CN1287004A - Compound diabetes-treating Chinese medicine preparation - Google Patents

Compound diabetes-treating Chinese medicine preparation Download PDF

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CN1287004A
CN1287004A CN99119028A CN99119028A CN1287004A CN 1287004 A CN1287004 A CN 1287004A CN 99119028 A CN99119028 A CN 99119028A CN 99119028 A CN99119028 A CN 99119028A CN 1287004 A CN1287004 A CN 1287004A
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weight portion
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rhizoma
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diabetes
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CN1075735C (en
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阎纯义
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • A61K36/718Coptis (goldthread)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/25Araliaceae (Ginseng family), e.g. ivy, aralia, schefflera or tetrapanax
    • A61K36/258Panax (ginseng)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/481Astragalus (milkvetch)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/80Scrophulariaceae (Figwort family)
    • A61K36/808Scrophularia (figwort)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/333Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using mixed solvents, e.g. 70% EtOH
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00

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  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Alternative & Traditional Medicine (AREA)
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  • Mycology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicines Containing Plant Substances (AREA)
  • Medicinal Preparation (AREA)

Abstract

The compound Chinese medicine consists of Chinese medicinal materials including Rhizoma Coptidis, ginseng, Rhizoma Anemarrhenae, red sage, Cortex Lycii Radicis, etc. or their alcohol and/or water extracted matters as active components. It is used in treating diabetes, especially Type-II diabetes, owing to its curative effects of lowering blood sugar, eliminating melituria and restoring pancreatic island function, and has high effective rate.

Description

The compound Chinese medicinal preparation of treatment diabetes
The present invention relates to a kind of Chinese traditional compound medicine for the treatment of diabetes, is the Chinese traditional compound medicine of feedstock production with Chinese medicine specifically, the invention still further relates to the preparation technology of this Chinese medicine preparation.
The diabetes traditional Chinese medical science is referred to as diabetes, in the historical records in existing more than 2,000 year of China.It is a kind of a kind of syndrome of chronic sugar, fat and the protein metabolism disorder that causes owing to the relative or absolute hyposecretion of insulin in the body.Its sickness rate height, the course of disease is long, is the third-largest disease that is only second to cancer and cardiovascular and cerebrovascular disease at present.At present, along with factors such as the variation of the improvement of the raising of people's living standard, dietary structure and life style and gene, the sickness rate of diabetes is increased day by day.According to incompletely statistics, China has nearly 3,000 ten thousand people of diabetics now, and also increase progressively with 700,000 people's development speed every year.Diabetes are divided two kinds, I type and II type.The I type is an insulin-dependent, and the II type is a non-insulin-depending type.II type patient wherein, promptly the non-insulin-dependent diabetes mellitus patient accounts for about 90% of diabetics total number of persons, and people's health and lives in serious threat, and does not still have a kind of ideal medicament of both having taken stopgap measures and having effected a permanent cure both at home and abroad at present.
The western medical treatment diabetes are used medicines such as sulphanylureas, biguanides and insulin mostly, though its hypoglycemic activity is obvious, only can reach the degree of regulating metabolism disorder, and side effect is big, take grievous injury liver, kidney for a long time, influence gastrointestinal function, its complication is difficult to control especially.TCM treatment of diabetes is with a long history, but traditional Chinese medical science preparation in the past only is simple blood sugar lowering, only takes stopgap measures, and does not effect a permanent cure, and curative effect is not ideal enough.
The objective of the invention is to overcome the shortcoming of traditional Chinese medical science preparation in the past, a kind of Chinese traditional compound medicine of new treatment diabetes is provided, can take stopgap measures, blood sugar lowering, glucose in urine can effect a permanent cure again, recover insulin function, to reach the purpose that significantly improves the treatment of diabetes effect.
Another object of the present invention provides the preparation technology of this diabetes Chinese traditional compound medicine.
Solution of the present invention is based on understanding and the Therapeutic Principle of motherland's medical science to diabetes and complication mechanism thereof, with reference to modern pharmacology research achievement, filter out heat clearing away YIN nourishing, reinforcing spleen and kidney, supplementing QI for promoting the production of body fluid, the demountable Chinese medicine of promoting blood circulation, by the theory of Chinese medical science prescription, skim the cream off milk, cure mainly that scorching inclined to one side victory, spleen suffer from a deficiency of the kidney that damage, channels resistance are become silted up, diabetes, especially type due to the deficiency of both QI and YIN.
To achieve these goals, the invention provides a kind of Chinese traditional compound medicine for the treatment of diabetes, it is characterized in that it is made up of as active component the alcohol and/or the water extract of following raw materials according or following raw materials according:
Rhizoma Coptidis 600-900 weight portion Radix Ginseng 450-750 weight portion
Radix Astragali 800-1200 weight portion Radix Scrophulariae 450-550 weight portion
Rhizoma Anemarrhenae 550-750 weight portion Cortex Phellodendri 780-1420 weight portion
Rhizoma Atractylodis 450-550 weight portion Radix Salviae Miltiorrhizae 550-750 weight portion
Cortex Lycii 550-750 weight portion Rhizoma Polygoni Cuspidati 450-550 weight portion.
Raw material weight proportioning preferable in above-mentioned Chinese medicine is:
Rhizoma Coptidis 700-780 weight portion Radix Ginseng 570-630 weight portion
Radix Astragali 970-1070 weight portion Radix Scrophulariae 475-525 weight portion
Rhizoma Anemarrhenae 630-700 weight portion Cortex Phellodendri 1100-1250 weight portion
Rhizoma Atractylodis 475-525 weight portion Radix Salviae Miltiorrhizae 630-700 weight portion
Cortex Lycii 630-700 weight portion Rhizoma Polygoni Cuspidati 475-525 weight portion.
Above-mentioned Chinese medicine preparation, it can be said dosage form on any pharmaceuticss such as decoction, electuary, capsule, tablet, oral liquid or pill, the preparation of Chinese medicine preparation also can be carried out with reference to the method for conventional Chinese medicine preparation, but for improving drug effect, compound Chinese medicinal preparation of the present invention preferably adopts following preparation method.
The preparation technology who above-mentioned Chinese medicine is made compound recipe traditional Chinese medical science preparation of the present invention is: (1) takes by weighing following traditional Chinese medicines and makes raw material:
Rhizoma Coptidis 600-900 weight portion Radix Ginseng 450-750 weight portion
Radix Astragali 800-1200 weight portion Radix Scrophulariae 450-550 weight portion
Rhizoma Anemarrhenae 550-750 weight portion Cortex Phellodendri 780-1420 weight portion
Rhizoma Atractylodis 450-550 weight portion Radix Salviae Miltiorrhizae 550-750 weight portion
Cortex Lycii 550-750 weight portion Rhizoma Polygoni Cuspidati 450-550 weight portion.(2) with above-mentioned Radix Ginseng coarse powder with pure and mild or the water reflux, the extracting solution that obtains is as the active component I; (3) with above-mentioned Rhizoma Coptidis and Cortex Phellodendri coarse powder water or sour water dipping, the leachate that obtains is as the active component II; (4) with above-mentioned all the other seven flavor medicine materials, boil after in water, soaking and carry, the extracting solution that obtains is as the active component III; (5) with above-mentioned active component I, II, III mix homogeneously, can obtain the compound preparation that the present invention treats diabetes.
Radix Ginseng is strongly invigorating primordial QI in prescription, monarch drug in the invigorating the spleen to benefit the lung side of being, its effective ingredient is a Radix Ginseng total saponins, be preferably three times in the above-mentioned hot reflux of step (2), the preferably alcoholic acid aqueous solution of hot reflux liquid, the alcoholic solution of 55%-80% more preferably, 75% alcoholic solution most preferably, the too high or too low reduction that all can cause the Radix Ginseng total saponins extractability of concentration of alcohol.
In the described extraction process by water of step (4), preferably extract 3 times, each 2 hours, quantity of solvent was 10 times of amounts.
Below by embodiment, zoopery example with in clinical, utilize the application examples of compound Chinese medicinal preparation treatment diabetes of the present invention that the present invention is further described.The preparation of embodiment 1 Chinese medicinal capsule a of the present invention
Press column weight amount proportioning and take by weighing each component:
(1) Rhizoma Coptidis 740 weight portion Radix Ginsengs 600 weight portions
The Radix Astragali 1020 weight portion Radix Scrophulariaes 500 weight portions
The Rhizoma Anemarrhenae 666 weight portion Cortex Phellodendris 1200 weight portions
Rhizoma Atractylodis 500 weight portion Radix Salviae Miltiorrhizaes 666 weight portions
Cortex Lycii 666 weight portion Rhizoma Polygoni Cuspidati 500 weight portions.
