Summary of the invention
Technical problem to be solved by this invention provide a kind of can leukocyte increasing, enhancing immunity, have no side effect and the precious capsule of stilbene of low-cost treatment tumor and preparation method thereof.
The present invention solves the problems of the technologies described above the technical scheme that is adopted: the precious capsule of stilbene of the present invention, made by Margarita, the Radix Astragali, Radix Notoginseng, Folium Isatidis and Rhizoma Paridis, the percentage by weight of each material component is: Margarita 9.2%-13.8%, Radix Astragali 39%6-57%, Radix Notoginseng 7.2%-10.8%, Folium Isatidis 14.4%-21.6%, Rhizoma Paridis 10.8%-16.2%.
Preparation method of the present invention is: (1) decocts with water secondary with the Radix Astragali, 1.9-2.1 hour for the first time, 0.9-1.1 hour for the second time, collecting decoction filtered, filtrate is evaporated to relative density 1.08-1.10 under 48 ℃-52 ℃, add ethanol and make the alcohol amount of containing be 65%-75%, leave standstill, filter, filtrate is reclaimed, add the water dissolution that 3.6-4.4 doubly measures in precipitate after, filter, filtrate adds ethanol to be made and contains the alcohol amount and be 70%-80%, leave standstill, filter, reclaim filtrate, precipitate dried under reduced pressure, dry extract, pulverize again, sieving obtains 80-120 purpose fine drug powder; (2) Margarita is cleaned earlier, eluriates, drains after, then with soak with ethanol, pulverize, be screened into middle powder, again water fly to pulverize, dry, be screened into fine powder; (3) with Radix Notoginseng, Folium Isatidis and Rhizoma Paridis through pulverizing, making solvent with ethanol after moistening, flood after 23.5-24.5 hour percolation, collect percolate, percolate is added the above-mentioned fine powder of Margarita, the mixing of making after being evaporated to relative density 1.28-1.30 under 38 ℃-42 ℃, get extractum, drying under reduced pressure gets dry extract again, gets 80-120 purpose fine drug powder after pulverizing, sieving, add the 80-120 order fine drug powder that the Radix Astragali makes again, mixing incapsulates, promptly.
The invention has the advantages that: because the raw material resources among the present invention is abundant, mature production technology, so easily realize industrialization production, product price is cheap, patient in hospital is acceptant; Also have no side effect, can long-term safety use.Through the 5 tame II of hospital clinical trial phases above the provincial level such as Guang-amen Hospital, China Traditional Chinese Medicine Instl, Hunan Province tumour hospital, Beijing China-Japan Friendship Hospital, Jiangxi Prov. Tumour Hospital, Zhejiang Prov. Hospital of Traditional Chinese Medicine, cancer patient's 307 examples such as treatment pulmonary carcinoma, breast carcinoma, gastric cancer, total effective rate is 86.32%..Confirmation is analysed in credit by statistics, and the precious capsule of stilbene and chemotherapy drug combination have the toxic action of alleviating to the blood stasis due to qi deficiency stasis of blood resistance heat-transformation card tumor patient of holding concurrently, and can improve the blood stasis due to qi deficiency stasis of blood resistance heat-transformation syndrome of holding concurrently, and improves immunologic function and life quality, and weight increase is protected leukocyte; Safety has no side effect.The precious capsule of stilbene is applicable to that hold concurrently stasis of blood resistance heat-transformation card pulmonary carcinoma, breast carcinoma and gastric cancer of blood stasis due to qi deficiency is main various patients, is new Chinese medicine safely and effectively.
