CN107670016A - 一种用于乳腺病的经皮肤给药制品及其制备方法 - Google Patents
一种用于乳腺病的经皮肤给药制品及其制备方法 Download PDFInfo
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Abstract
本发明“一种用于乳腺病的经皮肤给药制品及其制备方法”,属于中医药领域,是以下原料药的水提取液与黑木耳、羊肚菌母种原液进行共发酵所得的产物;所述原料药具有以下重量份配比:益母草10,丹参10,当归10,川穹10,红花10,肉桂10,泽兰10,枳石10,枳壳10,黄莲10,黄柏10,黄芩10,生地10,山棱10,莪术10,山慈菇10,竹黄10,鱼腥草10,金钱草10,白花蛇舌草10,半枝莲10,半边莲10,蚤休10,八角金盘10,僵蚕10,地龙干10,生姜皮5,冬瓜皮5,桑叶5;所述原料药的水提取液是采用富氢水为提取溶剂。所述制品用于治疗乳腺病,疗效好,无毒副作用,使用方便,及时减缓病情发展,提高患者免疫力,显著改善患者生存质量。
Description
技术领域
本发明涉及中医制品及其加工技术,特别是涉及一种用于乳腺病的经皮肤给药制品及其制备方法。
技术背景
乳腺病通常表现为是乳房疼痛、乳内肿块。乳房疼痛多为乳腺炎导致,发生在哺乳期,呈胀痛或搏动性痛,兼有红、肿、热现象,患处变硬,且先期出现乳头皲裂,这多是乳腺炎。若一侧乳房呈间歇性弥漫性钝痛、串痛,或局限性隐痛、刺痛,且与月经周期和情绪变化有关联者,要考虑乳腺上皮增生。乳腺癌晚期因病灶侵击神经,也可出现乳房剧痛。乳腺囊性增生病、乳房结核、乳房结核、乳腺纤维腺瘤、乳腺癌早期都可能出现乳内肿块,可归为乳腺增生类疾病。乳腺增生是乳腺组织导管和乳小叶在结构上的退行性病变及进行性结缔组织的生长,其发病原因主要是由于内分泌激素失调。中医认为:情怀不畅,肝气不得正常疏泻而气滞血淤疾凝,冲任不调者,常有月经紊乱,面部色斑。
肝郁气滞性:月经先期或行经期乳房肿痛,随喜怒消失,一侧或双侧可扪及大小不等的串珠状节结,肿块多为绿豆大步节结,或成粗条索状。质韧不坚硬,按之可动,不与深部组织粘连,境介不清,月经周期不足,经量较多,胸闷暖气,精神抑郁,心烦易怒。
冲任不调型:乳房有肿块,经前或经期疼痛加重,经行后减轻或消失,经期多后延,经痛不剧,经量少,身倦无力,腰酸肢冷,少腹畏寒,日久失治者,少数可发生癌变
现有治疗方法中,西药有5%碘化钾,疼痛严重者可试用甲基睾丸素,在月经前一周内开始口服。中医辨证治疗一般选用中成药或方剂治疗:
(1)属肝气郁结型的,宜疏肝理气,化痰散结。可服逍遥丸、小金片、乳癖丸、犀黄丸等。
(2)属肝肾阴虚型的,宜调补肝肾,化痰散结。可服六味地黄丸、二至丸,同时合用小金丹。
(3)属冲任失调型的,宜调理冲任,温肾平肝。可服小金丹、散结灵等。
现有治疗方案多为口服药,严重的采用手术;但是对于一些特殊人群,比如哺乳期妇女,体弱者,不适合口服药;手术治疗由于其损伤太大,适合的患者类型更有限。还未见到安全有效的外用药。
发明内容
基于上述领域的需求,本发明提供一种用于乳腺病的经皮给药制品及其制备方法,用于治疗乳腺病,疗效好,无毒副作用,使用方便,及时减缓病情发展。
一种用于制备乳腺病的经皮给药制品的原料药组合物,其特征在于:包括A原料药,具有以下重量份配比:
益母草8-15,丹参8-15,当归8-15,川穹8-15,红花8-15,肉桂8-15,泽兰8-15,枳石8-15,枳壳8-15,黄莲8-15,黄柏8-15,黄芩8-15,生地8-15,山棱8-15,莪术8-15,山慈菇8-15,竹黄8-15,鱼腥草8-15,金钱草8-15,白花蛇舌草8-15,半枝莲8-15,半边莲8-15,蚤休8-15,八角金盘8-15,僵蚕8-15,地龙干8-15,生姜皮3-8,冬瓜皮3-8,桑叶3-8。
优选地,所述A原料药,具有以下任一组重量份配比:
益母草15,丹参8,当归12,川穹15,红花12,肉桂11,泽兰12,枳石8,枳壳10,黄莲15,黄柏8,黄芩15,生地12,山棱8,莪术12,山慈菇8,竹黄8,鱼腥草15,金钱草12,白花蛇舌草12,半枝莲8,半边莲15,蚤休8,八角金盘12,僵蚕12,地龙干15,生姜皮3,冬瓜皮8,桑叶5;
