CN115969928A - Traditional Chinese medicine composition for treating chronic heart failure and application thereof - Google Patents
Traditional Chinese medicine composition for treating chronic heart failure and application thereof Download PDFInfo
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
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Abstract
The invention relates to a traditional Chinese medicine composition for treating chronic heart failure, which is prepared from the following raw material medicines in parts by weight: 14-22 parts of astragalus mongholicus, 11-19 parts of semen lepidii, 11-19 parts of polyporus umbellatus, 6-14 parts of rhizoma anemarrhenae, 2-10 parts of radix bupleuri, 2-10 parts of platycodon grandiflorum and 1-8 parts of rhizoma cimicifugae. The invention also provides application of the medicine in preparing a medicine for treating chronic heart failure, the traditional Chinese medicine composition has a good treatment effect on qi-deficiency and water-retention type chronic heart failure, and meanwhile, the formula has the effects of tonifying qi, lifting yang, inducing diuresis, excreting dampness and reducing swelling together, and has the effects of lifting qi, lifting yang, lifting dampness and inducing diuresis.
Description
Technical Field
The invention relates to the field of traditional Chinese medicines, in particular to a traditional Chinese medicine composition for treating chronic heart failure and application thereof.
Background
Chronic Heart Failure (CHF) is a common complex and serious clinical syndrome with a poor overall prognosis, and how to reduce the incidence, disability rate and mortality of heart failure has been a global medical problem. Heart failure is a progressively aggravating condition in which the structure and function of the heart are constantly worsening even if the heart is not newly damaged in a perceptible manner, and studies have shown that about 60% of patients with heart failure die from sudden death, and that with increasing severity of heart failure, there are increasing patients who die as a result of worsening of heart failure.
The ancient book of traditional Chinese medicine has no name of heart failure, and the names of diseases related to the heart failure are firstly seen in the 'internal classic', and from the 'heart distension, dysphoria, short breath, uneasiness in lying down' and 'heart impediment, obstructed pulse, heart bulging, upward qi and asthma', the 'heart distension' and the 'heart impediment' can be easily found to be classified into the heart failure according to the expression. Zhang Zhongjing further provides the disease name of heart water on the basis, and the 'Jinkui Yao L' is recorded in the book: the symptoms of the heart-water patient are closer to the congestive heart failure in modern medicine, and the pathogenesis of the heart-water patient is very similar to the theory of heart-kidney mechanism in early stage of heart failure. The clinical manifestations characteristic of heart failure are dyspnea, edema, increased heart rate, etc. Ancient Chinese medicine does not have the symptoms corresponding to heart failure, and from the clinical manifestations, heart failure mainly belongs to ' asthma syndrome ', ' edema ', palpitation ' and the like of Chinese medicine.
The traditional Chinese medicine has a long history and definite curative effect on the diagnosis and treatment of heart failure related diseases, particularly, through the practice and research of the traditional Chinese medicine for treating the heart failure in recent years, the traditional Chinese medicine has basically achieved consensus on the core pathogenesis (qi, yin and yang deficiency as the basis and blood nodule and water retention as the target) of the heart failure, and the traditional Chinese medicine also becomes a widely recognized basic treatment method for treating the heart failure by tonifying qi, nourishing yin, warming yang, activating blood and inducing diuresis. Aiming at the pathogenesis characteristics of heart failure with deficiency and marked excess, the basic treatment principle of heart failure is to tonify heart qi, regulate yin and yang, activate blood and promote diuresis, expel pathogenic factors as assistance, tonify deficiency without forgetting to expel pathogenic factors, and expel pathogenic factors with emphasis on nourishing vital qi. In recent years, the treatment of heart failure has been focused on heart qi tonifying, yang warming, qi tonifying, blood circulation promoting and diuresis promoting, and qi tonifying, yin nourishing, blood circulation promoting and diuresis promoting.
