TW200800242A - Herbal compositions for the prevention or treatment of benign prostatic hyperplasia - Google Patents

Herbal compositions for the prevention or treatment of benign prostatic hyperplasia Download PDF

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TW200800242A
TW200800242A TW096106489A TW96106489A TW200800242A TW 200800242 A TW200800242 A TW 200800242A TW 096106489 A TW096106489 A TW 096106489A TW 96106489 A TW96106489 A TW 96106489A TW 200800242 A TW200800242 A TW 200800242A
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dry weight
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TW096106489A
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Tracey Anne Seipel
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Tracey Anne Seipel
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/11Pteridophyta or Filicophyta (ferns)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/42Cucurbitaceae (Cucumber family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/73Rosaceae (Rose family), e.g. strawberry, chokeberry, blackberry, pear or firethorn
    • A61K36/736Prunus, e.g. plum, cherry, peach, apricot or almond
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/81Solanaceae (Potato family), e.g. tobacco, nightshade, tomato, belladonna, capsicum or jimsonweed
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/889Arecaceae, Palmae or Palmaceae (Palm family), e.g. date or coconut palm or palmetto
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/08Drugs for disorders of the urinary system of the prostate

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  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Alternative & Traditional Medicine (AREA)
  • Biotechnology (AREA)
  • Botany (AREA)
  • Medical Informatics (AREA)
  • Microbiology (AREA)
  • Mycology (AREA)
  • Urology & Nephrology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Medicines Containing Plant Substances (AREA)
  • Medicinal Preparation (AREA)

Abstract

The present invention relates to herbal compositions for the prevention or treatment of disorders of the prostate, for example, benign prostatic hyperplasia (BPH), prostatitis, and prostatic intraepithelial neoplasia. Specifically, the invention provides compounds that contain C. nurvala and E. arvense and methods of use thereof.

Description

200800242 九、發明說明: 【發明所屬之技術領域】 本發月係關於用於預防或治療例如擴大前列腺或良性前 列腺增生(下文中為,·βρη”)、前列腺炎或前列腺上皮内瘤 形成之前列腺病症之草藥組合物。 【先前技術】 前列腺為僅存在於男性體内之腺體且正好位於膀胱下方 且環繞尿道。Μ生前列腺增生(ΒΡΗ)_稱為擴大前列腺之病 狀-係^前列腺細胞之過度生長引起。當前列腺擴大時, :、[細尿道且減少尿流動,使得愈加難以排空膀胱。DPR 為衰老之常見病狀。如國家衛生院(则_1 ―伽如〇f Health ’ NIH)所言,BPH影響超過篇之6〇歲以上之男性 及多達90%之70歲以上之男性。BpH之成因尚不清楚。該 病狀可能與隨男性衰老而發生之激素改變相關。睪丸產生 激素睪_ ’激素睪固_在某些組織中轉化成二氫畢固闕 (DHT)及雌二醇(雌激素)。可能累積高含量之DHT且引起 增生。然而,DHT增加之原因仍為研究之主題。 刖列腺炎為用以描述前列腺之發炎性病狀之術語。認為 大多數前列腺炎病例係由細菌感染引起,但一直未發現感 杂之證據。前列腺炎可影響任何年齡之男性且估計5〇%之 男性在其一生中會經歷該病症。在50歲以上之男性中,前 列腺炎為最常見之泌尿性病症且在小於5〇歲之男性中,為 第二種最常見病症。存在4類前列腺炎:急性細菌性前列 腺k (ABP) ’為由諸如大腸埃希氏菌(心〇心⑶")及克 118938.doc 200800242 雷伯氏菌(肠㈣//啦細菌引起之前列腺炎症;慢性細菌 性前列腺炎(CBP),為前列腺及泌尿道之復發性感染及炎 症;非細菌性前列腺炎’為無細菌感染之前列腺發炎;及 月ίι列腺痛,有時稱為慢性骨盤疼痛症候群(CPPS),為無炎 症或細菌感染之前列腺炎症狀之發生事件。 前列腺上皮内瘤形成(PIN)已確定為前列腺癌之前驅病 變。PIN係指形態學譜之癌變前末期,其涉及前列腺管、 小管及腺泡中之細胞增殖。Bostwick&份㈣以在1987年引 入術浯PIN。在1989年之國際會議上,術語piN取代了各種 術語(例如,管内增生、增生伴惡性改變(hyperpiasia祈化 malignant change)、大腺泡非典型增生、顯著異型 atypia)、腺管-腺泡發育不良)。piN在患有前列腺癌之男性 中之頻率顯著高於在無癌症之男性中之頻率。PIN似乎早 於癌症10年,且PIN及癌症之頻率與年齡相關地平行增 加在生中之第一個十年中,在9%之男性中發現pjN,在 第三個十年中,在22%之男性中發現PIN,且在第四個十 年中,在40%之男性中發現ριΝ。在男性到8〇歲時,之 發病率為70%。 上述前列腺病症之症狀為相似的。常見症狀為泌尿性病 狀且匕3排泄後之滴流;在排尿後感覺膀胱尚未完全排 空;頻繁排尿,尤其在夜間(亦即夜尿症);尿遲疑、尿中 斷或由降低力引起之尿流弱;漏尿(亦即溢流性失禁);竭 力或用力以開始排尿;反覆、突然 '急迫需要排尿;及由 用力排泄引起之血尿(亦即血尿症)。 118938.doc 200800242 存在指^用於治療前列腺病症之兩種主要藥物:α__ 劑及5-α-還原酶抑制劑。 α-阻斷劑鬆弛動脈、前列腺及膀胱頸之平滑肌。鬆弛膀 胱巧周圍之平滑肌幫助減輕尿路梗阻。雖然心阻斷劑幫助 缓解一些症狀,但是該藥物不能治癒ΒρΗ。存在若干種不 同之PU目如,該等α-阻斷劑為阿夫唑嗪(alfuzosin) ( )夕々、〇坐 σ秦(d〇xazosin)(Cardura)、, 口朵拉明 ㈣⑽min)(D〇ralese)、哌嗤嗪(praz〇sin)(Hyp_se)、特 拉峻嘻(terazosin)(Hytrin BpH)及他蘇洛辛㈣su1〇sin) (F1〇maX MR)。副作用可包含頭痛、頭腦昏沈、低血壓、 疲勞、無力及呼吸困難。尚未研究長期風險及效益。 5 α還原酶抑制劑抑制將睪固酮轉化成之酶之產 生因此,5_α-還原酶抑制劑能在某種程度上逆轉ΒρΗ且 收縮前列腺。副作用包含性您降低、陽萎、射精問題、乳 房壓痛及:t曰大及精子數減少。尚未研究長期風險及效益。 5 α還原酶抑制劑之安全性為可能面臨間斷膠囊之懷孕女 性所關心的問題,且處於該藥療法之患者應在獻血之前停 止6個月。 手術亦為減輕ΒΡΗ及前列腺炎之症狀之一選擇且推薦用 於經歷嚴重併發症且患有包含尿失禁、膀胱過動症及泌尿 性症狀以及陽萎、逆行射精(乾高潮)之可能惡化及可能不 育之最多併發症的患者。前列腺切除術併發症包含失禁及 陽萎。 天然療法可用以治療前列腺病症。鋸棕櫚(Saw 118938.doc 200800242 palmetto ; Ser⑼οα广叩泛似)用作減少DHT產生亦及防止DHT 結合於前列腺之5-α-還原酶抑制劑。Schneider等人, Fortschr· Med. 113: 37-40 (1995); Kock及 Biber,Urologe 334: 90-95 (1994)。副作用包含輕度消化窘迫以及一些與 5-α-還原酶抑制藥物藥療法相關之副作用,諸如輕度搔 癢、頭痛、高血壓、勃起功能障礙、射精障礙及性慾降 低。臀果木屬(Pygeum)(非洲刺李(jPjgewm a/r/ca⑽m))含有 三種可幫助前列腺之化合物··具有利尿作用之五環三萜系 化合物;具有消炎活性之植物留醇;及幫助清除前列腺之 伴隨BPH之任何膽固醇沈積物的阿魏酸S旨。Andro及 Riffaud,Curr. Ther. Res. 56: 796-817 (1995)。蓴麻 (Stinging nettles ; t/ri/ca d/o/ca)亦可減少 BPH症狀且可在 患有早期BPH之男性中增加尿量及尿之最大、流動速率。 Kock及 Biber,Urologe 334:90-95 (1994)。副作用包含消化 窘迫。 所有提及之用於前列腺病症之治療選擇均具有一些相關 副作用。醫學藥物及草藥治療選擇通常不能完全解決可能 與病症相關之尿失禁及膀胱過動症之症狀。 目前需要用於預防及治療前列腺病症及其相關症狀而無 不期望之副作用之新穎組合物,該等相關症狀包含膀胱過 動症(OAB)及尿失禁(UI)。 【發明内容】 本發明提供預防或治療前列腺病症之方法。在一實施例 中,前列腺病症可為(例如)擴大前列腺或良性前列腺增生 118938.doc 200800242 (下文中為"ΒΡΗ”)、前列腺炎或前列腺上皮内瘤形成。 在一實施例中,本發明提供一種將含草藥組合物投予遭 受前列腺病症危險之受檢者之方法,該含草藥組合物包 括:以每口服劑量單位至少約15〇0〇 mg乾重當量之濃度存 在之沙梨木(Οαίβνα⑽rva/α ; C·⑽rva/a)莖/皮製劑;濃度 為每口服劑量單位至少約670 mg乾重當量之問荆 (Em心; £· arvww)草藥製劑;濃度為每口服 劑量單位至少約32.5 mg乾重當量之矽;濃度為每口服劑 量單位至少約24·9 mg乾重當量之磷;濃度為每口服劑量 單位至少約14·5 mg乾重當量之鎂;及濃度為每口服劑量 單位至少約16.3 mg乾重當量之鈣。本發明之含草藥組合 物可調配於乾傳遞系統、液體傳遞系統或受控釋放媒劑 中。本發明之含草藥組合物係調配成口服劑量單位,其包 含錠劑;乾粉;膠囊;及囊片。 沙梨木里/皮製劑係以每口服劑量單位至少約丨,⑽〇 mg乾 重當量之濃度存在。亦即,起始物質為L000 mg沙梨木乾 莖/皮。該起始物質最後在製造過程期間濃縮至10:1之比 率’其等於100 mg沙梨木製劑。因此,100 mg#梨木莖/ 皮製劑(其為漢縮的)相當於1,〇〇〇 mg乾重之沙梨木莖/皮或 1,000 mg沙梨木乾莖/皮起始物質。 問荆草藥製劑係以每口服劑量單位至少約67〇 mg乾重當 量之濃度存在。亦即,起始物質為670 mg問荊草藥。該起 始物質最後在製造過程期間濃縮至4: i或5:!之比率,其等 於167 mg或134 mg問荊草藥製劑。因此,例如,167 mg問 118938.doc 200800242 荆草藥製劑(其為濃縮的)相當於670 mg乾重問莉草藥或 670 mg問菊乾草藥起始物質。在一實施例中,標準化問莉 草藥製劑係得自問荊草藥之莖部分,亦、即標準化問荊莖萃 取物製劑。 在本發明之某些態樣中,已確定問荊草藥製劑之矽含量 及/或以異槲皮素表示之類黃_含量的批變化可對本發明 之組合物之生物活性具有負效應。該問題已由本發明藉由 提供具有最佳化、標準化矽含量及/或以異槲皮素表示之 類黃酮含量之問荊草藥製劑而解決。在一實施例中,本發 明提供一種含草藥組合物,其包括沙梨木莖/皮製劑及具 有以問荊製劑總乾重計約3%至約丨3%矽之矽含量之標準化 問荊草藥製劑,其中該含草藥組合物係調配成口服劑量單 位。因此,對產生300 mg問荊草藥製劑(其為濃縮的)之 1,500 mg乾重之問荊草藥或l55〇〇 mg問荊乾草藥起始物質 而言,約3%至約13%之矽含量將表示約9至39 mg矽。 在一實加例中’沙梨木莖/皮製劑係以每口服劑量單位 約100 mg至約4,000 mg乾重當量之濃度存在於含草藥组合 物中。在一實施例中,沙梨木莖/皮製劑係以每口服劑量 單位約500 mg至約2,000 mg乾重當量之濃度存在於含草藥 組合物中。在一實施例中,沙梨木莖/皮製劑係以每口服 劑量單位約800 mg至約1,200 mg乾重當量之濃度存在於含 草藥組合物中。在一實施例中,標準化問荊製劑係以每口 服劑量單位約1 mg至約3,000 mg乾重當量之濃度存在於含 草藥組合物中。在一實施例中’標準化問荆製劑係以每口 118938,doc -10 - 200800242 服劑量單位約100 mg至約2,000 mg乾重當量之澴度存在於 含草藥組合物中。在一實施例中,標準化問荊製劑係以每 口服劑量單位約500 mg至約1,000 mg乾重當量之濃产存在 於含草藥組合物中。在一實施例中,標準化問莉製齊丨係以 每口服劑量單位約600 mg至約850 mg乾重當量之濃度存在 於含草藥組合物中。 在另一實施例中,含草藥組合物進一步包括無水膠狀二 氧化矽,其中含草藥組合物之總矽含量為每口服劑量單位 約3 mg乾重當量至約71 mg乾重當量。在一實施例中,含 草藥組合物進一步包括無水膠狀二氧化矽,其中含草藥組 合物之總石夕含量為每口服劑量單位約5 mg乾重當量至約45 mg乾重當量。在一實施例中,含草藥組合物進一步包括無 水膠狀二氧化石夕’其中含草藥組合物之總石夕含量為每口服 劑量單位約9 mg乾重當量至約34 mg乾重當量。 在一實施例中,標準化問荊草藥製劑進一步包括以問荊 製劑總乾重什約0.01%至約3%總類黃酮之總類黃顯j含量, 其中總類黃酮含量以異槲皮素表示。在一實施例中,標準 化問荊草藥製劑進一步包括以問荊製劑總乾重計約〇1%至 約2.5%總類育酮且以異槲皮素表示之總類黃酮含量。在一 實施例中,標準化問荊草藥製劑進一步包括以問荊製劑總 乾重計約〇·5%至約1.5%總類黃酮之總類黃酮含量,其中總 類黃酮含量以異槲皮素表示。在一實施例中,標準化問荊 草藥製劑進步包括以問荊製劑總乾重計至少約〇·8%總類 頁酮之總類汽酮含量,其中總類黃酮含量以異槲皮素表 118938.doc * 11 - 200800242 示。 在一實施例中,含草藥組合物進一步包括磷,其中磷係 以每口服劑量單位約5 乾重當量至約60 mg乾重當量之 濃度存在。在^一實施例中’含草樂組合物進一步包括麟’ 其中填係以每口服劑量單位約10 mg乾重當量至約50 mg乾 重當量之濃度存在。在一實施例中,含草藥組合物進一步 包括磷,其中磷係以每口服劑量單位約20 mg乾重當量至 約30 mg乾重當量之濃度存在。200800242 IX. Description of the invention: [Technical field to which the invention pertains] The present invention relates to a prostate for preventing or treating, for example, expanding prostate or benign prostatic hyperplasia (hereinafter, ???), prostatitis or prostatic intraepithelial neoplasia Herbal composition of the disease. [Prior Art] The prostate is a gland that exists only in the male body and is located just below the bladder and surrounds the urethra. Prostatic hyperplasia (ΒΡΗ) is called a condition of expanding the prostate-system Overgrowth is caused. When the prostate enlarges, : [the fine urethra and reduce the flow of urine, making it more difficult to empty the bladder. DPR is a common condition of aging. For example, the National Health Center (then _1 - 伽如〇 f Health ' According to NIH, BPH affects more than 6 years of age and more than 90% of men over the age of 70. The cause of BpH is unclear. The condition may be related to hormonal changes that occur with male aging. Pills produce hormone 睪 _ 'hormone stagnation _ in some tissues converted to dihydrobiguan (DHT) and estradiol (estrogen). may accumulate high levels of DHT and cause Hyperplasia. However, the cause of the increase in DHT remains the subject of the study. Glandular gland inflammation is a term used to describe the inflammatory condition of the prostate. It is believed that most cases of prostatitis are caused by bacterial infections, but no evidence of noisy has been found. Prostatitis can affect men of any age and an estimated 5% of men experience this condition throughout their lifetime. Among men over 50 years of age, prostatitis is the most common urinary disorder and is less than 5 years old. Among them, the second most common condition. There are 4 types of prostatitis: acute bacterial prostate g (ABP) 'for such as Escherichia coli (heart palpitations (3) ") and gram 118938.doc 200800242 R. brevis (Intestinal (four) // bacterial inflammation caused by bacteria; chronic bacterial prostatitis (CBP), recurrent infection and inflammation of the prostate and urinary tract; non-bacterial prostatitis 'inflammation of the prostate without bacterial infection; and month ί Adenal pain, sometimes called chronic pelvic pain syndrome (CPPS), is an event of prostatitis symptoms without inflammation or bacterial infection. Prostatic intraepithelial neoplasia (PIN) It is determined to be a pro-cancerous lesion of prostate cancer. PIN refers to the morphological spectrum of the pre-cancerous stage, which involves cell proliferation in the prostate duct, tubules, and acinus. Bostwick & (4) introduced the 浯PIN in 1987. In 1989 At international conferences, the term piN replaces various terms (eg, intraductal hyperplasia, hyperpiasia malignant change, large acinar atypical hyperplasia, significant atypia), duct-acinar dysplasia. piN The frequency in men with prostate cancer is significantly higher than in men without cancer. PIN seems to be 10 years earlier than cancer, and the frequency of PIN and cancer increases in parallel with age in the first ten in life. In the middle of the year, pjN was found in 9% of men, PIN was found in 22% of men in the third decade, and ριΝ was found in 40% of men in the fourth decade. When men reach 8 years of age, the incidence rate is 70%. The symptoms of the above prostate disorders are similar. Common symptoms are urinary conditions and dripping after 匕3 excretion; feeling that the bladder has not been completely emptied after urination; frequent urination, especially at night (ie nocturia); urinary hesitation, urinary interruption or urinary flow caused by reduced force Weakness; leakage of urine (ie, overflow incontinence); endeavor or force to start urinating; repeated, sudden 'urgent need to urinate; and hematuria caused by forced excretion (ie hematuria). 118938.doc 200800242 There are two main drugs used to treat prostate disorders: alpha__ agents and 5-alpha-reductase inhibitors. The α-blocker relaxes the smooth muscles of the arteries, prostate, and bladder neck. Relaxation of the smooth muscle around the cyst helps to reduce urinary tract obstruction. Although heart blockers help relieve some of the symptoms, the drug does not cure ΒρΗ. There are several different PU targets, such as alfuzosin ( ), 〇 σ azo azo azo azo C ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( D〇ralese), praz〇sin (Hyp_se), terazosin (Hytrin BpH) and hesulosin (iv) su1〇sin) (F1〇maX MR). Side effects can include headaches, dizziness, hypotension, fatigue, weakness, and difficulty breathing. Long-term risks and benefits have not been studied. 5 α-reductase inhibitor inhibits the production of an enzyme that converts testosterone. Therefore, the 5α-reductase inhibitor can reverse ΒρΗ to some extent and contract the prostate. Side effects include sexual reduction, impotence, ejaculation problems, breast tenderness and: t曰 large and reduced sperm count. Long-term risks and benefits have not been studied. 5 The safety of alpha reductase inhibitors is a concern for pregnant women who may face intermittent capsules, and patients in this therapy should stop for 6 months before donating blood. Surgery is also selected to reduce the symptoms of sputum and prostatitis and is recommended for severe complications and may be associated with urinary incontinence, overactive bladder and urinary symptoms, impotence, retrograde ejaculation (dry orgasm) and Patients who may be the most complication of infertility. Complications of prostatectomy include incontinence and impotence. Natural therapy can be used to treat prostate conditions. Saw Palmetto (Saw 118938.doc 200800242 palmetto; Ser(9) οα) is used as a 5-alpha-reductase inhibitor to reduce DHT production and prevent DHT from binding to the prostate. Schneider et al., Fortschr. Med. 113: 37-40 (1995); Kock and Biber, Urologe 334: 90-95 (1994). Side effects include mild digestive distress and some side effects associated with 5-alpha-reductase inhibitory drug therapy, such as mild itching, headache, high blood pressure, erectile dysfunction, ejaculation disorders, and decreased libido. Pygeum (JPjgewm a/r/ca(10)m) contains three compounds that help the prostate, a pentacyclic triterpenoid compound with diuretic effect; a plant-retaining alcohol with anti-inflammatory activity; and help clear The ferulic acid S of the prostate is associated with any cholesterol deposit of BPH. Andro and Riffaud, Curr. Ther. Res. 56: 796-817 (1995). Castor nettles (t/ri/ca d/o/ca) also reduces BPH symptoms and increases urine volume and maximum urine flow rate in men with early BPH. Kock and Biber, Urologe 334:90-95 (1994). Side effects include digestive distress. All of the treatment options mentioned for prostate conditions have some associated side effects. Medical drug and herbal treatment options often do not completely address the symptoms of urinary incontinence and overactive bladder that may be associated with the condition. There is a need for novel compositions for the prevention and treatment of prostatic disorders and their associated symptoms without undesirable side effects, including overactive bladder (OAB) and urinary incontinence (UI). SUMMARY OF THE INVENTION The present invention provides a method of preventing or treating a prostate disorder. In one embodiment, the prostate disorder can be, for example, an enlarged prostate or benign prostatic hyperplasia 118938.doc 200800242 (hereinafter "ΒΡΗ"), prostatitis, or prostatic intraepithelial neoplasia. In one embodiment, the invention There is provided a method of administering a herb-containing composition to a subject suffering from a prostate condition comprising: sorbus (Οαίβνα(10)rva) present in a concentration of at least about 10.0 mg dry weight equivalent per oral dosage unit. /α; C·(10)rva/a) Stem/skin preparation; concentration of at least about 670 mg dry weight equivalent of Herbs (£· arvww) herbal preparation per oral dosage unit; concentration of at least about 32.5 per oral dosage unit干 dry weight equivalent of 矽; concentration of at least about 24.9 mg dry weight equivalent of phosphorus per oral dosage unit; concentration of at least about 14.5 mg dry weight equivalent of magnesium per oral dosage unit; and concentration per oral dosage unit At least about 16.3 mg dry weight equivalent of calcium. The herb-containing composition of the present invention can be formulated into a dry delivery system, a liquid delivery system, or a controlled release vehicle. The system is formulated into an oral dosage unit comprising a tablet; a dry powder; a capsule; and a caplet. The sorbitan/skin preparation is present at a concentration of at least about 丨, (10) 〇 mg dry weight equivalent per oral dosage unit. The starting material is L000 mg dried pear stem/skin. The starting material is finally concentrated during the manufacturing process to a ratio of 10:1 'which is equal to 100 mg of sapwood. Thus, 100 mg# pear wood stem/skin preparation (its It is equivalent to 1, 〇〇〇mg dry weight of sapwood stem/skin or 1,000 mg of sapwood stem/skin starting material. The medicinal herb preparation is at least about 67 每 per oral dosage unit. The concentration of mg dry weight equivalent is present. That is, the starting material is 670 mg of Herbs. The starting material is finally concentrated during the manufacturing process to a ratio of 4: i or 5:!, which is equal to 167 mg or 134 mg. Herbal preparations. Thus, for example, 167 mg ask 118938.doc 200800242 Jing herbal preparations (which are concentrated) correspond to 670 mg dry weight of herbal medicine or 670 mg of dried herbal medicine starting material. In one embodiment, Standardized Qili herbal preparations obtained from the stem part of the medicinal herbs , also known as the standardized stem extract preparation. In some aspects of the invention, it has been determined that the sputum content of the medicinal herb preparation and/or the batch variation of the yellow _ content expressed by isoquercetin may be The biological activity of the composition of the invention has a negative effect. This problem has been solved by the present invention by providing a medicinal herb preparation having an optimized, standardized hydrazine content and/or flavonoid content expressed by isoquercetin. In an embodiment, the present invention provides a herb-containing composition comprising a sapling stem/skin preparation and a standardized medicinal herb preparation having a strontium content of from about 3% to about 3% by weight based on the total dry weight of the Physalis preparation, Wherein the herb-containing composition is formulated into an oral dosage unit. Therefore, about 3% to about 13% of the 1,500 mg dry weight of the medicinal herb or the 155 mg of the medicinal herb starting material which produces 300 mg of the medicinal herb preparation (which is concentrated) The strontium content will represent about 9 to 39 mg 矽. In a practical example, the sapwood stem/skin preparation is present in the herb-containing composition at a concentration of from about 100 mg to about 4,000 mg dry weight equivalent per oral dosage unit. In one embodiment, the sapwood stem/skin preparation is present in the herb-containing composition at a concentration of from about 500 mg to about 2,000 mg dry weight equivalents per oral dosage unit. In one embodiment, the sapwood stem/skin preparation is present in the herb-containing composition at a concentration of from about 800 mg to about 1,200 mg dry weight equivalent per oral dosage unit. In one embodiment, the standardized wattle formulation is present in the herb-containing composition at a concentration of from about 1 mg to about 3,000 mg dry weight equivalents per oral dosage unit. In one embodiment, the <RTI ID=0.0>>""""""""""""" In one embodiment, the standardized wattle formulation is present in the herb-containing composition at a concentration of from about 500 mg to about 1,000 mg dry weight equivalents per oral dosage unit. In one embodiment, the standardized standard is present in the herb-containing composition at a concentration of from about 600 mg to about 850 mg dry weight equivalents per oral dosage unit. In another embodiment, the herb-containing composition further comprises anhydrous gelatinous cerium oxide, wherein the herbal-containing composition has a total strontium content of from about 3 mg dry weight equivalents to about 71 mg dry weight equivalents per oral dosage unit. In one embodiment, the herb-containing composition further comprises anhydrous colloidal cerium oxide, wherein the total content of the herbal-containing composition is from about 5 mg dry weight equivalents to about 45 mg dry weight equivalents per oral dosage unit. In one embodiment, the herb-containing composition further comprises a water-free colloidal silica dioxide wherein the total composition of the herb-containing composition is from about 9 mg dry weight equivalents per about oral dosage unit to about 34 mg dry weight equivalents. In one embodiment, the standardized medicinal herb preparation further comprises a total flavonoid content of about 0.01% to about 3% of the total flavonoids in a total dry weight of the Physalis preparation, wherein the total flavonoid content is expressed as isoquercetin. . In one embodiment, the standardized medicinal herb formulation further comprises from about 1% to about 2.5% total ketone of the total dry weight of the Physician formulation and the total flavonoid content expressed as isoquercetin. In one embodiment, the standardized medicinal herb preparation further comprises a total flavonoid content of about 5% to about 1.5% total flavonoids based on the total dry weight of the Physalis preparation, wherein the total flavonoid content is expressed as isoquercetin. . In one embodiment, the progress of the standardized medicinal herb preparation comprises a total ketone content of at least about 8% total ketones of the total dry weight of the Physalis preparation, wherein the total flavonoid content is isoquercetin. .doc * 11 - 200800242 Show. In one embodiment, the herb-containing composition further comprises phosphorus, wherein the phosphorus is present at a concentration of from about 5 dry weight equivalents to about 60 mg dry weight equivalents per oral dosage unit. In one embodiment, the herbicidal composition further comprises a lining wherein the filling is present at a concentration of from about 10 mg dry weight equivalents to about 50 mg dry weight equivalents per oral dosage unit. In one embodiment, the herb-containing composition further comprises phosphorus, wherein the phosphorus is present at a concentration of from about 20 mg dry weight equivalents to about 30 mg dry weight equivalents per oral dosage unit.

在一實施例中,含草藥組合物進一步包括約,其中約係 以每口服劑量單位約1 mg乾重當量至約30 mg乾重當量之 濃度存在。在一實施例中,如請求項1之含草藥組合物進 一步包括鈣,其中鈣係以每口服劑量單位約5 ^^乾重當量 至約2 5 mg乾重當1之濃度存在。在一實施例中,含草藥 組合物進一步包括鈣,其中鈣係以每口服劑量單位約1〇 mg乾重當量至約20 mg乾重當量之濃度存在。 在一實施例中,含草藥組合物進一步包括鎂,其中鎂係 以每口服劑量單位約i mg乾重當量至約3〇 mg乾重當量之 濃度存在。在-實施例中,含草藥組合物進—步包括鎮, 其中鎮係以每口服劑量單位約5 mg乾重當量至約Μ叫乾 重當量之濃度存在。在一實施例中,含草藥組合物進一步 包括鎮,其中鎂係以每口服劑量單位約1〇吨乾重當量至 約20 mg乾重當量之濃度存在。 在-實施例中,含草藥組合物進—步包括下列中之至少 或”下財之至4 —者共同投與:⑷鑛棕摘 118938.doc -12- 200800242In one embodiment, the herb-containing composition further comprises about at least about 1 mg dry weight equivalents per about oral dosage unit to about 30 mg dry weight equivalents. In one embodiment, the herb-containing composition of claim 1 further comprises calcium, wherein the calcium is present at a concentration of from about 5 ^ dry weight equivalents to about 25 mg dry weight per oral dosage unit. In one embodiment, the herb-containing composition further comprises calcium, wherein the calcium is present at a concentration of from about 1 mg dry weight equivalents to about 20 mg dry weight equivalents per oral dosage unit. In one embodiment, the herb-containing composition further comprises magnesium, wherein the magnesium is present at a concentration of from about 1 mg dry weight equivalents to about 3 mg dry weight equivalents per oral dosage unit. In an embodiment, the herb-containing composition further comprises a town wherein the town is present at a concentration of from about 5 mg dry weight equivalents per about oral dosage unit to about the dry weight equivalent of the bark. In one embodiment, the herb-containing composition further comprises a town wherein the magnesium is present at a concentration of from about 1 ton dry weight equivalents per about oral dosage unit to about 20 mg dry weight equivalents. In an embodiment, the herb-containing composition further comprises at least one of the following or "down to 4" - co-administered: (4) mining brown pick 118938.doc -12- 200800242

