WO2010051683A1 - 一种治疗急性肠炎和痢疾的组合物 - Google Patents

一种治疗急性肠炎和痢疾的组合物 Download PDF

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WO2010051683A1
WO2010051683A1 PCT/CN2009/001034 CN2009001034W WO2010051683A1 WO 2010051683 A1 WO2010051683 A1 WO 2010051683A1 CN 2009001034 W CN2009001034 W CN 2009001034W WO 2010051683 A1 WO2010051683 A1 WO 2010051683A1
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parts
composition
palmatine
daidzin
puerarin
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PCT/CN2009/001034
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English (en)
French (fr)
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张贵君
罗立宇
崔向微
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北京宏泰康达医药科技有限公司
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Publication of WO2010051683A1 publication Critical patent/WO2010051683A1/zh

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/351Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom not condensed with another ring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/352Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4375Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7028Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
    • A61K31/7034Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
    • A61K31/704Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin attached to a condensed carbocyclic ring system, e.g. sennosides, thiocolchicosides, escin, daunorubicin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7048Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • 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
    • A61P1/12Antidiarrhoeals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • Composition for treating acute enteritis and dysentery is provided.
  • the present application relates to the field of traditional Chinese medicine, and in particular to a composition for treating acute enteritis and dysentery. Background technique
  • Acute enteritis also known as acute gastroenteritis
  • Dysentery the ancient name of the intestines, stagnation. It is one of the acute intestinal infectious diseases. Chinese medicine believes that the disease is caused by the heat of the outside, the gas of the epidemic, the coldness of the internal injury, the damage to the spleen and stomach and the viscera, which belongs to the category of "intestinal diarrhea and dysentery”.
  • the dysentery is also ill, so there is no disease, no sputum, and sputum is wet, hot, and food.”
  • the treatment we should adopt the method of syndrome differentiation and treatment, "Jing Yue Quanshu""Cloud:”Where is the cure for dysentery, the most discerning In fact, the difference between cold and heat, the biggest relationship between this diarrhea, if the four are unknown, it is easy to kill. ", therefore, the disease is the first to distinguish cold, heat, deficiency, and reality.
  • abdominal pain, urgency, sputum, and sputum the clinical symptoms are fever, abdominal pain, urgency, and stool pus. Infected with epidemic disease, rapid onset, accompanied by sudden high fever, dizzy, horrified, for the epidemic.
  • the technical problem to be solved by the present application is to provide a composition preparation which is effective for treating acute enteritis and dysentery.
  • the present application discloses a composition for treating acute enteritis and dysentery, which is prepared by the following parts by weight ratio: puerarin 20-70 parts, daidzin 1-20 parts, baicalin 1-20 Serving, berberine 1-30 parts, palmatine 1-10 parts, ketone base 1-10 parts, glycyrrhizic acid 1-15 parts, glycyrrhizin 1-15 parts.
  • the composition for treating acute enteritis and dysentery may also be: puerarin 30-60 parts, daidzin 5-15 parts, baicalin 5-15 parts, berberine 2-8 parts , 3-8 parts of palmatine, 2-9 parts of jatrorrhizine, 3-13 parts of glycyrrhizic acid, 4-13 parts of glycyrrhizin.
  • the composition for treating acute enteritis and dysentery may also be: puerarin 40-50 parts, daidzin 8-13 parts, baicalin 7-12 parts, berberine 3-7 parts 4-7 parts of palmatine, 3-6 parts of jatrorrhizine, 5-11 parts of glycyrrhizic acid, 6-12 parts of glycyrrhizin.
  • the composition for treating acute enteritis and dysentery is: puerarin 45 parts, daidzin 11 parts, baicalin 9 parts, berberine 5 parts, palmatine 6 parts, medicine root 4 parts of base, 8 parts of glycyrrhizic acid, 9 parts of glycyrrhizin.
  • the composition for treating acute enteritis and dysentery described above characterized in that the composition is formulated into a tablet, an oral solution, a granule, a hard capsule, a soft capsule, a pill or a pill.
  • composition described above for use in the treatment of acute enteritis and dysentery.
  • composition of the present application has a definite curative effect, and the external dissolving muscles are evil to dissipate heat.
  • the heat of the inner clearing Yangming, the spleen and stomach spleen and stomach stagnation and stagnation of Shengjin, and the thick intestines stop phlegm.
  • a composition for treating acute enteritis and dysentery with a specific curative effect is 45 parts of puerarin, 11 parts of daidzin, 9 parts of baicalin, 5 parts of berberine, 6 parts of palmatine, medicine 4 parts of root base, 8 parts of glycyrrhizic acid, 9 parts of glycyrrhizin.
  • Case 1 Ms. Feng, 27 years old, complained of symptoms: nausea and vomiting, followed by diarrhea, watery stool, malodor, abdominal cramps, body aches, diagnosis of acute enteritis.
  • composition of the present application may also be in the following parts by weight ratio: 70 parts of puerarin, 20 parts of daidzin, 20 parts of baicalin, 30 parts of berberine, 10 parts of palmatine, 10 parts of jatrorrhizine, glycyrrhizic acid 15 Serve, 15 parts of glycyrrhizin.
  • Case 2 Mr. Yang, 20 years old, complained of symptoms: fever, body temperature up to 39 ° C, accompanied by nausea and vomiting, abdominal pain, diarrhea, stool more than 10 times a day, initially loose stool, followed by pus and blood, lower left abdomen tenderness With the bowel sounds hyperthyroidism, the urgency is heavy. The clinical diagnosis is dysentery.
  • composition of the present application may also be in the following parts by weight ratio: 20 parts of puerarin, 1 part of daidzin, 1 part of baicalin, 1 part of berberine, 1 part of palmatine, 1 part of jatrorrhizine, glycyrrhizic acid 1 Serve, 1 part of glycyrrhizin.
  • the oral liquid prepared by this application was effective after 2 days, the abdominal pain was relieved, the vomiting was stopped, and after 6 days, the blood in the stool disappeared, the number of bowel movements was reduced to 3 to 4 times, the symptoms were reduced, and the symptoms disappeared completely after 6 days.
  • composition of the present application may also be in the following parts by weight ratio: 50 parts of puerarin, 15 parts of daidzin, 10 parts of baicalin, 10 parts of berberine, 6 parts of palmatine, 5 parts of jatrorrhizine, glycyrrhizic acid 7 Serve, 6 parts of glycyrrhizin.
  • Treatment Using the hard capsules made in this application, taking 2 days, the symptoms are alleviated, the number of bowel movements is reduced to 2 times, and after 7 days, the symptoms disappear.

