CN107536921B - Traditional Chinese medicine composition for treating hyperlipoproteinemia and application thereof - Google Patents

Traditional Chinese medicine composition for treating hyperlipoproteinemia and application thereof Download PDF

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CN107536921B
CN107536921B CN201710877861.1A CN201710877861A CN107536921B CN 107536921 B CN107536921 B CN 107536921B CN 201710877861 A CN201710877861 A CN 201710877861A CN 107536921 B CN107536921 B CN 107536921B
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CN107536921A (en
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罗兰
刘娟
顾伟鹰
时扣荣
谭朝丹
侯晓丽
李洁
朱秋珍
叶景华
周一心
朱建勇
李晓华
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Shanghai Seventh Peoples Hospital
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Abstract

The invention relates to a traditional Chinese medicine composition for treating hyperlipoproteinemia, which is prepared from the following raw material medicines in parts by weight: 90-110 parts of fructus trichosanthis, 90-110 parts of rhizoma alismatis, 140 parts of raw hawthorn, 90-110 parts of angelica sinensis and 90-110 parts of semen cassiae. Experiments show that the traditional Chinese medicine composition can obviously reduce the serum total cholesterol and triglyceride levels of a hyperlipemia animal model, and simultaneously increase the serum HDL-C, which indicates that the traditional Chinese medicine composition has obvious lipid-lowering efficacy, and the lipid-lowering effect is more obvious under the same dosage level. The lipid-lowering medicine has the advantages of few medicine ingredients, low price and simple preparation, and is a safe and effective lipid-lowering medicine.

Description

Traditional Chinese medicine composition for treating hyperlipoproteinemia and application thereof
Technical Field
The invention relates to the technical field of traditional Chinese medicines, in particular to a traditional Chinese medicine composition for treating hyperlipoproteinemia and application thereof.
Background
Hyperlipoproteinemia (hyperlipoproteinemia) is a condition known as hyperlipidemia, which refers to an increased level of cholesterol and/or triglycerides in the serum. Generally, the total cholesterol in the fasting serum of an adult exceeds 5.72mmol/L, the triglyceride exceeds 1.70mmol/L, and the hyperlipidemia can be diagnosed. Hyperlipidemia is common in middle-aged and elderly people, and the onset age of the hyperlipidemia tends to advance year by year, and patients with prolonged severe disease can have symptoms such as dizziness, headache, debilitation, palpitation, limb numbness, chest distress, chest pain, etc. They can be simply classified according to different types: hypercholesterolemia, hypertriglyceridemia, combined hyperlipidemia, and hypo-HDL cholesterolemia. They can be further classified into: primary hyperlipidemia and secondary hyperlipidemia. The incidence of cardiovascular diseases is gradually increasing in China, and hypercholesterolemia, hypertension and smoking are listed as main risk factors of coronary heart disease. The incidence of coronary heart disease events is increased along with the long-term increase of blood cholesterol, and the blood cholesterol is controlled to be at a proper level for a long time, so that the atherosclerosis can be prevented, the atheromatous plaque can be lightened, and the coronary heart disease events can be reduced. With the deep understanding of the significance of hypertriglyceridemia in atherosclerosis, the prevention and treatment of hyperlipidemia in the majority of people becomes an important link for preventing and treating atherosclerosis.
Chinese patent 201611167389.4 discloses a traditional Chinese medicine formula for treating hyperlipidemia, which comprises the following traditional Chinese medicine components in parts by weight: 13g of dried orange peel, 13g of pinellia ternate, 3g of liquorice, 13g of rhizoma alismatis, 28g of coix seeds, 18g of oriental wormwood, 16g of snakegourd fruit, 13g of scorched hawthorn fruit, 13g of lotus leaf and 13g of radix curcumae, and the preparation and use methods are as follows: decocting with water for oral administration: is taken 1 day, 7 doses are taken as a treatment course, and the administration is required for 2-6 treatment courses. Chinese patent 200910015457.9 discloses a medicine for treating hyperlipidemia, which is prepared from radix Salviae Miltiorrhizae 8-20 parts, folium Nelumbinis 8-20 parts, pericarpium Citri tangerinae 8-20 parts, exocarpium Benincase 8-20 parts, fructus crataegi 5-15 parts, stigma Maydis 5-15 parts, radix Angelicae sinensis 5-15 parts, flos Chrysanthemi root 5-15 parts, semen Cassiae 5-15 parts, herba Apii graveolentis 5-15 parts, fructus Sophorae 3-10 parts, rhizoma Alismatis 3-10 parts, folium Camelliae sinensis 3-10 parts, flos Lupuli 3-10 parts, fructus Mori 3-10 parts, XIAOJINLAMEI 3-10 parts, folium Eriobotryae 3-10 parts, rhizoma Polygonati 2-8 parts, flos Lilii 2-8 parts, fructus Citri Limoniae 2-8 parts, fructus Trichosanthis 2-8 parts, and fructus Aurantii Immaturus 2-8 parts. However, in the prior art, no report is found about the traditional Chinese medicine composition for treating hyperlipoproteinemia.
