KR20060040848A - Pharmaceutical composition comprising the complex crude drug extract for preventing and treating hyperthyroidism - Google Patents
Pharmaceutical composition comprising the complex crude drug extract for preventing and treating hyperthyroidism Download PDFInfo
- Publication number
- KR20060040848A KR20060040848A KR1020040089685A KR20040089685A KR20060040848A KR 20060040848 A KR20060040848 A KR 20060040848A KR 1020040089685 A KR1020040089685 A KR 1020040089685A KR 20040089685 A KR20040089685 A KR 20040089685A KR 20060040848 A KR20060040848 A KR 20060040848A
- Authority
- KR
- South Korea
- Prior art keywords
- hyperthyroidism
- thyroid
- extract
- pharmaceutical composition
- gypsum
- Prior art date
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Abstract
본 발명은 생약추출물을 함유하는 갑상선 기능 항진증의 예방 및 치료용 조성물에 관한 것으로, 보다 상세하게는 주생약으로서 갈근, 황금, 석고, 부생약으로서 길경, 고본, 승마, 감초 및 백지 추출물로 구성된 복합 생약 추출물을 함유하는 갑상선 기능 항진증의 예방 및 치료용 약학조성물에 관한 것이다. 본 발명의 조성물은 갑상선 호르몬인 T4(Thyroxine)의 수치를 낮추면서 TSH(Thyroid stimulating hormone)에는 영향을 미치지 않으므로 갑상선 기능 항진증의 대표적인 원인이면서, 항갑상선제 저항성을 갖고 있는 그레이브스병에 대하여 탁월한 효과를 가지고 있으면서도 인체에 안전하기 때문에 갑상선 기능 항진증의 예방 및 치료를 위한 의약품 및 건강기능식품에 유용하게 사용될 수 있다.The present invention relates to a composition for the prevention and treatment of hyperthyroidism containing herbal extracts, and more specifically, a compound consisting of root roots, gold, gypsum, as a by-product, Giltyeong, Gobon, horse riding, licorice and white paper extract. It relates to a pharmaceutical composition for the prevention and treatment of hyperthyroidism containing herbal extracts. The composition of the present invention lowers the level of thyroid hormone T4 (Thyroxine) and does not affect TSH (Thyroid stimulating hormone), which is a representative cause of hyperthyroidism and has an excellent effect against Graves disease having anti-thyroid resistance. It is safe for the human body and can be useful for medicines and dietary supplements for the prevention and treatment of hyperthyroidism.
갑상선 기능 항진증, 그레이브스병, 갈근, 황금, 석고, 약학조성물Hyperthyroidism, Graves' disease, Root, Golden, Gypsum, Pharmaceutical composition
Description
도 1은 FRTL-5(Fisher rat thyroid cells) 갑상선 세포에 본 발명의 복합생약 추출물을 처리한 경우 세포 활성도를 측정한 도이고,Figure 1 is a measure of cell activity when treated with FRTL-5 (Fisher rat thyroid cells) thyroid cells of the complex herbal extract of the present invention,
도 2는 FRTL-5 세포에 본 발명의 복합생약추출물 처리한 경우의 세포증식이 억제되는지 여부를 보여주는 도이고,2 is a diagram showing whether or not cell proliferation when FRTL-5 cells are treated with the complex herbal extract of the present invention,
도 3은 FRTL-5세포에 복합생약추출물을 처리한 경우 DNA의 합성정도를 측정한 도이며,Figure 3 is a diagram measuring the degree of synthesis of DNA when treated with a compound herbal extract to FRTL-5 cells,
도 4a 및 도 4b는 FRTL-5 세포의 T4(Thyroxine, 도 4a)와 TSH(Thyroid stimulating hormone, 도 4b)의 농도에 복합생약추출물이 미치는 영향을 나타내는 도이며, Figure 4a and 4b is a diagram showing the effect of the combined herbal extract on the concentration of T4 (Thyroxine, Figure 4a) and TSH (Thyroid stimulating hormone, Figure 4b) of FRTL-5 cells,
도 5는 FRTL-5 세포의 cAMP(cyclic AMP) 수준에 복합생약 추출물이 미치는 영향을 나타내는 도이며,Figure 5 is a diagram showing the effect of the extract of the herbal medicine on the cAMP (cyclic AMP) level of FRTL-5 cells,
도 6, 도 7a 및 도 7b는 FRTL-5 세포의 Tg(Thyroglobulin)와 TPO(Thyroid peroxidase) 유전자의 발현에 복합생약추출물이 미치는 영향을 나타내는 도로서, 도 6은 이들의 발현 수준의 사진이며 도 7a는 Tg 유전자 발현을 수치로 나타낸 도이며 도 7b는 TPO 유전자의 발현을 수치로 나타낸 도이다. 6, 7a and 7b is a diagram showing the effect of the composite herbal extracts on the expression of Tg (Thyroglobulin) and TPO (Thyroid peroxidase) genes of FRTL-5 cells, Figure 6 is a photograph of their expression level 7a is a diagram showing the expression of the Tg gene numerically, Figure 7b is a diagram showing the expression of the TPO gene numerically.
주생약으로서 갈근, 황금, 석고, 부생약으로서 길경, 고본, 승마, 감초 및 백지 추출물로 구성된 복합 생약 추출물을 함유하는 갑상선 기능 항진증의의 예방 및 치료를 위한 약학조성물에 관한 것이다.The present invention relates to a pharmaceutical composition for the prevention and treatment of hyperthyroidism, which contains a complex herbal extract consisting of root roots, gold, gypsum, and by-products of gilyeong, gobon, horse riding, licorice and white paper extract.
갑상선은 후두(喉頭)의 전면 갑상연골(甲狀軟骨) 아래에 있는 내분비선으로, 주요 기능은 갑성선 호르몬인 티록신(thyroxine)의 생산이다. 티록신은 탄수화물, 단백질, 지방의 대사조절에 관여하고 있으며, 성장호르몬 등의 기능을 강화시키기도 한다. The thyroid gland is an endocrine gland below the anterior thyroid cartilage of the larynx. Its main function is the production of thyroxine, the thyroid hormone. Thyroxine is involved in the regulation of carbohydrates, proteins and fats, and also enhances the function of growth hormone.
갑상선 기능 항진증(hyperthyroidism)은 갑상선의 기능이 병적으로 증가하여 호르몬이 과다하게 분비되는 질병으로서, 갑상선 자체에서 갑상선 호르몬을 과도하게 생산하여 혈액 중 갑상선 호르몬의 농도가 상승함에 따라 특유의 임상 증세나 생화학적인 변화를 나타내는 것을 말한다. 20 ~ 50 대의 여성에서 많이 발생하며, 환자의 5%는 소아이다. 그 원인은 자가면역질환인 바제도병(또는 그레이브스병)에 의한 경우가 대부분이지만, 이밖에 중독성 결절성 갑상선종(플러머병), 뇌하수체의 갑상선 자극호르몬 분비선종, 갑상선암, 무통성 갑상선염이나 아급성 갑상선염의 초기에도 나타난다. 혈액 속에 갑상선호르몬이 많아지면 물질대사가 항진되므로 몸이 더워지고 외부온도에 대해 예민해진다. 따라서 더위를 참지 못하고 땀을 많이 흘리며 식욕은 증가하는데도 체중이 계속 줄어 대개 1 ~ 2개월 사이에 3 ~ 4kg 씩 빠진다. 맥박이 빨라지고 가슴이 두근거리며 부정맥이 생겨 맥이 불규칙해지기도 한다. 피부는 따뜻하고 습해지며, 목에 이물감이나 통증을 느끼기도 한다. 또한, 신경이 예민해지고 불안해 하며 늘 피로를 느낀다. 잠을 잘 못자고, 손이 떨리며, 팔다리의 힘이 약해지고 심하면 마비증세가 나타난다. 생리주기가 불규칙해지며, 그 양도 감소하거나 심지어 생리가 중단되기도 한다. 한편, 갑상선이 있는 목 앞쪽이 튀어나오거나 심한 경우 안구가 튀어나오는 수도 있다.Hyperthyroidism is a disease in which the function of the thyroid gland is increased due to a pathological increase in the function of the thyroid gland.The thyroid gland produces excessive amounts of thyroid hormone, which increases the concentration of thyroid hormone in the blood. It refers to a change in nature. Occurs in women in their 20s and 50s, with 5% of children being children. The cause is most often due to autoimmune disease, Bajes 'disease (or Graves' disease), but in addition to addictive nodular goiter (plumer's disease), thyroid-stimulating hormone gland of the pituitary gland, thyroid cancer, painless thyroiditis or subacute thyroiditis Also appears. The more thyroid hormones in the blood, the greater the metabolism, which makes the body warmer and more sensitive to external temperatures. Therefore, you can not stand the heat, sweat a lot, and the appetite increases, but the weight continues to decrease, usually between 1 to 2 months by 3 to 4kg. The pulse is faster, the chest is pounding, and an arrhythmia occurs, which causes irregular pulses. Your skin becomes warm and moist, and you may feel foreign body pain or pain in your neck. In addition, the nerves are nervous, nervous, and always feel tired. If you can't sleep well, your hands are trembling, your limbs are weak, and you are paralyzed. Menstrual cycles may become irregular, the amount may decrease, or even menstruation may stop. On the other hand, the front of the neck with the thyroid gland may protrude or, in severe cases, the eye may protrude.
이러한, 갑상선 기능항진증의 치료를 위해 방사성 요오드를 사용하여 갑상선 기능을 억제하거나 심한 경우 외과적 수술을 통해 갑상선을 제거하게 된다. For the treatment of hyperthyroidism, radioactive iodine is used to suppress thyroid function or, in severe cases, to remove the thyroid gland through surgical surgery.
그레이브스병은 갑상선 기능 항진증의 가장 대표적인 원인으로서, 갑상선 자극호르몬(Thyroid stimulating hormone, TSH) 수용체에 대한 비정상적인 자가면역 반응에 의해 T3(Triiodothyronine), T4(Thyroxine)등의 혈중 갑상선 호르몬의 증가와 이로 인한 미만성 중독성 갑상선종, 침윤성 안구병증, 경골전 점액수종 등을 나타내는 장기특이성 자가면역 질환이다. 그레이브스병은 전세계적으로 가장 흔한 내분비질환중의 하나로서 2~3 %의 높은 유병율을 보이며, 주로 청장년층에서 호발하며 남자보다 여자에서 4~10배 많은 것으로 알려져있다(조보연, 임상갑상선학 1판, 고려의학, pp149-150, 2001).Graves' disease is the most common cause of hyperthyroidism, which is caused by an increase in thyroid hormones such as T3 (Triiodothyronine) and T4 (Thyroxine) due to abnormal autoimmune responses to thyroid stimulating hormone (TSH) receptors. It is an organ-specific autoimmune disease that shows diffuse addictive goiter, invasive ocular disease, pretibial myxedema and the like. Graves' disease is one of the most common endocrine diseases in the world, with a high prevalence of 2 to 3%, mainly affecting young adults, and 4 to 10 times more common in women than men (Cho Bo-yeon, 1st edition of Clinical Thyroidology, Korea Medicine, pp. 149-150, 2001).
그레이브스병의 치료는 서양의학적으로 항갑상선제의 투여(Cooper DS. Antithyroid durgs in the management of patients with Grave's disease: an evidence-based approach to therapeutic comtroversies. J. Clin. Endocrinol Metab. 88(8), pp3474-3481, 2003)와 방사성 요오드 요법 및 갑상선 아전절제술 등의 방법이 응용되고 있으나, 잦은 재발(Hoermann R et al., Relapse of Grave's disease after successful outcome of antithyroid drug therapy: results of a prospective randomized study on the use of levothyroxine. Thytoid. 12(12), pp1119-1128, 2002)과 치료에 따른 부작용 및 임상증상 개선의 한계가 있다.Cooper DS. Antithyroid durgs in the management of patients with Grave's disease: an evidence-based approach to therapeutic comtroversies. J. Clin. Endocrinol Metab . 88 (8) , pp3474-. 3481, 2003) and radioactive iodine therapy and thyroidectomy, but are frequently used (Hoermann R et al., Relapse of Grave's disease after successful outcome of antithyroid drug therapy: results of a prospective randomized study on the use) of levothyroxine.Thytoid. 12 (12) , pp1119-1128, 2002).
