CN104971102B - The pharmaceutical composition and its preparation method and application for treating diabetic nephropathy - Google Patents

The pharmaceutical composition and its preparation method and application for treating diabetic nephropathy Download PDF

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CN104971102B
CN104971102B CN201510151713.2A CN201510151713A CN104971102B CN 104971102 B CN104971102 B CN 104971102B CN 201510151713 A CN201510151713 A CN 201510151713A CN 104971102 B CN104971102 B CN 104971102B
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parts
pharmaceutical composition
diabetic nephropathy
fruit
coptis
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CN104971102A (en
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钟森
涂翔
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Teaching Hospital of Chengdu University of TCM
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Teaching Hospital of Chengdu University of TCM
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Abstract

The invention belongs to field of medicaments, and in particular to treat pharmaceutical composition of diabetic nephropathy and its preparation method and application.Technical problem solved by the invention is to provide the completely new pharmaceutical composition of one kind for treating diabetic nephropathy.Pharmaceutical composition of the present invention is with caulis sinomenii, semen astragali complanati, Radix Astragali, and the coptis is main bulk pharmaceutical chemicals, achievees the purpose that treat diabetic nephropathy, and pharmaceutical composition of the present invention can also add the fruit of Cherokee rose, and Gorgon fruit is further to promote the curative effect of pharmaceutical composition.The most typical symptom of diabetic nephropathy is nodular glomerulosclerosis, mainly with urinary albumin discharge rate how much for diagnosis index.Using after pharmaceutical composition of the present invention, albumen urinary output significantly reduces patient, and twenty-four-hour urine total protein levels, urinary albumin excretion ratio reduce, urinary albumin-creatinine ratio ratio reduces, serum creatinine level reduces, and patients ' life quality is obviously improved, and has delayed the progress of diabetic nephropathy disease.

