JP2005330200A - Leg motor function-improving medicine, leg muscle-building medicine, tissue- atrophic pain-reducing medicine and anti- metastatic bone tumor agent - Google Patents

Leg motor function-improving medicine, leg muscle-building medicine, tissue- atrophic pain-reducing medicine and anti- metastatic bone tumor agent Download PDF

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JP2005330200A
JP2005330200A JP2004148560A JP2004148560A JP2005330200A JP 2005330200 A JP2005330200 A JP 2005330200A JP 2004148560 A JP2004148560 A JP 2004148560A JP 2004148560 A JP2004148560 A JP 2004148560A JP 2005330200 A JP2005330200 A JP 2005330200A
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Yasuo Ito
康雄 伊藤
Yukari Yamazaki
由佳里 山崎
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Abstract

<P>PROBLEM TO BE SOLVED: To obtain a new Japanese and Chinese medicine which not only mitigates tissue-atrophic pain but also improves leg motor function lesion and leg muscle attenuation by a mitigation action. <P>SOLUTION: The leg motor function-improving medicine contains Psoralea corylifolia L., Myristica fragrans Houttuyn, and Saussureae lappa Clarke as active ingredients. The ingredients are processed into a powder or a pill together with a binder such as rice paste, except decoction. The Psoralea corylifolia L., the Myristica fragrans Houttuyn, and the Saussureae lappa Clarke are preferably mixed in amounts of 50 pts.wt., 50 pts.wt. and 2.5 to 5 pts.wt., respectively. The leg motor function-improving medicine is administered at a dose of 2 to 8 g twice or three times a day. It is preferable that the Psoralea corylifolia L. is roasted with Sake (rice wine). <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

本発明は、下肢の運動機能改善薬及び下肢の筋肉増強薬、器質萎縮性疼痛の軽減薬ならびに抗転移性骨腫瘍剤に関するものである。具体的には、補骨脂、ニクズク、木香からなる三神丸処方の新たな効能に関する。   The present invention relates to a lower limb motor function improving agent, a lower limb muscle strengthening agent, an organic atrophic pain reducing agent, and an anti-metastatic bone tumor agent. Specifically, it relates to a new effect of the Mikamimaru prescription consisting of osteoblastic fat, nutmeg, and incense.

現在、治療に用いられる薬剤としては、いわゆる西洋薬と称されるものといわゆる漢方、和漢薬と称されるものに大別される。前者の西洋薬は、そのほとんどが合成薬であったり単一の動植物抽出成分であり、組成不明である抽出物を除いてはほぼ化学的に単一の化合物である。このものは、ある特定の薬理作用を狙って投与される場合がほとんどで、その作用は強く、時として人体に対して重篤な副作用を生じさせることがある。また、特定の症状改善を期待して投与されるにもかかわらず、十分に効果を発揮しない場合もあることも周知の事実である。   Currently, drugs used for treatment are roughly classified into so-called Western medicines, so-called Chinese medicines, and Japanese medicines. Most of the former western medicines are synthetic drugs or single animal and plant extract components, and are almost chemically single compounds except for extracts whose composition is unknown. In most cases, these drugs are administered aiming at a specific pharmacological action, and the action is strong and sometimes causes serious side effects on the human body. It is also a well-known fact that even if administered in the hope of improving specific symptoms, it may not be fully effective.

一方、後者の漢方、和漢薬は、現代医学(西洋医学)とはその考え方を異にする東洋医学に基礎を置き、西洋薬では治癒しえなかった症状でも治癒または軽快させることができる場合も多くある。また、その作用も西洋薬に比べ非常に緩和であり、副作用が少ないこともよく知られているところである。   On the other hand, the latter Kampo and Japanese-Chinese medicines are based on oriental medicine, which has a different concept from modern medicine (Western medicine), and may be able to cure or relieve symptoms that could not be cured by Western medicine. There are many. It is also well known that its action is very mild compared to Western medicine and there are few side effects.

ところで、骨折や骨腫瘍など骨の損傷を伴った骨障害には疼痛がつきものである。この疼痛は、骨障害の快復に伴って治まるが、まれに外科的に異常は見られなくなっても、疼痛だけが残る場合がある。また、これらの骨障害が下肢の筋肉減弱や筋力低下を引き起こし、歩行困難、座位困難などの運動機能障害を引き起こす場合もある。   By the way, pain is associated with bone disorders accompanied by bone damage such as fractures and bone tumors. This pain subsides with the recovery of the bone disorder, but in rare cases, even if no abnormalities are seen surgically, only the pain may remain. In addition, these bone disorders may cause muscle weakness and weakness of the lower limbs, and may cause motor dysfunction such as difficulty walking and sitting.

このような場合、疼痛に対して西洋薬でいうところの鎮痛薬の投与が効果的ではあるが、鎮痛薬の投与は痛みを感じさせなくするという対症療法的な治療にしか過ぎない。また、歩行困難や関節の曲げ伸ばしの不自由など下肢における運動機能障害は、疼痛に起因する場合もあるが、疼痛の除去だけでは改善することは少なく、下肢の筋肉増強、筋力強化など根本的治療が必要であることが多い。それにもかかわらず筋肉増強、筋力強化について根本的治療法が確立されているとも言えない。一方、和漢薬等に頼る場合には、腰痛治療のための補陰湯、下肢の萎え衰えに効果があるとされる続断丸などが選択されるが、上記のような下肢の筋肉減弱や筋力低下、骨の損傷および骨障害に伴う疼痛や下肢運動機能障害には十分な効果を発揮するものではなかった。   In such a case, administration of an analgesic in terms of Western medicine is effective for pain, but administration of the analgesic is only a symptomatic treatment to make the pain not feel. In addition, motor dysfunctions in the lower limbs such as difficulty walking and inflexion of joints may be caused by pain, but it is rarely improved by removing the pain alone. Treatment is often necessary. Nevertheless, it cannot be said that a fundamental treatment has been established for muscle strengthening and strength strengthening. On the other hand, when relying on Japanese and Chinese medicines, Hoyakuto for the treatment of low back pain and severed rounds that are said to be effective in lowering and lowering the lower limbs are selected. It was not effective for weakness, bone damage, pain associated with bone disorders, and lower limb motor dysfunction.

