Summary of the invention
Purpose one of the present invention provides a kind of Chinese medicine solution that is used to prevent and treat damp-heat syndrome, contain following parts by weight of traditional Chinese medicines, Cortex Phellodendri 10-30 part, Herba Senecionis Scandentis 6-18 part, Radix Sophorae Flavescentis 5-15 part, Radix Stemonae 4-12 part, Oleum Ocimi Gratissimi 0.75-2.25 part, Mentholum 0.2-0.6 part and Borneolum Syntheticum 0.1-0.3 part.
Preferred solution of the present invention contains following parts by weight of traditional Chinese medicines, Cortex Phellodendri 15-25 part, Herba Senecionis Scandentis 9-15 part, Radix Sophorae Flavescentis 7.5-12.5 part, Radix Stemonae 6-10 part, Oleum Ocimi Gratissimi 1.1-1.9 part, Mentholum 0.3-0.5 part and Borneolum Syntheticum 0.15-0.25 part.
Solution more preferably of the present invention contains following parts by weight of traditional Chinese medicines, 0.2 part of 20 parts of Cortex Phellodendris, 12 parts of Herba Senecionis Scandentiss, 10 parts of Radix Sophorae Flavescentiss, 8 parts of the Radixs Stemonae, 1.5 parts of Oleum Ocimi Gratissimis, 0.4 part of Mentholum and Borneolum Syntheticum.
Solution of the present invention also contains pharmaceutically acceptable carrier except that containing above-mentioned parts by weight of traditional Chinese medicines.Described pharmaceutically acceptable carrier comprises solubilizing agent, cosolvent and water.Described solubilizing agent is selected from compounds such as polyoxyethylene sorbitan fatty acid ester class (claiming Tweens or polysorbate class again), polyoxyethylene fatty acid ester class, polyoxyethylene aliphatic alcohol ether class, poloxalkol, preferred solubilizing agent is polysorbas20, polysorbate40, polysorbate60, Tween 80, polysorbate85, paregal O, pluronic (PluronicF-68), and more preferably solubilizing agent is a Tween 80; Described cosolvent is selected from ethanol, glycerol, propylene glycol, sorbic acid, Liquid Macrogol, PEG400, and preferred co-solvents is ethanol, glycerol, propylene glycol; Preferred water is deionized water, distilled water.
Solution of the present invention is made up of Cortex Phellodendri, Herba Senecionis Scandentis, Radix Sophorae Flavescentis, the Radix Stemonae, Oleum Ocimi Gratissimi, Mentholum and Borneolum Syntheticum, its reasonable recipe, science.Chinese medicine is thought ought be with heat-clearing and toxic substances removing to the treatment of the damp invasion of lower energizer disease of pudendal pruritus, and dampness leukorrhagia stopping, killing parasites for relieving itching are method.Solution of the present invention is a monarch drug with the Cortex Phellodendri, has the merit of heat clearing and damp drying, eliminating fire and detoxication, arrogates to oneself damp-heat in lower-JIAO clearly especially, has antibiotic preferably and the anti-trichomonal activity, can be used for treating trichomonal vaginitis, cervical erosion; Ministerial drug Herba Senecionis Scandentis and Radix Sophorae Flavescentis have heat-clearing and toxic substances removing, removing dampness and killing parasites, antipruritic merit, can strengthen the effect of monarch drug treatment pudendal pruritus, damp invasion of lower energizer; The Radix Stemonae has the antipruritic merit of removing dampness and killing parasites, share with Oleum Ocimi Gratissimi, Mentholum, Borneolum Syntheticum to be adjuvant drug, can help the merit that helps monarch-minister drug treatment pudendal pruritus.Above-mentioned seven will share, and have the cooperative effect of aspects such as heat-clearing and toxic substances removing, dampness leukorrhagia stopping, killing parasites for relieving itching, evident in efficacy to women's pudendal pruritus, damp invasion of lower energizer disease, and solution of the present invention directly acts on affected part, determined curative effect, and do not have obvious toxic and side effects.
