WO2021249286A1 - New drug formula for immunotherapy and tablet structure thereof - Google Patents

New drug formula for immunotherapy and tablet structure thereof Download PDF

Info

Publication number
WO2021249286A1
WO2021249286A1 PCT/CN2021/098179 CN2021098179W WO2021249286A1 WO 2021249286 A1 WO2021249286 A1 WO 2021249286A1 CN 2021098179 W CN2021098179 W CN 2021098179W WO 2021249286 A1 WO2021249286 A1 WO 2021249286A1
Authority
WO
WIPO (PCT)
Prior art keywords
new drug
group
tablet
prescription
dose
Prior art date
Application number
PCT/CN2021/098179
Other languages
French (fr)
Chinese (zh)
Inventor
许新朋
Original Assignee
许新朋
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 许新朋 filed Critical 许新朋
Publication of WO2021249286A1 publication Critical patent/WO2021249286A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/365Lactones
    • A61K31/375Ascorbic acid, i.e. vitamin C; Salts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
    • A61K31/198Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/352Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline 
    • A61K31/3533,4-Dihydrobenzopyrans, e.g. chroman, catechin
    • A61K31/355Tocopherols, e.g. vitamin E
    • 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
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/405Indole-alkanecarboxylic acids; Derivatives thereof, e.g. tryptophan, indomethacin
    • 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
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4415Pyridoxine, i.e. Vitamin B6
    • 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
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/455Nicotinic acids, e.g. niacin; Derivatives thereof, e.g. esters, amides
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • A61K31/51Thiamines, e.g. vitamin B1
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/525Isoalloxazines, e.g. riboflavins, vitamin B2
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7016Disaccharides, e.g. lactose, lactulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/56Materials from animals other than mammals
    • A61K35/63Arthropods
    • A61K35/64Insects, e.g. bees, wasps or fleas
    • A61K35/644Beeswax; Propolis; Royal jelly; Honey
    • 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)
    • A61K36/35Caprifoliaceae (Honeysuckle family)
    • A61K36/355Lonicera (honeysuckle)
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • A61K9/2806Coating materials
    • A61K9/282Organic compounds, e.g. fats
    • A61K9/2826Sugars or sugar alcohols, e.g. sucrose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/04Immunostimulants

Definitions

  • the invention relates to the field of medicaments, and more specifically, to a new drug formula for immunotherapy and its tablet structure.
  • the immune system is an important system of the body. It is composed of immune organs, immune cells and immune molecules, and has the functions of recognizing and eliminating antigenic foreign bodies, and coordinating with other systems of the body to maintain the stability of the body's environment and physiological balance.
  • the immune system is the body's most effective weapon against pathogen invasion. It can find and remove foreign bodies, foreign pathogenic microorganisms and other factors that cause environmental fluctuations in the body, but its hyperfunction can also cause damage to its own organs or tissues.
  • the immune system can:
  • the immune system is the body's endogenous force to fight infections and diseases.
  • a healthy immune system is irreplaceable.
  • diseases, poor diet and living habits, excessive use of antibiotics or invasion of foreign pathogens may all cause damage to the human immune system.
  • the use of vitamin C can improve immunity, strengthen the body's defense against viruses, and has less toxic and side effects. Therefore, the medical profession has tried to use vitamin C to treat colds for a long time, and clinical trials have been carried out on different doses of vitamin C, but its efficacy has not been confirmed by statistics. This suggests that in addition to the dose factor, the reason for the inaccurate efficacy of the use of vitamin C for immunotherapy may be the lack of coordination of certain components.
  • Common infectious diseases such as colds can also cause excessive use of antibiotics and antipyretics. On the one hand, it is easy to make bacteria resistant to drugs, and on the other hand, it can also lead to a decline in human immunity. Over time, the disease becomes more and more difficult to get better, which in turn leads to more frequent or longer treatment courses of antibiotics, which is in a vicious circle. Excessive use and abuse of antibiotics can also cause environmental pollution. Excessive use of antipyretics can damage the human gastrointestinal mucosa and cardiovascular system. Common infectious diseases such as colds also pose a huge threat to the survival of cancer patients, especially lung cancer patients, and there is an urgent need to find a better treatment plan.
  • the compactness of the made tablets is usually large, so it takes a long time to enter the stomach. After being dissolved and further digested and absorbed, the tablets may enter the intestinal tract before being completely dissolved, or be excreted from the body without being completely absorbed, resulting in a decrease in the absorption rate of the tablet and a waste of medicine.
  • the common cold squeezes valuable medical resources, the high cost and time cost of frequent medical treatment for the common cold, excessive use of antibiotics damages immunity, and anti-fever medications. It is often used to damage the gastrointestinal mucosa, and it is difficult for cancer patients to catch a cold.
  • the present invention provides a new drug formula for immunotherapy and its tablet structure, which can restore and enhance immunity, have a strong righting effect, and reduce
  • the use of antibiotics and antipyretics saves medical resources, medical expenses and time costs for medical treatment, and can be applied to the treatment and rehabilitation support of various diseases or injuries that require immune system support.
  • the present invention constructs a new prescription principle of "immune enhancer + immune supplement + immunomodulator ⁇ specific drug", and proposes a new drug formula for immunotherapy according to the new prescription principle.
  • the first object of the present invention is to provide a new drug formulation for immunotherapy.
  • the basic formula includes an immune enhancer and an immune supplement.
  • the immune enhancer is vitamin C 300-1800 mg
  • the immune supplement includes the following Ingredients: L-isoleucine 36-216mg, L-leucine 20-120mg, L-lysine hydrochloride 43.5-261mg, L-phenylalanine 15-90mg, L-threonine 8-48mg, L-valine 12-72mg, L-tryptophan 10-60mg, L-methionine 36-216mg, L-arginine hydrochloride 20-120mg, L-glutamic acid 30-180mg, glycine 50-300mg, vitamins B1 nitrate 15-90mg, vitamin B2 5-30mg, vitamin B6 14-84mg, nicotinamide 30-180mg, folic acid 1-6mg, vitamin E acetate 4-24mg.
  • the basic prescription of the new drug formula can also form a combined prescription after adding an immunomodulator.
  • the combination prescription includes a combination of wind and heat and a combination of wind and cold.
  • the immunomodulator of the combination of wind and heat can be 3-15g of honeysuckle and 10-30g of honey.
  • the immunomodulator of the combination of wind and cold can be 15-ginger. 45g, 15-45g brown sugar.
  • the new drug formula can be used for immunotherapy of colds, and the doses in the new drug formula are in the range of daily doses for adults.
  • the dose for children is halved according to the adult dose.
  • the infant dose is converted according to body weight, and the conversion formula is "adult dose/60*infant weight (kg)".
  • the basic prescription of the new drug formula can be used as a direct prescription prescription of existing patent medicines, can also be made into Chinese medicine decoctions or powders, and can also be made into tablets, granules, capsules, oral liquids and oral liquids according to common pharmaceutical techniques.
  • One of the injections; the combined prescription of the new medicine formula can be made into a Chinese medicine decoction or powder.
  • the second object of the present invention is to provide a new drug tablet structure based on the above formula, comprising a tablet core and a sugar coating layer, the sugar coating layer is wrapped on the outer surface of the tablet core, and a central dissolution-aid hole is reserved in the middle of the tablet core.
  • the central dissolution-aid hole is filled with a porous framework layer.
  • the arrangement of the porous framework layer can ensure the overall stability of the tablet and make it not easy to break before taking it.
  • the porous framework The layer can effectively increase the surface area of the inner side of the middle of the tablet, so that it can fully contact the gastric juice after taking it, realize the dissolution extending from the middle to the outside, and effectively accelerate the speed of its digestion and absorption.
  • the outer surface of the tablet core is also provided with a rough sheet layer, and the sugar coating layer is completely wrapped around the rough sheet layer. After the tablet is taken, the sugar coating layer will quickly dissolve. At this time, the rough sheet layer directly interacts with the gastric juice. Contact, its rough setting can effectively accelerate the rate of gastric juice infiltration into the tablet core, further accelerate the dissolution rate of the tablet, thereby effectively increasing the absorption rate of the effective ingredients of the tablet, and further strengthen the recovery of the effective ingredients and enhance immunity The role of.
  • the inner wall of the central dissolution-aid hole is excavated with a plurality of evenly distributed inward penetration grooves.
  • the gastric juice entering the porous framework layer can be guided to penetrate into the tablet core, thereby accelerating the tablet in all directions.
  • the dissolving speed of the agent improves the efficiency of absorption, making the effect of the tablet on improving immunity more obvious, effectively reducing the situation of discharge without being completely absorbed, reducing the waste of medicine, and the depth of multiple inward penetration grooves.
  • Different, and the cross-section of the multiple inward penetration grooves is undulating, so that the gastric juice can penetrate to different depths in the tablet core, so that the effect of dissolving from the inside to the outside is better, and the absorption is accelerated.
  • a plurality of outward permeation guide lines are embedded in the core, and one end of the outward permeation guide line extends to the outside of the core and is located in the rough layer.