그레이브스병은 임상적으로 비특이적 증상이 대부분이고, 한방병원에 내원하는 환자의 경우 대부분 항갑상선제를 복용하여 갑상선종대, 안구돌출, 심계정충, 피로감, 식욕항진, 체중감소, 월경부조 등의 임상증상과는 다른 비전형적인 증상을 나타내 동양의학적 치료 및 접근이 용이하지 않다. Graves' disease is most clinically non-specific, and most patients who visit oriental hospitals take anti-thyroid drugs to treat thyroid gland, ocular protrusion, heartworm, fatigue, anorexia, weight loss, and menstrual cramps. Has other atypical symptoms and is not readily accessible to oriental medicine.
현재까지 그레이브스병의 동양의학적 치료에 대한 임상보고로는 항갑상선제와 한약의 병용투여로 자각증상의 개선을 보고한 일례(박종혁, 김성균, 이한배, 이승희, 진속창, 민건우 외. 갑상선기능항진증 환자 1례에 관한 증례보고. 한방내과학회지 23:pp238-243, 2002)가 있으나, 병용투여로 인해 한약 고유의 효능에 대한 검증이 부족하며, 한약의 단독투여로 임상증상뿐 아니라 갑상선 기능검사 (Thyroid Function Test; TFT)상의 개선을 보고한 연구는 없다. 더군다나 기존의 치료에 반응하지 않는 환자를 대상으로 한약의 효능에 대한 연구는 아직까지 보고된 바 없다. To date, clinical reports on oriental medical treatment of Graves' disease have reported improvement of subjective symptoms through the combination of anti-thyroid drugs and herbal medicine (Park Jong-hyuk, Kim Sung-kyun, Han-bae Lee, Seung-hee, Jin Chang, Min-woo et al., Patients with hyperthyroidism) Case report on one case: Journal of Korean Oriental Internal Medicine 23 : pp238-243, 2002), but due to concomitant administration, there is a lack of verification of inherent efficacy of herbal medicine, and thyroid function test (Thyroid) No studies have reported improvements in the Function Test (TFT). Furthermore, no studies on the efficacy of herbal medicines have been reported in patients who do not respond to existing treatments.
갈근(葛根)은 칡(Peuraria thunbergiana BENTH)의 괴근으로서 여기에는 이소플라본 성분의 푸라린(peurarin), 푸라린 자일로사이드(peurarin xyloside), 다이드제인(daidzein), β-시토스테롤(β-sitosterol), 아라킨산 또는 다량의 전분이 함유되어 있다. 갈근의 이소플라본 성분은 순환계통에 대해 작용하여 뇌 및 관장(冠狀)운동의 혈류량을 증가시키는 기능이 있으며, 갈근의 다이제인은 진경(鎭涇)작용을 가지고 갈근의 침제(침제)는 비교적 강한 해열작용을 가진다(정보섭 및 신민교 도해 향약(생약)대사전, 영림사, pp704-705, 1998).Brown roots are the roots of Peuraria thunbergiana BENTH, which are composed of isoflavone-based furarin, furarin xyloside, daidzein and β-sitosterol. ), Arachnic acid or large amounts of starch. The isoflavone component of the reeds acts on the circulatory system and increases the blood flow of brain and enema, and the diyzein of the reeds has a hardening effect and the repulsion of the reeds is relatively strong. Has antipyretic effect (Jung Ji-sup and Shin Min-kyo's medicinal herbs), Yeonglimsa, pp704-705, 1998.
황금(黃芩, Scutellaria baicalensis GEORGI)은 황금의 뿌리를 약재로 사용하며, 여기에는 바이칼레인(baicalein), 바이칼린(baicalin), 우고닌(wogonin), 우고노사이드(wogonoside) 및 네오바이칼레인(neobaicalein)을 함유한다. 황금은 해열, 소염, 항알레르기 작용을 나타내며, 혈관을 확장시키고 더욱이 혈압을 강하시키는 작용을 한다(정보섭 및 신민교 도해 향약(생약)대사전, 영림사, pp864-865, 1998).Gold ( Scutellaria baicalensis GEORGI) uses the root of gold as a medicinal herb, including baicalein, baicalin, wogonin, wogonin, wogonoside and neobaicalein. ). Gold has antipyretic, anti-inflammatory, anti-allergic effects, and dilates blood vessels and lowers blood pressure (Jim, Jung-seop and Shin-Kyomin medicinal herbs), Yeonglimsa, pp864-865, 1998.
석고(石膏)는 단사정계(單斜晶系)에 속하는 광물로서 무색 또는 백색, 회백색, 때로는 황색, 적색, 드물게는 암회색을 띈다. 시멘트의 혼재(混材), 비료, 백색 안료로 쓰이며 구워서 소석고로 하여 소재(塑材), 주물의 모형 제작 재료, 의료용 깁스 등에 사용된다. 또 무색투명한 것은 투석고(透石膏)라 하여 질이 좋은 것은 광학(光學)기재에 쓰인다.Gypsum is a mineral belonging to the monoclinic system, which is colorless or white, grayish white, sometimes yellow, red, rarely dark gray. It is used as a mixture of cement, fertilizer, and white pigment, and it is used as baking and calcined gypsum. It is used for materials, modeling materials for castings, and medical casts. The colorless and transparent is called dialysis gypsum, and the good quality is used for optical materials.
길경(桔梗, Platycodon grandiflorum A. DC.)은 도라지의 뿌리로서 사포닌을 함유하며 그 기지성분은 폴리갈락산(polygalacic acid), 플래티코다이제닌 (platicodigenin) 과 글루코스이다. 또 α-스피나스테롤(α-spinasterol), α-스피나스테릴-β-d-글루코시드(α-spinasteryl-β-d-glucoside), 5α-스티그마스타-7-엔-3β-올(5α-stigmasta-7-en-3β-ol), 베툴린(betulin), 이누린(inulin), 플래티코도닌(platycodonin)을 함유한다. 이것의 약리작용으로는 폐기선개(肺氣宣開), 거담(祛痰), 배농(排膿)의 효능이 있다(정보섭 및 신민교 도해 향약(생약)대사전, 영림사, pp1089-1090, 1998).Gil-Gi-Gi (P. Platycodon grandiflorum A. DC.) Contains saponins as the root of the bellflower, and its known constituents are polygalacic acid, platicodigenin and glucose. In addition, α-spinasterol (α-spinasterol), α-spinasteryl-β-d-glucoside (α-spinasteryl-β-d-glucoside), 5α-sigmastera-7-ene-3β-ol ( 5α-stigmasta-7-en-3β-ol), betulin, beulin, inulin, and platinumcodonin. Its pharmacological action has the efficacy of abolition, sputum, and drainage (Information and Sinmin-kyo Ilbo medicinal herb, Yeonglimsa, pp1089-1090, 1998) .
고본(藁本, Ligusticum tenuissimum KITAG.)은 고본 및 동속 근록식물의 근경 및 근으로서 여기에는 정유가 포함되어 있고, 그 주요성분은 3-부틸 프탈라이드(3-butyl phthalide), 큰딜라이드(cndilide)이며 뿌리는 정유가 1.5%함유되어 있으며, 이의 약리작용으로는 발표산한(發表散寒), 거풍지통(祛風止痛)의 효능이 있다(정보섭 및 신민교 도해 향약(생약)대사전, 영림사, pp428-429, 1998). Ligusticum tenuissimum KITAG. Is the root and root of the root and the same root plant, which contains essential oils, and its main components are 3-butyl phthalide and cndilide. Its root contains 1.5% of essential oils, and its pharmacological effect is that it has the effect of releasing acid (發表 散寒), Geopungjitong (祛風 止痛) (Information and Shinmingyo medicinal herbs), Yeonglimsa, pp 428-429, 1998).
승마(升麻)는 황새승마(Cimicifuga foetida L.) 및 동속 근록식물의 근경으로서 여기에는 시미시푸긴(cicimicifugine), 살리실산(salicylic acid), 카페산(caffeic acid), 페룰라산(ferula)이 함유되어 있다. 이의 약리작용으로는 결핵균에 대하여 항균작용을 가지며, 순환기계통에 작용을 하며 기타 진정작용을 가진다(정보섭 및 신민교 도해 향약(생약)대사전, 영림사, pp485-487, 1998).Horseback riding is the rooting of the Stork Horse Riding ( Cimicifuga foetida L.) and its cohort, which contains cicimicifugine, salicylic acid, caffeic acid and ferula. It is. Its pharmacological action has antimicrobial activity against Mycobacterium tuberculosis, it acts on the circulatory system, and other sedative effects (Information Interpretation and Sinmin-kyo Ilbo Herbal Medicine (Medicinal Medicine), Daelim, pp485-487, 1998).
감초(甘草, Glycyrrhiza uralensis FISCH.)는 콩과의 다년생 초본으로, 감초는 한방에서 모든 약재와 조화를 이루면서 효능을 증가시킬 뿐만 아니라 완화, 진통약으로 각종 동통 및 급박증상을 완화하는데 내복용 또는 외용으로 사용되고, 그 자체가 독의 중화작용과 같은 약성이 있다. 예를 들면, 감초는 간장을 보호하고 간 기능을 원활하게 하여 피로를 조절하는 약효가 있어서, 감초를 복용하면 그 해독작용에 의해 간의 부담이 경감된다. 식물의 뿌리 및 근경에 트리터펜(triterpene)계 사포닌(saponin), 글리시리진(glycyrrhizin)이 함유되어 있어 약물 중독, 음식물 중독, 체내대사물의 중독 뿐 만 아니라 세균독소에 대한 모든 해독작용을 가지며, 항이뇨작용 및 갑상선피지호르몬양의 조절 작용이 있다. 감초는 항염증과 항알레르기반응작용을 보이며, 아세틸콜린에 대해 길항하는 작용을 나타내며, 아드레날린의 강심작용을 증강시키는 효과가 있다(정보섭 및 신민교 도해 향약(생약)대사전, 영림사, pp684-687, 1998).Licorice ( Glycyrrhiza uralensis FISCH.) Is a perennial herb, which is a herbaceous perennial herb. It is used as a drug, and itself has a weakness such as neutralization of poison. For example, licorice has the effect of protecting the liver and facilitating liver function to regulate fatigue, and taking licorice reduces the burden on the liver by its detoxification. Triterpene-based saponins and glycyrrhizin are contained in the roots and roots of plants, so they have all detoxification effects on bacterial toxins as well as drug addiction, food poisoning, and metabolism in the body. There is a function and regulation of thyroid sebum hormone. Licorice has anti-inflammatory and anti-allergic reactions, antagonistic action against acetylcholine, and a potent effect of adrenaline stimulation. 1998).
백지(白芷)는 구릿대(Angelica dahurica BENTH. et HOOK. f.) 및 동속 근록식물의 뿌리를 말하는 것으로서, 구릿대의 전초에는 정유가 함유되어 있고 뿌리에는 뱍-안젤리신(byak-angelicin), 뱍-안젤리콜(byak-angelicol), 옥시퓨세다닌(oxypeucedanin), 임페라토닌(imperatonin), 토린(torin), 이소임페라토린(isoimperatonin), 펠로프테린(phellopterin)등이 함유되어 있으며, 또한 일종의 경련을 일으키는 독소 안젤리카톡신(angelicatoxin)이 함유되어 있다. 이의 약리작용으로는 존네(Sonne)균, 티푸스(Thyphus)균, 콜레라(Cholera)균 등에 대하여 항균작용을 가지며 소량의 백지독은 동물의 연수와 혈관의 운동중추, 호흡중추, 미주신경 및 척수에 대하여 흥분작용이 있어서 혈압의 상승, 맥박을 느리게 하고 심호흡을 하게하는 동시에 유연(流涎), 구토를 일으키고 대량으로 사용하면 강직성문헐성(强直性問歇性)의 경련을 일으키고 나아가서는 전신마비를 일으킨다.White paper refers to the roots of Angelica dahurica BENTH. Et HOOK.f. and the same plant, which contains essential oils and the roots of by-angelicin and roots. Angelicol (byak-angelicol), oxypeucedanin, imperatonin, torin, isoimperatonin, pelopopterin, etc. It contains the toxin angelicatoxin. Its pharmacological action has antibacterial activity against Sonne, Typhos, and Cholera. A small amount of white poison is applied to the animal's training and blood vessels, respiratory center, vagus nerve and spinal cord. Excited to increase blood pressure, slow the pulse and take deep breaths, at the same time cause flexible, vomiting and when used in large quantities, causing spasticity of spasticity and even general paralysis. .
