CN1269509C - Medicine for treating chronic nephritis, and its prepn. method - Google Patents

Medicine for treating chronic nephritis, and its prepn. method Download PDF

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CN1269509C
CN1269509C CN 200410006353 CN200410006353A CN1269509C CN 1269509 C CN1269509 C CN 1269509C CN 200410006353 CN200410006353 CN 200410006353 CN 200410006353 A CN200410006353 A CN 200410006353A CN 1269509 C CN1269509 C CN 1269509C
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medicine
filtrate
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relative density
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田乃庚
田景华
赵秀泽
刘菁菁
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李国成
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Abstract

The present invention discloses a medicine for treating chronic nephritis, which is prepared from ginseng, white atractylodes rhizome, baical skullcap root, tuckahoe, water plantain, bupleurum root, polyporus and cassia twig. The medicine for treating chronic nephritis has the effects of strengthening the spleen, nourishing the stomach, clearing away the heat, promoting the diuresis, expelling the wind and dissipating the evil, and can be used for treating the chronic nephritis. The clinical symptoms can be reduced, the urinary protein can be obviously reduced, the albumin can be obviously increased, the renal function is improved and protected, and no side or toxic effect exists. The present invention also discloses a method for preparing the medicine.

Description

A kind of medicine for the treatment of chronic nephritis and preparation method thereof
Technical field
The present invention relates to a kind of medicine for the treatment of chronic nephritis, specifically, is that a kind of to contain by Chinese crude drug be the medicine that feedstock production becomes effective ingredient.The invention still further relates to the preparation method of this medicine.
Background technology
Chronic nephritis full name chronic glomerulonephritis is caused by multiple reason, is primary in the immune inflammation disease of glomerule, is the intractable persistent ailment that present modern medicine circle is generally acknowledged.Existing document has also been reported the Chinese medicine of some treatment nephritis, discloses the Yichanmanshenkang medicine for curing nephroses of oral administration for treating chronicity nephritis as CN 1268355A, and this medicine is to be made by insect medicines such as Formica fusca, Eupolyphaga Seu Steleophagas, but curative effect and imprecise; CN 1088442A discloses a kind of medicine for the treatment of nephritis, and it is to be made by Radix Ginseng, Ramulus Cinnamomi, Radix Bupleuri etc., but same curative effect is also imprecise.So present still Chinese medicine of the treatment nephritis of a kind of determined curative effect of demand.The inventor has accumulated secular clinical experience, thinks that the pathogenic characteristic of chronic nephritis is a deficiency in origin and excess in superficiality, and deficiency in origin mainly shows as in various degree deficient, wherein important and common with spleen kidney qi Yin bivacuity of internal organs such as lung, spleen, liver, kidney.Mark is real mainly to be by due to many risk factors and the pathological product, as ailment said due to cold or exposure, damp and hot, blood stasis and turbid damp etc., wherein connects with damp and hot stream and had the greatest impact by ailment said due to cold or exposure repeatedly.Based on above understanding, in conjunction with clinical application experience for many years, having founded with nourishing spleen and kidney, clearing away heat-damp and promoting diuresis, the diffusing heresy of dispeling the wind is rule treatment chronic nephritis.Select the Chinese crude drug prescription to be prepared into medicine with this rule,, thereby finished the present invention through pharmacology and clinical experiment checking determined curative effect.
Summary of the invention
Goal of the invention of the present invention provides a kind of medicine for the treatment of chronic nephritis.
Another object of the present invention provides the preparation method of this medicine.
Medicine of the present invention is made up of effective ingredient or effective ingredient and acceptable accessories, wherein prepares raw materials of effective components and is: Radix Ginseng, the Rhizoma Atractylodis Macrocephalae, Radix Scutellariae, Poria, Rhizoma Alismatis, Radix Bupleuri, Polyporus and Ramulus Cinnamomi.
Radix Ginseng, the strong Pi QI invigorating of the Rhizoma Atractylodis Macrocephalae; Radix Scutellariae, Polyporus, Poria, Rhizoma Alismatis clearing away heat-damp and promoting diuresis; Radix Bupleuri, Ramulus Cinnamomi dispel the wind and remove heresy; Modern medicine study shows that Radix Ginseng, the Rhizoma Atractylodis Macrocephalae, Poria, Polyporus have the adjustment immunologic function, and renal function protecting reduces effects such as urine protein; Heat-clearing and diuresis-promoting drug such as Radix Scutellariae, Rhizoma Alismatis can be removed immune complex in the blood, suppresses antigen antibody reaction, renal function protecting; The medical instrument that dispels the wind such as Radix Bupleuri, Ramulus Cinnamomi has tangible antiallergic, antiallergic action effect.All medicines share has spleen invigorating taste stomach, clearing away heat-damp and promoting diuresis, the evil effect of loosing of dispeling the wind, and is used for the treatment of chronic nephritis, can improve clinical symptoms, can reduce urine protein significantly again, and raising albumin improves and renal function protecting.