The specific embodiment
The pharmacology principle of each composition among the present invention: contain 17 seed amino acids in (1) Margarita, the trace element of 32 kinds of needed by human body, wherein contained biologically actived calcium reaches more than 60%, with the intravital organizational building of participant, improves body immunity, strengthens phagocytic activity.Show after deliberation: the intravital free radical of people, all unstable as oxygen-derived free radicals and lipid free radical, active high, be to cause that gene mutation, teratogenesis are carcinogenic, cause one of old and feeble reason, contained trace element-selenium is a kind of antioxidant preferably in the Margarita, helps to remove the intravital various free radicals of people.(2) Radix Astragali contains astragalus polysaccharides, aminoacid and trace element: potassium, sodium, calcium, magnesium, ferrum, zinc and selenium etc. have the promoting the circulation of QI yang invigorating, benefit is defended effects such as consolidating superficial resistance, antitoxin granulation promoting, evacuation of pus.It is weary to control the deficiency of vital energy, lack of appetite, sinking of QI of middle-JIAO, exterior deficiency spontaneous perspiration, the swollen difficult stain of pain, blood deficiency and yellow complexion, interior-heat human body diseases such as quench one's thirst; Diseases such as (3) Radix Notoginseng contains ginsenoside and flavonoid glycoside etc., has the dissipating blood stasis hemostasis, and the effect of subduing swelling and relieving pain (4) Folium Isatidis contains the indigo glycoside, and effects such as tool heat-clearing and toxic substances removing, removing heat from blood are controlled pathogenic warmth to join the army, and pain is swollen.(5) Rhizoma Paridis contains intact glycoside of multiple Rhizoma Paridis and several amino acids, has heat reliving and toxin-eliminating, reducing swelling and alleviating pain, and the effect of cool liver arresting convulsion can be treated pain and be swollen.Five kinds of compositions are played altogether, have the effect of benefiting qi and removing blood stasis, heat-clearing and toxic substances removing.
Below in conjunction with embodiment the present invention is described in further detail.
Embodiment 1: select the optimum feed stock weight percentages for use: Margarita 11.5%, the Radix Astragali 48%, Radix Notoginseng 9%, Folium Isatidis 18%, Rhizoma Paridis 13.5%, for example select Margarita 180 grams, the Radix Astragali 750 grams, Radix Notoginseng 140 grams, Folium Isatidis 280 grams, Rhizoma Paridis 210 grams for use.
Its preparation method is: (1) decocts with water secondary with the Radix Astragali, and 2 hours for the first time, 1 hour for the second time, collecting decoction filters, and filtrate is evaporated to relative density 1.08-1.10 under 50 ℃, add 95% ethanol and make that to contain alcohol amount be 70%, leave standstill, filter, filtrate is reclaimed, in precipitate, add 4 times of water gagings dissolvings after, filter, filtrate adds 95% ethanol makes that to contain alcohol amount be 75%, leaves standstill, and filters, reclaim filtrate,, be ground into 100 purpose fine drug powders again getting dry extract after the precipitate dried under reduced pressure; (2) Margarita is cleaned earlier, eluriates, drains after, then with 75% soak with ethanol, pulverize, be screened into powder in 70 purposes, again water fly to pulverize, dry, sieve, sterilize, weigh, the qualified back of quality inspection becomes the fine powder of 120 purposes; (3) with Radix Notoginseng, Folium Isatidis and the Rhizoma Paridis done through pulverizing, it is moistening to spray 65% ethanol, evenly pack in the columniform percolator, reuse 65% alcohol is made solvent, flood after 24 hours, percolation is collected percolate, and percolate is added above-mentioned 120 purpose Margarita powder after being evaporated to relative density 1.28-1.30 under 40 ℃, get extractum behind the mixing, vacuum drying obtains dry extract then, pulverize again, sieve 100 purpose fine drug powders, add the 100 purpose fine drug powders that the Radix Astragali makes then, mixing, incapsulate, make 1000, promptly.
The technical process of its preparation as shown in Figure 1.
Embodiment 2: the percentage by weight of selecting each material component for use: Margarita 9.2%, the Radix Astragali 57%, Radix Notoginseng 7.2%, Folium Isatidis 14.4%, Rhizoma Paridis 12.2%, for example select Margarita 144 grams, the Radix Astragali 900 grams, Radix Notoginseng 112 grams, Folium Isatidis 224 grams, Rhizoma Paridis 180 grams for use.
