WO2006026926A1 - A medicinal composition for treating hepatic fibrosis and its preparation - Google Patents

A medicinal composition for treating hepatic fibrosis and its preparation Download PDF

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Publication number
WO2006026926A1
WO2006026926A1 PCT/CN2005/001439 CN2005001439W WO2006026926A1 WO 2006026926 A1 WO2006026926 A1 WO 2006026926A1 CN 2005001439 W CN2005001439 W CN 2005001439W WO 2006026926 A1 WO2006026926 A1 WO 2006026926A1
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parts
liver
qinggan
pharmaceutical composition
vinegar
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PCT/CN2005/001439
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French (fr)
Chinese (zh)
Inventor
Hongwu Zhang
Qingjuan Li
Cuiyan Liu
Min Liang
Rongduan Wang
Lifang Wang
Qian Zhao
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Shijiazhuang Pharma. Group Zhongqi Pharmaceutical Technology (Shijiazhuang) Co., Ltd.
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Publication of WO2006026926A1 publication Critical patent/WO2006026926A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • A61K36/284Atractylodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/481Astragalus (milkvetch)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/51Gentianaceae (Gentian family)
    • A61K36/515Gentiana
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/53Lamiaceae or Labiatae (Mint family), e.g. thyme, rosemary or lavender
    • A61K36/537Salvia (sage)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/53Lamiaceae or Labiatae (Mint family), e.g. thyme, rosemary or lavender
    • A61K36/539Scutellaria (skullcap)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/902Sparganiaceae (Bur-reed family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/906Zingiberaceae (Ginger family)
    • A61K36/9066Curcuma, e.g. common turmeric, East Indian arrowroot or mango ginger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/06Anti-spasmodics, e.g. drugs for colics, esophagic dyskinesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics

Definitions

  • the present invention relates to a pharmaceutical composition for treating liver fibrosis and a preparation method thereof.
  • Liver fibrosis belongs to the name of Western medicine. As far as its clinical manifestations are concerned, it is mainly attributed to the category of "hypochonism”, “symptoms”, “products,” and so on.
  • the disease is directly called the disease. ⁇ ⁇ , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
  • the motherland medicine also has a lot of arguments about its etiology. It is believed that due to emotional disorders, unhealthy food and drink, the feeling of wetness and phlegm, and chronic illness, or jaundice, the viscera and qi and blood function are impaired, resulting in air-conditioning. Block, stop bleeding.
  • Damp-heat internal resistance prolonged course of disease, will further affect the operation of blood, resulting in stagnation of blood, blood stasis, blood stasis and phlegm dampness, and for a long time, it will become a tangible product, and under the ribs, it will become a sputum.
  • liver fibrosis and early liver cirrhosis are dampness and heat intrinsic, blood stasis, qi deficiency and spleen weakness.
  • the disease is located in the liver and spleen, and the disease is virtual, dampness and blood stasis is the key to the disease.
  • the rule of removing the damp heat and removing the stagnation of the tangible congestion is also established, and the spleen and qi are strengthened. Under the guidance of this theory, people are unanimously looking for drugs with better curative effect on liver fibrosis.
  • the invention is mainly for clearing heat, dissipating phlegm and eliminating phlegm, and taking the spleen and qi as the treatment rule, so that the evil of the liver and gallbladder is clear, the blood stasis is eliminated, the spleen and stomach function is restored, the spleen is spleen, and the protection is achieved.
  • the purpose of the liver The present inventors have obtained a large number of animal and clinical trials, and have screened a Chinese medicine composition with a positive effect, that is, a clear liver and phlegm medicine composition, thereby completing the present invention.
  • a primary object of the present invention is to provide a pharmaceutical composition for treating liver fibrosis, followed by a method of preparing the pharmaceutical composition.
  • liver fibrosis also known as liver and phlegm medicine
  • liver and phlegm medicine It should be made from the following APIs: gentian, zedoary, radix scutellaria, striatum (vinegar), salvia miltiorrhiza, atractylodes, scutellaria, and their parts by weight: 10 to 30 parts of gentian, 20 parts of medlar (vinegar) 30 50 parts of Astragalus, 15 ⁇ 35 parts of Sanling (vinegar), 25 ⁇ 45 parts of Salvia miltiorrhiza, 15 ⁇ 35 parts of Atractylodes, 10 ⁇ 30 parts of Astragalus.
  • composition of the present invention may further comprise tangerine peel and Polygonum cuspidatum, and their parts by weight are:
  • the pharmaceutical composition of the present invention may further contain licorice in a weight fraction of 5 to 15 parts.
  • the pharmaceutical composition of the present invention can be prepared into any conventional oral dosage form by a conventional method of a traditional Chinese medicine preparation, but in order to make the raw material Chinese herbal medicine in the medicine exert a better pharmacological effect, it is necessary to extract the active ingredient from the medicine.
  • the preparation method is as follows:
  • (vinegar system), atractylodes water vapor steam extraction method, collect volatile oil, spare, volatile oil can also be used after inclusion of 3-cyclodextrin, the distilled aqueous solution is collected;
  • the pharmaceutical composition of the present invention is obtained by combining the j8-cyclodextrin inclusion compound of the volatile oil or the volatile oil prepared in the step a and the concentrate prepared in the step c.
  • the concentrate in step c is preferably in the form of a clear paste and is preferably spray dried into a dry extract powder.
  • the preparation method is as follows: a, zedoary (vinegar), atractylodes and tangerine peel extracted by steam distillation, collecting volatile oil, spare, volatile oil can also be used after /3-cyclodextrin inclusion, the distilled aqueous solution is collected; b, jaundice, three Ribs (vinegar), Polygonum cuspidatum, Astragalus membranaceus, Dan, participate in water reflux extraction, combine the extracts, filter, and combine the filtrate with the aqueous solution collected in step a, concentrate, add ethanol, 'refriger overnight, filter, and use the supernatant;
  • the concentrate in step c is preferably in the form of a clear paste and is preferably spray dried into a dry extract powder.
  • the preparation method is as follows: a, sputum (vinegar), atractylodes and tangerine peel are extracted by steaming, collecting volatile oil, and the volatile oil can also be wrapped with cyclodextrin. After the standby, the distilled aqueous solution is collected separately; b, Astragalus, Sanling (vinegar), Polygonum cuspidatum, Astragalus, Salvia miltiorrhiza, licorice and water reflux extraction, combined extract, filtered, and the filtrate is combined with the aqueous solution collected in step a, concentrated , add ethanol, refrigerate overnight, filter, and use the supernatant for use;
  • the concentrate in step c is preferably in the form of a clear paste and is preferably spray dried into a dry extract powder.
  • each of the preparations required for preparing different dosage forms can be added.
  • Conventional excipients such as disintegrants, lubricants, binders, etc., are prepared into any of the commonly used oral dosage forms, such as pills, powders, tablets, capsules, oral solutions, and the like, by conventional Chinese medicine preparation methods.
  • the party uses gentian and phlegm as the medicinal herbs.
  • the former clears the liver and gallbladder dampness heat, and the latter ruptures the blood and eliminates the qi.
  • the medicine can break the blood in the gas, and the two drugs can be used to clear the liver.”
  • the tiger stick can be the medicine of the monarch, one can heat Lishui, two can activating blood circulation to remove phlegm; Chenpi with its spleen and stomach power can make the medicinal herbs "smell evil without hurting the positive,, with its effect of qi and dampness, so that the medicinal herbs Astragalus, Atractylodes" Convergence, and the two are adjuvants.
  • the licorice is slow, and the sacred medicine is the sin of the sin, and the stipulations of the stipulations of the medicinal herbs, and the various medicines can be adjusted.
  • the function of the clear liver and phlegm medicine composition of the invention is Qinggan Huatan, Jianpiyiqi.
  • Adaptation range For the treatment of liver fibrosis and early cirrhosis, Zheng Jian liver and gallbladder damp heat, liver blood stasis, spleen weak qi deficiency caused by dull complexion, yellow body yellow, abdominal distension or two flaccid pain, postprandial aggravation The mouth is bitter, the body is tired, the urine is red, the tongue is dark purple, there is electricity or freckle, the tongue is yellow, the pulse string is thin or the string is slippery.
  • the preparation method of the pharmaceutical composition of the present invention is further illustrated by the following examples.
  • Example 1 Preparation of a pharmaceutical composition for treating liver fibrosis (Qinggan Huayu Drug)
  • Raw material formula 20 parts of gentian, 30 parts of medlar (vinegar), 40 parts of astragalus, ternary (vinegar) 25), 35 parts of Salvia, 25 parts of Atractylodes, 20 parts of Astragalus, 20 parts of dried tangerine peel, 20 parts of Polygonum cuspidatum, 10 parts of licorice.
  • a sputum (vinegar), atractylodes and tangerine peel plus 8 times the amount of water, extracted by steam distillation for 6 hours, collect the volatile oil, after inclusion with /3-cyclodextrin for use, the distilled aqueous solution is collected;
  • b Astragalus, Sanling (vinegar), Polygonum cuspidatum, Astragalus, Salvia miltiorrhiza, licorice and 10 times water were extracted three times (2 hours each time), the extracts were combined, filtered, and the filtrate was combined with the aqueous solution collected in step a, concentrated under reduced pressure.
  • Example 2 Preparation of hard capsules for treating liver fibrosis drugs
  • Example 3 Preparation of soft capsules for treating liver fibrosis drugs
  • Example 2 The pharmaceutical composition obtained in Example 1 was 383 g Medicinal soybean oil 258g
  • the drying conditions are 30 ° C, the relative humidity is 20%, the wind speed is 0.6 m / s, and the time is 8 h. . After drying, the soft plastic bottle is washed, washed, and washed. 0.65g per capsule, 12 capsules per day.
  • Example 4 Preparation of a pharmaceutical composition for treating liver fibrosis (Huangan Huayu Drug)
  • Raw material formula 26 parts of gentian, 32 parts of medlar (vinegar), 32 parts of astragalus, 25 parts of trigonal (vinegar), 35 parts of salvia, 25 parts of atractylodes, 20 parts of astragalus.
  • (vinegar system;), Atractylodes plus 8 times the amount of water, extracted by steam distillation for 6 hours, collect the volatile oil, after inclusion with 5-cyclodextrin for use, the distilled aqueous solution is collected; b, jaundice, Triangular (vinegar), Astragalus, and Dan were added to 10 times the amount of water and refluxed three times (2 hours each time).
  • the extracts were combined, filtered, and the filtrate was combined with the aqueous solution collected in step a, and concentrated under reduced pressure to 1:1. Ethanol is made up to 60% alcohol, refrigerated overnight, filtered, and the supernatant is ready for use;
  • Example 5 Preparation of a hard capsule for treating liver fibrosis
  • the parts of the above prescription are mixed and filled, and 1000 capsules of glue are obtained. 0.4g per capsule, 15 capsules per serving.
  • Example 6 Preparation of a pharmaceutical composition for treating liver fibrosis (Huangan Huayu Drug)
  • Raw material formula 30 parts of gentian, 40 parts of medlar (vinegar vinegar), 40 parts of astragalus, 30 parts of ternary (vinegar vinegar), 40 parts of salvia miltiorrhiza, 25 parts of atractylodes, 25 parts of astragalus, 25 parts of dried tangerine peel, 25 parts of Polygonum cuspidatum .
  • a sputum (vinegar), atractylodes and tangerine peel plus S times water, steam extraction method for 6 hours, collect the volatile oil, after inclusion with /3-cyclodextrin, the distilled aqueous solution is collected;
  • b Astragalus, Triangular (vinegar), Polygonum cuspidatum, Astragalus, and Dan participated in 10 times water reflux extraction three times
  • liver fibrosis was examined by establishing an animal model.
  • Experiment 1 Effect of capsules (pharmaceutical composition for treating liver fibrosis) on immunosuppressive liver fibrosis in rats
  • Intravenous bovine serum albumin was used to replicate the rat model of immune-induced liver fibrosis, and the therapeutic effect of Qinggan Huayu Capsule was observed.
  • the liver phlegm and hard sputum prepared according to Example 2 the powder was reddish brown, and was mixed with a 0.5% aqueous solution of carboxyhydrazine-based cellulose to prepare a suspension of a suitable concentration.
  • Compound ⁇ soft liver tablets Commercially available, batch number 20021010, used with a 0.5% carboxymethyl cellulose aqueous solution to prepare a suspension of appropriate concentration.
  • Colchicine Serva's product, batch number C9754, is used in a solution of the appropriate concentration in heavy distilled water.
  • Bovine serum albumin Tianjin Haoyang Biological Products Co., Ltd., batch No. A-7030 Lanolin: Shanghai Jiading Huating Lanolin Factory, batch number 000917
  • Liquid Paraffin Tianjin Chemical Reagent Second Factory, Batch No. 980425
  • Freund's incomplete adjuvant 120g of lanolin added to liquid paraffin 240ml, stirred and mixed in a 65 °C water bath, autoclaved and stored in a refrigerator at 4 °C.
  • Coomassie brilliant blue protein assay kit Nanjing Institute of Bioengineering, batch number
  • Feeding conditions caged, 5-6 per cage, free drinking water, feeding, room temperature controlled by central air conditioning at 24 ⁇ 2 ° C, humidity 50 ⁇ 15%, light 12 hours bright, 12 hours dark (6 am Bright, '6 pm dark.
  • ALT, AST, TP, ALB, A/G albumin/globulin
  • sialic acid part of the liver was taken, and the content of hydroxyproline was determined after homogenization; The liver was fixed with 10% formalin, HE staining and Masson staining, and the degree of liver fibrosis was observed under light microscope.
  • Model control group Qinggan Huayu capsule ⁇ 0.9, 1.8, 3.6g powder/kg dose group, positive drug compound ⁇ Soft liver tablets 2g powder / kg dose group, positive drug colchicine 0.25mg / kg dose group, plus the normal control group, a total of 7 groups. 3.1.3 administration time
  • mice in each group were intragastrically administered with a perfusion volume of 1 ml/100 g body weight after 4 times of challenge injection.
  • the normal control group and the model control group were intragastrically administered with an equal volume of 0.5% carboxymethyl cellulose suspension. 1 time, 7 times a week for 6 consecutive weeks.
  • test data is expressed as i ⁇ SD, and the two groups are statistically analyzed by the 4-value method, and the rank-sum test is used for statistical analysis.
  • Model control group Qinggan Huayu 0.9g powder/kg dose group Qinggan Huayu 1.8g powder / kg dose group, Qinggan Huayu powder 3.6g powder / kg dose group, compound Biejia soft liver tablets 2g powder / kg dose group each group of 12 (female, male each 6 ), 11 colchicine 0.25mg/kg dose group (5 females, 6 males), plus 10 normal controls (5 females and 5 males), 7 groups ( ⁇ ), for intragastric administration Dosing for 6 weeks.
  • the rats were fasted for 15 hours, the body weight was weighed, the liver and spleen were taken out, and the wet weight was weighed.
  • the liver weight and spleen weight of 100 g body weight were used as the organ coefficient, and the difference between the dose groups was compared. 1.
  • the liver was taken and fixed with 10% formalin. After routine sampling, alcohol gradient dehydration, Fisher Model 266Mp automatic paraffin embedding machine, Leica RM2135 slicing mechanism, HE, Masson two staining, Olympus coagulation: histopathological observation and photography were performed under the microscope according to the following grading standards, and the differences in each dose group were compared.
  • Table 4 and Table 5 show that compared with the normal control group, the degree of liver fibrosis in the model control group was significantly increased, indicating successful modeling. Compared with the model control group, the degree of liver fibrosis was significantly reduced in the 1.8 and 3.6 g powder/kg dose groups, indicating that the liver fibrosis has obvious preventive and therapeutic effects, and the effect is enhanced with increasing dose.
  • the positive control compound compound ⁇ soft liver tablets and colchicine also have a significant effect.
  • the model of immunologically injured liver fibrosis was replicated by intravenous bovine serum albumin.
  • the results showed that compared with the normal control group, the liver hydroxyproline content of the model control group was significantly increased, and the hyperplastic fibrous tissue divided the liver tissue into A wide range of pseudo-lobes; Qinggan Huayu gum ⁇ 1.8, 3.6g powder / kg dose group liver hydroxyproline content was significantly reduced, liver fibrosis degree was significantly reduced, and with increasing dose, the effect increased, indicating Qinggan Huayu ⁇ has obvious preventive and therapeutic effects on immune liver fibrosis.
  • Experiment 2 Prevention and treatment of acute and chronic liver injury by Qinggan Huayu drug (pharmaceutical composition for treating liver fibrosis)
  • Qinggan Huayu Capsule The hard capsule prepared according to Example 2, that is, the liver fibrosis drug of the present invention, the content is a reddish brown powder.
  • Biphenyl diester produced by Peking Union Medical Co., Ltd., batch number 970419.
  • mice Sixty mice, half male and half female, weighing 20-25 g, were randomly divided into 6 groups, 10 in each group.
  • the blank control group and the model control group were given water;
  • Qinggan Huayu gum was divided into three dose groups: 0.9g, 1.8g and 3.6g/kg; biphenyldicarboxylate 0.2g/kg. All the above groups were administered by intragastric administration, and the volume was 0.2 ml/10 g body weight once a day for 7 consecutive days.
  • 1% of the carbon tetrachloride oil solution was administered intraperitoneally, except for the blank control group, O.lml/lOg body weight.
  • mice in each group were bled with blood, and the serum was separated, and the alanine aminotransferase (ALT) was determined by the Lai method.
  • liver damage was evaluated by dissected, taking a small piece of liver tissue from the same leaf and the same part, fixed in 10% formalin solution, and 4 pathological sections for histological examination, according to the following criteria (Liu Ting, etc., new Chinese medicine and Clinical Pharmacology 1999; 10 (4): 213-215) Evaluation of liver damage:
  • Hepatocyte degeneration or focal necrosis, or diseased hepatocytes are less than 1/3 of hepatic lobules
  • +++ Hepatic lobules 1/3-2/3 hepatocyte necrosis
  • ALT t test
  • Lidit test degree of liver injury
  • Model control 1 10 293.9 ⁇ 9.6 Qinggan Huayujiao 0.9 10 292.0 ⁇ 12.9 Qinggan Huashi stocks 1.8 10 285.3 ⁇ 7.0* Qinggan Huashi stocks 3.6 10 288.7 ⁇ 11.6
  • mice Sixty mice, half male and half female, weighing 20-25 g, were randomly divided into 6 groups, 10 in each group.
  • the blank control group and the model control group were given water;
  • Qinggan Huayu gum was divided into three dose groups: 0.9g, 1.8g and 3.6g/kg; biphenyldicarboxylate 0.2g/kg. All the above groups were administered by intragastric administration, and the volume was 0.2 ml/10 g body weight once a day for 10 consecutive days.
  • each mouse was intraperitoneally injected with D-galactosamine 650 mg/kg except for the blank control group. After 20 hours, the mice were sacrificed by arterial bleeding, blood serum was collected, and alanine was determined by the Reid method. Amino converting enzyme (ALT) and aspartate amino converting enzyme (AST) content. The significance of the difference between the blank control group and each of the drug-administered groups and the model control group was compared by t test.
  • ALT amino converting enzyme
  • AST aspartate amino converting enzyme
  • the ALT content of the -21- group was also significantly lower than that of the model control group (PO.05, Table 8).
  • Table 8 Effect of Qinggan Huayu Capsule on acute liver function damage of D- ⁇ lactosamine in mice Group dose Number of animals ALT (x ⁇ s) AST(x ⁇ s) (u)
  • Blank control one 10 55 ⁇ 17 355 ⁇ 51 model control one 10 233 ⁇ 53 605 ⁇ 196 Qinggan Huayu gelatin 0.9 10 188 ⁇ 40* 519 soil 52 Qingganhuaji gelatin 101.8 10 183 ⁇ 47* 462 ⁇ 58 * Qinggan Huaqi sac 3.6 10 180 soil 49* 473 ⁇ 86
  • Biphenyl diester 0.2 10 190 ⁇ 24* 603 ⁇ 69
  • Grade I Collagen fibers extend outward from the portal or central vein
  • Grade II Collagen fibers are clearly extended, but not yet connected to each other around the liver lobules
  • Grade III Collagen fibers extend and connect, wrapping the entire liver lobules
  • Grade IV Collagen fibers surround the hepatic lobules, causing the destruction of normal hepatic lobule structures, pseudo-lobes, but large, square ⁇ _ leaflets
  • Grade V The liver is covered with small rounded false leaflets, forming a large square and small rounded false leaflets each accounting for 50%.
  • Grade VI The liver is covered with small round pseudolobules, and there are coarse hyperplastic collagen fibers between the pseudolobes. Ridit test, other indicators were tested by t test, comparing the significance of each drug group and model control group.
  • Results 1. Surviving rats and body weight: The first injection of 40% carbon tetrachloride 3ml/kg was performed by intraperitoneal injection. After 3 days, the rats died, and then changed to subcutaneous injection, and some deaths were still observed. The most deaths occurred, and the middle dose group died less. Body weight changes: The weight of the high-dose group was lighter than that of the blank control group (P ⁇ 0.05), which was indistinguishable from the model control group. See Table 9.
  • Qinggan Huayu capsule ⁇ 1.8g/kg can reduce ALT (P ⁇ 0.05), and slightly relieve liver tissue damage.
  • Acute liver function damage in D-galactosamine mice Qinggan Huayu capsules 0.9g, 1.8g and 3.6g/kg can reduce ALT (P ⁇ 0.05); 1.8g/kg can decrease AST (P ⁇ 0.05) .
  • Qinggan Huayu capsule ⁇ 1.8g and 3.6g/kg can reduce AST (P ⁇ 0.05), 3.6g/kg can decrease ALT (P ⁇ 0.05); Gelatin ⁇ 3.6g / kg can increase serum ALB content (P ⁇ 0.05) and A / G ratio (P ⁇ 0.05); The hydroxyproline content in liver tissue was decreased (P ⁇ 0.05).
  • the liver pathological grade, Qinggan Huayu capsule ⁇ 1.8g and 3.6g/kg could significantly reduce the degree of lesion (P ⁇ 0.05).

