CN105770515A - 一种治疗前列腺炎的中药组合物及其制备方法 - Google Patents
一种治疗前列腺炎的中药组合物及其制备方法 Download PDFInfo
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- CN105770515A CN105770515A CN201511007262.1A CN201511007262A CN105770515A CN 105770515 A CN105770515 A CN 105770515A CN 201511007262 A CN201511007262 A CN 201511007262A CN 105770515 A CN105770515 A CN 105770515A
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- Medicines Containing Plant Substances (AREA)
Abstract
本发明属于中药领域,涉及一种治疗前列腺炎的中药组合物及其制备方法,该中药组合物由以下重量份数的制备原料组成:麦冬10‑20份、知母10‑20份、川楝子10‑20份、白茅根8‑18份、刘寄奴8‑20份、巴戟天6‑18份、白芍6‑20份、蛇床子4‑14份、茯苓6‑16份、五味子4‑12份和甘草4‑12份。本发明提供的中药组合物可以有效的降低大鼠的非细菌性或细菌性前列腺液中的白细胞总数,增加大鼠前列腺液中的卵磷脂小体密度,减少大鼠腺体湿重系数,对前列腺炎具有显著的治疗效果。而且本发明的中药组合物还具有清热解毒等功效,有利于前列腺炎患者的康复。
Description
技术领域
本发明属于中药领域,尤其涉及一种治疗前列腺炎的中药组合物及其制备方法。
背景技术
前列腺炎是男性生殖系统的一种常见病,有急性和慢性两种,以后者为多。急性前列腺炎治疗不彻底可转变成慢性前列腺炎。导致该病的原因有细菌性和无细菌性两种。其感染途径为经尿道上行感染;有菌小便经前列腺管返流;直肠菌直接或经淋巴扩散;血源感染等四种。无菌性前列腺的病因非常复杂,近年发现了一些难于发现的病原体,如结核菌、厌菌、滴虫、霉氧菌、支原体等引起的慢性炎症,以及自身免疫反应和激素紊乱也是慢性前列腺炎的病因。
临床上,急性前列腺炎多表现为发热、寒战、会阴部胀痛、小腹隐痛、小便涩痛等症状;慢性前列腺炎则多呈现会阴部、小腹部胀痛,有时可牵扯睾丸、下腹及腰骶部,可有小便涩痛现象。前列腺液化验可协助诊断。本病中医归属于“白浊”、“劳淋”、“肾虚腰痛”等范畴。西医治疗治疗前列腺炎主要采用抗菌治疗,服用消炎、止痛药,物理治疗及手术治疗等方法。而前列腺炎的西医药物治疗中,会反复大量使用广谱抗生素,从而导致体内菌群失调,免疫力下降,使原本不致病的病原体、真菌、微生物大量繁殖,成为诱发新的感染或加重原有感染的根源。西药治疗前列腺炎副作用大,效果不明显。一次,在前列腺炎的治疗,为避免前列腺炎患者承受久治不愈的巨大心理压力和精神负担,采取中药治疗方法是对前列腺炎治标治本的较佳方法。
中国专利申请00113975.4公开了一种治疗前列腺炎的药物,该药物由以下原料制得:公英、地丁、土茯苓、皂刺、莪术、益母草、黄龙七、冬葵子、白头翁、白部、桔梗以及甘草。该药物在治疗慢性前列腺炎方面具有疗效,但是该药物治疗前列腺炎的周期长,且在消炎止痛方面疗效不是很显著。
发明内容