益母草8,丹参15,当归15,川穹8,红花15,肉桂8,泽兰15,枳石12,枳壳15,黄莲12,黄柏15,黄芩12,生地8,山棱15,莪术15,山慈菇8,竹黄13,鱼腥草12,金钱草15,白花蛇舌草8,半枝莲12,半边莲12,蚤休12,八角金盘8,僵蚕15,地龙干8,生姜皮5,冬瓜皮3,桑叶8;
益母草13,丹参12,当归8,川穹12,红花8,肉桂15,泽兰8,枳石15,枳壳12,黄莲8,黄柏12,黄芩12,生地15,山棱12,莪术8,山慈菇15,竹黄15,鱼腥草8,金钱草8,白花蛇舌草15,半枝莲15,半边莲8,蚤休15,八角金盘15,僵蚕8,地龙干12,生姜皮4,冬瓜皮4,桑叶3;
益母草10,丹参10,当归10,川穹10,红花10,肉桂10,泽兰10,枳石10,枳壳10,黄莲10,黄柏10,黄芩10,生地10,山棱10,莪术10,山慈菇10,竹黄10,鱼腥草10,金钱草10,白花蛇舌草10,半枝莲10,半边莲10,蚤休10,八角金盘10,僵蚕10,地龙干10,生姜皮5,冬瓜皮5,桑叶5。
本发明还提供一种用于乳腺病的经皮肤给药制品,其特征在于:
是以述原料药组合物的水提取液与黑木耳、羊肚菌母种原液进行共发酵,经浓缩、制备剂型所得的产物。
优选地,所述浓缩的工艺如下:
共发酵后放罐后的产物,进入醇沉提取罐,加入冷水浸提渗滤,再煮沸,滤汁去渣;其
汁加4倍体枳的75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉。
优选地,所述剂型指将所述多糖粉制成丹剂、贴膏剂、涂抹剂、软膏剂、乳剂、凝胶剂或气雾剂。
优选地,所述制备剂型指制备为贴膏剂,以食用油和黄丹为辅料,制品中植物油、黄丹、多糖粉的质量比例为:14-26:4-16:14-26;优选为:25:12.5:15,20:4:20,15:10:15,14:16:14 或26:16:26,采用的水为富氢水。
本发明还提供任一所述的用于乳腺病的经皮肤给药制品的制备方法,包括如下步骤:
(1)制备所述原料药组合物的中药原液和羊肚菌母种原液;
(2)共发酵:所述中药原液稀释20倍后与羊肚菌母种原液进行共发酵得到发酵产物;
(3)浓缩干燥;
(4)制剂。
优选地,所述共发酵是指在发酵罐中,按体枳比例65-100:10-30:0.3-2:0.3-2加入所述中药原液、水、黑木耳母种原液、羊肚菌母种原液,室温下发酵到有效固体物含量达80g/L 以上时放罐;
所述浓缩的工艺:共发酵后放罐后的产物,进入醇沉提取罐,加入水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉;
所述中药原液的提取工艺如下:在提取容器中,加入水和原料药;水与所述原料药重量比例为3-6:1,在25-35℃、800mpa环境下提取30-50分钟得到所述原料药的水提取液,优选,水与所述原料药组合物的重量比例为4-5:1,在28-32℃、800mpa环境下提取30-40分钟得到。
优选地,所述制剂指制成贴膏剂,制备步骤如下:
取植物油,猛火烧沸后,文火熬制一个半小时,油温达220-230℃,切断火源,在常温下冷却8-12小时,使油温降至40-45℃之间,加入干燥过的黄丹搅拌,然后文火边升温边搅拌,直至膏体达90℃再切断火源,不停搅拌,冷却至≦40℃时,加入多糖粉,搅拌20分钟,后倒出摊开冷却成膏状固体,然后在流动的冷水中浸泡200-240小时,其中植物油、黄丹和多糖粉的质量比例为14-26:4-16:14-26。
优选地,采用的水为富氢水。
发明人经研究,根据中医对乳腺病病因的研究,中药用药的配伍思想,在配伍出的中药原料药基础上,创造性地采用共同发酵的方法联合使用食用菌,通过发酵使得食用菌中的多糖、中药材中的植物多糖的比例大大提高,同时使中药材中其它有效成分分离出来,植物多糖和食用菌多糖经皮奏理毛孔由外而内温和地作用于乳腺组织,采用经络浸透的原理,调节乳腺内激素水平,刺激乳腺内组织,达到疏通经络、软坚散结、止痛消炎效果。根据对上百名患者跟踪调查发现,此制品安全有效,除了皮肤过敏患者不适合,无任何限制。
本发明的制品在制备过程中所用的水为富氢水,富氢水是最好的抗氧化物,集高氢量、弱碱性、负电位、小份子水为一体,容易在细胞膜穿梭参与新陈代谢,从而促进细胞排毒,增加了细胞的水合作用。使用富氢水使本发明的制品具有很强的还原功能,可以中和身体血液和细胞里的活性氧(自由基),平衡身体酸碱度,有助于抑制乳腺内增生组织的发展
