WO2017181988A1 - 一种对多种症状具有疗效的中药组合物及其衍生物和制品 - Google Patents

一种对多种症状具有疗效的中药组合物及其衍生物和制品 Download PDF

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WO2017181988A1
WO2017181988A1 PCT/CN2017/081383 CN2017081383W WO2017181988A1 WO 2017181988 A1 WO2017181988 A1 WO 2017181988A1 CN 2017081383 W CN2017081383 W CN 2017081383W WO 2017181988 A1 WO2017181988 A1 WO 2017181988A1
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disease
chinese medicine
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张东
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张东
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/484Glycyrrhiza (licorice)
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/06Fungi, e.g. yeasts
    • A61K36/062Ascomycota
    • AHUMAN NECESSITIES
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    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/06Fungi, e.g. yeasts
    • A61K36/07Basidiomycota, e.g. Cryptococcus
    • A61K36/076Poria
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/21Amaranthaceae (Amaranth family), e.g. pigweed, rockwort or globe amaranth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/23Apiaceae or Umbelliferae (Carrot family), e.g. dill, chervil, coriander or cumin
    • A61K36/238Saposhnikovia
    • AHUMAN NECESSITIES
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    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/25Araliaceae (Ginseng family), e.g. ivy, aralia, schefflera or tetrapanax
    • A61K36/258Panax (ginseng)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • A61K36/284Atractylodes
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    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/46Eucommiaceae (Eucommia family), e.g. hardy rubber tree
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    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/488Pueraria (kudzu)
    • AHUMAN NECESSITIES
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    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/53Lamiaceae or Labiatae (Mint family), e.g. thyme, rosemary or lavender
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/53Lamiaceae or Labiatae (Mint family), e.g. thyme, rosemary or lavender
    • A61K36/538Schizonepeta
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/66Papaveraceae (Poppy family), e.g. bloodroot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/72Rhamnaceae (Buckthorn family), e.g. buckthorn, chewstick or umbrella-tree
    • A61K36/725Ziziphus, e.g. jujube
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/74Rubiaceae (Madder family)
    • A61K36/746Morinda
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/884Alismataceae (Water-plantain family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/899Poaceae or Gramineae (Grass family), e.g. bamboo, corn or sugar cane
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/899Poaceae or Gramineae (Grass family), e.g. bamboo, corn or sugar cane
    • A61K36/8994Coix (Job's tears)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/902Sparganiaceae (Bur-reed family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/906Zingiberaceae (Ginger family)
    • A61K36/9066Curcuma, e.g. common turmeric, East Indian arrowroot or mango ginger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/906Zingiberaceae (Ginger family)
    • A61K36/9068Zingiber, e.g. garden ginger
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/10Preparation or pretreatment of starting material
    • A61K2236/19Preparation or pretreatment of starting material involving fermentation using yeast, bacteria or both; enzymatic treatment
    • AHUMAN NECESSITIES
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    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/331Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using water, e.g. cold water, infusion, tea, steam distillation, decoction

Definitions

  • the invention relates to the technical field of traditional Chinese medicine, in particular to a traditional Chinese medicine composition and a derivative traditional Chinese medicine composition and product thereof which have many effects on various symptoms.
  • Li Zhong Tang was first seen in Zhang Zhongjing's "Treatise on Febrile Diseases". He was in charge of Taiyin Deficiency, and his work was in the cold, qi and spleen. It is one of the commonly used prescriptions in the clinic. "Treatise on Febrile Diseases” records the rationale in the pill: "ginseng, dried ginger, licorice ( ⁇ ), atractylodes each three or two. On the four flavors, sifting, honey and for the pill, such as chicken yellow Xu Da. With boiling soup, And a pill, grinding, warm clothes, three or four, two night service. The belly is not hot, benefit to the three four pills, but not the soup.
  • the chest is in the heart, staying in the chest, chest full, under the threat of rushing to the heart, ⁇ ⁇ ⁇ ⁇ ⁇ , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
  • the invention provides a pharmaceutical composition and a product thereof, which are born out of the classic soup, but the meaning of the group is completely different from the Lizhong soup.
  • the technical solution provided by the present invention is as follows:
  • a traditional Chinese medicine composition effective for various symptoms characterized in that it is composed of 1-3 parts by weight of the drug substance A, 0.6-1.5 parts by weight of the drug substance B, 0.6-1.5 parts by weight of the drug substance C and 0- 1.5 parts by weight of the drug substance D;
  • the drug substance A is licorice root licorice, jujube and/or glutinous rice;
  • the drug substance B is red ginseng
  • the drug substance C is a whitening technique
  • the drug substance D is dried ginger, gun ginger or alfalfa;
  • the various symptoms include coronary heart disease, hyperlipidemia, arrhythmia, heart failure, hypertension, type II diabetes, cardiac neurosis, skin disease, menstrual disease, painful disease, constipation, insomnia, cervical vertebrae, lumbar vertebrae Disease, cold, chronic bronchitis, human papillomavirus infection, hyperthyroidism, neurological tremor, nocturnal emission, impotence, ADHD, depression, menopausal syndrome, chronic colitis, chronic gastritis, reflux esophagitis, tumor rehabilitation, Peripheral neuropathy, chronic urinary infection, allergic disease, herpes zoster, cerebrovascular disease, blood disease.
  • it consists of 1-3 parts by weight of the drug substance A, 0.6-1.5 parts by weight of the drug substance B, 0.6-1.5 parts by weight of the drug substance C, and 0.6-1.5 parts by weight of the drug substance D.
  • the multi-indication Chinese medicine composition is characterized in that it is composed of 1-3 parts by weight of the drug substance A, 1 part by weight of the drug substance B, 1 part by weight of the drug substance C, and 1 part by weight of the drug substance. D composition.
  • the parts by weight of the auxiliary drug substance are:
  • Rhizoma Rhizoma 0.6-1.5 parts by weight
  • Cistanche deserticola 0.6-1.5 parts by weight
  • the mantle is 0.6-1.5 parts by weight and the corner angle is 0.6-1.5 parts by weight;
  • Tortoise shell rubber 0.6-1.5 parts by weight
  • Hazelnuts 0.6-1.5 parts by weight
  • a series of traditional Chinese medicine products are provided based on the above-mentioned traditional Chinese medicine composition which is effective for various symptoms and a Chinese medicine composition derived therefrom.
  • the dosage form of the traditional Chinese medicine preparation is an oral decoction, a powder, a granule, a pill, a tablet, a capsule, an extract, and an external dosage form.
  • the traditional Chinese medicine preparation further comprises an acceptable adjuvant for preparing the desired dosage form.
  • the invention also claims a method for preparing the above-mentioned traditional Chinese medicine product, characterized in that the preparation step comprises the steps of decoiling the raw material to obtain a traditional Chinese medicine water extract liquid.