The source and the curative effect of the Chinese medicine of respectively distinguishing the flavor of in the solution of the present invention are as follows:
1. Cortex Phellodendri is the dry bark of Rutaceae plant wampee Phellodendron chihense Schneid. or Cortex Phellodendri P.amurense Rupr..
The Cortex Phellodendri beginning is stated from Shennong's Herbal, and various afterwards books on Chinese herbal medicine are all on the books.Shennong's Herbal record Cortex Phellodendri be used for the treatment of " ... woman's whitish metrorrhagia, acute vulva ulcer."; The supplement to the Herbal record " main ... the worm skin ulcer, kill moth ... "; " Chinese medicine voluminous dictionary " carries that " heat clearing away, dampness spew out into, detoxifcation.Control ... leucorrhea with red and white discharge ... ".Cortex Phellodendri also " recorded, and record has that " the heat clearing away bath is wet, and pathogenic fire purging removes steams, detoxifcation treatment skin ulcer in order to go through version by Chinese pharmacopoeia.Be used for damp-heat dysentery, jaundice, leukorrhagia, pyretic stranguria, beriberi, flaccidity is warded off, hectic fever due to YIN-deficiency consumptive fever, night sweat, seminal emission, sore swollen toxin, eczema pruritus." etc. effect.
Existing in vitro tests studies show that: Cortex Phellodendri water decoction or pure preserved material have inhibitory action to staphylococcus aureus, Hemolytic streptococcus, escherichia coli, bacillus pyocyaneus etc.Berberine is the main component of Cortex Phellodendri, and Hemolytic streptococcus, staphylococcus aureus etc. is had stronger inhibitory action; Fibrauretin is external reads mycetes such as ball bacterium to white have stronger inhibitory action, and in vivo test all has better curative effect to Candida albicans superficial part or deep infection.Subcutaneous injection or oral berberine all can produce and ease pain and antiinflammation, and this effect increases with the increase of its dosage, show tangible dose-effect relationship.Berberine (berberine) suppository treatment trichomonal vaginitis, berberine tannate film treatment cervical erosion, hydrogen sulfate berberine and the existing report of methoxy ammonia benzyl pyrimidine injection for treating cervical erosion.
As seen, Cortex Phellodendri has heat clearing and damp drying, spews out into the merit of detoxifcation, has antibiotic preferably and the anti-trichomonal activity, can be used for treating trichomonal vaginitis, cervical erosion.
2. Herba Senecionis Scandentis is the dry aerial parts of Compositae Herba Senecionis Scandentis Senecio scandens Buch.-Ham..
Herba Senecionis Scandentis beginning is stated from supplement to the Herbal, after record in many medical books." Chinese medicine voluminous dictionary " carry " heat clearing away, detoxifcation, parasite killing ....Control various acute inflammatory diseases; Trichomonal vaginitis ".Herba Senecionis Scandentis also is that version in 1977 " record, and " heat-clearing and toxic substances removing makes eye bright tool, and is antipruritic by Chinese pharmacopoeia.Be used for anemopyretic cold, conjunctival congestion and swelling pain, dysentery, skin eczema, bleb furuncle " etc. effect.
Existing studies show that: Herba Senecionis Scandentis has stronger broad spectrum antibiotic activity.Multiple extracorporeal bacteria inhibitor test result shows that all Herba Senecionis Scandentis has inhibitory action significantly to gram positive bacteria and gram negative bacteria.50% decoct of Herba Senecionis Scandentis is 1: 512 to the MIC of staphylococcus aureus, bacillus such as typhoid fever, paratyphoid fever (second), large intestine, green pus there is stronger antibacterial action, the antibiotic effective site of Herba Senecionis Scandentis is the phenolic acid position, therefrom separate the p-hydroxyphenylaceticacid obtain, vanillic acid, hydroquinone etc. antibacterial activity is all arranged, there is report to give rats gavaged Herba Senecionis Scandentis decoct 30g/kg, continuous 4 days, its urine still had antibacterial action to golden Fructus Vitis viniferae, escherichia coli, bacillus pyocyaneus.The antibacterial action of Herba Senecionis Scandentis is with leaf and Hua Weiqiang, a little less than stem and root be; The antibacterial action of its water decoction not because of fry in shallow oil for a long time, autoclaving and go processing such as tannin to reduce.
