CN114028507A

CN114028507A - Preparation method of traditional Chinese medicine for treating lumbago

Info

Publication number: CN114028507A
Application number: CN202111319434.4A
Authority: CN
Inventors: 蔡迎峰; 梁浩东
Original assignee: Affiliated Hospital Of Traditional Chinese Medicine Of Guangzhou Medical University
Current assignee: Affiliated Hospital Of Traditional Chinese Medicine Of Guangzhou Medical University
Priority date: 2021-11-09
Filing date: 2021-11-09
Publication date: 2022-02-11

Abstract

The invention discloses a preparation method of a traditional Chinese medicine for treating lumbago, and belongs to the technical field of traditional Chinese medicine preparations. The traditional Chinese medicine composition is prepared from the following traditional Chinese medicine raw materials in parts by weight: 10-20 parts of eucommia bark, 10-20 parts of morinda officinalis, 10-20 parts of epimedium, 35-45 parts of coix seed, 10-20 parts of beautiful sweetgum fruit, 10-20 parts of mulberry twig, 2-4 parts of centipede, 10-20 parts of cowherb seed and 10-20 parts of Chinese starjasmine stem. The traditional Chinese medicine composition has the advantages of rich raw materials, scientific and reasonable compatibility, effects of tonifying kidney and supporting yang, dispelling wind and removing dampness, relaxing tendons and activating collaterals, convenience in taking, good effect, less adverse reaction and harmony between yin and yang, is suitable for most of people suffering from lumbago and various arthralgia, and is an innovation of medicines for treating lumbago. Is especially beneficial to treating protrusion of lumbar intervertebral disc, lumbar facet joint osteoarthritis and knee osteoarthritis.

Description

Preparation method of traditional Chinese medicine for treating lumbago

Technical Field

The invention belongs to the technical field of traditional Chinese medicines, and particularly relates to a preparation method of a traditional Chinese medicine for treating lumbago.

Background

Lumbago is a common clinical symptom, mainly pain on one side or two sides of the waist, which can be radiated to the legs and is often accompanied by exogenous or internal injury.

Epidemiological investigations have shown that the prevalence of lumbago worldwide is consistently the first from 1990-2016 and between 13.1% and 20.3%, being the leading cause of human disability worldwide. Among the lumbago prevalence rates of adults in China, the once prevalence rate is 7.21-39.0%, the annual prevalence rate is 20.88-29.88%, and the real-time prevalence rate is 6.11-28.5; the incidence rate of the traditional Chinese medicine is higher than that of diabetes and hypertension (the prevalence rate of the diabetes is 3.5 percent, and the prevalence rate of the hypertension is about 21.5 percent), and the traditional Chinese medicine becomes a very serious public health problem in China.

At present, various lumbago treating medicines clinically comprise non-steroidal anti-inflammatory drugs, opioid medicines, muscle relaxation medicines and the like. But the clinical curative effect is general, the disease condition is easy to repeat, the side effect is obvious, and the dependence even appears after long-term administration. The traditional Chinese medicine has long-term knowledge on lumbago, and the traditional Chinese medicine treatment is based on syndrome differentiation and treatment, has the unique advantages of definite and lasting curative effect and small side effect on treating the lumbago, and can be accepted by the public. Therefore, the development of a safe medicament with definite curative effect and small side effect is a technical problem which needs to be solved urgently at present.

Disclosure of Invention

In order to solve the problems, the invention aims to provide a traditional Chinese medicine formula for treating lumbago and a preparation method thereof, which can effectively solve the problem of lumbago in various crowds, are particularly beneficial to treating lumbago of patients with lumbar intervertebral disc protrusion and lumbar facet joint osteoarthritis and reduce side effects of medicines.

In order to achieve the purpose, the technical scheme of the invention is as follows: a preparation method of a traditional Chinese medicine for treating lumbago comprises the following steps:

step 1, putting the traditional Chinese medicine composition into a supersonic airflow pulverizer, and pulverizing into powder, wherein the traditional Chinese medicine composition comprises eucommia bark, morinda officinalis, epimedium, coix seed, beautiful sweetgum fruit, mulberry twig, centipede, cowherb seed and Chinese starjasmine stem;

step 2, putting the powder crushed in the step 1 into a marmite, and heating and boiling for 30-60 min;

and 3, after 30-60min, taking decoction in the marmite, filtering decoction dregs, standing and cooling for 10-20min to finish the preparation.

After the scheme is adopted, the following beneficial effects are realized: the invention aims to provide a traditional Chinese medicine formula for treating lumbago and a preparation method thereof, which can effectively solve the problem of lumbago in various crowds and are particularly beneficial to treating lumbago of patients with lumbar intervertebral disc protrusion and lumbar facet joint osteoarthritis.