Disclosure of Invention
The first purpose of the present invention is to provide a Chinese medicine composition for treating hyperlipoproteinemia, which aims at overcoming the defects in the prior art.
The second purpose of the present invention is to provide the use of the above-mentioned Chinese medicinal composition for overcoming the disadvantages of the prior art.
In order to achieve the first purpose, the invention adopts the technical scheme that:
a traditional Chinese medicine composition for treating hyperlipoproteinemia is prepared from the following raw material medicines in parts by weight: 90-110 parts of fructus trichosanthis, 90-110 parts of rhizoma alismatis, 140 parts of raw hawthorn, 90-110 parts of angelica sinensis and 90-110 parts of semen cassiae.
As a preferred embodiment of the invention, the traditional Chinese medicine composition is prepared from the following raw material medicines in parts by weight: 95-105 parts of fructus trichosanthis, 95-105 parts of rhizoma alismatis, 135 parts of raw hawthorn, 95-105 parts of angelica sinensis and 95-105 parts of semen cassiae.
As a preferred embodiment of the invention, the traditional Chinese medicine composition is prepared from the following raw material medicines in parts by weight: 100 parts of fructus trichosanthis, 100 parts of rhizoma alismatis, 133 parts of raw hawthorn, 100 parts of angelica sinensis and 100 parts of semen cassiae.
As a preferred embodiment of the invention, the traditional Chinese medicine composition can be prepared into a clinically acceptable pharmaceutical preparation according to a conventional traditional Chinese medicine preparation method.
As a preferred embodiment of the present invention, the pharmaceutical preparation is a pill, powder, granule, capsule, tablet, mixture or oral liquid.
In order to achieve the second object, the invention adopts the technical scheme that:
the application of the traditional Chinese medicine composition in preparing a medicine for treating hyperlipoproteinemia.
As a preferred embodiment of the present invention, the hyperlipoproteinemia is specifically hypercholesterolemia, hypertriglyceridemia, combined hyperlipidemia and low high density lipoprotein cholesterolemia.
As a preferred embodiment of the present invention, the medicament further comprises a pharmaceutically acceptable carrier. Such pharmaceutically acceptable carriers include, but are not limited to: mannitol, sorbitol, sodium metabisulfite, sodium bisulfite, sodium thiosulfate, cysteine hydrochloride, thioglycolic acid, methionine, vitamin C, EDTA disodium, calcium sodium EDTA, monovalent alkali metal carbonates, acetates, phosphates or aqueous solutions thereof, amino acids, sodium chloride, potassium chloride, sodium lactate, xylitol, maltose, glucose, fructose, dextran, glycine, starch, sucrose, lactose, mannitol, silicon derivatives, cellulose and derivatives thereof, alginates, gelatin, polyvinylpyrrolidone, glycerol, Tween 80, agar, calcium carbonate, calcium bicarbonate, surfactants, polyethylene glycol, cyclodextrin, beta-cyclodextrin, phospholipids, kaolin, talc, calcium stearate, magnesium stearate.
As a preferred embodiment of the present invention, the preparation method of the drug is as follows: the raw material medicaments are taken according to the weight part, water which is 8 to 12 times of the total weight of the medicinal materials is added, the decoction is carried out twice, the filtration is carried out, the filtrate is combined, the supernatant fluid is taken, the concentration is carried out, the preservative and the simple syrup are added, the water is added, and the uniform stirring is carried out, thus obtaining the traditional Chinese medicine.
The invention has the advantages that:
1. the traditional Chinese medicine formula can obviously reduce the serum total cholesterol and triglyceride level of a hyperlipemia animal model, and simultaneously increases the serum HDL-C, so that the traditional Chinese medicine composition has obvious lipid-lowering effect, and the lipid-lowering effect is more obvious under the same dosage level.
2. The traditional Chinese medicine formula of the invention has only 5 medicines, the number of the medicines is small, the preparation method is simple, and the treatment cost is low.
3. In the traditional Chinese medicine formula, the proportion of the traditional Chinese medicine raw materials is obtained by contrast screening of a large number of experiments, and the traditional Chinese medicine formula has the advantages of good curative effect and obvious effect.