  • the red ginseng is first boiled for at least 15 minutes, and then the remaining raw materials are added for boiling.
  • the traditional Chinese medicine composition (guanfu soup) provided by the invention is born out of Lizhongtang, and is composed of licorice or red jujube, red ginseng, fried atractylodes, medlar and dried ginger, and the dosage ratio is: 1-1.5:1:1:1 .
  • the Guanfu soup of the present invention replaces the ginseng or Codonopsis pilosula of Lizhongtang with red ginseng and is no longer used as a monarch.
  • the conversion of Atractylodes Rhizome to Atractylodes Rhizome makes the Guanfu Soup of the present invention relatively more convergent and warm.
  • red ginseng is red, red is in the heart, and after the red ginseng is steamed, the convergence is stronger, so the red ginseng is used in Guanfu soup.
  • Medical Enlightenment means that ginseng is "invigorating the vitality", and the vitality is not to be born out of nothing, nor can it be supplemented by drugs.
  • the supplemental vitality is the first to consolidate the dissipating energy, so that it can be used in the middle coke, promote the spleen and stomach, and self-generate. And the one that promotes spleen and stomach transportation is a white medicine.
  • Materia Medica Tong Xuan “Atractylodes, the medicine for spleen and stomach, even more right.””MateriaMedica” is called “the first medicine for spleen qi,” and Atractylodes also has the meaning of bitterness. Dry ginger is warm, dry ginger has the meaning of keeping the middle, and there is solidity in the Xinsan. After all, the spleen is cold and damp, dry ginger, atractylodes bitter warm dampness, dry ginger and phlegm and dampness. Moreover, dried ginger makes Guanfu Tang have a movement. Glycyrrhiza uralensis is a medicinal herb. It is the same as the one-drinking medicinal herb.
  • Red ginseng converges on the heart, bitterly descending the virtual fire, it is the imitation of the summer solstice that converges the yang, so that a yin, with the licorice to the yang to the spleen and stomach in the coke, Atractylodes, dried ginger, and the scorpion has repented the yang, Make the yin and yang and yin and yang rush, and the vitality is self-recovery.
  • the indications of Guanfu Decoction of the present invention are more extensive than that of Lizhong Decoction, and are not suitable for patients with insufficient kidney reserve, patients with yin deficiency and impotence, and, for the whole body, heat and flaming, especially The syndrome of hot blood is not suitable.
  • the licorice and jujube can be used interchangeably, or can be used in combination, especially for patients who are contraindicated for licorice, and the jujube can be completely used, which makes the traditional Chinese medicine composition of the present invention (guanfu soup)
  • the scope of adaptation is broader and safer.
  • the clinical practice case proves that the multi-indication Chinese medicine composition of the present invention can be combined with a plurality of auxiliary drug substances to obtain a more targeted and superior formula for specific indications, so that the traditional Chinese medicine composition of the present invention has a wide range of indications and Targeted, according to clinical trials, the efficacy observation data of each formula comes from at least 10 cases, some hundreds of cases, as follows:
  • Adding red yeast rice has better effect on hyperlipidemia, and the course of treatment is 2-3 months;
  • Cinnamon a better treatment for dysmenorrhea for 4 weeks
  • Hawthorn has a better therapeutic effect for liver and kidney for 4 weeks;
  • Rehmannia glutinosa has a better therapeutic effect on liver and kidney for 4 weeks;
  • Rehmannia glutinosa has a better therapeutic effect on liver and kidney for 4 weeks;
  • Pangolin has a better therapeutic effect for Huoxuetongluo for 4 weeks;
  • Ginseng a better course of treatment for qi for 4 weeks
  • Clematis has a better course of treatment for pain relief and gout for 4 weeks;
  • Suanzaoren has a better therapeutic effect on insomnia for 4 weeks
  • Gynostemma pentaphyllum has a better therapeutic effect for the treatment of hyperlipidemia for 4 weeks;
  • Aster has a better therapeutic effect for the treatment of cough for 4 weeks;
  • Antler gum has a better therapeutic effect for tonifying the kidney and treating blood diseases for 12 weeks;
  • Turtle board glue has a better curative effect for tonifying kidney and treating blood diseases for 12 weeks;
  • Peach kernel has a better therapeutic effect for the treatment of promoting blood circulation and removing blood stasis for 12 weeks;
  • Dilong has a better therapeutic effect on cardiovascular disease for 12 weeks;
  • Dodder has a better therapeutic effect for tonifying the kidney and treating blood diseases for 12 weeks;
  • Cynomorium has a better therapeutic effect for tonifying the kidney and treating blood diseases for 12 weeks;
  • Distraction wood a better treatment for senile urinary incontinence for 4 weeks;
  • the above-mentioned multi-indication Chinese medicine composition of the present invention can also be combined with musk and perrin; medlar and epimedium; basal and epimedium; mantle and horn; aster and coltsfoot; And Ophiopogon japonica; Ephedra and almond; Ephedra and almond; Astragalus; Gastrodia elata; Atractylodes; Pinellia; Cistanche; Clove and persimmon; Cicada and Alisma orientalis and Xanthium; Spirulina and ochre; Acacia; The combination of Ligustrum lucidum and psoralen or safflower and motherwort gives prescriptions with different therapeutic effects.
  • the embodiment prepared as a proprietary Chinese medicine it is preferably an oral decoction, a powder, a granule or a pill. But it is not limited to this.
  • APIs used in all the schemes of the present invention are available in general Chinese pharmacies, and some of the APIs are as follows:
  • RAD ⁇ is a leguminous plant
  • licorice is a licorice baked with honey, commonly known as concoction, is to put the honey in the pot into a medium honey, use the simmer and add licorice tablets to mix evenly, 3 ⁇ 5min out of the pot, set the baking room or oven 60 ⁇ C to dry until not sticky, take off, let cool.
  • Licorice, scientific name: Glycyrrhiza uralensis Fisch leguminous, licorice is a perennial herb, the medicinal parts are roots and rhizomes, the roots of the medicinal properties are cylindrical, 25 to 100 cm long and 0.6 to 3.5 cm in diameter.
  • Zhigancao Decoction has the effect of nourishing qi and nourishing yin and Tongyang Fumai.
  • Jujube It has the function of nourishing yin and nourishing yang.
  • Dried ginger dried roots of the ginger family Zingiber oj-jicinale Rosc. It has the effect of warming and dispelling cold, returning to the yang, and warming the lungs.
  • Red ginseng It is processed by infiltration, cleaning, sorting, steaming, drying and drying of ginseng ginseng. In the steaming process, red ginseng will undergo chemical reaction due to heat treatment, and it will change in weight. It has the functions of qi, nourishing yin, benefiting blood, Shengjin, strengthening heart, stomach and calming.
  • Fried atractylodes It is a processed product of Atractylodes macrocephala.