  • the outward permeation guide line is made of dietary fiber.
  • the dietary fiber can be soluble dietary fiber.
  • Dietary fiber is a polysaccharide, which can neither be digested and absorbed by the gastrointestinal tract nor produce energy. Embedded in the tablet will not have an adverse effect on the efficacy of the tablet. At the same time, the dietary fiber is super absorbent.
  • one end of the outer penetration guide line is in the rough layer, which can quickly absorb gastric juice And transport gastric juice to the inside of the tablet core, so that the tablet can be digested by gastric juice at the same time inside and outside, thereby significantly accelerating the disintegration of the tablet, effectively increasing the absorption rate of the tablet, so that the drug can recover and enhance immunity.
  • the effect of righting is better.
  • the basic prescription described in this plan can restore and strengthen immunity, has a strong righting effect, and can be applied to the treatment and rehabilitation of various diseases or injuries that require the support of the immune system.
  • the basic formula described in this plan is mainly composed of nutrients, and the combined formula is mainly composed of nutrients and the same formula of medicine and food, with low toxic and side effects and good dosage safety.
  • the basic prescription of this plan and its combination prescriptions are effective in the treatment of colds, can improve the body sensation of cold patients, conveniently distinguish between common colds and non-common colds, save medical resources, medical expenses and medical time costs, and reduce antibiotics and fever reduction
  • the dosage of the medicine is beneficial to prevent the immune damage caused by the frequent use of antibiotics, avoid the abuse of antibiotics, and reduce the ecological environmental pollution of antibiotics.
  • the inside and outside can be digested by gastric juice at the same time, thereby significantly accelerating the disintegration speed of the tablet, accelerating the digestion and absorption of the drug, reducing the waste of the drug, and increasing the absorption rate of the drug, so that the drug can recover and recover.
  • the effect of strengthening immunity is better.
  • Figure 1 is a block diagram of the main formula composition of the present invention.
  • Figure 2 is a schematic diagram of the front structure of the new drug tablet of the present invention.
  • Figure 3 is a schematic diagram of the structure at A in Figure 2;
  • Figure 4 is a schematic diagram of the weight changes of mice in each group
  • Figure 5 is a schematic diagram of organ weight and organ index
  • Figure 6 is a schematic diagram of the levels of IFN- ⁇ , IL-2, and IL-6 in peripheral blood;
  • Figure 7-1 is a schematic diagram of the peripheral blood CD4+/CD8+ levels of the normal group and the model group;
  • Figure 7-2 is a schematic diagram of peripheral blood CD4+/CD8+ levels in the VC group and the compound ammonia capsule group;
  • Figure 7-3 is a schematic diagram of peripheral blood CD4+/CD8+ levels in the compound 8-11 capsule group and the low-dose group;
  • Figure 7-4 is a schematic diagram of peripheral blood CD4+/CD8+ levels in the middle-dose group and the high-dose group;
  • Figure 8 shows the usage of the basic square and the combined square.
  • the inventor has accumulated a wealth of medical knowledge and experience during the follow-up process of cancer cases. Because of the great threat of colds to cancer patients and the fact that family members tend to catch colds, the inventor is very concerned about immunotherapy for colds.
  • the inventor Based on the diagnosis and treatment thinking of the holistic theory of Chinese medicine and the prescription strategy of the monarch and ministers, the inventor constructed a new prescription principle of "immune enhancer + immune supplement + immunomodulator ⁇ specific drug", and then observed the treatment process of a large number of cases and family Members personally test various cold prescription combinations when they catch a cold to investigate their efficacy and side effects. After long-term research, they finally screened out a new immunotherapy drug prescription according to the present invention according to the new prescription principles.
  • Specific drugs refer to drugs that target specific pathogens, such as antibiotics or antiviral drugs, and are not part of the new drug formulation.
  • Vitamin C can enhance the production of immune molecules such as cytokines and antibodies, and indirectly promote the proliferation of immune cells, with little side effects.
  • This program chooses it as an immune enhancer.
  • the production of immune molecules and the proliferation of immune cells are inseparable from protein synthesis.
  • a series of amino acids and auxiliary nutrients can provide supplements for the body to synthesize proteins and support the production of immune molecules and immune cell proliferation.
  • This program selects a series of amino acids and auxiliary nutrients as immune supplements .
  • honeysuckle and ginger have immunoregulatory effects. There is no clear research report on the difference of immune system status between wind-heat cold and wind-cold cold. According to the clinical experience of traditional Chinese medicine, honeysuckle is selected for wind-heat cold and ginger is selected for wind-cold cold. The body also needs energy support to fight diseases. Honey and brown sugar are used as energy supplements in this program, and further supplementary nutrients such as vitamins and trace elements needed by the body to fight diseases. Honey is non-toxic and it is selected for Fengreganmao. Brown sugar is warm and non-toxic, it is selected for cold and cold.
  • the present invention provides a new drug formula and tablet structure for immunotherapy.
  • the following specific examples will illustrate the new drug formula and tablet structure of the present invention.
  • a new drug formula for immunotherapy the basic formula of which includes immune enhancers and immune supplements.
  • the immune booster is vitamin C 1000mg.
  • Immune supplements include the following ingredients: L-isoleucine 108mg, L-leucine 60g, L-lysine hydrochloride 130.5mg, L-phenylalanine 45mg, L-threonine 24mg, L-valine Acid 36mg, L-tryptophan 30mg, L-methionine 108mg, L-arginine hydrochloride 60mg, L-glutamic acid 90mg, glycine 150mg, vitamin B1 nitrate 45mg, vitamin B2 15mg, vitamin B6 42mg, nicotinamide 90mg , Folic acid 3mg, Vitamin E acetate 12mg.
  • the new drug formula can also include an immunomodulator to form a combination formula.
  • the immunomodulator can be 5g of honeysuckle and 15g of honey; the immuno
  • a new drug formula for immunotherapy the basic formula of which includes immune enhancers and immune supplements.
  • the immune booster is vitamin C 300mg.
  • Immune supplements include the following ingredients: L-isoleucine 36mg, L-leucine 20mg, L-lysine hydrochloride 43.5mg, L-phenylalanine 15mg, L-threonine 8mg, L-valine Acid 12mg, L-tryptophan 10mg, L-methionine 36mg, L-arginine hydrochloride 20mg, L-glutamic acid 30mg, glycine 50mg, vitamin B1 nitrate 15mg, vitamin B2 5mg, vitamin B6 14mg, nicotinamide 30mg , Folic acid 1mg, Vitamin E acetate 4mg.
  • the new drug formula can also include an immunomodulator to form a combination formula.
  • the immunomodulator can be 3g of honeysuckle and 10g of honey; the immunomodul
  • a new drug formula for immunotherapy the basic formula of which includes immune enhancers and immune supplements.
  • the immune booster is vitamin C 1800mg.
  • Immune supplements include the following ingredients: L-isoleucine 216mg, L-leucine 120mg, L-lysine hydrochloride 261mg, L-phenylalanine 90mg, L-threonine 48mg, L-valine 72mg, L-tryptophan 60mg, L-methionine 216mg, L-arginine hydrochloride 120mg, L-glutamic acid 180mg, glycine 300mg, vitamin B1 nitrate 90mg, vitamin B2 30mg, vitamin B6 84mg, nicotinamide 180mg, Folic acid 6mg, vitamin E acetate 24mg, the new drug formula can also include immunomodulators to form a combination formula.
  • the immunomodulators can be 15g of honeysuckle and 30g of honey. In actual use, you can take 15g of honeysuckle and make tea with 1.5 liters of boiling water, divided into 3 times Take it warm, add 10g of honey and the corresponding dose of the basic ingredients before each serving; the immunomodulator can also be 45g of ginger and 45g of brown sugar. In actual use, add 1.5 liters of water to sliced ginger and brown sugar, then boil it and fry on a low fire. 15 minutes, divided into 3 warm doses, before each serving, add the corresponding dose of the basic prescription components to adjust the serving. Among them, people with diabetes can follow the doctor's advice not to use brown sugar and honey, or adjust their dosage.
  • the new drug tablet structure for immunotherapy includes the tablet core 11 and the sugar coating layer. 13.
  • the sugar coating layer 13 is wrapped on the outer surface of the tablet core 11.
  • a central dissolution aid hole 2 is reserved in the middle of the tablet core 11, and the center dissolution aid hole 2 is filled with a porous framework layer 3.
  • the overall stability of the tablet is ensured so that it is not easily broken before being taken.
  • the porous matrix layer 3 can effectively increase the surface area of the inner side of the middle of the tablet, so that it can fully interact with the gastric juice after taking it.
  • the outer surface of the tablet core 11 is also provided with a rough layer 12, and the sugar coating layer 13 is completely wrapped around the rough layer 12. After taking, the sugar coating layer 13 will quickly dissolve. At this time, the rough layer 12 is in direct contact with the gastric juice. Its rough setting can effectively accelerate the rate of gastric juice infiltration into the tablet core 11 and further accelerate the dissolution rate of the tablet. , So as to effectively improve the absorption rate of the drug effect of the tablet, and further strengthen the effect of improving immunity.
