TW202308675A - Traditional chinese medicine composition, and preparation method therefor and use thereof - Google Patents

Traditional chinese medicine composition, and preparation method therefor and use thereof Download PDF

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TW202308675A
TW202308675A TW111132000A TW111132000A TW202308675A TW 202308675 A TW202308675 A TW 202308675A TW 111132000 A TW111132000 A TW 111132000A TW 111132000 A TW111132000 A TW 111132000A TW 202308675 A TW202308675 A TW 202308675A
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解渤
任雪峰
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Abstract

Disclosed are a traditional Chinese medicine composition, and a preparation method therefor and the use thereof. The traditional Chinese medicine composition comprises the following bulk drugs in parts by weight: 5-35 parts of Bupleuri radix, 5-30 parts of Aurantii fructus immaturus, 5-20 parts of raw Rhei radix et rhizoma, 1-20 parts of Scutellariae radix, 3-20 parts of Paeoniae radix alba, 3-20 parts of Zingiberis rhizoma, 3-25 parts of Hirudo, 3-20 parts of Glycyrrhizae radix et rhizoma, 3-20 parts of Codonopsis radix, 3-20 parts of Atractylodis macrocephalae rhizoma, and 3-45 parts of raw Ostreae concha. The traditional Chinese medicine composition has good effects of preventing or treating atherosclerotic plaque formation, ischemic heart-brain disease, blood fat increase, and triglyceride increase.

Description

中藥組合物及其製備方法和應用Traditional Chinese medicine composition and its preparation method and application

本發明屬於中藥領域,涉及一種中藥組合物及其製備方法和該中藥組合物在製備用於預防或治療動脈粥狀斑塊形成、缺血性心臟病、血脂升高、三酸甘油酯升高的藥物中的應用。The invention belongs to the field of traditional Chinese medicine, and relates to a traditional Chinese medicine composition and a preparation method thereof, and the preparation of the traditional Chinese medicine composition for preventing or treating atherosclerotic plaque formation, ischemic heart disease, elevated blood lipids, and elevated triglycerides application in medicines.

動脈粥狀斑塊形成和硬化(atherosclerosis,AS)是冠心病、心梗、腦梗、缺血性心臟病和外周血管病的主要原因。動脈粥狀斑塊的形成機制複雜,牽扯的因素非常多,包括脂質代謝障礙,心臟平滑肌的損傷,膠原纖維增生,炎性因子聚集等等。因此斑塊形成和硬化是一個多機制,長期病變發展的結果。現有資料表明,動脈粥狀斑塊的形成從動脈內膜損傷開始,一般先有脂質和複合糖類積聚、出血,進而纖維組織增生沉著,並有動脈中層的逐漸蛻變和鈣化,導致動脈壁增厚變硬、血管腔狹窄。頸動脈粥狀硬化斑塊的成分主要有:⑴ 緻密結締組織纖維帽,主要由細胞外基質(extracellular matrix,ECM)組成,尤其是膠原纖維;⑵ 脂質核心,由脂質巨噬細胞、平滑肌細胞和ECM組成;⑶ 外膜和斑塊內的新生血管。其特點是受累病變常累及大中肌性動脈,一旦發展到足以阻塞動脈腔,則該動脈所供應的組織或器官將缺血或壞死。由於在動脈內膜積聚的脂質外觀呈黃色粥狀,因此稱為動脈粥狀硬化斑塊。Atherosclerosis (AS) is the main cause of coronary heart disease, myocardial infarction, cerebral infarction, ischemic heart disease and peripheral vascular disease. The formation mechanism of atherosclerotic plaque is complex and involves many factors, including lipid metabolism disorder, damage to cardiac smooth muscle, collagen fiber proliferation, inflammatory factor accumulation and so on. Plaque formation and sclerosis is thus a multi-mechanism, result of long-term lesion development. Existing data show that the formation of atherosclerotic plaque begins with the injury of the arterial intima, usually with the accumulation of lipids and complex sugars, bleeding, and then fibrous tissue hyperplasia and deposition, and the gradual degeneration and calcification of the arterial media, resulting in thickening of the arterial wall Hardening, stenosis of blood vessels. The main components of carotid atherosclerotic plaques are: (1) dense connective tissue fibrous cap, mainly composed of extracellular matrix (ECM), especially collagen fibers; (2) lipid core, composed of lipid macrophages, smooth muscle cells and ECM composition; (3) Adventitia and neovascularization in plaque. Its characteristic is that the involved lesions often involve large and medium muscular arteries, and once they develop enough to block the arterial lumen, the tissues or organs supplied by the arteries will be ischemic or necrotic. Atherosclerotic plaques are called atherosclerotic plaques because of the yellow porridge-like appearance of lipids that accumulate in the inner lining of arteries.

衛生部《2016年中國衛生統計提要》中顯示,中國人死亡原因中,約30%死於心腦血管病,而這些心腦血管病患者,絕大多數死於動脈粥狀斑塊形成導致的心腦血管疾病。中國心血管健康與疾病報告編寫組在中國循環雜誌《中國心血管健康與疾病報告2019摘要》中報告,中國心血管病患病率處於持續上升階段。推算心血管病現患人數3.30億,每5例死亡,就有2例死於心腦血管病。動脈粥狀硬化性心腦血管疾病因此被稱為人類 “頭號殺手”,是影響我國人群健康的首位致病原因。The Ministry of Health's "2016 China Health Statistical Summary" shows that about 30% of the causes of death in China are due to cardiovascular and cerebrovascular diseases, and the vast majority of these patients with cardiovascular and cerebrovascular diseases die from the formation of atherosclerotic plaques. Cardiovascular disease. The China Cardiovascular Health and Disease Report Writing Group reported in the China Circulation Magazine "China Cardiovascular Health and Disease Report 2019 Summary" that the prevalence of cardiovascular disease in China is in a continuous rising stage. It is estimated that the number of patients with cardiovascular diseases is 330 million, and for every 5 deaths, 2 cases will die from cardiovascular and cerebrovascular diseases. Atherosclerotic cardiovascular and cerebrovascular diseases are therefore known as the "number one killer" of human beings, and are the first cause of disease affecting the health of the Chinese population.

在世界許多國家,特別是發達國家,動脈粥狀硬化性心腦血管疾病也是導致死亡的首位原因。其中,動脈粥狀硬化導致冠狀動脈心肌梗死和腦中風占主要比例。到2035年,美國預計有超過1.3億成年人(45.1%)會患有某種心血管疾病,心血管疾病的總花費將高達1.1萬億美元。In many countries in the world, especially developed countries, atherosclerotic cardiovascular and cerebrovascular diseases are also the number one cause of death. Among them, atherosclerosis leads to coronary myocardial infarction and stroke account for the main proportion. By 2035, more than 130 million adults (45.1%) in the United States are projected to have some form of cardiovascular disease, and the total cost of cardiovascular disease will be as high as $1.1 trillion.

一般認為,血脂代謝異常、高血脂在動脈粥狀斑塊形成中具有重要作用,是核心病變基礎之一。血脂是血液中各種脂類物質的總稱,其中最重要的是膽固醇和三酸甘油酯,三酸甘油酯也稱中性脂肪,其它重要脂類還包括脂蛋白,其中又包括低密度脂蛋白和高密度脂蛋白。健康人的平均血膽固醇含量在2.8~5.17mmol/L之間,平均血三酸甘油酯含量在0.56~1.7mmol/L之間。無論是膽固醇含量增高,還是三酸甘油酯的含量增高,或是兩者皆增高,均統稱為高脂血症。It is generally believed that abnormal blood lipid metabolism and hyperlipidemia play an important role in the formation of atherosclerotic plaques and are one of the core lesions. Blood lipid is the general term for various lipids in the blood, the most important of which are cholesterol and triglycerides, triglycerides are also called neutral fats, and other important lipids include lipoproteins, including low-density lipoproteins and HDL. The average blood cholesterol content of healthy people is between 2.8-5.17mmol/L, and the average blood triglyceride content is between 0.56-1.7mmol/L. Whether it is an increase in cholesterol content, an increase in triglyceride content, or an increase in both, it is collectively referred to as hyperlipidemia.

國家衛生與計劃生育委員會2019年發佈的《中國心血管健康與疾病報告2019》顯示,4億國人血脂異常,患病率達40.40%,其中高膽固醇血症患病率4.9%,高三酸甘油酯血症的患病率13.1%, 患病率水平呈現逐年增加的趨勢。這對我國治療血脂異常,降低動脈粥狀斑塊形成風險工作提出嚴峻的挑戰。The "China Cardiovascular Health and Disease Report 2019" released by the National Health and Family Planning Commission in 2019 shows that 400 million Chinese people have dyslipidemia, with a prevalence rate of 40.40%, of which the prevalence rate of hypercholesterolemia is 4.9%, and high triglycerides The prevalence of hyperemia was 13.1%, and the prevalence level showed a trend of increasing year by year. This poses a severe challenge to the treatment of dyslipidemia and the reduction of the risk of atherosclerotic plaque formation in my country.

目前世界上無特異有效預防治療動脈粥狀斑塊的藥物。 治療高脂血症,因此是目前臨床上,預防動脈粥狀斑塊形成主要的臨床治療措施之一。目前臨床上應用的降血脂類化藥品種較多,主要是他汀類 (Statin)和纖維酸衍生物類(Fibrates)。儘管具體機轉不同,但主要都是通過直接作用於脂肪的合成和代謝路徑起效。由於停藥後血脂反彈機率非常高,因此化學合成降血脂藥物需要長期服用,這不僅導致經濟資源的損耗,同時也大大增加了毒副作用的產生機率。例如,長期服用常常伴隨著產生不同程度的副作用,包括肌肉疼痛,肝臟以及腎臟功能損傷等。此外,化學降血脂藥的使用,並不能從根本上預防和控制血管斑塊的形成和發展,對降低動脈粥狀硬化性心腦血管疾病引起的死亡作用有限。At present, there is no specific and effective drug for the prevention and treatment of atherosclerotic plaque in the world. Therefore, the treatment of hyperlipidemia is currently one of the main clinical treatment measures to prevent the formation of atherosclerotic plaque. At present, there are many kinds of hypolipidemic drugs clinically used, mainly statins and fibrates. Although the specific mechanism is different, they mainly work by directly acting on the synthetic and metabolic pathways of fat. Due to the high probability of blood lipid rebound after drug withdrawal, chemically synthesized blood lipid-lowering drugs need to be taken for a long time, which not only leads to the loss of economic resources, but also greatly increases the probability of toxic and side effects. For example, long-term use is often accompanied by side effects of varying degrees, including muscle pain, liver and kidney function damage, etc. In addition, the use of chemical hypolipidemic drugs cannot fundamentally prevent and control the formation and development of vascular plaques, and has a limited effect on reducing the death caused by atherosclerotic cardiovascular and cerebrovascular diseases.

以中國傳統天然藥物為基礎的針對心腦血管疾病的藥物,主要有通心絡膠囊、複方丹參滴丸、以及麝香保心丸等,均是市面上常見的防治冠心病、心絞痛藥物。針對血脂的有廣東宏興降脂丸、成都地奧脂必妥、北京維信血脂康等。這些藥從其說明書中可以看到,或多或少都存在一定的副作用。但更為關鍵的是,這些藥物缺乏有效和可被驗證的預防和消融動脈斑塊的作用。且從文獻報道可見,這些藥通常建議長期使用,並與化學降脂藥同時使用,或主要建議老年人使用等。Drugs targeting cardiovascular and cerebrovascular diseases based on traditional Chinese natural medicines mainly include Tongxinluo Capsules, Compound Danshen Dripping Pills, and Shexiang Baoxin Pills, etc., which are common drugs for the prevention and treatment of coronary heart disease and angina pectoris on the market. For blood lipids, there are Guangdong Hongxing Jiangzhi Pills, Chengdu Di'ao Zhibituo, Beijing Weixin Xuezhikang, etc. It can be seen from the instructions of these medicines that there are more or less certain side effects. But more critically, these drugs lack effective and verifiable prevention and ablation of arterial plaque. And it can be seen from literature reports that these drugs are usually recommended for long-term use, and used simultaneously with chemical lipid-lowering drugs, or mainly recommended for the elderly.

因此,對於具有良好地預防和治療動脈粥狀斑塊、缺血性心臟病、血脂升高、三酸甘油酯升高等的傳統中藥藥物有強烈的臨床需求,社會和市場需求巨大。Therefore, there is a strong clinical demand for traditional Chinese medicines that can prevent and treat atherosclerotic plaque, ischemic heart disease, elevated blood lipids, and elevated triglycerides, and the social and market demands are huge.

