WO2013004177A1 - Composition of active ingredient of traditional chinese medicine and use thereof - Google Patents

Composition of active ingredient of traditional chinese medicine and use thereof Download PDF

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Publication number
WO2013004177A1
WO2013004177A1 PCT/CN2012/078139 CN2012078139W WO2013004177A1 WO 2013004177 A1 WO2013004177 A1 WO 2013004177A1 CN 2012078139 W CN2012078139 W CN 2012078139W WO 2013004177 A1 WO2013004177 A1 WO 2013004177A1
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group
composition
geniposide
rats
parts
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PCT/CN2012/078139
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French (fr)
Chinese (zh)
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杨洪军
李韶菁
王永炎
黄璐琦
付梅红
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中国中医科学院中药研究所
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Priority to CN201280002968.7A priority Critical patent/CN103108639B/en
Publication of WO2013004177A1 publication Critical patent/WO2013004177A1/en

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    • 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
    • A61K31/33Heterocyclic 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
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/4738Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4741Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having oxygen as a ring hetero atom, e.g. tubocuraran derivatives, noscapine, bicuculline
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

Definitions

  • the present invention relates to a traditional Chinese medicine active ingredient composition
  • a traditional Chinese medicine active ingredient composition comprising geniposide or geniposide, berberine, ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition.
  • the invention further relates to the use of the composition for the manufacture of a medicament for the treatment or prevention of brain and nerve damage, neurodegenerative encephalopathy, bacterial or viral encephalitis, or depression. Background technique
  • Traditional Chinese medicine theory attaches importance to the overall concept and syndrome differentiation.
  • Traditional Chinese medicine theory believes that qi deficiency and blood stasis is an important pathogenesis of stroke.
  • Qi deficiency is the basis of this disease.
  • Blood stasis is the basic pathogenesis of this disease. It is the core of the disease's development and development. The basic method of treating this disease.
  • Qi deficiency and blood stasis are only seen in the traditional sequelae of sequelae. Yiqihuoxue method is only used for sequelae patients.
  • SD Senile dementia
  • Alzheimer disease Alzheimer disease
  • AD Alzheimer's disease
  • AD central nervous system degenerative disease characterized by progressive cognitive impairment and memory impairment, with varying degrees of abnormalities in sports, cognition, language, and personality.
  • the clinical manifestation of AD is dementia syndrome, characterized by memory loss and personality degeneration.
  • the main pathological changes in AD are cerebral cortical atrophy, loss of nerve cells and synapses, neurofibrillary tangles, extracellular senile plaques, and cerebral vascular amyloidosis. There is currently no fundamental treatment for Alzheimer's disease.
  • the current molecular mechanisms and related botanicals for the treatment of senile dementia are: 1) acetylcholinesterase inhibitor scutellarin; 2) excitatory amino acid and peptide transmitter regulators, such as auxin; 3) interference with beta-starch Protein ( ⁇ ) fiber formation and deposition, such as ginkgo flavonoids, salvianolic acid, emodin, timosaponin and so on.
  • Antioxidant and free radical scavenging drugs Salvia miltiorrhiza water extract salvianolic acid, tea extract tea polyphenols, Ginkgo biloba extract, ginsenoside, ginkgolides, etc.; 5) Improve microcirculation, such as tanshinone and danshensu ; 6) Calcium antagonists, such as apigenin.
  • Vascular Dementia is a general term for dementia syndrome caused by brain damage caused by a series of cerebrovascular factors. It is mainly caused by memory and cognitive dysfunction on the basis of cerebrovascular disease, or A disease associated with acquired intelligence, continuous impairment of language, spatial skills, and emotional or personality disorders. Clinically, it is characterized by memory loss, calculation, judgment, orientation and other progressive mental and behavioral disorders. It is a common disease and frequently-occurring disease in the middle-aged and elderly population. The exact pathological mechanism of VD is not fully understood. It is generally believed that cerebrovascular disease causes local brain tissue inflammation, metabolic disorders and oxidative stress loss, damages brain tissue of sufficient capacity, and seriously impairs advanced neurological functions such as memory and cognition.
  • the traditional Chinese medicine compound for treating VD is: Huanglian Jiedu Decoction, Danggui Shaoyao San, Dihuang Yinzi, Tianzhi Granule, Congsheng Capsule, Shenmao Yizhi Capsule, Liuwei Dihuang Decoction, Jiawei Guipi Decoction, Buyang Huanwu Decoction, etc.
  • the use of Yiqi, detoxification and related Chinese medicine has not been reported.
  • Parkinson disease also known as tremor paralysis
  • tremor paralysis is a common central nervous system disease in middle-aged and elderly people.
  • the clinical manifestations include static tremor, bradykinesia, myotonia and posture gait abnormalities.
  • the pathogenesis is a dopaminergic (DA) neurological disorder in the central nigrostriatal pathway, leading to a loss of striatum DA, causing somatic motor dysfunction.
  • DA dopaminergic
  • acetylcholine is overexcited, and the two transmitters lose balance, causing nerves and muscle tissue to involuntarily produce symptoms such as rigidity and tremor.
  • there is no cure for Parkinson's disease there is no cure for Parkinson's disease.
  • the western medicine levodopa (Medopa), bromocriptine, and ergocarpine are commonly used drugs in the clinic, but the effect is unstable, the side effects are large, and the long-term efficacy is not certain.
  • Commonly used traditional Chinese medicine treatment methods and commonly used drugs are as follows: 1) Bugan deficiency, Zhengan Xifeng: Tianma, antler gum, asparagus, Ophiopogon japonicus, armor, turtle shell, raw white peony, licorice, etc.; 2) kidney deficiency Filling the qi and qi: ⁇ , Schisandra; 3) Complementing the blood, but also replenishing the brain: using Dayun, Angelica, longan meat, jujube, etc.; 4) Promoting blood circulation: Sanqi, pangolin, salvia, scorpion .
  • Chen Jianzong et al. found that Chinese herbal medicines consisting of medlar, Cistanche, and Polygonum multiflorum can improve the content of DA, 3, 4-dihydroxyphenylacetic acid (DOPAC), NE, 5-HT in the striatum of PD rats. It has a certain protective effect on the nucleus of the substantia nigra, blue spot, and dorsal nucleus (Chen Jianzong, Guo Jianying, Sun Jing, etc., 40 cases of vascular Parkinson's syndrome treated by Peibu Ganshen Qufeng Tongluo Method, Journal of Traditional Chinese Medicine , 2002, 43(7): 528-529). He Jiancheng et al.
  • Chinese herbal medicines with yin and tonifying kidney, collaterals and detoxification which are composed of medlar, mulberry parasitic, tianma, uncaria, and silkworm, can significantly reduce the release of reactive oxygen species (ROS) and propylene from the brain of PD rats.
  • ROS reactive oxygen species
  • MDA aldehyde
  • GSH glutathione
  • GSH-PX glutathione peroxidase
  • SOD superoxide dismutase
  • Depression usually refers to a kind of emotional disorder, mainly characterized by low mood, slow thinking, and reduced language action. It is mainly characterized by depression, decreased interest, pessimism, slow thinking, lack of initiative, and self-blame. Self-sin, diet, poor sleep, worry about having various diseases, feeling multiple discomforts in the body, serious suicidal thoughts and behaviors. Depression has the characteristics of high incidence, high prevalence, high recurrence rate, high suicide rate, low awareness rate and low treatment rate. The etiology of depression is complex.
  • antidepressants mainly have three characteristics to varying degrees, namely, they have an stimulating effect on mental exercise, enhance internal drive, active emotions and anti-anxiety effects. It is mainly divided into five major categories: monoamine oxidase inhibitors, tricyclic antidepressants (TCAs, such as Datlan), tetracyclic antidepressants, new antidepressants such as selective 5-tryptamine reuptake inhibitors (SSRIs, such as fluoxetine), selective norepinephrine reuptake inhibitors, serotonin and norepinephrine reuptake dual inhibitors (SNRIs such as venlafaxine), norepinephrine and specific 5- A tryptamine reuptake inhibitor (NaSSAs, such as mirtazapine), norepinephrine and dopamine reuptake inhibitors, botanical extracts, and the like. However, most of them have the characteristics of narrow anti-depression spectrum, large side effects, high drug price and easy re
  • Meningitis can be divided into two categories: bacterial and sterilized. Bacterial meningitis is inflammation caused by bacterial infection of the pia mater. It is a serious intracranial infectious disease, often accompanied by encephalitis and brain abscess. From the perspective of pathogens, there are two major categories, one is meningitis of various purulent bacterial infections (abbreviation: brain), such as meningitis caused by meningococcal, pneumococcal, influenza, Haemophilus, etc. The other type is meningitis infected with Mycobacterium tuberculosis. Clinical medication is mainly antibiotics combined with hormone therapy.
  • Aseptic meningitis refers to cerebrospinal fluid smears and bacterial cultures that are recessive meningitis. Generally, aseptic meningitis is caused by viral infection. Viral encephalitis refers to inflammation of the brain parenchyma caused by viral infections, often manifested as fever, headache, convulsions, disturbance of consciousness, and meningeal irritation, which can cause focal damage to the central nervous system. Viral encephalitis has a poor prognosis, high mortality, and often has serious sequelae.
  • Commonly used drugs are 1) hormones, such as the adrenal cortex hormone dexamethasone; 2) antiviral steroids, such as acyclovir or adenosine; 3) antiviral cytokines, interferon; 4) nutrition Such as citicoline, vitamin B6, vitamin E, brain rehabilitation, pantothenic acid, etc. to improve brain metabolism, patients with seizures should also be combined with anti-epileptic drugs, patients with mental exercise excitement can use mentally stable drugs, etc. .
  • brain disease is a complex pathophysiological process involving multiple links, multiple factors, and multiple pathways
  • traditional Chinese medicine compound preparations can have multiple neuroprotective effects, with multi-target, multi-directional regulation, and clinical significance of prevention and treatment. It should be expected to be a more effective brain and neuroprotective drug.
  • ginseng is a good medicine for tonic and is often used in Chinese medicine.
  • "Shen Nong's Herbal Classic” records ginseng.
  • the main remedy for the five internal organs, the spirit of the spirit, the soul of the soul, the horror, the evil spirits, ..., "Happy Puzzle” is considered to be a kind of Chinese herbal medicine with various pharmacological effects. Its main active ingredients for brain and nerve damage have been reported in many cases, such as prevention and treatment of Alzheimer's disease, Parkinson's disease, depression, and cerebral infarction.
  • the scorpion is the fruit of the Gardenia j ⁇ inoides Ellis. It is bitter and cold and non-toxic. Into the heart, liver, lungs, stomach. It has the effects of purging fire, removing heat, diuresis, cooling blood and detoxification. Indications of fever, irritability, jaundice, gonorrhea, diabetes, red eyes, sore throat, vomiting blood, blood stasis, blood stasis, hematuria, heat sores, sprains and swelling. Clinically used for acute jaundice hepatitis, hemostasis, contusion and other diseases.
  • Huanglian Jiedu Decoction The classic compound Huanglian Jiedu Decoction shared by Huanglian and Scorpion is originally contained in the "Outside Taiwan Secrets". It is composed of berberine, Phellodendron, Astragalus and Scorpion. It is regarded as the representative of detoxification and detoxification. It has the effect of purging fire and detoxification. Practical heat and poison, Sanjiao hot Sheng card. It has been reported that Huanglian Jiedu Decoction can reduce brain damage and inflammatory infiltration in cerebral ischemia and reperfusion (Young Sun Hwang a, Chan Young Shin b, Youngbuhm Huh et al., Hwangryun-Hae-Dok-tang (Huanglian). -Jie-Du-Tang) extract and its constituents reduce ischemia-reperfusion brain injury and neutrophil in filtration in rats. Life Sciences 2002, 71 : 2105-21 17).
  • the composition of the invention is derived from an effective traditional Chinese medicine compound Yiqi Jiedu Decoction for clinical treatment of stroke.
  • Yiqi Jiedu Recipe is a key pathogenesis for "poisoning and cerebral palsy". It is proposed by using syndrome differentiation and treatment to correct Chinese medicine encephalopathy.
  • Yiqi Jiedu Recipe is a new traditional Chinese medicine compound preparation that has not been reported before. Its active ingredients have not been reported for the prevention and treatment of brain and nerve damage diseases in Chinese medicine.
  • Yiqi Jiedu Recipe consists of ginseng, berberine and medlar. Among them, ginseng is a medicinal herb, it is a great qi, and it can replenish the five viscera.
  • berberine is a drug, it is a good product of diarrhea and detoxification, compatible with ginseng, one supplement and one diarrhea
  • the scorpion is the adjuvant medicine, the medicine is good for clearing the heart, removing blood, detoxifying, assisting the diarrhea and detoxification of berberine,
  • the sexual flexion goes down, the evil spirits are driven out of the urine, which makes the evil of heat and poison have a way out.
  • This three-flavor compatibility can effectively detoxify evil on the basis of righting up, and plays a very good synergistic therapeutic effect.
  • the technical problem to be solved by the present invention is to provide a composition of a traditional Chinese medicine active ingredient capable of preventing or treating a brain and nerve damage disease.
  • the present invention relates to a traditional Chinese medicine active ingredient composition
  • a traditional Chinese medicine active ingredient composition comprising geniposide or geniposide, berberine, ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition.
  • composition according to the present invention wherein the active ingredient of the traditional Chinese medicine is calculated in accordance with the total weight of 100 parts including the following parts by weight: ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 1- 99 parts, berberine, 1-99 parts, geniposide or geniposide, 1-99 parts; preferably ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 2-75 parts, berberine, 2-75 parts, geniposide or geniposide, 2-75 parts; more preferably ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 3-50 parts, berberine, 3-50 parts, Geniposide or geniposide, 3-50 parts.
  • composition according to the present invention as described above, wherein the weight ratio of ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, berberine, geniposide or geniposide is 3: 2: 2-0.1 Preferably 3:2: 2-1, more preferably 3:2:2.
  • composition according to the present invention as described above comprises a traditional Chinese medicine active ingredient and any one or more pharmaceutically acceptable carriers such as an antioxidant, a complexing agent, a filler, a matrix material and the like.
  • composition according to the present invention as described above may be formulated into any pharmaceutically acceptable dosage form, such as a tablet, a granule, a capsule, an injection such as a powder, according to a specific need and a pharmaceutically acceptable carrier. Freeze dry powder, infusion, etc.
  • the invention further relates to a composition as described above for the treatment or prevention of brain and nerve damage, such as cerebral vascular dementia or ischemic cerebrovascular disease (eg transient local ischemic attack, cerebral infarction or stroke), neurodegenerative Use in diseases of the brain, such as Alzheimer's disease or Parkinson's disease, bacterial or viral encephalitis, or depression.
  • brain and nerve damage such as cerebral vascular dementia or ischemic cerebrovascular disease (eg transient local ischemic attack, cerebral infarction or stroke), neurodegenerative Use in diseases of the brain, such as Alzheimer's disease or Parkinson's disease, bacterial or viral encephalitis, or depression.
  • FIG. 1 TTC staining results of cerebral ischemic area of cerebral ischemia rats after 24 hours of MCAO surgery, A: sham operation group; B: model group; C: positive control group (ginkgo biloba extract Egb761 tablets) Group) (4 mg/kg); DF: administration group 3, 2, l (62.5 mg/kg).
  • the crude product is dissolved in water, adjusted to a pH of 8.5 to 9.8 with lime milk, cooled, and the impurities are filtered off, and cooling is continued until the room temperature is below, and crystals are precipitated, suction filtered, and purified.
  • the ginsenoside monomer of the present invention may be ginsenoside Rgl, Rbl, Re, Rfl, Rd, R (R l and R 2).
  • the ginsenoside monomers of this patent include, but are not limited to, obtained by the following methods:
  • ginsenoside monomer Rbl is prepared according to the patent method (a preparation method of ginsenoside Rbl, application No. 200710178212.9);
  • V Preparation of ginsenoside monomer Rh (R l and Rh2) is prepared according to the patent method (ginsenoside R extract and preparation method, application number 200810043537.0);
  • the above ginseng total saponins and ginseng monomers are known as pharmaceutically active substances, and can be used as a raw material for pharmaceutical preparations by mixing ginseng total saponins or the above various ginsenoside monomers or two or more kinds of ginsenoside monomers. After being mixed with berberine and geniposide in a certain proportion as follows, according to the conventional preparation method, it is prepared into any clinically applicable agent, such as an oral solid preparation such as a tablet, a capsule, a granule, a dropping pill, orally. Liquid preparation, injection, and the like. In the preparation of the above preparation, the mixture prepared above may be used in combination with any suitable excipient for the preparation of a clinical preparation to prepare a pharmaceutical preparation.
  • the pharmaceutical composition of the present invention comprises a composition in combination with berberine and geniposide and a pharmaceutically acceptable excipient or carrier according to the above (1) - (3) ratio method.
  • the compound of any one of the above (I) - (VI) of the present invention is added to various excipients or pharmaceutically acceptable excipients or carriers required for preparation of different dosage forms, and the conventional pharmaceutical preparation method is used. It can be prepared into any suitable clinical preparation, and can be, for example, an injection (powder needle, lyophilized powder, water needle, infusion, etc.), a tablet, an oral solution, a granule, a capsule, a soft capsule, a dropping pill, and the like.
  • the auxiliary material may be an antioxidant complexing agent, a filler, a matrix material, etc.
  • the pharmaceutically acceptable carrier is xylitol, mannitol, lactose, fructose, dextran, glucose, polyethylene One or more of pyrrolidone, low molecular weight dextran, sodium chloride, calcium gluconate or calcium phosphate, preferably mannitol or lactose.
  • the rat was fixed in the supine position, the skin was cut in the middle of the neck, and the layers of tissue were bluntly separated to expose the right common carotid artery (CCA).
  • CCA right common carotid artery
  • ICA internal carotid artery
  • ECA external carotid artery
  • An arterial clip was placed at the proximal end of the CCA.
  • a "V"-shaped incision with a diameter of about 2 mm was made between the ECA ligation and the bifurcation.
  • the nylon thread was gently inserted into the CCA from the incision, and the artery clip was released.
  • the inner and outer carotid bifurcations enter the internal carotid artery, and the nylon thread is slowly pushed into the cranial direction of the ICA.
  • the insertion depth is about 18.5 ⁇ 0.5 mm to the micro-inductance, so that the nylon thread end passes through the MCA start point.
  • the thinner anterior cerebral artery at this time, achieves blood flow obstruction of the left middle cerebral artery, ligation of ICA to fix the nylon thread and prevent bleeding, suture layer by layer, and the nylon thread stump remains l cm longer than the skin.
  • the sham operation group only performed preoperative anesthesia and vascular separation, without ligation and introduction of a wire plug.
  • the room temperature was maintained at 24-25 °C during the operation, and the biological function test system was used for animal breathing and ECG monitoring.
  • SD rats were randomly divided into six groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group (Ginado Ginkgo biloba extract tablets, Egb761, Dr. Weimar Shupei, Germany), the combination of the present invention Drug administration group 1, 2, 3.
  • Positive control group administration method Take 1 piece of Ginkgo biloba extract tablets (40mg) dissolved in 40ml normal saline, prepare lmg/mL, and give SD rats 1mL by gavage, the dosage is 4 mg/kg.
  • Administration method of the drug-administered group Take ginseng total saponin: berberine: geniposide according to the weight ratio of 3:2:2 (administration group 1), 3:2:0.1 (administration group 2), 3:2: 0.5 (administration group 3), 31.25 mg/mL was prepared with physiological saline, and 0.5 mL was administered by intragastric administration at a dose of 62.5 mg/kg.
  • the drug-administered group and the positive control group were intragastrically administered 10 minutes before the anesthesia, and the animals were sacrificed at 4, 12, and 24 hours after surgery, and the following indicators were tested.
  • the rats were decapitated and the brain tissue was quickly placed in a refrigerator at -20 °C. After lOmin, the room temperature was set. The olfactory bulb, cerebellum and low brain stem were removed and cut into 2 mm crowns according to the brain localization map. Six brains were continuously coronal sections. Then quickly place the brain slices in 5ml containing 2% TTC (triphenyltetrazolium chloride) and In a 0.1 ml solution, incubate at 37 ° C for 30 min in the dark, and flip the brain slices once every 5 min. After TTC staining, the normal tissue was rose red, and the infarcted tissue was unstained and white.
  • TTC triphenyltetrazolium chloride
  • Each group of brain slices was arranged neatly, photographed and saved, and processed by image analysis system software and counted.
  • the infarct area of each brain slice was calculated, multiplied by the thickness of each brain slice by 2 mm, and the infarct area of each brain slice of each animal was multiplied by The thickness is added, which is the volume of cerebral infarction.
  • SD rats were randomly divided into the following groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group (Ginado Ginkgo biloba extract tablets, Egb761, Dr. Weimar Shupei, Germany), the present invention Composition administration group (ginseng total saponin: berberine: geniposide in a weight ratio of 3:2:2).
  • Positive control group administration method Take apricot leaf extract tablets (40mg) dissolved in 40ml normal saline, formulated into lmg/mL, and intragastrically administered to SD rats lmL, the dose is 4 mg / kg.
  • the drug-administered group was prepared into 0.25 mg/mL, 1.25 mg/mL, and B 6.25 mg/mL, respectively, according to the compatibility ratio, and the intragastric administration was 1 mL.
  • the three doses were from high to low. l mg/kg, 5 mg/kg and 25 mg/kg.
  • the animal was placed supine on the operating table, and before the anesthesia was performed without MCAO surgery, the blood flow value was recorded within 15 min using the laser speckle blood flow monitoring video system (PariCam PSI), and the average value was used as cerebral blood. The baseline value of the stream. After completing the MCAO operation, the line was inserted into the cranium.
  • the mean blood perfusion (PU) is calculated as:
  • Mean blood flow volume (PU) blood cell movement velocity (V) X blood cell concentration (C)
  • TOI ⁇ ntol is the average blood flow volume of the auricle before administration (before surgery)
  • TOIt ⁇ w is the post-administration ear composition.
  • Group agent L (mg-kg -1 ) mean blood flow reduction rate (%) sham operation group - 0
  • Example 2 Preparation of the composition of the present invention for ischemia-reperfusion injury in animals with focal cerebral ischemia Preparation of middle cerebral artery occlusion (MCAO) model of ischemia-reperfusion
  • MCAO middle cerebral artery occlusion
  • CCA right common carotid artery
  • ICA internal carotid artery
  • ECA external carotid artery
  • the ipsilateral external carotid artery was isolated and ligated at approximately 0.8 cm from the ECA.
  • An arterial clip was placed at the proximal end of the CCA.
  • a "V"-shaped incision with a diameter of about 2 mm was made between the ECA ligation and the bifurcation.
  • the nylon thread was gently inserted into the CCA from the incision, and the artery clip was released.
  • the inner and outer carotid bifurcations enter the internal carotid artery, and the nylon thread is slowly pushed into the cranial direction of the ICA.
  • the insertion depth is about 18.5 ⁇ 0.5 mm to the micro-inductance, so that the nylon thread end passes through the MCA start point.
  • the blood flow obstruction of the left middle cerebral artery is achieved, the ICA is ligated to fix the nylon thread and the bleeding is prevented, and the suture is layer by layer, and the nylon thread stump is longer than the skin.
  • the sham operation group only performed preoperative anesthesia and vascular separation, without ligation and introduction of a wire plug.
  • the room temperature was maintained at 24-25 °C during the operation, and the biological function test system was used for animal breathing and ECG monitoring.
  • SD rats were randomly divided into the following groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group (Ginado Ginkgo biloba extract tablets, Egb761, Dr. Weimar Shupei, Germany) (4mg/ Kg), the composition of the composition of the present invention (ginseng total saponin: berberine: geniposide in a weight ratio of 3:2:2).
  • Positive control group administration method Take 1 piece of Ginkgo biloba extract tablets (40mg) dissolved in 40ml normal saline, prepare 1mg/mL, and give SD rats 1mL intragastrically 3h after operation, the dosage is 4mg/ Kg.
