CN1579454A - A pharmaceutical composition for treating cerebral thrombosis and myocardial infarction - Google Patents
A pharmaceutical composition for treating cerebral thrombosis and myocardial infarction Download PDFInfo
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- CN1579454A CN1579454A CN 03149985 CN03149985A CN1579454A CN 1579454 A CN1579454 A CN 1579454A CN 03149985 CN03149985 CN 03149985 CN 03149985 A CN03149985 A CN 03149985A CN 1579454 A CN1579454 A CN 1579454A
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Abstract
The invention discloses a pharmaceutical composition for treating cerebral thrombosis and myocardial infarction, which consists of clematis root, Tougu, notoginseng, teasel root, drynaria rhizome, Stephania delavayi, Cocculus trilobus, lycopodium clavatum and huperzia serrata. The pharmaceutical composition has the effects of benefiting qi, activating blood circulation, promoting tissue regeneration, removing blood stasis, dredging collaterals, inducing resuscitation and benefiting intelligence, and has obvious effects on treating cerebral apoplexy, cerebral hemorrhage, cerebral thrombosis, cerebral embolism, cerebral vasospasm, arteriosclerosis, subarachnoid hemorrhage and the like.
Description
Technical field
The present invention relates to a kind of pharmaceutical composition, particularly relate to a kind of pharmaceutical composition for the treatment of hypertension and cerebral thrombosis.
Background technology
Hypertension is with blood fat height, blood arteriosclerosis, internal injury and the long-pending operation of blood stasis is unable, smooth of a specified duration the forming of blood.QI and blood fortuneization is incompetent, and myocardium negative and positive imbalance forms blood for the brain deficiency, becomes myocardial infarction and cerebral thrombosis.Endovascular thrombosis is " first killer " in crowd's fatal disease.In the cardiovascular and cerebrovascular disease, the disease of a kind of being called " acute arterial embolism " is arranged, in case take place, usually cause limbs or internal organs ischemic necrosis, the serious harm people's is healthy.Thrombosis is that the blood at any position solidifies in the blood circulation.It forms Fundamentals has three: one, the damage of blood vessel wall; The 2nd, blood flow rate slows down; The 3rd, change has taken place in blood constituent, such as hypercoagulability.Wherein the factor that thrombosis is had the greatest impact is the damage of blood vessel wall, and atherosclerosis is the principal element that causes vascular damaged.Structurally very unstable attached to thrombosis on heart or the main artery wall and arteriosclerosis plaque itself, can come off from tube wall under some situation, form embolus, embolus is along large artery trunks, medium-sized artery, arteriolar direction palpus blood flow, when the place ahead external caliber carefully when embolus can not pass through, embolus just is stuck, and forms arterial thrombosis.Spasm appears in the tremulous pulse at thromboembolism place immediately, makes external caliber littler, and thromboembolism is tightr.Typical case's performance of arterial thrombosis is that burst limbs or brothers refer to toe pain, blackening.Come from the embolus of renal artery ventral aorta below horizontal, volume is less, often goes to foot small artery place and produces thromboembolism.At first be that toes have an intense pain, pale, cool, stolidity.When the thromboembolism position was higher, the following position of thromboembolism arteriopalmus can disappear.Cyanosis of the skin, blue patch can occur subsequently, this moment, foot seemed not only dirty but also ugly, and therefore shape claims on " rubbish foot " as just passing through the soot behind the rain barefoot.The livedo reticularis at these positions can appear in thigh or buttocks small artery when getting involved, shank is got involved can " calf " severe pain.Skin, limbs blackening, necrosis can appear after several days.At this moment the pathological changes limbs oneself can not bring back to life again, had amputation only.Embolus permanent current from descending thoracic aorta is scurried to the feeding artery of abdominal organs, causes the serious pathological changes of certain internal organs.Such as: embolus enters the goldbeater's skin tremulous pulse and causes thromboembolism, can cause intestinal tube necrosis, perforation, peritonitis, serious occurred septic shock, threat to life.