本發明的目的在於提供一種中藥組合物,其製備方法及其製備在用於預防或治療動脈粥狀斑塊形成、缺血性心臟病、血脂升高、三酸甘油酯升高等的藥物中的應用。臨床治療實踐顯示,本發明中藥組合物具有優良的減緩動脈粥狀斑形成,並清除動脈粥狀斑塊的效果,同時,臨床治療實踐也顯示本發明中藥組合物對於降低血脂,特別是降低血三酸甘油酯擁有良好效果。動脈粥狀斑塊形成動物模型研究顯示,本中藥組合物具有明顯的消融減小動脈斑塊的效果。The object of the present invention is to provide a kind of traditional Chinese medicine composition, its preparation method and its preparation in the medicine that is used for preventing or treating atherosclerotic plaque formation, ischemic heart disease, blood lipid elevation, triglyceride elevation etc. application. Clinical treatment practice shows that the traditional Chinese medicine composition of the present invention has an excellent effect of slowing down the formation of atherosclerotic plaque and removing atherosclerotic plaque. Triglycerides have a good effect. The animal model study of atherosclerotic plaque formation shows that the traditional Chinese medicine composition has an obvious effect of ablation and reduction of arterial plaque.

本發明發明人經長期鑽研中國傳統醫學和藥材理論,並結合臨床實踐,提出了一種明顯有別於現代醫學的用於預防和治療動脈粥狀斑塊形成、缺血性心臟病、血脂升高、三酸甘油酯升高的藥物的用藥方案。我們認為,高血脂和動脈粥狀硬化形成的核心原因,用中國傳統醫學的邏輯和語言可以歸納為:痰飲入血。若進入現代醫學的語境,則類似於血液黏稠。血液黏稠既是高血脂和動脈粥狀硬化的病因,也是痰飲入血表現的病症。由於中國傳統醫學的痰飲入血表現為現代醫學的血液黏稠,因此我們認為對其的調節治療,是預防、治療高脂血症和動脈粥狀硬化的核心和有效途徑。The inventors of the present invention have studied Chinese traditional medicine and medicinal material theory for a long time, and combined with clinical practice, proposed a kind of medicine that is obviously different from modern medicine and is used for the prevention and treatment of atherosclerotic plaque formation, ischemic heart disease, and elevated blood lipids. , Medication regimen for drugs that raise triglycerides. We believe that the core cause of hyperlipidemia and atherosclerosis can be summed up in the logic and language of traditional Chinese medicine as follows: phlegm enters the blood. If it enters the context of modern medicine, it is similar to blood viscosity. Blood viscosity is not only the cause of hyperlipidemia and atherosclerosis, but also a symptom of phlegm and fluid entering the blood. Since the phlegm fluid entering the blood in traditional Chinese medicine is manifested as blood viscosity in modern medicine, we believe that its regulation and treatment is the core and effective way to prevent and treat hyperlipidemia and atherosclerosis.

“痰飲”在《皇帝內經》中被定義為離經之水,也就是在循環代謝中的一種體液,這種體液較黏稠的叫痰,較清稀的叫飲,合稱痰飲。中國傳統醫學中的“痰飲”多數是指在消化道和肺以及呼吸道中的黏稠或清稀的液體,這種液體難以被代謝掉,即使排出體外也又會從消化道或呼吸道繼續生成出來,綿綿不絕。這些黏稠的液體還可以從消化道、呼吸道溢出留存在皮膚下、肌肉中、骨關節中,甚至內臟和大腦中,變成各種包塊、囊腫、息肉,甚至腫瘤也被認為與痰飲留滯在個體中有關,中國傳統醫學認為很多疾病都和這種難以被身體排出體外,又難以被代謝掉的黏液有關。但中國傳統醫學對於痰飲進入血液與血液黏稠的關聯和論述欠缺。"Phlegm drink" is defined in the "Emperor's Internal Classic" as the water from the meridian, that is, a kind of body fluid in the circulation and metabolism. The thicker body fluid is called phlegm, and the thinner one is called drink, collectively called phlegm drink. Most of the "phlegm drink" in traditional Chinese medicine refers to the viscous or thin liquid in the digestive tract, lungs and respiratory tract. This kind of liquid is difficult to be metabolized, and even if it is excreted, it will continue to be produced from the digestive tract or respiratory tract. , endlessly. These viscous liquids can also overflow from the digestive tract and respiratory tract and remain under the skin, in the muscles, in the bones and joints, even in the internal organs and the brain, and become various masses, cysts, polyps, and even tumors are also considered to be related to phlegm retention. Individuals, traditional Chinese medicine believes that many diseases are related to this kind of mucus that is difficult to be excreted by the body and difficult to be metabolized. However, Chinese traditional medicine lacks the relationship and discussion on the relationship between phlegm fluid entering the blood and blood viscosity.

在現代醫學中, “血液黏稠”的概念下包含了數十個生化指標。例如,高血脂的一些指標 (血清總膽固醇,低密度膽固醇,高密度膽固醇,載脂蛋白,三酸甘油酯),高血糖的一些指標 (空腹血糖,糖化血紅素,空腹胰島素,C肽,糖化血清蛋白,果糖胺),血小板的指標 (血小板數量,血小板黏附度,血小板沉降度等),紅血球的一些指標 (紅血球的數量,紅血球沉降度,紅血球黏附度,紅血球壓積量,紅血球變形性,紅血球的大小),血液黏稠度本身測定指標 (表觀黏度,相對黏度,還原黏度,比黏度等)以及一些其它相關指標 (纖維蛋白原,免疫球蛋白等)。以上這些指標都對血黏粘稠度有著比較密切的影響。血液黏稠表現不一,現代醫學尚未提供一個合理且公認的致病原因,對其的治療也停留在針對某些指標的階段,例如,通過服用藥物來控制高血脂、高血糖問題。但由於高血液黏稠度沒有從根本上解決,所以降脂、降糖效果持續時間短,需要長期服用,無法達到治癒的效果。In modern medicine, dozens of biochemical indicators are included under the concept of "blood viscosity". For example, some indicators of hyperlipidemia (serum total cholesterol, low-density cholesterol, high-density cholesterol, apolipoprotein, triglycerides), some indicators of hyperglycemia (fasting blood glucose, glycated hemoglobin, fasting insulin, C-peptide, glycated Serum protein, fructosamine), indicators of platelets (number of platelets, degree of platelet adhesion, degree of platelet sedimentation, etc.), some indicators of red blood cells (number of red blood cells, degree of erythrocyte sedimentation, degree of adhesion of red blood cells, volume of hematocrit, deformability of red blood cells, The size of red blood cells), blood viscosity itself measurement indicators (apparent viscosity, relative viscosity, reduced viscosity, specific viscosity, etc.) and some other related indicators (fibrinogen, immunoglobulin, etc.). All of the above indicators have a relatively close influence on blood viscosity. The manifestations of blood viscosity vary. Modern medicine has not yet provided a reasonable and recognized cause of the disease, and its treatment is still at the stage of targeting certain indicators. For example, taking drugs to control hyperlipidemia and hyperglycemia. However, since the high blood viscosity has not been fundamentally resolved, the duration of the lipid-lowering and blood-sugar-lowering effects is short, and long-term use is required, and the curative effect cannot be achieved.

痰飲進入血液引發血液黏稠,會大大增加高血脂和血糖發生的風險,進而引發動脈粥狀硬化,堵塞血管,再而引發心腦腎疾病。我們據此理論,在醫學臨床實踐中,開發了高效和長效用於預防或粥狀動脈斑塊形成、缺血性心臟病、血脂升高、三酸甘油酯升高的中藥組合物。When phlegm drink enters the blood, it will cause blood viscosity, which will greatly increase the risk of hyperlipidemia and blood sugar, which will lead to atherosclerosis, blockage of blood vessels, and heart, brain and kidney diseases. Based on this theory, we have developed a high-efficiency and long-acting traditional Chinese medicine composition for preventing or atherosclerotic plaque formation, ischemic heart disease, elevated blood lipids, and elevated triglycerides in clinical medical practice.

本發明提供一種中藥組合物,其包括按以下重量份計的原料藥:生大黃3-20份、白芍3-20份、乾薑3-20份、水蛭3-25份;優選地,本發明中藥組合物包含按以下重量份計的原料藥:生大黃5-15份、白芍5-15份、乾薑5-15份、水蛭7-15份;更優選地,本發明中藥組合物包含按以下重量份計的原料藥:生大黃10份、白芍10份、乾薑10份、水蛭10份。進一步優選地,本發明中藥組合物由按如上所述重量份的原料藥製成。The invention provides a traditional Chinese medicine composition, which includes the following raw materials in parts by weight: 3-20 parts of raw rhubarb, 3-20 parts of white peony root, 3-20 parts of dried ginger, and 3-25 parts of leech; preferably, The traditional Chinese medicine composition of the present invention comprises the following raw materials in parts by weight: 5-15 parts of raw rhubarb, 5-15 parts of Radix Paeoniae Alba, 5-15 parts of dried ginger, and 7-15 parts of leeches; more preferably, the traditional Chinese medicine of the present invention The composition comprises the following raw materials in parts by weight: 10 parts of raw rhubarb, 10 parts of white peony root, 10 parts of dried ginger and 10 parts of leech. Further preferably, the traditional Chinese medicine composition of the present invention is made of the above-mentioned raw materials in parts by weight.

本發明提供一種中藥組合物,其包括按以下重量份計的原料藥:生大黃3-20份、白芍3-20份、乾薑3-20份、水蛭3-25份、白術3-20份;優選地,本發明中藥組合物包含按以下重量份計的原料藥:生大黃5-15份、白芍5-15份、乾薑5-15份、水蛭7-15份、白術5-15份;更優選的,本發明中藥組合物包括按以下重量份計的原料藥:生大黃10份、白芍10份、乾薑10份、水蛭10份、白術10份。進一步優選地,本發明中藥組合物由按如上所述重量份的原料藥製成。The invention provides a traditional Chinese medicine composition, which includes the following raw materials in parts by weight: 3-20 parts of raw rhubarb, 3-20 parts of white peony root, 3-20 parts of dried ginger, 3-25 parts of leech, 3-20 parts of Atractylodes macrocephala. 20 parts; preferably, the Chinese medicine composition of the present invention comprises the raw material drug by following parts by weight: 5-15 parts of raw rhubarb, 5-15 parts of Radix Paeoniae Alba, 5-15 parts of dried ginger, 7-15 parts of leech, Atractylodes macrocephala 5-15 parts; more preferably, the traditional Chinese medicine composition of the present invention includes the following raw materials in parts by weight: 10 parts of raw rhubarb, 10 parts of white peony root, 10 parts of dried ginger, 10 parts of leech, and 10 parts of Atractylodes macrocephala. Further preferably, the traditional Chinese medicine composition of the present invention is made of the above-mentioned raw materials in parts by weight.

本發明提供一種中藥組合物,其包括按以下重量份計的原料藥:柴胡5-35份、枳實5-30份、生大黃3-20份、白芍3-20份、乾薑3-20份、水蛭3-25份、白術3-20份;優選地,本發明中藥組合物包含按以下重量份計的原料藥:柴胡15-30份、枳實10-20份、生大黃5-15份、白芍5-15份、乾薑5-15份、水蛭7-15份、白術5-15份;更優選地,本發明中藥組合物包含按以下重量份計的原料藥:柴胡20份、枳實15份、生大黃10份、白芍10份、乾薑10份、水蛭10份、白術10份。進一步優選地,本發明中藥組合物由按如上所述重量份的原料藥製成。The invention provides a traditional Chinese medicine composition, which comprises the following raw materials in parts by weight: 5-35 parts of Bupleurum, 5-30 parts of Citrus aurantii, 3-20 parts of raw rhubarb, 3-20 parts of white peony root, dried ginger 3-20 parts, 3-25 parts of leech, 3-20 parts of Baizhu; 5-15 parts of Rhubarb, 5-15 parts of Radix Paeoniae Alba, 5-15 parts of Dried Ginger, 7-15 parts of Leech, 5-15 parts of Atractylodes Rhizome; more preferably, the Chinese medicine composition of the present invention comprises the following raw materials in parts by weight Medicine: 20 parts of Bupleurum, 15 parts of Citrus aurantium, 10 parts of raw rhubarb, 10 parts of white peony root, 10 parts of dried ginger, 10 parts of leech, and 10 parts of Atractylodes macrocephala. Further preferably, the traditional Chinese medicine composition of the present invention is made of the above-mentioned raw materials in parts by weight.

本發明提供一種中藥組合物,其包括按以下重量份計的原料藥:柴胡5-35份、枳實5-30份、生大黃3-20份、白芍3-20份、乾薑3-20份、水蛭3-25份、甘草3-20份、白術3-20份、生牡蠣 3-45 份;優選地,其包含按以下重量份計的原料藥:柴胡15-30份、枳實10-20份、生大黃5-15份、白芍5-15份、乾薑5-15份、水蛭7-15份、甘草5-15份、白術5-15份、生牡蠣10-35 份;更優選地,其包含按以下重量份計的原料藥:柴胡20份、枳實15份、生大黃10份、白芍10份、乾薑10份、水蛭10份、甘草10份、白術10份、生牡蠣30 份。進一步優選地,本發明中藥組合物由按如上所述重量份的原料藥製成。The invention provides a traditional Chinese medicine composition, which comprises the following raw materials in parts by weight: 5-35 parts of Bupleurum, 5-30 parts of Citrus aurantii, 3-20 parts of raw rhubarb, 3-20 parts of white peony root, dried ginger 3-20 parts, 3-25 parts of leeches, 3-20 parts of licorice, 3-20 parts of Atractylodes macrocephala, 3-45 parts of raw oysters; preferably, it contains the following raw materials by weight: Bupleurum 15-30 parts , 10-20 parts of citrus aurantium, 5-15 parts of raw rhubarb, 5-15 parts of white peony, 5-15 parts of dried ginger, 7-15 parts of leeches, 5-15 parts of licorice, 5-15 parts of Atractylodes macrocephala, raw oysters 10-35 parts; more preferably, it comprises the raw material drug by following parts by weight: Bupleurum 20 parts, Citrus aurantium 15 parts, raw rhubarb 10 parts, Radix Paeoniae Alba 10 parts, dried ginger 10 parts, leech 10 parts, 10 parts of licorice, 10 parts of Atractylodes macrocephala, 30 parts of raw oysters. Further preferably, the traditional Chinese medicine composition of the present invention is made of the above-mentioned raw materials in parts by weight.