  • the processing method is roughly as follows: the candied bran is sprinkled into the hot pot, and when it is smoked, it is added to the Atractylodes macrocephala, fried to a yellowish color, and the coke aroma is removed, taken out, and sieved to the candied bran. skin.
  • Atractylodes the Latin name Atractylodes macrocephala, belongs to the perennial herb of the genus Asteraceae and Atractylodes. It is used as a root stalk and has many medicinal functions.
  • a dried sclerotium of the Polyporaceae fungus ⁇ Poria cocos (Schw.) Wolf.
  • Nepeta Alias: fragrant scorpion, scorpion scorpion, quadruple stalk, sinus, is a perennial plant of the family Labiatae and Nepeta. Medicinal It has dry stems and leaves and spikes.
  • Windproof The root of the umbrella-shaped plant.
  • Red yeast rice is made from glutinous rice and is separated from high-quality Monascus purpureus by liquid bio-degradation. It is a natural, safe and beneficial food additive for human health.
  • Triangular dry tubers of the black-triangular plant Sparganium stoloni erum, Buch.-Ham.
  • Curcuma dried rhizome of Curcuma phaeocaulis Val., Curcuma Kwangsiensis S.G.Lee et C.F.Liang or Curcuma wenyujin Y.H.Chen et C.Ling
  • Alisma Alisma plantago-aquatica Linn. Perennial aquatic or marsh herb.
  • Zeeland It is the dry upper part of the sweet potato plant of the Labiatae or the sweet potato of the hairy leaf.
  • Yujin dry roots of the genus Curcuma rcenyujin Y, H.Chenet C.Ling, Curcuma longaL., Curcumakwangsiensis S.G.Lee et C.F.Liang or Curcuma pha eocaulis Val.
  • Bayu Tian Scientific name: Morinda officinalis How, is the dry root of the dicotyledonous plant.
  • Epimedium Scientific name: Epimedium brevicornu Maxim. Perennial herb whole grass.
  • Pueraria the dry root of the leguminous kudzu
  • Eupatorium aponic Turcz. The Latin name Eupatorium aponic Turcz. is the compositae Peland (bluegrass), which is used as a whole herb.
  • Sand ginseng Latin name: Adenophora stricta Miq.] Campanulaceae is a perennial herb with roots.
  • Ophiopogon japonicus Ophiopogon aponicas (Linn.F.) Ker-Gawl.) The roots of perennial evergreen plants of the genus Liliaceae.
  • Persimmon dry scorpion of persimmon plant Diospyros kaki Thunb.
  • ⁇ God Hold the pine roots for the center of the day.
  • Xinyi The flower bud of magnolia.
  • Xanthium the fruit of the common amaranth of the genus Asteraceae, a genus of the genus Asteraceae, of the genus Asteraceae.
  • Cyclobalanopsis Asteraceae Cyclobalanopsis, also known as: Golden Boiling Grass, Money Flower, Drip Gold, Bandit, Xia Ju, Dai Dai, dry flowers into medicine.
  • Meteorite Ore of oxide mineral hematite.
  • Mantle Latin name: Sanguisorba officinalis L. is the root of a perennial herb of the genus Rosaceae.
  • Corydalis yanhusuo W.T.Wang ex Z.Y.Su et C.Y.Wu also known as Yanhu, Xuanhusuo, Yuanhusuo, Yuanhu and so on. It is a tuber of perennial herb of Papaveraceae and Aster.
  • Safflower safflower, (Latin name: Carthamus tinctorius L.), alias: red blue flower, thorn safflower, Compositae, safflower, dried tubular flower medicine.
  • Aster Scientific name: Aster tataricus L.f., alias: Qingyuan, Ziqian, Xiaoyan, etc.; Asteraceae, a perennial herbaceous rhizome.
  • Coltsfoot the flower bud of the Tussilago farfara L.
  • Ephedra dry grass stem of Ephedra, Ephedra or Ephedra
  • the first embodiment is equivalent to "10-30g of licorice, 6-15g of red ginseng, 6-15g of fried atractylodes, 6-15g of dried ginger". "An oral preparation prepared as a drug substance. The rest of the embodiments are deduced by analogy.
  • the drugs of Examples 1-78 were recorded for clinical drug observation.
  • Table 1-6 in the formula 1-6 the weight value of each patch in the range of values between the various values in the outpatient treatment prescriptions, such as red ginseng 0.6-1.5 parts by weight, said 0.6 parts by weight, 0.7 parts by weight, 0.8 parts by weight, 0.9 parts by weight, 1 part by weight, 1.1 parts by weight, 1.2 parts by weight, 1.3 parts by weight, 1.4 parts by weight and 1.5 parts by weight have effective clinical practice examples;
  • the amount of component D dried ginger, gun ginger or medlar is zero.
  • the multi-indication Chinese medicine composition provided by the present invention is born out of Lizhong Decoction, but the indication is more extensive than the Lizhong Decoction, and the medicine is mild and safe, and is a patient with severe yin deficiency and
  • an appropriate amount of the drug substance corresponding to the symptom is added to obtain the curative effect of the multi-indication Chinese medicine composition which can be taken by all the patients except the simple heat syndrome patient; Significant targeted drug prescriptions for different conditions.