  • Dosing method of the drug-administered group The drug-administered group was prepared into 0.25 mg/mL, 1.25 mg/mL, and 6.25 mg/mL according to the compatibility ratio, and administered intragastrically for 1 hour after the operation, the three doses were as high as high. The low values are 1 mg/kg, 5 mg/kg and 25 mg/kg, respectively. Except for the sham operation group, the remaining groups were pulled out to the bifurcation of the internal and external carotid arteries 2 h after ischemia, causing reperfusion injury. The animals were sacrificed at 12 h and 24 h for relevant indicators.
  • the neurological function scores are shown in Table 3. The data of each group were compared using the rank sum test, and ⁇ 0.05 was considered statistically significant.
  • Table 3 Effect of the composition of the present invention on neurological function scores of rats after cerebral ischemia-reperfusion. Grouping U quantity (mg-kg -1 ) neurological function score
  • the rats were decapitated and the brain tissue was quickly placed in a refrigerator at -20 °C. After lOmin, the room temperature was set. The olfactory bulb, cerebellum and low brain stem were removed and cut into 2 mm crowns according to the brain localization map. Six brains were continuously coronal sections. Then quickly place the brain slices in 5ml containing 2% TTC (triphenyltetrazolium chloride;) and In a 0.1 ml solution, incubate at 37 ° C for 30 min in the dark, and flip the brain slices once every 5 min. After TTC staining, the normal tissue was rose red, and the infarcted tissue was unstained and white.
  • TTC triphenyltetrazolium chloride
  • Each group of brain slices was arranged neatly, photographed and saved, and processed by image analysis system software and counted.
  • the infarct area of each brain slice was calculated, multiplied by the thickness of each brain slice by 2 mm, and the infarct area of each brain slice of each animal was multiplied by The thickness is added, which is the volume of cerebral infarction.
  • the effect of the composition of the present invention on the volume of cerebral infarction after cerebral ischemia and reperfusion is shown in Table 4.
  • Table 4 The effect of the composition of the present invention on the volume of cerebral infarction after cerebral ischemia and reperfusion.
  • Grouping amount (mg-kg -1 ) cerebral infarction volume (mm 3 )
  • Cerebral edema is an important pathological process in the early stage of cerebral ischemia. Evaluation of the effect of drugs on cerebral edema is an important indicator for evaluating the role of drug prevention and treatment. The brain tissue water content and brain edema rate are used for evaluation.
  • Brain tissue water content (%) (brain wet Heavy-brain dry weight) Wet weight x 100%.
  • composition of the present invention on the water content of brain tissue of rats after cerebral ischemia-reperfusion is shown in Table 5.
  • Administration method of the administration group Take ginseng total saponins separately: Berberine: Geniposide is formulated into 62.5 mg/mL with physiological saline at a weight ratio of 3:2:0.5, and administered with 2 mL, 1 mL, and 0.5 mL, respectively, in the administration group 1, 2, 3, ie, the dose is 500. Mg/kg, 250 mg/kg and 125 mg/kg. After the model was completed, the ⁇ model group was filled with an equal volume of normal saline, and the other groups were filled with the corresponding drugs.
  • the water maze test was started 30 days after surgery.
  • the water maze is a pool with a diameter of 90cm and a height of 40cm.
  • the water depth is 30cm.
  • Four water inlet points are marked on the wall of the pool.
  • the water is divided into four quadrants.
  • a plexiglass circular platform is placed in the center of one of the quadrants.
  • the platform is 2cm below the water surface.
  • the water temperature (24 ⁇ 2) ° C, covered with opaque thick and even white plastic foam, the reference material around the pool remains unchanged.
  • the tests include:
  • Positioning navigation test It is used to measure the ability of rats to acquire and learn from water fans. For 5 days, two time periods in the afternoon and the afternoon, four times in each time period, the rats were placed into the water from four different marking points, and the time required to find the platform within 2 minutes (evacuation latency) was recorded. If the platform fails to find the platform within 2 minutes after entering the water, place it on the platform for 10 s and escape the incubation period for 2 min. Each training interval is 60s.
  • Drug administration group 1 500 13.34 ⁇ 9.48 3.01 ⁇ 1.36*
  • the experimental animals were selected from 22-month-old Kunming mice, male and female, and randomly divided into 6 groups: normal control group, aluminum trichloride model group, aluminum chloride plus positive control ginkgo biloba extract tablets, aluminum chloride.
  • the compositions of the present invention were administered to groups 1, 2, and 3.
  • the positive control group was administered by a method: 1 tablet (40 mg) of Ginkgo biloba extract was dissolved in 4 ml of physiological saline, and was formulated into 1 mg/mL, and SD rats were intragastrically administered with lmL, and the dose was 4 mg/kg.
  • Preparation method of administration group Take ginseng total saponin: berberine: geniposide is prepared according to the weight ratio of 3:2:0.5, 62.5 mg/mL with physiological saline, and the administration group 1, 2, 3 respectively 2 mL, 1 mL, and 0.5 mL were administered, ie, doses of 500 mg/kg, 250 mg/kg, and 125 mg/kg.
  • the mice in the aluminum trichloride model group were intragastrically administered with lOmg/ml aqueous solution of aluminum chloride (produced by Shanghai Jinshan Chemical Plant, batch number 100093) at 200 mg/kg body weight/day for 90 days.
  • the ginkgo biloba extract tablets and the composition of the present invention were administered to the positive control group and the administration group while the dementia model was established, and administered by gavage for 90 consecutive days.
  • the normal control group was given the same dose of physiological saline.
  • the jumping table reflection box is a 90x 18x60cm 3 plexiglass box, which is separated into five by a transparent plate.
  • the bottom of the box is a copper grid, and the voltage is 36V.
  • Each built-in rubber pad with a height of 3.5cm and a diameter of 3.5cm is used as a mouse to avoid electric shock. Safe area.
  • 3 angels were familiar with the laboratory environment, and the room was kept quiet at a temperature of 25 °C.
  • the mice were placed in a reflective box for 5 min, and then the current was passed at 0.25 mA. The mice were placed on a platform.
  • mice had the habit of jumping from a height. If they jumped, they were shocked and generated memories. .
  • the platform has a latency of more than 180 s during training, the number of times the mouse jumped off the platform within 5 minutes (the number of errors) was recorded, and the mice were divided into 6 groups based on the number of errors (normal control group, model group, positive control). Ginkgo biloba extract tablets group, administration group 1, 2, 3, positive control and administration groups 1, 2, 3), 10 mice in each group, the intelligence level of the 6 groups of mice was close.
  • the number of times the mice jumped from the stage (the number of errors) within 5 minutes was carefully determined in detail, which was used as an observation index for learning and memory consolidation in mice.
  • a mouse model of Parkinson's disease was established by intraperitoneal injection of pesticide paraquat (PQ).
  • PQ pesticide paraquat
  • Blank control group once a day, distilled distilled water lOmL / kg body weight, once a week intraperitoneal injection of normal saline 10ml / kg body weight; the other 5 groups once a week intraperitoneal injection of PQ10mg / kg, and once a day administration of colchicine, according to adults Four times the dose, ie 0.2 mg/kg, was administered for 7 weeks.
  • the positive control group Metoprolol was administered once a day, according to the dose of 7.5 times of the adult dose, that is, the dose was 125 mg/kg, and the administration was continued until one week after the modeling; 2, 3: The mice were intragastrically administered with 250 mg/kg, 125 mg/kg of the composition of the present invention and 62.5 mg/kg of the low-dose group (the preparation method was the same as in Example 3), and the administration was continued until one week after the modeling. Serve under the same conditions, observe the behavioral changes of mice, and then test the content of monoamine neurotransmitters in the substantia nigra of mice. Dopamine (DA;), norepinephrine (NE), 5-hydroxytryptamine (5) -HT).
  • mice have the ability to climb, which requires proper grip and motor coordination.
  • the mice were placed on a rotating rod tester (YLS-CJ, Beijing Ji'an Deer Technology Co., Ltd.), and each time, 6 rats were rotated at a rate of 20 revolutions per minute, and the number of times the mice fell within 3 minutes was recorded.
  • mice were placed in the activity box of the autonomous activity tester, and 6 mice were simultaneously measured at a time, 1 mouse in each box, and the mice were allowed to acclimate for 3 min before starting the test, when the computer entered the measurement procedure. After that, the number of activities and standing of the mouse within 10 minutes was automatically recorded by the computer.
  • Rotating rod within 3min number of horizontal activities, number of standing activities, total number of activities (times)
  • composition of the present invention can significantly reduce dyskinesia in PQ-induced Parkinson's mice, reduce excessive release of monoamine neurotransmitters, and improve Parkinson's symptoms.
  • Example 5 Experimental study on the protective effect of the composition of the present invention on an animal model of vascular dementia
  • a rat model of bilateral vascular avascular dementia was permanently ligated. After SD rats were intraperitoneally injected with 3.5% chloral hydrate 10ml/kg, the supine position was fixed, the midline incision was made in the neck, and the bilateral common carotid arteries were separated to avoid damage to the cervical sympathetic nerve and vagus nerve. They were permanently ligated with line 1. The wound was sutured after surgery and served in the cage. The sham operation group was to separate the bilateral common carotid arteries, but not to be ligated.
  • the rats were divided into six groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group C4 mg/kg;), the composition administration group 1, 2, 3 (250 mg/kg, 125 mg/kg, 62.5 mg/kg) (Formulation method is the same as in Example 3).
  • the water maze is a pool with a diameter of 90cm and a height of 40cm.
  • the water depth is 30cm.
  • 4 water inlets are marked on the pool wall. Point, divide it into four quadrants, place a plexiglass circular platform in the center of one quadrant, the platform is 2cm below the water surface, the water temperature is (24 ⁇ 2) °C, covered with opaque thick and uniform white plastic foam, reference around the pool The object remains unchanged.
  • the tests include:
  • Positioning heading experiment It is used to measure the ability of rats to acquire water memory and learn from memory. Place the platform in the middle of a certain quadrant of the labyrinth, select one of the other three quadrants, and experiment twice a day, each time using a different water inlet point, each training for 1 minute. If the animal has not found the platform within 2 minutes, take the animal to the platform and let it stand for 15 seconds. If the rat finds the platform within 2 minutes, let it stand on the platform for 15 seconds. training. After five days of training, the escape latency and swimming path of each animal were recorded separately.
  • Administration group 1 250 12 18.76 ⁇ 12.45** 15.56 ⁇ 8.24 13.96 ⁇ 8.71
  • Administration group 2 125 11 24.22 ⁇ 15.68" 21.25 ⁇ 13.78* 21.21 ⁇ 11.37 # ⁇ 3 62.5 11 35.79 ⁇ 23.12 # 26.38 ⁇ 12.39 24.42 ⁇ 9.76* Note: P ⁇ 0.05, P ⁇ 0.01, P ⁇ 0.01
  • the administration group was compared with the model group, * ⁇ 0.05, ** ⁇ 0.01, indicating that the latency of the space exploration experiment after the administration of the composition of the present invention was significantly shorter than that of the model group, and the number of the original platform was significantly shorter. increase.
  • the administration group was compared with the model group, ## P ⁇ 0.01, indicating that the rats were administered the composition of the present invention. It can shorten the time to find the platform.
  • composition of the present invention can significantly improve the learning and memory ability of the vascular dementia rats.
  • the rats were placed in a bright room and allowed to move freely for 3 min in the box. Those who do not enter the dark room within 3 minutes are excluded (not energized when preselected). After lh, formal training was conducted to record the time required for the rats to enter the dark room to receive electric shock as the incubation period, and the number of electric shocks (the number of errors) within 5 minutes was recorded as the academic achievement; after 24 hours, the above process was repeated, and the latency and the number of errors were recorded as memories. Results.
  • the voltage is 36 V and the latency indicator is in seconds (S).
  • the administration group 1 was compared with the model group ## P ⁇ 0.01, indicating that the composition of the present invention can significantly shorten the incubation period of the learning training and the memory test, and reduce the number of errors, and it can be seen that the composition of the present invention can improve vascular dementia. Rat's ability to learn and remember.
  • composition of the present invention can significantly improve the learning and memory ability of the rats with bilateral common carotid vascular dementia by permanent ligation, and thus has a protective effect on rats with vascular dementia.
  • Example 6 Experimental study on the protective effect of the composition of the present invention on stress and depression animals
  • CUMS Chronic mild unpredictable stress
  • Depression model 2h behavior limit, swimming in 4°C ice water for 5min, water stop for 24h, food 24h, tail lmin, light and dark upside down 24h, electric shock foot
  • 5s (30V voltage), shaking 5min (160Hz), and 40°C environment for 5min were randomly arranged within 18 days, one per day, so that the animals could not anticipate the occurrence of irritation.
  • Wistar rats were randomly divided into normal control group, depression model group, fluoxetine positive control group, drug administration group 1, 2, 3 (250 mg/kg group, 125 mg/kg group, 62.5 mg/kg group). Same as Example 3) for 21 days, each group of animals was decapitated after 24 hours of the last administration.
  • the training and testing of spatial memory was carried out in accordance with the Morris water Maze method.
  • the water temperature is kept at around 23 °C.
  • the water is dyed white to conceal the platform.
  • the surrounding environmental conditions remained quiet and stable during the experiment.
  • the experiment is divided into training period and testing period, and l-4d is the training period.
  • the rats were placed in the water against the platform, and the escape latency of the rats was recorded, that is, the time required from the time the rats entered the water to find the underwater hidden platform. If the platform was not found within 60s, the rats were guided to find the platform. . The escape latency is measured in 60s.
  • the rats are found or guided to the platform for 20s, then dried and returned to the cage.
  • Each rat's water entry position is changed clockwise, with each training interval being 30 s.
  • the next day's training is one quadrant into the water than the first day, and so on.
  • the 5th and 7th are the test period, and the platform is removed during the test. Both tests recorded the platform-to-time ratio of the rats, which is the ratio of the time in which the rats in the quadrant of the original platform traveled within 60 seconds of the total time (60s).
  • the drug-administered group was compared with the model group: # P ⁇ 0.05, indicating that the rat's escape latency was significantly shortened after administration of the composition of the present invention, that is, the composition of the present invention can improve the learning and memory ability of the stress-induced depression rats. .
  • composition of the invention has a certain protective effect on chronic stress-induced depression rats.
  • Example 7 Experimental study on the protective effect of the composition of the present invention on bacterial meningitis
  • GBSIII strains were purchased from China National Institute for the Control of Pharmaceutical and Biological Products.
  • the dried strains were cultured in serum broth for 24 hours at 37 ° C, and then streaked into blood plates. After 18-24 hours, a single colony was selected into serum broth medium to collect in the middle of logarithmic growth.
  • the OD value corresponding to the adjusted turbid liquid concentration by the turbidimetric method was the same as that of the 0.5 standard turbidity tube (concentration lx l0 8 cfu/ml), and the bacterial liquid concentration was 10 8 cfu/ml. Dilute the bacteria to the desired concentration of 10 4 cfu/ml with physiological saline.
  • the experimental group CSF is extracted and processed into a CSF stock solution, cefotaxime + CSF, the composition of the present invention 500 g / kg + CSF, the composition of the present invention 250 mg / kg + CSF, the present invention Compositions 125 mg/kg + CSF Several different groups of brain infusions.
  • the same amount of CSF stock solution, cefotaxime + CSF, 500 mg/kg + CSF of the present invention (administered group 1), and 250 mg/kg + CSF of the present invention were administered to each group (administration group 2)
  • the composition of the invention is 125 mg/kg + CSF (administration group 3).
  • Neonatal rats were evaluated 24 hours after inoculation with Loeffler's neurobehavioral 5-point scale. 5 points: When grabbing the back, you can move normally, turn over within 5s; 4 points, reduce spontaneous movement, turn over within 5s; 3 points: ⁇ 5s turn over; 2 points: Can't turn over; 1 point: Can't move.
  • the degree of convulsion was evaluated according to Racine's sputum grading criteria for SD rats.
  • level 0 no convulsions
  • level I facial palsy
  • level II on the basis of level I, nodular nod
  • level III on the basis of level II with forelimb clonic
  • IV Level: There is hind leg standing force on the basis of Level III
  • Class V There is a fall on the basis of Grade IV.
  • Table 18 the clinical symptoms of the rats of the present invention were significantly alleviated after administration of the composition of the present invention.
  • Drug administration group 2 10 3.79 ⁇ 1.04 ##
  • Rats that survived after 24 h of inoculation were sacrificed by cerebellar medullary puncture for lOul CSF for WBC (white blood cell calculation) before enumeration.
  • the results are shown in Table 20 below:
  • composition of the present invention has a good antibacterial effect and has a certain improvement effect on the symptoms of bacterial meningitis animals.

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Abstract

Disclosed is a composition of an active ingredient of traditional Chinese medicine, comprising geniposide or jasminoidin, berberine, total saponins of panax ginseng or a composition of ginsenoside monomer. Also disclosed is the use of the pharmaceutical composition in preparing drugs for treating or preventing brain and nerve damage, neurodegenerative encephalopathy, bacterial or viral encephalitis, or depression.

Description

一种中药活性成分组合物及其用途  Traditional Chinese medicine active ingredient composition and use thereof
技术领域 Technical field
本发明涉及一种中药活性成分组合物, 其包含京尼平苷或栀子苷、黄连素、人 参总皂苷或人参皂苷单体或人参皂苷单体组合物。 本发明还涉及该组合物在制备 治疗或预防脑和神经损伤、 神经退行性脑病、 细菌性或病毒性脑炎、 或抑郁症的 药物中的用途。 背景技术  The present invention relates to a traditional Chinese medicine active ingredient composition comprising geniposide or geniposide, berberine, ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition. The invention further relates to the use of the composition for the manufacture of a medicament for the treatment or prevention of brain and nerve damage, neurodegenerative encephalopathy, bacterial or viral encephalitis, or depression. Background technique
中医理论重视整体观念和辨证论治, 传统中医理论认为, 气虚血瘀是中风重 要病机, 气虚是本病之本, 血瘀是本病基本病机, 乃本病发生发展的核心, 活血 化瘀为治疗本病的基本大法。 气虚血瘀症在传统的认识中只见于中风后遗症期, 益气活血法亦仅用于后遗症患者, 清代名医王清任补阳还五汤是代表方剂 (张梅 奎, 尹岭, 张学文 补阳还五汤治疗缺血性中风的研究进展, 中国中医基础医学杂 志, 2002,8(9):74-78 )。 而采用益气、 解毒治法及相关的中药治疗脑及神经损伤性 疾病尚未见报道。  Traditional Chinese medicine theory attaches importance to the overall concept and syndrome differentiation. Traditional Chinese medicine theory believes that qi deficiency and blood stasis is an important pathogenesis of stroke. Qi deficiency is the basis of this disease. Blood stasis is the basic pathogenesis of this disease. It is the core of the disease's development and development. The basic method of treating this disease. Qi deficiency and blood stasis are only seen in the traditional sequelae of sequelae. Yiqihuoxue method is only used for sequelae patients. Qing Dynasty famous doctor Wang Qingren Bu Yang Huan Wu Tang is the representative prescription (Zhang Meikui, Yin Ling, Zhang Xuewen Bu Yang Huan Wu Tang) Research progress in the treatment of ischemic stroke, Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 2002, 8 (9): 74-78). The use of Yiqi, detoxification and related Chinese medicine to treat brain and nerve damage diseases has not been reported.
老年性痴呆 (senile dementia, SD) , 亦称阿尔茨海默病 (Alzheimer disease, Senile dementia (SD), also known as Alzheimer disease (Alzheimer disease,
AD) 是一种以进行性认知障碍和记忆能力损害为主的中枢神经系统退行性疾病, 并伴有不同程度的运动、 认知、 语言和人格等多方面的异常。 AD的临床表现为痴 呆综合症, 以记忆力减退、人格变性为特征。 AD的主要病理改变是大脑皮质萎縮、 神经细胞和突触大量丢失、 神经元纤维缠结、 细胞外老年斑和脑血管淀粉样变。 目前对老年痴呆症尚无根本治疗方法。 目前治疗老年性痴呆分子机制和相关的植 物药有: 1) 乙酰胆碱酯酶抑制剂石衫碱甲; 2) 兴奋性氨基酸和肽类递质调节剂, 如叶秋碱; 3) 干扰 β-淀粉样蛋白 (Αβ) 纤维形成和沉积, 如银杏黄酮, 丹酚酸, 大黄素、 知母皂苷元等。 4) 抗氧化及清除自由基药物, 丹参水提物丹酚酸、 茶叶 的提取物茶多酚、 银杏叶提取物、 人参皂苷、 银杏内酯等; 5) 改善微循环, 如丹 参酮和丹参素; 6) 钙拮抗剂, 如芹菜素。 AD) is a central nervous system degenerative disease characterized by progressive cognitive impairment and memory impairment, with varying degrees of abnormalities in sports, cognition, language, and personality. The clinical manifestation of AD is dementia syndrome, characterized by memory loss and personality degeneration. The main pathological changes in AD are cerebral cortical atrophy, loss of nerve cells and synapses, neurofibrillary tangles, extracellular senile plaques, and cerebral vascular amyloidosis. There is currently no fundamental treatment for Alzheimer's disease. The current molecular mechanisms and related botanicals for the treatment of senile dementia are: 1) acetylcholinesterase inhibitor scutellarin; 2) excitatory amino acid and peptide transmitter regulators, such as auxin; 3) interference with beta-starch Protein (Αβ) fiber formation and deposition, such as ginkgo flavonoids, salvianolic acid, emodin, timosaponin and so on. 4) Antioxidant and free radical scavenging drugs, Salvia miltiorrhiza water extract salvianolic acid, tea extract tea polyphenols, Ginkgo biloba extract, ginsenoside, ginkgolides, etc.; 5) Improve microcirculation, such as tanshinone and danshensu ; 6) Calcium antagonists, such as apigenin.
血管性痴呆 (Vascular Demenia,简称 VD)是由于一系列脑血管因素导致脑组织 损害所引起的痴呆综合征的总称, 是发生在脑血管病基础上的以记忆、 认知功能 障碍为主, 或伴有语言、 空间技能及情感或人格障碍的获得性智能持续性损害的 一种疾病。 临床以记忆力减退, 计算、 判断、 定向等能力及精神、 行为的进行性 障碍为特征, 是中老年人群的常见病, 多发病。 VD的确切病理机制目前尚不完全 清楚, 一般认为, 脑血管疾病导致局部脑组织炎症、 代谢紊乱和氧化应激损失, 损伤了足够容量的脑组织, 严重损害记忆及认知等高级神经功能, 特别是病灶涉 及额叶、 颞叶及边缘系统时更加容易出现痴呆症状。 治疗 VD 的中药复方有: 黄 连解毒汤、 当归芍药散、 地黄饮子、 天智颗粒、 聪圣胶囊、 参麻益智胶囊、 六味 地黄汤、 加味归脾汤、 补阳还五汤等。 而采用益气、 解毒治法及相关的中药尚未 见报道。 Vascular Dementia (VD) is a general term for dementia syndrome caused by brain damage caused by a series of cerebrovascular factors. It is mainly caused by memory and cognitive dysfunction on the basis of cerebrovascular disease, or A disease associated with acquired intelligence, continuous impairment of language, spatial skills, and emotional or personality disorders. Clinically, it is characterized by memory loss, calculation, judgment, orientation and other progressive mental and behavioral disorders. It is a common disease and frequently-occurring disease in the middle-aged and elderly population. The exact pathological mechanism of VD is not fully understood. It is generally believed that cerebrovascular disease causes local brain tissue inflammation, metabolic disorders and oxidative stress loss, damages brain tissue of sufficient capacity, and seriously impairs advanced neurological functions such as memory and cognition. Especially when the lesion involves the frontal lobe, temporal lobe and limbic system, the symptoms of dementia are more likely to occur. The traditional Chinese medicine compound for treating VD is: Huanglian Jiedu Decoction, Danggui Shaoyao San, Dihuang Yinzi, Tianzhi Granule, Congsheng Capsule, Shenmao Yizhi Capsule, Liuwei Dihuang Decoction, Jiawei Guipi Decoction, Buyang Huanwu Decoction, etc. The use of Yiqi, detoxification and related Chinese medicine has not been reported.
