CN105250368B - It is a kind of to delay Chinese medicine composition of renal failure and its preparation method and application - Google Patents

It is a kind of to delay Chinese medicine composition of renal failure and its preparation method and application Download PDF

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CN105250368B
CN105250368B CN201510686721.7A CN201510686721A CN105250368B CN 105250368 B CN105250368 B CN 105250368B CN 201510686721 A CN201510686721 A CN 201510686721A CN 105250368 B CN105250368 B CN 105250368B
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renal failure
chinese medicine
medicine composition
chitosan oligosaccharide
gypenosides
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CN105250368A (en
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王曙东
李汉宝
王玉玺
傅继华
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Nanjing General Hospital of Nanjing Command PLA
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Nanjing General Hospital of Nanjing Command PLA
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Abstract

The invention discloses a kind of Chinese medicine composition and preparation method thereof that can delay renal failure, which is made of the component of following parts by weight: 200~300 parts of chitosan oligosaccharide, 20~40 parts of Gypenosides, 160~300 parts of Leonurus extract.The traditional chinese medicine composition of the invention replenishes qi to invigorate the spleen, activating microcirculation and removing stasis medicinal, washs phlegm and drops turbid, inducing diuresis to remove edema, plays the role of dropping urea nitrogen, creatinine, uric acid and blood lipid, can delay renal failure, the azotemia phase for renal insufficiency, it can also be used to hyperuricemia and hyperlipidemia.

Description

It is a kind of to delay Chinese medicine composition of renal failure and its preparation method and application
Technical field
The invention belongs to technical field of traditional Chinese medicines, it is related to a kind of Chinese medicine composition that can delay renal failure and its preparation side Method and application.
Background technique
Renal failure (acute renal failure, ARF) is the clinical critical illness characterized by renal tubular necrosis Disease, case fatality rate is high, serious danger side of body patient vitals.According to foreign literature over the last couple of decades, the disease incidence of ARF is presented The trend of liter, ARF patient are still higher than 50% through the case fatality rate of dialysis treatment.At present clinically about the treatment of ARF, mainly by early stage Patient vitals are saved in haemodialysis, but expense is high, and patient is difficult to bear;And instrument and equipment is expensive, technical level requires high.Very Extremely, although medical level is being continuously improved, its incidence and the death rate are not apparent from decline over the past decades.Therefore, it finds Simple and easy to do, cost-effective drug provides new selection for the treatment of ARF patient, is the project for being worth research.
Summary of the invention
The purpose of the present invention is overcome above-mentioned shortcoming to provide a kind of Chinese medicine composition that can delay renal failure.
It is a further object of the present invention to provide the preparation methods of the Chinese medicine composition that can delay renal failure.
The purpose of the present invention is what is be accomplished by the following way:
A kind of Chinese medicine composition that can delay renal failure, the Chinese medicine composition are made of the component of following parts by weight:
200~300 parts of chitosan oligosaccharide
20~40 parts of Gypenosides
160~300 parts of Leonurus extract.
The above-mentioned Chinese medicine composition that can delay renal failure is preferably made of the component of following parts by weight:
200~250 parts of chitosan oligosaccharide
20~40 parts of Gypenosides
160~300 parts of Leonurus extract.
The above-mentioned Chinese medicine composition that can delay renal failure is further preferably made of the component of following parts by weight:
200~250 parts of chitosan oligosaccharide
20~25 parts of Gypenosides
160~200 parts of Leonurus extract.
The above-mentioned Chinese medicine composition that can delay renal failure is most preferably made of the component of following parts by weight:
200 parts of chitosan oligosaccharide
20 parts of Gypenosides
200 parts of Leonurus extract.
It is preferred that molecular weight≤1500 of chitosan oligosaccharide used by the present composition, content >=80%, used strand Total glycosides content >=80% of Lan, used Leonurus extract are standard proportional extract 10:1.