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Abstract

一种对多种症状具有疗效的中药组合物及其衍生物和制品,由1-3重量份的炙甘草、生甘草、大枣和/或薏苡仁;0.6-1.5重量份的红参;0.6-1.5重量份的炒白术;0-1.5重量份的干姜、炮姜或茯苓组成。该组合物可以与多种原料药配合衍生出适应不同症状的中药组合物。

Description

一种对多种症状具有疗效的中药组合物及其衍生物和制品 技术领域
本发明涉及中医药技术领域,特别是一种多对多种症状具有疗效的中药组合物及其衍生中药组合物和制品。
技术背景
理中汤首见于张仲景所著的《伤寒论》中,主治太阴虚寒,功在温中祛寒,补气健脾。是临床常用的方剂之一。《伤寒论》中记载有理中丸方:“人参、干姜、甘草(炙)、白术各三两。上四味,捣筛,蜜和为丸,如鸡子黄许大。以沸汤数合,和一丸,研碎,温服之,日三四,夜二服。腹中未热,益至三四丸,然不及汤。汤法,以四物依两数切,用水八升,煮取三升,去滓,温服一升,日三服”。《金匮要略》称为人参汤。在两本古书中关于理中汤/丸的记载原文如下:
“霍乱,头痛发热,身疼痛,热多欲饮水者,五苓散主之;寒多不用水者,理中丸主之。”(《伤寒论·辨霍乱病脉证并治》)
“大病差后,喜唾,久不了了,胸上有寒,当以丸药温之,宜理中丸。”(《伤寒论·辨阴阳易差后劳复病脉证并治》)
“胸痹心中痞,留气结在胸,胸满,胁下逆抢心,枳实薤白桂枝汤主之,人参汤亦主之。”(《金匮要略胸痹心痛短气病脉证治第九》)
自古不断有学者对其进行各个方面的研究,袁琛皓等发表的“理中汤古今不同用量对脾阳虚小鼠脏器系数影响”2014研究了不同用量的方剂的药效差异;还有学者对该方剂的剂型制备工艺进行了研究,在中国发明专利申请200910263155.3“一种理中汤整合型新剂型制备技术”公开了一种新的理中汤剂型,有助于提高药物的靶向性,和缓释性,可制成人体皮肤贴剂等。
然而,在拓展理中汤的适应症方面,很少见到报道。
发明内容
本发明提供一种药物组合物及其制品,其脱胎于经典方理中汤,但其组方含义,适用范围完全不同于理中汤。本发明提供的技术方案如下:
一种对多种症状具有疗效的中药组合物,其特征在于,由1-3重量份的原料药A,0.6-1.5重量份的原料药B、0.6-1.5重量份的原料药C和0-1.5重量份的原料药D组成;
所述原料药A为炙甘草生甘草、大枣和/或薏米;
所述原料药B为红参;
所述原料药C为炒白术;
所述原料药D为干姜、炮姜或茯苓;
所述多种症状包括冠心病、高脂血症、心律失常、心力衰竭、高血压病、Ⅱ型糖尿病、心脏神经官能症、皮肤病、月经病、疼痛性疾病、便秘、失眠、颈椎、腰椎病、感冒、慢性支气管炎、人乳头瘤病毒感染、甲亢、神经性震颤、遗精、阳痿、小儿多动症、抑郁症、更年期综合征、慢性结肠炎、慢性胃炎、反流性食道炎、肿瘤康复、周围神经病、慢性泌尿性感染、过敏性疾病、带状疱疹、脑血管病、血液病。
优选地,由1-3重量份的原料药A,0.6-1.5重量份的原料药B、0.6-1.5重量份的原料药C和0.6-1.5重量份的原料药D组成。
优选地,所述的多适应症中药组合物,其特征在于,由1-3重量份的原料药A,1重量份的原料药B、1重量份的原料药C和1重量份的原料药D组成。
一种中药组合物,是在所述的对多种症状具有疗效的中药组合物中添加以下任一组辅助原料药而得
荆芥和防风;红曲;三棱和莪术;泽泻和泽兰;郁金;巴戟天;枸杞子和淫羊藿;巴戟天和淫羊藿;葛根;藿香和佩兰;沙参和麦冬;黄芪;白术;茯神;半夏;肉苁蓉;杜仲和牛膝;丁香和柿蒂;茯苓和泽泻;辛夷和苍耳子;旋复花和代赭石;天麻;地榆和槐角;延胡索;红花和益母草;土茯苓;紫苑和款冬;麻黄和杏仁;半夏和桔梗;射干和麻黄;当归;丹参和红花;麦冬和五味子;红参;郁金和合欢花;合欢花;黄芪、女贞子和补骨脂;蜜麻黄或生麻黄;阿胶;当归;白芍;片姜黄;细辛;肉桂;伸筋草;巴戟天;山茱萸;熟地黄;生地黄;穿山甲;龟板;鳖甲;党参;人参;三七;木香;威灵仙;水蛭;全蝎;蜈蚣;合欢皮;酸枣仁;枳实;绞股蓝;黄杨宁;紫苑;鹿角胶;龟板胶;桃仁;地龙;枳椇子;菟丝子;锁阳;分心木。
优选地,所述辅助原料药的重量份为:
荆芥0.6-1.5重量份和防风0.6-1.5重量份;
红曲0.6-1.5重量份;
三棱0.6-1.5重量份和莪术0.6-1.5重量份;
泽泻0.6-1.5重量份和泽兰0.6-1.5重量份;
郁金0.6-1.5重量份;
巴戟天0.6-1.5重量份;
枸杞子0.6-1.5重量份和淫羊藿0.6-1.5重量份;
巴戟天0.6-1.5重量份和淫羊藿0.6-1.5重量份;
葛根0.8-1.2重量份;
藿香0.6-1.5重量份和佩兰0.6-1.5重量份;
沙参0.6-1.5量重量份和麦冬0.6-1.5重量份;
黄芪0.6-1.5重量份;
白术0.6-1.5重量份;
茯神0.6-1.5重量份;
半夏0.6-1.5重量份;
肉苁蓉0.6-1.5重量份;
杜仲0.6-1.5重量份和牛膝0.6-1.5重量份;
丁香0.6-1.0重量份和柿蒂0.6-1.0重量份;
茯苓0.6-1.5重量份和泽泻0.6-1.5重量份;
辛夷0.6-1.0重量份和苍耳子0.6-1.0重量份;
旋复花0.6-1.5重量份和代赭石重0.6-3量重量份;
天麻0.6-2重量份;
地榆0.6-1.5重量份和槐角0.6-1.5重量份;
元胡0.6-1.5重量份;
红花0.6-1.5重量份和益母草0.6-1.5重量份;
土茯苓0.6-1.5重量份;
紫苑0.6-1.5重量份和款冬0.6-1.5重量份;
麻黄0.6-1.0重量份和杏仁0.6-1.5重量份;
半夏0.6-1.5重量份和桔梗0.6-1.5重量份;
射干0.6-1.5重量份和麻黄0.6-1.0重量份;
当归0.6-1.5重量份;
丹参0.6-1.5重量份和红花0.6-1.5重量份;
麦冬0.6-1.5重量份和五味子重0.6-1.5量重量份;
红参0.6-1.5重量份;
郁金0.6-1.5重量份和合欢花0.6-1.5重量份。
合欢花0.6-1.5重量份
黄芪0.6-1.5重量份、女贞子0.6-1.5重量份、补骨脂0.6-1.5重量份;
蜜麻黄或生麻黄0.6-1.5重量份;
阿胶0.6-1.5重量份;
当归0.6-1.5重量份;白芍0.6-1.5重量份;
片姜黄0.6-1.5重量份;
细辛0.3-0.6重量份;
肉桂0.6-1.5重量份;
伸筋草0.6-1.5重量份;
巴戟天0.6-1.5重量份;