なお、補陰湯に使われている補骨脂に関して言うと、生薬単味で用いられることはなく、例えば補骨脂、ニクズク、木香から成る三神丸や補陰湯のような漢方方剤に用いられるにすぎない。また、例えば特開平7−109225号公報(特許文献1)にはその抽出物から得られた骨強度増強及び骨石灰化作用剤が開示され、特開平10−158177号公報(特許文献2)にはその抽出物を痛み抑制剤として使用する旨が開示されているが、これらは補骨脂中の特定成分だけに着目されたものであって、和漢薬として着目されたものではなく上記症状に対しての効果も不明である。   In addition, when it comes to prosthetic fat used in Hoyodo, it is not used in herbal medicines. For example, Kampo medicines such as Mikamimaru or Hoyodo made of osteokic fat, nutmeg, and wood incense. It is only used as an agent. Further, for example, JP-A-7-109225 (Patent Document 1) discloses a bone strength enhancing and bone mineralization agent obtained from the extract, and JP-A-10-158177 (Patent Document 2). Is disclosed that the extract is used as a pain suppressant, but these are only focused on specific components in prosthetic fat, and are not focused on as a traditional Chinese medicine. The effect on it is also unknown.

三神丸の基本構成は、「本草綱目」によると、補骨脂、ニクズク、木香=8:4:2であって、ニクズクと補骨脂からなる二味(二神丸)に木香を加えたものであるとされ、木香を加えることにより、二神丸の効果を身体全体に巡らしやすくしてニ味の薬効を強めたものであるとされている。また、古典における二神丸や三神丸の効用は、単に脾胃の虚寒による下痢(虚寒性の下痢)を治療するためのものに過ぎなかった。
特開平07−109225号公報 特開平10−158177号公報
The basic structure of Mikami Maru, according to “Honso Tuname”, is complement bone fat, nutmoku, and wood incense = 8: 4: 2; By adding incense, it is said that the effect of Nikagamimaru can be easily applied to the whole body and the medicinal effect of Ni-ni is strengthened. In addition, the utility of Futagami Maru and Mikami Maru in the classics was merely to treat diarrhea due to cold of the splenic stomach (chilly diarrhea).
Japanese Patent Application Laid-Open No. 07-109225 JP-A-10-158177

本発明は、上記従来技術に鑑みてなされたものであって、緩和な作用によって、器質萎縮性の疼痛を緩和し、下肢の筋肉の萎え衰えや骨障害に伴う下肢の運動機能障害を改善する和漢薬を提供することを目的としている。そこで、本発明者らは、上記補陰湯や続断丸に共通して使用される補骨脂を中心とした漢方処方について研究を重ねたところ、三神丸とほぼ同様の処方が上記目的を達成できることのみならず、転移性骨腫瘍の抑制剤としても効果を発揮することを見出し、本願発明を完成するに至った。   The present invention has been made in view of the above-described conventional technology, and relieves organic atrophy pain by a relaxed action, and improves motor dysfunction of the lower limbs caused by muscle weakness and bone disorders of the lower limbs. The purpose is to provide Japanese and Chinese medicines. Therefore, the present inventors conducted research on Kampo prescriptions centering on prosthetic fats commonly used in the above-mentioned Toyoto and Sugimaru. As a result, the present invention has been found to be effective as an inhibitor of metastatic bone tumors, and the present invention has been completed.

上記目的を達成するために、本発明では、補骨脂、ニクズク、木香の混合物を下肢の運動機能改善薬として用い、また、補骨脂、ニクズク、木香の混合物を下肢の筋肉増強薬、器質萎縮性疼痛の軽減薬および抗転移性骨腫瘍薬として用いている。   In order to achieve the above object, in the present invention, a mixture of prosthetic fat, nutmeg, and incense is used as a lowering limb motor function improving agent, and a mixture of prosthetic oil, nutmeg, and incense is used as a muscle strengthening agent for lower limbs. It is used as a drug for reducing organic atrophic pain and an anti-metastatic bone tumor drug.

本発明は、いわば三神丸の新たな効能を提供するものであり、本発明の薬剤によれば、副作用が少なく、従来の治療法では快復困難であった器質萎縮性疼痛、下肢の運動機能不全、下肢筋肉の萎え衰えが改善される。また、転移性骨腫瘍の拡大、転移が抑制される。   The present invention provides a new effect of Mikamimaru, so to speak, according to the drug of the present invention, there are few side effects and organic atrophic pain that has been difficult to recover by conventional treatment methods, motor function of the lower limbs Insufficiency, weakness and weakness of lower limb muscles are improved. In addition, expansion and metastasis of metastatic bone tumor are suppressed.

本発明による下肢の運動機能改善薬および下肢の筋肉増強薬、器質萎縮性疼痛の軽減薬ならびに抗転移性骨腫瘍薬は、補骨脂、ニクズク、木香の混合物からなる。補骨脂は、オランダビュ、別名を破故紙とも称され、Psoralea corylifolia L.の乾燥した実である。ニクズクは、Myristica fragrans Houttuyn の種子の種皮をはいだ子仁である。木香は、Saussureae lappa Clarke の根である。   The lower limb motor function improving agent, lower limb muscle strengthening agent, organic atrophy pain reducing agent and anti-metastatic bone tumor agent according to the present invention comprise a mixture of prosthetic fat, nutmeg, and incense. Prosthetic fat is the dried fruit of Psoralea corylifolia L., also called Dutch view, also known as broken paper. Nutzuku is a seed of seed seed coat of Myristica fragrans Houttuyn. The incense is the root of Saussureae lappa Clarke.