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Abstract

The present invention relates to a medicinal composition for treating hepatic fibrosis and its preparation The composition is maily prepared by using the Chinese medicinal materials of 10-30 weight portions of Radix Gentianae, 20-40 weight portions of Rhizorna Curcumae, 30-50 weight portions of Radix Scutellariae, 15-35 weight portions of Rhizoma Sparganii, 25-45 weight portions of Radix Saluiae Miltiorrhizae,15-35 weight portions of Rhizoma Atractylodis Macrocephalae, 10-30 weight portions of Radix Astragali. It has effects for treating hepatic fibrosis and early cirrhosis.

Description

一种治疗肝纤维化的药物组合物及其制备方法 技术领域  Medicine composition for treating liver fibrosis and preparation method thereof
本发明涉及一种治疗肝纤维化的药物组合物及其制备方法。  The present invention relates to a pharmaceutical composition for treating liver fibrosis and a preparation method thereof.
背景技术 Background technique
肝纤维化属于西医病名,就其临床表现看,主要归于中医 "胁痛"、 "癥"、 "积,,等范畴, 历代文献多有论及。  Liver fibrosis belongs to the name of Western medicine. As far as its clinical manifestations are concerned, it is mainly attributed to the category of "hypochonism", "symptoms", "products," and so on.
以"胁痛"而言:《内经》即有"邪在肝,则两胁中痛 ......恶血在内", "邪 客于足少阳之络, 令人胁痛不得息"之论。 明代医家张景岳将"胁痛"分为外 感和内伤两大类,并明确指出" ......但内伤胁痛者十居八九,外感胁痛者间 有之耳"。 《素问. 脏气发时论》: "肝病者, 两胁下痛 ...... "; 《证因脉治》 对其病因指出" ......或死血停滞胁肋 ,或恼怒郁结肝火攻冲 ......皆成胁肋之 痛也"。  In terms of "hypochonism": "Nei Jing" has "the evil is in the liver, then the two threats are painful... the evil blood", "the evil lover is in the foot of the Shaoyang, it is not a threat." The theory of interest. Zhang Jingyue, a doctor of the Ming Dynasty, divided the "hypochondriac pain" into two categories: exogenous and internal injuries, and clearly pointed out that "...but the internal pain and the painful person are ten or eight, and there is an ear between the exogenous hypochondriac." "Su Wen. The theory of dirty air": "The liver disease, the pain under the two threats ..."; "Certificate of the syndrome" pointed out the cause of the disease ... ... or the death of blood stasis , or angry stagnation of liver and fire attack ... are all painful flank pain."
就"癥"、 "积"而言: 《难经》上说: "故积者, 五脏所生 ...... ", 《金匮 要略 ·五脏风寒积聚病脉证并治》 亦说: "积者, 脏病也, 络不移; 聚者, 腑病也;发作有时,展转疼痛,可为治, ...... "。《诸病源候论 ·癥瘕候》: "癥 瘕者, 皆由寒温不调, 饮食不化, 与脏器相搏结所生也。 其病, 直名为癥, 若病虽有结瘕而可推移, 名为癥瘕"; 就病因病机而言, 历代医家及文献也 多有记载: 张景岳指出: "积聚之病,凡饮食、血气、风寒之属, 皆能致之,,。 历代医家多从情志失调、 饮食所伤、 感受外邪等方面立论。 如《金匮要略, 积聚统论》指出"凡忧思郁怒, 久不得解者, 多成此疾"。 《景岳全书》指出 "饮食之滞, 留滞于中 ......不化不行, 有所阻隔者, 乃为之积"。 《灵枢》指 出"积之始生, 得塞乃生"。 以上种种论述, 说明其病因较多, 但是其病因 虽有多端, 总以气滞、 血瘀为主要病机, 至于湿热、 痰浊等均为促成气滞 血瘀的因素。 In terms of "symptoms" and "products": "Difficult Sutra" said: "There are accumulated people, the five internal organs are born...", "Golden 匮 · · 五 五 五 风 风 风 风 风 五 五 五 五 五 五 五 五 五 五 五 五: "The accumulators, the ills are also, the stagnation is not moving; the gatherers, the rickets are also; the seizures sometimes, the pain of the exhibition, can be treated, ...". "All kinds of diseases and syndromes": "The symptoms are all caused by cold and cold, and the diet is not changed. It is also born with the organs. The disease is directly called the disease.瘕 瘕 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Most of the doctors of the past dynasties argued from emotional disorders, eating injuries, and feeling the evils. For example, "The Golden Chamber, Accumulation of the General Theory" pointed out that "whoever is worried and angered, long-term unsolvable, and more into this disease.""Jing Yue Quan Shu" pointed out that "the stagnation of diet, staying in the middle ... not to be able to do, to block, is the accumulation.""Lingshu" pointed out that "the beginning of the accumulation, the birth of the child" The above various explanations indicate that there are many causes, but the etiology is multi-faceted. The main cause is qi stagnation and blood stasis, and the heat and turbidity are all contributing to qi stagnation. Bloody factors.
需要注意的是: 积聚之形成与正气强弱有密切关系, 早在 《内经》 中即有 "勇者气行则正, 怯者则着而为病也"。  It should be noted that the formation of accumulation is closely related to the strength of the righteousness. As early as in the "Nei Jing", there is "the brave man is arrogant, and the deaf is the disease."
祖国医学对其病因论述亦颇多, 多认为因情志失调, 酒食不节, 外 感湿浊之邪, 以及久病体虚, 或黄疸经久不愈, 以致脏腑、 气血功能受损, 导致气机阻滞, 瘀血内停。 《证治汇补》对其病因提出"因暴怒伤触, 悲哀 气结, 饮食过度, 风冷外邪跌朴伤形 ......或痰积流注, 或瘀血相搏皆能为 痛, 至于湿热郁火, 劳役房色而病者, 间亦有之"。 《金匮要略 ·积聚统论》: "凡忧思郁怒, 久不得解者, 多成此疾"; 《景岳全书 .肿胀》: "少年纵酒无 节, 多成此病"; 《内经》: "湿热相交, 民当病疸"; 《格至余论 ·鼓胀论》: "今 也七情内伤、 六淫外侵, 饮食不节, ......遂成胀满, 经曰鼓胀是也。 "在慢 性肝炎阶段, 多因饮食不洁, 湿、 热之邪毒内侵; 或饮酒无度, 嗜食肥甘 厚味、 煎馎辛辣制品, 生湿助热; 或饮食不节, 损伤脾胃, 脾失运化, 转 输无权, 化湿生痰; 或情志抑郁, 使肝气不舒, 脾气郁结, 导致肝脾气机 阻滞, 继则由气及血, 使血行不畅, 脉络瘀阻。 湿热内停日久, 则正气亏 耗, 脾气虛衰, 正气不行, 浊气不化, 湿浊顽痰凝聚胶结。 《丹溪心法 -鼓 胀》指出: "七情内伤, 六淫外侵, 饮食不节 脾土之阴受伤,转运之 官失职, 胃虽受谷, 不能运化, 故阳自升, 阴自降, 而成天地不交之否, 清浊相混, 隧道壅塞, 郁而为热, 热留为湿, 湿热相生, 遂成^ I长满, 经曰 鼓胀是也"; 《医学入门 '鼓胀》: "虚胀阴寒为邪, ......实胀阳热为邪, …故 浊气在下, 化为血瘀, 郁久为热, 热化成湿, 湿热相搏, 遂成鼓胀"。 湿热 内阻, 病程迁延, 又会进一步影响气血的运行, 导致气机郁滞, 血脉瘀阻, 瘀血与痰湿胶结, 日久, 则成有形之积, 结于肋下, 则成痞块(肝脾肿大), 凝缩坚硬, 推之不移, 喻昌: "阴气不散"、 "水裹气结血凝", 若脉道受阻, 则絡脉怒张, 青筋暴露(静脉怒张)。 The motherland medicine also has a lot of arguments about its etiology. It is believed that due to emotional disorders, unhealthy food and drink, the feeling of wetness and phlegm, and chronic illness, or jaundice, the viscera and qi and blood function are impaired, resulting in air-conditioning. Block, stop bleeding. "Zhengzhi Huibu" puts forward the cause of "causal anger, sorrow, sorrow, overeating, cold, sorrow, sorrow, stagnation, stagnation, or blood stasis" Pain, as for the hot and humid smoldering fire, the servant room color and the sick, there are also.""Golden 匮 · · 积 积 积 积 》 》 : : : : : : : 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 凡 郁 凡》: "Damp and heat intersect, the people are sick and sick";"Ge to Yu theory · bulging theory": "This is also the seven emotions of internal injuries, the six genocide, the diet is not good, ... 遂成满满, In the stage of chronic hepatitis, it is often due to unclean diet, wet and hot sinister poisoning; Injury of the spleen and stomach, loss of spleen, loss of power, heat and phlegm; or emotional depression, so that the liver is not comfortable, spleen qi stagnation, leading to liver and spleen qi stagnation, followed by gas and blood, making blood flow poor , 脉 瘀 。 。. If the damp heat stays for a long time, then the righteous gas is depleted, the temper is declining, the righteousness is not good, the turbidity is not, and the wet turbidity is condensed and cemented. "Danxi Heart Law - Bulging" pointed out: "Seven love internal injuries, six genocide, eating yin and yin injury, the transfer of the official dereliction of duty, although the stomach is affected by the valley, can not be transported, the self-rising of the sun, Yin Drop, the world is not handed over, the turbidity is mixed, the tunnel is blocked, the stagnation is hot, the heat stays wet, the damp heat is born, the ^成^ I is full, the bulging is also "the medical entry" bulging 》: "Inflated yin and cold is evil, ... the real yang heat is evil, ... so the turbidity is in the lower, turned into bloody, the stagnation is hot, the heat becomes wet, the damp heat fights, the swells bulge" . Damp-heat internal resistance, prolonged course of disease, will further affect the operation of blood, resulting in stagnation of blood, blood stasis, blood stasis and phlegm dampness, and for a long time, it will become a tangible product, and under the ribs, it will become a sputum. Block (hepatosplenomegaly), condensed hard, pushes it, Yu Chang: "Yin Qi does not disperse", "Water wraps and blood stasis", if the pulse is blocked, Then the collaterals are angered, and the blue veins are exposed (venous anger).
中医历代对该病的治疗亦积累了不少经验,如《古今医鉴》提出" ...... 治之当以散结顺气化痰和血为主, 平其肝而导其气, 则无有不愈也"。 而在 《张氏医通》 中论述更详, 其曰: " ......李士材曰'按积之成也, 正气不足, 而后邪气踞之, 然攻之太急正气转伤, 初中末三法不可不讲也。 初者病邪 初起 ......则任受攻, 中者 ......任受且攻且补, 末者 ......则任受补。 ...... "; 古云'壮人无积, 惟虛人则有之。 ......善活者。 当先补虛, 使血气壮, 积自 消也。 不问何脏, 先调其中, 使能饮食, 是其本也。 ......若夫大积大聚, 不搜而逐之, 日进补养, 无益也, ......发直入之兵以讨之, 何患其不愈"。 《医宗必读》 亦曰: "受病渐久, 邪气较深, 正气转弱, 任受且攻且补"。  Traditional Chinese medicine has accumulated a lot of experience in the treatment of this disease in the past. For example, "Ancient and Modern Medical Journal" puts forward "... When the rule is to disperse qi and phlegm and blood, and flatten its liver and lead its qi, Then there is no cure." In the "Zhangshi Medical Communication", the discussion is more detailed, and the following: "...Li Shicai's succession is also based on the accumulation of the product, and the lack of righteousness, and then the evil spirits, but the attack is too urgent and righteous, junior high school The last three laws must not be said. The first person is sick and the beginning of the disease... then he is attacked, the middle person... is subject to attack and compensation, and the last is... To be compensated. ...... "; Gu Yun 'strong people have no product, but the virtual person has it. ... good living. When you first make up the imaginary, make the blood strong, and the accumulation is also eliminated. Do not ask what is dirty, first adjust it, enable the diet, it is also the original. ...... If the husband is a big gathering, don’t search for it, and the Japanese will make up for it, and it will be no good, ...... send the soldiers into the army to discuss it, why not suffer from it." Reading also said: "Being sick for a long time, the evil spirits are deeper, the righteousness is weakened, and it is subject to attack and compensation."
因此, 根据肝纤维化的病因病机及古代文献的治则, 认为肝纤维化 及早期肝硬化阶段, 其病机为湿热内蕴、 瘀血阻滞、 气虚脾弱。 其病位在 肝脾两脏, 以病实体虚、 湿热血瘀为本病关键, 根据以上分析制定了以清 除湿热之余邪, 化有形淤血之治则, 兼扶正培本, 健脾益气, 达到"祛邪而 不伤正, 扶正而不敛邪,,之功。 在这一理论指导下, 人们一致在寻找疗效更 好的治疗肝纤维化的药物。  Therefore, according to the etiology and pathogenesis of liver fibrosis and the treatment of ancient literature, it is believed that the pathogenesis of liver fibrosis and early liver cirrhosis is dampness and heat intrinsic, blood stasis, qi deficiency and spleen weakness. The disease is located in the liver and spleen, and the disease is virtual, dampness and blood stasis is the key to the disease. According to the above analysis, the rule of removing the damp heat and removing the stagnation of the tangible congestion is also established, and the spleen and qi are strengthened. Under the guidance of this theory, people are unanimously looking for drugs with better curative effect on liver fibrosis.
发明内容 Summary of the invention
本发明以清热、 化瘀、 消积为主, 兼以健脾益气为治疗法则, 使肝胆 湿热之邪得清, 瘀血 积得消, 脾胃功能恢复, 气顺则脾运, 以达保护肝 脏的目的。 本发明人经过大量的动物和临床试验, 筛选得到了疗效肯定的 中药组方, 即清肝化瘀药物组合物, 从而完成了本发明。  The invention is mainly for clearing heat, dissipating phlegm and eliminating phlegm, and taking the spleen and qi as the treatment rule, so that the evil of the liver and gallbladder is clear, the blood stasis is eliminated, the spleen and stomach function is restored, the spleen is spleen, and the protection is achieved. The purpose of the liver. The present inventors have obtained a large number of animal and clinical trials, and have screened a Chinese medicine composition with a positive effect, that is, a clear liver and phlegm medicine composition, thereby completing the present invention.
本发明的首要目的是提供一种治疗肝纤维化的药物组合物, 其次是提 供该药物组合物的制备方法。  SUMMARY OF THE INVENTION A primary object of the present invention is to provide a pharmaceutical composition for treating liver fibrosis, followed by a method of preparing the pharmaceutical composition.
