CN115337347B - Application of traditional Chinese medicine composition in preparation of medicine for treating coronary heart disease - Google Patents

Application of traditional Chinese medicine composition in preparation of medicine for treating coronary heart disease Download PDF

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CN115337347B
CN115337347B CN202210933894.4A CN202210933894A CN115337347B CN 115337347 B CN115337347 B CN 115337347B CN 202210933894 A CN202210933894 A CN 202210933894A CN 115337347 B CN115337347 B CN 115337347B
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honeysuckle
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胡镜清
柏冬
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Shaanxi Momentum Qixuehe Pharmaceutical Co ltd
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China Science And Technology Development Center Of Traditional Chinese Medicine Talent Exchange Center Of State Administration Of Traditional Chinese Medicine
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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)
    • A61K36/35Caprifoliaceae (Honeysuckle family)
    • A61K36/355Lonicera (honeysuckle)
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    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/484Glycyrrhiza (licorice)
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    • A61K36/70Polygonaceae (Buckwheat family), e.g. spineflower or dock
    • A61K36/704Polygonum, e.g. knotweed
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    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/80Scrophulariaceae (Figwort family)
    • A61K36/808Scrophularia (figwort)
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    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

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Abstract

The application aims to provide an application of a traditional Chinese medicine composition in preparing a medicine for treating coronary heart disease, wherein the traditional Chinese medicine composition comprises the following raw material medicines: honeysuckle, figwort root, chinese angelica, liquorice, weeping forsythiae capsule, cassia twig, giant knotweed and red sage root.

Description

Application of traditional Chinese medicine composition in preparation of medicine for treating coronary heart disease
Technical Field
The application relates to a new application of a traditional Chinese medicine composition, in particular to an application of a traditional Chinese medicine composition for treating heat-accumulation blood vessels in preparing a medicine for treating coronary heart disease, and belongs to the field of traditional Chinese medicines.
Background
The "treatment based on syndrome differentiation" is a major feature of the clinical theory of TCM that is different from other medical systems. The development of new traditional Chinese medicine has close relation with the theory of the symptoms of traditional Chinese medicine. At present, the clinical research of Chinese patent medicines mostly adopts a mode of 'disease combination', namely, on the premise of definite disease diagnosis, the new medicine function is combined for mainly treating, and the adaptation syndrome is selected, which is a clinical research mode by referring to chemical medicines, and has certain limitation. The traditional Chinese medicine treatment emphasizes the "treatment based on syndrome differentiation", and the recipe is firstly aimed at the syndrome. Taking the six ingredients with rehmannia pill as an example, if the six ingredients with rehmannia pill is studied by simply using the mode of 'disease combination', the main treatment scope of the six ingredients with rehmannia pill can be limited by the kidney yin deficiency syndrome of a specific disease, the extension of the main treatment scope can not be expanded, the treatment scope of the six ingredients with rehmannia pill can not be fully developed, and the differentiation concept and the Chinese medicine characteristics of the Chinese medicine can not be fully reflected.
Based on this, the concept of "new traditional Chinese medicine of syndrome type" is proposed, and "new traditional Chinese medicine of syndrome type" is mainly used as a new traditional Chinese medicine of syndrome type, which is different from the traditional Chinese medicine mainly used as a certain syndrome type of disease, and has the research significance of exploring a new research and development mode of traditional Chinese medicine which takes syndrome as the center, accords with the diagnosis and treatment mode of traditional Chinese medicine and can embody the characteristics of traditional Chinese medicine. The medicine is different from a traditional Chinese medicine compound preparation mainly used for combining symptoms and signs, the disease concept of modern medicine is set aside, and the research and development of the medicine are certainly beneficial to developing the traditional characteristics of the traditional Chinese medicine. The syndrome type Chinese medicine takes syndrome as an intervention object, and based on the diagnosis and treatment theory, treats different diseases simultaneously, embodies the integral concept of traditional Chinese medicine, is beneficial to evaluating the advantages and characteristics of traditional Chinese medicine, and is focused by a plurality of expert students at the beginning of research and development. The Chinese patent medicine "Liuwei Dihuang pill" is a typical representative of the medicines, the application range of the pill gets rid of the constraint of modern diseases, and since the pill is marketed, the pill is popular with the masses due to the characteristics of simple and convenient operation and wide application range, and the health service capability of the Chinese medicine is greatly improved. Therefore, the research and development of the medicines tend to further promote the development of traditional Chinese medicine industry.
Heat accumulation in blood vessels means that physical matters such as heat evil and blood stasis are difficult to resolve in blood vessels, cause and result in poor circulation process of accumulated heat, toxic materials generation, accumulation of mass and damage of vessels. The main pathogenesis is that heat evil and physical matters such as blood stasis, phlegm dampness and the like in blood vessels mutually beat and tie, and the disease is located in the blood vessels. First, it is a "hot" problem. The intangible "heat" is mainly derived from two sources, one of which is the invasion of exogenous pathogenic qi into the interior to transform heat. As Liu Wansu emphasizes, six qi can transform heat into fire. Different ways of pathogenic qi transforming into heat are closely related to the physical state of the body and the characteristics of the pathogenic factors. The pathological products in the blood vessels can stagnate and transform heat. For instance, it can remove fire and generate heat in blood vessels, such as phlegm-dampness and blood stasis. In addition, heat may also be caused by excessive yin and yang and excessive five-element polarized fire. Second, the "node" is the key pathogenesis. In the Shang Han Lun examination syndrome, "what is the case of the combination of pathogenic factors and things? Blood is also water. The physical matters of the intangible pathogenic factors and the water blood are mutually paced as knots. Here, both the intangible pathogenic qi and the tangible substance "water blood" are indispensable. Third, the disease is in the "blood vessel". Blood vessels are extraordinary hollow, are connected with heart and lung, are distributed throughout the body and are channels for qi and blood, and are characterized by storing essence and qi without diarrhea, so that the relative constancy of blood volume and quality can be maintained.
