Summary of the invention:
The objective of the invention is to have no side effect in order to provide a kind of, blood circulation promoting and blood stasis dispelling, regulating menstruation, hemostasis cures mainly prolonged lochia, and effects such as metrorrhagia, menoxenia are good, peace palace haemostatic medicament applied widely.
The object of the present invention is achieved like this:
The present invention pacifies the palace haemostatic medicament, is made by following raw material by weight:
Herba Leonuri 750~2500
Radix Notoginseng 167~833
Herba Schizonepetae charcoal 333~1667
Succinum 333~1667.
Above-mentioned medicine is made by following raw material by weight:
Herba Leonuri 1500
Radix Notoginseng 250
Herba Schizonepetae charcoal 500
Succinum 500, therapeutic effect is better.
Monarch drug in the Herba Leonuri side of being in the medicine of the present invention, mainly contain ice dissolubility alkaloid stachydrine, leonurine etc., the Herba Leonuri pungent drugs can disperse and bitter drugs can descend, effect with promoting tissue regeneration by removing blood stasis, to medicine first choice of treatment gynecological Blood stasis, be usually used in treating the menoxenia due to the blood vessels retardance, diseases such as postpartum hemorrhage, puerperal abdonimal pain; Radix Notoginseng contains the merit that saponin, volatile oil, flavone, polysaccharide, aminoacid etc. have hemostasis, dissipating blood stasis analgesic therapy, with Herba Leonuri with just not decreasing it with then loosing blood, stop blooding and the fraud of the unfounded stasis of blood, and the merit of tool analgesic therapy, so the stomachache due to can main blood stasis is the ministerial drug in the side of being; Herba Schizonepetae contains volatile oil, flavone etc., the present invention with its parch to black after processed product, i.e. Herba Schizonepetae charcoal, volatile oil component volatilizees.The light thing of its property of Herba Schizonepetae, the stove charcoal is then gone into blood system, with assistant Radix Notoginseng treating blood disorders hemostasis; Succinum is the prolonged Hydrocarbon that condenses and form under the resin burial ground of pinaceae plant in ancient times, resinous, volatile oil.Succinum composes oneself to pacify and shies, promoting blood circulation to remove blood stasis, and treatment blood stasis pain in puerperal is with the same effect that can help its diffusing blood and relieving pain of Radix Notoginseng.Four Chinese medicine thing of the present invention, compatibility is precise and appropriate, close promoting tissue regeneration by removing blood stasis altogether, draw blood return through usefulness, so can receive the effect of treatment blood stasis type prolonged lochia.
Medicine of the present invention can be made into granule, capsule or other dosage form.
When preparing this medicine, Radix Notoginseng, succinum pulverize separately are become fine powder, Herba Leonuri, Herba Schizonepetae charcoal are soaked.Decoct, filter, medicinal residues decoct with water secondary at least again, filter, and merging filtrate is concentrated into clear paste, and adding ethanol is 50% to containing the alcohol amount, stirs evenly, and leaves standstill transition, filter, and filtrate recycling ethanol, and be condensed into clear paste.Add Radix Notoginseng, succinum fine powder and right amount of auxiliary materials, mixing is made granule, drying, and packing promptly gets pacifies the palace hemostasis granules.To pacify the palace hemostasis granules and be used for clinical and experimentation, the I clinical trial phase shows, said preparation to postpartum subinvolution of uterus and artificial abortion after vaginal hemorrhage all have notable therapeutic effect, and do not find any toxicity and ill effect.Pharmacological testing shows that said preparation can obviously shorten clotting time and the bleeding time of mice; And blood plasma recalcification time and the prothrombin time of rat; Can improve the tension force that uterine smooth muscle shrinks; Rat " blood stasis " due to epinephrine+frozen water stimulation is demonstrate,proved, and high dose group can reduce whole blood contrast viscosity, plasma viscosity and the packed cell volume that model group raises, and illustrates that it has certain function of promoting blood circulation to disperse blood clots.Acute and long term toxicity test shows that said preparation does not have obvious toxic and side effects (seeing Table 1~table 15).