本发明的另一个主要的贡献在于,还提供了专门针对本发明的用于乳腺病的经皮肤给药制品的制备方法,采用富氢水作为溶剂,在常温、超高压(30℃、800mpa)下提取中药成分,能够最大限度地将中药材植物细胞壁内容物提取出来,并保持原有成分,其分子结构只是从大变小,从而保留药效与原料药基本一致。
本发明所述制备方法还包括膏药的制法,黑膏药是祖国医学的外治疗法,黑膏药系指药材、食用植物油与黄丹炼制成膏料,摊涂于裱背材料上,共贴敷于皮肤的外用剂型。而本发明的黑膏药,为中药材提取干燥粉剂与食用植物油熬制,低温40-50℃加入黄丹炼制而成,充分提取并保留了药材中的药效成分,具有清热解毒、扶正祛邪之功效。
本发明的一个贡献在于,采用冷油入丹加温搅拌,冷油入多糖粉。改变了用热油提取的制膏方式。有效地避免了高温入丹引起有效物质破坏及毒性物质产生,极大地发挥了本发明制品在治疗乳腺病过程中药效。同时,膏药属于外治,从而避免了内服药物的毒副作用,再加上疗效确切,受到患者欢迎。膏药中的药物直接贴敷于体表穴位上,药性透过皮毛腠理由表入里,渗透达皮下组织,一方面在局部产生药物浓度的相对优势;另一方面可通过经络的贯通运行,直达脏腑失调经气失调的病所,发挥药物“归经”和功能效应,使药效数倍提高,从而发挥最大的全省药理效应,而且不易产生耐药性,未见不良反应。
本发明的制品中采用的中药材中多种成分具有祛腐生肌,扶正祛邪的作用,采用的原料药介绍如下:
益母草:又名:蓷、茺蔚、坤草,拉丁学名:Leonurus artemisia(Laur.)S.Y.Hu F,为唇形科、益母草属植物益母草的全草,夏季开花
丹参:为唇形科植物丹参Salvia miltiorrhiza Bge.的干燥根和根茎。
当归:学名:Angelica sinensis,)别名干归、秦哪、西当归、岷当归、金当归、当归身、涵归尾、当归曲、土当归,多年生草本的根。
川穹:又称为大川芎、芎,是伞形科植物川芎的干燥根茎。
红花:为菊科植物红花Carthamus tinctorius L.的筒状花冠
肉桂:(拉丁学名:Cinnamomum cassia Presl),又名玉桂、牡桂、玉树、大桂、辣桂、平安树、中国桂皮,为樟科植物肉桂的干燥树皮
泽兰:唇形科植物毛叶地瓜儿苗Lycopus lucidus Turcz.var.hirtus Regel的干燥地上部分
枳石:属芸香科植物酸橙及栽培变种或甜橙的干燥幼果
枳壳:药用来源为芸香科植物酸橙Citrus aurantium L.及其栽培变种的干燥未成熟果实炒熟后的薄壳。
黄莲:学名:Coptis chinensis),多年生草本植物,喜冷凉、湿润之处,属毛莨科黄连属干燥植物根茎。
黄柏:为芸香科植物黄皮树Phellodendron chinense Schneid.的干燥树皮。
黄芩:拉丁学名:Scutellaria baicalensis Georgi),别名山茶根、土金茶根。
生地:(拉丁学名:Rehmannia glutinosa Libosch),别名生地黄,野地黄、山烟根等,为玄参科植物地黄的块根
山棱:又名、山棱,黑三棱科水生草本植物黑三棱SparganiumstoloniferumBuch.Ham 的干燥块茎。
莪术:别称蒁药、莪荗、青姜、黑心姜、姜黄,姜科植物蓬莪术Curcuma phaeocaulisVal.、广西莪术Curcuma Kwangsiensis S.G.Lee et C.F.Liang或温郁金Curcumawenyujin Y.H. Chen et C.Ling的干燥根茎。
山慈菇:为兰科植物杜鹃兰、独蒜兰或云南独蒜兰的干燥假鳞茎
竹黄:为肉座菌科真菌竹黄ShiraiabambusicolaP.Henn.的子座及孢子。分布于江苏、安徽、浙江、江西、福建、湖北、四川、贵州、云南等地。
鱼腥草:三白草科植物蕺菜(拉丁学名:Houttuynia cordata Thunb.)的干燥地上部分
金钱草:报春花科植物过路黄Lysimachia christinae Hance的干燥全草
白花蛇舌草:为茜草科耳草属植物白花蛇舌草的全草;学名:HedyotisdiffusaWilld.;别名:蛇舌草、蛇舌癀、蛇针草、蛇总管、二叶葎、白花十字草、尖刀草、甲猛草、龙舌草、蛇脷草、鹤舌草;功效:清热,利湿,解毒。治肺热喘咳,扁桃体炎。咽喉炎,阑尾炎,痢疾,尿路感染,黄疸,肝炎,盆腔炎,附件炎,痈肿疔疮,毒蛇咬伤,肿瘤。亦可用于消化道癌症。