Chinese patent CN115282219A, published as 2022.11.04 discloses a traditional Chinese medicine composition for treating chronic heart failure, a preparation method and application thereof, wherein the traditional Chinese medicine composition for treating chronic heart failure is prepared from the following raw materials in parts by weight: 10-30 parts of cassia twig, 10-30 parts of polyporus umbellatus, 10-30 parts of poria cocos, 10-30 parts of rhizoma alismatis, 10-30 parts of bighead atractylodes rhizome, 10-30 parts of moutan bark, 10-30 parts of peach kernel and 10-30 parts of peony root, wherein the traditional Chinese medicine formula has the efficacies of warming and activating heart yang, promoting blood circulation and promoting diuresis, mainly treats yang deficiency and blood stasis and water retention type chronic heart failure, and simultaneously has the effects of improving heart function, improving life quality of patients and the like. Chinese patent CN113559223A, published Japanese 2021.10.29 discloses a traditional Chinese medicine compound composition for treating chronic heart failure, which comprises the following components: 20-60 parts of semen lepidii, 20-60 parts of Chinese date, 10-30 parts of curcuma zedoary, 10-30 parts of pollen typhae, 30-90 parts of raw astragalus membranaceus, 20-60 parts of salvia miltiorrhiza, 30-90 parts of rhodiola rosea, 10-30 parts of fructus liquidambaris, 20-60 parts of plantain herb, 10-30 parts of poria cocos, 20-60 parts of fried bighead atractylodes rhizome, 20-60 parts of radix polygonati officinalis, 10-30 parts of cassia twig and 10-30 parts of fructus broussonetiae. The traditional Chinese medicine compound composition for treating chronic heart failure has a treatment effect on chronic heart failure, has the effects of purging lung, removing water retention, tonifying qi, invigorating spleen, warming yang and removing stasis, can obviously improve clinical symptoms of patients with heart failure, improve cardiac function grading and reduce blood plasma B-type brain natriuretic peptide and other heart failure indexes, and is small in toxic and side effects after long-term administration and safe and reliable in medication. The traditional Chinese medicine composition has more medicinal ingredients, increases the preparation procedures of the medicine, and is more complicated, so that the preparation of the traditional Chinese medicine composition which has obvious effect and moderate medicinal ingredient number and is used for treating chronic heart failure is necessary.
However, the traditional Chinese medicine composition for treating chronic heart failure has not been reported at present.
Disclosure of Invention
The first purpose of the present invention is to provide a Chinese medicine composition for overcoming the defects in the prior art.
The second purpose of the invention is to provide the application of the traditional Chinese medicine composition.
In order to realize the first purpose, the invention adopts the technical scheme that:
a traditional Chinese medicine composition for treating chronic heart failure is prepared from the following raw material medicines in parts by weight: 14-22 parts of astragalus mongholicus, 11-19 parts of semen lepidii, 11-19 parts of polyporus umbellatus, 6-14 parts of rhizoma anemarrhenae, 2-10 parts of radix bupleuri, 2-10 parts of platycodon grandiflorum and 1-8 parts of rhizoma cimicifugae.
As a preferred example, the traditional Chinese medicine composition is prepared from the following raw material medicines in parts by weight: 16-20 parts of astragalus membranaceus, 13-17 parts of semen lepidii, 13-17 parts of polyporus umbellatus, 8-12 parts of rhizoma anemarrhenae, 4-8 parts of radix bupleuri, 4-8 parts of platycodon grandiflorum and 2-6 parts of rhizoma cimicifugae.
As a preferred example, the traditional Chinese medicine composition is prepared from the following raw material medicines in parts by weight: 18 parts of astragalus, 15 parts of pepperweed seed, 15 parts of polyporus, 10 parts of rhizoma anemarrhenae, 6 parts of radix bupleuri, 6 parts of platycodon grandiflorum and 4 parts of cimicifugae foetidae.
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 chronic heart failure.
More preferably, the chronic heart failure is qi-deficiency and water-retention type chronic heart failure.
The traditional Chinese medicines in the formula have the following effects:
astragalus root, radix astragali, replenishing qi and elevating, invigorating spleen and tonifying lung, semen lepidii, purging lung and relieving asthma, inducing diuresis and relieving swelling, the heart and lung of both are concocted and mainly attack upper energizer, and is the monarch drug; the polyporus umbellatus is used for promoting diuresis and eliminating dampness, and strengthening the effect of promoting diuresis of monarch drugs, and is a ministerial drug; radix bupleuri and rhizoma cimicifugae are used as adjuvant drugs, the effects of radix platycodonis on yellow millet are that the radix bupleuri and rhizoma cimicifugae respectively take away shaoyang and yangming to guide atmosphere upward, rhizoma anemarrhenae is cool and moisten into kidney and ascend to descend, and the whole formula is prepared. The whole formula has the effects of tonifying qi, lifting yang, lifting sinking, inducing diuresis, excreting dampness and reducing swelling, and has the effects of lifting sinking and inducing diuresis.