Description

The pharmaceutical composition and its preparation method and application for treating diabetic nephropathy
Technical field
The invention belongs to field of medicaments, and in particular to treat pharmaceutical composition of diabetic nephropathy and preparation method thereof and use On the way.
Background technique
Diabetic nephropathy is one of Diabetic microvascular complication, is the important death cause of diabetic.Broad sense Diabetes renal lesions include infection and vascular lesions.Infection has pyelonephritis and necrosis of renal papillae.Blood Pipe venereal disease variation capilary and macroangiopathy, macroangiopathy include renal arteriosclerosis (involving trunk and branch) and kidney petty action Arteries and veins hardens (involving people's ball and efferent glomerular arteriole).Microangiopathies refer to glomerulosclerosis, divide nodositas, exudative and diffusivity Three kinds, three can individually combinable presence, in above-mentioned change, most typically nodular glomerulosclerosis.What we usually said Diabetic nephropathy is glomerulosclerosis.Diabetic nephropathy there is no specific short.Treatment principle is:1. strict glycemic control to the greatest extent may be used Blood glucose can be made close to normal level, prevent and delay that diabetic nephropathy occurs;2. delaying the rate of renal hypofunction;3. dialysis is controlled Treatment and kidney transplant.
It is visible to using the document of traditional Chinese medical theory treatment diabetic nephropathy《Li Xiaojuan Experience in Treating diabetic nephropathy Summary of experience》[Han Yunping, Liaoning medical pharmaceutical university, master thesis, 20090401]《Appoint flat Experience in Treating diabetic nephropathy warp It tests》[mountain peak, Liaoning medical pharmaceutical university, master thesis, 20100401].
The present invention is intended to provide a kind of completely new, the clearly significant drug of curative effect for treating diabetic nephropathy.
Summary of the invention
Technical problem solved by the invention is to provide the completely new pharmaceutical composition of one kind for treating diabetic nephropathy.
Pharmaceutical composition of the present invention is with caulis sinomenii, semen astragali complanati, Radix Astragali, and the coptis is main bulk pharmaceutical chemicals, reaches treatment glycosuria The purpose of sick nephrosis, pharmaceutical composition of the present invention can also add the fruit of Cherokee rose, and Gorgon fruit is further to promote the treatment of pharmaceutical composition Effect.
1) pharmaceutical composition of the present invention is with caulis sinomenii, semen astragali complanati, Radix Astragali, when the coptis is bulk pharmaceutical chemicals:
Bulk pharmaceutical chemicals weight proportion is as follows:10-120 parts of caulis sinomenii, 10-120 parts of semen astragali complanati, 10-120 parts of Radix Astragali, coptis 5- 60 parts.
Bulk pharmaceutical chemicals preferred weight proportion is as follows:10-50 parts of caulis sinomenii, 10-50 parts of semen astragali complanati, 10-50 parts of Radix Astragali, coptis 5- 30 parts.
The further preferred weight proportion of bulk pharmaceutical chemicals is as follows:20-40 parts of caulis sinomenii, 20-40 parts of semen astragali complanati, 20-40 parts of Radix Astragali, 5-15 parts of the coptis.
Bulk pharmaceutical chemicals most preferably weight proportion is as follows:30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis.
2) pharmaceutical composition of the present invention is with caulis sinomenii, semen astragali complanati, Radix Astragali, the coptis, the fruit of Cherokee rose, when Gorgon fruit is bulk pharmaceutical chemicals:
Bulk pharmaceutical chemicals weight proportion is as follows:10-120 parts of caulis sinomenii, 10-120 parts of semen astragali complanati, 10-120 parts of Radix Astragali, coptis 5- 60 parts, 5-60 parts of the fruit of Cherokee rose, 5-60 parts of Gorgon fruit.
Bulk pharmaceutical chemicals preferred weight proportion is as follows:10-50 parts of caulis sinomenii, 10-50 parts of semen astragali complanati, 10-50 parts of Radix Astragali, coptis 5- 30 parts, 5-30 parts of the fruit of Cherokee rose, 5-30 parts of Gorgon fruit.
The further preferred weight proportion of bulk pharmaceutical chemicals is as follows:20-40 parts of caulis sinomenii, 20-40 parts of semen astragali complanati, 20-40 parts of Radix Astragali, 5-15 parts of the coptis, 10-20 parts of the fruit of Cherokee rose, 10-20 parts of Gorgon fruit.
Bulk pharmaceutical chemicals most preferably weight proportion is as follows:30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis, Jin Ying 15 parts, 15 parts of Gorgon fruit of son.
The most typical symptom of diabetic nephropathy is nodular glomerulosclerosis, how much is mainly to examine with urinary albumin discharge rate Severed finger mark.Using after pharmaceutical composition of the present invention, albumen urinary output significantly reduces patient, twenty-four-hour urine total protein levels, urine Albumin excretion rate reduces, and urinary albumin-creatinine ratio ratio reduces, and serum creatinine level reduces, and patients ' life quality is obviously improved, prolongs The progress of diabetic nephropathy disease is delayed.