  • the inner wall of the central dissolution-assisting hole 2 is excavated with a plurality of evenly distributed inward penetration grooves 4, through the inward penetration groove 4, the gastric juice entering the porous framework layer 3 can be guided to penetrate into the core 11, thereby accelerating the tablet in all directions.
  • the dissolving speed of the agent increases the efficiency of absorption, making the effect of the tablet on improving immunity more obvious, effectively reducing the situation of discharge without being completely absorbed, and reducing the waste of medicine.
  • the depth of multiple inward penetration grooves 4 is different.
  • the cross-sections of the multiple inward penetration grooves 4 are undulating, so that the gastric juice can penetrate to different depths in the core 11, so that the effect of dissolving from the inside to the outside is better, and the absorption is accelerated.
  • the core 11 is inlaid with a plurality of outward permeation guide lines 5, one end of the outward permeation guide line 5 extends to the outside of the core 11 and is located in the rough sheet 12, and the outward permeation guide line 5 is made of dietary fiber.
  • dietary fiber is a kind of polysaccharide, it can neither be digested and absorbed by the gastrointestinal tract, nor can it produce energy, so embedding it in this tablet will not adversely affect the efficacy of this tablet.
  • the dietary fiber is super absorbent.
  • one end of the outer penetration guide line 5 is in the rough sheet layer 12, which can quickly absorb gastric juice and transport the gastric juice into the tablet core 11, so that the tablet can be used in The inside and outside are digested by gastric juice at the same time, thereby significantly accelerating the disintegration of the tablet, effectively improving the absorption rate of the tablet, so that the medicine recovery and the strengthening effect of immunity are better.
  • the foregoing embodiments cover several dosages of the new drug formula of the present invention.
  • the dosage can be adjusted according to the actual physical condition of the patient, so as to make the effect better.
  • the basic prescription takes a typical adult dose (the basic prescription provided in Example 1) as an example.
  • the typical adult dose per day is called the daily dose, and the daily dose is taken three times a day.
  • the specific dose is shown in Table 1.
  • the basic prescription was constructed with two prescriptions of vitamin C effervescent tablets and compound ammonia capsules.
  • the daily dose is taken 3 times a day.
  • the vitamin C effervescent tablet is dissolved with warm water and used to take compound ammonia capsules.
  • vitamin C effervescent tablets and compound ammonia capsules Take 1/3 of the daily dose of vitamin C effervescent tablets and compound ammonia capsules, add the contents of the compound ammonia capsules to 100-300ml of warm water at 40-60°C, let stand for 3 minutes, and stir for 1 minute to make it Then add the vitamin C effervescent tablet to the suspension, and wait for the effervescent tablet to dissolve completely to obtain a decoction for adult one oral dose. Now with warm clothes, 3 times a day.
  • the basic prescription can be made into one of tablets, granules (granules), capsules, oral liquids and injections by adding necessary auxiliary materials according to common pharmacy techniques.
  • vitamin C effervescent tablets and compound ammonia capsules According to the daily dose, use vitamin C effervescent tablets and compound ammonia capsules to construct the basic prescription.
  • 3One-day brown sugar ginger tea is taken in 3 warm doses. Before each serving, add 1/3 of the daily dose of vitamin C effervescent tablets and the contents of the compound ammonia capsules corresponding to the dose of the basic prescription.
  • the compound aminovitamin capsules can also be taken directly with the decoction composed of brown sugar ginger tea and vitamin C without adding the decoction.
  • the basic prescription is prepared by the drug compatibility decoction method described in the section of drug preparation and usage and dosage.
  • Vitamin C of the immune enhancer in the basic prescription uses vitamin C effervescent tablets, and the immune supplement in the basic prescription uses compound ammonia capsules.
  • the two components of C and compound ammonia capsules were set as the control group at clinically equivalent doses.
  • the clinical dosage of the basic prescription is shown in Table 1 in the section of drug preparation and usage.
  • Vitamin C effervescent tablets This product is a light orange tablet with scattered spots on one side. The tablet weighs 3.261g, of which the net content of VC per tablet is 1g. Calculate the clinical equivalent dose in mice based on adult 1 tablet/day.
  • Compound ammonia capsules The contents of this product are white film-coated and orange film-coated particles. The weight of the capsule content is 0.327g, and the net content of the active ingredients is shown in Table 2. Take the corresponding dose of the basic prescription (2 capsules/time, 3 times/day) as the clinical dose, calculate the clinical equivalent dose of mice, and set it as the control group according to the clinical equivalent dose.
  • Compound 8-11 capsule group This product is a capsule with the full name of the compound amino acid (8) vitamin (11) capsule, and the content is yellow to orange-red powder or granules.
  • the weight of the capsule content is 0.215g, and the net content of the active ingredients is shown in Table 3.
  • vitamin C effervescent tablets 13mg/ml (VC net content);
  • the dose of compound ammonia capsules is 26mg/ml;
  • the dose of the compound 8-11 capsule group was 17 mg/ml.
  • the basic prescription has three dose groups: low, medium, and high.
  • the dose of each component in the middle dose group is the aforementioned clinical equivalent dose
  • the low dose is 1/3 of the clinical equivalent dose
  • the high dose is 2 times the clinical equivalent dose.
  • the dose and volume of administration are as follows:
  • Normal group normal saline, 0.2ml/only
  • Model group normal saline, 0.2ml/only
  • Vitamin C group (referred to as VC group): 13mg/ml (VC net content, the same below), 0.2ml/piece
  • Compound 8-11 capsule group 17mg/ml, 0.2ml/piece
  • Middle dose group 13mg/ml VC+26mg/ml compound ammonia capsules, 0.2ml/piece
  • High-dose group 26mg/ml VC+52mg/ml compound ammonia capsules, 0.2ml/piece
  • Each group was administered once a day.
  • mice The information about mice is as follows:
  • mice The breeding environment of mice is as follows:
  • Feed pelleted feed
  • mice were bred adaptively in the aforementioned breeding environment for one week. During the period, the hair, excrement, and activity were closely observed, and no abnormalities were found.
  • the mice were randomly divided into normal group, model group, VC group, compound ammonia capsule group, compound 8-11 capsule group, basic prescription low-dose group, medium-dose group and high-dose group according to their weight. Group, each group has 6 animals. Each group was given the corresponding drugs for 15 consecutive days; except for the normal group, mice in the other groups were given intraperitoneal injection of cyclophosphamide (60mg/kg) on the 8, 9 and 10 days. Ways to suppress the mouse immune system. After the administration, peripheral blood, spleen and thymus tissues of each group of mice were collected for cytokine detection and organ sample collection.
  • Multi-factor detection is carried out in strict accordance with the LEGENDplexTW kits operating procedure.
  • 2600 ⁇ l of freshly collected anticoagulant blood is diluted twice with PBS, spread flat to the upper layer of 3ml mouse lymphocyte separation solution, and centrifuged at 800g on a horizontal rotor for 20min (set slower acceleration/deceleration) at room temperature. After centrifugation, be careful Aspirate the lymphocyte layer, add 10ml PBS, wash upside down, collect the cells by centrifugation at 250g for 10min at room temperature, pour the supernatant, resuspend the cells with cell fixation solution and count, adjust the cell concentration to 1 ⁇ 10 7 /ml.
  • the mouse was sacrificed by cervical dislocation, the thymus and spleen were separated, and the weight of the mouse thymus and spleen was weighed to calculate the thymus index and spleen index.
  • mice in each group are shown in Figure 4, and there is no difference in initial body weight between groups (p>0.05).
  • the weight of the mice in the normal group gradually increased, and the mice in the other groups gradually increased before the model was established.
  • the weight gain of the mice in the compound ammonia capsule group, the compound 8-11 capsule group and the basic prescription middle-dose group was better than that of the normal group.
  • mice in the other groups were injected with cyclophosphamide to establish an immunosuppressive model. It can be seen from Figure 4 that the body weight of mice in each group that took immunosuppressive measures dropped significantly. After stopping the injection of cyclophosphamide, compared with the model group, the weight loss trend of mice in each administration group was inhibited. After cyclophosphamide modeling, the weight growth rate of mice in each group is shown in Table 4. According to the data in Table 4, the weight growth rate of mice is arranged from small to large as follows:
  • Compound 8-11 capsule group The inhibitory effect is stable, but slightly weaker than the basic prescription middle-dose group.
  • the body weight of the mice in the middle dose group was higher than that of the other administration groups.
  • the basic prescription middle-dose group performed best, better than the single component VC group and the compound ammonia capsule group, and also better than the compound 8-11 capsule group.
  • Thymus weight and thymus index Compared with the normal group, the mouse thymus weight and thymus index of the model group were reduced, which accorded with the characteristics of cyclophosphamide modeling, indicating that the model was successfully replicated. Compared with the mouse thymus weight and thymus index in the model group, the thymus weight and thymus index of the mice in each administration group increased. Among them, the VC group, the compound ammonia capsule group and the basic prescription middle-dose group were statistically significant (p ⁇ 0.05) ), the mean values of the three groups are similar, the standard deviation of the basic formula middle-dose group is the smallest and the p-value is smaller (p ⁇ 0.01).