(2) choose the Radix Ginseng coarse powder by above-mentioned weight proportion, ethanol water reflux with 75% three times, the ethanol that adds for the first time 4 times of amounts 75%, reflux 4 hours, the ethanol that adds for the second time 2 times of amounts 75%, reflux 2 hours adds 2 times for the third time and measures 75% ethanol, reflux 2 hours, merge extractive liquid, reclaims ethanol, and water liquid is with water saturated n-butanol extraction 4 times, water liquid: n-butyl alcohol is (1: 2), left standstill 10 hours at every turn, and merged n-butyl alcohol liquid, reclaim n-butyl alcohol, 80 ℃ of dryings, it is standby to be ground into fine powder;
(3) choose Rhizoma Coptidis and Cortex Phellodendri coarse powder with 0.2% sulphuric acid water retting three times by above-mentioned weight proportion, add 5 times of amount 0.2% sulphuric acid water for the first time, stir, flooded 24 hours, and added 4 times of amount 0.2% sulphuric acid water for the second time, stir, flooded 24 hours, and added 3 times of amount 0.2% sulphuric acid water for the first time, stir, flooded 24 hours, merge leachate, filter, transferring pH with lime cream is 9-11, filter, solubilization dosage 10% sodium chloride (w/v) stirs, and transferring pH with hydrochloric acid is 2-3, placement is spent the night, filter, precipitation is drained with the low amounts of water washing, 80 ℃ of dryings, it is standby to be ground into fine powder;
(4) choose all the other seven flavor medicine materials by above-mentioned weight proportion, choose decontamination, wash earth, dust, add 10 times of water gagings of crude drug, soak to boil after 2 hours and carry, open computation time with water.Boil for the first time and carry 2 hours; Adding for the second time 6 times of water gagings boils and carries 1.5 hours; Adding 5 times of water gagings for the third time boils and carries 1.5 hours; Merge three times extracting solution, placement is spent the night, and extracts supernatant, add ethanol, carry out precipitate with ethanol routinely, after promptly vacuum decompression is concentrated into relative density 1.1, add 95% ethanol, make and contain alcohol amount and reach 70%, the limit adds the powerful stirring in ethanol limit 2 hours, places and spends the night (about 24 hours), extracts supernatant, reclaiming ethanol is concentrated into than weighing 1.15, spray drying;
(5) above-mentioned three kinds of dry powder blend are even, spray into 88% ethanol, put in the mixer, stir; granulate with waving granulation machine 14 orders, 60 ℃ of constant temperature forced air dryings make water content below 9%, 16 orders choosing grain; the capsule of packing into No. 0, every 0.4 gram promptly obtains the made capsule a of the present invention.1 gram medicated powder is equivalent to about 19 grams of crude drug.The preparation of embodiment 2 Chinese medicinal capsule b of the present invention
Press column weight amount proportioning and take by weighing each component:
(1) Rhizoma Coptidis 900 weight portion Radix Ginsengs 750 weight portions
The Radix Astragali 1200 weight portion Radix Scrophulariaes 550 weight portions
The Rhizoma Anemarrhenae 750 weight portion Cortex Phellodendris 1420 weight portions
Rhizoma Atractylodis 550 weight portion Radix Salviae Miltiorrhizaes 750 weight portions
Cortex Lycii 750 weight portion Rhizoma Polygoni Cuspidati 550 weight portions.
(2) choose the Radix Ginseng coarse powder by above-mentioned weight proportion, the ethanol water reflux with 55% three times adds 4 times for the first time and measures 55% ethanol, heated 6 hours, and added the ethanol of 2 times of amounts 55% for the second time, refluxed 3 hours, add the ethanol of 2 times of amounts 55% for the third time, refluxed merge extractive liquid, 3 hours, reclaim ethanol, water liquid is with water saturated propanol extraction 4 times, and water liquid: propanol is (1: 2), left standstill 10 hours at every turn, and merged propanol liquid, reclaim propanol, 80 ℃ of dryings, it is standby to be ground into fine powder;
(3) choose Rhizoma Coptidis and water retting three times of Cortex Phellodendri coarse powder by above-mentioned weight proportion, add 5 times of water gagings for the first time, stir, flooded 48 hours, add for the second time 4 times of water gagings, stir, flooded 48 hours, add 3 times of water gagings for the first time, stir, flooded 48 hours, merge leachate, filter, the sodium chloride of solubilization dosage 10% (w/v) stirs, and transferring pH with sulphuric acid is 2-3, placement is spent the night, and filters, and will precipitate with low amounts of water and wash, drain, 80 ℃ of dryings, it is standby to be ground into fine powder;
(4) choose all the other seven flavor medicine materials by above-mentioned weight proportion, choose decontamination, wash earth, dust, add 8 times of water gagings of crude drug, soak to boil after 2 hours and carry, open computation time, boil for the first time and carry 2 hours with water; Adding for the second time 6 times of water gagings boils and carries 2 hours; Adding 5 times of water gagings for the third time boils and carries 2 hours; Merge three times extracting solution, placement is spent the night, and extracts supernatant, adds ethanol, carries out precipitate with ethanol according to a conventional method, concentrates the back spray drying;
(5) with above-mentioned three kinds of xeraphium mix homogeneously, press step among the embodiment 1 (5) granulation, drying, pelletize, the capsule of packing into No. 0, every 0.4 gram promptly obtains the made capsule b of the present invention.1 gram medicated powder is equivalent to about 19 grams of crude drug.The preparation of embodiment 3 Chinese medicinal capsule c of the present invention
Press column weight amount proportioning and take by weighing each component:
(1) Rhizoma Coptidis 600 weight portion Radix Ginsengs 450 weight portions
The Radix Astragali 800 weight portion Radix Scrophulariaes 450 weight portions
The Rhizoma Anemarrhenae 550 weight portion Cortex Phellodendris 780 weight portions
Rhizoma Atractylodis 450 weight portion Radix Salviae Miltiorrhizaes 550 weight portions
Cortex Lycii 550 weight portion Rhizoma Polygoni Cuspidati 450 weight portions.
(2) choose the Radix Ginseng coarse powder by above-mentioned weight proportion, add 10 times of water gagings of crude drug, soak 2 hours post-heating and reflux, open computation time, boil for the first time and carry 16 hours with water; Adding for the second time 6 times of water gagings boils and carries 12 hours; Adding 5 times of water gagings for the third time boils and carries 8 hours; Merge extractive liquid,, with water saturated n-butanol extraction 4 times, water liquid: n-butyl alcohol is (1: 2), leaves standstill 10 hours at every turn, merges n-butyl alcohol liquid, reclaims n-butyl alcohol, 80 ℃ of dryings, it is standby to be ground into fine powder;
(3) choose Rhizoma Coptidis and Cortex Phellodendri coarse powder with 0.3% hydrochloric acid water retting three times by above-mentioned weight proportion, transferring pH with the 2mol/L sodium hydroxide is 9-11, and other method is identical with step (3) among the embodiment 1, and the precipitation crushed after being dried that obtains is standby;
(4) choose all the other seven flavor medicine materials by above-mentioned weight proportion, choose decontamination, wash earth, dust, add 8 times of water gagings of crude drug, soak to boil after 2 hours and carry, open computation time, boil for the first time and carry 2 hours with water; Adding for the second time 6 times of water gagings boils and carries 1.5 hours; Adding 5 times of water gagings for the third time boils and carries 1.5 hours; Merge three times extracting solution, placement is spent the night, and extracts supernatant, adds ethanol, carries out precipitate with ethanol according to a conventional method, concentrates the back spray drying;
(5) with above-mentioned three kinds of xeraphium mix homogeneously, press step among the embodiment 1 (5) granulation, drying, pelletize, the capsule of packing into No. 0, every 0.4 gram promptly obtains the made capsule c of the present invention.1 gram medicated powder is equivalent to about 20 grams of crude drug.The preparation of embodiment 4 Chinese medicine compound electuary a of the present invention
Press embodiment 1 described method, take by weighing each component but press column weight amount proportioning:
Rhizoma Coptidis 900 weight portion Radix Ginsengs 750 weight portions
The Radix Astragali 1200 weight portion Radix Scrophulariaes 550 weight portions
The Rhizoma Anemarrhenae 750 weight portion Cortex Phellodendris 1420 weight portions
Rhizoma Atractylodis 550 weight portion Radix Salviae Miltiorrhizaes 750 weight portions
Cortex Lycii 750 weight portion Rhizoma Polygoni Cuspidati 500 weight portions.
The medicated powder of gained is behind combination drying, directly as about 430 grams of Chinese medicine compound electuary a.The preparation of embodiment 5 Chinese medicine compound electuary b of the present invention
Press embodiment 1 described method, take by weighing each component but press column weight amount proportioning:
Rhizoma Coptidis 600 weight portion Radix Ginsengs 650 weight portions
The Radix Astragali 800 weight portion Radix Scrophulariaes 450 weight portions
The Rhizoma Anemarrhenae 550 weight portion Cortex Phellodendris 780 weight portions
Rhizoma Atractylodis 450 weight portion Radix Salviae Miltiorrhizaes 550 weight portions
Cortex Lycii 550 weight portion Rhizoma Polygoni Cuspidati 450 weight portions.
The medicated powder of gained is behind combination drying, directly as about 380 grams of Chinese medicine compound electuary b.The preparation of embodiment 6 Chinese medicine compound pills of the present invention
Press embodiment 1 described method, but the preparation method pill agent of medicine pill routinely, every ball contains medicated powder 1.2 grams approximately, and 1 gram medicated powder is equivalent to about 19 grams of crude drug.Embodiment 1 described method is pressed in the preparation of embodiment 7 Chinese medicine compound tablets of the present invention, but the preparation method film-making agent of Chinese medicinal tablet routinely, every agreement that contracts a film or TV play to an actor or actress contains medicated powder 0.3 gram, and 1 gram medicated powder is equivalent to about 19 grams of crude drug.The animal acute toxicity test of zoopery example 1 capsule a of the present invention:
Carry out toxic reaction and the death condition of animal behind the single administration with capsule a of the present invention and observe, calculate LD 50During test capsule a of the present invention (medicated powder) pressed desired concn with the fresh preparation of distilled water.
50 of experimental animal ICR strain white mice, male and female half and half, body weight 18-22g is provided by Xian Medical Univ's Experimental Animal Center, the quality certification, the moving card of Shan doctor word 08-005 number.18-20 ℃ of laboratory room temperature, the ventilation of relative humidity 60%-70% ventilation fan, lamp 12h/ day, raise in cages by sex, 10 in every cage, per three days cleaning cage houses are once.
