CN116036174A - Medicine for treating pulmonary nodules and preparation method thereof - Google Patents

Medicine for treating pulmonary nodules and preparation method thereof Download PDF

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CN116036174A
CN116036174A CN202310206788.0A CN202310206788A CN116036174A CN 116036174 A CN116036174 A CN 116036174A CN 202310206788 A CN202310206788 A CN 202310206788A CN 116036174 A CN116036174 A CN 116036174A
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李自辉
张宝文
王亚东
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Dalian University
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Abstract

The invention belongs to the technical field of traditional Chinese medicine preparations, and discloses a medicine for treating pulmonary nodules and a preparation method thereof. The components comprise: the preparation method comprises the steps of adding distilled water which is eight times of the total weight into stiff silkworm, schisandra chinensis, golden boiling grass and spina gleditsiae, soaking for 30 minutes, then controlling the temperature to be 60-100 ℃ for decoction for 1-3 times, each time for 1-3 hours, then filtering out the decoction, concentrating and drying, and obtaining dry paste, namely the medicine for treating pulmonary nodules. The traditional Chinese medicine composition for treating pulmonary nodules provided by the invention has the advantages of less traditional Chinese medicine taste, low cost and small toxic and side effects. The preparation process is simple to operate, quality control is easy to carry out in the production process, and the prepared traditional Chinese medicine composition is stable in chemical components.

Description

Medicine for treating pulmonary nodules and preparation method thereof
Technical Field
The invention belongs to the technical field of traditional Chinese medicine preparations, and in particular relates to a medicine for treating pulmonary nodules and a preparation method thereof.
Background
Modern medical research has shown that pulmonary sarcoidosis is a systemic disease characterized by non-cheese granulomatous inflammation of epithelial cells of unknown cause, whose key mechanisms of occurrence are cellular and humoral immune responses of the organism caused by unknown antigens. With the increasing technological level and biotechnology, recent studies have shown that metabolic dysfunction is an important contributor to pulmonary nodules. The lung of a human body is an important respiratory and immune organ, when the metabolic function of the human body is damaged, the metabolic abnormality of the microcirculation function of the human body is caused by the processes of generation, differentiation, migration, aggregation and the like of various immune cells, so that inflammatory reaction and pulmonary granuloma formation or fibrosis are caused, and the improper treatment can induce canceration and even death.
With the rapid development of cities, the living and working pressures of a plurality of people living in large cities are continuously increased, and along with the gradual highlighting of the contradiction of environmental problems, the related diseases in the aspect of lungs, especially lung nodules, are induced, and the increasing of the incidence rate year by year plays a serious role in the stabilization of families and the peace of society; the treatment of patients with early pulmonary nodules in modern medical clinic is mostly glucocorticoid medicines (methotrexate and the like), and the patients with early pulmonary nodules can have a certain treatment effect, but can easily cause serious cerebrovascular diseases and abnormal reactions of endocrine metabolism even endanger life after being taken for a long time. The traditional Chinese medicine has the characteristics of low price, small toxic and side effects and long-term effective curative effect in the aspect of treating diseases, and particularly has unique advantages in treating early stage nodular symptoms of lung cancer lesions.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention provides a medicine for treating pulmonary nodules and a preparation method thereof, wherein the medicine is prepared by compatibility and combination of stiff silkworm, golden-boiling grass, shizandra berry and spina gleditsiae, can be taken for a long time from the aspects of resolving phlegm and resolving masses, dispelling wind and dredging collaterals, tonifying qi and nourishing yin, and has small side effect and stable medicine effect.
The above object of the present invention is achieved by the following technical solutions: a medicament for treating pulmonary nodules, comprising the following components: bombyx Batryticatus, fructus Schisandrae chinensis, herba Pogostemonis, and spina Gleditsiae.
Further, the medicine components for treating pulmonary nodule comprise 5-10g of stiff silkworm, 2-6g of schisandra chinensis, 3-10g of spina gleditsiae and 5-10g of golden boiling grass.