Other has report, based on the compound treatment chronic cervicitis of Herba Senecionis Scandentis better curative effect is arranged also.
As seen, Herba Senecionis Scandentis has heat-clearing and toxic substances removing, the merit of killing parasites for relieving itching, have stronger antibiotic, anti-trichomonal is active, and treatment trichomonal vaginitis and cervicitis are had better curative effect.
3. Radix Sophorae Flavescentis is the dry root of leguminous plant Radix Sophorae Flavescentis Sophora flavescens Ait..
The Radix Sophorae Flavescentis beginning is stated from Shennong's Herbal, after record in many medical books, the record of parasite killing is arranged from Compendium of Material Medica, Tang Materia Medica carries that " ... treat dislike worm " " Japan hanako materia medica " carries " killing the infantile malnutrition worm ... " " Chinese medicine voluminous dictionary " carry " heat clearing away, removing dampness and killing parasites; be used for ... leucorrhea with red and white discharge ... erosion of vulva pruritus due to damp pathogen ... "Radix Sophorae Flavescentis also for go through the version " Chinese pharmacopoeia is recorded, nineteen ninety-five version carry " heat clearing and damp drying, parasite killing, diuresis.Be used for hematodiarrhoea, have blood in stool; Allusion quotation subcutaneous ulcer urine retention, leucorrhea with red and white discharge, swelling of the vulva pudendal pruritus, eczema, eczema; Skin pruritus, scabies leprosy; External treatment trichomonal vaginitis ".
Effective ingredient matrine in the Radix Sophorae Flavescentis has growth of the trichomonal vaginitis of inhibition and pathogenic effect.The Radix Sophorae Flavescentis decoct is in test tube, and high concentration (1: 100) has inhibitory action to tubercule bacillus, and decoct (8%), water logging agent (1: 3) have in various degree inhibitory action external to some common skin fungus; Alcohol extractum has an anti-trichomonal effect external.1% matrine is external all to have the obvious suppression effect to dysentery bacterium, escherichia coli, Bacillus proteus, group B streptococcus and staphylococcus aureus, all there is antibacterial action the matrine inside and outside, action intensity is suitable with chloromycetin in the body, and the medicinal liquid that contains Radix Sophorae Flavescentis 1g/ml has certain antibacterial action to gardnerella vaginalis.
In addition, the oxymatrine intramuscular injection is similar to the antiinflammatory action of hydrocortisone, can obviously resist Oleum Tiglii, the exudative inflammation that carrageenin (rat) and glacial acetic acid (mice) bring out, the direct inflammation-inhibiting reaction of its antiinflammatory action mechanism; Radix Sophorae Flavescentis total alkaloids uses separately has slight analgesic activity, share with the threshold dose morphine, can significantly increase its analgesia percentage rate.
As seen, Radix Sophorae Flavescentis has the function of heat clearing away, dampness, parasite killing, antibiotic, anti-trichomonal and analgesic and anti-inflammatory effects, is external curing cervicitis, colpitic important drugs.
4. the Radix Stemonae is the dried root of Stemonaceae plant Radix Stemonae Stemona sessilifolia (Miq.) Miq., Radix stemonae japonicae S.japonica (B1.) Miq. or radix stemonae tuberosae S.tuberosa Lour..
Radix Stemonae beginning is stated from " Mingyi Bielu ", and book on Chinese herbal medicine all records the successive dynasties thereafter." The Master of Preserving Simplicity " carried and " controlled and cough and parasite killing." supplement to the Herbal carry " ... the debug silkworm stings, the scabies skin ulcer of holding concurrently." " Japan hanako materia medica " carry " ... kill ascarid, very little white, pinworm." " the southern regions of the Yunnan Province book on Chinese herbal medicine " carry " ... parasite killing." " Chinese medicine voluminous dictionary " carry " ... parasite killing.Control ... ascarid, enterobiasis, skin scabies, eczema.The Radix Stemonae for go through version " Chinese pharmacopoeia is recorded, nineteen ninety-five version carry that " worm kills for nourishing the lung to keep the adverse QI downward, cough-relieving.Be used for new chronic cough and cough, lung impairment and cough, pertussis; Be used for head louse outward, body belongs to louse, enterobiasis, pudendal pruritus disease.”