Determine by following scheme administration through prerun, capsule a medicated powder of the present invention is mixed with the suspension of variable concentrations with distilled water, be followed successively by 46.87%, 37.5%, 30.0%, 24.0%, 19.2%.Get 50 of ICR strain mices, be equally divided into 5 groups at random, each organizes male and female half and half, and stomach is irritated in fasting respectively after 14 hours, and isometric(al) 0.2ml/10g gives above-mentioned variable concentrations capsule a of the present invention aqueous suspensions.Observe after the administration in 7 days the general situation of mice and respectively organize death condition.Mice shows as movable the minimizing after the administration, and horripilation tightens agglomerating, breathe fast and show shallowly, mucosa is little cyanosis, and death occurs between administration 4-48h, dead animal does not have performances such as eyeball is outstanding, secretions, convulsions, and the mucosa cyanosis is obvious, and other does not see special performance.By only doing postmortem, finding has several to be dispersed in the petechia at stomachus pyloricus to dead mice, and the main organs color is darker, does not see that main organs such as the heart, liver, spleen, lung, kidney, adrenal gland, thymus, intestinal, abdominal cavity have paramophia.The results are shown in following table (LD 50Calculate and use the NDST software processes):
The median lethal dose(LD 50) LD of table 1 capsule a of the present invention 50(Bliss method)
Dosage Log10 dose Mortality rate Experiment probit The regression probit Return probit Error
????3.84 ????4.8 ?????6 ????7.5 ????9.375 ????0.58 ????0.68 ????0.78 ????0.88 ????0.97 ????10 ????20 ????50 ????70 ????90 ????3.72 ????4.16 ?????5 ????5.52 ????6.28 ????3.63 ????4.28 ????4.93 ????5.58 ????6.23 ????3.63 ????4.28 ????4.93 ????5.58 ????6.23 ?0.000004 -0.000002 -0.000009 -0.000016 -0.000023
The significance index: G=0.2406 X50=0.7886 Sx=0.0304 G is less, has omitted heterogeneous the inspection: Chi2=0.16 Chi2.05=7.82 Sb=1.6831 do not have heterogeneous regression equation: Y (Probit)=-0.3040+6.7256 *Log (D) r=0.9951LD50=6.1466+/-1.2024 (5.0607-7.4656) Feiller is heterogeneous to be proofreaied and correct: Sx=0.0080 Sb=0.3850LD50=6.1466+/-0.2911 (5.8624-6.4446)
Therefore, capsule a of the present invention gives ICR strain mice LD 50Be 6.1466g/kg (counting 65.15/kg), LD with crude drug 50The credible 5.8624-6.4446g/kg of being limited to (counting 62.14-68.31/kg) with crude drug.The long term toxicity test of zoopery example 2 capsule a of the present invention (6 months long term toxicity tests of rat)
Rat being irritated stomach in continuous 6 months gives the toxic reaction that capsule a of the present invention produced and carries out long term test, by observing the symptom and the order of severity that at first occurs, the target organ of toxicity and recovery thereof and development are determined nontoxic amounts of reactants, provide reference for drafting the human safe dose.
Capsule a of the present invention (medicated powder) is pressed the desired concn fresh preparation solvent of distilled water.
Experimental animal SD strain rat provides (quality certification, the moving card of Shan doctor word 08-005 number), body weight 96-104g, sex male and female half and half by Xian Medical Univ's Experimental Animal Center.
Select 160 of healthy white rats.Be divided into 4 groups at random, 40 every group, male and female half and half.The blank group is irritated stomach with capacity 20ml/kg such as distilled water; The heavy dose of group of capsule a of the present invention is irritated stomach with 17.5% capsule a medicated powder suspension 20ml/kg of the present invention, and promptly 3.5g/kg is equivalent to 50 times of (adult's consumptions: 3 times/day * 4/time * 0.41g/ grain ÷ 70kg=0.07g/kg day) that clinical adult intends consumption every day approximately; In the dosage group with the suspension 20ml/kg of 8.75% concentration filling stomach, i.e. 1.75g/kg is equivalent to clinical adult approximately and intends 25 times of consumption every day; Small dose group is irritated stomach with 1.75% suspension 210ml/kg, i.e. 0.35g/kg is equivalent to clinical adult approximately and intends 5 times of consumption every day.
The animal feeding condition: the air-conditioning temperature control, room temperature 18-24 ℃, relative humidity 45%-70% ventilates lamp 12h/ day with ventilation fan.The food solid feed is provided by the standard recipe preparation by Xian Medical Univ's Experimental Animal Center, drink tap water, drinking water freedom.Animal divides cage group support, 5 in every cage, per three days cleaning Mus to give up 1 time by sex.The animal adaptability begins administration after raising a week.
Every day, gastric infusion was 1 time, and is consistent with the clinical administration approach.According to 3 months situation of clinical course of treatment, the long poison cycle of rat is 6 months.Administration after 3 months every group put to death half animal (20), administration after 6 months every group of 2/3 animal (14) of putting to death second half carry out relevant the inspection, 6 convalescent periods tests of doing 1 week of drug withdrawal in addition.Administration 6 days weekly during the administration, administration during every morning 8-9.Inspection item: 1. general situation and body weight change: pursue mouthful observation and respectively organize situations such as the expression of rat, activity, secretions, diet, feces, hair, skin, weigh 1 time in per 2 weeks, and adjust dosage with the body weight variation.After administration 3 months, 6 months and drug withdrawal convalescent period, with rat metabolic cage, parallel 24 hours appetite (g/100g body weight) of measuring at different levels in batches, because the metabolic cage limited amount, every batch every group 2, every group altogether with 10 of machine testings.2. hematological examination: after 3 months, 6 months and drug withdrawal convalescent period after the administration, hemoglobin (Hb), erythrocyte (RBC), leukocyte (WBC) and classification, the platelet (Pt) of each treated animal checked in the femoral artery blood sampling respectively.3. blood biochemical learn to be checked: after 3 months, 6 months and drug withdrawal convalescent period after the administration, femoral artery blood sampling respectively, check the general biochemical project of each treated animal, comprise alanine aminotransferase (ALT), aspartate amino transferase (AST), alkali phosphatase (ALP), total protein (TP), albumin (ALB), carbamide ammonia (BUN), creatinine (Crea), total bilirubin (T-BIL), blood glucose (GLu).4. urine routine: the review time is the same.Collect urine with the rat metabolic cage, project comprises color, the red matter of urine gallbladder, glucose in urine, urine ketone, urine protein, erythrocyte, white thin the race.5. electrocardiogram: the review time is the same, main check criteria II lead electrocardiogram.6. system dissects: the review time is the same.7. main organs coefficient: the review time is the same, comprises the heart, liver, spleen, lung, kidney, thymus, adrenal gland, testis, 9 internal organs of ovary.8. histopathological examination: the review time is the same, comprises the heart, liver, spleen, lung, kidney, gastric antrum portion, duodenum, jejunum, colon, bladder, mesenteric lymph node, testis, epididymis, ovary, uterus, breastbone (bone marrow), brain, hypophysis, adrenal gland, thymus, 21 tissues of thyroid.
Influence to general situation of rat and body weight change: after the administration rat generally in order, hair luster, expression, movable normal.Eye, nose do not have secretions, skin does not have tinea pedis, ulcer.Food ration was normal in 24 hours, compared not statistically signigicant (P>0.05) with matched group.The weight of animals increases gradually, and body weight change situation and matched group be there was no significant difference (P>0.05) relatively.More than explanation capsule a gastric infusion of the present invention 3 months and 6 months do not have obvious influence to general situation of rat and body weight change, the results are shown in Table 2 and table 3.
Table 2 capsule a of the present invention is to the influence of 24 hours food rations of rat
Group Examined number of animals (n) Food ration (g/100g body weight/24 hour) The P value
Administration dosage group small dose group in the heavy dose of group of blank group after 3 months ????10 ????10 ????10 ????10 ????8.0±2.4 ????7.7±1.9 ????7.9±2.1 ????8.2±2.3 ????>0.05 ????>0.05 ????>0.05
Administration dosage group small dose group in the heavy dose of group of blank group after 6 months ????10 ????10 ????10 ????10 ????8.1±2.0 ????8.0±1.9 ????8.4±2.2 ????7.8±1.8 ????>0.05 ????>0.05 ????>0.05
Drug withdrawal dosage group small dose group in the heavy dose of group of blank group after 14 days ????6 ????6 ????6 ????6 ????8.0±2.3 ????8.6±2.5 ????8.7±2.2 ????9.0±2.1 ????>0.05 ????>0.05 ????>0.05
The influence that table 3 capsule a of the present invention changes rat body weight
Group Before the administration (n=40) The administration 1-3 month (n=40) The administration 4-6 month (n=20) After convalescent period (n=6)
1 month 2 months 3 months 4 months 5 months 6 months
Dosage group small dose group in the heavy dose of group of blank group 95.5±6. ????4 ?94.8±5. ????3 ?95.1±6. ????2 ?94.7±5. ????6 ?165.3±2 ????7.5 ?175.5±3 ????1.4 ?184.5±3 ????7.6 ?180.4±4 ????3.8 ?238.9±3 ????7.3 ?249.3±4 ????0.5 ?243.6±2 ????9.7 ?236.3±3 ????6.5 ?301.5±4 ????1.5 ?277.2±3 ????6.1 ?311.5±5 ????0.2 ?294.5±3 ????8.9 ?348.4±3 ????2.3 ?323.4±3 ????0.6 ?359.5±4 ????1.7 ?329.3±4 ????1.3 ?365.7±4 ????1.2 ?380.4±3 ????4.5 ?385.8±2 ????3.3 ?367.4±3 ????4.9 ?407.6±3 ????8.6 411.7±4 ????0.1 ?387.6±5 ????0.2 ?418.4±2 ????9.1 ?427.9±4 ????7.8 ?448.2±2 ????7.5 ?398.4±5 ????1.6 ?432.5±3 ????5.4
After administration 3 months, 6 months and convalescent period, under nembutal ip light anaesthesia, respectively organize the hemogram routine examination respectively from the femoral artery blood sampling.The hemogram of administration treated animal does not have significant change as a result, and all in the normal physiological scope, with matched group comparison there was no significant difference (P>0.05).Illustrate that this medicine to the influence of rat blood Non Apparent Abnormality, the results are shown in Table 4.