-本发明提供一种治疗肝纤维化的药物组合物, 亦称清肝化瘀药物, 主 要由以下原料药制成: 龙胆、 莪术、 黄芩、 三棱(醋制)、 丹参、 白术、 黄 芪, 它们的重量份数是: 龙胆 10 ~ 30份、 莪术(醋制) 20 40份、 黄芩 30 50份、 三棱(醋制) 15 ~ 35份、 丹参 25 ~ 45份、 白术 15 ~ 35份、 黄 芪 10 ~ 30份。 - The present invention provides a pharmaceutical composition for treating liver fibrosis, also known as liver and phlegm medicine, It should be made from the following APIs: gentian, zedoary, radix scutellaria, striatum (vinegar), salvia miltiorrhiza, atractylodes, scutellaria, and their parts by weight: 10 to 30 parts of gentian, 20 parts of medlar (vinegar) 30 50 parts of Astragalus, 15 ~ 35 parts of Sanling (vinegar), 25 ~ 45 parts of Salvia miltiorrhiza, 15 ~ 35 parts of Atractylodes, 10 ~ 30 parts of Astragalus.
本发明的药物组合物还可含有陈皮、 虎杖, 它们的重量份数是: 陈皮 The pharmaceutical composition of the present invention may further comprise tangerine peel and Polygonum cuspidatum, and their parts by weight are:
10 ~ 30份、 虎杖 10 ~ 30份。 10 ~ 30 servings, and 10 to 30 copies of Polygonum cuspidatum.
本发明的药物组合物还可含有甘草, 其重量份数是: 5 ~ 15份。  The pharmaceutical composition of the present invention may further contain licorice in a weight fraction of 5 to 15 parts.
本发明药物组合物可以采用中药制剂的常规方法制备成任何常规的口 服剂型, 但是为了使该药物中的原料中药材发挥更好的药效, 有必要对药 材进行活性组分的提取。  The pharmaceutical composition of the present invention can be prepared into any conventional oral dosage form by a conventional method of a traditional Chinese medicine preparation, but in order to make the raw material Chinese herbal medicine in the medicine exert a better pharmacological effect, it is necessary to extract the active ingredient from the medicine.
当本发明的药物组合物至少含有龙胆、 莪术、 黄芩、 三棱(醋制)、 丹 参、 白术、 黄芪时, 其制备方法如下:  When the pharmaceutical composition of the present invention contains at least gentian, medlar, radix, scorpion (vinegar), salvia, atractylodes, and astragalus, the preparation method is as follows:
a、 莪术(醋制)、 白术用水蒸汽蒸偬法提取, 收集挥发油, 备用, 挥 发油也可以用 3-环糊精包合后备用, 蒸馏后的水溶液另器收集;  a, 莪 ( (vinegar system), atractylodes water vapor steam extraction method, collect volatile oil, spare, volatile oil can also be used after inclusion of 3-cyclodextrin, the distilled aqueous solution is collected;
b、 黄芩、 三棱(醋制)、 黄芪、 丹参加水回流提取, 合并提取液, 滤过, 滤液与步骤 a收集的水溶液合并, 浓缩, 加乙醇, 冷藏过夜, 滤过, 上清液备用;  b, Astragalus, Triangular (vinegar), Astragalus, Dan participate in water reflux extraction, combined extract, filtered, the filtrate is combined with the aqueous solution collected in step a, concentrated, ethanol, refrigerated overnight, filtered, supernatant used ;
• c、 龙胆加乙醇加热回流, 提取液滤过, 滤液与步骤 b制备的上清液 合并, 回收乙醇至无醇味, 浓缩;  • c, gentian and ethanol are heated to reflux, the extract is filtered, the filtrate is combined with the supernatant prepared in step b, and the ethanol is recovered to an alcohol-free taste and concentrated;
d、 将步驟 a制备的挥发油或挥发油的 j8-环糊精包合物和步骤 c制备 的浓缩物合并, 即制得本发明的药物组合物。  d. The pharmaceutical composition of the present invention is obtained by combining the j8-cyclodextrin inclusion compound of the volatile oil or the volatile oil prepared in the step a and the concentrate prepared in the step c.
其中在步驟 c 中的浓缩物优选是清膏形式, 并且优选被喷雾干燥成 干浸膏粉。  The concentrate in step c is preferably in the form of a clear paste and is preferably spray dried into a dry extract powder.
当本发明的药物组合物还含有陈皮、 虎杖时, 其制备方法如下: a、 莪术(醋制)、 白术与陈皮用水蒸汽蒸餾法提取, 收集挥发油, 备用, 挥发油也可以用 /3-环糊精包合后备用, 蒸馏后的水溶液另器收集; b、 黄芩、 三棱(醋制)、 虎杖、 黄芪、 丹参加水回流提取, 合并提 取液, 滤过, 滤液与步骤 a收集的水溶液合并, 浓缩, 加乙醇, '冷藏过夜, 滤过, 上清液备用; When the pharmaceutical composition of the present invention further contains tangerine peel and Polygonum cuspidatum, the preparation method is as follows: a, zedoary (vinegar), atractylodes and tangerine peel extracted by steam distillation, collecting volatile oil, spare, volatile oil can also be used after /3-cyclodextrin inclusion, the distilled aqueous solution is collected; b, jaundice, three Ribs (vinegar), Polygonum cuspidatum, Astragalus membranaceus, Dan, participate in water reflux extraction, combine the extracts, filter, and combine the filtrate with the aqueous solution collected in step a, concentrate, add ethanol, 'refriger overnight, filter, and use the supernatant;
c、 龙胆加乙醇加热回流, 提取液滤过, 滤液与步骤 b制备的上清液 合并, 回收乙醇至无醇味, 浓缩;  c, gentian and ethanol are heated to reflux, the extract is filtered, the filtrate is combined with the supernatant prepared in step b, and the ethanol is recovered to an alcohol-free taste and concentrated;
d、 将步骤 a制备的挥发油或挥发油的 3-环糊精包合物和步骤 c制备 的浓缩物合并, 即制得本发明的药物组合物。  d. The 3-cyclodextrin inclusion complex of the volatile oil or volatile oil prepared in the step a and the concentrate prepared in the step c are combined to obtain the pharmaceutical composition of the present invention.
其中在步骤 c 中的浓缩物优选是清膏形式, 并且优选被喷雾干燥成 干浸膏粉。  The concentrate in step c is preferably in the form of a clear paste and is preferably spray dried into a dry extract powder.
当本发明的药物组合物中还含有甘草时, 其制备方法如下: a、 莪术(醋制)、 白术与陈皮用水蒸汽蒸榴法提取, 收集挥发油, 备 用, 挥发油也可以用 环糊精包合后备用, 蒸馏后的水溶液另器收集; b、 黄芩、 三棱(醋制)、 虎杖、 黄芪、 丹参、 甘草加水回流提取, 合并提取液, 滤过, 滤液与步骤 a收集的水溶液合并, 浓缩, 加乙醇, 冷 藏过夜, 滤过, 上清液备用;  When the pharmaceutical composition of the present invention further contains licorice, the preparation method is as follows: a, sputum (vinegar), atractylodes and tangerine peel are extracted by steaming, collecting volatile oil, and the volatile oil can also be wrapped with cyclodextrin. After the standby, the distilled aqueous solution is collected separately; b, Astragalus, Sanling (vinegar), Polygonum cuspidatum, Astragalus, Salvia miltiorrhiza, licorice and water reflux extraction, combined extract, filtered, and the filtrate is combined with the aqueous solution collected in step a, concentrated , add ethanol, refrigerate overnight, filter, and use the supernatant for use;
c、 龙胆加乙醇加热回流, 提取液滤过, 滤液与步骤 b制备的上清液 合并, 回收乙醇至无醇味, 浓缩;  c, gentian and ethanol are heated to reflux, the extract is filtered, the filtrate is combined with the supernatant prepared in step b, and the ethanol is recovered to an alcohol-free taste and concentrated;
d、 将步骤 a制备的挥发油或挥发油的 3-环糊精包合物和步骤 c制备 的浓缩物合并, 即制得本发明的药物组合物。  d. The 3-cyclodextrin inclusion complex of the volatile oil or volatile oil prepared in the step a and the concentrate prepared in the step c are combined to obtain the pharmaceutical composition of the present invention.
其中在步驟 c 中的浓缩物优选是清膏形式, 并且优选被喷雾干燥成 干浸膏粉。  The concentrate in step c is preferably in the form of a clear paste and is preferably spray dried into a dry extract powder.
在本发明的治疗肝纤维化药物中,可以加入制备不同剂型所需的各 种常规辅料, 如崩解剂、 润滑剂、 粘合剂等, 以常规的中药制剂方法制 备成任何一种常用口服剂型, 如丸剂、 散剂、 片剂、 胶嚢剂、 口服液等。 In the treatment of liver fibrosis medicine of the present invention, each of the preparations required for preparing different dosage forms can be added. Conventional excipients, such as disintegrants, lubricants, binders, etc., are prepared into any of the commonly used oral dosage forms, such as pills, powders, tablets, capsules, oral solutions, and the like, by conventional Chinese medicine preparation methods.
分析:  Analysis:
本方以龙胆、 莪术为君药, 前者清肝胆湿热, 后者破血行气消积, "为 肝经血分之药, 能破气中之血,,。 二药合用即达清肝化瘀之效。 以黄芩辅龙 胆草清肝燥湿、三棱助莪术以化瘀消积;配丹参活血化瘀通络,有"破瘀血, 生新血"之妙; 用黄芪、 白术健脾益气, 扶正培本, 以利君药之祛邪且不伤 正, 以上五味共为臣药, 与君药相配清肝化瘀, 祛邪扶正。 虎杖可佐君臣 之药, 一能清热利湿, 二可活血化瘀; 陈皮以其健脾和胃之功可使君药"祛 邪而不伤正,,, 以其理气燥湿之效, 使臣药黄芪、 白术"扶正而不敛邪,,, 二 者共为佐药。 使以甘草之緩, 和君药祛邪之峻, 协臣药扶正之功, 又可调 和诸药。 全方配伍严谨, 君臣佐使有序, 共奏清肝除湿、 活血化瘀、 健脾 益气之功。 湿热去, 则疏泄畅; 瘀血通, 则痞块消; 脾胃健, 则运化强。 对于肝硬化出现的神疲体倦, 面色晦暗, 目黄身黄, 肝脾肿大, 脘腹疲胀 或两肋胀痛, 口苦纳呆等症, 必能起到治疗康复作用。  The party uses gentian and phlegm as the medicinal herbs. The former clears the liver and gallbladder dampness heat, and the latter ruptures the blood and eliminates the qi. "For the liver and blood, the medicine can break the blood in the gas, and the two drugs can be used to clear the liver." Effect: Huangqi Fulong gentian clear liver and dampness, Sanling assisted phlegm surgery to eliminate phlegm and phlegm; with Danshen activating blood circulation and phlegm and collaterals, there is a "breaking blood, new blood" wonderful; with Huang Qi, Bai Shu Jian The spleen and qi, Fuzheng Pei Ben, the elixir drug to the evil spirits and not to hurt the positive, the above five flavors are a common medicine, and the medicine is matched with the liver and phlegm, the evil spirits help the right. The tiger stick can be the medicine of the monarch, one can heat Lishui, two can activating blood circulation to remove phlegm; Chenpi with its spleen and stomach power can make the medicinal herbs "smell evil without hurting the positive,, with its effect of qi and dampness, so that the medicinal herbs Astragalus, Atractylodes" Convergence, and the two are adjuvants. The licorice is slow, and the sacred medicine is the sin of the sin, and the stipulations of the stipulations of the medicinal herbs, and the various medicines can be adjusted. The versatile compatibility, the loyalty of the princes, the order Clearing the liver and dehumidifying, activating blood circulation and removing blood stasis, strengthening the spleen and replenishing qi. When the damp heat goes, the sputum is smooth; Jian, it is strong. For the cirrhosis, the tiredness of the body, the complexion is dull, the yellow body is yellow, the liver and spleen is swollen, the abdomen is tired or the two ribs are painful, and the mouth is bitter and stagnation. Therapeutic effect.
本发明清肝化瘀药物组合物之功能为清肝化瘀、 健脾益气。  The function of the clear liver and phlegm medicine composition of the invention is Qinggan Huatan, Jianpiyiqi.
适应范围: 用于治疗肝纤维化及早期肝硬化, 症见肝胆湿热、 肝血瘀 滞、 脾弱气虛所致面色晦暗、 目黄身黄、 脘腹痞胀或两胁胀痛、 食后加重, 口苦纳呆、 神疲体倦、 小便黄赤、 舌暗紫有瘀电或瘀斑、 舌苔黄、 脉弦细 或弦滑。  Adaptation range: For the treatment of liver fibrosis and early cirrhosis, Zheng Jian liver and gallbladder damp heat, liver blood stasis, spleen weak qi deficiency caused by dull complexion, yellow body yellow, abdominal distension or two flaccid pain, postprandial aggravation The mouth is bitter, the body is tired, the urine is red, the tongue is dark purple, there is electricity or freckle, the tongue is yellow, the pulse string is thin or the string is slippery.
具体实施方式 detailed description
以下通过实施例进一步阐述本发明药物组合物的制备方法  The preparation method of the pharmaceutical composition of the present invention is further illustrated by the following examples.
实施例 1: 制备治疗肝纤维化的药物組合物 (清肝化瘀药物)  Example 1: Preparation of a pharmaceutical composition for treating liver fibrosis (Qinggan Huayu Drug)
1、 原料配方: 龙胆 20份、 莪术(醋制) 30份、 黄芩 40份、 三棱(醋 制) 25份、 丹参 35份、 白术 25份、 黄芪 20份、 陈皮 20份、 虎杖 20份、 甘草 10份。 1. Raw material formula: 20 parts of gentian, 30 parts of medlar (vinegar), 40 parts of astragalus, ternary (vinegar) 25), 35 parts of Salvia, 25 parts of Atractylodes, 20 parts of Astragalus, 20 parts of dried tangerine peel, 20 parts of Polygonum cuspidatum, 10 parts of licorice.
2、 制备方法:  2, preparation method:
a、 莪术(醋制)、 白术与陈皮加 8倍量水, 用水蒸汽蒸餾法提取 6小 时, 收集挥发油, 用 /3-环糊精包合后备用, 蒸馏后的水溶液另器收集; b、 黄芩、 三棱(醋制)、 虎杖、 黄芪、 丹参、 甘草加 10倍量水回流提 取三次(每次 2小时), 合并提取液, 滤过, 滤液与步骤 a收集的水溶液合 并, 减压浓缩至 1 : 1, 加乙醇使含醇量达 60%, 冷藏过夜, 滤过, 上清液 备用;  a, sputum (vinegar), atractylodes and tangerine peel plus 8 times the amount of water, extracted by steam distillation for 6 hours, collect the volatile oil, after inclusion with /3-cyclodextrin for use, the distilled aqueous solution is collected; b, Astragalus, Sanling (vinegar), Polygonum cuspidatum, Astragalus, Salvia miltiorrhiza, licorice and 10 times water were extracted three times (2 hours each time), the extracts were combined, filtered, and the filtrate was combined with the aqueous solution collected in step a, concentrated under reduced pressure. To 1: 1, add ethanol to make the alcohol content up to 60%, refrigerate overnight, filter, and use the supernatant for use;
c、 龙胆用 70%乙醇加热回流三次(每次 1小时), 合并提取液, 滤过, 滤液与步骤 b制备的上清液合并, 回收乙醇至无醇味, 并浓缩成清膏, 喷 雾干燥成干浸膏粉;  c. The gentian is heated and refluxed with 70% ethanol three times (one hour each time), the extracts are combined, filtered, and the filtrate is combined with the supernatant prepared in step b, the ethanol is recovered to an alcohol-free taste, and concentrated into a clear paste, sprayed Dry to dry extract powder;