  • the basic prescription middle-dose group has the best effect, which is better than the VC group, the compound ammonia capsule group, and the compound 8-11 capsule group.
  • the cytokine indicators of each group of mice are as follows:
  • mice in each administration group were higher than that of the model group, but there was no statistical difference between the other groups and the model group except for the low-dose group (p>0.05); each administration group was small
  • the level of IL-6 in the peripheral blood of mice was higher than that of the model group.
  • the VC group was statistically significant compared with the model group (p ⁇ 0.05).
  • the low, medium and high dose groups of the basic formula showed an upward trend but no statistical significance (p >0.05).
  • the levels of IFN- ⁇ and IL-6 in each group lacked general statistical differences, suggesting that the levels of IFN- ⁇ and IL-6 may not have significant reference significance in this experiment.
  • the basic prescription middle-dose group and the compound 8-11 capsule group had CD4+/CD8+ The level is higher than that of the normal group, and the comparison model group has p ⁇ 0.0001.
  • the medium-dose group has the highest CD4+/CD8+ level and has a smaller standard deviation than the compound 8-11 capsule group, suggesting that both the basic low and medium-dose groups can increase CD4+/CD8+
  • the middle-dose group has the best effect, which is better than the VC group, the compound ammonia capsule group, and the compound 8-11 capsule group.
  • cyclophosphamide is a commonly used cytotoxic drug, widely used in anti-tumor therapy, which can inhibit bone marrow function and reduce the number of white blood cells.
  • cyclophosphamide can inhibit the function of immune organs in mice and lead to weight loss, causing various blood cell imbalances in the peripheral blood, and ultimately leading to the suppression of immune function.
  • a continuous 3d intraperitoneal injection of cyclophosphamide was used to establish immunodeficiency.
  • the mouse model was given corresponding drug intervention for 15 days to evaluate the regulatory effect of the drug on immune function.
  • Thymus and spleen are important immune organs of the body, and the immune organ index reflects the immune function of the body.
  • the results of this experiment show that each group of drugs can increase the spleen index or thymus index of immunosuppressed mice. In terms of comprehensive spleen index and thymus index, the basic prescription middle-dose group has the best effect.
  • Cytokines are a class of small molecular proteins synthesized and secreted by immune cells and certain non-immune cells through stimulation, and have the functions of regulating immunity and promoting cell growth.
  • IL-2 is a pleiotropic cytokine, which plays an important role in the differentiation, growth and activity of immune cells.
  • IL-6 can induce the proliferation and differentiation of B cells and T cells; IFN- ⁇ has Activate macrophages, promote APC(S) expression, MHC-II molecule expression to improve antigen presentation function, promote MHC-I molecule expression to enhance the killing activity of CTL cells, enhance the killing activity of NK cells, and promote B cell differentiation , Proliferation, inhibition of TH2 cell differentiation and cytokine synthesis, etc., is currently the body's fastest anti-viral defense system.
  • T lymphocytes are the main effector cells that mediate the body's specific immune response. According to their different surface markers, they can be divided into CD3+, CD4+, CD8+ and other cell subgroups. Among them, CD3+ is the surface marker of mature T cells, which can represent the overall level of T cells. CD4+ cells are helper T cells, which play a role in cellular immunity. As a helper function, CD8+ cells, namely cytotoxic T cells, play a role in suppressing cellular immunity by reducing the activity of lymphocytes. The dynamic balance of CD4+/CD8+ is the key to immune regulation.
  • CD4+/CD8+ levels of each administration group were higher than the model group and were statistically significant (p ⁇ 0.05).
  • the basic prescription middle-dose group and the compound 8-11 capsule group were effective Obviously, the level of CD4+/CD8+ is higher than that of the normal group, and the middle-dose group has the best effect.
  • the basic prescription low, medium and high dose groups can all improve the immunosuppression and weight loss caused by cyclophosphamide.
  • the middle-dose group of the basic prescription has the best effect. It can significantly slow down the weight loss of mice, increase the spleen index and thymus index, and significantly increase the level of IL-2 and CD4+/CD8+. It can simultaneously improve the immunosuppressive mice from the aforementioned aspects. It has the best immune function, which significantly restores and enhances the immunity of immunosuppressed mice, and has the best effect, which is better than the VC group, the compound ammonia capsule group and the compound 8-11 capsule group.
  • 3Have cold-like symptoms that can be evaluated, such as nasal congestion, runny nose, fever, fatigue, body aches, headaches, sore throat, mouth sores, etc.
  • the basic prescription uses the patent medicine to directly formulate the prescription
  • the combined prescription uses the patent medicine compatibility decoction.
  • For the specific preparation method and dosage please refer to the section of drug preparation and usage and dosage. Refer to Figure 8 for the usage of the basic party and the combined party, and the explanation is as follows:
  • the basic prescription and the combination prescription have a fast effect.
  • the patient can usually feel the effect within 6-12 hours. Therefore, when the symptoms do not alleviate, recur, or persist and do not heal, you should see a doctor in time for follow-up, auscultate the heart and lungs, improve blood routines and other necessary examinations in order to diagnose and adjust the treatment plan.
  • Syndrome differentiation and treatment and adjustment of the treatment plan based on treatment feedback conform to the thinking of Chinese medicine and modern evidence-based medicine. Those with severe symptoms should seek medical attention immediately.
  • antibiotics are needed for bacterial infections, mycoplasma infections, etc., combine antibiotics as required according to doctor's orders and follow the course of antibiotic treatment.
  • the overall effective rate is 82.8% (24/29)
  • the effective rate of the basic prescription subgroup is 88.9% (16/18)
  • the effective rate of the Fengre combined prescription subgroup is 70.0% (7/10)
  • the effective rate is 70.0% (7/10).
  • the subgroup effective rate of the combined prescription is 100% (1/1).
  • the antibiotic usage rate was 17.2% (5/29).
  • the overall use rate of antipyretics was 10.3% (3/29). There were 3 cases using antipyretics, 1 case was diagnosed as acute suppurative tonsillitis by the hospital, and 2 cases had upper respiratory tract mycoplasma infection, all of which were relatively serious infections. The lower use rate of anti-fever medicines suggests that the basic prescription and the combined prescription have significantly improved the course of fever of the common cold.
  • the basic formula and the combination formula are mainly composed of nutrients and medicine and food homologous formula, with low side effects and obvious effects within 24 hours, so that common colds and non-common colds can be distinguished by curative effect at an early stage, and the somatosensory of common cold patients is also significantly improved. improve.
  • This firstly saves medical resources and relieves the pressure on outpatient clinics in hospitals; secondly, it can effectively reduce the number of patient admissions, reduce the number of laboratory tests, save medical expenses, and reduce the cost of treatment time; third, it can also allow antibiotics and antipyretics to be used only for For necessary non-common colds, the dosage of antibiotics and anti-fever medicines is reduced, which is beneficial to avoid antibiotic abuse and reduce immune damage caused by excessive use of antibiotics.
  • the causes of colds are complex. Most colds are caused by viral infections, and a small number of colds are caused by bacterial infections. There are many types of viruses that can cause colds.
  • the medical community In order to find a cure for a cold, the medical community has conducted nearly a hundred years of exploration and experimentation, and organized large-scale clinical trials involving more than 5,000 cases, but no good program has been found. At present, the actual treatment is still based on symptomatic support. The medical community has tried to treat colds with vitamin C for a long time, but its efficacy is unstable and uncertain, and it has not been confirmed by clinical trials.
  • the efficacy of the basic formula and its combination formula suggest that the reason for the poor efficacy of vitamin C in the treatment of colds may be the lack of immune supplements and immunomodulator components.
  • the basic prescription and the combination prescription solve the problem of the lack of specific medicines for the treatment of colds.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Engineering & Computer Science (AREA)
  • Immunology (AREA)
  • Medical Informatics (AREA)
  • Microbiology (AREA)
  • Insects & Arthropods (AREA)
  • Mycology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Alternative & Traditional Medicine (AREA)
  • Biotechnology (AREA)
  • Botany (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Animal Husbandry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Zoology (AREA)
  • Molecular Biology (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines Containing Plant Substances (AREA)

Abstract

A new drug formula for immunotherapy and a tablet structure thereof. According to the diagnosis and treatment school of thought of the theory of traditional Chinese medicine and the monarch, minister, assistant and guide prescription strategy, a formula principle of an immunopotentiator, an immunity replenisher, an immunomodulator, and/or a specific drug is constructed. The formula can restore and enhance immunity, improve the treatment somatosensory of patients with a cold, reduce the amount of antibiotics and antipyretics, is beneficial for the prevention of immunity damage in human bodies caused by the frequent use of antibiotics, avoids the abuse of antibiotics, and can be used for the treatment and rehabilitation support for various diseases or injuries needing to be supported by the immune system. After a tablet is taken, the internal and external parts can be simultaneously digested by gastric juice, such that the disintegration speed of the tablet is remarkably increased and the drug absorption rate is improved.