For abundant position, the local thromboembolism that little embolus causes can cause perforation, causes agnogenic massive bleeding from upper digestive tract at blood such as stomach, duodenums.If embolus is stuck in and forms thromboembolism in the renal artery, normal occur burst, unmanageable hypertension, hematuria, renal failure.Mural thrombus volume ratio in the chambers of the heart is bigger, flows to be everlasting iliac artery, femoral artery etc. of lower limb and locates to form thromboembolism, easily causes the necrosis of whole piece lower limb.The chance that enters upper limb and brain from the embolus of heart or ascending aorta is many.It is similar with lower limb that embolus enters the thromboembolism performance that artery of upper extremity causes, the embolus that enters arteriae cerebri can form " apoplexy " that it has often been said, i.e. cerebral infarction or cerebral thrombosis.Sometimes the little embolus of heart goes out heart and promptly turns in coronary artery with blood flow is firm, can cause acute myocardial infarction.
Technology contents
The object of the present invention is to provide a kind of pharmaceutical composition for the treatment of cerebral thrombosis and myocardial infarction.
The present invention is achieved through the following technical solutions:
The crude drug of pharmaceutical composition of the present invention is formed and proportioning following (by weight):
The deep 10-60 weight portion of Radix Clematidis 10-60 weight portion Radix Notoginseng 5-15 weight portion
Radix Dipsaci 3-10 weight portion Rhizoma Drynariae 10-60 weight portion thousand foldings pull out the 10-60 weight portion
Radix cocculi laurifolii 10-30 weight portion Herba Lycopodii 10-60 weight portion Photiniaserrulata rises the 10-60 weight portion
Optimum ratio of the present invention is:
The deep 30 weight portion Radix Notoginseng of Radix Clematidis 30 weight portions 10 weight portions
Radix Dipsaci 6 weight portion Rhizoma Drynariae 30 weight portions thousand foldings pull out 30 for weight portions
Radix cocculi laurifolii 20 weight portion Herba Lycopodiis 30 weight portion Photiniaserrulatas rise 30 weight portions
Pharmaceutical composition of the present invention also can add pharmaceutically acceptable excipient and make liniment, spray, pill, tablet, oral liquid, capsule, granule etc.
Drug combination preparation of the present invention has benefiting QI for activating blood circulation, continuous blood tissue regeneration promoting, blood stasis dispelling promote blood circulation, the have one's ideas straightened out effect of Fructus Alpiniae Oxyphyllae, and is remarkable to effects such as treatment apoplexy, cerebral hemorrhage, cerebral thrombosis, cerebral embolism, cerebral vasospasm, arteriosclerosis and subarachnoid hemorrhages.
Present composition preparation " essence of promoting blood circulation " point is wiped the clinical observation of treatment cerebrovascular accident:
The present invention's " essence of promoting blood circulation " is from the clinical treatment observation of year July in March, 1997 to 1999 to 56 routine cerebrovascular accident patients, and evident in efficacy, the checking situation is as follows:
1, clinical money is trembled
1.1 ordinary circumstance: male 21 examples, women 15 examples; Minimum 22 years old of age, maximum 84 years old.Wherein 40-60 year maximum, account for 78%;
1.2 the course of disease is the shortest 5 days, and is the longest 9 years, one of them accounts for month with interior person, and the person accounts for 19% more than 28%, one year; The course of disease accounts for 45% four months to the 9 years persons of not feeling any better, and wherein convalescent period accounts for 62%, and sequela stage accounts for 42%;
1.3 cerebral arteriosclerosis 23 examples, hypertension 12 examples, hyperlipidemia 6 examples, concurrent diabetes 4 examples.
1.4 clinical manifestation all is cases of cerebrovascular accident.Wherein blood pressure is in 160-180/90-110mmHg patient's 21 examples; Central 49 examples, paralysed 26 examples in left side wherein, right side paralysis 30 examples, muscular strength 0 degree 5 examples, I degree 2 examples, II degree 8 examples, III degree 14 examples, IV degree 36 examples.Aphasia 6 examples.Dysphagia and diet drink water to send out and choke, and cry 2 examples of putting on an air of cheerfulness by force.Numb 2 examples of Ipsilateral;
1.5 chemical examination detects: the high person of cholesterol: 5 examples, account for 46%, average is 246mg%, and triglyceride rising person 19 examples account for 39%, and average is 180mg%, and beta lipoprotein rising person 26 examples account for 42.5%, and average is 580mg%.