[ detailed description ] embodiments
The following provides a detailed description of specific embodiments of the present invention.
EXAMPLE 1 pharmaceutical composition for the treatment of Chronic Heart failure
18 parts of astragalus, 15 parts of semen lepidii, 15 parts of polyporus, 10 parts of rhizoma anemarrhenae, 6 parts of radix bupleuri, 6 parts of platycodon grandiflorum and 4 parts of rhizoma cimicifugae.
EXAMPLE 2 pharmaceutical composition for the treatment of Chronic Heart failure
18 parts of astragalus, 13 parts of semen lepidii, 17 parts of polyporus, 6 parts of rhizoma anemarrhenae, 10 parts of radix bupleuri, 6 parts of platycodon grandiflorum and 2 parts of cimicifugae foetidae.
EXAMPLE 3 pharmaceutical composition for treatment of Chronic Heart failure
16 parts of astragalus, 17 parts of semen lepidii, 11 parts of polyporus, 14 parts of rhizoma anemarrhenae, 6 parts of radix bupleuri, 4 parts of platycodon grandiflorum and 6 parts of cimicifugae foetidae.
Example 4 pharmaceutical composition for the treatment of chronic Heart failure (IV)
20 parts of astragalus, 11 parts of pepperweed seed, 19 parts of polyporus umbellatus, 10 parts of anemarrhena, 4 parts of bupleurum, 8 parts of balloonflower root and 1 part of cimicifuga foetida.
EXAMPLE 5 pharmaceutical composition for treatment of Chronic Heart failure (five)
14 parts of astragalus, 19 parts of semen lepidii, 15 parts of polyporus, 8 parts of rhizoma anemarrhenae, 8 parts of radix bupleuri, 2 parts of platycodon grandiflorum and 8 parts of rhizoma cimicifugae.
EXAMPLE 6 pharmaceutical composition (VI) for the treatment of Chronic Heart failure
22 parts of astragalus, 15 parts of pepperweed seed, 13 parts of polyporus umbellatus, 12 parts of anemarrhena, 2 parts of bupleurum, 10 parts of balloonflower root and 4 parts of cimicifuga foetida.
EXAMPLE 7 pharmaceutical composition (seven) for the treatment of chronic Heart failure
18 parts of astragalus, 17 parts of pepperweed seed, 11 parts of polyporus umbellatus, 14 parts of anemarrhena, 6 parts of bupleurum, 4 parts of platycodon root and 6 parts of cimicifuga foetida.
EXAMPLE 8 pharmaceutical composition for treatment of Chronic Heart failure (eight)
16 parts of astragalus, 11 parts of semen lepidii, 19 parts of polyporus, 10 parts of rhizoma anemarrhenae, 4 parts of radix bupleuri, 8 parts of platycodon grandiflorum and 1 part of cimicifugae foetidae.
EXAMPLE 9 pharmaceutical composition for treatment of Chronic Heart failure (nine)
20 parts of astragalus, 19 parts of semen lepidii, 15 parts of polyporus, 8 parts of rhizoma anemarrhenae, 8 parts of radix bupleuri, 2 parts of platycodon grandiflorum and 8 parts of rhizoma cimicifugae.
EXAMPLE 10 pharmaceutical composition (Ten) for the treatment of chronic heart failure
14 parts of astragalus, 15 parts of semen lepidii, 13 parts of polyporus umbellatus, 12 parts of rhizoma anemarrhenae, 2 parts of radix bupleuri, 10 parts of platycodon grandiflorum and 4 parts of rhizoma cimicifugae.
EXAMPLE 11 pharmaceutical composition for treatment of Chronic Heart failure (eleven)
22 parts of astragalus, 13 parts of pepperweed seed, 17 parts of polyporus umbellatus, 6 parts of anemarrhena, 10 parts of bupleurum, 6 parts of balloonflower root and 2 parts of cimicifuga foetida.