Disclosure of Invention
The application aims to provide a traditional Chinese medicine composition aiming at the traditional Chinese medicine syndrome of heat-accumulation blood vessel, and the traditional Chinese medicine composition provides a new treatment thought and means for clinical treatment of hypertension and coronary heart disease.
As one aspect of the application, the application provides a traditional Chinese medicine composition for treating heat-accumulation blood vessels, which comprises the following raw material medicines: honeysuckle, figwort root, chinese angelica, liquorice, weeping forsythiae capsule, cassia twig, giant knotweed and red sage root.
Preferably, the traditional Chinese medicine composition comprises the following raw materials: 5-30 parts of honeysuckle, 5-30 parts of radix scrophulariae, 3-18 parts of angelica sinensis, 3-18 parts of liquorice, 5-30 parts of fructus forsythiae, 5-30 parts of cassia twig, 3-18 parts of polygonum cuspidatum and 5-30 parts of radix salviae miltiorrhizae.
Further preferably, the raw materials of the traditional Chinese medicine composition are as follows: 9-24 parts of honeysuckle, 9-24 parts of radix scrophulariae, 5-15 parts of angelica sinensis, 5-15 parts of liquorice, 9-24 parts of fructus forsythiae, 9-24 parts of cassia twig, 5-15 parts of polygonum cuspidatum and 9-24 parts of radix salviae miltiorrhizae.
Still more preferably, the raw materials of the traditional Chinese medicine composition are: 12-18 parts of honeysuckle, 12-18 parts of radix scrophulariae, 7-12 parts of angelica sinensis, 7-12 parts of liquorice, 12-18 parts of fructus forsythiae, 12-18 parts of cassia twig, 7-12 parts of polygonum cuspidatum and 12-18 parts of radix salviae miltiorrhizae.
Most preferably, the traditional Chinese medicine composition comprises the following raw materials: 15 parts of honeysuckle, 15 parts of radix scrophulariae, 9 parts of angelica sinensis, 9 parts of liquorice, 15 parts of fructus forsythiae, 15 parts of cassia twig, 9 parts of polygonum cuspidatum and 15 parts of radix salviae miltiorrhizae;
or 13 parts of honeysuckle, 17 parts of radix scrophulariae, 8 parts of angelica sinensis, 11 parts of liquorice, 13 parts of fructus forsythiae, 17 parts of cassia twig, 8 parts of polygonum cuspidatum and 16 parts of radix salviae miltiorrhizae;
or 17 parts of honeysuckle, 13 parts of radix scrophulariae, 11 parts of angelica sinensis, 8 parts of liquorice, 17 parts of fructus forsythiae, 13 parts of cassia twig, 11 parts of polygonum cuspidatum and 13 parts of radix salviae miltiorrhizae.
In the above technical scheme, the traditional Chinese medicine composition can be any form formed by or prepared from the above raw materials, and comprises the following components: the raw materials are respectively crushed and then mixed to form a composition; or the composition is obtained by mixing the raw materials and crushing the mixture; or mixing the above raw materials, extracting by conventional extraction method to obtain extract, purifying to obtain effective components, and preparing into conventional oral dosage form by conventional preparation process.
The conventional extraction method comprises soaking extraction, decocting extraction, reflux extraction, percolation extraction, ultrasonic extraction, microwave extraction, etc.; the extraction solvent comprises water or conventional organic solvents such as ethanol, methanol, ethyl acetate, petroleum ether, isopropanol, etc.; the refining and purifying process comprises extraction, column chromatography separation, high performance liquid chromatography separation and the like.
The conventional oral dosage forms comprise tablets, capsules, granules, pills, powder and oral liquid. The preparation of the dosage form requires the addition of common pharmaceutically acceptable auxiliary materials, including: fillers, disintegrants, lubricants, suspending agents, binders, sweeteners, flavoring agents, preservatives, matrices, and the like. The filler comprises: starch, pregelatinized starch, lactose, mannitol, chitin, microcrystalline cellulose, sucrose, and the like; the disintegrating agent comprises: starch, pregelatinized starch, microcrystalline cellulose, sodium carboxymethyl starch, crosslinked polyvinylpyrrolidone, low-substituted hydroxypropyl cellulose, crosslinked sodium carboxymethyl cellulose, and the like; the lubricant comprises: magnesium stearate, sodium lauryl sulfate, talc, silica, and the like; the suspending agent comprises: polyvinylpyrrolidone, microcrystalline cellulose, sucrose, agar, hydroxypropyl methylcellulose, and the like; the binder includes starch slurry, polyvinylpyrrolidone, hydroxypropyl methylcellulose, etc.