상기와 같이, 오랜 옛날부터 한방과 민간에서 특별한 독성이나 부작용 없이 사용되어온 갈근, 황금, 석고, 길경, 고본, 승마, 감초 및 백지 등에 대해서는 그 동안 과학적으로도 각각의 효능 및 독성에 대한 많은 연구가 이루어져 왔다. 그러나, 상기 생약 추출물을 함유하는 갑상선 기능 항진증의 예방 및 치료용 조성물에 대해서는 어떠한 연구 문헌이나 기타 자료가 개시 또는 교시된 바 없다.As mentioned above, much research has been conducted on the efficacy and toxicity of each of the roots, golden, gypsum, street lamp, hard bones, horse riding, licorice and white paper, which have been used for a long time in the oriental medicine and civilian without special toxicity or side effects Has been made. However, no research literature or other data has been disclosed or taught about the composition for the prevention and treatment of hyperthyroidism containing the herbal extract.
이에 본 발명자들은 갑상선 기능 항진증을 치료하는 한방방제를 탐색하고 의약품으로서의 이용성을 높이려는 연구의 일환으로서, 상기의 갈근, 황금, 석고를 주생약으로하고 길경, 고본, 승마, 감초 및 백지를 부생약으로 함유하는 한방방제인 안전백호탕 추출물이 갑상선 기능 항진증의 치료에 우수한 효과를 나타내는 것을 확인하고 본 발명을 완성하였다. In this regard, the present inventors have searched for herbal medicines to treat hyperthyroidism and improved the usability as medicines. It was confirmed that the herbal extract containing safe Baekho-tang extract as an excellent effect in the treatment of hyperthyroidism and completed the present invention.
본 발명의 목적은 주생약으로서 갈근, 황금, 석고, 부생약으로서 길경, 고본, 승마, 감초 및 백지로 구성된 복합생약 추출물을 유효성분으로 함유하는 갑상선 기능 항진증의 예방 및 치료를 위한 약학조성물에 관한 것이다.
An object of the present invention relates to a pharmaceutical composition for the prevention and treatment of hyperthyroidism, containing as an active ingredient a complex herbal extract consisting of brown root, golden, gypsum, by-product as a main medicine, Gilyeong, Gobon, horse riding, licorice and white paper as an active ingredient will be.
상기 목적을 달성하기 위하여, 본 발명은 갈근, 황금, 석고를 주성분으로 포함하고 약제학적으로 허용가능한 담체, 부형제 또는 희석제를 포함하는 갑상선 기능 항진증의 예방 및 치료를 위한 약학조성물을 제공한다.In order to achieve the above object, the present invention provides a pharmaceutical composition for the prevention and treatment of hyperthyroidism comprising the root, golden, gypsum as a main component and a pharmaceutically acceptable carrier, excipient or diluent.
또한 본 발명의 상기 주성분에 추가적으로 길경, 고본, 승마, 감초 및 백지 를 부성분으로 포함하고 약제학적으로 허용 가능한 담체, 부형제 또는 희석제를 포함하는 갑상선 기능 항진증의 예방 및 치료용 약학조성물을 제공한다.In addition, the present invention provides a pharmaceutical composition for preventing and treating hyperthyroidism, which includes Gilyeong, Gobon, Horse Riding, Licorice, and white paper as an additional ingredient, and includes a pharmaceutically acceptable carrier, excipient, or diluent.
상기 추출물은 물, 탄소수 1 내지 4의 저급알콜 또는 이들의 혼합용매로부터 선택된 극성용매, 바람직하게는 물에 가용한 추출물을 포함한다.The extract includes a polar solvent selected from water, a lower alcohol having 1 to 4 carbon atoms or a mixed solvent thereof, preferably an extract available in water.
이하 본 발명을 더욱 상세히 설명한다.Hereinafter, the present invention will be described in more detail.
상기 추출물은 분쇄물, 추출물 또는 그 분말엑스의 형태로 포함되는 것을 특징으로 한다. 이때, 본 발명에 따른 조성물은 상기 각 생약재의 단일 추출물을 포함하는 혼합 추출물, 또는 상기 각 생약재를 2종 이상 포함하는 식물을 함께 추출하여 제조되는 복합 추출물을 포함한다.The extract is characterized in that it is included in the form of a pulverized product, extract or powder extract thereof. At this time, the composition according to the present invention includes a mixed extract comprising a single extract of each herbal medicine, or a complex extract prepared by extracting a plant containing two or more of each herbal medicine.
본 발명에 따른 추출물은 통상의 물 추출물, 알코올 등을 용매로 한 용매 추출법 등을 적용하여 제조한 조추출물일 수 있으며, 또한 칼럼 크로마토그래피를 이용하여 정제한 분획추출물일 수 있다. 본 발명에 따른 추출물의 제조방법은 본 기술분야에 속하는 통상의 지식을 가진 자에게 알려진 추출방법을 모두 적용할 수 있으며, 예컨대 물, 알코올 또는 혼합용매에 의한 추출, 중탕이나 상온에 의한 추출법 등을 포함하나 이에 한정되지 않는다.The extract according to the present invention may be a crude extract prepared by applying a solvent extraction method using a conventional water extract, alcohol, etc. as a solvent, and may also be a fraction extract purified using column chromatography. Extraction method according to the invention can be applied to all extraction methods known to those of ordinary skill in the art, for example, extraction with water, alcohol or mixed solvents, extraction method using a bath or room temperature, etc. Including but not limited to.
본 발명의 바람직한 실시예에서는, 건조 상태의 생약들을 재료의 표면에 존재하는 이물질 등을 제거하기 위하여 세척한 다음 건조기에서 말린 후, 적절한 배합비로 혼합하고 이를 분쇄하여 생약 분쇄물을 얻을 수 있다. 또한, 상기 분말화된 복합 생약들의 1 내지 20배 부피/중량의 증류수, 탄소수 1 내지 4의 저급 알콜 또 는 이들의 혼합용매, 바람직하게는 약 1 내지 20배, 가장 바람직하게는 약 3 내지 10배의 물로, 20 내지 100℃, 바람직하게는 50 내지 70℃ 추출온도에서 약 1시간 내지 10일, 바람직하게는 약 2 내지 5시간 동안 냉침, 열수추출, 초음파 추출, 환류 냉각 추출, 바람직하게는 열수 추출방법을 이용하여 수득한 추출액을 여과, 감압농축하여 물 추출물을 수득할 수 있다. In a preferred embodiment of the present invention, dried herbal medicines may be washed to remove foreign substances, etc. present on the surface of the material, and then dried in a dryer, mixed in an appropriate blending ratio, and ground to obtain the herbal powders. In addition, 1 to 20 times volume / weight of distilled water, lower alcohol having 1 to 4 carbon atoms or a mixed solvent thereof, preferably about 1 to 20 times, and most preferably about 3 to 10 times of the powdered complex herbal medicines. With pear water, cold soaking, hot water extraction, ultrasonic extraction, reflux cooling extraction, preferably for about 1 hour to 10 days, preferably about 2 to 5 hours, at an extraction temperature of 20 to 100 ° C., preferably 50 to 70 ° C., preferably The extract obtained by using the hot water extraction method may be filtered and concentrated under reduced pressure to obtain a water extract.
본 발명의 추출물은 이에 그 조성비를 한정하는 것은 아니나, 갈근, 황금, 석고, 길경, 고본, 승마, 감초 및 백지를 각 생약의 건조중량을 기준으로 4~5 : 1.5~2 : 0.5~1 : 0.5~1 : 0.5~1 : 0.5~1 : 0.5~1 : 0.5~1의 비율로 함유함이 바람직하다. 상기 생약 추출물들은 오랫동안 식품으로 사용되어 오던 것으로서 이로부터 추출된 본 발명의 추출물 역시 독성 및 부작용 등의 문제가 없다. The extract of the present invention is not limited to this composition ratio, but is based on the dry weight of each
상기 방법에 의해 제조된 복합생약 추출물은 FRTL-5(Fisher rat thyroid cells) 갑상선 세포의 증식을 억제하고, 갑상선 호르몬인 T4의 농도를 감소시킴으로써 갑상선 기능 항진증의 예방 및 치료에 효과가 있다.The complex herbal extract prepared by the above method is effective in preventing and treating hyperthyroidism by inhibiting proliferation of FRTL-5 (Fisher rat thyroid cells) thyroid cells and reducing the concentration of T4, a thyroid hormone.
본 발명은 상기 방법에 의해 제조된 갈근, 황금, 석고, 길경, 고본, 승마, 감초 및 백지로 구성된 복합 생약추출물을 유효성분으로 포함하고 약제학적으로 허용 가능한 담체, 부형제 또는 희석제를 포함하는 갑상선 기능 항진증의 예방 또는 치료용 약학 조성물을 제공한다. The present invention is a thyroid function comprising a complex herbal extract consisting of brown root, golden, gypsum, streetscape, hardwood, horseback riding, licorice and white paper prepared by the method as an active ingredient and a pharmaceutically acceptable carrier, excipient or diluent It provides a pharmaceutical composition for the prevention or treatment of hyperalgesia.
본 발명의 갑상선 기능 항진증의 예방 또는 치료용 약학조성물은 조성물 총 중량에 대하여 상기 추출물을 0.01 내지 50 중량%로 포함한다. The pharmaceutical composition for preventing or treating hyperthyroidism of the present invention comprises 0.01 to 50% by weight of the extract based on the total weight of the composition.
본 발명의 추출물의 약학적 투여 형태는 이들의 약학적 허용 가능한 염의 형 태로도 사용될 수 있고, 또한 단독으로 또는 타 약학적 활성 화합물과 결합뿐만 아니라 적당한 집합으로 사용될 수 있다. Pharmaceutical dosage forms of the extracts of the present invention may be used in the form of their pharmaceutically acceptable salts, and may be used alone or in combination with other pharmaceutically active compounds, as well as in a suitable collection.
본 발명에 따른 추출물을 포함하는 약학조성물은, 각각 통상의 방법에 따라 산제, 과립제, 정제, 캡슐제, 현탁액, 에멀젼, 시럽, 에어로졸 등의 경구형 제형, 외용제, 좌제 및 멸균 주사용액의 형태로 제형화하여 사용될 수 있다. 추출물을 포함하는 조성물에 포함될 수 있는 담체, 부형제 및 희석제로는 락토즈, 덱스트로즈, 수크로스, 솔비톨, 만니톨, 자일리톨, 에리스리톨, 말티톨, 전분, 아카시아 고무, 알지네이트, 젤라틴, 칼슘 포스페이트, 칼슘 실리케이트, 셀룰로즈, 메틸 셀룰로즈, 미정질 셀룰로스, 폴리비닐 피롤리돈, 물, 메틸히드록시벤조에이트, 프로필히드록시벤조에이트, 탈크, 마그네슘 스테아레이트 및 광물유를 들 수 있다. 제제화할 경우에는 보통 사용하는 충진제, 증량제, 결합제, 습윤제, 붕해제, 계면활성제 등의 희석제 또는 부형제를 사용하여 조제된다. 경구투여를 위한 고형제제에는 정제, 환제, 산제, 과립제, 캡슐제 등이 포함되며, 이러한 고형제제는 상기 추출물에 적어도 하나 이상의 부형제 예를 들면, 전분, 칼슘카보네이트 (calcium carbonate), 수크로스(sucrose) 또는 락토오스(lactose), 젤라틴 등을 섞어 조제된다. 또한 단순한 부형제 이외에 마그네슘 스테아레이트, 탈크 같은 윤활제들도 사용된다. 경구를 위한 액상 제제로는 현탁제, 내용액제, 유제, 시럽제 등이 해당되는데 흔히 사용되는 단순희석제인 물, 리퀴드 파라핀 이외에 여러 가지 부형제, 예를 들면 습윤제, 감미제, 방향제, 보존제 등이 포함될 수 있다. 비경구 투여를 위한 제제에는 멸균된 수용액, 비수성용제, 현탁제, 유제, 동결건조 제제, 좌제가 포 함된다. 비수성용제, 현탁제로는 프로필렌글리콜(propylene glycol), 폴리에틸렌 글리콜, 올리브 오일과 같은 식물성 기름, 에틸올레이트와 같은 주사 가능한 에스테르 등이 사용될 수 있다. 좌제의 기제로는 위텝솔(witepsol), 마크로골, 트윈 (tween) 61, 카카오지, 라우린지, 글리세로제라틴 등이 사용될 수 있다.Pharmaceutical compositions comprising extracts according to the invention, in the form of powders, granules, tablets, capsules, suspensions, emulsions, syrups, aerosols and the like, oral preparations, suppositories and sterile injectable solutions, respectively, according to conventional methods. Can be formulated and used. Carriers, excipients and diluents that may be included in the composition comprising the extract include lactose, dextrose, sucrose, sorbitol, mannitol, xylitol, erythritol, maltitol, starch, acacia rubber, alginate, gelatin, calcium phosphate, calcium silicate , Cellulose, methyl cellulose, microcrystalline cellulose, polyvinyl pyrrolidone, water, methylhydroxybenzoate, propylhydroxybenzoate, talc, magnesium stearate and mineral oil. When formulated, diluents or excipients such as fillers, extenders, binders, wetting agents, disintegrating agents, and surfactants are usually used. Solid preparations for oral administration include tablets, pills, powders, granules, capsules and the like, and such solid preparations may include at least one excipient such as starch, calcium carbonate and sucrose in the extract. ) Or lactose, gelatin and the like are mixed. In addition to simple excipients, lubricants such as magnesium stearate and talc are also used. Oral liquid preparations include suspensions, solvents, emulsions, and syrups, and may include various excipients, such as wetting agents, sweeteners, fragrances, and preservatives, in addition to commonly used simple diluents such as water and liquid paraffin. . Preparations for parenteral administration include sterile aqueous solutions, non-aqueous solvents, suspensions, emulsions, lyophilized preparations, suppositories. As the non-aqueous solvent and suspending agent, propylene glycol, polyethylene glycol, vegetable oil such as olive oil, injectable ester such as ethyl oleate and the like can be used. As the base of the suppository, witepsol, macrogol, tween 61, cacao butter, laurin butter, glycerogelatin and the like can be used.