半边莲:为桔梗科植物半边莲LobeliachinensisLour.的干燥全草;学名:LobeliachinensisLour.[L.radicansThunb.];别名:细米草、急解索、半边花、蛇脷草[广东]、长虫草[河南];功效:利尿消肿,清热解毒。用于大腹水肿,面足浮肿,痈肿疔疮,蛇虫咬伤;晚期血吸虫病腹水。
半枝莲:为唇形科植物半枝莲ScutellariabarbataDon[S.rivularisWall]的干燥全草;学名:ScytekaruabarbvataD.Don(S.riu-lariasWall.);别名:并头草、狭叶韩信草、牙刷草、四方马兰;功效:清热解毒,化瘀利尿。用于疔疮肿毒,咽喉肿痛,毒蛇咬伤,跌扑伤痛,水肿,黄疸。
蚤休:为百合科植物七叶一枝花、金线重楼及其数种同属植物的根茎;别名:蚩休(《别录》),重楼、重台、草甘遂(《唐本草》),螫休(《日华子本草》),紫河车、重楼金线(《本草图经》),白甘遂(《小儿药证直诀》),重台草(《圣惠方》),独脚莲(《滇南本草》),三层草(《纲目》),草河车(《植物名实图考》),九道箍、铁灯盏、七叶一盏灯、鸳鸯虫(《分类草药性》),双层楼(《福建民间草药》),多叶重楼、七子莲、铁灯台、枝花头(《广西中兽医药植》),九层楼(《广西药植图志》),螺丝七、海螺七、灯台七(《陕西中药志》),七层塔、八角盘、孩儿掏伞(《闽东本草》),金盘托荔枝、金盘托;功效:清热解毒,平喘止咳,熄风定惊。治痈肿,疔疮,瘰疬,喉痹,慢性气管炎,小儿惊风抽搐,蛇虫咬伤。
八角金盘:(学名:Fatsia japonica(Thunb.)Decne.et Planch)[1]乃指其掌状的叶片
僵蚕:为蚕蛾科昆虫家蚕Bombyx mori Linnaeus4~5龄的幼虫感染(或人工接种)白僵菌Beauveria bassiana(Bals.)Vuillant而致死的干燥体
地龙干:蚯蚓,曬乾加工後成為中药材
生姜皮:为姜科植物姜Zingiber officinale Rosc.的根茎外皮
冬瓜皮:为葫芦科植物冬瓜Benincasa his pida(Thunb.)Cogn.的干燥外层果皮。
桑叶:学名:Folium Mori。中药名,是桑科植物桑的干燥叶
黄丹:为纯铅经加工制造而成的四氧化三铅(PB3O4);别名:、朱丹、红丹、漳丹、彰丹、朱粉、松丹、陶丹、铅黄、丹粉;功效:拔毒生肌,敛疮。外用治疮疡肿毒,创伤出血,烧烫伤。
羊肚菌为羊肚菌科真菌羊肚菌Morchella esculenta(L.)Pers.、小顶羊肚菌Morchella angusticeps Peck.、尖顶羊肚菌Morchella conica Pers.、粗柄羊肚菌Morchella crassipes(Vent.)Pers.、小羊肚菌Morchella deliciosa Fr.等的子实体,试管母种为其孢子体培养而来的菌丝体。
本发明的用于乳腺病的经皮肤给药制品,通过发酵,使中药中的多糖与羊肚菌菌中的多种多糖发生綴合,使本发明的药物中含有更高含量、更多种类的多糖綴合物,能够显著增强机体免疫力,经过发酵产生的丰富的多糖具有类似非特异性免疫作用,诱导机体能够主动识别体内非正常生长的细胞,有利于损伤组织/细胞的修复,并利用药物的协同或抵抗作用,以适应复杂病情的治疗要求,减少不良反应,疗效显著,安全可靠,服用简单,对乳腺病有良好的治疗效果。
临床实验统计数据显示,本发明的口服制品,对于乳腺病患者,具有显著的疗效,能及时减缓病情的发展,无毒副作用,适用者广发。
具体实施方式
以下通过具体实施例描述本发明的制品及其制备工艺。
一、材料:
黑木耳试管母种:购自中国农业微生物菌种保藏管理中心,保藏编号50007规格:试管斜面种(试管规格18mm×180mm,约40毫升)。购买到的或现有技术中记载的其它黑木耳菌株也适用本发明。申请人实验室亦有亦有保存,并制备成试管菌丝母种,自申请日起二十年可向公众发放用于实验研究。
羊肚菌(Morchella esculenta),又名草笠竹:购自中国农业微生物菌种保藏管理中心,保藏编号51589规格:试管斜面种(试管规格18mm×180mm,约40毫升)。购买到的或现有技术中记载的其它羊肚菌菌株也适用本发明。申请人实验室亦有亦有保存,并制备成试管菌丝母种,自申请日起二十年可向公众发放用于实验研究。