Radix Stemonae decoct is external all to have in various degree inhibitory action to streptococcus pneumoniae, beta hemolytic streptococcus, meningococcus, staphylococcus aureus and dysentery bacterium, Bacillus typhi, escherichia coli, bacillus pyocyaneus etc., and can kill nit.The effectiveness that the alcohol leaching liquid of the Radix Stemonae 70% is controlled head louse and pubic louse is stronger than DDT and Pyrethrum, also can suppress infusorian.
As seen, the Radix Stemonae has the effect of parasite killing, antibiotic, anti-trichomonal, can be used for treating pudendal pruritus and trichomonal vaginitis.
Oleum Ocimi Gratissimi rein in Ocimum gratissimum L. for the labiate Flos Caryophylli herb through the volatile oil that vapor distillation obtains, contain content greater than 85.0% eugenol.
" Chinese pharmacopoeia nineteen ninety-five version is carried " topical pain relief, antiseptic.Be used for dental caries etc. ".
Eugenol is 1: 8000-1: during 16000 concentration, pathogenic fungus is had inhibitory action; 1: 2000-1: during 8000 concentration, to staphylococcus aureus and pneumonia, dysentery (will Hayes), large intestine, distortion, bacillus such as structure all have inhibitory action.
Eugenol can suppress the rat paw edema that carrageenin causes, embrocate the auricular concha swelling that can prevent and treat Oleum Tiglii to cause for the mice auricular concha, the part is coated with control and also can suppresses benzoic acid, cinnamic aldehyde and sorbic acid and cause swelling of Cavia porcellus auricular concha and the direct action by contact of people's non-immunity, has tangible analgesic and anti-inflammatory effects.
As seen, Oleum Ocimi Gratissimi has antibiotic and antiinflammation, can be used for the infectious and struvite vagina of treatment.
6. a kind of saturated cyclic alcohol of Mentholum for obtaining from Oleum menthae is the main component in the Oleum menthae.
" Chinese pharmacopoeia is carried: " incense drug, remedium corrigens and carminative.Can be used for skin or mucosa and produce refrigerant sense to alleviate discomfort or pain." modern study proves, Mentholum has inhibitory action, external that effects such as antipruritic, pain relieving are arranged to staphylococcus aureus, Staphylococcus albus, green enterobacteria, Candida albicans etc., can make skin or mucosa produce refrigerant sense to alleviate discomfort or pain.
7. Borneolum Syntheticum is Borneolum Syntheticum or borneolum syntheticum.
Nineteen ninety-five version " Chinese pharmacopoeia is carried " refreshment of having one's ideas straightened out, clearing away heat to alleviate pain.Be used for that calentura coma, convulsion are fainted, the apoplexy syncope due to accumulation of phlegm, apoplectic coma, conjunctival congestion, aphtha, laryngopharynx swelling and pain, auditory meatus is suppurated."; " Chinese medicine voluminous dictionary " carry " ... reducing swelling and alleviating pain; Pharmacological research proves ... have some pain relieving and wet and antisepsis, external, higher concentration (0.5%) has bacteriostasis ... ".
In sum, solution prescription of the present invention meets the Chinese medicine and pharmacy theory, has the cooperative effect of prevention and treatment women pudendal pruritus, the inferior disease of humid tropics.
