CN106692453B - Chinese herbal medicine composition for treating Parkinson's disease and preparation method thereof - Google Patents

Chinese herbal medicine composition for treating Parkinson's disease and preparation method thereof Download PDF

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CN106692453B
CN106692453B CN201710087359.0A CN201710087359A CN106692453B CN 106692453 B CN106692453 B CN 106692453B CN 201710087359 A CN201710087359 A CN 201710087359A CN 106692453 B CN106692453 B CN 106692453B
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parkinson
disease
granules
medicine composition
herbal medicine
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CN106692453A (en
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李文伟
朱敏
鲍旭霞
张雯
丁浩
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Zhongshan Hospital Fudan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/80Scrophulariaceae (Figwort family)
    • A61K36/804Rehmannia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/21Amaranthaceae (Amaranth family), e.g. pigweed, rockwort or globe amaranth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/40Cornaceae (Dogwood family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/64Orobanchaceae (Broom-rape family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/331Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using water, e.g. cold water, infusion, tea, steam distillation or decoction

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Abstract

The invention discloses a Chinese herbal medicine composition for treating Parkinson's disease and Parkinson's syndrome, which is prepared from four traditional Chinese medicines of prepared rehmannia root, cistanche tubulosa, achyranthes root and dogwood fruit; the invention also provides a preparation method of the traditional Chinese medicine composition, which comprises the steps of cleaning and drying the four traditional Chinese medicines, respectively heating, refluxing and extracting by 4 times of volume of distilled water and 95% ethanol, centrifuging, taking supernate, concentrating in vacuum, freeze-drying the supernate into granules, and mixing 4 granules into granules according to the optimal proportion to obtain the medicinal granules.