The invention further preferably comprises the following components in proportion of stiff silkworm, golden-boiling grass, chinese magnoliavine fruit and spina gleditsiae=3:2:1:2.
A method for preparing a medicament for treating pulmonary nodules, comprising the following steps: adding distilled water which is eight times of the total weight into stiff silkworm, shizandra berry, golden boiling grass and spina gleditsiae, soaking for 30 minutes, then controlling the temperature to be 60-100 ℃ for decoction for 1-3 times, wherein each time of decoction lasts for 1-3 hours, then filtering out the decocted liquid medicine, concentrating and drying, and obtaining dry paste which is the medicine for treating lung nodules.
Further, the medicine for treating the pulmonary nodules is granules, tablets, pills and capsules.
In a further preferred method of the present invention, the preparation method of the medicine for treating pulmonary nodules comprises the steps of extracting for 3 times at a temperature of 80 ℃ for 3 hours each time.
The stiff silkworm is a traditional liver-pacifying wind-extinguishing drug, and can resolve phlegm and dissipate nodulation, calm wind and stop spasm, dispel wind and relieve pain. The flavor is pungent and salty, and can dispel wind, resolve phlegm, dredge collaterals, soften hardness and dissipate nodulation, and also can resolve phlegm. Modern researches have found that the stiff silkworm mainly contains protein and fat, and the powdery mildew on the body surface contains substances such as ammonium oxalate and the like, so that the stiff silkworm has strong blood sugar and blood pressure reducing effects. Modern pharmacological researches show that the stiff silkworm has a strong anticoagulation effect and a good antibacterial effect on bacterial infections such as staphylococcus aureus, pseudomonas aeruginosa and the like. In recent years, researches show that the stiff silkworm has better effect in inhibiting liver cancer cells and lung cancer cells.
The herba Hedyotidis Diffusae is the aerial part of Inulae flos, and has similar efficacy and taste to Inulae flos, but herba Hedyotidis Diffusae is preferred for dispelling phlegm. The modern clinic is mainly applied to the treatment of chronic bronchitis, upper respiratory tract infection, rheumatic arthritis, urinary tract infection and other diseases. Pharmacological studies show that the herba zedoariae has strong inhibition effect on herpesvirus.
Spina Gleditsiae is thorn of Gleditsia sinensis, and has similar effect as Chinese medicinal Gleditsia sinensis. Pungent and warm nature, entering liver and kidney meridians, has the actions of relieving swelling and expelling pus, promoting qi circulation and regulating qi, warming and activating meridians, and activating blood and removing blood stasis. The Chinese medicine is used for treating sore and ulcer, milk obstruction, and other diseases. Modern pharmacological studies show that the gleditsia sinensis stings can promote the secretion of respiratory mucosa and has good phlegm-resolving effect.
Fructus Schisandrae is the mature fruit of Schisandra chinensis of Magnoliaceae, has sour and astringent taste, is sweet and warm and moist, has lung qi astringing upwards, and nourishes kidney yin downwards, and is an essential drug for treating cough and asthma due to deficiency of long-term. Modern scientific researches show that schisandra chinensis has excitation effects on both nervous system and central system and also on respiratory system. Can also reduce blood pressure, blood lipid and serum transaminase level, and protect liver cells; enhancing cellular immunity, promoting the elevation of SOD level of viscera, and improving immunity, resisting oxidation and aging.