帕金森病 (Parkinson disease, PD)又名震颤麻痹, 是中、 老年人常见的中枢系 统疾病, 临床表现为静止性震颤、 运动迟缓、 肌强直和姿势步态异常等。 发病机 制是中枢黑质纹状体通路中多巴胺( DA)能神经系统病变, 导致纹状体 DA缺失, 引起躯体运动功能紊乱。 多巴胺含量减少, 乙酰胆碱就会兴奋过度, 两种递质失 去平衡, 导致神经与肌肉组织不由自主产生强直、 震颤等症状。 目前, 帕金森病 尚无根治药物, 西药左旋多巴 (美多巴) 、 溴隐停、 麦角卡林等是临床常用药, 但效果不稳定, 毒副作用较大, 远期疗效也不肯定。 中药临床常用治疗方法及常 用药物如下: 1)补肝虚, 镇肝息风: 采用天麻、 鹿角胶、 天冬、 麦冬、 鳖甲、 龟 板、 生白芍、 甘草等入药; 2)补肾虚, 填精补气: 萸肉、 五味子; 3) 补精血, 还 精补脑: 采用大云、 当归、 桂圆肉、 大枣等; 4) 活血化瘀: 三七、 穿山甲、 丹参、 全蝎。 陈建宗等发现枸杞、 肉苁蓉、 何首乌等组成的培补肝肾的中药可以提高 PD 大鼠脑部纹状体 DA, 3、 4-二羟基苯乙酸 (DOPAC), NE, 5-HT等含量, 且对黑质、 蓝斑、 中缝背核等神经核团有一定的保护作用 (陈建宗、 郭建英、 孙静等, 培补 肝肾熄风通络法治疗血管性帕金森综合征 40例,中医杂志, 2002, 43(7): 528-529)。 何建成等研究发现由枸杞、 桑寄生、 天麻、 钩藤、 僵蚕等组成的具有滋阴补肾、 通络解毒作用的中药方剂能明显降低 PD大鼠脑部释放活性氧 (ROS)、丙二醛 (MDA) 含量,使谷胱甘肽(GSH)、谷胱甘肽过氧化酶 (GSH-PX)、超氧化物歧化酶 (SOD) 等 自由基清除系统含量上升, 具有提高机体抗氧化能力、 减轻自由基对机体损伤的 作用 (何建成、 袁灿兴、 李亚明等, 滋补肝肾通络解毒中药对帕金森病大鼠模型氧 化应激反应的影响, 中国新药与临床杂志, 2003, 22(3): 160-163)。 徐立等观察息 风止痉胶囊 (当归、 白芍、 蜈蚣、 全蝎等滋阴养血、 息风通络中药组成)治疗气血不 足型实验性 PD小鼠,发现其可显著增加 PD小鼠脑内 DA、DOPAC、高香草酸 (HVA) 的含量, 并可降低小鼠肢体震颤强度, 縮短震颤持续时间, 故认为息风止痉胶囊 对 PD有防治作用 (徐立、 魏翠娥、 刘建勋等, 熄风止痉胶囊对小鼠实验性帕金森 病的防治作用, 中药新药与临床药理, 2005, 2: 87-90) 而采用益气、 解毒治法 及相关的中药尚未见报道。  Parkinson disease (PD), also known as tremor paralysis, is a common central nervous system disease in middle-aged and elderly people. The clinical manifestations include static tremor, bradykinesia, myotonia and posture gait abnormalities. The pathogenesis is a dopaminergic (DA) neurological disorder in the central nigrostriatal pathway, leading to a loss of striatum DA, causing somatic motor dysfunction. When dopamine is reduced, acetylcholine is overexcited, and the two transmitters lose balance, causing nerves and muscle tissue to involuntarily produce symptoms such as rigidity and tremor. At present, there is no cure for Parkinson's disease. The western medicine levodopa (Medopa), bromocriptine, and ergocarpine are commonly used drugs in the clinic, but the effect is unstable, the side effects are large, and the long-term efficacy is not certain. Commonly used traditional Chinese medicine treatment methods and commonly used drugs are as follows: 1) Bugan deficiency, Zhengan Xifeng: Tianma, antler gum, asparagus, Ophiopogon japonicus, armor, turtle shell, raw white peony, licorice, etc.; 2) kidney deficiency Filling the qi and qi: 萸肉, Schisandra; 3) Complementing the blood, but also replenishing the brain: using Dayun, Angelica, longan meat, jujube, etc.; 4) Promoting blood circulation: Sanqi, pangolin, salvia, scorpion . Chen Jianzong et al. found that Chinese herbal medicines consisting of medlar, Cistanche, and Polygonum multiflorum can improve the content of DA, 3, 4-dihydroxyphenylacetic acid (DOPAC), NE, 5-HT in the striatum of PD rats. It has a certain protective effect on the nucleus of the substantia nigra, blue spot, and dorsal nucleus (Chen Jianzong, Guo Jianying, Sun Jing, etc., 40 cases of vascular Parkinson's syndrome treated by Peibu Ganshen Qufeng Tongluo Method, Journal of Traditional Chinese Medicine , 2002, 43(7): 528-529). He Jiancheng et al. found that Chinese herbal medicines with yin and tonifying kidney, collaterals and detoxification, which are composed of medlar, mulberry parasitic, tianma, uncaria, and silkworm, can significantly reduce the release of reactive oxygen species (ROS) and propylene from the brain of PD rats. The content of aldehyde (MDA) increases the content of free radical scavenging systems such as glutathione (GSH), glutathione peroxidase (GSH-PX) and superoxide dismutase (SOD), which improves the body's antioxidant capacity. To alleviate the effects of free radicals on the body damage (He Jian, Yuan Canxing, Li Yaming, etc., the effect of nourishing liver, kidney, collaterals and detoxification Chinese medicine on oxidative stress in rat model of Parkinson's disease, Chinese Journal of New Drugs and Clinical Medicine, 2003, 22(3) ): 160-163). Xu Li and other observations of Xifeng Zhiyu Capsule (Danggui, Baiqi, Qi, Quanqi, etc., which are composed of Ziyin Yangxue and Xifeng Tongluo Traditional Chinese Medicine) for the treatment of experimental hypoxic experimental PD mice, which found that it can significantly increase PD The content of DA, DOPAC and high vanillic acid (HVA) in the brain of rats can reduce the intensity of limb tremor in mice and shorten the duration of tremor. Therefore, it is believed that Xifeng Zhiyu Capsule can prevent and treat PD (Xu Li, Wei Cuiyi, Liu Jianxun, etc. The preventive and therapeutic effects of Xifeng Zhizhi Capsule on experimental Parkinson's disease in mice, New Chinese Medicine and Clinical Pharmacology, 2005, 2: 87-90) The use of Yiqi, detoxification and related Chinese medicine has not been reported.
抑郁症通常指的是一种情绪障碍, 主要是以心境低落、 思维迟钝、 语言行动 减少为主要特征的综合征, 主要表现为情绪低落、 兴趣减低、 悲观、 思维迟缓、 缺乏主动性、 自责自罪、 饮食、 睡眠差、 担心自己患有各种疾病、 感到全身多处 不适、 严重者可出现自杀念头和行为。 抑郁症具有发病率高、 患病率高、 复发率 高、 自杀率高、 而知晓率低、 治疗率低等特点。 抑郁症病因复杂, 目前已有研究 的病理机制假说有如下几种: 1)单胺类神经递质代谢异常,抑郁症是由于脑内某些 部位单胺递质不足所引起的; 2) 受体功能改变, 抗抑郁药抑制突触前单胺类递质 摄取是即时效应, 而突触后受体敏感性降低则是一种慢性适应性变化; 3)神经内分 泌紊乱, 研究发现抑郁的发生与下丘脑一垂体一肾上腺轴 (HPA)、 下丘脑-垂体-甲 状腺轴 (HPT)、 下丘脑 -垂体 -生长激素轴 (HPGH) 等的功能紊乱以及血清胆固醇水 平降低, 血清雌激素水平下降有关。 目前抗抑郁药在不同程度上主要有 3种特性, 即对精神运动有激发作用、 增强内驱力、 活跃情绪和对抗焦虑作用。 其主要分为 五大类别: 单胺氧化酶抑制剂、 三环类抗抑郁药 (TCAs, 如达体朗) 、 四环类抗 抑郁药、 新型抗抑郁药如选择性 5 -经色胺再摄取抑制剂 (SSRIs, 如氟西汀) 、 选择性去甲肾上腺素再摄取抑制剂、 5 -羟色胺和去甲肾上腺素再摄取双重抑制剂 ( SNRIs,如文法拉辛)、去甲肾上腺素和特定的 5-经色胺再摄取抑制剂(NaSSAs, 如米氮平) 、 去甲肾上腺素和多巴胺再摄取抑制剂、 植物药提取物等。 但大多存 在抗抑郁谱窄、 副作用大、 药价高和易复发等特点。 Depression usually refers to a kind of emotional disorder, mainly characterized by low mood, slow thinking, and reduced language action. It is mainly characterized by depression, decreased interest, pessimism, slow thinking, lack of initiative, and self-blame. Self-sin, diet, poor sleep, worry about having various diseases, feeling multiple discomforts in the body, serious suicidal thoughts and behaviors. Depression has the characteristics of high incidence, high prevalence, high recurrence rate, high suicide rate, low awareness rate and low treatment rate. The etiology of depression is complex. The pathological mechanisms hypothesis that has been studied are as follows: 1) Metabolic abnormalities of monoamine neurotransmitters, which are caused by insufficient monoamine transmitters in certain parts of the brain; 2) Changes in body function, antidepressant inhibition of presynaptic monoamine transmitter intake is an immediate effect, while post-synaptic receptor sensitivity is a chronic adaptive change; 3) nerve internal division Disorders, studies have found that depression occurs and hypothalamic-pituitary-adrenal axis (HPA), hypothalamic-pituitary-thyroid axis (HPT), hypothalamic-pituitary-growth hormone axis (HPGH) and other dysfunction and serum cholesterol levels Lowering, serum estrogen levels are associated with decreased levels. At present, antidepressants mainly have three characteristics to varying degrees, namely, they have an stimulating effect on mental exercise, enhance internal drive, active emotions and anti-anxiety effects. It is mainly divided into five major categories: monoamine oxidase inhibitors, tricyclic antidepressants (TCAs, such as Datlan), tetracyclic antidepressants, new antidepressants such as selective 5-tryptamine reuptake inhibitors ( SSRIs, such as fluoxetine), selective norepinephrine reuptake inhibitors, serotonin and norepinephrine reuptake dual inhibitors (SNRIs such as venlafaxine), norepinephrine and specific 5- A tryptamine reuptake inhibitor (NaSSAs, such as mirtazapine), norepinephrine and dopamine reuptake inhibitors, botanical extracts, and the like. However, most of them have the characteristics of narrow anti-depression spectrum, large side effects, high drug price and easy recurrence.
脑膜炎可分为细菌性和无菌性两类。 细菌性脑膜炎是由于细菌感染软脑膜而 引发的炎症, 是一种颅内严重的感染性疾病, 常可伴发脑炎和脑脓肿。 从病原学 角度讲包括两大类, 一类是各种化脓性细菌感染的脑膜炎 (简称: 化脑) , 如: 脑膜炎双球菌、 肺炎双球菌、 流感、 嗜血杆菌等感染的脑膜炎; 另一类是结核杆 菌感染的脑膜炎。 临床用药主要是抗菌药物联合激素治疗。 无菌性脑膜炎是指脑 脊液涂片和细菌培养为隐性的脑膜炎。 一般无菌性脑膜炎多为病毒感染所致。 病 毒性脑炎是指病毒感染所引起的脑实质炎症, 常表现为发热、 头痛、 抽搐、 意识 障碍和脑膜刺激症状等, 可致中枢神经系统局灶性损害。 病毒性脑炎预后不佳, 死亡率高, 常留有严重后遗症。 临床常用药物为 1)激素类, 如肾上腺皮质激素地 塞米松; 2) 抗病毒嘌呤类, 如无环鸟苷或阿糖腺苷; 3) 抗病毒细胞因子类, 干扰 素; 4) 营养类, 如胞二磷胆碱、 维生素 B6、 维生素 E、 脑复康、 泛酸等改善脑代 谢, 对有癫痫发作的患者还应结合抗癫痫药, 对精神运动兴奋的患者可合用精神 安定性药物等。  Meningitis can be divided into two categories: bacterial and sterilized. Bacterial meningitis is inflammation caused by bacterial infection of the pia mater. It is a serious intracranial infectious disease, often accompanied by encephalitis and brain abscess. From the perspective of pathogens, there are two major categories, one is meningitis of various purulent bacterial infections (abbreviation: brain), such as meningitis caused by meningococcal, pneumococcal, influenza, Haemophilus, etc. The other type is meningitis infected with Mycobacterium tuberculosis. Clinical medication is mainly antibiotics combined with hormone therapy. Aseptic meningitis refers to cerebrospinal fluid smears and bacterial cultures that are recessive meningitis. Generally, aseptic meningitis is caused by viral infection. Viral encephalitis refers to inflammation of the brain parenchyma caused by viral infections, often manifested as fever, headache, convulsions, disturbance of consciousness, and meningeal irritation, which can cause focal damage to the central nervous system. Viral encephalitis has a poor prognosis, high mortality, and often has serious sequelae. Commonly used drugs are 1) hormones, such as the adrenal cortex hormone dexamethasone; 2) antiviral steroids, such as acyclovir or adenosine; 3) antiviral cytokines, interferon; 4) nutrition Such as citicoline, vitamin B6, vitamin E, brain rehabilitation, pantothenic acid, etc. to improve brain metabolism, patients with seizures should also be combined with anti-epileptic drugs, patients with mental exercise excitement can use mentally stable drugs, etc. .
现有对于脑或神经损伤性疾病的治疗药物, 仍存在副作用大、 疗效差、 无法 根治等缺陷。 由于脑部疾病是一个涉及多环节、 多因素、 多途径的复杂的病理生 理过程, 而中药复方制剂可具有多方面的神经保护作用, 具有多靶点、 多向调节、 防治结合的临床意义, 应有望成为一种较为有效的脑及神经保护药物。  There are still defects in the treatment of brain or nerve damage diseases, such as side effects, poor efficacy, and inability to cure. Because brain disease is a complex pathophysiological process involving multiple links, multiple factors, and multiple pathways, traditional Chinese medicine compound preparations can have multiple neuroprotective effects, with multi-target, multi-directional regulation, and clinical significance of prevention and treatment. It should be expected to be a more effective brain and neuroprotective drug.
各种人参为补虚调神之良药, 经常被用于中医药方中, 《神农本草经》 记载 人参"主补五脏, 安精神, 定魂魄, 止惊悸, 除邪气, ......, 开心益智", 被认为是 一种具有多种药效的中草药, 其主要药效活性成分用于脑和神经损伤已见多篇报 道, 如防治老年痴呆症、 帕金森、 抑郁症、 脑梗塞、 脑缺血及脑缺血引起的其他 疾病等 (江山, 姜正林, 曾因明, 九种人参皂甙单体抗脑缺血损伤作用研究, 中 药药理与临床 2007; 23(2): 19-21; 徐诽诽, 刘纯青, 马涛等, 人参皂苷 Re对 MPTP 致帕金森病模型小鼠多巴胺能神经元的保护作用, 沈阳药科大学学报, 2005, 22 Various ginseng is a good medicine for tonic and is often used in Chinese medicine. "Shen Nong's Herbal Classic" records ginseng. "The main remedy for the five internal organs, the spirit of the spirit, the soul of the soul, the horror, the evil spirits, ..., "Happy Puzzle" is considered to be a kind of Chinese herbal medicine with various pharmacological effects. Its main active ingredients for brain and nerve damage have been reported in many cases, such as prevention and treatment of Alzheimer's disease, Parkinson's disease, depression, and cerebral infarction. Other diseases caused by cerebral ischemia and cerebral ischemia (Jiangshan, Jiang Zhenglin, Zeng Yinming, Research on the effects of nine kinds of ginsenosides against cerebral ischemic injury, Chinese Pharmacology and Clinical Medicine 2007; 23(2): 19-21; Xu Wei, Liu Chunqing, Ma Tao et al. Protective effects of ginsenoside Re on dopaminergic neurons in MPTP-induced Parkinson's disease model mice, Journal of Shenyang Pharmaceutical University, 2005, 22
( 1 ) : 36-44; 人参皂苷组合物及制备方法, 发明专利, 申请号 200610046083.3; 化合物 20S-人参皂苷 R 2在制备抗抑郁药物中,发明专利,申请号 200810043537.0)。 黄连性苦寒, 具泻火, 燥湿, 解毒, 杀虫之功效, 现代药理学研究表明, 其 除了具有强的抗菌活性外, 还具有抗炎、 降血脂、 降血糖、 抗肿瘤、 抗溃疡、 神 经系统保护等多种药理学作用。 有报道黄连通过抗炎作用在脑缺血和再灌注损伤 中发挥保护作用 (Ki-Yeon Yool , In Koo Hwang2, Jong Dai Kim3 等, Antiinflammatory Effect of the Ethanol Extract of Berberis koreana in a Gerbil Model of Cerebral Ischemia/Reperfusion Phytother. Res. 2008, 22, 1527-1532 ) 。 (1): 36-44; ginsenoside composition and preparation method, invention patent, application number 200610046083.3; compound 20S-ginsenoside R 2 in preparation of antidepressant medicine, invention patent, application number 200810043537.0). It has the effects of diarrhea, diarrhea, dampness, detoxification, and insecticidal effects. Modern pharmacological studies have shown that in addition to its strong antibacterial activity, it also has anti-inflammatory, hypolipidemic, hypoglycemic, anti-tumor, anti-ulcer, A variety of pharmacological effects such as neuroprotection. It has been reported that Coptis has protective effects in cerebral ischemia and reperfusion injury through anti-inflammatory effects (Ki-Yeon Yool, In Koo Hwang2, Jong Dai Kim3, etc., Antiinflammatory Effect of the Ethanol Extract of Berberis koreana in a Gerbil Model of Cerebral Ischemia /Reperfusion Phytother. Res. 2008, 22, 1527-1532 ).
栀子是茜草科植物山栀 (Gardeniaj匪 inoides Ellis. ) 的果实,性苦寒,无毒。 入心、 肝、 肺、 胃经。 具有泻火除烦、 清热利尿、 凉血解毒的功效。 主治热病虚 烦不眠、 黄疸、 淋病、 消渴、 目赤、 咽痛、 吐血、 衄血、 血痢、 尿血、 热毒疮疡、 扭伤肿痛。 临床用于急性黄疸型肝炎、 止血、 扭挫伤等疾病。 现代药理学研究表 明, 栀子除具有解热、 抗菌、 镇静、 镇痛、 利胆、 抗炎、 止血、 保肝、 软组织损 伤修复等传统药理作用外, 还具有抗氧化、 抗哮喘、 降血脂、 降压、 抗过敏、 抗 动脉粥样硬化、 抗病毒、 抗抑郁忧虑、 神经系统保护等作用 (栀子的化学成分和 药理作用研究, 北方药学, 2008, 5 ( 3 ) : 44-45, 51; 黄仕孙, 吴曙粤, 栀子的 现代药理研究及临床应用概述, 内科, 2010, 5 ( 5 ) : 534-536; 刘国敏, 郭素华, 程维明, 栀子的药理作用及其机制研究新进展, 海峡药学, 2008, 20 ( 1 1 ): 8-10; 栀子提取物在制备预防和 /或治疗抑郁忧虑药中的用途, 中国发明专利, 申请号 200810016679.8 ) 。  The scorpion is the fruit of the Gardenia j匪 inoides Ellis. It is bitter and cold and non-toxic. Into the heart, liver, lungs, stomach. It has the effects of purging fire, removing heat, diuresis, cooling blood and detoxification. Indications of fever, irritability, jaundice, gonorrhea, diabetes, red eyes, sore throat, vomiting blood, blood stasis, blood stasis, hematuria, heat sores, sprains and swelling. Clinically used for acute jaundice hepatitis, hemostasis, contusion and other diseases. Modern pharmacological studies have shown that in addition to traditional pharmacological effects such as antipyretic, antibacterial, sedative, analgesic, choleretic, anti-inflammatory, hemostasis, liver protection, and soft tissue damage repair, medlar has anti-oxidation, anti-asthma, and hypolipidemic effects. , antihypertensive, anti-allergic, anti-atherosclerosis, anti-viral, anti-depressive anxiety, nervous system protection, etc. (Study on the chemical constituents and pharmacological effects of gardenia, North Pharmaceutical, 2008, 5 (3): 44-45, 51; Huang Shisun, Wu Yuyue, Overview of Modern Pharmacological Research and Clinical Application of Xunzi, Internal Medicine, 2010, 5 (5): 534-536; Liu Guomin, Guo Suhua, Cheng Weiming, New Progress in the Pharmacological Action and Mechanism of Gardenia, Strait Pharmaceuticals, 2008, 20 (1 1 ): 8-10; Use of Gardenia Extract in the Preparation of Drugs for Prevention and/or Treatment of Depression Worries, Chinese Invention Patent, Application No. 200810016679.8).
黄连和栀子共用的经典复方黄连解毒汤原载于 《外台秘要》 , 由黄连、 黄柏、 黄芩、 栀子组成, 被视为清热解毒的代表方, 具有泻火解毒之功效, 主治一切实 热火毒、 三焦热盛之证。 有报道黄连解毒汤用于脑病治疗, 可减少脑缺血和再灌 注的脑损伤以及炎性侵润 (Young Sun Hwang a, Chan Young Shin b, Youngbuhm Huh等, Hwangryun-Hae-Dok-tang (Huanglian-Jie-Du-Tang) extract and its constituents reduce ischemia-reperfusion brain injury and neutrophil infiltration in rats. Life Sciences2002, 71 :2105-21 17)。  The classic compound Huanglian Jiedu Decoction shared by Huanglian and Scorpion is originally contained in the "Outside Taiwan Secrets". It is composed of berberine, Phellodendron, Astragalus and Scorpion. It is regarded as the representative of detoxification and detoxification. It has the effect of purging fire and detoxification. Practical heat and poison, Sanjiao hot Sheng card. It has been reported that Huanglian Jiedu Decoction can reduce brain damage and inflammatory infiltration in cerebral ischemia and reperfusion (Young Sun Hwang a, Chan Young Shin b, Youngbuhm Huh et al., Hwangryun-Hae-Dok-tang (Huanglian). -Jie-Du-Tang) extract and its constituents reduce ischemia-reperfusion brain injury and neutrophil in filtration in rats. Life Sciences 2002, 71 : 2105-21 17).
本发明人注意到仍缺少能用于益气解毒以治疗脑及神经损伤性疾病的药物制 剂。 发明内容  The inventors have noted that there is still a lack of pharmaceutical preparations that can be used for the treatment of brain and nerve damage diseases. Summary of the invention
本发明组合物来源于临床治疗脑中风的有效中药复方益气解毒方。益气解毒方 是针对 "毒损脑络"的关键病机, 采用辨证施治、 扶正祛邪治疗中医脑病而提出的。 益气解毒方是以前未见报道的新的中药复方制剂, 其活性成分用于中医脑及神经 损伤性疾病的预防和治疗也未见报道。 益气解毒方剂由人参、 黄连、 栀子三味组 成。 其中, 人参为君药, 大补元气, 安神益智, 可以补五脏气, 对于正气虚损的 治疗十分恰当; 黄连为臣药, 乃泻火解毒之良品, 与人参配伍, 一补一泻, 相得 益彰; 栀子为佐使药, 该药功善清心除烦, 凉血解毒, 辅助黄连的泻火解毒, 同 时其性屈曲下行, 驱诸火邪从小便中出, 使热毒之邪有所出路。 此三味配伍, 可 以在扶正的基础上, 有效化解毒邪, 起到很好的协同治疗作用。 The composition of the invention is derived from an effective traditional Chinese medicine compound Yiqi Jiedu Decoction for clinical treatment of stroke. Yiqi Jiedu Recipe is a key pathogenesis for "poisoning and cerebral palsy". It is proposed by using syndrome differentiation and treatment to correct Chinese medicine encephalopathy. Yiqi Jiedu Recipe is a new traditional Chinese medicine compound preparation that has not been reported before. Its active ingredients have not been reported for the prevention and treatment of brain and nerve damage diseases in Chinese medicine. Yiqi Jiedu Recipe consists of ginseng, berberine and medlar. Among them, ginseng is a medicinal herb, it is a great qi, and it can replenish the five viscera. It is very suitable for the treatment of qi deficiency; berberine is a drug, it is a good product of diarrhea and detoxification, compatible with ginseng, one supplement and one diarrhea, The scorpion is the adjuvant medicine, the medicine is good for clearing the heart, removing blood, detoxifying, assisting the diarrhea and detoxification of berberine, When the sexual flexion goes down, the evil spirits are driven out of the urine, which makes the evil of heat and poison have a way out. This three-flavor compatibility can effectively detoxify evil on the basis of righting up, and plays a very good synergistic therapeutic effect.
