Background technology
Motherland's medical science thinks that hyperlipidemia is " phlegm-damp ", " turbid resistance ", " resistance of heart arteries and veins ", " deficiency of both QI and YIN ", the deficiency in origin and excess in superficiality card on all dirty prosperity and decline imbalance bases of the heart, kidney,liver,spleen.
Hyperlipidemia be meant in the blood plasma cholesterol or (with) triglyceride levels raises and produces the disease of metabolism disorder of blood lipid, in recent years along with growth in the living standard, hyperlipidemia and dyslipidemia be trend of rising gradually, chronic disease epidemiology sampling survey according to the Shenzhen special Economic Zone adult, the prevalence of the main Chronic Non-Communicable Diseases of resident, the prevalence of hypertension and hyperlipidemia is respectively 50.92 ‰ and 38.42 ‰, and hyperlipidemia occupies the 2nd of the disease that now takes a disease.Hyperlipidemia and arteriosclerotic formation and development have substantial connection, are the major incentive of hypertension, coronary heart disease, cerebrovascular disease, and this disease sickness rate is high and be low age bracket developing state.Hyperlipidemia is the basis that cardiovascular and cerebrovascular disease takes place, so effectively control the key that blood lipid level is the prevention cardiovascular and cerebrovascular disease.
The disease that hyperlipidemia caused is a lot, harm is very big, and the blood fat reducing of utilization medicine not only will make atherosclerosis (AS) speckle disappear, but also can significantly reduce the incidence rate of coronary heart disease (CHD).Therefore control the basis that hyperlipidemia is other pathological changes of prevention.
At present, Western medicine has been obtained some achievements to the treatment of hyperlipidemia, but side effect is big.Along with the exploitation and the use of new Chinese medicine, Western medicine uses minimizing trend.The Chinese medicine patent medicine of existing treatment hyperlipidemia is the granule that Chinese medical concrete is made, easily moisture absorption, and caking, rotten; The medicine bitter in the mouth, mouthfeel is poor, takes inconvenience; Granule mostly is sugar-containing type, and hypertension, diabetics should not be taken.Develop as early as possible safe and effective, steady quality, the new Chinese medicine of treatment hyperlipidemia easy to use is very necessary for the patient removes slight illness.
Summary of the invention
Big in order to solve the side effect of western medicine hyperlipidemia, and the granule made of Chinese medical concrete, easily moisture absorption, caking, rotten; Medicine sour in the mouth, hardship, mouthfeel is poor, takes inconvenience, and granule mostly is sugar-containing type, the problem that hypertension, diabetics should not be taken.The object of the present invention is to provide a kind of medicine for the treatment of hyperlipidemia, this medicine is a kind of tablet, to treatment hyperlipidemia and various complication determined curative effect thereof, has no side effect, and is safe.
The present invention also provides the preparation method of this medicine.This preparation method can fully be extracted active ingredient, can remove impurity most possibly again, and suitable industrial production requirement.
The technical scheme that the present invention is taked for its purpose of realization is: a kind of Chinese medicinal tablet for the treatment of hyperlipidemia, it is characterized in that tablet is made up of the effective active components of following medical material component, the weight range of its used medical material is: Fructus Crataegi 1125~1375g, Radix Polygoni Multiflori Preparata 56.25~68.75g, Semen Cassiae 56.25~68.75g, Folium Nelumbinis 168.75~206.25g.
The preferable weight of each component is: Fructus Crataegi 1187.5~1312.5g, Radix Polygoni Multiflori Preparata 59.4~65.6g, Semen Cassiae 59.4~65.6g, Folium Nelumbinis 178.1~196.9g.
The optimum weight of each component is: Fructus Crataegi 1250g, Radix Polygoni Multiflori Preparata 62.5g, Semen Cassiae 62.5g, Folium Nelumbinis 187.5g.