Saw palmetto)漿果製劑,其中鋸棕櫚係 以每口服劑量單位、經標準化以含有約85%脂肪酸及固醇 之至少約107 mg萃取物之濃度存在;(b)非洲刺李皮製 劑,其中非洲刺李係以每口服劑量單位、經標準化以含有 2.5 mg植物留醇之至少約1〇〇 mg乾重之濃度存在;(c)蓴麻 根製劑,其中蓴麻係以每口服劑量單位至少約1 00 mg萃取 物之濃度存在;(d)番茄謂;tomato) 果實,其中番茄係以每口服劑量單位、經標準化以含有 0·1 mg番茄紅素(Lycopene)之至少約333 mg之濃度存在; (e)西葫蘆(Cwrcz/6/ία (南瓜種子)種子製劑,其中西葫 蘆係以每口服劑量單位至少約1 〇 g乾重之濃度存在;(f) 鋅’其中辞係以每口服劑量單位至少約1 mg乾重當量之濃 度存在;(g)銅,其中銅係以每口服劑量單位至少約1 mg 乾重當ΐ之濃度存在;(h)晒,其中碼係以每口服劑量單位 至少約5 pg乾重當量之濃度存在;⑴膽鈣化醇(維生素 D3) ’其中膽飼化醇係以每口服劑量單位至少約2〇〇 ιυ乾 重當量之濃度存在;⑴維生素E,其中維生素E係以每口服 劑量單位至少約50 IU乾重當量之濃度存在;(k)維生素 B6 ’其中維生素B6係以每口服劑量單位至少約25 mg乾重 當ϊ之濃度存在;⑴維生素C,其中維生素c係以每口服 劑I單位至少約1〇〇 mg乾重當量之濃度存在;(m)麵胺酸 (如1-麩胺酸),其中麩胺酸係以每口服劑量單位至少約2〇〇 mg乾重g里之濃度存在;(n)甘胺酸,其中甘胺酸係以每 口服劑量單位至少約200瓜§乾重當量之濃度存在;及(〇) 118938.doc -13- 200800242 其中丙胺酸係以每口服劑量單位至少約200 mg乾重當量之 濃度存在。 在一實施例中,本發明提供一種含草藥組合物,其包 括··以每口服劑量單位至少約15〇〇〇 mg乾重當量之濃度存 • 在之沙梨木莖7皮製劑·,以每口服劑量單位至少約670 mg ' 乾重當量之濃度存在之問荊莖萃取物製劑;至少約1,070 " mg之總鋸棕櫚濃度;經標準化以含有至少約5〇〇盹番茄紅 _ 素之至少約2·92 §番茄之總濃度;至少約5 mg鋅之總濃 度;至少約8 乾重當量硒之總濃度。 在一實施例中,本發明提供一種醫藥組合物,其包括本 發明之含草藥組合物及醫藥學上可接受之載劑。 在另一態樣中,本發明提供預防或治療受檢者之前列腺 病症之方法,該方法藉由將足以預防或治療該前列腺病症 之1之本發明的草藥含有組合物投予該受檢者來進行。 在另一態樣中,本發明提供一種預防或治療前列腺病症 _ 之方法,該方法包括將含草藥組合物投予罹患前列腺病症 或遭受前列腺病症危險之受檢者,該草藥組合物包括:至 少約i,000 之沙梨木莖/皮製劑及至少約670 mg之標準化 問㈤里萃取物,其中該組合物之投與減少前列腺病症之症 ’ 狀。在该方法之一實施例中,含草藥組合物係調配於乾傳 遞系統中。在該方法之一實施例中,含草藥組合物係調配 於液體傳遞系統中。在該方法之一實施例中,含草藥組合 物係調配於受控釋放媒劑中。在該方法之一實施例中,口 服?I!里單位係選自由以下各者組成之群:鍵劑;乾粉;膠 H8938.doc -14- 200800242 展’及囊片。在該方法之一些實施例中,含草藥組合物進 一步包括至少一種選自由以下各物組成之群之化合物:(a) 以每口服劑量單位、經標準化以含有約85%脂肪酸及固醇 之至少約107 mg萃取物之濃度存在的鋸棕櫊漿果製劑;(b) 以每口服劑量單位、經標準化以含有2·5 mg植物甾醇之至 ;約100 mg乾重之濃度存在的非洲刺李皮製劑;(c)以每口 服劑量單位至少約1〇〇 mg萃取物之濃度存在之蓴麻根製 劑;(d)濃度為每口服劑量單位、經標準化以含有〇1 茄紅素之至少約333 mg之番茄果實;(e)以每口服劑量單位 至少約10 g乾重之濃度存在之西葫蘆(南瓜種子)種子製 劑,(f)濃度為每口服劑量單位至少約3瓜§乾重當量之辞; (g)濃度為每口服劑量單位至少約i mg乾重當量之銅;(h) 濃度為每口服劑量單位至少約5 乾重當量之硒;⑴濃度 為每口服劑量單位至少約200 IU乾重當量之膽鈣化醇(維生 素D3);⑴濃度為每口服劑量單位至少約5〇 ILJ乾重當量之 維生素E ; (k)濃度為每口服劑量單位至少約乃mg乾重當 量之維生素B6 ;⑴濃度為每口服劑量單位至少約1〇〇瓜§乾 重菖里之維生素C , (m)丨辰度為每口服劑量單位至少約2Q0 mg乾重當量之麩胺酸(如^麩胺酸);(n)濃度為每口服劑量 單位至少約200 mg乾重當量之甘胺酸;及(〇)濃度為每口 服劑量單位至少約200 mg乾重當量之丙胺酸。在該等方法 之一些實施例中,該組合物係與包括至少一種選自由以下 各物組成之群之化合物的第二組合物共同投與:(a)以每口 服劑量單位、經標準化以含有約85%脂肪酸及固醇之至少 118938.doc -15· 200800242 約107 mg萃取物之濃度存在的鋸棕櫚漿果製劑;(b)以每 口服劑量單位、經標準化以含有2·5 mg植物留醇之至少約 100 mg乾重之濃度存在的非洲刺李皮製劑;(c)以每口服劑 量單位至少約100 mg萃取物之濃度存在之蓴麻根製劑;(d) 濃度為每口服劑量單位、經標準化以含有〇1 mg.茄紅素 之至少約333 mg之番茄果實;以每口服劑量單位至少約 1〇 g乾重之濃度存在之西葫蘆(南瓜種子)種子製劑;(£)濃 •度為每口服劑量單位至少約3 !^乾重當量之鋅;(g)濃度 為每口服劑量單位至少約i mg乾重當量之銅;(h)濃度為 每口服劑量單位至少約5 乾重當量之砸;⑴濃度為每口 服劑量單位至少約200 IU乾重當量之膽鈣化醇(維生素 D3);⑴濃度為每口服劑量單位至少約5〇 ιυ乾重當量之維 生素E ; (k)濃度為每口服劑量單位至少約25瓜§乾重當量 之維生素B6 ; (1)濃度為每口服劑量單位至少約1〇〇 mg乾重 ¥里之維生素C,(m)濃度為每口服劑量單位至少約200 mg 乾重當量之麩胺酸(如1-麩胺酸);⑻濃度為每口服劑量單 位至少約200 mg乾重當量之甘胺酸;及濃度為每口服 劑量單位至少約200 mg乾重當量之丙胺酸。在該方法之一 實施例中’組合物係與第二組合物同時投予受檢者。在該 方法之一實施例中,組合物係在第二組合物投予受檢者之 如投予受檢者。在該方法之一實施例中,組合物係在第二 組合物投予受檢者之後投予受檢者。 在另一態樣中,本發明提供一種含草藥組合物,其包 括·(a)以每口服劑量單位至少約i,〇〇〇 mg乾重當量之濃度 118938.doc -16- 200800242 存在之沙梨木莖/皮製劑;(b)以每口服劑量單位至少約 1,500 mg乾重當量之濃度存在之標準化問荊莖萃取物製 劑;及(c)至少一種選自由以下各物組成之群之化合物:(i) 以每口服劑量單位、經標準化以含有約8 5 %脂肪酸及固醇 之至少約107 mg萃取物之濃度存在的鋸棕櫚漿果製劑;(ii) 以每口服劑量單位、經標準化以含有2.5 mg植物错醇之至 少約100 mg乾重之濃度存在的非洲刺李皮製劑;(丨丨丨)以每 口服劑量單位至少約100 mg萃取物之濃度存在之蓴麻根製 劑;(iv)濃度為每口服劑量單位、經標準化以含有 番加紅素之至少約333 mg之番蘇果實;(v)以每口服劑量 單位至少約10 g乾重之濃度存在之西葫蘆(南瓜種子)種子 衣剤,(vi)》辰度為母口服劑夏早位至少約1 乾重當量之 鋅,(vii)濃度為每口服劑量單位至少約1 mg乾重當量之 銅;(viii)濃度為每口服劑量單位至少約5叫乾重當量之 硒;(lx)濃度為每口服劑量單位至少約2〇〇 IU乾重當量之 膽鈣化醇(維生素D3) ; (X)濃度為每口服劑量單位至少約5〇 IU乾重當量之維生素E ; (xi)濃度為每口服劑量單位至少約 25 mg乾重當1之維生素B6 ; (xii)濃度為每口服劑量單位 至少約100 mg乾重當量之維生素c;(“⑴濃度為每口服劑 虿單位至少約2〇〇 mg乾重當量之麩胺酸(如丨_麩胺酸);(hv) 濃度為每口服劑量單位至少約200 mg乾重當量之甘胺酸; 及(xv)濃度為每口服劑量單位至少約2〇〇瓜㊂乾重當量之丙 胺酸。 在另一實施例中,本發明提供一種含草藥組合物,其包 118938.doc -17- 200800242 括··(a)以每口服劑量單位15〇00瓜§乾重當量之濃度存在之 沙梨木! /皮製劑;(b)以每口服劑量單位pi) mg乾重當量 之濃度存在之標準化問荊莖萃取物製劑;(c)以每口服劑量 單位107 mg萃取物之濃度存在之鋸棕櫚漿果製劑;(幻濃 度為每口服劑量單位、經標準化以含有0.5 mg番茄紅素之 2.92 g之番茄果實;濃度為每口服劑量單位$ mg乾重當 i之鋅,及(f)濃度為每口服劑量單位8叫乾重當量之硒。 【實施方式】Saw palmetto) a berry preparation wherein Saw Palmetto is present at a concentration of at least about 107 mg of extract per 100 mg of fatty acid and sterol per oral dosage unit; (b) African thorn skin preparation, wherein the African thorn Lithium is present in a concentration per oral dosage unit that is standardized to contain at least about 1 mg dry weight of 2.5 mg of phytosterol; (c) a castor root preparation wherein the ramie is at least about 1 per oral dosage unit. a concentration of 00 mg of extract; (d) a tomato, a tomato, wherein the tomato is present in an oral dose unit at a concentration of at least about 333 mg of 0.1% lycopene (Lycopene); (e) Zucchini (Cwrcz/6/ία (pumpkin seed) seed preparation, wherein the zucchini is present at a concentration of at least about 1 〇g dry weight per oral dosage unit; (f) zinc 'where the lexicon is at least per oral dosage unit A concentration of about 1 mg dry weight equivalent is present; (g) copper, wherein the copper is present at a concentration of at least about 1 mg dry weight per oral dosage unit; (h) sun exposure, wherein the code is at least about every oral dosage unit 5 pg dry weight equivalent The concentration is present; (1) cholecalciferol (vitamin D3) 'where the biliary alcohol is present at a concentration of at least about 2 〇〇 dry weight equivalent per oral dosage unit; (1) vitamin E, wherein vitamin E is at least per oral dosage unit A concentration of about 50 IU dry weight equivalent is present; (k) vitamin B6 'where vitamin B6 is present at a concentration of at least about 25 mg dry weight per oral dosage unit; (1) vitamin C, wherein vitamin C is per oral dose I The unit is present in a concentration of at least about 1 mg dry weight equivalent; (m) a face acid (such as 1-glutamic acid), wherein the glutamic acid is at least about 2 mg dry weight per oral dosage unit. The concentration is present; (n) glycine, wherein the glycine is present at a concentration of at least about 200 meg dry weight equivalents per oral dosage unit; and (〇) 118938.doc -13-200800242 wherein the alanine is per oral The dosage unit is present at a concentration of at least about 200 mg dry weight equivalents. In one embodiment, the present invention provides a herb-containing composition comprising: at least about 15 mg dry weight equivalents per oral dosage unit. • In the sapwood stem 7 Formulations, a stalk extract preparation present at a concentration of at least about 670 mg' dry weight equivalent per oral dosage unit; a total saw palm concentration of at least about 1,070 "mg; normalized to contain at least about 5 〇〇盹 tomato red _ at least about 2.92 § total concentration of tomato; total concentration of at least about 5 mg zinc; total concentration of at least about 8 dry weight equivalent selenium. In one embodiment, the present invention provides a pharmaceutical composition It comprises the herb-containing composition of the invention and a pharmaceutically acceptable carrier. In another aspect, the present invention provides a method of preventing or treating a prostate condition of a subject by administering to the subject an herbal-containing composition of the present invention sufficient to prevent or treat the prostate disorder. Come on. In another aspect, the invention provides a method of preventing or treating a prostate disorder, the method comprising administering a herb-containing composition to a subject suffering from or suffering from a prostate disorder, the herbal composition comprising: at least An i.000 sapling stem/skin preparation and at least about 670 mg of the standardized (5) extract, wherein the administration of the composition reduces the symptoms of a prostate disorder. In one embodiment of the method, the herb-containing composition is formulated in a dry delivery system. In one embodiment of the method, the herb-containing composition is formulated in a liquid delivery system. In one embodiment of the method, the herb-containing composition is formulated in a controlled release vehicle. In one embodiment of the method, oral service? The unit in I! is selected from the group consisting of: a key agent; a dry powder; a glue H8938.doc -14-200800242 and a cap. In some embodiments of the method, the herb-containing composition further comprises at least one compound selected from the group consisting of: (a) at least once per oral dosage unit, containing at least about 85% fatty acid and sterol A saw palm berry preparation in the presence of a concentration of about 107 mg of extract; (b) an African thorn skin that is present in an oral dosage unit, standardized to contain 2.5 mg of phytosterol; and a concentration of about 100 mg dry weight Formulation; (c) a castor root preparation present at a concentration of at least about 1 mg of extract per oral dosage unit; (d) at a concentration of at least about 333 per oral dosage unit that is standardized to contain lycopene lycopene a tomato fruit of mg; (e) a zucchini (squash seed) seed preparation present at a concentration of at least about 10 g dry weight per oral dosage unit, (f) a concentration of at least about 3 gua dry weight equivalents per oral dosage unit (g) a concentration of at least about 1 mg dry weight equivalent of copper per oral dosage unit; (h) a concentration of at least about 5 dry weight equivalents of selenium per oral dosage unit; (1) a concentration of at least about 200 IU per oral dosage unit. Weight equivalent Cholecalciferol (vitamin D3); (1) a concentration of at least about 5 〇ILJ dry weight equivalent of vitamin E per oral dosage unit; (k) a concentration of at least about 0.01 mg dry weight equivalent of vitamin B6 per oral dosage unit; (1) concentration is Each oral dosage unit is at least about 1 〇〇 § dry weight of vitamin C, (m) 丨 度 is at least about 2Q0 mg dry weight equivalent of glutamic acid per oral dosage unit (such as glutamic acid); n) a concentration of at least about 200 mg dry weight equivalent of glycine per oral dosage unit; and (〇) a concentration of at least about 200 mg dry weight equivalent of alanine per oral dosage unit. In some embodiments of the methods, the composition is co-administered with a second composition comprising at least one compound selected from the group consisting of: (a) per oral dosage unit, standardized to contain About 88% fatty acid and sterol at least 118938.doc -15· 200800242 about 107 mg extract concentration present in the saw palmetto berry preparation; (b) in each oral dosage unit, standardized to contain 2. 5 mg phytosterol An African thorn skin preparation present at a concentration of at least about 100 mg dry weight; (c) a ricin root preparation present at a concentration of at least about 100 mg of extract per oral dosage unit; (d) a concentration per oral dosage unit, A tomato fruit that is standardized to contain at least about 333 mg of lycopene 1 mg. lycopene; a zucchini (squash seed) seed preparation in a concentration of at least about 1 gram dry weight per oral dosage unit; (£) concentration At least about 3% dry weight equivalent of zinc per oral dosage unit; (g) at a concentration of at least about i mg dry weight equivalents of copper per oral dosage unit; (h) concentration of at least about 5 dry weight equivalents per oral dosage unit (1) thick At least about 200 IU dry weight equivalents of cholecalciferol (vitamin D3) per oral dosage unit; (1) at a concentration of at least about 5 〇 dry weight equivalents of vitamin E per oral dosage unit; (k) concentration is at least per oral dosage unit Approximately 25 melons dry weight equivalent of vitamin B6; (1) a concentration of at least about 1 mg dry weight per serving of oral vitamin C, (m) concentration of at least about 200 mg dry weight equivalent per oral dosage unit The glutamic acid (e.g., 1-glutamic acid); (8) a concentration of at least about 200 mg dry weight equivalent of glycine per oral dosage unit; and a concentration of at least about 200 mg dry weight equivalent of alanine per oral dosage unit. In one embodiment of the method, the composition is administered to the subject simultaneously with the second composition. In one embodiment of the method, the composition is administered to the subject as the second composition is administered to the subject. In one embodiment of the method, the composition is administered to the subject after the second composition is administered to the subject. In another aspect, the present invention provides a herb-containing composition comprising (a) a concentration of at least about i, 〇〇〇mg dry weight equivalent per oral dosage unit 118938.doc -16-200800242 a pear stem/skin preparation; (b) a standardized stem extract preparation present at a concentration of at least about 1,500 mg dry weight equivalent per oral dosage unit; and (c) at least one selected from the group consisting of: Compound: (i) a saw palmetto berry formulation present at a concentration of at least about 107 mg of extract containing about 85% fatty acid and sterol per oral dosage unit; (ii) standardized per oral dosage unit An African thorn skin preparation present in a concentration of at least about 100 mg dry weight of 2.5 mg phytosterol; (丨丨丨) a ricin root preparation present at a concentration of at least about 100 mg of extract per oral dosage unit; Iv) a concentration of succulent fruit (squash seeds) at a concentration of at least about 333 mg per an oral dose unit, standardized to contain at least about 333 mg of dry saffron; (v) at a concentration of at least about 10 g dry weight per oral dosage unit Seed coat (vi) "Chendu" is a parent oral dose of at least about 1 dry weight equivalent of zinc in the early summer, (vii) concentration of at least about 1 mg dry weight equivalent of copper per oral dosage unit; (viii) concentration per oral dose The unit is at least about 5 dry weight equivalents of selenium; (lx) is at least about 2 IU dry weight equivalent of cholecalciferol (vitamin D3) per oral dosage unit; (X) concentration is at least about 5 per oral dosage unit. 〇 IU dry weight equivalent of vitamin E; (xi) concentration of at least about 25 mg dry weight per oral dosage unit as 1 vitamin B6; (xii) concentration of at least about 100 mg dry weight equivalent of vitamin C per oral dosage unit; ("(1) Concentration is at least about 2 mg dry weight equivalent of glutamic acid per amp of oral administration (eg, 丨-glutamic acid); (hv) concentration is at least about 200 mg dry weight equivalent per oral dosage unit The amine acid; and (xv) concentration is at least about 2 ounces of dry weight equivalent of alanine per oral dosage unit. In another embodiment, the present invention provides a herb-containing composition comprising 118938.doc -17 - 200800242 Included (a) in a concentration of 15 〇 瓜 干 dry weight equivalent per oral dosage unit In the form of sapwood! / skin preparation; (b) standardized stalk extract preparation in the concentration of pi) mg dry weight equivalent per oral dose unit; (c) in the concentration of 107 mg of extract per oral dose unit Saw palmetto berry preparation; (magic concentration is 2.92 g of tomato fruit per oral dose unit, standardized to contain 0.5 mg lycopene; concentration is $ mg dry weight per oral dose unit, and (f) The concentration is 8 dry weight equivalents of selenium per oral dosage unit. [Embodiment]

因此,應瞭解,在下文以各種詳述水平來描述本發明之 某些恶樣、模式、實施例、變化及特徵以提供本發明之實 質理解。一般而言,該揭示案提供有益含草藥組合物,該 組合物與其他膳食補充組合物之組合,及製造與使用其之 相關方法。 因此,本發明之各種態樣係關於某些特定以草藥為主之 組合物用以預防或治療與擴大前列腺相關之疾病、損傷或 病狀之治療性或預防性用途nb,說明該等態樣之各種 特定實施例緊隨其後。 應瞭解’治療或預防如所述之醫學病狀之各種模式欲意 謂"大體上,•’其包含全部治療或預防但亦包含不足全部治 療或預防,且其中達成_些生物學或醫學相關結果。 定義 如本文所使用,"受檢者"較佳為哺乳動物’諸如人類, 但亦可為動’,例如家畜(例如狗、貓及其類似動物)、農 畜(例如牛、平、豬、馬及其類似動物)及實驗動物(例如大 118938.doc -18- 200800242 鼠、小鼠、天竺鼠及其類似動物)。 如本文所使用,組合物之”有效量"為足以達成所要治療 性及/或預防性效應之量,例如引起預防或降低與正在治 療之疾病相關之症狀的量。投予受檢者之組合物之量將視 疾病之類型及嚴重性及諸如大致健康狀況、年齡、性別、 體重及藥物耐受性之個體特徵而定。其亦將視疾病之程 度、嚴重性及類型而定。熟習此項技術者將能視該等及其 他因素而確定適當劑量。通常,有效量之本發明之組合物 足以達成治療性或預防性效應。 有利的是以容易達成劑量之投藥及均一性之劑量單位形 式來調配口服組合物。如本文所使用之劑量單位形式係指 適於作為單劑量用於欲治療之受檢者之物理離散單位;各 單位含有經計算以產生所要治療性效應之與所需醫藥載劑 聯合之預疋里的活性組合物。本發明之劑量單位形式之說 明藉由膳食補充劑之獨特特徵及欲達成之特定治療性效 應,及製造用於治療個體之該活性組合物之技術的固有侷 限性來規疋且直接視其而定。醫藥組合物可連同投藥之說 明書包含於容器、包裝或施配器内。可每天服用口服劑量 2 -人至4 -人直至症狀明顯減輕。在一實施例中,每天服用口 服劑量3次直至症狀明顯減輕。通常,每天服用口服劑量3 次直至症狀明顯減輕。本發明之組合物亦可彼此組合投與 或與一或多種其他治療性組合物組合投與。 沙梨木為達到超過15米之高度之中型樹;其以cratevas (Krateuas) ’ 一名公元前1世紀之希臘自然學家及醫師命 118938.doc •19- 200800242 名。普遍遍及印度,當在三月至五月盛開時(在南方更 早),在樹頂部具有光滑三葉狀葉子之多枝樹看上去極雄 偉。據報導,樹皮可用作緩和劑、退熱劑、鎮靜劑、變質 劑及滋補劑。Therefore, it is to be understood that in the claims In general, the disclosure provides a beneficial herb-containing composition, a combination of the composition with other dietary supplement compositions, and methods of making and using the same. Accordingly, various aspects of the invention are directed to certain therapeutic or prophylactic uses of certain herbal-based compositions for the prevention or treatment of diseases, injuries or conditions associated with enlarged prostate, illustrating such aspects. Various specific embodiments are followed. It should be understood that 'the treatment or prevention of various modes of medical conditions as described is intended to mean "in general, • it contains all treatment or prevention but also contains insufficient treatment or prevention, and which achieves some biological or medical Related results. DEFINITIONS As used herein, "subject" is preferably a mammal' such as a human, but may also be a mobile ', such as a domestic animal (e.g., a dog, a cat, and the like), a farm animal (e.g., a cow, a flat, Pigs, horses and similar animals) and experimental animals (eg large 118938.doc -18- 200800242 mice, mice, guinea pigs and the like). As used herein, an "effective amount" of a composition is an amount sufficient to achieve the desired therapeutic and/or prophylactic effect, for example, an amount that causes prevention or reduction of symptoms associated with the disease being treated. The amount of the composition will depend on the type and severity of the disease and the individual characteristics such as general health, age, sex, weight and drug tolerance. It will also depend on the extent, severity and type of the disease. The skilled artisan will be able to determine the appropriate dosage based on these and other factors. In general, an effective amount of the compositions of the present invention is sufficient to achieve a therapeutic or prophylactic effect. Advantageously, dosages which are readily dosed and uniform in dosage are advantageously achieved. Oral compositions are formulated in unit form. The dosage unit form as used herein refers to a physically discrete unit suitable for use as a single dose for the subject to be treated; each unit contains a calculated basis for producing the desired therapeutic effect. An active composition in a combination with a pharmaceutical carrier. The description of the dosage unit form of the present invention is characterized by the unique characteristics and desire of the dietary supplement. The specific therapeutic effect, and the inherent limitations of the art of making the active composition for treating an individual, are determined and directly dependent thereon. The pharmaceutical composition can be included in a container, package or dispenser along with instructions for administration. The oral dose can be taken daily from 2 to 4 to 4 until the symptoms are significantly alleviated. In one embodiment, the oral dose is taken 3 times a day until the symptoms are significantly alleviated. Usually, the oral dose is taken 3 times a day until the symptoms are significantly alleviated. The compositions may also be administered in combination with one another or in combination with one or more other therapeutic compositions. Shalims is a medium-sized tree that reaches a height of more than 15 meters; it is made of cratevas (Krateuas) 'A 1st century BC Greek naturalist and physician ordered 118938.doc •19-200800242. It is widely spread throughout India, when it blooms from March to May (earlier in the south), the tree with smooth trilobal leaves at the top of the tree looks It is extremely majestic. It has been reported that bark can be used as a demulcent, antipyretic, sedative, metamorphic and tonic.

問荊(植物學同義詞及常用名包含(例如)馬尾 (Horsetail);木賊(Shave-grass);瓶刷樹(Bottle-brush); Paddock-pipe ;荷蘭燈心草(Dutch Rush);木賊(Pewterwort); 木賊(Shavegrass);木賊(pewterwort);瓶刷樹(bottlebrush); 馬尾燈心草(horsetail rush) ; paddock-pipe ;荷蘭燈心草 (Dutch Rush);馬尾(mare’s tail))為歐洲草藥,其生長在遍 及世界溫帶區之潮濕荒地中且種植於南斯拉夫。該多年生 植物為北美及歐亞大陸各處之潮濕壤土或砂質土壌所共 有。在整個植物王國中,沒有其他草藥同馬尾一樣如此富 含矽。木賊屬(Equisetum)可作藥用。在夏季收穫不結果莖 且乾燥。在結果莖已枯萎後出現之不結果莖可用作藥物, 且僅在根上方切下以將其全部使用。可使用新鮮或乾燥之 草藥,但據說新鮮時最有效。流體萃取物係自其製備。亦 使用植物之灰分。 在整個本申請案中所引用之參照案係以引用之方式全部 併入本文。 本發明之含草藥組合物 本發明提供適用於預防或治、蘇 A /〇療例如擴大前列腺或良性前 列腺增生(下文肀為丨,ΒΡΙΓ,)、前| ;引歹i腺炎或前列腺上皮内瘤 形成之前列腺病症之方法的含簞 床幻3皁樂組合物。特定地,本發 II8938.doc -20 - 200800242 明鑑定適用於預防及治療前列腺病症之含有沙梨木及問期 之組絲。在本發明之—實施例中,該含草藥組合物含有 沙梨木莖/皮萃取物及問荊草藥。 在本發明之—實施例中,本發明之含草藥組合物為包含 於例如錠劑、乾粉及乾粗粉替代混合物之乾傳遞系統中之 口服補充劑。在另—實施例中,本發明之含草藥組合物為 包含於例如膠囊、囊片或飲料之液體傳遞系統中之口服補 充劑。在另—實施例中,本發明之含草藥虹合物為包含於 例如錠劑、囊片及膠囊之受控釋放媒劑中之口服補充劑。 在另一實施例中,本發明之含草藥組合物含有每口服劑 量單位約100 mg至約6,000 mg乾重當量之沙梨木皮萃取 物。在另一實施例中,本發明之含草藥組合物含有每口服 劑量單位約500 mg至約4,000 mg乾重當量之沙梨木皮萃取 物。在另一實施例中,本發明之含草藥組合物含有每口服 劑量單位約800 mg至約l,200 mg乾重當量之沙梨木皮萃取 物。 為製備本發明之含草藥組合物,自剩餘沙梨木植物中分 離沙梨木之皮及莖且乾燥。使用7〇%(v/v)乙醇/水萃取經乾 燥之沙梨木之皮及莖。隨後將液體萃取物濃縮至1〇:1之比 率。麥芽糊精用作賦形劑。用於本發明之含草藥組合物之 最終產物,亦即沙梨木莖/皮萃取物為棕色至暗棕色粉 末。 ’ 在本發明之另一實施例中,本發明之含草藥組合物之問 莉草藥製劑組份係得自問荊草藥之葉。在本發明之一實施 118938.doc -21- 200800242 例中’本發明之含草藥組合物之問荊草藥製劑組份係得自 問荆草藥之莖。在本發明之另一實施例中,本發明之含草 藥組合物之問荊草藥製劑組份係得自問荊草藥之植物部分 之混合物。在本發明之另一實施例中,本發明之含草藥組 合物之問莉草藥製劑組份係得自伸出地面上方之植物之所 有部分。在一實施例中,本發明之含草藥組合物含有每口 服劑量單位約1 mg至約3,〇〇〇瓜§乾重當量之問荊草藥製 劑。在另一實施例中,本發明之含草藥組合物含有每口服 劑量單位約1〇〇 mg至約L500 ^^乾重當量之問荊草藥製 劑。在另一實施例中,本發明之含草藥組合物含有每口服 劑量單位約600 mg至約800 mg乾重當量之問荊草藥製劑。 在另一實施例中,本發明之含草藥組合物含有每口服劑量 單位約650 mg至約700 mg乾重當量之問荊草藥製劑。 矽已確定為問荊草藥之生物活性之提供者。問荊草藥之 非標準化製劑通常含有以製劑之總乾重計約12%至約6.9% 矽之矽。在本發明之一態樣中,已確定問荊草藥製劑之矽 含置之批變化可對本發明之組合物之生物活性具有負效 應。該問題已由本發明藉由提供具有最佳化、標準化矽含 量之問荊草藥製劑而解決。因此,在本發明之一實施例 中,本發明之含草藥製劑中之問荊草藥製劑的矽含量為標 準化的。使用標準化製劑問荊草藥為有利的,因為矽之批 間變化減少’因此本發明之組合物產生更一致之預防性或 治療性效應。在-實施财,問料藥製劑經標準化以含 有以問荊草藥製劑之總乾重計約3%之矽至約13%之矽。在 118938.doc -22- 200800242 另一實施例中’問荊草藥掣 M ’、u、、工軚準化以含有以問荊草藥 製劑之總乾重計約5%之 /主、、々10/。之矽。在另一實施例 中,問刑草藥製劑經標準 舌< s +化乂s有以問荊草藥製劑之總乾 重汁至少約6%之矽。 除矽外,問荊含有約5% 異槲皮素、山羊豆苦及木=為木賊争之息素,及包含 ,g _ ,π ,里 木賊甙之若干種黃酮糖苷(亦稱為 萄派喃糖l购·苯并=、4 皮嗣3-〇仰-葡 开底喃-4-酮、2_(3,4-二羥基-苯基)· 3_(P-D·葡萄》夫讀基氧基)_5,7_二織由 之類黃酮可具有重要藥理性二 _ " 此盔錯卢如, 泎夕類頁酮為利尿劑,一 二為鎮痙劑、消炎劑、消毒 及甚至抗瘤劑。然而,總體 而吕,類頁酮主要作用於血營 廿 糸,、先。頁酮糖苷及皂素可能 組合以說明問荊之利尿作用。 Τ』月匕 在本發明之另一熊样Φ,0 4 A m人旦 “ 7 確疋問荊草藥製劑之總類黃 酮含1 (以異樹皮音会吾- 、 札Λ 素3里表不)之批變化可對本發明之袓人 物之生物活性具有負效應 “之、,且。 右I^ 城 問 由本發明藉由提供具 有^化、標準化總類黃_含量(以異槲皮素含 問刑草藥製劑而解決。因此,在本發明之一實:丁 發明之含草藥製劑中之問/歹1 ,本 ^ ^ 早柰製劑的總類黃鲷含詈^ 八槲皮素含量表示)為標準化 藥為有利的,因為.類〜八曰,…化製劑問莉草 ^馮、、心頦汽_含量(以異槲皮素 批間變化減少,因此本發之組合物產生更一致 二之 治療性效應。在一實施例中,問預防性或 有以問荊草藥製劑之她乾重 …、w經標準化以含 果U之〜乾重相〇.〇1%之類黃啊至約3%之 118938,doc -23- 200800242 類黃酮,其中總類黃酮以異槲皮素當量表示。在另一實施 例中,問荊草藥製劑經標準化以含有以問荊草藥製劑之總 乾重計約0.1。/。之類黃酮至約2.5%之類黃酮,其中總類黃酮 以異樹皮素當量表示。在另一實施例中,問莉草藥製劑經 標準化以含有以問荊草藥製劑之總乾重計約〇·5%之類黃酮 至約1.5%之類黃酮,其中總類黃酮以異槲皮素當量表示。 在另一實施例中,問荊草藥製劑經標準化以含有以問荊草 藥製劑之總乾重計至少約〇·8%之類黃酮,其中總類黃酮以 異樹皮素當量表示。 在一實施例中,藉由溶劑萃取方法,使用具有符合例如 3%矽之最小矽要求的矽含量之原料,將問荊草藥製劑標 準化至有機矽含量。在一實施例中,本發明之含草藥組合 物之問荊草藥製劑係得自問荊草藥之莖且標準化其二氧化 矽含里,亦即問荊莖萃取物製劑。簡言之,自植物取下問 荊草藥之莖部分且乾燥。隨後,經由HpLC分析量測其之 最小2·5%之矽含量,之後接受萃取過程。使用65%(v/v)乙 醇/水:取溶劑獲得萃取物。將萃取物濃縮至約4:ι之比 =。隨後,再次經由HPLC測試萃取物之最小3%之矽含 里。取終萃取乾燥濃縮物呈現具有特徵氣味及味道之精細 掠色粉末。 、在另只施例中,藉由溶劑萃取方法將問荊草藥製劑標 準 有機矽。簡言之,自植物取下問荊草藥之莖部分且 乾::使用確保正確物質之起始生物質量形態檢驗(其包 a微觀及讀特徵)(例如,將已碟認之證據試樣歸標儲存 118938.doc -24- 200800242 以用於物質鐘定)。使用熱水(約50°C與約l〇〇°C之間)作為 溶劑獲得萃取物。將該萃取物濃縮至約5:丨之比率。隨後 將萃取物乾燥。經由uv-Vis分光光度法(二氧化矽用作參 照物質)測試萃取物之最小約3%之矽含量。若萃取物超出 :所要上述標準範圍,則將其用已經歷如上相同方法之乾燥 萃取物滴定。最終萃取乾濃縮物呈現黃棕色粉末。 在一實施例中,本發明之含草藥組合物之問荊草藥製劑 係彳于自問細草藥之至且標準化其總類黃酮含量, 荊 •莖萃取物製劑。 刑 在另一實施例中,藉由溶劑萃取方法將問荊草藥製劑標 準化至類黃酮(以異槲皮素表示)含量。簡言之,自植物取 下問荊草藥之莖部分且乾燥。隨後,其藉由TLC鑑定。(異 槲皮素用作參照物質)。使用確保正確物質之起始生物質 里开=l心驗(其包含说觀及宏觀特徵)(例如,將已確認之證 據試樣歸檔儲存以用於物質鑑定)。使用熱水(約坑與約 Φ l〇〇C之間)作為溶劑獲得萃取物。將萃取物濃縮至約54之 比率。隨後將萃取物乾燥。、經由uv_vis分光光度法(異樹 皮素用作參照物質)測試萃取物之最小約〇 〇1%之異槲皮 素若萃取物超出所要上述標準範圍,則將其用已經歷如 上相同方法之乾無萃取物滴定。最終萃取乾濃縮物呈現黃 棕色粉末。 在Λ施例中,使用上文所述之方法將問荊草藥製劑標 準化至有機矽含量及類黃酮含量(以異槲皮素表示)。 在本發明之一態樣中,本發明之含草藥組合物含有沙梨 118938.doc -25- 200800242 木! /皮萃取物及問荊草藥製劑及無水膠狀二氧化矽。額 外石夕辅助泌尿生殖組織維持、增強及堅實。在一實施例 中’本發明之含草藥組合物含有每口服劑量單位約10 mg 乾重當量至約71 mg乾重當量之總矽。在另一實施例中, :本發明之含草藥組合物含有每口服劑量單位約15 mg乾重 田里至約45 mg乾重當量之總矽。在另一實施例中,本發 明之含草藥組合物含有每口服劑量單位約28 mg乾重當量 _ 至約34 mg乾重當量之總石夕。 在本务明之另一態樣中,本發明之含草藥組合物含有 磷。在一實施例中,本發明之含草藥組合物含有每口服劑 里單位約5 mg乾重當量之磷至約6〇 mg乾重當量之磷。在 另一實施例中,本發明之含草藥組合物含有每口服劑量單 位、、々10 mg乾重當量之磷至約5〇 mg乾重當量之麟。在另一 貝施例中,本發明之含草藥組合物含有每口服劑量單位約 20 mg乾重當量之磷至約3〇 mg乾重當量之磷。 • 在本發明之另一態樣中,本發明之含草藥組合物含有 鈣。在一實施例中,本發明之含草藥組合物含有每口服劑 1單位約1 mg乾重當量之鈣至約3〇 mg乾重當量之鈣。在 另一實施例中,本發明之含草藥組合物含有每口服劑量單 位約5 mg乾重當量之鈣至約25 mg乾重當量之鈣。在另一 實施例中,本發明之含草藥組合物含有每口服劑量單位約 10 mg乾重當量之鈣至約2〇 ^^乾重當量之鈣。 在本發明之另一態樣中,本發明之含草藥組合物含有 鎮。在-實施例中,本發明之含草藥組合物含有每口二劑 118938.doc -26- 200800242 ΐ單位約1 mg乾重當量之鎂至約3〇 mg乾重當量之鎂。在 另一實施例中,本發明之含草藥組合物含有每口服劑量單 位約5 mg乾重當量之鎂至約25 mg乾重當量之鎂。在另一 實施例中,本發明之含草藥組合物含有每口服劑量單位約 二 10 mg乾重當量之鎂至約20 mg乾重當量之鎂。 ' 在一實施例中,本發明提供一種含草藥組合物,其包 • 括:以每口服劑量單位至少約1,000 mg乾重當量之濃度存 φ 在之梨木莖/皮製劑;以每口服劑量單位至少約670 mg 乾重當量之濃度存在之問荊莖萃取物製劑;至少約1,〇7〇 mg乾重當量之總鋸棕櫚濃度;經標準化以含有至少約Question (botanical synonym and common name include (for example) Horsetail; Shave-grass; Bottle-brush; Paddock-pipe; Dutch Rush; Pewterwort; Shavegrass; pewterwort; bottlebrush; horsetail rush; paddock-pipe; Dutch Rush; mare's tail is a European herb that grows throughout the world. It is planted in Yugoslavia in the humid wasteland of the temperate zone. This perennial plant is common to moist loam or sandy soils throughout North America and Eurasia. In the entire plant kingdom, no other herbs are as rich as the horsetail. Equisetum can be used for medicinal purposes. The stems are not harvested in the summer and are dry. The resulting stem, which appears after the stem has withered, can be used as a drug and cut only over the root to use it all. Fresh or dried herbs can be used, but are said to be most effective when fresh. The fluid extract is prepared therefrom. Plant ash is also used. The references cited throughout this application are hereby incorporated by reference in their entirety. The herb-containing composition of the present invention provides the invention for use in the prevention or treatment of sputum A / sputum therapy such as enlargement of prostate or benign prostatic hyperplasia (hereinafter referred to as sputum, sputum, sputum, sputum); A trampoline-free 3 saponin composition for a method of neoplastic disease of neoplasia. Specifically, the present invention is directed to the identification of silk compositions containing the sapwood and the interim period for the prevention and treatment of prostate disorders. In an embodiment of the invention, the herb-containing composition comprises a sapling stem/skin extract and a medicinal herb. In an embodiment of the invention, the herb-containing composition of the invention is an oral supplement contained in a dry delivery system such as a lozenge, a dry powder and a dry meal replacement mixture. In another embodiment, the herb-containing composition of the present invention is an oral supplement contained in a liquid delivery system such as a capsule, caplet or beverage. In another embodiment, the herb-containing iris of the present invention is an oral supplement contained in a controlled release vehicle such as a tablet, a caplet, and a capsule. In another embodiment, the herb-containing compositions of the present invention comprise from about 100 mg to about 6,000 mg dry weight equivalents of sapwood extract per oral dosage unit. In another embodiment, the herb-containing compositions of the present invention comprise from about 500 mg to about 4,000 mg dry weight equivalents of sapwood extract per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 800 mg to about 1,200 mg dry weight equivalent of sapwood extract per oral dosage unit. To prepare the herb-containing composition of the present invention, the skin and stem of the sapwood are separated from the remaining sapwood plants and dried. The dried skin and stem of the dried pear wood were extracted using 7% (v/v) ethanol/water. The liquid extract was then concentrated to a ratio of 1 :1. Maltodextrin is used as an excipient. The final product of the herb-containing composition of the present invention, i.e., the stalk/skin extract of sapwood, is a brown to dark brown powder. In another embodiment of the present invention, the herbicidal composition of the herb-containing composition of the present invention is obtained from the leaves of the medicinal herb. In one embodiment of the present invention, 118938.doc -21 - 200800242, the herbaceous composition of the herb-containing composition of the present invention is obtained from the stem of the medicinal herb. In another embodiment of the present invention, the herbaceous herbal preparation composition of the herbicidal composition of the present invention is obtained from a mixture of plant parts of the herb. In another embodiment of the present invention, the herb-containing herbal composition of the herb-containing composition of the present invention is derived from all parts of the plant extending above the ground. In one embodiment, the herb-containing composition of the present invention comprises from about 1 mg to about 3 parts per serving of the oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 1 mg to about L500 ^ dry weight equivalent of the herbaceous herbal preparation per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 600 mg to about 800 mg dry weight equivalents of the herbicide preparation per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 650 mg to about 700 mg dry weight equivalents of the herbicide preparation per oral dosage unit.矽 has been identified as the provider of the biological activity of the medicinal herbs. Non-standardized formulations of the medicinal herbs typically contain from about 12% to about 6.9% of the total dry weight of the formulation. In one aspect of the invention, it has been determined that the batch variation of the medicinal herb formulation can have a negative effect on the biological activity of the compositions of the present invention. This problem has been solved by the present invention by providing a medicinal herb formulation having an optimized, standardized sputum content. Therefore, in one embodiment of the present invention, the hydrazine content of the medicinal herb preparation in the herb-containing preparation of the present invention is standardized. The use of the standardized formulation of the medicinal herb is advantageous because the variation between batches of mash is reduced' thus the compositions of the invention produce a more consistent prophylactic or therapeutic effect. In the implementation, the drug preparation is standardized to contain about 3% to about 13% of the total dry weight of the herbal preparation. In another embodiment, 118938.doc -22- 200800242, in another embodiment, 'Qi Jing herbal 掣 M ', u, and 軚 軚 以 以 以 以 以 以 含有 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约 约/. After that. In another embodiment, the interrogated herbal preparation has a standard dry tongue < s + 乂 s s having at least about 6% of the total dry weight of the medicinal herb preparation. In addition to cockroaches, Jing Jing contains about 5% isoquercetin, goat bean bitter and wood = for the thief, and contains, g _, π, several species of flavonoid glycoside (also known as statistic喃糖 l purchase · benzo =, 4 嗣 嗣 〇 〇 〇 葡 葡 葡 葡 葡 葡 葡 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 ) _5,7_ two woven flavonoids can have important pharmacological _ " This helmet is wrong, such as diarrhea, diuretic ketone is a diuretic, one or two is an antispasmodic, anti-inflammatory, disinfectant and even anti-tumor agent However, in general, Lv-like ketone mainly acts on blood sputum, first. The ketoside and saponin may be combined to illustrate the diuretic effect of the sputum. Τ』月匕 is another bear sample in the present invention. , 0 4 A m 人旦" 7 The total flavonoids of the medicinal preparations of 荆 草药 草药 草药 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 生物 生物 生物 生物 生物 生物 生物 可 可 生物 生物 可 生物 生物 生物 生物There is a negative effect of ", and, right. I. City by the present invention by providing a chemicalized, standardized total yellow-content (to be treated with an isoquercetin containing a herbal preparation). Therefore, in the present One of the real: Ding invented in the herbal preparations / 歹1, this ^ ^ early 柰 preparation of the total class of Astragalus 詈 ^ octapeptide content expressed as a standardized drug is advantageous, because. Class ~ eight曰,...Chemical preparations, 莉, 颏, heart 颏 _ content (the variation in the amount of isoquercetin is reduced, so the composition of the present invention produces a more consistent therapeutic effect. In an embodiment, ask Preventive or have her dry weight of Herbs Herbs..., w standardized to contain fruit U ~ dry weight 〇. 〇 1% yellow to about 3% 118938, doc -23- 200800242 flavonoids Wherein the total flavonoid is expressed as isoquercetin equivalent. In another embodiment, the medicinal herb preparation is standardized to contain about 0.1% flavonoids to about 2.5% of the total dry weight of the medicinal herb preparation. A flavonoid in which the total flavonoid is expressed in an equivalent amount of isoccalin. In another embodiment, the medicinal preparation is standardized to contain about 5% flavonoids based on the total dry weight of the medicinal herb preparation. 1.5% flavonoids, wherein the total flavonoids are expressed in isoquercetin equivalents. In another embodiment, The pharmaceutical preparations are standardized to contain at least about 8% flavonoids based on the total dry weight of the medicinal herb preparation, wherein the total flavonoids are expressed as iso-bark pigment equivalents. In one embodiment, by solvent extraction, use A raw material having a cerium content satisfying a minimum cerium requirement of, for example, 3%, is standardized to an organic cerium content. In one embodiment, the herb-containing herbal preparation of the herb-containing composition of the present invention is obtained from the medicinal herb The stem is standardized and its cerium oxide is contained, that is, the stalk extract preparation. In short, the stem portion of the medicinal herb is removed from the plant and dried. Then, the minimum is measured by HpLC analysis. After the % content, the extraction process is followed. 65% (v/v) ethanol/water was used: the solvent was taken to obtain an extract. The extract is concentrated to a ratio of about 4:1. Subsequently, the minimum 3% of the extract was again tested by HPLC. The final extractive dry concentrate exhibits a finely plucked powder with a characteristic odor and taste. In another example, the herbicide preparation is standardized by solvent extraction. In short, remove the stem portion of the medicinal herb from the plant and dry it: use a test to ensure the correct biomass morphology of the correct substance (its package a microscopic and read characteristics) (for example, return the evidence sample that has been discerned) Standard storage 118938.doc -24- 200800242 for substance clocking). The extract was obtained using hot water (between about 50 ° C and about 10 ° C) as a solvent. The extract was concentrated to a ratio of about 5: hydrazine. The extract is then dried. The minimum 3% cerium content of the extract was tested by uv-Vis spectrophotometry (cerium oxide was used as a reference material). If the extract exceeds the above-mentioned standard range, it is titrated with the dried extract which has been subjected to the same method as above. The final extracted dry concentrate appeared as a yellow-brown powder. In one embodiment, the herb-containing herbal preparation of the herb-containing composition of the present invention is adapted to the standard of the total flavonoid content, and the stem extract preparation. In another embodiment, the E. arvense herb preparation is standardized to a flavonoid (expressed as isoquercetin) by a solvent extraction method. In short, the stem portion of the medicinal herb is removed from the plant and dried. Subsequently, it was identified by TLC. (isoquercetin is used as a reference substance). Use to ensure that the starting material of the correct substance is in the test (which includes both observations and macroscopic features) (for example, archiving the confirmed evidence samples for material identification). The extract was obtained using hot water (between a pit and about Φ l〇〇C) as a solvent. The extract was concentrated to a ratio of about 54. The extract is then dried. Testing the extract with a minimum of about 1% isoquercetin via uv_vis spectrophotometry (isobartrin as a reference material). If the extract exceeds the above-mentioned standard range, it is used to dry the same method as above. No extract titration. The final extracted dry concentrate appeared as a yellow-brown powder. In the examples, the E. arvense herb preparation was standardized to the organic hydrazine content and the flavonoid content (expressed as isoquercetin) using the method described above. In one aspect of the invention, the herb-containing composition of the present invention contains Shali 118938.doc -25- 200800242 wood! / skin extract and medicinal herbs and anhydrous gelatinous cerium oxide. Additional spleen assisted urogenital tissue to maintain, strengthen and solid. In one embodiment, the herb-containing composition of the present invention contains from about 10 mg dry weight equivalents to about 71 mg dry weight equivalents per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 15 mg dry weight field to about 45 mg dry weight equivalents per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 28 mg dry weight equivalents to about 34 mg dry weight equivalents per oral dosage unit. In another aspect of the present invention, the herb-containing composition of the present invention contains phosphorus. In one embodiment, the herb-containing composition of the present invention contains from about 5 mg dry weight equivalents of phosphorus per unit of oral dose to about 6 mg dry weight equivalents of phosphorus per oral dose. In another embodiment, the herb-containing composition of the present invention contains from about 10 mg dry weight equivalents of phosphorus to about 5 mg dry weight equivalents per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 20 mg dry weight equivalents of phosphorus per oral dosage unit to about 3 mg dry weight equivalents of phosphorus. • In another aspect of the invention, the herb-containing composition of the invention contains calcium. In one embodiment, the herb-containing composition of the present invention contains from about 1 mg dry weight equivalent of calcium per oral dose to about 3 mg dry weight equivalents of calcium per oral dose. In another embodiment, the herb-containing composition of the present invention contains from about 5 mg dry weight equivalents of calcium to about 25 mg dry weight equivalents of calcium per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 10 mg dry weight equivalents of calcium to about 2 干 ^ dry weight equivalents of calcium per oral dosage unit. In another aspect of the invention, the herb-containing composition of the invention comprises a town. In an embodiment, the herb-containing composition of the present invention contains from about 12,938,388 to about 2,000,000,000,000,000 units of magnesium per unit dose to about 3 mg of dry weight equivalents of magnesium per serving. In another embodiment, the herb-containing composition of the present invention contains from about 5 mg dry weight equivalents of magnesium to about 25 mg dry weight equivalents of magnesium per oral dosage unit. In another embodiment, the herb-containing composition of the present invention contains from about 20 mg dry weight equivalents of magnesium to about 20 mg dry weight equivalents of magnesium per oral dosage unit. In one embodiment, the present invention provides a herb-containing composition comprising: a concentration of at least about 1,000 mg dry weight equivalent per oral dosage unit of φ in a pear/skin preparation; per oral administration a dosage unit having a concentration of at least about 670 mg dry weight equivalent of the stem extract preparation; at least about 1, 〇7〇mg dry weight equivalent of the total saw palm concentration; normalized to contain at least about