Description

一种用于免疫治疗的新药配方及其片剂结构A new medicine formula for immunotherapy and its tablet structure 技术领域Technical field
本发明涉及药剂领域,更具体地说,涉及一种免疫治疗的新药配方及其片剂结构。The invention relates to the field of medicaments, and more specifically, to a new drug formula for immunotherapy and its tablet structure.
背景技术Background technique
免疫系统是机体的重要系统。它由免疫器官、免疫细胞和免疫分子组成,具有识别和排除抗原性异物、与机体其他系统相互协调共同维持机体内环境稳定和生理平衡的功能。免疫系统是机体对抗病原体入侵最有效的武器,它能发现并清除异物、外来病原微生物等引起机体内环境波动的因素,但其功能的亢进也会对自身器官或组织产生伤害。The immune system is an important system of the body. It is composed of immune organs, immune cells and immune molecules, and has the functions of recognizing and eliminating antigenic foreign bodies, and coordinating with other systems of the body to maintain the stability of the body's environment and physiological balance. The immune system is the body's most effective weapon against pathogen invasion. It can find and remove foreign bodies, foreign pathogenic microorganisms and other factors that cause environmental fluctuations in the body, but its hyperfunction can also cause damage to its own organs or tissues.
具体来讲,免疫系统可以:Specifically, the immune system can:
1.识别和清除外来入侵的抗原,如病原微生物等。这种防止外界病原体入侵和清除已入侵病原体及其他有害物质的功能被称之为免疫防御。使人体免于病毒、细菌、污染物质及疾病的攻击。1. Identify and eliminate foreign invading antigens, such as pathogenic microorganisms. This function of preventing external pathogens from invading and eliminating invading pathogens and other harmful substances is called immune defense. Protect the human body from viruses, bacteria, pollutants and diseases.
2.识别和清除体内发生突变的肿瘤细胞、衰老细胞、死亡细胞或其他有害的成分。这种随时发现和清除体内出现的“非己”成分的功能被称之为免疫监视。清除新陈代谢后的废物及免疫细胞与病毒打仗时遗留下来的病毒死伤尸体,都必须藉由免疫细胞加以清除。2. Identify and remove the mutated tumor cells, senescent cells, dead cells or other harmful components in the body. This function of discovering and removing "non-self" components in the body at any time is called immune surveillance. The waste after the elimination of metabolism and the dead and injured corpses left by the immune cells in the fight with the virus must be eliminated by the immune cells.
3.通过自身免疫耐受和免疫调节使免疫系统内环境保持稳定。修补免疫细胞能修补受损的器官和组织,使其恢复原来的功能。3. Keep the internal environment of the immune system stable through autoimmune tolerance and immune regulation. Repairing immune cells can repair damaged organs and tissues and restore their original functions.
免疫系统是人体对抗感染和疾病的内生力量,健康的免疫系统是不可取代的,但是疾病、不良饮食和生活习惯、过多使用抗生素或外邪入侵等均可能造成人体免疫系统的损伤。现有技术中,使用维生素C可以提高免疫力,增强人体对病毒的防御能力,并且毒副作用较小。因此,医学界很早就有使 用维生素C治疗感冒的尝试,且针对不同剂量的维生素C进行了临床实验,但其疗效却一直未能获得统计确证。这提示除了剂量因素之外,使用维生素C进行免疫治疗的疗效不确切的原因,可能是缺少某些组分的配合。The immune system is the body's endogenous force to fight infections and diseases. A healthy immune system is irreplaceable. However, diseases, poor diet and living habits, excessive use of antibiotics or invasion of foreign pathogens may all cause damage to the human immune system. In the prior art, the use of vitamin C can improve immunity, strengthen the body's defense against viruses, and has less toxic and side effects. Therefore, the medical profession has tried to use vitamin C to treat colds for a long time, and clinical trials have been carried out on different doses of vitamin C, but its efficacy has not been confirmed by statistics. This suggests that in addition to the dose factor, the reason for the inaccurate efficacy of the use of vitamin C for immunotherapy may be the lack of coordination of certain components.
不仅如此,随着当代社会医疗资源的丰富和人们医疗观念的进步,“生病就去医院”的观念深入人心。这对人体健康和生命安全固然起到了强大的保障作用,但是类似感冒等常见感染性疾病频发,挤占了较多的医疗资源,造成:(1)社会整体医疗资源的相对紧张;(2)患者金钱和时间上高昂的就医成本。Not only that, with the abundance of medical resources in contemporary society and the advancement of people's medical concepts, the concept of "go to the hospital when you get sick" has taken root in the hearts of the people. Although this has played a strong role in safeguarding human health and life safety, common infectious diseases such as colds occur frequently, squeezing more medical resources, resulting in: (1) the relative tension of the overall medical resources of the society; (2) High medical costs for patients in terms of money and time.
感冒等常见感染性疾病还会造成抗生素和退烧药的过多使用,这一方面容易使细菌产生抗药性,另一方面也会导致人体免疫力下降。久而久之,得了病也越来越难好,这又导致更频繁或更长疗程的使用抗生素,陷入恶性循环。抗生素的过多使用和滥用,还会引起生态环境污染。退烧药的过多使用,会损伤人体胃肠黏膜和心血管系统。感冒等常见感染性疾病对癌症患者、特别是肺癌患者的生存期也有巨大的威胁,急需找到更好的治疗方案。Common infectious diseases such as colds can also cause excessive use of antibiotics and antipyretics. On the one hand, it is easy to make bacteria resistant to drugs, and on the other hand, it can also lead to a decline in human immunity. Over time, the disease becomes more and more difficult to get better, which in turn leads to more frequent or longer treatment courses of antibiotics, which is in a vicious circle. Excessive use and abuse of antibiotics can also cause environmental pollution. Excessive use of antipyretics can damage the human gastrointestinal mucosa and cardiovascular system. Common infectious diseases such as colds also pose a huge threat to the survival of cancer patients, especially lung cancer patients, and there is an urgent need to find a better treatment plan.
一些用于提高免疫力的片剂,为了保证药剂本身不易吸水失效和不易碎裂的使用要求,制成片剂的密实性通常较大,因而其在进入胃部后,需要较长的时间才能被溶解和进一步消化吸收,存在片剂还未被完全溶解就进入肠道、未被完全吸收就排出体外的情况,导致片剂吸收率降低,造成药物浪费。For some tablets used to improve immunity, in order to ensure that the medicine itself is not easy to absorb water and fail and is not easy to break, the compactness of the made tablets is usually large, so it takes a long time to enter the stomach. After being dissolved and further digested and absorbed, the tablets may enter the intestinal tract before being completely dissolved, or be excreted from the body without being completely absorbed, resulting in a decrease in the absorption rate of the tablet and a waste of medicine.
发明内容Summary of the invention
因此,针对现有技术中存在的单独使用维生素C的免疫治疗疗效不佳、普通感冒挤占宝贵的医疗资源、普通感冒频繁就医的费用和时间成本高、抗生素过多使用损伤免疫力、退烧药过多使用损伤胃肠黏膜、癌症患者感冒不容易好等问题,本发明提供了一种用于免疫治疗的新药配方及其片剂结构,能够恢复和增强免疫力,具有较强的扶正效果,减少抗生素和退烧药的用量, 节省医疗资源、医疗费用和就医时间成本,可应用于需要免疫系统支持的各种疾病或损伤的治疗和康复支持。Therefore, in view of the poor efficacy of immunotherapy using vitamin C alone in the prior art, the common cold squeezes valuable medical resources, the high cost and time cost of frequent medical treatment for the common cold, excessive use of antibiotics damages immunity, and anti-fever medications. It is often used to damage the gastrointestinal mucosa, and it is difficult for cancer patients to catch a cold. The present invention provides a new drug formula for immunotherapy and its tablet structure, which can restore and enhance immunity, have a strong righting effect, and reduce The use of antibiotics and antipyretics saves medical resources, medical expenses and time costs for medical treatment, and can be applied to the treatment and rehabilitation support of various diseases or injuries that require immune system support.
为解决上述问题,本发明构建了“免疫增强剂+免疫补给剂+免疫调节剂±特定药物”的新型组方原则,按照该新型组方原则提出了一种免疫治疗的新药配方。In order to solve the above-mentioned problems, the present invention constructs a new prescription principle of "immune enhancer + immune supplement + immunomodulator ± specific drug", and proposes a new drug formula for immunotherapy according to the new prescription principle.