Described Fructus Crataegi is the enucleation Fructus Crataegi
Preparation method of the present invention comprises the following steps:
1. by the component weight material of getting it filled, Fructus Crataegi, Semen Cassiae decoct with water 2~3 times, and each 1~3 hour, add 8~12 times in water at every turn, collecting decoction filters, and under 55~65 ℃ of temperature, it is 1.05~1.35 clear paste that filtrate is concentrated into relative density; The best adds 12 times of water gagings for the first time for decocting with water 2 times, adds 10 times of water gagings for the second time, and each 2 hours, collecting decoction filtered, and filtrate is concentrated into the extractum that relative density is 1.25~1.30 (60 ℃), and is standby;
2. get Folium Nelumbinis, Radix Polygoni Multiflori Preparata with 6~10 times of amount 40~60% alcohol reflux 2~4 times by component weight, reclaim ethanol, under 50~70 ℃ of temperature, be concentrated into relative density and be 1.05~1.35 clear paste; Best is to measure 50% alcohol reflux 3 times with 8 times, 3 hours for the first time, and 2 hours for the second time, 1 hour for the third time, reclaim ethanol, being concentrated into relative density is the extractum of 1.25~1.30 (60 ℃), standby;
3. with above-mentioned 1., 2. condensed cream merges, drying under reduced pressure in the time of 60~90 ℃ is ground into fine powder, crosses 70~120 mesh sieves, promptly gets the active constituent of medicine of the present invention; The best is a drying under reduced pressure in the time of 70 ℃, is ground into fine powder, crosses 80 mesh sieves, and is standby;
4. get the above-mentioned active constituent 350~450g that 3. is prepared into,, add an amount of filler, disintegrating agent, mixing is a wetting agent with 60~95% ethanol, granulates with 10~20 mesh sieves, under 60~90 ℃ of temperature, drying under reduced pressure adds the moderate lubrication agent, mixing, granulate is pressed into 1000, the bag film-coat, make finished tablet, promptly.
Described filler is pregelatinized Starch, and addition 50~80g, disintegrating agent are carboxymethyl starch sodium, and addition 20~50g, lubricant are magnesium stearate, and addition 3~10g, coating solution are 8% stomach dissolution type film coating powder ethanol liquid.
Best proportioning is: active component 390g, add pregelatinized Starch 70g, carboxymethyl starch sodium 30g, with 75% ethanol is wetting agent, granulates reduced vacuum drying (70 ℃) with 16 mesh sieves, add magnesium stearate an amount of (3.5g) again, mixing, granulate is pressed into 1000, with 8% stomach dissolution type film coating powder ethanol liquid bag film-coat, make finished tablet.
Before decocting with water, described Fructus Crataegi, Semen Cassiae soaked 1~2 hour; The best is to soak 1 hour before decocting; Soaked 1~2 hour before described Folium Nelumbinis, the Radix Polygoni Multiflori Preparata reflux, extract; The best is to soak 1 hour before the reflux, extract.
Every heavy 0.5g of above-mentioned tablet (optimum weight, technology, ratio of adjuvant by each component are made), every is equivalent to crude drug 1.5625g.
Usage and dosage: oral, one time 4,3 times on the one.
Required various conventional adjuvant when the active component of medicine of the present invention can add different dosage form is prepared into peroral dosage form commonly used as excipient, filler etc. with the formulation method of routine, as Film coated tablets (or coated tablet), capsule, oral liquid etc.
The preparation of pharmaceutically active component of the present invention: adopt water extraction method to extract in the Fructus Crataegi main blood fat reducing composition flavone compound etc., main blood fat reducing composition anthraquinone derivatives in the Semen Cassiae; And preferred decoction number of times, time and amount of water.Adopt ethanol extraction method to extract main blood fat reducing composition anthraquinone component, phospholipid and stilbene glycoside in the Radix Polygoni Multiflori Preparata, main blood fat reducing composition flavonoid and multiple alkaloid in the Folium Nelumbinis; And preferred number of times, time and concentration of ethanol and the alcoholic acid amount of extracting.Remove impurity to greatest extent, kept effective ingredient.And concentrate under the cryogenic conditions in decompression, drying, simultaneously the adjuvant of preparations shaping technology, granulation condition, coating method etc. have been carried out examination, screening, optimize the preparation technology who is suitable for suitability for industrialized production.