Kg番茄紅素之至少約2·92 g番茄之總濃度;至少約5 mg鋅 之總濃度;至少約8叫乾重當量硒之總濃度。在一實施例 中,本發明提供一種治療或預防前列腺病症之方法,其中 將足以治療或預防該前列腺病症之量之口服劑量單位投予 文檢者。在另-實施例中,至少每天一次將口服劑量單位 • 投予受檢者。在另一實施例中,每天2次與5次之間將口服 劑量單位投予受檢者。 : 在一實施例中,含草藥組合物進一步包括鋸棕櫚漿果製 - #1 ’其中鋸棕櫚係以每口服劑量單位、經標準化以含有約 :: 85%脂肪酸及固醇之至少約107 mg萃取物之濃度存在。在 另貝鞑例中,含草藥組合物係與包括鋸棕櫚漿果製劑之 第二組合物共同投予受檢者,該第二組合物可與含草藥組 合物同時投與,或在含草藥組合物投予受檢者之前或之後 投與〇 〆 118938.doc -27- 200800242 在貝施例中,含草藥組合物進一步包括非洲刺李皮製 知!其中非/州刺李係以每口服劑量單位、經標準化以含有 2.5 mg植物甾醇之至少約1〇〇瓜§乾重之濃度存在。在另一 實施例中’含草藥組合物係與包括非洲刺李皮製劑之第二 組合物共同投予受檢者,該第二組合物可與含草藥組合物 同時投與’或在含草藥組合物投予受檢者之前或之後投 與。The total concentration of Kg lycopene at least about 2.92 g tomato; the total concentration of at least about 5 mg zinc; at least about 8 is the total concentration of dry weight equivalent selenium. In one embodiment, the invention provides a method of treating or preventing a prostatic disorder, wherein an oral dosage unit in an amount sufficient to treat or prevent the prostatic disorder is administered to a subject. In another embodiment, the oral dosage unit is administered to the subject at least once a day. In another embodiment, the oral dosage unit is administered to the subject between 2 and 5 times per day. In one embodiment, the herb-containing composition further comprises Saw Palmetto Berry - #1 ' wherein Saw Palmetto is at least about 107 mg extracted per oral dosage unit, standardized to contain about: 85% fatty acids and sterols. The concentration of the substance exists. In another example, the herb-containing composition is co-administered to a subject in combination with a second composition comprising a saw palmetto berry formulation, the second composition being co-administerable with the herbal-containing composition, or in a herbal-containing combination The substance is administered to the subject before or after the administration of 〇〆118938.doc -27- 200800242 In the case of the shell, the herbal-containing composition further includes the African thorn skin! The non-state thorns are present at a concentration of at least about 1 ounce dry weight per oral dosage unit standardized to contain 2.5 mg of phytosterol. In another embodiment, the 'herbal-containing composition is co-administered to a subject in combination with a second composition comprising an African thorn skin preparation, which may be administered simultaneously with the herbal-containing composition' or in a herbal-containing composition The composition is administered to the subject before or after administration.

在κ施例中,合草藥組合物進一步包括蓴麻根製劑, 其中蓴麻係以每口服劑量單饵至少約100 mg萃取物之濃度 存在。在另-實施例中,含草藥組合物係與包括蓴麻根製 劑之第二組合物共同投予受檢者,該第二組合物可與含草 藥組合物同時投與,或在含草藥組合物投予受檢者之前或 之後投與。 在貝施例中,含草藥組合物進一步包括番茄果實,其 中番蘇係以每口服劑量單位、經標準化以含有〇 ι叫番^ 紅素之至少約333 mg之濃度存在。在另一實施例中,含草 藥組合物係與包括番祐之第二組合物共同投予受檢者,該 第二組合物可與含草藥組合物同時投肖,或在含草藥組合 物投予受檢者之前或之後投與。 在-實施例中,含草藥組合物進—步包括西葫廬(南瓜 種子)種子製劑中西葫蘆係以每口服劑量單位至少約 10 g乾重之?辰度存在。在一實施例中,含草藥組合物進一 步包括西葫蘆(南瓜種子)種子製劑,其中西葫蘆係以每口 服劑量早位至少約(M g乾重至每口服劑量單位約i g乾重 118938.doc •28- 200800242 +辰度存在。在—實施例中,含草藥組合物進一步包括西 萌董(南瓜種子)種子製劑,其中西箱蘆係以每Π服劑量單 位至少約0·1 g乾重至每口服劑量單位約5 g乾重之濃度存 在Λ她例中,含草藥組合物進一步包括西葫蘆(南 :種子)種子製劑’其中西韻蘆係以每口服劑量單位:少 、勺5 g乾重至每口服劑量單位約1〇 g乾重之濃度存在。在另 一實施例中’含草藥組合物係與包括西葫蘆種子製劑之第 二組合物共同投予受檢者,該第二組合物可與含草藥組合 物同時投與’或在含草藥組合物投予受檢者之前或之後投 與。 又 在一實施例中,含草藥組合物進一步包括鋅,其中鋅係 以每口服劑量單位至少約3 mg乾重當量之濃度存在。在另 —實施例中’含草藥組合物係與包括鋅之第二組合物共同 投予受檢者,該第二組合物可與含草藥組合物同時投與, 或在含草藥組合物投予受檢者之前或之後投與。 在一實施例中,含草藥組合物進一步包括鋼,其中鋼係 以每口服劑量單位至少約丨mg乾重當量之濃度存在◊在另 -實施例中’含草藥組合物係與包括銅之第二組合物共同 才又予文檢者,該第二組合物可與含草藥組合物同時投與, 或在含草藥組合物投予受檢者之前或之後投與。 在一實施例中,含草藥組合物進一步包括硒,其中硒係 以每口服劑量單位至少約5叫乾重當量之濃度存在。在另 一實施例中,含草藥組合物係與包括硒之第二組合物共同 投予受檢者,該第二組合物可與含草藥組合物同時投與, 118938.doc -29- 200800242 或在含草藥組合物投予受檢者之前或之後投與。 在一實施例中,含草藥組合物進一步包括膽鈣化醇(維 生素D3) ’其中膽約化醇係以每口服劑量單位至少約2〇〇 IU乾重當量之濃度存在。在另一實施例中,含草藥組合物 係與包括膽鈣化醇之第二組合物共同投予受檢者,該第二 組合物可與含草藥組合物同時投與,或在含草藥組合物投 予受檢者之前或之後投與。 在一實施例中,含草藥組合物進一步包括維生素E,其 中維生素E係以每口服劑量單位至少約5〇 ιυ乾重當量之濃 度存在。在另一實施例中,含草藥組合物係與包括維生素 E之第二組合物共同投予受檢者,該第二組合物可與含草 藥組合物同時投與,或在含草藥組合物投予受檢者之前或 之後投與。 在一實施例中,含草藥組合物進一步包括維生素B6,其 中維生素B6係以每口服劑量單位至少約25 mg乾重當量之 濃度存在。在另一實施例中,含草藥組合物係與包括維生 素B6之第二組合物共同投予受檢者,該第二組合物可與含 草藥組合物同時投與’或在含草藥組合物投予受檢者之前 或之後投與。 在-實施例中’含草藥組合物進一步包括維生素c,其 中維生素c係以每口服劑量單位至少約1〇〇叫乾重當量之 濃度存在。在另—實施例中,含草藥組合物係與包括維生 素:之第二組合物共同投予受檢者,該第二組合物可與含 草藥組合物同時投斑,吱在合苜 卞仅,、及在3卓樂組合物投予受檢者之前 118938.doc 200800242 或之後投與。 在一實施例中,含草藥組合物進一步包括麵胺酸(如卜麩 胺酸),其中麵胺酸係以每口服劑量單位至少約2〇〇瓜§乾 重當里之?辰度存在。在另一實施例中,含草藥組合物係與 包括麩胺酸之第二組合物共同投予受檢者,該第二組合物 可與含草藥組合物同時投與,或在含草藥組合物投予受檢 者之前或之後投與。 在一實施例中,含草藥組合物進一步包括甘胺酸,其中 甘胺酸係以每口服劑量單位至少約2〇〇瓜§乾重當量之濃度 存在。在另一實施例中,含草藥組合物係與包括甘胺酸之 第二組合物共同投予受檢者,該第二組合物可與含草藥組 合物同時投與,或在含草藥組合物投予受檢者之前或之後 投與。 在一實施例中,含草藥組合物進一步包括丙胺酸,其中 丙胺酸係以每口服劑量單位至少約2〇〇 〇§乾重當量之濃度 存在在另實施例中,含草藥組合物係與包括丙胺酸之 第二組合物共同投予受檢者,該第二組合物可與含草藥組 合物同時投與,或在含草藥組合物投予受檢者之前或之後 投與。 在另一貝施例中,本發明之含草藥組合物係用於乳膏 二。在一實施例中’纟發明《含草藥組合物含有每公克乳 膏約1 mg至約100 mg乾重當量之沙梨木莖/皮萃取物。在 另一實施例中,本發明之含草藥組合物含有每公克乳膏約 mg至約60 mg乾重當量之沙梨木莖/皮萃取物。在另一 118938.doc -31. 200800242 實施例中,本發明之含草藥組合物含有每公克乳膏約40 mg至約60 mg乾重當量之沙梨木莖/皮萃取物。 在另一實施例中,本發明之含草藥組合物含有每公克乳 膏約1 mg至約60 mg乾重當量之問荊草藥。在另一實施例 , 中,本發明之含草藥組合物含有每公克乳膏約5 mg至約40 、 mg乾重當量之問荊草藥。在另一實施例中,本發明之含草 . 藥組合物含有每公克乳膏約10 mg至約30 mg乾重當量之問 荊草藥。 ^ 在本發明之另一實施例中,該含草藥組合物含有撥油。 在一實施例中,本發明之含草藥組合物含有每公克乳膏約 1 mg至約3 0 mg之橙油。在另一實施例中,本發明之含草 藥組合物含有每公克乳膏約5 mg至約25 mg之乾橙油。在 另一實施例中,本發明之含草藥組合物含有每公克乳膏約 8 mg至約12 mg之橙油。 在本發明之一實施例中,該含草藥組合物含有鉛筆柏 ^ (J㈣/perw vz>gzW⑽α)(雪松木(Cedarwood))莖精油。在一 實施例中,本發明之含草藥組合物含有每公克乳膏約1 pg 至約1,000 pg之鉛筆柏莖精油。在另一實施例中,本發明 之含草藥組合物含有每公克乳膏約250 pg至約750 pg之鉛 ; 筆柏莖精油。在另一實施例中,本發明之含草藥組合物含 有每公克乳膏約400 pg至約600 pg之鉛筆柏莖精油。 在本發明之一實施例中,含草藥組合物含有沒藥(Myrrh) 油。在一實施例中,本發明之含草藥組合物含有每公克乳 膏約1 pg至約1,000 pg之沒藥油。在另一實施例中,本發 118938.doc •32- 200800242 明之含草藥組合物含有每公克乳膏約250叫至約750吨之 沒藥油。在另一實施例中,本發明之含卓樂組合物含有母 公克乳膏約400 pg至約600 pg之沒藥油。 在本發明之一實施例中,談含草藥組合物含有橙花油。 在一實施例中,本發明之含草藥組合物含有每公克乳膏約 1 pg至約1,000 pg之橙花油。在另一實施例中,本發明之 含草藥組合物含有每公克乳膏約250 pg至約750 pg之撥花 油。在另一實施例中,本發明之含草藥組合物含有每公克 乳膏約400 jig至約600 μg之橙花油。 在本發明之一實施例中,該含草藥組合物含有絲柏 (Cwpreaws Cypress)葉油。在一實施例中’ 本發明之含草藥組合物含有每公克乳膏約1 Mg至約I000 pg之絲柏葉油。在另一實施例中,本發明之含草藥組合物 含有每公克乳膏約50 pg至約500 pg之絲柏葉油。在另一實 施例中,本發明之含草藥組合物含有每公克乳膏約75 至約125 pg之絲柏葉油。 在本發明之另一實施例中,該含草藥組合物含有d-α-生 育酚乙酸酯(天然維生素E)。在本發明之一實施例中,本 發明之含草藥組合物含有d-a-生育酚乙酸酯。在一實施例 中,本發明之含草藥組合物含有每公克乳膏約0·1 mg至約 25 mg之d-a-生育酚乙酸酯。在另一實施例中,本發明之 含草藥組合物含有每公克乳膏約1 mg至約10 mg之乾d-a-生育酚乙酸酯。在另一實施例中,本發明之含草藥組合物 含有每公克乳膏約4 mg至約6 mg之d-a-生育紛乙酸酯。 118938.doc -33· 200800242 在本發明之另一實施例中,該含草藥組合物含有尿素醛 (diazolidinylurea)。在本發明之一實施例中,本發明之含 草藥組合物含有尿素醛。在一實施例中,本發明之含草藥 組合物含有每公克乳膏約01 mg至約10 mg之尿素醛。在 另一實施例中,本發明之含草藥組合物含有每公克乳膏約 1 mg至約5 mg之乾尿素盤。在另一實施例中,本發明之含 草藥組合物含有每公克乳膏約3 mg至約3·5 mg之尿素醛。 在本發明之另一實施例中,該含草藥組合物含有羥基苯 曱酸酯。在一實施例中,本發明之含草藥組合物含有羥基 苯甲酸酯。在一實施例中,本發明之含草藥組合物含有每 公克乳膏約0·1 mg至約5 mg之羥基苯甲酸酯。在另一實施 例中,本發明之含草藥組合物含有每公克乳膏約〇.5 0§至 約3 mg之乾羥基苯甲酸酯。在另一實施例中,本發明之含 草藥組合物含有每公克乳膏約1 mg至約2 mg之經基苯曱酸 酯。 在本發明之另一實施例中,該含草藥組合物含有沙梨木 莖/皮萃取物及問荊葉之萃取物;橙油;鉛筆柏莖;沒藥 油;橙花油;絲柏葉;d-α-生育酚乙酸酯;尿素醛;及羥 基苯甲酸6旨。 本發明之組合物之藥用性質及用途 本發明提供適用於預防或治療例如擴大前列腺或良性前 列腺增生(BPH)、前列腺炎及前列腺上皮内瘤形成之前列 腺病症之方法的含草藥組合物。認為存在於魚木屬 (Crateva)及木賊屬中之主要活性成份為皂素及植物固醇。 118938.doc -34- 200800242In the κ administration, the herbal composition further comprises a castor root formulation wherein the ramie is present at a concentration of at least about 100 mg of extract per oral dose of the single bait. In another embodiment, the herb-containing composition is co-administered to a subject in combination with a second composition comprising a castor root formulation, the second composition being co-administerable with the herbal-containing composition, or in a herbal-containing combination The substance is administered to the subject before or after the administration. In the case of the shellfish, the herb-containing composition further comprises a tomato fruit, wherein the sage is present in a concentration of at least about 333 mg per oral dosage unit that is standardized to contain 〇 番 番 番 。. In another embodiment, the herb-containing composition is administered to the subject in combination with a second composition comprising Fanyou, the second composition can be administered simultaneously with the herbal-containing composition, or administered in a herbal-containing composition. The subject is administered before or after. In an embodiment, the herb-containing composition further comprises the cilantro (squash seed) seed preparation wherein the zucchini is present at a dry weight of at least about 10 g dry weight per oral dosage unit. In one embodiment, the herb-containing composition further comprises a zucchini (pumpkin seed) seed preparation, wherein the zucchini is at least about 100 mg per oral dose (M g dry weight to about ig dry weight per oral dosage unit 118938.doc • 28 - 200800242 + Chen Duo exists. In the embodiment, the herb-containing composition further comprises a Ximeng Dong (squash seed) seed preparation, wherein the Xixianglu system is at least about 0.1 g dry weight per serving unit per serving. A concentration of about 5 g dry weight in an oral dosage unit is present in her case. The herbal-containing composition further includes a zucchini (south: seed) seed preparation, wherein the rhyme is in each oral dosage unit: less, 5 g dry weight to the spoon A concentration of about 1 〇g dry weight per oral dosage unit is present. In another embodiment, the 'herbal-containing composition is co-administered to a subject together with a second composition comprising a squash seed preparation, the second composition being The herb-containing composition is administered simultaneously or before or after the herb-containing composition is administered to the subject. In still another embodiment, the herb-containing composition further comprises zinc, wherein the zinc is per oral dose. A concentration of at least about 3 mg dry weight equivalent is present. In another embodiment, the 'herbal-containing composition is co-administered to a subject in combination with a second composition comprising zinc, the second composition being compatible with the herbal-containing composition Simultaneous administration, or administration prior to or after administration of the herb-containing composition to the subject. In one embodiment, the herb-containing composition further comprises steel, wherein the steel is at least about 丨mg dry weight equivalent per oral dosage unit. The concentration is present in another embodiment - the herbal-containing composition is combined with the second composition comprising copper, and the second composition can be administered simultaneously with the herbal-containing composition, or The herbal composition is administered to the subject before or after administration. In one embodiment, the herb-containing composition further comprises selenium, wherein the selenium is present at a concentration of at least about 5 dry weight equivalents per oral dosage unit. In an embodiment, the herb-containing composition is co-administered to the subject in combination with a second composition comprising selenium, the second composition being co-administerable with the herbal-containing composition, 118938.doc -29-200800242 or in the presence of herbs Composition administered to the subject Pre- or post-administration. In one embodiment, the herb-containing composition further comprises cholecalciferol (vitamin D3) wherein the biliary alcohol is present at a concentration of at least about 2 IU dry weight equivalents per oral dosage unit. In another embodiment, the herb-containing composition is co-administered to a subject in combination with a second composition comprising cholecalciferol, the second composition being co-administerable with the herbal-containing composition, or in a herbal-containing composition In one embodiment, the herb-containing composition further comprises vitamin E, wherein the vitamin E is present at a concentration of at least about 5 〇 dry weight equivalents per oral dosage unit. In an embodiment, the herb-containing composition is administered to the subject together with a second composition comprising vitamin E, the second composition can be administered simultaneously with the herbal-containing composition, or administered to the herb-containing composition. The person is involved before or after. In one embodiment, the herb-containing composition further comprises vitamin B6, wherein the vitamin B6 is present at a concentration of at least about 25 mg dry weight equivalent per oral dosage unit. In another embodiment, the herb-containing composition is administered to a subject in combination with a second composition comprising vitamin B6, which can be administered simultaneously with the herbal-containing composition or in a herbal-containing composition. Submitted to the subject before or after. In the embodiment the herb-containing composition further comprises vitamin C, wherein the vitamin c is present at a concentration of at least about 1 干 dry weight equivalent per oral dosage unit. In another embodiment, the herb-containing composition is co-administered to a subject in combination with a second composition comprising a vitamin: the second composition can be spotted simultaneously with the herbal-containing composition, and the sputum is combined only. And before the 3 Zhuo Le composition is administered to the subject 118938.doc 200800242 or later. In one embodiment, the herb-containing composition further comprises a face acid (e.g., glutamic acid), wherein the face acid is present at a level of at least about 2 ounces per oral dosage unit. In another embodiment, the herb-containing composition is co-administered to a subject in combination with a second composition comprising glutamic acid, the second composition being co-administerable with the herbal-containing composition, or in a herbal-containing composition It is administered before or after being administered to the subject. In one embodiment, the herb-containing composition further comprises glycine, wherein the glycine is present at a concentration of at least about 2 干 dry weight equivalents per oral dosage unit. In another embodiment, the herb-containing composition is co-administered to a subject in combination with a second composition comprising glycine, the second composition being co-administerable with the herbal-containing composition, or in a herbal-containing composition It is administered before or after being administered to the subject. In one embodiment, the herb-containing composition further comprises alanine, wherein the alanine is present in a concentration of at least about 2 〇〇〇 dry weight equivalent per oral dosage unit, in a further embodiment, the herbal-containing composition is included The second composition of alanine is co-administered to the subject, and the second composition can be administered simultaneously with the herb-containing composition or before or after the herb-containing composition is administered to the subject. In another embodiment, the herb-containing composition of the present invention is used in a cream 2. In one embodiment, the "herbal-containing composition" contains from about 1 mg to about 100 mg dry weight equivalents of sapwood stem/skin extract per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about mg to about 60 mg dry weight equivalents of sapwood stem/skin extract per gram of cream. In another embodiment of 118938.doc -31. 200800242, the herb-containing composition of the present invention contains from about 40 mg to about 60 mg dry weight equivalents of sapwood stem/skin extract per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 1 mg to about 60 mg dry weight equivalent of Herbs per gram of cream per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 5 mg to about 40 mg dry weight equivalents of Herbs per gram of cream. In another embodiment, the herbicidal compositions of the present invention comprise from about 10 mg to about 30 mg dry weight equivalents of medicinal herbs per gram of cream. ^ In another embodiment of the invention, the herb-containing composition contains oil. In one embodiment, the herb-containing composition of the present invention contains from about 1 mg to about 30 mg of orange oil per gram of cream. In another embodiment, the herbicidal compositions of the present invention comprise from about 5 mg to about 25 mg of dry orange oil per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 8 mg to about 12 mg of orange oil per gram of cream. In one embodiment of the invention, the herb-containing composition comprises a pencil cypress (J(tetra)/perw vz>gzW(10)?) (Cedarwood) stem essential oil. In one embodiment, the herb-containing composition of the present invention contains from about 1 pg to about 1,000 pg of pencil cypress essential oil per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 250 pg to about 750 pg of lead per gram of cream; pen stalk essential oil. In another embodiment, the herb-containing composition of the present invention contains from about 400 pg to about 600 pg of pencil stalk essential oil per gram of cream. In one embodiment of the invention, the herb-containing composition comprises Myrrh oil. In one embodiment, the herb-containing composition of the present invention contains from about 1 pg to about 1,000 pg of myrrh oil per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 250 to about 750 tons of myrrh oil per gram of cream. In another embodiment, the Zhuo Le composition of the present invention contains from about 400 pg to about 600 pg of myrrh. In one embodiment of the invention, the herb-containing composition comprises neroli oil. In one embodiment, the herb-containing composition of the present invention contains from about 1 pg to about 1,000 pg of neroli oil per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 250 pg to about 750 pg of oil per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 400 jig to about 600 μg of neroli oil per gram of cream. In one embodiment of the invention, the herb-containing composition comprises Cwpreaws Cypress leaf oil. In one embodiment, the herb-containing composition of the present invention contains from about 1 Mg to about 1000 pg of cedar leaf oil per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 50 pg to about 500 pg of cypress oil per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 75 to about 125 pg of cypress oil per gram of cream. In another embodiment of the invention, the herb-containing composition comprises d-α-tocopherol acetate (natural vitamin E). In one embodiment of the invention, the herb-containing composition of the invention contains d-a-tocopheryl acetate. In one embodiment, the herb-containing composition of the present invention contains from about 0.1 mg to about 25 mg of d-a-tocopheryl acetate per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 1 mg to about 10 mg of dry d-a-tocopheryl acetate per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 4 mg to about 6 mg of d-a-tocopheryl acetate per gram of cream. 118938.doc -33· 200800242 In another embodiment of the invention, the herb-containing composition contains diazolidinylurea. In one embodiment of the invention, the herb-containing composition of the invention contains urea aldehyde. In one embodiment, the herb-containing composition of the present invention contains from about 01 mg to about 10 mg of urea aldehyde per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 1 mg to about 5 mg of dry urea per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 3 mg to about 3.5 mg of urea aldehyde per gram of cream. In another embodiment of the invention, the herb-containing composition comprises a hydroxybenzoate. In one embodiment, the herb-containing composition of the present invention contains a hydroxybenzoate. In one embodiment, the herb-containing composition of the present invention contains from about 0.1 mg to about 5 mg of hydroxybenzoate per gram of cream. In another embodiment, the herb-containing composition of the present invention contains from about 0.50 § to about 3 mg of dry hydroxybenzoate per gram of cream. In another embodiment, the herb-containing compositions of the present invention comprise from about 1 mg to about 2 mg of phenyl benzoate per gram of cream. In another embodiment of the present invention, the herb-containing composition comprises extract of Sorbus stalk/skin extract and Phyllostachys pubescens; orange oil; pencil cypress stem; myrrh oil; neroli oil; cypress leaf; -α-tocopheryl acetate; urea aldehyde; and hydroxybenzoic acid 6 purpose. Pharmaceutical Properties and Uses of the Compositions of the Invention The present invention provides a herb-containing composition suitable for use in a method of preventing or treating, for example, a proliferative disorder of prostate or benign prostatic hyperplasia (BPH), prostatitis, and prostatic intraepithelial neoplasia. The main active ingredients believed to be present in Crateva and Equisetum are saponin and phytosterols. 118938.doc -34- 200800242

魚木屬含有類黃酮、硫化葡萄糖苷及植物固醇、羽扇豆 醇,而木賊屬含有礦物質、二氧化石夕、類黃酮(異槲皮 酮、葉黃酮及番鬱金黃素)及皂素、木賊鐮菌素。Nadkarni Κ·Μ·等人,Indian Materia· Medica· Bombay Popular Prakashan ; British Herbal Pharmacopeia. Publ: British Herbal Medicine Association 1983 J Bone K. Clinical Applications of Ayurvedic and Chinese Herbs· Monographs for the western herbal practitioner· Phytotherapy Press, Warwick, Qld, Australia 1997 ; The German Commission E Monographs, 1998 ; D’Agostino M.等人,Boll. Soc. Ital. Biol. Sper.5 30;60(12):2241-5 (1984) ; Pengelly A. The constituents of medicinal plants: an introduction to the chemistry and therapeutics of herbal medicine. Sunflower Herbal第二版,Merriwa,NSW,Australia,1996 ; Lakshmi V· 等人,Planta Medica,32: 214-216 (1977)。 本發明之含草藥組合物適用於預防及治療失禁、良性前 列腺增生及尿失禁。在患有由良性前列腺增生造成之低張 性膀胱之男性中,魚木屬投藥產生頻繁排尿、尿失禁、尿 疼痛及尿滯留之症狀之顯著減輕。Deshpande P.J.等人, Indian J· Med· Res” 76 (Suppl):46-53 (1982)。魚木屬用以 增加膀胱之伸縮性及尿之排出力,進而幫助有效排空。 Deshpande P.J·等人,Indian J. Med. Res.,76 (Suppl):46-53 (1982)。本文中所分析之膀胱測壓研究亦展示魚木屬正規 化膀胱之伸縮性且顯著降低剩餘尿量。因此,本發明之含 118938.doc -35- 200800242 草藥組合物適用於預防及治療尿失禁。 該等結果亦藉由已展示魚木屬增加平滑肌及骨路肌之伸 縮性之活體外動物研究支持。Das Ρ·Κ等人,1.1^8.111(1· Med·,9:49 (1974)。動物研究展示當與初始曲線相比時, 用魚木之40天治療產生膀胱之高張性曲線。Das P.K.等 - 人,J. Res. Ind. Med.,9:49 (1974) ° / 木賊屬富含矽酸及矽酸鹽。二氧化矽維持結締組織之再 支。ChevaAlier,A·,The Encyclopedia of Medicinal Plants, (Horn V. and Weil,C·,Eds·) Dorling Kindersley Ltd·, London (1996)。因此,本發明提供適用於預防或治療例如 尿失禁、遺尿症(例如尿床)、良性前列腺增生、尿結石、 膀脱炎及UTI之泌尿生殖系統病症之含草藥組合物。 儘管認為魚木屬經由不同機制產生消炎效應,但是已知 發現於木賊屬中之異槲皮酮經由抑制發炎性前列腺素而具 有消炎效應。DVAgostino M.等人,Boll· Soc. Ital· Biol· Sper.,30;60(12):2241-5 (1984) ; Geetha T.等人,Gen·Fish genus contains flavonoids, glucosinolates and phytosterols, lupinol, while Equisetum contains minerals, sulphur dioxide, flavonoids (isoquercetin, leaf flavonoids and fulvicin) and saponin , Equisetum. Nadkarni Κ·Μ· et al, Indian Materia· Medica· Bombay Popular Prakashan ; British Herbal Pharmacopeia. Publ: British Herbal Medicine Association 1983 J Bone K. Clinical Applications of Ayurvedic and Chinese Herbs· Monographs for the western herbal practitioner· Phytotherapy Press, Warwick, Qld, Australia 1997; The German Commission E Monographs, 1998; D'Agostino M. et al., Boll. Soc. Ital. Biol. Sper. 5 30;60(12):2241-5 (1984); Pengelly A The constituents of medicinal plants: an introduction to the chemistry and therapeutics of herbal medicine. Sunflower Herbal Second Edition, Merriwa, NSW, Australia, 1996; Lakshmi V. et al, Planta Medica, 32: 214-216 (1977). The herb-containing composition of the present invention is useful for the prevention and treatment of incontinence, benign prostatic hyperplasia and urinary incontinence. In men with low-grade bladder caused by benign prostatic hyperplasia, fish genus administration produces a significant reduction in symptoms of frequent urination, urinary incontinence, urinary pain, and urinary retention. Deshpande PJ et al., Indian J. Med. Res” 76 (Suppl): 46-53 (1982). Fish genus is used to increase the elasticity of the bladder and the discharge of urine, thereby helping to effectively empty. Deshpande PJ·etc. Human, Indian J. Med. Res., 76 (Suppl): 46-53 (1982). The bladder manometry study analyzed in this paper also shows that the fish is normalized to the bladder and significantly reduces the amount of residual urine. The present invention contains 118938.doc -35- 200800242 herbal compositions suitable for the prevention and treatment of urinary incontinence. These results are also supported by in vitro animal studies that have demonstrated that the genus Muscles increase the flexibility of smooth muscle and bone musculature. Das Ρ·Κ et al., 1.1^8.111 (1· Med·, 9:49 (1974). Animal studies show that the 40-day treatment with fish wood produces a hypertonic curve of the bladder when compared to the initial curve. Das PK Etc. - Person, J. Res. Ind. Med., 9:49 (1974) ° / Equisetum is rich in tannins and citrates. Antimony is maintained by cerium oxide. ChevaAlier, A·, The Encyclopedia of Medicinal Plants, (Horn V. and Weil, C·, Eds) Dorling Kindersley Ltd., London (1996). Thus, the present invention provides a herbal-containing composition suitable for preventing or treating urogenital disorders such as urinary incontinence, enuresis (such as bedwetting), benign prostatic hyperplasia, urinary calculi, bladder inflammation, and UTI. Different mechanisms produce anti-inflammatory effects, but it is known that isoquercetin found in the genus Equisetum has an anti-inflammatory effect by inhibiting inflammatory prostaglandins. DVAgostino M. et al., Boll Soc. Ital Biol Sper., 30; (12): 2241-5 (1984); Geetha T. et al., Gen·

Pharmacol·,32(4):495-7 (1999)。對慢性泌尿道感染之正效 應最可能為抗菌作用及消炎作用之組合。 :· 絲柏記載為鎮痙劑、收斂劑、消毒劑、除臭劑、利尿劑 ; 及可促進腎及膀胱區域之靜脈循環、改善膀胱伸縮性及輔 助尿失禁及遺尿症之滋補劑。Tisserand及Balacs,五 Oil Safety. A Guide for Health Care Professionals · Churchill Livingstone,U. K·,1995; 28-29,31,33-34 ;Pharmacol, 32(4): 495-7 (1999). The positive effect on chronic urinary tract infections is most likely a combination of antibacterial and anti-inflammatory effects. :· Cypress is described as an antispasmodic agent, astringent, disinfectant, deodorant, diuretic; and a tonic that promotes venous circulation in the kidney and bladder area, improves bladder elasticity, and assists incontinence and enuresis. Tisserand and Balacs, Five Oil Safety. A Guide for Health Care Professionals · Churchill Livingstone, U. K., 1995; 28-29, 31, 33-34;

Valnet, J, The Practice of Aromatherapy. Saffron Walden, 118938.doc -36 - 200800242Valnet, J, The Practice of Aromatherapy. Saffron Walden, 118938.doc -36 - 200800242

The C. W. Daniel Company,Essex,England,1980; 120-121, Holmes, P. The Energetics of Western Herbs. Artemis Press, Boulder,Colorado,USA,1989; 567-569,792 ·,Damian,P & K. Aromatherapy Scent and Psyche· Healing Arts Press, Rochester,Vermont,Canada,1995; 187-188 ; Price, S. TheThe CW Daniel Company, Essex, England, 1980; 120-121, Holmes, P. The Energetics of Western Herbs. Artemis Press, Boulder, Colorado, USA, 1989; 567-569, 792 ·, Damian, P & K. Aromatherapy Scent and Psyche· Healing Arts Press, Rochester, Vermont, Canada, 1995; 187-188 ; Price, S. The

Aromatherapy Workbook. Thorsons (Harper Collins), California, USA, 1993; 67 ; Chidell, L. Aromatherapy. AAromatherapy Workbook. Thorsons (Harper Collins), California, USA, 1993; 67 ; Chidell, L. Aromatherapy. A

Definitive Guide to Essential Oils. Hodder and Stoughton Ltd, Kent, UK, 1992; 23-24, 80-81 ί Keller, E. The CompeteDefinitive Guide to Essential Oils. Hodder and Stoughton Ltd, Kent, UK, 1992; 23-24, 80-81 ί Keller, E. The Compete

Home Guide to Aromatherapy. H J Kramer,Inc,Tiburon, California,USA,1991; 178-179 〇 近期文獻描述沒藥作為收斂劑及消毒劑,其產生對泌尿 系統之黏膜之缓解效應且促進組織癒合。Battaglia,S· TTze Complete Guide to Aromatherapy. The Perfect Potion Pty Ltd,Virginia,Brisbane,Qld,Australia,1995; 110-113,116, 150-151, 158-159, 182-183, 184-185, 187 ; Lawless, J. TheH J Kramer, Inc, Tiburon, California, USA, 1991; 178-179 近期 Recent literature describes myrrh as an astringent and disinfectant that produces a palliative effect on the mucosa of the urinary system and promotes tissue healing. Battaglia, S. TTze Complete Guide to Aromatherapy. The Perfect Potion Pty Ltd, Virginia, Brisbane, Qld, Australia, 1995; 110-113, 116, 150-151, 158-159, 182-183, 184-185, 187; Lawless, J. The

Encyclopaedia of Essential Oils. (1992) Element Books for Jacaranda Wiley,Ltd,Australia,1992; 76-77,88-89,135-136。橙及橙花油(Neroli)記載為具有鎮痙效應、消毒效應 及除臭效應。6,10; Sheppard-Hanger。TTieEncyclopaedia of Essential Oils. (1992) Element Books for Jacaranda Wiley, Ltd, Australia, 1992; 76-77, 88-89, 135-136. Orange and neroli oil (Neroli) are described as having a antispasmodic effect, a disinfecting effect, and a deodorizing effect. 6,10; Sheppard-Hanger. TTie

Practitioner Manual· Aquarius Publishing, Willetton, Western Australia, 1995; 183 ; Sellar, W. The Directory ofPractitioner Manual· Aquarius Publishing, Willetton, Western Australia, 1995; 183 ; Sellar, W. The Directory of

Essential Oils. Saffron Walden, The C.W. Daniel Company, Essex, England, 1992; 50-51, 106-107 ; Keller, E. The 118938.doc -37- 200800242Essential Oils. Saffron Walden, The C.W. Daniel Company, Essex, England, 1992; 50-51, 106-107; Keller, E. The 118938.doc -37- 200800242

Compete Home Guide to Aromatherapy. H J Kramer, Inc, Tiburon,Califomia,USA,1991; 178-179。 本發明之含草藥組合物適用於預防及治療例如良性前列 腺增生之前列腺病症。亦推薦精油用於男性生殖健康,指 出對男性之前列腺之可能效應。Battaglia,S.Compete Home Guide to Aromatherapy. H J Kramer, Inc, Tiburon, Califomia, USA, 1991; 178-179. The herb-containing composition of the present invention is suitable for the prevention and treatment of a prostate disorder such as benign prostatic hyperplasia. Essential oils are also recommended for male reproductive health and indicate possible effects on the male prostate. Battaglia, S.