4. In the traditional Chinese medicine formula, the snakegourd fruit, the angelica and other traditional Chinese medicines have synergistic effect, so that the lipid-lowering effect of the traditional Chinese medicine composition is remarkably improved, and the curative effect is more remarkable.
Detailed Description
The invention will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and equivalents fall within the scope of the appended claims.
EXAMPLE 1 preparation of the Chinese medicinal composition of the present invention
Taking the following raw material medicines in parts by weight: 100 parts of fructus trichosanthis, 100 parts of rhizoma alismatis, 133 parts of raw hawthorn, 100 parts of angelica sinensis and 100 parts of semen cassiae, and decocting according to a conventional method.
Example 2 preparation of the Chinese medicinal composition of the present invention
Taking the following raw material medicines in parts by weight: 110 parts of fructus trichosanthis, 90 parts of rhizoma alismatis, 130 parts of raw hawthorn, 90 parts of angelica sinensis and 90 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
Example 3 preparation of the Chinese medicinal composition of the present invention
Taking the following raw material medicines in parts by weight: 110 parts of fructus trichosanthis, 110 parts of rhizoma alismatis, 130 parts of raw hawthorn, 90 parts of angelica sinensis and 90 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
Example 4 preparation of the Chinese medicinal composition of the present Invention (IV)
Taking the following raw material medicines in parts by weight: 110 parts of fructus trichosanthis, 110 parts of rhizoma alismatis, 140 parts of raw hawthorn, 90 parts of angelica sinensis and 90 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
Example 5 preparation of the Chinese medicinal composition of the present invention (V)
Taking the following raw material medicines in parts by weight: 110 parts of fructus trichosanthis, 110 parts of rhizoma alismatis, 140 parts of raw hawthorn, 110 parts of angelica sinensis and 90 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
Example 6 preparation of the Chinese medicinal composition of the present invention (VI)
Taking the following raw material medicines in parts by weight: 110 parts of fructus trichosanthis, 110 parts of rhizoma alismatis, 140 parts of raw hawthorn, 110 parts of angelica sinensis and 110 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
EXAMPLE 7 preparation of the Chinese medicinal composition of the present invention (VII)
Taking the following raw material medicines in parts by weight: 110 parts of fructus trichosanthis, 110 parts of rhizoma alismatis, 140 parts of raw hawthorn, 110 parts of angelica sinensis and 110 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
EXAMPLE 8 preparation of the Chinese medicinal composition of the present invention (eight)
Taking the following raw material medicines in parts by weight: 105 parts of fructus trichosanthis, 95 parts of rhizoma alismatis, 130 parts of raw hawthorn, 95 parts of angelica sinensis and 95 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
Example 9 preparation of the Chinese medicinal composition of the present invention (nine)
Taking the following raw material medicines in parts by weight: 105 parts of fructus trichosanthis, 105 parts of rhizoma alismatis, 130 parts of raw hawthorn, 95 parts of angelica sinensis and 95 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
EXAMPLE 10 preparation of the Chinese medicinal composition of the present invention (Ten)
Taking the following raw material medicines in parts by weight: 105 parts of fructus trichosanthis, 105 parts of rhizoma alismatis, 135 parts of raw hawthorn, 95 parts of angelica sinensis and 95 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
EXAMPLE 11 preparation of the Chinese medicinal composition of the present invention (eleven)
Taking the following raw material medicines in parts by weight: 105 parts of fructus trichosanthis, 105 parts of rhizoma alismatis, 135 parts of raw hawthorn, 105 parts of angelica sinensis and 95 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
EXAMPLE 12 preparation of the Chinese medicinal composition of the present invention (twelve)
Taking the following raw material medicines in parts by weight: 105 parts of fructus trichosanthis, 105 parts of rhizoma alismatis, 135 parts of raw hawthorn, 105 parts of angelica sinensis and 105 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
EXAMPLE 13 preparation of the Chinese medicinal composition of the present invention (thirteen)
Taking the following raw material medicines in parts by weight: 105 parts of fructus trichosanthis, 105 parts of rhizoma alismatis, 135 parts of raw hawthorn, 105 parts of angelica sinensis and 105 parts of semen cassiae, and the raw materials are decocted according to a conventional method.
It should be noted that the conventional method for decocting the raw materials described in examples 1 to 13 is a conventional method for preparing a decoction of Chinese herbs, i.e., decocting the raw materials in water to obtain a decoction.
