Background technology
Prostatosis has become the commonly encountered diseases and the frequently-occurring disease of adult male, and the sickness rate height ranks first, account for clinical near half, and main age of onset is between 18 years old to 50 years old, often per urethram scorching, seminal vesiculitis or attached highland inflammation cause.As male's main attached gonad, prostatosis mainly is by genital system infection, and main trafficability characteristic propagation, at the different development stage prostate different diseases can take place.According to domestic statistics, prostatitis is the highest with between twenty and fifty people's prevalence, and the number of going to a doctor because of prostatitis in policlinic accounts for prescription on individual diagnosis patient's male 25% to 30%.Clinical have acute and chronic, bacterial infection and non-infectious, specificity and non-specific branch.The categories such as " acute pyogenic infection of perineum, nebulousurine, stranguria caused by overstrain, stranguria marked by chyluria, smart turbid " that belongs to the traditional Chinese medical science.It can cause that also the genito-urinary system that continues or show effect repeatedly infects completely without symptom.Prostatitic route of infection is hematogenous infection or direct extension.Wherein the per urethra direct extension is more sees.Main diseases is because of being that antibacterial enters body of prostate through ducts of prostate gland and causes inflammation; Or prostatic hyperplasia and calculus make prostatic urethra distortion, crooked congested, loses prostatitis is taken place for the immunity of non-pathogenic bacteria.Or the urethra apparatus brings antibacterial into when using or goes up the urinary tract inflammation and degerm descendingly, causes prostate and infects; Or hematogenous infection, often being secondary to skin, tonsil, dental caries, the actute infection of intestinal respiratory tract, antibacterial arrives prostatic part by blood and causes infection.Its clinical manifestation has General Symptomies such as heating shiver with cold or systemic pain, weak weakness, anorexia, nausea and vomiting, constipation with dry stool, headache; Or the perineum suprapubic region has the weight sense, and sitting, defecation increase the weight of, and to local symptoms such as waist, lower abdomen, back, thigh root radiation; The sound of rain pattering or see pyuria behind causalgia, urgent micturition, frequent micturition, the urine when urinating, can occur urinating when serious smooth, the urine rheology is thin, even causes urinary tract symptom such as urine retention; Rectum distension, just urgency or defecation pain, the white rectum symptom that waits of urethra stream during stool; Property symptoms such as hyposexuality, sexual anhedonia, sexual impotence, hemospermia.
In one's old age, testicular function is degenerated, and hormonal readiness reduces, and the prostatitis sickness rate descends, and the sickness rate of benign prostate hyperplasia obviously raises.This kind disease is quite high at the sickness rate of American-European countries, and is relatively low at the sickness rate of China, but the existing in recent years trend that increases rapidly.Prostatitis is the modal diseases of urinary system of the right side of fifty male, is listed as the 3rd in the elderly men diseases of urinary system.Acute prostatitis is meant the acute inflammation due to the non-specific bacterial infection of prostate, mainly shows as urgent micturition, frequent micturition, dysurea, rectum and perineal position pain, and fever with aversion to cold etc. is arranged more, belongs to the traditional Chinese medical science " pyretic stranguria " category.The property prostatitis be chronic inflammatory disease due to the non-specific bacterial infection of prostate, mainly show to urinate slowly at frequent micturition, urgent micturition, night and increase companion's dysurea or hypogastric region, perineal position pain discomfort, the course of disease is longer.The traditional Chinese medical science belongs to,, smart turbid " category, be common in male adults.From the clinical onset rate, even most of senile prostatic hyperplasia of prostate patient is also with prostatitis.Primary disease and male sexual disorder (hyposexuality, premature ejaculation, painful ejaculation, seminal emission) substantial connection arranged.