中药材:益母草,丹参,当归,川穹,红花,肉桂,泽兰,枳石,枳壳,黄莲,黄柏,黄芩,生地,山棱,莪术,山慈菇,竹黄,鱼腥草,金钱草,白花蛇舌草,半枝莲,半边莲,蚤休,八角金盘,僵蚕,地龙干,生姜皮,冬瓜皮,桑叶在中药房可购买到。
植物油:麻油,也可用花生油、菜籽油、色拉油、棉籽油、葵花籽油代替。
二、富氢水:日田天领水。
三、设备:
超高压锅:DEPCOA—500,采用超高压灭菌技术(Ultra-highpressureprocessing),简称UHP;高压食品加工技术(highpressure processing)。
发酵罐:为专利号03270560.3,名称为“食用菌液体菌种培养罐的罐盖及培养罐”的实用新型专利中记载的发酵罐。
注射器:专利号200320126960.X,名称为“食用菌液体注射杆及包含该注射杆的注射器”的实用新型专利中记载的注射器。
四:准备母种液:
1)在18L富氢水中加入硫酸镁20g,磷酸氢二钾50g,磷酸二氢钾50g,蔗糖250g,淀粉250g,加富氢水定容至20L。
2)将液体培养基1注入500ml玻璃瓶内,每瓶400ml,一共得50瓶,置入手提高压锅内在0.012MP/cm2,30min,取出后冷却至28℃~34℃,放入超净工作台内,制得液体培养基。
3)将工具、器皿以及液体培养基放入超净工作台内,用30g高锰酸钾置入盛有50%福尔马林30ml的器皿中,接种用的勾、耙、针、刀放入该器皿中灭菌30min。
4)将试管母种,切成3份,每份分别接入400ml/瓶的液体培养基内,静置120min-150min。
5)在摇床上以20次/min,振荡72-96小时,镜检无杂菌,即得母种液。
实施例1.用于乳腺病的1号制品
配比好的原料药:益母草15,丹参8,当归12,川穹15,红花12,肉桂11,泽兰12,枳石8,枳壳10,黄莲15,黄柏8,黄芩15,生地12,山棱8,莪术12,山慈菇8,竹黄8,鱼腥草15,金钱草12,白花蛇舌草12,半枝莲8,半边莲15,蚤休8,八角金盘12,僵蚕 12,地龙干15,生姜皮3,冬瓜皮8,桑叶5;
步骤1.水,采用超高压锅在30℃、600mpa环境下灭活10分钟,完成后其中19升通过无菌硅胶管道注入无菌发酵罐内备用。
步骤2.提取中药的水提取液:
配比好的原料药装在100目滤网中,在超高压锅加入富氢水和配比好的原料药,重量比为4:1;
在30℃、800mpa环境下处理30分钟,提取中药原液。
步骤3:共发酵
将提取中药的中药原液80L注入步骤1准备好的已注入18升富氢水的发酵灌中。再依次注入黑木耳、羊肚菌菌的母种原液各1升进行发酵。发酵时间到为144小时,检测有效固体物,含量达80g/L以上时放罐停止发酵。
步骤4.浓缩
放罐后,进入醇沉提取罐,加入冷水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉。
步骤5:膏状药制备工艺
取植物油,猛火烧沸后,文火熬制一个半小时,油温达220-230℃,切断火源,在常温下冷却8-12小时,使油温降至40-45℃之间,加入干燥过的黄丹搅拌,然后文火边升温边搅拌,直至膏体达90℃再切断火源,不停搅拌,冷却至≦40℃时,加入多糖粉,搅拌20分钟,后倒出摊开冷却成膏状固体,然后在流动的冷水中浸泡200-240小时,取出备用;其中植物油、黄丹和多糖粉的质量比例为25:12.5:15。
实施例2.用于乳腺病的2号制品
配比好的原料药2:益母草8,丹参15,当归15,川穹8,红花15,肉桂8,泽兰15,枳石12,枳壳15,黄莲12,黄柏15,黄芩12,生地8,山棱15,莪术15,山慈菇8,竹黄 13,鱼腥草12,金钱草15,白花蛇舌草8,半枝莲12,半边莲12,蚤休12,八角金盘8,僵蚕15,地龙干8,生姜皮5,冬瓜皮3,桑叶8;
步骤1.水,采用超高压锅在25℃、600mpa环境下灭活5分钟,完成后其中10升通过无菌硅胶管道注入无菌发酵罐内备用。
步骤2.提取中药的水提取液:
配比好的原料药装在100目滤网中,在超高压锅加入富氢水和配比好的原料药,重量比为3:1;
在25℃、800mpa环境下处理50分钟,提取中药原液。
步骤3:共发酵