d、将步驟 a制备的挥发油的 3-环糊精包合物和步骤 c制备的干浸膏粉 合并, 即制得本发明的治疗肝纤维化药物组合物。  d. Combining the 3-cyclodextrin inclusion compound of the volatile oil prepared in the step a with the dry extract powder prepared in the step c, the pharmaceutical composition for treating liver fibrosis of the present invention is obtained.
实施例 2: 制备治疗肝纤维化药物的硬胶嚢  Example 2: Preparation of hard capsules for treating liver fibrosis drugs
在实施例 1的基础上进行胶嚢制剂的制备  Preparation of a capsule preparation on the basis of Example 1
实施例 1得到的药物组合物 387g  Example 1 Pharmaceutical Composition 387g
微粉硅胶 10g  Micro-silica gel 10g
硬脂酸摸 2g  Stearic acid touch 2g
将上述配方中的各部分混匀, 灌装, 制成 1000粒胶嚢, 即得。 每粒 0.4g, 每日服 15粒。  Mix the parts of the above formula and fill them to make 1000 capsules. 0.4g per capsule, 15 capsules a day.
实施例 3: 制备治疗肝纤维化药物的软胶嚢  Example 3: Preparation of soft capsules for treating liver fibrosis drugs
在实施例 1的基础上进行胶嚢制剂的制备  Preparation of a capsule preparation on the basis of Example 1
实施例 1得到的药物组合物 383g 药用大豆油 258g The pharmaceutical composition obtained in Example 1 was 383 g Medicinal soybean oil 258g
单硬脂酸甘油酯 0.4g  Glyceryl monostearate 0.4g
取明胶 1份、 加水 1份、 甘油 0.6份, 70—80°C融胶后, 移入保温罐 中 55-65 °C保温待用, 取药用豆油、 单硬脂酸甘油酯适量, 加热, 70°C使 混溶, 放冷, 将上述清肝化瘀药物之活性组分加入, 搅拌混匀, 用胶体磨 研磨, 使其形成均一的混悬液。 将配好的药液加入供料箱中进行压丸, 制 成 1000粒。 软胶嚢在 25 °C、相对湿度 30%的条件下定形 20小时后, 移入 干燥机中进行干燥, 干燥条件为 30°C , 相对湿度为 20%, 风速为 0.6m/s, 时间为 8h。 干燥后的软胶嚢, 洗丸、 拣洗, 检验后即得。 每粒 0.65g, 每 日服 12粒。  Take 1 part of gelatin, add 1 part of water, 0.6 parts of glycerin, melt at 70-80 °C, transfer to 55-65 °C in a heat preservation tank for use, take medicinal soybean oil, glyceryl monostearate, heat, The solution was mixed at 70 ° C, allowed to cool, and the active component of the above-mentioned liver-clearing and phlegm-removing drug was added, stirred and mixed, and ground with a colloid mill to form a uniform suspension. The prepared chemical solution was added to a supply tank for pelletization to prepare 1000 tablets. Soft gelatin is set at 25 °C and 30% relative humidity for 20 hours, then transferred to a dryer for drying. The drying conditions are 30 ° C, the relative humidity is 20%, the wind speed is 0.6 m / s, and the time is 8 h. . After drying, the soft plastic bottle is washed, washed, and washed. 0.65g per capsule, 12 capsules per day.
实施例 4: 制备治疗肝纤维化的药物组合物 (清肝化瘀药物)  Example 4: Preparation of a pharmaceutical composition for treating liver fibrosis (Huangan Huayu Drug)
1、 原料配方: 龙胆 26份、 莪术(醋制) 32份、 黄芩 32份、 三棱(醋 制 ) 25份、 丹参 35份、 白术 25份、 黄芪 20份。  1. Raw material formula: 26 parts of gentian, 32 parts of medlar (vinegar), 32 parts of astragalus, 25 parts of trigonal (vinegar), 35 parts of salvia, 25 parts of atractylodes, 20 parts of astragalus.
2、 制备方法  2, preparation method
a、 莪术(醋制;)、 白术加 8倍量水, 用水蒸汽蒸餾法提取 6小时, 收集挥发油, 用 5-环糊精包合后备用, 蒸馏后的水溶液另器收集; b、 黄芩、 三棱(醋制)、 黄芪、 丹参加 10倍量水回流提取三次(每次 2小时), 合并提取液, 滤过, 滤液与步骤 a收集的水溶液合并, 减压浓缩 至 1 : 1 , 加乙醇使含醇量达 60%, 冷藏过夜, 滤过, 上清液备用;  a, 莪 ( (vinegar system;), Atractylodes plus 8 times the amount of water, extracted by steam distillation for 6 hours, collect the volatile oil, after inclusion with 5-cyclodextrin for use, the distilled aqueous solution is collected; b, jaundice, Triangular (vinegar), Astragalus, and Dan were added to 10 times the amount of water and refluxed three times (2 hours each time). The extracts were combined, filtered, and the filtrate was combined with the aqueous solution collected in step a, and concentrated under reduced pressure to 1:1. Ethanol is made up to 60% alcohol, refrigerated overnight, filtered, and the supernatant is ready for use;
c、 龙胆用 70%乙醇加热回流三次(每次 1小时), 合并提取液, 滤过, 滤液与步 ¾>制备的上清液合并, 回收乙醇至无醇味, 并浓缩成清膏, 喷 雾干燥成干浸膏分;  c. The gentian is heated and refluxed three times with 70% ethanol (1 hour each time), and the extracts are combined, filtered, and the filtrate is combined with the supernatant prepared in step 3, and the ethanol is recovered to an alcohol-free taste, and concentrated into a clear paste. Spray drying into a dry extract;
d、将步骤 a制备的挥发油的 -环糊精包合物和步骤 c制备的干浸膏粉 合并, 得本发明的治疗肝纤维化药物组合物。 实施例 5: 制备治疗肝纤维化药物硬胶嚢 d. The cyclodextrin inclusion compound of the volatile oil prepared in the step a and the dry extract powder prepared in the step c are combined to obtain the therapeutic composition for treating liver fibrosis of the present invention. Example 5: Preparation of a hard capsule for treating liver fibrosis
.在实施例 4的基础上进行胶嚢制剂的制备  Preparation of a capsule preparation on the basis of Example 4
实施例 4得到的药物组合物 356g  Example 4 Pharmaceutical Composition 356g
乳糖 30g  Lactose 30g
微粉硅胶 12g  Micro-silica gel 12g
硬脂酸镁 2g  Magnesium stearate 2g
将上述处方中各部分混勾,灌装,制成 1000粒胶嚢, 即得。每粒 0.4g, 每曰服 15粒。  The parts of the above prescription are mixed and filled, and 1000 capsules of glue are obtained. 0.4g per capsule, 15 capsules per serving.
实施例 6: 制备治疗肝纤维化的药物组合物 (清肝化瘀药物)  Example 6: Preparation of a pharmaceutical composition for treating liver fibrosis (Huangan Huayu Drug)
1、 原料配方: 龙胆 30份、 莪术(醋炙)40份、 黄芩 40份、 三棱(醋 炙) 30份、 丹参 40份、 白术 25份、 黄芪 25份、 陈皮 25份、 虎杖 25份。  1. Raw material formula: 30 parts of gentian, 40 parts of medlar (vinegar vinegar), 40 parts of astragalus, 30 parts of ternary (vinegar vinegar), 40 parts of salvia miltiorrhiza, 25 parts of atractylodes, 25 parts of astragalus, 25 parts of dried tangerine peel, 25 parts of Polygonum cuspidatum .
2、 制备方法:  2, preparation method:
a、 莪术(醋制)、 白术与陈皮加 S倍量水, 用水蒸汽蒸储法提取 6小 时, 收集挥发油, 用 /3-环糊精包合后备用, 蒸馏后的水溶液另器收集; b、 黄芩、 三棱(醋制)、 虎杖、 黄芪、 丹参加 10倍量水回流提取三次 a, sputum (vinegar), atractylodes and tangerine peel plus S times water, steam extraction method for 6 hours, collect the volatile oil, after inclusion with /3-cyclodextrin, the distilled aqueous solution is collected; b , Astragalus, Triangular (vinegar), Polygonum cuspidatum, Astragalus, and Dan participated in 10 times water reflux extraction three times
(每次 2小时), 合并提取液, 滤过, 滤液与步驟 a收集的水溶液合并, 减 压浓缩至 1 1 , 加乙醇使含醇量达 60%, 冷藏过夜, 滤过, 上清液备用; c、 龙胆用 70%乙醇加热回流二次(每次 1小时), 合并提取液, 滤过, 滤液与步骤 b制备的上清液合并, 回收乙醇至无醇味, 并浓缩成清膏, 喷 雾干燥成干浸膏粉; (2 hours each time), the extracts were combined, filtered, and the filtrate was combined with the aqueous solution collected in step a, concentrated under reduced pressure to 1 1 , ethanol was added to make the alcohol content 60%, refrigerated overnight, filtered, and the supernatant was used. c. The gentian is heated and refluxed with 70% ethanol twice (1 hour each time), the extracts are combined, filtered, and the filtrate is combined with the supernatant prepared in step b, and the ethanol is recovered to an alcohol-free taste and concentrated into a clear paste. Spray drying into a dry extract powder;
d、 将步骤 a制备的挥发油的 3-环糊精包合物和步驟 c制备的干浸膏 粉合并, 得本发明的清肝化瘀药物组合物。  d. Combining the 3-cyclodextrin inclusion compound of the volatile oil prepared in the step a with the dry extract powder prepared in the step c, the pharmaceutical composition for clearing liver and phlegm of the present invention is obtained.
为说明本发明的药物組合物对肝损伤的作用, 通过建立动物模型, 考 察了对肝纤维化的治疗作用。 试验 l.胶嚢剂 (治疗肝纤维化的药物组合物)对大鼠免疫损伤性肝 纤维化的作用 To illustrate the effect of the pharmaceutical composition of the present invention on liver damage, the therapeutic effect on liver fibrosis was examined by establishing an animal model. Experiment 1. Effect of capsules (pharmaceutical composition for treating liver fibrosis) on immunosuppressive liver fibrosis in rats
1. 试验目的  Test purpose
采用静脉注射牛血清白蛋白复制大鼠免疫损伤性肝纤维化模型, 观察 清肝化瘀胶嚢的治疗作用。  Intravenous bovine serum albumin was used to replicate the rat model of immune-induced liver fibrosis, and the therapeutic effect of Qinggan Huayu Capsule was observed.
2试验材料 2 test materials
2.1药物 2.1 drugs
按实施例 2制备的清肝化瘀硬胶嚢, 药粉为红棕色, 用 0.5%羧曱基纤 维素水溶液配成合适浓度的混悬液使用。  The liver phlegm and hard sputum prepared according to Example 2, the powder was reddish brown, and was mixed with a 0.5% aqueous solution of carboxyhydrazine-based cellulose to prepare a suspension of a suitable concentration.
复方鳖曱软肝片: 市售, 批号 20021010, 用 0.5%羧曱基纤维素水溶 液配成合适浓度的混悬液使用。  Compound 鳖曱soft liver tablets: Commercially available, batch number 20021010, used with a 0.5% carboxymethyl cellulose aqueous solution to prepare a suspension of appropriate concentration.
秋水仙碱: Serva公司产品, 批号 C9754, 用重蒸馏水配成合适浓度的 溶液使用。  Colchicine: Serva's product, batch number C9754, is used in a solution of the appropriate concentration in heavy distilled water.
2. 2试剂  2. 2 reagents
牛血清白蛋白 (BSA): 天津市灏洋生物制品有限公司, 批号 A-7030 羊毛脂: 上海嘉定华亭羊毛脂厂, 批号 000917  Bovine serum albumin (BSA): Tianjin Haoyang Biological Products Co., Ltd., batch No. A-7030 Lanolin: Shanghai Jiading Huating Lanolin Factory, batch number 000917
液体石蜡: 天津市化学试剂二厂产品, 批号 980425  Liquid Paraffin: Tianjin Chemical Reagent Second Factory, Batch No. 980425
弗氏不完全佐剂: 羊毛脂 120g加入液体石蜡 240ml, 在 65 °C水浴搅 拌混匀, 高压消毒后置 4°C冰箱保存备用。  Freund's incomplete adjuvant: 120g of lanolin added to liquid paraffin 240ml, stirred and mixed in a 65 °C water bath, autoclaved and stored in a refrigerator at 4 °C.
考马斯亮兰蛋白测定试剂盒: 南京建成生物工程研究所, 批号 Coomassie brilliant blue protein assay kit: Nanjing Institute of Bioengineering, batch number
20030715 20030715
羟脯氨酸测定试剂盒: 南京建生物工程研究所, 批号 20030715 唾液酸测定试剂盒: 南京建生物工程研究所, 批号 20030707 2.3动物 大鼠: Wistar种, 二级动物, 由军科院四所提供, 合格证号: 军医动 字 B98014 Hydroxyproline Assay Kit: Nanjing Jianshe Bioengineering Institute, Lot No. 20030715 Sialic Acid Assay Kit: Nanjing Jiansheng Bioengineering Institute, Lot No. 20030707 2.3 Animals Rat: Wistar species, secondary animal, provided by the Fourth Academy of Military Sciences, Certificate No.: Military Medical B98014
饲养条件: 分笼饲养, 每笼 5-6只, 自由饮水、 摄食, 室温由中央空 调控制在 24±2°C , 湿度为 50±15%, 光照 12小时亮, 12小时暗 (上午六点 亮,' 下午六点暗)。  Feeding conditions: caged, 5-6 per cage, free drinking water, feeding, room temperature controlled by central air conditioning at 24 ± 2 ° C, humidity 50 ± 15%, light 12 hours bright, 12 hours dark (6 am Bright, '6 pm dark.
3 试险方法 3 test method
3.1模型复制 3.1 Model replication
选用健康 Wistar种大鼠 100只, 体重 130-150g, 雌雄各半, 除正常对 照组 (雌雄各 5只)外, 其余 90只大鼠均以 9mg/ml BSA弗氏不完全佐剂混 悬液每次 0.5ml/只, 进行多点皮下注射以致敏动物, 连续 5次。 第 1、 2次 间隔 2周, 其余各次均间隔 1周。 末次致敏后 1周 , 所有动物均眼眶静脉 取血, 用毛细管法测定血清 BSA抗体。取抗体阳性的动物尾静脉攻击注射 不同浓度的 BSA生理盐水溶液 0.4ml/只, 每周 2次, 剂量从 2.0mg/0.4ml/ 只,逐次递增至 3.0mg/0.4ml/只(每次递增 O.lmg ), 第 12次为 3.4mg/0.4ml/ 只, 以后每次递增 0.2mg至 4.0mg/0.4ml/只, 共 15次, 正常组大鼠用生 理盐水代替 BSA进行尾静脉注射。 末次攻击注射后 3 天, 取血测定 ALT、 AST, TP、 ALB、 A/G (白蛋白 /球蛋白)比例、 唾液酸; 取部分肝脏, 匀浆 后测定羟脯氨酸含量; 另取部分肝脏用 10%福尔马林固定, 进行 HE染色 及 Masson染色, 光镜下观察肝纤维化程度。  100 healthy Wistar rats were used, weighing 130-150g, male and female, except for the normal control group (5 males and 5 females), the other 90 rats were treated with 9mg/ml BSA Freund's incomplete adjuvant suspension. Each time 0.5 ml/head, multiple subcutaneous injections were performed to sensitize the animals for 5 consecutive times. The first and second intervals are 2 weeks, and the rest are separated by 1 week. One week after the last sensitization, all animals were bled in the orbital vein and serum BSA antibodies were determined by capillary method. Take the antibody-positive animal tail vein and inject different concentrations of BSA physiological saline solution 0.4ml / 2 times a week, the dose from 2.0mg / 0.4ml / only, sequentially increased to 3.0mg / 0.4ml / only (increment O.lmg), the 12th time was 3.4mg/0.4ml/only, and the subsequent increments were 0.2mg to 4.0mg/0.4ml/only for 15 times. The normal group rats were treated with normal saline instead of BSA for tail vein injection. Three days after the last attack, blood was taken to determine the ratio of ALT, AST, TP, ALB, A/G (albumin/globulin), sialic acid; part of the liver was taken, and the content of hydroxyproline was determined after homogenization; The liver was fixed with 10% formalin, HE staining and Masson staining, and the degree of liver fibrosis was observed under light microscope.