At present, doctor trained in Western medicine is used antibiotic therapy to prostatitis more.Disperse enters prostatic uneven difference according to antimicrobial drug, and antibiotic is classified.High-caliber have trimethoprim, lincomycin, an erythromycin etc.; Medium level chloromycetin, lincomycin arranged; Low-level have doxycycline, kanamycin, nitrofurantoin, oxytetracycline, benzylpenicillin, polymyxin B, rifampicin and most sulphonamidess etc. ampicillin, pioneer I number, pioneer IV number.Medicine penetrates prostate easily during acute inflammation, the patient that part prostatic fluid the inside leukocyte disorder raises, and antibiotic has certain effect.But antibacterials are difficult to infiltrate through prostate during chronic inflammatory disease, and treatment is difficulty comparatively, can not find malignant bacteria in the prostatic fluid, does not have specific short so far.In addition, after antibiotic is stopped using, certain recurrence possibility is arranged.And antimicrobial drug has the influence of certain side effect to patient's hepatic and renal function.
Because primary disease cause of disease complexity, the course of disease is touching, and is obstinate difficult, still do not have ideal effect method at present clinically, how dissatisfied in treatment.The present invention is directed to the deficiency of above-mentioned technology, adopt this chronic disease of treatment by Chinese herbs prostatitis, especially chronic prostatitis, the Chinese medicine primary disease is paid attention to the integral body of compound recipe and recuperated under medical treatment advantage, and is reliable with its curative effect, drug safety is subjected to the attention of Chinese scholars day by day.Thereby make the traditional Chinese medicine of motherland in its treatment, bring into play very big effect, and prospect allow people's optimism.Feature of the present invention is mostly to be damp invasion of lower energizer at chronic prostatitis to tie in smart chamber and bladder, and treatment is held up unit with QI invigorating, and clearing away heat-damp and promoting diuresis, anti inflammatory blood quickening are method.With the Radix Astragali, the Rhizoma Anemarrhenae, Cortex Phellodendri, Radix Bupleuri, succinum, Semen Plantaginis, Herba Taraxaci, Rhizoma Alismatis scientific composition, processing meticulously, clinical use have obtained satisfied effect.Therefore, effective Chinese medicine of development treatment chronic prostatitis has the good application development prospect, will produce remarkable social benefit and economic benefit.
Summary of the invention
Purpose of the present invention is exactly in order to address the above problem, and providing a kind of is that the QI invigorating that has of main component is held up unit with Chinese medicine, clearing away heat-damp and promoting diuresis, and the anti inflammatory blood quickening effect is to treatment prostatitis obvious results Chinese medicine composition and application thereof.
Purpose of the present invention can take following technical scheme to realize:
The prostatitic Chinese medicine composition of a kind of treatment is characterized in that it is that component is formed or made active component and pharmaceutically acceptable additives are formed or make active component and pharmaceutically acceptable additives are formed by the alcohol extract of following main materials by the water extract of following main materials by following main materials:
The Radix Astragali 300~600 weight portion Rhizoma Anemarrhenaes 300~450 weight portion Cortex Phellodendris 300~450 weight portion Radix Bupleuri 300~450 weight portion succinums 300~450 weight portion Semen Plantaginiss 180~300 weight portion Herba Taraxacis 180~300 weight portion Rhizoma Alismatis 120~180 weight portions
Preferable range is:
248~498 parts of 248~498 portions of Cortex Phellodendris of 331~999 parts of Rhizoma Anemarrhenaes of the Radix Astragali
166~498 parts of 166~498 portions of Semen Plantaginiss of 166~498 parts of succinums of Radix Bupleuri
166~498 parts of 166~498 portions of Rhizoma Alismatis of Herba Taraxaci
Its formula optimization is:
The Radix Astragali 450 weight portions, the Rhizoma Anemarrhenae 400 weight portions, Cortex Phellodendri 400 weight portions, Radix Bupleuri 400 weight portions, succinum 400 weight portions, Semen Plantaginis 250 weight portions, Herba Taraxaci 250 weight portions, Rhizoma Alismatis 150 weight portions.