具体技术方案如下所述:The specific technical solutions are as follows:
本发明的第一个目的是提供一种用于免疫治疗的新药配方,其基本方包括免疫增强剂和免疫补给剂,所述免疫增强剂为维生素C 300-1800mg,所述免疫补给剂包括以下配料:L-异亮氨酸36-216mg、L-亮氨酸20-120mg、L-盐酸赖氨酸43.5-261mg、L-苯丙氨酸15-90mg、L-苏氨酸8-48mg、L-缬氨酸12-72mg、L-色氨酸10-60mg、L-蛋氨酸36-216mg、L-盐酸精氨酸20-120mg、L-谷氨酸30-180mg、甘氨酸50-300mg、维生素B1硝酸盐15-90mg、维生素B2 5-30mg、维生素B6 14-84mg、烟酰胺30-180mg、叶酸1-6mg、维生素E醋酸酯4-24mg。The first object of the present invention is to provide a new drug formulation for immunotherapy. The basic formula includes an immune enhancer and an immune supplement. The immune enhancer is vitamin C 300-1800 mg, and the immune supplement includes the following Ingredients: L-isoleucine 36-216mg, L-leucine 20-120mg, L-lysine hydrochloride 43.5-261mg, L-phenylalanine 15-90mg, L-threonine 8-48mg, L-valine 12-72mg, L-tryptophan 10-60mg, L-methionine 36-216mg, L-arginine hydrochloride 20-120mg, L-glutamic acid 30-180mg, glycine 50-300mg, vitamins B1 nitrate 15-90mg, vitamin B2 5-30mg, vitamin B6 14-84mg, nicotinamide 30-180mg, folic acid 1-6mg, vitamin E acetate 4-24mg.
进一步的,所述新药配方基本方还可以增加免疫调节剂后构成组合方。所述组合方包括风热组合方和风寒组合方,所述风热组合方的免疫调节剂可以为金银花3-15g、蜂蜜10-30g,所述风寒组合方的免疫调节剂可以为生姜15-45g,红糖15-45g。Further, the basic prescription of the new drug formula can also form a combined prescription after adding an immunomodulator. The combination prescription includes a combination of wind and heat and a combination of wind and cold. The immunomodulator of the combination of wind and heat can be 3-15g of honeysuckle and 10-30g of honey. The immunomodulator of the combination of wind and cold can be 15-ginger. 45g, 15-45g brown sugar.
进一步的,所述新药配方可以用于感冒的免疫治疗,所述新药配方中的剂量均为成人每日剂量范围。儿童剂量按照成人剂量减半。婴幼儿剂量按照体重进行换算,换算公式是“成人剂量/60*婴幼儿体重(kg)”。Further, the new drug formula can be used for immunotherapy of colds, and the doses in the new drug formula are in the range of daily doses for adults. The dose for children is halved according to the adult dose. The infant dose is converted according to body weight, and the conversion formula is "adult dose/60*infant weight (kg)".
更进一步的,所述新药配方的基本方可以使用现有成药直接处方组方使用,也可以制作成中药汤剂或散剂,还可以按常见制药工艺制作成片剂、冲剂、胶囊、口服液和注射液中的一种;所述新药配方的组合方可以制作成中药汤剂或散剂。Furthermore, the basic prescription of the new drug formula can be used as a direct prescription prescription of existing patent medicines, can also be made into Chinese medicine decoctions or powders, and can also be made into tablets, granules, capsules, oral liquids and oral liquids according to common pharmaceutical techniques. One of the injections; the combined prescription of the new medicine formula can be made into a Chinese medicine decoction or powder.
本发明的第二个目的是提供一种基于上述配方的新药片剂结构,包括片芯和糖衣层,所述糖衣层包裹在片芯外表面,所述片芯中部预留有中心助溶孔,所述中心助溶孔内部填充有多孔骨架层,通过多孔骨架层的设置,一方面可以保证本片剂整体的稳定性,使其在为服用之前不易碎裂,另一方面,通过多孔骨架层可以有效提高本片剂中部内侧的表面积,从而使其在服用后,能够充分与胃液接触,实现从中部向外延伸式的溶解,进而有效加速其被消化吸收的速度。The second object of the present invention is to provide a new drug tablet structure based on the above formula, comprising a tablet core and a sugar coating layer, the sugar coating layer is wrapped on the outer surface of the tablet core, and a central dissolution-aid hole is reserved in the middle of the tablet core. , The central dissolution-aid hole is filled with a porous framework layer. The arrangement of the porous framework layer can ensure the overall stability of the tablet and make it not easy to break before taking it. On the other hand, the porous framework The layer can effectively increase the surface area of the inner side of the middle of the tablet, so that it can fully contact the gastric juice after taking it, realize the dissolution extending from the middle to the outside, and effectively accelerate the speed of its digestion and absorption.
进一步的,所述片芯外表面还设置有粗糙片层,所述糖衣层完全包裹在粗糙片层外,本药片在服用后,糖衣层会很快溶解,此时,粗糙片层直接与胃液接触,其粗糙的设置,可以有效加速胃液向外向片芯内部渗入的速度,进一步加速本片剂的溶解速度,从而有效提高本片剂有效成分的吸收率,进一步加强有效成分恢复和增强免疫力的作用。Further, the outer surface of the tablet core is also provided with a rough sheet layer, and the sugar coating layer is completely wrapped around the rough sheet layer. After the tablet is taken, the sugar coating layer will quickly dissolve. At this time, the rough sheet layer directly interacts with the gastric juice. Contact, its rough setting can effectively accelerate the rate of gastric juice infiltration into the tablet core, further accelerate the dissolution rate of the tablet, thereby effectively increasing the absorption rate of the effective ingredients of the tablet, and further strengthen the recovery of the effective ingredients and enhance immunity The role of.
进一步的,所述中心助溶孔内壁开凿有多个均匀分布的内向渗透槽,通过内向渗透槽,可以引导进入到多孔骨架层内的胃液向片芯内部渗透,从而更加全方位的加速本片剂的溶解速度,提高被吸收的效率,使得本片剂的关于提高免疫力的效果更加明显,有效降低未被完全吸收就排出的情况,降低药物的浪费,多个所述内向渗透槽的深度不同,且多个内向渗透槽截面呈现起伏状,使得胃液可以渗透到片芯内的不同深度,进而使其从内向外溶解的效果更好,加速吸收。Further, the inner wall of the central dissolution-aid hole is excavated with a plurality of evenly distributed inward penetration grooves. Through the inward penetration grooves, the gastric juice entering the porous framework layer can be guided to penetrate into the tablet core, thereby accelerating the tablet in all directions. The dissolving speed of the agent improves the efficiency of absorption, making the effect of the tablet on improving immunity more obvious, effectively reducing the situation of discharge without being completely absorbed, reducing the waste of medicine, and the depth of multiple inward penetration grooves. Different, and the cross-section of the multiple inward penetration grooves is undulating, so that the gastric juice can penetrate to different depths in the tablet core, so that the effect of dissolving from the inside to the outside is better, and the absorption is accelerated.
进一步的,所述片芯内部镶嵌有多个外向渗透引导线,所述外向渗透引导线其中一个端部延伸至片芯外侧并位于粗糙片层内。Further, a plurality of outward permeation guide lines are embedded in the core, and one end of the outward permeation guide line extends to the outside of the core and is located in the rough layer.
进一步的,所述外向渗透引导线为膳食纤维制成,所述膳食纤维可选用可溶性膳食纤维,膳食纤维是一种多糖,它既不能被胃肠道消化吸收,也不能产生能量,因而将其镶嵌在本片剂中并不会对本片剂的药效造成不良影响,同时膳食纤维的吸水性超强,当糖衣层被溶解后,外向渗透引导线一端在粗 糙片层内,可快速吸收胃液并向片芯内部运输胃液,从而使得本片剂可以在内外部同时被胃液消化,从而显著加速片剂的崩解,有效提高本片剂的被吸收率,从而使得药物恢复和增强免疫力的扶正效果更佳。Further, the outward permeation guide line is made of dietary fiber. The dietary fiber can be soluble dietary fiber. Dietary fiber is a polysaccharide, which can neither be digested and absorbed by the gastrointestinal tract nor produce energy. Embedded in the tablet will not have an adverse effect on the efficacy of the tablet. At the same time, the dietary fiber is super absorbent. When the sugar coating layer is dissolved, one end of the outer penetration guide line is in the rough layer, which can quickly absorb gastric juice And transport gastric juice to the inside of the tablet core, so that the tablet can be digested by gastric juice at the same time inside and outside, thereby significantly accelerating the disintegration of the tablet, effectively increasing the absorption rate of the tablet, so that the drug can recover and enhance immunity. The effect of righting is better.
3.有益效果3. Beneficial effects
相比于现有技术,本发明的优点在于:Compared with the prior art, the advantages of the present invention are:
(1)本方案所述基本方能够恢复和增强免疫力,具有较强的扶正效果,可应用于需要免疫系统支持的各种疾病或损伤的治疗和康复。(1) The basic prescription described in this plan can restore and strengthen immunity, has a strong righting effect, and can be applied to the treatment and rehabilitation of various diseases or injuries that require the support of the immune system.
(2)本方案所述基本方主要由营养素构成,组合方主要由营养素和药食同源配方组成,毒副作用低,剂量安全性好。(2) The basic formula described in this plan is mainly composed of nutrients, and the combined formula is mainly composed of nutrients and the same formula of medicine and food, with low toxic and side effects and good dosage safety.