Description

Chinese herbal medicine composition for treating Parkinson's disease and preparation method thereof
Technical Field
The invention relates to the technical field of traditional Chinese medicine compositions, in particular to a Chinese herbal medicine composition for adjuvant therapy of Parkinson's disease or Parkinson's syndrome.
Background
Parkinson Disease (PD) Parkinson syndrome is a common nervous system degenerative Disease of the middle-aged and the elderly, has high morbidity and disability rate, and seriously harms physical and mental health of patients. Epidemiological investigation shows that the prevalence rate of the Parkinson disease is about 160/10 ten thousands, and only China has about 150 thousands of Parkinson disease patients, and the prevalence rate of the Parkinson disease is on the rise with the aging of population. The clinically major symptoms of PD patients are resting tremor, muscular rigidity, bradykinesia and abnormal posture. Half of patients can not take care of themselves after 5-8 years, and a heavy economic burden is caused to families and society of the patients. Parkinson's disease, although less prevalent than PD, also results in a significant disability rate in the patient.
The traditional Chinese medicine considers that the Parkinson disease and the Parkinson syndrome belong to the scope of 'tremor syndrome' of the traditional Chinese medicine, are caused by internal and external reasons, have complex pathogenesis and are lingering and difficult to cure, and generally the Parkinson disease is considered as deficiency of origin and excess of origin, deficiency of liver and kidney and deficiency of qi and blood, excess of origin is wind, fire, phlegm, stasis and the like.
The treatment of parkinson's disease and parkinsonism syndrome currently mainly involves drug therapy, surgical therapy and gene therapy, of which drug therapy is still clinically predominant. To date, levodopa is still the first choice therapeutic drug for PD, but many side effects, such as 'end-of-dose' and dyskinesia, often appear within 2-5 years of its treatment, so it is important to "neuroprotective therapy" for patients in early stage of PD to save more dopaminergic neurons and delay or even block disease progression.
Therefore, those skilled in the art are devoted to develop a Chinese medicinal composition for adjuvant treatment of Parkinson's disease and Parkinson's syndrome, rescue dopaminergic neurons, and relieve myotonic symptoms and partial non-motor symptoms in patients.
Disclosure of Invention
In view of the above-mentioned drawbacks of the prior art, the technical problem to be solved by the present invention is to provide a herbal composition for treating parkinson's disease, comprising the following as main components:
radix rehmanniae Preparata (rhizome of Rehmannia glutinosa Liboschx. et Mey. or Rehmannia glutinosa Rehmannia (Gaertn.) of Scrophulariaceae)
Cistanche tubulosa (dry fleshy stem with scaly leaves of Cistanche deserticola Y.C.Ma of Orobanchaceae)
Corni fructus (dried mature pulp of Cornus officinalis Sieb. et Zucc. of Cornaceae)
Achyranthes bidentata (a dried root of Achyranthes bidentata blume, Amaranthaceae).
Further, the proportion of the main components is as follows:
radix rehmanniae Preparata of not less than 20% and not more than 50% by weight,
cistanche tubulosa of more than or equal to 20 and less than or equal to 40 weight percent,
dogwood of not less than 15% and not more than 30% by weight,
achyranthes bidentata of not less than 5 and not more than 30 wt%.
Preferably, prepared rehmannia root: cistanche tubulosa: dogwood fruit: achyranthes bidentata 20-30%: 20-30%: 20-30%: 20-30% or prepared rehmannia root: cistanche tubulosa: dogwood fruit: achyranthes bidentata 40-50%: 25-35%: 15-25%: 5 to 10 percent.
Furthermore, the Chinese herbal medicine composition is in the form of granules.
Furthermore, the Chinese herbal medicine composition can be used together with Meiduoba, so that the dosage of the Meiduoba is reduced.
The invention also provides a preparation method of the Chinese herbal medicine composition, which comprises the following steps:
distilling radix rehmanniae Preparata, Cistanchis herba, Corni fructus, and Achyranthis radix with 2-10 times of distilled water and/or ethanol respectively;
centrifuging, collecting supernatant, and concentrating;
freeze drying to obtain granules;
mixing the medicinal granules in the formula in proportion.
The small anti-Parkinson compound provided by the embodiment is proved to have good dopaminergic neuron rescue effect through experimental research, and in clinical application, the recipe can effectively improve the clinical symptoms of patients after being taken for a long time, and the dosage of Meiduoba is reduced.
Technical effects
The Chinese herbal medicine composition provided by the invention has the following effects:
1) delay the progress of the Parkinson's disease and the Parkinson's syndrome;
2) effectively relieve the symptoms of the Parkinson disease and the Parkinson syndrome, particularly the symptoms of slow action and muscular stiffness, and improve the life quality of the patient;
3) effectively cooperate with western medicines (such as MEIDOBA);
4) effectively improve non-motor symptoms in part of patients: such as sweating, constipation, etc.
The preparation method of the Chinese herbal medicine composition provided by the invention can simply and completely extract and store the active ingredients in the Chinese herbal medicines, and can be prepared into granules which are convenient for patients to take with water.
The conception, the specific structure and the technical effects of the present invention will be further described with reference to the accompanying drawings to fully understand the objects, the features and the effects of the present invention.
Drawings
FIG. 1 shows the immunohistochemistry (40-fold lens) of rat substantia nigra tyrosine hydroxylase in a control group in a biological experiment according to a preferred embodiment of the present invention;
FIG. 2 shows the immunohistochemistry (40-fold lens) of rat substantia nigra tyrosine hydroxylase of a model group in a biological experiment according to a preferred embodiment of the present invention;
FIG. 3 shows the immunohistochemical results (40 times lens) of rat substantia nigra tyrosine hydroxylase after model group and Chinese herbal medicine in the biological experiment according to a preferred embodiment of the present invention;
FIG. 4 is an optical microscope image of the frame area of FIG. 1 under a 200 lens magnification;
FIG. 5 is an optical microscope image of the frame area of FIG. 2 under a 200 lens magnification;
FIG. 6 is an optical microscope image of the frame area of FIG. 3 under a 200 lens magnification;
Detailed Description
The following detailed description of embodiments of the invention is intended to be illustrative, and is not to be construed as limiting the invention.
The embodiment provides a Chinese herbal medicine composition which is mainly used for relieving the symptoms of slow movement and muscular stiffness caused by the Parkinson disease or the Parkinson syndrome, improving the life quality of the patient, coordinating western medicines such as Meiduoba and the like, performing synergistic action and reducing the dosage of the western medicines. The Chinese herbal medicine formula comprises the following components: prepared rehmannia root: cistanche tubulosa: dogwood fruit: achyranthes bidentata 10 g: 12 g: 10 g: 10 g. The Chinese herbal medicine formula is granule, which is convenient for patients to carry and take. In another preferred embodiment of the invention, the ratio of the four traditional Chinese medicines is prepared rehmannia root: cistanche tubulosa: dogwood fruit: achyranthes bidentata 14 g: 10 g: 6 g: 2g of the total weight.
The dopamine neuron rescue effect of the small parkinson compound provided by the present example is verified by a biological experiment as follows. In the experiment, about 90 wistar rats of which the weight is about 300g are randomly divided into 9 groups, 1 to 7 groups are small Parkinson compound traditional Chinese medicine intervention observation groups with different medicine proportions, 8 groups are modeling groups, and 9 groups are normal control groups. The medicine proportion of 1-7 groups is uniformly designed U7(74) And arranging experiments to obtain seven formulas. 7 observation groups and model building groups were continuously injected intraperitoneally with rotenone (2.8mg/kg/day) until the Parkinson's disease model was induced. Seven formulas are respectively used 1 week before the injection of rotenoneAnd continuously performing intragastric administration for 5 weeks as an intervention measure, and performing intragastric administration on the modeling group by using physiological saline with the same dose. The weight is measured every two days, and the weight is reduced by 20 percent or the balance beam test is more than or equal to 20s respectively used as an index for evaluating the success of model building of the rat model. Finally, the tyrosine hydroxylase expression of the substantia nigra pars compacta of each group is analyzed by an immunofluorescence method, and statistics indicates that the number of positive neurons of the model group is obviously smaller than that of a control group (p)<0.01), the number of positive cells in the 4 th and 7 th groups of the small compound Parkinson's disease is obviously more than that of the building block (P)<0.05). FIGS. 1-6 show the results of immunohistochemistry for rat substantia nigra Tyrosine Hydroxylase (TH) in control, model plus traditional Chinese medicine, respectively, wherein FIGS. 1-3 are fluorescence micrographs under 40 times lens; FIGS. 4-6 are fluorescence micrographs of the corresponding regions of FIGS. 1-3 taken at 200 Xmagnification, respectively.
Clinical experiments carried out by using the Chinese herbal medicine composition in the embodiment have the following results: patients self-contrast before and after medication, and the group entry standard is as follows: 1) clinical diagnosis is parkinson's disease; 2) Hoehn-Yahr classification is less than or equal to grade III; 3) all have more obvious muscle stiffness symptoms. 30 patients were treated with the formula for 16 weeks in addition to the basic treatment. In 27 patients who finally completed the experiment, the score change of the motor part (UPDRS) according to the unified Parkinson disease score scale before and after traditional Chinese medicine intervention (26.26 +/-5.46 before the traditional Chinese medicine is added and 17.96 +/-6.76 after the traditional Chinese medicine is added) is counted to have significant difference (p is less than 0.001). The prescription is applied to 19 patients with Parkinson's disease with muscle stiffness as a remarkable expression, and symptoms are also remarkably improved.
The embodiment also provides a preparation method of the Chinese herbal medicine composition, and after the four medicinal materials in the composition are qualified through microscopic and thin-layer chromatography (TLC), the four medicinal materials are processed through the following steps:
cleaning, drying and other processing technologies;
heating and refluxing with 4 times of distilled water and 95% ethanol;
centrifuging, and vacuum concentrating the supernatant;
freeze drying to obtain granules;
according to the weight percentage of prepared rehmannia root: cistanche tubulosa: dogwood fruit: achyranthes bidentata 10: 12 g: 10 g: 10g of the mixture, 4 kinds of granules are mixed into granules.
The foregoing detailed description of the preferred embodiments of the invention has been presented. It should be understood that numerous modifications and variations could be devised by those skilled in the art in light of the present teachings without departing from the inventive concepts. Therefore, the technical solutions available to those skilled in the art through logic analysis, reasoning and limited experiments based on the prior art according to the concept of the present invention should be within the scope of protection defined by the claims.