Table 1 peace palace hemostasis granules is to the influence of clotting time of mice (X ± S)
Group dosage number of animals clotting time
(gkg
-1) (only) (min)
Normal control group equivalent NS 15 1.57 ± 0.25
YUNNAN BAIYAO group 0.7 15 0.93 ± 0.33**
Peace palace hemostasis granules 4 15 1.02 ± 0.24**
Peace palace hemostasis granules 2 15 1.24 ± 0.40*
Annotate: compare with the normal control group: * P<0.05, * * P<0.01
Table 2 peace palace hemostasis granules is to the influence in mice bleeding time (X ± S)
Group dosage number of animals clotting time
(gkg
-1) (only) (min)
Normal control group equivalent NS 14 14.52 ± 3.31
YUNNAN BAIYAO group 0.7 14 10.58 ± 1.60**
Peace palace hemostasis granules 4 14 11.17 ± 1.89**
Peace palace hemostasis granules 2 14 13.01 ± 1.25*
Annotate: compare with the normal control group: * P<0.05, * * P<0.01
Table 3 peace palace hemostasis granules is to the influence of rat plasma recalcification time (X ± S)
Dosage number of animals blood plasma recalcification time (second)
Group
(gkg
-1) (only) PRP PPP
Normal control group equivalent NS 8 115.7 ± 9.2 120.8 ± 11.0
YUNNAN BAIYAO group 0.6 8 90.4 ± 6.5** 110.5 ± 8.4*
Hemostasis granules 3.6 8 88.6 ± 5.3** 102.1 ± 9.6**
1.8 8 97.2±8.9** 100.7±10.5**
0.9 8 108.1±4.6* 114.3±9.2
Annotate: compare with normal group: * P<0.05, * * P<0.01
Therefore peace palace hemostasis granules and YUNNAN BAIYAO all can make the blood plasma recalcification time shorten (comprising PRP and PPP), illustrate that they have facilitation to the endogenous coagulation pathway.
Table 4 peace palace hemostasis granules is to the influence of rat plasma prothrombin time (X ± S)
Group dosage number of animals plasma prothrombin time P value
(gkg
-1) (only) (S)
Normal control equivalent NS 8 12.53 ± 1.14
YUNNAN BAIYAO 0.6 8 10.27 ± 1.35<0.01
Hemostasis granules 3.6 8 9.01 ± 1.03<0.01
1.8 8 11.45±0.86 >0.05
0.9 8 12.40±0.90 >0.05
Shown in the table 4, shortening is all arranged, act on similarly, and dose-effect relationship is arranged to YUNNAN BAIYAO with plasma prothrombin time behind the peace palace hemostasis granules.Point out it that exogenous cruor pathway is had facilitation.
Table 5 peace palace hemostasis granules is to the influence of rat blood serum FDP (X ± S)
Group dosage number of animals FDP amount P value
(gkg
-1) (only) (μ g/ml)
Normal control equivalent NS 8 5.43 ± 1.11<0.05
YUNNAN BAIYAO 0.6 8 4.60 ± 1.34<0.05
Hemostasis granules 3.6 8 4.81 ± 1.82<0.05
1.8 8 4.75±0.40 >0.05
0.9 5.02±1.01
Last table shows that peace palace hemostasis granules is the same with YUNNAN BAIYAO, and levels of fdp content is reduced, but compares no difference of science of statistics with the normal control group, points out them the fibrinolytic process to be had the trend of inhibition.
Table 6 peace palace hemostasis granules to the influence of normal isolated rat uterine contraction activity (X ± s, n=6)
(money time/10min) is behind tension force (mm) amplitude (mm) medicine (mg/ml) the medicine prodrug behind the medicine prodrug behind the medicine prodrug for the final concentration frequency |
2.0 6.6 ± 1.1 6.6 ± 0.8 0 ± 0 0.8 ± 0.6* 5.1 ± 1.5 7.7 ± 2.4* particle 4.0 6.5 ± 1.0 6.3 ± 0.8 0 ± 0 1.6 ± 0.9* 5.0 ± 1.6 5.2 ± 1.8 8.0 6.5 ± 1.2 6.2 ± 0.5 0 ± 0 1.2 ± 0.7* 5.3 ± 1.7 4.6 ± 1.3 of stopping blooding, Normal group equivalent nutrient solution 6.8 ± 1.2 6.7 ± 0.9 0 ± 0 0.1 ± 0.1 5.3 ± 1.4 5.4 ± 1.3 Yunnan Baiyao 0.12 6.5 ± 1.2 6.9 ± 1.3 0 ± 0 1.5 ± 0.5* 5.2 ± 1.4 7.7 ± 2.3* 0.24 6.6 ± 1.1 7.2 ± 1.4 0 ± 0 1.9 ± 0.6** 5.1 ± 1.6 8.2 ± 2.5* peace palace |
The uterine contraction baseline is designated as 0 (being that tension force is 0) before annotating (1) administration.(2) with before the medicine compare * P<0.05, * * P<0.1.