The theoretical basis of the traditional Chinese medicine formula for treating lumbago comes from the Su Wen of Xian Qin, wherein the Su Wen and Mai Yao Jing Wei Lun have the following statements: the kidney failing to roll up will be exhausted "in the lumbar region and house of the kidney. Tang Dynasty Wang Bing Zhan is marked by the fact that two kidneys are located in the waist, so the waist is the external organs of the kidney. Meaning that the location of the kidneys is in the lumbar region, which is the area of essence coverage of the kidneys. Sufficient kidney essence can make the lumbar spine forceful, and kidney essence deficiency can make the lumbar spine unconscious and deficient. The onset factors of lumbago are many, and the expression in the "treatment of symptoms quasi-rope and lumbago" indicates that lumbago is marked by wind, dampness, cold, heat, contusion and flash, blood stasis, qi stagnation and phlegm accumulation. Kidney deficiency, also the root cause of it ", but the fundamental cause of its onset is kidney deficiency.

Further, there are cloud in Su Wen & Mai Yao Jing Wei Lun: blood-qi prefers warm and averse cold, cold does not stay, warm does go away, Qing Dynasty Houbin's book of questions records also contains cloud: the applicant researches a plurality of nationwide famous old traditional Chinese medicine experience prescriptions on the basis of the fact that yang qi is also the same as the body temperature of the human body, and the traditional Chinese medicine formula is drawn up by combining years of clinical research and experience of the applicant. The formula of the traditional Chinese medicine for treating lumbago is as follows: eucommia bark, cortex Eucommiae, sweet, bitter and slightly pungent in flavor, warm in nature, enters liver and kidney meridians; morinda officinalis is sweet and pungent in flavor and warm in nature, entering liver and kidney meridians; epimedium herb is pungent and sweet in flavor and warm in nature, entering liver and kidney meridians. The combination of the three drugs can warm and nourish liver and kidney, dispel wind and remove dampness, strengthen tendons and bones, strengthen waist and knees, and are the monarch drugs.

Coix seed, semen Coicis, sweet and light in flavor, cool in nature, enters spleen, stomach and lung channels to penetrate moisture and remove arthralgia, detoxify and dissipate stagnation. Lu Lian is bitter in taste and neutral in nature, entering liver and kidney meridians; ramulus Mori is slightly bitter in taste, neutral in nature, and enters liver meridian; trachelospermi caulis is slightly bitter, pungent and cold in flavor, enters heart, liver and kidney meridians, and is used together to dispel wind-damp and benefit joints. Wu Gong is pungent in flavor and warm in nature and enters liver meridian. The cowherb seed is bitter in taste and neutral in nature, enters liver and stomach meridians, and activates blood and unblocks meridians. The whole formula mainly warms and tonifies kidney yang, and also has the functions of dispelling wind and eliminating dampness, and promoting the circulation of muscles and tendons, so that the traditional Chinese medicine can recover the source and fundamentally relieve lumbago symptoms.

The traditional Chinese medicine formula is continuously improved, innovated and developed through years of clinical practice, and can achieve the purposes of relieving pain and reducing pain of patients.

The clinical research on the treatment of the lumbar intervertebral disc protrusion by oral administration of the traditional Chinese medicine is reported in China, the adopted ideas are different, the current clinical application mainly adopts the principle of adding or subtracting according to symptoms and the treatment according to the syndrome differentiation of specific conditions, but the traditional Chinese medicine obtains good curative effect by the special disease prescription and the special disease medicine (Chinese patent medicine). The understanding of the disease mechanism of each family is the same, and most of the diseases are caused by affection of exogenous wind-cold-dampness pathogen, decline of the functions of the liver, spleen and kidney and obstruction of collaterals by phlegm and blood stasis. The prescription is different from the traditional Chinese medicine, but has similar characteristics, for example, the traditional Chinese medicine is modified from the radix angelicae pubescentis and mistletoe decoction commonly used in most traditional Chinese medicine, the blood-activating medicine and the cold-dampness-dispelling medicine are commonly used, and the traditional Chinese medicine appearing at high frequency comprises radix angelicae pubescentis, achyranthes bidentata, safflower, frankincense, myrrh, rhizoma corydalis, radix aconiti and the like.