本発明における補骨脂、ニクズク、木香の配合比は、いわゆる従来から用いられている三神丸の処方とは異なる配合比であって、好ましくは補骨脂40〜60重量部、ニクズク40〜60重量部、木香2〜6重量部であり、通常は、補骨脂50重量部、ニクズク50重量部、木香2.5〜5重量部の約10:10:0.5〜1である。木香は、補骨脂とニクズクの二味の作用を全身に巡らすことを目的に配合されている。木香もニクズクも、補骨脂に対する量比がこれよりも多くなるとその作用が強く出すぎ、これよりも少ないと十分な効果が得られない。   In the present invention, the blending ratio of the osteoblastic fat, nutmeg, and incense is different from the so-called conventionally used Mikamimaru formula, preferably 40-60 parts by weight of the osteoclast fat, and the nutmeg 40. -60 parts by weight, 2 to 6 parts by weight of incense, and usually about 10: 10: 0.5 to 1 part of 50 parts by weight of bone substitute fat, 50 parts by weight of nutmeg, 2.5 to 5 parts by weight of incense It is. Mika is formulated for the purpose of making the whole effect of the two effects of osteoblastic fat and nutmeg. Both the incense and the nutmeg are too strong when the ratio of the amount to the prosthetic fat is higher than this, and if it is lower than this, sufficient effects cannot be obtained.

本発明の下肢運動機能改善薬等は、散剤または丸剤として提供され服用される。散剤とするには、補骨脂、ニクズクおよび木香の粉末を単に混ぜ合わせるか、各生薬を混ぜ合わせたものを粉末にすればよい。また、丸剤とするには、これらの混合粉末に、なつめの果肉や米糊などの結合剤を均等に混ぜ合わせ、球状に成形すればよい。なお、本発明においては、湯剤や抽出剤(湯剤を濃縮してエキス状や粉末状にしたもの)は好ましくない。三神丸は、湯剤にすると和漢薬の作用が弱まり、期待される効果を得ることができないからである。   The lower limb motor function improving drug or the like of the present invention is provided and taken as a powder or pill. In order to form a powder, it is only necessary to simply mix the bone repellent fat, nutmeg, and woody incense powders, or a mixture of herbal medicines. Further, in order to obtain a pill, a binder such as peanut pulp or rice paste is mixed evenly with these mixed powders and formed into a spherical shape. In the present invention, a hot water agent or an extractant (one obtained by concentrating the hot water agent into an extract or powder) is not preferred. Mikamimaru is not able to obtain the expected effect because the action of Japanese and Chinese medicines is weakened.

また、補骨脂は乾燥しただけのものでもよいが、それをさらに酒で炒ったものを用いるのが好ましい。この場合、補骨脂が浸る程度に酒を加えたのち、乾燥するまで炒ればよい。また、酒は飲用のものであればよく、日本酒もしくは焼酎を用いるのが好ましい。   In addition, the osteoblastic fat may be only dried, but it is preferable to use the one further fried in liquor. In this case, after adding liquor to the extent that the osteoclast is soaked, fry until dry. Moreover, sake should just be drinkable, and it is preferable to use sake or shochu.

本発明の投与対象とする患者は、下肢の運動機能が低下している者や下肢の筋肉が減弱している者、器質萎縮性の疼痛を有する者である。下肢の運動機能が低下しているとは、例えば、骨障害のために歩行困難や座位の姿勢がとれない、膝の曲げ伸ばしに不自由がある場合などを指し、多くの場合、歩行時や座位時、曲げ伸ばし時に疼痛を伴う。また、疼痛の有無にかかわらず、下肢の筋力の低下(筋肉の質的低下)や筋肉の減弱(筋肉の量的低下)、すなわち下肢の萎え衰えのために下肢の運動機能が害されている場合も本発明の処方の適用対象となりえる。また、疼痛や下肢の萎え衰えは見られないが、骨障害快復後に、原因不明の運動機能障害を発症している場合も本発明の投与対象に含まれる。このように、下肢の萎え衰えや骨障害により運動機能が低下している者(動物を含めて)すべてが対象となる。これらの中でも、骨に何らかの障害を現在患っている者もしくは快復した者、老人や糖尿病、腎不全、肝障害などの慢性疾患を有する者が特に好ましい対象である。ここで、骨障害とは、骨折、捻挫やひびだけでなく、椎間板ヘルニア、骨粗鬆症、リウマチ、骨腫瘍など、骨または関節に何らかの異常が現れる場合を言う。すなわち、本発明の下肢の運動機能障害改善薬は、骨障害罹患中もしくは快復後に残った下肢のしびれ、下肢の筋肉の萎縮などに伴う歩行困難や座位困難に有効に作用する。そして、本発明の薬剤は、運動機能障害を引き起こすような筋肉の萎え衰えを改善し、健常状態に快復させようとするものであって、例えばステロイドホルモンのように、すでに健常状態にある筋肉を増強するものでもない。   The patients to be administered according to the present invention are those with lower limb motor function, those with lower limb muscle weakness, and those with organic atrophic pain. Lower limb motor function refers to, for example, difficulty in walking due to bone disorders, inability to sit down, or inability to bend and stretch knees. Pain when sitting and bending and stretching. Regardless of the presence or absence of pain, the lower limbs are weakened (muscular qualities) or weakened (quantitative muscles), that is, the lower limbs are dying and impairing the lower limbs. In some cases, the prescription of the present invention can be applied. In addition, although pain and lower limb atrophy are not observed, cases where motor dysfunction of unknown cause develops after recovery from bone disorders are also included in the administration subject of the present invention. In this way, all persons (including animals) whose motor function is reduced due to lowering of the lower limbs or bone disorders are targeted. Among these, those who are currently suffering from or have recovered from some kind of bone disorder, those who have chronic diseases such as the elderly, diabetes, renal failure, and liver disorder are particularly preferred subjects. Here, the bone disorder means not only fractures, sprains and cracks but also cases where some abnormality appears in bones or joints such as intervertebral disc herniation, osteoporosis, rheumatism, and bone tumor. That is, the lower limb motor dysfunction improving agent of the present invention effectively acts on difficulty in walking or sitting due to numbness of the lower limbs remaining after bone disorders or after recovery, muscle atrophy of the lower limbs, and the like. The drug of the present invention is intended to improve muscle wilting and weakening that cause motor dysfunction and to recover to a healthy state. For example, a steroid hormone such as a steroid hormone is It's not something to enhance.