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Description

一种治疗急性肠炎和痢疾的组合物 相关申请
本申请要求 2008 年 11 月 07 日提交的中国发明专利申请号 200810225958.5, 名称为 "一种治疗急性肠炎和痢疾的组合物" 的优先权, 其 作为整体在此引入作为参考。 技术领域
本申请涉及中药领域, 尤其涉及一种治疗急性肠炎和痢疾的组合物。 背景技术
急性肠炎又称急性胃肠炎, 是夏秋季的常见病、 多发病。 是由于 食进含有病原菌及其毒素的食物, 或饮食不当, 如过量的有刺激性的 不易消化的食物而引起的胃肠道粘膜的急性炎症性改变。 主要表现 为恶心、 呕吐、 腹痛、 腹泻; 发热等, 严重者可致脱水、 电解质紊 乱、 休克等。 病人多表现为恶心、 呕吐在先; 继以腹泻, 每日 3— 5次 甚至数十次不等, 大便多呈水样, 深黄色或带绿色, 恶臭, 可伴有腹 部绞痛、 发热、 全身酸痛等症状。
痢疾, 古称肠辟、 滞下。 为急性肠道传染病之一。 中医认为, 本 病多因外受湿热、 疫毒之气, 内伤饮食生冷, 损伤脾胃及脏腑而成, 属于"肠辟、 痢疾"范畴。 《素问 ·太阴阳明论》 云:"饮食不节, 起居不 时 ......下为飨泄, 久为肠辟。 ", 《证治汇补》 指出: "肠辟者, 谓湿热 积于肠中.即今痢疾也, 故曰无疾不成痢, 痢乃湿、 热、 食积三者"。 在 治疗上应采取辨证论治的方法, 《景岳全书》 '云: "凡治痢疾, 最当察虚 实, 辨寒热, 此泻痢最大关系, 若四者不明, 则杀人甚易也。 ", 故本 病辨证首辨寒、 热、 虚、 实, 临证当据腹痛、 里急后重、 痢色, 并参 合舌脉而辨, 临床以发热、 腹痛、 里急后重、 大便脓血为主要症状。 若感染疫毒, 发病急剧, 伴突然高热, 神昏、 惊厥者, 为疫毒痢。 痢 疾初起, 先见腹痛, 继而下痢, 日夜数次至数十次不等。 多发于夏秋 季节, 由湿热之邪, 内伤脾胃, 致脾失健运, 胃失消导, 更挟积滞, 酝酿肠道而成。 发明的公开
本申请所要解决的技术问题在于, 提供一种治疗急性肠炎和痢 疾, 疗效确切的组合物制剂。
为解决上述技术问题, 本申请公开了一种治疗急性肠炎和痢疾的 组合物, 由下列成分重量份数比制成: 葛根素 20-70份, 黄豆苷 1-20 份, 黄芩苷 1-20份, 小檗碱 1-30份, 巴马汀 1-10份, 药根碱 1-10 份, 甘草酸 1-15份, 甘草苷 1-15份。
所述治疗急性肠炎和痢疾的组合物, 各成分的重量份数比还可以 为: 葛根素 30-60份, 黄豆苷 5-15份, 黄芩苷 5-15份, 小檗碱 2-8 份, 巴马汀 3-8份, 药根碱 2-9份, 甘草酸 3-13份, 甘草苷 4-13份。
所述治疗急性肠炎和痢疾的组合物, 各成分的重量份数比还可以 为: 葛根素 40-50份, 黄豆苷 8-13份, 黄芩苷 7-12份, 小檗碱 3-7 份, 巴马汀 4-7份, 药根碱 3-6份, 甘草酸 5-11份, 甘草苷 6-12份。