The most common guiding herbs for this disease are Du Zhong and niu xi. The four qi of the medicine are warm and neutral, the five flavors are sweet and bitter, and the meridian tropism is liver, kidney and spleen. In the aspect of Chinese patent medicines, at present, the Chinese patent medicines mainly comprise Chinese clinopodium herb tablets for clearing heat and removing toxicity, kidney-tonifying and meridian-dredging capsules for treating lumbar diseases, kidney-strengthening and kidney-invigorating pills for tonifying kidney and activating blood circulation, but the Chinese patent medicines lack the effects of tonifying liver and kidney and replenishing qi and blood.

The western medicines comprise anti-inflammatory analgesics such as meloxicam, celecoxib, ibuprofen, etc., are easy to cause gastrointestinal reaction and anaphylactic reaction, and increase the risk of cardiovascular events.

The proved recipe has the effects of warming yang and regulating qi and relaxing tendons and veins based on years of clinical experience of an applicant, has long-term application experience in orthopedics and traumatology, obtains good curative effect, and does not generate related adverse events. The proved recipe is further developed, so that the blank of traditional Chinese medicine for treating lumbago is filled, the price of the medicine used in the recipe is low, the treatment cost is reduced, and the burden of crowds and social economy is relieved.

Traditional medicinal materials are decocted by adopting granules or tablets, so that the dissolution rate is low, the absorption effect of a human body is poor, and the medicinal material waste is obvious. Therefore, the supersonic speed jet mill is utilized to crush the traditional Chinese medicine herbs in the scheme, the crushed medicinal materials reach the micron grade, the dissolution rate of the medicinal materials is improved, and the absorption by a human body is facilitated. Especially for middle-aged and elderly patients, the gastrointestinal absorption capacity is obviously lower than that of common people, and the traditional Chinese herbal medicines (in the form of granules or tablets) are adopted for decoction, so that the absorption is less and the drug effect is lower. The application improves the dissolution rate of the effective components of the Chinese herbal medicine, and fundamentally improves the absorption capacity of patients.

Can obviously relieve the lumbago of patients and has no toxic and side effects. Secondly, the compatibility of the medicine is warm and cool, and neutral in yin and yang, mainly warms yang, and is suitable for patients with most constitutions.

Further, the proportion of the traditional Chinese medicine composition in the step 1 comprises: 10-20 parts of eucommia bark, 10-20 parts of morinda officinalis, 10-20 parts of epimedium, 35-45 parts of coix seed, 10-20 parts of beautiful sweetgum fruit, 10-20 parts of mulberry twig, 2-4 parts of centipede, 10-20 parts of cowherb seed and 10-20 parts of Chinese starjasmine stem. Different components are adopted to adapt to different degrees of lumbago.

Further, the proportion of the traditional Chinese medicine composition in the step 1 comprises: 15 parts of eucommia bark, 15 parts of morinda officinalis, 15 parts of epimedium, 40 parts of coix seed, 15 parts of beautiful sweetgum fruit, 15 parts of mulberry twig, 3 parts of centipede, 15 parts of cowherb seed and 15 parts of Chinese starjasmine stem.

Further, the traditional Chinese medicine composition in the step 1 also comprises 20 parts of eucommia ulmoides, 20 parts of morinda officinalis, 20 parts of epimedium, 20 parts of semen coicis, 20 parts of liquidambar formosana hance, 20 parts of mulberry twig, 4 parts of centipede, 20 parts of cowherb seed and 20 parts of Chinese starjasmine stem.

Further, the traditional Chinese medicine composition in the step 1 also comprises 10-20 parts of radix zanthoxyli, 10-20 parts of tinospora sinensis and 10-20 parts of radix angelicae pubescentis. Radix Zanthoxyli has effects of promoting blood circulation, removing blood stasis, relieving pain and detumescence. Caulis tinosporae sinensis can relax muscles and tendons, activate collaterals, expel wind and alleviate pain. Radix Angelicae Pubescentis has effects of dispelling pathogenic wind, removing dampness, relieving arthralgia and relieving pain. The three are used together to enhance the drug effect.

Further, the particle size of the powder is 1-10 um. The medicinal powder reaches micron level, so that the dissolution rate of the medicinal material is improved, and the medicinal powder is convenient for a user to absorb.

Further, the traditional Chinese medicine finished product for treating lumbago comprises powder, granules, oral liquid, pills, capsules or chewable agents.

Further, the Chinese medicament for treating constipation is used as an active component in the preparation of medicaments for treating lumbago.

Detailed Description

The following examples further illustrate the embodiments of the present invention in detail.