Compared with the prior art, the invention has the beneficial effects that: the component of the traditional Chinese medicine composition for treating pulmonary nodules, namely stiff silkworm, is monarch drug, spina gleditsiae and golden-boiling grass are ministerial drugs, and shizandra berry is adjuvant drug. Wherein, the stiff silkworm is used for resolving phlegm, resolving masses and dredging collaterals; spina gleditsiae is used for promoting qi circulation, regulating qi, detumescence, expelling pus, promoting blood circulation and removing blood stasis; the herba inulae is used for reducing qi and resolving phlegm and dispersing and promoting the circulation of water; the shizandra berry is added for astringing lung qi, nourishing kidney yin, tonifying qi, promoting the production of body fluid, calming heart and tranquilizing mind. The components act together to achieve the effect of treating pulmonary nodules. The traditional Chinese medicine composition for treating pulmonary nodules provided by the invention has the advantages of less traditional Chinese medicine taste, low cost and small toxic and side effects. The preparation process is simple to operate, quality control is easy to carry out in the production process, and the prepared traditional Chinese medicine composition is stable in chemical components. Pharmacological research experiment results show that the traditional Chinese medicine composition prepared by the extraction process provided by the invention can obviously reduce the expression level of serum TNF-alpha, IL-10, IL-6 and IL-1 beta, improve the pulmonary nodule swelling degree, and has the effects of improving the immune function and relieving pulmonary nodule lesions. The traditional Chinese medicine composition provided by the invention has reliable curative effect, and can be used for preparing medicines for treating pulmonary nodules.
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The invention will be further described with reference to the drawings and the detailed description
FIG. 1 is a schematic diagram showing the relationship between the drug components and the pulmonary nodule swelling inhibition ratio, wherein A is the relationship between the herba inulae, the schisandra chinensis and the pulmonary nodule swelling inhibition ratio; b is the relation between the swelling inhibition rate of the stiff silkworm, the golden-leaf grass and the pulmonary nodule; c is the relation between the swelling inhibition rate of stiff silkworm, spina gleditsiae and pulmonary nodule; d is the relation between the swelling inhibition rate of stiff silkworm, schisandra chinensis and pulmonary nodules; e is the relation between the herba inulae, spina gleditsiae and the swelling inhibition rate of the pulmonary nodules; f is the relation between the swelling inhibition rate of the schisandra chinensis, spina gleditsiae and the pulmonary nodule.
Detailed Description
The present invention is described in detail below by way of specific examples, but the scope of the present invention is not limited thereto. Unless otherwise specified, the experimental methods used in the present invention are all conventional methods, and all experimental equipment, materials, reagents, etc. used can be obtained from commercial sources.
Example 1
The traditional Chinese medicine raw materials of stiff silkworm, golden-boiling grass, schisandra chinensis and spina gleditsiae are in a ratio of (3:2:1:2); determining preparation process range by single factor experiment with extract rate as investigation index, adding 8 times of distilled water into Chinese medicinal materials, soaking for 0.5 hr, decocting for 1-3 times, each time for 1-3 hr, controlling temperature at 60-100deg.C, and using orthogonal experiment L 9 (3 4 ) Determining the optimal preparation process of the formula.
Table 1 table of the preparation process factor level
Figure BDA0004111179970000041
Table 2 results of the formulation preparation process test
Figure BDA0004111179970000042
Figure BDA0004111179970000051
Table 3 visual analysis results of the formulation preparation process:
Figure BDA0004111179970000052
table 4 formulation preparation process yields analysis of variance results of paste rate:
Figure BDA0004111179970000053
the test result can be obtained through visual analysis, when the paste yield (%) is taken as an observation index, the factor B has a remarkable influence on the preparation process, and the influence primary and secondary distribution of each factor through comparison and investigation is as follows: c > B > A > D, i.e. the times of decoction > the time of decoction > the temperature of decoction. Comprehensively considering the factors such as the contribution rate of each factor to extraction, energy loss, process and the like, the optimal preparation process combination is A 2 B 3 C 3 I.e. the decoction temperature of 80 ℃ is controlled, and the extraction is carried out for 3 times and 3 hours each time.
Example 2
1. Experimental animals:
186 SD male rats
2. Experimental period:
for 60 days
3. Instrument and reagent:
balance, silica suspension
4. Experimental drugs:
adding 8 times of distilled water into the raw materials, soaking for 0.5h, decocting for 3 times, each time for 3 hours, controlling the temperature at 80 ℃, mixing decoctions, filtering while hot, removing filter residues, concentrating the filter residues into 1g/mL of the contained medicine, and preparing into a medicine solution with stomach filling volume.