Guide to Aromatherapy. The Perfect Potion Pty Ltd, Virginia, Brisbane, Qld, Australia, 1995; 110-113, 116, ISO-151, 158-159, 182-183, 184-185, 187; Price, S. PracticalGuide to Aromatherapy. The Perfect Potion Pty Ltd, Virginia, Brisbane, Qld, Australia, 1995; 110-113, 116, ISO-151, 158-159, 182-183, 184-185, 187; Price, S. Practical

Aromatherapy. Thorsons, Harper Collins Publishers, California,U.S·,1983; 157-8,170-171,174, 185 ; Lawless, J. The Encyclopaedia of Essential Oils. (1992) Element Books for Jacaranda Wiley,Ltd,Australia,1992; 76-77,88-89, 13 5-136 ; Valnet, J. The Practice of Aromatherapy.Aromatherapy. Thorsons, Harper Collins Publishers, California, US, 1983; 157-8, 170-171, 174, 185; Lawless, J. The Encyclopaedia of Essential Oils. (1992) Element Books for Jacaranda Wiley, Ltd, Australia, 1992; 76-77, 88-89, 13 5-136; Valnet, J. The Practice of Aromatherapy.

Saffron Walden, The C. W. Daniel Company, Essex, England, 1980; 120-121 〇 諸如鹽酸氧基經丁寧(oxybutynin hydrochloride)之通常 指定用於尿失禁之某些藥物抑制乙醯膽鹼對平滑肌之蕈毒 鹼作用,產生直接鎮痙劑作用,亦即其鬆弛逼尿肌。Tapp A.J.S·等人,Brit. J. Obstetrics and Gynecology ; 97: 521-6 (1990)。期望該鎮痙劑效應超過先前用於患有尿失禁之患 者之藥物的抗膽鹼能效應。雖然未更特定詳細地提供該等 精油之鎮痙劑效應,但是其亦可產生相似於目前指定之藥 物藥療法之作用。 草藥利尿劑記載為增加經過腎之血流,而不如使用更複 118938.doc -38 - 200800242Saffron Walden, The CW Daniel Company, Essex, England, 1980; 120-121 某些 Some drugs, such as oxybutynin hydrochloride, which are usually designated for urinary incontinence, inhibit acetylcholine on smooth muscle muscarinic The effect is to produce a direct antispasmodic effect, that is, it relaxes the detrusor. Tapp A. J. S. et al., Brit. J. Obstetrics and Gynecology; 97: 521-6 (1990). The anti-cholinergic effect of the drug previously used in patients with urinary incontinence is expected to be greater. Although the antispasmodic effect of these essential oils is not provided in more detail, it can also produce a drug similar to the currently specified drug therapy. Herbal diuretics are documented to increase blood flow through the kidneys, rather than using it. 118938.doc -38 - 200800242

雜之現代藥物利尿劑之狀況般在腎元之遠側小管處再吸收 及相關之電解質損失(除鉀外)。Mills及Bone, and Practice of Phytotherapy. Churchill Livingstone, 2000; 35, 220-222。又,利尿常不由草藥利尿用途引起。Mills及 Bone, Principles and Practice of Phytotherapy· Churchill Livingstone,2000;35,220-222。可能該等草藥精油大大地 刺激腎之血流,造成尿產生之增加或更大效率。當排泄時 與膀胱之完全排空組合時,該效應可將經由連續滲漏損失 之尿量降至最低。 鋸棕櫚為用於治療與良性前列腺增生相關之症狀之草藥 產品。活性組份發現於美洲矮棕櫚樹之果實中。研究已證 實鋸棕櫚在減少與良性前列腺增生相關之症狀中的有效 性。鋸棕櫚似乎具有多種作用方法,其包含抑制5 α-還原 酶及干擾二氫睪固酮(DHT)與前列腺細胞中之男性荷爾蒙 受體結合。參見,Plosker G. Serewoa a review of its pharmocology and therapeutic efficacy in benign prostatic hyperplasia. Drugs Aging, 9(5): 379 (1996); Briley M.等人,Inhibitory effect of Permixon on testosterone 5a reductase activity of the rat ventral prostate, Br. J. Pharmacol· 83:401P (1984) ; Marks L.S.等人,Tissue effects of saw palmetto and finasteride: use of biopsy cores for in situ quantification of prostatic androgens. Urology, 57:999-1005 (2001) ; Marks L.S·等人 Effects of a saw palmetto herbal blend in men with symptomatic benign 118938.doc -39- 200800242 prostatic hyperplasia. J. Urol·,163:1451-56 (2000) 〇The state of the modern drug diuretic is reabsorbed at the distal tubule of the kidney and associated electrolyte loss (except potassium). Mills and Bone, and Practice of Phytotherapy. Churchill Livingstone, 2000; 35, 220-222. Also, diuresis is often not caused by herbal diuretic use. Mills and Bone, Principles and Practice of Phytotherapy· Churchill Livingstone, 2000; 35, 220-222. It is possible that these herbal essential oils greatly stimulate the blood flow to the kidneys, resulting in increased or more efficient urine production. This effect minimizes the amount of urine lost through continuous leakage when combined with complete emptying of the bladder during excretion. Saw Palmetto is an herbal product used to treat symptoms associated with benign prostatic hyperplasia. The active ingredient is found in the fruit of the American palm tree. Studies have demonstrated the effectiveness of Saw Palmetto in reducing symptoms associated with benign prostatic hyperplasia. Saw Palmetto appears to have multiple modes of action, including inhibition of 5α-reductase and interference with dihydrodecadosterone (DHT) binding to male hormone receptors in prostate cells. See, Plosker G. Serewoa a review of its pharmocology and therapeutic efficacy in benign prostatic hyperplasia. Drugs Aging, 9(5): 379 (1996); Briley M. et al., Inhibitory effect of Permixon on testosterone 5a reductase activity of the rat Ventral prostate, Br. J. Pharmacol 83:401P (1984); Marks LS et al., Tissue effects of saw palmetto and finasteride: use of biopsy cores for in situ quantification of prostatic androgens. Urology, 57:999-1005 (2001) Marks LS· et al. Effects of a saw palmetto herbal blend in men with symptomatic benign 118938.doc -39- 200800242 prostatic hyperplasia. J. Urol·, 163:1451-56 (2000) 〇

非洲刺李(臀果木屬)為生長於非洲南部之高原中之大型 常綠植物。臀果木屬萃取物對前列腺癌細胞及良性前列腺 增生上皮細胞具有抗細胞分裂效應。該效應係與抑制臀果 木屬之細胞分裂作用相關,且其伴有進入細胞循環之8期 之細胞的減少。參見,Santa Maria Margalef A·等人’ Antimitogenic effect of Pygeum africanum extracts on human prostatic cancer cell lines and explants from benign prostatic hyperplasia. Arch. Esp· Urol·,56(4):369-78 (2003)。在BPH患者之臨床試驗中,展示臀果木屬降低夜 間泌尿頻率且顯著改善尿流及尿量。Breza J· Efficacy and accepability of Pygeum africanum extract in the treatment of benign prostatic hyperplasia. Curr. Med. Res. Opin·, 14(3):127 (1998) » Barlet A, Efficacy of Pygeum africanum extract in the medical therapy of urination disorders due to benign prostatic hyperplasia. Wien. Klim. Woechenschr., 102(22): 667 (1990)。 蓴麻為常見於森林之陰暗潮濕區域之多年生植物。蓴麻 含有活性固醇豆留-4-烯-3-酮、豆固醇及油菜籽固醇。已 發現蓴麻抑制與BPH相關之酶活性且隨後抑制前列腺細胞 代謝及生長。Hirano T·,Effects of stinging nettle root extracts and their steroidal components on the Na+,K(+)-ATPase of benign prostatic hyperplasia. Planta. Med., 60(1):30 (1994) 〇 118938.doc -40- 200800242 番茄為類胡蘿蔔素,且係以比其他類胡蘿蔔素高之含量 存在於人類血清、肝、腎上腺、肺、前列腺、結腸及皮膚 中。已發現番茄紅素在動物及活體外研究中擁有抗氧化及 抗增生性質。調查研究提出高含量之番茄紅素消耗與長期 保護前列腺健康相關。參見,Giovannucci E.及Clinton S.K,,Tomatoes, lycopene,and prostate cancer. Proc. Soc. Exp. Biol. Med. 218(2):129-139 (1998); Giovannucci, E.,African thorns (Pygma) are large evergreens that grow in the plateaus of southern Africa. Pygeum extract has anti-cell division effects on prostate cancer cells and benign prostatic hyperplasia epithelial cells. This effect is associated with inhibition of the cell division of the genus Pythium, which is accompanied by a decrease in cells entering the 8th cycle of the cell cycle. See, Santa Maria Margalef A et al. 'Antimitogenic effect of Pygeum africanum extracts on human prostatic cancer cell lines and explants from benign prostatic hyperplasia. Arch. Esp· Urol·, 56(4): 369-78 (2003). In clinical trials of patients with BPH, pynasum was shown to reduce nighttime urinary frequency and significantly improve urinary flow and urine output. Breza J. Efficacy and accepability of Pygeum africanum extract in the treatment of benign prostatic hyperplasia. Curr. Med. Res. Opin·, 14(3):127 (1998) » Barlet A, Efficacy of Pygeum africanum extract in the medical therapy of Urination disorders due to benign prostatic hyperplasia. Wien. Klim. Woechenschr., 102(22): 667 (1990). Castor is a perennial plant commonly found in the dark and humid areas of forests. Castor contains active sterols, 4-buten-3-one, sterol and rapeseed sterol. Ramie has been found to inhibit BPH-related enzyme activity and subsequently inhibit prostate cell metabolism and growth. Hirano T·, Effects of stinging nettle root extracts and their steroidal components on the Na+, K(+)-ATPase of benign prostatic hyperplasia. Planta. Med., 60(1):30 (1994) 〇118938.doc -40- 200800242 Tomatoes are carotenoids and are present in human serum, liver, adrenal gland, lung, prostate, colon and skin at higher levels than other carotenoids. Lycopene has been found to possess antioxidant and anti-proliferative properties in animal and in vitro studies. Investigations have suggested that high levels of lycopene consumption are associated with long-term protection of prostate health. See, Giovannucci E. and Clinton S.K,, Tomatoes, lycopene, and prostate cancer. Proc. Soc. Exp. Biol. Med. 218(2): 129-139 (1998); Giovannucci, E.,

Tomatoes, tomato-based products, lycopene,and cancer: review of the epidemiologic literature. J. Natl. Cancer Inst.? 91(4):317-331 (1999) ; Huang HY等人,Prospective study of antioxidant micronutrients in the blood and the risk of developing prostate cancer. Am. J. Epidemiol., 157(4):335-44 (2003)。 西葫蘆(南瓜種子)萃取物含有植物甾醇、curcubitin及 硒。臨床研究已展示,可在白天及夜間達成與BPH相關之 泌尿頻率之顯著降低。亦增加尿流速率且減少剩餘尿。參 見 ’ Schneider HJ 等人,Treatment of benign prostatic hyperplasia. Fortschr· Med.ll3:37-40 (1995)。認為南瓜種 子中之植物留醇係藉由抑制DHT或藉由消炎作用起作用。 Stoff JA.及 Clouatre D·,The Prostate Miracle: New NaturalTomatoes, tomato-based products, lycopene, and cancer: review of the epidemiologic literature. J. Natl. Cancer Inst.? 91(4):317-331 (1999); Huang HY et al., Prospective study of antioxidant micronutrients in the Blood and the risk of developing prostate cancer. Am. J. Epidemiol., 157(4): 335-44 (2003). Zucchini (Pumpkin Seed) extract contains phytosterols, curcubitin and selenium. Clinical studies have shown that a significant reduction in BPH-related urinary frequency can be achieved during the day and night. It also increases the rate of urine flow and reduces residual urine. See 'Schneider HJ et al., Treatment of benign prostatic hyperplasia. Fortschr. Med. ll 3: 37-40 (1995). It is believed that the plant alcohol in the pumpkin seed acts by inhibiting DHT or by anti-inflammatory action. Stoff JA. and Clouatre D·, The Prostate Miracle: New Natural

Therapies That Can Save Your Life (Kensington Publishing Corp·,2000) 〇 礦物鋅、銅及硒為適用於治療前列腺病症之抗氧化劑。 研究已展示鋅缺乏造成前列腺擴大。參見,Fair WR·及 118938.doc -41 - 200800242Therapies That Can Save Your Life (Kensington Publishing Corp., 2000) 矿物 Minerals Zinc, Copper and Selenium are antioxidants suitable for the treatment of prostate conditions. Studies have shown that zinc deficiency causes prostate enlargement. See, Fair WR· and 118938.doc -41 - 200800242

Heston W., Prostate inflammation linked to zinc shortage. Prevention,June: 113 (1977)。發現前列腺中之鋅濃度比其 他人類組織中之鋅濃度高。然而,患有BPH或前列腺癌之 患者具有比正常健康男性顯著低含量之鋅。常常推薦總共 50至100毫克之每天鋅補充量以幫助收縮擴大之前列腺。 Zaichick V·,Zinc in the human prostate gland. Int. Urol. Nephrol·,29(5): 5 65 (1997)。銅在有助於維持健康前列腺 之抗氧化劑酶系統中起主要作用。Klevay LM·,Lack of a recommended dietary allowance for copper may be hazardous to your health. J. Am. Coll. Nutr. 17(4): 322-6 (1998)。就硒而言,約翰·霍普金斯公共衛生學院(Johns Hopkins School of Hygiene and Public Health)之研究者發 現,高含量之硒及維生素Ε(α-生育酚及γ-生育酚)有效預防 前列腺癌。Helzlsouer KJ_等人,八88〇以&1^〇11;861\\^^1〇1-Tocopherol, γ-Tocopherol, Selenium, and Subsequent Prostate Cancer,J. Natl· Cancer Inst·,92:2018-2023 (2000) 〇 維生素D3、E、B6及C適用於治療前列腺病症。在男性 中,低血液含量之維生素D與前列腺癌發生之風險增加相 互關聯。Miller GJ,Vitamin D and prostate cancer: biologic interactions and clinical potentials. Cancer Metastasis Rev. 17(4):353-60 (1998) ; Corder EH,et al·,Vitamin D and prostate cancer: a prediagnostic study with stored sera. Cancer Epidemiol· Biomark· Prev.,2:467-472 (1993) 〇 維生 素E為能夠保護細胞避免脂質過氧化反應之強力抗氧化 118938.doc -42- 200800242Heston W., Prostate inflammation linked to zinc shortage. Prevention, June: 113 (1977). The zinc concentration in the prostate was found to be higher than that in other human tissues. However, patients with BPH or prostate cancer have significantly lower levels of zinc than normal healthy men. A total of 50 to 100 mg of zinc supplement per day is often recommended to help contract the enlarged prostate. Zaichick V., Zinc in the human prostate gland. Int. Urol. Nephrol·, 29(5): 5 65 (1997). Copper plays a major role in the antioxidant enzyme system that helps maintain a healthy prostate. Klevay LM·, Lack of a recommended dietary allowance for copper may be hazardous to your health. J. Am. Coll. Nutr. 17(4): 322-6 (1998). In the case of selenium, researchers at the Johns Hopkins School of Hygiene and Public Health found that high levels of selenium and vitamins (alpha-tocopherol and gamma-tocopherol) are effective in preventing prostate disease. cancer. Helzlsouer KJ_ et al., 88 88〇&1^〇11;861\\^^1〇1-Tocopherol, γ-Tocopherol, Selenium, and Subsequent Prostate Cancer, J. Natl· Cancer Inst·, 92:2018 -2023 (2000) Vitamin D3, E, B6 and C are indicated for the treatment of prostate disorders. In men, low blood levels of vitamin D are associated with an increased risk of prostate cancer. Miller GJ, Vitamin D and prostate cancer: biologic interactions and clinical potentials. Cancer Metastasis Rev. 17(4): 353-60 (1998); Corder EH, et al·, Vitamin D and prostate cancer: a prediagnostic study with stored sera Cancer Epidemiol· Biomark· Prev., 2: 467-472 (1993) 〇 Vitamin E is a powerful antioxidant that protects cells from lipid peroxidation. 118938.doc -42- 200800242

劑。當抗氧化劑防禦失敗時,脂質過氧化反應之作用為前 列腺之慢性炎症過程中之致命因素。Burton G·,Vitamin E application of the principles of physical organic chemistry to the exploration of its structure and function. Acc. Chem. Res·,19:194 (1986); Tarasov N·,Correction of abnormal lipid peroxidation in the treatment of chronic prostatitis. Urol. Nefrol· (Mosk.),Jan-Feb(l): 38 (1998)。已展示用維 生素E(d α-生育酚)之補充減少BPH之炎症及前列腺惡性疾 病之發生0 Heinonen 0·,Prostate cancer and supplementation with alpha-tocopherol and beta-carotene. J. Natl. Cancer Inst·,90(6):40 (1998)。研究提出維生素B6減少男性之泌乳 素激素之含量。其降低轉化成二氫睪固酮(DHT)之睪固酮 激素之量。應瞭解,其降低發展如BPH之前列腺病症之可 能性。Costello LC and Franklin RB,Effect of prolactin on the prostate. Prostate,24(3):162-66 (1994)。維生素C與前 列腺癌發展風險降低23%相關。Kristal AR等人,Vitamin and mineral supplement use is associated with reduced risk of prostate cancer· Cancer Epidemiol. Biomarkers Prev., 8:887-892 (1999)。 麩胺酸、甘胺酸及丙胺酸為適用於治療前列腺病症之胺 基酸。研究展示,4週後,包括3種胺基酸之製劑有助於減 少前列腺腫脹且緩解泌尿不適之症狀。參見,Okada S·, Clinical application of amino acid preparation for nonspecific prostatitis. Hinyokika Kiyo, 31(1): 179 118938.doc -43- 200800242 (1985)。早期研究發現,該等胺基酸有效減少BPH之症狀 且幫助減少病狀之持續時間。參見,Cuervo Blanco Ε., Clinical study of a phy to sterol extract of Prunus arborea and 3 amino acids: glycine, alanine and glutamic acid. Arch. Esp· Urol” 31(1): 97 (1978)。 醫藥組合物及調配物 本發明之含草藥組合物可單獨使用或另外與具有有利傳 遞分佈,亦即適於傳遞至受檢者之醫藥學上可接受之組合 物、媒劑或佐劑一起調配。該等組合物通常包括本發明之 含草藥組合物及醫藥學上可接受之載劑。如本文所使用, ”醫藥學上可接受之載劑”欲包含任何及所有與醫藥投藥相 容之溶劑、分散液介質、塗層、抗細菌及抗真菌組合物、 等張及吸收延遲組合物及其類似物。合適之載劑描述於 Remington’s Pharmaceutical Sciences之最近版本中,其為 該領域中之標準參考文章,其以引用的方式併入本文中。 該等載劑或稀釋劑之較佳實例包含(但不限於)水、生理食 鹽水、任氏液(Ringeds solution)、右旋糖溶液及5%人類金 清白蛋白。該等用於醫藥活性物質之介質及組合物已在此 項技術中眾所周知。除在任何習知介質或組合物與活性組 合物不相容之限度内以外,期望其用於組合物中。補充活 性組合物亦可併入組合物中。 本發明之醫藥組合物係調配成與其所欲之投藥路線相 容。投藥路線之實例包含(例如)口服投藥;經皮投藥(亦即 局部投藥)及經黏膜投藥。pH值可用諸如鹽酸或氫氧化鈉 118938.doc -44 - 200800242 之酸或鹼來調整。 口服組合物通常包含惰性稀釋劑或食用載劑。其可密封 於明膠膠囊、囊片中或壓縮成錠劑。出於口服治療投藥之 目的,本發明之含草藥組合物可與賦形劑合並且以錠劑、 片劑或膠囊形式來使用。口服組合物亦可使用用作漱口藥 之流體載劑來製備’其中流體載劑中之組合物係經口施用 且漱口並吐出或吞下。可包含醫藥學上相容之結合組合物 及/或佐劑物質作為組合物之部分。錠劑、丸劑、膠囊、 片劑及其類似物可含有以下成份之任一者’或具有相似特 徵之組合物:黏合劑,諸如微晶纖維素、黃耆膠或明膠; 賦形劑,諸如澱粉或乳糖,諸如褐藻酸、澱粉羥基乙酸鈉 或玉米澱粉之崩解性組合物;潤滑劑,諸如硬脂酸鎂或 Sterotes ;滑動劑,諸如膠狀二氧化矽;甜味組合物,諸 如蔗糖或糖精;或香料組合物,諸如胡椒薄荷、水揚酸甲 酯或橙香料。本發明之含草藥組合物亦可調配成用於經皮 或經黏膜投藥之局部用乳膏。 在一實施例中,本發明之含草藥組合物係用將保護組合 物抵抗自人體快速消除之載劑來製備,該等載劑諸如包含 植入物及被膠囊化傳遞糸統之受控釋放調配物。可使用生 物可降解、生物相容性聚合物,諸如乙烯乙酸乙烯酯、聚 酸酐、聚乙醇酸、膠原蛋白、聚原酸酯及聚乳酸。製備兮 等調配物之方法對熟習此項技術者將顯而易見。該等物質 亦可自 Alza Coirporaticm 及 Nova Pharmaceuticals,Ine 鱗 得0 118938.doc -45- 200800242 醫藥組合物可連同投藥之說明書包含於容器、包裝或施 配器内。 本發明進一步藉由參考以下實例而定義,該等實例不欲 限制本發明之範疇。對熟習此項技術者將顯而易見,在不 脫離本發明之目的及權益的情況下可實施對物質及方法之 許多修改。 實例Agent. When the antioxidant defense fails, the lipid peroxidation is a fatal factor in the chronic inflammation of the prostate gland. Burton G.,Vitamin E application of the principles of physical organic chemistry to the exploration of its structure and function. Acc. Chem. Res·, 19:194 (1986); Tarasov N·,Correction of abnormal lipid peroxidation in the treatment of Chronic prostatitis. Urol. Nefrol· (Mosk.), Jan-Feb(l): 38 (1998). Supplementation with vitamin E (d α-tocopherol) has been shown to reduce the incidence of BPH inflammation and prostate malignancy. 0 Heinonen 0, Prostate cancer and supplementation with alpha-tocopherol and beta-carotene. J. Natl. Cancer Inst·, 90(6): 40 (1998). Studies have suggested that vitamin B6 reduces the amount of prolactin hormone in men. It reduces the amount of steroid hormone that is converted to dihydrosterolone (DHT). It will be appreciated that it reduces the likelihood of developing a prostate condition such as BPH. Costello LC and Franklin RB, Effect of prolactin on the prostate. Prostate, 24(3): 162-66 (1994). Vitamin C is associated with a 23% reduction in the risk of developing prostate cancer. Kristal AR et al., Vitamin and mineral supplement use is associated with reduced risk of prostate cancer. Cancer Epidemiol. Biomarkers Prev., 8:887-892 (1999). Glucuronic acid, glycine and alanine are amino acids suitable for the treatment of prostate disorders. Studies have shown that after 4 weeks, the formulation of three amino acids helps to reduce swelling of the prostate and relieve symptoms of urinary discomfort. See, Okada S., Clinical application of amino acid preparation for nonspecific prostatitis. Hinyokika Kiyo, 31(1): 179 118938.doc -43- 200800242 (1985). Early studies have found that these amino acids are effective in reducing the symptoms of BPH and help reduce the duration of the condition. See, Cuervo Blanco Ε., Clinical study of a phy to sterol extract of Prunus arborea and 3 amino acids: glycine, alanine and glutamic acid. Arch. Esp· Urol” 31(1): 97 (1978). Formulations The herb-containing compositions of the present invention may be used alone or in addition to a pharmaceutically acceptable composition, vehicle or adjuvant having an advantageous delivery profile, i.e., suitable for delivery to a subject. The invention generally comprises a herb-containing composition of the invention and a pharmaceutically acceptable carrier. As used herein, a "pharmaceutically acceptable carrier" is intended to include any and all solvents and dispersions compatible with pharmaceutical administration. Media, coatings, antibacterial and antifungal compositions, isotonic and absorption delaying compositions, and the like. Suitable carriers are described in the most recent edition of Remington's Pharmaceutical Sciences, which is a standard reference article in the field, Incorporated herein by reference. Preferred examples of such carriers or diluents include, but are not limited to, water, physiological saline, Ringeds solution Dextrose solution and 5% human gold albumin. Such media and compositions for pharmaceutically active substances are well known in the art, except in any conventional medium or composition that is incompatible with the active composition. In addition to the limits, it is desirable to use it in the composition. The supplemental active composition can also be incorporated into the composition. The pharmaceutical compositions of the present invention are formulated to be compatible with the desired route of administration. Examples of routes of administration include, for example, Oral administration; transdermal administration (ie, topical administration) and transmucosal administration. The pH can be adjusted with an acid or a base such as hydrochloric acid or sodium hydroxide 118938.doc -44 - 200800242. Oral compositions usually contain an inert diluent or edible a carrier which can be sealed in a gelatin capsule, a caplet or compressed into a tablet. For the purpose of oral therapeutic administration, the herb-containing composition of the present invention can be combined with an excipient and in the form of a tablet, tablet or capsule. The oral composition can also be prepared using a fluid carrier for use as a mouthwash. The composition of the fluid carrier is administered orally and rinsed and spit or swallowed. The academically compatible combination composition and/or adjuvant material is part of the composition. Tablets, pills, capsules, tablets, and the like may contain any of the following ingredients' or compositions having similar characteristics: a binder such as microcrystalline cellulose, tragacanth or gelatin; an excipient such as starch or lactose, a disintegrating composition such as alginic acid, sodium starch glycolate or corn starch; a lubricant such as magnesium stearate Or Sterotes; a slip agent such as colloidal cerium oxide; a sweetening composition such as sucrose or saccharin; or a perfume composition such as peppermint, methyl salicylate or orange flavor. The herb-containing composition of the present invention can also be formulated into a topical cream for transdermal or transmucosal administration. In one embodiment, the herb-containing composition of the present invention is prepared using a carrier that protects the composition against rapid elimination from the human body, such as a controlled release comprising an implant and an encapsulated delivery system. Formulation. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods of preparing oxime and other formulations will be apparent to those skilled in the art. Such materials may also be obtained from Alza Coirporaticm and Nova Pharmaceuticals, Ine Scale 0 118938.doc -45- 200800242 The pharmaceutical composition may be contained in a container, package or dispenser together with instructions for administration. The invention is further defined by reference to the following examples which are not intended to limit the scope of the invention. It will be apparent to those skilled in the art that many modifications of the materials and methods can be carried out without departing from the spirit and scope of the invention. Instance

實例1用於尿失禁之含草藥天然治療性乳膏之臨床試驗 概要 進行研究以調查含草藥天然治療性膀胱控制乳膏在減輕 尿失禁中之有效性(下文中為”膀胱控制乳膏"或膀胱控制乳 膏測試製劑)。所測試之膀胱控制乳膏為天然含草藥乳膏 製劑。該測試製劑主要含有精油草藥活性物,例如以下各 物之精油··甜橙(Citrus sinensis)(撥)油、錯筆柏(維吉尼亞 雪松木(Virginia cedarwood))莖油、沒藥(Commiphora myrrha; Myrrh)油、酸橙(Citrus aurantium)(橙花油或橙花) 油及絲柏葉,且係根據精油投藥之原則來調配。Battaglia, S.,In: The Complete Guide to Aromatherapy. The Perfect Potion Pty Ltd, Virginia, Brisbane, Qld, Australia, pp. 110-113; 116; 150-151; 158-159; 182-183; 184-185; 187 (1995) ; Chidell, L., In Aromatherapy. A Definitive Guide to Essential Oils. Hodder and Stoughton Ltd, Kent, UK5 pp. 23-24; 80-81 (1992) ; Keller, E., In: The Complete HomeExample 1 Summary of clinical trials of herbal-containing natural therapeutic creams for urinary incontinence Studies were conducted to investigate the effectiveness of herbal-containing natural therapeutic bladder control creams in reducing urinary incontinence (hereinafter "bladder control cream" Or bladder control cream test preparation). The bladder control cream tested is a natural herbal cream preparation. The test preparation mainly contains essential oil herbal actives, such as the following essential oils · Citrus sinensis (dial) Oil, cypress (Virginia cedarwood) stem oil, Commiphora myrrha (Myrrh) oil, Citrus aurantium (Orange oil or orange blossom) oil and cypress leaves, It is formulated according to the principle of essential oil administration. Battaglia, S., In: The Complete Guide to Aromatherapy. The Perfect Potion Pty Ltd, Virginia, Brisbane, Qld, Australia, pp. 110-113; 116; 150-151; -159; 182-183; 184-185; 187 (1995); Chidell, L., In Aromatherapy. A Definitive Guide to Essential Oils. Hodder and Stoughton Ltd, Kent, UK5 pp. 23-24; 80-81 (1992 ); Keller, E., In: T He Complete Home

Guide to Aromatherapy, H J Kramer, Inc, Tiburon, 118938.do)c -46- 200800242Guide to Aromatherapy, H J Kramer, Inc, Tiburon, 118938.do)c -46- 200800242

California,USA,pp. 178-179 (1991) 〇 物質及方法研究設計 根據 TGA 之1’Guidelines for Good Clinical Research Practice (GCRP) in行研究。該研究由澳大利 亞天然藥物儉理委員會學院(Australian College of Natural Medicine Ethics Committee)認可。在位於布裏斯班 (Brisbane)之澳大利亞天然藥物學院(Australian College of Natural Medicine)之自然療法診所(Naturopathic Clinic)進 行訪問。經由報紙廣告募集十三(13)位經歷急迫性失禁及/ 或壓抑性失禁之症狀之女性。在最初幾週内,三(3)位女性 由於個人原因退出研究。剩餘10位女性完成3個月之研 究。經歷有規律尿失禁之女性若其符合以下準則,則視為 合格進入研究: 其未經歷近期手術,尤其子宮切除術或脫垂修復(在最 近12個月内); 其近期未經歷分娩(在最近12個月内); 過去一個月内,其未使用任何用於失禁症狀之藥物; 其未患有諸如糖尿病、心臟病、胰腺疾病、肝病或慢性 發炎性病狀之任何嚴重健康病狀; 其當前未作精神病干擾治療;且 其未遭受由經皮施用而影響之皮膚病症。 讓女性維持當前膳食模式,但在研究期間不給與任何關 於飲食之建議。亦記錄下參與者之運動模式,其中至少一 週3次參加一些形式之運動之女性視為積極的。 118938.doc -47 - 200800242 讓參與者將5公克之乳膏施用於身體每天兩次,歷時3個 月之時期。在開始治療(第0個月)前及其後每個月(第1、2 及3個月)’使用短版本之失禁影響問卷([nc〇ntinence Impact Questionnaire,IIQ)及泌尿生殖窘迫調查表 (Urogenital Distress Inventory,UDI)評估治療之有效性。 短版本(6個問題)之IIQ評估失禁對諸如家務雜事、身體活 動及社會活動之日常活動之影響。UDI中之問題尤其與失 禁之身體態樣相關。所有問題以〇至3之等級評定(〇=不煩 擾,1 =輕度煩擾,2=中度煩擾,3 =極煩擾)。兩個問卷均 為提供有效水平以偵測老年人之煩惱之失禁的標準化疾病 特定問卷。Robinson 等人,Obstetrics and Gynecology, 91:2,224-8 (1998)。使用成對卜檢定分析該等問卷之結 果。 測試製劑 根據GMP準則,藉由TGA認可之製造所製造膀胱控制乳 賞測試製劑。每公克之膀胱控制乳膏測試製劑含有乾萃取 物當量30 mg之沙梨木莖/皮萃取物;及2〇 mg之問荊(馬尾) 葉’以及以下各物之精油:1 〇 mg之撥油;500 μg之錯筆 柏(雪松木)莖;500叫之沒藥油;5〇〇叫之橙花油;1〇〇 Pg之絲柏葉;5 mg之d-α-生育酚乙酸酯(天然維生素; 3·3 mg之尿素酸;及ι·54 mg之總羥基苯甲酸酯。用於該製 劑中之精油並非已知有毒性、刺激性或過敏性。 結果及討論 八(8)位女性年齡在6〇與78之間,而另外兩位女性顯著 118938.doc -48 - 200800242 年輕,為27歲及42歲。身體品質指數(BMI)在24.4至31.9之 範圍内變化,平均值為28.5。在研究期間,該等女性之體 重無改變。 所有女性均已生育至少一個子女,該組平均有2.0個子 女。所有女性均已經歷壓抑失禁或急迫性失禁之症狀至少 10年。三(3)位女性已經歷插入吊帶或脫垂修復之手術。無 一參與者在研究前或研究期間使用骨盆底運動。 在開始治療前,所有女性均報導其因滲漏而極煩擾。滲 漏之起因常為急迫感、身體活動之結果或恰好連續滲漏之 組合。研究期間,該治療每月對身體症狀之有效性之結果 呈現於表1及圖1中。 表1 :泌尿生殖窘迫調查表 夕值:月 你是否經歷以下各項,且若經歷,則你受议7"吝 項煩後之程度· 第1個月 第2個月 第3個月 頻繁排尿 0.098 0.341 0.262 由於感覺或急迫性之滲漏 0.018 0.007 0.003 由於活動、咳嗽、喷嘴之滲漏 0.012 0.002 0.001 少量滲漏(滴) 0.222 0.139 0.007 難以排空膀胱 0.254 0.339 0.041 下腹部或生殖區之疼痛或不適 0.500 0.500 0.500 成對t-檢定ρ=<0·05 研究結果指示在關於與急迫性及活動相關之滲漏之回答 中的顯著正改變。在治療之第一個月後觀察到該等效應且 f 經3個月持續改善。在連續滲漏及難以排空膀胱之方面亦 有改善,儘管該等改善僅在全部3個月之治療後才變得顯 著。 然而,值得注意的是,3個月後,對排尿頻率之回答無 118938.doc -49- 200800242 顯著改變。無一位女性經歷下腹部或更低區域之疼痛或不 適(在整個研究期間回答為”不煩擾π)且未遭受頻繁泌尿道 感染(其在失禁患病者中很常見)。與積極組(η=5)相比,非 積極組(η=5)對IIQ及UDI中之問題之回答無顯著差異。 大多數女性報導失禁對其生活方式及社會活動具有負面 影響(回答為第〇個月之η中度煩擾"或”嚴重煩擾")。將初始 回答與第3個月之彼等回答比較,展示對家務雜事、身體 娛樂活動及感覺沮喪之回答之顯著正改變(參見表2)。 表2 :失禁影響問卷 漏尿是否已影響以下各項: 第1個月 第2個月 第3個月 家務雜事 0.039 0.039 0.006 身體娛樂 0.099 0.204 0,026 娛樂活動 0.051 0.500 0.085 離家大於30 min之行程 0.302 0.182 0.226 社會活動 0.178 1 0.500 0.098 情緒健康 0.500 0.182 1 0.091 感覺沮喪 0.383 0.023 0.009 成對t-檢定ρ =< 〇·〇5California, USA, pp. 178-179 (1991) 物质 Substance and method study design according to TGA's 1'Guidelines for Good Clinical Research Practice (GCRP) in. The study was accredited by the Australian College of Natural Medicine Ethics Committee. Visit at the Natural Medicine Clinic (Aaturopathic Clinic) at the Australian College of Natural Medicine in Brisbane. Thirteen (13) women who experienced symptoms of urge incontinence and/or repressive incontinence were recruited through newspaper advertisements. In the first few weeks, three (3) women withdrew from the study for personal reasons. The remaining 10 women completed a three-month study. Women who experience regular urinary incontinence are considered eligible to enter the study if they meet the following criteria: They have not undergone recent surgery, especially hysterectomy or prolapse repair (in the last 12 months); they have not experienced childbirth recently (in In the past 12 months; it has not used any drugs for incontinence symptoms in the past month; it does not have any serious health conditions such as diabetes, heart disease, pancreatic disease, liver disease or chronic inflammatory conditions; There is currently no psychiatric interference therapy; and it does not suffer from skin conditions that are affected by transdermal administration. Allow women to maintain current dietary patterns, but do not give any advice on diet during the study period. The participants' movement patterns were also recorded, and women who participated in some forms of exercise at least three times a week were considered positive. 118938.doc -47 - 200800242 Ask participants to apply 5 grams of cream to the body twice a day for a period of 3 months. Use the short version of the Incontinence Impact Questionnaire (IIQ) and the Genitourinary Distress Survey Form before and after the start of treatment (month 0) and every month (1st, 2nd and 3rd months) (Urogenital Distress Inventory, UDI) assesses the effectiveness of treatment. The short version (6 questions) of IIQ assesses the impact of incontinence on daily activities such as housework, physical activity and social activities. The problem in UDI is especially related to the physical form of incontinence. All questions are rated on a scale of 3 (〇 = no annoyance, 1 = mild annoyance, 2 = moderate annoyance, 3 = extremely annoying). Both questionnaires are standardized disease-specific questionnaires that provide an effective level of detection of incontinence in the elderly. Robinson et al., Obstetrics and Gynecology, 91: 2, 224-8 (1998). The results of these questionnaires were analyzed using a paired check. Test Formulations Bladder control emulsion test formulations were made by TGA approved manufacturing according to GMP guidelines. Each gram of bladder control cream test preparation contains 30 mg of dry extract equivalent of sapwood stem/skin extract; and 2 〇mg of wattle (horsetail) leaves and the following essential oils: 1 〇mg of oil 500 μg of the wrong cypress (cedar wood) stem; 500 called myrrh oil; 5 〇〇 called neroli oil; 1 〇〇 Pg cypress leaf; 5 mg of d-α-tocopherol acetate ( Natural vitamins; 3·3 mg of urea acid; and ι·54 mg of total hydroxybenzoate. The essential oils used in this preparation are not known to be toxic, irritating or allergenic. Results and Discussions Eight (8) The female age is between 6 and 78, while the other two women are significantly 118,938.doc -48 - 200800242 young, 27 years old and 42 years old. Body mass index (BMI) varies from 24.4 to 31.9, mean It was 28.5. During the study period, the weight of these women did not change. All women had at least one child, and the group had an average of 2.0 children. All women had experienced symptoms of repressed incontinence or urge incontinence for at least 10 years. (3) Women have undergone surgery to insert a sling or prolapse repair. No participation Pelvic floor movements were used before or during the study. Before starting treatment, all women reported extreme annoyance due to leakage. The cause of leakage is often a combination of urgency, physical activity, or just continuous leakage. During the period, the results of the monthly effectiveness of the treatment on physical symptoms are presented in Table 1 and Figure 1. Table 1: Urogenital distress surveys: The value of the month: Do you experience the following items, and if experienced, you are considered 7"The degree of trouble after the sputum. The first month of the second month, the third month, the third month of frequent urination 0.098 0.341 0.262 due to the feeling or urgency leakage 0.018 0.007 0.003 due to activity, cough, nozzle leakage 0.012 0.002 0.001 Leakage (drop) 0.222 0.139 0.007 Difficult to empty the bladder 0.254 0.339 0.041 Pain or discomfort in the lower abdomen or genital area 0.500 0.500 0.500 Paired t-test ρ=<0·05 Research results indicate in relation to urgency and activity Significant positive changes in the response to the leak. These effects were observed after the first month of treatment and f continued to improve over 3 months. In continuous leakage and difficulty in emptying the bladder There was also improvement, although the improvement only became significant after all 3 months of treatment. However, it is worth noting that after 3 months, the response to the frequency of urination was not changed 118938.doc -49- 200800242 significant change None of the women experienced pain or discomfort in the lower abdomen or lower (answered "not annoying π throughout the study" and did not suffer from frequent urinary tract infections (which are common in incontinent patients). Compared with the active group (η=5), the non-active group (η=5) had no significant difference in the answers to the questions in IIQ and UDI. Most women report that incontinence has a negative impact on their lifestyle and social activities (answered to η moderate annoyances in the first month " or “serious annoyances"). Compare initial answers with their responses in the third month Shows significant positive changes in household chores, physical activity, and feelings of frustration (see Table 2). Table 2: Incontinence Impact Questionnaires whether urine leakage has affected the following: The first month of the first month of the first month Month household chores 0.039 0.039 0.006 Body entertainment 0.099 0.204 0,026 Recreational activities 0.051 0.500 0.085 Departure from home greater than 30 min 0.302 0.182 0.226 Social activity 0.178 1 0.500 0.098 Emotional health 0.500 0.182 1 0.091 Feeling depressed 0.383 0.023 0.009 Paired t-check ρ = < 〇·〇5