本发明要解决的技术问题是提供一种治疗前列腺炎的中药组合物,该中药组合物在治疗前列腺炎方面,具有针对性强、疗效好、复发率低的优点。同时,本发明还提供其制备工艺。
本发明中药组合物由以下重量份数的制备原料组成:
麦冬10-20份、知母10-20份、川楝子10-20份、白茅根8-18份、刘寄奴8-20份、巴戟天6-18份、白芍6-20份、蛇床子4-14份、茯苓6-16份、五味子4-12份和甘草4-12份。
进一步地,所述中药组合物由以下重量份数的制备原料组成:
麦冬10份、知母10份、川楝子10份、白茅根8份、刘寄奴8份、巴戟天6份、白芍6份、蛇床子4份、茯苓6份、五味子4份和甘草4份。
进一步地,所述中药组合物由以下重量份数的制备原料组成:
麦冬20份、知母20份、川楝子20份、白茅根18份、刘寄奴20份、巴戟天18份、白芍20份、蛇床子14份、茯苓16份、五味子12份和甘草12份。
进一步地,所述中药组合物由以下重量份数的制备原料组成:
麦冬15份、知母15份、川楝子15份、白茅根12份、刘寄奴14份、巴戟天12份、白芍13份、蛇床子9份、茯苓10份、五味子8份和甘草8份。
进一步地,所述中药组合物被制成胶囊剂、片剂、散剂或颗粒剂。
相应地,所述中药组合物的制备方法包含下述步骤:
S1:分别取麦冬、知母、川楝子、白茅根、刘寄奴、巴戟天、白芍、蛇床子、茯苓、五味子和甘草,洗净,干燥后粉碎,合并粗粉,加入药材粗粉总重量8-10倍量的水浸泡1-2h,回流提取2-3次,每次3-5小时,过滤并保留滤渣,合并滤液,得水提液;
S2:往S1中的滤渣中加入药材总重量8-10倍量体积分数为70-80%的乙醇,回流提取2-3次,每次3-5小时,过滤,合并滤液,得醇提液;
S3:合并水提液和醇提液,搅拌均匀后,静置12-24小时,2000g离心15-30分钟,取上清液,进行超滤处理,温度为20-40℃,料液pH为6-8,进液口压力为0.3MPa,出液口压力比进液口压力低0.35kPa,周期性压力波动的压力波动差为0.1-0.2MPa,当料液原液减少1/10-1/5时,再加水超滤1-2次,合并超滤液;
S4:将超滤液真空减压浓缩至至60℃下相对密度为1.05-1.15的浸膏,即得。
本发明所用组分的来源、性味、归经及功效:
麦冬:本品为百合科植物麦冬(沿阶草)的干燥块根;味甘,微苦,性微寒;归心、肺、胃经;养阴生津,润肺清心。
知母:本品为百合科植物知母的干燥根茎;味苦、甘,性寒;归肺、胃、肾经;清热泻火,生津润燥。
川楝子:本品为楝科植物川楝的干燥成熟果实;味苦,性寒;归肝、小肠、膀胱经;舒肝行气止痛,驱虫。
白茅根:本品为禾本科植物白茅的干燥根茎;味甘,性寒;归肺、胃、膀胱经;凉血止血,清热利尿。
刘寄奴:本品为菊科植物奇蒿的全草;味苦,性温;归心、脾经;破血通经,敛疮消肿。
巴戟天:本品为茜草科植物巴戟天的干燥根;味甘,辛,微温;归肾、肝经;补肾阳,强筋骨,祛风湿。
白芍:本品为毛茛科植物芍药的干燥根;味苦、酸,性微寒;归肝、脾经;平肝止痛,养血调经,敛阴止汗。
蛇床子:本品为伞形科植物蛇床的干燥成熟果实;味辛、苦,性温;归肾经;温肾壮阳,燥湿,祛风,杀虫。
茯苓:本品为多孔菌科植物茯苓的干燥菌核;味甘淡,性平;归心、脾、肺经;渗湿利水,益脾和胃,宁心安神。
五味子:本品为木兰科植物五味子或华中五味子的干燥成熟果实;味酸、甘,性温;归肺,心、肾经;收敛固涩,益气生津,补肾宁心。
甘草:本品为豆科植物甘草、胀果甘草或光果甘草的干燥根。味甘,性平;归心、肺、脾、胃经;补脾益气,清热解毒,祛痰止咳,缓急止痛,调和诸药。
本发明中药的组方分析:
本发明中药组合物的组方是以知母、川楝子和刘寄奴为君药,生津润燥,舒肝行气,止痛;以麦冬、白茅根、巴戟天和白芍为臣药,凉血止血,清热利尿,补肾阳;以蛇床子、茯苓和五味子为佐药,温肾壮阳,宁心安神,益气生津,补肾宁心;以甘草为使药,补脾益气,清热解毒,祛痰止咳,调和诸药;君臣佐使诸药配合,协同促进,相辅相成,最终达到清热利尿,温肾壮阳,补肾宁心的功效,用于治疗前列腺炎疗效显著。
与现有技术相比,本发明具有如下技术优势:
(1)本发明中药组合物为天然纯中药组合物,毒副作用小,还具有清热解毒的功效,对前列腺炎治疗效果明显、稳定,而且治疗周期短、复发率低。
(2)药效学实验表明,本发明中药组合物能够有效的降低大鼠非细菌性或细菌性前列腺液中白细胞总数,增加大鼠前列腺液中的卵磷脂小体密度,还能明显减少大鼠前列腺腹叶湿重系数,可见,本发明中药组合物对大鼠前列腺炎和大鼠前列腺增生均有抑制作用。
具体实施方式
本领域技术人员应理解,以下实施例中所公开的技术代表本发明人发现的在本发明的实践中发挥良好作用的技术。然而,在所公开的具体实施方案中可以做出许多改变,并仍然获得相同或相似的结果,而不脱离本发明的精神和范围。
实施例1:
本发明实施例1中药组合物由以下重量份数的制备原料组成:
麦冬10份、知母10份、川楝子10份、白茅根8份、刘寄奴8份、巴戟天6份、白芍6份、蛇床子4份、茯苓6份、五味子4份和甘草4份。
制备方法如下:
S1:分别取麦冬、知母、川楝子、白茅根、刘寄奴、巴戟天、白芍、蛇床子、茯苓、五味子和甘草,洗净,干燥后粉碎,合并粗粉,加入药材粗粉总重量10倍量的水浸泡2h,回流提取3次,每次4小时,过滤并保留滤渣,合并滤液,得水提液;
S2:往S1中的滤渣中加入药材总重量10倍量体积分数为75%的乙醇,回流提取3次,每次5小时,过滤,合并滤液,得醇提液;
S3:合并水提液和醇提液,搅拌均匀后,静置12小时,2000g离心30分钟,取上清液,进行超滤处理,温度为30℃,料液pH为7,进液口压力为0.3MPa,出液口压力比进液口压力低0.35kPa,周期性压力波动的压力波动差为0.2MPa,当料液原液减少1/5时,再加水超滤2次,合并超滤液;
S4:将超滤液真空减压浓缩至至60℃下相对密度为1.05的浸膏,即得中药细粉;
S5:往所述的中药细粉中加入适当的辅料,利用现代中药制剂技术制成胶囊剂。
实施例2:
本发明实施例2中药组合物由以下重量份数的制备原料组成:
麦冬20份、知母20份、川楝子20份、白茅根18份、刘寄奴20份、巴戟天18份、白芍20份、蛇床子14份、茯苓16份、五味子12份和甘草12份。
制备方法同实施例1。
实施例3:
本发明实施例3中药组合物由以下重量份数的制备原料组成:
麦冬15份、知母15份、川楝子15份、白茅根12份、刘寄奴14份、巴戟天12份、白芍13份、蛇床子9份、茯苓10份、五味子8份和甘草8份。
制备方法同实施例1。
试验例一、本发明中药组合物对大鼠细菌性前列腺炎的影响
1.实验方法
取健康雄性SD大鼠10只、前列腺炎雄性SD大鼠80只,体重220-280g,10只健康雄性SD大鼠为空白对照组,将80只糖尿病肾病雄性SD大鼠随机分为8组,每组10只,为模型组、阳性对照组、本发明实施例1和实施例2制得的中药胶囊高、中、低剂量组。其中空白对照组、模型组给等量的蒸馏水,实施例1和实施例2制得的中药胶囊高、中、低剂量组分别灌胃本发明实施例1和实施例2制备得到的中药胶囊的高、中、低剂量,阳性对照组灌胃前列舒丸(北京康蒂尼药业有限公司生产,国药准字Z10910009),给药剂量见表1,每日1次。除空白对照组的大鼠外,各组大鼠的前列腺腹叶内叶注入1.5×107个/ml大肠埃希氏菌菌液0.1ml,空白对照组注入灭菌的等量生理盐水,连续灌胃给药共计25天。末次给药30min后,处死各组动物,摘取前列腺,按摩法取10μl前列腺液,在显微镜下数白细胞数,另取前列腺液涂片,镜下观察卵磷脂小体密度。