兴奋性氨基酸大量释放和神经递质异常、 氧化应激、 自由基、 炎性级联、 线 粒体功能障碍等是脑损伤发病的普遍病理机制, 人参长于益气、 神经保护, 黄连 和栀子长于解毒, 将其三种配伍可以做到合理配伍、 互促互补。  Excessive release of excitatory amino acids and neurotransmitter abnormalities, oxidative stress, free radicals, inflammatory cascades, mitochondrial dysfunction, etc. are common pathological mechanisms of brain injury, ginseng grows in qi, neuroprotection, berberine and scorpion are longer than detoxification , the three compatibility can be rationally compatible and mutually complementary.
因此, 本发明要解决的技术问题是提供一种能够预防或治疗脑及神经损伤疾 病的中药活性成分组合物。  Accordingly, the technical problem to be solved by the present invention is to provide a composition of a traditional Chinese medicine active ingredient capable of preventing or treating a brain and nerve damage disease.
本发明涉及一种中药活性成分组合物, 所述中药活性成分包含京尼平苷或栀 子苷、 黄连素、 人参总皂苷或人参皂苷单体或人参皂苷单体组合物。  The present invention relates to a traditional Chinese medicine active ingredient composition comprising geniposide or geniposide, berberine, ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition.
如上所述的根据本发明的组合物, 其中所述中药活性成分按照总重量为 100 份计算包括以下重量份数配比: 人参总皂苷或人参皂苷单体或人参皂苷单体组合 物, 1-99份, 黄连素, 1-99份, 京尼平苷或栀子苷, 1-99份; 优选人参总皂苷或 人参皂苷单体或人参皂苷单体组合物, 2-75份, 黄连素, 2-75份, 京尼平苷或栀 子苷, 2-75 份; 更优选人参总皂苷或人参皂苷单体或人参皂苷单体组合物, 3-50 份, 黄连素, 3-50份, 京尼平苷或栀子苷, 3-50份。  The composition according to the present invention as described above, wherein the active ingredient of the traditional Chinese medicine is calculated in accordance with the total weight of 100 parts including the following parts by weight: ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 1- 99 parts, berberine, 1-99 parts, geniposide or geniposide, 1-99 parts; preferably ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 2-75 parts, berberine, 2-75 parts, geniposide or geniposide, 2-75 parts; more preferably ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 3-50 parts, berberine, 3-50 parts, Geniposide or geniposide, 3-50 parts.
如上所述的根据本发明的组合物, 其中人参总皂苷或人参皂苷单体或人参皂 苷单体组合物、黄连素、京尼平苷或栀子苷的重量比为 3: 2: 2-0.1, 优选 3:2: 2-1, 更优选 3:2:2。  The composition according to the present invention as described above, wherein the weight ratio of ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, berberine, geniposide or geniposide is 3: 2: 2-0.1 Preferably 3:2: 2-1, more preferably 3:2:2.
如上所述的根据本发明的组合物, 其包括中药活性成分以及任意一种或多种 药学上可接受的载体, 例如抗氧剂、 络合剂、 填充剂、 骨架材料等。  The composition according to the present invention as described above comprises a traditional Chinese medicine active ingredient and any one or more pharmaceutically acceptable carriers such as an antioxidant, a complexing agent, a filler, a matrix material and the like.
如上所述的根据本发明的组合物,其可以根据具体需要与药学上可接受的载体 制成任何一种药学上可接受的剂型, 例如片剂、 颗粒剂、 胶囊剂、 注射剂如粉针、 冻干粉针、 输液等。  The composition according to the present invention as described above may be formulated into any pharmaceutically acceptable dosage form, such as a tablet, a granule, a capsule, an injection such as a powder, according to a specific need and a pharmaceutically acceptable carrier. Freeze dry powder, infusion, etc.
本发明进一步涉及如上所述的组合物在制备治疗或预防脑和神经损伤,例如脑 血管痴呆或缺血性脑血管病 (例如短暂性局部脑缺血发作、脑梗塞或脑卒中)、神经 退行性脑病, 例如老年痴呆症或帕金森症、 细菌性或病毒性脑炎、 或抑郁症的药 物中的用途。 附图说明  The invention further relates to a composition as described above for the treatment or prevention of brain and nerve damage, such as cerebral vascular dementia or ischemic cerebrovascular disease (eg transient local ischemic attack, cerebral infarction or stroke), neurodegenerative Use in diseases of the brain, such as Alzheimer's disease or Parkinson's disease, bacterial or viral encephalitis, or depression. DRAWINGS
图 1 :本发明组合物对行 MCAO手术 24h后脑缺血大鼠脑片脑缺血面积 TTC染色 结果, A: 假手术组; B: 模型组; C: 阳性对照组 (银杏叶提取物 Egb761片组) (4mg/kg ); D-F: 给药组 3、 2、 l(62.5mg/kg)。  Figure 1 : TTC staining results of cerebral ischemic area of cerebral ischemia rats after 24 hours of MCAO surgery, A: sham operation group; B: model group; C: positive control group (ginkgo biloba extract Egb761 tablets) Group) (4 mg/kg); DF: administration group 3, 2, l (62.5 mg/kg).
图 2: 实施例 1中本发明组合物对行 MCAO手术后 12h和 24h的大鼠脑梗塞体积 的影响 (n=10)。 具体实施方式 Figure 2: Effect of the composition of the invention in Example 1 on the volume of cerebral infarction in rats 12 h and 24 h after MCAO surgery (n = 10). detailed description
以下结合实施例来进一步说明本发明, 本发明的优点和特点将会随着描述而 更为清楚。 但这些实施例仅是范例性的, 并不对本发明的范围构成任何限制。 本 领域技术人员应该理解的是, 在不偏离本发明的精神和范围下可以对本发明技术 方案的细节和形式进行修改或替换, 但这些修改和替换均落入本发明的保护范围 内。  The invention will be further illustrated by the following examples in which the advantages and features of the invention will become more apparent. However, these examples are merely exemplary and do not constitute any limitation on the scope of the invention. It will be understood by those skilled in the art that the details and forms of the present invention may be modified or substituted without departing from the spirit and scope of the invention, and such modifications and substitutions fall within the scope of the invention.
中药活性成分制备例  Preparation example of active ingredients of traditional Chinese medicine
黄连素提取工艺:  Berberine extraction process:
取黄连药材, 粉碎, 置索氏提取器中, 加入 95%乙醇加热回流至提取液无色, 减压浓縮 95%乙醇提取液至膏状, 再加入 1%醋酸, 加热溶解, 抽滤除去不溶物, 向溶液中滴加浓盐酸, 至溶液混浊为止, 放置冷却, 即有黄色针状黄连素盐酸盐 析出, 抽滤, 将晶体用冰水洗涤两次, 再用丙酮洗涤一次, 加速干燥, 得到粗品。 将粗品用水溶解, 用石灰乳调节 pH为 8.5〜9.8, 冷却, 滤除杂质, 继续冷却至室 温以下即有晶体析出, 抽滤, 再精制即得。  Take the Rhizoma Coptidis, smash it, place it in the Soxhlet extractor, add 95% ethanol and heat to reflux until the extract is colorless. Concentrate 95% ethanol extract to a paste, add 1% acetic acid, dissolve by heating, remove by suction. Insoluble matter, concentrated hydrochloric acid was added dropwise to the solution until the solution became turbid, and left to cool, that is, yellow acicular berberine hydrochloride was precipitated, suction filtered, the crystal was washed twice with ice water, and then washed once with acetone to accelerate Dry to give a crude product. The crude product is dissolved in water, adjusted to a pH of 8.5 to 9.8 with lime milk, cooled, and the impurities are filtered off, and cooling is continued until the room temperature is below, and crystals are precipitated, suction filtered, and purified.
人参茎叶总皂苷提取工艺:  Extraction process of total saponins from ginseng stems and leaves:
取人参茎叶, 切成 l〜2cm段, 加水煎煮 2次, 第一次 2小时, 第二次 1.5小 时, 合并滤液, 通过 D101型大孔树脂, 水洗脱至无色, 再用 60%乙醇洗脱, 收集 60%乙醇洗脱液, 将洗脱液浓縮至相对密度为 1.06〜1.08 ( 80°C ) 的清膏, 干燥粉 碎, 即得。  Take ginseng stems and leaves, cut into l~2cm sections, add water to cook 2 times, the first 2 hours, the second 1.5 hours, combine the filtrate, pass D101 type macroporous resin, water elute to colorless, then use 60 After elution with % ethanol, a 60% ethanol eluate was collected, and the eluate was concentrated to a clear paste having a relative density of 1.06 to 1.08 (80 ° C), and dried and pulverized.
京尼平苷或栀子苷提取工艺:  Extraction process of geniposide or geniposide:
取栀子药材, 粉碎, 加水煎煮 3次, 每次 1.5小时, 煎液滤过, 合并滤液, 通 过 AB-8型大孔树脂, 分别用水、 5%乙醇洗脱至无色, 再用 10%乙醇液洗脱, 收 集 10%乙醇洗脱液, 将洗脱液浓縮至相对密度为 1.06〜1.08 ( 80°C ) 的清膏, 干燥 粉碎, 即得。  Take the scorpion medicinal material, smash it, add water to cook for 3 times, 1.5 hours each time, filter the decoction, and combine the filtrate. Pass the AB-8 macroporous resin, elute with water, 5% ethanol to colorless, then use 10 The ethanol solution was eluted, and the 10% ethanol eluate was collected. The eluate was concentrated to a clear paste having a relative density of 1.06 to 1.08 (80 ° C), and dried and pulverized.
本发明所述之人参皂苷单体可为人参皂苷 Rgl, Rbl, Re, Rfl, Rd, R (R l 和 R 2) 。  The ginsenoside monomer of the present invention may be ginsenoside Rgl, Rbl, Re, Rfl, Rd, R (R l and R 2).
本专利中人参皂苷单体包括但不限于由下述方法得到:  The ginsenoside monomers of this patent include, but are not limited to, obtained by the following methods:
(I)人参皂苷单体 Rfl的制备参照专利方法进行制备(人参皂苷 F1的医药用 途, 申请号 200610008477.X) ;  (I) Preparation of ginsenoside monomer Rfl is prepared according to the patent method (medical use of ginsenoside F1, application number 200610008477.X);
(II)人参皂苷单体 Re的制备参照专利方法进行制备(人参皂苷 Re医药新用 途和制备方法, 申请号 2004110021133.6) ;  (II) Preparation of ginsenoside monomer Re is prepared according to the patent method (new method and preparation method of ginsenoside Re medicine, application number 2004110021133.6);
(III) 人参皂苷单体 Rgl的制备参照专利方法进行制备 (人参皂苷 Rgl的用 途, 申请号 200810227643.4) ;  (III) Preparation of ginsenoside monomer Rgl is prepared according to the patent method (the use of ginsenoside Rgl, application number 200810227643.4);
(IV) 人参皂苷单体 Rbl 的制备参照专利方法进行制备 (一种人参皂苷 Rbl 的制备方法, 申请号 200710178212.9) ; (V) 人参皂苷单体 Rh (R l和 Rh2) 的制备参照专利方法进行制备 (人参 皂苷 R 提取物及制备方法, 申请号 200810043537.0) ; (IV) Preparation of ginsenoside monomer Rbl is prepared according to the patent method (a preparation method of ginsenoside Rbl, application No. 200710178212.9); (V) Preparation of ginsenoside monomer Rh (R l and Rh2) is prepared according to the patent method (ginsenoside R extract and preparation method, application number 200810043537.0);
(VI)人参皂苷单体 Rd的制备参照文献方法进行制备(刘德育, 曹飒。 从三 七药材中快速批量分离提取人参皂苷 Rd的方法,中药材, 2006, 29 (3 ): 247-249)。  (VI) Preparation of ginsenoside monomer Rd by reference literature method (Liu Deyu, Cao Yu. Method for rapid separation and extraction of ginsenoside Rd from Sanqi medicinal materials, Chinese medicinal materials, 2006, 29 (3 ): 247-249 ).
以上所述人参总皂苷和人参单体均为已知的具有药物活性的物质, 由人参总 皂苷或上述各种人参皂苷单体或两种以上的人参皂苷单体混合可作为药物制剂的 原料药后与黄连素、 栀子苷按如下一定比例再混合, 按常规制剂方法, 将其制备 成临床适用的任何一种药剂, 例如片剂、 胶囊剂、 颗粒剂、 滴丸等口服固体制剂, 口服液体制剂, 注射剂等。 在制备上述制剂的过程当中, 可以将上述制备的混合 物与任何一种用于制备临床药剂的适合的赋形剂混合使用, 制备成药物制剂。  The above ginseng total saponins and ginseng monomers are known as pharmaceutically active substances, and can be used as a raw material for pharmaceutical preparations by mixing ginseng total saponins or the above various ginsenoside monomers or two or more kinds of ginsenoside monomers. After being mixed with berberine and geniposide in a certain proportion as follows, according to the conventional preparation method, it is prepared into any clinically applicable agent, such as an oral solid preparation such as a tablet, a capsule, a granule, a dropping pill, orally. Liquid preparation, injection, and the like. In the preparation of the above preparation, the mixture prepared above may be used in combination with any suitable excipient for the preparation of a clinical preparation to prepare a pharmaceutical preparation.
药物组合物配比方法  Pharmaceutical composition ratio method
(1) 按照重量份数配比计算, 分别取按照上述方法制备的人参总皂苷 30份、 黄 连素 20份和栀子苷 5-20份混合后作为药物制剂的原料药;  (1) Calculated according to the ratio of parts by weight, 30 parts of total ginsenoside prepared according to the above method, 20 parts of berberine and 5-20 parts of geniposide are mixed as raw materials for pharmaceutical preparations;
(2) 按照重量份数配比计算, 分别取按照上述方法制备的任意一种人参皂苷单 体 30份、 黄连素 20份和栀子苷 5-20份混合后作为药物制剂的原料药;  (2) Calculated according to the ratio of parts by weight, 30 parts of ginsenoside monomer, 20 parts of berberine and 5-20 parts of geniposide prepared according to the above method are used as raw materials for pharmaceutical preparations;
(3) 按照重量份数配比计算, 分别取按照上述方法制备的两种或两种以上人参 皂苷单体混合物 30份、 黄连素 20份和栀子苷 5-20份混合后作为药物制剂的原料药。  (3) Calculated according to the weight ratio, 30 parts of two or more ginsenoside monomer mixtures prepared according to the above method, 20 parts of berberine and 5-20 parts of geniposide are mixed as a pharmaceutical preparation. Raw material medicine.
本发明药物组合物按照如上 (1 ) - (3 ) 配比方法组成组合物与黄连素及栀子 苷合用和药学上可接受的赋形剂或载体组成。  The pharmaceutical composition of the present invention comprises a composition in combination with berberine and geniposide and a pharmaceutically acceptable excipient or carrier according to the above (1) - (3) ratio method.
将本发明的上述(I) - (VI)所示的任意一种化合物中加入制备不同剂型时所 需的各种辅料或药学上可接受的赋形剂或载体后, 以常规的药物制剂方法可制备 成任何一种适宜的临床制剂, 例如可以是注射剂 (粉针、 冻干粉针、 水针、 输液 等) 、 片剂、 口服液、 颗粒剂、 胶囊剂、 软胶囊、 滴丸等。 其中, 所述的辅料可 以是抗氧络合剂、 填充剂、 骨架材料等; 所述的药学上可接受的载体是木糖醇、 甘露醇、 乳糖、 果糖、 葡聚糖、 葡萄糖、 聚乙烯吡咯烷酮、 低分子右旋糖酐、 氯 化钠、 葡萄糖酸钙或磷酸钙中的一种或几种, 优选为甘露醇或乳糖。 实施例 1 本发明组合物对急性局灶性脑缺血动物保护作用研究实验  The compound of any one of the above (I) - (VI) of the present invention is added to various excipients or pharmaceutically acceptable excipients or carriers required for preparation of different dosage forms, and the conventional pharmaceutical preparation method is used. It can be prepared into any suitable clinical preparation, and can be, for example, an injection (powder needle, lyophilized powder, water needle, infusion, etc.), a tablet, an oral solution, a granule, a capsule, a soft capsule, a dropping pill, and the like. Wherein, the auxiliary material may be an antioxidant complexing agent, a filler, a matrix material, etc.; the pharmaceutically acceptable carrier is xylitol, mannitol, lactose, fructose, dextran, glucose, polyethylene One or more of pyrrolidone, low molecular weight dextran, sodium chloride, calcium gluconate or calcium phosphate, preferably mannitol or lactose. Example 1 Experimental study on the protective effect of the composition of the present invention on acute focal cerebral ischemia
急性局灶性脑缺血动物模型建立 (行大脑中动脉栓塞 (MCAO) 手术) 采用体重在 250-270g雄性 SD大鼠, 参照 Zea Longa等 (Longa EZ, Weinstein PR, Carlson S, Cummins R. Reversible middle cerebral artery occlusion without craniectomy in rats. Stroke 1989; 20: 84-91)建立的大鼠大脑中动脉内栓线阻断方法。 10%水合氯醛溶液 400mg/kg, 腹腔注射麻醉动物。大鼠仰卧位固定, 颈部正中切开 皮肤, 钝性分离各层组织, 暴露右侧颈总动脉 (CCA)。 分离至颈内动脉 (internal carotid artery, ICA)、 颈外动脉 (external carotid artery, ECA) 分叉后一段, 仔细 分离避免损伤迷走神经和气管,置线备用。分离同侧颈外动脉,在 ECA发出约 0.8cm 处结扎。 于 CCA近心端夹一动脉夹, 在 ECA结扎处与分叉处之间做一直径约 2mm 的" V"形切口, 将尼龙线自切口处轻轻插入 CCA, 松开动脉夹, 经颈内、 颈外动脉 分叉部进入颈内动脉, 将尼龙线缓慢地向 ICA入颅内的方向推进, 插入深度约 18.5±0.5mm至微感阻力,使尼龙线头端通过 MCA起始处, 到达较细的大脑前动脉, 此时即实现左侧大脑中动脉的血流阻塞, 结扎 ICA以固定尼龙线和防止出血, 逐层 缝合, 尼龙线残端留 l cm长于皮外。 Establishment of an animal model of acute focal cerebral ischemia (middle cerebral artery occlusion (MCAO) surgery) Male SD rats weighing 250-270 g, refer to Zea Longa et al (Longa EZ, Weinstein PR, Carlson S, Cummins R. Reversible Middle cerebral artery occlusion without craniectomy in rats. Stroke 1989; 20: 84-91) established a method for blocking the occlusion of the middle cerebral artery in rats. 10% chloral hydrate solution 400 mg/kg, anesthetized animals were injected intraperitoneally. The rat was fixed in the supine position, the skin was cut in the middle of the neck, and the layers of tissue were bluntly separated to expose the right common carotid artery (CCA). Separate to the internal carotid artery (ICA), external carotid artery (ECA) after a bifurcation, carefully separate to avoid damage to the vagus nerve and trachea, set the line for use. Isolation of the ipsilateral external carotid artery, about 0.8cm in ECA Ligation. An arterial clip was placed at the proximal end of the CCA. A "V"-shaped incision with a diameter of about 2 mm was made between the ECA ligation and the bifurcation. The nylon thread was gently inserted into the CCA from the incision, and the artery clip was released. The inner and outer carotid bifurcations enter the internal carotid artery, and the nylon thread is slowly pushed into the cranial direction of the ICA. The insertion depth is about 18.5±0.5 mm to the micro-inductance, so that the nylon thread end passes through the MCA start point. The thinner anterior cerebral artery, at this time, achieves blood flow obstruction of the left middle cerebral artery, ligation of ICA to fix the nylon thread and prevent bleeding, suture layer by layer, and the nylon thread stump remains l cm longer than the skin.
假手术组只进行术前麻醉和血管分离术, 不结扎及导入线栓。 手术过程中室 温保持在 24-25°C, 生物机能实验系统进行动物呼吸及心电监测。  The sham operation group only performed preoperative anesthesia and vascular separation, without ligation and introduction of a wire plug. The room temperature was maintained at 24-25 °C during the operation, and the biological function test system was used for animal breathing and ECG monitoring.
动物分组和给药  Animal grouping and administration
将 SD大鼠随机分为六组:假手术组、模型组、银杏叶提取物片阳性对照组 (金 纳多银杏叶提取物片, Egb761, 德国威玛舒培博士药厂)、 本发明组合物给药组 1、 2、 3。 阳性对照组给药方法: 取银杏叶提取物片 1片 (40mg)溶于 40ml生理盐水 中, 配制成 lmg/mL, 灌胃给予 SD大鼠 lmL, 给药量为 4 mg/kg。 给药组给药方 法: 分别取人参总皂苷: 黄连素: 栀子苷按照重量比 3:2:2(给药组 1)、 3:2:0.1 (给 药组 2)、 3:2:0.5(给药组 3),分别用生理盐水配制成 31.25 mg/mL,灌胃给药 0.5mL, 剂量为 62.5 mg/kg。 给药组及阳性对照组于手术麻醉前 10 min灌胃给药, 分别于 术后 4、 12、 24 h处死动物, 进行如下各项指标检测。  SD rats were randomly divided into six groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group (Ginado Ginkgo biloba extract tablets, Egb761, Dr. Weimar Shupei, Germany), the combination of the present invention Drug administration group 1, 2, 3. Positive control group administration method: Take 1 piece of Ginkgo biloba extract tablets (40mg) dissolved in 40ml normal saline, prepare lmg/mL, and give SD rats 1mL by gavage, the dosage is 4 mg/kg. Administration method of the drug-administered group: Take ginseng total saponin: berberine: geniposide according to the weight ratio of 3:2:2 (administration group 1), 3:2:0.1 (administration group 2), 3:2: 0.5 (administration group 3), 31.25 mg/mL was prepared with physiological saline, and 0.5 mL was administered by intragastric administration at a dose of 62.5 mg/kg. The drug-administered group and the positive control group were intragastrically administered 10 minutes before the anesthesia, and the animals were sacrificed at 4, 12, and 24 hours after surgery, and the following indicators were tested.
神经行为学 Bederson's法功能评价  Neurobehavioral Bederson's functional evaluation
动物于处死前进行神经行为学观察, 参照 Bederson 等的方法 (参考文献 Bederson JB, Pitts LH, Tsuji M, et al., Rat middle cerebral artery occlusion: evaluation of the model and development of a neurologic examination. Stroke 1986; 17:472-476), 提鼠尾离开地面约 1 尺, 观察两前肢状况; 将大鼠置于水平地面, 推动其双肩, 观察两侧抵抗力有无差异; 大鼠置于地面,观察其行走情况。采用五级评分法(0-4 分), 分数越高, 说明其神经行为损伤越严重。 Bederson's 功能评分统计结果见表 1, 各组间数据比较采用秩和检验, Ρ<0.05认为具有统计学意义。 Neurobehavioral observations were performed prior to sacrifice, according to the method of Bederson et al. (Bederson JB, Pitts LH, Tsuji M, et al., Rat middle cerebral artery occlusion: evaluation of the model and development of a neurologic examination. Stroke 1986 17:472-476), take the rat tail off the ground about 1 foot, observe the condition of the two forelimbs; place the rats on the level ground, push the shoulders, observe the difference of the resistance on both sides; the rats are placed on the ground, observe Its walking situation. Using a five-point scale (0-4 points), the higher the score, the more serious the neurobehavioral damage. The statistical results of Bederson's functional scores are shown in Table 1. The data of each group were compared using the rank sum test, and Ρ<0.05 was considered statistically significant.