A kind of preparation method for the treatment of prostatitic Chinese medicine composition, wherein: it makes active component by the water extract of following raw materials according and pharmaceutically receptible additives are formed, and the weight portion of each raw material is: 166~498 parts of 166~498 portions of Rhizoma Alismatis of 166~498 parts of Herba Taraxacis of 166~498 portions of Semen Plantaginiss of 166~498 parts of succinums of 248~498 parts of Radix Bupleuri of 248~498 portions of Cortex Phellodendris of 331~999 parts of Rhizoma Anemarrhenaes of the Radix Astragali; Comprise the steps:
(a) take by weighing the Radix Astragali, the Rhizoma Anemarrhenae, Cortex Phellodendri, Radix Bupleuri, succinum, Semen Plantaginis, Herba Taraxaci, the former medicine of Rhizoma Alismatis and that coarser powder is ground in its pulverizing is standby by weight;
(b) Radix Astragali, the Rhizoma Anemarrhenae, Cortex Phellodendri, Radix Bupleuri, Semen Plantaginis, Herba Taraxaci, the Rhizoma Alismatis with described weight portion decocts with water twice, add water serves as easy not have powder at every turn, merge decocting liquid twice, filter to get filtrate, it is 1.15~1.35 extractum that concentrated filtrate becomes proportion, dry under 45~55 ℃, get dry extract;
(c) described succinum merges dry extract, is ground into fine powder, is prepared into the active component of medicine;
(d) with gained active component and the abundant mixing of correctives, make pharmaceutically acceptable any dosage form.During with the medicine extracting in water, add 10 times in water for the first time in the above-mentioned steps (b), decocted 2 hours, add 8 times in water the second time, decocted 1.5 hours; Spissated extractum proportion is 1.20.
Purpose of the present invention can also take following method to realize:
Described pharmaceutically acceptable additives are following one or more: ethylparaben, tartaric acid, citric acid, sodium bicarbonate, lecithin, sodium lauryl sulphate, glycerol, gelatin, Polyethylene Glycol, glycerol monolaurate (Selucire44/14), propylene glycol, dextrin, dried starch.
Its dosage form can be a said dosage form on any pharmaceutics, as effervescent granule electuary, capsule, tablet etc.; Described capsule can be common capsule, effervescent capsule or other various suitable capsules; Described tablet can be common tablet, effervescent tablet, dispersible tablet or other various suitable tablets, can be with suitable coating material coating also coating not; The preferred particulates agent.
The present invention's (prostatitis peace granule) has the chronic prostatitis rat and reduces the blood leukocytes counting, suppresses the pathological change effect of being significantly improved that tissue weight increases, prostata tissue is taken place.The prostatic hyperplasia that the urogenital sinus implantation is caused adult mice has certain preventive effect.Have and suppress inflammation and significant analgesia role in early stage, late period.2,4 one dinitrophenols are caused rat fever significant protective effect is arranged.Certain clearing away heat and promoting diuresis effect is arranged, and antibacterial confirmation can alleviate the zoogenetic infection symptom in the body, prolongs the death time, and the surviving animals number presents dose dependent.It is to staphylococcus aureus, group B streptococcus and colibacillary EDM and 95% fiducial limit thereof.
Following experimental example is used to further specify the present invention.
Experimental example 1 prostatitis peace is to the influence of rat chronic prostatitis model
70 of Wistar rats, male, be divided into 7 groups at random by body weight: high, medium and low dosage group is pacified in normal control group, model control group, QIANLIEKANG matched group, diclofenac matched group, prostatitis.With reference to method anaesthetize, aseptic operation operation, fixing bladder, expose the prostate siphonal lobe, in prostate, inject mixing proinflammatory agent (formaldehyde one Oleum Tiglii of 3.3mol/L 8: 2) 10ul with aseptic micro sample adding appliance, the normal control group is injected physiological saline solution 10ul in prostate, all the other operations are the same.Postoperative 24 hours is all to SMZ-Co gastric infusion 1ml/100 weight portion, continuous 2 times.Postoperative normal control group after 24 hours, model control group irritate stomach for equal-volume water.All the other each medicine groups are all irritated stomach, continuous 10 days by above-mentioned dosage.Fasting was 8 hours in the 11st day, and the socket of the eye vein is got blood 0.5ml, does the numeration of leukocyte inspection.The result organizes t check, dissects rat immediately after getting blood, gets prostate, with 100,000/ scales/electronic balance weighing, calculate dirty/body ratio, the result organizes a t and checks, and sees Table 1.