It should be noted that the conventional method for decocting the raw materials described in examples 1 to 11 is a conventional method for preparing a decoction of a Chinese medicine, i.e., the raw materials are decocted into a decoction by adding water.
EXAMPLE 12 clinical efficacy test
1 clinical data
1.1 general data
120 chronic heart failure patients who are hospitalized in the traditional Chinese medicine hospital of Union, 2019, 1 month to 2020, and 12 months are continuously collected, and are randomly (by a random digital table method) divided into a test group and a control group, 60 patients respectively. The patients' left heart function NYHA is classified into II-IV. The test group comprises 60 patients, wherein 30 men and 30 women are aged 44-81 years, the average (70.33 +/-8.98) years, 7 patients with cardiac function II, 39 patients with III, 14 patients with IV, 48 patients with ACEI/ARB/ARNI tolerance and 52 patients with beta-blocker tolerance. Control group of 60 patients, 30 males, 30 females, age 43-81, mean age (71.60 + -9.50) years, 11 cardiac function class II, 36 class III, 13 class IV, 50 tolerant to ACEI/ARB/ARNI, 53 tolerant to beta blockers. The heart failure patients in the test group and the control group have no significant difference in sex, age and disease course (P is more than 0.05), and the patients in the two groups receive standard anti-heart failure treatment medicaments. This study was approved by the institutional medical ethics committee.
1.2 inclusion criteria
Meets the diagnosis standard of chronic heart failure formulated by 'Chinese heart failure diagnosis and treatment guide 2018'; the heart function classification conforms to the classification standards II-IV of the New York Heart Association (NYHA); according to the guideline of clinical research on new drugs in Chinese medicine, the clinical syndrome differentiation is qi deficiency and water retention syndrome, the age is 18-85 years, and the informed consent is signed.
1.3 exclusion criteria
(1) Acute myocardial infarction, hypertrophic cardiomyopathy, constrictive pericarditis, obvious valvular lesion or congenital heart disease, primary pulmonary hypertension or secondary severe pulmonary hypertension;
(2) Ischemic heart failure is not subjected to revascularization or is less than 3 months after revascularization;
(3) Acute myocardial infarction occurs within nearly 3 months;
(4) Patients with acute pulmonary edema or acute hemodynamic disorders;
(5) A patient prepared for heart transplant or CRT, or who has received CRT treatment;
(6) The systolic pressure is more than 180mmHg;
(7) Severe electrolyte disturbance combined with severe impairment of liver and kidney functions;
(8) Right heart failure due to pulmonary disease.
1.4 methods of treatment
The two groups are treated with western medicine (including ACEI/ARB/ARNI, diuretic, BETA receptor blocker, etc.); after random grouping, the control group was administered placebo (one tenth of the flavored up-endemic soup) and the test group was administered flavored up-endemic soup, with a single blind method, recipe: 18g of astragalus root, 10g of rhizoma anemarrhenae, 15g of polyporus, 6g of radix bupleuri, 6g of platycodon grandiflorum, 4g of rhizoma cimicifugae, 15g of semen lepidii and the like, 1 dose per day, 100ml of each of which is taken 2 times in the morning and at night. Both treatment courses were 12 weeks.
1.5 Observation index
Adverse reactions of the drugs are evaluated according to the clinical drug adverse reaction dictionary during the medication period, the changes of heart rate and blood pressure are strictly monitored, the routine detection of liver and kidney functions and blood is performed, and the occurrence conditions of adverse reactions of the drugs are recorded in detail and timely symptomatic treatment is performed. The integral of the syndrome of traditional Chinese medicine is calculated by referring to the guiding principle of clinical research of new traditional Chinese medicine. Changes in 6MWT, NT-proBNP levels and LVEF were observed before and 12 weeks after treatment in both groups.
1.6 statistical methods
Analyzing and measuring by SPSS22.0 statistical softwareData are normally distributed with mean + -standard deviationExpressed as median (M) (25% percentile (Q1), 75% percentile (Q3)) using the t-test, for non-normal distributions, using the Mann-WhitneyU test; the data of the counting is as follows 2 The test shows that the difference is statistically significant when P is less than 0.05.