In order to obtain better therapeutic, the consumption of raw material is:
Radix Ginseng 10-15 weight portion, Rhizoma Atractylodis Macrocephalae 10-15 weight portion, Radix Scutellariae 5-10 weight portion, Poria 25-30 weight portion, Rhizoma Alismatis 5-10 weight portion, Radix Bupleuri 10-15 weight portion, Polyporus 10-15 weight portion, Ramulus Cinnamomi 5-10 weight portion.
In order to obtain best curative effect, the consumption of raw material is:
Radix Ginseng 10 weight portions, the Rhizoma Atractylodis Macrocephalae 12 weight portions, Radix Scutellariae 9 weight portions, Poria 30 weight portions, Rhizoma Alismatis 10 weight portions, Radix Bupleuri 15 weight portions, Polyporus 15 weight portions, Ramulus Cinnamomi 9 weight portions.
The preparation method of effective ingredient can adopt the routine fashion of pharmaceutical field, as decoction and alcohol sedimentation technique or ethanol extract from water precipitation, and perhaps convection drying, pulverize.
Preferred manufacturing procedure is: take by weighing raw material, Radix Ginseng is decocted with water 2-3 time, each 0.5-1.5 hour, collecting decoction filtered, and filtrate is left standstill; All the other medicines decoct with water 2-3 time, and each 0.5-1.5 hour, merge decoction, filter, filtrate is left standstill; Merge above-mentioned filtrate, filter, it is 90-95 ℃ of survey 1.08 that filtrate is concentrated into relative density, room temperature to be chilled to adds ethanol and makes precipitation, gets supernatant concentration to relative density 60-65 ℃ of survey 1.20, add water, stir, leave standstill, get supernatant concentration to the relative density 60-65 ℃ of thick paste of surveying 1.38-1.40 as effective ingredient.
Preferred preparation method is: take by weighing raw material, Radix Ginseng is decocted with water twice, each 1.5 hours, collecting decoction filtered, and filtrate is left standstill; All the other medicines decoct with water twice, and each 1.5 hours, merge decoction, filter, filtrate is left standstill; Merge above-mentioned filtrate, filter, it is 90-95 ℃ of survey 1.08 that filtrate is concentrated into relative density, room temperature to be chilled to adds equivalent ethanol and makes precipitation, gets supernatant concentration to relative density 60-65 ℃ of survey 1.20, add 1 times of amount of water, stir, left standstill 8 hours, get supernatant concentration to the relative density 60-65 ℃ of thick paste of surveying 1.38-1.40 as effective ingredient.
Medicine of the present invention can be with above-mentioned effective ingredient convection drying, and pulverize is made powder; Perhaps above-mentioned effective ingredient and pharmaceutically acceptable conventional adjuvant are made various dosage forms, preferred electuary, granule, oral liquid, tablet or capsule.1 part of the thick paste of effective ingredient is preferably got in the preparation of granule, and with 3 parts of sucrose, 1.25 parts in dextrin and ethanol are made granule, drying, granulate, packing.
Medicine of the present invention has spleen invigorating taste stomach, clearing away heat-damp and promoting diuresis, the evil effect of loosing of dispeling the wind, and can be used for treating chronic nephritis, can improve clinical symptoms, can reduce urine protein significantly again, and raising albumin improves and renal function protecting, and without any side effects.
Embodiment 1:
1) takes by weighing following raw materials according: Radix Ginseng 10g, Rhizoma Atractylodis Macrocephalae 12g, Radix Scutellariae 9g, Poria 30g, Rhizoma Alismatis 10g, Radix Bupleuri 15g, Polyporus 15g, Ramulus Cinnamomi 9g;
2) Radix Ginseng is decocted with water twice, each 1.5 hours, collecting decoction filtered, and filtrate is left standstill;
3) all the other medicines decoct with water twice, and each 1.5 hours, merge decoction, filter, filtrate is left standstill; Merge above-mentioned filtrate, filter, it is 90-95 ℃ of survey 1.08 that filtrate is concentrated into relative density, room temperature to be chilled to adds equivalent ethanol and makes precipitation, gets supernatant concentration to relative density 60-65 ℃ of survey 1.20, add 1 times of amount of water, stir, left standstill 8 hours, get supernatant concentration to the relative density 60-65 ℃ of thick paste of surveying 1.38-1.40;
4) get 1 part of thick paste, with 3 parts of sucrose, 1.25 parts in dextrin and ethanol are made granule, drying, granulate, packing.
