture, tablet, capsule.
The present invention also discloses a kind of purposes of above-mentioned Chinese medicine composition, i.e. the purposes of above-mentioned Chinese medicine composition in preparation treatment conjunctivitis medicine.Wherein said conjunctivitis is preferably seasonal allergic conjunctivitis.By the antiinflammatory action investigating Chinese medicine composition xylol induced mice inflammatory model of the present invention, the embodiment of the present invention 4 confirms that Chinese medicine composition provided by the invention can have significant anti-inflammatory efficacy, its antiphlogistic effects is better than hydrocortisone, wherein high dose group and the antiphlogistic effects of middle dosage group have significant difference (P < 0.05) compared with hydrocortisone, this acts on comprehensively when showing traditional Chinese medicine composition for treating inflammatory conjunctivitis of the present invention, has obvious synergism, achieves unforeseeable curative effect of medication.The embodiment of the present invention 5 has investigated the therapeutic effect of Chinese medicine composition of the present invention to anaphylaxis conjunctivitis, find that Chinese medicine composition of the present invention can alleviate anaphylaxis conjunctivitis symptom, its total effective rate for anaphylaxis conjunctivitis is significantly higher than common drug Cetirizine hydrochloride tablet.
In a word, the present invention compared with prior art, have the activity for the treatment of conjunctivitis very well, and the present invention is pure Chinese medicinal preparation, to human body particularly to liver avirulence.When the present invention uses as conjunctivitis medicine, drug effect is comprehensive, while dispersing the stagnated live-QI to relieve the stagnation of QI, spleen invigorating food stagnation removing, can also obtain effect of activating blood circulation to dissipate blood stasis, dispelling phlegm and eliminating dampness, conjunctivitis conditions of patients can be made rapidly to take a turn for the better; And Chinese medicine composition preparation of the present invention is simple, and substantially nontoxic, raw material is easy to get, and is suitable for popular use, has good potential applicability in clinical practice.
Detailed description of the invention
Further describe the present invention below by way of detailed description of the invention, but the present invention is not limited only to following examples.Within the scope of the invention or not departing from content of the present invention, spirit and scope, Chinese medicine composition of the present invention is suitably improved, replaces the identical component of effect, will become apparent to those skilled in the art that they are all deemed to be included within scope of the present invention.In following embodiment, the preparation method of described Radix Paeoniae Rubra extract is: get Radix Paeoniae Rubra dry product grinding and sieving, use the aqueous acetone solution reflux, extract, 2h of 50%, filter, filtering residue uses the aqueous acetone solution reflux, extract, twice of 50% again, and supernatant is evaporated to the extractum of relative density 1.05-1.10 by merge extractive liquid, after centrifugal, extractum is dried and is pulverized to constant weight, obtains Radix Paeoniae Rubra extract.
Part I, the preparation of Chinese medicine composition of the present invention
Embodiment 1 Chinese medicine composition mixture of the present invention
Prescription: Radix Achyranthis Bidentatae 15 parts, Radix Paeoniae Rubra extract 6 parts, Flos Lonicerae 10 parts, Fructus Gardeniae 10 parts, Rhizoma Cimicifugae 10 parts, Radix Artemisia ordosicae 20 parts, Rhizoma Alismatis 20 parts, Rhizoma Corydalis 10 parts, Herba Bidentis Bipinnatae 5 parts, 5 parts, Rhizoma Curcumae Longae, 10 parts, Poria.
Preparation method: each medical material getting above-mentioned components by weight percent, adds the water of 5 times of medical material gross weight, soaks 30 minutes, decoct 2 times, each 2 hours, filter, merging filtrate, filtrate reduced in volume is to the extractum of relative density 1.1, and this relative density is testing result at 60 c, adding ethanol to alcohol content is 75% (v/v), leaves standstill 24 hours, gets supernatant, recovery ethanol concentrates, and adds water to 1000ml, stirs evenly, subpackage, flowing steam sterilization 35min, obtains mixture.
