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.