2 results
2.1 integral comparison of Chinese medical symptoms before and after treatment of two groups of patients
According to the guideline of clinical research of new Chinese medicine, the Chinese medicine symptom integral is calculated according to the severity of heart failure main symptoms (chest distress, asthma, edema and palpitation) and secondary symptoms (listlessness, idle speaking, spontaneous perspiration and shortness of breath) which are divided into 4 grades, no-0 score, light-2 score, medium-4 score and heavy-6 score. And (4) prompting by a result: the symptoms of chest distress, asthma, edema, palpitation, listlessness, no talk, spontaneous perspiration and short breath in the two groups before treatment are compared, and the difference is not significant (P is more than 0.05). After the treatment of the test group, the symptoms of chest distress, asthma, edema, palpitation, lassitude, no speaking desire, spontaneous perspiration and shortness of breath are compared, and the difference before and after the treatment has statistical significance (P is less than 0.05); the total integral of the traditional Chinese medicine symptoms of the two groups of patients is obviously reduced before and after treatment, and the reduction of the test group is more obvious (P is less than 0.05). See table 1 for details.
TABLE 1 comparison of Chinese medicine symptom integrals before and after treatment of two groups of patients
Note: compared with the treatment before the treatment, ※ P<0.05; compared with the control group, the compound is added, # P<0.05。
2.2 Pre-and post-treatment 6MWT comparisons of two groups
Before treatment, the difference was not statistically significant (P > 0.05) when 6MWT was compared between the two groups of patients. After treatment, the 6MWT increased significantly in both groups, and the test group increased more significantly (P < 0.05). See table 2.
group of | Number of examples | Before treatment | After treatment |
Test group | 60 | 291.00±78.01 | 356.33±81.15 ※# |
Control group | 60 | 305.82±91.82 | 353.83±96.82 ※ |
Note that compared to the treatment before, ※ P<0.05; compared with the control group, the compound of the formula, # P<0.05。
2.3 comparison of NT-proBNP before and after treatment of the two groups
Before treatment, the difference between NT-proBNP in the two groups of patients was not statistically significant (P > 0.05). The comparative reduction range of NT-proBNP of the two groups of patients before and after treatment is more than 30 percent, and both the two groups of patients achieve ideal treatment targets. After treatment, the NT-proBNP in the two groups is greatly reduced, and the reduction in the experimental group is more obvious (P < 0.05). See table 3.
TABLE 3 two-panel pre-and post-treatment NT-proBNP comparison (pg/ml, M (min, max))
Group of | Number of examples | Before treatment | After treatment |
Test group | 60 | 2078(1379,4338) | 705.5(305,1319.5) ※# |
Control group | 60 | 1843(1316,4001) | 884.5(570.75,1710) ※ |
Note that compared with the treatment before the treatment, ※ P<0.05; compared with the control group, the compound of the formula, # P<0.05。
2.4 comparison of LVEF before and after treatment of two groups
Before treatment, the LVEF difference between the two groups of patients was not statistically significant (P > 0.05). After treatment, LVEF was significantly elevated in both groups, with the test group elevated more significantly (P < 0.05). See table 4.
group of | Number of examples | Before treatment | After treatment |
Test group | 60 | 47.95±9.25 | 56.04±9.15 ※# |
Control group | 60 | 49.71±9.45 | 54.92±9.10 ※ |
Note that compared to the treatment before, ※ P<0.05; compared with the control group, the compound of the formula, # P<0.05。
2.5 comparison of left Heart function NYHA rating before and after treatment in two groups of patients
After treatment, the cardiac function of the patients in the test group is obviously improved, 13 patients with central function IV are reduced, the cardiac function of the patients in the test group is better than that of the patients in the control group after treatment, and the difference has statistical significance (P < 0.05). See table 5.
TABLE 5 comparison of left Heart function NYHA rating before and after treatment in two groups of patients (example (%))
The cardiac function efficacy was assessed according to the NYHA classification method. (1) The heart function is controlled basically or improved by more than 2 grades. (2) improving effective cardiac function by 1 grade but less than 2 grade. (3) the improvement of ineffective cardiac function is less than grade 1. (4) deterioration of cardiac function at 1 level or more than 1 level. The total effective rate of the test group is 73.4 percent, the total effective rate of the control group is 58.3 percent, and compared between the two groups, the difference has statistical significance (P is less than 0.05). See table 6.
