TWI351970B - Long-acting chinese medicine formula reduce inflam - Google Patents

Long-acting chinese medicine formula reduce inflam Download PDF

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TWI351970B
TWI351970B TW92119342A TW92119342A TWI351970B TW I351970 B TWI351970 B TW I351970B TW 92119342 A TW92119342 A TW 92119342A TW 92119342 A TW92119342 A TW 92119342A TW I351970 B TWI351970 B TW I351970B
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pain
golden
chinese medicine
ruyi
patch
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TW92119342A
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TW200502007A (en
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六、發明說明: 【發明所屬之技術領域】 本發明係運用現代化劑型製造技術之新穎性中藥製 劑,此等擦劑、貧劑、乳劑及貼劑在臨床上可降低皮膚發癢、 發紅等藥蚩出現之機率。此等毯杰胜中藥製劑,係一種運用於 活血化淤之傷科,或是月經疼痛之婦科之緩釋性(Delivery releasing system)經皮吸收(Trans_dermalabs i〇n)劑型。 【先前技術】 台灣、大陸東南沿海典型之氣候中,四時有風、寒'暑、 濕、燥、火等六淫不正之氣,足以引起濕熱痺阻等病症。任何 人在世上往往受到喜、怒、憂、思、悲、恐、驚等七情所左右, 導致血瘀痰阻、肝腎虧虛等病症。然而,不論係由於外感濕埶 =寒或是㈣’長期所誘發人體上之氣血不通,筋脈不和,^ ^搔疼,或麟痠痛’卿疼痛,均與所謂肌肉拉傷、 傷、發炎痠痛、痛風等病症有關。 ί常期待運用傳統中藥方劑以治 2辨是迫於現代人受時騎限無錢慢 無法論及藥材是否道地。何況中藥方劑在投藥 J有广㈣,或是需要留意之處。例如如意金黃散乃外 劑’係用於中醫傷科經適量調敷,用於治療 二具,、止狀雜。處方上如m 3有天南星、大頁、倉朮等需要經過炮製之藥材 蒼朮64 g 粉320 g、白定160 g、大黃160 g、薑黃⑽g、黃 丄甘草64g、厚朴64g、陳皮64g、生天^ ^柏 藥 /^,在臨床上如意金黃散在皮膚潰癌破損時 之危% #用紗布調敷此散劑時,該散^ 導致樂材私末飛散效果減損,且未經充分乾燥之藥材 發霉之缺點。 劍,以备,ρί—面、犬傳統之中藥貼劑大多用旅膠獅為黏著 Ϊ過造成傷害 =對體具有相當程度之危險。另外在工薇製 苯溶媒之ίϊ傳f貼劑’往往在烘乾過程造成大量正己统或曱 污染之禍首,也是媒輩之工廠週邊空氣 【發明内容】火火及工業女全事故之原因。 般中醫傷科之外用散劑,如意金黃散係一種含 變二引=痛以之止痛消腫。因為骨骼關節系統‘ 骨科、復健科、及疼痛科之門診疾病, 藥、噴藥:棒于、藥ί對於^種瘦痛或是緩解腫痛,往往運用膏 便性,也^接受此理;而患者基於效果與方 是1間祕由許乡單味藥倾酿組合而成,但 合:就“ί揮療效tn,並非單純地將數種藥材拼凑組 用適宜之方劑令以辨證,根據各療法則,選 份,方_減_症=、’3^;^'=^'藥”等部 ^ 診斷上係以中醫理論辨證=其^ 劑。目前製&術^^^=照症候正確服用方 抉擇,首先要針對證用中ff劑之運用有些良好之 劑;甚至於將方劑的編且祕減低患者副作用的方 的道地藥材、依昭病與辨證論治相搭配,選擇適當 劑劑型,“ 等考=者合宜之方 之單味藥材,歷經時代之經驗累積將籍 些具有療效之丸散f*丹相,現代更是出現服財便之濃縮 劑、錠劑、顆粒劑、谬囊、擦劑、乳劑及貼劑等現代劑型。 二射购之診治,通賴於運贿統情以減緩病症 =理身體達到治療疾病目標,因此採取臨症煎煮湯藥,以求 八此夠發揮較大之療效。然而傳統的湯劑劑型,不僅煎考 且攜帶不易,更有長期貯藏之問題。因此在在著 丸、散、膏、丹、酒、露、錠、膠、茶、麴、霜劑可以彌補 麵型之$些缺失。㈣代綱之濃織劑、顆粒、膠囊 劑、糖_、擦劑、乳劑及關,運用西方製藥技術使更 方便攜帶,投藥,及劑量控制。本研究即有此種特性。、 本發明之首要目的係揭示一些現代劑型之製劑技術, 長期使用之中藥外用散劑,製成方便攜帶之現代製劑劑型。本 發明尤其強調親水性貼劑之製造。親水性貼劑對人體皮膚較無 毒性。本親水性貼劑係以如意金黃膏劑及壓克力樹脂、纖維g 調配而成緩雜之經纽_|型。觀力獅及_ 可 接受之醫療保健材料。 、 一 凡疋熟悉該技藝的人士在閱讀下列經由不同圖解所展 示之較佳實施例詳細說明後,無疑地將非常清楚本發明所揭示 之目的和優點。 、 發明之特性 1. 本申請係將中國古方外用散劑改成其擦劑(含藥洗液)、膏 劑、及貼劑(見實施例9、10、11、12、13)。處方中, 仍然包括可含有傳統屢膠樹脂,松香,氧化鋅,冬綠油’, 麻油。 2. 本申請另外將中國古方外用散劑之如意金黃散,改良成其擦 劑(含藥洗液)、親水性膏劑及貼劑(見實施例U) 劑(含藥洗液)則不含樹脂。 3. 本申請之親水膏劑及貼劑經證明具有止痛及消腫之功用。 4. 本申請之親水膏劑及貼劑經證明可減少生天南星之刺激性。 5. 本親水貼劑經臨床證明具有持續性之止痛作用,其作用時 可長達12小時以上。 6. 本申請之親水膏劑及貼劑經證明並無藥蚩反應,局部發癢及 發紅之現像,有別於止痛用含橡膠樹脂之中藥貼劑。 7. 本申請之親水膏劑及貼劑之儲存,經證明並無發霉現象,有 別於如意金黃散之不对儲存,調劑後需置放冰箱中。 8. 本申請之親水膏劑及貼劑所含酒精,在熱風乾燥及儲藏中可 漸漸揮發,但不影響藥效。 9. 本親水性中藥貼劑含壓克力樹脂及纖維素衍生物(見實施 例1〜8),決不含橡膠樹脂所用溶劑之正己烧或甲苯。 10. 本親水性中藥貼劑含壓克力樹脂及纖維素衍生物(見實施 例1〜8),在製作過程中決不使用橡膠樹脂所用溶劑之正 己烧或甲笨。 發明之說明 产-般中醫為減緩病症、調理或康復身體因為六淫不正之 3疋十灸技罐於患處以消腫、止痛之效能。 科,或ΐίϊΙ,Γ赫等病症,可能係外感濕熱風寒之内 所誘發人體==不 疼痛= 痠痛,關_,献小腹疼痛,月經 痛,往肖除患者對於各觀痛或是緩解腫 樂於接受此種投藥處置方式。因 材,郎有療效之令藥方劑,選用之中藥藥 或是運‘良二般5=過遽、濃縮,製成高含量之膏劑, 藥貼劑。 橡谬貼劑之方法’製造具親水性又安全之中 傷科之外用散劑,如意金黃散係一種含天花粉中藥古方 湯,係止痛消腫。而醫宗金鑑收載枝桃紅四物 丁甘仁家傳珍方疼痛。 藥、香附用於經期延滞、月經疼痛等症候孤。丹參搭配烏 長效性!天花财藥古方金黃散,製成 中醫重要典籍醫宗金鑑,卷上, 基讀細外科方 ^典傷⑽g植’—部’463頁,化學 t’ ί之軟組織腫痛。這-類方劑種= 確,、巾配伍之早味樂材淋漓種種,難免有些療效並不完全明 1中醫師之觀點,本方為涼性方劑 故π㈣雛之生上= 夠古方,本研究依然加入足 463百如ίί黃Ϊ (中華人民共和國藥典,_年版,一部, 载金^^版^北^系中國古方傷科用散劑’記 金鑑(清朝’作者:吳謙),卷上,外科廬瘍敷貼 g 典籍記載其係由以下1G種中藥村粉碎成細粉, 勻而付。該散劑為一些黃色至金黃色的粉末,氣微香, 天花粉320g、白全160g、大黃160g、薑黃16〇g、 黃柏l6〇g、甘草64g、厚朴64g、陳皮64g、 生天南星64g、蒼jjt 64g。 本發明製備中藥之現代製劑劑型,係將選用之中藥藥 去離子水經過抽提的方法進行萃取,將萃取液減 I辰細’減少含水量’再加適量之樹月旨(包括橡膠樹脂及壓克 1351970 力樹、纖維素、氧化鋅為賦形劑’或者另外加松香、冬綠 油(含11^1叫8汕(^13化)、薄荷腦(5%)為清涼劑,必要時添 加適量之卑南迪(Benadryl,Diphenhydmmine)為止癢劑。 . ,本發明所謂中藥現代製劑劑型,係指運用現代之劑型製 造,術將含天花粉中藥方劑,製成擦劑、膏劑,貼劑、藥洗液 及乳劑。該等劑型係依習知之製劑方法於添加輔助劑、黏合劑 及賦形劑’經赫均勻後,置於塗佈機及供乾機,將藥膏均勾 塗?在玻璃紙上’並以不織布或離型紙覆蓋加壓而製成親水性 中藥膏劑、擦劑(藥洗液)及貼劑。而添加助劑、黏合劑、賦 形劑均藥上可料之習知成分^柄究所壯意金黃散之 10種中藥成分之間,所含比率固定,不因添加助劑、黏合劑、Φ 賦形劑而賴。但是,可目加舰製喊少生天南星之作用量。 上所謂植物油酯係指碳數20以下成碳鏈之飽和或是 不飽和之藥用植物油脂,如大豆油、麻油等。上述所謂纖維素, 可包括羥基乙基纖維素(hydroxy ethylcellul〇se)、羥基丙基纖 維素(hydroxy propyl cellulose),乙基纖維素(ethyl edlul()Se)、羧基乙基纖維素(carboxyl methyl eellulose sodium)。上述所s胃壓克力樹脂,可包括壓克力樹脂,以及含 甲,、乙基、丙基、異丙基及丁基之高分子聚丙烯胺 (polyacrynamide)及其酯化物。 籲 本發明首先以壓克力樹脂及纖維素製成長效型止痛之 =性中藥貼劑’即如意金黃貼劑。本親水性貼劑係以如意金 只膏劑即壓克力樹脂、纖維素調配而成緩釋性之經皮吸收劑 型。此長效止痛作用經臨床時驗證明。 本親水性中藥貼劑,因係將中藥成分用水萃取,此種製 ,方法與ϋ接射紐粉末直接錄於祕,或是與橡膠 树脂混合之習知製法不同。習知製法未經萃取作業,中藥材粉 末與橡膠樹脂混合或是中藥材粉末直接塗敷時,其'有效成 j釋出’因而不能完全產生藥效。一般橡膠製成之貼劑遇水不 >谷’但是本研究以壓克力酸樹脂製造之貼劑具有親水性,使用 9 1351970 點即可自咖落’而刪毛,其無害性及及方 =據可消 j= 二動星:實處驗二=製之如意够 長型親水性中藥貼劑技術之困難度 是植物用之抽提的方法’係指—般萃取藥材或 Hi、超臨界:氧化碳萃取法、揮發性溶 ” 或石反柱勿離法(charcoal column separation ΪΓ\。因ί在抽提過程中,其係選用水、或是少量乙醇 (Ethanol)任忍混合之溶媒系統。而 ^ =式(S。跑)抽取裝置,或是萃取裝== 同逮熱風、及減壓之方法除去乙醇。 … f發明之貼劑’在製造過程中須滚 J 〇 ^ ii 謂皮紅侧,要求無傷害性,甚至需親水性 it技術上之_所在。本發明之 2 並4親共水識性,在中藥之細^ :擦劑或ir劑天二:量 =等病症之外表,以促使氣血流通減缓痠痛病症。如意金黃 ;便:=如;S及藥洗液之出現,故屬新產品,有其 檫劑及藥洗液之配製 ,騰將2處ft騎,—滅炮製,置於不賴二層鶴加 :币,j小時卒取後過濾,經減壓濃縮,冷卻後加入適量酒 精、>専荷腦’經·羊均句後過渡,再加人冬綠油(含咖㈣ 10 1351970 sf^ylate) ’必要時加入植物性油脂至總量2峰。 骨劑及貼劑之配製及塗佈VI. Description of the Invention: [Technical Field] The present invention is a novel Chinese medicine preparation using modern dosage form manufacturing technology, and such a liniment, a poor agent, an emulsion and a patch can clinically reduce itching, redness, etc. The probability of drug moles appearing. These blankets are traditionally used in the treatment of blood stasis, or in the gynecological delivery of menstrual pain, the Transkinetic Absorption (Trans_dermalabs i〇n) dosage form. [Prior Art] In the typical climate of Taiwan and the southeast coast of the mainland, there are winds, colds, heat, dampness, dryness, fire, etc., which are enough to cause dampness, heat and phlegm. Anyone in the world is often affected by the seven emotions of joy, anger, worry, thought, sorrow, fear, and shock, leading to blood stasis, liver and kidney deficiency and other diseases. However, whether it is due to exogenous wetness = cold or (four) 'long-term induced qi and blood in the human body, the muscles are not harmonious, ^ ^ 搔 pain, or lining pain 'qing pain, both with so-called muscle strain, injury, Inflammation, soreness, gout and other diseases. ί often look forward to the use of traditional Chinese medicine prescriptions to rule 2 is forced by modern people when riding time limit no money slow can not talk about whether the medicine is authentic. What's more, Chinese medicine prescriptions are used in medicine. J Youguang (4), or need to pay attention to. For example, Ruyi Golden Powder is an external agent used in traditional Chinese medicine for the appropriate amount of treatment, for the treatment of two, stop-like impurities. On prescription, such as m 3, there are Tiannanxing, Big Page, Cangshu, etc. The herbs need to be processed. Atractylodes sinensis 64 g powder 320 g, Baiding 160 g, rhubarb 160 g, turmeric (10) g, Astragalus licorice 64 g, Magnolia 64 g, tangerine peel 64 g , 生天^ ^柏药/^, in the clinically desirable golden scattered in the skin ulceration damage at the time of the risk of damage. When using this gauze to apply this powder, the loose ^ lead to the loss of the private powder scattering effect, and not fully dry The shortcomings of the medicinal herbs. Sword, in preparation, ρί-face, dog traditional Chinese medicine patch mostly used to travel glue lion to adhere to the injury caused by the injury = a considerable degree of danger to the body. In addition, in the process of making benzene solvent, it is often the cause of pollution in the drying process, and it is also the cause of the air around the factory of the media. In addition to the traditional Chinese medicine trauma, the use of powder, Ruyi Golden Powder, a change of two cited = pain to relieve pain and swelling. Because the skeletal joint system's orthopedics, rehabilitation, and pain department outpatient diseases, drugs, sprays: sticks, medicine ί for a kind of thin pain or relieve swelling and pain, often use creamy, also accept this The patient is based on the combination of the effect and the recipe of Xuxiang single-flavored medicine. However, it is not necessary to simply combine several herbs to form a proper prescription to distinguish syndromes. According to each therapy, the selection, the party _ reduction _ syndrome =, '3 ^; ^ ' = ^ 'medicine" and other parts of the diagnosis of the Chinese medicine theory dialectical = its agent. The current system & surgery ^ ^ ^ = according to the correct prescription of the prescription, first of all to apply some good agents for the use of ff agent in the use of the drug; even the prescription of the prescription to reduce the side effects of the patient's authentic medicinal herbs, according to Zhao disease is combined with syndrome differentiation and treatment, and the appropriate dosage form is selected. "When the test is appropriate, the single-flavored medicinal material of the prescription is suitable for the accumulation of the experience of the times, and the pills with the curative effect are f*dan, and modern is the service." Modern dosage forms such as concentrates, lozenges, granules, sacs, liniments, emulsions and patches. The diagnosis and treatment of the second shots relies on the transfer of bribes to alleviate the symptoms = the body achieves the goal of treating diseases, so take Decoction of decoction in order to achieve greater efficacy. However, the traditional decoction dosage form is not only difficult to carry and easy to carry, but also has long-term storage problems. Therefore, it is in the pill, scattered, cream, Dan, Wine, dew, ingots, gums, teas, sputums, and creams can make up for some of the missing forms. (4) The scent of granules, granules, capsules, sugars, liniments, emulsions, and drugs, using Western pharmaceutical technology Make it more convenient to carry, administer, and dose This study has such characteristics. The primary object of the present invention is to disclose the formulation technology of some modern dosage forms, and to use the powder for external use for a long time to prepare a modern preparation dosage form which is convenient to carry. The present invention particularly emphasizes the hydrophilic patch. The hydrophilic patch is less toxic to human skin. The hydrophilic patch is formulated with Ruyi Golden Paste and Acrylic Resin and Fiber g to form a slow-mixing __ type. Guanli Lion and _ acceptable The objects and advantages of the present invention will be apparent from the following description of the preferred embodiments illustrated in the accompanying drawings. This application is to change the Chinese ancient external powder into its rubbing agent (medicated lotion), ointment, and patch (see Examples 9, 10, 11, 12, 13). In the prescription, it still includes traditional Glue resin, rosin, zinc oxide, winter green oil', sesame oil. 2. This application also improves the Chinese ancient prescription powder for the purpose of the golden powder, improved into its rubbing agent (including drug lotion), hydrophilic cream And the patch (see Example U) The agent (medicated lotion) does not contain the resin. 