After administration 3 months, 6 months and convalescent period, under the nembutal light anaesthesia, respectively organize blood biochemical from the femoral artery blood drawing and learn inspection, comprise transaminase, liver function, kidney merit, blood glucose.Administration as a result after 3 months and 6 months heavy dose of group blood glucose obviously reduce, with matched group significant difference (P<0.01) is arranged relatively.Other every biochemical analysis numerical value are normal, compare not statistically signigicant (P>0.05) with matched group.Illustrate that this medicine to rat transaminase, liver function, the influence of kidney merit Non Apparent Abnormality, the results are shown in Table 5.
After administration 3 months, 6 months and convalescent period, collect urine with the rat metabolic cage respectively, 10 every group, 6 of convalescent periods, the urine routine of seeing off.The routine urine examination,urine for routine of each treated animal is normal as a result, and glucose in urine, urine ketone, urine protein, the red quality inspection of urine gallbladder are looked into all negative.Microscopically is not found erythrocyte and leukocyte, illustrates that this medicine to the conventional no abnormal influence of rat urine, the results are shown in Table 6.
After administration 3 months, 6 months and convalescent period, under pentobarbital sodium ip light anaesthesia, extremity insert electrode, the bioassay standard II electrocardiogram that leads.Each administration group rat heart rate is normal as a result, and the rhythm of the heart is neat, and S-T section, T involve other each ripple no abnormality seens, with the relatively no abnormal change of electrocardiogram of matched group, illustrates that capsule a of the present invention is to the no abnormal influence of rat electrocardiogram.
Table 4 capsule a of the present invention administration 3 months, 6 months and drug withdrawal 14 days influence group number of animals Hb RBC WBC WBC Pt to the rat hemogram
(n) (g/L) (* 1012/L) (* 109/L) leaflet C lymph C (* 109/L)
After the administration 3 months
Blank to 20 142.6 6.7 ± 0.6 8.7 ± 2.0 0.11 ± 0.0 0.08 ± 0. 225/6 ± 75.4
According to group ± 10.3 42 006
Heavy dose of 20 141.9 ± 6.5 ± 1.0 10.4 ± 3.3 0.16 ± 0.0 0.83 ± 0. 236.8 ± 55.6
Organize 18.2 53 045
Middle dosage 20 147.4 ± 7.0 ± 1.0 9.4 ± 2.1 0.14 ± 0.0 0.86 ± 0. 208.9 ± 48.7
Organize 15.1 81 081
Low dose of 20 139.2 ± 6.6 ± 0.8 8.6 ± 1.9 0.13 ± 0.0 0.87 ± 0. 197.5 ± 64.7
Organize 16.2 49 049
After the administration 6 months
Blank to 14 155.6 ± 6.5 ± 0.7 9.9 ± 3.0 0.20 ± 0.0 0.78 ± 0. 235.1 ± 50.3
According to group 19.0 57 047
Heavy dose of 14 150.3 ± 7.2 ± 1.0 10.6 ± 2.3 0.23 ± 0.0 0.77 ± 0. 261.9 ± 52.8
Organize 20.8 56 056
Middle dosage 14 162.6 ± 6.8 ± 0.8 9.7 ± 2.6 0.18 ± 0.0 0.81 ± 0. 270.9 ± 49.1
Organize 18.2 48 068
Low dose of 14 149.0 ± 6.7 ± 1.0 10.9 ± 2.2 0.20 ± 0.0 0.76 ± 0. 267.7 ± 59.8
Organize 14.8 50 074
After the drug withdrawal 14 days
Blank to 6 146.4 ± 6.8 ± 1.1 9.6 ± 2.4 0.18 ± 0.0 0.82 ± 0. 192.8 ± 29.8
According to group 16.5 56 056
Heavy dose of 6 148.7 ± 6.4 ± 1.3 10.2 ± 3.6 0.25 ± 0.0 0.75 ± 0. 251.8 ± 58.4
Organize 9.4 68 068
Middle dosage 6 149.5 ± 6.6 ± 0.7 9.0 ± 1.5 0.19 ± 0.0 0.79 ± 0. 195.6 ± 68.3
Organize 8.6 45 046
Low dose of 6 152.0 ± 7.3 ± 1.2 10.1 ± 3.1 0.20 ± 0.0 0.80 ± 0. 234.8 ± 77.2
Organize 20.4 53 053
Table 5 capsule a of the present invention administration 3 months, 6 months and drug withdrawal influenced the moving ALT AST ALP TP ALB GLU Cr BUN T-BIL T-CHO of group to the rat blood biochemical indicator after 14 days
Thing (U/L) (U/L) (U/L) (g/L) (g/L) (mmol/L) (μ mol/L) (mmol/L) (μ mol/L) (mmol/L)
Number
(n)
After the administration 3 months
Blank to 20 12.4 ± 74.5 ± 120.7 87.4 ± 47.3 ± 5.90 ± 80.5 ± 13.6 ± 4.9 ± 1.67 ±
According to group 6.9 20.1 ± 30.2 15.3 9.3 1.67 30.3 3.9 2.3 0.40
Heavy dose of 20 11.7 ± 67.3 ± 131.6 84.0 ± 48.2 ± 4.10 ± 0.94 82.4 ± 3.6 11.6 ± 2.4 5.8 ± 4.9 1.34 ± 0.30
Organize 4.6 19.6 ± 40.1 8.6 7.4 * *
Middle dosage 20 10.7 ± 77.6 ± 140.3 89.3 ± 41.4 ± 5.48 ± 1.04 86.8 ± 40.2 13.8 ± 2.6 6.2 ± 2.0 1.52 ± 0.75
Organize 5.2 21.9 ± 37.2 14.8 6.7
Low dose of 20 10.9 ± 74.3 ± 127.9 94.1 ± 52.6 ± 5.66 ± 1.60 92.4 ± 35.8 11.4 ± 2.2 6.6 ± 2.4 1.52 ± 0.74
Knob 4.2 23.6 ± 28.3 7.0 12.2
After the administration 6 months
Blank to 14 11.6 ± 70.3 ± 114.7 81.8 ± 33.0 ± 5.61 ± 1.14 86.4 ± 31.8 12.5 ± 2.5 2.8 ± 1.8 1.58 ± 0.78
According to group 6.6 26.7 ± 27.2 15.8 3.6
Heavy dose of 14 12.4 ± 58.1 ± 125.0 89.8 ± 37.0 ± 4.44 ± 1.10 80.4 ± 22.6 12.3 ± 1.3 3.5 ± 1.6 1.47 ± 0.23
Organize 9.0 32.3 ± 41.9 9.6 15.9 *
Middle dosage 14 14.6 ± 56.2 ± 136.7 85.0 ± 36.4 ± 5.06 ± 1.58 74.6 ± 28.4 11.5 ± 2.0 2.3 ± 2.1 1.56 ± 0.22
Organize 8.3 44.0 ± 42.7 9.4 6.2
Low dose of 14 10.2 ± 63.6 ± 131.5 88.9 ± 41.8 ± 5.51 ± 1.24 91.2 ± 14.1 10.3 ± 2.1 4.0 ± 2.0 1.51 ± 0.21
Organize 4.3 27.6 ± 52.9 19.3 16.3
After the drug withdrawal 14 days
Blank to 6 15.6 ± 59.2 ± 164.4 90.8 ± 45.1 ± 5.64 ± 2.82 96.8 ± 32.4 11.2 ± 2.3 3.6 ± 2.2 1.57 ± 0.21
According to group 7.5 29.2 ± 32.1 13.4 7.3
Heavy dose of 6 15.9 ± 55.8 ± 148.1 95.0 ± 43.9 ± 4.71 ± 7.3 85.0 ± 20.2 9.9 ± 2.1 3.6 ± 1.6 1.51 ± 0.23
Organize 8.8 15.6 ± 43.5 10.8 13.2
Middle dosage 6 11.8 ± 54.7 ± 170.0 81.2 ± 38.8 ± 5.55 ± 1.90 88.2 ± 14.3 10.7 ± 1.9 4.4 ± 1.3 1.60 ± 0.11
Organize 4.7 18.2 ± 40.3 21.8 14.2
Low dose of 6 13.8 ± 70.4 ± 162.6 89.4 ± 36.9 ± 72.5 ± 26.3 72.5 ± 26.3 11.2 ± 2.1 3.8 ± 1.4 1.52 ± 0.23
Organize 7.4 32.6 ± 17.8 22.5 12.4
Compare with matched group *P<0.05, *P<0.01
Table 6 capsule a of the present invention is to the influence of rat urine routine
Group number of animals (n) Color Glucose in urine Urine ketone Urine protein The red matter of urine gallbladder Erythrocyte Leukocyte
Administration after 3 months blank to 10 according to 10 groups of low dose of 10 groups of administrations of dosage in heavy dose of 10 groups of the group after 6 months blank to 10 according to 10 groups of low dose of 10 groups of drug withdrawals of dosage in heavy dose of 10 groups of the group after 14 days blank to 6 according to 6 groups low dose of 6 groups of dosage in heavy dose of 6 groups of the group (10/10) yellowish (10/10) yellowish (6/6) is yellowish (10/10) ???- ???- ???- ???- (10/10) ???- ???- ???- ???- ????(6/6) ???- ???- ???- ???- (10/10) ????- ????- ????- ????- (10/10) ????- ????- ????- ????- ????(6/6) ????- ????- ????- ????- (10/10) ???- ???- ???- ???- (10/10) ???- ???- ???- ???- ????(6/6) ???- ???- ???- ???- (10/10) ????- ????- ????- ????- (10/10) ????- ????- ????- ????- ????(6/6) ????- ????- ????- ????- ????(10/10) ????- ????- ????- ????- ????(10/10) ????- ????- ????- ????- ????(6/6) ????- ????- ????- ????- (10/10) ????- ????- ????- ????- (10/10) ????- ????- ????- ????- ????(6/6) ????- ????- ????- ????-
Table 7 capsule a of the present invention administration 3 months, 6 months and drug withdrawal after 14 days to the influence of Rats Organs and Tissues coefficient
Group number of animals (n) The heart Liver Spleen Lung Kidney The adrenal gland Thymus Testis Ovary
Administration little dose of 20 amount groups of agent 20 amount groups in big dose of 20 amount groups of blank 20 control groups after 3 months ?0.32±0.0 ????4 ?0.31±0.0 ????5 ?0.30±0.0 ????4 ?0.31±0.0 ????6 ?3.2±0.21 ?3.4±0.34 ?3.3±0.38 ?3.0±0.41 ?0.27± 0.06 ?0.23± 0.04 ?0.26± 0.05 ?0.26± 0.06 ?0.28±0.09 ?0.80±0.20 ?0.78±0.08 ?0.76±0.14 ?0.30±0.06 ?0.29±0.04 ?0.28±0.05 ?0.29±0.06 ?15.0±4.0 ?14.6±4.2 ?14.7±5.0 ?14.4±3.7 ?112.5±32.4 ?114.6±33.6 ?107.2±24.9 ?104.7±36.8 ?0.53±0.06 ?0.46±0.10 ?0.59±0.13 ?0.47±0.12 ?0.34±0.08 ?0.35±0.07 ?0.38±0.06 ?0.36±0.06