TABLE 6 comparison of clinical efficacy of two groups of patients (example (%))
Group of | Number of examples | Show effect | Is effective | Invalidation | Deterioration of |
Test group | 60 | 7(11.7) | 37(61.7) | 16(26.7) | 0(0) |
Control group | 60 | 9(15) | 26(43.3) | 23(38.3) | 0(0) |
Note that P <0.05 compared to control.
2.6 results of safety evaluation before and after treatment of two groups of patients
Before and after treatment, serious adverse reactions do not occur in the two groups of patients through dynamic observation of liver and kidney functions, blood routine and the like, and the incidence rate of gastrointestinal reaction of the patients in the test group is obviously lower than that of the patients in the control group.
Example 13 animal models
1 materials and methods
1.1 drugs and reagents
The preparation of the traditional Chinese medicine composition I comprises the following steps: the raw materials are weighed according to the weight part ratio of the pharmaceutical composition in the embodiment 1, and are decocted with water to form decoction for preparation.
The preparation of the traditional Chinese medicine composition II comprises the following steps: the raw materials are weighed according to the weight part ratio of the pharmaceutical composition in the embodiment 2, and are decocted with water to form decoction for preparation.
Preparing a first traditional Chinese medicine composition of a control group: weighing 18 parts of astragalus mongholicus, 15 parts of semen lepidii, 15 parts of polyporus umbellatus, 10 parts of rhizoma anemarrhenae, 6 parts of bark of schefflera octophylla, 6 parts of platycodon grandiflorum and 4 parts of radix peucedani praeruptorum, and adding water to decoct into decoction for preparation.
Preparing a control group traditional Chinese medicine composition II: weighing 18 parts of astragalus, 15 parts of semen lepidii, 15 parts of polyporus umbellatus, 10 parts of cassia occidentalis, 6 parts of rhizoma cimicifugae, 6 parts of platycodon grandiflorum and 4 parts of decursia violacea according to the weight part ratio, and adding water to decoct into decoction for preparation.
Reagent: doxorubicin hydrochloride (shanghai-derived leaf biotechnology, ltd.), physiological saline (shanghai-research industries, ltd.), BNP (ELISA) kit (shanghai-research biotechnology, ltd).
1.2 Instrument
PL-203 type electronic balance (mettler-toledo instruments (shanghai) ltd); DW-86L626 type ultra-low temperature refrigerator (Haier Co., ltd.); a SUNRISE type microplate reader (Tecan, switzerland); a neogauge 15R type bench top high speed refrigerated centrifuge (Healforce); electrocardiographs (Beijing Futian electronic medical instruments, inc.).
1.3 animals
SPF grade SD rats, 180-200g,70 in body mass, half female and half male, were provided by Shanghai Si Laike laboratory animal services, inc.
2 protocol for the experiment
2.1 modeling of Heart failure (CHF) animals
The doxorubicin rat cardiomyopathy and congestive heart failure models established by documents (Li Yuling, yang Jianye, tang Junming, etc., comparison of different schemes of doxorubicin-induced rat heart failure models, china journal of comparative medicine 2006.16 (2): 93-96.) were prepared into 2mg ml with water for injection -1 Solution, according to 4mg.kg -1 Body weight, i.e. 2mL.kg -1 SD rats were injected intraperitoneally 1 time per week for 6 weeks, and the total amount was 24mg -1 Body weight. After 6 weeks, the T wave height rising of the ST section of the electrocardiogram raised with the II leads of the limbs is detected to be successful in modeling.
2.2 grouping and administration
Randomly selecting 50 rats successfully modeled into 6 groups, each group comprises 10 rats with half male and half female, namely the first group of the invention, the second group of the invention, the first control group, the second control group and the model group, selecting 10 rats without modeling as blank groups, and continuously administering for 4 weeks according to the following mode:
the invention comprises the following components: the decoction prepared by the group I of the invention is used for intragastric administration twice a day, and the concentration is 10mL/kg
The invention has the following group two: the decoction prepared by the second group of the invention is used for intragastric administration twice a day, and the concentration is 10mL/kg.
Control group one: the decoction prepared by the control group I is perfused twice a day, 10mL/kg.