(3)本方案基本方及其组合方在感冒治疗中显效快,能够改善感冒患者的体感,便捷的区分普通感冒和非普通感冒,节省医疗资源、医疗费用和就医时间成本,减少抗生素和退烧药的用量,有利于预防频繁使用抗生素造成的免疫力损伤,避免抗生素滥用,以及减少抗生素的生态环境污染。(3) The basic prescription of this plan and its combination prescriptions are effective in the treatment of colds, can improve the body sensation of cold patients, conveniently distinguish between common colds and non-common colds, save medical resources, medical expenses and medical time costs, and reduce antibiotics and fever reduction The dosage of the medicine is beneficial to prevent the immune damage caused by the frequent use of antibiotics, avoid the abuse of antibiotics, and reduce the ecological environmental pollution of antibiotics.
(4)本方案提出的“免疫增强剂+免疫补给剂+免疫调节剂±特定药物”的新型组方原则,选择不同的免疫调节剂可以构成不同的组合方,提供了一种灵活的发现新配方的新方法。(4) The new formula principle of "immune enhancer + immune supplements + immunomodulator ± specific drugs" proposed in this program, the choice of different immunomodulators can form different combinations, providing a flexible discovery New method of formula.
(5)本片剂在服用后,可以实现内外部同时被胃液消化,从而显著加速片剂的崩解速度,加快药物的消化吸收,降低药物浪费,提高药物的吸收率,从而使得药物恢复和增强免疫力的扶正效果更佳。(5) After the tablet is taken, the inside and outside can be digested by gastric juice at the same time, thereby significantly accelerating the disintegration speed of the tablet, accelerating the digestion and absorption of the drug, reducing the waste of the drug, and increasing the absorption rate of the drug, so that the drug can recover and recover. The effect of strengthening immunity is better.
附图说明Description of the drawings
图1为本发明的主要的配方组成框图;Figure 1 is a block diagram of the main formula composition of the present invention;
图2为本发明的新药片剂正面的结构示意图;Figure 2 is a schematic diagram of the front structure of the new drug tablet of the present invention;
图3为图2中A处的结构示意图;Figure 3 is a schematic diagram of the structure at A in Figure 2;
图4为各组小鼠体重变化示意图;Figure 4 is a schematic diagram of the weight changes of mice in each group;
图5为脏器重量和脏器指数示意图;Figure 5 is a schematic diagram of organ weight and organ index;
图6为外周血IFN-γ、IL-2、IL-6水平示意图;Figure 6 is a schematic diagram of the levels of IFN-γ, IL-2, and IL-6 in peripheral blood;
图7-1为正常组和模型组的外周血CD4+/CD8+水平示意图;Figure 7-1 is a schematic diagram of the peripheral blood CD4+/CD8+ levels of the normal group and the model group;
图7-2为VC组和复方氨维胶囊组的外周血CD4+/CD8+水平示意图;Figure 7-2 is a schematic diagram of peripheral blood CD4+/CD8+ levels in the VC group and the compound ammonia capsule group;
图7-3为复方8-11胶囊组组和低剂量组的外周血CD4+/CD8+水平示意图;Figure 7-3 is a schematic diagram of peripheral blood CD4+/CD8+ levels in the compound 8-11 capsule group and the low-dose group;
图7-4为中剂量组和高剂量组的外周血CD4+/CD8+水平示意图;Figure 7-4 is a schematic diagram of peripheral blood CD4+/CD8+ levels in the middle-dose group and the high-dose group;
图8为基本方和组合方的用法。Figure 8 shows the usage of the basic square and the combined square.
图中标号说明:Explanation of labels in the figure:
11片芯、12粗糙片层、13糖衣层、2中心助溶孔、3多孔骨架层、4内向渗透槽、5外向渗透引导线。11 cores, 12 rough lamellas, 13 sugar-coated layers, 2 central dissolution-aid holes, 3 porous framework layers, 4 internal penetration grooves, 5 external penetration guide lines.
具体实施方式detailed description
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述。显然,所描述的实施例仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例、本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work shall fall within the protection scope of the present invention.
一、组方原理One, the principle of the group
发明人在癌症病例跟踪随访过程中积累了丰富的医学知识和经验。因为感冒对癌症患者的巨大威胁,以及家庭成员容易感冒的缘故,因此发明人非常关注感冒的免疫治疗。The inventor has accumulated a wealth of medical knowledge and experience during the follow-up process of cancer cases. Because of the great threat of colds to cancer patients and the fact that family members tend to catch colds, the inventor is very concerned about immunotherapy for colds.
发明人根据中医整体论的诊疗思想、君臣佐使的方剂策略,构建了“免疫增强剂+免疫补给剂+免疫调节剂±特定药物”的新型组方原则,然后通过观察大量病例的治疗过程,以及家庭成员感冒时亲身试验各种感冒药方组合,考察其疗效和副作用,经过长期研究最终按照所述的新型组方原则筛选出了本发明所述的一种免疫治疗的新药配方。其中特定药物指抗生素或抗病毒药物等针对特定病原体的药物,不属于本新药配方的组分。Based on the diagnosis and treatment thinking of the holistic theory of Chinese medicine and the prescription strategy of the monarch and ministers, the inventor constructed a new prescription principle of "immune enhancer + immune supplement + immunomodulator ± specific drug", and then observed the treatment process of a large number of cases and family Members personally test various cold prescription combinations when they catch a cold to investigate their efficacy and side effects. After long-term research, they finally screened out a new immunotherapy drug prescription according to the present invention according to the new prescription principles. Specific drugs refer to drugs that target specific pathogens, such as antibiotics or antiviral drugs, and are not part of the new drug formulation.
维生素C能够增强细胞因子和抗体等免疫分子生成,间接促进免疫细胞增殖,毒副作用小,本方案选其作为免疫增强剂。免疫分子生成和免疫细胞的增殖离不开蛋白质合成,系列氨基酸和辅助营养素可以为机体合成蛋白质提供补给,为免疫分子生成和免疫细胞增殖提供支持,本方案选择系列氨基酸和辅助营养素作为免疫补给剂。Vitamin C can enhance the production of immune molecules such as cytokines and antibodies, and indirectly promote the proliferation of immune cells, with little side effects. This program chooses it as an immune enhancer. The production of immune molecules and the proliferation of immune cells are inseparable from protein synthesis. A series of amino acids and auxiliary nutrients can provide supplements for the body to synthesize proteins and support the production of immune molecules and immune cell proliferation. This program selects a series of amino acids and auxiliary nutrients as immune supplements .
金银花和生姜均有免疫调节作用,风热感冒和风寒感冒时免疫系统状态的差别尚无明确的研究报告,本发明根据中医临床经验选择金银花用于风热感冒,选择生姜用于风寒感冒。机体对抗疾病还需要能量支持,蜂蜜和红糖在本方案中用作能量补充,并且进一步补充机体对抗疾病所需要的维生素和微量元素等辅助营养素。蜂蜜性平无毒,选其用于风热感冒。红糖性温无毒,选其用于风寒感冒。Both honeysuckle and ginger have immunoregulatory effects. There is no clear research report on the difference of immune system status between wind-heat cold and wind-cold cold. According to the clinical experience of traditional Chinese medicine, honeysuckle is selected for wind-heat cold and ginger is selected for wind-cold cold. The body also needs energy support to fight diseases. Honey and brown sugar are used as energy supplements in this program, and further supplementary nutrients such as vitamins and trace elements needed by the body to fight diseases. Honey is non-toxic and it is selected for Fengreganmao. Brown sugar is warm and non-toxic, it is selected for cold and cold.
基于以上组方原理,本发明提供了一种用于免疫治疗的新药配方及片剂结构,下面就以具体的示例对本发明的新药配方及片剂结构进行具体的举例说明。Based on the above formulating principles, the present invention provides a new drug formula and tablet structure for immunotherapy. The following specific examples will illustrate the new drug formula and tablet structure of the present invention.
实施例1Example 1
请参阅图1,一种用于免疫治疗的新药配方,其基本方的配方包括免疫增强剂和免疫补给剂。免疫增强剂为维生素C 1000mg。免疫补给剂包括以下配料:L-异亮氨酸108mg、L-亮氨酸60g、L-盐酸赖氨酸130.5mg、L-苯丙氨酸45mg、L-苏氨酸24mg、L-缬氨酸36mg、L-色氨酸30mg、L-蛋氨酸108mg、L-盐酸精氨酸60mg、L-谷氨酸90mg、甘氨酸150mg、维生素B1硝酸盐45mg、维生素B2 15mg、维生素B6 42mg、烟酰胺90mg、叶酸3mg、维生素E醋酸酯12mg。新药配方还可以包含免疫调节剂构成组合方,免疫调节剂可以为金银花5g,蜂蜜15g;免疫调节剂还可以为生姜30g,红糖30g。Please refer to Figure 1, a new drug formula for immunotherapy, the basic formula of which includes immune enhancers and immune supplements. The immune booster is vitamin C 1000mg. Immune supplements include the following ingredients: L-isoleucine 108mg, L-leucine 60g, L-lysine hydrochloride 130.5mg, L-phenylalanine 45mg, L-threonine 24mg, L-valine Acid 36mg, L-tryptophan 30mg, L-methionine 108mg, L-arginine hydrochloride 60mg, L-glutamic acid 90mg, glycine 150mg, vitamin B1 nitrate 45mg, vitamin B2 15mg, vitamin B6 42mg, nicotinamide 90mg , Folic acid 3mg, Vitamin E acetate 12mg. The new drug formula can also include an immunomodulator to form a combination formula. The immunomodulator can be 5g of honeysuckle and 15g of honey; the immunomodulator can also be 30g of ginger and 30g of brown sugar.