As seen table 6 is pacified palace hemostasis granules various dose and can significantly be increased the uterotonic tension force of isolated rat, and only low dosage increases shrinkage amplitude, then influences not obvious to contraction frequency.
Table 8 peace palace hemostasis granules to female rats sexual organ and gonadal hormone (X ± s, n=8)
The heavy ovary in group dosage uterus weighs estradiol season ketone
(g/kg) (mg/g body weight) (mg/g) Pmol/L (mmol/L)
Normal control equivalent NS 2.55 ± 0.90 0.47 ± 0.18 56.24 ± 1.807 83.00 ± 24.15
YUNNAN BAIYAO 0.6 2.26 ± 1.25 0.56 ± 0.13 72.18 ± 24.90 78.65 ± 20.06
Hemostasis granules 3.6 2.60 ± 0.81 0.5 ± 0.20 78.35 ± 23.16 75.91 ± 21.82
The peace palace stops blooding 1.8 2.73 ± 1.06 0.49 ± 0.15 60.40 ± 21.41 81.23 ± 21.82
Table 8 shows that peace palace hemostasis granules does not have obvious influence to the uterus and the ovary weight of female rats, and the estradiol level of high dose group is the same with YUNNAN BAIYAO, and rising trend is arranged, but no difference of science of statistics does not then have obvious influence to progesterone level.
Table 9 peace palace hemostasis granules to the influence of " blood stasis " card rat serum rheological characteristic (X ± s, n=6)
Final concentration whole blood contrast viscosity plasma viscosity packed cell volume erythrocyte electrophoresis
Group
(mg/ml) height is cut low cutting (ratio) (%) time (S)
Normal control equivalent NS 6.31 ± 0.54 9.47 ± 1.20 1.60 ± 0.11 40.3 ± 0.68 19.13 ± 0.80
Model group NS 9.15 ± 1.5
The Δ Δ13.26 ± 2.18
The Δ Δ2.15 ± 0.30
The Δ Δ44.0 ± 2.45
The Δ Δ18.16 ± 0.96
YUNNAN BAIYAO 0.6 7.85 ± 0.84* 11.31 ± 1.74* 1.76 ± 0.15* 41.6 ± 1.24* 17.85 ± 1.83
Hemostasis granules 3.6 8.04 ± 0.90* 11.63 ± 1.80* 1.62 ± 0.20* 42.5 ± 1.10* 19.50 ± 0.87
1.8 8.36±0.78 12.45±1.62 1.90±0.24 44.7±2.75 19.02±1.04
Annotate: compare Δ P<0.05, Δ Δ P<0.01 with normal group; Compare * P<0.05 with model group.
Therefore, can cause rat " blood stasis " card with epinephrine+frozen water stimulation, whole blood contrast viscosity, plasma viscosity and packed cell volume are increased.The high dose group of peace palace hemostasis granules is the same with YUNNAN BAIYAO, and whole blood contrast viscosity, plasma viscosity and packed cell volume that " blood stasis " card rat is raise reduce, and its low dose group effect is not obvious, shows that peace palace hemostasis granules has certain function of promoting blood circulation to disperse blood clots.
From table 1~table 9 as can be known, peace palace hemostasis granules can shorten clotting time and the bleeding time of mice; Obviously shorten rat plasma recalcification time and prothrombin time, the former reflects endogenous blood coagulation system, the latter is reflected extrinsic coagulation system, and the fibrinolytic protein catabolite is not had obvious influence, illustrates that the generation of its Blood clotting has certain relation with promoting endogenous and extrinsic coagulation process.
Test shows in the body uterus for isolated rat uterus and rabbit, and used dosage mainly improves the tension force that the flat bone flesh of rat uterus shrinks, and secondly is shrinkage amplitude, and frequency is not then had obvious influence.These effects cure mainly the metrorrhagia and metrostaxis in puerperal with it, and lochiorrhea is consistent.
Female rats sexual organ and gonadal hormone test show that the short-term administration does not have obvious influence to the weight of uterus and ovary, though estradiol level has rising trend, not statistically significant comprises that progesterone does not have tangible effect at the Nei Angong hemostasis granules.
" blood stasis " card rat due to epinephrine+frozen water stimulated, high dose group can reduce whole blood contrast viscosity, plasma viscosity and the packed cell volume that model group raises, and illustrates that it has certain function of promoting blood circulation to disperse blood clots.