Administration little dose of 14 amount groups of agent 14 amount groups in big dose of 14 amount groups of blank 14 control groups after 6 months ?0.29±0.0 ????4 ?0.35±0.0 ????6 ?0.36±0.0 ????7 ?0.32±0.0 ????6 ?3.1±0.30 ?3.0±0.50 ?2.9±0.51 ?3.0±0.46 ????0.25± ????0.03 ????0.21± ????0.03 ????0.26± ????0.12 ????0.23± ????0.062 ?0.79±0.23 ?0.80±0.14 ?0.81±0.13 ?0.82±0.16 ?0.28±0.04 ?0.26±0.04 ?0.34±0.06 ?0.30±0.058 ?13.4±4.1 ?13.8±3.2 ?15.0±5.3 ?12.3±3.5 ?99.62±7.9 ?109.3±37.2 ?102.6±33.6 ?92.22±8.9 ?0.42±0.04 ?0.47±0.08 ?0.50±0.10 ?0.48±0.03 ?0.31±0.05 ?0.32±0.04 ?0.34±0.06 ?0.30±0.05
Drug withdrawal little dose of 6 amount groups of agent 6 amount groups in big dose of 6 amount groups of blank 6 control groups after 14 days ?0.32±0.0 ????5 ?0.30±0.0 ????4 ?0.32±0.0 ????4 ?0.29±0.0 ????6 ?3.4±0.60 ?3.0±0.32 ?3.2±0.33 ?2.9±0.06 ????0.26± ????0.07 ????0.22± ????0.04 ????0.23± ????0.03 ????0.25± ????0.06 ?0.80±0.19 ?0.78±0.09 ?0.84±0.10 ?0.82±0.24 ?0.34±0.04 ?0.32±0.04 ?0.32±0.03 ?0.46±0.18 ?12.2±4.9 ?14.3±7.3 ?12.5±4.5 ?89.7±36.6 ?87.62±0.5 ?86.12±4.7 ?103.2±35.6 ?89.7±26.6 ?0.54±0.07 ?0.45±0.12 ?0.56±0.28 ?0.44±0.13 ?0.35±0.08 ?0.34±0.07 ?0.40±0.06 ?0.32±0.15
Administration 3 months, 6 months and convalescent period, 20 of femoral artery sacrificed by exsanguination, 14 only reach 6 rats respectively, immediately by only performing an autopsy on sb, the color of main organs such as the heart of each treated animal of perusal, liver, spleen, lung, kidney, stomach, jejunum, colon, bladder, gallbladder, adrenal gland, thymus, testis, ovary, uterus, brain, hypophysis, abdominal cavity, thoracic cavity and body cavity, form, focus etc.The main organs of each treated animal and body cavity do not have color and paramophia, naked eyes are not found pathological change as a result,
After administration 3 months, 6 months and convalescent period, cut open the heart, liver, spleen, lung, kidney, adrenal gland, thymus, testis, the ovary of getting every animal immediately after putting to death animal, gross necropsy, inhale the liquid of dehematizing with filter paper, claim weight in wet base with different balances respectively by the internal organs size, ask organ coefficient (g/100g body weight or mg/100g body weight).Each organ coefficient is all in the normal physiological scope as a result, and with matched group not statistically signigicant (P>0.05) relatively, illustrates that this medicine to the no abnormal influence of Rats Organs and Tissues coefficient, the results are shown in Table 7.
After administration 3 months, 6 months and convalescent period, respectively organize 20 of femoral artery sacrificed by exsanguination, 14 respectively and only reach 6 animals, cut open and get relevant internal organs and make histology's pathologic finding, wherein all animals of matched group and heavy dose of group is got relevant internal organs by only cuing open, in, small dose group administration 3 months, 6 months and after convalescent period each 6 animal cut open and get relevant internal organs.Organs and tissues comprises the heart, liver, spleen, lung, kidney, stomach, duodenum, jejunum, colon, mesenteric lymph node, adrenal gland, thymus, thyroid, testis, epididymis, ovary, uterus, breastbone (bone marrow), brain, hypophysis, consider that this medicine has the blood sugar lowering effect, increase the histopathology of pancreas, amounted to 21 tissues.10% formaldehyde fixed, specimens paraffin embedding slices, HE dyeing, the following and matched group paired observation of common light microscopic.The organs and tissues clear in structure is organized in each administration as a result, does not find pathological changes such as the hyperemia relevant with administration, edema, degeneration, necrosis, cellular infiltration, illustrates that capsule a of the present invention does not cause that toxic pathology changes and the retardance pathological change.
Capsule a medicated powder of the present invention does not cause tangible toxic reaction and retardance toxic reaction in 6 months long term toxicity test of rat gastric infusion, providing the nontoxic amounts of reactants of animal with weighing machine is 3.5g/kg day, is equivalent to clinical people approximately and intends 50 times of consumption.
According to pressing 3 months situation of the made capsule clinical course of treatment of the present invention, SD strain rat has been carried out the long term toxicity test of two kinds of sexes, three 6 months dosage cycles gastric infusion, maximal dose is 3.5g/kg day, is equivalent to clinical people approximately and intends 50 times of consumption every day.Day by day observe the general situation of animal after the administration, per two weeks weigh 1 time, and adjust dosage by body weight.Put to death half animal after 3 months in administration, 2/3 of second half animal is put to death in administration after 6 months, carries out relevant the inspection, and 1/3 animal does the convalescent period test in two weeks of drug withdrawal in addition.Result of the test, after administration 3 months, 6 months and convalescent period, capsule a of the present invention does not all have obvious influence to the general situation of animal, hematology, blood biochemical, urine and electrocardiogram, the yet no abnormal pathological change of system's dissection, organ coefficient and histopathological examination.So in the long term toxicity test of 6 months gastric infusions of rat, do not find overt toxicity reaction and retardance toxic reaction.Zoopery example 3 capsule a of the present invention cure mainly relevant Pharmacodynamic test of active extract with function
To the blood sugar reducing function of capsule a of the present invention, and the influence of rabbit consumption tolerance tested, estimate its pharmacological action foundation is provided for correct to normal mouse, alloxan and adrenal gland's disposition hyperglycemic rat.
Being subjected to the reagent thing is capsule a of the present invention, and used solvent is a distilled water, is mixed with the suspension of desired concn with distilled water.
Experimental animal is ICR strain white mice, SD strain rat, and Japanese white big ear rabbit provides by Xian Medical Univ's Experimental Animal Center, the moving card of Shan doctor word 08-005 number.Mice body weight: 22-25g, rat body weight: 180-250g, rabbit body weight: 2.0-2.5kg.Sex male and female half and half, every treated animal number are 10 every group of mice rats, 6 every group of rabbit.Room temperature 18-20 ℃, relative humidity 62%-70%1. is to alloxan hyperglycemia model rat blood sugar reducing function
60 rats are divided into 6 groups at random, 10 every group, male female half and half: the normal saline matched group; Alloxan hyperglycemia model saline control group; Model+large, medium and small the dosage of capsule a of the present invention (1.0,0.5,0.25g/kg down with) group; Model+insoral (90mg/kg; Jintan City, Jiangsu pharmaceutical factory, 950811, down together) group.Behind the animal fasting 12h, the docking blood sampling, survey blood glucose (glucose oxidase-peroxidase method in the blood, down together) after the level, except that the normal saline matched group, all the other animals at different levels all in the 40mg/kg modeling of venae subcutaneae injection alloxan (Sigma company product), are irritated stomach simultaneously and give 20% glucose solution 3ml/100g body weight, with the prevention hypoglycemia shock.Behind the modeling 48h, blood glucose is surveyed in blood sampling on an empty stomach, and conclusive evidence blood glucose raises.Behind the modeling 72h, the beginning gastric infusion waits capacity 2ml/100g, once a day, continuous 10d, behind the last administration 4h, blood glucose is surveyed in the docking blood sampling on an empty stomach, and calculating blood glucose reduces absolute value, and data are organized a t check.The results are shown in Table 8.
