CN116211983A - Gastrodia elata prescription medicine for treating primary dysmenorrhea and application thereof - Google Patents
Gastrodia elata prescription medicine for treating primary dysmenorrhea and application thereof Download PDFInfo
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- CN116211983A CN116211983A CN202310059221.5A CN202310059221A CN116211983A CN 116211983 A CN116211983 A CN 116211983A CN 202310059221 A CN202310059221 A CN 202310059221A CN 116211983 A CN116211983 A CN 116211983A
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- gastrodia elata
- gastrodia
- dysmenorrhea
- primary dysmenorrhea
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Abstract
The invention discloses a gastrodia elata prescription medicine for treating primary dysmenorrhea, which comprises the following medicinal and edible components in parts by mass: 1-2 parts of gastrodia elata, 1 part of turmeric, 1 part of rhizoma atractylodis and 1 part of star anise; the gastrodia elata contains components such as gastrodine, gastrodine and the like, has the effects of dispelling wind and dredging collaterals, can also play a role in relieving pain, and is helpful for relieving pain when people eat gastrodia elata during dysmenorrhea. The invention applies the gastrodia tuber prescription medicine to primary dysmenorrhea, and is assisted with turmeric, rhizoma atractylodis and star anise, compared with the traditional Chinese medicine prescription or pure gastrodia tuber, the invention has better treatment effect on primary dysmenorrhea, and clinical application proves that the gastrodia tuber prescription medicine has better effect of relieving pain of dysmenorrhea.
Description
Technical Field
The invention belongs to the technical field of traditional Chinese medicine compositions, and particularly relates to a gastrodia elata prescription medicine for treating primary dysmenorrhea and application thereof.
Background
Primary dysmenorrhea refers to dysmenorrhea caused by non-pelvic organic diseases. Dysmenorrhea refers to pain occurring in menstrual period, often with cramping, concentrated in the lower abdomen, and may be accompanied with other symptoms including headache, nausea, vomiting, lower abdomen distention, lumbago, skelalgia, etc., and is classified into primary and secondary dysmenorrhea. The incidence of primary dysmenorrhea is 30% -80%, most of which are considered to be related to the following factors: if the age is less than 30 years old, the body mass index is low, smoking is carried out, the menstrual period is less than 12 years old, and the menstrual period is long and the menstrual period is excessive. Primary dysmenorrhea is mainly characterized in that: puberty is common, and usually occurs within 1-2 years after the beginner; pain can occur from 12 hours prior to menstruation, typically lasting 1-3 days; pain is often spastic, usually in the lower abdomen, can radiate to the lumbosacral portion and the inner side of the thigh, and can be accompanied with symptoms such as nausea, vomiting, dizziness, hypodynamia, etc.; often, primary dysmenorrhea is alleviated after pregnancy in women. The onset of primary dysmenorrhea often results in a painful and uncomfortable condition, severely affecting the work and life of the female before and after or during the menstrual period, and most of the female has a painful and uncomfortable condition caused by primary dysmenorrhea, difficulty in sleeping, work and leave-on condition, etc.
For the etiology of primary dysmenorrhea, it is currently believed that it is related to uterine structural factors, hormone secretion and calcium ion channels. Firstly, cervical stenosis and uterine buckling easily lead to isthmus tension increase, menstrual blood flows out unsmoothly, and the uterine contraction is stimulated to cause dysmenorrhea; tubular shedding of the intima is also one of the causes of primary dysmenorrhea. In vivo hormone secretion such as prostaglandin, oxytocin, vasopressin and the like can also cause spastic contraction of uterine smooth muscle, cause uterine ischemia, and cause dysmenorrhea symptoms. The increase in intracellular calcium ion concentration is also involved in the occurrence of dysmenorrhea. Previous studies have demonstrated that abnormal prostaglandin levels, which are closely related to increased prostate secretion, can cause frequent or dysrhythmic uterine contractions, thereby reducing uterine blood flow, and are considered to be a major factor in menstrual pain.