The preparation method of the traditional Chinese medicine for treating lumbago is shown in the table 1, and in the examples 1-7, the weight components of the traditional Chinese medicine formula for treating lumbago are shown in the table:

table 1: examples 1-7 weight Components (Unit: g)

Examples

Eucommia ulmoides

Morinda officinalis

Herba Epimedii

Road-shaped passageway

Coix seed

Ramulus Mori

Centipede (Scolopendra)

Seed of cowherb

Caulis Trachelospermi

Example 1

1000g

3000g

1000g

200 strips

1000g

Example 2

1200g

3000g

1200g

200 strips

1200g

Example 3

1500g

3500g

1500g

300 strips

1500g

Example 4

1500g

3500g

1500g

300 strips

1200g

1500g

Example 5

1800g

3500g

1800g

300 strips

1800g

Example 6

2000g

4000g

2000g

300 strips

2000g

Example 7

1500g

3500g

1500g

300 strips

1500g

Taking example 1 as an example, the preparation method of the traditional Chinese medicine formula for treating lumbago comprises the following steps:

step 1, putting 1000g of eucommia bark, 1000g of morinda officinalis, 1000g of epimedium, 1000g of beautiful sweetgum fruit, 3000g of coix seed, 1000g of mulberry twig, 200 centipedes, 1000g of cowherb seed and 1000g of Chinese starjasmine stem in a supersonic airflow pulverizer, and pulverizing into powder of 3 um;

step 2, putting the powder crushed in the step S1 into a marmite, and heating and boiling for 30-60 min;

Example 7 is different from example 1 in that in S1, a supersonic jet mill was not used.

The dissolution tests of examples 1 to 7 and control groups 1 to 2 using the blue method of dissolution and release tests described in the Chinese pharmacopoeia 2015 edition are shown in Table 2:

table 2: examples 1 to 7 dissolution rates

	Example 1	Example 2	Example 3	Example 4	Example 5	Example 6	Example 7
								Dissolution (%)	65.1	64.5	63.8	65.0	64.5	60.3	53.6

As shown in Table 2 above, the dissolution rate of example 7, which did not use the supersonic jet mill apparatus, was significantly lower than that of examples 1-6.

The clinical effect of the traditional Chinese medicine formula for treating lumbago of the present invention is demonstrated by combining specific clinical examples, which are only used for explaining the present invention and are not used for limiting the scope of the present invention.

1. Clinical examples

1) Clinical data: 66 LDH patients, 27 men and 39 women, for orthopedic outpatient treatment in department of traditional Chinese medicine hospital affiliated to Guangzhou medical university from 01 month to 2021 month in 2020; the age is 31-54 years, and the median is 45 years. .

2) The taking method comprises the following steps: the administration mode is oral; the dosage of the granular preparation is 10g once, and 14 days is a treatment course.

3) The curative effect standard is as follows: the evaluation of the clinical efficacy of the 4w powder treatment is carried out by patients according to subjective pain degree and clinical efficacy.

And (3) curing: after treatment, the pain in the waist and lower legs basically disappears, the straight leg raising test is negative, and normal work can be carried out;

the effect is shown: after treatment, the pain in the waist and lower extremities partially disappears, no obvious pressure pain point exists, the straight leg lifting test is negative, and normal work is basically recovered;

the method has the following advantages: after treatment, only slight pain in waist and lower extremities exists, the straight leg elevation test is suspicious positive, and part of the test returns to normal work;

and (4) invalidation: after treatment, the pain in the waist and lower extremities does not improve, and the straight leg raising test is positive and can not work adequately.

Total effective rate (cure + improvement)/total number of cases × 100%.

4) For treatment results please refer to note: after treatment, the cure rate of a test group is 12.5%, the significant efficiency is 62.5%, and the total effective rate is 93.75%; the cure rate of the control group is 10.34%, the significant efficiency is 48.29%, and the total effective rate is 89.66%. Mann-Whitney U rank-sum test shows that U is 330.00 and P is 0.035, which indicates that the difference between the two groups in curative effect is statistically significant (P is less than 0.05), and the test group is better than the control group in curative effect. By chi-square test, X²0.339, and 0.560, so the overall effectiveness of the two groups is not statistically different (P > 0.05). In conclusion, the test group is suggested to be superior to the control group in treatment effect.

3. Typical cases are as follows:

1) case 1: chengzhi, male, age 52, civil engineer, lumbosacral pain for more than three months, cold limbs, limited stooping activity. The tongue is pale with white coating and the pulse is deep. After the traditional Chinese medicine formula granular preparation for treating lumbago is taken for 2 days for the first time, the subjective lumbago symptom is obviously improved compared with the previous situation. After taking the medicine for two courses of treatment, the pain in the waist and lower legs basically disappears, the straight leg raising test is negative, and the normal work can be carried out

2) Case 2: liu Yi, female aged 67 years old, housewife, lumbosacral pain and discomfort for two months, and cold hands and feet. After the traditional Chinese medicine formula granular preparation for treating lumbago is taken for 7 days for the first time, the lumbago symptom is obviously improved, and the traditional Chinese medicine formula granular preparation can bend the waist and pick up the object by oneself. After continuously taking the medicine for one treatment course, the pain symptoms of the waist and the legs disappear, no obvious pressure pain point exists, the straight leg lifting test is negative, and the normal work is basically recovered.

