CN1695665A - Medication for treating gout - Google Patents

Medication for treating gout Download PDF

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Publication number
CN1695665A
CN1695665A CN 200410081341 CN200410081341A CN1695665A CN 1695665 A CN1695665 A CN 1695665A CN 200410081341 CN200410081341 CN 200410081341 CN 200410081341 A CN200410081341 A CN 200410081341A CN 1695665 A CN1695665 A CN 1695665A
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medicine
present
gout
chinese medicine
blood
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CN 200410081341
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CN100457143C (en
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张沛
冯华祥
芮旭东
周道铨
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Chengdu Huaxi Natural Pharmacy Co., Ltd.
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ZHONGHUI PHARMACEUTICAL CO Ltd CHENGDU CITY
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Abstract

A Chinese medicine for treating acute or chronic gout, tophus, gouty arthritis, and hyperuricemia is prepared from ash bark, clematis root, Chinese angelica root and Chuan-xiong rhizome through conventional process to obtain solid or liquid.

Description

A kind of medicine for the treatment of gout
Technical field
The present invention relates to a kind of medicine for the treatment of gout, relating to a kind of particularly is the Chinese patent medicine of feedstock production with the Chinese herbal medicine.
Background technology
Chinese medicine thinks that the pathogenesis of goat mainly is a congenital defect, and healthy energy is lost empty, and passages through which vital energy circulates loses supports; Or turbid damp is drained slow lacking, the stagnant passages through which vital energy circulates of stream; Or spleen fortune mistake department, the turbid sluggish joint of expectorant; Or being invaded by exogenous pathogen, evil numbness passages through which vital energy circulates, QI-blood circulation is not smooth.The result all causes joint, muscles and bones, myalgia, swelling, red heat, numbness, is weighing, joint stuffiness and form primary disease.Obstinate disease is blood-vessel obstructive then, body fluid cohesion, and ecchymosis, tuberosity around phlegm-turbidity and blood stasis blood impatency meridians and arthroncus, deformity, stiff, the joint, and interior damage internal organs can concurrent Zang-Fu syndromes, and then the state of an illness is complicated and serious.Aspect method of treatment, dissimilar according to gout are adopted heat clearing away collateral dredging, expelling wind and removing dampness respectively, or expelling wind and cold, eliminating dampness and dredging channels, or blood circulation promoting and blood stasis dispelling, eleminating phlegm and freeing channels, or benefiting vital QI and blood, adjusting and reinforcing liver and kidney, expelling wind and dampness, activating collaterals to relieve pain etc. have been obtained better curative effect clinically.
Gout (gout) is that purine metabolic disturbance and/or urate excretion reduce caused one group of disease.Its clinical characters is acute arthritis, tophus deposition, tophus chronic arthritis and the joint deformity that hyperuricemia (hyperuricimia), characteristic are shown effect repeatedly, often involves kidney and causes that chronic interstitial nephritis and uric acid renal calculus form.Primary disease is many with the male, betides person between twenty and fifty well; After the women is mainly seen in menopause.The goat philtrum, trader, cadre are more than workman, peasant, and the outbreak of winter-spring season gout is more.Along with people increase the consumption proportion of food such as drinks, meat, the sickness rate of gout has the trend that rises year by year, reaches about 1% at present, but up to the present, does not still have the medicine of ideal treatment gout.The western medicine gout at short notice truly have certain curative effect, but serious toxic and side effects is arranged; And that common tcm prescription is formed the most delicious number at medical material is more and change greatlyyer, is difficult to use in a wider context.Though it is many to belong to the rheumatismal Chinese patent medicine of the traditional Chinese medical science at present, but the special for treating gout seldom, all introduced the prescription for the treatment of gout separately respectively as Chinese patent 01106831,98108536,98121618,99126277, but the Chinese medicine raw material types of these prescriptions is more.
Summary of the invention