Regarding the cognition of the cause of primary dysmenorrhea, it is partly known by the mechanism of action of the drug itself after the onset of the therapeutic effect. For example, the calcium ion channel blocker agent nicardipine and the like can better relieve dysmenorrhea symptoms, so that the increase of the intracellular calcium ion concentration is presumed to be one of causes of primary dysmenorrhea. Indeed, an increase in intracellular calcium ion concentration may indeed itself cause smooth muscle contraction. Non-steroidal anti-inflammatory drugs such as aspirin and indomethacin also have certain treatment effects on primary dysmenorrhea. A common feature of non-steroidal anti-inflammatory drugs, however, is the ability to exert analgesic effects by inhibiting cyclooxygenase to block prostaglandin biosynthesis. Prostaglandins are one of the inflammatory mediators, but whether other inflammatory mediators, such as interleukins, also cause primary dysmenorrhea, is not presently clear. Because there are a large number of drugs having anti-inflammatory activity but a large number of them have no therapeutic effect on dysmenorrhea. Non-steroidal anti-inflammatory drugs have certain adverse effects on the nervous system, digestive tract system and blood system, so that the drug should be carefully administered. Contraceptive drugs can inhibit ovulation and alleviate symptoms of dysmenorrhea, but contraceptive drugs are not suitable for women with gestational or intended purpose. Because of these shortcomings of non-steroidal anti-inflammatory drugs and oral contraceptives, traditional Chinese medicine is considered a viable option for the treatment of PDM. Although the traditional Chinese medicine for treating dysmenorrhea has no western medicine, the traditional Chinese medicine has quick response, treats both principal and secondary aspect of disease and has small safety side effect, so that the traditional Chinese medicine can achieve good effect, and the traditional Chinese medicine for treating dysmenorrhea starts from the comprehensive conditioning and regulating of the human body, so that the effects of promoting blood circulation and smoothening qi and blood are achieved, and the essence and blood nourish the whole body.
The traditional Chinese medicine theory considers that the primary dysmenorrhea is related to cold congealing, qi stagnation and blood stasis, so that more blood circulation promoting and stasis removing medicines exist in the traditional Chinese medicine for treating the primary dysmenorrhea, the gastrodia elata is the dry tuber of the orchid fungus nutrition type perennial herb gastrodia elata Gastrodia elataBlume, one of the traditional rare Chinese medicinal materials in China, and the gastrodia elata has the efficacy and the effect of promoting blood circulation and removing blood stasis. Gastrodia elata can dispel external wind and also calm internal wind, so it can be used for treating wind-cold-dampness arthralgia, dizziness, tremor of limbs caused by internal movement of liver wind. Rhizoma Gastrodiae also has effects of dispelling pathogenic wind, dredging channels and relieving pain, and can be used for treating apoplexy, tibia pain, female closure, hand and foot paralysis, rheumatalgia, and joint flexion and extension disorder. Tian Ma is also combined with Chuan Xiong, etc. for headache due to pathogenic wind. In addition, tian Ma can also be used for treating hypertension, dizziness and other diseases caused by liver yang hyperactivity. Has effects of calming endogenous wind, relieving spasm, suppressing liver yang, dispelling pathogenic wind, and dredging collaterals, and can be used for treating dizziness, headache, insomnia, etc. It is recorded that the gastrodia elata has sweet and flat taste and no toxicity, and has high nutrition and health care value as a substance with homology of medicine and food. The main active ingredients in the gastrodia elata comprise gastrodin, gastrodia