Beneficial effect of the present invention: medicine of the present invention has blood fat reducing, vessel softening.Be used to strengthen the coronary flow circulation, arrhythmia and hyperlipidemia.The present invention makes tablet, has kept " granule " effective ingredient to greatest extent, taking convenience, and the crowd that takes is wide, and dosage is accurate; Tablet adopts the stomach dissolution type film coating, improves stability of drug, can cover the bitterness of former medicine simultaneously; Significantly reduced drug dose, be easy to carry, preserve and transport.
The specific embodiment
Embodiment 1:
Material component: Fructus Crataegi (enucleation) 1125g, Radix Polygoni Multiflori Preparata 56.25g, Semen Cassiae 56.25g, Folium Nelumbinis 168.75g.
Embodiment 2:
Material component: Fructus Crataegi (enucleation) 1250g, Radix Polygoni Multiflori Preparata 62.5g, Semen Cassiae 62.5g, Folium Nelumbinis 187.5g.
Embodiment 3:
Material component: Fructus Crataegi (enucleation) 1375g, Radix Polygoni Multiflori Preparata 68.75g, Semen Cassiae 68.75g, Folium Nelumbinis 206.25g.
Above-mentioned three groups of embodiment all adopt following preparation method:
1. above four Chinese medicine material, wherein Fructus Crataegi, Semen Cassiae decoct with water secondary, add 12 times of water gagings (soaking 1 hour before decocting) for the first time, for the second time add 10 times of water gagings, each 2 hours, collecting decoction, filter, filtrate is concentrated into the extractum that relative density is 1.25~1.30 (60 ℃), and is standby;
2. all the other Folium Nelumbinis, Radix Polygoni Multiflori Preparata are measured 50% alcohol reflux three times with 8 times, 3 hours for the first time (soaking 1 hour before the reflux, extract), 2 hours for the second time, 1 hour for the third time, reclaim ethanol, be concentrated into relative density and be the extractum of 1.25~1.30 (60 ℃), standby;
3. with above-mentioned 1., 2. condensed cream merges, drying under reduced pressure in the time of 70 ℃ is ground into fine powder, crosses 80 mesh sieves, and is standby;
4. add pregelatinized Starch 70 grams, carboxymethyl starch sodium 30 grams, mixing is a wetting agent with 75% ethanol, granulates with 16 mesh sieves, reduced vacuum drying (70 ℃), it is an amount of to add magnesium stearate, mixing, granulate, be pressed into 1000, the bag film-coat is made finished tablet, promptly.
By the component weight of embodiment 2 and adopt the made Chinese medicinal tablet of above-mentioned preparation method, every heavy 0.5g, every is equivalent to crude drug 1.5625g.Production unit can amplify corresponding multiple by this according to production scale separately.
Tablet pharmacological toxicology data of the present invention
Pharmacodynamic test of active extract: (1) blood lipid regulation prevents atherosclerosis; (2) blood fat reducing, vessel softening.Be used to strengthen the coronary flow circulation, arrhythmia and hyperlipidemia; (3) remarkable cholesterol reducing (TC), triglyceride (TG), low density lipoprotein, LDL (LDL-C), high density lipoprotein increasing (HDL-C); (4) significantly increase apolipoprotein (Apo); (5) effectively protect aortic tunica intima, alleviate the damage of hyperlipidemia aortic tunica intima.
Toxicologic study confirms: long-term large dose oral administration is not seen obvious pathological changes, shows that these product have no side effect, but long-term prescription reaches the purpose for the treatment of both the principal and secondary aspects of a disease.
Tablet of the present invention has curative effect preferably through clinical verification to the hyperlipemia card, and the effect of blood fat reducing, vessel softening is arranged, and is specially to control hyperlipidemia, atherosclerotic pure natural medical.