Embodiment 2 Chinese medicine composition tablet of the present invention
Prescription: Radix Achyranthis Bidentatae 15 parts, Radix Paeoniae Rubra extract 6 parts, Flos Lonicerae 10 parts, Fructus Gardeniae 10 parts, Rhizoma Cimicifugae 10 parts, Radix Artemisia ordosicae 20 parts, Rhizoma Alismatis 20 parts, Rhizoma Corydalis 10 parts, Herba Bidentis Bipinnatae 5 parts, 5 parts, Rhizoma Curcumae Longae, 10 parts, Poria.
Preparation method: each medical material getting above-mentioned components by weight percent, adds the water of 10 times of medical material gross weight, soaks 60 minutes, decoct 1 time, each 1 hour, filter, merging filtrate, filtrate reduced in volume is to the extractum of relative density 1.25, and this relative density is testing result at 60 c, adding ethanol to alcohol content is 80% (v/v), leave standstill 24 hours, get supernatant, reclaim ethanol to concentrated, vacuum drying, granulation, tabletting and get final product.
Embodiment 3 Chinese medicinal composition capsules of the present invention
Prescription: Radix Achyranthis Bidentatae 15 parts, Radix Paeoniae Rubra extract 6 parts, Flos Lonicerae 10 parts, Fructus Gardeniae 10 parts, Rhizoma Cimicifugae 10 parts, Radix Artemisia ordosicae 20 parts, Rhizoma Alismatis 20 parts, Rhizoma Corydalis 10 parts, Herba Bidentis Bipinnatae 5 parts, 5 parts, Rhizoma Curcumae Longae, 10 parts, Poria.
Preparation method: each medical material getting above-mentioned components by weight percent, adds the water of 8 times of medical material gross weight, soaks 45 minutes, decoct 4 times, each 1.5 hours, filter, merging filtrate, filtrate reduced in volume is to the extractum of relative density 1.2, and this relative density is testing result at 60 c, adding ethanol to alcohol content is 90% (v/v), leaves standstill 24 hours, gets supernatant, reclaim ethanol to concentrated, vacuum drying, granulates, encapsulated and get final product.
Part II, the pharmacodynamics of Chinese medicine composition of the present invention is investigated
The antiinflammatory action of embodiment 4 Chinese medicine composition xylol of the present invention induced mice inflammatory model
Hydrocortisone is synthetic is also naturally occurring glucocorticoid, after hydrocortisone enters cell, activates cytoplasmic receptor, nucleus is entered after allosteric, be combined with DNA response element, cause suppression or the induction of genetic transcription, the expression of inflammation related proteins is changed.Hydrocortisone has stronger anti-inflammatory activity, is usually used in the treatment of arthritis, conjunctivitis clinically.
1, experimental technique:
50 KM mices, male and female half and half, body weight 25-30 gram, 5 groups are divided at random, i.e. dosage group in model control group, combination group high dose group, compositions, compositions low dose group, positive controls by body weight, often organize 10, each administration group mice gives following medicine respectively:
Model control group: gavage gives the normal saline of same volume;
Positive controls: gavage gives the hydrocortisone drug solution of 5mg/kg;
Compositions high dose group: gavage gives 50mg/kg embodiment 1 Chinese medicine composition, and Chinese medicine composition presses crude drug gauge;
Dosage group in compositions: gavage gives 20mg/kg embodiment 1 Chinese medicine composition, and Chinese medicine composition presses crude drug gauge;
Compositions low dose group: gavage gives 5mg/kg embodiment 1 Chinese medicine composition, and Chinese medicine composition presses crude drug gauge;
Each administration group is administered once every day, successive administration 7d.Get dimethylbenzene 20 μ l after last administration, be applied to each mouse right ear.Get after 30 minutes and be respectively evenly applied to mouse right ear respectively by reagent 0.03ml, auris dextra is put to death after 3.5 hours to dimethylbenzene, measures each group of mice left and right ear method of double differences.Ear method of double differences assay method: place cuts two ears along auricle baseline, lays auricle with 8mm card punch at the same position of left and right ear, weighs, the ear method of double differences=auris dextra sheet weight-left auricle weight.The ear method of double differences can be used as evaluates antiinflammatory index.