The traditional Chinese medicine composition can be added in the form of raw materials, and can also be added in the form of an extract or prepared into particles. Therefore, as another aspect of the present application, the present application further provides a traditional Chinese medicine composition for treating heat-induced blood vessels, which comprises the following raw materials: honeysuckle extract, radix scrophulariae extract, angelica extract, licorice extract, fructus forsythiae extract, cassia twig extract, polygonum cuspidatum extract and red sage root extract; wherein the extract is water extract or ethanol extract of each raw material medicine respectively, or is granule prepared by the extract according to the conventional process.
Preferably, the traditional Chinese medicine composition comprises the following raw materials: 5-30 parts of honeysuckle extract, 5-30 parts of radix scrophulariae extract, 3-18 parts of Chinese angelica extract, 3-18 parts of licorice extract, 5-30 parts of fructus forsythiae extract, 5-30 parts of cassia twig extract, 3-18 parts of polygonum cuspidatum extract and 5-30 parts of red sage root extract.
Further preferably, the raw materials of the traditional Chinese medicine composition are as follows: 9-24 parts of honeysuckle extract, 9-24 parts of radix scrophulariae extract, 5-15 parts of Chinese angelica extract, 5-15 parts of licorice extract, 9-24 parts of fructus forsythiae extract, 9-24 parts of cassia twig extract, 5-15 parts of polygonum cuspidatum extract and 9-24 parts of red sage root extract.
Still more preferably, the raw materials of the traditional Chinese medicine composition are: 12-18 parts of honeysuckle extract, 12-18 parts of radix scrophulariae extract, 7-12 parts of Chinese angelica extract, 7-12 parts of licorice extract, 12-18 parts of fructus forsythiae extract, 12-18 parts of cassia twig extract, 7-12 parts of polygonum cuspidatum extract and 12-18 parts of red sage root extract.
Most preferably, the traditional Chinese medicine composition comprises the following raw materials: 15 parts of honeysuckle extract, 15 parts of radix scrophulariae extract, 9 parts of Chinese angelica extract, 9 parts of liquorice extract, 15 parts of fructus forsythiae extract, 15 parts of cassia twig extract, 9 parts of polygonum cuspidatum extract and 15 parts of red sage root extract.
The extract is water extract or ethanol extract of each raw material medicine respectively.
In the formula of the application, honeysuckle: sweet and cold; the main functions are as follows: clear away heat and toxic materials, disperse wind-heat. Can be used for treating carbuncle, furuncle, pharyngitis, erysipelas, dysentery with blood, wind-heat type common cold, and epidemic febrile disease. Radix scrophulariae: sweet, bitter, salty, slightly cold; the main functions are as follows: clearing heat and cooling blood; nourishing yin to reduce pathogenic fire; detoxify and dissipate nodulation. Can be used for treating heat entering nutrient blood, toxic heat, speckle, heat disease, yin injury, dark red tongue, polydipsia, constipation due to body fluid deficiency, bone steaming, cough, conjunctival congestion, pharyngalgia, diphtheria, scrofula, and carbuncle. Chinese angelica root: sweet, spicy and warm; the main functions are as follows: replenishing blood, promoting blood circulation, regulating menstruation, relieving pain, and loosening bowel to relieve constipation. Can be used for treating sallow complexion due to blood deficiency, dizziness, palpitation, menoxenia, amenorrhea, dysmenorrhea, abdominal pain due to deficiency-cold, rheumatalgia, traumatic injury, carbuncle, skin ulcer, and constipation due to intestinal dryness. Licorice root: sweet and flat; the main functions are as follows: spleen invigorating, qi replenishing, heat and toxic materials clearing away, phlegm eliminating, cough relieving, pain relieving, and medicines regulating. Can be used for treating weakness of spleen and stomach, listlessness, debilitation, palpitation, short breath, cough with excessive phlegm, abdominal pain, limb spasm, carbuncle, swelling, sore and toxic materials, and relieving drug toxicity and intensity. Fructus forsythiae: bitter and slightly cold; the main functions are as follows: clearing away heat and toxic materials, detumescence, resolving hard mass, and dispelling pathogenic wind and heat. Can be used for treating carbuncle, scrofula, acute mastitis, erysipelas, wind-heat type common cold, early stage of warm diseases, damp heat entering nutrient, hyperpyrexia polydipsia, unconsciousness and speckle, and stranguria and pain due to heat. Ramulus Cinnamomi: pungent, sweet and warm; the main functions are as follows: induce sweat to relieve muscle, warm and unblock meridians, strengthen yang and transform qi, calm pulse and reduce qi. Can be used for treating common cold due to wind-cold, abdominal pain, amenorrhea due to blood cold, arthralgia, phlegm retention, edema, palpitation, and dolphin. Giant knotweed rhizome: slightly bitter and slightly cold; the main functions are as follows: promoting diuresis, removing jaundice, clearing heat and detoxicating, removing blood stasis, relieving pain, relieving cough and resolving phlegm. Can be used for treating jaundice due to damp-heat, stranguria with turbid urine, leukorrhagia, rheumatalgia, carbuncle, skin sore, scald due to water and fire, amenorrhea, abdominal mass, traumatic injury, and cough due to lung heat. Root of red-rooted salvia: bitter and slightly cold; the main functions are as follows: promoting blood circulation, removing blood stasis, dredging channels, relieving pain, clearing heart fire, relieving restlessness, cooling blood and resolving carbuncle. Can be used for treating chest pain, abdominal pain, hypochondriac pain, abdominal mass, pain due to pyretic arthralgia, vexation, insomnia, menoxenia, dysmenorrhea, amenorrhea, and pyocutaneous disease.