所述治疗急性肠炎和痢疾的组合物, 各成分的重量份数比为: 葛 根素 45份, 黄豆苷 11份, 黄苓苷 9份, 小檗碱 5份, 巴马汀 6份, 药 根碱 4份, 甘草酸 8份, 甘草苷 9份。 以上所述治疗急性肠炎和痢疾的组合物, 其特征在于, 所述组合 物制成片剂、 口服液、 颗粒剂、 硬胶囊剂、 软胶囊剂、 滴丸剂或丸 剂。
以上所述的组合物, 用于治疗急性肠炎和痢疾的药物用途。
本申请的组合物疗效确切, 外解肌表之邪以散热., 内清阳明之 热, 升发脾胃清阳之气止泻生津, 厚肠止痢。 实施发明的方式
以下列举实施例进一步对本申请加以详细说明:
实施例 1 :
一种治疗急性肠炎和痢疾, 疗效确切的组合物, 各成分的重量份 数比为葛根素 45份, 黄豆苷 11份, 黄芩苷 9份, 小檗碱 5份, 巴马汀 6份, 药根碱 4份, 甘草酸 8份, 甘草苷 9份。
病例 1 : 冯女士, 27岁, 主诉症状为: 恶心呕吐, 继以腹泻多 次, 大便多呈水样, 恶臭, 伴有腹部绞痛, 全身酸痛, 诊断为急性肠 炎。
治疗: 使用本申请制成的颗粒剂, 2天后见效, 腹泻症状减轻, 继 续服用 4天, 症状完全消失。
实施例 2:
本申请组合物配方还可以按以下重量份数比: 葛根素 70份, 黄豆 苷 20份, 黄芩苷 20份, 小檗碱 30份, 巴马汀 10份, 药根碱 10份, 甘草酸 15份, 甘草苷 15份。 病例 2: 杨先生, 20岁, 主诉症状为:发烧, 体温达 39°C, 伴有 恶心呕吐, 腹痛腹泻症状, 大便每日 10次以上, 初为稀便, 继呈脓血 便, 左下腹压痛伴肠鸣音亢进, 里急后重明显。 临床诊断为痢疾。
治疗: 使用本申请制成的滴丸剂, 3天后见效, 腹泻症状减轻, 便 血基本消失, 继续服用 6天后, 症状完全消失。
实施例 3 :
本申请组合物配方还可以按以下重量份数比: 葛根素 20份, 黄豆 苷 1份, 黄芩苷 1份, 小檗碱 1份, 巴马汀 1份, 药根碱 1份, 甘草酸 1份, 甘草苷 1份。
病例 3 赵先生, 42岁, 主诉症状为:发烧, 体温高达 40°C, 呕 吐, 腹痛, 里急后重明显, 排脓血便, 每日达数 10次, 并出现脱水症 状, 临床诊断为重型痢疾。
治疗: 使用本申请制成的口服液, 2天后见效, 腹痛减轻, 停止呕 吐, 继续服用 6天后, 便血消失, 排便次数减少至 3〜4次, 症状减 轻, 继续服用 6天后症状完全消失。
实施例 4:
本申请组合物配方还可以按以下重量份数比: 葛根素 50份, 黄豆 苷 15份, 黄芩苷 10份, 小檗碱 10份, 巴马汀 6份, 药根碱 5份, 甘 草酸 7份, 甘草苷 6份。
病例 4 李女士, 34岁, 主诉症状为:呕吐, 腹痛, 里急后重明 显, 大便多呈水样, 深黄色, 每日达数 4次, 临床诊断为急性肠炎。
治疗: 使用本申请制成的硬胶囊, 服用 2天, 症状减轻, 排便次 数减少至 2次, 服用 7天后, 症状消失。