經3個月,在關於由於失禁之社會活動及情緒健康之生 活品質問題上,存在一般性、但不顯著之改善。在研究期 間,關於失禁對娛樂活動或離家30分鐘之行程之影響的回 答無顯著改變。 先前研究證實失禁對生活品質具有負面影響。Peake等 人,Med Anthropol· Q,13(3):267-85 (1999); Association for Continence Advice, Aust. Continence J·; 6(2):15-23 (2000) ; Robinson等人,Obstetrics and Gynecology,91:2, 224-8 (1998)。本發明之研究指示在用膀胱控制乳膏測試 118938.doc -50 - 200800242 製劑治療3個月後,在控制滲漏(由於急迫性及身體活動)及 膀胱排空方面之顯著改善。該效應與飲食及運動模式無 關。亦值得注意的是,在不存在特定骨盤運動時發生該正 回答。 該等結果指示身體症狀之改善與改善之自信及基於每天 活動之能力相關。精油於膀胱控制乳膏測試製劑中之調配 物似乎以泌尿系統為目標且促進對排尿之更好控制。膀脱 控制乳膏測試製劑可對骨盆底、括約肌或其自身膀胱壁之 肌肉起作用。膀胱控制乳膏測試製劑之收斂性精油之吸收 可為最小’但可促進黏膜上之抗分泌效應或‘伸縮性,效 應。Mills及Bone,In Pri聽dAfter three months, there was a general, but not significant improvement in the quality of life related to social activities and emotional health due to incontinence. During the study period, there was no significant change in the response to incontinence on recreational activities or the 30-minute trip away from home. Previous studies have confirmed that incontinence has a negative impact on quality of life. Peake et al, Med Anthropol Q, 13(3): 267-85 (1999); Association for Continence Advice, Aust. Continence J.; 6(2): 15-23 (2000); Robinson et al., Obstetrics and Gynecology, 91:2, 224-8 (1998). The study of the present invention indicated a significant improvement in controlling leakage (due to urgency and physical activity) and bladder emptying after 3 months of treatment with the bladder control cream test 118938.doc -50 - 200800242. This effect is independent of diet and exercise patterns. It is also worth noting that this positive answer occurs when there is no specific pelvic motion. These results indicate that improvement in physical symptoms is associated with improved self-confidence and ability to perform on a daily basis. Formulations of essential oils in bladder control cream test formulations appear to target the urinary system and promote better control of urination. The bladder control formulation can act on the muscles of the pelvic floor, the sphincter or its own bladder wall. The astringent essential oil absorption of the bladder control cream test formulation can be minimal' but promotes anti-secretory effects on the mucosa or 'strainability, effect. Mills and Bone, In Pri listens d

Churchill Livingstone,35,ρρ· 220-222 (2000)。在組合 時’膀胱控制乳膏測試製劑之收斂性作用及利尿作用可產 生尿流之,調節,或,標準化,,從而改善排尿之控制,而不產 生多尿症。 表1中值付庄思之結果為”由於感覺或急迫性之渗漏,,之 顯著減少。關於急迫性失禁("濕〇Αβ”)之回答之該顯著正 改變指示,調配物一般而言可適用於治療膀胱過動症 (ΟΑΒ)。”濕ΟΑΒ"及”乾ΟΑΒ”係由膀胱壁之肌肉之突然、 非自主性收縮引起,其產生突然排尿之感覺或急迫性。 實例2用於尿失禁之含草藥天然治療性錠劑之臨床試驗 概要 進行研究以調查含草藥天然治療性膀胱控制製劑(下文 中為"膀胱控制製劑"或膀胱控制測試製劑y在減輕尿失禁中 118938.doc -51- 200800242 之有效性。Steels,E” Seipel,T.及 Rao,a.,AustralianChurchill Livingstone, 35, ρρ· 220-222 (2000). At the time of combination, the astringent effect of the bladder control cream test formulation and the diuretic effect can produce urine flow, regulation, or standardization, thereby improving the control of urination without producing polyuria. The value of the value of Table 1 in the case of Zhuangsi is "significantly reduced due to leakage of sensation or urgency. The response to the urge for urgency incontinence ("wet 〇Αβ") is significantly changing the indication that the formulation is generally It can be applied to the treatment of overactive bladder (ΟΑΒ). "Wet ΟΑΒ" and "cognac" are caused by sudden, involuntary contraction of the muscles of the bladder wall, which produces a feeling of sudden urination or urgency. Example 2 Clinical use of herbal natural therapeutic lozenges for urinary incontinence Summary of the trials were conducted to investigate the effectiveness of herbal-containing natural therapeutic bladder control formulations (hereinafter "bladder control formulation" or bladder control test formulation y in reducing urinary incontinence 118938.doc -51- 200800242. Steels, E Seipel, T. and Rao, a., Australian

Continence Journal (2002)。該膀胱控制測試製劑為調配成 録:劑之天然含草藥製劑6各錠劑含有乾萃取物當量:沙梨 木莖/皮萃取物(3,000 mg)3 g、問荊(馬尾)草藥(1,5〇〇 mg) 1.5 g及磷酸鎂70 mg、磷酸氫鈣70 mg ,相當於飼16 3 mg、鎂14.5 mg、磷24.9 mg。含有麥芽糊精。 物質及方法研究設計 經由報紙廣告募集八(8)位經歷有規律急迫性失禁及/或 壓抑性失禁之症狀之女性。所有女性均符合以下準則·· (a) 在最近12個月内未經歷近期手術,尤其子宮切除術或 脫垂修復, (b) 未患有諸如糖尿病、心臟病、胰腺疾病、肝病或慢 性發炎性病狀之任何嚴重健康病狀, (c) 當前未作精神病干擾治療,且 (d) 在開始研究前之最後一個月未使用任何用於失禁症 狀之藥物。 在研究前,無一位參與者參加特定骨盤運動以改善肌肉 伸縮性,儘管參與者知道該等特定骨盤運動。 治療實驗方案由經12週之時期,每天兩次兩片錠劑(相 當於每天12 g沙梨木及6 g木賊)組成。在開始治療(第〇個 月)前及其後每個月(第1、2及3個月),使用短版本之失禁 影響問卷(IIQ)及泌尿生殖窘迫調查表(UDi)評估治療之功 效。短版本(6個問題)之IIQ評估失禁對諸如家務雜事、身 體活動及社會活動之日常活動之影響。UDI中之問題尤其 118938.doc -52- 200800242 與失禁之身體態樣相關。所有問題以〇至3之等級評定(〇= 不煩擾,i =輕度煩擾,2=中度煩擾,3 =極煩擾)。兩^固問 卷均為用以偵測老年人之煩惱之失禁的標準化疾病特定問 卷。Robinson,D.等人,〇bstetrics an(i Gynec〇1〇gy,91:2, 224-8 (1998) 〇 ’ 研究組由8位女性組成。7位參與者年齡在54歲與6s歲之 間’而1位參與者年齡為2〇歲。研究組之平均年齡為 歲。6位參與者已生育至少2個子女,而2位參與者尚無子 女。使用成對t-檢定分析該等問卷之結果。 測試製劑 根據GMP準則,藉由TGA認可之製造所製造膀胱控制測 試製劑錠劑。各錠劑含有草藥(沙梨木莖/皮萃取物及問荊 葉)及礦物(磷酸鎂及磷酸鈣)。根據TGA之”Guidelines forContinence Journal (2002). The bladder control test preparation is a natural herb-containing preparation formulated into a recording agent: each tablet contains dry extract equivalents: sapwood stem/skin extract (3,000 mg) 3 g, wattle (horsetail) herbs (1, 5 〇〇mg) 1.5 g and magnesium phosphate 70 mg, calcium hydrogen phosphate 70 mg, equivalent to feeding 16 3 mg, magnesium 14.5 mg, phosphorus 24.9 mg. Contains maltodextrin. Materials and Methods Research Design Eight (8) women who experienced symptoms of regular urge incontinence and/or repressed incontinence were recruited through newspaper advertisements. All women meet the following guidelines: (a) have not undergone recent surgery in the last 12 months, especially hysterectomy or prolapse repair, (b) have not had such as diabetes, heart disease, pancreatic disease, liver disease or chronic inflammation Any serious health condition of a sexually transmitted condition, (c) currently not treated for psychotic interference, and (d) did not use any medication for incontinence symptoms in the last month prior to the start of the study. Prior to the study, none of the participants participated in specific pelvic movements to improve muscle flexibility, although participants were aware of these specific pelvic movements. The therapeutic protocol consisted of two tablets per day (equivalent to 12 g of sapwood and 6 g of squid per day) over a 12-week period. The efficacy of treatment was assessed using a short version of the Incontinence Impact Questionnaire (IIQ) and the Urogenital Distress Survey (UDi) before and after the start of treatment (months) and every month (1st, 2nd and 3rd months). . The short version (6 questions) of IIQ assesses the impact of incontinence on daily activities such as household chores, physical activity and social activities. The problem in UDI is particularly related to the physical form of incontinence. 118938.doc -52- 200800242. All questions are rated on a scale of 3 (〇 = no annoyance, i = mild annoyance, 2 = moderate annoyance, 3 = extremely annoying). Both of them are standardized disease-specific questionnaires used to detect incontinence in the elderly. Robinson, D. et al., 〇bstetrics an (i Gynec〇1〇gy, 91:2, 224-8 (1998) 〇' study group consisting of 8 women. 7 participants aged 54 and 6s The age of the participants was 2 years old. The average age of the study group was years. Six participants had given birth to at least 2 children, and 2 participants had no children. Using paired t-tests to analyze these Results of the questionnaire. Test preparations Formulations for bladder control test preparations manufactured by TGA-approved manufacturing according to GMP guidelines. Each tablet contains herbs (salmon stem/skin extract and sage leaves) and minerals (magnesium phosphate and phosphoric acid) Calcium). According to TGA's "Guidelines for

Good Clinical Research Practice (GCRP) in Australia'進行 研究。該研究由澳大利亞天然藥物倫理委員會學院認可。 在位於布裏斯班之澳大利亞天然藥物學院之自然療法診所 進行訪問。 結果及討論 膀胱控制測試製劑對身體症狀之有效性概述於表3及圖2 中。在治療前,80%之參與者報導其受與活動相關之滲漏 煩擾。在3個月之治療後,其減少至4〇%(圖2)。對以下各 項觀察到相似回答:由於急迫性之渗漏(6〇%至35%)、頻 繁排尿減少(70%至48°/。)、難以排空膀胱(5〇〇/❶至25%)。在 治療前’ 50%之參與者在治療前經歷疼痛或不適,但在2 118938.doc -53- 200800242 個月之治療後,無一位報導該等症狀。治療後,對少量滲 漏回答之女性之數量減少25%(75%至50%)。 資料之分析(成對t-檢定)展示,在1個月之治療後,排尿 頻率之感覺有顯著正改變(p=〇.040),且在研究持續時間期 . 間,其以漸進方式持續(第2個月p=0.24,第3個月p= ; 〇·〇13)。在3個月之治療後,關於與急迫性相關之滲漏(P= * 0.024)、由於活動之滲漏(Ρ=0·031)及難以排空膀胱 0 (ρ = 〇_〇52)之感覺有顯著正改變。此外,在最初第一個月之 治療後,可見正效應。 在研究期間,關於少量滲漏之回答存在正趨勢,但該等 回答不顯著。在2個月之治療後,亦觀察到與下腹部或更 低區域之疼痛或不適有關之顯著正回答(ρ=0.025)。 表3 :泌尿生殖窘迫調查表 你是否經歷以下各項,且若經歷,則你受以下各 項煩擾之程度: 第1個月 第2個月 第3個月 頻繁排尿 0,040 0.024 0.013 由於感覺或急迫性之滲漏 0.052 0.024 0.024 由於活動、咳漱、噴嚏之滲漏 0.086 0.009 0.031 少量滲漏(滴) 0.178 0.145 1 0.091 難以排空膀胱 0.025 0.025 0.052 下腹部或生殖區之疼痛或不適 0.366 0.025 0.025 成對t-檢定ρ =<0.05Good Clinical Research Practice (GCRP) in Australia's research. The study was accredited by the Australian Institute of Natural Medicine Ethics Committee. Visit at the Natural Therapy Clinic at the Australian Institute of Natural Medicine in Brisbane. Results and Discussion The effectiveness of bladder control test formulations on physical symptoms is summarized in Table 3 and Figure 2. Prior to treatment, 80% of participants reported that they were affected by activity-related leakage. After 3 months of treatment, it was reduced to 4% (Figure 2). A similar response was observed for the following: leakage due to urgency (6〇% to 35%), frequent urination (70% to 48°/.), difficulty in emptying the bladder (5〇〇/❶ to 25%) ). Before treatment, 50% of participants experienced pain or discomfort before treatment, but none of them reported after 2 118938.doc -53-200800242 months of treatment. After treatment, the number of women who responded to a small amount of leakage decreased by 25% (75% to 50%). Analysis of the data (paired t-test) showed a significant positive change in urinary frequency perception after 1 month of treatment (p = 040.040) and continued in a gradual manner during the duration of the study. (P=0.24 in the second month, p= in the third month; 〇·〇13). After 3 months of treatment, leakage related to urgency (P = * 0.024), leakage due to activity (Ρ = 0. 031), and difficulty in emptying bladder 0 (ρ = 〇 _ 〇 52) Feeling a significant positive change. In addition, positive effects were seen after the first month of treatment. During the study period, there was a positive trend in the answer to a small amount of leakage, but the answers were not significant. After 2 months of treatment, a significant positive response (ρ = 0.025) was observed in relation to pain or discomfort in the lower abdomen or lower. Table 3: Urogenital Distress Survey Form Do you experience the following items, and if experienced, you are affected by the following levels: Frequent urination in the third month of the first month of the first month 0,040 0.024 0.013 Due to feeling or urgency Sexual leakage 0.052 0.024 0.024 Leakage due to activity, cough, sneezing 0.086 0.009 0.031 Small amount of leakage (drop) 0.178 0.145 1 0.091 Difficult to empty the bladder 0.025 0.025 0.052 Pain or discomfort in the lower abdomen or genital area 0.366 0.025 0.025 For t-check ρ = < 0.05

對失禁影響問卷之回答呈現於表6及圖3中。結果展示, 如藉由對IIQ之7個參數之50-70%”煩擾計分”的範圍所評 估,參與者感覺失禁對其生活品質具有顯著負面影響(圖 3)。除關於身體娛樂之問題外,對所有參數而言,其顯著 118938.doc -54- 200800242 降低(至10-25%之範圍、,:a:由a镇 现固),其中在弟〇個月與第3個月之間有 小變化。 資料分析«對卜檢定)展示’在失禁對生活方式及社合 活動之效應之感覺上有改善,其藉由在3個月之治療後, 對社會活動(ρ=0.04)、娱樂活動(ρ=〇〇ΐ7)、情緒健康 (Ρ = 〇.〇25)及離家大於3〇分鐘之行程㈣〇52)、感覺 ㈣._)之正改變來指示。關於家務雜事或身體娛樂之回、 答無改變(表4)。 表4 :失禁影響問皋The answers to the incontinence impact questionnaire are presented in Table 6 and Figure 3. The results showed that participants assessed incontinence had a significant negative impact on their quality of life, as assessed by the 50-70% “disturbing score” of the 7 parameters of IIQ (Figure 3). Except for questions about physical entertainment, for all parameters, it is significantly 118938.doc -54- 200800242 lower (to a range of 10-25%, :a: by a town), which is in the month of the sister There was a small change from the third month. Data analysis «Check against the test" shows 'improvement in the perception of the effects of incontinence on lifestyle and social activities, after three months of treatment, social activities (ρ = 0.04), recreational activities (ρ = 〇〇ΐ 7), emotional health (Ρ = 〇. 〇 25) and the departure from home more than 3 minutes (4) 〇 52), feeling (four). _) positive change to indicate. There is no change in the return of household chores or physical entertainment (Table 4). Table 4: Incontinence impact

自該研究之結果指示在用膀胱控制測試製劑治療3個月 後,在控制滲漏(由於急迫性及身體活動)、膀胱排空及疼 痛或不適方面之顯著改善(ρ>〇 〇5)。該等結果藉由展示用 魚木屬之治療減輕男性之尿失禁、尿疼痛及尿滯留之早期 研究的報導支持。Deshpande PJ等人,Indian j_ Med. Res·,76 (SuppL):46-53 (1982)。 乙醯膽鹼為膀胱排空涉及之主要刺性神經傳遞素。諸如 鹽酸氧基羥丁寧之通常指定用於尿失禁之某些藥物抑制乙 醯膽鹼對平滑肌之簟毒鹼作用,產生直接鎮痙劑作用。該 118938.doc -55- 200800242 等藥物鬆弛逼尿肌。Wada Y.等人,Arch. Int. Pharmacodyn.The results from this study indicate a significant improvement in controlling leakage (due to urgency and physical activity), bladder emptying, and pain or discomfort after 3 months of treatment with the bladder control test formulation (ρ > 〇 〇 5). These results were supported by reports of early studies on the reduction of urinary incontinence, urinary pain and urinary retention in men treated with genus. Deshpande PJ et al., Indian j_ Med. Res., 76 (SuppL): 46-53 (1982). Acetylcholine is the main thorny neurotransmitter involved in bladder emptying. Certain drugs, such as oxybutyrate hydrochloride, which are commonly prescribed for urinary incontinence, inhibit the action of acetylcholine on the muscarinic effects of smooth muscle and produce a direct antispasmodic effect. The 118938.doc -55- 200800242 and other drugs relax the detrusor. Wada Y. et al., Arch. Int. Pharmacodyn.

Ther·,330(1):76-89 (1995) ; Tapp A.J.S· fA,Brit.J· Obstetrics Gynecology,97: 521-6 (1990)。該等藥物亦產生 不期望之抗膽鹼能效應,諸如口乾、視力模糊及便秘。 Pathak AS, Aboseif SR. Overactive Bladder: Drug therapy versus nerve stimulation. Nat Clin Pract Urol5 2(7):3 10-3 11 ? 2005。目前沒有特定以失禁症狀為目標而不在體内其他地 方具有副作用之藥物。儘管有趣地注意到如用抗膽鹼能藥 物所見一樣未報導來自治療之副作用,但是該等草藥藥物 藉以發揮該等效應之機制尚未知。 實例3具有標準化矽含量之含草藥天然治療性錠劑(配方2) 用於預防及治療尿失禁及膀胱過動症(〇ab)之臨床試驗 概要 進行研究以調查用於口服投藥之含草藥天然治療性膀胱 控制製劑(亦即膀胱控制測試製劑)在減輕尿失禁及膀胱過 動症中之有放性。該等研究係如上文實例2中所概述來設 汁及執行且進一步詳述於下文中。該膀胱控制測試製劑為 調配成錠劑之天然含草藥製劑。 矽已確定為問荊草藥之生物活性之提供者。問荊草藥之 非私準化製劑通常含有以製劑之總乾重計約12%至約6.9〇/。 矽之矽。在本發明之一態樣中,已確定問荊草藥製劑之矽 含量之批變化可對本發明之組合物之生物活性具有負效 應。該問題已由本發明藉由提供具有最佳化、標準化矽含 里之問荊草藥製劑而解決。因此,在本發明之一實施例 118938.doc -56- 200800242 中,本發明之含草藥製劑中之問荊草藥製劑的矽含量為標 準化的。使用標準化製劑問荊草藥為有利的,因為矽之批 間變化減少,因此本發明之組合物產生更一致之預防性或 治療性效應。 物質及方法 測試製劑 根據GMP準則,藉由TGA認可之製造所製造膀胱控制測 試製劑錠劑。各錠劑含有草藥(沙梨木莖/皮萃取物及問莉 莖萃取物)及礦物(即磷酸鎂及磷酸鈣及矽)。舉例而言,各 錠劑含有如下之乾重當量:沙梨木莖/皮萃取物(3,〇〇〇 mg)、具有以問荊莖萃取物製劑之總乾重計3%之標準化石夕 含量之問荊(馬尾)莖萃取物製劑(1,5〇〇 mg)、無水膠狀二 氧化矽(50 ·3 mg)、鱗酸鎂70 mg、磷酸氩鈣7〇 mg,相當於 鈣16.3 mg、鎂14.5 mg、磷24.9 mg。各錠劑含有每錠劑 41.6 mg乾重當量之總矽。各錠劑含有一些麥芽糊精。 研究設計 經由報紙廣告募集經歷有規律膀胱過動症、急迫性失禁 及/或壓抑性失禁之症狀之人類受檢者(男性及女性)。所有 人類受檢者均符合以下準則: (a) 在最近12個月内未經歷近期手術,尤其子宮切除術或 脫垂修復, (b) 未患有諸如糠尿病、心臟病、胰腺疾病或肝病之任 何嚴重健康病狀, (c) 在開始研究前之最後一個月未使用任何用於失禁症狀 118938.doc -57- 200800242 之藥物。 在研究之前,無一參與者參加特定骨盤運動以改善肌肉 伸縮性。 治療實驗方案由人類測試受檢者經12週之時期,每天兩 β 次攝取兩片膀胱控制測試製劑之錠劑組成。在開始治療 - (第〇個月)前及其後每個月(第1、2及3個月),藉由記錄平 V 均每天及每晚之排尿頻率及短版本之失禁影響問卷(IIQ)及 泌尿生殖窘迫調查表(UDI)評估治療之功效。如下文表5中 • 所詳述,UDI中之問題尤其與失禁之身體態樣相關。 表5 :泌尿生殖窘迫調查表 你是否經歷以下各項,且若經歷,則你受以下各項煩擾之程 度:_ 頻繁排尿 ^ 由於感覺或急迫性之滲漏 由於活動、咳漱、喷嗔之滲漏__ 少量滲漏(滴) ' 難以排空膀胱 下腹部或生殖區之疼痛或不適Ther., 330(1): 76-89 (1995); Tapp A.J.S. fA, Brit. J. Obstetrics Gynecology, 97: 521-6 (1990). These drugs also produce undesirable anticholinergic effects such as dry mouth, blurred vision and constipation. Pathak AS, Aboseif SR. Overactive Bladder: Drug therapy versus nerve stimulation. Nat Clin Pract Urol5 2(7): 3 10-3 11 ? 2005. There are currently no specific drugs that target incontinence symptoms and do not have side effects elsewhere in the body. Although it is interesting to note that side effects from treatment have not been reported as seen with anticholinergic drugs, the mechanisms by which these herbal drugs exert these effects are not known. Example 3 Herbal Natural Therapeutic Lozenges with Standardized Antimony Content (Formulation 2) Clinical Trial Summary for Prevention and Treatment of Urinary Incontinence and Overactive Bladder (〇ab) Studies to investigate the natural use of herbs for oral administration Therapeutic bladder control formulations (i.e., bladder control test formulations) are effective in reducing urinary incontinence and overactive bladder. These studies were designed and performed as outlined in Example 2 above and are further detailed below. The bladder control test formulation is a natural herbal preparation formulated into a tablet.矽 has been identified as the provider of the biological activity of the medicinal herbs. The non-private quasi-chemical formulation of the medicinal herb usually contains from about 12% to about 6.9 〇/% based on the total dry weight of the formulation.矽之矽. In one aspect of the invention, it has been determined that batch variations in the guanidine content of the medicinal herb formulation can have a negative effect on the biological activity of the compositions of the present invention. This problem has been solved by the present invention by providing an optimized and standardized herbaceous herbal preparation. Therefore, in one embodiment of the present invention, 118938.doc-56-200800242, the hydrazine content of the medicinal herb preparation in the herb-containing preparation of the present invention is standardized. It is advantageous to use the standardized formulation of the herb, because the variation between batches is reduced, so that the composition of the invention produces a more consistent prophylactic or therapeutic effect. Materials and Methods Test Formulations Bladder control test formulation tablets were manufactured by TGA approved manufacturing according to GMP guidelines. Each tablet contains herbs (salmon stem/skin extract and stem extract) and minerals (i.e., magnesium phosphate and calcium phosphate and barium). For example, each tablet contains the following dry weight equivalents: Sorbus stem/skin extract (3, 〇〇〇mg), with a standardized diarrhea content of 3% based on the total dry weight of the stalk extract preparation Physician (Ponytail) stem extract preparation (1,5〇〇mg), anhydrous colloidal cerium oxide (50 · 3 mg), magnesium silicate 70 mg, calcium arsenate 7 〇mg, equivalent to calcium 16.3 mg , magnesium 14.5 mg, phosphorus 24.9 mg. Each tablet contained 41.6 mg dry weight equivalents of total hydrazine per tablet. Each tablet contains some maltodextrin. Study Design Human subjects (male and female) who experienced symptoms of regular overactive bladder, urge incontinence, and/or repressive incontinence were recruited via newspaper advertisements. All human subjects met the following criteria: (a) had not undergone recent surgery in the last 12 months, especially hysterectomy or prolapse repair, (b) did not have such symptoms as diabetes, heart disease, pancreatic disease or Any serious health condition of liver disease, (c) No medication for incontinence symptoms 118938.doc -57-200800242 was used in the last month prior to the start of the study. Prior to the study, none of the participants participated in specific pelvic movements to improve muscle flexibility. The therapeutic protocol consisted of a human test subject who took two tablets of bladder control test formulation twice daily for a period of 12 weeks. Before the start of treatment - (the third month) and every month (the first, second and third months), the incontinence impact questionnaire (IIQ) was recorded by recording the daily and weekly urination frequency and short version of the flat V. And the urogenital distress questionnaire (UDI) to assess the efficacy of treatment. As detailed in Table 5 below, the problems in UDI are particularly relevant to the physical form of incontinence. Table 5: Urogenital Distress Survey Form Do you experience the following items, and if experienced, you are affected by the following levels: _ Frequent urination ^ Leakage due to feeling or urgency due to activity, cough, sneezing Leakage __ a small amount of leakage (drop) 'It is difficult to empty the pain or discomfort of the lower abdomen or genital area of the bladder