3.1.2分組方法 3.1.2 grouping method
除正常对照组外, 其余动物均于攻击注射 4次后, 按体重随机分为 6 组, 模型对照组、 清肝化瘀胶嚢 0.9、 1.8、 3.6g 药粉 /kg剂量组、 阳性药 复方鳖曱软肝片 2g药粉 /kg剂量组、 阳性药秋水仙碱 0.25mg/kg剂量组, 加上正常对照組, 共 7个组。 3.1.3给药时间 Except the normal control group, the other animals were randomly divided into 6 groups according to body weight after 4 times of challenge injection. Model control group, Qinggan Huayu capsule 嚢 0.9, 1.8, 3.6g powder/kg dose group, positive drug compound 鳖曱Soft liver tablets 2g powder / kg dose group, positive drug colchicine 0.25mg / kg dose group, plus the normal control group, a total of 7 groups. 3.1.3 administration time
各组动物均于攻击注射 4次后, 按 lml/100g体重的灌胃容积进行灌 胃给药, 正常对照组、模型对照组灌胃给予等容量 0.5%羧曱基纤维素混悬 液, 每天 1次, 每周 7次, 连续 6周。  All the animals in each group were intragastrically administered with a perfusion volume of 1 ml/100 g body weight after 4 times of challenge injection. The normal control group and the model control group were intragastrically administered with an equal volume of 0.5% carboxymethyl cellulose suspension. 1 time, 7 times a week for 6 consecutive weeks.
3.1.4数据统计 3.1.4 Data Statistics
. 试验数据以 i±SD表示, 两组均数采用统计分析 4值法, 有等级关系 的采用秩和检验进行统计分析。  The test data is expressed as i±SD, and the two groups are statistically analyzed by the 4-value method, and the rank-sum test is used for statistical analysis.
4试脸结果 4 test face results
4.1一般情况 4.1 General situation
致敏 5次后,血清 BSA抗体阳性的大鼠共 87只 (有 3只雄性大鼠不符 合试验要求), 当攻击注射后, 大鼠发生不同程度的过敏休克样反应, 呼吸 急促、 走路不稳、 俯卧不起, 甚至死亡, 死亡动物立即解剖, 肉眼观察各 脏器未发现明显异常,存活动物约 30分钟恢复正常。死亡动物大部分出现 在攻击注射第 1-3次, 从攻击注射第 4次开始, 偶有动物发生过敏休克样 反应。 攻击注射 4次后, 共死亡 16只 (雌雄 10只、 雄 6只), 存活动物 71 只, 存活动物按体重随机分为 6组, 模型对照组、 清肝化瘀 0.9g药粉 /kg 剂量组、 清肝化瘀 1.8g药粉 /kg剂量组、 清肝化瘀药粉 3.6g药粉 /kg剂 量组、 复方鳖甲软肝片 2g药粉 /kg剂量组均每组 12只 (雌、 雄各 6只), 秋水仙碱 0.25mg/kg剂量組 11只 (雌 5只、 雄 6只), 加上正常对照组 10 只 (雌、 雄各 5只), 共 7组 (δΐ只), 进行灌胃给药, 连续 6周。 在试验过 程中, 灌胃给药误入气管致大鼠死亡 1只 (雌性 清肝化瘀 3.6g药粉/ kg), 因造型死亡的大鼠为 7只, 其中: 模型对照组 2只 (雌性 1只、 雄性 1只)、 清肝化瘀 0.9g药粉/ kg剂量组 2只 (雌、 雄各 1只)、 清肝化瘀 1.8g药粉/ kg 剂量组 1只 (雌性)、复方鳖甲软肝片 2g药粉 /kg剂量组 1只 (雌性)、秋水仙 碱 0.25mg/kg剂量组 1只 (;雄性;)。 After 5 times of sensitization, a total of 87 rats with positive serum BSA antibody (3 male rats did not meet the test requirements), when the attack was injected, the rats developed different degrees of allergic shock-like reactions, shortness of breath, and no walking. Stable, prone, and even death, the dead animals were immediately dissected, and no obvious abnormalities were observed by the naked eyes. The surviving animals returned to normal in about 30 minutes. Most of the dead animals appeared in the first 1-3 attacks, and from the fourth attack, occasionally, the animals developed an allergic shock-like reaction. After 4 injections, 16 deaths (10 males and 6 males) and 71 surviving animals were randomly divided into 6 groups according to body weight. Model control group, Qinggan Huayu 0.9g powder/kg dose group Qinggan Huayu 1.8g powder / kg dose group, Qinggan Huayu powder 3.6g powder / kg dose group, compound Biejia soft liver tablets 2g powder / kg dose group each group of 12 (female, male each 6 ), 11 colchicine 0.25mg/kg dose group (5 females, 6 males), plus 10 normal controls (5 females and 5 males), 7 groups (δΐ), for intragastric administration Dosing for 6 weeks. During the test, one patient died of intragastric administration of tracheal intubation (female Qinggan Huayu 3.6g powder/kg), and 7 rats died of modeling, of which: 2 model control groups (female 1 (male, 1 male), Qinggan Huayu 0.9g powder / kg dose group 2 (female and male), Qinggan Huayu 1.8g powder / kg dose group 1 (female), compound armor Soft liver tablets 2g powder / kg dose group 1 (female), colchicum Alkali 0.25 mg / kg dose group 1 (; male;).
4.2肝脏、 脾脏脏器系数的测定 4.2 Determination of liver and spleen organ coefficient
末次给药后, 大鼠禁食 15 小时, 称量体重, 取出肝脏、 脾脏, 称量 湿重, 以 100g体重的肝重、 脾重作为脏器系数, 比较各剂量组的差异, 结 果见表 1。  After the last administration, the rats were fasted for 15 hours, the body weight was weighed, the liver and spleen were taken out, and the wet weight was weighed. The liver weight and spleen weight of 100 g body weight were used as the organ coefficient, and the difference between the dose groups was compared. 1.
表 1清肝化瘀胶嚢对免疫损伤性肝纤维化大鼠脏器系数的影响 (^士 SD) 剂量 (g 药 动物数 Table 1 Effect of Qinggan Huayu Capsule on Organ Coefficient of Rats with Immunological Injury Hepatic Fibrosis (^士 SD) Dose (g Drug Number of Animals
组别 肝脏系数 脾脏系数 Group liver coefficient spleen coefficient
粉 /kg) ' (只)  Powder /kg) ' (only)
正常对照组 10 2.776±0.242 0.253±0.035 模型对照组 10 3.744±0.631## 0.366±0.037## 清肝化痴胶嚢 0.9 10 3.348±0.406 0.318±0.069 清肝化疲胶嚢 1.8 11 3.224±0.370* 0.321v0.057* 清肝化疾胶嚢 3.6 11 3.187±0.303* 0.309±0.046** 复方鳖曱软肝片 2.0 11 3.645±0.491 0.327±0.047* 秋水仙碱 0.25mg 10 3.217±0.414* 0.317±0.050* p<0. 01(与正常对照組比较) p<0. 05 **p <0. 01(与模型对照组比较) Normal control group 10 2.776±0.242 0.253±0.035 Model control group 10. 3.744±0.631## 0.366±0.037## Qinggan Huazao 嚢0.9 10 3.348±0.406 0.318±0.069 Qingganhua gelatin 嚢1.8 11 3.224±0.370* 0.321v0.057* Qinggan Huaji Capsule 3.6 11 3.187±0.303* 0.309±0.046** Compound 鳖曱soft liver tablets 2.0 11 3.645±0.491 0.327±0.047* colchicine 0.25mg 10 3.217±0.414* 0.317±0.050 * p<0. 01 (compared with the normal control group) p<0. 05 **p <0. 01 (compared with the model control group)
表 1结果表明, 与正常对照组比较, 模型对照组大鼠的肝脏、 脾脏脏 器系数明显增加; 与模型对照组比较, 清肝化瘀胶嚢 1.8、 3.6g药粉/ kg剂 量组肝脏、 脾脏脏器系数明显减小, 阳性药亦有相似作用。 The results in Table 1 show that compared with the normal control group, the liver and spleen organ coefficients of the model control group were significantly increased; compared with the model control group, the liver and spleen of the liver phlegm and sputum sputum 1.8, 3.6 g powder / kg dose group The organ coefficient was significantly reduced, and the positive drug also had a similar effect.
4.3血液生化学指标测定 4.3 Determination of blood biochemical indicators
对禁食后的大鼠, 用戊巴比妥钠腹腔麻醉, 腹主动脉取血, 离心后吸 取上清液, 在 Olympus Au640全自动生化分析仪上测定 ALT、 AST、 TP、 ALB、 G、 A/G, 按南京建成生物工程研究所生产的唾液酸 (SA)测定试剂 盒说明书, 测定血清唾液酸含量, 比较各剂量组的差异, 结果见表 2。 表 2清肝化瘀胶嚢对免疫损伤性肝纤维化大鼠血液生化指标的影响( ±SD, n ) 剂量 For fasting rats, intraperitoneal anesthesia with pentobarbital sodium, blood was taken from the abdominal aorta, and sucked after centrifugation. Take the supernatant and measure ALT, AST, TP, ALB, G, A/G on the Olympus Au640 automatic biochemical analyzer. According to the instructions of the sialic acid (SA) assay kit produced by Nanjing Institute of Bioengineering, serum The sialic acid content was compared for each dose group, and the results are shown in Table 2. Table 2 Effect of Qinggan Huayu Capsule on Blood Biochemical Parameters in Rats with Immunological Injury Hepatic Fibrosis (±SD, n) Dose
ALT AST TP ALB G SA  ALT AST TP ALB G SA
组别 (g药粉 A/G  Group (g powder A/G
(U/L) (U/L) (g L) (g L) (g/L) (mmol/L) (U/L) (U/L) (g L) (g L) (g/L) (mmol/L)
/kg) 正常对照 34. ±7.22 105.¾28.9 59.QB.39 30.2t2.65 28.Sil.58 1.05遍 7 3.綱.38 模型对照 37.1±8.82 123.概.4 58.6B.24 29.QH2.85 29.6±2.17 0.9¾0.13 3.79i0.47# 清肝化瘀胶囊 0.9 56.9±39.1 155.3±57.2 59.3±3.19 29.4士 1.80 29.8±2.69 0.99±0.12 3.63±0.41 清肝化瘀胶嚢 1.8 0.2±13.7 107.8±54.9 60.7±2. 4 30.3±1.80 30.3±2.94 1.01±0.14 3.62±0.69 清肝化瘀胶嚢 3.6 34.7±12.2 109.&B3.9 59.3J2.30 29.9il.79 2.66B0.0 1.03±0.13 3. OM). 0 复方鳖甲俯片 2.0 4.5±19.8 124. ± 3.1 59.8±3.06 29.&t2.14 30.OH2.03 1舰 09 3. 6±0.50 秋水仙碱 0.25mg 45 ±22.3 1262B5.9 612i2.71 30.6tl.92 30.6t2.97 1.01±0.14 3.55±0.68 /kg) Normal control 34. ±7.22 105.3⁄428.9 59.QB.39 30.2t2.65 28.Sil.58 1.05 times 7 3. Gang.38 Model control 37.1±8.82 123.General.4 58.6B.24 29.QH2.85 29.6±2.17 0.93⁄40.13 3.79i0.47# Qinggan Huayu Capsule 0.9 56.9±39.1 155.3±57.2 59.3±3.19 29.4±1.80 29.8±2.69 0.99±0.12 3.63±0.41 Qinggan Huayu Capsule 1.8 0.2±13.7 107.8±54.9 60.7±2. 4 30.3±1.80 30.3±2.94 1.01±0.14 3.62±0.69 Qinggan Huayujiao 3.6 34.7±12.2 109.&B3.9 59.3J2.30 29.9il.79 2.66B0. 0 1.03±0.13 3. OM). 0 compound armor sheet 2.0 4.5±19.8 124. ± 3.1 59.8±3.06 29.&t2.14 30.OH2.03 1 ship 09 3. 6±0.50 colchicine 0.25mg 45 ±22.3 1262B5.9 612i2.71 30.6tl.92 30.6t2.97 1.01±0.14 3.55±0.68
#: p<0.05 (与正常对照组比较) *: p<0.05(与模型对照组比较) n: 动物数, 同表 1。 #: p<0.05 (compared with normal control group) *: p<0.05 (compared with model control group) n: number of animals, same as table 1.
表 2结果表明: 与正常对照组比较, 模型对照组大鼠的血清唾液酸含 0 量明显升高, 其余各项指标无明显差异。 与模型对照组比较, 清肝化瘀胶 嚢 3.6g药粉/ kg剂量组血清唾液酸含量明显降低, 其余各项指标均无明显 差异。 The results in Table 2 indicate that compared with the normal control group, the serum sialic acid content of the model control group was significantly increased, and the other indicators were not significantly different. Compared with the model control group, the serum sialic acid content of Qinggan Huayujiao 3.6g powder/kg dose group was significantly lower, and there was no significant difference among the other indicators.
4.4肝脏羟脯氨酸含量测定  4.4 Determination of liver hydroxyproline content
'取约 lg的肝膨且织,加入 9倍的生理盐水进行匀浆, 匀 3500转 /分离 心 10分钟, 取上清液按南京建成生物工程研究所生产的羟脯氨酸试剂盒说明 书, 测定肝脏羟脯氨酸含量, 比较各剂量组的差异, 结果见表 3。 ' Take about lg of liver expansion and weaving, add 9 times of normal saline for homogenization, even 3500 rpm / separation The heart was taken for 10 minutes. The supernatant was taken according to the instructions of the hydroxyproline kit produced by Nanjing Institute of Bioengineering. The hydroxyproline content in the liver was measured and the differences between the groups were compared. The results are shown in Table 3.
表 3清肝化瘀胶嚢对免疫损伤性肝纤维化大鼠肝脏羟脯氨酸含量的影响( ±SD) 剂量 动物数 羟脯氨酸 Table 3 Effect of Qinggan Huatan Capsule on Hepatic Hydroxyproline Content in Rats with Immunological Injury Hepatic Fibrosis (±SD) Dose Number of Animals Hydroxyproline
组别  Group
(g药粉 /kg) (只) (i g/mgprot) 正常对照组 10 0.609±0.151 模型对照组 10 0.903±0.121## 清肝化痴股嚢 0. 9 10 0.767±0.190 清肝化瘀胶嚢 1. 8 11 0.726±0.163* 清肝化痴胶嚢 3. 6 11 Ο.όδθΐΟ.ΠΙ** 复方鳖甲软肝片 2 11 0.732±0.153* 秋水仙碱 0. 25mg 10 0.727±0.158* ρ<0.001 (与正常对照组比较) p<0.05 **p<0.01 (与模型对照组比较)  (g powder/kg) (only) (ig/mgprot) normal control group 10 0.609±0.151 model control group 10 0.903±0.121## Qinggan Huaqi 嚢 0. 9 10 0.767±0.190 Qinggan Huayu 嚢1 8 11 0.726±0.163* 清肝化痴胶嚢 3. 6 11 Ο.όδθΐΟ.ΠΙ** Compound Biejia Ruangan Tablet 2 11 0.732±0.153* colchicine 0. 25mg 10 0.727±0.158* ρ<0.001 (Compared with normal control group) p<0.05 **p<0.01 (compared with model control group)
表 3结果表明: 与正常对照组比较, 模型对照组肝脏羟脯氨酸含量明 显升高,表明已形成肝纤维化。与模型对照组比较,清肝化瘀胶嚢 1.8、 3.6g 药粉 /kg剂量组明显降低羟脯氨酸含量, 并随剂量增加, 作用增强, 表明 对肝纤维化有明显的防治作用, 阳性对照药复方鳖甲软肝片、 秋水仙碱亦 有相似作用。 The results in Table 3 show that: Compared with the normal control group, the liver hydroxyproline content of the model control group was significantly increased, indicating that liver fibrosis had formed. Compared with the model control group, Qinggan Huayujiao 1.8, 3.6g powder/kg dose group significantly reduced the hydroxyproline content, and with the increase of dose, the effect was enhanced, indicating that the liver fibrosis has obvious prevention and treatment, positive control The medicinal compound Biejia Ruangan tablets and colchicine also have similar effects.
4.5病理組织学检查 4.5 Histopathological examination
取肝脏, 用 10%福尔马林固定, 常规取材后, 酒精梯度脱水, Fisher Model 266Mp自动石蜡包埋机包埋, Leica RM2135切片机制片, HE、 Masson二种染色, Olympus显凝:镜下按以下分级标准进行组织病理学观察 并照相, 比较各剂量组的差异。 The liver was taken and fixed with 10% formalin. After routine sampling, alcohol gradient dehydration, Fisher Model 266Mp automatic paraffin embedding machine, Leica RM2135 slicing mechanism, HE, Masson two staining, Olympus coagulation: histopathological observation and photography were performed under the microscope according to the following grading standards, and the differences in each dose group were compared.