elata polysaccharide and the like, and modern pharmacological researches show that the gastrodia elata has the effects of calming and hypnotizing, relieving pain, resisting inflammation, resisting convulsion, resisting oxidation, resisting depression, improving memory, enhancing immunity, increasing blood flow, reducing blood pressure, resisting blood coagulation and the like. The traditional Chinese medicine turmeric is a medicine for promoting blood circulation and removing blood stasis, and has the effects of breaking blood, promoting qi circulation, dredging channels and relieving pain. Turmeric is used for treating chest and hypochondrium pain, chest pain, dysmenorrhea, amenorrhea, abdominal mass, pain of shoulder and arm due to rheumatism, and swelling and pain from traumatic injury. Curcumin in Curcuma rhizome has antiinflammatory effect, and can inhibit cyclooxygenase (COx enzyme), lipoxygenase (LOX enzyme), and prostaglandin (prostagladins). Both enzymes are associated with pain and can cause inflammation, while prostaglandins are hormones that cause uterine contractions and excessive amounts cause pain. Curcumin also can inhibit immune cells from moving to the reproductive system, and reduce inflammation. The rhizoma Atractylodis is a damp-resolving medicine, and is dried rhizome of Atractylodes lancea or Atractylodes lancea in Compositae. Rhizoma Atractylodis has effects of eliminating dampness, invigorating spleen, dispelling pathogenic wind, dispelling cold, and improving eyesight. Atractylodes lancea can produce anti-inflammatory effects by inhibiting cyclooxygenase (COx) and 5-lipoxygenase (5-LOX) activity, blocking prostaglandin, thromboxane or leukotriene synthesis. Ancient books of traditional Chinese medicine (Ben Cao Jing Shu) also describe that people with liver and kidney qi movement do not take rhizoma atractylodis, and refer to that "cover pathogenic wind-cold-dampness, enter from spleen and stomach, spleen governs muscles, and invade by pathogenic factors, so that the stomach is clear and closed, and cold-heat arthralgia is enough. The pungent and warm nature can dispel and develop the pathogenic wind-cold-dampness from the boiling theory. I.e. the Chinese herbs with pungent and warm (heat) property and spleen and stomach meridian entered should have the combined actions of warming meridians and alleviating pain and curing arthralgia due to wind-cold-dampness. The rhizoma atractylodis has pungent, bitter and warm properties, enters spleen, stomach and liver meridians, and belongs to a traditional Chinese medicine for pungent, warm (heat) combining spleen and stomach meridians, and has the effects of warming meridians to stop pain and treating wind-cold-dampness arthralgia. The fructus Anisi Stellati is dried mature fruit of fructus Anisi Stellati of Magnoliaceae. Picking fruits in autumn and winter when the fruits turn yellow from green, and drying or directly drying after scalding in boiling water. Warm nature and pungent taste, enter liver, kidney, spleen and stomach meridians. The main component of the star anise is fennel oil, which can stimulate gastrointestinal nerve and blood vessels, promote secretion of digestive juice, increase gastrointestinal peristalsis, has the effects of invigorating stomach and promoting qi circulation, and is helpful for relieving spasm and pain.
The inventor adopts a large number of animal experimental researches, adopts a primary dysmenorrhea mouse model induced by estrogen combined with oxytocin, calculates the inhibition rate of the torsion reaction of the mouse by taking the torsion reaction times and the torsion latency within 30 minutes as main observation indexes, and discovers that the gastrodia elata prescription has better pure gastrodia elata and analgesic effect.
Disclosure of Invention
The invention aims at overcoming the problems in the prior art and providing an application of a gastrodia elata prescription medicine in medicines for treating primary dysmenorrhea.