EXAMPLE 14 preparation of tablets/capsules of the Chinese medicinal composition of the present invention
The Chinese medicinal composition of any one of embodiments 1-13 is taken, added with 8-12 times of water, decocted for 1-3 hours, and the decoction is filtered. Adding 10 times of water, decocting for 1.5-2.5 hr, filtering to obtain decoction, mixing decoctions, standing, filtering to obtain supernatant, concentrating, cooling, adding 1-5 times of ethanol, stirring, and precipitating overnight. Taking supernatant, and concentrating to obtain thick extract; adding pharmaceutical adjuvants, vacuum drying, pulverizing, granulating, and making into tablet or capsule.
Example 15 preparation of a Chinese medicinal composition/oral liquid of the present invention
The Chinese medicinal composition of any one of embodiments 1 to 13 is taken, added with 8 to 10 times of water, decocted for 3 hours, and the decoction is filtered. Adding 8 times of water, decocting for 2 hr, filtering to obtain decoction, mixing the decoctions, standing, filtering to obtain supernatant, concentrating, cooling, adding 1-5 times of ethanol, stirring, and precipitating overnight. Taking supernatant, and concentrating to obtain thick extract; adding appropriate pharmaceutical adjuvants, and making into mixture, oral liquid or syrup.
EXAMPLE 16 preparation of granules of the Chinese medicinal composition of the present invention
The Chinese medicinal composition of any one of embodiments 1 to 13 is taken, added with 8 to 10 times of water, decocted for 2.5 to 3.5 hours and filtered to obtain decoction. Adding 10 times of water, decocting for 2 hr, filtering to obtain decoction, mixing the decoctions, standing, filtering to obtain supernatant, concentrating, cooling, adding 1-5 times of ethanol, stirring, and precipitating overnight. Taking supernatant, and concentrating to obtain thick extract; adding appropriate pharmaceutical adjuvants, granulating, drying, grading to obtain 20g granule, and packaging into 10 g/bag.
EXAMPLE 17 preparation of syrup of the Chinese medicinal composition of the present invention
Taking the traditional Chinese medicine composition of any one of embodiments 1-13, adding water with the amount of 8-10 times of the total amount of medicinal materials, decocting twice, the first time for 2 hours, the second time for 1 hour, filtering, combining the filtrates, standing the filtrate for more than 12 hours, taking the supernatant, concentrating to a proper amount, adding a preservative and simple syrup while hot, adding water to 1000ml, stirring uniformly, subpackaging, and autoclaving to obtain the traditional Chinese medicine composition.
EXAMPLE 18 pharmacodynamic experiment
1. Material
SD male rats, weight 150-. The invention relates to a traditional Chinese medicine composition. Zhikeqing capsule (Chinese medicine Z20043852, Dongguan Wan Cheng pharmaceutical Co., Ltd., 0.3g per capsule). High-fat feed: 79% basal feed, 1% cholesterol, 10% egg yolk powder and 10% lard. Total Cholesterol (TC), Triglyceride (TG), and high density lipoprotein cholesterol (HDL-C) from Shanghai Jing union Biotechnology, Inc.
2. Method of producing a composite material
After the basic feed is fed to rats for 5 days, tail blood is taken overnight on an empty stomach, serum TC, TG and HDL-C are measured, the blood is randomly divided into 5 groups which are respectively a blank control group, a model group, a positive control group, a traditional Chinese medicine 1 group and a traditional Chinese medicine 2 group, the basic feed is fed to all the groups except the blank control group, and the high-fat feed is fed to all the groups except the blank control group, and the administration group is simultaneously administered by intragastric administration for 1 time per day for 8 weeks continuously. After 21h of administration (fasting after administration) at week 4 and week 8, respectively, tail blood was taken and the TC, TG, and HDL-C contents in the serum were measured.
The dosing regimen was as follows:
the positive control group was administered with Likeqing capsule (0.4 g/kg).
The following Chinese medicinal compositions are administered to the Chinese medicinal 1 group: 100 parts of fructus trichosanthis, 100 parts of rhizoma alismatis, 133 parts of raw hawthorn, 100 parts of angelica and 100 parts of semen cassiae, adding water accounting for 8-12 times of the total amount of medicinal materials, decocting twice, decocting for 2 hours for the first time and 1 hour for the second time, filtering, combining filtrates, standing for more than 12 hours, taking supernate, concentrating until the concentration of the medicinal materials is 0.2-0.8g/ml, and subpackaging for later use.
The Chinese medicinal composition is administered to the Chinese medicinal 2 groups as follows: 120 parts of fructus trichosanthis, 120 parts of rhizoma alismatis, 120 parts of raw hawthorn, 120 parts of angelica sinensis and 120 parts of semen cassiae, adding water accounting for 8-12 times of the total amount of medicinal materials, decocting twice, decocting for 2 hours for the first time and 1 hour for the second time, filtering, combining filtrates, standing for more than 12 hours, taking supernate, concentrating until the concentration of the medicinal materials is 0.2-0.8g/ml, and subpackaging for later use.