分级标准: 参考文献, 肝纤维化程度分成四级:  Grading criteria: References, the degree of liver fibrosis is divided into four levels:
"-,,: 肝组织正常, 无纤维化组织增生 "-,,: normal liver tissue, no fibrotic tissue hyperplasia
"+": 汇管区及窦隙有纤维组织增生。  "+": There is fibrous tissue hyperplasia in the portal area and sinus.
"++": 肝小叶结构有破坏, 纤维组织增生形成纤维间隔, 有少量假小 叶形成趋势。  "++": The structure of the hepatic lobule is destructive, the fibrous tissue proliferates to form a fibrous septum, and a small number of pseudolobules form a tendency.
"+++,,: 肝小叶结构破坏, 纤维组织增生明显, ^假小叶广泛形成。 结果见表 4、 表 5。 表 4清肝化瘀胶嚢对免疫损伤性肝纤维化大鼠肝纤维化程度的影响 (HE染色) 剂量 动物数 HE染色, 肝纤维化程度  "+++,,: Hepatic lobular structure destruction, fibrous tissue hyperplasia, ^ pseudolobules are widely formed. The results are shown in Table 4, Table 5. Table 4 Qinggan Huatan 嚢 嚢 on liver fibers of rats with immune-damaging liver fibrosis Effect of degree of chemotherapy (HE staining) number of animals, HE staining, degree of liver fibrosis
组别 P  Group P
(g生药 /kg) (只) - + ++ +++ 正常对照组 10 10 0 0 0 模型对照組 10 1 3 1 5 <0.01 清肝化瘀胶嚢 0. 9 10 3 1 1 5 >0.05 清肝化瘀股嚢 1. 8 11 7 1 1 2 <0.05 清肝化瘀胶嚢 3. 6 11 8 1 0 2 <0.05 复方鳖曱软肝片 2 11 5 2 3 1 <0.05 秋水仙碱 0. 25mg 10 4 3 2 1 <0.05 注: 不同肝纤维化程度下的数为各剂量组达到此程度的动物数, 表 5同表 4 表 5清肝化瘀胶嚢对免疫损伤性肝纤维化大鼠肝纤维化程度的影响 (Masson染色) (g raw drug/kg) (only) - + ++ +++ Normal control group 10 10 0 0 0 Model control group 10 1 3 1 5 <0.01 Qinggan Huayu gum 嚢 0. 9 10 3 1 1 5 >0.05 Qinggan Huayu Quyu 1. 8 11 7 1 1 2 <0.05 Qinggan Huayu Gelatin 3. 6 11 8 1 0 2 <0.05 Fufang Qigangan Tablet 2 11 5 2 3 1 <0.05 Colchicine 0 25mg 10 4 3 2 1 <0.05 Note: The number of different degrees of liver fibrosis is the number of animals in each dose group to achieve this level, Table 5 is the same as Table 4 Table 5 Effect of Qinggan Huayu Capsule on Hepatic Fibrosis in Rats with Immunological Injury Hepatic Fibrosis (Masson Staining)
Masson染色, 肝纤维化 Masson staining, liver fibrosis
动物数  Number of animals
組别 程度 P  Group degree P
(g生药 /kg) (只)  (g raw medicine / kg) (only)
- + ++ +++ 正常对照组 10 10 0 0 0 模型对照组 10 1 3 1 5 <0.01 清肝化疾胶嚢 0. 9 10 3 1 1 5 >0.05 清肝化瘀胶嚢 1. 8 11 7 ' 1 1 2 <0.05 清肝化疾胶嚢 3. 6 11 8 1 0 2 <0.05 复方鳖曱软肝片 2 11 5 2 3 1 <0.05 秋水仙碱 0. 25mg 10 4 3 2 1 <0.05  - + ++ +++ Normal control group 10 10 0 0 0 Model control group 10 1 3 1 5 <0.01 Qinggan Huaji capsule 嚢 0. 9 10 3 1 1 5 >0.05 Qinggan Huayu gum 嚢 1. 8 11 7 ' 1 1 2 <0.05 Qinggan Huaji Jiaojiao 3. 6 11 8 1 0 2 <0.05 Fufang Qigangan tablets 2 11 5 2 3 1 <0.05 Colchicine 0. 25mg 10 4 3 2 1 < 0.05
表 4、 表 5表明: 与正常对照组比较, 模型对照组肝纤维化程度明显 增高, 表明造模成功。 与模型对照組比较, 清肝化瘀胶嚢 1.8、 3.6g药粉 /kg 剂量组肝纤维化程度明显减轻, 表明对肝纤维化有明显的防治作用, 并随剂量增加, 作用增强。 阳性对照药复方鳖曱软肝片、 秋水仙碱亦有明 显作用。 Table 4 and Table 5 show that compared with the normal control group, the degree of liver fibrosis in the model control group was significantly increased, indicating successful modeling. Compared with the model control group, the degree of liver fibrosis was significantly reduced in the 1.8 and 3.6 g powder/kg dose groups, indicating that the liver fibrosis has obvious preventive and therapeutic effects, and the effect is enhanced with increasing dose. The positive control compound compound 鳖曱 soft liver tablets and colchicine also have a significant effect.
5 试险结论 5 test conclusions
采用静注牛血清白蛋白复制大鼠免疫损伤性肝纤维化模型,结果显示, 与正常对照组比较, 模型对照组大鼠肝脏羟脯氨酸含量明显增高, 明显增 生的纤维组织将肝组织分成广泛的假小叶;清肝化瘀胶嚢 1.8、 3.6g药粉/ kg 剂量组肝脏羟脯氨酸含量明显減少, 肝纤维化程度明显减轻, 并随剂量增 加, 作用增强, 表明清肝化瘀胶嚢对免疫性肝纤维化有明显的防治作用。 试验 2、 清肝化瘀药物 (治疗肝纤维化的药物组合物)对急性与慢性 肝损伤的防治作用 The model of immunologically injured liver fibrosis was replicated by intravenous bovine serum albumin. The results showed that compared with the normal control group, the liver hydroxyproline content of the model control group was significantly increased, and the hyperplastic fibrous tissue divided the liver tissue into A wide range of pseudo-lobes; Qinggan Huayu gum 嚢 1.8, 3.6g powder / kg dose group liver hydroxyproline content was significantly reduced, liver fibrosis degree was significantly reduced, and with increasing dose, the effect increased, indicating Qinggan Huayu嚢 has obvious preventive and therapeutic effects on immune liver fibrosis. Experiment 2: Prevention and treatment of acute and chronic liver injury by Qinggan Huayu drug (pharmaceutical composition for treating liver fibrosis)
1. 实验材料: 1. Experimental materials:
清肝化瘀胶嚢: 按实施例 2制备的硬胶嚢, 即本发明治疗肝纤维化药 物, 内容物为红棕色粉末。  Qinggan Huayu Capsule: The hard capsule prepared according to Example 2, that is, the liver fibrosis drug of the present invention, the content is a reddish brown powder.
联苯双酯, 北京协和药厂出品, 批号 970419。  Biphenyl diester, produced by Peking Union Medical Co., Ltd., batch number 970419.
动物: 昆明种小鼠及 SD大鼠, 均由河北省实验动物中心提供, 合格 证号分别为 04056及 04057号,实验观察期间饲以该中心提供的固体饲料, 自由饮水。  Animals: Kunming mice and SD rats were provided by the Experimental Animal Center of Hebei Province. The certificates were 04056 and 04057 respectively. During the observation period, the solid feed provided by the center was used for free drinking.
2.试-险方法 2. Test-risk method
2.1对小鼠四氯化碳急性肝损伤的影响  2.1 Effects on acute liver injury induced by carbon tetrachloride in mice
方法: 取小鼠 60只,雌雄各半, 体重 20— 25g, 随机分为 6组, 每组 10只。空白对照组和模型对照组给予水;清肝化瘀胶嚢分三个剂量组: 0.9g、 1.8g和 3.6g/kg; 联苯双酯 0.2g/kg。 以上各组均灌胃给药, 容积 0.2ml/10g 体重, 一天一次, 连续 7天。 于给药第 6天后, 除空白对照組外均腹腔注 射 1%四氯化碳油溶液 O.lml/lOg体重。  METHODS: Sixty mice, half male and half female, weighing 20-25 g, were randomly divided into 6 groups, 10 in each group. The blank control group and the model control group were given water; Qinggan Huayu gum was divided into three dose groups: 0.9g, 1.8g and 3.6g/kg; biphenyldicarboxylate 0.2g/kg. All the above groups were administered by intragastric administration, and the volume was 0.2 ml/10 g body weight once a day for 7 consecutive days. After the sixth day of administration, 1% of the carbon tetrachloride oil solution was administered intraperitoneally, except for the blank control group, O.lml/lOg body weight.
末次给药后 1小时(给四氯化碳后 20小时)各组小鼠均动脉取血, 分 离血清, 赖氏法测定丙氨酸氨基转换酶 (ALT)。  One hour after the last administration (20 hours after carbon tetrachloride), the mice in each group were bled with blood, and the serum was separated, and the alanine aminotransferase (ALT) was determined by the Lai method.
然后将每只动物解剖, 取同一叶、 同一部位肝脏组织一小块, 固定于 10%福尔马林溶液, 4故病理切片进行组织学检查, 按下列标准(刘廷快等, 中药新药与临床药理 1999; 10 ( 4 ): 213— 215 )评价肝损伤程度:  Then each animal was dissected, taking a small piece of liver tissue from the same leaf and the same part, fixed in 10% formalin solution, and 4 pathological sections for histological examination, according to the following criteria (Liu Ting, etc., new Chinese medicine and Clinical Pharmacology 1999; 10 (4): 213-215) Evaluation of liver damage:
一: 正常肝细胞  One: normal liver cells
+: 肝细胞变性或点状坏死  +: Hepatocyte degeneration or punctate necrosis
++: 肝细胞变性或灶性坏死, 或病变的肝细胞小于肝小叶的 1/3 +++: 肝小叶 1/3— 2/3肝细胞坏死 ++: Hepatocyte degeneration or focal necrosis, or diseased hepatocytes are less than 1/3 of hepatic lobules +++: Hepatic lobules 1/3-2/3 hepatocyte necrosis
++++: 肝小叶超过 2/3肝细胞坏死  ++++: Liver lobules exceed 2/3 hepatocyte necrosis
观察空白对照组与模型对照组及模型对照组与各给药组 ALT差别 (t 检验) 以及肝损伤程度的差别 (Ridit检验)。  The difference in ALT (t test) and the degree of liver injury (Ridit test) between the blank control group and the model control group and the model control group and each of the drug-administered groups were observed.
结果: 模型对照组的 ALT极为显著地高于空白对照组(PO.01 ), 表 明模型成功。 清肝化瘀胶嚢 1.8g/kg可显著降低 ALT ( PO.05 ), 联苯双酯 对 ALT有极为显著的降低作用 (P<0.01 ), 实验结果见表 6。  Results: The ALT of the model control group was significantly higher than that of the blank control group (PO.01), indicating that the model was successful. Qinggan Huayu Capsule 1.8g/kg significantly reduced ALT (PO.05), and bifendate had a significant reduction in ALT (P<0.01). The experimental results are shown in Table 6.
病理检查可见, 模型组肝小叶 1/3— 2/3甚至超过 2/3肝细胞坏死, 清 肝化瘀胶嚢 1.8和 3.6g/kg组肝小叶细胞坏死较模型为轻(P>0.05 ), 联苯 双酯组的肝细胞坏死或变性, 明显少于模型对照组(P<0.05 ), 实验结果见 表 7。 表 6: 清肝化瘀胶嚢对小鼠四氯化碳急性肝损伤模型转氨酶的影响 组别 剂量(g/kg ) 动物数 (只) ALT ( ±s ) ( u ) 空白对照 一 10 48.8±38.5  Pathological examination showed that the hepatic lobules in the model group were 1/3-2/3 and even more than 2/3 hepatocyte necrosis. The hepatic lobular cell necrosis in the liver and 3.6 g/kg group was lighter than the model (P>0.05). Hepatocyte necrosis or degeneration in the biphenyl diester group was significantly less than that in the model control group (P<0.05). The experimental results are shown in Table 7. Table 6: Effect of Qinggan Huayu capsule on transaminase in mice with acute carbon tetrachloride injury model. Group dose (g/kg) Number of animals (only) ALT (±s) (u) Blank control one 10 48.8± 38.5
模型对照 一 10 293.9± 9.6 清肝化痹胶嚢 0.9 10 292.0±12.9 清肝化疾股嚢 1.8 10 285.3± 7.0* 清肝化疾股嚢 3.6 10 288.7±11.6  Model control 1 10 293.9± 9.6 Qinggan Huayujiao 0.9 10 292.0±12.9 Qinggan Huashi stocks 1.8 10 285.3± 7.0* Qinggan Huashi stocks 3.6 10 288.7±11.6
联苯双酯 0.2 10 225.1±72.5**  Biphenyl diester 0.2 10 225.1±72.5**
*P<0.05, **P<0.01与模型对照比 表 7: 清肝化瘀胶嚢对小鼠四氯化碳急性肝损伤模型病理变化的影响 组別 剂量 动物
Figure imgf000022_0001
P值
*P<0.05, **P<0.01 vs. model control Table 7: Effect of Qinggan Huayu Capsule on Pathological Changes of Mouse Carbon Tetrachloride Acute Liver Injury Model Group Dose Animals
Figure imgf000022_0001
P value
 Number
( g/kg (只) - + ++ +++ ++++ <0.01 )  ( g/kg (only) - + ++ +++ ++++ <0.01 )
空白对照 一 8 8  Blank control one 8 8
模型对照 一 10 9 1  Model control one 10 9 1
清肝化疾股囊 0.9 10 1 9 >0.05 清肝化瘀胶囊 1.8 10 2 8 >0.05 清肝化瘀胶嚢 3.6 10 2 8 >0.05 联苯双酯 0.2 10 5 5 <0.05 Qinggan Huashi Capsule 0.9 10 1 9 >0.05 Qinggan Huayu Capsule 1.8 10 2 8 >0.05 Qinggan Huayu Capsule 3.6 10 2 8 >0.05 Biphenyldicarboxylate 0.2 10 5 5 <0.05
2.2对小鼠 D—半乳糖胺急性肝功能损伤的作用 2.2 The effect of D-galactosamine on acute liver function damage in mice
方法: 取小鼠 60只, 雌雄各半, 体重 20— 25g, 随机分为 6组, 每组 10只。空白对照组和模型对照组给予水;清肝化瘀胶嚢分三个剂量组: 0.9g、 1.8g和 3.6g/kg; 联苯双酯 0.2g/kg。 以上各组均灌胃给药, 容积 0.2ml/10g 体重, 一天一次, 连续 10天。  METHODS: Sixty mice, half male and half female, weighing 20-25 g, were randomly divided into 6 groups, 10 in each group. The blank control group and the model control group were given water; Qinggan Huayu gum was divided into three dose groups: 0.9g, 1.8g and 3.6g/kg; biphenyldicarboxylate 0.2g/kg. All the above groups were administered by intragastric administration, and the volume was 0.2 ml/10 g body weight once a day for 10 consecutive days.
于末次给药后 1小时, 除空白对照组外, 每鼠均腹腔注射 D—半乳糖 胺 650mg/kg, 20 小时后动脉放血处死小鼠, 收集血液分离血清, 按赖氏 法测定丙氨酸氨基转换酶(ALT )和天门冬氨酸氨基转换酶(AST )含量。 用 t检验比较空白对照组及各给药组与模型对照组间差异的显著性。  One hour after the last administration, each mouse was intraperitoneally injected with D-galactosamine 650 mg/kg except for the blank control group. After 20 hours, the mice were sacrificed by arterial bleeding, blood serum was collected, and alanine was determined by the Reid method. Amino converting enzyme (ALT) and aspartate amino converting enzyme (AST) content. The significance of the difference between the blank control group and each of the drug-administered groups and the model control group was compared by t test.
结果: 模型组的 ALT及 AST含量均较空白对照组显著增高, 表明模 型成功。 清肝化瘀胶嚢 0.9g、 1.8g和 3.6g/kg组 ALT含量均较模型对照组 显著为低( PO.05 ); 1.8g/kg尚可显著降低 AST含量( PO.05 )。 联苯双酯 9 Results: The ALT and AST contents of the model group were significantly higher than those of the blank control group, indicating that the model was successful. The ALT levels in the 0.9g, 1.8g and 3.6g/kg groups of Qinggan Huayu Capsule were significantly lower than those in the model control group (PO.05); 1.8g/kg could significantly reduce the AST content (PO.05). Biphenyl diester 9
-21- 组 ALT含量亦显著较模型对照组为低(PO.05, 表 8)。 The ALT content of the -21- group was also significantly lower than that of the model control group (PO.05, Table 8).