Table 10 peace palace hemostasis granules is to the influence (X ± S, g/ are only) of rat body weight
All high dose group low dose group matched groups |
0 190.7±9.6 193.5±6.3 191.4±8.1 1 207.3±10.2 208.4±7.9 210.1±10.5 2 219.4±11.0 222.7±13.8 221.3±9.4 3 235.0±8.5 234.3±12.0 236.5±13.7 4 248.5±14.3 249.6±9.1 250.0±12.8 5 260.2±17.5 264.5±13.2 262.6±15.0 6 274.6±16.9 278.8±18.4 277.2±19.6 |
Annotate: (1) 1~4 week was the administration phase, and 5~6 weeks were convalescent period;
(2) medication group and matched group be P>0.05 relatively.
Table 11 peace palace hemostasis granules is learned the influence (X ± S) of index to rat blood
Index REC Hb BPC WEC DC CT group (10
12/L) (g/L) (10
9/L) (10
9/ L) N (%) L (1%) (second)
|
After administration 4 week after (n=2) control group 5.31 ± 0.21 154.4 ± 3.4 311.7 ± 11.5 5.80 ± 0.87 30.5 ± 1.8 70.2 ± 1.4 85.5 ± 20.0 high dose group 5.10 ± 0.24 152.0 ± 5.3 309.3 ± 10.3 6.16 ± 0.72 32.1 ± 2.1 67.3 ± 1.8**, 64.2 ± 17.5** low dose group, 5.31 ± 0.23 150.6 ± 7.5* 313.2 ± 12.0 6.03 ± 0.72 29.2 ± 1.3 69.6 ± 1.56 70.1 ± 23.4 drug withdrawals 2 weeks (n=2) control group 5.18 ± 0.18 152.3 ± 3.9 313.0 ± 18.1 6.01 ± 0.78 28.3 ± 3.0 21.5 ± 2.1 80.3 ± 28.6 high dose group 5.10 ± 0.17 153.6 ± 4.0 315.3 ± 11.8 6.40 ± 0.59 27.5 ± 2.8 72.0 ± 2.8 82.4 ± 29.3 low dose group 5.06 ± 0.15 152.6 ± 6.1 320.7 ± 12.0 6.38 ± 0.74 29.3 ± 2.5 70.4 ± 3.2 78.0 ± 16.2 |
Annotate: compare * P<0.05 with matched group.
Table 12 peace palace hemostasis granules is to the influence of rats'liver function (X ± S)
Index ALT AST ALP TP ALB T-BIL
Group (μ) is (μ) (μ) (g/L) (μ mol/L) (μ)
4 weeks of administration
Back (n=12)
Matched group 13.25 ± 3.74 11.32 ± 2.95 10.81 ± 1.32 78.55 ± 2.67 48.00 ± 2.83 4.75 ± 0.36
High dose group 12.60 ± 4.02 12.18 ± 2.42 9.66 ± 1.23 76.90 ± 3.01 47.03 ± 3.54 4.39 ± 0.50
Low dose group 15.16 ± 2.61 10.66 ± 2.90 9.58 ± 1.08 75.67 ± 6.04* 45.10 ± 5.51 4.50 ± 0.64
After the drug withdrawal 2
Week (n=8)
Matched group 11.37 ± 2.13 9.00 ± 3.64 8.25 ± 1.28 76.75 ± 3.90 41.31 ± 4.34 6.53 ± 0.79
High dose group 10.87 ± 2.23 8.00 ± 1.30 7.25 ± 1.26 76.25 ± 4.73 44.50 ± 6.39 5.96 ± 0.91
Low dose group 11.50 ± 2.92 9.75 ± 1.90 8.75 ± 1.60 78.50 ± 26.70 44.37 ± 4.56 5.71 ± 0.28
Annotate: compare * P<0.05 with matched group.