본 발명의 추출물의 바람직한 투여량은 환자의 상태 및 체중, 질병의 정도, 약물형태, 투여경로 및 기간에 따라 다르지만, 당업자에 의해 적절하게 선택될 수 있다. 그러나, 바람직한 효과를 위해서, 본 발명의 추출물 또는 화합물은 1일 10 내지 2000 mg/kg으로, 바람직하게는 100 내지 1000 mg/kg으로 투여하는 것이 좋다. 투여는 하루에 한번 투여할 수도 있고, 수회 나누어 투여할 수 있다. Preferred dosages of the extracts of the present invention vary depending on the condition and weight of the patient, the extent of the disease, the form of the drug, the route of administration and the duration, and may be appropriately selected by those skilled in the art. However, for the desired effect, the extract or compound of the present invention is preferably administered at 10 to 2000 mg / kg, preferably at 100 to 1000 mg / kg. Administration may be administered once a day or may be divided several times.
본 발명의 약학 조성물은 쥐, 생쥐, 가축, 인간 등의 포유동물에 다양한 경로로 투여될 수 있다. 투여의 모든 방식은 예상될 수 있는데, 예를 들면, 경구, 직장 또는 정맥, 근육, 피하, 자궁내 경막 또는 뇌혈관내 주사에 의해 투여될 수 있다. The pharmaceutical composition of the present invention can be administered to various mammals such as rats, mice, livestock, humans, and the like. All modes of administration can be expected, for example, by oral, rectal or intravenous, intramuscular, subcutaneous, intrauterine dural or cerebrovascular injections.
본 발명의 복합생약 추출물은 독성 및 부작용은 거의 없으므로 예방 목적으로 장기간 복용시에도 안심하고 사용할 수 있는 약제이다. Complex herbal extract of the present invention is a drug that can be used with confidence even when taken for a long time for the purpose of prevention because there is little toxicity and side effects.
본 발명은 갑상선 기능 항진증의 예방효과를 나타내는 갈근, 황금, 석고, 길경, 고본, 승마, 감초 및 백지로 구성된 복합 생약추출물을 유효성분으로 포함하고 식품학적으로 허용 가능한 식품보조 첨가제를 포함하는 건강기능식품을 제공한다. The present invention comprises a composite herbal extract consisting of brown root, golden, gypsum, gilyeong, hard bones, horse riding, licorice and white paper showing the preventive effect of hyperthyroidism as an active ingredient and a food supplement acceptable food supplement Provide food.
또한, 갈근, 황금, 석고, 길경, 고본, 승마, 감초 및 백지로 구성된 복합 생약추출물은 갑상선 기능 항진증의 예방을 목적으로 식품 또는 음료에 첨가될 수 있는데, 식품 종류는 특히 한정되는 것은 아니고, 예를 들어, 과자류, 빵류, 면류 등과 같은 각종 식품류, 물, 청량음료, 과실음료 등의 드링크류, 껌, 차, 비타민 복합제, 조미료류, 건강기능 식품류 등이 있다. 이때, 식품 또는 음료 중의 상기 추출물 또는 화합물의 양은, 일반적으로 본 발명의 건강기능식품 조성물의 경우는 전체 식품 중량의 0.01 내지 15 중량%, 바람직하게는 0.1 내지 5 중량%로 가할 수 있으며, 건강 음료 조성물에는 100㎖를 기준으로 0.01~30g, 바람직하게는 0.1~1g의 비율로 가할 수 있다. 이와 같이 하여 얻어지는 본 발명의 건강기능식품은, 본 발명의 조성물을 함유하고 있기 때문에, 본 발명의 화합물이 지닌 보건예방효과 및 보건 치료 효과를 충분히 활용할 수 있는 식품이다.In addition, a compound herbal extract consisting of root, golden, gypsum, gilyeong, hard bones, horse riding, licorice and white paper may be added to food or drink for the purpose of preventing hyperthyroidism, but the food type is not particularly limited. For example, various foods such as sweets, breads, noodles, and the like, drinks such as water, soft drinks, fruit drinks, gums, teas, vitamin complexes, seasonings, and health functional foods. At this time, the amount of the extract or compound in the food or beverage, in general, in the case of the health functional food composition of the present invention can be added to 0.01 to 15% by weight, preferably 0.1 to 5% by weight of the total food weight, health drink The composition may be added at a ratio of 0.01 to 30 g, preferably 0.1 to 1 g based on 100 ml. Since the health functional food of this invention obtained in this way contains the composition of this invention, it is a food which can fully utilize the health prevention effect and health treatment effect which the compound of this invention has.
본원에서 정의되는 식품보조첨가제는 당업계에 통상적인 식품첨가제, 예를 들어 향미제, 풍미제, 착색제, 충진제, 안정화제 등을 포함하며 하기에 예시한다.Food supplement additives as defined herein include food additives customary in the art, such as flavorings, flavoring agents, colorants, fillers, stabilizers, and the like, and are exemplified below.
본 발명의 건강기능식품은 정제, 캡슐제, 환제 또는 액제 등의 형태를 포함한다.The dietary supplement of the present invention includes the form of tablets, capsules, pills or liquids.
본 발명의 건강 음료 조성물은 지시된 비율로 필수 성분으로서 상기 추출물 또는 화합물을 함유하는 외에는 액체성분에는 특별한 제한점은 없으며 통상의 음료와 같이 여러가지 향미제 또는 천연 탄수화물 등을 추가 성분으로서 함유할 수 있다. 상술한 천연 탄수화물의 예는 모노사카라이드, 예를 들어, 포도당, 과당 등; 디사카라이드, 예를 들어 말토스, 슈크로스 등; 및 폴리사카라이드, 예를 들어 덱 스트린, 시클로덱스트린 등과 같은 통상적인 당, 및 자일리톨, 소르비톨, 에리스리톨 등의 당알콜이다. 상술한 것 이외의 향미제로서 천연 향미제 (타우마틴, 스테비아 추출물 (예를 들어 레바우디오시드 A, 글리시르히진 등), 및 합성 향미제(사카린, 아스파르탐 등)를 유리하게 사용할 수 있다. 상기 천연 탄수화물의 비율은 본 발명의 조성물 100㎖ 당 일반적으로 약 1 내지 20g, 바람직하게는 약 5 내지 12g이다.The health beverage composition of the present invention has no particular limitation on the liquid component except for containing the extract or compound as essential ingredients in the indicated proportions, and may contain various flavors or natural carbohydrates, etc. as additional ingredients, like ordinary beverages. Examples of the above-mentioned natural carbohydrates include monosaccharides such as glucose, fructose and the like; Disaccharides such as maltose, sucrose and the like; And conventional sugars such as polysaccharides such as dextrin, cyclodextrin, and sugar alcohols such as xylitol, sorbitol, and erythritol. As flavoring agents other than those mentioned above, natural flavoring agents (tauumatin, stevia extract (for example rebaudioside A, glycyrrhizin, etc.), and synthetic flavoring agents (saccharin, aspartame, etc.) can be advantageously used. The proportion of natural carbohydrates is generally about 1-20g, preferably about 5-12g per 100ml of the composition of the present invention.
본 발명의 식품은 기재로 되는 식품의 제조공정 중에 상술한 본 발명의 조성물을 첨가하는 공정을 가함으로써 혹은 기재로 되는 식품의 제조 후에 상술한 본 발명의 조성물을 첨가하는 공정을 가함으로써 용이하게 얻을 수 있다. 이때 필요에 따라 맛과 냄새 교정제를 첨가하여도 좋다. The food of this invention is easily obtained by adding the process of adding the composition of this invention mentioned above to the manufacturing process of the base food, or by adding the process of adding the composition of this invention mentioned above after manufacture of the foodstuff which is a base material. Can be. At this time, a taste and odor correction agent may be added as needed.
상기 외에 본 발명의 조성물은 여러 가지 영양제, 비타민, 광물 (전해질), 합성 풍미제 및 천연 풍미제 등의 풍미제, 착색제 및 중진제(치즈, 초콜릿 등), 펙트산 및 그의 염, 알긴산 및 그의 염, 유기산, 보호성 콜로이드 증점제, pH 조절제, 안정화제, 방부제, 글리세린, 알콜, 탄산 음료에 사용되는 탄산화제 등을 함유할 수 있다. 그밖에 본 발명의 조성물들은 천연 과일 쥬스 및 과일 쥬스 음료 및 야채 음료의 제조를 위한 과육을 함유할 수 있다. 이러한 성분은 독립적으로 또는 조합하여 사용할 수 있다. 이러한 첨가제의 비율은 그렇게 중요하진 않지만 본 발명의 조성물 100 중량부 당 0 내지 약 20 중량부의 범위에서 선택되는 것이 일반적이다. In addition to the above, the composition of the present invention includes various nutrients, vitamins, minerals (electrolytes), synthetic flavors and natural flavoring agents, colorants and neutralizing agents (such as cheese and chocolate), pectic acid and salts thereof, alginic acid and its Salts, organic acids, protective colloidal thickeners, pH adjusters, stabilizers, preservatives, glycerin, alcohols, carbonation agents used in carbonated beverages, and the like. The compositions of the present invention may also contain pulp for the production of natural fruit juices and fruit juice beverages and vegetable beverages. These components can be used independently or in combination. The proportion of such additives is not so critical but is generally selected from the range of 0 to about 20 parts by weight per 100 parts by weight of the composition of the present invention.
이하, 본 발명을 실시예 및 실험예에 의해 상세히 설명한다. Hereinafter, the present invention will be described in detail by Examples and Experimental Examples.
단, 하기 실시예 및 실험예는 본 발명을 예시하는 것일 뿐, 본 발명의 내용이 하기 실시예 및 실험예에 한정되는 것은 아니다.However, the following Examples and Experimental Examples are only illustrative of the present invention, and the content of the present invention is not limited to the following Examples and Experimental Examples.
실시예 1. 복합 생약 추출물의 제조Example 1. Preparation of Complex Herbal Extract
경희의료원 약제과에서 구입한 갈근, 황금, 석고, 길경, 고본, 승마, 감초 및 백지를 정선하여 세절한 후, 건조된 갈근 80g, 황금 32g, 석고, 길경, 고본, 승마, 감초 및 백지 각 16g으로 총 192g을 함께 증류수 1.5ℓ에 넣어 4시간동안 10℃에서 가열추출한 후 여과한 여액을 로터리 증발기(Rotary evaporator, model NE-1, 동경이화학주식회사, 일본)을 사용하여 감압농축한 후 동결건조기(model FD-1, 동경이화학주식회사, 일본)로 건조시켰다. 이 동결건조된 약제 1차 추출물 1g씩을 10㎖의 증류수로 용해시킨 뒤 90℃ 수조에서 2시간 동안 재차 가열 추출한 다음 원심분리용 시험관에 담아 14000 rpm에서 20분간 원심 분리하여 상청액을 수거하였다.(수득율 11.8%) 이 상청액을 직경 0.2㎛의 여과지를 통과시켜 여과, 멸균 하였으며 실험의 시료로서 사용할 때까지 -70℃에서 보관하였다. Brown root, golden, gypsum, gilkyung, hard bone, horse riding, licorice and white paper purchased from Kyunghee Medical Center A total of 192g of 80g, 32g of gold , 16g each of gypsum, Giltyeong, Gobon, horseback riding, licorice and white paper were put together in 1.5ℓ of distilled water and heated and extracted at 10 ℃ for 4 hours. The filtrate was filtered through a rotary evaporator (model NE- (1, Tokyo Chemical Co., Ltd.), concentrated under reduced pressure and dried with a freeze dryer (model FD-1, Tokyo Chemical Co., Japan). This lyophilized After dissolving 1 g of the first extract of the drug in 10 ml of distilled water and heating and extracting again in a 90 ° C. water bath for 2 hours, the supernatant was collected by centrifugation at 14000 rpm for 20 minutes (yield 11.8%). The supernatant was filtered through a 0.2 mm diameter filter paper and sterilized and stored at -70 ° C until used as a sample for the experiment.