3. The hydrophilic paste and patch of the present application prove to have the functions of relieving pain and swelling. 4. The hydrophilic paste and paste of the present application The agent has been proven to reduce the irritation of Shengnanxing. 5. The hydrophilic patch has been clinically proven to have a sustained analgesic effect, and its action can last for more than 12 hours. 6. The hydrophilic paste and patch of the present application have been proved and The drug-free sputum reaction, the local itching and redness, is different from the rubber-containing resin-based drug patch. 7. The storage of the hydrophilic paste and the patch of the present application proves that there is no moldy phenomenon, which is different from If the golden sugar is not stored properly, it should be placed in the refrigerator after adjustment. 8. The alcohol contained in the hydrophilic paste and patch of this application can be gradually volatilized in hot air drying and storage, but does not affect the efficacy. The Chinese medicine patch contains an acrylic resin and a cellulose derivative (see Examples 1 to 8), and is absolutely free of the solvent or the toluene of the solvent used for the rubber resin. 10. The hydrophilic Chinese medicine patch contains an acrylic resin and a cellulose derivative (see Examples 1 to 8), and the solvent used for the rubber resin is never used in the production process. Description of the invention The traditional Chinese medicine is used to relieve the symptoms, regulate or rehabilitate the body. Because of the six cockroaches, the 3 疋 moxibustion cans can reduce the swelling and relieve pain. Section, or ΐίϊΙ, Γ赫 and other illnesses, may be caused by exogenous heat and cold, induced by the body == no pain = soreness, _, convincing abdominal pain, menstrual pain, to remove the patient for each pain or relief Accept this type of medication disposal. Because of the material, Lang has a curative effect of the prescription, choose Chinese medicine or transport ‘good 2==遽, concentrated, make a high content of ointment, drug patch. The method of rubber patch preparation is made of hydrophilic and safe. The powder used outside the traumatology department, Ruyi Golden Powder is a traditional Chinese medicine containing Tianhua powder, which is analgesic and swelling. And the medical sects of the golden collection of the peach red four things Ding Ganren family pass Zhenfang pain. Medicine and incense are used for symptomatic delay, menstrual pain and other symptoms. Salvia miltiorrhiza var. var. var. var. var. var. var. var. var. var. var. var. var. medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal medicinal Swelling and pain. This kind of prescriptions = indeed, the compatibility of the towels with the flavors of the early flavors, it is inevitable that some of the effects are not completely clear 1 Chinese Physician's point of view, the party is a cool prescription, so the birth of π (four) chicks = enough ancient, this study 463 one hundred feet still join as ίί yellow Ϊ (People's Republic of China Pharmacopoeia, _ edition, a contained gold version ^ ^ ^ ^ Department of North China Cuba traumatology powders for 'gold Kam Kee (Qing Dynasty' author: Wu Qian), Vol. Upper, surgical sputum application g records are recorded in the following 1G kinds of traditional Chinese medicine village smashed into fine powder, evenly paid. The powder is some yellow to golden yellow powder, gas slightly fragrant, smallpox powder 320g, white full 160g, rhubarb 160g, turmeric 16〇g, cork l6〇g, licorice 64g, magnolia 64g, dried tangerine peel 64g, raw Tiannanxing 64g, 苍jjt 64g. The modern preparation dosage form of traditional Chinese medicine prepared by the invention will be selected by using traditional Chinese medicine deionized water. The method of extraction is carried out, and the extract is reduced by a fine amount to reduce the water content, and the appropriate amount of the tree is added (including rubber resin and pressed 1351970, tree, cellulose, zinc oxide as excipients) or additional rosin , winter green oil (including 11 ^ 1 called 8 汕 (^13 Menthol (5%) is a cooling agent. If necessary, add an appropriate amount of Benadryl (Diphenhydmmine) itch agent. The so-called traditional Chinese medicine preparation of the present invention refers to the use of modern dosage forms, and the surgery will contain Trichosanthin Chinese medicine prescription, made into a liniment, ointment, patch, medicated lotion and emulsion. These dosage forms are prepared by applying the auxiliary agent, the adhesive and the excipient after the uniform preparation according to the conventional preparation method. Machine and dryer, the ointment is smeared on the cellophane and pressed with non-woven fabric or release paper to make a hydrophilic Chinese medicine ointment, a liniment (medicine lotion) and a patch. Adding auxiliaries, bonding The ingredients and excipients are all available in the traditional ingredients. The ratio of the 10 kinds of traditional Chinese medicine ingredients is fixed. It is not fixed by additives, binders and Φ excipients. However, it can be seen that the ship-based system calls the role of the lesser-born Tiannanxing. The so-called vegetable oil ester refers to the saturated or unsaturated medicinal vegetable oils with carbon number below 20, such as soybean oil and sesame oil. Cellulose, may include hydroxyethyl fibers (hydroxy ethylcellul〇se), hydroxy propyl cellulose, ethyl edlul ()Se, carboxyl methyl eellulose sodium. The above s stomach acrylic resin It may include acrylic resin, and polyacrynamide and its esterified product containing methyl, ethyl, propyl, isopropyl and butyl. The invention firstly uses acrylic resin and fiber. It is made into a long-acting analgesic = sexual Chinese medicine patch, that is, a wishful golden patch. The hydrophilic patch is a sustained-release transdermal absorption type formulated by using Ruyijin plaster, that is, acrylic resin and cellulose. This long-acting analgesic effect has been clinically proven. The hydrophilic Chinese medicine patch is obtained by extracting the Chinese medicine component with water. The method and the method are different from the conventional method of mixing the powder with the rubber powder. The conventional method is not extracted, and when the Chinese medicinal material powder is mixed with the rubber resin or the Chinese medicinal material powder is directly coated, it is 'effectively released' and thus cannot fully produce the medicinal effect. Generally, the patch made of rubber does not meet water. But the patch made of acrylic acid resin in this study is hydrophilic, and it can be removed from the coffee using 9 1351970 points, which is harmless and Fang = according to the disappearable j = two moving stars: the actual test two = the system is suitable for long-term hydrophilic Chinese medicine patch technology difficulty is the method of plant extraction 'refers to the general extraction of herbs or Hi, supercritical : carbon oxide extraction method, volatile solution or stone column separation method (charcoal column separation ΪΓ \. Because ί in the extraction process, it is selected from water, or a small amount of ethanol (Ethanol) for the mixed solvent system And ^ = type (S. running) extraction device, or extraction equipment == catching hot air, and decompression to remove ethanol. ... f invention patch 'in the manufacturing process must roll J 〇 ^ ii said skin red On the side, it is required to be harmless, and even requires hydrophilicity. It is technically located. 2 and 4 of the present invention are related to water, in the fineness of traditional Chinese medicine: the rubbing agent or the ir agent day 2: amount = other symptoms In order to promote the circulation of blood and slow down the soreness of the disease. Ruyi golden; will: = such as; S and the emergence of drug lotion, so It is a new product, with the preparation of its tincture and medicated lotion. It will take 2 ft rides, and it will be placed on the second floor of the crane plus coins. It will be filtered after j hours of drawing, concentrated under reduced pressure, and cooled. Add appropriate amount of alcohol, > 専荷脑's and sheep are all after the sentence transition, and add wintergreen oil (including coffee (4) 10 1351970 sf^ylate) 'If necessary, add vegetable oil to the total of 2 peaks. Bone agent and Preparation and coating of patches