3. Results
(1) The drug of the invention has the effect of reducing TC and TG in rat serum
As shown in Table 1, comparison of TC levels before treatment in each group showed no statistical significance (P >0.05) in the differences, indicating that the total cholesterol levels remained consistent before treatment in each group of rats. After 4 weeks of treatment, the traditional Chinese medicine and the positive control group have obvious effect of reducing serum TC and TG of the hyperlipidemic rat, wherein the traditional Chinese medicine 1 group has better effect compared with the positive control group. After 8 weeks of treatment, the traditional Chinese medicine and the positive control group have obvious reducing effect on serum TC and TG of the hyperlipidemic rat, wherein the traditional Chinese medicine 1 group has obvious effect compared with the positive control group. The results show that the traditional Chinese medicine 1 group has better effect on reducing the serum TC and TG of the hyperlipidemic rat.
TABLE 1 serum TC, TG levels in pre-experimental and treated 4, 8 week high-fat rats
Figure BDA0001418469120000061
Figure BDA0001418469120000071
Note: p <0.01 in comparison to the cohort model, P <0.05 in comparison to the cohort model, and P <0.05 in comparison to the cohort positive control.
(2) Effect of the drug of the present invention on rat serum HDL-C
As shown in Table 2, the comparison of the HDL-C content before treatment in each group shows that the difference is not statistically significant (P >0.05), which indicates that the HDL-C content before treatment in each group of rats is consistent. After 4 weeks of treatment, the effects of the traditional Chinese medicine 1 group and a positive control drug on the serum HDL-C of the rat with the hyperlipidemia are remarkably different, and the level of the serum HDL-C can be effectively controlled, wherein the control effect of the traditional Chinese medicine 1 group is better compared with that of the positive control group. After 8 weeks of treatment, the effects of the traditional Chinese medicine 1 group, the traditional Chinese medicine 2 group and the positive control medicine on the serum HDL-C of the rat with the hyperlipidemia are all significantly different, and the level of the serum HDL-C can be effectively controlled. The results show that the traditional Chinese medicine 1 group has better effect of controlling the serum HDL-C of the rat with the hyperlipidemia.
TABLE 2 serum HDL-C levels in high-fat rats before the experiment and after 4 and 8 weeks of treatment
Figure BDA0001418469120000072
Figure BDA0001418469120000081
Note: p <0.01 in comparison to the cohort model, P <0.05 in comparison to the cohort model, and P <0.05 in comparison to the cohort positive control.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and additions can be made without departing from the method of the present invention, and these modifications and additions should also be regarded as the protection scope of the present invention.

Claims (6)

1. A traditional Chinese medicine composition for preventing serum total cholesterol and triglyceride increase and high density lipoprotein cholesterol decrease caused by high fat diet, reducing serum total cholesterol and triglyceride content and improving high density lipoprotein cholesterol content is characterized by being prepared from the following raw material medicines in parts by weight: 100 parts of fructus trichosanthis, 100 parts of rhizoma alismatis, 133 parts of raw hawthorn, 100 parts of angelica sinensis and 100 parts of semen cassiae.
2. The traditional Chinese medicine composition of claim 1, which is prepared into a clinically acceptable pharmaceutical preparation according to a conventional traditional Chinese medicine preparation method.
3. The composition of claim 2, wherein the pharmaceutical formulation is a pill, powder, granule, capsule, tablet or mixture.
4. The use of the composition of claim 1 in the preparation of a medicament for preventing elevated serum total cholesterol and triglycerides, reduced high density lipoprotein cholesterol, and lowering serum total cholesterol and triglycerides, and increasing high density lipoprotein cholesterol levels in a high fat diet.
5. The use of claim 4, wherein the medicament further comprises a pharmaceutically acceptable carrier.
6. The use according to claim 4, wherein the medicament is prepared by the following process: the raw material medicaments are taken according to the weight part, water which is 8 to 12 times of the total weight of the medicinal materials is added, the decoction is carried out twice, the filtration is carried out, the filtrate is combined, the supernatant fluid is taken, the concentration is carried out, the preservative and the simple syrup are added, the water is added, and the uniform stirring is carried out, thus obtaining the traditional Chinese medicine.
CN201710877861.1A 2017-09-26 2017-09-26 Traditional Chinese medicine composition for treating hyperlipoproteinemia and application thereof Expired - Fee Related CN107536921B (en)

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