Chitosan oligosaccharide: Qingdao Bo Zhihui power Biotechnology Co., Ltd;
Gypenosides: Xi'an Si Nuote Bioisystech Co., Ltd;
Leonurus extract: Xi'an Si Nuote Bioisystech Co., Ltd;
Dosage form can be made with pharmaceutically acceptable auxiliary material in the Chinese medicine composition of the present invention that can delay renal failure. It is preferred that the dosage form is tablet, capsule, granule, oral solution etc..Auxiliary material used can be starch, dextrin, carboxymethyl and form sediment It is several in powder sodium, sodium carboxymethylcellulose superfine silica gel powder, magnesium stearate, talcum powder, honey element, acesulfame potassium, Opadry etc..
The preparation method of the above-mentioned Chinese medicine composition that can delay renal failure, it is characterised in that this method includes following step It is rapid: by three kinds of drugs be uniformly mixed to get.
The present composition is mainly made of chitosan oligosaccharide, Gypenosides, Leonurus extract, can effectively delay renal function Failure reduces urea nitrogen and nonprotein nitrogen in blood.
It is that the present invention can delay the Chinese medicine composition of renal failure major function: replenishing qi to invigorate the spleen, phlegm drop is washed in activating microcirculation and removing stasis medicinal It is turbid, inducing diuresis to remove edema.Play the role of dropping urea nitrogen, creatinine, uric acid and blood lipid.It can delay renal failure.Nitrogen matter for renal insufficiency The mass formed by blood stasis phase, it can also be used to hyperuricemia and hyperlipidemia.
Therefore, the above-mentioned Chinese medicine composition that can delay renal failure can delay renal failure in preparation and/or treat gout It is applied in drug.The above-mentioned Chinese medicine composition that can delay renal failure can also be in preparation drop urea nitrogen, creatinine, uric acid and blood lipid Drug in apply.
Explanation is further expalined to the present invention below by way of pharmacodynamic test:
The present invention can delay the Chinese medicine composition of renal failure (the preparation method comprises the following steps: by chitosan oligosaccharide, Gypenosides and benefit The mixture that Brittle Falsepimpernel Herb extract is mixed to get according to the weight ratio of 1 prescription of embodiment, hereinafter referred to as kidney nitrogen are clear), experiment shows There is apparent reduction to act on serum urea nitrogen, creatinine and uric acid, and have dose-dependence, action intensity is right with the positive It is suitable according to medicine oxyamyli tectus aldehydum.Our three components have apparent synergistic effect.
Therapeutic effect of the kidney nitrogen clearly to experimental renal failure animal model:
One, experimental method
Using stomach-filling adenine suspension induced rat chronic kidney hypofunction model, 10 rats of control group give 0.5mL/ 100g0.5%CMC-Na solution, 110 rats of model group give 5% adenine suspension of 250mg/kg, and the last fortnight fills daily Stomach, rear stomach-filling every other day in two weeks verified whether modeling succeeds through measurement serum urea nitrogen and creatine concentration after 4 weeks.