Embodiment 2:
Take by weighing following raw materials according: Radix Ginseng 10g, Rhizoma Atractylodis Macrocephalae 10g, Radix Scutellariae 5g, Poria 25g, Rhizoma Alismatis 5g, Radix Bupleuri 10g, Polyporus 10g, Ramulus Cinnamomi 5g; All the other are identical with embodiment 1.
Embodiment 3:
Take by weighing following raw materials according: Radix Ginseng 15g, Rhizoma Atractylodis Macrocephalae 15g, Radix Scutellariae 10g, Poria 30g, Rhizoma Alismatis 10g, Radix Bupleuri 15g, Polyporus 15g, Ramulus Cinnamomi 10g; All the other are identical with embodiment 1.
Test example 1: medicine of the present invention is to the effect viewing test of mice basement membrane nephritis
One, material and method:
1. material:
Animal: large ear rabbit, male, 2-2.5Kg, the Beijing Medical University animal center provides; BALB/C mice, female, 18-22g, institute of biological products, Beijing animal center provides.
Medicine: A medicine: LIUWEI DIHUANG WAN prescription, decocting boil half an hour 2 times, and get filtrate and be concentrated into desired concn, 1/2,1,3 times of dose,equivalents, refrigerator is preserved.The medicament composing prescription of B medicine: embodiment 1, decocting boil half an hour 2 times, and get filtrate and be concentrated into desired concn, 1/2,1,3 times of dose,equivalents, refrigerator is preserved.Rabbit igg: U.S. Miles company product.
2. method: the method that adopts rabbit igg accelerating type mice anti-basement membrane nephritis
2.1. nephrolytic sera preparation
With the Emulsion immunize rabbit that contains mice glomerular basement membrane and Freund's complete adjuvant, 1 time weekly, totally 6 times, getting rabbit anteserum is nephrolytic sera.
2.2. glomerulonephritis is made film and administration
Mice elder generation lumbar injection rabbit igg, the intravenous injection nephrolytic sera is made film again, evenly is divided into 5 groups according to the mouse retention protein level after 5 days.Carry out two batches of tests altogether.First test divides 5 groups: model group: A medicine 17.4g/Kg (dose,equivalent), 52.2g/Kg; B medicine 14.1g/Kg (dose,equivalent), 42.3g/Kg.Every group 14.Second batch of test: model group: A medicine 8.7g/Kg (dose,equivalent), 17.4g/Kg; B medicine 7.0g/Kg (dose,equivalent), 14.1g/Kg.Every group 13.15 on model.In 3 weeks of continuous oral administration, survey urine protein weekly, plasma albumin and blood urea nitrogen.
Two, result:
First sees Table 1-3; Second batch sees Table 4-6.
First experimental model nephritis is heavier, and most of mices are with ascites, and model group to 21 day is recovered (blood urea nitrogen 10.4mmol/L) not yet, and mortality rate is higher, is 35.7%.The equivalence of A medicine and 3 times of dose,equivalents do not improve plasma urea nitrogen, though some the time have and reduce urine protein trend (the 21st day) and rising plasma albumin (equivalent agent flow control 14 days), but animal dead is too many, and analysis may not counted interior relevant with person's of being in a bad way death.Mortality rate is higher during 3 times of dose,equivalents, reaches 71.4%.The B medicine does not obviously improve plasma urea nitrogen and albumin yet, and mortality rate is 28.6% a little less than model group, from treatment 12 days, can obviously reduce urine protein; No significant difference between equivalence and 3 times of dose,equivalents.Nephrolytic sera dosage is adjusted in second batch of experiment, and model is lighter slightly than first, only occurs ascites, mortality rate 6.7% individually.1/2 equivalence of A medicine and dose,equivalent still can not improve plasma urea nitrogen, and the urine protein fall is little, only the 1/2 dose,equivalent plasma albumin that can raise, the B medicine does not improve blood urea nitrogen, but the plasma albumin that can raise, treated for 2 weeks after, can obviously reduce urine protein, 1/2 dose,equivalent is slightly poor.