本發明提供一種中藥組合物,其包括按以下重量份計的原料藥:柴胡5-35份、枳實5-30份、生大黃3-20份、黃芩1-20份、白芍3-20份、乾薑3-20份、水蛭3-25份、甘草3-20份、黨參3-20份、白術3-20份、生牡蠣 3-45 份;優選地,本發明中藥組合物,包含按以下重量份計的原料藥:柴胡15-30份、枳實10-20份、生大黃5-15份、黃芩2-10份、白芍5-15份、乾薑5-15份、水蛭7-15份、甘草5-15份、黨參5-15份、白術5-15份、生牡蠣10-35 份;更優選地,本發明中藥組合物,包含按以下重量份計的原料藥:柴胡20份、枳實15份、生大黃10份、黃芩3份、白芍10份、乾薑10份、水蛭10份、甘草10份、黨參10份、白術10份、生牡蠣30 份。進一步優選地,本發明中藥組合物由按如上所述重量份的原料藥製成。The invention provides a traditional Chinese medicine composition, which includes the following raw materials in parts by weight: 5-35 parts of Bupleurum, 5-30 parts of Citrus aurantium, 3-20 parts of raw rhubarb, 1-20 parts of Scutellaria baicalensis, 3 parts of white peony -20 parts, 3-20 parts of dried ginger, 3-25 parts of leeches, 3-20 parts of licorice, 3-20 parts of Codonopsis pilosula, 3-20 parts of Atractylodes macrocephala, 3-45 parts of raw oysters; preferably, the Chinese medicine composition of the present invention , comprising the following raw materials in parts by weight: 15-30 parts of Bupleurum bupleurum, 10-20 parts of Citrus aurantii, 5-15 parts of raw rhubarb, 2-10 parts of Scutellaria baicalensis, 5-15 parts of white peony, 5-5 parts of dried ginger 15 parts, 7-15 parts of leeches, 5-15 parts of licorice, 5-15 parts of Codonopsis pilosula, 5-15 parts of Atractylodes macrocephala, 10-35 parts of raw oysters; more preferably, the Chinese medicine composition of the present invention contains Raw materials: 20 parts of Bupleurum, 15 parts of Citrus aurantium, 10 parts of raw rhubarb, 3 parts of Scutellaria baicalensis, 10 parts of white peony, 10 parts of dried ginger, 10 parts of leech, 10 parts of licorice, 10 parts of Codonopsis, 10 parts of Atractylodes macrocephala, 30 servings of raw oysters. Further preferably, the traditional Chinese medicine composition of the present invention is made of the above-mentioned raw materials in parts by weight.

本發明提供一種中藥組合物,其包括按以下重量份計的原料藥:生大黃3-20份、乾薑3-20份、白芍3-20份、水蛭3-25份、甘草3-20份、生牡蠣 3-45 份、丹皮3-20份、桃仁2-15份;優選地,本發明中藥組合物,其包含按以下重量份計的原料藥:生大黃5-15份、乾薑5-15份、丹皮5-15份、桃仁3-12份、白芍5-15份、水蛭7-15份、甘草5-15份、生牡蠣10-35 份;更優選地,本發明中藥組合物,其包括按以下重量份計的原料藥:生大黃10份、乾薑10份、白芍10份、水蛭10份、甘草10份、生牡蠣30份、丹皮10份、桃仁6份。進一步優選地,本發明中藥組合物由按如上所述重量份的原料藥製成。The invention provides a traditional Chinese medicine composition, which includes the following raw materials in parts by weight: 3-20 parts of raw rhubarb, 3-20 parts of dried ginger, 3-20 parts of white peony root, 3-25 parts of leech, 3-20 parts of licorice 20 parts, 3-45 parts of raw oysters, 3-20 parts of paeonol, 2-15 parts of peach kernels; preferably, the Chinese medicine composition of the present invention comprises the following raw materials in parts by weight: 5-15 parts of raw rhubarb , 5-15 parts of dried ginger, 5-15 parts of paeonol, 3-12 parts of peach kernel, 5-15 parts of white peony, 7-15 parts of leeches, 5-15 parts of licorice, 10-35 parts of raw oysters; more preferably , the traditional Chinese medicine composition of the present invention, it comprises the raw material drug by following weight parts: 10 parts of raw rhubarb, 10 parts of dried ginger, 10 parts of Radix Paeoniae Alba, 10 parts of leeches, 10 parts of licorice, 30 parts of raw oysters, 10 parts of paeonol 6 servings of peach kernels. Further preferably, the traditional Chinese medicine composition of the present invention is made of the above-mentioned raw materials in parts by weight.

以上組成中,份為重量份,重量是以生藥計算的。在生產時可按照相應比例增大或減少,如大規模生產可以以公斤為單位,或以噸為單位,重量可以增大或者減小,但各組成之間的生藥材重量配比的比例不變。In the above composition, parts are parts by weight, and the weight is calculated based on crude drugs. It can be increased or decreased according to the corresponding proportion during production. For example, the unit of kilogram or ton can be used for large-scale production, and the weight can be increased or decreased, but the weight ratio of raw medicinal materials between the components is not the same. Change.

本發明相關原料藥介紹如下:The relevant raw materials of the present invention are introduced as follows:

柴胡,藥用部位為傘形科植物柴胡或狹葉柴胡的乾燥根 (Bupleurum chinense DC.或Bupleurum scorzonerifolium Willd.)。有和解表裡,疏肝升陽之功效。Bupleurum, the medicinal part is the dried root of Bupleurum chinense DC. or Bupleurum scorzonerifolium Willd. It has the effects of reconciling the exterior and interior, soothing the liver and promoting yang.

枳實,為芸香科植物酸橙及其栽培變種或甜橙的乾燥幼果(Immature Bitter Orange、Immature Sweet Orange、Fructus Aurantii Immaturus)。有破氣消積,化痰散痞之功效。Citrus aurantium is the dry young fruit of Rutaceae lime and its cultivars or sweet orange (Immature Bitter Orange, Immature Sweet Orange, Fructus Aurantii Immaturus). It has the effects of dispelling qi and eliminating stagnation, resolving phlegm and dissipating ruffian.

生大黃,本品為蓼科植物掌葉大黃(Rheum palmatum L.),唐古特大黃(Rheum tanguticum Maxim. ex Balf.),或藥用大黃(Rheum officinale Baill.)的乾燥根及根莖。有瀉熱毒,破積滯,行瘀血之功效。Raw rhubarb, this product is the dry root and rhizome of Rheum palmatum L., Rheum tanguticum Maxim. ex Balf., or medicinal rhubarb (Rheum officinale Baill.) . It has the effects of purging heat and poison, breaking stagnant stagnation, and promoting blood stasis.

黃芩,唇形科多年生草本植物黃芩(Scutellaria baicalnsis Geprgi) 的乾燥根。有清熱燥濕、瀉火解毒、止血、安胎等功效。Scutellaria baicalensis, the dried root of Scutellaria baicalnsis Geprgi, a perennial herb of Lamiaceae. It has the effects of clearing away heat and dampness, purging fire and detoxification, stopping bleeding, and preventing miscarriage.

白芍,為毛莨科植物芍藥(Paeonia lactiflora Pall.)的乾燥根。具溫陽祛濕、補體虛、健脾胃等功效。Radix Paeoniae Alba is the dried root of Paeonia lactiflora Pall. It has the effects of warming the yang and removing dampness, replenishing the deficiency, and invigorating the spleen and stomach.

乾薑,為姜科植物薑(Zingiber oj-jicinale Rosc.)的乾燥根莖。冬季採挖,除去鬚根和泥沙,曬乾或低溫乾燥。趁鮮切片曬乾或低溫乾燥者稱為“乾薑片”。有溫中散寒,回陽通脈,溫肺化飲等功效。Dried ginger is the dried rhizome of Zingiber oj-jicinale Rosc. Excavated in winter, remove fibrous roots and sediment, and dry in the sun or at low temperature. Those who take fresh slices and dry them in the sun or at low temperature are called "dried ginger slices". It has the effects of warming the middle and dispelling the cold, returning to the yang and dredging the veins, warming the lungs and transforming the drink.

水蛭,為水蛭科動物螞蟥(Whitm.ania Pigra Whitman),水蛭(Hirudo nipponica Whitman)或柳葉螞蟥(Whitmania acranutata Whitman)的乾燥全體。夏、秋二季捕捉,用沸水燙死,曬乾或低溫乾燥。具有破血通經,逐瘀消症的功效。Leeches are the dried whole body of leeches (Whitm.ania Pigra Whitman), leeches (Hirudo nipponica Whitman) or willow leaf leeches (Whitmania acranutata Whitman) of the leech family. It is caught in summer and autumn, scalded to death with boiling water, and dried in the sun or at low temperature. It has the effects of removing blood stasis and promoting menstrual flow, removing blood stasis and eliminating symptoms.

甘草(Glycyrrhiza uralensis Fisch),別名:國老、甜草、烏拉爾甘草、甜根子。豆科、甘草屬多年生草本,藥用部位是根及根莖。用於心氣虛,心悸怔忡,脈結代,以及脾胃氣虛,倦怠乏力,調和某些藥物的烈性及對胃腸道的反應。Licorice (Glycyrrhiza uralensis Fisch), alias: old country, sweet grass, Ural licorice, sweet root. Legumes and licorice are perennial herbs, and the medicinal parts are roots and rhizomes. It is used for deficiency of heart qi, palpitations, intermittent pulse, deficiency of spleen and stomach qi, fatigue and fatigue, and to reconcile the potency of certain drugs and the reaction to the gastrointestinal tract.

黨參,為桔梗科植物黨參、素花黨參、或川黨參等的乾燥根。有補中,益氣,生津的功效。Codonopsis Codonopsis is the dry root of Codonopsis Codonopsis, Suhua Codonopsis, or Sichuan Codonopsis. It has the effects of nourishing the middle, replenishing qi, and promoting body fluid.

白術,菊科植物白術(Atractylodes macrocephala Koidz.)的乾燥根莖。有健脾益氣,燥濕利水,止汗的功效。Atractylodes macrocephala, the dry rhizome of Atractylodes macrocephala Koidz. It has the effects of invigorating the spleen and replenishing qi, drying dampness and diuresis, and antiperspirant.

生牡蠣,為牡蠣科動物長牡蠣(Ostrea gigas Thunberg),大連灣牡蠣(Ostrea talienwhanensis Crosse) 或近江牡蠣(Ostrea rivularis Gould)的貝殼。有重鎮安神,潛陽補陰,軟堅散結之功效。Raw oysters are the shells of Ostrea gigas Thunberg, Ostrea talienwhanensis Crosse or Ostrea rivularis Gould. It has the effects of calming the nerves, suppressing yang and nourishing yin, softening and resolving hard masses.

丹皮(Tree Peony Bark),又名牡丹皮,中藥名,為毛茛科芍藥屬植物多年生落葉小灌木植物牡丹Paeonia suffruticosa Andr.的乾燥根皮。有抗炎,抑制血小板,中樞抑制作用及抗動脈粥狀硬化等作用。Tree Peony Bark, also known as Moutan Bark, the name of traditional Chinese medicine, is the dry root bark of the perennial deciduous shrub plant Paeonia suffruticosa Andr. of Ranunculaceae Paeoniae. It has anti-inflammation, inhibition of platelets, central nervous system inhibition and anti-atherosclerosis.

桃仁,為薔薇科植物桃Prunus persica(L.)Batsch或山桃Prunus davidiana (Carr.)Franch.的乾燥成熟種子。具有活血祛瘀,潤腸通便,止咳平喘的功效。Peach kernel is the dry mature seed of Prunus persica (L.) Batsch or Prunus davidiana (Carr.) Franch. It has the effects of promoting blood circulation and removing blood stasis, moistening the intestines and laxative, relieving cough and relieving asthma.