For the ease of application, conventionally or pharmaceutically acceptable auxiliary material can be added on the basis of bulk pharmaceutical chemicals Common oral preparation is made.Such as powder, capsule, tablet, granule, capsule, oral solution.For answering for drug of the present invention With feature, the preparation method of the pharmaceutical composition is additionally provided.
Such as:
Method one:Each bulk pharmaceutical chemicals are ground into fine powder, mixing powder;
Method two:Each bulk pharmaceutical chemicals are ground into fine powder, encapsulated capsule;
Method three:Each bulk pharmaceutical chemicals are ground into fine powder, tabletting tablet;
Method four:After the medicinal water boiling and extraction of each raw material, particle is made in concentrated extracting solution, granule;
Method five:After the medicinal water boiling and extraction of each raw material, concentrated extracting solution is made particle, encapsulated capsule;
Method six:After the medicinal water boiling and extraction of each raw material, concentrated extracting solution is made particle, tabletting tablet;
Method seven:After the medicinal water boiling and extraction of each raw material, oral solution is made.
The purpose for the treatment of diabetes may be implemented using the above method, but because of the simplicity of the convenience of application and preparation, Inventor is made into granule use more.
To sum up, there is specific effect using medicine composite for curing diabetes provided by the invention, curative effect is stablized, nontoxic pair Effect, controllably.
Specific embodiment
Illustrate below by way of specific description of embodiments of the present invention but does not limit the present invention.
The pharmaceutical composition that the present invention is used to treat diabetic nephropathy is made of the bulk pharmaceutical chemicals of following weight proportion:
1) pharmaceutical composition of the present invention is with caulis sinomenii, semen astragali complanati, Radix Astragali, when the coptis is bulk pharmaceutical chemicals:
Bulk pharmaceutical chemicals weight proportion is as follows:10-120 parts of caulis sinomenii, 10-120 parts of semen astragali complanati, 10-120 parts of Radix Astragali, coptis 5- 60 parts.
Bulk pharmaceutical chemicals preferred weight proportion is as follows:10-50 parts of caulis sinomenii, 10-50 parts of semen astragali complanati, 10-50 parts of Radix Astragali, coptis 5- 30 parts.
The further preferred weight proportion of bulk pharmaceutical chemicals is as follows:20-40 parts of caulis sinomenii, 20-40 parts of semen astragali complanati, 20-40 parts of Radix Astragali, 5-15 parts of the coptis.
Bulk pharmaceutical chemicals most preferably weight proportion is as follows:30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis.
2) pharmaceutical composition of the present invention is with caulis sinomenii, semen astragali complanati, Radix Astragali, the coptis, the fruit of Cherokee rose, when Gorgon fruit is bulk pharmaceutical chemicals:
Bulk pharmaceutical chemicals weight proportion is as follows:10-120 parts of caulis sinomenii, 10-120 parts of semen astragali complanati, 10-120 parts of Radix Astragali, coptis 5- 60 parts, 5-60 parts of the fruit of Cherokee rose, 5-60 parts of Gorgon fruit.
Bulk pharmaceutical chemicals preferred weight proportion is as follows:10-50 parts of caulis sinomenii, 10-50 parts of semen astragali complanati, 10-50 parts of Radix Astragali, coptis 5- 30 parts, 5-30 parts of the fruit of Cherokee rose, 5-30 parts of Gorgon fruit.
The further preferred weight proportion of bulk pharmaceutical chemicals is as follows:20-40 parts of caulis sinomenii, 20-40 parts of semen astragali complanati, 20-40 parts of Radix Astragali, 5-15 parts of the coptis, 10-20 parts of the fruit of Cherokee rose, 10-20 parts of Gorgon fruit.
Bulk pharmaceutical chemicals most preferably weight proportion is as follows:30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis, Jin Ying 15 parts, 15 parts of Gorgon fruit of son.
Inventor adjusts the dosage of bulk pharmaceutical chemicals in nearly clinical application in 2 years within the scope of following weight proportion, can be real Now treat diabetic nephropathy purpose:
With caulis sinomenii, semen astragali complanati, Radix Astragali, when the coptis is bulk pharmaceutical chemicals, bulk pharmaceutical chemicals most preferably weight proportion is as follows:
30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis.
With caulis sinomenii, semen astragali complanati, Radix Astragali, the coptis, the fruit of Cherokee rose, when Gorgon fruit is bulk pharmaceutical chemicals, bulk pharmaceutical chemicals most preferably weight proportion It is as follows:
30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis, 15 parts of the fruit of Cherokee rose, 15 parts of Gorgon fruit.