Screening animal simultaneously be grouped again, be divided into 12 groups, be respectively as follows: control group (0.5%CMCC-Na solution, 0.5ml/100g), model group (0.5%CMCC-Na solution, 0.5ml/100g), positive drug group (packet formoxy- particle) (2.03g/ Kg/ times), Leonurus extract group (group be divided into Leonurus extract, 0.205g/kg/ times), (group is divided into strand to Gypenosides group Stock the total glycosides of Lan, 0.1g/kg/ times), chitosan oligosaccharide group (0.325g/kg/ times), chitosan oligosaccharide Gypenosides group (chitosan oligosaccharide and gynostemma pentaphylla Total glycosides weight ratio 200:20,0.425g/kg/ times), chitosan oligosaccharide Leonurus extract group (chitosan oligosaccharide and Leonurus extract weight Than 200:200,0.53g/kg/ times), Gypenosides Leonurus extract group (Gypenosides and Leonurus extract weight Than 20:200,0.305g/kg/ times), the aloof from politics and material pursuits dosage group (1.26g/kg/ times) of kidney nitrogen, the clear middle dose group (0.63g/kg/ of kidney nitrogen It is secondary), the clear low dose group (0.315g/kg/ times) of kidney nitrogen.Groups of animals number (only) is respectively as follows: 8,8,7,7,7,7,8,8,8,8,8, 8.Twice, the upper and lower noon is each primary, twice administration time interval about 8h for the daily gastric infusion of each group.Kidney nitrogen is aloof from politics and material pursuits, in, low dosage Group dosage takes 6,3,1.5 times of people's equivalent dosage daily respectively.Chitosan oligosaccharide, Gypenosides, Leonurus extract, shell are few Sugared Gypenosides, chitosan oligosaccharide Leonurus extract, Gypenosides Leonurus extract group dosage and the clear middle dose group of kidney nitrogen It is identical.The daily administration dosage of positive drug group takes 3 times or so of the equivalent dosage of people, identical as kidney nitrogen agent group middle clearly.Before administration, even Continuous administration detected serum urea nitrogen (BUN), creatinine (CRE) concentration after 2 weeks respectively.In addition, being put to death after successive administration 5 weeks dynamic Object takes serum and renal tissue, in addition to detecting serum BUN, CRE, then detects uric acid in serum, hemoglobin, albumin concentration, And reductive glutathione (GSH), r- glutamyl transferase (r-GT), malonaldehyde (MAD), glutathione peroxide in nephridial tissue Compound enzyme (GSH-PX), total number born (SOD) content.Statistics detection is detected with one-way analysis of variance LSD.
Two, kidney nitrogen clearly analyzes the amount-result relation of experimental renal failure therapeutic effect
It the results are shown in Table 1, table 2.Compared with model group, serum BUN, CRE testing result show kidney nitrogen it is aloof from politics and material pursuits, in, low dosage Administration group, which is shown, increases apparent inhibiting effect to two indexes, and has administration time dependence, with the successive administration time Extend, depression effect increases.Serum and nephridial tissue Indexs measure after successive administration 5 weeks the result shows that, the clear Inhibition test of kidney nitrogen Renal failure effect also has dosage dependence;In addition to serum uric acid concentration and nephridial tissue MDA content, other index high dose groups Improvement result be significantly greater than low dose group, the improvement result of some indexs is also greater than middle dose group, and there are also indexs Improvement result middle dose group is greater than low dose group.Serum uric acid concentration and the improvement result of nephridial tissue MDA content not show dose Correlation, may with the two indexs are practical in three administration groups restore that related (and Normal group approaches even more It is small).Positive drug (packet formoxy- particle) group also shows apparent therapeutic effect, but increases serum uric acid without reducing effect;Deng Dosage administration (the clear middle dose group of kidney nitrogen is compared with positive drug group) is imitated, the clear curative effect of kidney nitrogen and positive drug are close, but have feature: right Serum BUN, uric acid improvement result kidney nitrogen be better than positive drug clearly, positive drug is lower than clearly to the improvement result kidney nitrogen of nephridial tissue GSH.