5. The molding method comprises the following steps:
the rats of each group were intraperitoneally injected with 3.0% sodium pentobarbital solution (dose: 45mg/kg body mass) and fixed after anesthesia. The rat neck skin was sterilized with 75.0% ethanol by volume, cut along the median cervical line, and the muscle was blunt-separated to expose its trachea. 200 mu L of a silica suspension with the mass concentration of 250g/L is injected into the trachea at one time by using non-exposed trachea cannula to pollute the stomach.
6. Detecting the index:
lung swelling coefficient = wet lung weight (g)/body weight (g) ×100%
Pulmonary nodule swelling inhibition = (dosing group pulmonary swelling system-blank group pulmonary swelling coefficient)/(model group pulmonary swelling coefficient-blank group pulmonary swelling coefficient) ×100%
7. Star point design experiment:
based on the preparation process experiment, the star point design with 4 factors and 3 levels is carried out by taking the dosage of stiff silkworm, golden-boiling grass, shizandra berry and Chinese honeylocust spine as investigation factors (represented by A, B, C, D) and taking the lung nodule swelling inhibition rate as an effect, and the factor level design is shown in the table.
TABLE 5 Star Point design factor level Table
Figure BDA0004111179970000071
8. The experimental method comprises the following steps:
the 186 SD rats are divided into blank groups and model groups by 6 SD rats, the blank groups are normally fed, the model groups are subjected to model building according to the method, the rats are randomly divided into model groups and star point design 1-29 administration groups after model building, the administration groups are given with drug solutions of different compatibility combinations every day, and the blank and model groups are given with equal amounts of physiological saline every day for 60 days. After the end of the administration, the rats of each group were sacrificed after anesthesia, the lung tissue weight of the rats was weighed, and the lung swelling coefficient and the lung nodule swelling inhibition ratio were calculated.
TABLE 6 Lung swelling coefficient of rats in blank and model groups
Figure BDA0004111179970000072
n=6)
Figure BDA0004111179970000073
Table 7 experimental design and index determination:
Figure BDA0004111179970000074
Figure BDA0004111179970000081
Figure BDA0004111179970000091
table 8 analysis of variance and regression model coefficient significance test:
Figure BDA0004111179970000092
Figure BDA0004111179970000101
statistical analysis is carried out on the data by using Design-Expert 13.0 software, multi-element nonlinear regression fitting is carried out by taking the lung nodule swelling inhibition rate as an index, a polynomial model recommended by the software is adopted, and model term P is less than 0.05, so that a regression equation can be obtained: y=78.92+5.84a+5.50b+4.78c+7.65d-3.85 AB-3.53AC-0.45AD-0.325bc+8.47bd-6.33cd+2.44a 2 -7.34B 2 -6.41C 2 -1.87D 2 (R 2 = 0.8097), which indicates that the regression model fits well. The response surface and contour plot of the relationship between the factors and the inhibition rate of pulmonary nodule swelling are shown in the accompanying description (FIG. 1). The compatibility and combination of the software recommended prescription are stiff silkworm, golden-boiling grass, chinese magnoliavine fruit and spina gleditsiae=3:2:1:3.
Comparative example 1
The traditional Chinese medicine composition formula (lung clearing and stasis dissipating pill) for treating lung nodules is examined, and the comparison experiment is compared with the traditional Chinese medicine formula in the invention, and the traditional Chinese medicine composition formula is specifically as follows:
1. experimental animals:
SD male rats 40
2. Experimental period:
for 60 days
3. Instrument and reagent:
ELISA kit for TNF-alpha (tumor necrosis factor alpha), IL-10 (interleukin 10), IL-6 (interleukin 6) and IL-1 beta (interleukin 1 beta)
4. Experimental drugs:
the traditional Chinese medicine formula is prepared by adding 8 times of distilled water into stiff silkworm, golden-boiling grass, chinese magnoliavine fruit and spina gleditsiae=3:2:1:3, soaking for 0.5h, decocting at 80 ℃ for 3 times, decocting for 3 hours each time, mixing decoctions, filtering while the decoctions are hot, removing filter residues, concentrating the filter residues into 1g/mL of an internal medicine, and preparing a medicine solution with stomach filling volume.