本發明的藥方是在對傷寒論經方及相應藥材充分研究的基礎上,結合臨床實踐形成的。中醫理論中,缺血性心腦血管疾病屬於“眩暈”“胸痹”的範疇。最常見的原因是氣滯血瘀或氣血不足,血液推動乏力而導致的血流運行不暢,從而導致心腦血管供血、供氧不足而出現胸悶、胸痛、眩暈的症狀。本藥主要立方是為了去痰飲,痰飲是內邪之首,動脈斑塊的主要病理就是由於血液黏稠,脂肪代謝障礙和動脈炎性反應引發的疾病,為了清除動脈斑塊,清除血中痰飲是主要工作。本方通過組方中藥藥物達到解除血液黏稠的狀態,行氣導滯降濁,逐漸清除動脈斑塊,達到顯著改善缺血性心腦疾病的症狀的療效。The prescription of the present invention is formed on the basis of sufficient research on Shanghanlunjing prescriptions and corresponding medicinal materials, combined with clinical practice. In TCM theory, ischemic cardiovascular and cerebrovascular diseases belong to the category of "vertigo" and "chest pain". The most common cause is stagnation of qi and blood stasis or insufficient qi and blood, and poor blood flow caused by weak blood push, which leads to insufficient blood supply and oxygen supply to the cardiovascular and cerebrovascular vessels, resulting in symptoms of chest tightness, chest pain, and dizziness. The main prescription of this medicine is to remove phlegm, and phlegm is the first of internal evils. The main pathology of arterial plaque is the disease caused by blood viscosity, lipodystrophy and arterial inflammatory reaction. Drinking is the main job. Through the combination of traditional Chinese medicines, this prescription can relieve blood viscosity, conduct qi conduction to reduce turbidity, gradually remove arterial plaques, and achieve the curative effect of significantly improving the symptoms of ischemic heart and brain diseases.

本方以生大黃和柴胡共同為君藥,以乾薑、生白術、黨參為臣藥,以水蛭、生牡蠣、白芍、枳實、黃芩,或丹皮,桃仁為佐藥,以甘草為使藥。In this prescription, raw rhubarb and Bupleurum are used as monarch drugs, dried ginger, raw Atractylodes macrocephala, and Codonopsis pilosula are used as ministerial drugs, leeches, raw oysters, white peony root, citrus aurantium, scutellaria baicalensis, or paeonol, peach kernels are used as adjuvant drugs, and licorice is used as adjuvant drugs. make medicine.

本發明的中藥組合物可通過提取或本領域其他已知方式來獲得藥物活性物質。所述藥物活性物質可以通過分別提取天然複方藥物原料得到,也可以通過共同提取天然複方藥物原料得到。The traditional Chinese medicine composition of the present invention can obtain pharmaceutical active substances through extraction or other known methods in the art. The pharmaceutical active substance can be obtained by extracting natural compound drug raw materials separately, or by jointly extracting natural compound drug raw materials.

優選的,通過煎煮法製備。更優選的,本發明中藥組合物的製備方法包括稱取原料藥,第一次加水4-12倍量,在70-95℃,優選70-85℃保溫30-120分鐘,得到第一次煎煮液;第二次加水3-10倍量,在70-95℃,優選70-85℃保溫30-120分鐘,得到第二次煎煮液;合併二次煎煮液,濾過,合併濾液。更優選的,本發明中藥組合物的製備方法包括稱取原料藥,第一次加水8倍量,煮沸後在80℃或75℃保溫60分鐘,得到第一次煎煮液;第二次加水6倍量,煮沸後在80℃或75℃保溫60分鐘,得到第二次煎煮液;合併二次煎煮液,濾過,合併濾液。獲得的提取物可進一步濃縮製成浸膏形式,可以是乾浸膏也可以是流浸膏。優選減壓(-0.05Mpa, 60℃)濃縮至相對密度 1.05-1.15(60℃)。Preferably, it is prepared by decocting. More preferably, the preparation method of the traditional Chinese medicine composition of the present invention comprises weighing the crude drug, adding 4-12 times the amount of water for the first time, and incubating at 70-95°C, preferably 70-85°C, for 30-120 minutes to obtain the first decoction Boiling liquid: add 3-10 times of water for the second time, keep warm at 70-95°C, preferably 70-85°C, for 30-120 minutes to obtain the second boiling liquid; combine the second boiling liquid, filter, and combine the filtrates. More preferably, the preparation method of the traditional Chinese medicine composition of the present invention comprises weighing the crude drug, adding 8 times the amount of water for the first time, boiling and keeping it at 80°C or 75°C for 60 minutes to obtain the decoction for the first time; adding water for the second time 6 times the amount, boiled and kept at 80°C or 75°C for 60 minutes to obtain the second decoction; combine the second decoction, filter, and combine the filtrates. The obtained extract can be further concentrated into the form of extract, which can be dry extract or liquid extract. It is preferably concentrated under reduced pressure (-0.05Mpa, 60°C) to a relative density of 1.05-1.15 (60°C).

本發明中藥組合物,視需要還可以加入藥學上可接受的載體製成製劑。本發明中藥組合物提取或加工獲得的藥物活性物質在製劑中所占重量百分比為0.1-99.9%,其餘為藥學上可接受的載體。The traditional Chinese medicine composition of the present invention can also be prepared by adding pharmaceutically acceptable carriers if necessary. The pharmaceutical active substance extracted or processed from the traditional Chinese medicine composition of the present invention accounts for 0.1-99.9% by weight in the preparation, and the rest is a pharmaceutically acceptable carrier.

本發明中藥組合物可以是任何可藥用的劑型,這些劑型包括:湯劑、錠劑、糖衣錠劑、薄膜衣錠劑、腸溶衣錠劑、膠囊劑、硬膠囊劑、軟膠囊劑、口服液、口含劑、顆粒劑、沖劑、丸劑、散劑、膏劑、丹劑、懸浮劑、粉劑、溶液劑、注射劑、栓劑、軟膏劑、硬膏劑、霜劑、噴霧劑、滴劑、貼劑。優選口服劑型,進一步優選湯劑、膠囊劑、錠劑、口服液、顆粒劑、丸劑、散劑、丹劑、膏劑等。最優選湯劑、顆粒劑、膠囊劑、錠劑。The Chinese medicine composition of the present invention can be any pharmaceutically acceptable dosage form, and these dosage forms include: decoction, lozenge, sugar-coated lozenge, film-coated lozenge, enteric-coated lozenge, capsule, hard capsule, soft capsule, oral Liquid, buccal, granule, granule, pill, powder, ointment, elixir, suspension, powder, solution, injection, suppository, ointment, plaster, cream, spray, drop, patch. Oral dosage forms are preferred, and decoctions, capsules, lozenges, oral liquids, granules, pills, powders, pills, ointments, etc. are more preferred. Decoctions, granules, capsules and lozenges are most preferred.

本發明進一步提供所述的中藥組合物在製備預防或控制血管斑塊形成的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicines for preventing or controlling the formation of vascular plaque.

本發明進一步提供所述的中藥組合物在製備預防或治療動脈粥狀斑塊的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicines for preventing or treating atherosclerotic plaque.

本發明進一步提供所述的中藥組合物在製備預防或治療動脈粥狀斑塊缺血性心腦疾病的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicines for preventing or treating atherosclerotic plaque ischemic heart and brain diseases.

本發明進一步提供所述的中藥組合物在製備預防或治療血脂升高的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicines for preventing or treating hyperlipidemia.

本發明進一步提供所述的中藥組合物在製備預防或治療三酸甘油酯升高的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicines for preventing or treating elevated triglycerides.

本發明進一步提供所述的中藥組合物在製備預防或治療膽固醇升高的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicaments for preventing or treating elevated cholesterol.

本發明進一步提供所述的中藥組合物在製備預防或治療高脂血症的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicines for preventing or treating hyperlipidemia.

本發明進一步提供所述的中藥組合物在製備預防或治療慢性代謝疾病的藥物中的應用。The present invention further provides the application of the traditional Chinese medicine composition in the preparation of medicines for preventing or treating chronic metabolic diseases.

本發明進一步提供一種預防或控制血管斑塊形成的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or controlling the formation of vascular plaque, which comprises administering a preventive or therapeutic effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need.

本發明進一步提供一種預防或治療動脈粥狀斑塊的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or treating atherosclerotic plaque, which comprises administering a preventive or therapeutically effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need.

本發明進一步提供一種預防或治療動脈粥狀斑塊性缺血性心腦疾病的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or treating atherosclerotic plaque-ischemic heart and brain diseases, comprising administering a preventive or therapeutic effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need thereof.

本發明進一步提供一種預防或治療血脂升高的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or treating elevated blood lipids, comprising administering a preventive or therapeutically effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need.

本發明進一步提供一種預防或治療三酸甘油酯升高的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or treating elevated triglycerides, comprising administering a preventive or therapeutically effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need.

本發明進一步提供一種預防或治療膽固醇升高的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or treating elevated cholesterol, which comprises administering a preventive or therapeutically effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need.

本發明進一步提供一種預防或治療高脂血症的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or treating hyperlipidemia, comprising administering a preventive or therapeutic effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need.

本發明進一步提供一種預防或治療慢性代謝性疾病的方法,包括給予有此需要的人預防或治療有效量的如上所述的本發明中藥組合物。The present invention further provides a method for preventing or treating chronic metabolic diseases, comprising administering a preventive or therapeutically effective amount of the above-mentioned traditional Chinese medicine composition of the present invention to a person in need.

本發明中藥組合物在使用時可每日服用一到三次14天為一個療程,動脈粥狀斑塊病人的治療需要6-12各療程,在每個療程間停藥3天。製成單位劑量形式時,每次服用1-10劑。本發明中藥組合物經過水煎後,可濃縮乾燥製得乾浸膏粉,再加入適量賦型劑,製成顆粒劑,每日服用一到三次,每次服用1-2劑,或者也可以裝入膠囊或製成錠劑,每日服用一到三次,每次服用2-8粒膠囊或錠劑,具體用法用量可根據具體病人情況酌情調整。The traditional Chinese medicine composition of the present invention can be taken one to three times a day for 14 days as a course of treatment, and the treatment of patients with atherosclerotic plaque requires 6-12 courses of treatment, and the drug is stopped for 3 days between each course of treatment. When formulated in unit dosage form, 1-10 doses are administered each time. The traditional Chinese medicine composition of the present invention can be concentrated and dried to obtain dry extract powder after being decocted in water, and then an appropriate amount of excipients can be added to make granules, which can be taken one to three times a day, 1-2 doses each time, or can be Put it into capsules or make lozenges, take it one to three times a day, take 2-8 capsules or lozenges each time, the specific usage and dosage can be adjusted according to the actual situation of the patient.

本發明的中藥配方,是在“痰飲入血”和傷寒論理論和實踐基礎上的創新性構建。本發明發明人在充分研究考慮中藥材組分性質和功效的基礎上,結合臨床實踐而形成了本配方,並確定了組分配比。本發明中藥組合物對預防動脈粥狀斑塊發生和進展,消融動脈粥狀軟斑塊臨床效果明顯。臨床治療實踐也顯示,本發明中藥配方具有優良的降低血脂,特別是對重度血三酸甘油酯升高(三酸甘油酯>5.6 mmol/L)的病例,降低血三酸甘油酯的效果尤其明顯。The traditional Chinese medicine formula of the present invention is an innovative construction based on the theory and practice of "phlegm drink enters the blood" and Treatise on Febrile Diseases. The inventors of the present invention have formed the formula and determined the proportion of the components on the basis of fully studying and considering the properties and efficacy of the components of the Chinese herbal medicines, combined with clinical practice. The traditional Chinese medicine composition of the invention has obvious clinical effects on preventing the occurrence and progression of atherosclerotic plaques and ablating atherosclerotic plaques. Clinical treatment practice also shows that the traditional Chinese medicine formula of the present invention has excellent blood lipid reduction, especially for cases with severe blood triglyceride elevation (triglyceride> 5.6 mmol/L), the effect of lowering blood triglyceride is especially obvious.

下面結合具體實施方式對本發明進行進一步的詳細描述,給出的實施例僅為了闡明本發明,而不是為了限制本發明的範圍。The present invention will be further described in detail below in conjunction with specific embodiments, and the given examples are only for clarifying the present invention, not for limiting the scope of the present invention.

下述實施例中的試驗方法,如無特殊說明,均為常規方法;下述實施例中所用的原料、試劑材料等,如無特殊說明,均為市售購買產品。The test methods in the following examples, unless otherwise specified, are conventional methods; the raw materials, reagent materials, etc. used in the following examples, unless otherwise specified, are commercially available products.

本申請說明書中,如果沒有特殊說明,各受試藥物的製備過程中溶劑的用量都是以藥材重量為基準的體積倍數。In the description of this application, unless otherwise specified, the amount of solvent used in the preparation process of each test drug is the volume multiple based on the weight of the medicinal material.