H暖將處方之中藥材,一一加以炮製,置於不銹鋼二層鍋加 2小時後,減壓過濾及減壓濃縮,濃縮液經冷卻後,加 酒精、薄荷腦、纖維素、壓克力樹脂,再加植物油脂至 M g,經攪拌均勻後,置於助汪企業有限公司(高雄)之塗佈 设施、’以滾筒轉印至塗佈機,然後將藥膏均勻塗佈在玻璃紙 ^ 並在烘乾機上以高速熱風除去含水酒精而乾燥濃縮之,接 以不織布覆蓋,滾筒加壓,製成含藥膏之欣立如意貼伽此 uyi Patch)或燒傷貼片,厚度〇 2咖。最後,將之切割成不 同面積之,,如意金黃貼劑’,成品或燒傷貼片。 【實施方式】 本發明是含天花粉中藥之擦劑及膏劑,考量古代典籍之 =含:t-具備毒性或是顧之藥材,需躲過炮製 又樂、必g留意患者之症候是否陰虛、失孝液等等。因此將治 療疔腫、丹毒、爱傷、跌撲損傷,具有麵、解毒、止痛之一 些含天花粉中藥相,改良處方。例如㈣人民共和 ,H warm will be prescribed Chinese herbal medicines, one by one, and placed in a stainless steel two-layer pot for 2 hours, filtered under reduced pressure and concentrated under reduced pressure. After the concentrated solution is cooled, add alcohol, menthol, cellulose, acrylic Resin, add vegetable oil to M g, stir evenly, place it in the coating facility of Kaowang Enterprise Co., Ltd. (Kaohsiung), transfer to the coater by roller, and then evenly spread the ointment on cellophane. In the dryer, the aqueous alcohol is removed by high-speed hot air, dried and concentrated, and then covered with a non-woven fabric, and the roller is pressed to make a medicinal paste containing the medicinal paste, or a burn patch, and the thickness is 〇2 coffee. Finally, cut it into different areas, such as the Golden Patch, finished or burned patch. [Embodiment] The present invention is a liniment and ointment containing traditional Chinese medicine of trichosanthin, considering the ancient classics = containing: t- possessing toxicity or taking care of the medicinal materials, it is necessary to avoid the processing and fun, and must pay attention to whether the symptoms of the patient are yin deficiency, Loss of filial piety and so on. Therefore, the treatment will be bloated, erysipelas, love hurt, fall and fall damage, and have some facial, detoxification, and pain relief, including some traditional Chinese medicines. For example, (4) People’s Republic,

2000年版,一部(463頁,化學工業出版社,北京)將醫宗金 鑑,卷上,外科之腫瘍敷貼類方如如意金黃散,改用現代 举位表示10種中藥材之含量。處方上含有天南星、 朮等需要經過炮製之藥材。 f 天花粉320 g、白定160 g、大黃16〇 g、薑黃16〇 g、黃柏 16〇g、甘草64g、厚朴64g、陳皮64g、 、 生天南星64g、蒼朮64g。 在藥材總量1280g中生天南星用量64§佔5%,由於生 天南星係天南星龍物天南星(Arisaema &In the 2000 edition, one (463 pages, Chemical Industry Press, Beijing) will be the medical medicinal gold, the volume, the surgical swelling of the prescriptions such as Ruyi Golden Powder, and the use of modern pillings to indicate the content of 10 Chinese herbal medicines. The prescription contains herbs such as Araceae, which need to be processed. f Trichosanthin 320 g, Baiding 160 g, Rhubarb 16〇 g, turmeric 16〇 g, Phellodendron 16〇g, licorice 64g, Magnolia 64g, dried tangerine peel 64g, Shengtiannanxing 64g, Atractylodes 64g. In the total amount of 1280g of medicinal materials, the amount of araceae is 64 § 5%, due to the birth of the celestial celestial star Tiannan Xinglong Tiannanxing (Arisaema &

Sc_及同屬近緣植物之乾燥塊莖。鮮品最常見的毒 ^ 括對於皮膚和_的刺激,可引起接卿位的紅腫疼痛,甚至 於產生喉頭腫脹、呼吸困難或是刺激胃腸粘膜引起喔心、嘔 腹痛、腹腐’嚴重中毒可因窒息而死亡。因此生天南星必須經 11 1351970 過炮製除去麻剌之刺激物質成為天南星才入藥。醫宗金鑑記載 之如意金黃散係使用於傷科之散劑,但是直接以生天南星 如意金黃擦劑及藥洗液之配製 樂 將天花粉150 g、白芷75 g、大黃75 g、薑黃75 g、黃 柏75 g、甘草25 g、厚朴25 g、陳皮25 g、生天南星25 g、^ 朮25 g及水790 g置於不銹鋼二層鍋加熱沸騰2小時萃取後過 濾,經減壓濃縮,冷卻後加入酒精23〇 g、薄荷腦1〇〇 g,經攪 拌均勻後過濾’再加入冬綠油(含methyl salicyIaie) 2〇 &必= 加入植物性油脂至總量2kg。 ’ 如意金黃膏劑及貼劑之配製及塗佈Sc_ and dry tubers of the same relatives. The most common poison of fresh products, including the stimulation of the skin and _, can cause swelling and pain in the chest, and even cause swelling of the throat, difficulty breathing or stimulating the gastrointestinal mucosa causing nausea, vomiting, abdominal pain, severe poisoning. Death due to suffocation. Therefore, Shengna Nanxing must be removed from the stimulating substance of paralysis by 11 1351970 to become the Tiannan star. The medicinal golden powder recorded in the medical medicinal Jinjian is used in the powder of the wounded department, but it is directly formulated with Shengtian Nanxing Ruyi Golden Rubbing and medicated lotion. 150 g of white powder, 75 g of white peony, 75 g of rhubarb, 75 g of turmeric , Cork 75 g, Licorice 25 g, Magnolia 25 g, dried tangerine peel 25 g, Shengtiannanxing 25 g, ^ 25 g and water 790 g were placed in a stainless steel two-layer pot and heated for 2 hours, extracted, filtered, and concentrated under reduced pressure. After cooling, add 23 〇g of alcohol and 1 〇〇g of menthol. After stirring, filter and then add 'winter green oil (including methyl salicyIaie). 2 〇 & must = add vegetable oil to a total amount of 2 kg. ─ Preparation and coating of Ruyi Golden Paste and Patch

將天花粉150 g、白芷75 g、大黃75 g、薑黃75 g, 柏75g、甘草25g、厚朴25g、陳皮25g、生天南星25g 求25 g及水575 g置於不錄鋼二層銷加熱彿騰2小時後,減肩 過濾及減壓濃縮,濃縮液經冷卻後,加入酒精25〇 $、薄 3〇〇g、纖維素1250g、壓克力樹脂2750g,再加植物油脂至6k 經?,均勻後’置於助汪企#有限公司(高雄)之塗佈設施, 以滾_印至_機,織將均勻塗佈在玻璃紙上,並名 烘乾機上以高速熱風除去含水酒精而乾燥濃縮之,接著以不結 f覆蓋,加•,製成含藥f之欣立如意貼(Sinlix㈣150 g of Tianhua powder, 75 g of white peony, 75 g of rhubarb, 75 g of turmeric, 75 g of turmeric, 25 g of licorice, 25 g of licorice, 25 g of magnolia, 25 g of dried tangerine peel, 25 g of raw celestial granules, 25 g of water and 575 g of water are placed in the second layer of non-recorded steel. After 2 hours of Fo Teng, the shoulders were filtered and concentrated under reduced pressure. After the concentrate was cooled, add 25 酒精$, 3 〇〇g, 1250 g of cellulose, 2750 g of acrylic resin, and add vegetable oil to 6k. After being evenly placed in the coating facility of the assisting Wang Enterprise # Co., Ltd. (Kaohsiung), the woven machine will be evenly coated on the cellophane, and the high temperature hot air will be used to remove the aqueous alcohol. Dry and concentrated, then cover with no knot f, add •, make a medicinal f of the Xin Li Ruyi stickers (Sinlix (four)