Two, kidney nitrogen clearly analyzes the prescription rationality of experimental renal failure therapeutic effect
It the results are shown in Table 3, table 4.In experiment, chitosan oligosaccharide, Gypenosides, Leonurus extract, chitosan oligosaccharide Gypenosides, The clear middle dosage administration group chitosan oligosaccharide of chitosan oligosaccharide Leonurus extract, Gypenosides Leonurus extract, kidney nitrogen, gynostemma pentaphyllum total The respective dosage of glycosides, Leonurus extract is respectively 0 or equal, and the clear prescription compatibility of medicines of kidney nitrogen can be illustrated by pretending statistics between group and comparing Reasonability.The result shows that most serum and nephridial tissue biochemical indicator testing result, the clear middle dosage of kidney nitrogen after successive administration 5 weeks The improvement result of group is better than chitosan oligosaccharide, Gypenosides, Leonurus extract, chitosan oligosaccharide Gypenosides, chitosan oligosaccharide motherwort Extract, Gypenosides Leonurus extract administration group prompt kidney nitrogen to organize composition and division in a proportion chitosan oligosaccharide, Gypenosides, motherwort clearly Extract is individually or combination of two is more preferable to the therapeutic effect of experimental renal failure.Serum and nephridial tissue are biochemical after successive administration 5 weeks 2 × 2 × 2 variance analysis reciprocation testing result of index shows: to the improvement result of BUN, CRE, SOD, chitosan oligosaccharide, gynostemma pentaphylla Total glycosides, Leonurus extract have a significant effect (P < 0.05 or P < 0.01), and chitosan oligosaccharide × Gypenosides, chitosan oligosaccharide × benefit are female Careless extract, Gypenosides × Leonurus extract without reciprocation (P > 0.05), chitosan oligosaccharide × Gypenosides × Leonurus extract is also without reciprocation (P > 0.05);To the improvement result of uric acid, chitosan oligosaccharide, Gypenosides, motherwort Extract has a significant effect (whole P < 0.01), and chitosan oligosaccharide × Gypenosides, chitosan oligosaccharide × Leonurus extract have interaction (<0.04), Gypenosides × Leonurus extract does not have reciprocation (P>0.05), chitosan oligosaccharide × strand by P<0.01, P for effect Total glycosides × the Leonurus extract of Lan has reciprocation (P < 0.01), due to serum uric acid each group substantially restore (with compare Group is close), therefore testing result does not have special biological significance;To the improvement result of hemoglobin concentration, chitosan oligosaccharide, gynostemma pentaphyllum total Glycosides has a significant effect (P < 0.01, P < 0.05), and Leonurus extract has an impact (P < 0.1), and chitosan oligosaccharide × Gypenosides, shell are few Sugar × Leonurus extract, chitosan oligosaccharide × Gypenosides × Leonurus extract are without reciprocation (P > 0.05);Dialogue The improvement result of protein concentration, chitosan oligosaccharide, Gypenosides, Leonurus extract have a significant effect (P < 0.01 or P < 0.05), chitosan oligosaccharide × Gypenosides have obvious reciprocation (P < 0.05), chitosan oligosaccharide × Leonurus extract, gynostemma pentaphyllum total Glycosides × Leonurus extract, chitosan oligosaccharide × Gypenosides × Leonurus extract are without reciprocation (P > 0.05);To GSH Improvement result, chitosan oligosaccharide, Gypenosides, Leonurus extract have a significant effect (whole P < 0.01), chitosan oligosaccharide × strand The total glycosides of stock Lan, chitosan oligosaccharide × Leonurus extract do not have reciprocation (P > 0.05), Gypenosides × Leonurus extract, shell Oligosaccharides × Gypenosides × Leonurus extract has reciprocation (P < 0.05), shows chitosan oligosaccharide, Gypenosides, motherwort Extract has synergistic effect to GSH is improved;To the improvement result of γ-GT, chitosan oligosaccharide, Gypenosides, Leonurus extract are equal Have a significant effect (whole P < 0.01), and chitosan oligosaccharide × Gypenosides have reciprocation (P < 0.01), and chitosan oligosaccharide × motherwort mentions Object, Gypenosides × Leonurus extract is taken not to have reciprocation (P > 0.05), chitosan oligosaccharide × Gypenosides × motherwort Extract has reciprocation (P < 0.01), shows that chitosan oligosaccharide, Gypenosides, Leonurus extract have collaboration to γ-GT is improved Effect;To the improvement result of MDA, chitosan oligosaccharide, Gypenosides, Leonurus extract have a significant effect (whole P < 0.01), Gypenosides × Leonurus extract has reciprocation (P < 0.01), and chitosan oligosaccharide × Leonurus extract, Gypenosides × Leonurus extract, chitosan oligosaccharide × Gypenosides × Leonurus extract do not have reciprocation (P > 0.05), show chitosan oligosaccharide, Gypenosides, Leonurus extract have synergistic effect to γ-GT is improved;To the improvement result of GSH-PX, only chitosan oligosaccharide has It influences (P<0.1), without influencing (P>0.05), Gypenosides × motherwort is extracted for Gypenosides, Leonurus extract Object, chitosan oligosaccharide × Leonurus extract, Gypenosides × Leonurus extract, chitosan oligosaccharide × Gypenosides × motherwort mention It takes object without reciprocation (P > 0.05), shows that chitosan oligosaccharide is most important to the improvement result of GSH-PX, but chitosan oligosaccharide, twist The total glycosides of stock Lan, Leonurus extract do not act synergistically in the clear prescription of composition kidney nitrogen.