如下文表6中所概述,短版本(6個問題)之IIQ評估失禁對 諸如家務雜事、身體活動及社會活動之日常活動之影響。 表6 :失禁影響問卷 漏尿是否已影響以下各項: 家務雜事< 身體娛樂二 娛樂活動" 離家大於30 min之行程 社會活動 情緒健康_ 感覺沮喪 所有問題以0至3之等級評定(0=不煩擾,1 =輕度煩擾, I18938.doc -58 - 200800242 2=中度煩擾,3 =極須擾)。兩個問卷均為用以偵測老年人 之煩惱之失禁的標準化疾病特定問卷。R〇bins〇n,D.等 人,Obstetrics and Gynec〇l〇gy,91:2, 224_8 (1998)。亦分 析在第0、1、2及3個月在白天及夜間之平均排尿頻率,亦 使用成對1>檢定比較該等結果。 使用成對t-檢定分析該等問卷之結果。正改善定義為當 與在接受膀胱控制測試製劑之前,人類測試受檢者中之相 同參數比較時,量測失禁之身體態樣或接受膀胱控制測試 製劑之測忒5:檢者之身體或社會活動之參數的統計顯著差 異,亦即户值$0.05。當與在接受膀胱控制測試製劑之前, 人類測试文檢者中之相同參數比較時,與失禁之身體態樣 或接受膀胱控制測試製劑之人類測試受檢者之身體或社會 活動相關之任一參數的正改善,證實膀胱控制測試製劑適 用於預防或治療人類受檢者之泌屎生殖系統病症,例如尿 失禁;膀胱過動症;遺尿症;良性前列腺增生;尿結石; 膀胱炎;及泌尿道感染。 結果及討論 人口統計 有9位參與者完成研究,3位男性及6位女性,平均年齡 為52歲(範圍為41-72歲)。 白天期間之排尿頻率 結果展示在3個月之治療期間,白天期間之排尿頻率穩 定地降低。參與者需要排空膀胱之次數自每天14次(治療 前)降低至每天10次(1個月後),每天8.3次(2個月後)且在第 I18938.doc -59 - 200800242 3個月進-步降低至每天6·6次。其在第_月與後續月之 間展示為顯著降低(第2個月产〇〇2 ;第3個月产〇〇1)。 夜屎症頻率 t果展不,該治療有效降低參與者在夜間排空膀胱所需 之次數。覺醒自最初每晚2.7次逐漸降低至每晚2 〇次、每 晚1.4次及每晚^次(分別在第i、2及3個月)。^檢定之結 果展示,頻率在第〇個月與第2個月(;7 = 〇 〇47)及第3個月 〇 = 0.024)之間有顯著降低。 研九中之大夕數參與者報導夜尿症為主要症狀及參與該 研究之原因之一。竺活品,(下文所述)之總體改善似乎直 接與其經歷較長時期之不中斷睡眠(記錄自個人檔案)有聯 繫。 泌尿生殖窘迫調查表 大多數參與者經歷之症狀為(圖4):頻繁排尿(約89%)。 由於扇避瘦之滲漏影響78%之參與者,且夕I滲漏影響 67%之參與者。其他症狀包含由於活動之滲漏(56%)、難 以排空膀胱(44%)及疼痛或不適(33%)。呈現於圖5中之結 果(作為平均煩擾回答)指示在丨個月之治療後,所有類別之 症狀減少且經隨後2個月持續減少。 使用成對t-檢定分析問卷之結果。在2個月後,#居癀季 發生顯著正改變且在第3個月之治療時仍然顯著(分別為 Ρ = 〇·〇〇9、0.011)。在第2個月發生且在第3個月持續顯著之 其他顯著症狀減少為··由於急迫性之滲漏(分別為 尸0·〇28、0·016)、難以排空膀胱(分別為广〇 〇35、〇叫) 118938.doc -60- 200800242 及少量滲漏(分別户=0 022、〇 〇43)。 失禁影響間卷 展示為最受失禁及GAB料之活 反離家大於30分鐘之行浐(w } 卿享以 (約)。78%之參與者經歷家 雜事、社會活動、情緒健紅感覺沮喪咖 者中游袭活费受影響。 ^於圖7中之結果(作為平均煩擾回答)清晰地展示生 活口口貝(經由難於進行日當 .^ ^ 仃日吊活動及社會活動以及情緒健康 及感覺沮喪評估)受且右生 _ )又八有失不症狀之不利影響。平均而 吕,在4週之治療内,參血 一 #在該專活動中較少煩擾(及最 )’在^究剩餘部分期間’報導為持續改善。 使用成對t·檢定分析問卷之結果。失禁對生活方式及社 1動之效應之感覺有改善’其藉由在研究結束時對所有 門題之口荅之正改變來指示。在第2個月,所有問題發生 顯著改善(參見表7)。關於情緒健康及感覺沮喪之問題之顯 者正效》應指不治瘃盘/4- ^ σ jiff 縻興生活品質之改善相關。 、在第3個月訪問_,亦詢問參與者治療是否已改善其生 活品質。總體而言,& 叩=67/。報導Q〇L改善。該等結果清晰地 指示,對經歷包含尿頻、夜展症、尿急及膀胱殘之尿失 禁及_之症狀之嚴重性的減輕或減少之參與者而言, QOL有顯著改善。 成子核疋(P值)泌尿窘迫調查表及失禁影響問卷之 結果 泌尿窘迫調查表 118938.doc -61 - 200800242 t-檢定結果 頻繁排尿 由於急迫性 與活動有 少量滲漏難以排空 疼痛或不適 之渗漏 關之滲漏 (滴) 膀胱 第0個月相對 第1個月 0.051 0.050 0.347 0.104 0.035 0.169 第0個月相對 第2個月 0.009 0.028 0.104 0.022 0.035 0.081 第0個月相對 第3個月 0.011 0.016 0.139 0,043 0.081 0.225 失禁影響問卷 T-檢定結果 家務 身體 娛樂 離家大於30 min 社會 情緒 感覺 雜事 娛樂 活動 之行程 活動 健康 沮喪 第0個月相對第1個月 0.195 0.195 0.051 0.272 0.051 0.104 0.195 第0個月相對第2個月 0.050 0.043 0.023 0.023 0.023 0.013 0,028 第0個月相對第3個月 0.052 0.052 0.023 0.021 0.023 0.007 0.016 結論 該研究之結果指示,對男性及女性而言,使用矽含量經 標準化之問荊之配方2製劑為適合且有效之治療,其有效 減少包含尿頻、夜尿症、尿急及膀胱不適之尿失禁及OAB 之症狀。在4週之治療後發生症狀減輕,尤其在使用該治 療之8-12週時期内,症狀之嚴重性進一步降低。該治療不 與主要不利反應相關。 具有二氧化矽含量經標準化之問荊之配方2,展示與原 始錠劑配方相當之結果,然而結果通常更快地發生,在1 個月之治療後症狀嚴重性(煩擾級別)更一致地降低。亦在3 個月之治療時,與配方1之3個月結果相比,更少參與者經 歷泌尿窘迫症狀。 該研究展示含有二氧化矽含量經標準化之問荊之配方2 比具有矽未經標準化之相似配方更有效。 實例4具有標準化矽含量及類黃酮含量之含草藥天然治療 118938.doc •62- 200800242 性錠劑(配方3)用於預防及治療尿失禁及膀胱過動症(〇ab) 之臨床試驗 概要 進行研究以調查用於口服投藥之含草藥天然治療性膀胱 控制製劑(亦即膀胱控制測試製劑)在減輕尿失禁及〇Αβ中 之有效性。該等研究係如上文實例2及實例3中所概述來設 計及執行且進一步詳述於下文中。膀胱控制測試製劑為調 配成鍵:劑之天然含草藥製劑。 ® 矽已確定為問荊草藥之生物活性之提供者。除矽外,問 荊含有約5%之名為木賊寧之皂素,及包含異槲皮素、山 羊丑苷及木賊甙之若干種黃酮糖苷(亦稱為類黃酮广。異槲 皮素(亦稱為異槲皮素;槲皮酮3-〇_P_D_葡萄哌喃糖苷; 4H-1_苯并哌喃酮、2_(3,4_二羥基-苯基)_3(卜d_葡萄呋 喃糖基氧基)-5,7-二羥基-)。例如異槲皮素之類黃酮可具有 重要藥理性質。在本發明之某些態樣中,已確定問荊草藥 _ 製背丨之石夕έ畺及/或以異槲皮素表示之類黃酮含量的批變 化可對本發明之組合物之生物活性具有負效應。該問題已 由本發明藉由提供具有最佳化、標準化矽含量及以異槲皮 素表示之類頁酮含量之問荊草藥製劑而解決。研究評估改 良調配物在預防及治療尿失禁及ΟΑΒ之症狀中的功效。 物質及方法 測試製劑 、根據GMP準則,藉由tga認可之製造所製造膀胱控制測 试製劑錠劑。各錠劑含有草藥(沙梨木莖/皮萃取物及問荊 H8938.doc -63- 200800242 莖萃取物)及礦物(磷酸鎂及磷酸鈣及矽)。舉例而言,各鍵 劑含有如下之乾重當量:沙梨木莖/皮萃取物(3,〇〇〇 mg)、 具有以問荆莖萃取物製劑之總乾重計3%之標準化石夕含量 及0.8%之標準化類黃酮含量(以異槲皮素表示)的問荊(馬尾) 莖萃取物製劑(1,5〇0 mg)、無水膠狀二氧化矽(5〇3 mg)、 磷酸鎂70 mg、磷酸氫鈣70 mg,相當於鈣16·3 mg、鎂14 5 mg、磷24·9 mg。各錠劑含有每錠劑6〇·8 mg乾重當量之總 石夕。各錠劑含有一些麥芽糊精。 研究設計 經由報紙廣告募集經歷有規律急迫性失禁及/或壓抑性 失禁之症狀之人類受檢者。所有人類受檢者均符合以下準 則: (a) 在最近12個月内未經歷近期手術,尤其子宮切除術或 脫垂修復, (b) 未患有諸如糖尿病、心臟病、胰腺疾病或肝病之任 何嚴重健康病狀, , < (c) 在開始研究前之最後一個月未使用任何用於失禁症狀 之藥物。 在研究之前,無一參與者參加特定骨盤運動以改善肌肉 伸縮性。 治療實驗方案由人類測試受檢者經12週之時期,每天兩 次攝取兩片膀胱控制測試製劑之錠劑組成。在開始治療 (第0個月)前及其後每個月(第1、2及3個月),藉由記錄平 均每天及每晚之排尿頻率且使用短版本之失禁影響問卷 118938.doc -64- 200800242 (IIQ)及泌尿生殖窘迫調查表(UDI)評估治療之功效。如下 文表8中所詳述,UDI中之問題尤其與失禁之身體態樣相 表8 :泌尿生殖窘迫調查表As outlined in Table 6 below, the short version (6 questions) IIQ assesses the impact of incontinence on daily activities such as household chores, physical activity, and social activities. Table 6: Incontinence Impact Questionnaire Whether the leakage of urine has affected the following items: Housework chores < Body and Recreation II Recreational Activities" Departures greater than 30 minutes away from social activities Emotional health _ Feeling of depression All questions are rated on a scale of 0 to 3 ( 0 = no annoyance, 1 = mild annoyance, I18938.doc -58 - 200800242 2 = moderate annoyance, 3 = extremely disturbed). Both questionnaires were standardized disease-specific questionnaires used to detect incontinence in the elderly. R〇bins〇n, D. et al., Obstetrics and Gynec〇l〇gy, 91:2, 224_8 (1998). The average frequency of urination during the day and night at months 0, 1, 2 and 3 was also analyzed, and the results were also compared using the paired 1> check. The results of these questionnaires were analyzed using paired t-tests. Positive improvement is defined as the measurement of the physical condition of the incontinence or the acceptance of the bladder control test formulation when compared to the same parameters in the human test subject prior to receiving the bladder control test formulation: Body or Society of the examiner A statistically significant difference in the parameters of the activity, ie a household value of $0.05. Any of the physical or social activities associated with the physical condition of the incontinence or the human test subject receiving the bladder control test formulation when compared to the same parameters in the human test examiner prior to receiving the bladder control test formulation The parameters are improving, confirming that the bladder control test preparation is suitable for preventing or treating the progenitor systemic diseases of human subjects, such as urinary incontinence; overactive bladder; enuresis; benign prostatic hyperplasia; urinary stones; cystitis; Road infection. Results and Discussion Demographics 9 participants completed the study, 3 males and 6 females, with an average age of 52 years (range 41-72 years). The frequency of urination during the day shows that during the three months of treatment, the frequency of urination during the day is steadily decreasing. The number of participants who need to empty the bladder is reduced from 14 times per day (before treatment) to 10 times a day (after 1 month), 8.3 times a day (after 2 months) and at I18938.doc -59 - 200800242 3 months The step-by-step is reduced to 6.6 times per day. It showed a significant decrease between the first and subsequent months (the second month of calving 2; the third month of calving 1). The frequency of nocturnal palsy is not shown. This treatment effectively reduces the number of times the participants need to empty the bladder at night. The awakening gradually decreased from 2.7 times per night to 2 times per night, 1.4 times per night and 2 times per night (in the i, 2 and 3 months respectively). The results of the verification showed a significant decrease in frequency between the second and second months (;7 = 〇 〇 47) and the third month 〇 = 0.024). Participants in the study of Nine Miles reported that nocturia was the main symptom and one of the reasons for participating in the study. The overall improvement in sputum, (described below) seems to be directly linked to the long-term uninterrupted sleep (recorded from the personal file). Urogenital Distress Survey The symptoms experienced by most participants are (Figure 4): Frequent urination (about 89%). Because of the leakage of the fan, 78% of the participants were affected, and the leakage of the eve I affected 67% of the participants. Other symptoms included leakage due to activity (56%), difficulty emptying the bladder (44%), and pain or discomfort (33%). The results presented in Figure 5 (as a mean annoyance answer) indicate that after a month of treatment, all categories of symptoms decreased and continued to decrease over the next 2 months. The results of the questionnaire were analyzed using paired t-tests. After 2 months, there was a significant positive change in the #居癀季 and was still significant at the 3rd month of treatment (Ρ = 〇·〇〇9, 0.011, respectively). Other significant symptoms that occurred in the second month and continued to be significant in the third month were due to urgency leakage (both corpses 0·〇28, 0·016) and difficulty in emptying the bladder (total 〇〇35, howling) 118938.doc -60- 200800242 and a small amount of leakage (respectively =0 022, 〇〇 43). Incontinence affects the volume display as the most incontinent and GAB material to live away from home for more than 30 minutes (w } Qing enjoys (about). 78% of participants experience home chores, social activities, emotional redness and feeling depressed The cost of the safari is affected. The results in Figure 7 (as an average annoyance answer) clearly show the life of the mouth (via difficult to carry out the day. ^ ^ 吊 day hanging activities and social activities as well as emotional health and feelings Frustration assessment) and right _) and eight have the adverse effects of symptoms. On average, Lv, within 4 weeks of treatment, Shen Xueyi # is less annoyed (and most) in the special activity 'during the remainder of the study' reported as continuous improvement. The results of the questionnaire were analyzed using a paired t-test. Incontinence has an improvement in the perception of lifestyle and social effects, which is indicated by a positive change in the mouth of all questions at the end of the study. In the second month, all problems improved significantly (see Table 7). The positive effect of the problem of emotional health and feelings of depression should be related to the improvement of the quality of life of the infertility/4-^ σ jiff. Visited in the third month, and asked participants whether treatment has improved their quality of life. Overall, & 叩=67/. Reported that Q〇L improved. These results clearly indicate a significant improvement in QOL for participants experiencing a reduction or reduction in the severity of symptoms including urinary frequency, nocturnal urgency, urgency, and bladder disability.成 疋 疋 疋 P 及 及 及 及 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 938 118 118 118 118 118 118 118 118 118 118 118 118 118 118 118 118 Leakage leakage (drip) Bladder 0 month relative to the first month 0.051 0.050 0.347 0.104 0.035 0.169 0 month relative to the second month 0.009 0.028 0.104 0.022 0.035 0.081 0 month relative to the third month 0.011 0.016 0.139 0,043 0.081 0.225 Incontinence Impact Questionnaire T-test results Housework Physical entertainment is more than 30 minutes away from home Social sentimental feelings chores Entertainment activities Trip activity Health frustration 0 month relative to first month 0.195 0.195 0.051 0.272 0.051 0.104 0.195 0 Month relative to the second month, 0.050 0.043 0.023 0.023 0.023 0.013 0,028 0 month relative to the third month 0.052 0.052 0.023 0.021 0.023 0.007 0.016 Conclusion The results of this study indicate that the use of strontium content is standardized for men and women. Jingzhi Formula 2 preparation is a suitable and effective treatment, which effectively reduces urinary frequency, nocturia Symptoms, urgency, and bladder discomfort in urinary incontinence and symptoms of OAB. Symptoms were relieved after 4 weeks of treatment, especially during the 8-12 weeks of treatment with this treatment, the severity of the symptoms was further reduced. This treatment is not associated with major adverse reactions. Formulation 2 with standardized cerium oxide content, showing results comparable to the original tablet formulation, however results usually occur more quickly, with a more consistent reduction in symptom severity (disturbance level) after 1 month of treatment . Also at 3 months of treatment, fewer participants experienced urinary distress symptoms compared to the 3 month outcome of Formula 1. The study showed that Formulation 2, which contained a standardized amount of cerium oxide, was more effective than a similar formulation with 矽 unstandardized. Example 4 Herbal Natural Treatment with Standardized Antimony Content and Flavonoid Content 118938.doc •62- 200800242 Lozenges (Formulation 3) Summary of Clinical Trials for Prevention and Treatment of Urinary Incontinence and Overactive Abdominal Disease (〇ab) The study investigated the effectiveness of herbal-containing natural therapeutic bladder control formulations (i.e., bladder control test formulations) for reducing urinary incontinence and sputum beta. The studies were designed and executed as outlined in Example 2 and Example 3 above and are further detailed below. The bladder control test preparation is a natural herbal preparation formulated into a bond: a dose. ® 矽 has been identified as a provider of biological activity of the medicinal herbs. In addition to cockroaches, Phyllostachys pubescens contains about 5% of the saponins of the squid, and several kinds of flavonoid glycosides (also known as flavonoids), isoquercetin (also known as quercetin). Also known as isoquercetin; quercetin 3-〇_P_D_glucopyranoside; 4H-1_benzopiperone, 2_(3,4-dihydroxy-phenyl)_3 (b d_grape Furanosyloxy)-5,7-dihydroxy-). For example, flavonoids of isoquercetin may have important pharmacological properties. In some aspects of the invention, it has been determined that the herb is medicinal The batch variation of the flavonoid content expressed by Shixi and/or isoquercetin may have a negative effect on the biological activity of the composition of the present invention. This problem has been solved by the present invention by providing an optimized, standardized hydrazine content and It is solved by the herbicide preparation of ketone content, such as isoquercetin. The study evaluates the efficacy of modified formulations in the prevention and treatment of symptoms of urinary incontinence and sputum. Substance and method test preparation, according to GMP guidelines, Tuga approved manufacturer's bladder control test preparation lozenges. Each lozenge contains herbs (salmon stems/skins) Extract and Physician H8938.doc -63- 200800242 stem extract) and minerals (magnesium phosphate and calcium phosphate and strontium). For example, each key contains the following dry weight equivalents: sapwood stem/skin extract ( 3, 〇〇〇mg), with a standardized diarrhea content of 3% of the total dry weight of the stalk extract preparation and a standardized flavonoid content of 0.8% (expressed as isoquercetin) Stem extract preparation (1,5〇0 mg), anhydrous colloidal bismuth dioxide (5〇3 mg), magnesium phosphate 70 mg, calcium hydrogen phosphate 70 mg, equivalent to calcium 6.3 mg, magnesium 14 5 mg, Phosphorus 24·9 mg. Each tablet contains 6 〇·8 mg dry weight equivalent of each tablet. Each tablet contains some maltodextrin. The research design is recruited through newspaper advertisements to experience regular urge incontinence and / A human subject with symptoms of repressive incontinence. All human subjects meet the following criteria: (a) have not experienced recent surgery, especially hysterectomy or prolapse repair, in the last 12 months, (b) Have any serious health condition such as diabetes, heart disease, pancreatic disease or liver disease, < (c) open No drugs were used for incontinence symptoms in the last month before the study. Prior to the study, none of the participants participated in specific pelvic movements to improve muscle flexibility. Therapeutic protocols were tested by humans over a 12-week period, daily. Two lozenges of two bladder control test preparations were taken twice before starting treatment (month 0) and every month thereafter (days 1, 2 and 3), by recording the average daily and nightly The frequency of urination was assessed using a short version of the Incontinence Impact Questionnaire 118938.doc -64-200800242 (IIQ) and the Urogenital Distress Survey (UDI). As detailed in Table 8 below, the problem in UDI is particularly related to the physical form of incontinence. Table 8: Urogenital Distress Survey

你是否經歷以下各項,且若經歷,則你受以下各項煩擾之程 度:_ 頻繁排尿 由於感覺或急迫性之滲漏 — 由於活動、咳漱、噴嗓之滲漏_ 少量滲漏(滴)_ 難以排空膀胱 下腹部或生殖區之疼痛或不適 如下文表9中所概述,短版本(6個問題)之IIQ評估失禁對 諸如家務雜事、身體活動及社會活動之日常活動之影響。 表9 :失禁影響問卷Do you experience the following, and if experienced, you are affected by the following: _ Frequent urination due to sensation or urgency leaks - leakage due to activity, cough, sneezing _ a small amount of leakage (drops )_ Difficulty in emptying the lower abdomen or genital area of the bladder. Pain or discomfort as outlined in Table 9 below. The short version (6 questions) of the IIQ assesses the effects of incontinence on daily activities such as housework, physical activity and social activities. Table 9: Incontinence Impact Questionnaire

漏屁是否已影響以下各頊: 家務雜辜_ 身體娛樂_ 娛樂活動_ 籬家大於30 min之行程 社舍活動_ 愔緒健康_ 感謦沮喪_ 所有問題以0至3之等級評定(0=不煩擾,1 =輕度煩擾, 2=中度煩擾,3 =極煩擾)。兩個問卷均為用以偵測老年人 之煩惱之失禁的標準化疾病特定問卷。Robinson,D.等 人,Obstetrics and Gynecology, 91:2,224-8 (1998)。亦分 析在第0、1、2及3個月在白天及夜間之平均排尿頻率,亦 使用成對t-檢定比較該等結果。 使用成對t-檢定分析該等問卷之結果。正改善定義為當 與在接受膀胱控制測試製劑之前,人類測試受檢者中之相 118938.doc -65- 200800242 同參數比較時,量測㈣之身體態樣或接受膀胱控制測試 製劑之測試受檢者之身體或社”動之參數的統計顯著差 異,亦即P值^).05。當與在接受膀胱控制測試製劑之前, 人類測試受檢者中之相同參數比較時,與失禁之身體態樣 或接文膀胱控制測試製劑之人類測試受檢者之身體或社會 活動相關之任一參數的正改善,證實膀胱控制測試製劑適 用於預防或治療人類受檢者之泌尿生殖系統病症’例如尿 失7ΓΤ,膀脱過動症,这尿症;良性前列腺增生;尿结石; 膀胱炎;及泌尿道感染。 結果及討論 人口統計 有10位參與者(2位男性及8位女性)完成研究,平均年齡 為65.9歲(範圍為49-71歲)。 白天期間之排尿頻率 結果證實,在3個月之治療期間,白天期間之平均排尿 頻率顯著降低(ρ<0·05)。參與者排空膀胱所需之次數自每 天11.5次(治療前)降低至每天8.5次(1個月後)、每天6.6次(2 個月後)且在第3個月進一步降低至每天6·〇次。該等結果在 第1個月為顯著的〇 = 〇·〇17)且在研究期間維持顯著(在第2 個月及第3個月ρ = 〇·〇2)。 夜尿症頻率 結果證實,該治療有效降低參與者在夜間排空膀胱所需 之次數。覺醒自最初每晚2.5次降低至每晚1.5次、每晚0.5 次及每晚0.5次(分別在第1、2及3個月)。此在治療之第2個 118938.doc -66- 200800242 月及第3個月時為顯著差異(p<〇 〇5)。許多參與者在2個月 之治療後能夠整夜睡著。該等結果在第i個月為顯著的 (ρ = 0·063)且在研究期間維持顯著(在第2個月·,在 第3個月尸= 0.03)。 泌尿生殖窘迫調查表Whether the fart has affected the following items: Housework _ Body entertainment _ Entertainment activities _ Fence home greater than 30 min trip social activities _ 愔 健康 health _ feeling depressed _ all questions are rated on a scale of 0 to 3 (0 = No annoyance, 1 = mild annoyance, 2 = moderate annoyance, 3 = extremely annoying). Both questionnaires were standardized disease-specific questionnaires used to detect incontinence in the elderly. Robinson, D. et al., Obstetrics and Gynecology, 91: 2, 224-8 (1998). The average frequency of urination during day and night at months 0, 1, 2 and 3 was also analyzed and the results were compared using paired t-tests. The results of these questionnaires were analyzed using paired t-tests. Positive improvement is defined as the physical condition of the test (4) or the test of the bladder control test preparation when compared with the parameters of the human test subject 118938.doc -65-200800242 before receiving the bladder control test preparation. The statistically significant difference in the parameters of the body or society of the examiner, that is, the P value ^).05. When comparing with the same parameters in the human test subject before receiving the bladder control test preparation, the body with the incontinence Positive improvement of any parameter related to the physical or social activity of the human test subject of the human or test bladder control test formulation, confirming that the bladder control test formulation is suitable for the prevention or treatment of a urogenital disorder in a human subject' eg 7 cases of urinary loss, overactive disorder, this urinary tract; benign prostatic hyperplasia; urinary stones; cystitis; and urinary tract infection. Results and discussion Demographics 10 participants (2 males and 8 females) completed the study The average age was 65.9 years (range 49-71 years). The frequency of urination during the day confirmed the average urination during the day during the 3 months of treatment. The rate was significantly reduced (ρ < 0·05). The number of times the participants needed to empty the bladder decreased from 11.5 times per day (before treatment) to 8.5 times a day (after 1 month), 6.6 times per day (after 2 months) and Further reduced to 6 〇 per day in the third month. These results were significant in the first month 〇 = 〇 · 〇 17) and remained significant during the study period (in the 2nd and 3rd months ρ = 〇·〇2) The nocturia frequency results confirmed that the treatment effectively reduced the number of times the participants needed to empty the bladder at night. The arousal was reduced from 2.5 per night to 1.5 per night, 0.5 per night and 0.5 per night. Times (in months 1, 2 and 3 respectively). This was a significant difference (p<〇〇5) at the second treatment of 118938.doc -66-200800242 and the third month of treatment. Many participants were After 2 months of treatment, they were able to fall asleep all night. These results were significant at the i-month (ρ = 0.063) and remained significant during the study period (in the second month, at the 3rd month of the corpse) = 0.03). Urogenital distress survey

大多數參與者經歷之症狀為(圖8):頻繁排尿(78%)、急 迫性(78%)、少量滲漏(67%)及排空膀胱(67%)。其他症狀 報導為較小_,其為:影響44%之參與者之#活㈣ 滲漏,而僅33%報導簏新區域之疼痛。呈現於圖$中之結 果(以平均煩擾級別表示)指示i個月之治療減少所有類別之 症狀且症狀經隨後2個月持續減少。 使用成對t-檢定分析問卷之結果。2個月之治療後存在以 下症狀之顯著正改變,該正改變在第3個月持續:較少受 由於急迫性之渗漏(分別為p=()()11、〇()17)、少量渗漏(分 別尸〇·011、G.G15)及心心賴(分別㈣遍、0.045) 煩擾之感覺。第3個月德恭a # 後^生#展癀季之顯著正改變 (ρ = 0·009) 〇 失禁影響問卷 展示為最受失禁 及减覺ig # (80%) 於30分鐘之行程、 褚健彦受影響。 及OAB影響之活動為(圖1〇):鋦赛活謗 7〇%之參與者經歷身禮鋦袭及雜家乂 豕務藉事及在會活喬且60%之參與者摩 呈現於圖11中之作為羊 、壬…… 為千均煩擾回答之結果清晰地展示生 活口口貝(經由難於進行日 Φ活動及社會活動以及情緒健康 118938.doc • 67 · 200800242 =覺沮喪評估)受具有失禁症狀之不利 治療中’參與者在大多數該等活動中較少煩擾,而=究 期間報導持續改#之㈣样(其在第㈣ 煩擾級別)除外。The symptoms experienced by most participants were (Figure 8): frequent urination (78%), urgency (78%), small leakage (67%), and emptying of the bladder (67%). Other symptoms were reported as smaller _, which was: #活(四) leakage affecting 44% of participants, while only 33% reported pain in the new area. The results presented in Figure $ (expressed as mean annoyance level) indicate that i months of treatment reduced symptoms in all categories and symptoms continued to decrease over the next 2 months. The results of the questionnaire were analyzed using paired t-tests. After 2 months of treatment, there was a significant positive change in the following symptoms, which was sustained in the third month: less due to leakage due to urgency (p=()()11, 〇()17), A small amount of leakage (respectively corpse 011, G.G15) and heart-to-heart (respectively (four) times, 0.045) annoyed feeling. The third month of De Gong A #后^生# The significant change in the exhibition season (ρ = 0·009) The incontinence effect questionnaire was shown as the most incontinence and reduction ig # (80%) in 30 minutes of the trip, 褚Jian Yan is affected. And the activities affected by the OAB are (Figure 1〇): Participants in the 75% of the competitions experience the rituals of the rituals and the chores of the chores and the participation of the participants in the meeting and 60% of the participants are shown in Figure 11. In the midst of the sheep, the cockroaches... The results of the answer to the thousand average annoyance clearly show the life of the mouth (via the difficulty of day Φ activities and social activities and emotional health 118,938.doc • 67 · 200800242 = assessment of depression) with incontinence In the case of unfavorable treatment of symptoms, 'participants are less annoyed in most of these activities, except for the (four) sample (which is in the fourth (fourth) annoyance level).

使用成對t-檢定分析問卷之結果(表1〇)。失禁對生活方 式及社會活動之效應之錢㈣#,其藉由在研究結束時 對所有問題(家務雜事除外)之回答之正改變來指示。在第 一個月之治療後,報導乂㈣心之㈣之顯著改善,在 第2個月及第3個月(分別尸〇.〇37、〇 〇1〇及〇 〇15)觀察到其 他正效應。在2及3個月之治療後,縻鍺健彦(分別為 Ρ〇·081及0.029)及减f# (分別為尸〇 〇〇1及〇 〇〇1)、娱 袭(分別為户= 〇·〇15及〇·〇〇4)及摩邀赛袭(分別為户=〇 〇22及 0·012)之仏心有顯著改善’其指示治療與生活品質之改善 相關。 在第3個月訪問時,亦詢問參與者治療是否已改善其生 活品質。總體而言,70%報導q〇l之改善。該等結果清晰 地指示,對經歷包含尿頻、夜尿、尿急及膀胱不適之尿失 禁及OAB之症狀之嚴重性的減輕或減少之參與者而言, QOL有顯著改善。 表10-成對t-檢定(p值)泌尿窘迫調查表及失禁影響問卷 之結果 118938.doc -68 - 200800242 泌尿窘迫調查表 T-檢定結果頻繁排尿由於急迫與活動有少量滲漏難以排空疼痛或不適 性之滲漏 關之滲漏 (滴) 膀胱 第0個月相 對第1個月 0.591 0.096 0.168 0.015 0.168 0.081 第0個月相 對第2個月 0.051 0.011 0.081 0.011 0.024 0.096 第0個月相 對第3個月 0.009 0.017 0.269 0.015 0.045 0.089 失禁影響問卷 T-檢定結果 家務雜事 身體娛樂 娛樂活動 離家大於 社會 情緒感覺 30 min 之 活動 健康沮喪 行程 第0個月相 對第1個月 0.726 0.081 0.104 0.037 0.193 0.509 0.104 第0個月相 對第2個月 0.343 0.022 0.015 0.010 0.052 0.081 0.001 第0個月相 0.132 0.012 0.004 0.015 0.011 0.029 0.001 對第3個月 結論 該研究之結果指示,含有二氧化矽及類黃酮含量經標準 化之問荊之配方3有效減少包含尿頻、夜尿症、尿急及膀 胱不適之尿失禁及OAB之所有症狀。在4週之治療後發生 症狀減輕,尤其在使用治療之4-8週時期内,症狀之嚴重 性進一步降低。對男性及女性而言,配方3為適合且有效 之治療且不與主要不利反應相關。 因此,用於該研究之配方3證實優於配方1及配方2之結 果。配方3證實在減少尿失禁及OAB之所有症狀中之有效 性增加且在更短時段内經歷結果。該研究證實,含有二氧 化矽及類黃酮含量經標準化之問荊之配方3比配方1及配方 2更有效。 118938.doc -69- 200800242 實例5比較不同錠劑調配物(調配物1、2及3)用於預防及治 療尿失禁及膀胱過動症(OAB)之有效性 概要 该研究之目標為,藉由分析來自各項研究之失禁影響問 卷(IIQ)及泌尿生殖窘迫調查表(UDI)之結果,比較本發明 之3種錠劑調配物,配方丨、配方2及配方3在治療尿失禁及 OAB之症狀中之功效。配方j為臨床研究實例2中所評估之 非標準化配方;配方2使用矽經標準化之問荊萃取物且於 臨床研究實例3中評估;且配方3使用矽及類黃酮含量經標 準化之問荊萃取物且於臨床研究實例4中評估。 研究設計 為直接比較3種不同錠劑調配物之有效性,比較兩個問 卷之煩擾級別之降低百分比(%)。該分析方法用於比較各 研九中之第0個月(基線)值之變化。僅在配方2及配方3中直 接評估排尿頻率及夜尿症。 結果及討論 來自泌尿窘迫調查表(UDI)之結果指示,與配方1相比, 尤其在頻繁排尿、由於急迫性感覺之滲漏、少量滲漏(滴) 及難以排空膀胱方面,配方2(矽含量經標準化)具有更高有 效性。 藉由展示症狀嚴重性之更高降低百分比(表U),展示配 方3(矽及類黃酮含量經標準化)最有效地減少泌尿窘迫 (UDI),尤其減少頻繁排尿,由於感覺或急迫性之滲漏, 由於活動、咳嗷、噴嚏之滲漏,少量滲漏(滴)及難以排空 118938.doc -70- 200800242 膀胱。所有調配物展示在減少腹部疼痛中之至少75%之有 效性。然而,因為少於4〇〇/0之參與者在第0個月經歷該症 狀’所以結果不視為顯著的。 表U·在第3個月,配方1、2及3之UDI之煩擾級別的降低 百分比 配方1 配方2 配方3 頻繁排尿~~ -- 56 70 71 由於急迫性之滲漏 55 72 74 與活動有關之滲漏 64 50 68 少量滲漏(滴)~~ 61 64 66 難以排空膀胱 57 60 63 比較失禁影響問卷(IIQ)亦顯示配方3對所有QOL問題皆 具有較配方1及2為佳之反應(由症狀減輕顯示)。 亦評估每個月經歷症狀之人數(%)。配方3展示增加之有 效性’因為與先前調配物相比,更少參與者在第3個月經 歷各症狀(圖12)。 僅在配方2及配方3中評估排尿頻率及夜尿症。該等結果 之比較指示,兩種調配物均有效降低白天期間之排尿頻率 (降低約50%)且效應在最初8週之治療結束時可見。然而, 配方3在減少夜尿症方面’以在第2個月觀察到症狀減少 96%及總體較大之頻率降低(在第3個月,96%對比63%)而 優於配方2(表12)。 表12-排尿頻率之降低百分比 白天 夜間 配方2 配方3 配方2 配方3 第0個月相對第1個月 28 26 35 40 第0個月相對第2個月 41 45 48 96 第0個月相對第3個月 53 48 63 96 118938.doc -71· 200800242 結論 該研究之結果指示,所有製劑為安全的且不與主要不利 反應相關。所有製劑有效減少包含尿頻、夜尿症、尿急及 膀胱不適之尿失禁及〇AB之所有症狀。展示所有製劑產生 症狀減輕與症狀嚴重性降低,通常用配方2及配方3時更快 且更顯著。與配方2比較,配方3最有效地減少夜尿症。 總之,所有調配物展示在治療尿失禁及OAB之症狀中之 有效性。標準化問莉之⑦(配方2)改善原始調配物之有效性The results of the questionnaire were analyzed using paired t-tests (Table 1). The effect of incontinence on lifestyle and social activity (4)# is indicated by a positive change in the answer to all questions (except household chores) at the end of the study. After the first month of treatment, a significant improvement was reported in (4) Heart (4), and other positives were observed in the 2nd and 3rd months (seed, 〇37, 〇〇1〇 and 〇〇15 respectively) effect. After 2 and 3 months of treatment, Yu Jianyan (Ρ〇·081 and 0.029, respectively) and minus f# (both corpses 1 and 〇〇〇1 respectively), recreational (respectively household = 〇· 〇15 and 〇·〇〇4) and the invitation to the match (both households = 〇〇 22 and 0·012) have significantly improved their heart's indication that treatment is associated with improved quality of life. During the third month of the visit, participants were also asked if treatment had improved their quality of life. Overall, 70% reported an improvement in q〇l. These results clearly indicate a significant improvement in QOL for participants experiencing a reduction or reduction in the severity of symptoms of urinary incontinence, urinary urgency, and bladder discomfort. Table 10 - Results of paired t-test (p-value) urinary distress questionnaire and incontinence impact questionnaire 118938.doc -68 - 200800242 Urinary distress survey T-test results frequent urination due to urgency and activity, a small amount of leakage is difficult to empty Leakage of pain or discomfort (drip) Bladder 0 month relative to first month 0.591 0.096 0.168 0.015 0.168 0.081 0 month relative to 2nd month 0.051 0.011 0.081 0.011 0.024 0.096 0 month relative The third month 0.0099 0.017 0.269 0.015 0.045 0.089 Incontinence Impact Questionnaire T-test results household chores physical entertainment entertainment activities away from home more than social sentiment sensation 30 min activities healthy frustration journey 0 months relative to the first month 0.726 0.081 0.104 0.037 0.193 0.509 0.104 0 month relative to the second month 0.343 0.022 0.015 0.010 0.052 0.081 0.001 0 month phase 0.132 0.012 0.004 0.015 0.011 0.029 0.001 Conclusion of the third month The results of the study indicate that the content of cerium oxide and flavonoids Formulated with standardized formula 3 to effectively reduce urinary frequency, nocturia, urgency and bladder discomfort All the symptoms of OAB and urinary incontinence. Symptoms were relieved after 4 weeks of treatment, especially during the 4-8 week period of treatment, the severity of the symptoms was further reduced. Formulation 3 is a suitable and effective treatment for men and women and is not associated with major adverse reactions. Therefore, Formulation 3 used in this study proved superior to Formulation 1 and Formulation 2. Formulation 3 demonstrated an increase in efficacy in reducing all symptoms of urinary incontinence and OAB and experienced results in a shorter period of time. This study confirmed that Formulation 3 containing standardized amounts of cerium oxide and flavonoids was more effective than Formulation 1 and Formulation 2. 118938.doc -69- 200800242 Example 5 Comparison of the effectiveness of different lozenge formulations (Formulations 1, 2 and 3) for the prevention and treatment of urinary incontinence and overactive bladder (OAB) Summary The objective of the study was to Comparing the results of the Incontinence Impact Questionnaire (IIQ) and the Urogenital Distress Survey (UDI) from various studies, comparing the three lozenge formulations of the present invention, formula 丨, formula 2 and formula 3 in the treatment of urinary incontinence and OAB The effect of the symptoms. Formulation j is a non-standardized formulation evaluated in Clinical Study Example 2; Formulation 2 is standardized in Quercus sinensis and evaluated in Clinical Study Example 3; and Formulation 3 is standardized using Quercetin and flavonoids. And evaluated in Clinical Study Example 4. Study Design To compare the effectiveness of three different lozenge formulations directly, compare the percent reduction (%) of the annoyance levels of the two questionnaires. This analytical method was used to compare the change in the 0th month (baseline) value of each study. Urinary frequency and nocturia were evaluated directly in Formulation 2 and Formulation 3. RESULTS AND DISCUSSION The results from the Urinary Distress Survey (UDI) indicated that Formulation 2 was compared to Formulation 1, especially in frequent urination, leakage due to urgency, small leakage (drops), and difficulty in emptying the bladder. The strontium content is standardized to be more effective. By showing a higher percentage of symptom severity (Table U), it is shown that Formulation 3 (standardized in sputum and flavonoid content) is most effective in reducing urinary distress (UDI), especially in reducing frequent urination due to sensation or urgency. Leakage, due to leakage of activity, cough, sneezing, a small amount of leakage (drop) and difficulty in emptying 118938.doc -70- 200800242 bladder. All formulations are shown to be effective in reducing at least 75% of abdominal pain. However, because participants with less than 4 〇〇/0 experienced the condition at month 0, the results were not considered significant. Table U. Percentage reduction in UDI annoyance levels for Formulas 1, 2 and 3 in the third month Formula 1 Formula 2 Formula 3 Frequent urination ~~ -- 56 70 71 Leakage due to urgency 55 72 74 Leakage 64 50 68 A small amount of leakage (drops) ~~ 61 64 66 Difficult to empty the bladder 57 60 63 The Comparative Incontinence Impact Questionnaire (IIQ) also shows that Formulation 3 has a better response to Formulations 1 and 2 for all QOL problems ( Shown by symptom relief). The number of people experiencing symptoms per month (%) is also assessed. Formulation 3 showed increased efficacy' because fewer participants experienced symptoms in the third month compared to the previous formulation (Figure 12). Urinary frequency and nocturia were evaluated only in Formulation 2 and Formulation 3. A comparison of these results indicated that both formulations were effective in reducing the frequency of urination during the day (approximately 50% reduction) and the effect was visible at the end of the first 8 weeks of treatment. However, Formulation 3 was better than Formulation 2 in reducing nocturia, with a 96% reduction in symptoms observed in the second month and a greater overall frequency (in the third month, 96% vs. 63%) (Table 12). . Table 12 - Percentage reduction in urination frequency Daytime night formula 2 Formulation 3 Formulation 2 Formulation 3 0 month relative to the first month 28 26 35 40 0 month relative to the 2nd month 41 45 48 96 0 month relative 3 months 53 48 63 96 118938.doc -71· 200800242 Conclusion The results of this study indicate that all formulations are safe and not associated with major adverse reactions. All formulations are effective in reducing all symptoms of urinary incontinence and sputum AB, including frequent urination, nocturia, urgency, and bladder discomfort. All formulations were shown to have reduced symptoms and reduced severity of symptoms, usually faster and more pronounced with Formulation 2 and Formulation 3. Formulation 3 is most effective in reducing nocturia compared to Formulation 2. In summary, all formulations are shown to be effective in treating urinary incontinence and the symptoms of OAB. Standardized Qili 7 (Formulation 2) improves the effectiveness of the original formulation

且其進一步藉由標準化問荊之矽及類黃酮(配方3)而最佳 化0 實例6用於失禁及膀胱過動症試驗之調配物之矽測試 概要 預期治療性調配物中矽含量之批間變化,因為許多賦形 劑含有二氡化矽,其視為呈非可吸收形式。 已和1出用於失禁及膀胱過動症試驗之調配物之石夕含量的 批間k化可造成落在每錠劑治療活性矽含量以下之矽含 量。 用於臨床研究實例2之配方1在自尿失禁症狀之減輕中產 生治療有效性。因為該配方使用非標準化問荊萃取物,所 以該配方之矽含量之批間變化可能且可造成不一致之有效 性。 發明配方2(用於臨床研究實例3)及配方3(用於臨床研究 實例4)以解決該可能批間變化及後續不一致有效性之問 題。其包含秒含量經標準化之問荊萃取物及一致量之添加 無水膠狀二氧化矽。進行所有3種調配物之矽含量之測試 118938.doc -72- 200800242 以測定配方!之可能批間變化之程度且確認當使用含有具 有標準化_含#之㈣之調配物時’維持治療性含量^ 矽。 量測石夕含量之各種測試方法為可用的且可產生可變社 :|/此’對各樣品使則目同载方^目前使用列於 國藥典(British Pharmacopeia,Bp)中之 I(:pMs測試方法。 該方法完全破壞組合物中之所有其他分子,僅留下矽,其 隨後可相對SK)2(二氧切)對照組來量測。該方法量_ # 有教不區分生物可用形式之石夕與不可吸收形式之石夕。 結果 配方1含有非標準化問莉萃取物。測試後,配方i之該批 次展示每錠劑34.0 mg之矽含量(各錠劑為約mg)。測 試配方1之後續批次之矽含量且展示每錠劑ΐ4·5 mg(再次, 各錠劑為約15〇00 mg)。此為約6〇%之批間變化且重點是當 使用石夕未經標準化之馬尾萃取物時,發生石夕含量之彼顯著 批間變化。預期該量值之批間矽含量變化,且在含量落在 _ I期研九巾展不為有效之含量下方時,降低治療有效性。 此在含有每錠劑14·5 mg之矽之配方i的後續批次中觀察 到。當與含有每錠劑34.0 mg矽之配之原始生產批次相 比時,該批次產生更差且不一致之結果。(資料未圖示) 配方2及配方3均使用矽經標準化之問荊萃取物及一致量 之無水膠狀二氧化矽。測試中,配方2及3分別展示每錠劑 41·6 mg之石夕含量及每錠劑60.8 mg之矽含量(再次,各錠劑 為、沟1,000 mg)。该等含量均在每鍵劑碎之上方, 其在臨床研究實例2中展示為治療有效的。同樣,該兩種 118938.doc -73- 200800242 調配物之批次之間的矽含量變化僅為3〇%,亦即配方1之 批間變化降低50%。希望批間變化(使用相同配方(配方2或 配方3)時)即使在進一步使用該等具有矽經標準化之問荊之 調配物時亦將降至最低。 表13-使用ICPMS BP方法之矽測試之結果 配方 配方描述 總矽 (亳克/旋劑) 總矽% (1000毫克錠劑) 1 原始配方··在描述於實例2中之臨床研究中 所測試之原始生產批次 34.0 3.40 1 原始配方,後續批次 14.5 1.45 2 在描述於實例3中之臨床研究中所測試之具 有標準化矽含量的改良配方 41.6 4.16 3 於實例4中之臨床研究中所測試之具 有才示準化矽含量的改良配方 60.8 6.08 應注意,描述於表13中之總石夕%包含來自標準化問荆萃And it is further optimized by standardizing the scorpion and flavonoids (Formulation 3). Example 6: Formulations for Incontinence and Overactive Bladder Tests Summary of Tests Expected Batches of Antimony in therapeutic Formulations The change is because many excipients contain diterpenoids, which are considered to be in a non-absorbable form. Inter-batch k-ings that have been combined with a formulation for incontinence and overactive bladder testing can result in an amount of strontium falling below the therapeutically active strontium content per tablet. Formulation 1 for Clinical Study Example 2 produced therapeutic efficacy in the reduction of symptoms of urinary incontinence. Because the formulation uses non-standardized extracts, batch-to-batch variations in the strontium content of the formulation may and may result in inconsistent effectiveness. Inventive Formulation 2 (for Clinical Study Example 3) and Formulation 3 (for Clinical Study Example 4) were developed to address the potential for batch-to-batch variation and subsequent inconsistency. It contains a standard amount of quiz extract and a consistent amount of anhydrous gelatinous cerium oxide. Test the bismuth content of all three formulations 118938.doc -72- 200800242 to determine the formula! The extent of possible batch-to-batch variation and confirmation of the maintenance of therapeutic content when used with formulations containing standardization (#). Various test methods for measuring the content of Shi Xi are available and can be used to produce variable society: | / this 'for each sample, the same as the carrier ^ currently used in the Chinese Pharmacopeia (Bp) I (: pMs test method. This method completely destroys all other molecules in the composition, leaving only ruthenium, which can then be measured relative to the SK) 2 (dioxotomy) control group. The amount of the method _ # has a distinction between the stone-free and the non-absorbable form of the stone eve. Results Formulation 1 contained a non-standardized lily extract. After the test, the batch of Formulation i exhibited a strontium content of 34.0 mg per tablet (about mg per tablet). The bismuth content of the subsequent batches of Formulation 1 was tested and displayed at 4.7 mg per tablet (again, each tablet was about 15 00 mg). This is a batch-to-batch variation of about 6% and the focus is on the significant inter-assay variation of the Shixi content when using Shihua's unstandardized horsetail extract. It is expected that the amount of strontium in the batch will change, and the therapeutic effectiveness will be reduced when the content falls below the content that is not effective. This was observed in subsequent batches of Formulation i containing 14.5 mg per tablet. The batch produced worse and inconsistent results when compared to the original production batch containing 34.0 mg of strontium per tablet. (data not shown) Both Formulation 2 and Formulation 3 used standardized Quercetin extract and a consistent amount of anhydrous colloidal cerium oxide. In the test, Formulations 2 and 3 respectively showed a content of 41. 6 mg per tablet and a content of 60.8 mg per tablet (again, each tablet was 1,000 mg). These levels are all above the per-component granules, which are shown to be therapeutically effective in Clinical Study Example 2. Similarly, the change in the strontium content between the two batches of the 118938.doc -73-200800242 formulation was only 3%, which is a 50% reduction in the batch-to-batch variation of Formulation 1. It is expected that batch-to-batch variations (when using the same formulation (Formulation 2 or Formulation 3)) will be minimized even when further use of such standardized formulations. Table 13 - Results of the 矽 test using the ICPMS BP method Formulation Description Total 矽 (亳克/旋旋) Total 矽% (1000 mg tablets) 1 Original formulation · Tested in the clinical study described in Example 2 Original production batch 34.0 3.40 1 Original formulation, subsequent batch 14.5 1.45 2 Modified formulation with standardized strontium content tested in the clinical study described in Example 3 41.6 4.16 3 Tested in the clinical study in Example 4 An improved formula with a normalized bismuth content of 60.8 6.08 It should be noted that the total 石 % % described in Table 13 contains from the standardization