For the ease of application, on the basis of bulk pharmaceutical chemicals pharmaceutically acceptable auxiliary material can be added, common oral system is made Agent.Such as powder, capsule, tablet, granule, capsule, oral solution.
The beneficial effect of pharmaceutical composition of the present invention is proved below by way of clinical statistics.
Inventor is applied to clinic using pharmaceutical composition of the present invention, takes different amounts proportion former for different indications Material, is made following dosage form and is applied,
Prescription:When practical application, following weight proportion is can be used in bulk pharmaceutical chemicals:
1) 120 parts of caulis sinomenii, 10 parts of semen astragali complanati, 120 parts of Radix Astragali, 60 parts of the coptis.
2) 60 parts of caulis sinomenii, 120 parts of semen astragali complanati, 10 parts of Radix Astragali, 5 parts of the coptis.
3) 30 parts of caulis sinomenii, 10 parts of semen astragali complanati, 10 parts of Radix Astragali, 5 parts of the coptis.
4) 40 parts of caulis sinomenii, 50 parts of semen astragali complanati, 10 parts of Radix Astragali, 5 parts of the coptis.
5) 30 parts of caulis sinomenii, 20 parts of semen astragali complanati, 50 parts of Radix Astragali, 30 parts of the coptis.
6) 10 parts of caulis sinomenii, 40 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis.
7) 20 parts of caulis sinomenii, 120 parts of semen astragali complanati, 10 parts of Radix Astragali, 5 parts of the coptis, 5 parts of the fruit of Cherokee rose, 5 parts of Gorgon fruit.
8) 120 parts of caulis sinomenii, 10 parts of semen astragali complanati, 10 parts of Radix Astragali, 15 parts of the coptis, 10 parts of the fruit of Cherokee rose, 10 parts of Gorgon fruit.
9) 30 parts of caulis sinomenii, 10 parts of semen astragali complanati, 120 parts of Radix Astragali, 60 parts of the coptis, 60 parts of the fruit of Cherokee rose, 60 parts of Gorgon fruit.
10) 60 parts of caulis sinomenii, 10 parts of semen astragali complanati, 10 parts of Radix Astragali, 5 parts of the coptis, 5 parts of the fruit of Cherokee rose, 5 parts of Gorgon fruit.
11) 10 parts of caulis sinomenii, 40 parts of semen astragali complanati, 40 parts of Radix Astragali, 15 parts of the coptis, 20 parts of the fruit of Cherokee rose, 20 parts of Gorgon fruit.
12) 50 parts of caulis sinomenii, 10 parts of semen astragali complanati, 50 parts of Radix Astragali, 30 parts of the coptis, 30 parts of the fruit of Cherokee rose, 30 parts of Gorgon fruit
13) 30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis, 15 parts of the fruit of Cherokee rose, 15 parts of Gorgon fruit.
When clinical application, inventor is made into granule application, and above-mentioned different material medicine proportion relation system is respectively adopted Standby granule, preparation method are as follows:After the medicinal water boiling and extraction of each raw material, particle is made in concentrated extracting solution, granule.
Pharmaceutical composition of the present invention:2 take daily dosage:Caulis sinomenii 30g, Radix Astragali 30g, coptis 10g, semen astragali complanati 30g, the fruit of Cherokee rose 15g, Gorgon fruit 15g;Three times a day.
Control drug:Take daily dosage:Radix Astragali 30g, coptis 10g, semen astragali complanati 30g, fruit of Cherokee rose 15g, Gorgon fruit 15g;One day three It is secondary.
Inventor applies the 13rd group of medicine composite for curing diabetic nephropathy.In nearly 2 years more than 50 people for the treatment of, referring in China Medicine and pharmacology meeting nephrosis branch 2006《Diabetic nephropathy diagnosis, differentiation of symptoms and signs for classification of syndrome and efficacy assessment standard》Grading therapeutic effect.This About 2 weeks invention pharmaceutical composition onset times, healing time about 8 weeks, recurrence about 5%.
Non-clinical statistical data using pharmaceutical composition of the present invention and control drug is as follows:
Note:
Symptom disappears:Indicate that clinical symptoms disappear substantially, twenty-four-hour urine protein quantification<30mg/24h.
Symptom mitigates:Indicate that clinical symptoms are greatly reduced, 30mg/24h<Twenty-four-hour urine protein quantification<300mg/24h.
Total effective rate is disappeared by symptom and symptom mitigates in terms of sum.
Using medicine composite for curing Diabetic Nephropathy patients of the present invention, the albuminuria discharge capacity of patient is significantly reduced, thus The process of diabetic nephropathy disease development can be slowed down.
To sum up, pharmaceutical composition of the present invention is observed through many years clinical statistics, finally determines caulis sinomenii, sand after screening prescription Yuan Zi, the coptis, Radix Astragali be main bulk pharmaceutical chemicals, and add the fruit of Cherokee rose, Gorgon fruit further consolidates curative effect, treat diabetic nephropathy effect Most preferably, a kind of completely new selection is provided for clinical treatment diabetes.