表 IBederson's 功能评分统计结果( ±sd, n=10) 假手术 模型 阳性对 Table IBederson's functional score statistics (±sd, n=10) sham operation model positive pair
项目 等级 给药组 1 给药组 2 给药组 3 组 组 照组  Item Level Drug Delivery Group 1 Drug Delivery Group 2 Drug Delivery Group 3 Groups
0 6 0 6
1 1 4  1 1 4
2 1 3 2  2 1 3 2
12h-l 3 5 2  12h-l 3 5 2
4  4
Rank  Rank
P值 # #  P value # #
0 7 4 4 5 0 7 4 4 5
1 2 0 4 2 11 2 0 4 2 1
2 1 2 2 2 1 2 2
12h-2 3 4 1 1 1  12h-2 3 4 1 1 1
4  4
Rank  Rank
P值 ## # ## ## P value ## # ## ##
0 10 0 5 5 1 00 10 0 5 5 1 0
1 0 4 4 3 6 71 0 4 4 3 6 7
2 0 0 0 1 3 22 0 0 0 1 3 2
24h-l 3 0 1 0 0 0 0 24h-l 3 0 1 0 0 0 0
4 0 3 0 0 0 0 4 0 3 0 0 0 0
Rank Rank
P值 ## ## ## # P value ## ## ## #
0 8 0 3 5 5 30 8 0 3 5 5 3
1 2 4 3 2 21 2 4 3 2 2
2 4 0 0 0 12 4 0 0 0 1
24h-2 3 0 0 0 0 0 24h-2 3 0 0 0 0 0
4 2 0 0 0 0 4 2 0 0 0 0
Rank Rank
P值 # ## ## ## 心  P value # ## ## ##心
积 P值 ## ## ## 分  Product P value ## ## ## 分
注: 非参数秩和检验, 检验, 与对照组比较: : "P<0.01; 与模型组比较: #P Note: Non-parametric rank sum test, test, compared with control group: : "P<0.01; compared with model group: #P
<0.05, ##P<0.01 <0.05, ##P<0.01
结论: 由表 1可知,模型组较假手术组有统计学差异,说明造模成功(Ρ<0.01), 阳性对照组(3 mg/kg)和给药组 1、 2、 3能显著改善动物局灶性脑缺血后 12h和 24 h 的神经损伤症状 (P<0.05, P<0.01 )o Conclusion: It can be seen from Table 1 that the model group is statistically different from the sham operation group, indicating that the modeling is successful (Ρ<0.01). The positive control group (3 mg/kg) and the drug-administered group 1, 2, 3 significantly improved the neurological symptoms at 12h and 24h after focal cerebral ischemia in animals (P<0.05, P<0.01).
对脑缺血后脑梗死体积的改善作用评价  Evaluation of the improvement of cerebral infarction volume after cerebral ischemia
功能评分后大鼠断头处死, 迅速将取出的脑组织置于 -20°C冰箱, lOmin后置 室温环境, 切除嗅球、 小脑和低位脑干后并按大脑定位图谱所示间隔 2mm冠状切 成 6个大脑连续冠状粗切片。然后迅速将脑片置于 5ml含 2%TTC (氯化三苯基四氮 唑)及
Figure imgf000012_0001
0.1ml的溶液中, 37°C恒温、避光孵育 30 min,期间每隔 5min 将脑片翻动一次。 经 TTC染色后, 正常组织呈玫瑰红色, 梗死组织未被染色而呈 白色。 将每组脑片排列整齐, 拍照保存, 应用图像分析系统软件处理并作统计, 计算每张脑片的梗塞面积, 乘以每片脑片的厚度 2mm, 每只动物所有脑片梗塞面 积乘以厚度相加, 即为脑梗塞体积。
After functional scoring, the rats were decapitated and the brain tissue was quickly placed in a refrigerator at -20 °C. After lOmin, the room temperature was set. The olfactory bulb, cerebellum and low brain stem were removed and cut into 2 mm crowns according to the brain localization map. Six brains were continuously coronal sections. Then quickly place the brain slices in 5ml containing 2% TTC (triphenyltetrazolium chloride) and
Figure imgf000012_0001
In a 0.1 ml solution, incubate at 37 ° C for 30 min in the dark, and flip the brain slices once every 5 min. After TTC staining, the normal tissue was rose red, and the infarcted tissue was unstained and white. Each group of brain slices was arranged neatly, photographed and saved, and processed by image analysis system software and counted. The infarct area of each brain slice was calculated, multiplied by the thickness of each brain slice by 2 mm, and the infarct area of each brain slice of each animal was multiplied by The thickness is added, which is the volume of cerebral infarction.
结论: 如图 1和 2所示, 大鼠脑组织缺血损伤后, 假手术组无脑梗塞出现, 模 型组出现明显梗死区而呈现 TTC染色灰白色。 给药组 1、 2、 3可显著降低脑梗灰白 区, 縮小脑梗塞体积, 对脑梗死具有显著改善作用。 对大脑中动脉栓塞 (MCAO) 大鼠脑缺血后局部脑血流的改善作用评价 MCAO手术方法如上所述, 药物于水合氯醛手术麻醉前 15 min给予。  Conclusion: As shown in Figures 1 and 2, after cerebral ischemic injury in rats, no cerebral infarction occurred in the sham operation group, and the infarct area appeared in the model group and the TTC stained grayish white. The administration group 1, 2, 3 can significantly reduce the gray area of the cerebral infarction, reduce the volume of cerebral infarction, and significantly improve the cerebral infarction. Evaluation of the improvement of regional cerebral blood flow after cerebral ischemia in rats with middle cerebral artery occlusion (MCAO) The MCAO procedure was as described above, and the drug was given 15 min before anesthesia with chloral hydrate.
动物分组和给药方法  Animal grouping and administration method
将 SD大鼠随机分为以下几组: 假手术组、模型组、 银杏叶提取物片阳性对照 组 (金纳多银杏叶提取物片, Egb761, 德国威玛舒培博士药厂)、本发明组合物给药 组(人参总皂苷: 黄连素: 栀子苷按照重量比 3:2:2)。 阳性对照组给药方法: 取银 杏叶提取物片 1片(40mg)溶于 40ml生理盐水中, 配制成 lmg/mL, 灌胃给予 SD 大鼠 lmL, 给药量为 4 mg/kg。 给药组给药方法: 给药组按照配伍比例分别用生理 盐水配制成 0.25mg/mL、 1.25 mg/mL禾 B 6.25 mg/mL, 灌胃给药 lmL, 三个剂量从 高到低分别为 l mg/kg、 5mg/kg和 25mg/kg。动物仰卧位于手术台上, 麻醉但未进 行 MCAO 手术前, 稳定血流灌注量读数后, 使用激光散斑血流监测视频系统 (PariCam PSI)记录 15min内血流值, 以其平均值作为脑血流的基础值 (baseline value) 。 完成 MCAO 手术, 把线插入颅内, 模型组当血流值突然下降至基础值的 40%-60% 时, 提示中脑动脉血流已被阻断, 给药各组同模型组, 行 MCAO 手术 前的血流值为本组的基础值(100% ), 手术后血流值均以此基础值的百分率表示。 手术后 30 min在同一位置测定 LDF值, 监测 SD大鼠行 MCAO手术前后血流变 化, 此系统不但可以掌握血流灌注的空间分布, 而且能够清楚的看清血流实时动 态变化的情况。 本发明组合物对 SD大鼠行 MCAO手术后脑血流作用结果见表 2。  SD rats were randomly divided into the following groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group (Ginado Ginkgo biloba extract tablets, Egb761, Dr. Weimar Shupei, Germany), the present invention Composition administration group (ginseng total saponin: berberine: geniposide in a weight ratio of 3:2:2). Positive control group administration method: Take apricot leaf extract tablets (40mg) dissolved in 40ml normal saline, formulated into lmg/mL, and intragastrically administered to SD rats lmL, the dose is 4 mg / kg. Administration method of the drug-administered group: The drug-administered group was prepared into 0.25 mg/mL, 1.25 mg/mL, and B 6.25 mg/mL, respectively, according to the compatibility ratio, and the intragastric administration was 1 mL. The three doses were from high to low. l mg/kg, 5 mg/kg and 25 mg/kg. The animal was placed supine on the operating table, and before the anesthesia was performed without MCAO surgery, the blood flow value was recorded within 15 min using the laser speckle blood flow monitoring video system (PariCam PSI), and the average value was used as cerebral blood. The baseline value of the stream. After completing the MCAO operation, the line was inserted into the cranium. When the blood flow value suddenly dropped to 40%-60% of the baseline value, the blood flow of the middle cerebral artery was blocked, and each group was administered with the model group. The blood flow value before surgery was the basic value of the group (100%), and the blood flow value after surgery was expressed as a percentage of the base value. The LDF value was measured at the same position 30 min after the operation, and the SD rats were monitored for blood flow changes before and after MCAO operation. This system can not only grasp the spatial distribution of blood perfusion, but also clearly see the real-time dynamic changes of blood flow. The results of the composition of the present invention on cerebral blood flow after SDAO operation in SD rats are shown in Table 2.
平均血流灌注量 (PU) 的计算方法为:  The mean blood perfusion (PU) is calculated as:
平均血流灌注量 (PU) =血细胞移动速度 (V) X血细胞浓度 (C)  Mean blood flow volume (PU) = blood cell movement velocity (V) X blood cell concentration (C)
利用下述公式计算局部脑血流变化率: 百分比变化 = TQItteated _ TQI∞ntto1 x 100% The regional cerebral blood flow rate of change was calculated using the following formula: Percent change = TQItteated _ TQI∞ntto1 x 100%
TOIcontrol  TOIcontrol
其中, TOI∞ntol为给药前耳廓平均血流灌注量(手术前), TOIt^w为给药后耳 表 2本发明组合物对 SD大鼠行 MCAO手术后脑血流作用 (n=5 ) Among them, TOI ∞ntol is the average blood flow volume of the auricle before administration (before surgery), and TOIt^w is the post-administration ear composition. The composition of the present invention exerts cerebral blood flow after SDAO operation in SD rats (n=5) )
组别 剂灑 L (mg-kg-1 ) 平均血流降低变化率 (%) 假手术组 - 0 Group agent L (mg-kg -1 ) mean blood flow reduction rate (%) sham operation group - 0
模型组 - 51.95±4.71  Model group - 51.95±4.71
阳性对照组 4 22.09±7.8**  Positive control group 4 22.09±7.8**
给药组 1 32.96±5.17  Drug administration group 1 32.96±5.17
5 21.71±2.16  5 21.71±2.16
25 14.93±3.13  25 14.93±3.13
注: 非参数秩和检验, 检验, 与对照组比较: "P < 0.01 ; 与模型组比较: ##P < 0.01 Note: Non-parametric rank sum test, test, compared with control group: "P <0.01; compared with model group: ## P < 0.01
结论:通过监控缺血后半小时内的局部脑血流灌注量(rCBF)变化,行 MCAO 手术后缺血半小时内阳性药物组 (4mg/kg) 和给药组高、 中、 低剂量 (l mg/kg、 5mg/kg、 25mg/kg) 能明显改善局灶性脑缺血后降低的局部脑血流, 且本发明组合 物给药组低剂量组 (l mg/kg, 32.96±5.17") 仍表现较好的改善局部血流灌注量作 用, 与模型组相比, 具统计学差异 (P<0.01 ), 并且呈现很好地浓度依赖关系。 这 表明本发明组合物能快速透过血脑屏障并可能通过扩张血管, 增加局部血流灌注 量来发挥较好的血管保护作用。  Conclusion: By monitoring the change of regional cerebral blood perfusion (rCBF) within half an hour after ischemia, the positive drug group (4 mg/kg) and the high, medium and low doses of the drug-administered group were administered within half an hour after MCAO surgery. L mg/kg, 5 mg/kg, 25 mg/kg) can significantly improve the reduced regional cerebral blood flow after focal cerebral ischemia, and the low-dose group of the composition of the present invention (l mg/kg, 32.96±5.17) ") still showed better improvement in local blood perfusion, compared with the model group, statistically significant (P <0.01), and showed a good concentration dependence. This shows that the composition of the present invention can quickly pass through The blood-brain barrier may exert better vascular protection by dilating blood vessels and increasing local blood perfusion.
由以上实验可知本发明组合物具有良好的急性脑缺血损伤保护作用。 实施例 2本发明组合物对局灶性脑缺血动物缺血后再灌注保护作用研究实验 大脑中动脉栓塞 (MCAO) 缺血后再灌注模型的制备  From the above experiments, it is known that the composition of the present invention has a good protective effect against acute cerebral ischemic injury. Example 2 Preparation of the composition of the present invention for ischemia-reperfusion injury in animals with focal cerebral ischemia Preparation of middle cerebral artery occlusion (MCAO) model of ischemia-reperfusion
采用体重在 250-270g雄性 SD大鼠, 参照 Zea Longa等(Longa EZ, Weinstein PR, Carlson S, Cummins R. Reversible middle cerebral artery occlusion without craniectomy in rats. Stroke 1989; 20: 84-91 )建立的大鼠大脑中动脉内栓线阻断方法, 作适当改进。  Male Sprague-Dawley rats weighing 250-270 g were used with reference to Zea Longa et al. (Longa EZ, Weinstein PR, Carlson S, Cummins R. Reversible middle cerebral artery occlusion without craniectomy in rats. Stroke 1989; 20: 84-91). The method of blocking the wire in the middle cerebral artery of the rat is appropriately improved.
10%水合氯醛溶液 400mg/kg, 腹腔注射麻醉动物。大鼠仰卧位固定, 颈部正中 切开皮肤,钝性分离各层组织,暴露右侧颈总动脉 (CCA;)。分离至颈内动脉(internal carotid artery, ICA) 、 颈外动脉(external carotid artery, ECA)分叉后一段, 仔细 分离避免损伤迷走神经和气管,置线备用。分离同侧颈外动脉,在 ECA发出约 0.8cm 处结扎。 于 CCA近心端夹一动脉夹, 在 ECA结扎处与分叉处之间做一直径约 2mm 的" V"形切口, 将尼龙线自切口处轻轻插入 CCA, 松开动脉夹, 经颈内、 颈外动脉 分叉部进入颈内动脉, 将尼龙线缓慢地向 ICA入颅内的方向推进, 插入深度约 18.5±0.5mm至微感阻力,使尼龙线头端通过 MCA起始处, 到达较细的大脑前动脉, 此时即实现左侧大脑中动脉的血流阻塞, 结扎 ICA以固定尼龙线和防止出血, 逐层 缝合, 尼龙线残端留 l cm长于皮外。 10% chloral hydrate solution 400 mg/kg, anesthetized animals were injected intraperitoneally. The rat was fixed in the supine position, the skin was cut in the middle of the neck, and the layers of tissue were bluntly separated to expose the right common carotid artery (CCA;). Separate to the internal carotid artery (ICA), the external carotid artery (ECA) after the bifurcation, carefully separate to avoid damage to the vagus nerve and trachea, set the line for later use. The ipsilateral external carotid artery was isolated and ligated at approximately 0.8 cm from the ECA. An arterial clip was placed at the proximal end of the CCA. A "V"-shaped incision with a diameter of about 2 mm was made between the ECA ligation and the bifurcation. The nylon thread was gently inserted into the CCA from the incision, and the artery clip was released. The inner and outer carotid bifurcations enter the internal carotid artery, and the nylon thread is slowly pushed into the cranial direction of the ICA. The insertion depth is about 18.5±0.5 mm to the micro-inductance, so that the nylon thread end passes through the MCA start point. a thinner anterior cerebral artery, At this point, the blood flow obstruction of the left middle cerebral artery is achieved, the ICA is ligated to fix the nylon thread and the bleeding is prevented, and the suture is layer by layer, and the nylon thread stump is longer than the skin.
假手术组只进行术前麻醉和血管分离术, 不结扎及导入线栓。 手术过程中室 温保持在 24-25°C, 生物机能实验系统进行动物呼吸及心电监测。  The sham operation group only performed preoperative anesthesia and vascular separation, without ligation and introduction of a wire plug. The room temperature was maintained at 24-25 °C during the operation, and the biological function test system was used for animal breathing and ECG monitoring.
动物分组和给药  Animal grouping and administration
将 SD大鼠随机分为以下几组: 假手术组、 模型组、 银杏叶提取物片阳性对照 组 (金纳多银杏叶提取物片, Egb761, 德国威玛舒培博士药厂) (4mg/kg)、 本发明 组合物给药组 (人参总皂苷: 黄连素: 栀子苷按照重量比 3:2:2)。 阳性对照组给药 方法: 取银杏叶提取物片 1片 (40mg) 溶于 40ml生理盐水中, 配制成 lmg/mL, 于 手术后 3h灌胃给予 SD大鼠 lmL, 给药量为 4 mg/kg。 给药组给药方法: 给药组按照 配伍比例分别用生理盐水配制成 0.25mg/mL、 1.25 mg/mL和 6.25 mg/mL, 于手术 后 3h灌胃给药 lmL, 三个剂量从高到低分别为 1 mg/kg、 5mg/kg和 25mg/kg。 除假 手术组外, 其余各组于缺血后 2h将残留鱼线拔出至颈内和颈外动脉分叉处, 造成 再灌注损伤, 于 12h和 24h后处死动物进行相关指标检测。  SD rats were randomly divided into the following groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group (Ginado Ginkgo biloba extract tablets, Egb761, Dr. Weimar Shupei, Germany) (4mg/ Kg), the composition of the composition of the present invention (ginseng total saponin: berberine: geniposide in a weight ratio of 3:2:2). Positive control group administration method: Take 1 piece of Ginkgo biloba extract tablets (40mg) dissolved in 40ml normal saline, prepare 1mg/mL, and give SD rats 1mL intragastrically 3h after operation, the dosage is 4mg/ Kg. Dosing method of the drug-administered group: The drug-administered group was prepared into 0.25 mg/mL, 1.25 mg/mL, and 6.25 mg/mL according to the compatibility ratio, and administered intragastrically for 1 hour after the operation, the three doses were as high as high. The low values are 1 mg/kg, 5 mg/kg and 25 mg/kg, respectively. Except for the sham operation group, the remaining groups were pulled out to the bifurcation of the internal and external carotid arteries 2 h after ischemia, causing reperfusion injury. The animals were sacrificed at 12 h and 24 h for relevant indicators.
神经行为学 Bederson's法功能评价  Neurobehavioral Bederson's functional evaluation
动物于处死前进行神经行为学观察,参照 Bederson等的方法 (参考文献 Bederson JB, Pitts LH, Tsuji M, et al., Rat middle cerebral artery occlusion: evaluation of the model and development of a neurologic examination. Stroke 1986; 17:472-476),提鼠尾 离开地面约 1 尺, 观察两前肢状况; 将大鼠置于水平地面, 推动其双肩, 观察两 侧抵抗力有无差异; 大鼠置于地面, 观察其行走情况。 采用五级评分法 (0-4分), 分数越高, 说明其神经行为损伤越严重。  Neurobehavioral observations were performed prior to sacrifice, as described by Bederson et al. (Bederson JB, Pitts LH, Tsuji M, et al., Rat middle cerebral artery occlusion: evaluation of the model and development of a neurologic examination. Stroke 1986 17:472-476), take the rat tail off the ground about 1 foot, observe the condition of the two forelimbs; place the rats on the level ground, push the shoulders, observe the difference of the resistance on both sides; the rats are placed on the ground, observe Its walking situation. Using a five-point scale (0-4 points), the higher the score, the more serious the neurobehavioral damage.
神经功能学评分结果见表 3, 各组间数据比较采用秩和检验, Ρ<0.05认为具有 统计学意义。  The neurological function scores are shown in Table 3. The data of each group were compared using the rank sum test, and Ρ<0.05 was considered statistically significant.
表 3 本发明组合物对脑缺血再灌后大鼠神经功能学评分的影响 分组 齐 U量 (mg-kg-1 ) 神经功能学评分 Table 3 Effect of the composition of the present invention on neurological function scores of rats after cerebral ischemia-reperfusion. Grouping U quantity (mg-kg -1 ) neurological function score
12h 24h  12h 24h
假手术组 - 0 0  Sham group - 0 0
模型组 - 2.62±0.53 2.83±0.65## 阳性对照组 1.30±0.52 1.57±0.46 Model group - 2.62 ± 0.53 2.83 ± 0.65 ## positive control group 1.30 ± 0.52 1.57 ± 0.46
给药组 1 1.86±0.67 2.07±0.75*  Administration group 1 1.86±0.67 2.07±0.75*
5 1.52±0.37 1.58±0.59  5 1.52±0.37 1.58±0.59
25 1.24±0.49 1.44±0.65  25 1.24±0.49 1.44±0.65
数据以平均值±标准偏差表示并通过 one-way ANOVA分析。 相对于假手术组: P<0.01, #P<0.05; 相对于模型组: *P<0.05, **P<0.01。 结论: 模型组较假手术组有统计学差异, 说明造模成功(Ρ<0.01 ) , 阳性对照 银杏叶提取物组 (4 mg/kg, ig) 和本发明组合物大、 中、 小剂量组 (1、 5mg/kg、 25mg/kg)能显著改善动物局灶性脑缺血再灌后 12h和 24 h的神经损伤症状(Ρ<0.05, P<0.01 ) , 且呈现出一定的剂量依赖关系。 Data are expressed as mean ± standard deviation and analyzed by one-way ANOVA. Relative to the sham operation group: P<0.01, #P<0.05; relative to the model group: *P<0.05, **P<0.01. Conclusion: The model group was statistically different from the sham operation group, indicating successful modeling (Ρ<0.01), positive control ginkgo biloba extract group (4 mg/kg, ig) and the large, medium and small dose groups of the composition of the present invention. (1, 5mg/kg, 25mg/kg) can significantly improve the neurological symptoms (Ρ<0.05, P<0.01) at 12h and 24h after focal cerebral ischemia and reperfusion in animals, and showed a dose-dependent relationship. .
对脑缺血后脑梗死体积的改善作用评价  Evaluation of the improvement of cerebral infarction volume after cerebral ischemia
功能评分后大鼠断头处死, 迅速将取出的脑组织置于 -20°C冰箱, lOmin后置 室温环境, 切除嗅球、 小脑和低位脑干后并按大脑定位图谱所示间隔 2mm冠状切 成 6个大脑连续冠状粗切片。然后迅速将脑片置于 5ml含 2%TTC (氯化三苯基四氮 唑;)及
Figure imgf000015_0001
0.1ml的溶液中, 37°C恒温、避光孵育 30 min,期间每隔 5min 将脑片翻动一次。 经 TTC染色后, 正常组织呈玫瑰红色, 梗死组织未被染色而呈 白色。 将每组脑片排列整齐, 拍照保存, 应用图像分析系统软件处理并作统计, 计算每张脑片的梗塞面积, 乘以每片脑片的厚度 2mm, 每只动物所有脑片梗塞面 积乘以厚度相加, 即为脑梗塞体积。 本发明组合物对于脑缺血再灌后脑梗死体积 的作用见表 4。
After functional scoring, the rats were decapitated and the brain tissue was quickly placed in a refrigerator at -20 °C. After lOmin, the room temperature was set. The olfactory bulb, cerebellum and low brain stem were removed and cut into 2 mm crowns according to the brain localization map. Six brains were continuously coronal sections. Then quickly place the brain slices in 5ml containing 2% TTC (triphenyltetrazolium chloride;) and
Figure imgf000015_0001
In a 0.1 ml solution, incubate at 37 ° C for 30 min in the dark, and flip the brain slices once every 5 min. After TTC staining, the normal tissue was rose red, and the infarcted tissue was unstained and white. Each group of brain slices was arranged neatly, photographed and saved, and processed by image analysis system software and counted. The infarct area of each brain slice was calculated, multiplied by the thickness of each brain slice by 2 mm, and the infarct area of each brain slice of each animal was multiplied by The thickness is added, which is the volume of cerebral infarction. The effect of the composition of the present invention on the volume of cerebral infarction after cerebral ischemia and reperfusion is shown in Table 4.