實施例1  本發明中藥組合物的製備Embodiment 1 The preparation of Chinese medicine composition of the present invention

樣品A:稱取如下原料藥:柴胡20份、枳實15份、生大黃10份、白芍10份、乾薑10份、水蛭10份、白術10份,置密閉容器內煮提兩次,第一次加水8倍量,煮沸後75攝氏度保溫60分鐘,得到煎煮液;第二次加水6倍量,煮沸後70攝氏度保溫60分鐘,得第二次煎煮液;合併二次煎煮液,濾過,合併濾液。濾液等體積分為14份,提供7天的用量,4攝氏度保存。Sample A: Weigh the following raw materials: 20 parts of Bupleurum, 15 parts of Citrus aurantii, 10 parts of raw rhubarb, 10 parts of white peony, 10 parts of dried ginger, 10 parts of leech, 10 parts of Atractylodes macrocephala, boil and extract two For the first time, add 8 times the amount of water for the first time, and heat it at 75 degrees centigrade for 60 minutes after boiling to obtain a decoction; Decoction, filtered, combined filtrate. Divide the filtrate into 14 equal volumes, provide a 7-day supply, and store at 4°C.

樣品B:稱取如下原料藥:柴胡20g、枳實15g、生大黃10g、黃芩3g、白芍10g、乾薑10g、水蛭10g、甘草10g、黨參10g、白術10g、生牡蠣30g,置密閉容器內煮提兩次,第一次加水8倍量,煮沸後75攝氏度保溫60分鐘,得到煎煮液;第二次加水6倍量,煮沸後70攝氏度保溫60分鐘,得第二次煎煮液;合併二次煎煮液,濾過,合併濾液。濾液等體積分為14份,提供7天的用量,4攝氏度保存。Sample B: Weigh the following raw materials: Bupleurum 20g, Zhishi 15g, Rhubarb 10g, Scutellaria baicalensis 3g, Paeoniae Alba 10g, Dried ginger 10g, Leech 10g, Licorice 10g, Codonopsis 10g, Atractylodes macrocephala 10g, Raw oyster 30g, set Boil twice in a closed container, add 8 times the amount of water for the first time, and heat it at 75 degrees Celsius for 60 minutes after boiling to obtain a decoction; add 6 times the amount of water for the second time, and heat it at 70 degrees Celsius for 60 minutes after boiling to obtain the second decoction Boil the liquid; combine the second decocting liquid, filter, and combine the filtrate. Divide the filtrate into 14 equal volumes, provide a 7-day supply, and store at 4°C.

樣品C:稱取如下原料藥:柴胡20g、枳實15g、生大黃10g、白芍10g、乾薑10g、水蛭10g、甘草10g、白術10g、生牡蠣30g,置密閉容器內煮提兩次,第一次加水8倍量,煮沸後75攝氏度保溫60分鐘,得到煎煮液;第二次加水6倍量,煮沸後70攝氏度保溫60分鐘,得第二次煎煮液;合併二次煎煮液,濾過,合併濾液。濾液等體積分為14份,提供7天的用量,4攝氏度保存。Sample C: Weigh the following raw materials: Bupleurum bupleuri 20g, Citrus aurantium 15g, raw rhubarb 10g, white peony root 10g, dried ginger 10g, leech 10g, licorice 10g, Atractylodes macrocephala 10g, raw oyster 30g, boil in a closed container for two For the first time, add 8 times the amount of water for the first time, and heat it at 75 degrees centigrade for 60 minutes after boiling to obtain a decoction; Decoction, filtered, combined filtrate. Divide the filtrate into 14 equal volumes, provide a 7-day supply, and store at 4°C.

樣品D:稱取如下原料藥:生大黃10g、白芍10g、乾薑10g、水蛭10g、甘草10g、丹皮10g、桃仁6g、生牡蠣30g,置密閉容器內煮提兩次,第一次加水8倍量,煮沸後75攝氏度保溫60分鐘,得到煎煮液;第二次加水6倍量,煮沸後70攝氏度保溫60分鐘,得第二次煎煮液;合併二次煎煮液,濾過,合併濾液。濾液等體積分為14份,提供7天的用量,4攝氏度保存。Sample D: Weigh the following raw materials: 10g of raw rhubarb, 10g of white peony root, 10g of dried ginger, 10g of leech, 10g of licorice, 10g of paeonol, 6g of peach kernel, and 30g of raw oyster. Add 8 times the amount of water for the first time, and heat it at 75 degrees Celsius for 60 minutes after boiling to obtain a decoction; add 6 times the amount of water for the second time, and heat it at 70 degrees Celsius for 60 minutes after boiling to obtain the second decoction; Combine the second decoction, Filter and combine the filtrates. Divide the filtrate into 14 equal volumes, provide a 7-day supply, and store at 4°C.

實施例2:動脈粥狀硬化治療典型病例Embodiment 2: typical case of treatment of atherosclerosis

實施例2-1:Example 2-1:

陳某,男,2021年期間,在浙江湖州瑞博中醫門診部(浙江省湖州市梅州路 322號)就診,就診時,陳某雙側頸總動脈硬化斑塊形成,明顯的有6個斑塊,大小分別為斑塊1(15.2*1.6mm)、斑塊2(10.7*2.0mm)、斑塊3(10.2*2.1mm)、斑塊4(5.5*1.0mm)、斑塊5(5.8*1.6mm)和斑塊6(5.5*1.7mm)。早晚飯後,各服用如上實施例樣品B準備的濾液一份。經過7個療程 (14天/每療程)的治療,雙側頸總動脈硬化斑塊變小或消失,其中斑塊4、5、6三個斑塊完全消失,另外三個斑塊1、2、3顯著減小,大小分別減小為8.8*2.4mm、7*2.4mm和6.8*1.7mm。Chen, male, went to the Zhejiang Huzhou Ruibo Traditional Chinese Medicine Outpatient Department (No. 322, Meizhou Road, Huzhou, Zhejiang Province) during 2021. During the visit, Chen's bilateral common carotid artery sclerosis plaques formed, and there were 6 obvious plaques. Plaques, the sizes of which are plaque 1 (15.2*1.6mm), plaque 2 (10.7*2.0mm), plaque 3 (10.2*2.1mm), plaque 4 (5.5*1.0mm), plaque 5 (5.8 *1.6mm) and plaque 6 (5.5*1.7mm). Take one part of the filtrate prepared in the sample B of the above embodiment after breakfast and dinner. After 7 courses of treatment (14 days/course of treatment), bilateral common carotid arteriosclerotic plaques became smaller or disappeared, of which plaques 4, 5, and 6 completely disappeared, and the other three plaques 1, 2 , 3 are significantly reduced, and the sizes are reduced to 8.8*2.4mm, 7*2.4mm and 6.8*1.7mm respectively.

實施例2-2:Example 2-2:

李某,女,65歲,2020-2021年期間,在浙江湖州瑞博中醫門診部(浙江省湖州市梅州路 322號)就診,就診時,李某雙側頸總動脈硬化斑塊形成,明顯的有4個斑塊,大小分別為斑塊1(12.1*2.6mm)、斑塊2(10.2*2.0mm)、斑塊3(10.0*1.9mm)和斑塊4(5.6*2.0mm)。早晚飯後,各服用如上實施例樣品B準備的濾液一份。經過12個療程 (14天/每療程)的治療,雙側頸總動脈硬化斑塊變小或消失,其中斑塊2、4這兩個斑塊完全消失,剩下的兩個斑塊1和3顯著減小,大小分別減小為3.9*2.5mm和 2.6*2.1mm。Li, female, 65 years old, from 2020 to 2021, went to Zhejiang Huzhou Ruibo Traditional Chinese Medicine Outpatient Department (No. 322 Meizhou Road, Huzhou City, Zhejiang Province) to see a doctor. There are 4 plaques, the sizes are plaque 1 (12.1*2.6mm), plaque 2 (10.2*2.0mm), plaque 3 (10.0*1.9mm) and plaque 4 (5.6*2.0mm). Take one part of the filtrate prepared in the sample B of the above embodiment after breakfast and dinner. After 12 courses of treatment (14 days/course of treatment), the bilateral common carotid artery sclerotic plaques became smaller or disappeared, and the two plaques 2 and 4 disappeared completely, and the remaining two plaques 1 and 4 disappeared completely. 3 significantly reduced, the size was reduced to 3.9*2.5mm and 2.6*2.1mm respectively.

實施例 3 本發明中藥組合物對 ApoE-/-小鼠動脈粥狀斑塊形成的影響研究Example 3 Study on the Influence of the Traditional Chinese Medicine Composition of the Present Invention on ApoE-/- Mice Formation of Atherosclerotic Plaque

3.1. 試驗目的:以ApoE-/-小鼠建立動脈粥狀硬化模型,探究受試樣品治療動脈粥狀硬化的效果。3.1. Experimental purpose: ApoE-/- mice were used to establish an atherosclerosis model to explore the effect of the tested samples on atherosclerosis.

3.2. 供試品3.2. Test article

3.2.1.  CS001-樣品A;實施例 1-1 中製得的乾浸膏粉 樣品1。性狀:棕色粉末;保存條件:2—8℃,乾燥。3.2.1. CS001-sample A; dry extract powder sample 1 prepared in Example 1-1. Properties: brown powder; storage conditions: 2-8 ℃, dry.

3.2.2.  CS001-樣品B;實施例 1-1 中製得的乾浸膏粉 樣品2。性狀:棕色粉末;保存條件:2—8℃、乾燥。3.2.2. CS001-sample B; dry extract powder sample 2 prepared in Example 1-1. Properties: brown powder; storage conditions: 2-8 ℃, dry.

3.2.3.  CS001-樣品C;實施例 1-1 中製得的乾浸膏粉 樣品3。性狀:棕色粉末;保存條件:2—8℃、乾燥。3.2.3. CS001-sample C; dry extract powder sample 3 prepared in Example 1-1. Properties: brown powder; storage conditions: 2-8 ℃, dry.

3.2.4.  CS001-樣品D;實施例 1-1 中製得的乾浸膏粉 樣品4。性狀:棕色粉末;保存條件:2—8℃、乾燥。3.2.4. CS001-sample D; dry extract powder sample 4 prepared in Example 1-1. Properties: brown powder; storage conditions: 2-8 ℃, dry.

3.3 對照品:瑞舒伐他汀鈣片(可定);形狀:粉紅色薄膜衣錠;規格/純度:10 mg/錠;包裝:鋁塑泡包裝;生產單位:阿斯利康藥業(中國)有限公司; 保存條件: 密封、乾燥。3.3 Reference substance: Rosuvastatin Calcium Tablets (can be fixed); shape: pink film-coated tablet; specification/purity: 10 mg/tablet; packaging: aluminum-plastic blister packaging; production unit: AstraZeneca Pharmaceuticals (China) Ltd.; storage conditions: sealed and dry.

3.4 試驗用溶劑、乳化劑及其它介質:3.4 Test solvents, emulsifiers and other media:

名稱:純淨水Name: pure water

生產廠家:珠海百試通生物科技有限公司;Manufacturer: Zhuhai Baishitong Biotechnology Co., Ltd.;

3.5 主要儀器與試劑3.5 Main instruments and reagents

離心機,型號:TG16WS;湖南湘儀實驗室儀器開發有限公司產品;Centrifuge, model: TG16WS; product of Hunan Xiangyi Laboratory Instrument Development Co., Ltd.;

ME104E電子分析天平,感量:0.1mg,瑞士梅特勒托利多公司;ME104E electronic analytical balance, sensitivity: 0.1mg, Mettler Toledo, Switzerland;

電子天平,感量:0.1g,型號:JE2001;上海浦春計量儀器有限公司。Electronic balance, sensitivity: 0.1g, model: JE2001; Shanghai Puchun Measuring Instrument Co., Ltd.

TC、TG、HDL-C、LDL-C 試劑盒:上海科華生物工程股份有限公司TC, TG, HDL-C, LDL-C kits: Shanghai Kehua Bioengineering Co., Ltd.

3.6 實驗系統3.6 Experimental system

動物信息: ApoE-/-小鼠、SPF級、160只、雌性、2月齡;Animal information: ApoE-/- mice, SPF grade, 160, female, 2 months old;

動物來源: ApoE-/-小鼠購自江蘇集萃藥康生物科技股份有限公司(生產許可證號:SCXK(蘇)2018-0008)。動物合格證號:99822700020300、320727210100778554,實驗證明號:00293582。Animal source: ApoE-/- mice were purchased from Jiangsu Jicui Yaokang Biotechnology Co., Ltd. (production license number: SCXK (Su) 2018-0008). Animal certificate number: 99822700020300, 320727210100778554, experiment certificate number: 00293582.

選用理由:委託方要求。Reason for selection: request by the entrusting party.

飼養管理:動物飼養在珠海百試通生物科技有限公司實驗動物中心SPF級動物房。動物飼養條件:群養4隻/籠,飼養溫度與濕度:20~26℃,40~70%,採用12h:12h晝夜間斷照明;飼養室條件始終保持穩定,以保證試驗結果的可靠性。試驗期間動物均按實驗要求餵以相應顆粒飼料,普通飼料由江蘇美迪森生物醫藥有限公司提供。動物自由進食飲水。Feeding management: Animals were kept in the SPF grade animal room of the Experimental Animal Center of Zhuhai Baishitong Biotechnology Co., Ltd. Animal feeding conditions: 4 animals/cage in groups, feeding temperature and humidity: 20-26°C, 40-70%, with 12h:12h day and night intermittent lighting; the conditions in the feeding room are always kept stable to ensure the reliability of the test results. During the experiment, the animals were fed with the corresponding pellet feed according to the experimental requirements, and the common feed was provided by Jiangsu Medison Biomedical Co., Ltd. Animals had free access to food and water.