Its preparation method and roughly the same above-mentioned: (1) decocts with water secondary with the Radix Astragali, 2.1 hours for the first time, 0.9 hour for the second time, collecting decoction filters, and filtrate is evaporated to relative density 1.08-1.10 under 48 ℃, add 95% ethanol and make that to contain alcohol amount be 65%, leave standstill, filter, filtrate is reclaimed, after in precipitate, adding 3.6 times of water gaging dissolvings, filter, filtrate adds 95% ethanol makes that to contain the alcohol amount be 70%, leaves standstill, filter, reclaim filtrate,, be ground into 80 purpose fine drug powders again getting dry extract after the precipitate dried under reduced pressure; (2) situation of the manufacturing process of Margarita and the foregoing description roughly the same, after difference is that Margarita cleans, eluriates, drains, with 65% soak with ethanol, pulverize, be screened into powder in 50 purposes, again water fly to pulverize, dry, sieve, sterilize, weigh, the qualified back of quality inspection becomes the fine powder of 100 purposes; (3) with Radix Notoginseng, Folium Isatidis and the Rhizoma Paridis done through pulverizing, it is moistening to spray 60% ethanol, in the percolator of evenly packing into, reuse 60% ethanol is made solvent, floods after 23.5 hours percolation, collect percolate, percolate is evaporated to relative density 1.28-1.30 under 38 ℃; Add above-mentioned 100 purpose Margarita powder, behind the mixing extractum, vacuum drying obtains dry extract then, pulverize again, sieve 80 purpose fine drug powders, add the 80 purpose fine drug powders that the Radix Astragali makes then, mixing incapsulates, and makes 1000, promptly.
Identical among its production technology and the embodiment 1.
Embodiment 3: select for use the percentage by weight of each material component to be: Margarita 13.8%, the Radix Astragali 41.2%, Radix Notoginseng 7.2%, Folium Isatidis 21.6%, Rhizoma Paridis 16.2%, for example select Margarita 198 grams, the Radix Astragali 699 grams, Radix Notoginseng 124 grams, Folium Isatidis 308 grams, Rhizoma Paridis 231 grams for use.
Its preparation method is: (1) decocts with water secondary with the Radix Astragali, and 1.9 hours for the first time, 1.1 hours for the second time, collecting decoction filters, and filtrate is evaporated to relative density 1.08-1.1 under 52 ℃, add 95% ethanol and make that to contain alcohol amount be 75%, leave standstill, filter, filtrate is reclaimed, in precipitate, add 4.4 times of water gagings dissolvings after, filter, filtrate adds 95% ethanol makes that to contain alcohol amount be 80%, leaves standstill, and filters, reclaim filtrate,, be ground into 120 purpose fine drug powders again getting dry extract after the precipitate dried under reduced pressure; (2) situation of the manufacturing process of Margarita and the foregoing description roughly the same, after difference is that Margarita cleans, eluriates, drains, with 80% soak with ethanol, pulverize, be screened into powder in 90 purposes, again water fly to pulverize, dry, sieve, sterilize, weigh, the qualified back of quality inspection becomes the fine powder of 140 purposes; (3) with Radix Notoginseng, Folium Isatidis and the Rhizoma Paridis done through pulverizing, it is moistening to spray 70% ethanol, in the columniform percolator of evenly packing into, reuse 70% ethanol is made solvent, floods after 24.5 hours percolation, collect percolate, percolate is evaporated to relative density 1.28-1.30 under 42 ℃; Add above-mentioned 140 purpose Margarita powder, behind the mixing extractum, vacuum drying obtains dry extract then, pulverize again, sieve 120 purpose fine drug powders, add the 120 purpose fine drug powders that the Radix Astragali makes then, mixing incapsulates, and makes 1000, promptly.Identical among its production technology and the embodiment 1.
With the precious capsule of stilbene that said method makes, its main performance index is: every contains Folium Isatidis with indirubin (C
16H
10N
2O
2) meter>12 μ g, Margarita is in calcium (Ca)>50mg.
Function cures mainly and usage and dosage: benefiting qi and removing blood stasis, heat-clearing and toxic substances removing is used for the auxiliary treatment of tumor patient chemotherapy such as pulmonary carcinoma, breast carcinoma, gastric cancer.Oral, each 5,3 times on the one, six weeks were a course of treatment, used simultaneously with chemotherapy.