表 4 本发明组合物对脑缺血再灌后脑梗死体积的作用 分组 齐 U量 (mg-kg-1 ) 脑梗死体积 (mm3 ) Table 4 The effect of the composition of the present invention on the volume of cerebral infarction after cerebral ischemia and reperfusion. Grouping amount (mg-kg -1 ) cerebral infarction volume (mm 3 )
12h 24h  12h 24h
假手术组 - 0 0  Sham group - 0 0
模型组 - 229.35±43.2 248.76±50.23  Model group - 229.35 ± 43.2 248.76 ± 50.23
阳性对照组 114.36±54.39** 126.47±38.12**  Positive control group 114.36±54.39** 126.47±38.12**
给药组 1 168.22±37.20** 179.43±46.73**  Administration group 1 168.22±37.20** 179.43±46.73**
5 117.25±42.19** 135.46±42.19**  5 117.25±42.19** 135.46±42.19**
25 102.38±52.08** 109.53±48.55**  25 102.38±52.08** 109.53±48.55**
数据以平均值±标准偏差表示并通过 one-way ANOVA分析。 对于假手术组 ##P <0.01,#P<0.05 ; 对于模型组 *P<0.05, **P<0.01。 Data are expressed as mean ± standard deviation and analyzed by one-way ANOVA. For sham operation group ## P <0.01, #P<0.05; for model group *P<0.05, **P<0.01.
结论: 如表所示, 大鼠脑组织缺血再灌注损伤后, 假手术组无脑梗塞出现, 模型组出现明显梗死区。 给药组 (1、 5mg/kg和 25 mg/kg) 可显著縮小脑梗塞体 积。  Conclusion: As shown in the table, after cerebral ischemia-reperfusion injury in rats, no cerebral infarction occurred in the sham operation group, and the infarct area appeared in the model group. The administration group (1, 5 mg/kg and 25 mg/kg) significantly reduced the volume of cerebral infarction.
脑水肿改善作用评价  Evaluation of brain edema improvement
脑水肿是伴随脑缺血发生早期重要的病理过程, 评价药物对脑水肿的改善作 用是评价药物防治作用的重要指标, 采用脑组织含水量和脑水肿率进行评价。  Cerebral edema is an important pathological process in the early stage of cerebral ischemia. Evaluation of the effect of drugs on cerebral edema is an important indicator for evaluating the role of drug prevention and treatment. The brain tissue water content and brain edema rate are used for evaluation.
具体检测指标:  Specific test indicators:
脑组织含水量 (%)  Brain tissue water content (%)
取脑后立即称取缺血侧即左侧大脑半球的湿重。然后将左侧大脑半球置 100°C 的烤箱中烘烤 24h后称取干重, 计算脑组织含水量。 脑组织含水量 (%) = (脑湿 重-脑干重) 湿重 x 100 % 。 Immediately after taking the brain, weigh the wet weight of the ischemic side, the left cerebral hemisphere. Then, the left cerebral hemisphere was baked in an oven at 100 ° C for 24 hours, and then the dry weight was weighed to calculate the water content of the brain tissue. Brain tissue water content (%) = (brain wet Heavy-brain dry weight) Wet weight x 100%.
本发明组合物对脑缺血再灌后大鼠脑组织含水量的影响见表 5。  The effect of the composition of the present invention on the water content of brain tissue of rats after cerebral ischemia-reperfusion is shown in Table 5.
表 5本发明组合物对脑缺血再灌后大鼠脑组织含水量的影响 ( ± ,n=7) 分组 齐 U量 (mg-kg-1 ) 脑组织含水灑 L ( 100%) Table 5 Effect of the composition of the present invention on brain water content of rats after cerebral ischemia-reperfusion (±, n = 7) Grouped U amount (mg-kg -1 ) Brain tissue water sprinkling L (100%)
12h 24h  12h 24h
假手术组 - 78.34±1.15 78.54±0.86  Sham operation group - 78.34±1.15 78.54±0.86
模型组 - 81.12±0.98# 81.50±0.74 Model group - 81.12±0.98 # 81.50±0.74
阳性对照组 79.02±0.77** 79.44±0.78** 给药组 1 80.18±0.83* 80.73±0.93  Positive control group 79.02±0.77** 79.44±0.78** Drug administration group 1 80.18±0.83* 80.73±0.93
5 79.47±0.73** 79.82±0.73**  5 79.47±0.73** 79.82±0.73**
25 78.86±0.9广 78.86±0.9广  25 78.86±0.9 wide 78.86±0.9 wide
数据以平均值±标准偏差表示并通过 one-way ANOVA分析。 对于假手术组 ##P <0.01,#P<0.05 ; 对于模型组 *P<0.05, **P<0.01。 Data are expressed as mean ± standard deviation and analyzed by one-way ANOVA. For sham operation group ## P <0.01, #P<0.05; for model group *P<0.05, **P<0.01.
结论: 脑缺血再灌 12h和 24h, 模型组与对照组相比, 脑水肿率均有统计学差 异(P < 0.05),阳性对照组和本发明组合物各剂量组与模型组相比有统计学差异(P < 0.05, P < 0.01 ), 说明本发明组合物可明显改善脑缺血 12和 24h大鼠的脑水肿。  Conclusion: Cerebral edema rate was statistically different between the model group and the control group at 12h and 24h after cerebral ischemia reperfusion (P < 0.05). The positive control group and the composition of the present invention were compared with the model group. Statistical differences (P < 0.05, P < 0.01) indicate that the composition of the present invention can significantly improve brain edema in rats 12 and 24 hours after cerebral ischemia.
综上所述, 从神经功能学评分和脑水肿的改善, 脑梗死体积的减少, 表明本 发明组合物大、 中、 小剂量组 (1、 5mg/kg和 25 mg/kg) 具有明显的保护大鼠脑 缺血再灌后损伤的作用。 实施例 3 本发明组合物对老年痴呆 (AD) 动物保护作用研究实验  In summary, from the improvement of neurological function score and cerebral edema, the decrease of cerebral infarction volume indicates that the large, medium and small dose groups (1, 5 mg/kg and 25 mg/kg) of the composition of the present invention have obvious protection. The role of injury after cerebral ischemia and reperfusion in rats. Example 3 Experimental study on the protective effect of the composition of the present invention on senile dementia (AD) animals
β-淀粉样蛋白 (Αβ1-40) 的孵育 Incubation of β-amyloid (Αβ 1-40 )
用无菌生理盐水将 Αβ^ο稀释成 2ug/ul, 37°C孵育 1 周, 使之成为凝聚态的 Αβι_40° Dilute Αβ^ο to 2 ug/ul with sterile saline and incubate for 1 week at 37 °C to make it condensed Αβι_ 40 °
Αβ^ο致大鼠痴呆模型建立  Establishment of rat dementia model induced by Αβ^ο
取 250-270g健康雄性 AD大鼠麻醉后固定于大鼠立体定位仪上, 常规备皮消 毒, 切开皮肤,暴露前囟, 用微量注射器向大鼠左侧海马区 (以 Bregma点为 0点, AP-3.0mm、 ML2.0mm、 DV-2.9mm) 缓慢注入凝聚态 Αβ^ 5μ1,留针 5min以使 Αβ 充分弥散, 然后缓慢撤针, 缝合切口。 假手术组只进行术前麻醉, 切开皮肤, 暴 露前囟, 不进行注射 Αβ^^  250-270 g of healthy male AD rats were anesthetized and fixed on a rat stereotaxic instrument. The skin was routinely sterilized, the skin was cut, the anterior sputum was exposed, and a small syringe was used to the left hippocampus of the rat (with a Bregma point of 0). , AP-3.0mm, ML2.0mm, DV-2.9mm) Slowly inject the condensed state Αβ^ 5μ1, leave the needle for 5min to make the Αβ fully diffuse, then slowly withdraw the needle and suture the incision. The sham operation group only performed preoperative anesthesia, cut the skin, and sputum before exposure, without injection Αβ^^
实验分组和给药  Experimental grouping and administration
将 250-270g健康雄性 SD大鼠 30只随机分成假手术组、 Αβ模型组、 银杏叶 提取物阳性对照组、 本发明组合物给药组 1、 2、 3, 每组 5只。 阳性对照组给药方 法: 取银杏叶提取物片 1片 (40mg) 溶于 4ml生理盐水中, 配制成 lmg/mL, 灌 胃给予 SD大鼠 lmL, 给药量为 4 mg/kg。 给药组给药方法: 分别取人参总皂苷: 黄连素: 栀子苷按照重量比 3:2:0.5, 用生理盐水配制成 62.5 mg/mL, 给药组 1、 2、 3分别灌胃给予 2mL, lmL和 0.5mL, 即给药剂量为 500 mg/kg、 250 mg/kg和 125 mg/kg。 在模型造完后, Αβ模型组灌入等体积生理盐水, 其他组灌入相应的药物。 Thirty-two healthy male SD rats of 250-270 g were randomly divided into a sham operation group, a Αβ model group, a Ginkgo biloba leaf extract positive control group, a composition administration group of the present invention 1, 2, 3, and 5 rats in each group. Positive control group administration method: Take 1 tablet (40 mg) of Ginkgo biloba extract tablets, dissolve it in 4 ml of normal saline, prepare 1 mg/mL, and give 1 mL of SD rats by gavage, and the dosage is 4 mg/kg. Administration method of the administration group: Take ginseng total saponins separately: Berberine: Geniposide is formulated into 62.5 mg/mL with physiological saline at a weight ratio of 3:2:0.5, and administered with 2 mL, 1 mL, and 0.5 mL, respectively, in the administration group 1, 2, 3, ie, the dose is 500. Mg/kg, 250 mg/kg and 125 mg/kg. After the model was completed, the Αβ model group was filled with an equal volume of normal saline, and the other groups were filled with the corresponding drugs.
Morris水迷宫测试  Morris Water Maze Test
术后 30d开始水迷宫检测。水迷宫为直径 90cm,高 40cm的水池,水深 30cm, 在水池壁上标明 4个入水点, 将其分成四个象限, 于其中一象限中心置一有机玻 璃圆形平台, 平台低于水面 2cm, 水温 (24±2)°C, 用不透明厚薄均匀的白色塑料 泡沫覆盖, 水池周围参照物保持不变。 测试包括:  Water maze test was started 30 days after surgery. The water maze is a pool with a diameter of 90cm and a height of 40cm. The water depth is 30cm. Four water inlet points are marked on the wall of the pool. The water is divided into four quadrants. A plexiglass circular platform is placed in the center of one of the quadrants. The platform is 2cm below the water surface. The water temperature (24 ± 2) ° C, covered with opaque thick and even white plastic foam, the reference material around the pool remains unchanged. The tests include:
1)定位航行试验: 用于测量大鼠对水迷官学习和记忆的获取能力。 历时 5d, 每天上下午两个时间段, 每个时间段 4 次, 分别从四个不同的标记点, 将大鼠面 向池壁放入水中, 记录 2min 内寻找平台所需时间 (逃避潜伏期)。 若大鼠入水后 2min内未能找到平台, 则将其置于平台上并停留 10s, 逃避潜伏期记录 2min。 每 次训练间隔 60s。  1) Positioning navigation test: It is used to measure the ability of rats to acquire and learn from water fans. For 5 days, two time periods in the afternoon and the afternoon, four times in each time period, the rats were placed into the water from four different marking points, and the time required to find the platform within 2 minutes (evacuation latency) was recorded. If the platform fails to find the platform within 2 minutes after entering the water, place it on the platform for 10 s and escape the incubation period for 2 min. Each training interval is 60s.
2)空间探索试验: 用于测量大鼠学会寻找平台后, 对平台空间位置记忆的保 持能力。 定位航行试验结束后, 于第六天将平台移走, 任选一个入水点将大鼠面 向池壁放入水中, 记录 2min内跨越原平台位置的次数。  2) Space exploration test: It is used to measure the ability of the rats to maintain the platform space position memory after learning to find the platform. After the end of the navigation test, the platform was removed on the sixth day, and a water inlet point was selected to place the rat face into the water, recording the number of times across the original platform within 2 minutes.
采用单因素方差分析 (One-Way ANOVA) , P<0.05 认为具有统计学意义。 Morris水迷宫测试结果见表 6。  One-Way ANOVA was used, and P < 0.05 was considered statistically significant. The results of the Morris water maze test are shown in Table 6.
表 6 定位航行试验中的平均逃避潜伏期 (s, ±sd, n=5)  Table 6 Average escape latency in positioning navigation tests (s, ±sd, n=5)
第 1天 第 2天 第 3天 第 4天 天 假手术组 74.89±21.30 38.10±14.80 22.60±9.20 21.02±8.73 17.80±7.71 Αβ模型组 77.80±22.40 59.88±15.50 47.2±11.80" 48.11±11.52' 46.15±15.00  Day 1 Day 2 Day 3 Day 4 Day Sham Operation Group 74.89±21.30 38.10±14.80 22.60±9.20 21.02±8.73 17.80±7.71 Αβ Model Group 77.80±22.40 59.88±15.50 47.2±11.80" 48.11±11.52' 46.15±15.00
## ## 阳性对照组 75.30±22.31 40.10±15.20 23.01±9.30 、#ff#ff 21.04±8.75 17.90±7.80 ## ## Positive control group 75.30±22.31 40.10±15.20 23.01±9.30, # ff # ff 21.04±8.75 17.90±7.80
## ## ## 给药组 1 75.10±22.10 39.40±15.0 22.8±9.32 21.30±8.80 17.90±7.80  ## ## ## Administration group 1 75.10±22.10 39.40±15.0 22.8±9.32 21.30±8.80 17.90±7.80
## ## ## 给药组 2 75.20±23.00 39.43±15.30 23.10±9.35 21.50±8.90 17.95±7.85  ## ## ## Drug administration group 2 75.20±23.00 39.43±15.30 23.10±9.35 21.50±8.90 17.95±7.85
## ## ## 给药组 3 76.30±23.50 39.90±15.50 23.70±9.45 22.10±9.03 18.30±8.05 注: P < 0.01、 # P < 0.05、 ## P < 0.01  ## ## ## Administration group 3 76.30±23.50 39.90±15.50 23.70±9.45 22.10±9.03 18.30±8.05 Note: P < 0.01, # P < 0.05, ## P < 0.01
表 7、 Morris水迷宫大鼠空间探索实验结果 (^± ^, n=5 ) 组别 齐 LI量 (mg/kg) 潜伏期 (S ) 经过原平台位置次数 假手术组 10.02±5.38 3.68±1.58  Table 7. Results of space exploration experiments in Morris water maze rats (^± ^, n=5) Groups LI quantity (mg/kg) Latency (S) Number of positions through the original platform Sham operation group 10.02±5.38 3.68±1.58
模型组 28.36±11.54 1.69±1.05  Model group 28.36±11.54 1.69±1.05
阳性对照组 4 15.76±9.79 2.87±1 .12# Positive control group 4. 15.76±9.79 2.87±1.12 #
给药组 1 500 13.34±9.48 3.01±1 .36*  Drug administration group 1 500 13.34±9.48 3.01±1.36*
给药组 2 250 15.98±10.02** 2.96±1 .09*  Administration group 2 250 15.98±10.02** 2.96±1.09*
给药组 3 125 17.78±9.96* 2.78±1.12  Administration group 3 125 17.78±9.96* 2.78±1.12
注: P < 0.05, P < 0.01 由表 6可知, 大鼠给予本发明组合物后前 2天变化不明显, 从第 3天开始, 模型组与假手术组相比: "Ρ < 0.01, 说明建模成功; 给药组与 Αβ模型组比较: # Ρ < 0.05, Ρ < 0.01 , 这表明, 给药组 1、 2、 3可明显縮短后三天开始的平均逃避潜 伏期。 表 7表明, 给药组可明显縮短大鼠空间探索潜伏期, 增加跨越原平台位置 次数, 因此本发明组合物对 01_4()所致大鼠 AD模型具有明显保护作用。 氧化铝致小鼠痴呆模型及给药方法 Note: P < 0.05, P < 0.01 As can be seen from Table 6, the rats did not change significantly in the first 2 days after administration of the composition of the present invention. From the third day, the model group was compared with the sham operation group: "Ρ < 0.01, indicating successful modeling; the administration group and Αβ Comparison of the model groups: # Ρ < 0.05, Ρ < 0.01 , which indicates that the administration groups 1, 2, and 3 can significantly shorten the average escape latency from the last three days. Table 7 shows that the drug-administered group can significantly shorten the space exploration of rats. The incubation period increases the number of positions across the original platform, so the composition of the present invention has a significant protective effect on the rat AD model induced by 0 1 _ 4() . Alumina-induced mouse dementia model and administration method
实验动物选用 22月龄的老龄昆明种小鼠, 雌雄各半, 随机分为 6组: 正常对 照组、 三氯化铝模型组、 氯化铝加阳性对照银杏叶提取物片组、 氯化铝加本发明 组合物给药组 1、 2、 3。阳性对照组给药配制方法:取银杏叶提取物片 1片(40mg) 溶于 4ml生理盐水中,配制成 lmg/mL,灌胃给予 SD大鼠 lmL,给药量为 4 mg/kg。 给药组给药配制方法: 分别取人参总皂苷: 黄连素: 栀子苷按照重量比 3:2:0.5, 用生理盐水配制成 62.5 mg/mL,给药组 1、 2、 3分别灌胃给予 2mL, lmL和 0.5mL, 即给药剂量为 500 mg/kg, 250 mg/kg 和 125 mg/kg。 对三氯化铝模型组小鼠用 lOmg/ml的氯化铝蒸馏水溶液 (;上海金山化工厂生产,批号 100093) 200mg/kg体重 /天, 灌胃给药, 连续 90天。对阳性对照组和给药组在建立痴呆模型的同时给予银 杏叶提取物片和本发明组合物, 灌胃给药, 连续 90天。 正常对照组给予同剂量生 理盐水。  The experimental animals were selected from 22-month-old Kunming mice, male and female, and randomly divided into 6 groups: normal control group, aluminum trichloride model group, aluminum chloride plus positive control ginkgo biloba extract tablets, aluminum chloride. The compositions of the present invention were administered to groups 1, 2, and 3. The positive control group was administered by a method: 1 tablet (40 mg) of Ginkgo biloba extract was dissolved in 4 ml of physiological saline, and was formulated into 1 mg/mL, and SD rats were intragastrically administered with lmL, and the dose was 4 mg/kg. Preparation method of administration group: Take ginseng total saponin: berberine: geniposide is prepared according to the weight ratio of 3:2:0.5, 62.5 mg/mL with physiological saline, and the administration group 1, 2, 3 respectively 2 mL, 1 mL, and 0.5 mL were administered, ie, doses of 500 mg/kg, 250 mg/kg, and 125 mg/kg. The mice in the aluminum trichloride model group were intragastrically administered with lOmg/ml aqueous solution of aluminum chloride (produced by Shanghai Jinshan Chemical Plant, batch number 100093) at 200 mg/kg body weight/day for 90 days. The ginkgo biloba extract tablets and the composition of the present invention were administered to the positive control group and the administration group while the dementia model was established, and administered by gavage for 90 consecutive days. The normal control group was given the same dose of physiological saline.
跳台实验  Platform test
TT-2型小鼠跳台程序自动控制仪 (中国医学科学院药物研究所研制)。其跳台反 射箱为 90x 18x60cm3有机玻璃箱, 由透明板分离成 5间, 箱底为铜栅, 加以 36V 电压,每间内置一高 3.5cm,直径为 3.5cm的橡皮垫,作为小鼠回避电击的安全区。 实验前 3天使小鼠熟悉实验室环境, 室内保持安静, 温度 25°C。 实验时将小鼠放 入反射箱内适应 5 min后, 然后通以 0.25 mA电流, 将小鼠置于跳台上, 小鼠有从 高处跳下的习性, 如果跳下则受到电击而产生记忆。 训练时跳台潜伏期大于 180 s 者弃去不用, 记录小鼠 5min 内从平台跳下的次数 (错误次数), 以错误次数作为 基础成绩将小鼠分成 6组 (正常对照组、 模型组、 阳性对照银杏叶提取片组, 给药 组 1,2,3, 阳性对照和给药 1, 2, 3组), 每组 10只, 使 6组小鼠智力水平接近。 实验时认真详细测定 5min内小鼠从台上跳下触地次数 (错误数), 作为小鼠学习获 得和记忆巩固的观察指标。 TT-2 mouse platform automatic control instrument (developed by the Institute of Materia Medica, Chinese Academy of Medical Sciences). The jumping table reflection box is a 90x 18x60cm 3 plexiglass box, which is separated into five by a transparent plate. The bottom of the box is a copper grid, and the voltage is 36V. Each built-in rubber pad with a height of 3.5cm and a diameter of 3.5cm is used as a mouse to avoid electric shock. Safe area. Before the experiment, 3 angels were familiar with the laboratory environment, and the room was kept quiet at a temperature of 25 °C. During the experiment, the mice were placed in a reflective box for 5 min, and then the current was passed at 0.25 mA. The mice were placed on a platform. The mice had the habit of jumping from a height. If they jumped, they were shocked and generated memories. . When the platform has a latency of more than 180 s during training, the number of times the mouse jumped off the platform within 5 minutes (the number of errors) was recorded, and the mice were divided into 6 groups based on the number of errors (normal control group, model group, positive control). Ginkgo biloba extract tablets group, administration group 1, 2, 3, positive control and administration groups 1, 2, 3), 10 mice in each group, the intelligence level of the 6 groups of mice was close. During the experiment, the number of times the mice jumped from the stage (the number of errors) within 5 minutes was carefully determined in detail, which was used as an observation index for learning and memory consolidation in mice.
采用单因素方差分析 (One-Way ANOVA) 分析, 认为具有统计学意 义。 跳台实验结果见表 8。 表 8小鼠跳台实验学习记忆能力变化的比较 ( ±s, n=10) One-Way ANOVA analysis was considered statistically significant. The results of the platform test are shown in Table 8. Table 8 Comparison of learning and memory ability changes in mouse platform test (±s, n=10)
组别 记忆获得实验错误次数 记忆巩固实验错误次数 正常对照组 1.26±0.73 1.80±0.40 模型组 6.78±2.40* 5.90±1.08# 阳性对照组 3.60±2.00 4.78±0.63# 给药组 1 2.87±1.90## 3.50±0.88 给药组 2 3.48±2.05 4.10±0.95 给药组 3 4.00±2.10 4.88±1.02# Group memory acquisition error number of memory memory consolidation error number of normal control group 1.26 ± 0.73 1.80 ± 0.40 model group 6.78 ± 2.40 * 5.90 ± 1.08 # positive control group 3.60 ± 2.00 4.78 ± 0.63 # drug group 1 2.87 ± 1.90 ## 3.50±0.88 administration group 2 3.48±2.05 4.10±0.95 administration group 3 4.00±2.10 4.88±1.02 #
P<0.05,, #P<0.05, ##P<0.01 P<0.05,, #P<0.05, ##P<0.01
由表 8可知, 模型组与给药组比较: #Ρ< 0.05, 说明建模成功; 给药组与模型 组比较: #P<0.05, P<0.01, 表明本发明组合物能够明显减少小鼠痴呆模型的 错误次数, 因此对小鼠学习记忆能力有显著的改善作用。 实施例 4本发明组合物对帕金森动物模型保护作用研究实验 As apparent from Table 8, the model group and the treatment group: # Ρ <0.05, described successful modeling; Comparative administration group and the model group: # P <0.05, P < 0.01, show that compositions of the invention can be significantly reduced in mice The number of errors in the dementia model has a significant improvement in the learning and memory ability of mice. Example 4 Experimental study on the protective effect of the composition of the present invention on Parkinson's animal model
帕金森动物模型建立及给药方法  Parkinson animal model establishment and administration method
用腹腔注射农药百草枯 (paraquat, PQ) 的方法造小鼠帕金森病模型。 取雄性 7周龄昆明种小鼠 120只, 适应一周后随机分为 6组, 每组 20只。 空白对照组: 每天一次灌胃蒸馏水 lOmL/kg体重, 每周一次腹腔注射生理盐水 10ml/kg体重; 其余 5组每周一次腹腔注射 PQ10mg/kg, 且每天灌胃一次秋水仙碱, 按成人给药 量的 4倍, 即 0.2 mg/ kg, 持续 7周造模给药。 造模成功后, 阳性对照组: 每天 灌胃一次美多巴, 按照成人给药量的 7.5倍, 即按 125 mg/ kg剂量给药, 持续给 药至造模后一周;给药组 1、2、3:分别小鼠灌胃本发明组合物 250 mg/kg、125mg/kg、 小剂量组 62.5 mg/kg (配制方法同实施例 3), 持续给药至造模后一周。 相同条件 下伺养, 观察小鼠的行为学改变, 然后做小鼠黑质脑区单胺类神经递质的含量检 测多巴胺 (DA;)、 去甲肾上腺素 (NE)、 5-羟色胺 (5-HT)。  A mouse model of Parkinson's disease was established by intraperitoneal injection of pesticide paraquat (PQ). A total of 120 male Kunming mice, 7 weeks old, were randomly divided into 6 groups, 20 in each group. Blank control group: once a day, distilled distilled water lOmL / kg body weight, once a week intraperitoneal injection of normal saline 10ml / kg body weight; the other 5 groups once a week intraperitoneal injection of PQ10mg / kg, and once a day administration of colchicine, according to adults Four times the dose, ie 0.2 mg/kg, was administered for 7 weeks. After successful modeling, the positive control group: Metoprolol was administered once a day, according to the dose of 7.5 times of the adult dose, that is, the dose was 125 mg/kg, and the administration was continued until one week after the modeling; 2, 3: The mice were intragastrically administered with 250 mg/kg, 125 mg/kg of the composition of the present invention and 62.5 mg/kg of the low-dose group (the preparation method was the same as in Example 3), and the administration was continued until one week after the modeling. Serve under the same conditions, observe the behavioral changes of mice, and then test the content of monoamine neurotransmitters in the substantia nigra of mice. Dopamine (DA;), norepinephrine (NE), 5-hydroxytryptamine (5) -HT).