山茱萸0.6-1.5重量份;
熟地黄0.6-1.5重量份;
生地黄0.6-1.5重量份;
穿山甲0.6-1.5重量份;
龟板0.6-1.5重量份;
鳖甲0.6-1.5重量份;
党参0.6-1.5重量份;
人参0.6-1.5重量份;
三七0.6-1.5重量份;
木香0.6-1.5重量份;
威灵仙0.6-1.5重量份;
水蛭0.6-1.5重量份;
全蝎0.6-1.5重量份;
蜈蚣0.6-1.5重量份;
合欢皮0.6-1.5重量份;
酸枣仁0.6-1.5重量份;
枳实0.6-1.5重量份;
绞股蓝0.6-1.5重量份;
黄杨宁0.6-1.5重量份;
紫苑0.6-1.5重量份;
鹿角胶0.6-1.5重量份;
龟板胶0.6-1.5重量份;
桃仁0.6-1.5重量份;
地龙0.6-1.5重量份;
枳椇子0.6-1.5重量份;
菟丝子0.6-1.5重量份;
锁阳0.6-1.5重量份;
分心木0.6-1.5重量份。
本发明的另一方面,基于上述对多种症状具有疗效的中药组合物及其衍生的中药组合物为原料,提供一系列中药制品。
优选地,所述的中药制品的剂型为口服汤剂、散剂、颗粒剂、丸剂、片剂、胶囊、提取液、外用剂型。
优选地,所述的中药制品还包含用于制备所需剂型的可接受的辅料。
本发明还请求保护上述中药制品的制备方法,其特征在于,其制备步骤中包括对所述原料进行煎煮制得中药水提取液。
优选地。在制备步骤中,包括对所述红参先煎煮至少15分钟,然后再加入其余原料进行煎煮。
张仲景的《伤寒论》中记载的理中丸,理中丸“理中焦也”,主治太阴虚寒,功在温中祛寒,补气健脾。其中所用的人参,现今已不存在。后世一般用东北人参或用党参代之,但党参与东北人参本不是一科,党参为桔梗科,而东北人参即俗称人参是五加科,党参健脾胃,补中气,但补益之力弱于人参。后世《神农本草经》记载人参“补五脏、安精神,定魂魄”,党参多无此功。而在五加科的人参中,后世所用也不尽相同,有些记载用的是生晒参或用红参。东北人参(人参)从地里挖出洗净晒干后称为生晒参或白参;东北人参(人参)经沸水浸烫后浸糖汁中取出晒干称为红参。所以生晒参和红参相比,一个是生品,一个是熟品,如前所述,中药炮制熟品偏补,生品偏泻,生品多偏散,熟品多偏固敛,所以两者不尽相同。
本发明提供的中药组合物(观复汤),脱胎于理中汤,由炙甘草或红枣、红参、炒白术,茯苓、干姜组成,剂量比例是:1-1.5:1:1:1。本发明的观复汤将理中汤的人参或党参换成了红参,且不再作为君药。将白朮换为炒白术,使得本发明的观复汤相对更为收敛温补。从中药炮制上讲,一般是熟品偏补,生品偏泻;生品多偏散,熟品多偏固敛。如生地黄和熟地黄,《本草纲目》说“地黄生则大寒,而凉血,血热者需用之,熟则微温,而补肾,血衰者需用之”。再如生甘草和炙甘草、生白术和炒白术、生白芍和炒白芍、生首乌与熟首乌等等。因此相对于白朮,炒白术多有固阳﹑攝阳之功。
本方用意在于红参色红,红入心,红参蒸熟之后,补敛之性更强,所以观复汤里用红参。《医学启源》谓人参“补元气”,元气不是可以无中生有,也不是可以由药物补充,补元气乃 是先固敛耗散之元气,使之入于中焦,促进脾胃运化,元气自生,而促进脾胃运化的还有一味药就是白术。《本草通玄》:“白术,补脾胃之药,更无出其右者”。《本草求真》称之为“为脾脏补气第一要药也”,同时白术也有苦降之意。干姜温中,干姜有守中之意,辛散之中有固守,也是敛意。毕竟脾多寒湿,干姜、白术苦温燥湿,干姜辛散温中祛湿。而且干姜使观复汤静中有动。炙甘草是君药,同归一饮一样是引群药归入圆心的君药,所以剂量最大。红参收敛上焦心气,苦降虚火,正是仿夏至收敛阳气,使一阴生,以炙甘草将阳气收入脾胃中焦,白术、干姜运化之,将亢龙有悔之阳收回,使阴与阳和,阴阳冲和,元气自复,故名观复汤。
从适应症上看,本发明的观复汤适应症比理中汤更广泛,只不适合于肾之储备不够的患者、阴虚阳亢的患者,另外,对于全身性的热毒炽盛,尤其热入营血的症候也不适合。临床观察,诸多病症如临床观察,诸多病症如冠心病、高脂血症、心律失常、心力衰竭、高血压病、2型糖尿病、心脏神经官能症、湿疹、痤疮、月经不调、关节疼痛、头痛、便秘、失眠、颈椎病、感冒、慢性支气管炎、人乳头瘤病毒感染案、甲亢、神经性震颤、遗精、阳痿、小儿多动症、抑郁症、股骨头坏死疼痛、更年期综合征、慢性结肠炎、慢性胃炎、反流性食道炎、肿瘤康复、周围神经病、慢性泌尿性感染、过敏性疾病、带状疱疹等理中汤不适合的症状,本发明的中药组合物显示出显著的疗效。
本发明的中药组合物中,炙甘草和大枣可以互换,或者混合使用,特别是对于炙甘草又禁忌的患者,可以完全采用大枣,这使得本发明的中药组合物(观复汤)的适应范围更为广泛和安全。临床实践案例证明,本发明多适应症中药组合物可以与多种辅助性原料药组合,得到对具体适应症更具有针对性和更优的配方,使得本发明的中药组合物适应症范围广而且有针对性,根据临床实验例,每种配方的效果观察验证数据至少来自于10例病例,有些上百例,具体如下:
加荆芥和防风,对皮疹的疗效更好,疗程2-3周;
加红曲对高脂血症效果更优,疗程2-3个月;
加三棱和莪术对冠心病效果更优,疗程3-12个月;
加泽泻和泽兰对心力衰竭疗效更好,疗程2-6个月;
巴戟天,对抑郁症疗效更好,疗程2-3个月;
加葛根,对颈椎病效果突出,疗程2-3周
加杜仲和牛膝,对腰椎病疗效更好,疗程2-3周;
加延胡索,对心律失常效果更优,疗程2-3个月;
加茯神更有益于缓解失眠,疗程2-3周;
加合欢和郁金更有益于缓解失眠,疗程2-3周;
加蜜麻黄或生麻黄,对于缓慢性心律失常有更好的疗效疗程4周;
加阿胶,对于安胎有更好的疗效疗程4-12周;
加当归,白芍,对于血虚有更好的疗效疗程4周;
加片姜黄,对于肩背痛有更好的疗效疗程4周;
加细辛,对于止痛有更好的疗效疗程4周;
肉桂,对于痛经有更好的疗效疗程4周;
伸筋草,对于肌肉痉挛有更好的疗效疗程4周;
山茱萸,对于补肝肾有更好的疗效疗程4周;
熟地黄,对于补肝肾有更好的疗效疗程4周;
生地黄,对于补肝肾有更好的疗效疗程4周;
穿山甲,对于活血通络有更好的疗效疗程4周;
龟板,对于补肝肾有更好的疗效疗程4周;
鳖甲,对于补肝肾活血有更好的疗效疗程4周;
党参,对于健脾有更好的疗效疗程4周;
人参,对于补气更好的疗效疗程4周;
三七,对于活血化瘀有更好的疗效疗程4-24周;
大腹皮,对于治疗肠胃炎有更好的疗效疗程4周;
威灵仙,对于止痛、痛风有更好的疗效疗程4周;
水蛭,对于活血化瘀治疗心血管疾病有更好的疗效疗程4-12周;