取物製劑之生物可用性錢來自大部分為非生物可用性賦 形劑之矽。配方2之錠劑之組份概述於表“中。根據本發 明’用具有含有至少約3%矽之標準化問荊萃取物製劑之 調配物獲得-致性良好的結果。在—較佳實施例中,調配 物包3具有至少約3%至約13%矽之標準化問荊萃取物製 劑。在另-較佳實施{列中,職物包含具有至少約心至 約㈣石夕之標準化問荆萃取物製劑。在又-較佳實施例 中,調配物包含呈古, /、有至少約6%矽之標準化問荊萃取物製 劑0The bioavailability of the extract formulation comes from the majority of non-bioavailable excipients. The composition of the lozenge of Formulation 2 is summarized in the table "According to the present invention, the results obtained with a formulation having a standardized Quercetin extract preparation containing at least about 3% of hydrazine are obtained. In the preferred embodiment Wherein, the formulation package 3 has at least about 3% to about 13% bismuth of the standardized sputum extract preparation. In another preferred embodiment {column, the physique contains a standardized phoenix having at least about to about (4) An extract preparation. In still another preferred embodiment, the formulation comprises a standardization extract preparation having an ancient, /, at least about 6% 00

118938.doc 74- 200800242 磷酸鎂 70 Nil 無水膠狀矽 50.32 23.5 填充劑 __ 209.68 9(最小值) 總計: 15000 4L5 結論 若將測試配方中之批間矽含量降至最低,則一致之預防 : 性或治療性效應更為可能。非標準化含石夕配方(亦即配方i ) ] 之不同批次之測試結果展示60°/。之批間變化。預期該等批 次變化造成不一致性且降低預防有效性及治療有效性。 φ 配方2及配方3使用具有標準化矽含量之問荊萃取物及一 致量之無水膠狀二氧化矽,因此獲得各配方之每錠劑一致 的矽含量。該兩種調配物之批之間的矽含量變化僅為 30%,亦即配方1之批間變化降低5〇%。希望使用相同配方 (2或3 )之批間變化即使在進一步使用時亦將降至最低。 藉由使用問荊之一致最佳量之標準化矽含量,可標準化 每錠劑本發明之生物可用性矽含量。此避免與生物可用性 矽含量之批變化相關之負面問題。 _ 具有最佳化、標準化矽含量之問荊之本發明之配方2及 配方3將調配物之矽含量之批間變化的問題降至最小。隨 後,如臨床研究3、4及5中所展示,產生更一致之預防性 或治療性效應。 實例7用於預防及治療良性前列腺增生之含草藥天然治療 性錠劑之臨床試驗 概要 進行:究以調查用於口服投藥之含草藥天然治療性製劑 (亦即蝻列腺控制測試製劑)在減輕良性前列腺增生中之有 H8938.doc -75- 200800242 效性°前列腺控制測試製劑為調配成膠囊之天然含草藥製 劑。 物質及方法 測試製劑 根據GMP準則,藉由TGA認可之製造所(TGA之"Guidelines for Good Clinical Research Practices (GCRP) in Australia") 製造前列腺控制測試製劑膠囊。各膠囊含有草藥,亦即沙 梨木莖/皮萃取物及問荊莖萃取物。舉例而言,各膠囊含 有如下之乾重當量:沙梨木莖/皮萃取物(1,〇〇〇 mg)及問荊 莖萃取物製劑(670 mg)。 研究設計 經由報紙廣告募集經歷有規律BPH症狀之男性人類受檢 者。所有男性人類受檢者均符合以下準則: (a) 在最近12個月内未經歷近期前列腺手術, (b) 未患有諸如糖尿病、心臟病、胰腺疾病、肝病或慢 性發炎性病狀之任何嚴重健康病狀, (c) 當前未作精神病干擾治療, ⑷在開始研究前之最後一個月未使用任何用於觀症 狀之藥物,且 ⑷在研究之前,未參加特定骨盤運動以改善肌肉伸縮 性。 治療實驗方案由人類測試受檢者經12週之時肖,每天三 次攝取1粒前列腺控制测試製劑之膠囊組成。 在開始治療(第〇個月y前及i您直 ;引及其後母個月(第1、2及3個 118938.doc -76- 200800242 月),使用排尿頻率及夜尿症,國際前列腺症狀計分 (International Prostate Symptom Score,IPSS)及泌尿生殖 窘迫調查表(UDI)評估治療之功效。IPSS給出BPH之影響 級別。兩個問卷為標準化疾病特定問卷。 UDI中之問題尤其與失禁及ΟΑΒ之身體態樣及其對生活 品質之效應相關。所有問題以〇至3之等級評定(0=不煩 擾,1 =輕度煩擾,2=中度煩擾,3=極煩擾)。118938.doc 74- 200800242 Magnesium Phosphate 70 Nil Anhydrous Gelatin 50.32 23.5 Filler __ 209.68 9 (minimum) Total: 15000 4L5 Conclusion If the amount of mash in the test formulation is minimized, consistent prevention: Sexual or therapeutic effects are more likely. The test results for different batches of non-standardized Shishi formula (ie formula i)] show 60°/. The batch changes. These batch changes are expected to cause inconsistencies and reduce the effectiveness of prevention and treatment effectiveness. φ Formulation 2 and Formulation 3 used a quiz extract with a standardized hydrazine content and a consistent amount of anhydrous colloidal cerium oxide, thus obtaining a uniform strontium content per tablet for each formulation. The change in the strontium content between the batches of the two formulations was only 30%, that is, the variation between batches of Formulation 1 was reduced by 5%. Batch-to-batch variations that wish to use the same formulation (2 or 3) will be minimized even in further use. The bioavailable bismuth content of the present invention per tablet can be standardized by using a consistent optimum amount of normalized hydrazine content. This avoids the negative issues associated with batch changes in bioavailability 矽 content. _ Formulation 2 and Formulation 3 of the present invention having an optimized, standardized hydrazine content minimizes the problem of batch-to-batch variation in the cerium content of the formulation. Subsequently, as shown in Clinical Studies 3, 4 and 5, a more consistent prophylactic or therapeutic effect is produced. Example 7 Summary of clinical trials of herbal-containing natural therapeutic lozenges for the prevention and treatment of benign prostatic hyperplasia: investigation of natural herbal-containing therapeutic preparations for oral administration (ie, sputum control test preparations) Among the benign prostatic hyperplasias is H8938.doc -75- 200800242 efficiencies ° Prostate control test preparations are natural herbal preparations formulated into capsules. Materials and Methods Test Formulations Prostate control test formulation capsules were made according to GMP guidelines by TGA-approved manufacturing facilities (TGA"Guidelines for Good Clinical Research Practices (GCRP) in Australia"). Each capsule contains herbs, namely stalks/skin extracts of saplings and extracts of stalks. For example, each capsule contains the following dry weight equivalents: sapwood stem/skin extract (1, 〇〇〇 mg) and stalk stem extract preparation (670 mg). Study Design A male human subject who experienced regular BPH symptoms was recruited via a newspaper advertisement. All male human subjects met the following criteria: (a) did not experience recent prostate surgery in the last 12 months, (b) did not have any serious symptoms such as diabetes, heart disease, pancreatic disease, liver disease or chronic inflammatory conditions Health conditions, (c) no current psychiatric intervention therapy, (4) no medications used to observe symptoms in the last month prior to the start of the study, and (4) no specific pelvic motion to improve muscle flexibility prior to the study. The therapeutic protocol consisted of a human test subject who took a capsule of a prostate control test formulation three times a day for 12 weeks. At the beginning of treatment (before the 〇 month y and i straight; lead and subsequent mother months (1st, 2nd and 3rd 118938.doc -76- 200800242 months), use frequency of urination and nocturia, international prostate symptom meter The International Prostate Symptom Score (IPSS) and the Urogenital Distress Survey (UDI) assess the efficacy of treatment. IPSS gives the level of impact of BPH. The two questionnaires are standardized disease-specific questionnaires. The problems in UDI are especially in incontinence and paralysis. Physical aspects and their effects on quality of life. All questions are rated on a scale of 3 (no = no annoyance, 1 = mild annoyance, 2 = moderate annoyance, 3 = extremely annoying).

如下文表15中所詳述,UDI中之問題尤其與ΒΡΗ症狀之 身體態樣相關。 表15 :泌尿生殖窘迫調查表As detailed in Table 15 below, the problem in UDI is particularly relevant to the physical form of the symptoms of delirium. Table 15: Urogenital Distress Survey

你是否經歷以下各項,且若經歷,則你受以下各項煩擾之裎唐: 排泄後之滴流 ' 排尿後感覺膀胱尚未完全排空 ' 頻繁排尿,尤其在夜間 " 漏尿 一~ 由降低力引起之少量滲漏(函 '- 竭力或用力以開始排尿 一 由用力排泄引起之血尿_ 一 " -" IPSS由七(7)個關於與ΒΡΗ相關之特定症狀之問題組成Do you experience the following items, and if experienced, you are affected by the following annoyances: Drip after excretion 'feeling the bladder is not completely empty after urinating' Frequent urination, especially at night " Reduce the amount of leakage caused by force (letter '- to force or force to start urination - hematuria caused by forced excretion _ a "-" IPSS consists of seven (7) questions about the specific symptoms associated with sputum

...具有弱尿流?...has weak urine flow?

最大IPSS為35(所有問題之最大級別為5)。 級別: 根本不, 118938.doc •77· 200800242 1 小於1/5之次數, 2 小於一半次數, 3 約一半次數, 4 大於一半次數, 5 幾乎總是 IPSS使用以下評定系統: °-8 輕度症狀; 9-19 中度症狀; 2G_35 嚴重症狀。 使用成對t-檢定分析該等問卷之結果。正改善定義為先 與在接受前列腺控制測試製劑之前,人類測試受檢者中: 相同參數比較時,量測BPH之身體態樣或接受前列腺控制 载製劑之測試受檢者之身體或社會活動之參數的統計顯 著差異’亦即户值;^〇.〇5。 結果及討論 人口統計 有10位文核者元成3個月之研究。其年齡為42_76歲,平 均年齡為59歲。 白天頻率 在基線時’平均白天泌尿頻率在7-12之間的範圍内變 化。在第2個月證實顯著降低(ρ<0·05)且在第3個月持續改 二…體而。,在研究結束時,頻率顯著降低。該值吁相 當於健康人之泌屎頻率。 夜尿症(夜間泌尿頻率) 118938.doc -78- 200800242 夜尿症顯著減少(P<〇 〇5)且此在 ,每晚上廁所之平均次數在1.5 在一(1)個月之治療後, 研究期間持續。在第3個月 以下。 IPSS總分 報導大於9之總IPSS(中度/嚴重症狀)之受檢者對研究而 言為合格的。該研究包含10位全部在基線時具有 水平内之㈣ss症狀計分之受檢者。The maximum IPSS is 35 (the maximum level of all problems is 5). Level: No, 118938.doc •77· 200800242 1 Less than 1/5, 2 less than half, 3 about half, 4 more than half, 5 Almost always IPSS uses the following rating system: °-8 Mild Symptoms; 9-19 Moderate symptoms; 2G_35 Severe symptoms. The results of these questionnaires were analyzed using paired t-tests. Positive improvement is defined as the physical condition of the BPH, or the physical or social activity of the test subject receiving the prostate control vehicle, in the human test subject before the preparation of the prostate control test preparation: The statistically significant difference in the parameters' is also the household value; ^〇.〇5. Results and Discussion Demographics There were 10 authors who completed the study for 3 months. His age is 42-76 years old and his average age is 59 years old. Daytime frequency At baseline, the mean daytime urinary frequency varies between 7-12. A significant decrease (ρ < 0.05) was confirmed in the second month and continued to change in the third month. At the end of the study, the frequency was significantly reduced. This value appeals to the frequency of secretion of healthy people. Nocturia (night urinary frequency) 118938.doc -78- 200800242 Nocturia is significantly reduced (P<5) and this is the average number of toilets per night at 1.5 after one (1) month of treatment, continued during the study period . In the third month or less. IPSS total scores Subjects with a total IPSS greater than 9 (moderate/severe symptoms) were eligible for the study. The study included 10 subjects who all had a (s) ss symptom score within the baseline at baseline.

在(1)個月之治療後,平均總IPSS計分略微降低,在 第2及3個月進一步顯著降低(表16)。 表16 :總IPPS計分:症狀平均值及自基線之減少%After (1) months of treatment, the mean total IPSS score decreased slightly and further decreased significantly in the 2nd and 3rd months (Table 16). Table 16: Total IPPS Score: Mean Symptoms and % Reduction from Baseline

在3個月之治療後,根據ipss將受檢者重新分類:8位參 與者為fe度的,11位為中度的且3位為嚴重的。 泌尿窘迫調查表After 3 months of treatment, the subjects were reclassified according to ipss: 8 participants were fe degrees, 11 were moderate and 3 were severe. Urinary distress survey

UDI為用以偵測老年人之煩惱之失禁的標準化疾病特定 問卷。根據症狀之"你受廣慶之衮彦”之問題評估生活品 質。此不同於詢問特定定量資料(該症狀多义發兰一次)之 IPSS 〇 如藉由UDI所評估,生活品質顯著改善。UDI中之6個問 題各自的平均煩擾級別在第1個月降低且在第2個月進一步 降低,在第3個月展示顯著結果。 結論 總之,在第3個月,前列腺相關症狀由於前列腺調配物 118938.doc -79- 200800242 而顯著減少,證實該配方適 前列腺病症,例如BPH。 方“療人類受檢者之 對膀胱(自天及㈣之頻率) 繁一彻双應為取正性的且發生在 弟個月内。尿流症狀逐漸改盖 藉由ipss所評估。尿〜強度有戶斤改變(如 實例8用於預防及治療良性前 厶♦人社— 增生之與其他組合物組 α 草樂天然治療性錠劑的臨床試驗 概要UDI is a standardized disease-specific questionnaire used to detect incontinence in the elderly. The quality of life is assessed according to the symptoms of “You are influenced by the “Guangqing Zhiyan”. This is different from the IPSS that asks for specific quantitative information (this symptom is more than one time). As assessed by UDI, the quality of life is significantly improved. UDI The average annoyance level of each of the six questions decreased in the first month and further decreased in the second month, showing significant results in the third month. Conclusion In summary, in the third month, prostate-related symptoms due to prostate formulation 118938.doc -79- 200800242 and significantly reduced, confirming that the formula is suitable for prostate conditions, such as BPH. "The human subject's bladder (from the frequency of days and (4)) should be positive and It happened in the middle of the month. The symptoms of urinary flow gradually changed and were assessed by ipss. Urine ~ strength has a change in household weight (such as Example 8 for the prevention and treatment of benign anterior 厶 ♦ human body - hyperplasia and other composition groups α grass natural therapeutic tablets clinical trial summary

進行^究以調查用於口服投藥之與其他組合物組合投與 之3草藥天然冶療性製劑(亦即前列腺控制測試製劑)在減 I良f生刖列腺增生中之有效性。前列腺控制測試製劑為調 配成膠囊之天然含草藥製劑。 物質及方法 測試製劑 根據GMP準則,藉由TGA認可之製造所(TGA2"Guidelh^s for Good Clinical Research Practices (GCRP) in Australia") 製造前列腺控制測試製劑膠囊。各膠囊含有草藥,亦即沙 梨木莖/皮萃取物及問荊莖萃取物。舉例而言,各膠囊含 有如下之乾重當量:沙梨木莖/皮萃取物(1,000 mg)及問荊 莖萃取物製劑(670 mg)。 各前列腺控制測試製劑膠囊係與15種以下組合物之至少 —種組合投與:(1)經標準化以含有約85%脂肪酸及固醇之 鋸棕櫚107 mg萃取物;(2)經標準化以含有2.5 mg植物甾醇 之非洲刺李皮100 mg ; (3)蓴麻根100 mg ; (4)經標準化以 118938.doi -80- 200800242 含有0·5 mg番茄紅素之番茄果實2·92 g ; (5)西葫蘆(南瓜種 子)種子 10 g,(6)鋅 5 mg ; (7)銅 1 mg ; (8)石西 8 ; (9)膽 I弓 化醇(維生素〇3)200 m ; (1〇)每口服劑量單位5〇叩乾重當 ϊ之維生素E ; (11)維生素B6 25 mg ; (12)維生素c濃度1〇〇 : mg ; (13)麩胺酸(如^麩胺酸)200 mg ; (14)甘胺酸200 mg ; - 及(15)丙胺酸2〇〇 mg。舉例而言,該15種組合物之一或多 .者合於岫列腺控制測試製劑膠囊中或與前列腺控制測試製 _ 劑膠囊共同投與。在共同投藥之狀況下,該15種組合物之 或夕者係在如列腺控制測試製劑膠囊投予受檢者之前或 之後投予受檢者。 研究設計 經由報紙廣告募集經歷有規律BPH症狀之男性人類受檢 者。所有男性人類受檢者均符合以下準則: (a) 在最近12個月内未經歷近期前列腺手術, (b) 未患有諸如糖尿病、心臟病、胰腺疾病、肝病或慢 _ 性發炎性病狀之任何嚴重健康病狀, (c) 當别未作精神病干擾治療, (d) 在開始研究前之最後一個月未使用任何用於BpH症 '狀之藥物,且 ; ⑷Μ究之前,纟參加衫骨盤運動以改善肌肉伸縮 性。 治療實驗方案由人類測試受檢者經12週之時期,以如上 文所列之任何其他組合,每天三次攝取1粒前列腺控制測 試製劑之膠囊組成。在開始治療(第G個月)前及其後每個月 118938.doc δ1 200800242 (第1、2及3個月),使用排尿頻率及夜尿症,國際前列腺症 狀計分(IPSS)及泌尿生殖窘迫調查表(UDI)評估治療之功 效。IPSS給出BPH之影響級別。 如下文表17中所詳述,UDI中之問題尤其與BPH症狀之 身體態樣相關。 表17 :泌尿生殖窘迫調查表 你是否經歷以下各項,且若經歷,則你受以下各項煩擾之程度: 排泄後之滴流 'A study was conducted to investigate the effectiveness of the herbal natural medicinal preparation (i.e., the prostate control test preparation) for the oral administration of the sputum for the treatment of oral administration. The prostate control test formulation is a natural herbal preparation formulated into a capsule. Materials and Methods Test Formulations Prostate Control Test Formulation Capsules were made according to GMP guidelines by TGA2"Guidelh^s for Good Clinical Research Practices (GCRP) in Australia". Each capsule contains herbs, namely stalks/skin extracts of saplings and extracts of stalks. For example, each capsule contains the following dry weight equivalents: sapwood stem/skin extract (1,000 mg) and stalk stem extract preparation (670 mg). Each of the prostate control test formulation capsules is administered in combination with at least one of the following 15 compositions: (1) 107 mg extract of Saw Palmetto standardized to contain about 85% fatty acids and sterols; (2) standardized to contain 2.5 mg phytosterols of African thorn bark 100 mg; (3) ramie root 100 mg; (4) standardized to 118938.doi-80-200800242 tomato fruit containing 0.25 mg lycopene 2.92 g; (5) Zucchini (squash seed) seeds 10 g, (6) zinc 5 mg; (7) copper 1 mg; (8) Shixi 8; (9) biliary I bowel alcohol (vitamin 〇 3) 200 m; 1〇) Each oral dose unit 5 〇叩 dry weight of vitamin E; (11) vitamin B6 25 mg; (12) vitamin C concentration 1 〇〇: mg; (13) glutamic acid (such as glutamic acid ) 200 mg; (14) glycine 200 mg; - and (15) 2 mg of alanine. For example, one or more of the 15 compositions are combined in a cohort control test formulation capsule or co-administered with a prostate control test capsule. In the case of co-administration, the 15 compositions are administered to the subject before or after the administration of the test capsule of the gland control test. Study Design A male human subject who experienced regular BPH symptoms was recruited via a newspaper advertisement. All male human subjects met the following criteria: (a) had not experienced recent prostate surgery in the last 12 months, (b) did not have symptoms such as diabetes, heart disease, pancreatic disease, liver disease or slow-inflammatory inflammatory conditions (c) when no psychiatric intervention has been treated, (d) did not use any drug for BpH symptoms in the last month prior to the start of the study, and; (4) before participating in the sacral plate Exercise to improve muscle flexibility. The therapeutic protocol consisted of a capsule of a human prostate control test formulation taken three times a day by a human test subject over a period of 12 weeks, in any other combination as set forth above. Before starting treatment (Gth month) and thereafter every month 118938.doc δ1 200800242 (1st, 2nd and 3rd months), using urination frequency and nocturia, international prostate symptom score (IPSS) and genitourinary distress The questionnaire (UDI) assesses the efficacy of the treatment. IPSS gives the impact level of BPH. As detailed in Table 17 below, the problems in UDI are particularly relevant to the physical aspects of BPH symptoms. Table 17: Urogenital Distress Survey Form Do you experience the following items, and if experienced, you are affected by the following annoyance: Drip after excretion '

排尿後感覺膀胱尚未完全排空 ~ 頻繁排尿,尤其在夜間 漏尿 由降低力引起之少量滲漏(滴) — — 竭力或用力以開始排尿 由用力排泄引起之血尿 使用成對t-檢定分析該等問卷之結果。正改善定義為統 計顯著差異,亦即p值切.05。 結果及討論 由研究參與者服用之其他組合物之概述展示於下文表18 中〇 表1 8 :由參與者服用之其他組合物之概述 鑛葉標屬 (Serenoa) 番茄紅素 胺基酸* Vit. B6 Vit. A Vit. C VitD 鋅 石西 服用其他組 合物之人數 10 10 1 7 2 4 3 10 10 N=10(研究中參與者之數目) 注意:一些參與者服用1種以上其他組合物 注意*胺基酸調配物含有以下任一者:L-麩胺酸、甘胺 酸、丙胺酸。 118938.doc -82- 200800242 人口統計 有10位受檢者完成使用具有上文所規定之任何其他組合 之前列腺控制測試製劑膠囊的3個月研究。其年齡為47_7°3 歲,平均年齡為64歲。體重在64_11〇 kg之範圍内變化,平 均體重為89·7 kg。中值身體品質指數(BMI)為28.4。大多 數(8位)受檢者分類為超重或肥胖(BMI>25),僅2位受檢者 在正常體重之限度内(BMI 19.5-24.5)。 泌尿頻率 在基線時,平均白天泌尿頻率為7·3次(範圍為弘12次)。 在一(1)個月之治療後,頻率顯著降低,自每天7·3次降低 至每天6.0次(降低19%)。(其在p<〇〇5時為顯著的)。在兩(2) 個月之治療後,該趨勢持續,平均5次排尿(或白天頻率降 低21%)。在3個月之治療後,受檢者記錄5〇次之平均每天 頻率(相當於與基線相比,頻率降低32%)。總體而言,頻 率顯著降低。 夜尿症(夜間泌尿頻率) 在基線時,平均夜間泌尿頻率為3 4次(範圍為次)。 在一(1)個月之治療後,夜尿症顯著減少(p<0 05)且其在研 究期間持續。頻率降低至每晚2·2次(降低35%,且範圍為 母晚1 5久)。該結果相似於在兩(2)個月之治療時所記錄, 平均2.4次排尿(或夜尿症降低29·4%,範圍為每晚w次)。 在3個月之治療後,進一步顯著改善,受檢者記錄平均每 晚頻率為I·1次/晚(相當於與基線相比,夜尿症降低68%, 且範圍僅為0-3次排尿/晚)。 118938.doc -83· 200800242 有5位受檢者(50%)報導大於每晚3次之頻率。研究結束 時’所有受檢者報導小於每晚3次排尿之頻率。 國際前列腺症狀計分(IPSS) 問題及級別After urinating, the bladder is not completely emptied~ Frequent urination, especially at night, leakage of urine caused by a small amount of leakage (drop) - exerting force or force to start urination by forced excretion of hematuria using paired t-test analysis The results of the questionnaire. Positive improvement is defined as a statistically significant difference, ie p-value cut.05. Results and Discussion A summary of other compositions taken by study participants is shown in Table 18 below. Table 18: Summary of other compositions taken by participants. Serenoa Lycopene Amino Acid * Vit B6 Vit. A Vit. C VitD Number of people taking other compositions in Zinc Stone 10 10 1 7 2 4 3 10 10 N=10 (Number of participants in the study) Note: Some participants take more than one other composition Note that the *amino acid formulation contains any of the following: L-glutamic acid, glycine, alanine. 118938.doc -82- 200800242 Demographics Ten subjects completed a three-month study using capsules of prostate control test formulations with any of the other combinations specified above. His age is 47_7°3 years old and his average age is 64 years old. The body weight varied from 64_11 〇 kg and the average body weight was 89·7 kg. The median body mass index (BMI) was 28.4. Most (8) subjects were classified as overweight or obese (BMI > 25), and only 2 subjects were within normal body weight (BMI 19.5-24.5). Urinary frequency At baseline, the average daytime urinary frequency was 7.3 times (range 12 times). After one (1) month of treatment, the frequency was significantly reduced from 7.3 times per day to 6.0 times per day (19% reduction). (It is significant at p<〇〇5). After two (2) months of treatment, this trend persisted with an average of 5 urinations (or a 21% reduction in daytime frequency). After 3 months of treatment, subjects recorded an average daily frequency of 5 ( (equivalent to a 32% reduction in frequency compared to baseline). Overall, the frequency is significantly reduced. Nocturia (night urinary frequency) At baseline, the mean nocturnal urinary frequency was 34 (range). After one (1) month of treatment, nocturia was significantly reduced (p < 0.05) and it persisted during the study. The frequency is reduced to 2·2 times per night (reduced by 35%, and the range is 15 hours longer than the mother). The results were similar to those recorded at two (2) months of treatment, with an average of 2.4 urinations (or a reduction in nocturia of 29.4%, ranging from w per night). After 3 months of treatment, there was a further significant improvement, with the subject recording an average nightly frequency of I·1 times/night (equivalent to a 68% reduction in nocturia compared to baseline, and a range of only 0-3 urination/ late). 118938.doc -83· 200800242 Five subjects (50%) reported a frequency greater than 3 times per night. At the end of the study, 'all subjects reported less than 3 urinations per night. International Prostate Symptom Score (IPSS) Issues and Levels

IPSS由七(7)個關於與BPH相關之特定症狀之問題組成。 …在你完成排尿後,具有未完全排空你膀胱之感覺? …在你完成排尿後,2小時内須再次排尿? …當你排尿時,停止及再次開始若干次? …發現難以推遲排尿? 5·…具有弱尿流? 6· ···必須竭力或用力以開始排尿? 7.過去一個月内,自你夜間就寢之時間直至你早上起床之 時間,你最通常起床排尿多少次? 最大IPSS為35(所有問題之最大級別為5)。 級別: 〇 根本不, 1 小於1/5之次數, 2 小於一半次數, 3 約一半次數, 4 大於一半次數, 5 幾乎總是 IPSS使用以下評定系統: 0-8 輕度症狀; 9-19 中度症狀; 118938.doc -84 - 200800242 20-35 嚴重症狀。 IPSS總分_平均值、平均降低❶ 報導灸總謂(中度/嚴重症狀)之受檢者對研究而言為 合格的。該研究包含H)位受檢者,在基線時之總刪症狀 計分在12-33之範圍内變化,平均級別為21。IPSS consists of seven (7) questions about specific symptoms associated with BPH. ...have the feeling of not completely emptying your bladder after you have finished urinating? ...after you have finished urinating, you must urinate again within 2 hours? ...when you urinate, stop and start again several times? ... found it difficult to delay urination? 5·...has weak urine flow? 6···· Must try hard or force to start urinating? 7. In the past month, how many times do you usually get up and urinate from the time you go to bed at night until the time you get up in the morning? The maximum IPSS is 35 (the maximum level of all problems is 5). Level: 〇 No, 1 is less than 1/5, 2 is less than half, 3 is about half, 4 is greater than half, 5 Almost always IPSS uses the following rating system: 0-8 mild symptoms; 9-19 Symptoms; 118938.doc -84 - 200800242 20-35 Severe symptoms. IPSS total score _ average, average reduction ❶ Subjects who reported total moxibustion (moderate/severe symptoms) were eligible for the study. The study included H) subjects who scored a total score of 12-33 at baseline with an average grade of 21.

其中’具有症狀之4位受檢者分類為具有輕度症狀(刪 9-19)且6位受檢者分類為具有嚴重症狀(11>882〇_35)。在3 個月之治療後,根據IPSS將受檢者重新分類,現在僅5位 X檢者經歷輕度症狀,3位經歷中度症狀且僅2位具有嚴重 症狀。在3個月之治療後,所有受檢者經歷症狀嚴重性之 降低。 在基線時之平均總IPSS計分為21。在一(1)個月之治療 後,其略微降低至15.3,相當於ipSS降低26·4%。在兩 個月之治療後,平均IPSS進一步降低至13·5,相當於⑺“ 降低35.1%。在三(3)個月之治療後,總ipss結果記錄為 iO.7,其相當於IPSS降低49%。在第1、2及3個月之該等改 變為顯著的(p<0.05)。 泌尿窘迫調查表 UDI為用以偵測老年人之煩惱之失禁的標準化疾病特定 問卷。根據症狀之”你受廣蘧之衮彦"之問題評估生活品 質。此不同於詢問特定定量資料(玆症欢多A發左一次)之 IPSS。 H8938.doc -85- 200800242 表19 :泌尿窘迫調查表 你是否經歷以下各項,且若經歷,則你受以下各項煩擾之程度: 1.頻繁排尿 2·由於感覺或急迫性之滲漏 3·由於活動、咳嗽、噴嚏之滲漏 4·少量滲漏(滴) — 5, 難以排空膀胱 6. 下腹部或生殖區之疼痛或不適 級別:0,無;1,輕微;2,中度;3,非常 最高計分之症狀為問題1( ··.···頻率…….···.)。其完全與 頻率日誌及IPSS有關,(其指示白天及夜間之泌尿頻率為 最常觀察到且最窘迫之症狀)。藉由頻率之平均煩擾計分 自2.4降低至(K8(自中度/嚴重煩擾降低至輕微煩擾)所展 示,存在大致改善。 Q5(..........難以排空膀胱..........)亦確定為影響生活品質 } 之窘迫症狀,平均煩擾計分為2.0。在第3個月之治療後, 在第3個月顯著降低至0.5。 受檢者藉由其(>1.5之計分)評定其他症狀(Q2、3、4、6) 為較少煩擾,儘管該等症狀亦經3個月之研究而改善。然 而,IPSS及UDI—起展示症狀減少及生活品質增加之顯著 正趨勢。 使用單一問題評估生活品質。”若你按你目前之泌尿狀 況渡過你的餘生,你對此感覺如何?" 0. 高興 1. 愉快 2. 很滿意 118938.doc -86- 200800242 3 · 混合-約相當滿意及不滿意 4. 很不滿意 5· 不兩興 6. 糟糕 在治療前之平均級別為很不滿意(級別為44,範圍為2_ 6)。在第1個月時,其略微降低(仍為很不滿意,平均值為 3.9)。在第2個月時,其進一步降低至混合(平均值為32)。 然而,在第3個月時,受檢者記錄平均值為24,其表示在 第3個月,自报滿意之改變。 當與在接受前列腺控制測試製劑前,人類測試受檢者中 之相同參數比較時,與BPH之身體態樣及接受前列腺控制 測試製劑之人類測試受檢者之身體或社會活動相關的一定 $ϋ圍之參數之正改善,證實前列腺控制測試製劑適用於預 防或冶療人類受檢者之前列腺病症,例如ΒρΗ、前列腺炎 及前列腺上皮内瘤形成。 實例9用於治療良性前列腺肥大(ΒρΗ)及用於治療與ΒρΗ相 關之膀胱過動症(ΟΑΒ)及尿失禁(IJI)之含有魚木屬、馬尾 及鋸棕櫚之草藥製劑的臨床試驗 概要 進行研究以調查含草藥治療性製劑(下文中稱為BpH製 劑或BPH測試製劑)在治療年齡介於35與8〇歲之間的男性之 與BPH相關之泌尿症狀中的有效性。BpH測試製劑為調配 成膠囊之天然含草藥製劑。各膠囊含有乾萃取物當量:沙 梨木莖/皮萃取物1.0 g、問荊(馬尾)草藥67〇 mg、鋸棕櫚果 118938.doc -87- 200800242 實1〇7§、番%果實2.92g、辞5mg及砸8μ§。 物質及方法 研究設計 在澳大利亞之布裏斯班’經由報紙廣告募 斷之祕症狀之男性(年齡在35與8〇歲之間):、:::= 合以下準則: 有人均符 ⑷其:壽命:由於先存在之惡性疾病或其他疾病 平)而嚴袼受限之人。 (b) 無近期泌尿生殖手術(< 3個月)。 (c) 未在另一調查研究中登記之患者。 w無膀胱活組織檢查/膀胱鏡檢查+活組織檢查㈣ 天),亦無慢性持續性局部病變(例>,間冑性膀胱 炎、膀胱結石) (e)當前未作精神病干擾治療,且 ⑺在開:研究前之最後一個月未使用任何用於失禁症 狀之藥物。 治療實驗方案由經12週之時期,每天3次【粒膠囊(相洛 於每天3轉梨木、2.01g問荆、32ig鑛棕櫚、8心 茄、15 mg辞及24 硒)組成。 在開始治療(第〇個月)前及其後每個月(第ι、2及3個 月),使用排尿頻率及夜尿症,國際前列腺症狀計分㈣s) 及泌尿生殖窘迫調查表(UDI)評估治療之功效。給出 BPH之影響級別。兩個問卷為標準化錢特定問卷。 UDI中之問題尤其與失禁及〇ab之身體態樣及其對生活Among them, the four subjects with symptoms were classified as having mild symptoms (deleted 9-19) and the six subjects were classified as having severe symptoms (11 > 882 〇 _35). After 3 months of treatment, subjects were reclassified according to IPSS, and now only 5 X subjects experienced mild symptoms, 3 experienced moderate symptoms and only 2 had severe symptoms. After 3 months of treatment, all subjects experienced a reduction in the severity of the symptoms. The average total IPSS score at baseline was 21. After one (1) month of treatment, it decreased slightly to 15.3, which is equivalent to a 2.6% reduction in ipSS. After two months of treatment, the average IPSS was further reduced to 13.5, which is equivalent to (7) “reduced by 35.1%. After three (3) months of treatment, the total ipss results were recorded as iO.7, which is equivalent to a reduction in IPSS. 49%. These changes were significant (p<0.05) at months 1, 2, and 3 months. Urinary Distress Survey UDI is a standardized disease-specific questionnaire used to detect incontinence in the elderly. "You are assessed by the question of the 蘧 蘧 & & & " This is different from the IPSS that asks for specific quantitative data. H8938.doc -85- 200800242 Table 19: Urinary Distress Survey Form Do you experience the following items, and if experienced, you are affected by the following: 1. Frequent urination 2. Leakage due to feeling or urgency 3 · Leakage due to activity, cough, sneezing 4 · Small amount of leakage (drop) — 5, difficult to empty the bladder 6. Pain or discomfort in the lower abdomen or genital area: 0, no; 1, slight; 2, moderate ; 3, the symptom of the very highest score is the problem 1 (······frequency.............). It is completely related to the frequency log and IPSS (which indicates that the urinary frequency during the day and night is the most commonly observed and most distressed symptom). As the average annoyance score of frequency is reduced from 2.4 to (K8 (from moderate/severe annoyance to mild annoyance), there is a general improvement. Q5(..........It is difficult to empty the bladder. .........) The average annoyance is also determined to be a distress symptom that affects quality of life. After treatment in the third month, it is significantly reduced to 0.5 in the third month. Other symptoms (Q2, 3, 4, 6) were assessed by their (>1.5 scoring) as less annoyance, although these symptoms were improved after 3 months of study. However, IPSS and UDI show up Significant positive trends in symptom reduction and quality of life. Use a single question to assess quality of life. “How do you feel if you spend the rest of your life according to your current urinary condition?" 0. Happy 1. Happy 2. Very Satisfaction 118938.doc -86- 200800242 3 · Mixing - about quite satisfactory and dissatisfied 4. Very dissatisfied 5 · not bothering 6. bad average level before treatment is very dissatisfied (level 44, range 2_ 6 At the first month, it was slightly lower (still very unsatisfactory, with an average of 3.9). At the second month, it Further reduced to mixed (average of 32). However, at the third month, the subject recorded an average of 24, which indicated that in the third month, the self-reported change was satisfied. Before the preparation, when comparing the same parameters in the human test subject, the positive parameters related to the physical condition of the BPH and the physical or social activities of the human test subject receiving the prostate control test preparation are improved. It is confirmed that the prostate control test preparation is suitable for preventing or treating prostate diseases of human subjects, such as ΒρΗ, prostatitis and prostatic intraepithelial neoplasia. Example 9 is for treating benign prostatic hypertrophy (ΒρΗ) and for treating ΒρΗ Summary of clinical trials of herbal hypertrophy (ΟΑΒ) and urinary incontinence (IJI) containing herbal preparations of genus, horsetail and saw palmetto. Studies were conducted to investigate herbal-containing therapeutic preparations (hereinafter referred to as BpH preparations or BPH test preparations). Effectiveness in the treatment of urinary symptoms associated with BPH in men between the ages of 35 and 8 years. The BpH test formulation is formulated into capsules. Contains herbal preparations. Each capsule contains dry extract equivalents: 1.0 g of stalk stem/skin extract, 67 〇mg of wattle (horsetail), saw palmetto 118938.doc -87- 200800242 实1〇7§, % fruit 2.92g, 5mg and 砸8μ§. Material and Methodology Design Designed in Brisbane, Australia's male (age between 35 and 8 years old) with the secret symptoms of newspaper advertisements:, ::: = With the following criteria: Everyone is (4) It: Life: A person who is severely restricted due to a pre-existing malignant disease or other disease. (b) No recent genitourinary surgery (<3 months). (c) Patients not registered in another study. w no bladder biopsy / cystoscopy + biopsy (d) days), no chronic persistent local lesions (eg, > intersex cystitis, bladder stones) (e) currently no psychotic interference treatment, and (7) On: No drugs for incontinence symptoms were used in the last month before the study. The therapeutic protocol consisted of 3 capsules per day, 3 capsules per day (three times a day, pear wood, 2.01g Jingjing, 32ig mine palm, 8 heartplant, 15mg words and 24 selenium). Before and after the start of treatment (the third month) and every month (the first, second and third months), the frequency of urination and nocturia, the international prostat symptom score (4) s) and the urogenital distress questionnaire (UDI) assessment The efficacy of treatment. Give the level of influence of BPH. The two questionnaires are standardized money-specific questionnaires. The problem in UDI is especially related to the physical form of incontinence and 〇ab and its life.