Experimental result: measure the antiphlogistic effects that each experimental mice ear method of double differences evaluates each medication group medicine.Measurement result is in table 2.
Table 1 each experimental mice ear method of double differences compares
Compare with model control group, *p < 0.05; Compare with model control group, *p < 0.01;
Compare with positive controls, #p < 0.05; Compare with positive controls, ##p < 0.01.
Result display gives positive drug and Chinese medicine composition of the present invention all can obtain significant antiphlogistic effects, wherein the antiphlogistic effects of Chinese medicine composition high dose group of the present invention and positive controls have pole significant difference, Chinese medicine composition low dose group and positive controls have significant difference, and this shows that the high dose group of Chinese medicine composition of the present invention and the antiphlogistic effects of low dose group significantly will be better than positive controls.
Embodiment 5 Chinese medicine composition of the present invention is to the therapeutical effect of anaphylaxis conjunctivitis
Anaphylaxis conjunctivitis is a para-immunity disease, and usually have obvious ophthalmic pruritus, conjunctival congestion, papillary hypertrophy and follicle hypertrophy, corneal has no significant effect more, and the longer sings and symptoms of the course of disease is heavier.Treatment anaphylaxis conjunctivitis is based on eye local application, and main purpose is mitigation symptoms and avoids sequela occurs.Antihistaminic, vasoconstrictor, mast cell stabilizers, NSAID (non-steroidal anti-inflammatory drug), glucocorticoid etc. are the common drug of topical therapeutic anaphylaxis conjunctivitis in recent years.
1 clinical data
1) inclusive criteria
Seasonal allergic conjunctivitis except seasonality outbreak and symptom, somatic feature score all relatively low except, other clinical characters are quite similar with perennial allergic conjunctivitis, so both unified to include in.Diagnosis is main with reference to " Chinese ophthalmology " (1) symptom: ophthalmic pruritus, shed tears, burning sensation, foreign body sensation, photophobia and secretions increases (mostly being mucus).(2) sign: conjunctival congestion, edema, palpebral conjunctiva nipple follicle hypertrophy.
2) exclusion standard
With eye patients such as keratitis, xerophthalmia, glaucomas; Within nearly 1 month, execute ophthalmic surgery; Use may other hydryllin of influence research result, mast cell stabilizers and corticosteroid collyrium, nasal mist or systemic drug patient; Intentionally, the patient of the severe primary disease such as brain, liver, kidney and hemopoietic system; Not by regulation medication, the infull person of curative effect or data cannot be judged.
3) physical data
Meet seasonal allergic conjunctivitis 66 example of above-mentioned standard through making a definite diagnosis and perennial allergic conjunctivitis 24 example totally 90 routine.Clients is divided into two groups by the method making a definite diagnosis rear employing district group random: treatment group 45 example, man 19 example, female 26 example; Age 19-66 year (average 36.2 years old).Matched group 45 example, man 21 example, female 24 example; Age 17-65 year (average 35.8 years old).Two groups of physical data are through statistical procedures, and no significant difference (P>0.05), has comparability.
2 Therapeutic Method
For oral administration from intending conjunctivitis mixture.Prescription: Radix Achyranthis Bidentatae 15 grams, Radix Paeoniae Rubra extract 6 grams, Flos Lonicerae 10 grams, Fructus Gardeniae 10 grams, Rhizoma Cimicifugae 10 grams, Radix Artemisia ordosicae 20 grams, Rhizoma Alismatis 20 grams, Rhizoma Corydalis 10 grams, Herba Bidentis Bipinnatae 5 grams, 5 grams, Rhizoma Curcumae Longae, 10 grams, Poria.Be decocted in water for oral dose, every day 1 dose, 2 times/d, successive administration 5 days.Matched group takes Cetirizine hydrochloride tablet (Lunan Beite Pharmaceutical Co., Ltd. produces, 10mg/ sheet, a slice on the one).Within 1 week, carry out checking and following up a case by regular visits to after 3 days, 5 days, 7 days and drug withdrawal after the treatment respectively, record eye subjective symptom and slit lamp examination palpebra inferior, conjunctiva, cornea.