참고예 1. 세포 배양Reference Example 1. Cell Culture
본 실험에서 사용한 FRTL-5(Fisher rat thyroid cells) 갑상선 세포는 송민호 교수(충남대학교 내과학 교실)에게서 분양을 받았다. FRTL-5 세포의 배양은 햄의 F-12를 변형한 쿤스 메디엄(Coon's modified Ham's F-12 medium, K.C. Biological, Louis, MO, USA)에 6H 메디엄(medium)의 경우 5% 우태아 혈청(calf fetus serum, Gibco; Invitrogen Corp., CA, USA), 10 ㎍/㎖ 인슐린(insulin, Sigma Chemical Co., St. Louis, MO, USA), 5 ㎍/㎖ 트랜스페린(transferrin, Sigma), 10 ng/㎖ 라이실-히스티딜-라이신 아세테이트(lycyl-L-histidyl-L-lysine acetate, Sigma), 10 ng/㎖ 소마토사틴(somatosatin, Sigma), 10 uM 코티졸(cortisol, Sigma), 1 mU/㎖ TSH (Sigma), 100 U/㎖ 페니실린(penicilin, Sigma), 100 ㎍/㎖ 스트렙토마이신(streptomycin, Sigma)이 첨가된 배양액으로 배양하였고, 5H 메디움(medium)의 경우 1 mU/㎖ TSH을 제외한 나머지가 첨가된 배양액으로 배양하여 37℃ 5% CO2 세포배양기에서 배양하였다. 메디움은 2-3일 간격으로 갈아주었고, 세포의 계대 배양 간격은 7-10일이었으며, 본 실험에 사용된 FRTL-5 세포는 5-15대째 계대 배양중인 세포를 사용하였다. FRTL-5 (Fisher rat thyroid cells) thyroid cells used in this experiment were distributed by Professor Song Min-ho (Department of Internal Medicine, Chungnam National University). Culture of FRTL-5 cells was performed in Coon's modified Ham's F-12 medium, KC Biological, Louis, MO, USA, 5% fetal bovine serum for 6H medium. (calf fetus serum, Gibco; Invitrogen Corp., CA, USA), 10 μg / ml insulin (insulin, Sigma Chemical Co., St. Louis, MO, USA), 5 μg / ml transferrin (Sigma), 10 ng / ml lycyl-L-histidyl-L-lysine acetate (Sigma), 10 ng / ml somatosatin (Sigma), 10 uM cortisol (cortisol, Sigma), 1 mU / Ml TSH (Sigma), 100 U / ㎖ penicilin (Sigma), 100 ㎍ / ㎖ Streptomycin (Sigma) was added to the culture medium, 1MU / ㎖ TSH for 5H medium (medium) Except the remaining culture was added to the culture medium was cultured in a 37% 5% CO 2 cell culture. Medium was changed every 2-3 days, the passage interval of the cells was 7-10 days, FRTL-5 cells used in this experiment was used cells in passage 5-15 generation.
참고예 2. 통계 분석Reference Example 2. Statistical Analysis
통계학적 비교분석은 그래프패드 PRISM 통계적 패키지(GraphPad PRISM statistical package, ver 2.00, Graphpad software inc., San Diego, USA)를 이용하여 ANOVA(one-way analysis of variance)의 터키의 포스트-혹 테스트(Tuckey's post-hoc test)로 사후 검증하였다. 각각의 수치는 평균 ± 표준편차(mean ± S.D.)로 표시하였으며, 양방 검정 유의도(Two-tailed p value)는 p값이 <0.05 수준일 때를 기준으로 하였다. Statistical comparisons were performed using the TurkeyPad PRISM statistical package (ver 2.00, Graphpad software inc., San Diego, USA) with Turkish one-way analysis of variance (Tuckey's) post-hoc test). Each value was expressed as mean ± S.D., and the two-tailed p value was based on when the p value was <0.05.
실험예 1. 세포활성도 측정Experimental Example 1. Measurement of Cell Activity
세포활성도 측정은 MTT(3-(4,5-dimethylthiazol)-2,5-diphenyltetrazolium bromide, Sigma Chemical Co., St. Louis, MO, USA)을 이용하여 염색환원법(dye reduction assay)으로 하였다. 상기 참고예 1에서 배양한 FRTL-5 세포를 96 웰 세포배양용기에 1×104 cells/well로 분주한 후 12시간 이상 배양하여 부착 후, 유리 혈청 메디아(serum-free media)에서 24시간 배양하였다. 그 후 세포배양액을 제거하고, 유리 TSH(TSH-free) 혹은 TSH 함유 메디아(TSH-containing media)하에서 상기 실시예 1에서 수득한 복합생약추출물을 다양한 농도로 투여 후 2 일간 배양하였다. 그 후 MTT을 투여하여 약 2-3 시간 배양한 다음, 배양액을 제거하였다. 세포는 100 ㎕의 DMSO(dimethylsulfoxide)를 첨가하여 분해한 후, 측광기(spectrophotometer, Dynatech, Inc., Alexandria, VA, USA)로 570 ㎚에서 흡광도를 측정하였다.Cell activity was measured by dye reduction assay using MTT (3- (4,5-dimethylthiazol) -2,5-diphenyltetrazolium bromide, Sigma Chemical Co., St. Louis, MO, USA). The FRTL-5 cells cultured in Reference Example 1 were dispensed into 1 × 10 4 cells / well in a 96 well cell culture vessel, followed by incubation for at least 12 hours, followed by 24 hours in free serum media (serum-free media). It was. After that, the cell culture solution was removed, and the complex herbal extract obtained in Example 1 was incubated for 2 days after administration at various concentrations under free TSH (TSH-free) or TSH-containing media (TSH-containing media). After incubation for about 2-3 hours with MTT, the culture was removed. Cells were digested by addition of 100 μl of DMSO (dimethylsulfoxide), and then absorbance was measured at 570 nm with a photometer (spectrophotometer, Dynatech, Inc., Alexandria, VA, USA).
상기 실험 수행의 결과, 도 1에서 보는 바와 같이 본 발명의 복합생약추출물(도 1의 AJBHT)의 농도 의존적으로 세포 생존율이 감소하는 바 복합생약추출물 30㎍/㎖이상의 투여에서는 세포독성이 존재하는 것으로 판단되므로 15, 30㎍/㎖에서 하기 실험들을 진행하였다.As a result of performing the experiment, as shown in FIG. 1, the cell survival rate decreases depending on the concentration of the complex herbal extract (AJBHT of FIG. 1) of the present invention. As judged, the following experiments were conducted at 15 and 30 µg / ml.
실험예 2. FRTL-5 갑상선 세포의 증식 억제 실험Experimental Example 2 Inhibition of Proliferation of FRTL-5 Thyroid Cells
참고예 1의 FRTL-5 갑상선 세포를 1 mU/㎖ TSH가 포함된 햄의 F-12를 변형한 쿤스 메디엄(6H medium) 하에서 1-2일 간 배양하였다. 배양이 끝나면 0.05% 트립신(Trypsin)-0.53 mM EDTA 용액을 처리하여 낱개의 세포로 수확한 다음 우태아 혈청이 5%되게 첨가된 PBS(phosphate buffered saline) 용액으로 2회 세척하였다. 이들 세포를 1×105 cells/well의 농도로 조정하여 1 mU/㎖ TSH가 포함되지 않은 햄의 F-12를 변형한 쿤스 메디엄(5H medium)에서 72시간 동안 배양하였다. 배양이 끝난 후 PBS 용액으로 2회 세척한 다음 이들 세포를 상기 실험예 1의 세포활성도 실험에서 결정된 농도의 복합생약추출물 및 대조실험약재인 MMI(methimazole)을 포함한 6H 메디엄으로 전환시켜 48시간 동안 증식반응을 유도한 후 0.05% 트립신-0.53 mM EDTA 용액을 처리하여 낱개의 세포로 수확한 다음 현미경하에서 직접세포수 계산(direct cell counting)방법으로 각각의 세포수를 계산하였다. 상기 실험에서는 복합생약추출물 및 MMI를 첨가하지 않는 대조군과 복합생약추출물을 첨가한 실험군, 그리고 MMI를 첨가한 양성 대조군으로 나누어 실험을 진행하였다.FRTL-5 thyroid cells of Reference Example 1 were cultured for 1-2 days under F-12 modified 6's medium of ham containing 1 mU / ml TSH. After the incubation, the cells were treated with 0.05% Trypsin-0.53 mM EDTA solution, harvested into individual cells, and washed twice with PBS (phosphate buffered saline) solution containing 5% fetal calf serum. These cells were adjusted to a concentration of 1 × 10 5 cells / well and incubated for 72 hours in FUS modified 5-12 medium of ham without 1 mU / ml TSH. After incubation, the cells were washed twice with PBS solution, and these cells were converted into 6H media containing the compound herbal extract of the concentration determined in the cell activity experiment of Experimental Example 1 and the control drug MMI (methimazole) for 48 hours. After inducing the proliferation reaction, the cells were harvested as individual cells by treatment with 0.05% trypsin-0.53 mM EDTA solution, and each cell number was calculated by direct cell counting under a microscope. In the experiment, the experiment was divided into a control group without addition of the compound herbal extract and MMI, an experimental group with the addition of the compound herbal extract, and a positive control with the addition of MMI.
상기 실험 수행의 결과, 도 2에서 보는 바와 같이 대조군, MMI 투여군 및 15㎍/㎖ 복합생약추출물 투여군(도 2의 AJBHT)의 경우 FRTL-5 갑상선 세포의 증식의 억제가 유의성 있게 관찰되지 않았으나, 30㎍/㎖ 복합생약추출물을 투여한 군에서는 FRTL-5 갑상선 세포의 증식이 대조군에 비하여 대략 0.4 배 감소하여 유의성있게 억제되었음을 확인할 수 있었다.As a result of performing the experiment, in the control group, the MMI-administered group and the 15 µg / ml complex herbal extract-administered group (AJBHT in FIG. 2), inhibition of the proliferation of FRTL-5 thyroid cells was not significantly observed. In the group administered with the ㎍ / ㎖ extract, it was confirmed that the proliferation of FRTL-5 thyroid cells decreased by approximately 0.4-fold compared to the control group, significantly inhibited.
실험예 3.FRTL-5 갑상선 세포의 DNA 합성 측정Experimental Example 3 Measurement of DNA Synthesis of FRTL-5 Thyroid Cells
FRTL-5 갑상선 세포의 DNA 합성 정도는 3H-티미딘(thymidine)이 TCA 불용성 물질(trichloroacetic acid-insoluble material)에 결합하는 특성을 이용하여 측정하였다. 6H 메디엄 하에서 1-2일간 배양한 FRTL-5 갑상선 세포를 96 웰 세포배양용기에 1×105 cells/well로 분주하여 부착시킨 후, 5H 메디엄 하에서 72시간 배양하였다. 그 후 실시예 1에서 수득한 복합생약추출물 및 MMI를 포함한 6H 메디엄으로 전환시켜 48시간 배양하며, 배양 마지막 4시간은 3H-티미딘(1 uCi/㎖, Amersham, Uppsala, Sweden)를 투여하였다. 그 후 배양액을 제거하여 0.1 M KOH로 세포를 분해시키고, 세포 증식에 의한 DNA 합성은 신틸레이션 카운터(scintillation counter)를 이용하여 방사능을 측정하였다.The degree of DNA synthesis of FRTL-5 thyroid cells was determined using the ability of 3 H-thymidine to bind to trichloroacetic acid-insoluble material. FRTL-5 thyroid cells cultured for 1-2 days under 6H media were attached to a 96 well cell culture vessel at 1 × 10 5 cells / well, and then cultured for 72 hours under 5H media. Thereafter, the mixture was converted to 6H media including the compound herbal extract obtained in Example 1 and MMI, and cultured for 48 hours, and the final 4 hours were administered with 3 H-thymidine (1 uCi / ml, Amersham, Uppsala, Sweden). It was. Thereafter, the culture medium was removed to decompose cells with 0.1 M KOH, and DNA synthesis by cell proliferation was measured using a scintillation counter.