Pharmacological action: be diluted to desired concn with 0.5%CMC-Na, the dosage setting with the precious capsule of stilbene of the present invention: mice po4.5,1.5 and ip 1.5,0.75g/kg by Shanghai Institute of Pharmaceutical Industry; Rat po3.0,1.5 and ip 1.5,0.75g/kg only is 0.5ml/ to the volume injected of large and small Mus.Oral or intraperitoneal administration, once a day, continuous ten days.Pharmacological testing shows: this product can promote the phagocytic function of macrophage, improve the NK cell and the lymphocytic activity of T of tumor-bearing mice, the suppression ratio of rat w256 carcinosarcoma, Mice Bearing Lewis Lung Cancer and S180 sarcoma, human tumor QGY hepatocarcinoma is reached more than 40%; Merge using with cyclophosphamide has potentiation trend, and the leucocytes reduction of caused by cyclophosphamide immunocompromised mice is had the certain protection effect.
The precious capsule of stilbene of the present invention is ratified by National Drug Administration, the II phase clinical research of carrying out, observed and belonged to traditional Chinese medical science blood stasis due to qi deficiency pulmonary carcinoma, gastric cancer, breast carcinoma totally 472 examples of stasis of blood resistance heat-transformation card of holding concurrently, test group 307 examples wherein, matched group 165 examples, chemotherapy is added the precious Capsules group of stilbene be called test group, chemotherapy adds ZHENQI FUZHENG JIAONANG (commercially available) group and is called matched group, and existing contrast is summarized as follows:
The comparison that treatment back cancer changes
Group | ????N | ??CR | ???PR | ???MR | ???SD | ??PD | Effective percentage | The sum of ranks inspection |
Pulmonary carcinoma | Test group | ???167 | ??7 | ???26 | ???37 | ???91 | ??6 | ??19.8% | ??P>0.05 |
Matched group | ???88 | | ???11 | ???6 | ???64 | ??7 | ??12.5% | |
The overall comparison that changes of the two groups of NK cells in treatment back
Grouping | ????N | Raise | Stable | Descend | The raising rate |
Test group | ???253 | ????124 | ????112 | ????17 | ????49.01 |
Matched group | ???139 | ????32 | ????63 | ????44 | ????12.02 |
The blood stasis due to qi deficiency comparison of stasis of blood resistance heat-transformation doing well,improving general curative effect of holding concurrently
Syndrome | Test group (N=307) | Matched group (N=165) |
Before the treatment | After the treatment | Effective percentage % | Before the treatment | After the treatment | Effective percentage % |
Spiritlessness and weakness | ????275 | ????61 | ????77.5 | ??162 | ????92 | ????43.2 |
Sweating is breathed hard | ????245 | ????86 | ????64.9 | ??141 | ????90 | ????36.2 |
It is unable to cough | ????195 | ????70 | ????64.1 | ??107 | ????68 | ????36.4 |
Dry mouth and throat | ????105 | ????28 | ????73.3 | ??47 | ????25 | ????46.8 |
Cardiopalmus is vexed | ????118 | ????33 | ????72.0 | ??41 | ????32 | ????22.0 |
Chest pain | ????147 | ????49 | ????66.7 | ??81 | ????31 | ????61.7 |
Cough with blood-flecked phlegm | ????105 | ????17 | ????83.8 | ??26 | ????18 | ????30.1 |
Two groups of treatment back CD
4/ CD
8The overall comparison that changes of ratio
Group | ????N | Improve | Stable | Reduce | Raising rate % |
Test group | ???253 | ????111 | ????128 | ????14 | ????43.87 |
Matched group | ???139 | ????35 | ????80 | ????24 | ????25.18 |
Comparison (thousand/mm that leukocyte changes before and after the treatment
3)
Group | ??N | ????~4.0 | ????~3.0 | ????~2.0 | ????~1.0 | ????~1.0 |
Before the treatment | After the treatment | Before the treatment | After the treatment | Before the treatment | After the treatment | Before the treatment | After the treatment | Before the treatment | After the treatment |
Test group | ??307 | ??307 | ??291 | ???/ | ???16 | | | | | | |
Matched group | ??165 | ??165 | ??150 | ???/ | ???10 | ????/ | ???5 | | | | |
Model case: case one:
Patient Yin * *, the man, 63 years old, patient's identification number was 73492, diagnosis: left lung non-small cell carcinoma, twin-lock bone superior gluteal lymph node shifts, cell student number: 99163.Uncomfortable in chest before the treatment, breathe hard, cough, expectoration, poor physical capacity, blood routine examination is normal, immunologic function detects: CD