識別方法:採用打耳標標記法,耳標編號籠具雙重編號標記識別。Identification method: Ear tagging method is adopted, and the ear tag number cage is identified with double number marks.

安樂死:50mg/kg舒泰50和10mg/kg速眠新Ⅱ聯合麻醉後采血處死,屍體暫存於屍體冷凍櫃,珠海百試通生物科技有限公司統一進行無公害化處理。Euthanasia: 50mg/kg Sutai 50 and 10mg/kg Sumianxin Ⅱ combined with anesthesia, blood collection and sacrifice, the corpse was temporarily stored in the cadaver freezer, and Zhuhai Baishitong Biotechnology Co., Ltd. uniformly carried out pollution-free treatment.

檢疫觀察:對購入動物檢疫7天。期間每日檢查動物一次,如發現不健康的動物立即剔除,選用健康動物進行實驗。Quarantine observation: Quarantine for purchased animals for 7 days. During this period, the animals were checked once a day, and any unhealthy animals were found to be removed immediately, and healthy animals were selected for experiments.

3.7 劑量設計與分組3.7 Dose Design and Grouping

劑量設計依據:委託方要求。Dosage design basis: request of the entrusting party.

3.8  實驗方法3.8 Experimental method

3.8.1. 供試品溶液配製:3.8.1. Preparation of the test solution:

3.8.1.1. 樣品A3.8.1.1. Sample A

樣品A超高劑量(0.521g/ml):準確稱量2.13g樣品A,加入15ml的純淨水,攪拌均勻,得0.521g/ml樣品A超高劑量懸浮液。Super high dose of sample A (0.521g/ml): Accurately weigh 2.13g of sample A, add 15ml of pure water, stir well, and obtain 0.521g/ml super high dose suspension of sample A.

樣品A高劑量(0.261g/ml):取  4ml樣品A超高劑量懸浮液,加入4ml的純淨水,攪拌均勻,得0.261g/ml樣品A高劑量懸浮液。Sample A high dose (0.261g/ml): take 4ml of sample A super high dose suspension, add 4ml of purified water, stir well, and get 0.261g/ml sample A high dose suspension.

樣品A中劑量(0.13g/ml):取 2ml樣品A超高劑量懸浮液,加入6ml的純淨水,攪拌均勻,得0.13g/ml樣品A中劑量懸浮液。Medium dose of sample A (0.13g/ml): Take 2ml of super high dose suspension of sample A, add 6ml of purified water, stir well, and obtain medium dose suspension of 0.13g/ml sample A.

樣品A低劑量(0.065g/ml):取1ml樣品A超高劑量懸浮液,加入7ml的純淨水,攪拌均勻,0.065g/ml樣品A低劑量懸浮液。Sample A low dose (0.065g/ml): Take 1ml of sample A super high dose suspension, add 7ml of purified water, stir well, 0.065g/ml sample A low dose suspension.

3.8.1.2. 樣品B3.8.1.2. Sample B

樣品B超高劑量(0.521g/ml):準確稱量2.7g樣品B,加入15ml的純淨水,攪拌均勻,得0.521g/ml樣品B超高劑量懸浮液。Super high dose of sample B (0.521g/ml): Accurately weigh 2.7g of sample B, add 15ml of pure water, stir well, and obtain 0.521g/ml super high dose suspension of sample B.

樣品B高劑量(0.261g/ml):取  4ml樣品B超高劑量懸浮液,加入4ml的純淨水,攪拌均勻,得0.261g/ml樣品B高劑量懸浮液。Sample B high dose (0.261g/ml): take 4ml of sample B super high dose suspension, add 4ml of purified water, stir well, and obtain 0.261g/ml sample B high dose suspension.

樣品B中劑量(0.13g/ml):取 2ml樣品B超高劑量懸浮液,加入6ml的純淨水,攪拌均勻,得0.13g/ml樣品B中劑量懸浮液。Medium dose of sample B (0.13g/ml): take 2ml of super high dose suspension of sample B, add 6ml of purified water, stir well, and obtain medium dose suspension of 0.13g/ml sample B.

樣品B低劑量(0.065g/ml):取1ml樣品B超高劑量懸浮液,加入7ml的純淨水,攪拌均勻,0.065g/ml樣品B低劑量懸浮液。Sample B low dose (0.065g/ml): take 1ml of sample B super high dose suspension, add 7ml of purified water, stir well, 0.065g/ml sample B low dose suspension.

3.8.1.3. 樣品C3.8.1.3. Sample C

樣品C超高劑量(0.521g/ml):準確稱量1.23g樣品C,加入15ml的純淨水,攪拌均勻,得0.521g/ml樣品C超高劑量懸浮液。Super high dose of sample C (0.521g/ml): Accurately weigh 1.23g of sample C, add 15ml of pure water, stir evenly, and obtain 0.521g/ml super high dose suspension of sample C.

樣品C高劑量(0.261g/ml):取 4ml樣品C超高劑量懸浮液,加入4ml的純淨水,攪拌均勻,得0.261g/ml樣品C高劑量懸浮液。Sample C high dose (0.261g/ml): Take 4ml of sample C super high dose suspension, add 4ml of purified water, stir evenly to obtain 0.261g/ml sample C high dose suspension.

樣品C中劑量(0.13g/ml):取 2ml樣品C超高劑量懸浮液,加入6ml的純淨水,攪拌均勻,得0.13g/ml樣品C中劑量懸浮液。Medium dose of sample C (0.13g/ml): Take 2ml of super high dose suspension of sample C, add 6ml of purified water, stir evenly, and obtain medium dose suspension of sample C of 0.13g/ml.

樣品C低劑量(0.065g/ml):取1ml樣品C超高劑量懸浮液,加入7ml的純淨水,攪拌均勻,0.065g/ml樣品C低劑量懸浮液。Sample C low dose (0.065g/ml): Take 1ml of sample C super high dose suspension, add 7ml of purified water, stir well, 0.065g/ml sample C low dose suspension.

3.8.1.4. 樣品D3.8.1.4. Sample D

樣品D超高劑量(0.521g/ml):準確稱量2.22g樣品D,加入15ml的純淨水,攪拌均勻,得0.521g/ml樣品D超高劑量懸浮液。Super high dose of sample D (0.521g/ml): Accurately weigh 2.22g of sample D, add 15ml of pure water, stir evenly, and obtain 0.521g/ml super high dose suspension of sample D.

樣品D高劑量(0.261g/ml):取 4ml樣品D超高劑量懸浮液,加入4ml的純淨水,攪拌均勻,得0.261g/ml樣品D高劑量懸浮液。Sample D high dose (0.261g/ml): take 4ml of sample D super high dose suspension, add 4ml of purified water, stir well, and obtain 0.261g/ml sample D high dose suspension.

樣品D中劑量(0.13g/ml):取 2ml樣品D超高劑量懸浮液,加入6ml的純淨水,攪拌均勻,得0.13g/ml樣品D中劑量懸浮液。Medium dose of sample D (0.13g/ml): take 2ml of super high dose suspension of sample D, add 6ml of purified water, stir well, and obtain medium dose suspension of sample D of 0.13g/ml.

樣品D低劑量(0.065g/ml):取1ml樣品D超高劑量懸浮液,加入7ml的純淨水,攪拌均勻,0.065g/ml樣品D低劑量懸浮液。Sample D low dose (0.065g/ml): take 1ml of sample D super high dose suspension, add 7ml of purified water, stir well, 0.065g/ml sample D low dose suspension.

3.8.2. 對照品溶液配製3.8.2. Preparation of reference solution

瑞舒伐他汀(0.33mg/ml):取1錠瑞舒伐他汀,研磨成粉末,加入30ml純化水,攪拌溶解即可,給藥前搖勻劑量設計與分組Rosuvastatin (0.33mg/ml): Take 1 tablet of rosuvastatin, grind it into powder, add 30ml of purified water, stir to dissolve, shake well before administration Dose design and grouping

3.8.3. 高脂高膽固醇模型飼料:在維持飼料中添加 20.0%蔗糖、5%豬油、1.0%膽固醇、0.1%膽酸鈉,適量的酪蛋白、碳酸氫鈣、石粉等。除了粗脂肪外,模型飼料的水分、 10 粗蛋白、粗脂肪、粗纖維、粗灰分、鈣、磷、鈣:磷均要達到維持飼料的國家標準。由 珠海百試通公司實驗動物中心提供。3.8.3. High-fat and high-cholesterol model feed: Add 20.0% sucrose, 5% lard, 1.0% cholesterol, 0.1% sodium cholate, appropriate amount of casein, calcium bicarbonate, stone powder, etc. to the maintenance feed. In addition to crude fat, the moisture, 10 crude protein, crude fat, crude fiber, crude ash, calcium, phosphorus, and calcium:phosphorus of the model feed must meet the national standards for maintenance feed. Provided by the Experimental Animal Center of Zhuhai Baishitong Company.

3.8.4 造模方法:SPF級ApoE-/-小鼠160隻,飼養於SPF 級環境設施中。檢疫3天合格後,適應性飼養14d。所有ApoE-/-小鼠均給予高脂飼料餵養30天。30天后以TC為分組指標隨機區組分為模型對照組1 和 2、瑞舒伐他汀組 (陽性組1 和 2)、樣品A, B, C, D各四組 (低劑量組、中劑量組、高劑量組、超高劑量組),8只/組。所有ApoE-/-小鼠在造模後,繼續給予高脂飼料餵養30天,然後恢復到正常維持飼料。3.8.4 Modeling method: 160 SPF-grade ApoE-/- mice were raised in SPF-grade environmental facilities. After passing the quarantine for 3 days, they were adaptively fed for 14 days. All ApoE-/- mice were fed with high-fat diet for 30 days. After 30 days, the groups were randomly divided into model control group 1 and 2, rosuvastatin group (positive group 1 and 2), samples A, B, C, and D (low-dose group, middle-dose group, and group, high-dose group, ultra-high-dose group), 8 rats/group. All ApoE-/- mice were fed with high-fat diet for 30 days after modeling, and then returned to normal maintenance diet.

3.8.5 給藥方法:陽性對照組、各受試樣品組小鼠每天按 20 mL/kg 體重灌胃給予相應的藥液,模型對照組 給予同體積的純淨水,1 次/d,連續 60 d。分組:表1 表1   各組給藥表 組別 藥物 n 藥物濃度 給藥體積 給藥量 g 生藥量 /ml mL/10g g 生藥量 /kg 模型對照組1 純淨水 8 0 0.2 0   瑞舒伐他汀陽性組1 瑞舒伐他汀 8 0.00033 0.2 0.0066   樣品A低劑量組 樣品A 8 0.065 0.2 1.303   樣品A中劑量組 樣品A 8 0.13 0.2 2.606   樣品A高劑量組 樣品A 8 0.261 0.2 5.212   樣品A超高劑量組 樣品A 8 0.521 0.2 10.424   樣品B低劑量組 樣品B 8 0.065 0.2 1.303   樣品B中劑量組 樣品B 8 0.13 0.2 2.606   樣品B高劑量組 樣品B 8 0.261 0.2 5.212                 模型對照組2 純淨水 8 0 0.2 0   瑞舒伐他汀陽性組2 瑞舒伐他汀 8 0.00033 0.2 0.0066   樣品C低劑量組 樣品C 8 0.065 0.2 1.303   樣品C中劑量組 樣品C 8 0.13 0.2 2.606   樣品C高劑量組 樣品C 8 0.261 0.2 5.212   樣品C超高劑量組 樣品C 8 0.521 0.2 10.424   樣品D低劑量組 樣品D 8 0.065 0.2 1.303   樣品D中劑量組 樣品D 8 0.13 0.2 2.606   樣品D高劑量組 樣品D 8 0.261 0.2 5.212   樣品D超高劑量組 樣品D 8 0.521 0.2 10.424   樣品B超高劑量組 樣品B 8 0.521 0.2 10.424   3.8.5 Administration method: The mice in the positive control group and each test sample group were intragastrically given the corresponding drug solution at 20 mL/kg body weight every day, and the model control group was given the same volume of purified water, once a day, for 60 consecutive days. d. Grouping: Table 1 Table 1 Dosing table of each group group drug no drug concentration Dosing volume Dosage g Crude drug amount /ml mL/10g g Crude drug amount /kg Model control group 1 pure water 8 0 0.2 0 Rosuvastatin positive group 1 Rosuvastatin 8 0.00033 0.2 0.0066 Sample A low dose group Sample A 8 0.065 0.2 1.303 Dose group in sample A Sample A 8 0.13 0.2 2.606 Sample A high dose group Sample A 8 0.261 0.2 5.212 Sample A super high dose group Sample A 8 0.521 0.2 10.424 Sample B low dose group Sample B 8 0.065 0.2 1.303 Dose group in sample B Sample B 8 0.13 0.2 2.606 Sample B high dose group Sample B 8 0.261 0.2 5.212 Model control group 2 pure water 8 0 0.2 0 Rosuvastatin positive group 2 Rosuvastatin 8 0.00033 0.2 0.0066 Sample C low dose group Sample C 8 0.065 0.2 1.303 Sample C middle dose group Sample C 8 0.13 0.2 2.606 Sample C high dose group Sample C 8 0.261 0.2 5.212 Sample C super high dose group Sample C 8 0.521 0.2 10.424 Sample D low dose group Sample D 8 0.065 0.2 1.303 Dose group in sample D Sample D 8 0.13 0.2 2.606 Sample D high dose group Sample D 8 0.261 0.2 5.212 Sample D super high dose group Sample D 8 0.521 0.2 10.424 Sample B super high dose group Sample B 8 0.521 0.2 10.424

3.8.6 檢測指標:3.8.6 Detection indicators:

1)一般狀態:每天觀察並記錄小鼠的一般臨床狀態 1 次。1) General state: Observe and record the general clinical state of the mice once a day.