厚度α2 mm。最後,將之切割成不同面積之,,女 思金黃貼劑,,成品或燒傷貼片。 其他延伸性實施例 藥理實驗 f:以4-6週重約120〜130公克之胸批系雄性 =^鼠40又为成4組,飼養在空調房間,室溫維持在22±3。〇, 讓其/自由飲水並用小雞飼料餵飼。另外,以重約2〇〜25公克之 摄it ϋ雄f隹不分,讓其自由飲水,亦用小雞飼料餘飼。 一、使用樂品及藥材: 1. 1/〇 w/v之鹿角菜膠(carrageenan)又稱為角叉葉多糖體 12 1351970 (Sigma Chemical Co.USA)粉末100毫克加生理食鹽水1〇而, 實驗前配製。實驗時於大白鼠左後肢足底皮下注射〇〇5 d, 以不造成傷害為原則。 2. 如意金黃擦劑(藥洗液) · 主成:為.天花粉、白友、大黃、薑黃、黃柏、甘草、厚 朴、陳皮、生天南星、蒼朮、薄荷腦、酒精、植物性油脂及脂 肪酸。 3. 如意金黃膏劑 主成分為.天花粉、白芷、大黃、薑黃、黃柏、甘草、厚 朴、陳皮、生天南星、蒼朮、薄荷腦、酒精、纖維素、樹脂, 植物性油脂及脂肪酸。 φ 4. 如意金黃散之炮製及生天南星非炮製 將如意金黃散分成炮製及其生天南星非炮製兩組,製成不 含酒精、薄荷腦及樹脂之膏劑水溶液(100mg/kg),經由小白 鼠腹腔注射,或製成膏劑水溶液(5%)滴到小白鼠眼睛。天南 ,之非炮製組係指如意金黃散中,生天南星先以酒精萃取,之 後經室溫減壓乾燥,再加進其他已炮製之成分,共同組成如奄 金黃。 5. 貼劑之配製 將天花粉150 g、白芷75 g、大黃75 g、薑黃75 g、黃柏 φ 75 g、甘草25 g、厚朴25 g、陳皮25 g、生天南星25 g、蒼朮 乃g及水575 g置於不銹鋼二層鍋加熱沸騰2小時後,減壓過 濾及減壓濃縮,濃縮液經冷卻後,加入酒精250 g、薄荷腦3〇〇 g、纖維素1250g、壓克力樹脂2750g,再加植物油脂至6 k 經縣均勻。 g 6·欣立如意貼劑(SinlixRuyiPatch)之塗佈 ^將如意金黃膏,使用助汪企業有限公司(高雄)之塗佈嗖 施,以滾筒轉印至塗佈機,然後將藥膏均勻塗佈在玻璃紙上' 並在烘乾機上以高速熱風除去含水酒精而乾燥濃縮之,接著以 不織布覆蓋,滾筒加壓,製成含藥膏之欣立如意貼(Sin丨ixRuyi 13The thickness is α2 mm. Finally, cut it into different areas, women's golden patches, finished products or burn patches. Other Extensible Examples Pharmacological Experiments f: Males with a weight of about 120 to 130 grams in 4-6 weeks. Male rats were further divided into 4 groups and kept in an air-conditioned room at room temperature maintained at 22 ± 3. Hey, let it/free drink and feed with chicken feed. In addition, the weight of about 2 〇 ~ 25 gram of it is not divided, let it freely drink water, also feed with chicken feed. First, the use of music and herbs: 1. 1 / 〇 w / v carrageenan (carrageenan) also known as carrageenan 12 1351970 (Sigma Chemical Co. USA) powder 100 mg plus physiological saline 1 , prepared before the experiment. In the experiment, the rats were injected subcutaneously for 5 days under the left hind leg of the rats, so as not to cause injury. 2. Ruyi Golden Rubbing (medicine lotion) · Main: For. Tianhuan, Baiyou, Rhubarb, Turmeric, Phellodendron, Licorice, Magnolia, Chenpi, Shengtiannanxing, Atractylodes, Menthol, Alcohol, Vegetable Oils and fatty acid. 3. Ruyi Golden Ointment The main ingredients are. Trichosanthin, Angelica, Rhubarb, Turmeric, Phellodendron, Licorice, Magnolia, Chenpi, Shengtiannanxing, Atractylodes, Menthol, Alcohol, Cellulose, Resin, Vegetable Oils and Fatty Acids. φ 4. If the wishful golden powder is processed and the raw Tiannanxing is not processed, the Ruyi Golden Powder will be divided into two groups: the non-alcoholic, menthol and resin paste solution (100mg/kg), via the mouse. Intraperitoneal injection, or made into an aqueous solution of an ointment (5%), dripped into the eyes of mice. Tiannan, the non-command group refers to Ruyi Golden Powder, Shengtian Nanxing is first extracted with alcohol, then dried at room temperature under reduced pressure, and then added to other ingredients that have been processed to form a golden color. 5. Preparation of patch: 150 g of trichosanthin, 75 g of white peony, 75 g of rhubarb, 75 g of turmeric, 75 g of phellodendron, 25 g of licorice, 25 g of licorice, 25 g of dried magnolia, 25 g of dried tangerine peel, 25 g of raw celestial star, 25 g of celestial genus And water 575 g was placed in a stainless steel two-layer pot and heated to boil for 2 hours, filtered under reduced pressure and concentrated under reduced pressure. After the concentrated liquid was cooled, 250 g of alcohol, 3 〇〇g of menthol, 1250 g of cellulose, acrylic resin were added. 2750g, add vegetable oil to 6k and pass the county evenly. g 6·SinlixRuyiPatch coating ^ Will Ruyi Golden Cream, using the coating of the company (Kaohsiung), the roller is transferred to the coater, and then the cream is evenly coated On the cellophane', the aqueous alcohol is removed by high-speed hot air on the dryer and dried and concentrated. Then, it is covered with a non-woven fabric, and the roller is pressed to make a medicinal paste. (Sin丨ixRuyi 13

Patch)或燒傷貼片,厚度〇·2 mm。最後,將之切割成不同面 積之如意金黃貼布。 三、 實驗儀器: . 1. 腫脹測定器(7150,Plethysmometer,UGO,Basile,Italy),用以 測疋大鼠在正常情況下及注射鹿角菜膠(carrageenan)後,左 後肢腳之腫脹係數。 2. 疼痛閥之測定則使用白鼠閃尾測定儀(736〇,Tail Hk^k,UGO,Basile,Italy),用以測定大鼠在正常情況下及注射鹿 角菜膠(carrageenan)後,利用紅外線引起左後肢腳熱痛而造 成後腿收縮反應之疼痛閥。 四、 實驗方法及分組: 鲁 委託高雄醫學大學及附屬醫院進行腫脹、止痛、腹痛及揉 眼之動物試驗及臨床試驗。本發明在動物實驗採用之大白鼠後 肢足莩急性炎症反應,係依照Winter CA.等人於公元1962年 使用carragenan誘發之方法(加c知卸 111,544-547,1962.)進行實驗,每組有雄性大白鼠1〇隻,於左 後腳掌注射鹿角菜膠(carrageenan)以引發急性炎症反應。本 研究之論文將另行經學術期刊發表。 1. 腫脹對照組: 於鹿角菜膠(carrageenan)注射前,及注射後4小時,分 _ 別測定注射前之腫脹係數(CSB,Swelling bef〇re咖㈣及 /主射後之腫脹係數(CSA,Swelling by control group after injection),兩者之差即為腫脹率cSR=[ (CSACSB) /CSB]xl〇〇〇/〇 〇 2. 疼痛對照組: y 鹿角菜膠(carrageen肪)注射前、注射後1小時、及注射 後4小時分別測定注射前之疼痛閥(cp。),注射後】小時之 闊(CPl)及注射後4小時之疼細(cp4)。❿減CPi即 閥差(CPD) ’CPd若為負值表示疼痛感覺增加,正值 14 1351970 3. 如意金黃擦劑消腫組: 鹿角菜膠(carrageenan)注射前測腫脹係數(lsb . Swelling by Liniment before injection),注射 i 小時後塗上一克. 擦劑於左後肢之腳足掌,再於注射後4小時測腫脹係(lsa, Swelling by Liniment after injection),然後求得腫脹率 LSR=[ (LSA-LSB) /LSB]xl00°/〇. 4. 如意金黃擦劑止痛組: 鹿角菜膠(carrageenan)注射前測定疼痛關np),沭射 0小時再測一次疼侧(LPl),隨之塗上^ ((lg;)捧= 左後肢之腳足掌,於注射後第4小時再測—次疼痛閥(Lp )。 奶減!^即可得疼痛閥差(LPd)。 ^ · 5. 如意金黃膏消腫組: 鹿角菜膠(carrageenan)注射前測腫脹係數 (PSB,Swelling by plaster (ointment) before injection),注射後 1 小時擦膏劑一克(lg)於左後肢之腳足掌,再於注射後4小時 測腫脹係數(PSA, Swelling by plaster•…intment;) after injection),然後求得腫脹率 PSR=[ (PSA_psB) /pSB]xl㈨%]。 6. 如意金黃膏止痛組: 鹿角菜膠(carrageenan)注射前測定疼痛閥(pp ),注射 後i小時再測-次疼痛閥㈣,隨即擦膏(;)g) : · 射鹿角菜膠(carrageenan)之腳足掌,然後於注射後4小時再 測一次疼痛閥(PP4) 〇PP4減PP】即為疼痛閥差(PPd)。 7·如意金黃膏之腹痛實驗 將如意金黃散分成炮製及其生天南星成分非炮製兩組, 分別製成不含酒精、薄荷腦及樹脂之膏劑水溶液丨⑻, 溶於0.3 ml水,經由小白鼠腹腔注射,記錄所產生之腹痛 (writhing syndrome :腹部伏地伸展症狀)次數,觀察6〇分鐘。 8.如意金黃膏之揉眼實驗 將如意金黃膏分成炮製及其生天南星炮製兩組,各別製成不含 酒精、薄荷腦及樹脂之膏劑水溶液(5%),滴到小白鼠眼睛, 15 1351970 記錄所產生之雙手揉眼次數,觀察60分鐘。 9.欣立如意貼(SinlixRuyiPatch)之臨床試驗 . 在尚雄醫學大學附屬醫院收集4〇位有疼痛訴求之臨床 病人,期間6月1日〜7月30日,依據病人疼痛部位,貼用欣 立如意貼.(SinlixRuyiPatch),但不給予其他止痛劑服用。為 觀察本貼劑之長效性止痛作用,病人在洗澡前貼用12〜24小 時。貼劑及皮膚上殘留物之去除,則在洗澡用水之幫助下完成。 藥理作用 消腫實驗結果 對照組在鹿角菜膠(carrageenan)注射前之腫脹係數籲 (CSB)為1.1〇±〇.〇4,鹿角菜膠注射後之腫脹係數(CSA)為 1.53±0.06 (圖 1A),其腫脹率(CSr )約為 43土〇〇6% (圖 1B)。擦劑在鹿角菜膠(carrageenan)注射前之腫脹係數 (LSB)為1.02土0.08 ’擦藥後之腫脹係數似八)為1.31±〇.〇9 (圖1A) ’其腫脹率(LSR)約為30士0.11% (圖iB)。膏劑在 鹿角菜膠注射前之腫脹係數(PSB)為1.〇2±〇.〇9,塗藥後之腫 脹係數(PSA)為1.19±〇·12 (圖1A),其腫脹率(psr)約為 17±0.14% (圖1Β)。塗藥之消腫效果顯著,LSR<CSR(tw〇 way ANOVA test ; Ρ<〇.〇1)。擦藥之消腫效果顯著,LSR <CSR φ (two_wayANOVAtest ; Ρ<〇·〇ΐ)。膏劑之消腫效果優於擦劑, PSR <LSR (two-way ANOVAtest ; P<G.〇l)。 止痛實驗結果 對照組在鹿角菜膠(carrageenan)注射前之疼痛閥(Cp〇) 為1.63±0.16秒’注射後1小時之疼痛閥(CPi )為1 21士〇 u 秒,注射後4小時之疼痛閥(CI>4 )為丨〇5±〇 12秒^疼痛差 (CPD )為-〇.16±〇.1〇秒(圖2A)。擦劑在鹿角菜膠 (carrageenan)注射前之疼痛閥(SP〇)為156±〇14秒,擦藥後 1小時(SP】)為1·23±0.14秒,擦藥後4小時之疼痛閥(SP4) 為1.39±0.10秒(圖2A) ’疼痛差(LPD)為〇 m〇 〇6秒(圖 16 1351970 2B)。膏劑在鹿角菜膠(carrageenan)注射前之疼痛閥(pp 〇) 為1.66=0.25秒,投藥後1小時之疼痛閥)為丨36土〇 16 秒’投藥後4小時之疼痛閥(ΡΡ4)為1.57±0.11秒(圖2Α), 疼痛差(PPD )為〇.2〇±〇·〇9秒(圖2Β)。膏劑之止痛效果顯 著,PPD >CPD (two-way ANOVA test; Ρ<〇.〇5)。擦劑亦有止痛 效果 ’ LPD >CPD (two-way ANOVA test; Ρ<〇.〇5);但是 ppD 鱼 LPd相等’並無有意差。 腹痛之實驗結果Patch) or burn patch, thickness 〇 2 mm. Finally, cut it into a golden patch of different sizes. 3. Experimental Instruments: 1. The swell tester (7150, Plethysmometer, UGO, Basile, Italy) was used to measure the swelling coefficient of the left hind limb after normal rats and after carrageenan injection. 2. The pain valve was measured using a white mouse tail tester (736〇, Tail Hk^k, UGO, Basile, Italy) to determine the use of infrared rays in rats under normal conditions and after injection of carrageenan. A pain valve that causes heat pain in the left hind leg and causes a contraction in the hind leg. IV. Experimental methods and grouping: Lu entrusted Kaohsiung Medical University and affiliated hospitals to conduct animal tests and clinical trials for swelling, pain relief, abdominal pain and eyelids. The acute inflammatory reaction of the hind limbs of the white rats used in the animal experiment is carried out according to the method of carragenan induced by Winter CA. et al. in 1962 (plus c, 111, 544-547, 1962.) One group of male rats was injected with carrageenan on the left hind paw to induce an acute inflammatory reaction. The papers of this study will be published separately in academic journals. 1. Swelling control group: Before the carrageenan injection, and 4 hours after the injection, the swelling coefficient before the injection (CSB, Swelling bef〇re coffee (4) and / after the main shot of the swelling coefficient (CSA) , Swelling by control group after injection), the difference between the two is the swelling rate cSR = [ (CSACSB) / CSB] xl 〇〇〇 / 〇〇 2. Pain control group: y carrageen (carrageen fat) before injection, The pain valve (cp.) before injection was measured 1 hour after injection and 4 hours after injection, respectively. After the injection, the width of the hour (CP1) and the pain of 4 hours after the injection (cp4) were reduced. CPi was the valve difference ( CPD) 'CPd if negative value indicates increased pain sensation, positive value 14 1351970 3. Ruyi golden rubbing swelling group: carrageenan pre-injection test swelling coefficient (lsb. Swelling by Liniment before injection), injection i Apply an gram after an hour. Rub the agent on the left hind leg of the foot, and then measure the swelling system (lsa, Swelling by Liniment after injection), and then find the swelling rate LSR = [ (LSA-LSB) / LSB]xl00°/〇. 4. Ruyi Golden Rubbing Analgesic Group: Antlers Glucose (carrageenan) before the injection of pain detection np), sputum shot 0 hours and then measure the pain side (LPl), followed by ^ ((lg;) holding = left hind limb foot, 4 hours after injection Retest - pain valve (Lp). Milk reduction! ^ can get pain valve difference (LPd). ^ · 5. Ruyi golden cream swelling group: Carrageenan (carrageenan) before injection test swelling coefficient (PSB, Swelling By plaster (ointment) before injection), one gram of ointment 1 gram after injection (lg) on the sole of the left hind limb, and then measured the swelling coefficient (PSA, Swelling by plaster•...intment;) after injection ), and then find the swelling rate PSR = [ (PSA_psB) / pSB] xl (nine)%]. 6. Ruyi Golden Cream Analgesic Group: Determination of pain valve (pp) before carrageenan injection, i-hour after injection - pain valve (4), then wipe (() g): · shot carrageenan ( Carrageenan) The foot of the foot, and then the pain valve (PP4) 〇PP4 minus PP] is the pain valve difference (PPd) 4 hours after the injection. 7. Ruyi Golden Cream's Abdominal Pain Experiment divides Ruyi Golden Powder into two groups, which are processed and made into a non-alcoholic, menthol and resin paste solution (8), dissolved in 0.3 ml of water, via a mouse. Intraperitoneal injection, the number of abdominal pain (writhing syndrome) was recorded and observed for 6 minutes. 8. Ruyi Golden Cream's Blinking Experiment divides Ruyi Golden Cream into two groups, which are processed and produced by Tiannanxing. Each of them is made into an aqueous solution (5%) containing no alcohol, menthol and resin, and drops into the eyes of mice. 1351970 Record the number of blinks in both hands and observe for 60 minutes. 9. Clinical trial of SinlixRuyiPatch. In the Affiliated Hospital of Shangxiong Medical University, 4 clinical patients with painful appeals were collected. From June 1st to July 30th, according to the painful part of the patient, Xinli was attached. (SinlixRuyiPatch), but not given other analgesics. In order to observe the long-term analgesic effect of the patch, the patient applied 12 to 24 hours before bathing. The removal of the patch and the residue on the skin is done with the help of bath water. Pharmacological effect of swelling test results The swelling coefficient of the control group before injection of carrageenan (CSB) was 1.1〇±〇.〇4, and the swelling coefficient (CSA) after carrageenan injection was 1.53±0.06 (Figure) 1A), its swelling rate (CSr) is about 6% of soil (Figure 1B). The swelling coefficient (LSB) of the rubbing agent before carrageenan injection was 1.02 soil 0.08 'swelling coefficient after rubbing was eight) 1.31±〇.〇9 (Fig. 1A) 'The swelling rate (LSR) was about It is 0.11% for 30 士 (Fig. iB). The swelling coefficient (PSB) of the ointment before injection of carrageenan was 1.〇2±〇.〇9, and the swelling coefficient (PSA) after application was 1.19±〇·12 (Fig. 1A), and its swelling rate (psr) It is about 17±0.14% (Fig. 1Β). The swelling effect of the application is remarkable, LSR < CSR (tw〇 way ANOVA test; Ρ < 〇. 〇 1). The swelling effect of the rubbing drug is remarkable, LSR <CSR φ (two_wayANOVAtest; Ρ<〇·〇ΐ). The swelling effect of the ointment is better than that of the liniment, PSR < LSR (two-way ANOVAtest; P<G.〇l). Analgesic test results The pain control valve (Cp〇) of the control group before carrageenan injection was 1.63±0.16 seconds. The pain valve (CPi) 1 hour after injection was 1 21 ± 〇 u seconds, 4 hours after injection. The pain valve (CI > 4 ) was 丨〇 5 ± 〇 12 seconds ^ the pain difference (CPD ) was -〇.16 ± 〇.1 〇 seconds (Fig. 2A). The pain agent before the carrageenan injection (SP〇) was 156±〇14 seconds, 1 hour (SP) after rubbing was 1.23±0.14 seconds, and the pain valve was wiped 4 hours after the rubbing (SP4) is 1.39 ± 0.10 seconds (Fig. 2A) 'The pain difference (LPD) is 〇m 〇〇 6 seconds (Fig. 16 1351970 2B). The pain valve (pp 〇) before the injection of carrageenan was 1.66=0.25 seconds, and the pain valve 1 hour after administration) was 丨36 soil for 16 seconds. The pain valve (ΡΡ4) was 4 hours after administration. 1.57 ± 0.11 seconds (Fig. 2Α), the pain difference (PPD) is 〇.2〇±〇·〇9 seconds (Fig. 2Β). The analgesic effect of the ointment is remarkable, PPD > CPD (two-way ANOVA test; Ρ < 〇. 〇 5). The liniment also has an analgesic effect ‘ LPD > CPD (two-way ANOVA test; Ρ < 〇. 〇 5); but ppD fish LPd is equal ‘no intentional difference. Experimental results of abdominal pain