In summary it analyzes, the clear prescription of kidney nitrogen is reasonable.Chitosan oligosaccharide, Gypenosides, Leonurus extract composition are multiple Fang Houke plays synergistic effect to the therapeutic effect of experimental renal failure, especially to experimental renal failure model nephridial tissue GSH, γ-GT Improvement have synergistic effect.In three factors, the effect of chitosan oligosaccharide is better than Gypenosides and Leonurus extract.
Specific embodiment
Below by way of specific embodiment, invention is further explained:
1 kidney nitrogen clearing capsule of embodiment
Preparation method: three kinds of drugs being uniformly mixed with starch, are mixed with starch, fill capsule, every 0.5g to get. Usage and dosage: it is oral, 3 times a day, once two grains.
The 2 clear piece of kidney nitrogen of embodiment
Preparation method: three kinds of drugs are uniformly mixed with starch, the ethyl alcohol system for being 70%--90% with appropriate mass concentration It is grain, dry, add 1.5% magnesium stearate, mix, tabletting, every 0.6g to get.Usage and dosage: it is oral, 3 times a day, one time 2 Piece.
The 3 clear particle of kidney nitrogen of embodiment
Preparation method: three kinds of drugs being mixed and dextrin, aspartame are uniform, with appropriate 70%--90% alcohol granulation, It is dry, packing, every packet 3g to get.Usage and dosage: it is oral, 3 times a day, one time 1 packet.

Claims (9)

1. a kind of Chinese medicine composition that can delay renal failure, it is characterised in that the Chinese medicine composition by following parts by weight group Divide and be made:
200~250 parts of chitosan oligosaccharide
20~40 parts of Gypenosides
160~300 parts of Leonurus extract.
2. the Chinese medicine composition according to claim 1 that renal failure can be delayed, it is characterised in that the chitosan oligosaccharide Molecular weight≤1500, content >=80%.
3. the Chinese medicine composition according to claim 1 that renal failure can be delayed, it is characterised in that the gynostemma pentaphylla Total glycosides content >=80%.
4. the Chinese medicine composition according to claim 1 that renal failure can be delayed, it is characterised in that the motherwort Extract is standard proportional extract 10:1.
5. the Chinese medicine composition according to claim 1 or 2 that renal failure can be delayed, it is characterised in that the composition with Dosage form is made in pharmaceutically acceptable auxiliary material.
6. the Chinese medicine composition according to claim 5 that renal failure can be delayed, it is characterised in that the dosage form is Tablet, capsule, granule.
7. the preparation method of the Chinese medicine composition described in claim 1 that renal failure can be delayed, it is characterised in that this method The following steps are included: by three kinds of drugs be uniformly mixed to get.
8. the Chinese medicine composition described in claim 1 that can delay renal failure delays renal failure and/or treatment gout in preparation Drug in application.
9. the medicine that urea nitrogen, creatinine, uric acid drop in preparation in the Chinese medicine composition described in claim 1 that can delay renal failure Application in object.
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