In order to achieve the aim, the invention provides a gastrodia elata prescription medicine for treating primary dysmenorrhea, which comprises the following medicinal and edible components in parts by weight: 1-2 parts of gastrodia elata, 1 part of turmeric, 1 part of rhizoma atractylodis and 1 part of star anise;
furthermore, the gastrodia elata prescription is applied to reducing the MDA expression level in serum;
furthermore, the gastrodia elata prescription is applied to reducing the expression level of relevant inflammatory factors of uterine tissues;
the beneficial effects of the invention are as follows:
the gastrodia elata contains components such as gastrodine, gastrodine and the like, has the effects of dispelling wind and dredging collaterals, can also play a role in relieving pain, and is helpful for relieving pain when people eat gastrodia elata during dysmenorrhea. The invention applies the gastrodia tuber prescription medicine to primary dysmenorrhea, and is assisted with turmeric, rhizoma atractylodis and star anise, compared with the traditional Chinese medicine prescription or pure gastrodia tuber, the invention has better treatment effect on primary dysmenorrhea, and clinical application proves that the gastrodia tuber prescription medicine has better effect of relieving pain of dysmenorrhea.
Drawings
In order to more clearly illustrate the technical solution of the embodiments of the present invention, the drawings used for describing the embodiments will be briefly described below.
FIG. 1 is a statistical chart of torsion response latency of dysmenorrhea mice according to the present invention, wherein: saline group (negative control), ibuprofen group (positive control);
FIG. 2 is a statistical chart of MDA content expression detection results in serum of mice of the invention, wherein: saline group (negative control), ibuprofen group (positive control);
FIG. 3 is a statistical chart showing the results of detection of inflammatory factor expression in uterine tissue of mice according to the present invention, wherein: saline group (negative control), ibuprofen group (positive control).
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention; the described embodiments are only some, but not all, embodiments of the invention.
Example 1
1. Constructing a primary dysmenorrhea mouse model:
the estrogens are combined with the oxytocin to construct primary dysmenorrhea model mice, and sexually mature female mice of 6-7 weeks are selected and divided into 5 groups. The experimental mice in each group except the normal control group are filled with the stomach-invigorating and Jiale in a volume of 1mL/0.1kg, the continuous administration is carried out for 10d in the morning for 1 time/d, the intraabdominal injection of oxytocin is carried out 1 hour after the end of the stomach-filling administration on the 10 th day, and the model-building mice except the normal control group have different degrees of torsion reaction, so that the animal model is successfully prepared.
2. Drug proportioning and animal drug administration:
saline control group: physiological saline;
gastrodia elata combined experimental group: taking 1-2 parts of gastrodia elata, 1 part of star anise, 1 part of turmeric and 1 part of rhizoma atractylodis; adding 800mL of water to decoct until the water amount is 100mL;
gastrodia elata experimental group: adding 4mL of physiological saline into 0.92g of rhizoma Gastrodiae powder, and making into suspension by ultrasonic treatment;
ibuprofen experimental group: 0.15g ibuprofen powder plus 4mL physiological saline;
the above groups of medicines are continuously infused into the mice for 10 days, and 10 female mice are added into each group, and the total amount of the medicines in the stomach infusion of each group is 10uL/g. The mice used in the test were SPF-grade Kunming mice purchased from SPF-grade laboratory animal center of Kunming medical university, and the laboratory animal produced license number SCXK (Yunnan) K2015-0002,6 weeks old, weight (26+ -2) g.
Example 2
Measurement of mice twist latency and number of twists:
the mice were given a corresponding amount of oxytocin solution intraperitoneally 1h after intragastric administration on day 10, and the duration of incubation for twisting and the number of twists within 30min after drug injection were started to be recorded. The results are shown in fig. 1, and compared with the model group, the torsion incubation periods of mice in the gastrodia elata composition experimental group, the gastrodia elata experimental group and the ibuprofen experimental group are prolonged, but compared with the gastrodia elata composition experimental group, the extension effect of the gastrodia elata composition experimental group is not as good as that of the gastrodia elata composition experimental group, and the experimental results show that the torsion incubation periods of the mice prolonged by the gastrodia elata composition experimental group are more remarkable. Fig. 2 shows that the number of torsion times of mice in the gastrodia elata composition experimental group, the gastrodia elata experimental group and the ibuprofen experimental group is reduced compared with the normal saline group, but the gastrodia elata composition experimental group has a lower reduction effect than the gastrodia elata composition experimental group, and the experimental result shows that the number of torsion times of the mice in the gastrodia elata composition experimental group is more remarkable.