如意金黃膏之炮製組(100 mg/kg),經由10隻小白鼠腹 腔注射’所產生之腹痛(writhing syndrome :腹部落地並伸展 之症狀)次數,在60分鐘内出現4±1次。其生天南星非炮製 組(100mg/kg)則出現24±3次,兩者有明顯差異(圖3A)。 揉眼之實驗結果 如意金黃膏之炮製組1%水溶液,滴到10隻小白鼠眼 睛,所產生之揉眼次數,在60分鐘内出現13±2次,其生天 南星非炮製組則出現32士4次,兩者有明顯差異(圖3B)。 欣立如意貼(SinlixRuyiPatch)之臨床試驗結果The number of abdominal pain (writhing syndrome) caused by intraperitoneal injection of 10 white mice (100 mg/kg) occurred 4±1 times in 60 minutes. The non-combustion group (100mg/kg) of the sinensis was found to have 24±3 times, and there was a significant difference between the two (Fig. 3A). The results of the blinking experiment are as follows: 1% aqueous solution of the golden cream, and dripped into the eyes of 10 white mice, the number of blinks produced is 13±2 times in 60 minutes, and 32 people in the non-combustion group 4 times, there is a significant difference between the two (Figure 3B). Clinical trial results of SinlixRuyiPatch

40位有疼痛訴求之臨床病人,性別分佈為〗:〗5 (16 : 24,男女)。平均年齡為49.5土 13.8歲。病人之疼痛大多發生在 上半身。肩膀疼痛者(9/40,22.5%),手臂上部(7/40,17.5%),背 =上(7/40:17.5%),頸部(5/4(^.5%)(表υ。貼用欣立如 ,貼(Sinlix Ruyi Patch)之止痛指數(VAS Pain Sc〇re)而 δ ’在貼後1、4、8、12及16小時,各別為7 3±21、71±18、 5·3±2·4、3.5±1.4、4.3±1.5 及 5.8±2.4 (表 2)。貼後 16.6±7.9 mm有溫覺’並維持i57±7.2min (表3、4)。在貼藥過程中, 有5/40 (12.5%)疼痛病人有灼熱感覺,並維持27 3士12 6min, 但是除去貼布後即恢復(表5)。少數鱗狀上皮脫屑之病人, 造因貼劑太黏,經教導利用洗澡用水沖洗,即可讓貼布脫落, 免除上皮脫屑之發生。就舒適度而言,有36/4〇 (9〇%)在貼 後有舒適感覺,只有4/40 (10%)並無舒適感覺(表6)。 17 1351970 就長效性止痛作用而言,病人經貼用欣立如意貼(SinlixForty clinical patients with painful claims, the gender distribution is 〖: 5 (16: 24, male and female). The average age is 49.5 soil and 13.8 years old. Most of the patient's pain occurs in the upper body. Shoulder pain (9/40, 22.5%), upper arm (7/40, 17.5%), back = upper (7/40: 17.5%), neck (5/4 (^.5%) Stick with Xin Liru, Sinlix Ruyi Patch's Pain Relief Index (VAS Pain Sc〇re) and δ ' at 1, 4, 8, 12 and 16 hours after patching, each of which is 7 3 ± 21, 71 ± 18, 5·3±2·4, 3.5±1.4, 4.3±1.5 and 5.8±2.4 (Table 2). After 16.6±7.9 mm, there is temperature perception and maintain i57±7.2 min (Tables 3 and 4). During the dispensing process, 5/40 (12.5%) patients with pain had a burning sensation and maintained 27 3 ± 12 6 minutes, but recovered after removal of the patch (Table 5). A few patients with squamous epithelial desquamation, cause The patch is too sticky, and it is taught to use the bath to rinse with water, so that the patch can be detached, and the epithelial desquamation can be avoided. In terms of comfort, 36/4 〇 (9 〇%) has a comfortable feeling after affixing, only 4/40 (10%) has no comfort (Table 6). 17 1351970 In terms of long-term analgesic effect, patients are posted with singularity (Sinlix)

Ruyi Patch)後 12~16 小時,其 VAS (visual analog scale)為 4.3±1.5〜5·8±2.4,止痛反應已具有統計意義。而在8小時達到 最強止痛效果,為3.5±1.4 (表2)。 本發明以中藥複方外用傷科製劑如意金黃散為材料,以現 代科學方法製成擦劑及膏(貼)劑’使用動物實驗方式檢視其 治療急性軟組織炎症之效果,包括消腫、止痛及消炎等作用。 另以臨床實驗證明’其欣立如意貼(Sinlix RUyi patch)可緩解 人體之臨床疼痛。 本研究所採用之大白鼠後肢足掌急性炎症反應,係依After 12 to 16 hours of Ruyi Patch, the VAS (visual analog scale) was 4.3±1.5~5·8±2.4, and the analgesic response was statistically significant. The strongest analgesic effect was achieved at 8 hours, which was 3.5 ± 1.4 (Table 2). The invention utilizes the traditional Chinese medicine compound external traumatic preparation such as Ruyi Golden Powder as a material, and uses modern scientific methods to make a medicinal agent and a paste (sticking agent) to examine the effect of treating acute soft tissue inflammation by using an animal experiment method, including swelling, analgesic and anti-inflammatory. And so on. In addition, clinical trials have shown that Sinlix RUyi patch can alleviate clinical pain in humans. The acute inflammatory response of the hind paws of the white rats used in this study

Winter CA之方法使用 carragenan加以誘發(Proc&cExpMec/. · 111,544-547,1962.)。鹿角菜膠(carrageenan)是一種非刺激性 的致炎物質。依據 Newbould BB. c/Ptovwaa?/. 35, 487_497. 1969.) ' Flower R. (Nature New Bio, 238, 104-106, 1972.) 'The method of Winter CA was induced using carragenan (Proc & cExpMec/. · 111, 544-547, 1962.). Carrageenan is a non-irritating and inflammatory substance. According to Newbould BB. c/Ptovwaa?/. 35, 487_497. 1969.) 'Flower R. (Nature New Bio, 238, 104-106, 1972.)'