In the formula, honeysuckle is a monarch drug, sweet and cold entering the heart and good at clearing heat and detoxicating; fructus forsythiae has effects of clearing heat, removing toxic substances, resolving hard mass, relieving swelling, promoting blood circulation, removing blood stasis, and radix scrophulariae has effects of nourishing yin, reducing pathogenic fire, relieving swelling, and removing toxic substances, and can be used as ministerial drug. Giant knotweed rhizome, rhizoma Polygoni Cuspidati, as an adjuvant drug, has effects of clearing heat, promoting blood circulation and relaxing bowels; licorice root, radix Glycyrrhizae, having the effects of clearing away heat and toxic materials, expelling superficial evils, and ramulus Cinnamomi, having the effects of warming and activating meridians, promoting yang and qi circulation, promoting blood circulation and removing blood stasis, and clearing away heart-fire and relieving restlessness, and cooling blood and resolving carbuncles are all combined as guiding drugs.
As another aspect of the application, the application provides application of the traditional Chinese medicine composition in preparing medicines for treating diseases related to heat-accumulation blood vessels.
The diseases related to the heat-induced blood vessels include, but are not limited to, coronary heart disease, hypertension, peripheral vasculitis, unstable angina, non-ST elevation myocardial infarction, lower limb arteriosclerosis obliterans and viral myocarditis. The application has the beneficial effects that: the traditional Chinese medicine composition is a prescription which is determined to be more effective and can be further developed and converted based on the traditional Chinese medicine clinical theory of syndrome differentiation and treatment and combining the characteristics of new syndrome medicines from clinic and combining the drug effect experimental screening and the new traditional Chinese medicine evaluation requirements. The prescription is used for treating the heat-accumulation blood vessel syndrome, gets rid of the constraint of modern diseases and expands the application range. The research shows that the traditional Chinese medicine composition has good treatment effect on various diseases taking heat-accumulation blood vessels as traditional Chinese medicine symptoms, such as coronary heart disease, hypertension and the like.
Detailed Description
The following describes in detail the examples of the present application, which are implemented on the premise of the technical solution of the present application, and detailed embodiments and specific operation procedures are given, but the scope of protection of the present application is not limited to the following examples.
Example 1
The formula comprises the following components: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae;
the preparation method comprises the following steps: taking the raw materials according to the proportion, adding 10 times of water, soaking for 90 minutes, decocting for 30 minutes, and extracting for three times; mixing the extractive solutions, and concentrating to 2.242g crude drug/mL; adding adjuvants into the extract, and making into granule.
Example 2
13g of honeysuckle, 17g of radix scrophulariae, 8g of Chinese angelica, 11g of raw liquorice, 13g of fructus forsythiae, 17g of cassia twig, 8g of polygonum cuspidatum and 16g of radix salviae miltiorrhizae;
the preparation method comprises the following steps: taking the raw materials according to the proportion, adding 10 times of water, soaking for 90 minutes, decocting for 30 minutes, and extracting for three times; mixing the extractive solutions, and concentrating to 2.242g crude drug/mL; adding adjuvants into the extract, and making into capsule.
Example 3
17g of honeysuckle, 13g of radix scrophulariae, 11g of Chinese angelica, 8g of raw liquorice, 17g of fructus forsythiae, 13g of cassia twig, 11g of polygonum cuspidatum and 13g of radix salviae miltiorrhizae.
The preparation method comprises the following steps: taking the raw materials according to the proportion, adding 10 times of water, soaking for 90 minutes, decocting for 30 minutes, and extracting for three times; mixing the extractive solutions, and concentrating to 2.242g crude drug/mL; adding adjuvants into the extract, and making into tablet.
Example 4
14g of honeysuckle, 16g of radix scrophulariae, 7g of angelica sinensis, 10g of raw liquorice, 14g of fructus forsythiae, 16g of cassia twig, 7g of polygonum cuspidatum and 17g of radix salviae miltiorrhizae;
the preparation method comprises the following steps: proportionally taking the raw materials, adding 75% ethanol, and reflux-extracting twice; mixing the extractive solutions, volatilizing ethanol, adding adjuvants, and making into granule.
Example 5
16g of honeysuckle, 14g of radix scrophulariae, 10g of Chinese angelica, 7g of raw liquorice, 16g of fructus forsythiae, 14g of cassia twig, 10g of polygonum cuspidatum and 14g of radix salviae miltiorrhizae.
The preparation method comprises the following steps: proportionally taking the raw materials, adding 75% ethanol, and reflux-extracting twice; mixing the extractive solutions, volatilizing ethanol, adding adjuvants, and making into capsule.