상기 실험 수행의 결과, 도 3에서 보는 바와 같이 대조군과 1mM MMI를 투여한 군에서는 3H-티미딘 과의 결합이 높은바 이는 FRTL-5 갑상선 세포의 DNA의 합성이 활발히 일어났음을 의미하나, 이에 비하여 본 발명의 복합생약추출물 15, 30㎍/㎖ 투여한 군(도 3의 AJBHT)에서는 3H-티미딘과의 결합이 탁월히 저해되었는바 이는 FRTL-5 갑상선 세포의 DNA 합성이 현저히 억제되었음을 확인할 수 있었다.As a result of the experiment, as shown in Figure 3, the control group and the group administered with 1 mM MMI high binding of 3 H-thymidine, which means that the synthesis of DNA of FRTL-5 thyroid cells occurred actively, On the contrary, in the group administered with the
실험예 4. FRTL-5 갑상선 세포의 T4 및 TSH의 합성 측정Experimental Example 4 Synthesis of T4 and TSH in FRTL-5 Thyroid Cells
FRTL-5 갑상선 세포의 T4(Thyroxine)의 합성 측정은 로덴트 T4 엘리사 시험 키트(Rodent T4 ELISA test kit, Endocrine technologies Inc., USA)을 이용하였고, TSH(Thyroid stimulating hormone) 합성 측정은 로덴트 TSH 엘리사 시험 키트(Rodent TSH ELISA test kit, Endocrine technologies Inc.)을 이용하여 측정하였다. 6H 메디엄하에서 1-2일간 배양한 FRTL-5 갑상선 세포를 24 웰 세포배양용기에 1×105 cells/well로 분주하여 부착시킨 후, 5H medium 하에서 72시간 배양하였다. 그 후 실시예 1에서 수득한 복합생약추출물 및 MMI를 포함한 6H 메디엄으로 전환시켜 48시간 배양한 후 상청액을 수거하였다. T4 농도의 측정을 위해 수거된 각각의 상청액과 표준 T4용액 50㎕씩을 항체가 코팅된 마이크로티터 웰(microtiter wells)에 넣고, 순서대로 100㎕의 T4-HRP 혼합 용액, 100㎕의 TBM 컬러 용액, 50㎕의 2N HCl 스탑솔루션(stop solution)을 첨가하여 반응시킨 후 450 nm에서 엘리사 리더(ELISA reader)를 이용하여 T4 농도를 정량하였다. TSH의 농도를 측정하기 위해 수거된 각각의 상청액과 표준 T4용액 100 ㎕씩을 항체가 코팅된 마이크로티터 웰(microtiter wells)에 넣고, 순서대로 100 ㎕의 TSH 효소 혼합 용액, 100 ㎕의 TBM 컬러 용액, 50 ㎕의 2N HCl 스탑솔루션(stop solution)을 첨가하여 반응시킨 후 450 nm에서 엘리사 리더를 이용하여 TSH 농도를 정량하였다. Synthesis measurement of T4 (Thyroxine) of FRTL-5 thyroid cells was carried out using the Rodent T4 ELISA test kit (Endocrine technologies Inc., USA), and measurement of synthesis of thyroid stimulating hormone (TSH) was performed by Rodent TSH. Measurement was performed using an Elisa test kit (Rodent TSH ELISA test kit, Endocrine technologies Inc.). FRTL-5 thyroid cells cultured for 1-2 days under 6H media were attached to a 24 well cell culture vessel at 1 × 10 5 cells / well, and then cultured for 72 hours under 5H medium. Then, the mixed herbal extract obtained in Example 1 and 6H media containing MMI were incubated for 48 hours, and the supernatants were collected. 50 μl of each supernatant and standard T4 solution collected for measurement of T4 concentration were placed in antibody-coated microtiter wells, followed by 100 μl of T4-HRP mixed solution, 100 μl of TBM color solution, After 50 μl of 2N HCl stop solution was added and reacted, T4 concentration was quantified using an ELISA reader at 450 nm. To determine the concentration of TSH, 100 μl of each collected supernatant and standard T4 solution were placed in antibody coated microtiter wells, followed by 100 μl of TSH enzyme mixed solution, 100 μl of TBM color solution, After the reaction by adding 50 μl of 2N HCl stop solution, the TSH concentration was quantified using an ELISA reader at 450 nm.
상기 실험 수행의 결과, 도 4a 및 도 4b에서 보는 바와 같이 T4 농도의 경우에 대조군은 약 8.85ng/㎖의 T4농도를 보였으나, MMI를 투여한 경우에는 약 4.9ng/㎖, 복합생약추출물 15㎍/㎖, 30㎍/㎖를 투여한 군(도 4a의 AJBHT)에서는 각각 약 4.1ng/㎖, 3.1ng/㎖의 T4농도를 보임으로서 본 발명의 복합생약추출물의 농도의존 적으로 T4 농도가 감소되었음을 확인할 수 있었다.(도 4a) As a result of performing the experiment, as shown in FIGS. 4A and 4B, in the case of T4 concentration, the control group was about It showed a T4 concentration of 8.85 ng / ml, but about 4.9 ng / ml when the MMI was administered, about 15 ng / ml of the combined herbal extract, and about 4.1 ng for the 30 µg / ml group (AJBHT in FIG. 4A). By showing the T4 concentration of / ㎖, 3.1ng / ㎖ it was confirmed that the concentration of T4 was reduced depending on the concentration of the complex herbal extract of the present invention (Fig. 4a).
반면 TSH 농도의 경우에는 MMI를 투여한 군에서만 약간의 감소를 보였고, 대조군과 본 발명의 복합생약추출물을 투여한 군(도 4b의 AJBHT)에서는 TSH 농도가 감소되지 않았음을 확인할 수 있었다.(도 4b)On the other hand, the TSH concentration showed a slight decrease only in the MMI-administered group, and the control group and the group administered the compound herbal extract of the present invention (AJBHT in FIG. 4B) showed that the TSH concentration was not reduced. 4b)
실험예 5. FRTL-5 갑상선 세포의 cAMP 수준 측정Experimental Example 5 cAMP level measurement of FRTL-5 thyroid cells
FRTL-5 갑상선 세포의 cAMP 수준의 측정은 cAMP 리아 키트(cAMP RIA kit, New England Nuclear)를 이용하여 측정하였다. 6H 메디엄하에서 1-2일간 배양한 FRTL-5 갑상선 세포를 1×105 cells/well로 분주하여 부착 시킨후, 5H 메디엄하에서 72시간 배양하였다. 그 후 실시예 1에서 수득한 복합생약추출물 및 MMI를 포함한 6H 메디엄으로 전환시켜 4시간 배양하였다. 배양액을 100 ㎕/㎖ TSH, 0.4% BSA, 10 mM HEPES(pH 7.4), 0.5 mM IMX(3-isobutyl-L-methylxanthine)가 포함된 250 ㎕ HBSS(Hank's Balanced Salt Solution)로 교체하여 2시간 동안 배양한 후 배양액을 제거하였다. 여기에 세포에서 cAMP을 분리하기 위해 300㎕ 에탄올을 첨가하여 -20℃에서 약 12시간 동안 배양시켰다. 배양이 끝난뒤 에탄올을 수거하여 건조시킨 후 cAMP 리아 키트의 분석 완충액을 첨가하였다. 이후 디페닐아민 용액(diphenylamine solution)을 각 웰에 첨가하여 DNA를 측정하였고, 각각의 값은 p㏖/well로 표시하였다.The measurement of cAMP levels in FRTL-5 thyroid cells was measured using the cAMP RIA kit (New England Nuclear). FRTL-5 thyroid cells cultured for 1-2 days under 6H media were attached at 1 × 10 5 cells / well and attached, followed by incubation for 72 hours under 5H media. Thereafter, the mixture was converted to 6H media containing the compound herbal extract and MMI obtained in Example 1 and incubated for 4 hours. The culture was replaced with 250 μl Hank's Balanced Salt Solution (HBSS) containing 100 μl / ml TSH, 0.4% BSA, 10 mM HEPES (pH 7.4) and 0.5 mM IMX (3-isobutyl-L-methylxanthine) for 2 hours. After incubation, the culture solution was removed. Here, 300 μl ethanol was added to separate cAMP from the cells and incubated at −20 ° C. for about 12 hours. After incubation, ethanol was collected, dried, and the assay buffer of cAMP lea kit was added. Then, diphenylamine solution was added to each well to measure DNA, and each value was expressed as pmol / well.
상기 실험 수행의 결과, 도 5에서 보는 바와 같이 cAMP 수준이 대조군에 비 하여 MMI 투여군에서는 약간의 감소가 있었고, 본 발명의 복합생약추출물 15㎍/㎖을 투여군(도 5의 AJBHT)에서는 대조군과 비슷한 cAMP수준을 보였으나 복합생약추출물 30㎍/㎖ 투여군에서는 1.5p㏖/㎖의 cAMP 수준을 보여 대조군에 비하여 현저히 감소되었음을 확인할 수 있었다.As a result of the experiment, as shown in FIG. 5, the cAMP level was slightly decreased in the MMI-administered group as compared to the control group, and the compound herbal extract of the present invention was treated with 15 µg / ml (AJBHT in FIG. 5) similar to the control group. Although the cAMP level was shown, the composite herbal extract showed a markedly decreased cAMP level of 1.5 mmol / ml in the 30 µg / ml administration group, which was significantly reduced compared to the control group.
실험예 6. FRTL-5 갑상선 세포의 Tg 및 TPO 유전자의 발현 측정Experimental Example 6 Measurement of Tg and TPO Gene Expression in FRTL-5 Thyroid Cells
6-1. FRTL-5 갑상선 세포의 RNA 분리6-1. RNA Isolation of FRTL-5 Thyroid Cells
6H 메디엄하에서 1-2일간 배양한 FRTL-5 갑상선 세포를 10 cm2 디쉬에 세포수가 1×106 cells/dish의 농도로 부유시켜 정착시킨 후 5H 메디엄 하에서 72시간 배양하였다. 그 후 실시예 1에서 수득한 복합생약추출물 및 MMI를 포함한 6H medium으로 전환시켜 48시간 배양한 후 상청액을 제거하고 수거한 세포에서 RNA 졸 B(RNA Zol B, TELTEST; Friendswood, TX, USA)를 이용하여 RNA를 분리하였다.FRTL-5 thyroid cells cultured for 1-2 days under 6H media were suspended in 10 cm 2 dishes at a concentration of 1 × 10 6 cells / dish, and then cultured for 72 hours under 5H media. Thereafter, the mixture was converted to 6H medium including the compound herbal extract obtained in Example 1 and MMI, incubated for 48 hours, the supernatant was removed, and RNA sol B (RNA Zol B, TELTEST; Friendswood, TX, USA) was collected from the collected cells. RNA was isolated.