The influence that table 13 peace palace hemostasis granules refers to rat function and blood glucose, blood
Index BUN Crea GLU TG TCHO
(mmol/L) (g/L) (mmol/L) for group (mmol/L) (μ mol/L)
4 weeks of administration
Back (n=2)
Matched group 4.48 ± 0.44 86.06 ± 6.44 5.80 ± 0.87 0.99 ± 0.16 5.13 ± 0.69
High dose group 5.15 ± 0.56 85.45 ± 7.20 5.21 ± 0.56 1.06 ± 0.14 5.00 ± 0.56
Low dose group 5.09 ± 0.66 83.50 ± 7.46 4.97 ± 0.55 1.07 ± 0.17 4.97 ± 0.55
After the drug withdrawal 2
Week (n=2)
Matched group 5.36 ± 0.51 80.87 ± 5.27 5.28 ± 0.26 1.04 ± 0.12 4.91 ± 0.58
High dose group 5.47 ± 0.59 68.87 ± 25.31 5.17 ± 0.50 1.11 ± 0.07 4.16 ± 0.37
Low dose group 5.16 ± 0.52 74.12 ± 5.05 5.26 ± 0.28 1.13 ± 0.11 5.41 ± 0.46
Annotate: compare * P<0.05 with matched group.
Table 14 peace palace hemostasis granules is to the influence of Rats Organs and Tissues coefficient (mg/g, X ± S)
Internal organs time matched group high dose group low dose group |
4.19±0.40 4.06±0.76 4.25±0.68 3.19±0.42 3.58±0.19 3.24±0.28 31.902.90 28.72±2.71 31.60±3.87 27.97±2.63 30.20±3.68 28.70±1.21 4.90±1.02 4.39±0.91 5.43±2.27 3.61±0.55 4.16±0.96 4.10±0.44 6.62±1.52 7.06±1.51 6.70±1.34 5.61±0.70 6.75±2.55 5.47±0.60 7.95±0.78 7.75±1.33 8.09±1.12 6.17±0.33 7.04±0.32 6.54±0.52 1.37±0.72 1.53±0.54 1.39±0.44 1.09±0.30 1.40±0.55 1.62±0.57 0.28±0.06 0.30±0.06 0.26±0.06 0.18±0.02 0.28±0.03 0.20±0.04 2.19±0.96 2.81±1.28 2.29±1.19 1.76±0.68 1.98±0.63 2.44±1.25 0.51±0.14 0.65±0.27 0.40±0.18 0.34±0.05 0.49±0.10 0.42±0.07 |
Annotate: (1) administration is 4 weeks of medication, n=12; Revert to 2 weeks after the drug withdrawal, n=8.
(2) administration group and matched group compare>0.05.
Table 15 peace palace hemostasis granules long term toxicity test histopathology changes
Experiment grouping histopathology changes
Substantial visceras such as the heart, liver, kidney, brain are not seen pathological changes, spleen all have in various degree congestion,
The high dose group lung has 3 examples to be slight interstitial pneumonia, and endocrine gland, gastrointestinal are not seen pathological changes, ovary
1-12 and in utero film growth, well-grown are not seen pathological changes
Substantial visceras such as the heart, liver, kidney, brain are not seen pathological changes, spleen all have in various degree congestion,
In dosage group lung have 4 examples to be slight interstitial pneumonia, endocrine gland, gastrointestinal not see pathological changes, ovary
13-24 reaches in utero film growth, physically well develops, and does not see pathological changes
Substantial visceras such as the matched group heart, liver, kidney, brain are not seen pathological changes, spleen all have in various degree congestion,
Lung has 4 examples to be slight interstitial pneumonia, and endocrine gland, gastrointestinal are not seen pathological changes, ovary
And in utero film is not seen pathological changes
Convalescent period PATHOMORPHOLOGICAL OBSERVATION OF PULLORUM report, similar to the administration phase basically.
From table 10~table 15 as can be known, peace palace hemostasis granules rat long term toxicity test, continuously 4 weeks of gastric infusion, two dosage groups are respectively 10gkg
-1D
-1And 5gkg
-1D
-1, normal control group equivalent distilled water.Found that body weight gain, routine blood test, hepatic and renal function, blood glucose, blood fat and internal organs system to rat all do not have obvious influence, individual data fluctuates in physiological range, no Special Significance, pathological examination, administration does not have the medicine infringement to substantial viscera, does not also cause other organ lesions.Convalescent situation is similar substantially, does not see the cumulative toxicity performance.
Can shorten blood coagulation time during administration, this is consistent with pharmacodynamics test, also cures mainly with it to match.
In sum, blood circulation promoting and blood stasis dispelling of the present invention, regulating menstruation, hemostasis.It is applied widely to cure mainly prolonged lochia, metrorrhagia, menoxenia, is applicable to big or small postpartum subinvolution of uterus, irregular the bleeding of vagina due to artificial abortion, drug induced abortion, the intrauterine device, and dysfunctional uterine bleeding.