また、本発明にいう器質萎縮性の疼痛とは、下肢の筋肉の減弱や拘縮を伴うか、もしくは現在または過去における骨障害に伴う疼痛である。疼痛を訴える部位は、下肢ないし全身の骨または関節近位であることが多い。具体的に言えば、前述の腰痛や膝関節痛、そして、骨折後遺症、椎間板ヘルニア、骨粗鬆症、リウマチ等の骨障害に伴う痛みである。さらに、このような疼痛をもたらす背景に、例えば(1)老化現象、(2)糖尿病、腎不全、肝障害などの慢性疾患が体質的素因として存在することである。(1)は、加齢に伴い、生体の器質(各種の臓器筋肉等)が徐々にその機能を果たせなくなっていく現象である。(2)は長期間にわたる慢性疾患が、全身の器質障害を招くと考えられていることによる。器質萎縮性の疼痛とは、このような老化や慢性病に伴う器質の成長・保持機能の低下が体質的な素因となり、それらが原因に深く関与している疼痛である。例えばレントゲン所見による骨の異常や器質障害が見られなくても、老化や慢性病などの体質的素因が疼痛を引き起こしていると想定される場合などである。このように、本発明の器質萎縮性疼痛の軽減薬は、老化現象や慢性疾患を体質的要素として備え、下肢の筋肉減弱・筋肉低下、もしくは骨障害に伴う疼痛を効果的に改善する。したがって、これらの要因とは全く無関係である痛み、例えば風邪による頭痛などは投与対象外とされる。   The organic atrophic pain referred to in the present invention is pain accompanied by muscle weakness or contracture of the lower limbs, or present or past bone damage. Often, the site complaining of pain is the lower extremity or the whole body bone or joint proximal. Specifically, it is pain associated with the aforementioned back pain, knee joint pain, and bone disorders such as aftereffects of fracture, herniated disc, osteoporosis, and rheumatism. In addition, for example, (1) aging phenomenon, (2) chronic diseases such as diabetes, renal failure, and liver disorder exist as constitutional predisposing factors for causing such pain. (1) is a phenomenon in which the biological organs (various organ muscles, etc.) gradually fail to perform their functions as they age. (2) is due to the fact that chronic diseases over a long period of time are thought to cause systemic damage to the body. Organic atrophic pain is pain in which the deterioration of the growth and maintenance function of the organs associated with aging and chronic diseases is a constitutional predisposition and is deeply involved in the cause. For example, it may be assumed that a constitutional predisposition such as aging or chronic illness is causing pain even if no bone abnormality or physical disorder due to X-ray findings is observed. As described above, the organic atrophy pain alleviating agent of the present invention has an aging phenomenon or a chronic disease as a constitutional element, and effectively improves pain associated with muscle weakness / muscle lowering of the lower limbs or bone disorders. Therefore, pain that is completely unrelated to these factors, such as a headache due to a cold, is excluded from administration.

本発明の薬剤は上記薬効だけでなく転移性の骨腫瘍に対しても薬効を有する。本発明の抗転移性骨腫瘍剤は、転移性骨腫瘍すなわち他臓器の癌や他の部位の肉腫が骨に転移した症状を対象とするが、その根本的な治癒を目指すものではなく、腫瘍部位の拡大を抑制し、さらには他臓器への転移を防ぐものである。また、転移性骨腫瘍の場合、その多くは激痛を伴うものであり、本発明に係る薬剤は、併せてこうした転移性骨腫瘍に伴う疼痛の緩和をも図る。   The drug of the present invention has not only the above-mentioned effects but also effects on metastatic bone tumors. The anti-metastatic bone tumor agent of the present invention is intended for metastatic bone tumors, ie, symptoms in which cancer of other organs or sarcomas of other sites have metastasized to bone, but is not intended for radical healing, It suppresses the enlargement of the region and further prevents metastasis to other organs. In the case of metastatic bone tumors, many of them are accompanied by severe pain, and the drug according to the present invention also alleviates the pain associated with such metastatic bone tumors.

本発明における投与量は症状によっても異なるが、和漢薬として成人1日2〜8gであり、それを2回ないし3回に分けて服用するのが好ましい。また、投与量は体重や症状によって適宜加減するのが好ましく、例えば動物(体重が20kgの犬)の場合には成人(体重65kg)の場合の約1/3〜1/4である。また、その用法は、少なくとも1〜7日の連続服用であって、疼痛が現れなくなり、あるいは下肢の運動機能、好ましくは下肢の筋肉の減弱が快復するまで服用される。わずか1日程度の投与によって症状が軽快される場合もあるが、通常、連続投与される期間は3日〜14日程度である。そして、症状が軽快した後は、痛みや筋肉の減弱や拘縮、運動障害を生じた場合に頓服的に、例えば1回〜数回程度服用するのが好ましい。この場合の頓服とは、西洋薬に言う鎮痛薬のように痛みがある場合にその都度服用することを言うのではなく、1日2〜3回程度のいわゆる常法的な服用を短期間(1〜2日程度)行うことを意味する。このように、本発明の治療剤は、症状の軽減までは連続服用し、その後は頓服的な服用によって再発した下肢の運動機能障害や下肢の萎え衰え、器質萎縮性の疼痛を速やかに抑えることができる。なお、連続服用と頓服的な服用とでは1日当たりの服用量は同じである。   Although the dose in the present invention varies depending on the symptoms, it is 2 to 8 g per day as a traditional Chinese medicine, and it is preferable to take it in 2 to 3 divided doses. The dose is preferably adjusted appropriately depending on body weight and symptoms. For example, in the case of animals (dogs weighing 20 kg), it is about 1/3 to 1/4 of that for adults (weight 65 kg). In addition, the dosage is taken continuously for at least 1 to 7 days, and is taken until pain disappears or the motor function of the lower limbs, preferably the muscle weakness of the lower limbs recovers. Although the symptoms may be alleviated by administration for only about 1 day, the period of continuous administration is usually about 3 to 14 days. And after the symptoms have been relieved, it is preferable to take it once, for example, about once to several times when pain, muscle weakness, contracture, or movement disorder occurs. In this case, taking a dose is not to say that it is taken every time when there is pain, such as an analgesic for Western medicine. 1 to 2 days). As described above, the therapeutic agent of the present invention is continuously taken until the symptoms are alleviated, and thereafter, the dysfunction of the lower limbs, the lowering of the lower limbs, and the physical atrophy pain are rapidly suppressed due to inadequate use. Can do. In addition, the daily dose is the same for continuous and non-regular doses.