Example 6
10g of honeysuckle, 22g of radix scrophulariae, 5g of angelica sinensis, 14g of raw liquorice, 10g of fructus forsythiae, 22g of cassia twig, 5g of polygonum cuspidatum and 22g of radix salviae miltiorrhizae;
the preparation method comprises the following steps: proportionally taking the raw materials, adding 75% ethanol, and reflux-extracting twice; mixing the extractive solutions, volatilizing ethanol, adding adjuvants, and making into tablet.
Example 7
22g of honeysuckle, 10g of radix scrophulariae, 14g of angelica sinensis, 5g of raw liquorice, 22g of fructus forsythiae, 5g of cassia twig, 14g of polygonum cuspidatum and 10g of radix salviae miltiorrhizae.
The preparation method comprises the following steps: taking the raw materials according to the proportion, pulverizing, adding auxiliary materials and preparing into granules.
Example 8
11g of honeysuckle, 20g of radix scrophulariae, 6g of Chinese angelica, 13g of raw liquorice, 11g of fructus forsythiae, 20g of cassia twig, 6g of polygonum cuspidatum and 20g of radix salviae miltiorrhizae;
the preparation method comprises the following steps: taking the raw materials according to the proportion, pulverizing, adding auxiliary materials and preparing into tablets.
Example 9
20g of honeysuckle, 11g of radix scrophulariae, 13g of Chinese angelica, 6g of raw liquorice, 20g of fructus forsythiae, 6g of cassia twig, 13g of polygonum cuspidatum and 11g of radix salviae miltiorrhizae.
The preparation method comprises the following steps: taking the raw materials according to the proportion, pulverizing, adding auxiliary materials and preparing into capsules.
Example 10
7g of honeysuckle, 28g of radix scrophulariae, 3g of Chinese angelica, 17g of raw liquorice, 7g of fructus forsythiae, 28g of cassia twig, 3g of polygonum cuspidatum and 28g of radix salviae miltiorrhizae;
the preparation method comprises the following steps: proportionally taking the raw materials, adding 50% ethanol, and reflux-extracting twice; mixing the extractive solutions, volatilizing ethanol, adding adjuvants, and making into tablet.
Example 11
28g of honeysuckle, 7g of radix scrophulariae, 17g of Chinese angelica, 3g of raw liquorice, 28g of fructus forsythiae, 7g of cassia twig, 17g of polygonum cuspidatum and 6g of radix salviae miltiorrhizae.
The preparation method comprises the following steps: proportionally taking the raw materials, adding 50% ethanol, and reflux-extracting twice; mixing the extractive solutions, volatilizing ethanol, adding adjuvants, and making into granule.
Example 12
8g of honeysuckle, 25g of radix scrophulariae, 4g of Chinese angelica, 16g of raw licorice, 8g of fructus forsythiae, 25g of cassia twig, 4g of polygonum cuspidatum and 25g of radix salviae miltiorrhizae;
the preparation method comprises the following steps: proportionally taking the raw materials, adding 50% ethanol, and reflux-extracting twice; mixing the extractive solutions, volatilizing ethanol, adding adjuvants, and making into capsule.
Example 13
25g of honeysuckle, 8g of radix scrophulariae, 16g of Chinese angelica, 4g of raw liquorice, 25g of fructus forsythiae, 8g of cassia twig, 16g of polygonum cuspidatum and 8g of radix salviae miltiorrhizae.
The preparation method comprises the following steps: proportionally taking the raw materials, adding 50% ethanol, and reflux-extracting twice; mixing the extractive solutions, volatilizing ethanol, adding adjuvants, and making into dripping pill.
Example 14
The formula comprises the following components: 15g of honeysuckle extract, 15g of radix scrophulariae extract, 9g of Chinese angelica extract, 9g of raw licorice extract, 15g of fructus forsythiae extract, 15g of cassia twig extract, 9g of polygonum cuspidatum extract and 15g of red sage root extract;
the above extracts are water extracts obtained by extracting the raw materials with water respectively.
Example 15
13g of honeysuckle extract, 17g of radix scrophulariae extract, 8g of Chinese angelica extract, 11g of raw licorice extract, 13g of fructus forsythiae extract, 17g of cassia twig extract, 8g of polygonum cuspidatum extract and 16g of red sage root extract;
the above extracts are water extracts obtained by extracting the raw materials with water respectively.
Example 16
17g of honeysuckle extract, 13g of radix scrophulariae extract, 11g of Chinese angelica extract, 8g of raw licorice extract, 17g of fructus forsythiae extract, 13g of cassia twig extract, 11g of polygonum cuspidatum extract and 13g of red sage root extract.
The above extracts are water extracts obtained by extracting the raw materials with water respectively.
Example 17
14g of honeysuckle extract, 16g of radix scrophulariae extract, 7g of Chinese angelica extract, 10g of raw licorice extract, 14g of fructus forsythiae extract, 16g of cassia twig extract, 7g of polygonum cuspidatum extract and 17g of red sage root extract;
the above extracts are water extracts obtained by extracting the raw materials with water respectively.
Example 18
16g of honeysuckle extract, 14g of radix scrophulariae extract, 10g of Chinese angelica extract, 7g of raw licorice extract, 16g of fructus forsythiae extract, 14g of cassia twig extract, 10g of polygonum cuspidatum extract and 14g of red sage root extract.
The above extracts are respectively ethanol extracts obtained by extracting the raw materials with 75% ethanol.