Table 8 capsule a of the present invention is to the influence of four atmosphere pyrimidine hyperglycemia model rat blood sugars
Group Number of animals (n) Blood sugar level (mmol/L)
Before the modeling Before the modeling administration After the modeling administration Difference
The high sugared model salt solution group model of normal salt solution control group+phenformin group model+heavy dose of group model+middle dosage group model+small dose group ????10 ????10 ????10 ????10 ????10 ????10 ?3.38±1.50 ?4.06±1.51 ?3.61±1.84 ?3.94±1.78 ?3.16±0.61 ?3.82±1.33 ????3.08±1.64 19.62±7.92 ▲▲19.01±7.22 ▲▲18.81±6.43 ▲▲20.42±7.96 ▲▲20.51±9.89 ▲▲ 3.48±1.41 ?17.15±6.49 ?6.28±1.54 ?7.14±2.34 ?10.35±3.13 ?15.02±6.61 ?0.40±0.22 -2.47±2.31 -12.72±6.04** -11.67±5.37** -10.07±4.92** -5.46±2.87*
With before the modeling relatively: ▲ ▲ P<0.01, with the sugared model saline of high group relatively *P<0.05, *P<0.01
The result shows, high sugared model group animal blood glucose level is level (P<0.01) before the modeling very.Blood sugar level obviously reduces than model saline group after model+insoral treated animal administration, statistical significance highly significant (P<0.01).The big or middle dosage group of capsule a of the present invention also reduces very obviously (P<0.01) than model saline group blood sugar level, and small dose group also has reduction effect (P<0.05).Results suggest capsule a of the present invention has obvious reduction effect to alloxan hyperglycemia model rat blood sugar level.2. to adrenal gland's disposition hyperglycemia model rat blood sugar reducing function
60 rats are divided into 6 groups at random, 10 every group, male and female half and half: normal saline matched group; Epinephrine model saline group, model+insoral group; Model+large, medium and small dosage the group of capsule a of the present invention.Animal fasting 12h before the experiment, the docking blood sampling, after the survey euglycemia level, except that normal saline matched group, all the other each treated animal subcutaneous injection epinephrine 1.0mg/kg modelings, blood glucose is surveyed in blood sampling on an empty stomach behind the 1h, and conclusive evidence blood glucose raises, and begins gastric infusion once,
After the administration 0.5,1.0,2.0h, blood glucose is surveyed in the docking blood sampling on an empty stomach.The results are shown in Table 9.
Table 9 capsule a of the present invention is to the influence of adrenal gland's disposition hyperglycemia model rat blood sugar
Group Number of animals (n) Blood sugar level (mmol/L)
Before the modeling Before the modeling administration After the administration (h)
????0.5 ????1.0 ????2.0
The high sugared model salt solution group model of normal salt solution control group+phenformin group model+heavy dose of group model+middle dosage group model+small dose group ?10 ?10 ?10 ?10 ?10 ?10 ?2.88±2.35 ?2.96±1.39 ?4.13±1.42 ?4.13±1.49 ?3.22±1.57 ?4.02±1.22 ???????- 10.59±3.11 ▲▲11.81±3.38 ▲▲10.51±1.56 ▲▲11.55±3.03 ▲▲10.79±3.68 ▲▲ ??3.01±0.94???? 11.64±2.11 ▲▲7.73±3.18** 5.68±2.49** 10.36±3.50 ?11.88±4.41 ?3.82±1.65 11.42±2.09 ▲▲4.80±1.95** 4.24±2.73** 6.08±2.67** 9.32±2.34* 4.34±1.15 10.52±1.95 3.30±1.26** 4.79±2.42** 6.16±1.05** 7.05±2.45**
With before the modeling relatively: ▲ ▲ P<0.01, with the sugared model saline of high group relatively *P<0.05, *P<0.01
The result shows, the animal blood glucose level of high sugared model group is level (P<0.01) before the modeling very.Blood sugar level reduces highly significant (P<0.01) than model saline group after model+insoral treated animal administration.The heavy dose of group of capsule a of the present invention also very obviously reduces than model saline group blood sugar level, in, 0.5h blood glucose reduces not obvious (P>0.05) after the small dose group administration, but after the administration 1.0 and 2.0h tangible blood sugar reducing function (P<0.05 or P<0.01) is then arranged, results suggest capsule a of the present invention has obvious reduction effect to adrenal gland's disposition hyperglycemia model rat blood sugar level.3. to the influence of normal mouse blood sugar
50 mices are divided into 5 groups at random, 10 every group, male and female half and half: normal saline matched group; Glyburide group (10mg/kg, Tianjin Inst. of Materia Medica new technology development company, 961075); The large, medium and small dosage group of capsule a of the present invention.The continuous gastric infusion 4d of administration treated animal once a day, waits capacity 0.2ml/10g.Fasting 12h before the last administration, after time administration 0.5,1.0h, blood glucose is measured in docking respectively, eye socket blood sampling.The results are shown in Table 10.
Table 10 capsule a of the present invention is to the influence of normal mouse blood sugar
Group Number of animals (n) Different time blood sugar level (mmol/L) after the last administration
????0.5 ????1.0(h)
Dosage group small dose group in the heavy dose of group of normal saline matched group glyburide group ????10 ????10 ????10 ????10 ????10 ????9.63±1.74 ????5.63±1.97** ????4.08±1.57** ????3.92±1.67** ????5.11±2.36** ????12.2±15.54 ????7.05±5.65* ????7.19±3.47* ????9.02±3.63 ????8.74±3.95
Compare with normal saline matched group *P<0.05, *P<0.01
Comparative result shows, successive administration 4d, each dosage group of capsule a of the present invention 0.5h, 1.0h after the last administration all have and very significantly reduce the effect of normal mouse blood glucose, with positive saline group the statistical significance (P<0.01) of highly significant is arranged relatively, but in, its blood sugar lowering of 1.0h is made reason not significantly (P>0.05) after the administration of small dose group last.Illustrate that capsule a of the present invention has obvious blood sugar lowering effect to normal mouse.4. to the influence of rabbit carbohydrate tolerance
36 of rabbit are divided into 6 groups at random, male and female half and half, 6 every group: normal saline matched group; The saline glucose group; Insoral+glucose group; Large, medium and small dosage+the glucose group of capsule a of the present invention.Each treated animal fasting 14h before the experiment, on an empty stomach after the blood sampling, capacity 10ml/kg such as gastric infusion, the 1h pneumoretroperitoneum is injected 50% glucose 4ml/kg, the arteria auricularis blood sampling is measured and is given sugar back 0.5,1.0,2.0,3.0h blood glucose value, draw the rabbit glucose tolerance curve, and, organize a significant t-test with planimeter measuring blood area under curve.The results are shown in Table 11.
Table 11 capsule a of the present invention is to the influence (n=6) of rabbit carbohydrate tolerance
Group Blood sugar level (mmol/L) before the administration 10h blood sugar level (mmol/L) after the administration Ip glucose different time blood sugar level after the administration Area under the blood glucose curve (mmol/Lh)
????0.5 ????1.0 ????2.0 ????3.0(h)
Dosage+glucose group low dose+glucose group in physiological saline control group salt solution+glucose group phenformin+glucose group heavy dose+glucose group 4.39±0.83 ?4.80±1.01 ?4.20±0.71 ?5.11±0.91 ?4.56±1.24 ?4.55±0.64 ?5.02±1.12 ?5.21±1.37 ?4.29±1.81 ?4.10±1.36 ?3.89±0.82** 3.24±0.73** 4.87±0.94 ?18.83±5.13 ?11.08±6.06 ?13.91±7.27 ?10.88±4.42 ?17.26±5.43 ?4.51±0.73 ?18.81±5.68 ?6.10±0.54 ?10.51±3.27 ?7.60±2.62 ?14.37±5.15 ?3.97±1.04 ?11.21±4.92 ?4.96±0.85 ?4.37±1.34 ?4.65±1.73 ?6.76±2.77 ?4.10±0.79 ?8.79±4.78 ?3.24±1.00 ?3.66±1.03 ?3?77±1.01 ?4.59±1.35 ????40.84±13.22 ????17.77±7.15** ????21.56±6.74** ????18.63±7.32** ????29.27±8.17
Same saline+glucose group relatively *P<0.01
Capsule a of the present invention shows the result that influences of rabbit carbohydrate tolerance: the administration group all can obviously reduce glucose tolerance curve, different time points blood glucose all is lower than the saline glucose group, area and saline glucose group relatively have the statistical significance (P<0.01) of highly significant under insoral and the big or middle dosage glucose tolerance curve of capsule a of the present invention, area also has the trend of reduction under the small dose group blood glucose curve, but adds up not remarkable (P>0.05).The be significantly improved effect of rabbit carbohydrate tolerance of capsule a of the present invention is described.
Capsule a gastric infusion of the present invention has obvious reduction effect to normal mouse blood sugar level; Alloxan and adrenal gland's disposition hyperglycemia model rat blood sugar level all there is obvious reduction effect; The rabbit glucose tolerance curve is obviously moved down, can obviously improve the rabbit carbohydrate tolerance.Zoopery example 4 capsule a of the present invention to the shadow of alloxan diabetes rat blood serum insulin level to
Experimental animal: SD rat, body weight 150-200g are provided by Xian Medical Univ's Experimental Animal Center.
Instrument: ONE TOUCH II type blood glucose meter (Johnson Co.'s product).Fj-2008 gamma-radiation immunity enumerator (Xi'an 262 factory's products).
Medicine and reagent: capsule a of the present invention, 1g medicated powder are equivalent to about 19g crude drug, are mixed with the suspension of desired concn during experiment with distilled water.Alloxan (Alloxan, Sigma company product).Insoral (lot number 950811, Jintan City, Jiangsu pharmaceutical factory), insulin are put and are exempted from test kits (Beijing North biotechnology research institute)
100 rats are divided into two groups at random: normal saline matched group (n=10) and alloxan diabetes model group (n=90).Animal fasting 12h, the docking blood sampling, behind survey euglycemia and the insulin level, model group animal lumbar injection 4% alloxan normal saline solution 0.4ml/100g, once a day.Capacity normal saline such as matched group injection.Euglycemia and insulin level are surveyed in injection back the 5th day, blood sampling on an empty stomach.Model group selects blood glucose the 17-27.7mol/L animal, and it is divided into groups again, and blood glucose meansigma methods difference is no more than 1.11mmol/L between each group.Animal is grouped into: normal saline matched group, model saline group, model+insoral (90mg/kg) group.Each treated animal is pressed 20mg/kg gastric infusion or normal saline, continuous once a day 20 days, surveyed on an empty stomach blood glucose and insulin level in the 10th, 20 day.Each administration treated animal is the 10th day and the 20th day as a result, and blood glucose value obviously reduces; The serum insulin levels rising more obvious (P<0.01) in the 20th day of the big or middle dosage treated animal of capsule a of the present invention.Point out capsule a of the present invention that the alloxan diabetes rat blood sugar is had obvious reduction effect, and can promote secretion of insulin, illustrate that this medicine causes the damage of rat pancreas to alloxan certain restitution (the results are shown in Table 12) is arranged.