2)體重:試驗開始及試驗結束測量體重 1 次,試驗期間,每週測量體重 1 次。計算動物給藥 30 d 增重(給藥 D29-給藥 D1)、給藥 60 d 增重(給藥 D60-給藥 D1)。2) Body weight: Body weight was measured once at the beginning of the test and at the end of the test. During the test, body weight was measured once a week. Calculate the weight gain of animals on the 30th day of administration (administration D29-administration D1), and the weight gain on 60 days of administration (administration D60-administration D1).

3)TC、TG、LDL-C、HDL-C 水平:3) TC, TG, LDL-C, HDL-C levels:

TC、TG水平:於造模30d、60d和90d,各動物不禁食,麻醉後眼底靜脈叢采血,3000rpm離心10min,分離血清,測定TC、TG水平。TC and TG levels: 30 days, 60 days and 90 days after modeling, each animal was not fasted, blood was collected from the fundus venous plexus after anesthesia, centrifuged at 3000 rpm for 10 minutes, serum was separated, and TC and TG levels were measured.

LDL、HDL水平:於造模60d和90d,各動物不禁食,麻醉後眼底靜脈叢采血,3000rpm離心10min,分離血清,測定LDL、HDL水平。LDL and HDL levels: On the 60th and 90th days of modeling, each animal was not fasted, blood was collected from the fundus venous plexus after anesthesia, centrifuged at 3000rpm for 10min, the serum was separated, and the levels of LDL and HDL were measured.

C- reactive protein(CRP)水平: 於造模30d和90d,各動物不禁食,麻醉後眼底靜脈叢采血,3000rpm離心10min,分離血清,測定CRP水平。C-reactive protein (CRP) level: On the 30th and 90th day of modeling, each animal was not fasted, blood was collected from the fundus venous plexus after anesthesia, centrifuged at 3000rpm for 10min, the serum was separated, and the CRP level was measured.

病理檢查:實驗結束後,仰臥位固定小鼠, 迅速打開小鼠胸腔, 用生理鹽水經左心室全身灌流, 再用 4%多聚甲醛灌流固定。取主動脈弓進行 HE 染色和天狼星紅染色。Pathological examination: After the experiment, the mice were fixed in the supine position, the thorax of the mice was quickly opened, the whole body was perfused with normal saline through the left ventricle, and then fixed with 4% paraformaldehyde. The aortic arch was taken for HE staining and Sirius red staining.

組織保留: 動物采血後,放血處死,收集血清。所有的試驗動物進行大體解剖,收集心臟,肝臟,腎臟和腦部組織。其中心臟,和部分肝臟,腎臟和腦部組織進行組織標本固定,剩餘組織冷凍保存。其它組織器官如出現體積、顏色、質地等改變時,進行組織病理學檢查。Tissue preservation: After blood collection, animals were sacrificed by exsanguination and serum was collected. All experimental animals were grossly dissected, and heart, liver, kidney and brain tissues were collected. Among them, the heart, some liver, kidney and brain tissues were fixed as tissue samples, and the remaining tissues were cryopreserved. Histopathological examination should be performed when other tissues and organs change in volume, color, texture, etc.

3.9 數據統計方法: 所有數據採用(

Figure 02_image001
)表示,應用SPSS 21.0軟件進行統計分析;採用順位和檢驗進行統計分析。百分率的比較採用順位和檢驗進行統計分析。檢驗水平α=0.05。 3.9 Data statistics method: All data adopt (
Figure 02_image001
) said, SPSS 21.0 software was used for statistical analysis; the rank sum test was used for statistical analysis. The comparison of percentages was performed statistical analysis using the rank sum test. The test level is α=0.05.

3.10結果3.10 Results

3.10.1. 日常觀察:各組小鼠在試驗過程中均未出現死亡情況與異常反應。3.10.1. Daily observation: No death or abnormal reaction occurred in the mice in each group during the experiment.

3.10.2. 體重(見圖1-4):3.10.2. Weight (see Figure 1-4):

與模型對照組比較,瑞舒伐他汀陽性組、及各樣品組,體重自第二周起,都有所降低, 其中一些周的體重改變,具有統計學差異(P<0.05)。其中,瑞舒伐他汀陽性組對體重的影響,相比各樣品處理組,都更為明顯。然而,體重的改變,在各樣品處理組中,都沒有觀察到劑量反應關係,表明體重的改變與給藥劑量無關。Compared with the model control group, the body weight of the rosuvastatin positive group and each sample group decreased from the second week, and the body weight changes in some weeks were statistically different (P<0.05). Among them, the impact of rosuvastatin positive group on body weight was more obvious than that of each sample treatment group. However, for changes in body weight, no dose-response relationship was observed in each sample treatment group, indicating that changes in body weight had nothing to do with the administered dose.

3.10.3. TC值、TG值、CRP值、LDL值、HDL值(見表2-4):

Figure 02_image003
Figure 02_image005
Figure 02_image007
3.10.3. TC value, TG value, CRP value, LDL value, HDL value (see Table 2-4):
Figure 02_image003
Figure 02_image005
Figure 02_image007

3.10.3.1. TC值:3.10.3.1. TC value:

樣品A超高劑量組小鼠在D30時TC值高於模型對照組,具有統計學差異(P<0.05)。其餘各給藥組小鼠在各時間點TC值與模型對照組比較,均無統計學差異(P>0.05)。The TC value of the mice in the ultra-high dose group of sample A was higher than that of the model control group at D30, with a statistical difference (P<0.05). There was no statistical difference in the TC value of the mice in the other administration groups compared with the model control group at each time point (P>0.05).

3.10.3.2. TG值:3.10.3.2. TG value:

樣品A超高劑量組小鼠在D30時TG值高於模型對照組,具有統計學差異(P<0.05)。樣品A高劑量組、樣品B低劑量組、樣品B中劑量組、樣品B超高劑量組小鼠在D60時TG值低於模型對照組,具有統計學差異(P<0.05)。其餘各給藥組小鼠在各時間點TG值與模型對照組比較,均無統計學差異(P>0.05)。The TG value of the mice in the ultra-high dose group of sample A was higher than that of the model control group at D30, with a statistical difference (P<0.05). The TG value of the mice in the sample A high-dose group, sample B low-dose group, sample B medium-dose group, and sample B ultra-high-dose group was lower than that of the model control group at D60, with statistical differences (P<0.05). There was no statistical difference in the TG value of the mice in the other administration groups compared with the model control group at each time point (P>0.05).

3.10.3.3. LDL值:3.10.3.3. LDL value:

樣品A中劑量組、樣品A高劑量組、樣品A超高劑量組、樣品B低劑量組、樣品B中劑量組、樣品B高劑量組、樣品B超高劑量組小鼠在D30時LDL值高於模型對照組,具有統計學差異(P<0.05),樣品A超高劑量組、樣品B超高劑量組小鼠在D60時LDL值高於模型對照組,具有統計學差異(P<0.05),其餘各給藥組小鼠在各時間點LDL值與模型對照組比較,均無統計學差異(P>0.05)。Sample A medium dose group, sample A high dose group, sample A super high dose group, sample B low dose group, sample B medium dose group, sample B high dose group, sample B super high dose group mice at D30 LDL value Higher than the model control group, with a statistical difference (P<0.05), the LDL value of the mice in the sample A ultra-high dose group and sample B ultra-high dose group was higher than that of the model control group at D60, with a statistical difference (P<0.05 ), the LDL values of mice in the other administration groups were not significantly different from those of the model control group at each time point (P>0.05).

3.10.3.4. HDL值3.10.3.4. HDL values

樣品A超高劑量組小鼠在D60時HDL值高於模型對照組,瑞舒伐他汀組小鼠在D30時HDL-C值低於模型對照組,具有統計學差異(P<0.05),樣品D超高劑量組小鼠在D30時HDL-C值高於模型對照組,具有統計學差異(P<0.05)。其它各給藥組小鼠在各時間點HDL值與模型對照組比較,均無統計學差異(P>0.05)。The HDL value of the mice in the ultra-high dose group of sample A was higher than that of the model control group at D60, and the HDL-C value of the mice in the rosuvastatin group was lower than that of the model control group at D30, with a statistical difference (P<0.05). The HDL-C value of the mice in the ultra-high dose D group was higher than that of the model control group at D30, with a statistical difference (P<0.05). There was no statistical difference in the HDL values of mice in other administration groups compared with the model control group at each time point (P>0.05).

3.10.3.5. CRP值:3.10.3.5. CRP value:

樣品B低劑量組、樣品B超高劑量組小鼠在D60時CRP值低於模型對照組,具有統計學差異(P<0.05)。樣品C中劑量組、樣品C高劑量組、樣品C超高劑量組、樣品D低劑量組、樣品D中劑量組、樣品D高劑量組、樣品D超高劑量組小鼠在D60時CRP值低於模型對照組,具有統計學差異(P<0.05),其餘各給藥組小鼠在各時間點CRP值與模型對照組比較,均無統計學差異(P>0.05)。The CRP values of mice in sample B low-dose group and sample B ultra-high-dose group were lower than those of the model control group at D60, with statistical difference (P<0.05). CRP value of mice in sample C medium dose group, sample C high dose group, sample C super high dose group, sample D low dose group, sample D medium dose group, sample D high dose group, sample D super high dose group mice at D60 It was lower than the model control group, with statistical difference (P<0.05), and there was no statistical difference in the CRP values of the other administration groups compared with the model control group at each time point (P>0.05).

3.10.4  病理檢測結果3.10.4 Pathological test results

模型對照組ApoE-/-小鼠的心、肝、腎、腦均出現不同程度的炎症反應,樣品A,B, C 和D,各劑量組小鼠的心、肝、腎、腦的炎性病變程度與模型對照組接近。各個組,均未觀察到其它病理改變。The hearts, livers, kidneys, and brains of ApoE-/- mice in the model control group showed varying degrees of inflammatory reactions. The degree of lesion was close to that of the model control group. No other pathological changes were observed in each group.

3.10.5.動脈弓動脈粥狀斑塊HE染色檢查結果 (表5,圖5-12)。3.10.5. HE staining results of arterial arch atherosclerotic plaque (Table 5, Figure 5-12).

表5, 動脈弓部動脈粥狀斑塊面積及數量((Avg.,n=8)HE染色)

Figure 02_image009
Table 5, the area and number of atherosclerotic plaques in the arterial arch ((Avg., n=8) HE staining)
Figure 02_image009

與模型對照組比較,陽性處理組,及各樣品處理組小鼠在動脈弓粥狀斑塊形成的病變程度均呈現減輕的趨勢,斑塊面積都有所減少,部分組平均斑塊面積與模型對照組相比 具有顯著性差異(P<0.01 or P<0.05)。其中與模型對照組比較,樣品B的四個劑量組小鼠在動脈弓的粥狀斑塊面積上呈現較為明顯的劑量效應關係 (圖8)。其它組劑量效應關係未明顯觀察到。粥狀斑塊數在各組中未觀察到明顯的劑量效應關係。Compared with the model control group, the degree of atherosclerotic plaque formation in the positive treatment group and each sample treatment group showed a tendency to alleviate, and the plaque area decreased, and the average plaque area of some groups was the same as that of the model group. Compared with the control group, there was a significant difference (P<0.01 or P<0.05). Among them, compared with the model control group, the mice in the four dose groups of sample B showed a more obvious dose-effect relationship on the area of atherosclerotic plaque in the arterial arch (Figure 8). No significant dose-effect relationship was observed in other groups. No significant dose-response relationship was observed for the number of plaques in each group.