Three, brief summary
1.A being the mice anti-basement membrane nephritis, 1/2,1 and 3 times of dose,equivalent of medicine shows clear and definite therapeutical effect, 1 and 3 times of dose,equivalent mortality rate height, and whether poisonous waiting studied.
2.B 1/2,1 and 3 times of dose,equivalent of medicine has certain therapeutical effect to the mice anti-basement membrane nephritis, can obviously reduce urine protein and rising plasma albumin, the effect of its treatment nephritis may mainly realize by diuresis.
The variation of protein content in table 1 urine (X ± SD)
Group Dosage (g/Kg) Urine protein (mg/dl)
Before the medicine Administration 6 days Administration 9 days Administration 12 days Administration 18 days Administration 21 days
Model 400±164 (14) 380±1 53(13) 290±2 1.1 (10) 295±15 .8(10) 275±35. 4(10) 272±26.4 (9)
The A medicine 17.4 375±149 (14) 315±1 03(11) 275±2 6.4 (10) 257±73 .2(7) 242±73. 6(6) 203±78 (6)
The A medicine 52.2 400±164 (14) 359±1 44(8) 286±2 4.4(7) 267±40 .8(6) 238±94. 6(4) 213±75 (4)
The B medicine 14.1 375±149 (14) 300±0 (12) 275±2 6.1 (12) 264±32 .3(11) * 225±54 (10) * 230±35 (10) *
The B medicine 42.3 400±164 (14) 300±0 (13) 273±2 6.1 (11) 265±33 .7(10) * 230±25. 8(10) ** 190±56.8 (10) **
Annotate: the t test: *P<0.05, *P<0.01.
The variation of table 2 plasma urea nitrogen (X ± SD)
Group Dosage (g/Kg) Blood urea nitrogen (mmol/L)
Administration 7 days Administration 14 days Administration 21 days
Model 22.3±9.4(12) 11.6±5.6(10) 10.4±4.6(9)
The A medicine 17.4 23.4±6.9(12) 9.7±3.9(7) 8.3±4.7(6)
The A medicine 52.2 22.5±10.3(9) 7.5±1.5(5) 6.9±0.9(4)
The B medicine 14.1 17.7±5.3(12) 9.8±3.4(10) 8.5±2.4(10)
The B medicine 42.3 26.6±7.4(12) 11.7±5.2(10) 10.3±4.0(10)
Annotate: the t test: *P<0.05, *P<0.01.
The variation of table 3 plasma albumin (X ± SD)
Group Dosage (g/Kg) Albumin (g/L)
Administration 7 days Administration 14 days Administration 21 days
Model 23.0±1.5(12) 26.3±2.1(10) 29.0±2.6(9)
The A medicine 17.4 24.1±3.6(12) 30.2±2.1(7) ** 30.5±1.1(6)
The A medicine 52.2 23.2±2.4(9) 23.8±3.4(5) 26.0±1.7(4) **
The B medicine 14.1 24.4±2.6(12) 26.8±3.6(10) 27.4±2.5(10)
The B medicine 42.3 25.7±3.6(12) ** 28.3±2.4(10) 30.1±1.7(10)
Annotate: the t test: *P<0.05, *P<0.01.
The variation of protein content in table 4 urine (X ± SD)
Group Dosage (g/Kg) Urine protein (mg/dl)
Before the medicine Administration 7 days Administration 14 days Administration 21 days
Model 340±128 (15) 340±128 (15) 304±113(14) 249±78(14)
The A medicine 8.7 354±131 (13) 323±99 (13) 245±44(10) 220±35(10)
The A medicine 17.4 346±138 (13) 323±99 (13) 232±51(11) 209±66(11)
The B medicine 7.0 354±131 (13) 296±14 (13) 221±58(12) ** 204±50(12)
The B medicine 14.1 345±138 (13) 296±14 (13) 225±54(12) ** 188±38(12) *
Annotate: the t test: *P<0.05, *P<0.01.