Table 1 prostatitis peace granule to the influence of rat chronic prostatitis model (X ± s, n=10)
Annotate: with normal control group ratio
*P<0.05,
*P<0.01
* *P<0.001
Compare with model control group
△P<0.05,
△ △ △P<0.001
By table 1 result as seen, rat significantly raises through operation modeling bleeding from anus numeration of leukocyte, and prostata tissue obviously increases weight.Give to make behind the prostatitis peace granule operation rat serum numeration of leukocyte that in various degree decline is arranged, than higher dosage tangible statistical significance is arranged with model control group; In, low dosage is to the operation rat serum numeration of leukocyte trend that only has certain effect.High, medium and low dosage increases operation rat prostate tissue weight all utmost point significant inhibitory effect, and prompting prostatitis peace granule has the obvious treatment effect to the rat chronic prostatitis.
2. pairs of mouse retention gential sinuses of experimental example implantation causes the preventive effect of prostatic hyperplasia and gets 60 of Male Kunming strain mice, body weight 24-26 weight portion, 10 every group.Be divided into normal control group, model control group, prostatitis and pacify high, medium and low dosage group and stibestrol group.Giving equal-volume water except that normal control group, model control group irritates the stomach, the all pre-administration of all the other medicine groups 3 days, fasting 8 hours with reference to method anaesthetize, the aseptic operation operation, fixing bladder, expose the prostate siphonal lobe, be implanted into the urogenital sinus tissue 0 of 16 days gestational age Mus with aseptic sharp tweezer to the prostate siphonal lobe.1 weight portion; The normal control group is with aseptic sharp tweezer continued stimulus twice in the prostate siphonal lobe, and all the other operations are the same.Postoperative 24 hours is all to SMZ-Co gastric infusion 1ml/100 weight portion, continuous 2 times.Postoperative normal control group after 24 hours, model control group irritate stomach for equal-volume water.All the other each medicine groups continue to irritate stomach, continuous 27 days.Medication finishes back 24 hours, cut open immediately and get prostate, with 100,000/ scales/electronic balance weighing, calculate dirty/body ratio, the result organizes a t check, sees Table 2.
Table 2 QIANLIE TAI granule to prostatic hyperplasia influence (X ± S, n=10)
By table 2 result as seen, the urogenital sinus implantation can cause the adult mice prostatic hyperplasia, shows that prostata tissue obviously increases weight.Give can make the increase of adult mice prostata tissue weight not remarkable behind the prostatitis peace granule, have respectively extremely significantly and significant differences than higher, middle dosage, the low dosage trend that also has certain effect with model control group: but action intensity is not as stibestrol.Prompting prostatitis peace granule has certain preventive effect to the prostatic hyperplasia that the urogenital sinus implantation causes adult mice.
According to above clinical pharmacology result of study, the present invention has QI invigorating really and holds up unit, clearing away heat-damp and promoting diuresis, the effect of anti inflammatory blood quickening, can play fine therapeutical effect to prostatitis, have good effect, the cycle is short, price is low, do not have any untoward reaction, patient's medication is convenient, economical, can be continuously, long-term prescription and be unlikely to produce toxic and side effects to organ injuries such as liver and kidneys; The chronic disease prostatitis is had good effect, is the prostatitic active drug of a kind of control that the patient takes like a shot.