Example 19
10g of honeysuckle extract, 22g of radix scrophulariae extract, 5g of Chinese angelica extract, 14g of raw licorice extract, 10g of fructus forsythiae extract, 22g of cassia twig extract, 5g of polygonum cuspidatum extract and 22g of red sage root extract;
the above extracts are respectively ethanol extracts obtained by extracting the raw materials with 75% ethanol.
Example 20
22g of honeysuckle extract, 10g of radix scrophulariae extract, 14g of Chinese angelica extract, 5g of raw licorice extract, 22g of fructus forsythiae extract, 5g of cassia twig extract, 14g of polygonum cuspidatum extract and 10g of red sage root extract.
The above extracts are respectively ethanol extracts obtained by extracting the raw materials with 75% ethanol.
Example 21
11g of honeysuckle extract, 20g of radix scrophulariae extract, 6g of Chinese angelica extract, 13g of raw licorice extract, 11g of fructus forsythiae extract, 20g of cassia twig extract, 6g of polygonum cuspidatum extract and 20g of red sage root extract;
the above extracts are respectively ethanol extracts obtained by extracting the raw materials with 75% ethanol.
Example 22
20g of honeysuckle extract, 11g of radix scrophulariae extract, 13g of Chinese angelica extract, 6g of raw licorice extract, 20g of fructus forsythiae extract, 6g of cassia twig extract, 13g of polygonum cuspidatum extract and 11g of red sage root extract.
The above extracts are respectively ethanol extracts obtained by extracting the raw materials with 50% ethanol.
Example 23
7g of honeysuckle extract, 28g of radix scrophulariae extract, 3g of Chinese angelica extract, 17g of raw licorice extract, 7g of fructus forsythiae extract, 28g of cassia twig extract, 3g of polygonum cuspidatum extract and 28g of red sage root extract;
the above extracts are respectively ethanol extracts obtained by extracting the raw materials with 50% ethanol.
Example 24
28g of honeysuckle particles, 7g of figwort particles, 17g of angelica particles, 3g of raw licorice particles, 28g of weeping forsythiae capsule particles, 7g of cassia twig particles, 17g of giant knotweed particles and 6g of red sage particles.
The granules are respectively granules obtained by concentrating, drying and granulating extracts obtained by extracting raw materials with water.
Example 25
8g of honeysuckle particles, 25g of figwort particles, 4g of angelica particles, 16g of raw licorice particles, 8g of weeping forsythiae capsule particles, 25g of cassia twig particles, 4g of giant knotweed particles and 25g of red sage particles;
the granules are respectively granules obtained by concentrating, drying and granulating extracts obtained by extracting raw materials with water.
Example 26
25g of honeysuckle particles, 8g of figwort particles, 16g of angelica particles, 4g of raw licorice particles, 25g of weeping forsythiae capsule particles, 8g of cassia twig particles, 16g of giant knotweed particles and 8g of red sage particles.
The granules are respectively granules obtained by concentrating, drying and granulating extracts obtained by extracting raw materials with water.
Effect experiment
1 experiment of the antihypertensive Effect of the Chinese medicinal composition on SHR hypertensive rats
1.1 prescription and method for preparing medicine
Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. Adding 10 times of water, soaking for 90 min, extracting for 30 min, and decocting for three times. Mixing the extractive solutions, and concentrating to 2.242g crude drug/mL.
Decoction of four wonderful brave and An Tang: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica and 9g of raw licorice. Adding 10 times of water, soaking for 90 minutes, decocting for 30 minutes, and extracting for three times. Mixing the extractive solutions, and concentrating to 2.242g crude drug/mL.
1.2 grouping of animals and modeling
Male SHR rats 60, 8 weeks old, weighing 180-200g, purchased from Peking Vitre Lihua laboratory animal technologies Co., ltd (certification number: SCXK 2016-0006). Animal houses of basic theory of traditional Chinese medicine research institute of Chinese medical science, 5 animals/cage are fed with mixed formula feed (from Australian feed Co., ltd. In Beijing) and drink water freely.
After 3 days of adaptive feeding, SHR rats were randomly divided into high dose groups, medium dose groups, low dose groups, four wonderful warrior Shang Zu, atorvastatin positive drug control groups and model groups by a random number table method. Alternatively 10 WKY rats were used as normal control group. The high, medium and low dose groups were dosed at 10, 5 and 2.5 times the daily dose of 70 kg of adult human body weight. The control and model groups were given the same volume of distilled water. The stomach infusion amount was 20mL/kg body weight. Blood pressure was measured in the tail vein of each group after 4 weeks.
Animals in the high dose group were dosed at 10 times the clinically equivalent dose (2.242 g crude drug/mL, 0.2mL/10g body weight);
animals in the medium dose group were dosed at 5-fold clinical equivalent dose (1.121 g crude drug/mL, 0.2mL/10g body weight);
the animals in the low dose group were dosed at 2.5 times the clinically equivalent dose (0.560 g crude drug/mL, 0.2mL/10g body weight);
the animals of the positive drug group were perfused with atorvastatin (135 mg in water to 50ml for dissolution).
1.3 experimental results
The results are shown in Table 1.
TABLE 1 blood pressure levels of animals of each group [ (]n=10)
Note that: ". Times" indicates that the model group compared to the control group has a P < 0.05; " "means that the P < 0.05 was compared to the model group.