The present invention is to the original explanation of gout pathogeny and the rule of treatment and a kind of medicine for the treatment of gout of making contains Cortex Fraxini, Radix Clematidis, Radix Angelicae Sinensis and Rhizoma Chuanxiong in the medicine of the present invention according to China's Chinese medicine and pharmacy.Cortex Fraxini nature and flavor bitter cold among its side can removing damp-heat, can exempt from the numbness pain relieving again.Modern pharmacological research proves, the contained aseculin of Cortex Fraxini, aesculetin, fraxin etc. have tangible antiinflammatory action to swelling of the feet due to artificial; Aesculetin also has analgesic activity; Fraxin has diuresis; Aseculin can increase urate excretion.The hot temperature of loosing of Radix Clematidis is logical, can expelling wind and removing dampness, again can removing obstruction in the collateral to relieve pain, thus all rheumatic arthralgia, the contracture of muscle arteries and veins, it is unfavorable that the joint song is stretched, and all can use.The sweet suffering of Radix Angelicae Sinensis is gentle, can enrich blood, again can promoting the circulation of blood, and good analgesic effect is arranged, the blood deficiency stasis there is the arthralgia of wind-damp numbness, and can work in coordination with Cortex Fraxini, Radix Clematidis is obtained better curative effect.Rhizoma Chuanxiong also is the hot logical product of temperature that loose, and is the gas medicine in the blood, can blood-activating and qi-promoting, and the bypass channels again can wind-expelling pain-stopping, and the pain of QI and blood stasis and wind-damp numbness is very imitated.Radix Angelicae Sinensis, Rhizoma Chuanxiong two medicines share, but both circulation of qi promoting promoting blood circulation and stopping pain, again can nourishing blood to expel wind.Four medicines share, and coordinate mutually, can encourage its elimination to main disease to be treated and etiology and pathogenesis, thereby produce the result of unexpected treatment gout.
The raw material of Chinese medicine consumption of drug regimen of the present invention through the inventor grope in a large number sum up, the research checking draws repeatedly, the consumption of each component all has curative effect preferably in the scope of following weight part ratio example:
225~375 parts of 225~375 parts of Radix Angelicae Sinensis of 450~750 parts of Radix Clematidis of Cortex Fraxini
225~375 parts of Rhizoma Chuanxiongs
The part by weight of each tcm components raw material that medicine of the present invention can adopt especially is:
300 parts of 300 parts of Rhizoma Chuanxiongs of 300 parts of Radix Angelicae Sinensis of 600 parts of Radix Clematidis of Cortex Fraxini
The present invention can make different solid and liquid absorption member such as granule, capsule, oral liquid with the conventional formulation method of general Chinese patent medicine, wherein when raw material of Chinese medicine being decocted extraction, should collect volatile oil simultaneously, and before making preparation, add in the preparation.
Medicine of the present invention is a raw material with pure Chinese herbal medicine, formulated through science, have expelling wind and removing dampness and arrange function turbid, promoting blood circulation, dredging meridian and relieving pain, effects such as antiinflammatory, analgesia, inhibition capillary permeability increase, blood circulation promoting and blood stasis dispelling, diuresis are arranged, be used for the treatment of diseases such as acute and chronic gout, hyperuricemia, gouty arthritis, tophus.
The specific embodiment
Further set forth the beneficial effect of medicine of the present invention below by the specific embodiment, these specific embodiment have comprised the toxicity test and the results of pharmacodynamic test of medicine of the present invention.
Toxicity test:
Give mouse gavaging and disposable celiac injection carrying out acute toxicity test with the extract of medicine of the present invention as test specimen.The result shows: the maximum tolerated dose of mouse gavaging medicine of the present invention is that 47.04g/kg/24h (is equivalent to 235.2g crude drug in whole/kg/24h), is 156.8 times of 60kg body weight adult clinical oral administration day dosage; The LD of mice disposable celiac injection 50(be equivalent to 13.1g crude drug in whole/kg), the 95% credible 2.10~3.28g/kg that is limited to (is equivalent to 10.50g~16.40g crude drug in whole/kg) for 2.62g/kg.Long term toxicity test shows, rat gavages the extract 2,5,12g/kg (be equivalent to clinical amount 10,25,60 times) of medicine of the present invention every day, 8 week back hematologys, blood biochemical are learned relatively all no significant differences of index, organ coefficient and matched group, and pathological examination results does not also see that drug-induced pathologic changes.After 2 weeks of drug withdrawal, every index of each administration group and matched group compare, and all no significant difference points out this medicine not have obvious retardance toxicity.Illustrate that it also is safe that medicine of the present invention is taken for a long time.
Pharmacodynamic test of active extract:
Be that tester is investigated medicine of the present invention uric acid sodium (MSU) is induced the influence of rat paw edema with the etidocine tablet, with laboratory sample by 2.4,1.2,0.6g/kg (be equivalent to 12,6, high, medium and low three dosed administrations of 3g crude drug/kg).The result show medicine height of the present invention, middle dosage (12, the rat paw edema of 6g crude drug/kg) MSU is caused all has obvious suppression effect (P<0.01 or P<0.05).
With the etidocine tablet is that tester is investigated medicine of the present invention is induced the rabbit acute arthritis to MSU influence, the result shows that medicine height of the present invention, middle dosage (consumption is the same) all can obviously reduce the numeration of leukocyte (P<0.01) of MSU in the hydrarthrosis in rabbit joint, obviously alleviates the inflammatory reaction degree of synovial tissue of joint and synovial cell's degeneration, necrosis etc. (P<0.01 or P<0.05).
Can be tester with hydrogenation and investigate the influence of medicine of the present invention the mouse peritoneal capillary permeability, with test specimen by 3.6,1.8,0.9g/kg (be equivalent to 18,9, high, medium and low three dosed administrations of 4.5g crude drug/kg).The result show medicine height of the present invention, middle dosage (18,9g crude drug/kg) all can obviously suppress the mouse peritoneal capillary permeability that acetic acid causes and increase (P<0.01).
With the pethidine hydrochloride is that tester is investigated the analgesic activity of medicine of the present invention to the mice hot plate method, and the result shows the effect (P<0.01 or P<0.05) that all had the inhibition thermostimulation to cause mice pain in 60 minutes, 120 minutes, 180 minutes behind medicine of medicine height of the present invention, middle dosage (consumption is the same).
With indometacin and pethidine hydrochloride is that tester is investigated medicine of the present invention glacial acetic acid is caused the analgesic activity (writhing method) of mice inflammatory pain, and the result shows that the high, medium and low dosage of medicine of the present invention (consumption is the same) all has obvious inhibitory action (P<0.01) to the pain reaction (writhing response) that mouse peritoneal injection acetic acid causes.
Is the diuresis that tester is investigated medicine of the present invention with the hydrochlorothiazide tablet, with test drug by 2.4,1.2,0.6g/kg (be equivalent to 12,6, high, medium and low three dosed administrations of 3g crude drug/kg).The result show medicine height of the present invention, middle dosage (12,6g crude drug/kg) had tangible diuresis (P<0.01 or P<0.05) in 1~4 hour after administration, and high dose group is to Na in 4 hours urine +, K +And Cl -The significant decorporation effect of letting out (P<0.01) is arranged.
Is that tester is investigated the influence of medicine of the present invention to blood stasis model rat blood rheological characteristic with the compound Salviae Miltiorrhizae, with test drug by be equivalent to 18.0,9.0, high, medium and low three dosed administrations of 4.5g crude drug/kg.Test shows, medicine high dose of the present invention (18.0g crude drug/kg) can reduce blood stasis model rat 5S -1The whole blood viscosity of shear rate and plasma viscosity value (P<0.01 or P<0.05).
Come further to set forth medicine of the present invention by the following examples.
Embodiment 1: the granule preparation of medicine of the present invention
Get the raw material of Chinese medicine of following weight: Cortex Fraxini 650g, Radix Clematidis 325g, Radix Angelicae Sinensis 320g, Rhizoma Chuanxiong 330g, soak 1~1.5 hour after, the decocting that adds 7~12 times of amounts respectively boils 3 times, time is respectively 40~100 minutes (collecting volatile oil when decocting for the first time simultaneously), merge decoction liquor, filter, be concentrated into relative density 1.08~1.12; The spray-dried extract powder of making is crossed 80 mesh sieves, adds an amount of mixing of dextrin, adds sweet generation sugar 5g mixing again; Add an amount of 92% ethanol and make soft material, cross 12 mesh sieves and granulate, 40~60 ℃ of dryings, cross 12 mesh sieve granulate: spray into volatile oil ethanol liquid, airtight moistening 65~70 minutes is packed as 100 bags, every bag of 5g, promptly.
Embodiment 2: the oral liquid preparation of medicine of the present invention
Get the raw material of Chinese medicine of following weight: Cortex Fraxini 625g, Radix Clematidis 320g, Radix Angelicae Sinensis 315g, Rhizoma Chuanxiong 310g, soak 1~1.5 hour after, the decocting that adds 10,8 times respectively boils 2 times, time is respectively 90,60 minutes (collecting volatile oil when decocting for the first time simultaneously), merge decoction liquor, filter, be concentrated into relative density 1.05~1.20, adding ethanol makes and contains alcohol amount and reach 70%~80%, left standstill 24 hours, and filtered, centrifugal behind the decompression filtrate recycling ethanol; Get volatile oil that supernatant add to collect and polyoxyethylene sorbitan monoleate 10g, cyclamate 0.5g, sorbic acid 2g, mixing adds water to 1000ml, filter, and fill, sterilization, promptly.