Table 12 capsule a of the present invention is to the influence of blood glucose and serum insulin levels
Group Number of animals (n) Blood glucose (mmol/L) Insulin (μ IU/ml)
Before the modeling Before the administration After the administration (my god) Before the modeling Before the administration After the administration (my god)
????10 ????20 ????10 ????20
The normal saline matched group 10 3.17±0.93 2.95± 0.52 3.32±0.67 3.29± 0.71 45.2±10.3 49.3± 13.7 43.3±9.8 47.1±8.7
High sugared model saline group 12 3.72±0.59 21.97± 9.65 ▲▲ 20.67± 5.32 18.55± 6.13 48.5±11.6 8.3± 4.6 ▲▲ 15.1±6.3 18.4±7.8
Model+insoral group ????12 3.21±0.46 22.48± 9.16 ▲▲ ????7.09± 2.31** 5.63± 1.24** 50.2±12.7 11.5± 3.8 ▲▲ 36.0±8.5* ????* 42.6±10.9* ?????*
Model+heavy dose group ????12 3.19±0.79 21.37± 6.12 ▲▲ 8.22± 2.90** 5.52± 1.96** 52.5±11.9 13.6± 2.4 ▲▲ 30.2±7.4* 39.4±11.5* ??????*
Model+middle dosage group ????12 3.51±0.25 22.11± 8.66 ▲▲ 11.25± 3.12** 6.89± 2.31** 43.7±10.8 9.8± 1.9 ▲▲ 23.1±6.6* 31.0±8.9**
Model+small dose group ????12 2.98±0.88 20.98± 5.53 ▲▲ 17.31± 4.67 10.72± 3.62** 54.6±9.1 10.2± 2.0 ▲▲ 21.3±8.7 27.6±8.2*
With before the modeling relatively: ▲ ▲ P<0.01, with the sugared model saline of high group relatively *P<0.05, *P<0.01
Pharmaceutical research shows that capsule a of the present invention of the present invention has tangible reduction effect to the blood glucose under the alloxan hyperglycemia, and can promote its secretion of insulin, and the damage of alloxan beta Cell of islet is had certain repair.The 109 routine clinical observations of application examples 1 capsule a treatment diabetes of the present invention
Clinical observation on the therapeutic effect the 2-10 month in 1997 through reaching 45 days 109 routine diabeticss the course of treatment with capsule a treatment diabetes of the present invention is analyzed as follows:
One test case standard:
1. include the case standard in:
Allly meet WHO diabetes classification diagnosis standard person in 1980, can be as including case in.
2. get rid of case standard (comprising inadaptation or rejecting standard):
(1) though patient's blood glucose before with Chinese medicine preparation of the present invention is higher than normally, pass through diet control, behind the increase activity etc., fasting glucose<7.8mmol/L; Or 2 hours after the meal blood glucose<11.1mmol/L (200mg/dL).
(2) age under-18s or age the over-65s patient, pregnant women breast-feeding their children and to this medicine allergy sufferers.
(3) noncooperationist's (refer to cooperate diet control or not medication and the person of affecting the treatment in accordance with regulations).
(4) complication such as severe cardiac, liver, kidney are arranged, or be associated with other serious primary disease and psychotic.
(5) the diabetes ketosis is arranged, ketoacidosis and the infected in nearly January.
(6) therapy discontinued less than the regulation observation period can't be judged the infull person of curative effect or data.
Two, observation index
1. safety observation:
(1) general physical examination.
(2) blood, glucose in urine observation and blood, routine urinalysis observation.
(3) the part patient does the heart, kidney, liver function test.
2. health giving quality observation:
(1) detailed medical history-taking, understanding patient's diet situation, activity, mental status, Diabetes Mellitus Knowledge, stress state etc. influence the factor of change of blood sugar, observe the situation of change of main clinic symptoms and sign.
(2) on an empty stomach and 2 hours after the meal blood sugar monitorings, every 7-10 days once after the medication.
(3) twenty-four-hour urine sugar detection by quantitative, every 7-10 days once after the medication.
(4) glycolated hemoglobin detects.
(5) plasma insulin C peptide detects.
(6) glucagon detects.
(7) insulin tolerance test.
(8) insular cellular antibody, Insulin receptor INSR, antibody test.
More than (1), (2) must do, other can be elected to be according to the needs and the medical condition of disease.Obey and require to detect in every 10-15 days fasting glucose, glucose in urine behind the capsule a of the present invention.A course of treatment (45 days) and the preceding controlled observation of treatment.
From observing, require the patient to carry out logical diet control.Roughly the staple food regulation is as follows to press different labor intensity and build:
Have a rest or overproof body weight person, every day, staple food was controlled at 200-300g.
The labor in general person, every day 300-350g.
Institute's calorific requirement takes the circumstances into consideration to be replenished by non-staple foodstuff beyond heavy worker 400-500g every day, staple food.
Three clinical observations
1. physical data
A. sex age: male patient's 65 examples, women's 44 examples, wherein:
I type (insulin-dependent) patient 4 examples
II type (non-insulin-depending type) patient 105 examples
As shown in table 13, age of onset is 46-65 between year, and totally 87 examples account for this group 79.81% (87/109), are mainly the type patient.
Table 13 age-sex distribution table
Sex 27-35 year 36-45 year 46-55 year 56-65 year
The man 2 11 17 35
The woman 3 6 10 25
B. occupation: this group cadre 76 people, workman 21 people, housewife 8 people, peasant 3 people, other 1 people obviously with cadre's sickness rate height, account for this group 69.72% (76/109).Most of cadres may be few because of physical exertion, and the living and diet condition is more superior, so the sickness rate height.
C. the course of disease: the shortest less than 1 year reaches more than 20 year most (seeing Table 14).
Table 14 course of disease and sex distribution table
Sex <1 year 1-2 3-4 5-6 7-8 8-9 >10 years Add up to
The man 13 18 5 10 4 3 12 65
The woman 7 6 9 6 1 15 44
2. treatment and observation
A. administrated method: capsule a of the present invention, cure mainly type, type there is not yet testability treatment of severe complication patient.Usage: day clothes three times, each oral capsule a4 grain of the present invention serve on 45 days.
B. course of treatment: taking medicine 45 days is a course of treatment, and period in a medicine is every checking fasting glucose, glucose in urine and blood, glucose in urine after the meal 10-15 day.Wherein 13 examples have been made islet function mensuration, contrast before and after treating.
3. curative effect determinate standard (Chinese diabetes meeting standard in 1979):
A. produce effects: treatment back symptom disappears substantially, fasting glucose<7.2mmol/L, 2 hours after the meal blood glucose<8.3mmol/L, twenty-four-hour urine sugar quantitatively<10.0g; Or blood glucose, twenty-four-hour urine sugar quantitatively descends more than 30% before the treatment.
B. effective: treatment back symptom is obviously improved, fasting glucose<8.3mmol/L, 2 hours after the meal blood glucose<10.0mmol/L, twenty-four-hour urine sugar quantitatively<25.0g; Or blood glucose, twenty-four-hour urine sugar quantitatively descends more than 10% before the treatment.
C. invalid: treatment back symptom does not have obvious improvement, and blood glucose, glucose in urine descend and do not reach above-mentioned standard.
4. result and conclusion:
A. blood glucose: this group is removed nonresponder's 4 exceptions, surpluss 105 routine average blood sugar drop-out value 5.94 ± 2.5mmol
/ L, treat forward and backward change of blood sugar such as following table 15:
Table 15 efficacy assessment standard
The example number Percent % Total effective rate % Treatment back meansigma methods Average drop-out value
Show number 69 63.3 5.86±0.75 6.06±4.63
Effectively 36 33.03 96.33 9.85±3.01 5.64±5.53
Invalid 4 3.67 14.47±6.17 -1.99±0.58
B. symptom: treatment back symptom all has clear improvement or transference cure (seeing Table 16).
C. untoward reaction: in about 8% patient's medication process abdominal distention, poor appetite, loose stool are arranged or just secrete, in changing meal into or remission after taking medicine after meal, all can continue treatment.
Symptom comparison sheet before and after table 16 treatment
Figure 99119028002921
4. conclusion: this is organized 109 routine diabeticss (I type 4 examples, II type 105 examples) Preliminary Clinical Observation and shows that this medicine truly has obvious hypoglycemic effect, and total effective rate is up to 96.33% (obvious effective rate 63.33%, effective percentage; 33.03%) nonresponder's 4 examples (I type 3 examples, II type 1 example) only account for 3.67%, and 5 routine patients insulinize once wherein reduces insulin dosage after adding capsule a of the present invention gradually, the present 3 examples insulin of having stopped using, and blood glucose still can be kept desirable level.