Table 1 comparison of MDA content in mouse serum
Example 3
Detection of mouse serum MDA, uterus PGF2α, COX-2, NO content
ELISA kit is adopted for detection, and the operation process is as follows:
1. after each group of medicines are continuously infused into the stomach of a mouse for 10 days, the mouse is killed by a cervical dislocation method after the blood is taken from the eye sockets of the mouse, the following operations are carried out at 4 ℃, the taken blood is left at room temperature for half an hour, then upper serum is taken after low-speed centrifugation, the mouse uterus is put into a centrifuge tube, the mouse uterus is ground by using a handheld homogenizer, so as to obtain mouse uterus homogenate, 0.1g of mouse uterus homogenate is weighed and quickly mixed in 0.8mL of 1 XPBS, and is fully vortex to dissolve out a transmitter, 5000g is centrifuged for 10min, and ELISA experiments are carried out on the supernatant;
2. ELISA experiments were performed according to the instructions of ELISA kit (Mlbio company), and the results are shown in FIG. 2, in which MDA content in the serum of mice in the model group was increased compared with the physiological saline group; compared with the model group, the MDA content in the serum of the mice of the gastrodia elata composition experimental group, the gastrodia elata experimental group and the positive drug group is reduced, but compared with the gastrodia elata composition experimental group, the MDA reduction effect of the gastrodia elata experimental group on the MDA is lower than that of the gastrodia elata composition experimental group, and the experimental result shows that the MDA content in the serum of the mice is obviously reduced by the gastrodia elata composition experimental group.
In fig. 3, compared with the model group, the rhizoma Gastrodiae composition experimental group, the rhizoma Gastrodiae experimental group and the positive drug group have reduced intrauterine pgf2α and COX-2 contents and increased NO contents, but compared with the rhizoma Gastrodiae composition experimental group, the rhizoma Gastrodiae composition experimental group has a lower effect than the rhizoma Gastrodiae composition experimental group, and the experimental result shows that the rhizoma Gastrodiae composition experimental group has more remarkable up-regulation of the intrauterine pgf2α and COX-2 contents of the mice.
In conclusion, the gastrodia elata contains the components such as gastrodine and gastrodine, has the effects of dispelling wind and dredging collaterals, can also play a role in relieving pain, and is helpful for relieving pain when people eat gastrodia elata during dysmenorrhea. The invention applies the gastrodia tuber prescription medicine to primary dysmenorrhea, and is assisted with turmeric, rhizoma atractylodis and star anise, compared with the traditional Chinese medicine prescription or pure gastrodia tuber, the invention has better treatment effect on primary dysmenorrhea, and clinical application proves that the gastrodia tuber prescription medicine has better effect of relieving pain of dysmenorrhea.
The preferred embodiments of the invention disclosed above are merely for the purpose of helping to illustrate the invention, and the preferred embodiments do not describe all details in detail nor limit the invention to the specific embodiments described.
Claims (5)
1. The gastrodia tuber prescription medicine is characterized by comprising the following medicinal and edible materials in parts by weight: 1-2 parts of gastrodia tuber, 1 part of turmeric, 1 part of rhizoma atractylodis and 1 part of star anise.
2. The gastrodia elata prescription according to claim 1, which is characterized by comprising the following medicinal and edible components in parts by weight: 2 parts of gastrodia tuber, 1 part of turmeric, 1 part of rhizoma atractylodis and 1 part of star anise.
3. The use of the gastrodia elata prescription according to claim 1 in medicaments for treating primary dysmenorrhea.
4. Use of the gastrodia elata formula according to claim 1 for reducing MDA expression levels in serum.
5. Use of the gastrodia elata formula according to claim 1 for reducing the expression level of inflammatory factors related to uterine tissue.
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