The lung-heat clearing and stasis resolving pill (Hainanlong Santa Clara, 3g×6/box) is prepared into a 1g/mL drug suspension according to the preparation method of the traditional preparation.
5. The molding method comprises the following steps:
the rats of each group were intraperitoneally injected with 3.0% sodium pentobarbital solution (dose: 45mg/kg body mass) and fixed after anesthesia. The rat neck skin was sterilized with 75.0% ethanol by volume, cut along the median cervical line, and the muscle was blunt-separated to expose its trachea. 200 mu L of a silica suspension with the mass concentration of 250g/L is injected into the trachea at one time by using non-exposed trachea cannula to pollute the stomach.
6. Detecting the index:
serum TNF-alpha, IL-10, IL-6, IL-1 beta
7. The experimental method comprises the following steps:
the 40 SD rats are divided into a blank group, a model group, a comparison group (lung clearing and stagnation eliminating pills) and a preferred group (the invention) by 10 SD rats, wherein the blank group is normally fed, and the other 3 SD rats are subjected to modeling according to the method; after molding, the comparison group and the preferred group were administered 1mL/100g of the corresponding drug solution daily, and the blank and model groups were administered an equivalent amount of physiological saline daily for 60 days. After the end of the administration, the rats were anesthetized and sacrificed after the abdominal aorta was bled. Standing whole blood at room temperature for 30min, centrifuging at 4deg.C at 3500r/min for 10min, collecting supernatant, and detecting the contents of TNF- α, IL-10, IL-6 and IL-1β in serum by ELISA method.
TABLE 9 determination of the content of TNF-alpha, IL-10, IL-6 and IL-1 beta in rat serum
Figure BDA0004111179970000111
Comparing with blank group, P < 0.01; compared with the model group, the # P is less than 0.05, the # P is less than 0.01
As can be seen from Table 9, the levels of TNF- α, IL-10, IL-6, IL-1β were significantly increased in the model group (P < 0.01) compared to the blank group; compared with the model group, the serum TNF-alpha, IL-10, IL-6 and IL-1 beta content of the comparison group and the preferred group are obviously reduced (P is less than 0.01), and the serum immune factor level of the preferred group is closer to that of the blank group, and the effect is slightly better than that of the comparison group.
The above-described embodiments are only preferred embodiments of the invention, and not all embodiments of the invention are possible. Any obvious modifications thereof, which would be apparent to those skilled in the art without departing from the principles and spirit of the present invention, should be considered to be included within the scope of the appended claims.

Claims (6)

1. A medicament for treating pulmonary nodules, comprising the following components: bombyx Batryticatus, fructus Schisandrae chinensis, herba Pogostemonis, and spina Gleditsiae.
2. The medicine for treating pulmonary nodules according to claim 1, wherein the medicine components for treating pulmonary nodules comprise 5-10g of stiff silkworm, 2-6g of schisandra chinensis, 3-10g of spina gleditsiae and 5-10g of golden boiling grass.
3. The medicine for treating pulmonary nodules according to claim 1, wherein the medicine for treating pulmonary nodules comprises the components of stiff silkworm, golden-boiling grass, shizandra berry and spina gleditsiae=3:2:1:2.
4. The drug for treating pulmonary nodules of claim 1, wherein the drug for treating pulmonary nodules is in the form of a granule, tablet, pill, capsule.
5. A method for preparing a medicament for treating pulmonary nodules, comprising the steps of: adding distilled water which is eight times of the total weight into stiff silkworm, shizandra berry, golden boiling grass and spina gleditsiae, soaking for 30 minutes, then controlling the temperature to be 60-100 ℃ for decoction for 1-3 times, wherein each time of decoction lasts for 1-3 hours, then filtering out the decocted liquid medicine, concentrating and drying, and obtaining dry paste which is the medicine for treating lung nodules.
6. The method for preparing a medicine for treating pulmonary nodules according to claim 5, wherein the medicine for treating pulmonary nodules is prepared by decocting at 80 ℃ for 3 times and 3 hours each time.
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