Claims (4)

1. Chinese medicine preparation for the treatment of gout is characterized in that it contains following medicine (by ratio of weight and the number of copies):
Cortex Fraxini 450~750 Radix Clematidis 225~375 Radix Angelicae Sinensis 225~375
Rhizoma Chuanxiong 225~375
2. according to claims 1 described Chinese medicine preparation, it is characterized in that the preferred disposition ratio is:
Cortex Fraxini 600 Radix Clematidis 300 Radix Angelicae Sinensis 300 Rhizoma Chuanxiongs 300
3. according to claim 1,2 described Chinese medicine preparation, it is characterized in that said preparation is said solid and a liquid dosage form on any pharmaceutics.
4. when decocting claim 1,2 described raw material of Chinese medicine, collect their volatile oil and be used for preparation.
CNB2004100813412A 2004-11-29 2004-11-29 Medication for treating gout Active - Reinstated CN100457143C (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100368000C (en) * 2006-02-17 2008-02-13 朱良春 Compound fleece-flower root granula for gout
CN1943651B (en) * 2006-10-20 2010-09-01 荣凯 A medicinal composition for treating gout
CN101732386B (en) * 2008-11-04 2012-03-21 江苏康缘药业股份有限公司 Medicinal composition for treating gout, preparation method thereof and purposes thereof
CN102105153B (en) * 2008-05-22 2014-03-05 百时美施贵宝公司 Method for treating hyperuricemia employing SGLT2 inhibitor and composition containing same
CN107617017A (en) * 2017-10-27 2018-01-23 沈瑞金 A kind of Chinese medicine for treating tophus
CN111375002A (en) * 2020-03-20 2020-07-07 成都华西天然药物有限公司 Pharmaceutical composition for treating hyperuricemia and preparation method and application thereof

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1413664A (en) * 2002-06-05 2003-04-30 徐冬雁 Chinese medicine for treating gout

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100368000C (en) * 2006-02-17 2008-02-13 朱良春 Compound fleece-flower root granula for gout
CN1943651B (en) * 2006-10-20 2010-09-01 荣凯 A medicinal composition for treating gout
CN102105153B (en) * 2008-05-22 2014-03-05 百时美施贵宝公司 Method for treating hyperuricemia employing SGLT2 inhibitor and composition containing same
CN101732386B (en) * 2008-11-04 2012-03-21 江苏康缘药业股份有限公司 Medicinal composition for treating gout, preparation method thereof and purposes thereof
CN107617017A (en) * 2017-10-27 2018-01-23 沈瑞金 A kind of Chinese medicine for treating tophus
CN111375002A (en) * 2020-03-20 2020-07-07 成都华西天然药物有限公司 Pharmaceutical composition for treating hyperuricemia and preparation method and application thereof

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Address before: 30, Shu West Road, Chengdu, Sichuan Province, China: 610036

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