转棒实验  Rotating rod experiment
正常小鼠具有攀爬能力, 这需要适当的握力与运动协调性, 我们采用转棒实 验来检测小鼠的运动功能障碍。 将小鼠放于转棒测试仪 (北京吉安得尔科技有限公 司 YLS-4C型)上, 每次放 6只, 按每分钟 20转的速度转动, 记录小鼠 3min内掉 下来的次数。  Normal mice have the ability to climb, which requires proper grip and motor coordination. We used a rotating rod test to detect motor dysfunction in mice. The mice were placed on a rotating rod tester (YLS-CJ, Beijing Ji'an Deer Technology Co., Ltd.), and each time, 6 rats were rotated at a rate of 20 revolutions per minute, and the number of times the mice fell within 3 minutes was recorded.
自主活动测定  Self-determination
将小鼠放入自主活动测试仪的活动箱中, 每次同时测定 6只小鼠, 每个箱中 1只小鼠, 放入后让小鼠适应 3 min再开始测试, 当计算机进入测定程序后, 由计 算机自动记录小鼠 10 min内活动和站立的次数。  The mice were placed in the activity box of the autonomous activity tester, and 6 mice were simultaneously measured at a time, 1 mouse in each box, and the mice were allowed to acclimate for 3 min before starting the test, when the computer entered the measurement procedure. After that, the number of activities and standing of the mouse within 10 minutes was automatically recorded by the computer.
采用单因素方差分析 (One-Way ANOVA) 分析, 认为具有统计学意 义。 行为学检测结果见表 9。 表 9 行为学检 W结果 ( x±s, n=20) One-Way ANOVA analysis was considered statistically significant. The behavioral test results are shown in Table 9. Table 9 Behavioral examination W results (x±s, n=20)
转棒 3min内掉 水平活动数 站立活动数 活动总数 (次) 组别  Rotating rod within 3min, number of horizontal activities, number of standing activities, total number of activities (times)
下数 (次) (次) (次) 空白对照组 2.4±0.6 8.4±0.8 76.3±14.5 88.6±15.8 Number of times (times) (times) (times) blank control group 2.4±0.6 8.4±0.8 76.3±14.5 88.6±15.8
PQ模型组 3.5±0.6** 26.8±12.1** 29.6±12.3** 阳性对照组 3.4±0.7 7.5±0.8## 56.4±10.2 66.4±13.6## 给药组 1 3.5±0.4## 6.8±0.7## 58.7±19.6 64.8±17.2## 给药组 2 4.8±0.8# 5.5±0.9# 63.6±14.3 54.2±11.8 给药组 3 5.5±0.7# 4.0±0.8 65.5±10.3# 40.3±15.4# 注: P< 0.01, #Ρ< 0.05, Ρ< 0.01 PQ model group 3.5±0.6** 26.8±12.1** 29.6±12.3** Positive control group 3.4±0.7 7.5±0.8 ## 56.4±10.2 66.4±13.6 ## administration group 1 3.5±0.4 ## 6.8±0.7 # # 58.7 ± 19.6 64.8 ± 17.2 ## administration group 2 4.8 ± 0.8 # 5.5 ± 0.9 # 63.6 ± 14.3 54.2 ± 11.8 administration group 3 5.5 ± 0.7 # 4.0 ± 0.8 65.5 ± 10.3 # 40.3 ± 15.4 # Note: P < 0.01, #Ρ< 0.05, Ρ< 0.01
由表 9可知, 给予本发明组合物后小鼠从转棒掉下的次数减少, 活动次数明 显增加。 给药组与模型组比较: #P < 0.05, P < 0.01, 说明本发明组合物能够显 著改善帕金森小鼠的行为能力。 As can be seen from Table 9, the number of times the mouse fell off the rotating rod after administration of the composition of the present invention was decreased, and the number of activities was significantly increased. The drug-administered group was compared with the model group: # P < 0.05, P < 0.01, indicating that the composition of the present invention can significantly improve the behavioral ability of Parkinson's mice.
单胺类神经递质的含量检测结果见表 10。  The results of the detection of monoamine neurotransmitters are shown in Table 10.
表 10 DA、 NE、 5 - HT含量的测定结果 (; i±s, n=10) 组别 5-HT DA NE  Table 10 Measurement results of DA, NE, 5 - HT content (; i±s, n=10) Group 5-HT DA NE
(g/g 蛋白) (g/g 蛋白) (g/g 蛋白) 空白对照组 19.74±10.6 27.96±10.12 23.79±8.6 (g/g protein) (g/g protein) (g/g protein) blank control group 19.74±10.6 27.96±10.12 23.79±8.6
PQ模型组 53.4±7.8** 64.38±9.64* 44.86±10.5** 阳性对照组 36.53±8.4## 42.28±10.4## 33.24±7.8# 给药组 1 35.89±9.5 40.76±8.8## 30.67±8.4# 给药组 2 42.56±6.9# 49.25±12.3 33.12±9.3# 给药组 3 46.88±7.2 50.62±11.2# 39.88±5.4 PQ model group 53.4±7.8** 64.38±9.64* 44.86±10.5** Positive control group 36.53±8.4 ## 42.28±10.4 ## 33.24±7.8# Drug administration group 1 35.89±9.5 40.76±8.8 ## 30.67±8.4 # Administration group 2 42.56±6.9 # 49.25±12.3 33.12±9.3# Administration group 3 46.88±7.2 50.62±11.2 # 39.88±5.4
0.05, P< 0.01, ffP<0.05, ffff P<0.01 0.05, P< 0.01, ff P<0.05, ffff P<0.01
由表 9、 10可知, 本发明组合物可显著减少 PQ致帕金森小鼠的运动障碍, 降 低单胺类神经递质的过度释放, 改善帕金森症状。 实施例 5 本发明组合物对血管性痴呆动物模型保护作用研究实验  As can be seen from Tables 9, 10, the composition of the present invention can significantly reduce dyskinesia in PQ-induced Parkinson's mice, reduce excessive release of monoamine neurotransmitters, and improve Parkinson's symptoms. Example 5 Experimental study on the protective effect of the composition of the present invention on an animal model of vascular dementia
动物模型建立  Animal model establishment
采用永久性结扎双侧颈总动脉造血管性痴呆大鼠模型。 SD大鼠腹腔注射 3.5% 水合氯醛 10ml/kg麻醉后, 仰卧位固定, 颈部正中切口, 分离双侧颈总动脉, 避免 损伤颈交感神经和迷走神经, 用 1 号线将其永久性结扎, 术后缝合伤口, 笼内伺 养。 假手术组为分离双侧颈总动脉, 但不结扎。  A rat model of bilateral vascular avascular dementia was permanently ligated. After SD rats were intraperitoneally injected with 3.5% chloral hydrate 10ml/kg, the supine position was fixed, the midline incision was made in the neck, and the bilateral common carotid arteries were separated to avoid damage to the cervical sympathetic nerve and vagus nerve. They were permanently ligated with line 1. The wound was sutured after surgery and served in the cage. The sham operation group was to separate the bilateral common carotid arteries, but not to be ligated.
动物给药方法  Animal administration method
手术 1 月后, 分组给药, 大鼠随机分为六组: 假手术组、 模型组、 银杏叶提 取物片阳性对照组 C4mg/kg;)、本发明组合物给药组 1、 2、 3(250mg/kg, 125 mg/kg、 62.5mg/kg) (配制方法同实施例 3)。  One month after the operation, the rats were divided into six groups: sham operation group, model group, Ginkgo biloba extract tablets positive control group C4 mg/kg;), the composition administration group 1, 2, 3 (250 mg/kg, 125 mg/kg, 62.5 mg/kg) (Formulation method is the same as in Example 3).
Morris水迷宫学习记忆能力检测实验  Morris water maze learning memory test
水迷宫为直径 90cm, 高 40cm的水池, 水深 30cm, 在水池壁上标明 4个入水 点, 将其分成四个象限, 于其中一象限中心置一有机玻璃圆形平台, 平台低于水 面 2cm, 水温 (24±2)°C, 用不透明厚薄均匀的白色塑料泡沫覆盖, 水池周围参照 物保持不变。 测试包括: The water maze is a pool with a diameter of 90cm and a height of 40cm. The water depth is 30cm. 4 water inlets are marked on the pool wall. Point, divide it into four quadrants, place a plexiglass circular platform in the center of one quadrant, the platform is 2cm below the water surface, the water temperature is (24±2) °C, covered with opaque thick and uniform white plastic foam, reference around the pool The object remains unchanged. The tests include:
1) 定位航向实验: 用于测量大鼠对水迷官学习和记忆的获取能力。 将平台置 于迷宫某一象限的中间, 在其它三个象限中任选一入水点, 实验每天训练二次, 每次采用不同的入水点, 每次训练 1分钟的方案。 若动物在 2min之内尚未找到平 台, 则将动物拿到平台上并使它在上面站 15秒, 若大鼠在 2分钟之内找到平台, 也让其在平台上站 15秒, 方结束一次训练。 如此训练五天, 分别记录每只动物的 逃避潜伏期和游泳路径。  1) Positioning heading experiment: It is used to measure the ability of rats to acquire water memory and learn from memory. Place the platform in the middle of a certain quadrant of the labyrinth, select one of the other three quadrants, and experiment twice a day, each time using a different water inlet point, each training for 1 minute. If the animal has not found the platform within 2 minutes, take the animal to the platform and let it stand for 15 seconds. If the rat finds the platform within 2 minutes, let it stand on the platform for 15 seconds. training. After five days of training, the escape latency and swimming path of each animal were recorded separately.
2)空间搜索实验:用于测量大鼠学会寻找平台后, 对平台空间位置记忆的保持 能力。 定位航行试验结束后, 于第六天将平台移走, 每只大鼠只游 2 分钟, 分别 用秒表记录每只大鼠第一次经过平台的时间, 即潜伏期, 并记录每只大鼠在 2 分 钟内经过平台的次数, 如果某只大鼠的潜伏期越短而经过原平台位置次数越多, 则说明这只大鼠空间定位能力与学习记忆功能良好。  2) Space search experiment: It is used to measure the ability to maintain the memory of the platform space position after the rats learn to find the platform. After the end of the navigation test, the platform was removed on the sixth day. Each rat was only swam for 2 minutes. The time of the first passage of each rat, ie the incubation period, was recorded with a stopwatch, and each rat was recorded. The number of passes through the platform within 2 minutes, if the incubation period of a rat is shorter and the number of positions passing through the original platform is more, the spatial positioning ability and learning and memory function of the rat are good.
给药 14天后开始 Morris水迷宫实验。 先是定位航向实验, 每只大鼠每天训练 2次, 训练时长为 120s, 连续训练 5天, 记录各项参数。 然后进行空间搜索实验, 第六天撤去平台, 记录大鼠的潜伏期及在 2分钟内通过平台位置的次数。  Morris water maze experiments were started 14 days after administration. First, the heading experiment was carried out. Each rat was trained twice a day for a training period of 120 s and continuous training for 5 days. The parameters were recorded. A spatial search experiment was then performed and the platform was removed on the sixth day, recording the latency of the rat and the number of passes through the platform within 2 minutes.
采用单因素方差分析 (One-Way ANOVA) 分析, Ρ<0.05认为具有统计学意义。 水迷宫实验结果见表 11、 12、 13、 14。  One-way analysis of variance (One-Way ANOVA) analysis, Ρ < 0.05 was considered statistically significant. The results of the water maze experiment are shown in Tables 11, 12, 13, and 14.
表 11血管性痴呆大鼠定位航向实验逃避潜伏期 ( ± s ) 组别 剂量 动物 逃避潜伏期 (S )  Table 11 vascular dementia rats positioning heading experiment escape latency (± s) group dose animal escape latency (S)
(mg/kg) 数 (只) 第三天 第四天 第五天 假手术组 12 13.38±5.88 12.04±10.26 9.23±5.32 模型组 11 60.24±20.12## 42.32±19.56## 34.42±17.86## 阳性对照 (mg/kg) number (only) third day fourth day fifth day sham operation group 12 13.38±5.88 12.04±10.26 9.23±5.32 model group 11 60.24±20.12 ## 42.32±19.56 ## 34.42±17.86 ## positive Control
4 11 20.32±14.24** 17.63±10.25** 14.68±11.54"" 组  4 11 20.32±14.24** 17.63±10.25** 14.68±11.54"" group
给药组 1 250 12 18.76±12.45** 15.56±8.24 13.96±8.71 给药组 2 125 11 24.22±15.68" 21.25±13.78* 21.21±11.37# 给药组 3 62.5 11 35.79±23.12# 26.38±12.39 24.42±9.76* 注: P < 0.05, P < 0.01, P < 0.01 Administration group 1 250 12 18.76±12.45** 15.56±8.24 13.96±8.71 Administration group 2 125 11 24.22±15.68" 21.25±13.78* 21.21±11.37 #药组3 62.5 11 35.79±23.12 # 26.38±12.39 24.42± 9.76* Note: P < 0.05, P < 0.01, P < 0.01
由表 11可知, 模型组与假手术组比较, #P < 0.05, P < 0.01 , 说明建模成 功, 给药组与模型组比较, *P< 0.05, **P< 0.01, 说明本发明组合物可明显 的降低血管性痴呆大鼠的逃避潜伏期。 表 12血管性痴呆大鼠定位航向实验游程 ( ± As can be seen from Table 11, the model group compared with the sham operation group, # P < 0.05, P < 0.01, indicating that the modeling was successful, and the drug-administered group was compared with the model group, *P < 0.05, **P < 0.01, indicating the combination of the present invention. The substance can significantly reduce the escape latency of vascular dementia rats. Table 12 vascular dementia rats positioning heading experimental run (±
剂量 动物数 游程 (cm)  Dosage number of animals run (cm)
组别  Group
(mg/kg) (只) 第三天 第四天 第五天 假 手 术  (mg/kg) (only) third day fourth day fifth day false surgery
12 385.64±214.32 298.79±203.56 212.54±132.74 组  12 385.64±214.32 298.79±203.56 212.54±132.74 Group
模型组 11 1647.76±688.43## 1018.04±463.74## 921.64±366.54## 阳 性 对 Model group 11 1647.76±688.43 ## 1018.04±463.74 ## 921.64±366.54 ##正对
4 11 543.22±216.87 356.28±144.84* 346.43±235.21* 照组  4 11 543.22±216.87 356.28±144.84* 346.43±235.21* Photo group
给药组 1 250 12 606.42±341.64** 394.29±243.66* 332.96±164.82** 给药组 2 125 11 787.21±463.50* 406.78±203.54* 给药组 3 62.5 11 899.54±532.04* 754.74±448.32 592.16±243.12* 注: P<0.05, P<0.01, P<0.01 Administration group 1 250 12 606.42±341.64** 394.29±243.66* 332.96±164.82** Administration group 2 125 11 787.21±463.50* 406.78±203.54* Administration group 3 62.5 11 899.54±532.04* 754.74±448.32 592.16±243.12 * Note: P<0.05, P<0.01, P<0.01
有表 12可知, 模型组与假手术组比较, #P<0.05, P<0.01, 说明建模成 功, 给药组与模型组比较, *P<0.05, **P<0.01, 说明本发明组合物可明显 的减少血管性痴呆大鼠的在水迷宫实验中的游程。 There can be seen in Table 12, the model group and the sham group, # P <0.05, P < 0.01, described successful modeling, comparing administration group and model group, * P <0.05, ** P <0.01, combination of the present invention described The material can significantly reduce the run of the vascular dementia rats in the water maze experiment.
表 13血管性痴呆大鼠空间探索实验结果 ( ±  Table 13 Results of space exploration experiments in rats with vascular dementia (±
动物数  Number of animals
潜伏期 (s) 经过原平台位置次数
Figure imgf000022_0001
Latency (s) number of times past the original platform
Figure imgf000022_0001
假手术组 12 11.37±5.29 3.68±1.65 模型组 12 28.06±13.57 1.35±1.23 阳性对照组 4 12 15.76±8.69 2.88±1.36* 给药组 1 250 12 14.98±9.θΓ# 3.00±1.24# 给药组 2 125 12 17.04±7.32 2.76±1.38# 给药组 3 62.5 12 17.58±10.62* 2.65±1.44 注: Ρ<0.05, Ρ<0.01 Sham operation group 12 11.37±5.29 3.68±1.65 Model group 12 28.06±13.57 1.35±1.23 Positive control group 4 12 15.76±8.69 2.88±1.36* Administration group 1 250 12 14.98±9.θΓ # 3.00±1.24 #药物组2 125 12 17.04 ± 7.32 2.76 ± 1.38 # administered group 3 62.5 12 17.58 ± 10.62 * 2.65 ± 1.44 NOTE: Ρ <0.05, Ρ <0.01
由表 13可知, 给药组与模型组比较, *Ρ<0.05, **Ρ<0.01, 说明大鼠 给予本发明组合物后空间探索实验的潜伏期较模型组明显变短, 经过原平 台次数明显增加。  As can be seen from Table 13, the administration group was compared with the model group, *Ρ<0.05, **Ρ<0.01, indicating that the latency of the space exploration experiment after the administration of the composition of the present invention was significantly shorter than that of the model group, and the number of the original platform was significantly shorter. increase.
表 14不同给药天数本发明组合物对拟 VD大鼠寻找平台潜伏期实验的影响  Table 14 Effect of Compositions of the Invention on the Latent Period Experiment of Looking for Platform in VD Rats
( ±s, n=8)  ( ±s, n=8)
寻找平台潜伏期 (s)  Looking for platform latency (s)
第 1天 第 2天 第 3天 第 4天 第 5天 正常组 35.90±24.36 25.90±25.76 23.54±20.12 15.9±9.86 10.8±6.87 假手术组 38.60±22.78 28.60±31.42 26.38±20.56 17.6±11.35 15.3±10.34 模型组 67.03±32.74* 62.6±39.88** 56.5±27.58** 42.6±23.08** 38.6±24.64** 鼎 、## 给药组 2 37.36±28.32 29.46±21.26ffff 27.14±23.29ffff 20.7±16.72ffff 18.2±10.72 注: *P<0.05, **P<0.01, P<0.01 Day 1 Day 2 Day 3 Day 4 Day 5 Normal group 35.90±24.36 25.90±25.76 23.54±20.12 15.9±9.86 10.8±6.87 Sham operation group 38.60±22.78 28.60±31.42 26.38±20.56 17.6±11.35 15.3±10.34 Model group 67.03±32.74* 62.6±39.88** 56.5±27.58** 42.6±23.08** 38.6±24.64** Ding, ## Administration group 2 37.36±28.32 29.46±21.26 ffff 27.14±23.29 ffff 20.7±16.72 ffff 18.2 ±10.72 Note: *P<0.05, **P<0.01, P<0.01
由表 14可知, 给药组与模型组比较, ##P<0.01, 说明大鼠给予本发明组合物 后能够縮短寻找平台的时间。 As can be seen from Table 14, the administration group was compared with the model group, ## P<0.01, indicating that the rats were administered the composition of the present invention. It can shorten the time to find the platform.
由以上实验结果可知, 给予本发明组合物后, 可明显改善血管性痴呆大 鼠的学习记忆能力。  From the above experimental results, it can be seen that the administration of the composition of the present invention can significantly improve the learning and memory ability of the vascular dementia rats.
避暗实验  Dark test
将大鼠放入明室中, 在箱内自由活动 3 min。 3 min内不进入暗室者剔除 (预 选时不通电)。 l h后正式进行学习训练,记录大鼠进入暗室遭受电击所需时间为潜 伏期, 并记录 5 min内遭电击次数 (错误次数) 作为学习成绩; 24 h后重复上述过 程, 记录潜伏期和错误次数作为记忆成绩。 电压为 36 V, 潜伏期指标以秒 (S)为单 位。  The rats were placed in a bright room and allowed to move freely for 3 min in the box. Those who do not enter the dark room within 3 minutes are excluded (not energized when preselected). After lh, formal training was conducted to record the time required for the rats to enter the dark room to receive electric shock as the incubation period, and the number of electric shocks (the number of errors) within 5 minutes was recorded as the academic achievement; after 24 hours, the above process was repeated, and the latency and the number of errors were recorded as memories. Results. The voltage is 36 V and the latency indicator is in seconds (S).
采用单因素方差分析 (One-Way ANOVA) 分析, Ρ<0.05认为具有统计学意义。 避暗实验结果见表 15。  One-way analysis of variance (One-Way ANOVA) analysis, Ρ < 0.05 was considered statistically significant. The results of the darkness test are shown in Table 15.
表 15 血管性痴呆大鼠避暗实验结果 ( ±s, n=10) 组别 学习训练 记忆测试  Table 15 Results of darkness test in rats with vascular dementia (±s, n=10) group learning training memory test
潜伏期 (S ) 错误次数 潜伏期 (S ) 错误次数 假手术组 28.69±9.74 1.90±0.86 212.32±19.56 1.52±0.46 模型组 49.38±7.32** 7.62±1.78** 87.96±18.64** 7.20±2.18** 给药组 1 30.46±5.28 3.98±1.24## 146.94±22.40 2.70±1.87## 注: P < 0.01, P < 0.01 Incubation period (S) error number latency (S) error number sham operation group 28.69±9.74 1.90±0.86 212.32±19.56 1.52±0.46 model group 49.38±7.32** 7.62±1.78** 87.96±18.64** 7.20±2.18** Medicine group 1 30.46±5.28 3.98±1.24 ## 146.94±22.40 2.70±1.87 ## Note: P < 0.01, P < 0.01
由表 15可知, 给药组 1与模型组比较 ## P < 0.01, 说明本发明组合物能明显縮 短学习训练和记忆测试的潜伏期, 并减少错误次数, 可见本发明组合物能够改善 血管性痴呆大鼠的学习记忆能力。 As can be seen from Table 15, the administration group 1 was compared with the model group ## P < 0.01, indicating that the composition of the present invention can significantly shorten the incubation period of the learning training and the memory test, and reduce the number of errors, and it can be seen that the composition of the present invention can improve vascular dementia. Rat's ability to learn and remember.
结论: 本发明组合物能显著改善永久性结扎双侧颈总动脉造血管性痴呆大鼠 的学习记忆能力, 因此对血管性痴呆大鼠具有保护作用。 实施例 6 本发明组合物对应激抑郁动物保护作用研究实验  Conclusion: The composition of the present invention can significantly improve the learning and memory ability of the rats with bilateral common carotid vascular dementia by permanent ligation, and thus has a protective effect on rats with vascular dementia. Example 6 Experimental study on the protective effect of the composition of the present invention on stress and depression animals
实验前先在安静、 温暖的环境内伺养动物 1周, 除对照组外均单笼伺养, 自然 光照, 通风良好, 自由进食水。  Animals were incubated in a quiet, warm environment for 1 week before the experiment. All the animals were kept in a single cage except for the control group. The natural light, well ventilated, and free access to water.