2.实验结果
表1本发明中药组合物对细菌性前列腺炎模型大鼠白细胞总数的影响
注:与空白对照组比较,△△P<0.01;与模型组比较,*P<0.05 ,**P<0.01;与阳性对照组比较,#P<0.05。
表2本发明中药组合物对细菌性前列腺炎的卵磷脂小体密度的影响
注:与空白对照组比较,△△P<0.01;与模型组比较,*P<0.05 ,**P<0.01;与阳性对照组比较,#P<0.05。
从表1可以看出,与空白对照组对比,模型组大鼠的白细胞总数显著增加(P<0.01),表明造模成功;与模型组对比,本发明实施例1、2制得的中药胶囊高、中、低剂量组和阳性对照组大鼠的白细胞总数显著降低(P<0.05),其中,实施例1中药胶囊高剂量组与阳性对照组相比具有显著性的差异(P<0.05)。以上结果表明,本发明实施例1制得的中药胶囊降低大鼠白细胞总数的效果更优。
从表2可以看出,与空白对照组对比,模型组大鼠的卵磷脂小体密度显著降低(P<0.01),表明造模成功;与模型组对比,本发明实施例1、2制得的中药胶囊高、中、低剂量组和阳性对照组大鼠的卵磷脂小体密度显著增加(P<0.05),其中,实施例1中药胶囊高剂量组与阳性对照组相比具有显著性的差异(P<0.05)。以上结果表明,本发明实施例1制得的中药胶囊高剂量组增加大鼠卵磷脂小体密度的效果更优。
试验例二、本发明中药组合物对大鼠前列腺增生的影响
1.实验方法
取健康雄性SD大鼠10只、前列腺炎雄性SD大鼠50只,体重180-220g,10只健康雄性SD大鼠为空白对照组,将50只糖尿病肾病雄性SD大鼠随机分为5组,每组10只,为模型组、本发明实施例1高、中、低剂量组和阳性对照组。除空白对照组10只外,其他5组均摘除双侧睾丸,8天后,每只大鼠每天注射丙酸睾酮5ml/kg,连续30天,诱发大鼠前列腺增生。空白对照组、模型组给等量的蒸馏水,高、中、低剂量组分别灌胃给本发明实施例1制得的中药胶囊的高、中、低剂量,阳性对照组灌胃前列舒丸(北京康蒂尼药业有限公司生产,国药准字Z10910009),给药剂量见表3,每日1次,连续给药30天后,处死大鼠,摘除双侧前列腺腹叶称重,计算前列腺湿重系数。实验结果如表3。
2. 实验结果
表3本发明中药组合物对大鼠前列腺增生腺体湿重系数的影响
注:与空白对照组比较,△△P<0.01;与模型组比较,*P<0.05 ,**P<0.01;与阳性对照组比较,#P<0.05。
从表3中可以看出,与空白对照组对比,模型组大鼠的腺体湿重系数显著增加(P<0.01);与模型组对比,本发明中药组合物高、中、低剂量组和阳性对照组大鼠的腺体湿重系数显著降低(P<0.05),其中,高剂量组与阳性对照组相比具有显著性的差异(P<0.05),以上结果表明,本发明中药组合物对丙酸睾酮所致大鼠前列腺增生有明显抑制作用。
以上内容是结合具体的优选实施方式对本发明所作的进一步详细说明,不能认定本发明的具体实施只局限于这些说明。对于本发明所属技术领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干简单推演或替换,都应当视为属于本发明的保护范围。
Claims (7)