Take capsule a of the present invention and cure mainly type, the I type is also had certain curative effect.This medicine is blood sugar control effectively, and the prevention of clinical complication and the improvement of symptom are also had better effects, so up-and-coming medicine in the treating diabetes medication of can yet be regarded as.Application examples 2:
Certain man, 65 years old,, polyuria, polydipsia weak in self-induction in 1992, become thin, the monophagia sweet food, chemical examination blood glucose 12.1mmol/L before the treatment, glucose in urine ++, be diagnosed as type.Once took multiple medicine treatment, but curative effect is undesirable, often repeatedly, and weak obvious, two lower extremity anaesthesia, staple food 250g takes food every day.Taking the embodiment of the invention 2 electuary a treatment observes, day obeys three times, the each oral embodiment of the invention 4 electuary a1.6 gram, after taking medicine 30 days, blood glucose is reduced to 8.2mmol/L, and ordinary circumstance is good at present, and two sometimes glue down have short time fiber crops pain, 2 hours after the meal 7.2mmol/L glucose in urine feminine genders of blood glucose now continue in the medication treatment.Press curative effect determinate standard, belong to produce effects.Application examples 3
Certain man, 53 years old.In July, 97, begin thirsty, polyphagia, polydipsia, polyuria, become thin, weak, weak-eyed, the blood pressure 15/10Kpa that haves a medical check-up, cardiopulmonary (-) through making carbohydrate tolerance and islets of langerhans release test, are diagnosed as type.Blood glucose 17.5mmol/L before the treatment, glucose in urine ++ ++.Take the embodiment of the invention 3 electuary b, day clothes three times, the each oral embodiment of the invention 5 electuary b1.6 gram, blood glucose drops to 4.4mmol/L after taking medicine back 30 days, glucose in urine feminine gender, above-mentioned clinical symptoms complete obiteration.At present the self-induction ordinary circumstance is good, the blood glucose inspection below 6.3mmol/L, the glucose in urine feminine gender, diet 500g every day is above and can eat fruit etc.Press curative effect determinate standard, belong to produce effects.Application examples 4
Certain woman, 44 years old.Polyphagia before 4 years, become thin, weak, check the blood glucose height, further do the carbohydrate tolerance insulin release test, confirm as non-insulin-dependent diabetes mellitus.With Western medicine antidiabetic drug D860, poor blood glucose control behind the insoral and use the embodiment of the invention 6 pill oral medications instead, fasting glucose 14.7mmol/L before the treatment, glucose in urine is qualitative ++, day obeys three times, 1 of the each oral embodiment of the invention 6 pill, and the back 46 days empty stomach blood glucose of taking medicine is reduced to 5.8mol/L.Ordinary circumstance is good at present, and clinical polyphagia is become thin, and is weak grade for transference cure, the not strict control of diet, the lack of appetite water gaging fruit of going forward side by side, glycemic control must be satisfied, now still keeps treatment.Press curative effect determinate standard, belong to produce effects.Application examples 5
Certain man begins that polydipsia is arranged 65 years old in April, 97, polyuria, tell, and body weight alleviates gradually, the 14Kg that loses weight in three weeks, and blood glucose 15.7mmol/L, glucose in urine ++ ++, the blood pressure 18/12KPa that haves a medical check-up, cardiopulmonary (-), body weight 68kg, blood fat viscosity height is diagnosed as type.Take capsule b treatment of the present invention, day clothes three times, the each oral embodiment of the invention 2 capsule b4 grains, after taking medicine 10, blood glucose is reduced to 10.8mmol/L, glucose in urine ++, surveyed blood glucose 6.3mmol/L after continuing to take medicine 26, the glucose in urine feminine gender, body weight 70kg, weight increase 2kg, through the complete obiteration of 30 days treatment " three-many-one-little " symptoms, ordinary circumstance is good at present, and diet is not controlled, can eat food such as fruit and dessert.Blood glucose remains between the 5-7mmol/L, the glucose in urine feminine gender, and dose is adjusted voluntarily.Press curative effect determinate standard, belong to produce effects.Application examples 6
Certain man, 61 years old.Find diabetes when have a medical check-up in May, 91, be diagnosed as type, blood glucose 14.0mmol/L, glucose in urine +++, but not treatment.Sugar have a blood test in March, 97 for 14.2mmol/L and 12.9mmol/L, and glucose in urine is +++.It is 13.9mmol/L that on April 1st, 97 was surveyed blood glucose, glucose in urine +++, begin treatment with the embodiment of the invention 3 capsule c.Day obeys three times, each oral capsule c4 grain of the present invention, blood glucose 6.8mol/L after January, glucose in urine feminine gender.Diet is not controlled at present, and is normal always, uses the 2-3 grain every day, not medication sometimes.On February 2nd, 98 was surveyed blood glucose in drug withdrawal after 20 days be 7.1mmol/L still, and ordinary circumstance is good.Press curative effect determinate standard, belong to produce effects.
The selected heat clearing away YIN nourishing of compound Chinese medicinal preparation of the present invention, reinforcing spleen and kidney, supplementing QI for promoting the production of body fluid, the demountable Chinese medicine of promoting blood circulation, it all is formulary drug, by the theory of Chinese medical science prescription, skim the cream off milk, cure mainly that scorching inclined to one side victory, spleen suffer from a deficiency of the kidney that damage, channels resistance are become silted up, the type especially of the diabetes due to the deficiency of both QI and YIN.Through the clinical observation of 6000 many cases diabeticss, total effective rate is 96.33%.Generally speaking:
1. be two months a course of treatment, and in the ordinary course of things, the patient takes left and right sides onset on the ten, take one month after, blood glucose, glucose in urine are reduced to normal or near normal, later treatment, look the blood glucose situation can reduce gradually in dose keep.
2. take after two months, about 80% patient's islet function has recovery and raising in various degree.
3. Chinese traditional compound medicine of the present invention both can take stopgap measures, and blood sugar lowering, glucose in urine can effect a permanent cure again, the patient is recovered gradually and improves islet function, was the still inaccessiable a kind of medicine of similar curative effect of medication of treatment diabetes both at home and abroad at present.

Claims (10)

1. Chinese traditional compound medicine for the treatment of diabetes is characterized in that it is made up of as active component the alcohol and/or the water extract of following raw materials according or following raw materials according:
Rhizoma Coptidis 600-900 weight portion Radix Ginseng 450-750 weight portion
Radix Astragali 800-1200 weight portion Radix Scrophulariae 450-550 weight portion
Rhizoma Anemarrhenae 550-750 weight portion Cortex Phellodendri 780-1420 weight portion
Rhizoma Atractylodis 450-550 weight portion Radix Salviae Miltiorrhizae 550-750 weight portion
Cortex Lycii 550-750 weight portion Rhizoma Polygoni Cuspidati 450-550 weight portion.
2. according to the described Chinese traditional compound medicine of claim 1, it is characterized in that it is by above-mentioned raw materials
Or the alcohol of above-mentioned raw materials and/or water extract are made active component and are formed:
Rhizoma Coptidis 700-780 weight portion Radix Ginseng 570-630 weight portion
Radix Astragali 970-1070 weight portion Radix Scrophulariae 475-525 weight portion
Rhizoma Anemarrhenae 630-700 weight portion Cortex Phellodendri 1100-1250 weight portion
Rhizoma Atractylodis 475-525 weight portion Radix Salviae Miltiorrhizae 630-700 weight portion
Cortex Lycii 630-700 weight portion Rhizoma Polygoni Cuspidati 475-525 weight portion.
3. Chinese traditional compound medicine according to claim 1 and 2 is characterized in that it is by above-mentioned
The alcohol of raw material or above-mentioned raw materials and/or water extract are made active component and are formed:
Rhizoma Coptidis 740 weight portion Radix Ginsengs 600 weight portions
The Radix Astragali 1020 weight portion Radix Scrophulariaes 500 weight portions
The Rhizoma Anemarrhenae 666 weight portion Cortex Phellodendris 1200 weight portions
Rhizoma Atractylodis 500 weight portion Radix Salviae Miltiorrhizaes 666 weight portions
Cortex Lycii 666 weight portion Rhizoma Polygoni Cuspidati 500 weight portions.
4. according to each described treatment diabetes Chinese traditional compound medicine in the claim 1 to 3, it is characterized in that described medicament is a said dosage form on any pharmaceutics.
5. treatment diabetes Chinese traditional compound medicine according to claim 4 is characterized in that described pharmaceutical formulation is a capsule.
6. preparation method for the treatment of the Chinese traditional compound medicine of diabetes, it is characterized in that technological process comprises: (1) takes by weighing following traditional Chinese medicines and makes raw material:
Rhizoma Coptidis 600-900 weight portion Radix Ginseng 450-750 weight portion
Radix Astragali 800-1200 weight portion Radix Scrophulariae 450-550 weight portion
Rhizoma Anemarrhenae 550-750 weight portion Cortex Phellodendri 780-1420 weight portion
Rhizoma Atractylodis 450-550 weight portion Radix Salviae Miltiorrhizae 550-750 weight portion
Cortex Lycii 550-750 weight portion Rhizoma Polygoni Cuspidati 450-550 weight portion.(2) with above-mentioned Radix Ginseng coarse powder with pure and mild or the water reflux, the extracting solution that obtains is as the active component I; (3) with above-mentioned Rhizoma Coptidis and Cortex Phellodendri coarse powder water or sour water dipping, the leachate that obtains is as the active component II; (4) with above-mentioned all the other seven flavor medicine materials, boil after in water, soaking and carry, the extracting solution that obtains is as the active component III; (5) with above-mentioned active component I, II, III mix homogeneously, can obtain the compound preparation that the present invention treats diabetes.
7. hot reflux is three times in the preparation method according to claim 6, its step (2), and hot reflux liquid is alcoholic acid aqueous solution.
8. require 6 and 7 any one described preparation method according to profit, hot reflux liquid is the alcoholic solution of 55%-80% in its step (2).
9. according to claim 6,7 and 8 any one described preparation method, hot reflux liquid is 75% alcoholic solution in its step (2).
10. preparation method according to claim 6 in the described extraction process by water of its step (4), is extracted 3 times, and each 2 hours, quantity of solvent was 10 times of amounts.
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