Another object of the present invention provides the method for preparing Chinese medicine solution of the present invention.The present invention is according to the character of each flavor Chinese medicine and the effective ingredient of required extraction, classification of medicinal material is extracted, to guarantee at utmost effective component extracting, and reduce impurity component ground stripping quantity and prevent phase mutual interference between the inhomogeneity medical material, with the good drug effect of assurance solution, good preparation outward appearance and preparation stability.The preparation method of solution of the present invention comprises the steps: that (1) Cortex Phellodendri, Radix Sophorae Flavescentis and the Radix Stemonae are ground into coarse powder, and with the 25-75v/w% soak with ethanol that contains 1-5w/w% acetic acid, percolation is also collected percolate; (2) Herba Senecionis Scandentis cutting decocts with water one to three time, filters and merging filtrate, after concentrated filtrate and the cooling, under agitation slowly adds qdx ethanol, leaves standstill the leaching supernatant; (3) merge percolate and supernatant, concentrate and reclaim ethanol, after the concentrated solution cooling, add ethanol and make its dissolving, cross the leaching filtrate for later use; (4) get Oleum Ocimi Gratissimi and mix, make the Ocimum Basilicum oil solution with solubilizing agent; (5) get Mentholum and Borneolum Syntheticum dissolves with cosolvent, make Herba Menthae Borneolum Syntheticum solution; (6) with Ocimum Basilicum oil solution and Herba Menthae Borneolum Syntheticum solution mix homogeneously, and under stirring condition it is slowly added in the standby filtrate, stir evenly, slowly add an amount of water and standardize solution under stirring condition, fill promptly.
Preferably the concentration of the used acetic acid of (1) step percolation is 3w/w%, and the used concentration of alcohol of percolation is 50v/w%; Described solubilizing agent is selected from compounds such as polyoxyethylene sorbitan fatty acid ester class, polyoxyethylene fatty acid ester class, polyoxyethylene aliphatic alcohol ether class, poloxalkol, preferred solubilizing agent is polysorbas20, polysorbate40, polysorbate60, Tween 80, polysorbate85, peregal 0, pluronic (Pluronic F-68), and more preferably solubilizing agent is a Tween 80; Described cosolvent is selected from ethanol, glycerol, propylene glycol, sorbic acid, Liquid Macrogol, polyoxyethylene 400, and preferred co-solvents is ethanol, glycerol; Preferred water is deionized water, distilled water.
In addition, also can adopt the circumfluence method of routine or the effective ingredient in the extraction of decocting in water alcohol deposition method Cortex Phellodendri, Radix Sophorae Flavescentis and the Radix Stemonae in (1) step; Described circumfluence method is meant that adopting concentration is that the ethanol of 20-70v/w carries out reflux, extract.
Except as otherwise noted, the percentage ratio that the present invention relates to all is weight percentage.
Another object of the present invention provides the application that solution of the present invention is used for preparing the medicine of preventing and treating damp-heat syndrome, male's related inflammation, skin Pruritus or sexually transmitted disease (STD).Described damp-heat syndrome is selected from gynecological diseases such as trichomonal vaginitis, candidal vaginitis, colpitis mycotica, bacterial vaginitis, senile vaginitis, viral vaginitis, cervicitis or cervical erosion.
Pudendal pruritus, the visible pudendum Pruritus of damp-heat syndrome patient or the pain of itching, uneasy in either sitting or lying, profuse leukorrhea, yellow skin thickness, its gas is smelly dirty, and house matter is red, yellow and greasy fur, soft and rapid pulse or stringy and rapid pulse.Solution of the present invention has the effect of heat-clearing and toxic substances removing, dampness leukorrhagia stopping, killing parasites for relieving itching, to bacillus pyocyaneus, escherichia coli, Hemolytic streptococcus, gonococcus, the tangible antibacterial action of staphylococcus aureus tool; Trichomonal vaginitis also had good killing effect; And have antiinflammatory, detumescence, an effect such as antipruritic, usable concentration is that the solution of the present invention of 5-15w/w% is cleaned pudendal pruritus, damp-heat syndrome patient's pudendum, or be the vagina deep washing vagina that the solution of the present invention of 5-15w/w% is delivered to pudendal pruritus, damp-heat syndrome patient with concentration with irrigator, once-a-day, seven days is a course of treatment, remarkable to the therapeutic effect of traditional Chinese medical science damp-heat syndrome such as trichomonal vaginitis, candidal vaginitis, bacterial vaginitis.In addition, solution of the present invention has cleaning action to vagina, and there is repair in rotten to the corn affected part, and can nurse one's health and keep intravaginal sour environment, produces refrigerant comfort after patient's medication.
The specific embodiment
Specify the present invention below with reference to embodiment, embodiments of the invention only are used to technical scheme of the present invention is described, and non-limiting essence of the present invention.