1.一种治疗前列腺炎的中药组合物,其特征在于,所述中药组合物由以下重量份数的制备原料组成:
麦冬10-20份、知母10-20份、川楝子10-20份、白茅根8-18份、刘寄奴8-20份、巴戟天6-18份、白芍6-20份、蛇床子4-14份、茯苓6-16份、五味子4-12份和甘草4-12份。
2.如权利要求1所述的治疗前列腺炎的中药组合物,其特征在于,所述中药组合物由以下重量份数的制备原料组成:
麦冬10份、知母10份、川楝子10份、白茅根8份、刘寄奴8份、巴戟天6份、白芍6份、蛇床子4份、茯苓6份、五味子4份和甘草4份。
3.如权利要求1所述的治疗前列腺炎的中药组合物,其特征在于,所述中药组合物由以下重量份数的制备原料组成:
麦冬20份、知母20份、川楝子20份、白茅根18份、刘寄奴20份、巴戟天18份、白芍20份、蛇床子14份、茯苓16份、五味子12份和甘草12份。
4.如权利要求1所述的治疗前列腺炎的中药组合物,其特征在于,所述中药组合物由以下重量份数的制备原料组成:
麦冬15份、知母15份、川楝子15份、白茅根12份、刘寄奴14份、巴戟天12份、白芍13份、蛇床子9份、茯苓10份、五味子8份和甘草8份。
5.如权利要求1-4任一所述的治疗前列腺炎的中药组合物,其特征在于,所述中药组合物的制备方法包含下述步骤:
S1:分别取麦冬、知母、川楝子、白茅根、刘寄奴、巴戟天、白芍、蛇床子、茯苓、五味子和甘草,洗净,干燥后粉碎,合并粗粉,加入药材粗粉总重量8-10倍量的水浸泡1-2h,回流提取2-3次,每次3-5小时,过滤并保留滤渣,合并滤液,得水提液;
S2:往S1中的滤渣中加入药材总重量8-10倍量体积分数为70-80%的乙醇,回流提取2-3次,每次3-5小时,过滤,合并滤液,得醇提液;
S3:合并水提液和醇提液,搅拌均匀后,静置12-24小时,2000g离心15-30分钟,取上清液,进行超滤处理,温度为20-40℃,料液pH为6-8,进液口压力为0.3MPa,出液口压力比进液口压力低0.35kPa,周期性压力波动的压力波动差为0.1-0.2MPa,当料液原液减少1/10-1/5时,再加水超滤1-2次,合并超滤液;
S4:将超滤液真空减压浓缩至至60℃下相对密度为1.05-1.15的浸膏,即得。
6.如权利要求1-4任一所述的治疗前列腺炎的中药组合物,其特征在于,所述中药组合物被制成胶囊剂、片剂、散剂或颗粒剂。
7.如权利要求1-6任一所述的治疗前列腺炎的中药组合物的制备方法,其特征在于,所述包含下述步骤:
S1:分别取麦冬、知母、川楝子、白茅根、刘寄奴、巴戟天、白芍、蛇床子、茯苓、五味子和甘草,洗净,干燥后粉碎,合并粗粉,加入药材粗粉总重量8-10倍量的水浸泡1-2h,回流提取2-3次,每次3-5小时,过滤并保留滤渣,合并滤液,得水提液;
S2:往S1中的滤渣中加入药材总重量8-10倍量体积分数为70-80%的乙醇,回流提取2-3次,每次3-5小时,过滤,合并滤液,得醇提液;
S3:合并水提液和醇提液,搅拌均匀后,静置12-24小时,2000g离心15-30分钟,取上清液,进行超滤处理,温度为20-40℃,料液pH为6-8,进液口压力为0.3MPa,出液口压力比进液口压力低0.35kPa,周期性压力波动的压力波动差为0.1-0.2MPa,当料液原液减少1/10-1/5时,再加水超滤1-2次,合并超滤液;
S4:将超滤液真空减压浓缩至60℃下相对密度为1.05-1.15的浸膏,即得。
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