全蝎,对于止痛有更好的疗效疗程4周;
蜈蚣;对于止痛有更好的疗效疗程4周;;
合欢皮,对于失眠有更好的疗效疗程4周;
酸枣仁,对于失眠有更好的疗效疗程4周;
枳实,对于治疗肠胃炎有更好的疗效疗程4周;
绞股蓝,对于治疗高脂血症有更好的疗效疗程4周;
黄杨宁,对于治疗心律失常更好的疗效疗程4周;
紫苑,对于治疗咳嗽有更好的疗效疗程4周;;
鹿角胶,对于补肾、治疗血液病有更好的疗效疗程12周;
龟板胶,对于补肾、治疗血液病有更好的疗效疗程12周;
桃仁,对于活血化瘀治疗有更好的疗效疗程12周;
地龙,对于心血管病有更好的疗效疗程12周;
枳椇子,对于治疗肝病有更好的疗效疗程12周;
菟丝子,对于补肾、治疗血液病有更好的疗效疗程12周;
锁阳,对于补肾、治疗血液病有更好的疗效疗程12周;
分心木,对于老年性小便失禁有更好的疗效疗程4周;
根据临床使用案例,本发明的上述多适应症中药组合物还可以与藿香和佩兰;枸杞子和淫羊藿;巴戟天和淫羊藿;地榆和槐角;紫苑和款冬;沙参和麦冬;麻黄和杏仁;麻黄和杏仁;黄芪;天麻;白术;半夏;肉苁蓉;丁香和柿蒂;茯苓和泽泻辛夷和苍耳子;旋复花和代赭石;合欢花;黄芪、女贞子和补骨脂或红花和益母草组合得到具有不同侧重疗效的方剂。
本发明请求保护的中药组合物的制品,无论做成什么剂型,都可以采用本领域常规技术手段来现实,包括采用一些常规的辅料来做成各种所需的剂型。
在做成中成药的实施方案中,优选做成口服汤剂、散剂、颗粒剂或丸剂。但不限于此。
本发明所有方案中采用的原料药在一般中药房都可以买到,其中,部分原料药简介如下:
炙甘草:(RADIX GLYCYRRHIZAE PREPARATA),系豆科植物,炙甘草是用蜜烘制的甘草,俗称炮制,就是将蜂蜜置锅中炼成中蜜,改用文火加生甘草片拌炒均匀,3~5min出锅,置烤房或烘箱60~C烘至不粘手时取出,放凉即可。甘草,学名:Glycyrrhiza uralensis Fisch,豆科、甘草属多年生草本,药用部位是根及根茎,药材性状根呈圆柱形,长25~100厘米,直径0.6~3.5厘米。炙甘草汤具有益气滋阴,通阳复脉治疗功效。
大枣:具有滋阴补阳,补血之功
干姜:为姜科植物姜Zingiber oj-jicinale Rosc.的干燥根茎。具有温中散寒,回阳通脉,温肺化饮的功效。
红参:是长五加科人参经过浸润、清洗、分选、蒸制、晾晒、烘干等工序加工而成。红参在蒸制过程中,因为热处理会发生化学反应,成重量份上发生变化,俱有补气、滋阴、益血、生津、强心、健胃、镇静等作用。
炒白术:是白朮的加工品,加工方法大致为:将蜜炙麸皮撒入热锅内,待冒烟时加入白术片,炒至焦黄色、逸出焦香气,取出,筛去蜜炙麸皮。白术,拉丁学名Atractylodes macrocephala,属于菊科、苍术属多年生草本植物。以根茎入药,具有多项药用功能。具有健脾益气,燥湿利水,止汗,安胎的功效,用于脾虚食少,腹胀泄泻,痰饮眩悸,水肿,自汗,胎动不安。
茯苓:为多孔菌科真菌茯苓Poria cocos(Schw.)Wolf的干燥菌核。归心、肺、脾、肾,一般用于水肿尿少,痰饮眩悸,脾虚食少,便溏泄泻,心神不安,惊悸失眠等症状。
荆芥:别名:香荆荠、线荠、四棱杆蒿、假苏,是唇形科、荆芥属多年生植物。入药用 其干燥茎叶和花穗。
防风:伞形科植物防风的根。
红曲:是以籼米为原料,采用现代生物工程技术分离出优质的红曲霉菌(monascuspurpureus)经液体深层发酵精制而成,是一种纯天然、安全性高、有益于人体健康的食品添加剂
三棱:为黑三棱科植物黑三棱Sparganium stoloni erum,Buch.-Ham.的干燥块茎。
莪术;为姜科植物蓬莪术Curcuma phaeocaulis Val.、广西莪术Curcuma Kwangsiensis S.G.Lee et C.F.Liang或温郁金Curcuma wenyujin Y.H.Chen et C.Ling的干燥根茎
泽泻:Alisma plantago-aquatica Linn.多年生水生或沼生草本。
泽兰:是唇形科植物地瓜儿苗或毛叶地瓜儿苗的干燥地上部。
郁金:为姜科植物温郁金Curcuma rcenyujin Y,H.Chenet C.Ling、姜黄Curcuma longaL.、广西莪术Curcumakwangsiensis S.G.Lee et C.F.Liang或蓬莪术Curcuma pha eocaulis Val.的干燥块根。
巴戟天:学名:Morinda officinalis How,为双子叶植物茜草科巴戟天的干燥根。
淫羊藿:学名:Epimedium brevicornu Maxim.多年生草本植物全草。
葛根:为豆科植物野葛的干燥根
藿香:属唇形目,唇形科多年生草本植物,又名:合香、苍告、山茴香全草。
佩兰:拉丁学名Eupatorium aponic Turcz.为菊科植物佩兰(兰草),以全草入药。
沙参:拉丁学名:Adenophora stricta Miq.〕桔梗科沙参属多年生草本植物,根部入药。
麦冬:麦冬(学名.Ophiopogon aponicas(Linn.F.)Ker-Gawl.)百合科沿阶草属多年生常绿草本植物的块根。
柿蒂:为柿树科植物柿Diospyros kaki Thunb.的干燥宿萼
茯神:为白茯苓中心抱有细松根者。
辛夷:木兰花的花蕾。
苍耳子:属菊科、苍耳属一年生草本菊科植物苍耳的带总苞的果实。
旋复花:菊科旋复花,又名:金沸草、金钱花、滴滴金、盗瘐、夏菊、戴椹,干燥花朵入药。
代赭石:氧化物类矿物赤铁矿的矿石。
地榆:拉丁学名:Sanguisorba officinalis L.是蔷薇科地榆属多年生草本植物的根部。
槐角:豆科植物槐(Sophora japonica L.)的干燥花及花蕾、成熟果实。
延胡索;延胡索(Corydalis yanhusuo W.T.Wang ex Z.Y.Su et C.Y.Wu),又名:延胡、玄胡索、元胡索、元胡等。是罂粟科、紫堇属多年生草本植物的块茎。
红花:红花,(拉丁学名:Carthamus tinctorius L.),别名:红蓝花、刺红花,菊科、红花属植物,干燥的管状花入药。
土茯苓:为百合科植物光叶菝葜的干燥根茎
紫苑:学名:Aster tataricus L.f.,别名:青苑、紫倩、小辫等;菊科紫菀属,多年生草本的根状茎。
款冬:系菊科款冬属植物款冬(Tussilago farfara L.)的花蕾。
麻黄:麻黄科植物草麻黄、中麻黄或木贼麻黄的干燥草质茎