The preparation of embodiment 1 solution
Prescription is: Cortex Phellodendri 200g, Herba Senecionis Scandentis 120g, Radix Sophorae Flavescentis 100g, Radix Stemonae 80g, Oleum Ocimi Gratissimi 15ml, Mentholum 4g and Borneolum Syntheticum 2g.
[preparation method]
1) takes by weighing Cortex Phellodendri, Radix Sophorae Flavescentis and the Radix Stemonae of aequum, it is ground into coarse powder, with reference to the percolation under appendix IO of in 1995 version of Chinese Pharmacopoeia, make solvent with the 50v/w% ethanol that contains 3w/w% acetic acid, soaked 24 hours, with the speed percolation of per kilogram medical material 10ml/min, collect the percolate of 8 times of amounts of medical material.
2) with the Herba Senecionis Scandentis cutting, add the water of 7 times of amounts of medical material, decocted 1.5 hours, filter and collect filtrate, the water that in filtering residue, adds 6 times of amounts of medical material, decocted 1 hour, and filtered and collect filtrate, collecting decoction, filtrate is concentrated into 1: 1, under agitation slowly add qdx ethanol when being chilled to 40 ℃, left standstill the leaching supernatant 24 hours.
3) the merging 1) percolate and 2 of gained) the Herba Senecionis Scandentis supernatant of gained reclaims ethanol and also is concentrated into about 500ml, and cooling adds ethanol 400ml and makes its dissolving, filters filtrate for later use.
4) get Oleum Ocimi Gratissimi and 60ml polyoxyethylene sorbitan monoleate mixed dissolution, make the Ocimum Basilicum oil solution;
5) get Mentholum and Borneolum Syntheticum 10ml dissolve with ethanol, make Herba Menthae Borneolum Syntheticum solution;
6) Ocimum Basilicum oil solution and Herba Menthae Borneolum Syntheticum solution mix homogeneously make its mixed solution.
7) under stirring condition, with 6) mixed solution of gained slowly joins 3) the standby filtrate of gained, behind the mix homogeneously, add water to total amount 1000ml, stir evenly, fill promptly gets solution of the present invention.
The preparation of embodiment 2 solutions
Prescription is: Cortex Phellodendri 100g, Herba Senecionis Scandentis 60g, Radix Sophorae Flavescentis 50g, Radix Stemonae 40g, Oleum Ocimi Gratissimi 7.5ml, Mentholum 2g and Borneolum Syntheticum 1g.
Preparation method is with embodiment 1.
The preparation of embodiment 3 solutions
Prescription is: Cortex Phellodendri 300g, Herba Senecionis Scandentis 180g, Radix Sophorae Flavescentis 150g, Radix Stemonae 120g, Oleum Ocimi Gratissimi 22.5ml, Mentholum 6g and Borneolum Syntheticum 3g.
Preparation method is with embodiment 1.
The preparation of embodiment 4 solutions
Prescription is: Cortex Phellodendri 150g, Herba Senecionis Scandentis 90g, Radix Sophorae Flavescentis 75g, Radix Stemonae 60g, Oleum Ocimi Gratissimi 11ml, Mentholum 3g and Borneolum Syntheticum 1.5g.
Preparation method is with embodiment 1.
The preparation of embodiment 5 solutions
Prescription is: Cortex Phellodendri 250g, Herba Senecionis Scandentis 150g, Radix Sophorae Flavescentis 125g, Radix Stemonae 100g, Oleum Ocimi Gratissimi 19ml, Mentholum 5g and Borneolum Syntheticum 2.5g.
Preparation method is with embodiment 1.
The inventor has carried out the test of pesticide effectiveness 1 and 2 and has verified and compare the therapeutic effect of solution of the present invention to damp-heat syndrome such as trichomonal vaginitis, candidal vaginitis, bacterial vaginosis.
The test of pesticide effectiveness 1
According to " provisions for new drugs approval ", " clinical drug trial pipe standard (GCP) " and " specification requirement of study of tcm new drug ", and with reference to related contents such as " the clinical research guidelines of new Chinese medicine treatment female genital disease ", formulated the research approach of solution pharmacologically active of the present invention, and carried out clinical trial, to estimate its clinical efficacy and safety.