Control group two: the decoction prepared by the control group II is infused twice a day, 10mL/kg.
Model group: the stomach is irrigated twice daily according to 10mL/kg drinking water.
2.3 detection of indicators
2.3.1 comparison of Heart Mass and Heart Rate in groups of rats
The heart mass and the heart rate of each group of rats after administration are measured, and the influence of the formulation for promoting urination with the liter sinking on the heart mass and the heart rate of the rats is reflected.
2.3.2 detection of BNP in groups of rats
BNP detection adopts an ELISA method: weighing all animals after administration, collecting blood via orbital vein, standing whole blood sample at room temperature for 2 hr, centrifuging for 10min at 3000r/min, collecting serum as sample, and freezing at-80 deg.C. The detection steps are carried out strictly according to the kit instructions.
3. Statistical treatment
All data of the animal experiment are analyzed by adopting an SPSS23.0 statistical software package, the metering data are expressed by mean +/-standard deviation (x +/-s), two-to-two comparison among groups adopts chi-square test and t test, and the difference of p less than 0.05 has statistical significance.
4 results
4.1 Effect on rat Heart Mass and Heart Rate
The heart mass and heart rate of the rats after the end of the administration are shown in table 7, wherein the heart mass of the rats in the model group is remarkably reduced (p < 0.05) compared with that in the blank group, and the heart mass is increased (p < 0.01) after the administration compared with that in the model group; the heart rate of rats in the model group was significantly increased (p < 0.01) compared to the blank group, and the heart rate after administration was decreased (p < 0.01) compared to the model group.
TABLE 7 rat cardiac mass and Heart Rate variability
Note: comparison with blank group 1) (p<0.01), 3) (p<0.05 ); in comparison with the set of models, 2) (p<0.01), 4) (p<0.05)
4.2 comparison of BNP in groups of rats
BNP levels in rats of each group are as in table 8, and BNP levels in the model group are significantly increased (p < 0.05) compared to the blank group; the BNP level was significantly reduced after drug treatment compared to the model group (p < 0.05).
TABLE 8 comparison of the levels of BNP
Group of | n (example) | BNP((pg/ml) |
The invention is combined into | 10 | 23.15±1.14 2) |
Invention group two | 10 | 24.43±2.87 |
Control group one | 10 | 34.26±2.67 |
Control group two | 10 | 41.63±1.33 |
Model set | 10 | 49.64±2.09 1) |
Blank group | 10 | 16.97±1.67 |
Note: comparison with blank group 1) (p<0.05 ); in comparison with the set of models, 2) (p<0.05)
in conclusion, the traditional Chinese medicine compositions of the invention group and the control group have different treatment effects on CHF rats and can improve the cardiac function of the CHF rats, wherein the treatment effect of the first group is the most prominent.
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 (5)
1. The traditional Chinese medicine composition for treating chronic heart failure is characterized by being prepared from the following raw material medicines in parts by weight: 14-22 parts of astragalus, 11-19 parts of semen lepidii, 11-19 parts of polyporus umbellatus, 6-14 parts of rhizoma anemarrhenae, 2-10 parts of radix bupleuri, 2-10 parts of platycodon grandiflorum and 1-8 parts of cimicifugae foetidae.
2. The traditional Chinese medicine composition according to claim 1, which is prepared from the following raw materials in parts by weight: 16-20 parts of astragalus membranaceus, 13-17 parts of semen lepidii, 13-17 parts of polyporus umbellatus, 8-12 parts of rhizoma anemarrhenae, 4-8 parts of radix bupleuri, 4-8 parts of platycodon grandiflorum and 2-6 parts of rhizoma cimicifugae.
3. The traditional Chinese medicine composition according to claim 1, which is prepared from the following raw materials in parts by weight: 18 parts of astragalus, 15 parts of pepperweed seed, 15 parts of polyporus, 10 parts of rhizoma anemarrhenae, 6 parts of radix bupleuri, 6 parts of platycodon grandiflorum and 4 parts of cimicifugae foetidae.
4. Use of the Chinese medicinal composition of any one of claims 1-3 in the preparation of a medicament for the treatment of chronic heart failure.
5. The use according to claim 4, wherein the chronic heart failure is chronic heart failure of the qi-deficiency water-stop type.
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