3, therapeutic effect
Curative effect determinate standard: adopt " clinical characters of anaphylaxis conjunctivitis ".Symptom and sign standards of grading evaluation index: ophthalmic pruritus, shed tears, foreign body sensation, eyelid nipple, palpebral follicles, secretions, conjunctival congestion, chemosis.And calculate symptom integral.Computing formula: total mark × 100% before total mark decline index=(before treatment the rear total mark of total mark-treatment)/treatment.Effective: integration reduces >70%; Effective: integration reduces 30%-70%; Invalid: integration reduces <30%.
Table 2 Chinese medicine composition of the present invention is to the therapeutic effect of anaphylaxis conjunctivitis
Group N Effective Effectively Invalid Total effective rate
Administration group 45 24 * 18 * 3 93.3% *
Matched group 45 15 9 11 75.6%
Compare with matched group, *p < 0.05
As can be seen from Table 2, Chinese medicine composition of the present invention is significantly better than cetirizine hydrochloride for the therapeutic effect of anaphylaxis conjunctivitis.

Claims (5)

1. treat the Chinese medicine composition of seasonal allergic conjunctivitis for one kind, it is characterized in that it obtains primarily of the raw material of following weight portion: Radix Achyranthis Bidentatae 15 parts, Radix Paeoniae Rubra extract 6 parts, Flos Lonicerae 10 parts, Fructus Gardeniae 10 parts, Rhizoma Cimicifugae 10 parts, Radix Artemisia ordosicae 20 parts, Rhizoma Alismatis 20 parts, Rhizoma Corydalis 10 parts, Herba Bidentis Bipinnatae 5 parts, 5 parts, Rhizoma Curcumae Longae, 10 parts, Poria, wherein the preparation method of Radix Paeoniae Rubra extract is: get Radix Paeoniae Rubra dry product grinding and sieving, use the aqueous acetone solution reflux, extract, 2h of 50%, filter, filtering residue uses the aqueous acetone solution reflux, extract, twice of 50% again, merge extractive liquid, after centrifugal, supernatant is evaporated to the extractum of relative density 1.05-1.10, extractum is dried and is pulverized to constant weight, obtain Radix Paeoniae Rubra extract.
2. Chinese medicine composition as claimed in claim 1, is characterized in that described Chinese medicine composition is mixture, tablet or capsule.
3. prepare the method for Chinese medicine composition as claimed in claim 1 or 2 for one kind, it is characterized in that it comprises the following steps: get each medical material, add the 5-15 water doubly of medical material gross weight, soak 10-60 minute, decoct 1-4 time, each 1-3 hour, filter, merging filtrate, filtrate reduced in volume is to the extractum of relative density 1.05-1.25, this relative density is testing result at 60 c, adding ethanol to alcohol content is 60-90% (v/v), leaves standstill 24 hours, gets supernatant, reclaim ethanol to concentrated, after drying, namely obtain Chinese medical concrete; Pulverized the Radix Paeoniae Rubra extract adding recipe quantity after making dried cream powder, Chinese medicine composition of the present invention can be obtained.
4. the purposes of Chinese medicine composition as claimed in claim 1 or 2 in preparation treatment conjunctivitis medicine.
5. medicinal usage as claimed in claim 4, is characterized in that described conjunctivitis is anaphylaxis conjunctivitis.
CN201510397379.9A 2015-07-04 2015-07-04 A kind of Chinese medicine composition and application thereof for the treatment of seasonal allergic conjunctivitis Expired - Fee Related CN104922604B (en)

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