将提取中药的中药原液65L注入步骤1准备好的已注入10升富氢水的发酵灌中。再依次注入黑木耳、羊肚菌菌的母种原液各0.3升进行发酵。发酵时间到为120小时,检测有效固体物,含量达80g/L以上时放罐停止发酵。
步骤4.浓缩
放罐后,进入醇沉提取罐,加入冷水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的 75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉。
步骤5:膏状药制备工艺
取植物油,猛火烧沸后,文火熬制一个半小时,油温达220-230℃,切断火源,在常温下冷却8-12小时,使油温降至40-45℃之间,加入干燥过的黄丹搅拌,然后文火边升温边搅拌,直至膏体达90℃再切断火源,不停搅拌,冷却至≦40℃时,加入多糖粉,搅拌20分钟,后倒出摊开冷却成膏状固体,然后在流动的冷水中浸泡200-240小时,取出备用;其中植物油、黄丹和多糖粉的质量比例为20:4:20。
实施例3.用于乳腺病的3号制品
配比好的原料药3:益母草13,丹参12,当归8,川穹12,红花8,肉桂15,泽兰8,枳石15,枳壳12,黄莲8,黄柏12,黄芩12,生地15,山棱12,莪术8,山慈菇15,竹黄 15,鱼腥草8,金钱草8,白花蛇舌草15,半枝莲15,半边莲8,蚤休15,八角金盘15,僵蚕8,地龙干12,生姜皮4,冬瓜皮4,桑叶3;
步骤1.富氢水(日田天领水),采用超高压锅在28℃、600mpa环境下灭活7分钟,完成后其中25升通过无菌硅胶管道注入无菌发酵罐内备用。
步骤2.提取中药的水提取液:
配比好的原料药装在100目滤网中,在超高压锅加入富氢水和配比好的原料药,重量比为6:1;
在35℃、800mpa环境下处理40分钟,提取中药原液。
步骤3:共发酵
将提取中药的中药原液90L注入步骤1准备好的已注入25升富氢水的发酵灌中。再依次注入黑木耳、羊肚菌菌的母种原液各1.5升进行发酵。发酵时间到为168小时,检测有效固体物,含量达80g/L以上时放罐停止发酵。
步骤4.浓缩
放罐后,进入醇沉提取罐,加入冷水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的 75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉。
步骤5:膏状药制备工艺
取植物油,猛火烧沸后,文火熬制一个半小时,油温达220-230℃,切断火源,在常温下冷却8-12小时,使油温降至40-45℃之间,加入干燥过的黄丹搅拌,然后文火边升温边搅拌,直至膏体达90℃再切断火源,不停搅拌,冷却至≦40℃时,加入多糖粉,搅拌20分钟,后倒出摊开冷却成膏状固体,然后在流动的冷水中浸泡240小时,取出备用;其中植物油、黄丹和多糖粉的质量比例为15:10:15。
实施例4.用于乳腺病的4号制品
配比好的原料药4:益母草10,丹参10,当归10,川穹10,红花10,肉桂10,泽兰 10,枳石10,枳壳10,黄莲10,黄柏10,黄芩10,生地10,山棱10,莪术10,山慈菇10,竹黄10,鱼腥草10,金钱草10,白花蛇舌草10,半枝莲10,半边莲10,蚤休10,八角金盘10,僵蚕10,地龙干10,生姜皮5,冬瓜皮5,桑叶5;
步骤1.富氢水(日田天领水),采用超高压锅在32℃、600mpa环境下灭活30分钟,完成后其中30升通过无菌硅胶管道注入无菌发酵罐内备用。
步骤2.提取中药的水提取液:
配比好的原料药装在100目滤网中,在超高压锅加入富氢水和配比好的原料药,重量比为5:1;
在28℃、800mpa环境下处理45分钟,提取中药原液。
步骤3:共发酵
将提取中药的中药原液100L注入步骤1准备好的已注入30升富氢水的发酵灌中。再依次注入黑木耳、羊肚菌菌的母种原液各2升进行发酵。发酵时间到为132小时,检测有效固体物,含量达80g/L以上时放罐停止发酵。
步骤4.浓缩
放罐后,进入醇沉提取罐,加入冷水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的 75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉。
步骤5.膏状药制备工艺