以下、本発明について実際の症例を参照しながらさらに具体的に説明する。   Hereinafter, the present invention will be described more specifically with reference to actual cases.

〔骨折後遺症による疼痛の緩和ならびに運動機能の快復〕
尾底骨骨折の後遺症として、患部の激痛による座位困難と腰痛のある女性患者(49才)に投与した。骨折から4週間後に、レントゲン所見で骨は完全に接ぎ合わさっていたが、骨折2ヶ月後においても、座位困難な症状が見受けられ、骨折箇所近傍にて激痛を感じていた。その後、徐々に痛みは治まったが、骨折の快復から8ヶ月経過した後、再び腰痛および骨折箇所近傍に疼痛が再発し、立位困難な状況に陥った。このときには臀部から足に掛けて肉が落ちてしまい、左足の静脈瘤の痛みも伴っていた。そこで、常法に従って続断丸料(煎じ)を30日、その後補陰湯を10日間投与したが、効果はほとんどなかった。
[Alleviation of pain and recovery of motor function due to aftereffects of fracture]
It was administered to a female patient (49 years old) who had difficulty in sitting and back pain due to severe pain in the affected area as a sequelae of tail fracture. Four weeks after the fracture, the bones were completely joined together by X-ray findings. However, even after 2 months of fracture, symptoms of difficult sitting were observed, and severe pain was felt near the fracture site. After that, the pain gradually healed, but after 8 months from the recovery of the fracture, the pain recurred again in the vicinity of the back pain and the fracture site, and it became difficult to stand. At this time, the meat fell from the buttocks to the foot, accompanied by pain in the varicose veins of the left foot. Therefore, in accordance with a conventional method, continuous rounding (decoction) was administered for 30 days, and then Yodoto was administered for 10 days, but there was almost no effect.

この患者に対して、本発明処方の薬剤を投与した。薬剤は、補骨脂50gを日本酒に浸した後弱火で日本酒をすっかりと飛ばして煙の出るまでじっくりと炒り、冷ましたところでニクズク50gと混ぜ、さらに木香3gを加えてこれを粉末として米糊適量で丸薬(1030丸)に調整された。患者には、1日3回各20丸を服用させた。   To this patient, the drug of the present invention was administered. After soaking 50g of osteoclast in sake, thoroughly fry the sake over low heat and stir well until smoke comes out, mix with 50g of nutmeg in a cold place, add 3g of incense, and use this as a rice paste It was adjusted to pills (1030 pills) in an appropriate amount. Patients were given 20 rounds 3 times a day.

その結果、驚くことに投与開始の翌日には、腰から尾底骨近位の痛みが半減し、気分が軽快した。その後、7日間毎日投与を続けることによって、臀部から足にかけて筋肉の付きの改善が見られ、腰から尾底骨近位の痛みはもちろんのこと、足の静脈瘤の痛みもほぼなくなり、歩行困難はほぼ解消された。   As a result, surprisingly, the day after the start of administration, the pain from the waist to the proximal tail bone was halved, and the mood was relieved. After that, by continuing daily administration for 7 days, muscular improvement was seen from the buttocks to the foot, and pain in the varicose veins of the foot almost disappeared as well as pain from the waist to the proximal base of the tail base, making walking difficult Is almost eliminated.

〔続発性骨腫瘍に伴う激痛緩和、歩行快復および腫瘍の転移阻止〕
腰部に転移した骨腫瘍のために激痛を生じ、歩行困難に陥っていた女性患者(75才)に投与した。この患者は、乳癌のため右乳房全摘したのち抗癌剤による治療が行われていたが、副作用のため抗癌剤の投与が中止された。その後、真武湯と炙甘草湯が投与されたが、元気さは快復したものの疼痛の緩和にまでは至らなかった。
[Alleviation of severe pain associated with secondary bone tumor, ambulatory recovery, and prevention of tumor metastasis]
It was administered to a female patient (75 years old) who had severe pain due to a bone tumor that had metastasized to the lumbar region and had difficulty walking. The patient was treated with an anticancer drug after total right mastectomy for breast cancer, but administration of the anticancer drug was discontinued due to side effects. Later, Shinbu-to and Tsuku-kanzo-to were administered, but although they recovered, they did not relieve pain.

そこで、補骨脂25g、ニクズク25g、木香2gを粉末にして散剤としたものを1日3g、炙甘草湯と真武湯を併用しながら1日2〜3回に分けて3日間服用させたところ、腰痛が2、3日で治まり、その結果病院内を歩行できるようになった。また、その後は腰痛が感じられた場合に当該薬剤を1日〜2、3日服用して状態が良くなると服用を中止し、腰痛が感じられた場合に同じ処方の薬剤を服用すれば、その都度下肢の痛みが治まり、歩行困難になるようなことはなかった。また、本薬剤投与開始後、他の治療は施されていないが約3年間新たな部位における癌の発生もしていない。なお、処方には実施例1と同様に酒で炒った補骨脂を使った。   Therefore, powdered powder of 25 g of osteoclast oil, 25 g of nutmeg, and 2 g of wood incense was taken as powder for 3 days a day, divided into 2 to 3 times a day, while using kankanzoto and mabuto. However, my back pain went away in a few days, and as a result I was able to walk in the hospital. After that, if you feel back pain, take the drug for 1 to 2 or 3 days and stop taking it, and if you feel back pain, take the same prescription, Each time, the pain in the lower limbs subsided, and walking did not become difficult. In addition, after the start of administration of this drug, no other treatment has been given, but no cancer has occurred in a new site for about 3 years. In addition, the osteoclast fat fried in liquor like Example 1 was used for the prescription.