The variation of table 5 plasma urea nitrogen (X ± SD)
Group Dosage (g/Kg) Blood urea nitrogen (mmol/L)
Administration 7 days Administration 14 days Administration 21 days
Model 21.1±15.5(15) 10.1±4.3(14) 8.2±1.7(14)
The A medicine 8.7 23.4±10.6(13) 12.2±4.6(10) 9.5±2.4(10)
The A medicine 17.4 18.6±8.3(13) 8.5±1.7(11) 8.0±2.6(11)
The B medicine 7.0 20.9±11.2(13) 11.1±5.7(12) 8.0±2.1(11)
The B medicine 14.1 19.2±8.0(13) 9.9±3.0(12) 8.2±1.5(12)
Annotate: the t test: *P<0.05, *P<0.01.
The variation of table 6 plasma albumin (X ± SD)
Group Dosage (g/Kg) Albumin (g/L)
Administration 7 days Administration 14 days Administration 21 days
Model 24.5±3.5(15) 28.4±4.6(14) 27.3±1.6(14)
The A medicine 8.7 25.1±3.1(13) 32.2±3.6(10) * 30.5±2.9(10) **
The A medicine 17.4 26.2±3.2(13) 26.8±3.5(11) 28.6±3.7(4)
The B medicine 7.0 26.5±3.2(13) 31.5±4.1(12) 29.8±2.9(10) *
The B medicine 14.1 25.7±2.8(13) 31.8±2.2(12) * 29.2±2.4(10) *
Annotate: the t test: *P<0.05, *P<0.01.

Claims (6)

1, a kind of medicine for the treatment of chronic nephritis, it is characterized in that it is made up of effective ingredient or effective ingredient and acceptable accessories, wherein prepare raw materials of effective components and be: Radix Ginseng 15-10 weight portion, Rhizoma Atractylodis Macrocephalae 10-15 weight portion, Radix Scutellariae 5-10 weight portion, Poria 25-30 weight portion, Rhizoma Alismatis 5-10 weight portion, Radix Bupleuri 10-15 weight portion, Polyporus 10-15 weight portion, Ramulus Cinnamomi 5-10 weight portion.
2, according to the described medicine of claim 1, wherein prepare the raw materials of effective components consumption and be: Radix Ginseng 10 weight portions, the Rhizoma Atractylodis Macrocephalae 12 weight portions, Radix Scutellariae 9 weight portions, Poria 30 weight portions, Rhizoma Alismatis 10 weight portions, Radix Bupleuri 15 weight portions, Polyporus 15 weight portions, Ramulus Cinnamomi 9 weight portions.
3, according to claim 1 or 2 described medicines, its Chinese medicine is electuary, granule, oral liquid, tablet or capsule.
4, according to the preparation method of any one described medicine in claim 1 or 2, it comprises and takes by weighing raw material, and Radix Ginseng is decocted with water 2-3 time, and each 0.5-1.5 hour, collecting decoction filtered, and filtrate is left standstill; All the other medicines decoct with water 2-3 time, and each 0.5-1.5 hour, merge decoction, filter, filtrate is left standstill; Merge above-mentioned filtrate, filter, it is 90-95 ℃ of survey 1.08 that filtrate is concentrated into relative density, and room temperature to be chilled to adds equivalent ethanol and makes precipitation, get supernatant concentration to relative density 60-65 ℃ of survey 1.20, add water, stir, leave standstill, get supernatant concentration to the relative density 60-65 ℃ of thick paste of surveying 1.38-1.40 as effective ingredient, again thick paste is made electuary, granule, oral liquid, tablet or capsule.
5, according to the preparation method of the described medicine of claim 4, it comprises and takes by weighing raw material, and Radix Ginseng is decocted with water twice, and each 1.5 hours, collecting decoction filtered, and filtrate is left standstill; All the other medicines decoct with water twice, and each 1.5 hours, merge decoction, filter, filtrate is left standstill; Merge above-mentioned filtrate, filter, it is 90-95 ℃ of survey 1.08 that filtrate is concentrated into relative density, and room temperature to be chilled to adds equivalent ethanol and makes precipitation, get supernatant concentration to relative density 60-65 ℃ of survey 1.20, add 1 times of amount of water, stir, leave standstill, get supernatant concentration to the relative density 60-65 ℃ of thick paste of surveying 1.38-1.40, again thick paste is made electuary, granule, oral liquid, tablet or capsule.
6, according to the preparation method of the described medicine of claim 5, wherein will be as 1 part of the thick paste of effective ingredient, with 3 parts of sucrose, 1.25 parts in dextrin and ethanol are made granule, drying, granulate, packing.
CN 200410006353 2004-02-27 2004-02-27 Medicine for treating chronic nephritis, and its prepn. method Expired - Lifetime CN1269509C (en)

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