6-2. Tg 및 TPO 유전자의 발현 측정6-2. Measure expression of Tg and TPO genes
FRTL-5 갑상선 세포의 Tg(Thyroglobulin) 및 TPO(Thyroid peroxidase) 유전자의 발현 측정은 반정량(semi-quantitative) 역전사 연쇄중합반응(Reverse transcription-polymerase chain reaction :RT-PCR) 이용하여 측정하였다. 상기 실험예 6-1에서 분리한 FRTL-5 갑상선 세포 1 ㎍의 RNA에 PCR 완충액과 5 mM의 MgCl2, 1 mM의 dNTP, 20 U의 RNasin, 2.5 μM의 올리고(dT), 100 U의 몰로니 쥐 백혈병 바 이러스 역전사효소(Moloney murine leukemia virus reverse transcriptase)를 혼합하여 42℃에서 50분, 70℃에서 15분씩 반응시켰다. 역전사를 통해 얻어진 각각의 cDNA(complementary DNA)에 PCR 완충액, 2.5 mM dNTP, 2 U 태크 폴리머라아제(Taq polymerase), 5 pM 의 프라이머를 혼합하여 PCR(Eppendorfs Mastercycler Gradient PCR device, Eppendorf, Hamburg, Germany)을 이용하여 연쇄중합반응을 시행하였다. 상기에서 사용한 각각의 프라이머의 염기 서열은 Tg의 경우 5'- ACTCCACAGATGACTATGCC -3'과 5'- GCATGACTTTCAGAGAGAGG -3'을, TPO의 경우 5'- GCCTCCTGTCTGTAAAGATG -3'과 5'- GTAGCCTGCCAGAATCTATG -3'을, 그리고 대조군으로 사용한 β-액틴(β-actin)의 경우 5'- CCTCTATGCCAACACAGT -3'과 5'- AGCCACCAATCCACACAG -3'을 각각 사용하였다. 각각의 연쇄중합반응의 주기수(cycle)와 신장단계 온도 (annealing temperature)는 Tg의 경우 60℃에서 30 주기수, TPO는 60℃에서 30 주기수, β-액틴의 경우 55℃에서 30 주기수로 시행하였으며, 예상 연쇄중합반응 결과물의 염기 크기는 Tg의 경우 267 bp, TPO의 경우 164 bp, 그리고 대조군인 β-액틴의 경우 155 bp였다. 이상의 과정을 통해 얻어진 각각의 연쇄중합반응 결과물은 에티움 브로마이드(ethidium bromide)로 염색하여 2% 아가로즈 겔(agarose gel)에서 확인한 후 각각의 발현도를 밀도측정기(densitometry)를 이용하여 측정하였다. 측정된 발현도는 대조군인 β-액틴을 1로 산정하여 이에 대한 값으로 환산하여 표시하였다.The expression of Tg (Thyroglobulin) and TPO (Thyroid peroxidase) genes in FRTL-5 thyroid cells was measured using a semi-quantitative reverse transcription-polymerase chain reaction (RT-PCR). PCR buffer and 5 mM MgCl 2 , 1 mM dNTP, 20 U RNasin, 2.5 μM oligo (dT), 100 U mole in 1 μg RNA of FRTL-5 thyroid cells isolated in Experimental Example 6-1 Ronnie rat leukemia virus transcriptase (Moloney murine leukemia virus reverse transcriptase) was mixed and reacted for 50 minutes at 42 ℃, 15 minutes at 70 ℃. PCR (Eppendorfs Mastercycler Gradient PCR device, Eppendorf, Hamburg, Germany) by mixing primers of PCR buffer, 2.5 mM dNTP, 2 U Taq polymerase and 5 pM to each cDNA (complementary DNA) obtained through reverse transcription ) Was used for chain polymerization. A - 'and 5'- GTAGCCTGCCAGAATCTATG 3', respectively, of the nucleotide sequence of the primers in the case of Tg 5'- ACTCCACAGATGACTATGCC used in the 3 'and 5'- GCATGACTTTCAGAGAGAGG - - 3' In the case of a, TPO 5'-
상기 실험 수행의 결과, 도 6, 도 7a 및 도 7b에서 보는 바와 같이 Tg 유전자의 경우는 본 발명의 복합생약추출물 30㎍/㎖ 투여군(도 6, 7a, 7b의 AJBHT)에서 현저히 감소하였고, TPO의 경우에는 본 발명의 복합생약추출물 투여군에서 대조군에 비해 유의한 감소 결과를 보이지 않았다.As a result of performing the experiment, as shown in FIGS. 6, 7A and 7B, the Tg gene was significantly reduced in the 30 ㎍ / ml administration group of the complex herbal extract of the present invention (AJBHT of FIGS. 6, 7A and 7B), and TPO. In the case of the composite herbal extract administration group of the present invention did not show a significant reduction compared to the control group.
실험예 7. 임상시험Experimental Example 7. Clinical Trial
7-1. 대상 및 통계처리7-1. Target and Statistics Processing
본 임상시험은 2002년 2월부터 2002년 8월까지 경희의료원 한방병원 신계내과 외래를 방문한 그레이브스병 환자 총 48명을 대상으로 갑상선 기능검사 및 임상증상 분석을 시행하여, 항갑상선제를 복용하고도 갑상선 검사상 비정상 소견 및 갑상선 기능항진증상을 보이는 환자 11명을 1차 선정하였다. 이중 본 연구에 동의한 5명을 대상으로 전향적 연구를 시행하였다(표 1 참조). 대상 환자들은 모두 그레이브스병 이외에 다른 질환을 가지고 있지 않았으며 치료 기간 중 모든 환자는 본 발명의 복합생약추출물 이외에 다른 약물을 복용하지 않았다.This study conducted a thyroid function test and clinical symptom analysis of 48 patients with Graves disease who visited the Department of Internal Medicine, Kyunghee Medical Center from February 2002 to August 2002. Eleven patients with abnormal findings and hyperthyroidism were selected. Of these, prospective studies were conducted on five subjects who agreed to this study (see Table 1). All subjects had no disease other than Graves' disease and all patients during the treatment period did not take any other drugs except the combination herbal extract of the present invention.
상기 표 1에서 PTU는 6-프로필-2-티오우라실(6-prophyl-2-thiouracil)이며 MMI는 1-메틸-2멜켑토아미다졸(1-methyl-2-mercaptoimidazole)이다.In Table 1, PTU is 6-propyl-2-thiouracil, and MMI is 1-methyl-2mercaptoimidazole.
성비는 남자와 여자가 각각 1 : 4로 여자가 많았고, 그레이브스병을 진단받았던 당시의 연령은 평균 26세 (13∼30세)이었으며 연구기간은 평균 5개월 (3∼10 개월)이었다. 본 임상시험에 참여한 5례의 환자들은 모두 내원 전 PTU을 복용하던 상태였으며, 환자들의 증상의 분포를 보면 가장 흔한 증상은 심한 피로감(5례)이었고, 그 다음으로 심계정충(4례), 경부종창, 월경부조, 불면, 안구돌출(각 3례), 열불내성(2례), 수전증(1례) 순이었다. The ratio of males and females was 1: 4, and there were many women. The mean age at the time of Graves' disease was 26 years old (13 ~ 30 years old) and the study period was 5 months (3 ~ 10 months). The five patients who participated in this study were taking PTU before their visit. The most common symptom was severe fatigue (five), followed by heartworm (four), cervical Swelling, dysmenorrhea, insomnia, exophthalmos (3 cases each), heat intolerance (2 cases), hydration (1 case).
본 임상시험의 통계처리는 치료 개시 및 종료 후의 갑상선 기능검사 및 자각증상(VAS)의 변화에 대한 유의도는 그래프패드 PRISM 통계적 패키지(GraphPad PRISM statistical package, ver 2.00, Graphpad software inc., San Diego, USA)를 이용하여 페얼드 샘플 티-시험(Paired sample T-test)방법으로 검증하였다. 각각의 갑상선 기능검사 및 VAS 점수는 평균 ± 표준편차(mean ± S.D.)로 표시하였으며, 양방 검정 유의도(Two-tailed p value)는 p값이 <0.05 수준일 때를 기준으로 하였다. The statistical analysis of this study was conducted to evaluate the significance of changes in thyroid function test and subjective symptoms (VAS) after the initiation and termination of treatment.The graph pad PRISM statistical package, ver 2.00, Graphpad software inc., San Diego, USA) was used to verify the Paired sample T-test method. Each thyroid function test and VAS score were expressed as mean ± standard deviation (mean ± S.D.), and the two-tailed p value was based on the p-value <0.05.
7-2. 임상시험7-2. Clinical trial
본 발명의 복합생약추출물이 갑상선 호르몬 조절 및 그레이브스 병 환자들의 임상증상에 미치는 영향을 시험하였다. 환자들의 동의 하에 항갑상선제 투여를 중단한 상태에서 본 발명의 복합생약추출물을 하루 3회 지속적으로 투여하였다. 투여전 갑상선 기능검사와 환자의 주소증 중 가장 흔하게 호소하는 피로감과 심계정충 증상을 VAS(Visual Analogue Scale)을 이용하여 측정하였고, 이후 1개월을 주기로 반복 검사를 시행하며 관찰하였다. The effects of the combined herbal extract of the present invention on thyroid hormone regulation and clinical symptoms of Graves' disease patients were examined. With the consent of the patients, the anti-thyroid drug was continuously administered three times a day with the complex herbal extract of the present invention. The most common complaints of thyroid function test and patient's address were measured by visual analogue scale (VAS), and repeated one-month follow-up tests were performed.
또한, 본 발명의 복합생약추출물이 그레이브스병 환자의 주된 자각증상인 피 로감과 심계정충에 미치는 영향을 관찰하기 위해 VAS를 이용하여 본 발명의 복합생약추출물의 투여전과 투여후의 결과를 비교 분석하였다. VAS의 측정은 10㎝의 잣대를 이용하여 자각증상이 전혀 없는 점 (0)과 아주 심한 증상을 나타내는 점 (10) 사이의 지점을 환자로 하여금 자각증상의 정도를 표시하도록 하고 뒷면에 기록된 수치를 기록하였으며, 매 측정 전 이전 측정 지점을 인지시킨 후 재측정하는 방식으로 시행하였다. In addition, in order to observe the effects of the composite herbal extracts of the present invention on fatigue and heartworm, which are the main subjective symptoms of Graves' disease patients, the results of pre- and post-administration of the composite herbal extracts of the present invention were analyzed. The measurement of VAS was carried out using a 10cm standard, which allows the patient to indicate the degree of subjective symptoms between the point of no subjective symptoms (0) and the point of severe symptoms (10). The measurement was carried out by recognizing the previous measurement point before each measurement and re-measurement.
갑상선 기능검사는 TSH(Thyroid stimulating hormone), T3(Tuiiodothyronine), T4(Thyroxine)와 유리 T4(free T4)를 위주로 경희의료원 임상병리과에 의뢰하여 시행하였으며, 각각의 갑상선 검사 및 VAS 측정은 최소 3회 이상 시행하였다.The thyroid function test was performed by the Department of Clinical Pathology, Kyung Hee Medical Center, based on TSH (Thyroid stimulating hormone), T 3 (Tuiiodothyronine), T 4 (Thyroxine) and free T 4 (free T4). At least three trials were performed.
상기 임상시험 수행의 결과, 하기 표 2 및 도 8에서 보는 바와 같이 임상시험 시작 시점의 T3는 246.60 ± 65.08 ng/dL에서 본 발명의 복합생약추출물 투여 후 167.80 ± 50.72 ng/dL로 유의하게 감소하였으며(78.80 ± 26.37 ng/dL, p<0.05), 임상시험 시작 시 T3수치가 현저하게 높았던 증례 5를 제외하고는 시험 종료 후 모두 정상범위로 나타났다. T4에서도 본 발명의 복합생약 추출물 투여 전 12.54 ± 4.66 ㎍/dL에서 투여 후 6.98 ± 2.06 ㎍/dL으로 유의하게 감소시켰으며(5.56 ± 1.99 ㎍/dL, p<0.05), 대상 환자 모두 시험 종료 후 T4수치가 정상범위를 나타내었다. TSH는 시험 시작 전 0.14 ± 0.13 mU/L에서 시험 종료 후의 1.97 ± 2.61 mU/L 로 증가시키는 효능을 보였으나, 통계학적 유의성은 관찰되지 않았다. 유리 T4의 경우 역시 본 발명의 복합생약추출물 투여로 2.69 ± 1.85 ng/dL에서 1.73 ± 1.42 ng/dL로 감소시켰으나 통계학적 유의성은 없었다. 따라서 본 발명의 복합생약 추출물은 T3, T4 갑상선 호르몬에 대한 유의적인 영향을 미치는 것을 확인할 수 있었다.As a result of conducting the clinical trial, as shown in Table 2 and FIG. 8, the T 3 at the start of the clinical trial was significantly reduced from 246.60 ± 65.08 ng / dL to 167.80 ± 50.72 ng / dL after administration of the complex herbal extract of the present invention. The results were normal (78.80 ± 26.37 ng / dL, p <0.05), and all cases were normal after the end of the trial, except in Case 5, where T 3 levels were significantly higher at the start of the study. T 4 also significantly reduced from 12.54 ± 4.66 μg / dL to 6.98 ± 2.06 μg / dL after administration of the herbal extract of the present invention (5.56 ± 1.99 μg / dL, p <0.05). After T 4 values showed a normal range. TSH showed an effect of increasing from 0.14 ± 0.13 mU / L before the start of the test to 1.97 ± 2.61 mU / L after the end of the test, but no statistical significance was observed. Free T 4 also decreased from 2.69 ± 1.85 ng / dL to 1.73 ± 1.42 ng / dL by administration of the herbal extract of the present invention, but there was no statistical significance. Therefore, the herbal extract of the present invention was confirmed to have a significant effect on T3, T4 thyroid hormone.