〔椎間板ヘルニアに伴う激痛緩和および歩行快復〕
椎間板ヘルニアを患い手術により外科治療を試みたが、依然として下肢の疼痛と麻痺が残り、杖なしでは歩行困難であった女性患者(43才)に投与した。患者は、下肢が冷え、けいれんを起こし、このけいれんが痛みを憎悪させているとも訴えたので、下肢の冷えとけいれんを押さえるために、芍薬甘草エキス(ツムラ社製)5gと加工ブシ(三和生薬社製)6錠それに補骨脂20g、ニクズク20g、木香2gをそれぞれ粉末にして混ぜ合わせたもの4gを、1日2回に分けて兼用させた。その結果、投与開始3日後には、冷えやけいれんは半減し、痛みもやや減少した。引き続いて6日分(前記と同種同量)投与したところ、原因不明の突然の下血で入院したが、下血が治まってからは疼痛やけいれんはすっかりと治まり、健常人と同様に歩行できるようになった。この突然の下血は、漢方医学でいう瞑眩にあたると考えられる。
[Alleviation of severe pain associated with disc herniation and walking recovery]
Surgery was attempted by surgery with an intervertebral disk hernia, but it was administered to a female patient (43 years old) who still had pain and paralysis in the lower limbs and was unable to walk without a cane. The patient complained that the lower limbs were cold and convulsed, and that the convulsions made pain hate, so in order to suppress the lower limbs and convulsions, 5g of glaze licorice extract (Tsumura) and processed bush (Sanwa) 6 tablets (produced by Seiko Co., Ltd.) and 20 g of prosthetic fat, 20 g of nutmeg, and 2 g of wood incense were mixed and divided into 4 g twice a day. As a result, 3 days after the start of administration, coldness and convulsions were halved and pain was slightly reduced. Subsequent administration for 6 days (same amount as above) resulted in hospitalization due to sudden melena of unknown cause, but pain and convulsion completely subsided after the melena ceased and can be walked like a normal person It became so. This sudden melena is considered to be a meditation in Chinese medicine.

〔老人の膝関節痛に伴う激痛緩和〕
糖尿病、膝関節痛を患った女性患者(80才)に投与した。患者は、一年前から老人性痴呆が激しくなっており、整形外科に通院して鎮痛剤の投与をうけるたびに、不安、錯乱、記憶障害などの精神神経系の症状を悪化させていた。下肢の疼痛に対しては、防己黄蓍湯、牛車腎気丸、黄耆建中湯を各1ヶ月間投与したが無効であった。そこで、本発明の薬剤(補骨脂50g、ニクズク50g、木香3gからなる散剤)を1回1グラム1日2回14日間投与すると、疼痛に対し著効が見られたので休薬した。その20日後にやや痛みが出て来たため、炙甘草湯と一日おきに交互に服用させると痛みは激減した。なお、実施例1と同様に酒で炒った補骨脂を使った。
[Alleviation of severe pain associated with knee joint pain in the elderly]
It was administered to a female patient (80 years old) who suffered from diabetes and knee pain. The patient had severe senile dementia for the past year, and every time she went to orthopedics to receive an analgesic, she worsened her neuropsychiatric symptoms such as anxiety, confusion, and memory impairment. For the pain in the lower limbs, Hogi Kosaido-to, Ushizura Rengan-maru, and Kosakenkenchuto were administered for 1 month each, but were ineffective. Therefore, administration of the drug of the present invention (powder consisting of 50 g of prosthetic fat, 50 g of nutmeg, and 3 g of incense) once a day for 2 days per day for 14 days was markedly effective for pain and was withdrawn. Twenty days later, a slight pain began to appear, and the pain decreased drastically when taken alternately with Akanzoyu every other day. In the same manner as in Example 1, prosthetic fat fried in sake was used.

〔座骨神経痛の改善と歩行快復〕
座骨神経痛で、歩行困難および肩凝りを訴える女性患者(79才)に投与した。患者は、整形外科に受診した際、「骨密度が低く骨粗鬆症の傾向がある」と指摘されていた。鎮痛剤を処方され服用していたが、症状の改善は見られなかった。このため本発明の薬剤(補骨脂50g、ニクズク50g、木香3gからなる散剤)1回1グラム1日2回7日服薬すると、下肢の痛みがとれ、歩行ができるようになった。続けて、本薬剤を14日分投薬すると、歩行困難が快復したのみならず肩凝りもとれたため、服薬を中止した。
[Improvement of sciatica and walking recovery]
It was administered to a female patient (79 years old) who had sciatica and complained of difficulty walking and stiff shoulders. When the patient visited an orthopedic surgeon, it was pointed out that “the bone density is low and there is a tendency for osteoporosis”. She was prescribed and taking analgesics, but she did not improve her symptoms. For this reason, when taking the medicine of the present invention (powder consisting of 50 g of prosthetic fat, 50 g of nutmeg, and 3 g of incense) once a day for 1 day twice a day for 7 days, the lower limbs became painful and walking became possible. Continuing to administer this drug for 14 days, the patient stopped taking as well as the difficulty in walking improved.

〔老犬におけるリウマチ障害の激痛緩和および歩行快復〕
老化による障害で、後足の運動機能障害を発症し、歩行困難・排尿姿勢不可になった犬(生後11年、雌の小型改良型コリー、体重約18kg)に本発明の薬剤を投与した。この犬は、レントゲンによる診断では骨に異常は見られず、老化性のリウマチと診断されていた。このため、快復は不可能と診断され、本薬剤投与前の処置は鎮痛剤の投与のみであった。そこで、補骨脂20g、ニクズク20g、木香1gを粉末にした混合物を1日1回食餌皿に入れ、自由摂取させたところ、痛みを伝える悲痛な鳴き声は投与後直ちに半減し、約10日の投与で悲痛な鳴き声はすっかりと治まり、散歩に連れ出すと元気に走り回るようになり、自由な歩行と排尿姿勢がスムーズにできるようになった。なお、実施例1と同様に酒で炒った補骨脂を使った。
[Alleviation of severe rheumatic pain and walking recovery in old dogs]
The drug of the present invention was administered to a dog (11 years old, female small improved collie, body weight of about 18 kg) that developed a hindlimb motor dysfunction due to an aging disorder and became unable to walk or urinate. The dog was diagnosed with senile rheumatism with no abnormal bones as revealed by X-rays. For this reason, it was diagnosed that recovery was impossible, and the only treatment before administration of this drug was administration of an analgesic. Therefore, when a mixture of 20 g of osteoblastic fat, 20 g of nutmeg, and 1 g of incense was put into a food dish once a day and allowed to ingest freely, the painful cry that conveys pain halved immediately after administration, about 10 days. The painful squeal was completely subsided by the administration of, and when I took it for a walk, I started to run well and I was able to walk freely and urinate smoothly. In the same manner as in Example 1, prosthetic fat fried in sake was used.