Kubota T. {Arch Int. Pharmacodyn. 237, 169-176, 1979.) ' ^ Vinegar R· ( /Wer 尸wc. 46 (1),118-126,1987.)等學者之研 究’發現鹿角菜膠(carrageenan)誘發大白鼠足掌浮腫之機轉 呈現雙相性(biphasic)。第一相係於注射後立刻發生浮腫,並 於30分鐘後達最高峰。此一時期浮腫之原因主要是肥大細胞 吸收鹿角菜膠(carrageenan)粒子後受損而釋出細胞質酵素 鲁 (cytoplasmic enzymes)及血清素(ser〇t〇nin),造成腫脹及痛覺 過敏。第一相之浮腫稱之為非吞噬性發炎症反應。第二相於注 射鹿角菜膠(carrageenan)後1至4小時發生,可使浮腫達到 最大程度’然後漸漸消退。此相之反應機轉與缓激 (bradykinin)、蛋白酶(protease)、前列腺素 (prostaglandin)、slow releasing substance-A (SRS-A)及溶酶 (lysosomalenzyme)之釋放有關。鹿角菜膠(carrageenan)穿過 内皮後’接著侵犯組織使其釋出白細胞介素 (interleukin-1),改變受傷皮層之表面結構,使嗜中性細胞因 趨化作用而聚集’接著鹿角菜膠(carrageenan)又破壞嗜中性 18 1351970 細胞致釋出更多溶酶(lyS0S0ma! enzyme),活化前列腺素 (prostaglandins)之生成,造成吞噬細胞聚集,產生炎症反應和 痛覺過敏之症狀。因此,第二相可稱為吞噬性發炎反應。鹿角 菜膠(carrageenan)所誘發的炎症反應類似臨床所見之急性炎 症反應’包括4列腺素和白烯三素(leuk〇trienes)之增加,釋 放組織胺(histamine)、血清素(ser〇t〇nin)及緩激肽 (bradykmm),造成血管通透性之增加及嗜令性球與單核球之 呑噬^應。因此以鹿角菜膠(carrageenan)誘發之炎症反應來 評估藥物之抗急性炎症作用,為一合理及常用之動物實驗模 式。 、Kubota T. {Arch Int. Pharmacodyn. 237, 169-176, 1979.) ' ^ Vinegar R· ( /Wer corpse wc. 46 (1), 118-126, 1987.) and other scholars' research found that carrageenan (carrageenan) induced the pulsation of the paw of the rat to show biphasic. The first phase edema immediately after the injection and reached its peak after 30 minutes. The reason for this period of edema is mainly that mast cells absorb carrageenan particles and then damage cytoplasmic enzymes and serotonin (ser〇t〇nin), causing swelling and hyperalgesia. The edema of the first phase is called a non-phagocytic inflammatory response. The second phase occurs 1 to 4 hours after the injection of carrageenan, which causes the edema to reach its maximum extent and then gradually subsides. The reaction of this phase is related to the release of bradykinin, protease, prostaglandin, slow releasing substance-A (SRS-A) and lysosomalenzyme. Carrageenan passes through the endothelium and then invades the tissue to release interleukin-1, which changes the surface structure of the injured cortex and causes the neutrophils to accumulate due to chemotaxis. (carrageenan) destroys the neutrophil 18 1351970 cells to release more lysozyme (lyS0S0ma! enzyme), activates the production of prostaglandins, causing phagocytic aggregation, producing symptoms of inflammation and hyperalgesia. Therefore, the second phase can be referred to as a phagocytic inflammatory response. The inflammatory response induced by carrageenan is similar to the acute inflammatory response seen clinically' including the increase of 4 adenine and leuk〇trienes, releasing histamine and serotonin (ser〇t) 〇nin) and bradykinin (bradykmm), resulting in increased vascular permeability and nucleus of the nucleus and mononuclear spheres. Therefore, the anti-acute inflammatory effect of the drug is evaluated by carrageenan-induced inflammatory response, which is a reasonable and commonly used animal experimental mode. ,

….本發明利用Ugo (Italy)公司出品之白鼠閃尾測吳 儀(Tail Flick),以紅外線照射大白鼠之足底,使其因熱痛市 ^缩後腿,可得到局部疼痛之收縮反應。如因藥物之使用而封 反應之_ ’則視藥物具#止痛作用。本發果彻 ((^哪_)騎之急性炎症反應,經使用如意金 1劑及如思金黃膏舰’均有不同程度之_、止痛及消炎 之作用。使用如意金黃擦劑組之腫脹率(LSR)為194% =照組之CSR43.1%,且具顯著差異性㈣川期1B)。 ^方面,如意金黃擦劑之疼痛差LPd : 〇 17±〇 〇The present invention utilizes Tail Flick, which is produced by Ugo (Italy), to illuminate the sole of the rat with infrared rays, so that the contraction reaction of local pain can be obtained due to heat and pain. If the reaction is blocked due to the use of the drug, then the drug has an analgesic effect. The hair of the hair ((^ where _) riding the acute inflammatory reaction, through the use of Ruyi Jin 1 and such as the Golden Cream Ship's have varying degrees of _, pain relief and anti-inflammatory effect. Use the Ruyi golden wipe group swelling The rate (LSR) was 194% = the CSR of the group was 43.1%, and there was significant difference (4) Sichuan stage 1B). ^ Aspect, the pain of the wishful golden liniment is poor LPd : 〇 17±〇 〇