또한 하기 표 3 및 도 9에서 보는 바와 같이, 피로감의 경우 VAS의 변화는 시험 시작시 평균치 점수 8.20 ± 0.84에서 종료시 4.60 ± 1.52로 유의하게 감소되었다 (p<0.05). 심계정충 증상 역시 본 발명의 복합생약추출물의 투여로 7.50 ± 1.00에서 2.75 ± 1.50으로 유의하게 감소시키는 효능을 보였다 (p<0.05). In addition, as shown in Table 3 and FIG. 9, in the case of fatigue, the change in VAS was significantly decreased from the mean score of 8.20 ± 0.84 at the start of the test to 4.60 ± 1.52 at the end of the test (p <0.05). Heartworm symptom also showed an effect of significantly reducing from 7.50 ± 1.00 to 2.75 ± 1.50 by administration of the herbal extract of the present invention (p <0.05).
실험예 8. 독성시험Experimental Example 8. Toxicity Test
상기 실시예 1의 추출물의 랫트에 대한 경구투여에 의한 독성 존재 유무를 조사하기 위하여 SD계통의 웅성 및 자성 랫트에 각각 1 g/kg, 2 g/kg 및 5 g/kg 3개의 투여용량으로 5마리씩 단회 경구투여하고 14일간의 사망예, 일반증상, 체중변화 및 부검소견을 관찰하였다. 이와 같이 시험한 결과는 다음과 같다.In order to investigate the presence or absence of toxicity by the oral administration of the extract of Example 1 to the rat male and female rats of the 1 g / kg, 2 g / kg and 5 g / kg three doses of 5 The animals were orally administered once and observed for 14 days of death, general symptoms, weight change and autopsy findings. The result of this test is as follows.
(1) 시험 기간 중 본 발명의 조성물의 모든 투여군에서 시험 전기간동안 관찰시 사망예는 없었으며, 대조군에 비해 특이적으로 관찰된 일반증상의 변화도 없었다.(1) There were no deaths observed during the entire test period in all administration groups of the composition of the present invention during the test period, and there was no change in general symptoms specifically observed compared to the control group.
(2) 체중변화는 5 g/kg 용량군에서 투여 후 3일째에서 유의성있는 체중 감소를 나타내었을 뿐 그외 모든 투여군에서 대조군과 차이가 없었다.(2) Body weight change showed significant weight loss on
이상의 결과로 보아 모든 시험물질 투여군에서 사망예 및 대조군에 비해 특이한 임상증상이 관찰되지 않았으며 체중변화 및 부검시 해부학적 소견에서도 특이한 증상은 거의 관찰되지 않았다. 또한 상기 조성물은 5 g/kg 이하의 용량에서는 뚜렷한 독성이 나타나지 않았으므로 경구투여에 의한 랫트에서의 LD50(lethal dose)은 5 g/kg 이상인 것으로 판단된다. As a result, no clinical symptoms were observed in all the test substance-treated groups compared to the death and control groups, and there were almost no specific symptoms in the anatomical changes at the time of body weight and autopsy. In addition, since the composition did not show a clear toxicity at the dose of 5 g / kg or less, LD 50 (lethal dose) in rats by oral administration is determined to be more than 5 g / kg.
하기의 상기 약학적 제제의 제제예를 설명하나, 이는 본 발명을 한정하고자 함이 아닌 단지 구체적으로 설명하고자 함이다.Hereinafter, the formulation examples of the pharmaceutical preparations will be described, which are intended to explain in detail only, not to limit the present invention.
제제예 1. 주사제제의 제조Formulation Example 1 Preparation of Injection
실시예 1의 추출물....... ....................1.0㎎Extract of Example 1 ............................ 1.0 mg
소디움 메타비설파이트........................3.0㎎Sodium metabisulfite ........ 3.0mg
메틸파라벤...................................0.8㎎Methylparaben ............... 0.8 mg
프로필파라벤.................................0.1㎎Propylparaben ...................... 0.1 mg
주사용 멸균증류수...........................적량Sterile distilled water for injection ..............
상기의 성분을 혼합하고 통상의 방법으로 2㎖로 한 후, 2㎖ 용량의 앰플에 충전하고 멸균하여 주사제를 제조한다.The above ingredients are mixed and made into 2 ml by a conventional method, and then filled into 2 ml ampoules and sterilized to prepare an injection.
제제예 2. 정제의 제조Formulation Example 2 Preparation of Tablet
실시예 1의 추출물...........................20㎎Extract of Example 1 ...................................... 20 mg
유당........................................100㎎
전분........................................100㎎Starch .............................. 100 mg
스테아린산 마그네슘.........................적량Magnesium Stearate ...............
상기의 성분을 혼합하고 통상의 정제의 제조방법에 따라서 타정하여 정제를 제조한다.The above components are mixed and tableted according to a conventional method for producing tablets to produce tablets.
제제예 3. 캡슐제의 제조Formulation Example 3 Preparation of Capsule
실시예 1의 추출물...........................10㎎Extract of Example 1 ............................ 10 mg
유당........................................50㎎Lactose 50 mg
전분........................................50㎎Starch ........................................ 50 mg
탈크........................................2㎎Talc ........................................ 2mg
스테아린산마그네슘......................... 적량Magnesium Stearate ...............
상기의 성분을 혼합하고 통상의 캡슐제의 제조방법에 따라서 젤라틴 캡슐에 충전하여 캡슐제를 제조한다.Capsules are prepared by mixing the above ingredients and filling into gelatin capsules according to a conventional method for preparing capsules.
제제예 4. 액제의 제조Formulation Example 4 Preparation of Liquid
실시예 1의 추출물...........................100㎎Extract of Example 1 .................. 100 mg
설탕........................................20gSugar .................................. 20g
이성화당....................................20gIsomerized sugar ......................................... 20 g
레몬향......................................적량Lemon Flavor ......................
정제수를 가하여 전체........................100㎖Purified water is added to the whole ........... 100ml
상기의 성분을 통상의 액제의 제조방법에 따라서 혼합하고 100㎖의 갈색병에 충전하고 멸균시켜서 액제를 제조한다.The above components are mixed according to a conventional method for preparing a liquid, filled into a 100 ml brown bottle, and sterilized to prepare a liquid.
제제예 5. 건강 식품의 제조Formulation Example 5 Preparation of Healthy Food
실시예 1의 추출물............................1000 ㎎Extract of Example 1 ...................................... 1000 mg
비타민 혼합물................................적량Vitamin Mixture ......................
비타민 A 아세테이트.........................70 ㎍Vitamin A Acetate ......... 70 μg
비타민 E...................................1.0 ㎎Vitamin E ................................... 1.0 mg
비타민 B1.................................0.13 ㎎Vitamin B 1 ................................. 0.13 mg
비타민 B2.................................0.15 ㎎Vitamin B 2 ................................. 0.15 mg
비타민 B6..................................0.5 ㎎Vitamin B 6 ....................... 0.5 mg
비타민 B12.................................0.2 ㎍Vitamin B 12 ................................. 0.2 μg
비타민 C....................................10 ㎎Vitamin C ......................................... 10 mg
비오틴......................................10 ㎍Biotin ......................................... 10 μg
니코틴산아미드.............................1.7 ㎎Nicotinamide ........................................ 1.7 mg
엽산........................................50 ㎍Folic acid ......................................... 50 ㎍
판토텐산 칼슘..............................0.5 ㎎Calcium Pantothenate ......................................... 0.5 mg
무기질 혼합물...............................적량Inorganic mixtures ...............
황산제1철................................1.75 ㎎Ferrous Sulfate ......... 1.75 mg
산화아연.................................0.82 ㎎Zinc Oxide ..... 0.82 mg
탄산마그네슘.............................25.3 ㎎Magnesium Carbonate ............... 25.3 mg
제1인산칼륨................................15 ㎎Potassium monophosphate ......................................... 15 mg
제2인산칼슘................................55 ㎎Dibasic calcium phosphate ............ 55 mg
구연산칼륨.................................90 ㎎Potassium Citrate ..... 90 mg
탄산칼슘..................................100 ㎎Calcium Carbonate ... 100 mg
염화마그네슘.............................24.8 ㎎Magnesium Chloride ............... 24.8 mg
상기의 비타민 및 미네랄 혼합물의 조성비는 비교적 건강식품에 적합한 성분 을 바람직한 실시예로 혼합 조성하였지만, 그 배합비를 임의로 변형 실시하여도 무방하며, 통상의 건강식품 제조방법에 따라 상기의 성분을 혼합한 다음, 과립을 제조하고, 통상의 방법에 따라 건강식품 조성물 제조에 사용할 수 있다.Although the composition ratio of the vitamin and mineral mixture is a composition suitable for a relatively healthy food in a preferred embodiment, the composition ratio may be arbitrarily modified, and the above ingredients are mixed according to a conventional health food manufacturing method. The granules may be prepared and used for preparing a health food composition according to a conventional method.
제제예 6. 건강 음료의 제조Formulation Example 6 Preparation of Healthy Drink
실시예 1의 추출물...........................1000 ㎎Extract of Example 1 ..................... 1000 mg
구연산......................................1000 ㎎Citric Acid .................................... 1000 mg
올리고당.....................................100 gOligosaccharide ........................... 100 g
매실농축액.....................................2 gPlum concentrate ........................... 2 g
타우린.........................................1 gTaurine ......................................... 1 g
정제수를 가하여...........................전체 900 ㎖Purified water is added .............. 900 ml total
통상의 건강음료 제조방법에 따라 상기의 성분을 혼합한 다음, 약 1시간동안 85℃에서 교반 가열한 후, 만들어진 용액을 여과하여 멸균된 2ℓ 용기에 취득하여 밀봉 멸균한 뒤 냉장 보관한 다음 본 발명의 건강음료 조성물 제조에 사용한다. After mixing the above components in accordance with a conventional healthy beverage production method, and stirred and heated at 85 ℃ for about 1 hour, the resulting solution is filtered and obtained in a sterilized 2 L container, sealed sterilization and then refrigerated and stored in the present invention For the preparation of healthy beverage compositions.
상기 조성비는 비교적 기호음료에 적합한 성분을 바람직한 실시예로 혼합 조성하였지만, 수요계층, 수요국가, 사용 용도 등 지역적, 민족적 기호도에 따라서 그 배합비를 임의로 변형 실시하여도 무방하다.Although the composition ratio is a composition suitable for a preferred beverage in a preferred embodiment, the composition ratio may be arbitrarily modified according to regional and ethnic preferences such as demand hierarchy, demand country, use purpose.
본 발명의 갈근, 황금, 석고, 고경, 고본, 승마, 감초 및 백지 추출물로 구 성된 복합 생약 추출물은 갑상선 호르몬(T4)의 수치를 낮추면서 TSH에는 영향을 미치는 않으므로 갑상선 기능 항진증의 대표적인 원인으로서, 항갑상선제 저항성을 갖고 있는 그레이브스병에 대하여 탁월한 효과를 가지고 있으면서도 인체에 안전하기 때문에 갑상선 기능 항진증의 예방 및 치료를 위한 의약품 및 건강기능식품에 유용하게 사용될 수 있다.Compound herbal extract of the present invention consisting of the root, golden, gypsum, hardwood, hard bones, horse riding, licorice and white paper extract is a representative cause of hyperthyroidism because it does not affect TSH while lowering the level of thyroid hormone (T4), Since it has an excellent effect on Graves' disease having anti-thyroid resistance and is safe for the human body, it can be useful for medicines and dietary supplements for the prevention and treatment of hyperthyroidism.
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104042997A (en) * | 2014-06-22 | 2014-09-17 | 上海浦东高星生物技术研究所 | Hyperthyroidism treating pills |
CN104173683A (en) * | 2014-09-16 | 2014-12-03 | 赵亮 | Traditional Chinese medicine composition for treating hyperthyroidism and preparation method thereof |
CN104324211A (en) * | 2014-11-21 | 2015-02-04 | 邹士东 | Traditional Chinese medicine composition for treating yin deficiency and yang excess type hyperthyroidism |
CN108939009A (en) * | 2018-08-07 | 2018-12-07 | 湖南中医药大学 | A kind of External-applicationtraditional traditional Chinese medicinal of adjuvant treatment of hyperthyroidism |
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2004
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104042997A (en) * | 2014-06-22 | 2014-09-17 | 上海浦东高星生物技术研究所 | Hyperthyroidism treating pills |
CN104173683A (en) * | 2014-09-16 | 2014-12-03 | 赵亮 | Traditional Chinese medicine composition for treating hyperthyroidism and preparation method thereof |
CN104324211A (en) * | 2014-11-21 | 2015-02-04 | 邹士东 | Traditional Chinese medicine composition for treating yin deficiency and yang excess type hyperthyroidism |
CN108939009A (en) * | 2018-08-07 | 2018-12-07 | 湖南中医药大学 | A kind of External-applicationtraditional traditional Chinese medicinal of adjuvant treatment of hyperthyroidism |
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