Claims (3)

1. The Chinese herbal medicine composition for treating the Parkinson's disease is characterized by comprising the following components in parts by weight:
radix rehmanniae Preparata of not less than 20% and not more than 50 wt%
Cistanche tubulosa (Desertliving cistanche) Merr of not less than 20% and not more than 40% by weight
Corni fructus of not less than 15% and not more than 30% by weight
Achyranthes bidentata of not less than 5 and not more than 30 wt%.
2. The herbal composition for the treatment of parkinson's disease of claim 1, wherein said herbal composition is in the form of granules.
3. The method of preparing a herbal composition for the treatment of parkinson's disease as set forth in claim 1, comprising the steps of:
extracting radix rehmanniae Preparata, Cistanchis herba, Corni fructus, and Achyranthis radix with 2-10 times of distilled water and/or ethanol under reflux;
centrifuging and taking supernatant;
concentrating;
freeze drying to obtain granules;
mixing the medicinal granules in the formula in proportion.
CN201710087359.0A 2017-02-17 2017-02-17 Chinese herbal medicine composition for treating Parkinson's disease and preparation method thereof Active CN106692453B (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101474361B (en) * 2009-01-19 2011-03-16 河南百年康鑫药业有限公司 Chinese medicine for treating cerebropathy
CN104587052A (en) * 2015-02-13 2015-05-06 陈红 Traditional Chinese medicine combination for Parkinson disease treatment and application thereof

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101474361B (en) * 2009-01-19 2011-03-16 河南百年康鑫药业有限公司 Chinese medicine for treating cerebropathy
CN104587052A (en) * 2015-02-13 2015-05-06 陈红 Traditional Chinese medicine combination for Parkinson disease treatment and application thereof

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