2, observation of curative effect
2.1 curative effect judging standard: medication is muscular strength and the equal no change of sign after two months, and the blood pressure blood fat is invalid at ascensionist still.Worsen: after medication course of treatment, not only symptom do not alleviate, increase the weight of on the contrary, and also have again the bolt tendency to occur.Effectively: muscular strength increases the I degree, other symptoms progress person, wiping muscular strength 1 course of treatment no change still again.Produce effects: muscular strength increases the II degree, the walker of standing separately, the life of can taking care of oneself under others assists.Be almost recovered: muscular strength, language, intelligence are recovered normally substantially, the life of taking care of oneself, and can do housework or working work.
2.2 therapeutic outcome:
Limbs recover: recover 17 examples substantially, account for 30.2%: produce effects 33 examples account for 62.5%; Effective 36 examples account for 6.3%: improvement is in various degree all arranged after the medication.Have indivedual signs to recover 4 examples, hands can be held thing 5 examples, 5 examples of can oneself relieving oneself.There are 18 examples to recover normal behind the 21 routine hypertension therapeutics.
Blood Lipid: cholesterol is 193mg% in 2 examples, and 63mg% on average descends; Triglyceride average in 19 examples is 174mg%, and 44mg% on average descends; Average is 451 in beta lipoprotein 26 examples, and 60mg% on average descends.
3, model case 1 Zhang, man, 45 years old, cadre.Diagnosis and treatment on June 23 in 1998.On business poor overtired, feel left side face numbness, facial hemiparalysis suddenly on the way, left side half body limitation of activity, stride is slow, dysphasia, promptly give certain hospital to rescue, be in hospital 1 year, hemiplegia day by day increases the weight of, family members invite inventor's diagnosis and treatment, examine and see arteries and veins Shen Xian, light red tongue, tongue is white little greasy, " institute of heresy gathers, and its gas must be empty ", the deficiency of vital energy is hematogenous blockage then, and the venation stasis of blood stagnates.Mild case and facial hemiparalysis, unfavorable, the costive meridians syndrome of half body limbs of speech occur.Arteries and veins Shen, light red tongue are for wrapping up in empty levying.Control suitable invigorating qi and benefiting blood, the repercussive collateral dredging.Intend acupuncture points such as the strong medicine of the present invention " essence of promoting blood circulation " point is wiped in Baihui, the sun, windy mansion, Yamen, philtrum, Quze, connected valleys, the committee, Opened Hollow, spring, every day 2 times, continuity point was wiped 10 days, patient face is conscious comfortable, language is gradually fluent, but mouthful eye folding is not also not freely, and stride is owed flexibly, arteries and veins Shen Chi.Shen is that the deficiency of vital energy does not reach, and is hematogenous blockage late, still by the treatment of former method, strengthens in Quze, connected valleys, the committee, Opened Hollow acupuncture point dose is with the warming the meridian blood stasis dispelling, go into network and search wind, connect a wiping 10 days again, subjective effect is remarkable, and mouthful eye folding freely, only feel xerostomia, have a dizzy spell that arteries and veins Shen is number slightly, white and thin fur.Slightly subtract extremity cave dose, add Baihui, temporal dose, with the fresh breeze YIN nourishing.Advance 10 days Hous again, dizzy, xerostomia alleviates, and leg movements is near normal, and arteries and veins Shen is number slightly, white and thin fur, and after continuation was pasted and wiped 1 course of treatment, all diseases were removed greatly, did not stay Hou to lose disease.
Model case 2: what certain, man 43 years old, workman.First visit on August 25 in 1998.Burst right side body has an intense pain before 5 days, and limbs are wriggled unconsciously, take out contraction, facial hemiparalysis, dysphonia, chest muscle little pastiness purple in right side is lived Napo County hospital surgery treatment and was not imitated in 5 days, and the state of an illness increases the weight of gradually, hospital's notice of being critically ill down can only be awaited one's doom, and changes and asks our diagnosis and treatment.Check: 36.8 ℃ of body temperature, blood pressure 190/110mmHg breathes pulse frequency 86 times/minute 20 times/minute.Chest X-rays: the heart is aortic type, rises master pulse, right ventricle expansion.Examination of ocular fundus: double vision nethike embrane arteriosclerosis.Renal function is normal.Red tongue, tongue are greasy in vain, stringy and rolling pulse.Card is the wind-phlegm superinverse, controls suitable suppressing the hyperactive liver to arrest the wind syndrome, relieving convulsion, removing heat-phlegm.Wipe with the strong medicine of the present invention " essence of promoting blood circulation " point: in Baihui, the sun, bl, Quze, connected valleys, Huantiao, the committee, acupuncture points such as Opened Hollow, spring, dried then easily it, be regardless of number of times, the 2nd day morning, after discharging a beach hemafecia during patient's defecation, subjective symptoms all disappears, and blood pressure has been reduced to 140/95mmHg, connects a wiping bleeding from anus pressure drop in 10 days again to 138/85mmHg.Follow up a case by regular visits to after two months, all right, do not see recurrence.