Claims (7)

1. the pharmaceutical composition for treating diabetic nephropathy, it is characterised in that:Bulk pharmaceutical chemicals weight proportion is as follows:
10-50 parts of caulis sinomenii, 10-50 parts of semen astragali complanati, 10-50 parts of Radix Astragali, 5-30 parts of the coptis, 5-30 parts of the fruit of Cherokee rose, Gorgon fruit 5-30 Part.
2. according to claim 1 for treating the pharmaceutical composition of diabetic nephropathy, it is characterised in that:Bulk pharmaceutical chemicals weight Amount proportion is as follows:
20-40 parts of caulis sinomenii, 20-40 parts of semen astragali complanati, 20-40 parts of Radix Astragali, 5-15 parts of the coptis, 10-20 parts of the fruit of Cherokee rose, Gorgon fruit 10- 20 parts.
3. according to claim 2 for treating the pharmaceutical composition of diabetic nephropathy, it is characterised in that:Bulk pharmaceutical chemicals weight Amount proportion is as follows:
30 parts of caulis sinomenii, 30 parts of semen astragali complanati, 30 parts of Radix Astragali, 10 parts of the coptis, 15 parts of the fruit of Cherokee rose, 15 parts of Gorgon fruit.
4. according to claim 1-3 for treating the pharmaceutical composition of diabetic nephropathy, it is characterised in that:Institute Stating pharmaceutical composition is that oral preparation is conventionally made on the basis of bulk pharmaceutical chemicals;Or it is added pharmaceutically acceptable Common oral preparation is made in auxiliary material.
5. according to claim 4 for treating the pharmaceutical composition of diabetic nephropathy, it is characterised in that:The oral system Agent is powder, tablet, granule, capsule or oral solution.
6. claim 1-5 is described in any item for treating the preparation method of the pharmaceutical composition of diabetic nephropathy, feature It is:
Method one:Each bulk pharmaceutical chemicals are ground into fine powder, mixing powder;Or
Method two:Each bulk pharmaceutical chemicals are ground into fine powder, encapsulated capsule;Or
Method three:Each bulk pharmaceutical chemicals are ground into fine powder, tabletting tablet;Or
Method four:After the medicinal water boiling and extraction of each raw material, particle is made in concentrated extracting solution, granule;Or
Method five:After the medicinal water boiling and extraction of each raw material, concentrated extracting solution is made particle, encapsulated capsule;Or
Method six:After the medicinal water boiling and extraction of each raw material, concentrated extracting solution is made particle, tabletting tablet;Or
Method seven:After the medicinal water boiling and extraction of each raw material, oral solution is made.
7. purposes of the described in any item pharmaceutical compositions of claim 1-5 in the drug that preparation reduces albumen urinary output.
CN201510151713.2A 2014-04-03 2015-04-01 The pharmaceutical composition and its preparation method and application for treating diabetic nephropathy Expired - Fee Related CN104971102B (en)

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CN105194458B (en) * 2015-10-21 2019-12-17 薛武 Traditional Chinese medicine for treating diabetic nephropathy
CN105998854A (en) * 2016-07-24 2016-10-12 刘咏梅 Medicine for treating diabetic nephropathy and preparation method
CN108114032A (en) * 2017-01-24 2018-06-05 青海春天药用资源科技利用有限公司 There is the pharmaceutical composition of invigorating the blood
CN110772607A (en) * 2019-10-21 2020-02-11 南方医科大学 Traditional Chinese medicine composition for improving diabetic nephropathy and preparation thereof

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CN102228536A (en) * 2011-06-09 2011-11-02 首都医科大学 Chinese herbal extract for treating diabetic nephropathy and preparation method thereof

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US7498048B2 (en) * 2006-11-16 2009-03-03 Jose Angel Olalde Rangel Renal phyto-nutraceutical composition

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CN102228536A (en) * 2011-06-09 2011-11-02 首都医科大学 Chinese herbal extract for treating diabetic nephropathy and preparation method thereof

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