The results suggest that atorvastatin and low dose groups would be effective in lowering SHR hypertensive rat blood pressure.
2 influence of the Chinese medicinal composition on the animal model of chronic myocardial ischemia
2.1 prescription and preparation method of medicine
Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. Adding 10 times of water, soaking for 90 minutes, decocting for 30 minutes, and extracting for three times. Mixing the extractive solutions, and concentrating to 2.242g crude drug/mL.
2.2 grouping of animals and modeling
Experimental animals were purchased from beijing velarihua experimental animals company. Clean grade, body mass (20.+ -.2) g,8 week C57BL/6J and ApoE-/-mice were selected. 10C 57BL/6J mice were fed normal feed for 6 weeks as a normal control group. 50 ApoE-/-mice were divided into a model group, a high dose group, a medium dose group, a low dose group and a positive drug group, 10 animals per group were fed with high-fat feed for 6 weeks, and subcutaneous injection of isoprenaline (10 mg/kg) was performed at an amount of 0.02mL/g every day 7d before the mice were sacrificed, and an equivalent amount of physiological saline was administered to the blank group. Animal body weight was recorded weekly. 6 hours after the last isoprenaline injection, the animal was examined for animal heart function using a small animal ultrasonic imager.
Animals in the high dose group were dosed at 10 times the clinically equivalent dose (2.242 g crude drug/mL, 0.2mL/10g body weight);
animals in the medium dose group were dosed at 5-fold clinical equivalent dose (1.121 g crude drug/mL, 0.2mL/10g body weight)
Animals in the low dose group were dosed at 2.5 times the clinically equivalent dose (0.560 g crude drug/mL, 0.2mL/10g body weight)
The animals of the positive drug group were perfused with atorvastatin (135 mg in water to 50ml for dissolution).
2.3 experimental results
The results are shown in tables 2 and 3.
TABLE 2 detection results of animal cardiac function indicators of each groupn=10)
Note that: ". Times" indicates that the model group compared to the control group has a P < 0.05;
IVSd (end diastole compartment thickness), IVSs (end systole compartment thickness), LVPWd (end diastole back wall thickness), LVPWs (end systole back wall thickness), EF (ejection fraction), HR (heart rate).
TABLE 3 detection results of animal cardiac function indicators of each groupn=10)
Note that: ". Times" indicates that the model group compared to the control group has a P < 0.05;
LVIDd (end diastole left ventricular inner diameter), LVIDs (end systole left ventricular inner diameter), LVVold (end diastole left ventricular volume), LVVols (end systole left ventricular volume), FS (short axis foreshortening), LVm (ventricular mass), LV Mass Corrected (corrected left ventricular mass index).
Research results show that the traditional Chinese medicine composition can obviously improve the heart function of the mice suffering from chronic myocardial ischemia.
3 clinical medical records
Some women, 56 years old, complain about chest needle-like pain, chest distress, aggravate for 1 week, visit before 3 months and 15 days in 2020: patients complain of unsmooth chest before and after the present spring festival, have fast heart rate, stab near 3d chest, and chest distress complicated with systemic debilitation and constipation, and are diagnosed with coronary heart disease by coronary artery CT angiography (CTA) in a certain hospital. The traditional Chinese medicine is used for diagnosing chest stuffiness and pain, dark red tongue with yellow and greasy coating and smooth and rapid pulse, and meets the diagnosis standard of the heat-accumulation blood pulse syndrome of coronary heart disease. Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. 14 doses of the Chinese medicinal composition are decocted in water for oral administration. Re-diagnosis in 2020, 4 months and 18 days: chest pain and chest distress are relieved, chest distress and hypodynamia are caused at night, night sweat is caused, stool is soft, and bitter taste is caused every day. A dark tongue with white and greasy coating and a slippery and rapid pulse. Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. 14 doses of the Chinese medicinal composition are decocted in water for oral administration. Three diagnoses in 2020, 5 months and 21 days: the heart beat is increased (110-120 times/min) from the near 1 week, chest distress, dizziness and hypodynamia are frequent at night, the stool is thin after taking the medicine, one row of the medicine is taken every day, no mouth is dry and bitter, and chest pain disappears. A dark tongue with yellow and greasy coating and a deep, slippery and rapid pulse. Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. 14 doses of the Chinese medicinal composition are decocted in water for oral administration. The disease is stable and no recurrence occurs after the follow-up half a year.