Claims

权利要求
1. 一种治疗急性肠炎和痢疾的组合物, 其特征在于, 由下列成分 重量份数比制成: 葛根素 20-70份, 黄豆苷 1-20份, 黄芩苷 1-20份, 小檗碱 1-30份, 巴马汀 1-10份, 药根碱 1-10份, 甘草酸 1-15份, 甘 草苷 1-15份。
2. 根据权利要求 1所述的组合物, 其特征在于, 由下列成分重量 份数比制成: 葛根素 30-60份, 黄豆苷 5-15份, 黄芩苷 5-15份, 小檗 碱 2-8份, 巴马汀 3-8份, 药根碱 2-9份, 甘草酸 3-13份, 甘草苷 4-13 份。
3. 根据权利要求 1所述的组合物, 其特征在于, 由下列成分重量 份数比制成: 葛根素 40-50份, 黄豆苷 8-13份, 黄芩苷 7-12份, 小檗 碱 3-7份, 巴马汀 4-7份, 药根碱 3-6份, 甘草酸 5-11份, 甘草苷 6-12 份。
4. 根据权利要求 1所述的组合物, 其特征在于, 由下列成分重量 份数比制成: 葛根素 45份, 黄豆苷 11份, 黄芩苷 9份, 小檗碱 5份, 巴马汀 6份, 药根碱 4份, 甘草酸 8份, 甘草苷 9份。
5. 根据权利要求 1-4中任一项所述的组合物, 其特征在于, 所述 组合物制成片剂、 口服液、 颗粒剂、 硬胶囊剂、 软胶囊剂、 滴丸剂或 丸剂。
6. 权利要求 1-4中任一项所述的组合物在制备治疗急性肠炎和痢 疾的药物中的应用。
PCT/CN2009/001034 2008-11-07 2009-09-15 一种治疗急性肠炎和痢疾的组合物 WO2010051683A1 (zh)

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