表 8: 清肝化瘀胶囊对小鼠 D-~ ^乳糖胺急性肝功能损伤的作用 组别 剂量 动物数 ALT (x±s) AST(x±s) (u)  Table 8: Effect of Qinggan Huayu Capsule on acute liver function damage of D-~^lactosamine in mice Group dose Number of animals ALT (x±s) AST(x±s) (u)
(g/kg) (只) (u)  (g/kg) (only) (u)
空白对照 一 10 55±17 355±51 模型对照 一 10 233±53 605±196 清肝化瘀胶嚢 0.9 10 188±40* 519土 52 清肝化痴胶嚢 1.8 10 183±47* 462士 58* 清肝化痴股囊 3.6 10 180土 49* 473± 86  Blank control one 10 55±17 355±51 model control one 10 233±53 605±196 Qinggan Huayu gelatin 0.9 10 188±40* 519 soil 52 Qingganhuaji gelatin 101.8 10 183±47* 462士58 * Qinggan Huaqi sac 3.6 10 180 soil 49* 473± 86
联苯双酯 0.2 10 190±24* 603± 69  Biphenyl diester 0.2 10 190±24* 603± 69
*Ρ<0.05, **Ρ<0.01与模型对照比  *Ρ<0.05, **Ρ<0.01 vs. model control
2.3对大鼠四氯化碳†曼性肝损伤的影响  2.3 Effects of tetrachloroethylene on human liver injury in rats
方法: 取 SD大鼠, 雄性 110只, 体重 225— 349g, 随机分为 6組, 除 空白对照组 10只外, 其余每组均 20只。 空白对照组和模型组给予水; 清 肝化瘀胶嚢分三个剂量组: 0.9g、 1.8g 和 3.6g/kg; 阳性对照药联苯双酯 0.1g/kg。 均灌胃给药, 容积 Iml/lOOg体重。 每天 1次, 连续 10周。 除空 白对照外, 每周 2次皮下注射 40%四氯化碳花生油溶液 3ml/kg, 连续 10 周。  Methods: SD rats, 110 males, weighing 225-349 g, were randomly divided into 6 groups. Except for 10 blank control groups, 20 rats in each group. The blank control group and the model group were given water; Qinggan Huayu capsule was divided into three dose groups: 0.9g, 1.8g and 3.6g/kg; and the positive control drug biphenyldicarboxylate 0.1g/kg. All were administered by intragastric administration, and the volume was Iml/lOOg body weight. Once a day for 10 consecutive weeks. In addition to the empty control, subcutaneous injection of 40% carbon tetrachloride peanut oil solution 3 ml/kg twice a week for 10 weeks.
于末次给药后次日,取血,按赖氏法测定天门冬氨酸氨基转换酶( AST ) 和丙氨酸氨基转换酶(ALT), 双缩脲法测定总蛋白 (TP), 溴曱盼绿法测 定白蛋白 (ALB)并计算白蛋白 /球蛋白比值(A/G)。 然后处死动物, 取肝 脏一小块,测定肝羟脯氨酸含量,最后用曱醛固定肝脏,石蜡包埋, Masson 染色, 居以下病理组织学分级标准打分(王宝恩等: 肝脏病杂志, 1993: 1: 69-72)。 0级: 肝组织正常 On the next day after the last administration, blood was taken, aspartic acid aminotransferase (AST) and alanine aminotransferase (ALT) were determined by the Reid method, and total protein (TP) and bromine were determined by biuret method. The green method was used to determine albumin (ALB) and the albumin/globulin ratio (A/G) was calculated. Then the animals were sacrificed, and a small piece of liver was taken to measure the content of hepatic hydroxyproline. Finally, the liver was fixed with furfural, embedded in paraffin, stained with Masson, and scored according to the following histological grading criteria (Wang Baoen et al.: Journal of Hepatology, 1993: 1: 69-72). Level 0: normal liver tissue
I级: 胶原纤维从汇管区或中心静脉向外延伸  Grade I: Collagen fibers extend outward from the portal or central vein
II级: 胶原纤维明显延伸, 但尚未相互连接包绕整个肝小叶  Grade II: Collagen fibers are clearly extended, but not yet connected to each other around the liver lobules
III级: 胶原纤维延伸连接, 包绕整个肝小叶  Grade III: Collagen fibers extend and connect, wrapping the entire liver lobules
IV级: 胶原纤维包绕分割肝小叶, 使正常肝小叶结构破坏, 假小叶形 成, 但以大、 方形^ _小叶为主  Grade IV: Collagen fibers surround the hepatic lobules, causing the destruction of normal hepatic lobule structures, pseudo-lobes, but large, square ^ _ leaflets
V级: 肝内布满小园形假小叶, 形成大方形及小园形假小叶各占 50% VI级: 肝内布满小园形假小叶, 假小叶间有粗大增生胶原纤维 病理分级用 Ridit检验, 其它指标均用 t检验, 比较各给药组与模型对 照組差别的显著性。  Grade V: The liver is covered with small rounded false leaflets, forming a large square and small rounded false leaflets each accounting for 50%. Grade VI: The liver is covered with small round pseudolobules, and there are coarse hyperplastic collagen fibers between the pseudolobes. Ridit test, other indicators were tested by t test, comparing the significance of each drug group and model control group.
结果: 1、 存活大鼠及体重: 首次注射 40%四氯化碳 3ml/kg,采用的是 腹腔注射, 3 日后出现大鼠死亡, 后改为皮下注射, 仍有部分死亡, 以模型 对照组死亡最多, 中剂量组死亡较少。 体重变化: 大剂量组体重较空白对照 组轻(P<0.05 ), 与模型对照组无区别。 见表 9。  Results: 1. Surviving rats and body weight: The first injection of 40% carbon tetrachloride 3ml/kg was performed by intraperitoneal injection. After 3 days, the rats died, and then changed to subcutaneous injection, and some deaths were still observed. The most deaths occurred, and the middle dose group died less. Body weight changes: The weight of the high-dose group was lighter than that of the blank control group (P<0.05), which was indistinguishable from the model control group. See Table 9.
表 9、 清肝化瘀胶嚢对大鼠给予四氯化碳存活数及体重的影响  Table 9. Effect of Qinggan Huayu Capsule on the survival and body weight of carbon tetrachloride in rats
组别 剂量 原始动物数 10周后动 原始体重 10周后体  Group doses Number of original animals 10 weeks later Moving original body weight 10 weeks later
( g/kg) (只) 物数(只) (g) 重 (g) 空白对照 一 10 10 281±28 358±38 模型对照 一 20 10 289±28 339±42 清肝化瘀胶嚢 0.9 20 12 286±27 338±35 清肝化瘀胶嚢 1.8 20 15 290±25 347±26 清肝化疾股嚢 3.6 20 13 287±25 325±26 联苯双酯 0.1 20 13 285±31 331±31  (g/kg) (only) Number of objects (only) (g) Weight (g) Blank control one 10 10 281±28 358±38 Model control one 20 10 289±28 339±42 Qinggan Huatan 嚢 0.9 20 12 286±27 338±35 Qinggan Huayujiao 1.8 20 15 290±25 347±26 Qinggan Huayu 嚢 20 20 20 287±25 325±26 Biphenyl diester 0.1 20 13 285±31 331±31
'PO.05与空白对照比 2、对转换酶的影响: 清肝化瘀胶嚢 1.8g和 3.6g/kg均可使四氯化碳升 高的 AST降低(P<0.05 )。 3.6g/kg可显著降低 ALT ( P<0.05 ), 联苯双酯 可使 AST和 ALT显著降低 (P<0.01)。 实验结果见表 10。 表 10、 清肝化瘀胶嚢对大鼠四氯化碳慢性肝损伤血清转换酶的影响 组別 剂量(g/kg ) 动物数 (只) ALT ( x±s ) ( u ) AST(x±s) ( u ) 空白对照 一 10 380±55 44±9 模型对照 一 10 589±49 138±34 清肝化瘀胶嚢 0.9 12 545±71 146±43 清肝化痴胶嚢 1.8 15 525±74* 149±52 清肝化瘀股嚢 3.6 13 530±47* 109±21* 联苯双酯 0.1 13 506±49 66±12'PO.05 compared with the blank control 2, the effect on the conversion enzyme: Qinggan Huayu gum 嚢 1.8g and 3.6g / kg can increase the AST of elevated carbon tetrachloride (P <0.05). 3.6g/kg significantly decreased ALT (P<0.05), and bifendate significantly decreased AST and ALT (P<0.01). The experimental results are shown in Table 10. Table 10. Effect of Qinggan Huatan Capsule on Serum Converting Enzymes in Rats with Carbon Tetrachloride Chronic Hepatic Injury Group Dose (g/kg) Number of Animals (only) ALT ( x ± s ) ( u ) AST ( x ± s) ( u ) blank control - 10 380 ± 55 44 ± 9 model control - 10 589 ± 49 138 ± 34 clear liver phlegm and blood stasis 嚢 0.9 12 545 ± 71 146 ± 43 Qinggan idiot 嚢 1.8 15 525 ± 74 * 149±52 Qinggan Huayu Quercus 3.6 13 530±47* 109±21* Biphenyldiester 0.1 13 506±49 66±12
*Ρ<0.05, **Ρ<0.01与模型对照比 *Ρ<0.05, **Ρ<0.01 vs. model control
3、 对血清蛋白质含量的影响: 各剂量清肝化瘀胶嚢及联苯双酯对血 清总蛋白 (TP )含量均无明显影响 (P>0.05); 3.6g/kg显著升高白蛋白含量 (P<0.01), A/G比值亦明显升高 (P<0.05), 联苯双酯对 ALB和 A/G比值无 影响, 实验结果见表 11。 39 3. Effect on serum protein content: Each dose of Qinggan Huatan capsule and bifendate had no significant effect on serum total protein (TP) content (P>0.05); 3.6g/kg significantly increased albumin content (P<0.01), the A/G ratio also increased significantly (P<0.05). Biphenyldiester had no effect on the ratio of ALB and A/G. The experimental results are shown in Table 11. 39
-24- 表 11、 清肝化瘀胶嚢对大鼠四氯化碳慢性肝损伤蛋白质含量的影响 组别 剂量 动物数 TP {≠) ALB(g/l) A/G比值 -24- Table 11. Effect of Qinggan Huayu Capsule on protein content of rat carbon tetrachloride chronic liver injury Group dose Number of animals TP {≠) ALB(g/l) A/G ratio
( g/kg) (只)  (g/kg) (only)
空白对照 一 10 69.1±5.8 44.1±2.7 1.84±0.41 模型对照 一 20 69.6±7.8 42.3=1=2.6 1.61±0.46 清肝化瘀肢嚢 0.9 12 62.8±8.4 41.9±4.2 2.59±1.68 清肝化瘀胶嚢 1.8 15 64.9±9.6 44.7±4.3 2.33±1.50 清肝化瘀胶囊 3.6 13 69.3±6.2 47.5±2.2 2.40±0.91* 联苯双酯 0.1 13 68.1±8.8 41.6±1.7 1.84±1.13 Blank control one 10 69.1±5.8 44.1±2.7 1.84±0.41 Model control one 20 69.6±7.8 42.3=1=2.6 1.61±0.46 Qinggan Huayu limb 嚢 0.9 12 62.8±8.4 41.9±4.2 2.59±1.68 Qinggan Huayu嚢1.8 15 64.9±9.6 44.7±4.3 2.33±1.50 Qinggan Huayu Capsule 3.6 13 69.3±6.2 47.5±2.2 2.40±0.91* Biphenyldiester 0.1 13 68.1±8.8 41.6±1.7 1.84±1.13
*P<0.05, **Ρ<0.01与模型对照比 *P<0.05, **Ρ<0.01 vs. model control
4、 对肝组织羟脯氨酸含量的影响: 清肝化瘀胶嚢 3.6g/kg可显著减少 被四氯化碳增高的肝组织羟脯氨酸含量( PO.05 ), 联苯双酯亦可显著降低 肝羟脯氨酸含量 (PO.05 ), 实验结果见表 12 4. Effect on the content of hydroxyproline in liver tissue: Qinggan Huatan 嚢 3.6g/kg can significantly reduce the hydroxyproline content of liver tissue increased by carbon tetrachloride (PO.05), biphenyl diester It can also significantly reduce hepatic hydroxyproline content (PO.05). The experimental results are shown in Table 12.
表 12、 清肝化瘀胶嚢对大鼠四氯化碳慢性肝损伤肝羟脯氨酸含量的影响 组别 剂量(g/kg ) 动物数 (只) 肝羟脯氨酸含量( x±s ) ( xg/kg ) 空白对照 一 10 34士 8**  Table 12. Effect of Qinggan Huatan Capsule on Hepatic Hydroxyproline Content in Rats with Chronic Hepatic Injury to Carbon Tetrachloride. Group Dose (g/kg) Number of Animals (only) Hepatic hydroxyproline content (x±s ) ( xg/kg ) blank control one 10 34 ± 8**
模型对照 一 10 66±18  Model control 1 10 66±18
清肝化瘀胶嚢 0.9 12 58±16  Qinggan Huayujiao 0.9 12 58±16
清肝化瘀胶嚢 1.8 15 56±17  Qinggan Huayu Capsule 1.8 15 56±17
清肝化瘀胶囊 3.6 13 52±13*  Qinggan Huayu Capsule 3.6 13 52±13*
联苯双酯 0.2 13 50±12*  Biphenyl diester 0.2 13 50±12*
*P<0.05, **P<0.01与模型对照比 5、 肝組织病理检查: 模型对照组可见肝小叶结构完全破坏, 形成大 方形及园形假小叶约各占一半。 清肝化瘀胶嚢 1.8g和 3.6g/kg组可见肝胶 原纤维延伸, 尚未或已相互接连包绕整个肝小叶, 有的胶原纤维包绕分割 肝小叶, 使正常肝小叶结构破坏, 形成假小叶。 按组织学分级标准打分, 并按 Ridit检验其显著性。 与模型对照相比, 空白对照组、 L8g及 3.6g/kg 具有统计学显箸性(PO.05和 0.01 ), 实验结果见表 13。 表 13、 清肝化瘀胶嚢对大鼠四氯化碳损伤肝脏病理学分级的影响 *P<0.05, **P<0.01 vs. model control 5. Pathological examination of liver tissue: In the model control group, the structure of the hepatic lobule was completely destroyed, and the large square and round pseudolobules formed about half each. The hepatic collagen fibers were observed in the 1.8g and 3.6g/kg groups of Qinggan Huayu Capsule. They had not been or had been wrapped around the entire liver lobules. Some collagen fibers wrapped around the hepatic lobules to destroy the normal hepatic lobule structure. Leaflet. The scores were scored according to the histological grading criteria and their significance was tested by Ridit. Compared with the model control, the blank control group, L8g and 3.6g/kg were statistically significant (PO.05 and 0.01), and the experimental results are shown in Table 13. Table 13. Effect of Qinggan Huayu Capsule on Liver Pathology Grading of Carbon Tetrachloride Injury in Rats
组别 剂量 动物数 病理学分级 P值 Group dose number of animals pathological grade P value
( g/kg ) (只) 0 I II III IV V VI  ( g/kg ) (only) 0 I II III IV V VI
空白对照 - ^ 10 10 <0.01 模型对照 一 2 2 6 Blank control - ^ 10 10 <0.01 model control 1 2 2 6
清肝化瘀胶嚢 0.9 12 1 7 4 >0.05 清肝化瘀胶嚢 1.8 15 3 3 4 4 1 <0.05 清肝化瘀股嚢 3.6 13 1 2 4 5 1 <0.05 联苯双酯 0.1 13 1 2 6 4 >0.05 2.4结论: 对小鼠四氯化碳急性肝功能损伤, 清肝化瘀胶嚢 1.8g/kg可 降低 ALT ( P<0.05 ), 对肝组织损伤略有减轻作用。 对 D—半乳糖胺小鼠急 性肝功能损伤, 清肝化瘀胶嚢 0.9g、 1.8g和 3.6g/kg可降低 ALT ( P<0.05 ); 1.8g/kg可降低 AST ( P<0.05 )。 对大鼠四氯化碳慢性肝功能损伤, 清肝化 瘀胶嚢 1.8g和 3.6g/kg可降低 AST( P<0.05 ), 3.6g/kg可降低 ALT( P<0.05 ); 清肝化瘀胶嚢 3.6g/kg可提高血清 ALB含量( P<0.05 )及 A/G比值( P<0.05 ); 降低肝组织羟脯氨酸含量(P<0.05 ); 对肝脏病理学分级, 清肝化瘀胶嚢 1.8g和 3.6g/kg可明显减轻病变程度 ( P<0.05 )。 Qinggan Huayujiao 0.9 12 1 7 4 >0.05 Qinggan Huayujiao 1.8 15 3 3 4 4 1 <0.05 Qinggan Huayu Quercus 3.6 13 1 2 4 5 1 <0.05 Biphenyldiester 0.1 13 1 2 6 4 >0.05 2.4 Conclusion: In the acute liver function damage of mice with carbon tetrachloride, Qinggan Huayu capsule 嚢1.8g/kg can reduce ALT (P<0.05), and slightly relieve liver tissue damage. Acute liver function damage in D-galactosamine mice, Qinggan Huayu capsules 0.9g, 1.8g and 3.6g/kg can reduce ALT (P<0.05); 1.8g/kg can decrease AST (P<0.05) . Chronic liver function damage to rats with carbon tetrachloride, Qinggan Huayu capsule 嚢1.8g and 3.6g/kg can reduce AST (P<0.05), 3.6g/kg can decrease ALT (P<0.05); Gelatin 嚢 3.6g / kg can increase serum ALB content (P <0.05) and A / G ratio (P <0.05); The hydroxyproline content in liver tissue was decreased (P<0.05). The liver pathological grade, Qinggan Huayu capsule 嚢1.8g and 3.6g/kg could significantly reduce the degree of lesion (P<0.05).