The clinical research of solution of the present invention is responsible department with The First Affiliated Hospital of Guangzhou University of Traditional Chinese Med, first Affiliated Hospital of Colleges Of Traditional Chinese Medicine Of Guangxi, second Affiliated Hospital of Colleges Of Traditional Chinese Medicine Of Guangxi, Guangdong Women and Children's Hospital and Health Insitute, four tame hospitals such as the first attached doctor of No.1 Military Medical Univ. are that participant carries out simultaneously.7 days courses of treatment of test, by at random, double blinding, positive control clinical trial method, objective evaluation clinical therapeutic efficacy and the safety thereof of solution of the present invention to traditional Chinese medical science damp-heat syndrome such as trichomonal vaginitis, candidal vaginitis, bacterial vaginitiss.
Clinical trial is finished altogether and is observed case 360 examples, and wherein the test group case is 240 examples, and the matched group case is 120 examples.Before the treatment, all observe case aspect physical data, symptom and sign, the degree that is in a bad way and lab testing, through check, its difference not statistically significant (P>0.05).
Control drug is selected the sure JIEERYIN XIYE of clinical efficacy for use, and (Chengdu, Sichuan En Wei drugmaker produces, authentication code: (93) are defended the accurate word Z-32 of medicine number), its working concentration is 10%, all identical with the dosage form and the concentration of solution of the present invention, and belong to compound Chinese medicinal preparation together, therefore, has very strong comparability between the two.
Administrated method: the treatment group adopts irrigator that 10% solution of the present invention is delivered to the flushing of vagina deep, each 100ml, every day 1 time, continuous use 7 days; And matched group adopts irrigator that 10% JIEERYIN XIYE is delivered to the flushing of vagina deep, each 100ml, every day 1 time, continuous use 7 days.Solution of the present invention to the clinical therapeutic efficacy of traditional Chinese medical science damp-heat syndrome such as trichomonal vaginitis, candidal vaginitis, bacillary vagina referring to table 1 and table 2.
Table 1 test group and matched group compare the therapeutic effect of damp-heat syndrome
Therapeutic effect | Test group | Matched group |
Total effective rate cure rate obvious effective rate effective percentage | ????91.1% ????25.6% ????47.8% ????17.8% | ?????87.2% ?????21.1% ?????42.2% ?????23.9% |
Adopt the CMH X 2 test of proofreading and correct center effect to analyze two groups comprehensive therapeutic effect difference not statistically significant (P>0.05).Explanation is aspect comprehensive therapeutic effect, and solution of the present invention has the identical combined therapy effect of contrast medicine JIEERYIN XIYE.
Table 2 test group and matched group compare the removing effect of pathogenic bacterium
Removing effect to pathogenic bacterium | Test group | Matched group |
The total body clearance infusorian clearance rate candidiasis clearance rate bacteria clearance of pathogenic bacterium | ????81.9% ????89.9% ????84.7% ????71.2% | ????76.1% ????88.3% ????73.7% ????66.1% |
Through x
2Check, there is significant difference in solution of the present invention to total body clearance and the JIEERYIN XIYE of pathogenic bacterium, its difference have statistical significance (P<0.05=, visible solution of the present invention to the total body clearances of pathogenic bacterium apparently higher than contrasting washing liquid; And treatment group and matched group be to infusorian, candidiasis and three kinds of pathogenic bacterium clearance rate of antibacterial no significant difference, its difference not statistically significant (P>0.05).
In addition, test group and matched group are before and after treatment, and aspect electrocardiogram, urine, stool routine examination and hepatic and renal function inspection, all no abnormal variation is through check difference not statistically significant (P>0.05).The generation of adverse events is according to ICH, GCP standard, and 2 adverse events of 2 examples appear in test group, and 3 clinical adverse events of 3 examples appear in matched group.Wherein, 2 examples and medicine related reactions all appear in test group and matched group, show as local excitation and nauseating, are slightly, do not deal with, and symptom is died away.
Serious adverse events does not all appear in two groups of cases during treating.