痛差(0>D ) ·· _αΐ6±0.10秒,延長頗多,具g ism ϋ)〇^2Β)。另外’使用如意金黃膏劑組之腫脹率 顯菩i S ^ 小於對照組之腔醉(CSR) : 43.1%,且具 f差異性(ρ<〇·〇1)(圖1B);止痛 為 有,Μ之疼痛差(叫^^少 有延長疼痛之效果,具顯著差異性㈣频圖2B)。 如實驗模式可知由含有天花粉之巾藥散劑,即 及劑及f劑,對軟組織之急性發炎有止痛 傷m »炎效果。臨床上對錢絲_之炎症如扭傷、拉 乍用虽可加強止痛及放鬆肌肉之效果。 19 1351970 性 本發明以加熱濃縮之方法減少其所含生天 ,成,可由小鼠之腹痛及揉眼反應獲得証明,有別於1之f激 及生天南星非炮製之如意金黃膏。另外’以人體試驗 金黃膏製成之欣立如意貼(Sinlix Ruyi Patch)可抑制臨床上 之體表疼痛。 實施例1 每公克如意金黃膏中含有: 天花粉 30 mg 白芷 15 mg 大黃 15 mg 薑黃 15 mg 黃柏 15 mg 甘草 5 mg 厚朴 5 mg 陳皮 5 mg 生天南星 5 mg 蒼朮 5 mg 纖維素 160 mg 水 100 mg 酒精 50 mg 薄荷腦 50 mg 壓克力酸樹350 mg 脂 加植物性油至1公克 實施例2 每公克如意金黃膏中含有: 天花粉 30 mg 白泣 15 mg 大黃 15 mg 薑黃 15 mg 黃柏 15 mg 甘草 5 mg 厚朴 5 mg 陳皮 5 mg 生天南星 5 mg 蒼朮 5 mg 薄荷腦 50 mg 100 mg 酒稍 40 mg 卑南迪 5 mg 麼克力酸樹350 mg 纖維素 160 mg 脂 加植物性油脂至1公克 實施例3 每公克如意金黃膏中含有: 天花粉 30 mg 白芷 15 mg 大黃 15 mg 薑黃 15 mg 黃柏 15 mg 甘草 5 mg 5 mg 厚朴 5 mg 陳皮 生天南星 5 mg 蒼朮 5 mg 薄荷腦 50 mg 酒精 50 mg 水 100 mg 壓克力樹脂 350 mg 加植物性油脂至1公克 實施例4 每公克如意金黃膏中含有: 天花粉 30 mg 白芷 15 mg 大黃 15 mg 薑黃 15 mg 黃柏 15 mg 甘草 5 mg 厚朴 5 mg 陳皮 5 mg 生天南星 5 mg 蒼朮 5 mg 薄荷 50 mg 水 100 mg 酒精 40 mg 卑南迪 5 mg 壓克力酸樹 350 mg 脂 加植物性油脂至1公克 實施例5 每公克如意金黃膏中含有: 天花粉 40 mg 白莖 20 mg 大黃 20 mg 薑黃 20 mg 21 黃柏 20 mg 生天南星 10 mg 甘草 10 mg 蒼朮 10 mg 厚朴 10 mg 陳皮 10 mg 纖維素 160 mg 水 100 mg 酒精 50 mg 薄啊腦 50 mg 壓克力酸樹350 mg 脂 1351970 加植物性油脂至1公克 實施例6 每公克如意金黃膏中含有: 天花粉 40 mg 白芷 20 mg 薑黃 20 mg 大黃 20 mg 生天南星 10 mg 黃柏 20 mg 蒼朮 10 mg 甘草 10 mg 厚朴 10 mg 陳皮 10 mg 薄荷腦 50 mg 纖維素 160 mg 水 100 mg 酒精 50 mg 卑南迪 5mg 壓克力樹脂 400 mg 加植物性油脂至1克 實施例7 每公克如意金黃膏中含有: 天花粉 40 mg 白芷 20 mg 大黃 20 mg 薑黃 20 mg 黃柏 20 mg 生天南星 10 mg 甘草 10 mg 蒼朮 10 mg 厚朴 10 mg 薄荷腦 56 mg 陳皮 10 mg 酒精 50 mg 22 1351970 水 150 mg 壓克力樹脂350 mg 加植物性油脂至1公克 實施例8 每公克如意金黃膏中含有: 天花粉 40 mg 白芷 20 mg 大黃 20 mg 薑黃 20 mg 黃柏 20 mg 生天南星 10 mg 甘草 10 mg 蒼敢 10 mg 厚朴 10 mg 卑南迪 5 mg 薄荷腦 50 mg 陳皮 10 mg 酒精 50 mg 水 150 mg 壓克力酸樹350mg 脂 加植物性油脂至1公克 實施例9 每公克如意金黃膏中含有: 天花粉 30 mg 白芷 15 mg 大黃 15 mg 薑黃 15 mg 黃柏 15 mg 甘草 5 mg 厚朴 5 mg 陳皮 5 mg 生天南星 5 mg 蒼朮 5 mg 冬綠油 20 mg 松香 20 mg 氧化鋅 60 mg 麻油 585 mg 薄荷腦 50mg /橡廢樹脂, 200 mg 加植物性油脂至1公克 實施例10 每公克如意金黃膏中含有: 23 1351970 天花粉 30 mg 白芷 15 mg 大黃 15 mg 薑黃 15 mg 黃柏 15 mg 甘草 5 mg 厚朴 5 mg 陳皮 5 mg 生天南星 5 mg 蒼朮 5 mg 薄何腦 50 mg 松香 20 mg 卑南迪 5 mg 氧化鋅 60 mg 冬綠油 20 mg 麻油 485 mg 橡勝樹脂 200 mg 加植物性油脂至1公克Pain difference (0>D) ·· _αΐ6±0.10 seconds, prolonged, with g ism ϋ)〇^2Β). In addition, the swelling rate of the group using the Ruyi Golden Ointment was significantly lower than that of the control group (CSR): 43.1%, and f difference (ρ<〇·〇1) (Fig. 1B); The pain of sputum is poor (called ^^ has less effect of prolonging pain, with significant difference (4) frequency diagram 2B). As the experimental mode, it can be seen that the acute inflammation of soft tissues has an analgesic effect by the powder containing the powder of the day powder, the instant agent and the agent. Clinically, the inflammation of Qiansi _ such as sprains and sputum can enhance the effect of relieving pain and relaxing muscles. 19 1351970 Sexually, the present invention reduces the amount of bacteria contained in the method by heating and concentrating, and can be proved by the abdominal pain and the blinking reaction of the mouse, which is different from the stimulating golden jelly which is not produced by the sinus. In addition, Sinlix Ruyi Patch, which is made with the human test golden paste, can inhibit clinical body surface pain. Example 1 Each gram of Ruyi Golden Cream contains: Trichosanthin 30 mg Pelican 15 mg Rhubarb 15 mg Turmeric 15 mg Cork 15 mg Licorice 5 mg Magnolia 5 mg Chenpi 5 mg Shengna Nanxing 5 mg Atractylodes 5 mg Cellulose 160 mg Water 100 Mg Alcohol 50 mg Menthol 50 mg Acrylic acid tree 350 mg Fat plus vegetable oil to 1 g Example 2 Per gram of Ruyi Golden Cream contains: Trichosanthin 30 mg White Soap 15 mg Rhubarb 15 mg Turmeric 15 mg Cork 15 Mg licorice 5 mg magnolia 5 mg orange peel 5 mg raw celestial star 5 mg atractylodes 5 mg menthol 50 mg 100 mg wine slightly 40 mg nandy 5 mg morphine 350 mg cellulose 160 mg fat plus vegetable oil to 1 gram Example 3 Each gram of Ruyi Golden Cream contains: Trichosanthin 30 mg Radix 15 mg Rhubarb 15 mg Turmeric 15 mg Cork 15 mg Licorice 5 mg 5 mg Magnolia 5 mg Chen Pisheng Tiannan Star 5 mg Atractylodes 5 mg Menthol 50 mg Alcohol 50 mg Water 100 mg Acrylic Resin 350 mg Add vegetable oil to 1 g Example 4 Per gram of Ruyi Golden Cream contains: Trichosanthin 30 mg Radix 15 mg Rhubarb 15 mg Turmeric 15 mg Yellow 15 mg licorice 5 mg Magnolia 5 mg Chenpi 5 mg Phytosan 5 mg Atractylodes 5 mg Mint 50 mg Water 100 mg Alcohol 40 mg Beinedi 5 mg Acrylic acid tree 350 mg Fat plus vegetable oil to 1 gram Example 5 Each gram of Ruyi Golden Cream contains: Trichosanthin 40 mg White stem 20 mg Rhubarb 20 mg Turmeric 20 mg 21 Cork 20 mg Raw Tiannan 10 mg Licorice 10 mg Atractylodes 10 mg Magnolia 10 mg Chenpi 10 mg Cellulose 160 mg Water 100 Mg Alcohol 50 mg Thin brain 50 mg Acrylic acid tree 350 mg Fat 1351970 Add vegetable oil to 1 gram Example 6 Per gram of Ruyi Golden Cream contains: Trichosanthin 40 mg Angelica 20 mg Turmeric 20 mg Rhubarb 20 mg Raw Araceae 10 mg Cork 20 mg Atractylodes 10 mg Licorice 10 mg Magnolia 10 mg Chenpi 10 mg Menthol 50 mg Cellulose 160 mg Water 100 mg Alcohol 50 mg Beinedi 5mg Acrylic resin 400 mg Add vegetable oil to 1 gram Example 7 Each gram of Ruyi Golden Cream contains: Trichosanthin 40 mg Pelican 20 mg Rhubarb 20 mg Turmeric 20 mg Cork 20 mg Raw Tiannan Star 10 mg Licorice 10 mg Atractylodes 10 mg Magnolia 10 mg Mint Brain 56 mg Orange peel 10 mg Alcohol 50 mg 22 1351970 Water 150 mg Acrylic resin 350 mg Add vegetable oil to 1 gram Example 8 Each gram of Ruyi Golden Cream contains: Trichosanthin 40 mg White peony 20 mg Rhubarb 20 mg Turmeric 20 Mg Cork 20 mg Biostar 10 mg Licorice 10 mg Cang 10 mg Magnolia 10 mg Penindi 5 mg Menthol 50 mg Chenpi 10 mg Alcohol 50 mg Water 150 mg Acrylic acid tree 350mg Fat plus vegetable oil to 1 Gram Example 9 Each gram of Ruyi Golden Cream contains: Trichosanthin 30 mg Radix 15 mg Rhubarb 15 mg Turmeric 15 mg Cork 15 mg Licorice 5 mg Magnolia 5 mg Chenpi 5 mg Raw Tiannan 5 mg Atractylodes 5 mg Wintergreen oil 20 mg Rosin 20 mg Zinc Oxide 60 mg Sesame oil 585 mg Menthol 50 mg / Rubber waste resin, 200 mg Add vegetable oil to 1 g Example 10 Per gram of Ruyi Golden Cream contains: 23 1351970 Trichosanthin 30 mg Radix 15 mg Rhubarb 15 mg Turmeric 15 mg Cork 15 mg Licorice 5 mg Magnolia 5 mg Chenpi 5 mg Shengna Nanxing 5 mg Atractylodes 5 mg Thin He Brain 50 mg Rosin 20 mg Beinandi 5 mg Zinc Oxide 60 mg Winter Green Oil 2 0 mg sesame oil 485 mg rubber resin 200 mg plus vegetable oil to 1 gram

實施例11 每公克如意金黃膏中含有: 天花粉 40 mg 白芷 20 mg 大黃 20 mg 薑黃 20 mg 黃柏 20 mg 生天南星 10 mg 甘草 10 mg 蒼朮 10 mg 厚朴 10 mg 陳皮 10 mg 薄荷腦 50 mg 松香 20 mg 冬綠油 20 mg 氧化鋅 60 mg 麻油 480 mg 橡膠·樹脂 200 mg 加植物性油脂至1公克Example 11 Each gram of Ruyi Golden Cream contains: Trichosanthin 40 mg Angelica 20 mg Rhubarb 20 mg Turmeric 20 mg Cork 20 mg Biostar 10 mg Licorice 10 mg Atractylodes 10 mg Magnolia 10 mg Chenpi 10 mg Menthol 50 mg Rosin 20 Mg Winter Green Oil 20 mg Zinc Oxide 60 mg Sesame Oil 480 mg Rubber·Resin 200 mg Add vegetable oil to 1 g

實施例12 每公克如意金黃膏中含有: 天花粉 40 mg 白芷 20 mg 大黃 20 mg 薑黃 20 mg 黃柏 20 mg 生天南星 10 mg 甘草 10 mg 蒼求 10 mg 24 厚朴 10 mg 陳皮 10 mg 薄荷腦 50 mg 松香 20 mg 卑南迪 5 mg 氧化辞 60 mg 冬綠油 20 mg 麻油 430 mg 橡膠樹脂 200 mg 加植物性油脂至1公克 實施例13 每5.5g如意金黃膏中含有: 天花粉 137.5 mg 白芷 68.8 mg 大黃 68.8 mg 薑黃 68.8 mg 黃柏 68.8 mg 陳皮 22.9 mg 甘草 22.9 mg 蒼朮 22.9 mg 厚朴 22.9 mg 薄荷腦 275 mg 纖維素 1145.9 mg 壓克力樹脂 2520.9 mg 加植物性油脂至5.5g 1351970 實施例14 每30公克桃紅四物湯浸膏中含有: 桃仁 5.〇g 當歸 5.〇g 白芍 5_〇g 熟地黃 5.0g 紅花 2.5 g 川芎 2.5g 酒精 5.0g 薄荷腦 1.5g 纖維素 12g 水 ig 壓克力酸樹 l〇g 脂 加植物性油脂至30 g 實施例15每70公克桃紅四物湯加減方(出處:醫宗金 鑑)浸膏中含有 25 1351970 桃仁 9.0g 當歸 9.0g 赤芍 9.0g 熟地黃 5.〇g 紅花 2.5 g 川芎 6.0g 香附 9.0g 元胡 9-〇g 牛膝 9.0g 纖維素 24g 薄荷腦 3.5g 酒精 l〇.〇g 水 20g 壓克力樹脂 40 g 加植物性油脂至70 g 實施例16Example 12 Each gram of Ruyi Golden Cream contains: Trichosanthin 40 mg Angelica 20 mg Rhubarb 20 mg Turmeric 20 mg Cork 20 mg Raw Tiannan Star 10 mg Licorice 10 mg Cang 10 mg 24 Magnolia 10 mg Chenpi 10 mg Menthol 50 mg Rosin 20 mg Beinedi 5 mg Oxidation 60 mg Wintergreen oil 20 mg Sesame oil 430 mg Rubber resin 200 mg Add vegetable oil to 1 g Example 13 Per 5.5 g Ruyi Golden Cream contains: Trichosanthin 137.5 mg Angelica 68.8 mg Large Yellow 68.8 mg turmeric 68.8 mg Cork 68.8 mg orange peel 22.9 mg licorice 22.9 mg atractylodes 22.9 mg magnolia 22.9 mg menthol 275 mg cellulose 1145.9 mg acrylic resin 2520.9 mg plus vegetable oil to 5.5 g 1351970 Example 14 per 30 g Taohong Siwutang extract contains: peach kernel 5. 〇g angelica 5. 〇g 芍 5_〇g radix rehmanniae 5.0g safflower 2.5 g Chuanxiong 2.5g alcohol 5.0g menthol 1.5g cellulose 12g water ig acrylic Acid tree l〇g fat plus vegetable oil to 30 g Example 15 per 70 grams of Taohong Siwu Tang addition and subtraction (Source: Medical Zongjinjian) extract contains 25 1351970 peach kernel 9.0g when 9.0g red 芍 9.0g rehmannia glutinosa 5. 〇g safflower 2.5 g Chuanxiong 6.0g fragrant 9.0g yuan Hu 9-〇g achyranthes 9.0g cellulose 24g menthol 3.5g alcohol l〇.〇g water 20g acrylic Resin 40 g plus vegetable oil to 70 g Example 16

每700公克女寶調經丸浸膏中含有Every 700 grams of female treasures are contained in the pill extract