射干;为Belamcanda chinensis(L.)Redouté多年生草本的根状茎。
具体实施方式
以下通过具体实施方式说明本发明的中药组合物及其制品的制备方法和临床功效
实施例1-79观复汤的配方及制备
表1实施例1-79的观复汤的配方
Figure PCTCN2017081383-appb-000001
Figure PCTCN2017081383-appb-000002
Figure PCTCN2017081383-appb-000003
Figure PCTCN2017081383-appb-000004
汤剂制备步骤如下:
(1)按表1所列的各配方准备原料药
(2)每剂药每次加入300-800毫升水,文火,煎煮30分钟;
(3)再加水1-2次,合并煎煮液得口服汤剂。
注:本发明中提到一剂药时,以实施例1为例,其一剂药相当于是以“炙甘草10-30g、红参6-15g、炒白术6-15g、干姜6-15g”为原料药制备得到的口服制品。其余实施例以此类推。
临床实验例:
记录实施例1-78的药物进行临床用药观察。
统计结果显示,实施例1-6的中药组合物对诸多病症具有显著的疗效,临床观察统计如下表2:
表2临床实验例观察统计
Figure PCTCN2017081383-appb-000005
Figure PCTCN2017081383-appb-000006
表2中1-6配方中各味药的重量份数值范围之间各个数值点在门诊治疗的处方中都有使用过,例如红参0.6-1.5重量份,表示0.6重量份,0.7重量份,0.8重量份,0.9重量份,1重量份,1.1重量份,1.2重量份,1.3重量份,1.4重量份1.5重量份都有有效临床实践例;
其余原料的数值范围也如此,在若干门诊治疗过程中,根据症状的程度不同,采用过该范围内的不同数值。
某些实施例中配方中,D组分干姜、炮姜或茯苓的用量为零。
发明人在实施例1-6的多功效中药组合物基础上,针对具体不同的症状选择性添加不同的辅助性原料药,使本发明的观复汤药效更为显著和具有针对性,部分临床观察病例治愈统 计如下表3:
表3观复汤衍生配方临床疗效统计
Figure PCTCN2017081383-appb-000007
Figure PCTCN2017081383-appb-000008
Figure PCTCN2017081383-appb-000009
综上,临床观察和统计显示,本发明提供的多适应症中药组合物本身,脱胎于理中汤,但适应症比理中汤更广泛,药效温和安全,是除了严重阴虚的患者以及单纯实热证患者之外所有人都可以服用的具有保健功效的多适应症中药组合物;另一方面,在该多功效中药组合物基础上,添加适量的对应症状的原料药,得到了疗效显著的针对不同病症的针对性药物组方。

Claims (10)

  1. 一种对多种症状具有疗效的中药组合物,其特征在于,由1-3重量份的原料药A,0.6-1.5重量份的原料药B、0.6-1.5重量份的原料药C和0-1.5重量份的原料药D组成;
    所述原料药A为炙甘草、生甘草、大枣和/或薏米;
    所述原料药B为红参;
    所述原料药C为炒白术;
    所述原料药D为干姜、炮姜或茯苓;
    所述多种症状包括冠心病、高脂血症、心律失常、心力衰竭、高血压病、Ⅱ型糖尿病、心脏神经官能症、皮肤病、月经病、疼痛性疾病、便秘、失眠、颈椎、腰椎病、感冒、慢性支气管炎、人乳头瘤病毒感染、甲亢、神经性震颤、遗精、阳痿、小儿多动症、抑郁症、更年期综合征、慢性结肠炎、慢性胃炎、反流性食道炎、肿瘤康复、周围神经病、慢性泌尿性感染、过敏性疾病、带状疱疹、脑血管病、血液病。
  2. 根据权利要求1所述的多适应症中药组合物,其特征在于,由1-3重量份的原料药A,0.6-1.5重量份的原料药B、0.6-1.5重量份的原料药C和0.6-1.5重量份的原料药D组成。
  3. 根据权利要求1所述的多适应症中药组合物,其特征在于,由1-3重量份的原料药A,1重量份的原料药B、1重量份的原料药C和1重量份的原料药D组成。
  4. 一种中药组合物,是在权利要求1或2所述的对多种症状具有疗效的中药组合物中添加以下任一组辅助原料药而得:
    荆芥和防风;
    红曲;
    三棱和莪术;
    泽泻和泽兰;
    郁金;
    巴戟天;
    枸杞子和淫羊藿;
    巴戟天和淫羊藿;
    葛根;
    藿香和佩兰;
    沙参和麦冬;
    黄芪;
    白术;
    茯神;
    半夏;
    肉苁蓉;
    杜仲和牛膝;
    丁香和柿蒂;
    茯苓和泽泻;
    辛夷和苍耳子;
    旋复花和代赭石;
    天麻;
    地榆和槐角;
    延胡索;
    红花和益母草;
    土茯苓;
    紫苑和款冬;
    麻黄和杏仁;
    半夏和桔梗;
    射干和麻黄;
    当归;
    丹参和红花;
    麦冬和五味子;
    红参;
    郁金和合欢花;
    合欢花;
    黄芪、女贞子和补骨脂;
    蜜麻黄或生麻黄;
    阿胶;
    当归;白芍;
    片姜黄;
    细辛;
    肉桂;
    伸筋草;
    巴戟天;
    山茱萸;
    熟地黄;
    生地黄;
    穿山甲;
    龟板;
    鳖甲;
    党参;
    人参;
    三七;
    木香;
    威灵仙;
    水蛭;
    全蝎;
    蜈蚣;
    合欢皮;
    酸枣仁;
    枳实;
    绞股蓝;
    黄杨宁;
    紫苑;
    鹿角胶;
    龟板胶;
    桃仁;
    地龙;
    枳椇子;
    菟丝子;
    锁阳;
    分心木。
  5. 根据权利要求4所述的中药组合物,其特征在于,所述辅助原料药的重量份为:
    荆芥0.6-1.5重量份和防风0.6-1.5重量份;
    红曲0.6-1.5重量份;
    三棱0.6-1.5重量份和莪术0.6-1.5重量份;
    泽泻0.6-1.5重量份和泽兰0.6-1.5重量份;
    郁金0.6-1.5重量份;
    巴戟天0.6-1.5重量份;
    枸杞子0.6-1.5重量份和淫羊藿0.6-1.5重量份;
    巴戟天0.6-1.5重量份和淫羊藿0.6-1.5重量份;
    葛根0.8-1.2重量份;
    藿香0.6-1.5重量份和佩兰0.6-1.5重量份;