Example 2: the week certain, man, 48 years old, peasant.JIUYUE in 1996 first visit on the 25th.Suddenly sensation stiff tongue before 7 days, it is not smoothgoing to speak, facial hemiparalysis gradually, hemiplegia of limb.Check: body obesity, sanity, left side face numbness, nasolabial fold is smooth, and slobbering is more than, and tongue body does not relax.The left limb hemiplegia need not, sensory disturbance.36.8 ℃ of body temperature are breathed 20 times/minute, blood pressure 140/95mmHg, pulse 95 times/minute.Lab testing: cerebrospinal pressure is normal, water white transparency.The total fat 760mg% of blood, T-CHOL 210mg%.The Chest X-rays heart is aortic type, and aorta is broadening slightly.Examination of ocular fundus: double vision nethike embrane arteriosclerosis.The red tongue point is red, and tongue is greasy in vain, stringy and rolling pulse.Strengthen acupuncture points such as medicine " essence of promoting blood circulation " point is wiped in Baihui, the sun, Quze, connected valleys, Huantiao, the committee, Opened Hollow, spring with the present invention, the degree of being with the heating, every day 3 times.Further consultation after 5 days, headache alleviates, and chews better, and mouth is sialorrhea not, and numb limbs and tense tendons alleviates, and wipes after 5 days again.Language is more clear, leans on to turn to toddel about 20 steps blood pressure 135/95mmHg.Continue the some wiping and strengthen functional exercise after 10 days, symptom alleviates greatly, and it is normal that the left side nasolabial fold recovers, and the face sensory function is recovered, and language is smoothness substantially.Wipe again after 20 days, action freely, symptom disappears substantially, blood pressure 135/95mmHg, every experimental check, situation is all more preceding for well.Advise it to continue point and wiped 20 days, and note the conditioning life, work and rest is suitable.Follow up a case by regular visits to May in this year, all right, do not see recurrence
4, discuss
4.1 mechanism is inquired into: the net cerebrovascular accident belongs to the category of the traditional Chinese medical science " apoplexy ", it forms reason three; One in the blood vessel blood stasis due to qi deficiency; Two is not continuous at meridian qi and blood; Three at yang blood and qi from keeping.So its pathogenesis can reduce negative and positive thermal transfer, blood stasis due to qi deficiency; QI and blood is not continuous, and passages through which vital energy circulates is obstructed.Should be on the treatment rule with benefiting QI for activating blood circulation, eliminating blood stasis and smoothing collaterals, continuous blood new life is along connecing blood vessels, the Fructus Alpiniae Oxyphyllae of having one's ideas straightened out, YIN and YANG balance regulating.Strong medicine " essence of promoting blood circulation " acupuncture point point is wiped the treatment cerebrovascular accident, has tangible raising muscular strength, recovers the function of paralyzed limbs, and the effect of hypertension and hyperlipemia is arranged again.Side's medicine is formed no incompatibility, and medicine is the deep extremely strong traumatic injury medicine that is, the effect nothing is contained partially, and dose greatly also has no side effect, so but external is beneficial to functional rehabilitation.