全當歸 96g 烏藥 6〇g 丹參 240g 香附 96 g 白芍 45g 小胡麻 9〇g 廣皮 36g 川芎 24 g 益母草 120g 薄荷腦 35g 酒精 l〇〇g 水 2〇g 纖維素 240g 壓克力樹脂 280 g 加植物性油脂至700 g 實施例17 每30公克桃紅四物湯浸膏中含有: 桃仁 5.0g 當歸 5.〇g 白芍 5.0g 熟地黃 5.0g 紅花 2.5 g 川芎 2.5g 氧化鋅 60 mg 薄荷腦 l-5g 麻油 585 mg 冬綠油 20 mg 松香 20 mg 加植物性油脂至30 g 26 1351970 實施例18 每70公克桃紅四物湯加減方(出處:醫宗金鑑)浸膏中 含有 桃仁 9.0g 當歸 9.0g 赤芍 9.0g 熟地黃 5.〇g 紅花 2.5 g 川芎 6.0g 香附 9.0g 元胡 9.0g 牛膝 9.0g 冬綠油 20 mg 薄荷腦 3.5g 氧化鋅 60 mg 麻油 485 mg 橡膠樹脂 200 mg 加植物性油脂至70 g 實施例19 每700公克女寶調經丸浸膏中含有 全當歸 96g 烏藥 60g 丹參 240g 香附 96 g 白芍 45g 小胡麻 9〇g 廣皮 36g 川芎 24 g 益母草 120g 薄荷腦 35g 冬綠油 20 mg 松香 20 mg 麻油 485 mg 氧化鋅 60 mg 加植物性油脂至700 g 所載以上處方,中藥成員間之比例,均依原方中之比例關係。 27 1351970 表1:病案分佈 觀察對象 人數/總人數(比 率) 性別分佈(男:女) 16/24 (1 : 1.5) 年齡分佈 49. 5±13.8 y/o 疼痛面像 上肢 16/40 (40 %) 背部 12/40 (30 %) 下肢 7/40 (17.5 %) 頭頸部 6/40 (15 %) 疼痛部位: 一個部位/二個部位/三個部位 25/12/3 表2:貼劑之止痛作用(在貼後0, 0.5, 1, 4, 8, 12, 16小時之疼痛指數 VAS) 貼後測定時間(小時) 疼痛指數(VAS pain score) 0 7.3 ±2.1 0.5 7.1 ±1.8 1 5.3 ±2.4 4 3.5 ± 1.4* 8 3.8 ± 1.7* 12 4·3± 1.5* 16 5.8 ±2.4 數據呈現有異差別(P<〇.〇5) 28 表 3:貼藥後之溫感(Evaluation of the warming effect of the Patch) 貼藥後溫感之出現時間 (Onset time that felt warm after patching) 16,6 ± 7.9 min 貼藥後溫感之持續時間 (Duration of warming effects lasted for) 157.4 ±7.2 min 1351970 表 4:溫感程度(Degree of warming effects) 程度 人數/總人數 比率 強烈(Severe) 4/40 10% 適中(Moderate) 13/40 30.3 % 微弱(Mild) 18/40 45% 無(None) 5/40 12.5 % 表5:貼藥後之副作用 指標(Parameters) 人數/總人數(比率) 燒灼感(Burning sensation) 5/40 (12.5 %) 皮膚發癢(Pniritis) 2/40 (5 %) 鱗狀上皮脫屑(Desquamation) 2/40 (5 %) 皮膚發紅(Skin rash) 0/40 皮膚損傷(Skin bruising) 0/40 全身性症狀(Systemic symptoms) (ΝίΥ, dizziness, general itching, etc) 0/40 29 表6:滿意度 滿意度 人數/總人數(比率) 最滿意 12/36 (33.3 %) 中度滿意 15/36 (38.7 %) 適度滿意 9/36 (29.0 %) 1351970 【圖式簡單說明】 圖1A:投藥前後各種製劑之腫脹係數 1. 對照組投藥前(CSB)之腫脹係數 2. 對照組投藥後(CSA)之腫脹係數 · 3. 擦劑投藥前(LSB)之腫脹係數 4. 擦劑投藥後(LSA)之腫脹係數 5. 膏劑投藥前(PSB)之腫脹係數 6. 膏劑投藥後(PSA)之腫脹係數 圖1B洛種製劑之腫脹率(Swelling%) 1. 對照組(CSR)之腫脹率 2. 擦劑(LSR)之腫脹係數 3. 膏劑(PSR)之腫脹係數 圖2A:在投藥前後各種製劑之疼痛閥變化 · 1. 對照組投藥前(CP0)之疼痛閥 2. 對照組投藥後1小時(CP 1 )之疼痛閥 3. 對照組投藥後4小時(CP 4 )之疼痛闊 4. 擦劑投藥前(LP0)之疼痛閥 5. 擦劑投藥後1小時(LP 1 )之疼痛閥 6. 擦劑投藥後4小時(LP 4 )之疼痛閥 7. 膏劑投藥前(PP 0 )之疼痛閥 8. 膏劑投藥後1小時(PP 1 )之疼痛閥 9. 膏劑投藥後4小時(PP4)之疼痛閥 圖2B:各種製劑之疼痛差(control pain deviation,CPD)變化 30 1351970 1. 對照組(CPD)之疼痛差 2. 擦劑(LPD)之疼痛差 3. 膏劑(PPD)之疼痛差 圖3A:膏劑之腹痛實驗 1. 炮製組 2. 生天南星非炮製組 圖3B:膏劑之揉眼實驗 1. 炮製組 2. 生天南星非炮製組 【主要元件符號說明】 31All Angelica 96g 乌药6〇g Salvia 240g Fragrant 96g White peony 45g Small flax 9〇g Wide skin 36g Chuanxiong 24 g Motherwort 120g Menthol 35g Alcohol l〇〇g Water 2〇g Cellulose 240g Acrylic resin 280 g Add vegetable oil to 700 g Example 17 Every 30 grams of Taohong Siwutang extract contains: peach kernel 5.0g angelica 5.〇g chalk 5.0g rehmannia root 5.0g safflower 2.5 g Chuanxiong 2.5g zinc oxide 60 mg mint Brain l-5g sesame oil 585 mg winter green oil 20 mg rosin 20 mg plus vegetable oil to 30 g 26 1351970 Example 18 Per 70 grams of Taohong Siwu Decoction (Source: Medical Zongjinjian) extract contains peach kernel 9.0 g Angelica 9.0g Red 芍 9.0g Rehmannia glutinosa 5. 〇g safflower 2.5 g Chuanxiong 6.0g fragrant 9.0g Yuan Hu 9.0g Achyranthes 9.0g Winter green oil 20 mg Menthol 3.5g Zinc oxide 60 mg Sesame oil 485 mg Rubber resin 200 mg plus vegetable oil to 70 g Example 19 Every 700 grams of female Bao Tiao Pill extract contains all Angelica 96g Wuwu 60g Salvia 240g Xiang Fu 96 g White Peony 45g Small Flax 9〇g Guangpi 36g Chuanxiong 24 g Motherwort 120g menthol 35g winter green oil 20 mg Rosin 20 mg Sesame oil 485 mg Zinc oxide 60 mg Add vegetable oil to 700 g The above prescriptions, the proportion of Chinese medicine members are based on the ratio of the original. 27 1351970 Table 1: Number of patients in the distribution of cases/total number of people (ratio) Gender distribution (male: female) 16/24 (1: 1.5) Age distribution 49. 5±13.8 y/o Painful upper limb 16/40 (40 %) Back 12/40 (30%) Lower limbs 7/40 (17.5 %) Head and neck 6/40 (15 %) Pain area: One part/two parts/three parts 25/12/3 Table 2: Patch Analgesic effect (0, 0.5, 1, 4, 8, 12, 16-hour pain index VAS after post-sticking) Post-sticking time (hours) VAS pain score 0 7.3 ±2.1 0.5 7.1 ±1.8 1 5.3 ±2.4 4 3.5 ± 1.4* 8 3.8 ± 1.7* 12 4·3± 1.5* 16 5.8 ±2.4 Differences in data presentation (P<〇.〇5) 28 Table 3: Temperature perception after application (Evaluation of the Warming effect of the Patch) Onset time that felt warm after patching 16,6 ± 7.9 min Duration of warming effects lasted for 157.4 ±7.2 min 1351970 Table 4: Degree of warming effects Degree of people / total number of people is strong (Severe) 4/40 10% Moderate (M Oderate) 13/40 30.3 % Weak (Mild) 18/40 45% None (None) 5/40 12.5 % Table 5: Side effects after dispensing (Parameters) Number of people / Total number (ratio) Burning sensation 5/40 (12.5 %) Skin Itching (Pniritis) 2/40 (5 %) Desquamation 2/40 (5 %) Skin rash 0/40 Skin bruising 0/40 Systemic symptoms (ΝίΥ, dizziness, general itching, etc) 0/40 29 Table 6: Satisfaction satisfaction number / total number (rate) Most satisfied 12/36 (33.3 %) Moderate Satisfied 15/36 (38.7 %) Moderately satisfied 9/36 (29.0 %) 1351970 [Simplified illustration] Figure 1A: Swelling coefficient of various preparations before and after administration 1. Swelling coefficient of control group before administration (CSB) 2. Control group Swelling coefficient after administration (CSA) · 3. Swelling coefficient before lapping (LSB) 4. Swelling coefficient after liniment administration (LSA) 5. Swelling coefficient before ointment (PSB) 6. After administration of ointment ( Swelling coefficient of PSA) Figure 1B Swelling rate of Luo preparations (Swelling%) 1. Swelling rate of control group (CSR) 2. Rubbing agent (LSR) Swelling coefficient 3. Swelling coefficient of ointment (PSR) Figure 2A: Pain valve changes of various preparations before and after administration · 1. Pain valve before administration (CP0) in the control group 2. Pain 1 hour after administration (CP 1) in the control group Valve 3. The pain in the control group 4 hours after administration (CP 4 ) is wide 4. The pain valve before the administration of the rubbing agent (LP0) 5. The pain valve 1 hour after the administration of the rubbing agent (LP 1 ) 6. After the rubbing agent is administered 4 Pain valve for hours (LP 4 ) 7. Pain valve before administration of the ointment (PP 0 ) 8. Pain valve 1 hour after the administration of the ointment (PP 1 ) 9. Pain valve 4 hours after the administration of the ointment (PP4) Figure 2B: Changes in control pain deviation (CPD) of various preparations 30 1351970 1. Poor pain in the control group (CPD) 2. Poor pain in the liniment (LPD) 3. Poor pain in the ointment (PPD) Figure 3A: Abdominal pain of the ointment Experiment 1. Processing group 2. Raw Tiannanxing non-manufacturing group Figure 3B: Blinking experiment of paste 1. Processing group 2. Shengtiannanxing non-manufacturing group [Main component symbol description] 31

Claims (1)

七、申請專利範圍: L 一種親水性如意金黃膏中藥貼片,其包含: 玻璃紙; 樹脂;以及 藥層,配置於該玻璃紙和樹脂間,其中該藥層 :花岔、白芷、大黃、薑黃、黃柏、生天南i、: 旱、倉朮、厚朴、陳皮之中藥組合物及賦形劑. 其製備方式’係將之帽騎,以水去 ίΐίϊί橡膠樹脂及壓克力樹脂、纖維素、氧化 η [; 中”系選自薄荷腦、、ί:ίτ皁南 if抽提的方法進行萃取’將萃取液減壓濃縮 ,-,一〜本/u/v例乃曰、纖难f 鋅為賦形劑,或者另外加松香、冬綠油(含 methyl 為清關,或者添加i量之卑 迪、松香、氧化鋅、冬綠油VII. Patent application scope: L A hydrophilic Ruyi golden cream Chinese medicine patch comprising: cellophane; resin; and a drug layer disposed between the cellophane and the resin, wherein the drug layer: flower bud, white peony, rhubarb, turmeric , Phellodendron, Shengtiannan i,: Drought, Cangshu, Magnolia, Chenpi Chinese medicine composition and excipients. Its preparation method is to take the cap, water to ίΐίϊί rubber resin and acrylic resin, fiber The oxidative η [; medium" is selected from the group consisting of menthol, ί: ίτ soap, and the method of extracting 'extracting the extract under reduced pressure, -, one ~ this / u / v is 曰, fiber difficult f Zinc is an excipient, or add rosin, winter green oil (including methyl for customs clearance, or add i amount of sedum, rosin, zinc oxide, winter green oil 3232
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