350%, CD
432%, CD
4/ CD
81.2, NK cytoactive 6%.Therapeutic Method: chemotherapy (carboplatin+sufficient leaf glycoside/cyclophosphamide+epirubicin+vincristine, both alternately) add the precious capsule of stilbene, the precious capsular usage of stilbene: each 5, every day 3 times, serve on 42 days.Blood picture is always in normal range in therapeutic process, chemotherapy can be as scheduled according to plan dosage finish, treat 1 all after date check T cell subsets, CD
361%, CD
439%, CD
4/ CD
81.4, NK cytoactive 9%, immunologic function obviously improves, and patient is uncomfortable in chest, breathe hard etc., and disease alleviates, twin-lock bone superior gluteal lymph node disappears, check lung CT, primary lesion dwindles more than 90%, patient is disease free survival still now.Case two:
The king * *, man, 49 years old, patient's identification number 87917.1999 November 3 days of patient, capable radical operation for carcinoma of stomach was visited in the art and lump is positioned at body of stomach, lesser gastric curvature rear flank wall, the also visible serous coat of antetheca is invaded, doing the left artery side lays one's hand on and enlarged lymph node, the postoperative pathological replacement is: the poorly differentiated adenocarcinoma cancer, soak into the coat of the stomach holostrome, and lymph node of lesser curvature of stomach 2/3 is seen cancerometastasis, pathological number is 129660, postoperative changes department of Chinese medicine treatment on November 24th, 99, and disease is seen upper right abdomen dull pain, spiritlessness and weakness when transferring from one department to another, appetite reduces, abdominal distention and pain appears in postoperative patient in January, not bowel movement, and plain abdominal radiograph is considered intestinal obstruction, CT examination when transferring from one department to another: postoperative gastric cancer changes, residual coat of the stomach is not thick, gallbladder inflammation, and common hepatic duct is expansion slightly, CT number is 44078, T cell subsets CD
348%, CD
429%, CD
4/ CD
80.9, NK cytoactive 8%.Take each 5 of the precious capsule of stilbene, add the CF scheme 3 times every day, three cycles of chemotherapy, the upper right abdomen dull pain of treatment back patient, abdominal distention are alleviated substantially, and defecation is unobstructed, and spirit takes a turn for the better, the more preceding increase of dietary amount, the check B ultrasonic shows: behind liver, gallbladder, spleen, the abdomen pancreas, two kidney no abnormality seen, B ultrasonic number is 9910277, T cell subsets CD
360%, CD
436%, CD
4/ CD
81.35, NK cytoactive 11%, routine blood test WBC 4.98 * 10
9/ L, Hb 110g/L, PLT 189 * 10
9/ L, hepatic and renal function is normal.Case three:
The land * *, woman 42 years old, patient's identification number 87483, the patient is a primary bronchogenic carcinoma of lung through a CT and a sight glass pathological diagnosis, right median type T
2N
2M
1The IV phase, two lungs shifted senior middle school's differentiation adenocarcinoma, were in hospital symptoms including cough, sputum mixed with blood, movable back tachypnea, T cell subsets CD on February 29th, 2000
349%, CD
427%, CD
4/ CD
80.7, NK cytoactive 7%, CT shows: the about 6.2 * 6.2cm of the other soft mass's maximum diameter of right upper lung mediastinum
2, multiple cellular metastatic tumor in the bilateral lung is taken each 4 of the precious capsule of stilbene, adds taxol+1 cycle of cisplatin scheme chemotherapy every day 3 times, finishes the back cough course of treatment and alleviates, and sputum mixed with blood disappears, and tachypnea is alleviated, treatment back check T cell subsets CD
362%, CD
438%, CD
4/ CD
81.37, NK cytoactive 12%, CT shows: right upper lung piece shadow before dwindles, existing maximum diameter is about 4.5 * 4.5cm
2, the more preceding no significant change of the multiple cellular metastatic tumor of two lungs, CT number is 44687, routine blood test: WBC6.08 * 10
9/ L Hb 110g/L, PLT332 * 10
9/ L, hepatic and renal function is normal.