結論in conclusion

在本實驗條件下,實驗樣品A,B,C,D均顯示出較為明顯的預防和消融動脈斑塊的效果。其中,樣品B對於動脈斑塊的清除呈現明顯的劑量效應關係。此外,樣品B具有明顯降低血TG值的效果。樣品D顯示明顯的抑制炎性反應的效果,與模型對照組相比,CRP值在各劑量組均顯著性降低。Under the conditions of this experiment, experimental samples A, B, C, and D all showed relatively obvious effects of preventing and ablating arterial plaque. Among them, sample B showed an obvious dose-effect relationship for the removal of arterial plaque. In addition, sample B has the effect of significantly lowering the blood TG value. Sample D showed an obvious effect of inhibiting inflammatory response. Compared with the model control group, the CRP value was significantly reduced in each dose group.

none

圖1顯示了應用本發明的A樣品組各種不同劑量與模型對照組之後小鼠的體重變化; 圖2顯示了應用本發明的B樣品組各種不同劑量與模型對照組之後小鼠的體重變化; 圖3顯示了應用本發明的C樣品組各種不同劑量與模型對照組之後小鼠的體重變化; 圖4顯示了應用本發明的D樣品組各種不同劑量與模型對照組之後小鼠的體重變化; 圖5顯示了應用本發明各樣品組、模型對照組和瑞舒伐他汀陽性組之後小鼠的斑塊面積與動脈管腔面積比; 圖6顯示了應用本發明各樣品組、模型對照組和瑞舒伐他汀陽性組之後小鼠的動脈粥狀斑塊數目; 圖7顯示了應用本發明的A、B樣品組各種不同劑量、正常組1、模型組1、和瑞舒伐他汀干預組1之後小鼠的動脈粥狀斑塊變化情況; 圖8顯示了應用本發明的C、D樣品組各種不同劑量、正常組2、模型組2、和瑞舒伐他汀干預組2之後小鼠的動脈粥狀斑塊變化情況; 圖9顯示了按不同劑量應用本發明的A樣品組之後小鼠的斑塊面積與動脈管腔面積比; 圖10顯示了按不同劑量應用本發明的B樣品組之後小鼠的斑塊面積與動脈管腔面積比; 圖11顯示了按不同劑量應用本發明的C樣品組之後小鼠的斑塊面積與動脈管腔面積比; 圖12顯示了按不同劑量應用本發明的D樣品組之後小鼠的斑塊面積與動脈管腔面積比。 Fig. 1 has shown the body weight change of mice after applying various doses of A sample group of the present invention and model control group; Fig. 2 has shown the body weight change of mice after applying various doses of the B sample group of the present invention and the model control group; Fig. 3 has shown the body weight change of mice after applying various doses of the C sample group of the present invention and the model control group; Fig. 4 has shown the body weight change of mice after applying various doses of D sample group of the present invention and model control group; Figure 5 shows the plaque area and arterial lumen area ratio of mice after applying each sample group of the present invention, model control group and rosuvastatin positive group; Figure 6 shows the number of atherosclerotic plaques in mice after applying each sample group, model control group and rosuvastatin positive group of the present invention; Figure 7 shows the changes in the atherosclerotic plaques of mice after applying various doses of A and B sample groups of the present invention, normal group 1, model group 1, and rosuvastatin intervention group 1; Figure 8 shows the changes in the atherosclerotic plaques of mice after applying various doses of C and D sample groups of the present invention, normal group 2, model group 2, and rosuvastatin intervention group 2; Figure 9 shows the plaque area and arterial lumen area ratio of mice after applying the A sample group of the present invention by different doses; Figure 10 shows the plaque area and arterial lumen area ratio of mice after applying the B sample group of the present invention by different doses; Figure 11 shows the plaque area and arterial lumen area ratio of mice after applying the C sample group of the present invention by different doses; Fig. 12 shows the ratio of plaque area to arterial lumen area of mice after applying the D sample group of the present invention according to different doses.

Claims (22)

一種中藥組合物,其特徵在於包括按以下重量份計的原料藥:柴胡5-35份、枳實5-30份、生大黃3-20份、白芍3-20份、乾薑3-20份、水蛭3-25份、白術3-20份。A traditional Chinese medicine composition, characterized in that it comprises the following raw materials in parts by weight: 5-35 parts of Bupleurum bupleuri, 5-30 parts of Citrus aurantii, 3-20 parts of raw rhubarb, 3-20 parts of white peony root, 3 parts of dried ginger -20 parts, 3-25 parts of leech, 3-20 parts of Atractylodes macrocephala. 如請求項1所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:柴胡15-30份、枳實10-20份、生大黃5-15份、白芍5-15份、乾薑5-15份、水蛭7-15份、白術5-15份。The traditional Chinese medicine composition as claimed in claim 1 is characterized in that it comprises the following raw materials in parts by weight: Bupleurum bupleurum 15-30 parts, Citrus aurantium 10-20 parts, raw rhubarb 5-15 parts, white peony root 5- 15 parts, 5-15 parts of dried ginger, 7-15 parts of leech, 5-15 parts of Atractylodes macrocephala. 如請求項2所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:柴胡20份、枳實15份、生大黃10份、白芍10份、乾薑10份、水蛭10份、白術10份。The traditional Chinese medicine composition as described in claim 2 is characterized in that it contains the following raw materials in parts by weight: 20 parts of Bupleurum, 15 parts of Citrus aurantii, 10 parts of raw rhubarb, 10 parts of Radix Paeoniae Alba, 10 parts of dried ginger, 10 parts of leech, 10 parts of Atractylodes macrocephala. 一種中藥組合物,其特徵在於包括按以下重量份計的原料藥:柴胡5-35份、枳實5-30份、生大黃3-20份、白芍3-20份、乾薑3-20份、水蛭3-25份、甘草3-20份、白術3-20份、生牡蠣 3-45 份。A traditional Chinese medicine composition, characterized in that it comprises the following raw materials in parts by weight: 5-35 parts of Bupleurum bupleuri, 5-30 parts of Citrus aurantii, 3-20 parts of raw rhubarb, 3-20 parts of white peony root, 3 parts of dried ginger -20 parts, 3-25 parts of leech, 3-20 parts of licorice, 3-20 parts of Atractylodes macrocephala, 3-45 parts of raw oyster. 如請求項4所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:柴胡15-30份、枳實10-20份、生大黃5-15份、白芍5-15份、乾薑5-15份、水蛭7-15份、甘草5-15份、白術5-15份、生牡蠣10-35 份。The traditional Chinese medicine composition as described in claim 4 is characterized in that it comprises the following raw materials in parts by weight: 15-30 parts of Bupleurum, 10-20 parts of Citrus aurantium, 5-15 parts of raw rhubarb, 5-5 parts of white peony 15 parts, 5-15 parts of dried ginger, 7-15 parts of leeches, 5-15 parts of licorice, 5-15 parts of Atractylodes macrocephala, 10-35 parts of raw oysters. 如請求項5所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:柴胡20份、枳實15份、生大黃10份、白芍10份、乾薑10份、水蛭10份、甘草10份、白術10份、生牡蠣30 份。The traditional Chinese medicine composition as described in claim 5 is characterized in that it contains the following raw materials in parts by weight: 20 parts of Bupleurum, 15 parts of Citrus aurantium, 10 parts of raw rhubarb, 10 parts of Radix Paeoniae Alba, 10 parts of dried ginger, 10 parts of leeches, 10 parts of licorice, 10 parts of Atractylodes macrocephala, 30 parts of raw oysters. 一種中藥組合物,其特徵在於包括按以下重量份計的原料藥:柴胡5-35份、枳實5-30份、生大黃3-20份、黃芩1-20份、白芍3-20份、乾薑3-20份、水蛭3-25份、甘草3-20份、黨參3-20份、白術3-20份、生牡蠣 3-45 份。A traditional Chinese medicine composition, characterized in that it includes the following raw materials in parts by weight: 5-35 parts of Bupleurum, 5-30 parts of Citrus aurantii, 3-20 parts of raw rhubarb, 1-20 parts of Scutellaria baicalensis, 3-3 parts of white peony 20 parts, 3-20 parts of dried ginger, 3-25 parts of leech, 3-20 parts of licorice, 3-20 parts of Codonopsis pilosula, 3-20 parts of Atractylodes macrocephala, 3-45 parts of raw oyster. 如請求項7所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:柴胡15-30份、枳實10-20份、生大黃5-15份、黃芩2-10份、白芍5-15份、乾薑5-15份、水蛭7-15份、甘草5-15份、黨參5-15份、白術5-15份、生牡蠣10-35 份。The traditional Chinese medicine composition as claimed in claim 7, is characterized in that it contains the following raw materials in parts by weight: 15-30 parts of Bupleurum, 10-20 parts of Citrus aurantium, 5-15 parts of raw rhubarb, 2-10 parts of Scutellaria baicalensis 5-15 parts of Radix Paeoniae Alba, 5-15 parts of Dried Ginger, 7-15 parts of Leech, 5-15 parts of Licorice, 5-15 parts of Codonopsis, 5-15 parts of Atractylodes Rhizome, 10-35 parts of Raw Oyster. 如請求項8所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:柴胡20份、枳實15份、生大黃10份、黃芩3份、白芍10份、乾薑10份、水蛭10份、甘草10份、黨參10份、白術10份、生牡蠣30 份。The traditional Chinese medicine composition as described in claim 8 is characterized in that it contains the following raw materials in parts by weight: 20 parts of Bupleurum, 15 parts of Citrus aurantii, 10 parts of raw rhubarb, 3 parts of Scutellaria baicalensis, 10 parts of Radix Paeoniae Alba, dried 10 parts of ginger, 10 parts of leeches, 10 parts of licorice, 10 parts of Codonopsis pilosula, 10 parts of Atractylodes macrocephala, 30 parts of raw oysters. 一種中藥組合物,其特徵在於包括按以下重量份計的原料藥:生大黃3-20份、乾薑3-20份、白芍3-20份、水蛭3-25份、甘草3-20份、生牡蠣 3-45 份、丹皮3-20份、桃仁2-15份。A traditional Chinese medicine composition, characterized in that it comprises the following raw materials in parts by weight: 3-20 parts of raw rhubarb, 3-20 parts of dried ginger, 3-20 parts of white peony root, 3-25 parts of leech, and 3-20 parts of licorice 3-45 parts of raw oysters, 3-20 parts of paeonol, 2-15 parts of peach kernels. 如請求項10所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:生大黃5-15份、乾薑5-15份、丹皮5-15份、桃仁3-12份、白芍5-15份、水蛭7-15份、甘草5-15份、生牡蠣10-35 份。The traditional Chinese medicine composition as described in claim item 10 is characterized in that it comprises the following raw materials in parts by weight: 5-15 parts of raw rhubarb, 5-15 parts of dried ginger, 5-15 parts of paeonol, 3-12 parts of peach kernel 5-15 parts of Radix Paeoniae Alba, 7-15 parts of leeches, 5-15 parts of licorice, 10-35 parts of raw oysters. 如請求項11所述的中藥組合物,其特徵在於包含按以下重量份計的原料藥:生大黃10份、乾薑10份、白芍10份、水蛭10份、甘草10份、生牡蠣30份、丹皮10份、桃仁6份。The traditional Chinese medicine composition as described in claim 11 is characterized in that it contains the following raw materials in parts by weight: 10 parts of raw rhubarb, 10 parts of dried ginger, 10 parts of white peony root, 10 parts of leech, 10 parts of licorice, raw oyster 30 parts, Danpi 10 parts, peach kernel 6 parts. 如請求項1-12中任一項所述的中藥組合物,其特徵在於其為口服製劑。The traditional Chinese medicine composition as described in any one of claims 1-12 is characterized in that it is an oral preparation. 如請求項13所述的中藥組合物,其特徵在於其為湯劑、顆粒劑、錠劑或膠囊。The traditional Chinese medicine composition as claimed in item 13 is characterized in that it is decoction, granule, lozenge or capsule. 如請求項1-12中任一項所述的中藥組合物在製備預防或控制動脈粥狀斑塊形成的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claims 1-12 in the preparation of medicines for preventing or controlling the formation of atherosclerotic plaque. 如請求項1-12中任一項所述的中藥組合物在製備預防或治療動脈粥狀斑塊的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claims 1-12 in the preparation of medicines for preventing or treating atherosclerotic plaque. 如請求項1-12中任一項所述的中藥組合物在製備預防或治療動脈粥狀硬化性缺血性心腦疾病的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claims 1-12 in the preparation of medicaments for preventing or treating atherosclerotic ischemic heart and brain diseases. 如請求項1-12中任一項所述的中藥組合物在製備預防或治療血脂升高的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claim items 1-12 in the preparation of a medicament for preventing or treating elevated blood lipids. 如請求項1-12中任一項所述的中藥組合物在製備預防或治療三酸甘油酯升高的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claims 1-12 in the preparation of a medicament for preventing or treating elevated triglycerides. 如請求項1-12中任一項所述的中藥組合物在製備預防或治療膽固醇升高的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claims 1-12 in the preparation of a medicament for preventing or treating elevated cholesterol. 如請求項1-12中任一項所述的中藥組合物在製備預防或治療高脂血症的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claims 1-12 in the preparation of a medicament for preventing or treating hyperlipidemia. 如請求項1-12中任一項所述的中藥組合物在製備預防或治療慢性代謝性疾病的藥物中的應用。Application of the traditional Chinese medicine composition as described in any one of claims 1-12 in the preparation of medicines for preventing or treating chronic metabolic diseases.
TW111132000A 2021-08-25 2022-08-25 Chinese medicine composition and its preparation method and application TWI844079B (en)

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