〔老犬における腰砕け現象の歩行快復〕
老化による障害で、後足の萎えと腰砕け現象を発症し、何度も転倒するようになった犬(生後13年、雌のシベリアンハスキー)に本薬剤を投与した。この犬は、痛みはなく排尿・排便の姿勢にも異常はないが、歩こうとすると転倒を繰り返すために、散歩に連れ出すことは中止していた。最初の発作から一週間後に、補骨脂20g、ニクズク20g、木香1gを粉末にした混合物を1日3回各1gを3日分投与した。翌日には、足の運びが良くなっており、転倒しなくなったため、その後は投与を中止した。しかし、投与を中止すると再び転倒するため、本薬剤を7日間連続して再投与したところ、走らせない限りは転倒しないまでに快復した。体重も、腰砕け現象の前駆症状として3ヶ月で32kgから27kgまで落ち込んでいたものが、投与開始3ヶ月で29kg以上にまで快復した。
[Walking recovery of hip fracture in old dogs]
This drug was administered to a dog (13 years old, female Siberian Husky) who developed a phenomenon of hind paw wilt and hip breakage due to an aging disorder and began to fall many times. This dog was painless and there was no abnormality in urination / defecation, but he stopped taking it for a walk because he repeatedly fell when he tried to walk. One week after the first seizure, a mixture of 20 g of osteoclast oil, 20 g of nutmeg, and 1 g of woody incense was administered three times a day for 1 g each for 3 days. On the next day, the foot was improved and the patient did not fall, so the administration was stopped. However, when the administration was stopped, it fell again, and when this drug was re-administered for 7 consecutive days, it recovered until it did not fall unless it was run. The body weight, which had fallen from 32 kg to 27 kg in 3 months as a progenitor of the hip fracture phenomenon, recovered to 29 kg or more in 3 months after the start of administration.

このように、本発明の薬剤によれば、器質萎縮性の疼痛を劇的に改善するだけでなく、下肢の運動機能低下、下肢の筋肉低下・減弱をすみやかに改善できる。   As described above, according to the drug of the present invention, not only the organic atrophic pain can be dramatically improved, but also the lowering of the lower limbs and the lowering of the muscles of the lower limbs can be promptly improved.

東洋医学では、健康状態とは「陰気」と「陽気」の均衡が取れた状態であるとし、何らかの症状が現れている場合に「陰気」と「陽気」の均衡が何れか一方に偏っていると評価する。「陰気」「陽気」は生体の全ての機能を大きく二分した概念であって、「陽気」とは生体の活動を司るための総元締めの概念であり、「陰気」とは生体の器質の成長・保持などの器質機能を司るための総元締めの概念として捉えられている。一般に老化現象と呼ばれる症候群や、長期間にわたり慢性疾患を患った病態は、この「陰気」が過少となった状態である。老人や糖尿病、腎不全、肝障害などの慢性疾患をもつ患者は、体内における「陰気」と「陽気」の均衡が崩れており、骨の「陰気」の流通不全を起こしやすく、全身の陰精不足に陥りやすい素地がある。この骨の「陰気」が正常に流れなければ、器質を成長させ保持する全身の「陰気」の機能低下が起こり、臓器細胞、骨組織や筋肉をはじめとする全身の器質は、徐々に衰退していくと考えられている。すなわち、骨の「陰気」が流通不全となれば、生体が保有しているすべての器質造成が不良となって、臓器萎縮、骨障害、下肢の筋肉の萎え衰えや運動機能障害、器質萎縮性疼痛などを生じる。このような骨の「陰気」の流通不全により、下肢の運動機能が低下している者、下肢の筋肉が減弱している者、器質萎縮性疼痛を有する者に本発明の薬剤が投与されると、いわゆる「陰気」と「陽気」の均衡が快復し、「陰気」の主要な作用である全身の器質の造成と保持が図られる。そして、その結果としてこれらの症状が緩和される。   In oriental medicine, health is a state of balance between “disgust” and “cheerful”, and when some symptoms appear, the balance between “disgust” and “cheerful” is biased to either one And evaluate. “Insanity” and “cheerfulness” are the concepts that divide all the functions of the living body into two, and “cheerfulness” is a concept of total tightening to control the activities of the living body.・ It is regarded as a concept of total tightening to control organic functions such as retention. A syndrome generally called an aging phenomenon and a disease state that has suffered from chronic diseases over a long period of time is a state in which this “disgust” has become insufficient. Older people and patients with chronic diseases such as diabetes, renal failure, and hepatic disorder are imbalanced in the body's “gloomy” and “cheerful”. There is a foundation that tends to fall short. If the bone's “coldness” does not flow normally, the function of the whole body's “cold” that causes the growth and maintenance of the organs will occur, and the organs, bone tissue and muscles and other organs will gradually decline. It is thought to go. In other words, if the bone's “coldness” becomes inadequate, all organs possessed by the living body will be poor, organ atrophy, bone damage, muscle weakness of the lower limbs, motor dysfunction, organic atrophy Causes pain. The drug of the present invention is administered to those who have lower leg movement function, those who have lower leg muscle weakness, and those who have organic atrophic pain due to such incomplete distribution of bone “coldness” Then, the balance between so-called “disquiet” and “cheerful” is restored, and the systemic constitution and maintenance, which are the main effects of “disappear”, are achieved. As a result, these symptoms are alleviated.

上記実施例においてはいずれも1〜14日の短期服用でありながらも、本処方の服用開始を境に症状が激変し、なおかつ、この時点で服薬を中止しても病態の改善はそれ以降、長期間維持された。また、症状が再燃した後も、僅かな期間における頓服的な服用で、再び病態は改善されている。すなわち、服用開始後に、疼痛の改善、下肢の運動機能改善、下肢の筋肉増強、羸痩の改善、転移性骨腫瘍の抑止に至る幅広い症状の激変が観察されており、この点においても、本薬剤のもつ効能は、単に補骨脂による鎮痛効果や骨強度の増強作用だけではないと考えられる。

In any of the above examples, the symptoms changed drastically at the start of taking this prescription, even though they were all taken for a short period of 1 to 14 days. Maintained for a long time. In addition, even after the symptoms relapsed, the patient's condition improved again by taking a dose for a short period. In other words, after the start of administration, a wide range of symptom changes have been observed, including improvement of pain, improvement of lower limb motor function, lower limb muscle strengthening, improvement of wrinkles, and suppression of metastatic bone tumors. It is considered that the effect of is not only the analgesic effect and the bone strength enhancing action by the osteoclast.