3) Case 3: maozuo, male, 75 years old, retired the cadre, and twisted the waist before 4 days, which resulted in the pain and activity being difficult, and the plaster application did not significantly alleviate. The pain is aggravated when cough and defecation occur, and the pain is accompanied with left hip pain, such as cut, restlessness, cough, sneeze, white nasal discharge, deep and tense pulse, pale red tongue with thin and white coating in the morning. After taking the medicine for two courses of treatment, the pain in the waist and lower extremities partially disappears after the treatment, no obvious pressure pain point exists, the straight leg raising test is negative, the normal work is basically recovered, and the spirit is obviously improved.

It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.

The foregoing is merely an example of the present invention, and common general knowledge in the field of known specific structures and characteristics is not described herein in any greater extent than that known in the art at the filing date or prior to the priority date of the application, so that those skilled in the art can now appreciate that all of the above-described techniques in this field and have the ability to apply routine experimentation before this date can be combined with one or more of the present teachings to complete and implement the present invention, and that certain typical known structures or known methods do not pose any impediments to the implementation of the present invention by those skilled in the art. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims

1. A preparation method of a traditional Chinese medicine for treating lumbago is characterized by comprising the following steps: the method comprises the following steps:

2. The method for preparing a traditional Chinese medicine for treating lumbago according to claim 1, which is characterized in that: the proportion of the traditional Chinese medicine composition in the step 1 comprises: 10-20 parts of eucommia bark, 10-20 parts of morinda officinalis, 10-20 parts of epimedium, 35-45 parts of coix seed, 10-20 parts of beautiful sweetgum fruit, 10-20 parts of mulberry twig, 2-4 parts of centipede, 10-20 parts of cowherb seed and 10-20 parts of Chinese starjasmine stem.

3. The method for preparing a traditional Chinese medicine for treating lumbago according to claim 1, which is characterized in that: the proportion of the traditional Chinese medicine composition in the step 1 comprises: 10 parts of eucommia bark, 10 parts of morinda officinalis, 10 parts of epimedium, 35 parts of coix seed, 10 parts of beautiful sweetgum fruit, 10 parts of mulberry twig, 2 parts of centipede, 10 parts of cowherb seed and 10 parts of Chinese starjasmine stem.

4. The method for preparing a traditional Chinese medicine for treating lumbago according to claim 1, which is characterized in that: the proportion of the traditional Chinese medicine composition in the step 1 comprises: 15 parts of eucommia bark, 15 parts of morinda officinalis, 15 parts of epimedium, 40 parts of coix seed, 15 parts of beautiful sweetgum fruit, 15 parts of mulberry twig, 3 parts of centipede, 15 parts of cowherb seed and 15 parts of Chinese starjasmine stem.

5. The method for preparing a traditional Chinese medicine for treating lumbago according to claim 1, which is characterized in that: the traditional Chinese medicine composition in the step 1 also comprises 20 parts of eucommia ulmoides, 20 parts of morinda officinalis, 20 parts of epimedium, 20 parts of semen coicis, 20 parts of liquidambar formosana hance, 20 parts of mulberry twig, 4 parts of centipede, 20 parts of cowherb seed and 20 parts of Chinese starjasmine stem.

6. The method for preparing a traditional Chinese medicine for treating lumbago according to claim 1, which is characterized in that: the traditional Chinese medicine composition in the step 1 also comprises 10-20 parts of radix zanthoxyli, 10-20 parts of tinospora sinensis and 10-20 parts of radix angelicae pubescentis.

7. The method for preparing a traditional Chinese medicine for treating lumbago according to claim 1, which is characterized in that: the particle size of the powder in the step 1 is 1-10 um.

8. The method for preparing a Chinese medicine for treating lumbago according to any one of claims 1-7, which comprises the following steps: the Chinese medicinal finished product for treating lumbago comprises powder, granule, oral liquid, pill, capsule or chewable agent.

9. The method for preparing a Chinese medicine for treating lumbago according to any one of claims 1-7, which comprises the following steps: the traditional Chinese medicine for treating constipation is applied to preparation of a medicine for treating lumbago as an active component.