取植物油,猛火烧沸后,文火熬制一个半小时,油温达220-230℃,切断火源,在常温下冷却8-12小时,使油温降至40-45℃之间,加入干燥过的黄丹搅拌,然后文火边升温边搅拌,直至膏体达90℃再切断火源,不停搅拌,冷却至≦40℃时,加入多糖粉,搅拌20分钟,后倒出摊开冷却成膏状固体,然后在流动的冷水中浸泡240小时,取出备用;其中植物油、黄丹和多糖粉的质量比例为14:16:14。
实施例5.用于乳腺病的5号制品
配比好的原料药5:益母草10,丹参10,当归10,川穹10,红花10,肉桂10,泽兰10,枳石10,枳壳10,黄莲10,黄柏10,黄芩10,生地10,山棱10,莪术10,山慈菇10,竹黄10,鱼腥草10,金钱草10,白花蛇舌草10,半枝莲10,半边莲10,蚤休10,八角金盘 10,僵蚕10,地龙干10,生姜皮5,冬瓜皮5,桑叶5。
步骤1.富氢水(日田天领水),采用超高压锅在35℃、600mpa环境下灭活15分钟,完成后其中15升通过无菌硅胶管道注入无菌发酵罐内备用。
步骤2.提取中药的水提取液
配比好的原料药装在100目滤网中,在超高压锅加入富氢水和配比好的原料药,重量比为4.5:1;
在32℃、800mpa环境下处理35分钟,提取中药原液。
步骤3:共发酵
将提取中药的中药原液70L注入步骤1准备好的已注入15升富氢水的发酵灌中。再依次注入黑木耳、羊肚菌菌的母种原液各0.5升进行发酵。发酵时间到为156小时,检测有效固体物,含量达80g/L以上时放罐停止发酵。
步骤4.浓缩
放罐后,进入醇沉提取罐,加入冷水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的 75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉。
步骤5.膏状药制备工艺
取植物油,猛火烧沸后,文火熬制一个半小时,油温达220-230℃,切断火源,在常温下冷却8-12小时,使油温降至40-45℃之间,加入干燥过的黄丹搅拌,然后文火边升温边搅拌,直至膏体达90℃再切断火源,不停搅拌,冷却至≦40℃时,加入多糖粉,搅拌20分钟,后倒出摊开冷却成膏状固体,然后在流动的冷水中浸泡240小时,取出备用;其中植物油、黄丹和多糖粉的质量比例为26:16:26
使用方法:加温至45℃若成流状时摊在布上,贴在患者乳房疼痛区域,黑膏药面覆盖整个区域。每帖贴10天,中途洗澡时揭下,洗完加热再贴。
临床疗效观察试验例
共106例,年龄30~52岁,病史最长10年,最短两月;
诊断标准:
体征:乳房疼痛、乳房肿块、乳头溢液、月经失调;
经超声检测提示符合乳腺性增生超声表现;钼靶检测排除乳腺癌。
连续三个疗程,即30天后,效果观察:
疗效标准:
(1)临床治愈:肿块消失、乳痛消失,停药后3个月不复发。
(2)显效:肿块最大直径缩小1/2以上,乳痛消失。
(3)有效:①肿块最大直径缩小不足1/2,乳痛减轻;②肿块缩小1/2以上,乳痛不减轻。
(4)无效:①肿块不缩小,或反而增大变硬者;②单纯乳痛缓解,而肿块不缩小。
治愈:71例;半年后随访无复发。从体征上可观察到气色健康,自述内分泌回归正常,心情愉悦。
显效:19例;持续再用3个疗程后,半年后随访肿块无发展。从体征上可观察到气色健康,自述内分泌回归正常,心情愉悦。
有效:11例;持续再用3个疗程后,达到显效的程度,半年后随防肿块无发展。从体征上可观察到气色有改善,自述内分泌月经较之前更为规律正常,心情愉悦。
无效:4例,(由于皮肤敏感,对本发明的制品中某些成分过敏而无法持续使用)
总有效率:96%,治愈率67.6%。
Claims (10)
1.一种用于制备乳腺病的经皮给药制品的原料药组合物,其特征在于:包括A原料药,具有以下重量份配比:
益母草8-15,丹参8-15,当归8-15,川穹8-15,红花8-15,肉桂8-15,泽兰8-15,枳石8-15,枳壳8-15,黄莲8-15,黄柏8-15,黄芩8-15,生地8-15,山棱8-15,莪术8-15,山慈菇8-15,竹黄8-15,鱼腥草8-15,金钱草8-15,白花蛇舌草8-15,半枝莲8-15,半边莲8-15,蚤休8-15,八角金盘8-15,僵蚕8-15,地龙干8-15,生姜皮3-8,冬瓜皮3-8,桑叶3-8。
2.根据权利要求2所述的组合物,特征在于:所述A原料药,具有以下任一组重量份配比:
益母草15,丹参8,当归12,川穹15,红花12,肉桂11,泽兰12,枳石8,枳壳10,黄莲15,黄柏8,黄芩15,生地12,山棱8,莪术12,山慈菇8,竹黄8,鱼腥草15,金钱草12,白花蛇舌草12,半枝莲8,半边莲15,蚤休8,八角金盘12,僵蚕12,地龙干15,生姜皮3,冬瓜皮8,桑叶5;
益母草8,丹参15,当归15,川穹8,红花15,肉桂8,泽兰15,枳石12,枳壳15,黄莲12,黄柏15,黄芩12,生地8,山棱15,莪术15,山慈菇8,竹黄13,鱼腥草12,金钱草15,白花蛇舌草8,半枝莲12,半边莲12,蚤休12,八角金盘8,僵蚕15,地龙干8,生姜皮5,冬瓜皮3,桑叶8;
益母草13,丹参12,当归8,川穹12,红花8,肉桂15,泽兰8,枳石15,枳壳12,黄莲8,黄柏12,黄芩12,生地15,山棱12,莪术8,山慈菇15,竹黄15,鱼腥草8,金钱草8,白花蛇舌草15,半枝莲15,半边莲8,蚤休15,八角金盘15,僵蚕8,地龙干12,生姜皮4,冬瓜皮4,桑叶3;
益母草10,丹参10,当归10,川穹10,红花10,肉桂10,泽兰10,枳石10,枳壳10,黄莲10,黄柏10,黄芩10,生地10,山棱10,莪术10,山慈菇10,竹黄10,鱼腥草10,金钱草10,白花蛇舌草10,半枝莲10,半边莲10,蚤休10,八角金盘10,僵蚕10,地龙干10,生姜皮5,冬瓜皮5,桑叶5。
3.一种用于乳腺病的经皮肤给药制品,其特征在于:
是以权利要求1或2所述的原料药组合物的水提取液与黑木耳、羊肚菌母种原液进行共发酵,经浓缩、制备剂型所得的产物。
4.根据权利要求3所述的经皮肤给药制品,其特征在于,所述浓缩的工艺如下:
共发酵后放罐后的产物,进入醇沉提取罐,加入冷水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉。
5.根据权利要求3或4所述的制品,其特征在于,所述剂型指将所述多糖粉制成丹剂、贴膏剂、涂抹剂、软膏剂、乳剂、凝胶剂或气雾剂。
6.根据权利要求5所述的制品,其特征在于,所述制备剂型指制备为贴膏剂,以食用油和黄丹为辅料,制品中植物油、黄丹、多糖粉的质量比例为:14-26:4-16:14-26;优选为:25:12.5:15,20:4:20,15:10:15,14:16:14或26:16:26,采用的水为富氢水。
7.权利要求3-6任一所述的用于乳腺病的经皮肤给药制品的制备方法,包括如下步骤:
(1)制备所述原料药组合物的中药原液和羊肚菌母种原液;
(2)共发酵:所述中药原液稀释20倍后与羊肚菌母种原液进行共发酵得到发酵产物;
(3)浓缩干燥;
(4)制剂。
8.根据权利要求7所述的制备方法,其特征在于:
所述共发酵是指在发酵罐中,按体枳比例65-100:10-30:0.3-2:0.3-2加入所述中药原液、水、黑木耳母种原液、羊肚菌母种原液,室温下发酵到有效固体物含量达80g/L以上时放罐;
所述浓缩的工艺:共发酵后放罐后的产物,进入醇沉提取罐,加入水浸提渗滤,再煮沸,滤汁去渣;其汁加4倍体枳的75度酒精浸润,在≦30℃低温下浸制5小时,利用多糖不溶于乙醇的性质,使多糖从提取液中沉淀出来,升温至50摄氏度回收酒精后,对沉淀再进行≦55℃烘干或喷雾干燥,制得多糖粉;
所述中药原液的提取工艺如下:在提取容器中,加入水和原料药;水与所述原料药重量比例为3-6:1,在25-35℃、800mpa环境下提取30-50分钟得到所述原料药的水提取液,优选,水与所述原料药组合物的重量比例为4-5:1,在28-32℃、800mpa环境下提取30-40分钟得到。
9.根据权利要求7或8所述的制备方法,所述制剂指制成贴膏剂,制备步骤如下:
取植物油,猛火烧沸后,文火熬制一个半小时,油温达220-230℃,切断火源,在常温下冷却8-12小时,使油温降至40-45℃之间,加入干燥过的黄丹搅拌,然后文火边升温边搅拌,直至膏体达90℃再切断火源,不停搅拌,冷却至≦40℃时,加入多糖粉,搅拌20分钟,后倒出摊开冷却成膏状固体,然后在流动的冷水中浸泡200-240小时,其中植物油、黄丹和多糖粉的质量比例为14-26:4-16:14-26。
10.根据权利要求7-9任一所述的方法,其特征在于,采用的水为富氢水。
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