Wistar大鼠慢性轻度不可预见性的应激 (CUMS ) 抑郁模型制作方案: 将 2h 行为限制、 4°C冰水中游泳 5min、 停水 24h、 食 24h、 夹尾 lmin、 明暗颠倒 24h、 电击足底 5s ( 30V电压) 、 摇晃 5min ( 160Hz) 、 40°C环境 5min等九种刺激随机 安排到 18日内, 每日一种, 使动物不能预料刺激的发生。 将 Wistar大鼠随机分为 正常对照组、抑郁模型组、氟西汀阳性对照组、给药组 1、2、3(250mg/kg组、 125mg/kg 组、 62.5mg/kg组) (配制方法同实施例 3)持续 21天, 各组动物于末次给药 24h后 断头处死。  Chronic mild unpredictable stress (CUMS) in Wistar rats. Depression model: 2h behavior limit, swimming in 4°C ice water for 5min, water stop for 24h, food 24h, tail lmin, light and dark upside down 24h, electric shock foot Nine kinds of stimuli, such as 5s (30V voltage), shaking 5min (160Hz), and 40°C environment for 5min, were randomly arranged within 18 days, one per day, so that the animals could not anticipate the occurrence of irritation. Wistar rats were randomly divided into normal control group, depression model group, fluoxetine positive control group, drug administration group 1, 2, 3 (250 mg/kg group, 125 mg/kg group, 62.5 mg/kg group). Same as Example 3) for 21 days, each group of animals was decapitated after 24 hours of the last administration.
实验指标测定  Experimental index determination
行为学测定—— Morris水迷宫测试  Behavioral Determination - Morris Water Maze Test
空间记忆的训练和测试参照 Morris water Maze法进行。 水温保持在 23 °C左右, 水被染成白色, 以隐蔽平台。 实验过程中周围环境条件保持安静、 稳定。 The training and testing of spatial memory was carried out in accordance with the Morris water Maze method. The water temperature is kept at around 23 °C. The water is dyed white to conceal the platform. The surrounding environmental conditions remained quiet and stable during the experiment.
实验分为训练期和测试期, l-4d为训练期。 训练时将大鼠背对平台放入水中, 记录大鼠的逃避潜伏期, 即从大鼠入水到找到水下隐蔽的平台所需要的时间, 若 大鼠 60s内未找到平台, 引导大鼠找到平台。逃避潜伏期以 60s计, 大鼠找到或被 引导到平台上后停留 20s, 然后擦干放回笼内。 每只大鼠入水位置按顺时针方向依 次变换, 每两次训练间隔 30s, 第二天的训练较第一天前进一个象限入水, 依此类 推。 第 5、 7d为测试期, 测试时撤去平台。 两次测试均记录大鼠的平台范围时间 比, 即大鼠 60s内游过原平台所在象限的时间占总时间 (60s)的比值。  The experiment is divided into training period and testing period, and l-4d is the training period. During the training, the rats were placed in the water against the platform, and the escape latency of the rats was recorded, that is, the time required from the time the rats entered the water to find the underwater hidden platform. If the platform was not found within 60s, the rats were guided to find the platform. . The escape latency is measured in 60s. The rats are found or guided to the platform for 20s, then dried and returned to the cage. Each rat's water entry position is changed clockwise, with each training interval being 30 s. The next day's training is one quadrant into the water than the first day, and so on. The 5th and 7th are the test period, and the platform is removed during the test. Both tests recorded the platform-to-time ratio of the rats, which is the ratio of the time in which the rats in the quadrant of the original platform traveled within 60 seconds of the total time (60s).
采用单因素方差分析 (One-Way ANOVA) 分析, Ρ<0.05认为具有统计学意义。 实验结果见表 16。  One-way analysis of variance (One-Way ANOVA) analysis, Ρ < 0.05 was considered statistically significant. The experimental results are shown in Table 16.
表 16 各组大鼠训练期平均逃避潜伏期 ( ±sd, n=12)  Table 16 Average escape latency of each group of rats during training (±sd, n=12)
平均逃避潜伏期 (s)  Average escape latency (s)
正常对照组 22.1+±4.3  Normal control group 22.1+±4.3
抑郁模型组 34.9±4.8  Depression model group 34.9±4.8
氟西汀阳性对照组 26.5±3.7# Fluoxetine positive control group 26.5±3.7 #
给药组 1 26.2±4.5# Drug administration group 1 26.2±4.5 #
给药组 2 26.7±6.1  Administration group 2 26.7±6.1
给药组 3 27.5±3.2# Administration group 3 27.5±3.2 #
注: P < 0.01, #P < 0.05 Note: P < 0.01, # P < 0.05
由表 16可知, 给药组与模型组比较: #P < 0.05, 说明大鼠给予本发明组合物后, 其逃避潜伏期明显縮短, 即本发明组合物可以改善应激抑郁大鼠的学习记忆能力。 As can be seen from Table 16, the drug-administered group was compared with the model group: # P < 0.05, indicating that the rat's escape latency was significantly shortened after administration of the composition of the present invention, that is, the composition of the present invention can improve the learning and memory ability of the stress-induced depression rats. .
生化指标测定一单胺氧化酶 (MAO) 、 谷胱甘肽硫转移酶 (GST) 、 γ谷胺 酰转移酶 (γ-GT) 的测定  Determination of biochemical indicators - determination of monoamine oxidase (MAO), glutathione S-transferase (GST), gamma glutamyl transferase (γ-GT)
Wistar大鼠动物进行末次处理后, 将大鼠断头处死, 于冰盘上迅速分离大鼠的 大脑皮质, 切除低位脑干。 称重后以 0.86%预冷的生理盐水 1 :9 在冰水浴中匀浆制 成 10%脑匀浆, 每个标本分装几份后, 低温冰箱冻存备用。取出制备好的匀浆化冻 后 3000r/min, 离心 15min得到匀浆上清液, 按照试剂盒说明书所示方法, 采用发色 底物法分别测定 MAO、 GST、 γ-GT的酶活性。 其结果见表 17。  After the last treatment of Wistar rat animals, the rats were decapitated and the cerebral cortex of the rats was rapidly separated on an ice tray, and the lower brain stem was removed. After weighing, 0.86% pre-cooled physiological saline 1:9 was homogenized in an ice water bath to prepare a 10% brain homogenate. After each sample was dispensed in several portions, the refrigerator was stored in a low temperature freezer. The prepared homogenate was centrifuged at 3000 r/min, and centrifuged for 15 minutes to obtain a homogenate supernatant, and the enzyme activities of MAO, GST, and γ-GT were respectively determined by a chromogenic substrate method according to the method described in the kit. The results are shown in Table 17.
表 17 各大鼠脑匀浆生化指标检测结果 (;^ ±sd, n=12)  Table 17 Results of biochemical indicators of rat brain homogenate (;^ ±sd, n=12)
MAO活性 GST活性 γ-GT活性 组别  MAO activity GST activity γ-GT activity group
μ/g 蛋白 μ/g 蛋白 μ/g 蛋白 正常对照组 20.35 ±9.23 18.79±4.78 87.66±20.45 抑郁模型组 35.24±7.45 33.76±6.33** 59.64±17.21 " 氟西汀阳性对照组 21. 87±9.64 M 20.04±8.34 鼎 76.13±22.75 浦 给药组 1 22.19±7.73 浦 22.15±5.82 浦 79.65±18.39 ## 给药组 2 24.38±9.67 浦 25.83±5.46 浦 74.37±20.15 # 给药组 3 26.02±7.58 # 27.01±3.98 # 72.97±23.64# μ/g protein μ/g protein μ/g protein normal control group 20.35 ±9.23 18.79±4.78 87.66±20.45 depression model group 35.24±7.45 33.76±6.33** 59.64±17.21 "fluoxetine positive control group 21. 87±9.64 M 20.04±8.34 Ding 76.13±22.75 Pu-administered group 1 22.19±7.73 Pu 22.15±5.82 Pu 79.65±18.39 ## administration group 2 24.38±9.67 Pu 25.83±5.46 Pu 74.37±20.15 #药物组3 26.02±7.58 # 27.01±3.98 # 72.97±23.64 #
0.01, # P < 0.05, ## P < 0.01 由表 17可知, 给药组与模型组比较: # P < 0.05, P < 0.01 , 说明本发明组合 物能够显著提高单胺氧化酶(MAO ) 、 谷胱甘肽硫转移酶(GST) 、 γ谷胺酰转移 酶 (γ-GT) 的活性。 0.01, # P < 0.05, ## P < 0.01 As can be seen from Table 17, the drug-administered group was compared with the model group: # P < 0.05, P < 0.01, indicating that the composition of the present invention can significantly increase monoamine oxidase (MAO), glutathione S-transferase (GST), γ-glutamyl Transferase (γ-GT) activity.
结论: 本发明组合物对慢性应激抑郁大鼠具有一定保护作用。 实施例 7 本发明组合物对细菌性脑膜炎动物保护作用研究实验  Conclusion: The composition of the invention has a certain protective effect on chronic stress-induced depression rats. Example 7 Experimental study on the protective effect of the composition of the present invention on bacterial meningitis
细菌性脑膜炎模型建立  Establishment of a bacterial meningitis model
实验动物  Experimental animal
由于细菌性脑膜炎在婴幼儿中发病率较高, 是新生儿期严重的急性感染 性疾病, 所以细菌性脑膜炎实验动物采用 11 日龄 SD新生大鼠。  Because bacterial meningitis has a high incidence in infants and young children and is a serious acute infectious disease in the neonatal period, the experimental animals of bacterial meningitis use 11-day-old SD newborn rats.
致病菌: GBSIII菌种购自中国药品生物制品检验鉴定所  Pathogenic bacteria: GBSIII strains were purchased from China National Institute for the Control of Pharmaceutical and Biological Products.
干燥菌种在血清肉汤培养基中 37 °C培养 24h 后, 划线接种于血平皿, 18-24h后, 挑选单个菌落至血清肉汤培养基中, 至对数生长中期收菌。 采用 比浊法调整菌液浓度对应的 OD值与 0.5标准比浊管 (浓度 l x l08cfu/ml ) 相 同,得出菌液浓度为 108cfu/ml。用生理盐水将细菌稀释成所需浓度 104 cfu/ml o 模型建立 The dried strains were cultured in serum broth for 24 hours at 37 ° C, and then streaked into blood plates. After 18-24 hours, a single colony was selected into serum broth medium to collect in the middle of logarithmic growth. The OD value corresponding to the adjusted turbid liquid concentration by the turbidimetric method was the same as that of the 0.5 standard turbidity tube (concentration lx l0 8 cfu/ml), and the bacterial liquid concentration was 10 8 cfu/ml. Dilute the bacteria to the desired concentration of 10 4 cfu/ml with physiological saline.
1 ) 实验组 SD新生大鼠用 1.0%戊巴比妥钠 (15-25mg/kg ) 腹腔注射麻 醉。持 lOul穿刺针于新生大鼠两耳尖连线中点后 2-4mm凹陷处(小脑延髓池) 垂直进针, 有明显突破感后, 回抽见清亮脑脊液 (CSF ) 流出, 抽出 l OulCSF 弃去。 实验组缓慢注入 GSBIII菌悬液 10ul。 整个过程在 1、 2min内完成, 术 后平卧, 置室温 25 °C, 待复苏后, 放回鼠笼由母鼠继续喂养。 培养一定时间 后,将实验组 CSF抽出,经过处理,分为配制成 CSF原液、头孢氨噻肟 +CSF、 本发明组合物 500g/kg+CSF、 本发明组合物 250mg/kg+CSF、 本发明组合物 125mg/kg+CSF几个不同组的脑注入液。  1) Experimental group SD neonatal rats were anesthetized by intraperitoneal injection of 1.0% sodium pentobarbital (15-25 mg/kg). Hold the lOul puncture needle at the midpoint of the midpoint of the two ear tips of the newborn rats. The 2-4mm depression (cerebellar medullary pool) is inserted vertically. After a clear breakthrough, the clear cerebrospinal fluid (CSF) flows out and the l OulCSF is discarded. . The experimental group was slowly injected with 10 ul of GSBIII suspension. The whole process was completed in 1 and 2 minutes. After surgery, the patient was placed at a room temperature of 25 °C. After resuscitation, the rats were returned to the cage and fed by the mother. After culturing for a certain period of time, the experimental group CSF is extracted and processed into a CSF stock solution, cefotaxime + CSF, the composition of the present invention 500 g / kg + CSF, the composition of the present invention 250 mg / kg + CSF, the present invention Compositions 125 mg/kg + CSF Several different groups of brain infusions.
2)取新生 SD大鼠随机分组为: 空白对照组、 模型组、 阳性对照组、 给 药组 1、 2、 3。 用 1.0%戊巴比妥钠 (15-25mg/kg) 腹腔注射麻醉。 持 lOul穿 刺针于新生大鼠两耳尖连线中点后 2-4mm凹陷处 (小脑延髓池) 垂直进针, 有明显突破感后, 回抽见清亮脑脊液 (CSF ) 流出, 抽出 lOulCSF 弃去, 向 各组分别注入相同量的 CSF 原液、 头孢氨噻肟 +CSF、 本发明组合物 500 mg/kg+CSF (给药组 1)、本发明组合物 250 mg/kg+CSF (给药组 2)、本发明组合 物 125 mg/kg+CSF (给药组 3)。 术后平卧, 置室温 25 °C, 待复苏后放回鼠笼 由母鼠继续喂养。  2) Fresh SD rats were randomly divided into: blank control group, model group, positive control group, and drug group 1, 2, 3. Anesthesia was administered intraperitoneally with 1.0% sodium pentobarbital (15-25 mg/kg). Hold the lOul puncture needle at the midpoint of the midpoint of the two ear tips of the newborn rats. The 2-4mm depression (cerebellar medullary pool) is inserted vertically. After a clear breakthrough, the clear cerebrospinal fluid (CSF) flows out and the lOulCSF is taken out. The same amount of CSF stock solution, cefotaxime + CSF, 500 mg/kg + CSF of the present invention (administered group 1), and 250 mg/kg + CSF of the present invention were administered to each group (administration group 2) The composition of the invention is 125 mg/kg + CSF (administration group 3). Postoperative supine, set at room temperature 25 °C, put back into the cage after resuscitation, continue feeding by the mother.
临床症状观察  Clinical symptom observation
接种细菌后, 即进行临床观察, 包括: 有无口唇及四肢皮肤发绀、 呼吸 困难、 反应迟钝、 运动减少和抽搐等, 以及最早出现症状的时间点。 在接种 细菌后 24h采用 Loeffler的神经行为学 5分制评分方法对新生大鼠进行评估。 5分: 当抓住背部时, 能正常运动, 在 5s 内翻身; 4分, 自主运动减少, 5s 内能翻身; 3分: 〉5s翻身; 2分: 不能翻身; 1分: 不能运动。 对于出现抽 搐动物, 根据 Racine制定的癫痫 SD大鼠抽搐分级标准进行抽搐程度评价。 该标准共分 6个等级, 0级: 无抽搐; I级: 面部阵挛; II级: 在 I级的基础 上, 有节律点头; III级: 在 II级的基础上有前肢阵挛; IV级: 在 III级的基础 上有后肢站力; V级: 在 IV级得基础上有跌倒。 After inoculation of the bacteria, clinical observations include: presence or absence of cranial and limb skin blemishes, difficulty breathing, unresponsiveness, decreased exercise, and convulsions, as well as the time at which symptoms first appear. Neonatal rats were evaluated 24 hours after inoculation with Loeffler's neurobehavioral 5-point scale. 5 points: When grabbing the back, you can move normally, turn over within 5s; 4 points, reduce spontaneous movement, turn over within 5s; 3 points: 〉5s turn over; 2 points: Can't turn over; 1 point: Can't move. For the occurrence of convulsions, the degree of convulsion was evaluated according to Racine's sputum grading criteria for SD rats. The standard is divided into 6 levels, level 0: no convulsions; level I: facial palsy; level II: on the basis of level I, nodular nod; level III: on the basis of level II with forelimb clonic; IV Level: There is hind leg standing force on the basis of Level III; Class V: There is a fall on the basis of Grade IV.
实验结果见表 18、 19。  The experimental results are shown in Tables 18 and 19.
表 18 接种不同液体新生大鼠临床表现比较  Table 18 Comparison of clinical manifestations of neonatal rats vaccinated with different fluids
发绀 呼吸困难 运动障碍  Bleeding, difficulty breathing, movement disorder
空白对照组 10 0 0 0 0 模型组 10 9 9 7 6 阳性对照组 10 2 1 2 1 给药组 1 10 2 2 2 2 给药组 2 10 3 4 2 3 给药组 3 10 3 5 3 3 由表 18可知, 大鼠给予本发明组合物后其各临床症状明显减轻。  Blank control group 10 0 0 0 0 model group 10 9 9 7 6 positive control group 10 2 1 2 1 administration group 1 10 2 2 2 2 administration group 2 10 3 4 2 3 administration group 3 10 3 5 3 3 As can be seen from Table 18, the clinical symptoms of the rats of the present invention were significantly alleviated after administration of the composition of the present invention.
表 19接种不同液体 24h神经行为评分比较 组别 n 评分 ( ±s)  Table 19 Inoculation of different fluids 24h neurobehavioral score comparison group n score (±s)
空白对照组 10 5±0  Blank control group 10 5±0
模型组 10 2.87±1.09  Model group 10 2.87±1.09
阳性对照组 10 3.99±0.87## Positive control group 10 3.99±0.87 ##
给药组 1 10 4.27±1.12## Administration group 1 10 4.27±1.12 ##
给药组 2 10 3.79±1.04## Drug administration group 2 10 3.79±1.04 ##
给药组 3 10 3.43±1.36# Administration group 3 10 3.43±1.36 #
注: P < 0.01, # P < 0.05, P < 0.01  Note: P < 0.01, # P < 0.05, P < 0.01
由表 19可知, 单因素方差分析 (One-Way ANOVA) 分析, 模型组与空白对 照组比较: "Ρ < 0.01说明建模成功; 给药组与模型组比较: #Ρ<0.05, ##Ρ<0.01, 说明给药组较模型组的神经行为明显提高, 可见本发明组合物能够明显改善脑膜 炎大鼠的神经行为。 As can be seen from Table 19, One-Way ANOVA analysis, the model group was compared with the blank control group: "Ρ < 0.01 indicates successful modeling; the drug-administered group compared with the model group: #Ρ<0.05, ## Ρ <0.01, indicating that the neurological behavior of the drug-administered group was significantly improved compared with the model group, and it can be seen that the composition of the present invention can significantly improve the neurobehavior of meningitis rats.
接种 24h时后仍存活的大鼠, 处死前再经小脑延髓池穿刺取 lOul CSF作 WBC (白血球计算)计数, 计数结果如下表 20:  Rats that survived after 24 h of inoculation were sacrificed by cerebellar medullary puncture for lOul CSF for WBC (white blood cell calculation) before enumeration. The results are shown in Table 20 below:
表 20 WBC计算结果  Table 20 WBC calculation results
组别 n 平均值 ( ±s) 空白对照组 5 13.8±1.23  Group n mean (±s) blank control group 5 13.8±1.23
模型组 5 14780.0±5978** 阳性对照组 5 9920±1745# Model group 5 14780.0±5978** positive control group 5 9920±1745 #
给药组 1 5 9054±2346  Administration group 1 5 9054±2346
给药组 2 5 9847±3890  Drug administration group 2 5 9847±3890
给药组 3 5 10976±4577# Administration group 3 5 10976±4577 #
注: P < 0.01, # P < 0.05, P < 0.01 由表 20可知, 单因素方差分析 ( One-Way ANOVA) 分析, 模型组与空白对照 组比较: "P<0.01, 说明建模成功; 给药组与模型组比较: #P<0.05, ##P<0.01, 说明本发明组合物能够明显降低大鼠白血球数, 降低脑膜炎大鼠的炎症。 Note: P < 0.01, # P < 0.05, P < 0.01 As can be seen from Table 20, One-Way ANOVA analysis, the model group was compared with the blank control group: "P < 0.01, indicating successful modeling; the drug-administered group compared with the model group: #P<0.05, ## P < 0.01, indicating that the composition of the present invention can significantly reduce the number of white blood cells in rats and reduce the inflammation in rats with meningitis.
结论: 本发明组合物具有好的抗菌作用, 对细菌性脑膜炎动物症状具有一定改 善作用。  Conclusion: The composition of the present invention has a good antibacterial effect and has a certain improvement effect on the symptoms of bacterial meningitis animals.

Claims

权利要求书: Claims:
1、 一种中药活性成分组合物, 其包含京尼平苷或栀子苷、 黄连素、 人参总皂 苷或人参皂苷单体或人参皂苷单体组合物。 A traditional Chinese medicine active ingredient composition comprising geniposide or geniposide, berberine, ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition.
2、根据权利要求 1所述的中药活性成分组合物,其特征在于按照总重量为 100 份计算包括以下重量份数配比: 人参总皂苷或人参皂苷单体或人参皂苷单体组合 物, 1-99份, 黄连素, 1-99份, 京尼平苷或栀子苷, 1-99份; 优选人参总皂苷或 人参皂苷单体或人参皂苷单体组合物, 2-75份, 黄连素, 2-75份, 京尼平苷或栀 子苷, 2-75 份; 更优选人参总皂苷或人参皂苷单体或人参皂苷单体组合物, 3-50 份, 黄连素, 3-50份, 京尼平苷或栀子苷, 3-50份。 The traditional Chinese medicine active ingredient composition according to claim 1, characterized in that the following parts by weight are included in a total weight of 100 parts: ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 1 -99 parts, berberine, 1-99 parts, geniposide or geniposide, 1-99 parts; preferably ginseng total saponins or ginsenoside monomers or ginsenoside monomer compositions, 2-75 parts, berberine , 2-75 parts, geniposide or geniposide, 2-75 parts; more preferably ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, 3-50 parts, berberine, 3-50 parts , geniposide or geniposide, 3-50 parts.
3、 根据权利要求 2所述的中药活性成分组合物, 其特征在于人参总皂苷或人 参皂苷单体或人参皂苷单体组合物、 黄连素、 京尼平苷或栀子苷的重量比为 3: 2: 2-0.1, 优选 3:2: 2-1, 更优选 3:2:2。 The traditional Chinese medicine active ingredient composition according to claim 2, wherein the weight ratio of ginseng total saponin or ginsenoside monomer or ginsenoside monomer composition, berberine, geniposide or geniposide is 3 : 2: 2-0.1, preferably 3:2: 2-1, more preferably 3:2:2.
4、 一种药物制剂, 其包含根据权利要求 1的组合物作为活性成分以及任何一 种或多种药学上可接受的载体。 4. A pharmaceutical preparation comprising the composition according to claim 1 as an active ingredient together with any one or more pharmaceutically acceptable carriers.
5、 根据权利要求 4所述的药物制剂, 其可被制成任何一种药学上可接受的剂 型。 5. A pharmaceutical preparation according to claim 4 which can be formulated into any of the pharmaceutically acceptable dosage forms.
6、 根据权利要求 1所述的组合物在制备治疗或预防脑和神经损伤、 神经退行 性脑病、 细菌性或病毒性脑炎、 或抑郁症的药物中的用途。 6. Use of a composition according to claim 1 for the manufacture of a medicament for the treatment or prevention of brain and nerve damage, neurodegenerative encephalopathy, bacterial or viral encephalitis, or depression.
7、 根据权利要求 6所述的用途, 其中所述脑和神经损伤为脑血管痴呆或缺血 性脑血管病。 7. The use according to claim 6, wherein the brain and nerve damage is cerebrovascular dementia or ischemic cerebrovascular disease.
8、 根据权利要求 7所述的用途, 其中所述缺血性脑血管病为短暂性局部脑缺 血发作、 脑梗塞或脑卒中。 8. The use according to claim 7, wherein the ischemic cerebrovascular disease is a transient partial cerebral infarction, cerebral infarction or stroke.
9、 根据权利要求 6所述的用途, 其中所述神经退行性脑病为老年痴呆症或帕 金森症。 9. The use according to claim 6, wherein the neurodegenerative encephalopathy is Alzheimer's disease or Parkinson's disease.
PCT/CN2012/078139 2011-07-05 2012-07-03 Composition of active ingredient of traditional chinese medicine and use thereof WO2013004177A1 (en)

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LIANG JIANZHEN: "The initial research of the Traditional Chinese Medicine molecule prescription for treatment of the ischemic stroke,The Capital Teacher Training University Academic Dissertations", CHINA OUTSTANDING MASTER'S DEGREE ACADEMIC DISSERTATION FULL-TEXT DATA BASE, December 2008 (2008-12-01), pages 40,69 *

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