The test of pesticide effectiveness 2
For further estimating clinical efficacy and the safety thereof of solution of the present invention to traditional Chinese medical science damp-heat syndrome such as trichomonal vaginitis, candidal vaginitis, bacterial vaginosis.Five tame hospitals such as Guangzhou first Affiliated Hospital of university of institute of traditional Chinese medicine, first Affiliated Hospital of Colleges Of Traditional Chinese Medicine Of Guangxi, second Affiliated Hospital of Colleges Of Traditional Chinese Medicine Of Guangxi, Guangdong Women and Children's Hospital and Health Insitute and the first attached doctor of No.1 Military Medical Univ. adopt the multi-center randomized double method to verify the clinical therapeutic efficacy of solution of the present invention once more.
Testing total case load is 460 examples, and wherein 340 examples are organized in treatment, matched group 120 examples.Before the treatment, treatment group and matched group are at aspects such as physical data, the degree that is in a bad way and lab testings, and through check difference not statistically significant (P>0.05), Pass Test scheme and statistics requirement have comparability.
Administrated method is with the test of pesticide effectiveness 1.Solution of the present invention to the clinical therapeutic efficacy of traditional Chinese medical science damp-heat syndrome such as trichomonal vaginitis, candidal vaginitis, bacterial vaginitis referring to table 3 and table 4.
Table 3 test group and matched group compare the therapeutic effect of damp-heat syndrome
Therapeutic effect | Test group | Matched group |
Total effective rate cure rate obvious effective rate effective percentage | ????94.4% ????9.0% ????64.9% ????22.2% | ????91.7%, ????8.5% ????58.1% ????27.4% |
Treatment group and matched group through checking its difference not statistically significant (P>0.05), illustrate aspect comprehensive therapeutic effect that to the combined therapy effect difference of damp-heat syndrome solution of the present invention has the identical combined therapy effect of contrast medicine JIEERYIN XIYE.
Table 4 test group and matched group compare the removing effect of pathogenic bacterium
Removing effect to pathogenic bacteria |
Test group |
Matched group |
The total body clearance infusorian clearance rate candidiasis clearance rate bacteria clearance of pathogenic bacterium |
????87.7% ????90.7% ????85.0% ????87.3% |
????85.5% ????92.5% ????73.7% ????89.7% |
Through check treatment group and matched group removing effect to infusorian, candidiasis and three kinds of antibacterials of antibacterial, and to the difference of the total body clearances of pathogenic bacterium, two groups of difference not statistically significants (P>0.05).
In addition, before and after the treatment of treatment group and matched group, aspect electrocardiogram, blood, urine, stool routine examination and hepatic and renal function inspection, the equal not statistically significant of result difference (P>0.05).2 clinical adverse events of 2 examples all appear in adverse events, test group and matched group, wherein do not have the adverse events relevant with medicine.In the treatment group 1 example appears only, the slight local excitation of matched group 2 examples, and cause effect relation is judged as suspicious, does not all do special handling, and symptom is employed and is disappeared in a short time.Two groups of cases serious adverse events all do not occur between the treatment time limit.
By above-mentioned to the clinical efficacy of solution of the present invention and the experimental study of safety, prove that solution of the present invention has therapeutic effect well to traditional Chinese medical science damp-heat syndrome such as bacillary, candidiasis, mycotic and infusorian property vagina, and can eliminate patient's clinical symptoms and sign, remove pathogenic bacterium.As seen, the clinical efficacy of solution of the present invention is definite, and is safe, easy to use, is a kind of Chinese medicine for outer use safely and effectively.
Other has pharmacodynamics test to show, this product is external to have significant inhibitory effect to Hemolytic streptococcus, staphylococcus aureus, escherichia coli, bacillus pyocyaneus, gonococcus and Candida albicans, trichomonal vaginitis there is stronger killing action, and having tangible antiinflammatory, itching-relieving action, white is read coccigenic vaginitis the obvious treatment effect.Clinical treatment mouldiness and trichomonal vaginitis 245 examples, average cure rate reaches 79.9%, and total effective rate is 96.25%, does not see toxic and side effects.