Claims

权 利 要 求 Rights request
1. 一种治疗肝纤维化的药物组合物,其特征在于它主要是由下列重量 份的原料药制成: 龙胆 10~30份、 莪术(醋制) 20~40份、 黄芩 30~50份、 三棱(醋制) 15〜35份、 丹参 25~45份、 白术 15~35份、 黄芪 10~30份。 A pharmaceutical composition for treating liver fibrosis, characterized in that it is mainly prepared from the following raw materials of weight: 10 to 30 parts of gentian, 20 to 40 parts of medlar (vinegar), 30 to 50 of jaundice Parts, three edges (vinegar) 15~35 parts, salvia miltiorrhiza 25~45 parts, atractylodes 15~35 parts, astragalus 10~30 parts.
2. 根据权利要求 1所述的药物组合物, 其中各原料药的用量为: 龙胆 20份、 莪术(醋制) 30份、 黄芩 40份、 三棱(醋制) 25份、 丹参 35份、 白术 25份、 黄芪 20份。  2. The pharmaceutical composition according to claim 1, wherein the amount of each drug substance is: 20 parts of gentian, 30 parts of medlar (vinegar), 40 parts of astragalus, 25 parts of trigonal (vinegar), 35 parts of salvia miltiorrhiza 25 Atractylodes and 20 Astragalus.
3.根据权利要求 1或 2所述的药物组合物,其中原料药还含有陈皮 10 - 30份和虎杖 10 - 30份。  The pharmaceutical composition according to claim 1 or 2, wherein the drug substance further comprises 10 - 30 parts of dried tangerine peel and 10 - 30 parts of Polygonum cuspidatum.
4.根据权利要求 3所述的药物组合物, 其中陈皮的用量为 20份, 虎 杖的用量为 20份。  The pharmaceutical composition according to claim 3, wherein the amount of dried tangerine peel is 20 parts, and the amount of tiger stick is 20 parts.
5.根据权利要求 1或 2所述的药物组合物, 其中原料药还含有甘草 5 - 15份。  The pharmaceutical composition according to claim 1 or 2, wherein the drug substance further contains 5 to 15 parts of licorice.
6.根据权利要求 5所述的药物组合物, 其中甘草的用量为 10份。 The pharmaceutical composition according to claim 5, wherein the licorice is used in an amount of 10 parts.
7. 权利要求 1所述药物组合物的制备方法, 包括下列步骤: a. 莪术(醋制)、 白术用水蒸汽蒸馏法提取, 收集挥发油, 备用, 挥 发油也可以用 β -环糊精包合后备用, 蒸馏后的水溶液另器收集; 7. The method for preparing a pharmaceutical composition according to claim 1, comprising the steps of: a. extracting from sputum (vinegar), atractylodes water vapor distillation, collecting volatile oil, and preparing for use, and volatile oil may also be prepared by β-cyclodextrin inclusion. Using, the distilled aqueous solution is collected separately;
b. 黄芩、 三棱(醋制)、 黄芪、 丹参加水回流提取, 合并提取液, 滤 过, 滤液与步骤 a中得到的水溶液合并, 浓缩, 加乙醇, 冷藏过夜, 滤过, 上清液备用;  b. Astragalus, Sanling (vinegar), Astragalus, Dan are taken in water reflux extraction, the extracts are combined, filtered, and the filtrate is combined with the aqueous solution obtained in step a, concentrated, ethanol added, refrigerated overnight, filtered, supernatant Standby
c 龙胆加乙醇加热回流, 提取液滤过, 滤液与步骤 b中得到的上清液 合并, 回收乙醇至无醇味, 浓缩;  c gentian and ethanol are heated to reflux, the extract is filtered, and the filtrate is combined with the supernatant obtained in step b, and the ethanol is recovered to an alcohol-free taste and concentrated;
d. 将步驟 a中得到的挥发油或挥发油的 β -环糊精包合物和步骤 c中得 到的浓缩物合并。 d. Combine the β-cyclodextrin inclusion compound of the volatile oil or volatile oil obtained in the step a and the concentrate obtained in the step c.
8.权利要求 7所述的方法, 其中在步骤 a中加入陈皮, 并且在步骤 b 中加入虎杖。 8. The method of claim 7 wherein the tangerine peel is added in step a and the knotweed is added in step b.
9.权利要求 8所述的方法, 其中在步骤 b中加入甘草。  9. The method of claim 8 wherein licorice is added in step b.
10.权利要求 7所述的方法, 其中将步骤 d中得到的组合物与各种药 用辅料, 以常规的中药制剂方法制备成任意口服剂型。  The method according to claim 7, wherein the composition obtained in the step d and various pharmaceutical excipients are prepared into any oral dosage form by a conventional Chinese medicine preparation method.
PCT/CN2005/001439 2004-09-10 2005-09-09 A medicinal composition for treating hepatic fibrosis and its preparation WO2006026926A1 (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9434695B2 (en) 2012-07-18 2016-09-06 Sunshine Lake Pharma Co., Ltd Nitrogenous heterocyclic derivatives and their application in drugs
CN113499377A (en) * 2021-04-23 2021-10-15 黑龙江中医药大学 Composition with auxiliary blood fat reduction and chemical liver injury protection effects and preparation method and application thereof
CN114470094A (en) * 2022-02-28 2022-05-13 首都医科大学 Traditional Chinese medicine composition for promoting mesenchymal stem cells to resist hepatic fibrosis and preparation method thereof
CN115380998A (en) * 2022-05-17 2022-11-25 西北工业大学 Novel total mixed ration formula for dairy goat capable of obtaining goat milk with natural function of improving human hepatic fibrosis

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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CN104873665A (en) * 2015-05-28 2015-09-02 陈爱华 Medicine for treating hepatic fibrosis
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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1486736A (en) * 2003-08-19 2004-04-07 黄资源 A Chinese medicinal composition for treating hepatic fibrosis and liver cirrhosis, KANGJINRUANGGAN pill

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1110314C (en) * 1999-01-21 2003-06-04 赵承文 Recovery powder for heptitis C
CN1413606A (en) * 2001-10-24 2003-04-30 邓大勇 Medicine for treatment of hepatitis

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1486736A (en) * 2003-08-19 2004-04-07 黄资源 A Chinese medicinal composition for treating hepatic fibrosis and liver cirrhosis, KANGJINRUANGGAN pill

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
LIANGWEI L.: "Treatment and Analysis of Hepatic Fibrosis.", JOURNAL OF ZHEJIANG COLLEGE OF TCM., vol. 25, no. 2, April 2001 (2001-04-01), pages 3 - 5 *

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CN113499377A (en) * 2021-04-23 2021-10-15 黑龙江中医药大学 Composition with auxiliary blood fat reduction and chemical liver injury protection effects and preparation method and application thereof
CN113499377B (en) * 2021-04-23 2023-03-17 黑龙江中医药大学 Composition with auxiliary blood fat reduction and chemical liver injury protection effects and preparation method and application thereof
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CN115380998B (en) * 2022-05-17 2023-07-07 西北工业大学 Can obtain the milk goat total mixed ration for improving the natural function goat milk of human liver fibrosis

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