Some of these men, 60 years old, complain about chest pain, occasionally get a seizure during sleep, start to get a seizure frequently before 1 week, visit before 20 days 7 in 2020: chest distress and dysphoria occur before and after one month of patient complain, chest pricking pain occurs after slight exercise, and unstable angina is confirmed by electrocardiographic examination in a certain hospital along with whole body hypodynamia, shortness of breath and constipation. The traditional Chinese medicine is used for diagnosing chest stuffiness and pain, dry and bitter mouth, red tongue with yellow and greasy coating and smooth and rapid pulse, and meets the diagnosis standard of unstable angina pectoris heat-accumulation blood pulse. Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. 14 doses of the Chinese medicinal composition are decocted in water for oral administration. Re-diagnosis 8 months and 15 days 2020: chest pain and chest distress are relieved, spontaneous perspiration is accompanied, and the stool is softer, and bitter taste is achieved in one line each day. A dark tongue with white and greasy coating and a slippery and rapid pulse. Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. 14 doses of the Chinese medicinal composition are decocted in water for oral administration. Three diagnoses in 2020, 9 months and 20 days: the patient can feel thin after taking the medicine from the stool, and has the symptoms of one line of qi deficiency, debilitation, no dry mouth, bitter taste, slight chest distress, dysphoria and chest pain. The tongue has ecchymosis and ecchymosis points, yellow and greasy tongue coating and slippery pulse. Prescription: 15g of honeysuckle, 15g of radix scrophulariae, 9g of Chinese angelica, 9g of raw liquorice, 15g of fructus forsythiae, 15g of cassia twig, 9g of polygonum cuspidatum and 15g of radix salviae miltiorrhizae. 14 doses of the Chinese medicinal composition are decocted in water for oral administration. The disease is stable and no recurrence occurs after the follow-up half a year.

Claims (9)

1. The application of the traditional Chinese medicine composition in preparing the medicine for treating the coronary heart disease is characterized in that the raw material medicines of the traditional Chinese medicine composition are as follows: 5-30 parts of honeysuckle, 5-30 parts of radix scrophulariae, 3-18 parts of angelica sinensis, 3-18 parts of liquorice, 5-30 parts of fructus forsythiae, 5-30 parts of cassia twig, 3-18 parts of polygonum cuspidatum and 5-30 parts of radix salviae miltiorrhizae.
2. The use according to claim 1, wherein the crude drugs of the traditional Chinese medicine composition are: 9-24 parts of honeysuckle, 9-24 parts of radix scrophulariae, 5-15 parts of angelica sinensis, 5-15 parts of liquorice, 9-24 parts of fructus forsythiae, 9-24 parts of cassia twig, 5-15 parts of polygonum cuspidatum and 9-24 parts of radix salviae miltiorrhizae.
3. The use according to claim 2, wherein the crude drugs of the traditional Chinese medicine composition are: 12-18 parts of honeysuckle, 12-18 parts of radix scrophulariae, 7-12 parts of angelica sinensis, 7-12 parts of liquorice, 12-18 parts of fructus forsythiae, 12-18 parts of cassia twig, 7-12 parts of polygonum cuspidatum and 12-18 parts of radix salviae miltiorrhizae.
4. The use according to claim 3, wherein the crude drugs of the traditional Chinese medicine composition are: 15 parts of honeysuckle, 15 parts of radix scrophulariae, 9 parts of angelica sinensis, 9 parts of liquorice, 15 parts of fructus forsythiae, 15 parts of cassia twig, 9 parts of polygonum cuspidatum and 15 parts of radix salviae miltiorrhizae;
or 13 parts of honeysuckle, 17 parts of radix scrophulariae, 8 parts of angelica sinensis, 11 parts of liquorice, 13 parts of fructus forsythiae, 17 parts of cassia twig, 8 parts of polygonum cuspidatum and 16 parts of radix salviae miltiorrhizae;
or 17 parts of honeysuckle, 13 parts of radix scrophulariae, 11 parts of angelica sinensis, 8 parts of liquorice, 17 parts of fructus forsythiae, 13 parts of cassia twig, 11 parts of polygonum cuspidatum and 13 parts of radix salviae miltiorrhizae.
5. The use according to any one of claims 1 to 4, wherein the Chinese medicinal composition is: the raw materials are respectively crushed and then mixed to form a composition; or, the composition is obtained by crushing the mixed raw materials; or mixing the above raw materials, extracting by conventional extraction method to obtain extract, purifying to obtain effective components, and preparing into conventional oral dosage form by conventional preparation process.
6. The use according to claim 5, wherein said conventional oral dosage form comprises a tablet, capsule, granule, pill, powder, oral liquid.
7. The application of a traditional Chinese medicine composition in preparing a medicine for treating coronary heart disease is characterized in that the traditional Chinese medicine composition comprises the following raw materials: 5-30 parts of honeysuckle extract, 5-30 parts of radix scrophulariae extract, 3-18 parts of Chinese angelica extract, 3-18 parts of licorice extract, 5-30 parts of fructus forsythiae extract, 5-30 parts of cassia twig extract, 3-18 parts of polygonum cuspidatum extract and 5-30 parts of red sage root extract;
wherein the extract is water extract or ethanol extract of each raw material medicine respectively.
8. The use according to claim 7, wherein the raw materials of the traditional Chinese medicine composition are: 9-24 parts of honeysuckle extract, 9-24 parts of radix scrophulariae extract, 5-15 parts of Chinese angelica extract, 5-15 parts of licorice extract, 9-24 parts of fructus forsythiae extract, 9-24 parts of cassia twig extract, 5-15 parts of polygonum cuspidatum extract and 9-24 parts of red sage root extract.
9. The use according to claim 8, wherein the raw materials of the traditional Chinese medicine composition are: 15 parts of honeysuckle extract, 15 parts of radix scrophulariae extract, 9 parts of Chinese angelica extract, 9 parts of liquorice extract, 15 parts of fructus forsythiae extract, 15 parts of cassia twig extract, 9 parts of polygonum cuspidatum extract and 15 parts of red sage root extract.
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