    沙参0.6-1.5量重量份和麦冬0.6-1.5重量份;
    黄芪0.6-1.5重量份;
    白术0.6-1.5重量份;
    茯神0.6-1.5重量份;
    半夏0.6-1.5重量份;
    肉苁蓉0.6-1.5重量份;
    杜仲0.6-1.5重量份和牛膝0.6-1.5重量份;
    丁香0.6-1.0重量份和柿蒂0.6-1.0重量份;
    茯苓0.6-1.5重量份和泽泻0.6-1.5重量份;
    辛夷0.6-1.0重量份和苍耳子0.6-1.0重量份;
    旋复花0.6-1.5重量份和代赭石重0.6-3量重量份;
    天麻0.6-2重量份;
    地榆0.6-1.5重量份和槐角0.6-1.5重量份;
    元胡0.6-1.5重量份;
    红花0.6-1.5重量份和益母草0.6-1.5重量份;
    土茯苓0.6-1.5重量份;
    紫苑0.6-1.5重量份和款冬0.6-1.5重量份;
    麻黄0.6-1.0重量份和杏仁0.6-1.5重量份;
    半夏0.6-1.5重量份和桔梗0.6-1.5重量份;
    射干0.6-1.5重量份和麻黄0.6-1.0重量份;
    当归0.6-1.5重量份;
    丹参0.6-1.5重量份和红花0.6-1.5重量份;
    麦冬0.6-1.5重量份和五味子重0.6-1.5量重量份;
    红参0.6-1.5重量份;
    郁金0.6-1.5重量份和合欢花0.6-1.5重量份;
    合欢花0.6-1.5重量份;
    黄芪0.6-1.5重量份、女贞子0.6-1.5重量份和补骨脂0.6-1.5重量份;
    蜜麻黄或生麻黄0.6-1.5重量份;
    阿胶0.6-1.5重量份;
    当归0.6-1.5重量份;白芍0.6-1.5重量份;
    片姜黄0.6-1.5重量份;
    细辛0.3-0.6重量份;
    肉桂0.6-1.5重量份;
    伸筋草0.6-1.5重量份;
    巴戟天0.6-1.5重量份;
    山茱萸0.6-1.5重量份;
    熟地黄0.6-1.5重量份;
    生地黄0.6-1.5重量份;
    穿山甲0.6-1.5重量份;
    龟板0.6-1.5重量份;
    鳖甲0.6-1.5重量份;
    党参0.6-1.5重量份;
    人参0.6-1.5重量份;
    三七0.6-1.5重量份;
    木香0.6-1.5重量份;
    威灵仙0.6-1.5重量份;
    水蛭0.6-1.5重量份;
    全蝎0.6-1.5重量份;
    蜈蚣0.6-1.5重量份;
    合欢皮0.6-1.5重量份;
    酸枣仁0.6-1.5重量份;
    枳实0.6-1.5重量份;
    绞股蓝0.6-1.5重量份;
    黄杨宁0.6-1.5重量份;
    紫苑0.6-1.5重量份;
    鹿角胶0.6-1.5重量份;
    龟板胶0.6-1.5重量份;
    桃仁0.6-1.5重量份;
    地龙0.6-1.5重量份;
    枳椇子0.6-1.5重量份;
    菟丝子0.6-1.5重量份;
    肉苁蓉0.6-1.5重量份;
    锁阳0.6-1.5重量份;
    分心木0.6-1.5重量份。
  6. 一种对多种症状具有疗效的中药制品,其特征在于,由权利要求1-3任一所述的对多种症状具有疗效的中药组合物或权利要求4或5所述的中药组合物制成;
    所述多种症状包括冠心病、高脂血症、心律失常、心力衰竭、高血压病、Ⅱ型糖尿病、心脏神经官能症、皮肤病、月经病、疼痛性疾病、便秘、失眠、颈椎、腰椎病、感冒、慢性支气管炎、人乳头瘤病毒感染、甲亢、神经性震颤、遗精、阳痿、小儿多动症、抑郁症、更年期综合征、慢性结肠炎、慢性胃炎、反流性食道炎、肿瘤康复、周围神经病、慢性泌尿性感染、过敏性疾病、带状疱疹、脑血管病、血液病。
  7. 根据权利要求6所述的中药制品,其特征在于,剂型为口服汤剂、散剂、颗粒剂、丸剂、提取剂或各种外用剂型。
  8. 根据权利要求6或7所述的中药制品,其特征在于,还包含用于制备所需剂型的可接受的辅料。
  9. 权利要求6-8任一所述的中药制品的制备方法,其特征在于,其制备步骤中包括对所述原料进行煎煮制得中药水提取液。
  10. 权利要求9所述的制备方法,其特征在于,在制备步骤中,包括对所述红参先煎煮至少15分钟,然后再加入其余原料进行煎煮。
PCT/CN2017/081383 2016-04-21 2017-04-21 一种对多种症状具有疗效的中药组合物及其衍生物和制品 WO2017181988A1 (zh)

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WO2020024125A1 (zh) * 2018-08-01 2020-02-06 陈霞 防治高血压的面料
CN112274423A (zh) * 2020-11-11 2021-01-29 山东泰山本草科技开发有限公司 药用艾条、使用方法、悬灸筒及其用途
CN113713068A (zh) * 2021-09-15 2021-11-30 陕西中医药大学 一种健脾祛湿活血安神足浴粉
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CN108514620A (zh) * 2018-07-12 2018-09-11 屈建平 一种治疗带状疱疹的中药组合物及其制备方法
WO2020024125A1 (zh) * 2018-08-01 2020-02-06 陈霞 防治高血压的面料
CN110583381A (zh) * 2019-10-18 2019-12-20 安徽戊庚中药饮片有限责任公司 一种提高药效的中药培育种植方法及其制备方法
CN112274423A (zh) * 2020-11-11 2021-01-29 山东泰山本草科技开发有限公司 药用艾条、使用方法、悬灸筒及其用途
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CN113713068A (zh) * 2021-09-15 2021-11-30 陕西中医药大学 一种健脾祛湿活血安神足浴粉
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