Claims (11)

補骨脂、ニクズク、木香の混合物を有効成分とする下肢の運動機能改善薬。   A lower limb motor function improving drug comprising a mixture of osteoclast, nutmeg, and incense. 補骨脂が40〜60重量部、ニクズクが40〜60重量部、木香が2〜6重量部である請求項1に記載の下肢の運動機能改善薬。   The agent for improving the lower limbs' motor function according to claim 1, wherein 40 to 60 parts by weight of prosthetic fat, 40 to 60 parts by weight of nutmeg, and 2 to 6 parts by weight of incense. 補骨脂、ニクズク、木香の混合物を有効成分とする下肢の筋肉増強薬。   A muscle strengthening agent for the lower limbs that contains a mixture of osteoclast, nutmeg, and incense. 補骨脂が40〜60重量部、ニクズクが40〜60重量部、木香が2〜6重量部である請求項3に記載の下肢の筋肉増強薬。   4. The lower limb muscle strengthening agent according to claim 3, wherein 40-60 parts by weight of osteoclasts, 40-60 parts by weight of nutmeg, and 2-6 parts by weight of incense. 補骨脂、ニクズク、木香の混合物を有効成分とする器質萎縮性疼痛の軽減薬。   An agent for reducing organic atrophic pain comprising a mixture of prosthetic fat, nutmeg, and incense. 補骨脂が40〜60重量部、ニクズクが40〜60重量部、木香が2〜6重量部である請求項5に記載の器質萎縮性疼痛の軽減薬。   The agent for reducing organic atrophic pain according to claim 5, wherein 40-60 parts by weight of osteoblastic fat, 40-60 parts by weight of nutmeg, and 2-6 parts by weight of incense. 補骨脂、ニクズク、木香の混合物を有効成分とする抗転移性骨腫瘍薬。   An anti-metastatic bone tumor drug containing as an active ingredient a mixture of prosthetic fat, nutmeg, and woody incense. 補骨脂が40〜60重量部、ニクズクが40〜60重量部、木香が2〜6重量部である請求項7に記載の抗転移性骨腫瘍薬。   The anti-metastatic bone tumor drug according to claim 7, wherein 40-60 parts by weight of prosthetic fat, 40-60 parts by weight of nutmeg, and 2-6 parts by weight of incense. 補骨脂、ニクズク、木香の混合物を、下肢の運動機能の改善、下肢の筋肉増強、器質萎縮性疼痛の軽減、転移性骨腫瘍の抑制のいずれかを目的として用いることを特徴とする用法。   Use of a mixture of prosthetic fat, nutmeg, and incense for the purpose of improving the motor function of the lower limbs, strengthening the muscles of the lower limbs, reducing organic atrophy pain, or suppressing metastatic bone tumors . 補骨脂が40〜60重量部、ニクズクが40〜60重量部、木香が2〜6重量部である請求項9に記載の用法。   The method according to claim 9, wherein 40 to 60 parts by weight of prosthetic fat, 40 to 60 parts by weight of nutmeg, and 2 to 6 parts by weight of incense. 下肢の運動機能、器質萎縮性疼痛、下肢の筋肉の快復までは連続服用とし、前記症状の快復後は、症状出現時における頓服とする請求項9または10のいずれかに記載の用法。

The use according to any one of claims 9 and 10, wherein a continuous dose is taken until the motor function of the lower limbs, organic atrophic pain, and the recovery of muscles of the lower limbs, and after the recovery of the symptoms, the dose is taken when the symptoms appear.

JP2004148560A 2004-05-19 2004-05-19 Leg motor function-improving medicine, leg muscle-building medicine, tissue- atrophic pain-reducing medicine and anti- metastatic bone tumor agent Pending JP2005330200A (en)

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* Cited by examiner, † Cited by third party
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CN102716386A (en) * 2012-06-25 2012-10-10 陈慧婷 Malaytea scurfpea fruit Chinese medicinal preparation for treating diarrhea and preparation method thereof
CN103417724A (en) * 2012-05-22 2013-12-04 石家庄以岭药业股份有限公司 Applications of traditional Chinese medicine composition in preparing medicines capable of improving bodily functions of athlete
KR20170022427A (en) * 2015-08-20 2017-03-02 숙명여자대학교산학협력단 Pharmacentical compositions for Preventing or Treating Muscle Atrophy Diseases Comprising Bakuchiol
KR102048430B1 (en) * 2018-05-28 2019-11-27 (주)뉴트리 Composition for prevention, improvement or treatment of muscular disorder, or improvement of muscular functions comprising extract of Aster spathulifolius

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103417724A (en) * 2012-05-22 2013-12-04 石家庄以岭药业股份有限公司 Applications of traditional Chinese medicine composition in preparing medicines capable of improving bodily functions of athlete
CN102716386A (en) * 2012-06-25 2012-10-10 陈慧婷 Malaytea scurfpea fruit Chinese medicinal preparation for treating diarrhea and preparation method thereof
KR20170022427A (en) * 2015-08-20 2017-03-02 숙명여자대학교산학협력단 Pharmacentical compositions for Preventing or Treating Muscle Atrophy Diseases Comprising Bakuchiol
KR101725327B1 (en) * 2015-08-20 2017-04-10 숙명여자대학교 산학협력단 Pharmaceutical compositions for Preventing or Treating Muscle Atrophy Diseases Comprising Bakuchiol
WO2017030383A3 (en) * 2015-08-20 2017-05-11 숙명여자대학교산학협력단 Pharmaceutical composition for preventing or treating muscular dystrophy including bakuchiol as active ingredient
KR102048430B1 (en) * 2018-05-28 2019-11-27 (주)뉴트리 Composition for prevention, improvement or treatment of muscular disorder, or improvement of muscular functions comprising extract of Aster spathulifolius

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