Il8938.doc -88- 200800242 品質之效應相關。所有問題以〇至3之等級評定(〇=不煩 擾,丨=輕度煩擾,2=中度煩擾,3=極須擾)。 使用成對t-檢定分析該等問卷之結果。正改善定義為當 與在接受前列腺控制測試製劑之前,人類測試受檢者中: 相同參數比較時’量測BPH之身體態樣歧受前列腺控制 試製劑之測試受檢者之身體或社會活動之參數的統計顯 耆差異’亦即户值$〇.〇5。 測試製劑 根據良好作業規範(Go〇d Manufacturing Practice,GMp) 準則,藉由TGA認可之製造所製造BPH測試製劑膠囊。各 膠囊含有草藥(沙梨木、問荆、鑛標櫚、番莊)及礦物(鋅及 硒)。根據 TGA之"Guidelines f0r Go〇d Clinical Re贿chIl8938.doc -88- 200800242 The effect of quality is related. All questions are rated on a scale of 3 (〇 = no annoyance, 丨 = mild annoyance, 2 = moderate annoyance, 3 = extremely disturbed). The results of these questionnaires were analyzed using paired t-tests. Positive improvement is defined as the physical or social activity of the test subject in which the body condition of the BPH is measured by the prostate control test sample when compared to the human test subject before receiving the prostate control test formulation: The statistical difference between the parameters' is also the household value $〇.〇5. Test Formulations BPH test formulation capsules were manufactured by TGA-approved manufacturing according to the Go〇d Manufacturing Practice (GMp) guidelines. Each capsule contains herbs (Salmwood, Jingjing, Mine Standard Palm, Fanzhuang) and minerals (zinc and selenium). According to TGA"Guidelines f0r Go〇d Clinical Re bribe

Practic^GCRP) in Australia”進行研究。該研究由澳大利 亞天然藥物倫理委員會學院認可。在位於布裏斯班之澳大 利亞天然藥物學院之自然療法診所進行訪問。 結果及討論 人口統計 有23位受檢者完成3個月之研究。其年齡為39_79歲,平 均年齡為63歲。體重在60_104 kg之範圍内變化,平均體重 為83.7 kg。中值身體品質指數(3]^)為26.7。Η位受檢者 分類為超重或肥胖(BMI>25),9位受檢者在正常體重之限 度内(BMI 19.5-24.5)。 統計上,年齡與症狀嚴重性之間無關聯(使用嚴重性級 別之總IPSS)。統計上,BMI與症狀嚴重性之間無關聯(使 U8938.doc •89· 200800242 用嚴重性級別之總IPSS)。 在基線時,該組之平均排尿頻率為每晚3 2次。其在第 個月顯著降低至2.4次,在第2個月為2〇次,且 為1.3次。 月 在基線時,平均白天泌尿頻率為8 7次(範圍為3_丨8次)。 在一⑴個月之治療後’頻率顯著降低,自每天8 72次降低 至每天”次(降低18.4%)。(其在p<0 05時為顯著的)。在兩Practic^GCRP) in Australia. The study was accredited by the Australian Institute of Natural Medicine Ethics Committee. The visit was conducted at the Natural Therapy Clinic of the Australian Institute of Natural Medicine in Brisbane. Results and Discussion Demographics were completed by 23 subjects. The 3-month study was 39-79 years old with an average age of 63 years. The body weight varied from 60 to 104 kg with an average body weight of 83.7 kg. The median body mass index (3)^) was 26.7. The patients were classified as overweight or obese (BMI>25), and 9 subjects were within the normal body weight limit (BMI 19.5-24.5). Statistically, there was no correlation between age and symptom severity (total IPS using severity level) Statistically, there was no association between BMI and symptom severity (to make U8938.doc •89·200800242 use the total IPSS of severity). At baseline, the average urination frequency of this group was 32 times per night. In the first month, it was significantly reduced to 2.4 times, and in the second month, it was 2 times and 1.3 times. At the baseline, the average daytime urinary frequency was 8 7 times (range 3_丨8 times). (1) After the month of treatment The frequency was significantly reduced from 8 72 times a day to a daily rate (a decrease of 18.4%). (It is significant at p<0 05). In two

⑺個月之治療後,該趨勢持續,平均6 2次排尿(或白天頻 率降低3G/。)。在3個月之治療後,受檢者記錄5 6次之平均 ,天頻率(相當於與基線相比,頻率降低35 6%)。總體而 言’頻率顯著降低。該值可比得上健康人之泌尿 20) 〇After (7) months of treatment, this trend persisted with an average of 62 urinations (or a daytime frequency reduction of 3G/.). After 3 months of treatment, the subjects recorded an average of 56 times, the frequency of the day (equivalent to a 35 percent decrease in frequency compared to baseline). Overall, the frequency is significantly reduced. This value is comparable to the urinary tract of healthy people. 20) 〇

表2〇 ·白天泌尿頻率之平均值及降低%,Table 2〇 · Average and decrease in urinary frequency during the day,

在基線時,平均夜間泌尿頻率為3.3次(範圍為1_9次)。 ()個月之冶療後,夜尿症顯著減少(ρ<0·05)且其在 研二』間持、、、κ。頻率降低至每晚24次(降低π%,且範圍 為母晚1_5幻。該結果相似於在兩⑺個月之治療時所記 錄平句2·〇 _人排尿(或夜尿症降低29%,範圍為每晚^4 -人L在3個月之治療後,進一步顯著改善,受檢者記錄平 均每晚頻率為1 ·3次/晚(相當於與基線相比,夜尿症降低 II8938.doc 200800242 61%,且範圍僅為0-3次排尿/晚)。 有5位受檢者(50%)報導大於每晚3次之頻率。在基線 時,該組之平均頻率為每晚4.5次。其在第1個月顯著降低 至2.8次,在第2個月為2.5次,且在第3個月為1.5次(表 21)〇 表21 :夜間泌尿頻率(夜尿症)之平均值及降低。/❹,n==33 夜間頻率 基線 第1個月 第2個月 第3個月 平均值 3.3 2.4 2.0 1.3 減少%(自基線) 27% 29% 61% 國際前列腺症狀計分(IPSS) 問題及級別 IPSS由七(7)個關於與BPH相關之特定症狀之問題組成。 1·…在你完成排尿後,具有未完全排空你膀胱之感覺? 2.…在你完成排尿後,2小時内須再次排尿? 3·…當你排尿時,停止及再次開始若干次? 4·…發現難以推遲排尿? 5 •…具有弱尿流? 6.…必須竭力或用力以開始排尿? 7·過去一個月内,自你夜間就寢之時間直至你早上起床之 時間,你最通常起床排尿多少次? 隶大IPSS為3 5(所有問題之最大級別為$)。 級別: 0 根本不’ 1 小於1/5之次數, 2 一半次數, 118938.doc 200800242 3 約一半次數, 4 大於一半次數, 5 幾乎總是 IPSS使用以下評定系統: 0-8 輕度症狀; 9-19 中度症狀; 20-35 嚴重症狀。 IPSS總分-平均值、平均降低% — 報導>9之總IPSS(中度/嚴重症狀)之受檢者對研究而言為 合格的。該研究包含23位受檢者,在基線時之總IPSS症狀 計分在11-33之範圍内變化,平均級別為19.1。 其中,具有症狀之14位受檢者分類為具有中度症狀 (IPSS 9-19)且9位受檢者分類為具有嚴重症狀(IPSS 20-35) 〇 在基線時之平均總IPSS計分為19.1。在一(1)個月之治療 ^ 後,其略微降低至15_8,相當於IPSS降低17.3%。在兩(2) 個月之治療後,平均IPSS進一步降低至13.9,相當於IPSS 降低27.2%。在三(3)個月之治療後,總IPSS結果記錄為 5 12.2,其相當於IPSS降低36.1%。在第1、2及3個月之該等 : 改變為顯著的(p<0.05)(表22)。 表22 :總IPPS計分:症狀平均值及自基線之減少% 受檢者 基線 第1個月 第2個月 第3個月 平均值 19.1 15.8 13.9 12.2 減少%(自基線) 17.3% 27.2% Ί 36.1% I18938.doc -92- 200800242 在3個月之治療後,根據IPSS將受檢者重新分類:8位參 與者現分類為輕度,11位為中度且3位為嚴重。 尿流 問題1-4及6尤其與尿流之態樣相關。該研究中之結果展 示’ 50%之受檢者報導該等症狀在至少5〇%之時間發生。 在第1個月,對於Q1-4及Q6而言,IPSS之平均降低為約 20°/。。在2個月之治療後,觀察到更大改善,平均降低(與 基線相比)報導為29-36%。在第3個月後,觀察到進一步顯 著改善(平均降低約45-49%)。 弱尿流 在該研究中,在基線時,該組之30%報導q5之級別為 5(幾乎總是)。(···”弱尿流"···)。另外43%給出級別3_4(一半 至大於一半次數)。此展示,大多數男性經歷秀名浚。在 第1個月之治療後,略微減少(i 〇 0/〇 ),在第2個月無進一步 改善(11%)且在第3個月,症狀平均減少15〇/〇。At baseline, the mean nocturnal urinary frequency was 3.3 (range 1-9). After () months of treatment, nocturia was significantly reduced (ρ < 0. 05) and it was held between the two, κ. The frequency was reduced to 24 times per night (decreased π%, and the range was 1_5 illusion for maternal night. The result was similar to that recorded at the time of treatment for two (7) months. 2 〇 _ urination of people (or nocturia decreased by 29%, range For the nightly ^4 - person L after 3 months of treatment, further significant improvement, the subject recorded an average frequency of 1 / 3 times / night (equivalent to a reduction in nocturia compared with baseline II8938.doc 200800242 61 %, and the range is only 0-3 urination/night.) Five subjects (50%) reported a frequency greater than 3 times per night. At baseline, the average frequency of the group was 4.5 times per night. Significantly reduced to 2.8 in the first month, 2.5 in the second month, and 1.5 in the third month (Table 21). Table 21: Mean and decrease in nocturnal urinary frequency (nocturia). ❹,n==33 Night frequency baseline 1st month 2nd month 3rd month average 3.3 2.4 2.0 1.3 Reduction % (from baseline) 27% 29% 61% International Prostate Symptom Score (IPSS) Issues and Levels IPSS consists of seven (7) questions about specific symptoms associated with BPH. 1... After you have finished urinating, have your bladder not completely emptied Feeling? 2.... After you have finished urinating, you must urinate again within 2 hours? 3... When you urinate, stop and start again several times? 4... Found it difficult to delay urination? 5 •...has weak urine flow? 6 .... Must try hard or force to start urinating? 7. In the past month, how many times do you usually get up and urinate from the time you go to bed at night until you get up in the morning? Lida IPSS is 3 5 (the biggest level of all problems) For $) Level: 0 Not at all '1 less than 1/5 times, 2 half times, 118938.doc 200800242 3 About half the number of times, 4 More than half the number of times, 5 Almost always IPSS uses the following rating system: 0-8 Light Symptoms; 9-19 Moderate Symptoms; 20-35 Severe Symptoms. IPSS Total Score - Mean, Mean Reduction % - Reported > 9% of total IPSS (moderate / severe symptoms) for the study Qualified. The study included 23 subjects with a total IPSS symptom score at baseline ranging from 11-33, with an average of 19.1. Among them, 14 subjects with symptoms were classified as moderate. Symptoms (IPSS 9-19) and classification of 9 subjects For a severe symptom (IPSS 20-35), the average total IPSS score at baseline was 19.1. After one (1) month of treatment, it was slightly reduced to 15_8, which is equivalent to a 17.3% reduction in IPSS. After 2 months of treatment, the average IPSS was further reduced to 13.9, which is equivalent to a 27.2% reduction in IPSS. After three (3) months of treatment, the total IPSS results were recorded as 5 12.2, which is equivalent to a 36.1% reduction in IPSS. These were changed during the first, second and third months: significant (p < 0.05) (Table 22). Table 22: Total IPPS Score: Mean Symptoms and Reduction from Baseline % Baseline of the first month of the first month of the first month of the subject. 19.1 15.8 13.9 12.2 % reduction (from baseline) 17.3% 27.2% Ί 36.1% I18938.doc -92- 200800242 After 3 months of treatment, subjects were reclassified according to IPSS: 8 participants were now classified as mild, 11 were moderate and 3 were severe. Urine flow problems 1-4 and 6 are particularly relevant to the pattern of urinary flow. The results in this study show that '50% of the subjects reported that the symptoms occurred at least 5% of the time. In the first month, for Q1-4 and Q6, the average reduction in IPSS was about 20°/. . A greater improvement was observed after 2 months of treatment and the mean reduction (compared to baseline) was reported to be 29-36%. After the third month, a further significant improvement was observed (average reduction of about 45-49%). Weak urinary flow In this study, at baseline, 30% of the group reported a level of q5 of 5 (almost always). (···” weak urine flow"···). Another 43% gives level 3_4 (half to more than half the number). This show, most men experience the show name. After the first month of treatment, Slightly reduced (i 〇 0 / 〇), no further improvement in the second month (11%) and in the third month, the symptoms decreased by an average of 15 〇 / 〇.

泌尿箸迫調查表 如藉由UDI所評估,生活品質顯著改善。在生活品質 題中,存在自很不滿意至相t滿意/报滿# 成研究時’ 33位受檢者中之29位(88%)希望繼續治療。u 為用以偵測老年人之煩惱之失禁的標準化疾病特定問卷 根據症狀之"料之以"之問題評估生活品質。 此不同於詢問特定定量資料(玆症欢多Λ發差一次) IPSS 〇 H8938.doc -93- 200800242 表23 :泌尿窘迫調查表 ΐ尔是否經歷以下各項,且若經歷,則你受以下各項煩擾之程度:~~ 1.頻繁排尿 2·由於感覺或急迫性之滲漏 3·由於活動、咳漱、喷嚏之滲漏_ 4. 少量滲漏(滴) — 5. 難以排空膀胱 6·下腹部或生殖區之疼痛或不適 級別:〇,無;1,輕微;2,中度;3,非常 最高計分之症狀為問題1(……頻率...............)。其完全與 頻率曰誌及IPSS相關,(其指示白天及夜間之泌尿頻率為 最常觀察到且最窘迫之症狀)。藉由平均煩擾計分降低 32%(自中度/嚴重煩擾降低至輕微煩擾)所展示,存在大致 改善。 Q5(.·............難以排空膀胱............)亦確定為影響生活品質 之窘迫症狀,平均煩擾計分為1 · 6。在第3個月之治療後, 在第3個月顯著降低至0.48(表示降低70%)。 受檢者藉由其(計分為1或更少)評定其他症狀(Q2、3、 4、6)為較少煩擾,儘管該等症狀亦經3個月之研究而改 善。然而,IPSS及UDI—起展示症狀減少及生活品質增加 之顯著正趨勢。 使用單一問題評估生活品質。’1若你按你目前之泌尿狀 況渡過你的餘生,你對此感覺如何?" 0. 高興 1. 愉快 2. 很滿意 118938.doc -94- 200800242 3. 混合-約相當滿意及不滿意 4. 很不滿意 5. 不高興 6. 糟糕 在治療前之平均級別為3.95(範圍為2-5)。在第1個月, 其略微降低(平均值3.4,範圍為1-5)。在第2個月,其未顯 '著改變(平均值3.2,範圍為0-5)。然而,在第3個月,受檢 者記錄平均值為2.9,範圍為0-5。總體而言,此表示在第3 — 個月’自很不滿意至相當滿意/很滿意之改變。 結論 總之,在第3個月,由於前列腺調配物,症狀顯著減 少。對膀胱(白天及夜間之頻率)之效應為最正性的且發生 在第一個月内。尿流症狀逐漸改善且尿流強度發生改變。 等效者 雖;、、、:本發明已結合其特定實施例進行描述,但是應瞭解 ❿ 其能進一步修正。此外,本申請案意欲涵蓋在本發明附屬 之技術中的已知或習用實踐範圍内及落在附加申請專利範 範可内,包含$亥專自本揭示案之偏離之本發明的任何 變化、用途或修改。 【圖式簡單說明】 圖1為展示在臨床評估以草藥為主之乳膏治療尿失禁期 間,"極煩擾"回答之百分比之直方圖。 圖2為展示在臨床評估以草藥為主之錠劑治療尿失禁期 間,"極煩擾,,回答之百分比之直方圖。 118938.doc -95- 200800242 圖3為展示在臨床評估以草藥為主之錠劑治療尿失禁期 間,"極煩擾”回答之百分比之直方圖。 圖4-圖11為展示在臨床評估以草藥為主之錠劑治療尿失 禁及膀胱過動症期間,”煩擾”回答之百分比之直方圖。 圖12為展示在3個月之各種以草藥為主之疑劑治療後, 經歷尿失禁及膀胱過動症之症狀之人的減少百分比之直方 圖。 118938.doc -96-Urinary Distress Survey Form The quality of life has improved significantly as assessed by UDI. In the quality of life problem, there is self-satisfaction to the satisfaction of the t-satisfaction / report full # into the research period 29 of the 33 subjects (88%) hope to continue treatment. u is a standardized disease-specific questionnaire for detecting incontinence of the elderly's troubles. The quality of life is assessed based on the symptom" This is different from asking for specific quantitative information (IPSS 〇H8938.doc -93- 200800242) Table 23: Urinary distress survey table Muir experienced the following items, and if experienced, you are subject to the following The degree of annoyance: ~~ 1. Frequent urination 2. Leakage due to feeling or urgency 3. Leakage due to activity, cough, sneezing _ 4. Small amount of leakage (drop) — 5. Difficult to empty bladder 6 • Pain or discomfort level in the lower abdomen or genital area: 〇, none; 1, slight; 2, moderate; 3, the symptom of the highest scoring is question 1 (...frequency.......... .....). It is completely related to frequency and IPSS (which indicates that urinary frequency during the day and night is the most commonly observed and most distressed symptom). A significant improvement is shown by a 32% reduction in average annoyance scores (from moderate/severe annoyance to mild annoyance). Q5 (.·............It is difficult to empty the bladder............) It is also determined to be a distressing symptom that affects the quality of life, and the average annoyance is divided into 1 · 6. After the third month of treatment, it decreased significantly to 0.48 in the third month (indicating a 70% reduction). The subject assessed that other symptoms (Q2, 3, 4, 6) were less annoyed by their (score 1 or less), although the symptoms were improved after 3 months of study. However, IPSS and UDI are showing a significant positive trend in reducing symptoms and increasing quality of life. Use a single question to assess quality of life. ‘1 How do you feel if you spend the rest of your life according to your current urinary condition? " 0. Happy 1. Happy 2. Very satisfied 118938.doc -94- 200800242 3. Mixed - about quite satisfactory and dissatisfied 4. Very dissatisfied 5. Unhappy 6. Oops before the treatment average level is 3.95 ( The range is 2-5). In the first month, it was slightly reduced (average 3.4, range 1-5). In the second month, it did not change significantly (mean 3.2, range 0-5). However, in the third month, the subject recorded an average of 2.9 with a range of 0-5. Overall, this represents a change from very dissatisfied to quite satisfactory/very satisfied in the 3rd month. Conclusion In summary, at the 3rd month, symptoms were significantly reduced due to the prostate formulation. The effect on the bladder (the frequency of day and night) is most positive and occurs within the first month. The symptoms of urinary flow gradually improve and the intensity of urinary flow changes. Equivalents; , , : The invention has been described in connection with its specific embodiments, but it should be understood that it can be further modified. In addition, the application is intended to cover any variations of the invention, which are included in the scope of the invention, Use or modify. [Simplified Schematic] Figure 1 is a histogram showing the percentage of "very annoying" in the clinical evaluation of herbal-based creams for urinary incontinence. Figure 2 is a histogram showing the percentage of the answer to the extreme annoyance during the clinical evaluation of herbal-based lozenges for urinary incontinence. 118938.doc -95- 200800242 Figure 3 is a histogram showing the percentage of "very annoying" responses during the clinical evaluation of herbal-based lozenges for urinary incontinence. Figure 4-11 shows the clinical evaluation of herbs The histogram of the percentage of the answer to the "annoyance" during the treatment of urinary incontinence and overactive bladder. Figure 12 shows the experience of urinary incontinence and bladder after 3 months of treatment with various herbal-based suspects. A histogram of the percentage reduction in people with symptoms of hyperactivity. 118938.doc -96-

Claims (1)

200800242 十、申請專利範圍: 1 · 一種草藥組合物作為藥劑之用途,該草藥組合物包含: 至少約l,〇〇〇 mg之沙梨木(CraievG 莖/皮製劑及 至少約670 mg之標準化問荊(^心以謂莖萃取 物’其中該藥劑適用於治療個體前列腺病症之症狀。 • 2.如请求項1之用途,其中該含草藥組合物係調配於乾傳 : 遞系統中。 3.如請求項1之用途,其中該含草藥組合物係調配於液體 φ 傳遞系統中。 4·如請求項1之用途,其中該含草藥組合物係調配於受控 釋放媒劑中。 5·如請求項1之用途,其中該草藥組合物係調配為選自由 以下各者組成之群之口服劑量單位:錠劑;乾粉;膠 囊;及囊片。 6·如請求項1-5中任一項之用途,其中該含草藥組合物進一 步包含至少一種選自由以下各物組成之群之化合物: _ (a)以每口服劑量單位中經標準化而含有約85%脂肪酸 及固醇之至少約1〇7 mg萃取物之濃度存在的鋸棕櫚 : repens/serrw/aia ; Saw palmetto)浆果製 劑; , (b)以每口服劑量單位中經標準化而含有2.5 mg植物留 醇之至少約1〇〇 mg乾重之濃度存在的非洲刺李 (Pygeum africanum) ^ % ί (C)以每口服劑量單位至少約100 mg萃取物之濃度存在 118938.doc 200800242 ⑷ 之蓴麻dzWea ; stinging nettles)根製劑; 濃度為每σ服劑量單位中經標準化而含有0.1 mg番 茄紅素(Lycopene)之至少約333 mg之番茄 {Lycopersicon esculentum ·,tomato)果實·, ⑷ 以每口服劑量單位至少約10 g乾重之濃度存在之西 葫蘆(CwrewHiap印6〇(南瓜種子)種子製劑; : ⑴ 濃度為每口服劑量單位至少約3 mg乾重當量之鋅; (g) 濃度為每口服劑量單位至少約1 mg乾重當量之銅; • (h) 濃度為每口服劑量單位至少約5 乾重當量之硒; (i) 濃度為每口服劑量單位至少約200 IU乾重當量之膽 鈣化醇(維生素D3); (j) 濃度為每口服劑量單位至少約50 IU乾重當量之維生 素E ; (k) 濃度為每口服劑量單位至少約25 mg乾重當量之維 生素B6 ; (1) • 濃度為每口服劑量單位至少約100 mg乾重當量之維 生素C ; (m)濃度為每口服劑量單位至少約200 mg乾重當量之麩 : ⑻ 胺酸(如1-麩胺酸); 濃度為每口服劑量單位至少約200 mg乾重當量之甘 胺酸;及 (〇) 濃度為每口服劑量單位至少約200 mg乾重當量之丙 胺酸。 如請求項1-5中任一項之用途,其中該組合物係與包含至 II8938.doc 200800242 少-種選自由以下各物組成之群之化合物的第二組合物 共同投與: ⑷以每口服劑量單位中經標準化而含有約85%脂肪酸 及固醇之至少約107 mg萃取物之濃度存在的鋸棕櫚 襞果製劑; (b)以每口服劑量單位中經標準化而含有2.5叫植物崔 醇之至少約100 mg乾重之濃度存在的非洲刺李皮製 劑; (C)以母口服劑量單位至少約1〇〇 萃取物之濃度存在 之蓴麻根製劑; ⑷濃度為每口服劑量單位中經標準化而含有01mg番 茄紅素之至少約333 mg之番茄果實; k) 2每口服劑量單位至少約1〇g乾重之濃度存在之西 葫蘆(南瓜種子)種子製劑; (0濃度為每口服劑量單位至少約3 mg乾重當量之辞,· (g)濃度為每口服劑量單位至少約lmg乾重當量之銅; ⑻濃度為每口服劑量單位至少約5叫乾重當量之石西; (0浪度為每口服劑量單位至少約200 IU乾重當量之膽 鈣化醇(維生素D3); ⑴濃度為每口服劑量單位至少約50111乾重當量之維生 素Ε ; 〇〇濃度為每口服劑量單位至少約25111§乾重當量之維 生素Β6 ; ⑴濃度為每口服劑量單位至少約100 mg乾重當量之維 118938.doc 200800242 生素c ; (m) 濃度為每口服劑量單位至少約200 mg乾重當量之麩 胺酸(如1-麩胺酸); (n) >辰度為每口服劑量單位至少約20〇 mg乾重當量之甘 ^ 胺酸;及 (〇) >辰度為每口服劑量單位至少約2〇〇 mg乾重當量之丙 胺隨。 8·如清求項7之用途,其中該組合物係與該第二組合物同 ® 時投予該受檢者。 9·如清求項7之用途,其中該組合物係在該第二組合物投 予該受檢者之前投予該受檢者。 1〇·如睛求項7之用途,其中該組合物係在該第二組合物投 予该雙檢者之後投予該受檢者。 11·一種含草藥組合物,其包含: (a) 以每口服劑量單位至少約ιοοο mg乾重當量之濃度 _ 存在之沙梨木莖/皮製劑; (b) 以每口服劑量單位至少約1,500 mg乾重當量之濃度 存在之標準化問莉莖萃取物製劑; • (c)至少一種選自由以下各物組成之群之化合物: " (1)以每口服劑量單位中經標準化而含有约85%脂 肪酸及固醇之至少約丨07 mg萃取物之濃度存在 的鑛棕櫚漿果製劑; (11)以每口服劑量單位中經標準化而含有2.5 mg植 物留醇之至少約100纽§乾重之濃度存在的非洲 118938.doc 200800242 刺李皮製劑; (iii) 以每口服劑量單位至少約1〇〇 mg萃取物之濃度 存在之蓴麻根製劑; (iv) 濃度為每口服劑量單位中經標準化而含有〇. i mg番茄紅素之至少約333 mg之番茄果實; (v) 以每口服劑量單位至少約10 g乾重之濃度存在 •之西葫蘆(南瓜種子)種子製劑; (vi) 濃度為每口服劑量單位至少約1 mg乾重當量之 ⑩ 鋅; (vii) 濃度為每口服劑量單位至少約1 mg乾重當量之 銅; (viii) 濃度為每口服劑量單位至少約5 pg乾重當量 之砸; (ix) 濃度為每口服劑量單位至少約200 IU乾重當量 之膽鈣化醇(維生素D3); (X) 濃度為每口服劑量單位至少約50 IU乾重當| φ 之維生素E ; (xi)濃度為每口服劑量單位至少約25 mg乾重當量 : 之維生素B6; ; (χϋ)濃度為每口服劑量單位至少約100 mg乾重當量 之維生素C ; (xiii) 濃度為每口服劑量單位至少約200 mg乾重當量 之麩胺酸(如1-鼓胺酸); (xiv) 濃度為每口服劑量單位至少約200 mg乾重當量 118938.doc 200800242 之甘胺酸;及 (XV)濃度為每口服劑量單位至少約2〇〇❿义乾重當量 之丙胺酸。 12· —種含草藥組合物,其包含: (a) 以每口服劑量單位1,000 ^^乾重當量之濃度存在之 沙梨木莖/皮製劑; : (b) 以每口服劑量單位670 mg乾重當量之濃度存在之標 準化問荊莖萃取物製劑; • (〇) 以每口服劑量單位107 mg萃取物之濃度存在之鋸棕 櫚漿果製劑; ⑷ 濃度為每口服劑量單位中經標準化而含有〇 5番 祐紅素之2.92g之番茄果實; (e) 展度為每口服劑量單位5 mg乾重當量之辞;及 (0 濃度為每口服劑量單位8叫乾重當量之砸。 118938.doc200800242 X. Patent application scope: 1 · The use of a herbal composition as a medicament, the herbal composition comprising: at least about 1, 〇〇〇mg of sapwood (CraievG stem/skin preparation and at least about 670 mg of standardization (^心心状茎提取物' wherein the agent is suitable for treating a symptom of a prostate condition in an individual. 2. 2. The use of claim 1, wherein the herb-containing composition is formulated in a dry delivery system: 3. The use of claim 1, wherein the herb-containing composition is formulated in a liquid φ delivery system. 4. The use of claim 1, wherein the herb-containing composition is formulated in a controlled release vehicle. The use of item 1, wherein the herbal composition is formulated as an oral dosage unit selected from the group consisting of: a lozenge; a dry powder; a capsule; and a caplet. 6. The claim 1-5 Use, wherein the herb-containing composition further comprises at least one compound selected from the group consisting of: _ (a) at least 85% of the fatty acid and sterol are normalized per oral dosage unit. Saw palmetto present in the concentration of 1〇7 mg extract: repens/serrw/aia; Saw palmetto) berry preparation; (b) at least about 1 含有 containing 2.5 mg of phytosterol in each oral dosage unit. Pygeum africanum (%) in the presence of a dry weight of mg is present in a concentration of at least about 100 mg of extract per oral dosage unit. 118938.doc 200800242 (4) of castor dzWea; stinging nettles) root preparation; The concentration is at least about 333 mg of tomato (Lycopersicon esculentum, tomato), which is standardized to contain 0.1 mg of Lycopene per gram of dosage unit, and (4) at least about 10 g dry weight per oral dosage unit. A concentration of zucchini (CwrewHiap India 6) (pumpkin seed) seed preparation; (1) a concentration of at least about 3 mg dry weight equivalent of zinc per oral dosage unit; (g) a concentration of at least about 1 mg dry weight equivalent per oral dosage unit Copper; • (h) a concentration of at least about 5 dry weight equivalents of selenium per oral dosage unit; (i) a concentration of at least about 200 IU dry weight equivalent of cholecalciferol (vitamin D3) per oral dosage unit; (j) a concentration of at least about 50 IU dry weight equivalent of vitamin E per oral dosage unit; (k) a concentration of at least about 25 mg dry weight equivalent of vitamin B6 per oral dosage unit; (1) • concentration per oral dosage unit At least about 100 mg dry weight equivalent of vitamin C; (m) a concentration of at least about 200 mg dry weight equivalent of bran per oral dosage unit: (8) aminic acid (eg, 1-glutamic acid); concentration of at least about about every oral dosage unit 200 mg dry weight equivalent of glycine; and (〇) concentration of at least about 200 mg dry weight equivalent of alanine per oral dosage unit. The use of any one of claims 1 to 5, wherein the composition is co-administered with a second composition comprising a compound selected from the group consisting of: II8938.doc 200800242, selected from the group consisting of: (4) per A saw palmetto fruit preparation in a concentration of at least about 107 mg of an extract containing about 85% fatty acid and sterol in an oral dosage unit; (b) 2.5 standard phytochemicals per oral dosage unit An African thorn skin preparation present at a concentration of at least about 100 mg dry weight; (C) a ricin root preparation in a concentration of at least about 1 〇〇 of the extract in a parent oral dosage unit; (4) a concentration per oral dosage unit a tomato fruit standardized to contain at least about 333 mg of 01 mg lycopene; k) 2 a zucchini (pumpkin seed) seed preparation present at a concentration of at least about 1 g dry weight per oral dosage unit; (0 concentration per oral dosage unit) At least about 3 mg dry weight equivalent, (g) a concentration of at least about 1 mg dry weight equivalent of copper per oral dosage unit; (8) a concentration of at least about 5 dry weight equivalents per oral dosage unit; The degree is at least about 200 IU dry weight equivalent of cholecalciferol (vitamin D3) per oral dosage unit; (1) at a concentration of at least about 50111 dry weight equivalents of vitamin 每 per oral dosage unit; 〇〇 concentration is at least about 25111 per oral dosage unit § dry weight equivalent of vitamin Β6; (1) concentration of at least about 100 mg dry weight equivalent per oral dosage unit 118938.doc 200800242 biotin c; (m) concentration of at least about 200 mg dry weight equivalent of bran per oral dosage unit Aminic acid (such as 1-glutamic acid); (n) > Chen is at least about 20 mg dry weight equivalent of glycine per oral dosage unit; and (〇) > At least about 2 mg dry weight equivalents of propylamine according to the use of claim 7, wherein the composition is administered to the subject when the second composition is the same as the second composition. 7. The use of the composition, wherein the composition is administered to the subject before the second composition is administered to the subject. 1) The use of the item 7, wherein the composition is in the second combination The subject is administered to the examinee and then administered to the subject. And comprising: (a) a concentration of at least about ιοοο mg dry weight equivalent per oral dosage unit _ existing sorbitol stem/skin preparation; (b) at least about 1,500 mg dry weight equivalent per oral dosage unit a standardized stem extract preparation in the presence of a concentration; • (c) at least one compound selected from the group consisting of: " (1) normalized to about 85% fatty acid and sterol per oral dosage unit a mineral palm berry preparation at a concentration of at least about mg07 mg of the extract; (11) Africa at a concentration of at least about 100 § dry weight of each of the orally administered dosage units containing 2.5 mg of phytosterol. Doc 200800242 thorn skin preparation; (iii) ramie root preparation in the concentration of at least about 1 〇〇 mg of extract per oral dosage unit; (iv) concentration is standardized for each oral dosage unit containing 〇. i mg Tomato fruit of at least about 333 mg of lycopene; (v) zucchini (squash seed) seed preparation in a concentration of at least about 10 g dry weight per oral dosage unit; (vi) concentration per oral dose At least about 1 mg dry weight equivalent of 10 zinc; (vii) a concentration of at least about 1 mg dry weight equivalent of copper per oral dosage unit; (viii) a concentration of at least about 5 pg dry weight equivalent per oral dosage unit; (ix) a concentration of at least about 200 IU dry weight equivalent of cholecalciferol (vitamin D3) per oral dosage unit; (X) a concentration of at least about 50 IU dry weight per oral dosage unit when | φ of vitamin E; (xi) The concentration is at least about 25 mg dry weight equivalent per oral dosage unit: vitamin B6; (χϋ) concentration is at least about 100 mg dry weight equivalent of vitamin C per oral dosage unit; (xiii) concentration is at least about every oral dosage unit 200 mg dry weight equivalent of glutamic acid (eg 1-prostine); (xiv) concentration of at least about 200 mg dry weight equivalent per oral dosage unit 118938.doc 200800242 of glycine; and (XV) concentration per The oral dosage unit is at least about 2 〇〇❿ dry weight equivalent of alanine. 12. A herb-containing composition comprising: (a) a stalk/skin preparation of sorbet present at a concentration of 1,000 ^ dry weight equivalent per oral dosage unit; : (b) 670 mg per oral dosage unit Standardized stem extract preparation in the presence of dry weight equivalent; • (〇) saw palmetto berry preparation in the concentration of 107 mg of extract per oral dose; (4) Concentration is standardized for each oral dosage unit 5 2. 2g of tomato fruit; (e) Spread is 5 mg dry weight equivalent per oral dose unit; and (0 concentration is 8 dry weight equivalents per oral dose unit. 118938.doc
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