4.2 the medicine of strong medicine " essence of promoting blood circulation " is different from Zhitan medicine commonly used, and is few with the product that dispel the wind, and is principal agent with a small amount of Radix Clematidis, Herba Lycopodii just, this is our characteristics, and the Radix Dipsaci blood-activating kidney-tonifying is joined in the rising of TOUGUFENG replenishing qi and promoting blood flow, strengthening bone and muscle and hypertension and hyperlipemia.Radix Flemingiae Philippinensis is joined the logical operation of Rhizoma Drynariae benefiting QI for activating blood circulation a surname.Radix Clematidis, Herba Lycopodii have to search and pick whole body meridians, and continuous blood tissue regeneration promoting is along connecing blood vessels, and the merit of the newborn venation of traffic makes QI and blood circulation as ring for no reason.TOUGUFENG is carried Radix Clematidis, Herba Lycopodii, Radix Flemingiae Philippinensis, Radix Dipsaci, Radix Notoginseng and is infiltrated through brain and connect disease institute, and the stasis of blood of shabby blood is long-pending, holds up new life's blood, short QI and blood mediation, and YIN and YANG in a relative equilibrium, the extremity bones of the body collectively is normal again.Its TOUGUFENG, Radix Flemingiae Philippinensis, Rhizoma Drynariae bring high blood pressure down obviously lasting.Radix Clematidis, Herba Lycopodii, Radix cocculi laurifolii, Radix Notoginseng, Radix Dipsaci; The effective cholesterol reducing content of Caulis et Folium piperis.
5, efficacy evaluation is observed from data and is found out that the strong medicine of the present invention " essence of promoting blood circulation " is better to the recovery effects of muscular strength, and effective percentage reaches 89%, is higher than liquid salvia, ligustrazine, Radix Paeoniae Rubra 801 (81%), the troxerutin (82%) of present report; Eliminating thrombus (72%).The effect that hypertension and hyperlipemia is arranged simultaneously, the cerebrovascular accident that causes because of arteriosclerosis for control has certain curative effect.
Following embodiment all can realize the effect of above-mentioned experimental example.
Embodiment 1
The deep 30g Radix Notoginseng of Radix Clematidis 30g 10g
Radix Dipsaci 6g Rhizoma Drynariae 30g thousand foldings pull out 30g
Radix Cocculi Orbiculati 20g Herba Lycopodii 30g Photiniaserrulata rises 30g
Said medicine technology is routinely made liniment, every day three times, wipes 3 milliliters at every turn.
Embodiment 2
The deep 30g Radix Notoginseng of Radix Clematidis 30g 10g
Radix Dipsaci 6g Rhizoma Drynariae 30g thousand foldings pull out 30g
Radix Cocculi Orbiculati 20g Herba Lycopodii 30g Photiniaserrulata rises 30g
Said medicine technology is routinely made spray.Spray every day three times, the affected part brushes with the feverish skin degree of being, sprays 2 milliliters at every turn.
Claims (3)
1, a kind of pharmaceutical composition for the treatment of cerebral thrombosis and myocardial infarction is characterized in that said composition mainly is to be made by following crude drug:
The deep 10-60 weight portion of Radix Clematidis 10-60 weight portion Radix Notoginseng 5-15 weight portion
Radix Dipsaci 3-10 weight portion Rhizoma Drynariae 10-60 weight portion thousand foldings pull out the 10-60 weight portion
Radix cocculi laurifolii 10-30 weight portion Herba Lycopodii 10-60 weight portion Photiniaserrulata rises the 10-60 weight portion.
2, pharmaceutical composition according to claim 1 is characterized in that said composition mainly is to be made by following crude drug:
The deep 30 weight portion Radix Notoginseng of Radix Clematidis 30 weight portions 10 weight portions
Radix Dipsaci 6 weight portion Rhizoma Drynariae 30 weight portions are done folding and are pulled out 30 for weight portions
Radix cocculi laurifolii 20 weight portion Herba Lycopodiis 30 weight portion Photiniaserrulatas rise 30 weight portions.
3, pharmaceutical composition according to claim 1 and 2 is characterized in that said composition also can add pharmaceutically acceptable excipient and make arbitrary dosage form in liniment, spray, pill, tablet, oral liquid, capsule, the granule.
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CN 03149985 CN1283279C (en) | 2003-08-01 | 2003-08-01 | A pharmaceutical composition for treating cerebral thrombosis and myocardial infarction |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104644937A (en) * | 2015-03-17 | 2015-05-27 | 山东大学齐鲁医院 | Spray for treating vasospasm and preparation method of spray |
CN109172655A (en) * | 2018-11-29 | 2019-01-11 | 黄海平 | One kind promote blood circulation essence and its preparation process |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104644937A (en) * | 2015-03-17 | 2015-05-27 | 山东大学齐鲁医院 | Spray for treating vasospasm and preparation method of spray |
CN109172655A (en) * | 2018-11-29 | 2019-01-11 | 黄海平 | One kind promote blood circulation essence and its preparation process |
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