实施例2Example 2
请参阅图1,一种用于免疫治疗的新药配方,其基本方的配方包括免疫增强剂和免疫补给剂。免疫增强剂为维生素C 300mg。免疫补给剂包括以下配料:L-异亮氨酸36mg、L-亮氨酸20mg、L-盐酸赖氨酸43.5mg、L-苯丙氨酸15mg、L-苏氨酸8mg、L-缬氨酸12mg、L-色氨酸10mg、L-蛋氨酸36mg、L-盐酸精氨酸20mg、L-谷氨酸30mg、甘氨酸50mg、维生素B1硝酸盐15mg、维生素B2 5mg、维生素B6 14mg、烟酰胺30mg、叶酸1mg、维生素E醋酸酯4mg。新药配方还可以包含免疫调节剂构成组合方,免疫调节剂可以为金银花3g,蜂蜜10g;免疫调节剂还可以为生姜15g,红糖15g。Please refer to Figure 1, a new drug formula for immunotherapy, the basic formula of which includes immune enhancers and immune supplements. The immune booster is vitamin C 300mg. Immune supplements include the following ingredients: L-isoleucine 36mg, L-leucine 20mg, L-lysine hydrochloride 43.5mg, L-phenylalanine 15mg, L-threonine 8mg, L-valine Acid 12mg, L-tryptophan 10mg, L-methionine 36mg, L-arginine hydrochloride 20mg, L-glutamic acid 30mg, glycine 50mg, vitamin B1 nitrate 15mg, vitamin B2 5mg, vitamin B6 14mg, nicotinamide 30mg , Folic acid 1mg, Vitamin E acetate 4mg. The new drug formula can also include an immunomodulator to form a combination formula. The immunomodulator can be 3g of honeysuckle and 10g of honey; the immunomodulator can also be 15g of ginger and 15g of brown sugar.
实施例3Example 3
请参阅图1,一种用于免疫治疗的新药配方,其基本方的配方包括免疫增强剂和免疫补给剂。免疫增强剂为维生素C 1800mg。免疫补给剂包括以下配料:L-异亮氨酸216mg、L-亮氨酸120mg、L-盐酸赖氨酸261mg、L-苯丙氨酸90mg、L-苏氨酸48mg、L-缬氨酸72mg、L-色氨酸60mg、L-蛋氨酸216mg、L-盐酸精氨酸120mg、L-谷氨酸180mg、甘氨酸300mg、维生素B1硝酸盐90mg、维生素B2 30mg、维生素B6 84mg、烟酰胺180mg、叶酸6mg、维生素E醋酸酯24mg,新药配方还可以包含免疫调节剂构成组合方,免疫调节剂可以为金银花15g,蜂蜜30g,实际使用时,可取金银花15g,用1.5升开水泡茶,分3次温服,每服前加入蜂蜜10g和对应剂量的基本方组分调服;免疫调节剂还可以为生姜45g,红糖45g,实际使用时,生姜切片和红糖加水1.5升,煮沸后再小火煎15分钟,分3次温服,每服前加入对应剂量的基本方组分调服。其中糖尿病人可遵医嘱不用红糖和蜂蜜,或者调整其剂量。Please refer to Figure 1, a new drug formula for immunotherapy, the basic formula of which includes immune enhancers and immune supplements. The immune booster is vitamin C 1800mg. Immune supplements include the following ingredients: L-isoleucine 216mg, L-leucine 120mg, L-lysine hydrochloride 261mg, L-phenylalanine 90mg, L-threonine 48mg, L-valine 72mg, L-tryptophan 60mg, L-methionine 216mg, L-arginine hydrochloride 120mg, L-glutamic acid 180mg, glycine 300mg, vitamin B1 nitrate 90mg, vitamin B2 30mg, vitamin B6 84mg, nicotinamide 180mg, Folic acid 6mg, vitamin E acetate 24mg, the new drug formula can also include immunomodulators to form a combination formula. The immunomodulators can be 15g of honeysuckle and 30g of honey. In actual use, you can take 15g of honeysuckle and make tea with 1.5 liters of boiling water, divided into 3 times Take it warm, add 10g of honey and the corresponding dose of the basic ingredients before each serving; the immunomodulator can also be 45g of ginger and 45g of brown sugar. In actual use, add 1.5 liters of water to sliced ginger and brown sugar, then boil it and fry on a low fire. 15 minutes, divided into 3 warm doses, before each serving, add the corresponding dose of the basic prescription components to adjust the serving. Among them, people with diabetes can follow the doctor's advice not to use brown sugar and honey, or adjust their dosage.
实施例4Example 4
以上述实施例1-实施例3提供的基本方为片芯11药物,制备新药片剂结构,请参阅图2-3,该用于免疫治疗的新药片剂结构,包括片芯11和糖衣层13,糖衣层13包裹在片芯11外表面,片芯11中部预留有中心助溶孔2,中心助溶孔2内部填充有多孔骨架层3,通过多孔骨架层3的设置,一方面可以保证本片剂整体的稳定性,使其在为服用之前不易碎裂,另一方面,通过多孔骨架层3可以有效提高本片剂中部内侧的表面积,从而使其在服用后,能够充分与胃液接触,实现从中部向外延伸式的溶解,进而有效加速其被消化吸收的速度,片芯11外表面还设置有粗糙片层12,糖衣层13完全包裹在粗糙片层12外,本药片在服用后,糖衣层13会很快溶解,此时,粗糙片层12直接与胃液接触,其粗糙的设置,可以有效加速胃液向外向片芯11内部渗入的速度,进一步加速本片剂的溶解速度,从而有效提高本片剂药效的吸收率,进一加强对免疫力提高的作用。Taking the basic prescription provided in the above Example 1 to Example 3 as the tablet core 11 drug, the new drug tablet structure is prepared, please refer to Figure 2-3. The new drug tablet structure for immunotherapy includes the tablet core 11 and the sugar coating layer. 13. The sugar coating layer 13 is wrapped on the outer surface of the tablet core 11. A central dissolution aid hole 2 is reserved in the middle of the tablet core 11, and the center dissolution aid hole 2 is filled with a porous framework layer 3. The overall stability of the tablet is ensured so that it is not easily broken before being taken. On the other hand, the porous matrix layer 3 can effectively increase the surface area of the inner side of the middle of the tablet, so that it can fully interact with the gastric juice after taking it. Contact to realize the dissolution extending outward from the middle part, thereby effectively accelerating the speed of digestion and absorption. The outer surface of the tablet core 11 is also provided with a rough layer 12, and the sugar coating layer 13 is completely wrapped around the rough layer 12. After taking, the sugar coating layer 13 will quickly dissolve. At this time, the rough layer 12 is in direct contact with the gastric juice. Its rough setting can effectively accelerate the rate of gastric juice infiltration into the tablet core 11 and further accelerate the dissolution rate of the tablet. , So as to effectively improve the absorption rate of the drug effect of the tablet, and further strengthen the effect of improving immunity.
中心助溶孔2内壁开凿有多个均匀分布的内向渗透槽4,通过内向渗透槽4,可以引导进入到多孔骨架层3内的胃液向片芯11内部渗透,从而更加全方位的加速本片剂的溶解速度,提高被吸收的效率,使得本片剂的关于提高免疫力的效果更加明显,有效降低未被完全吸收就排出的情况,降低药物的浪费,多个内向渗透槽4的深度不同,且多个内向渗透槽4截面呈现起伏状,使得胃液可以渗透到片芯11内的不同深度,进而使其从内向外溶解的效果更好,加速吸收。The inner wall of the central dissolution-assisting hole 2 is excavated with a plurality of evenly distributed inward penetration grooves 4, through the inward penetration groove 4, the gastric juice entering the porous framework layer 3 can be guided to penetrate into the core 11, thereby accelerating the tablet in all directions. The dissolving speed of the agent increases the efficiency of absorption, making the effect of the tablet on improving immunity more obvious, effectively reducing the situation of discharge without being completely absorbed, and reducing the waste of medicine. The depth of multiple inward penetration grooves 4 is different. , And the cross-sections of the multiple inward penetration grooves 4 are undulating, so that the gastric juice can penetrate to different depths in the core 11, so that the effect of dissolving from the inside to the outside is better, and the absorption is accelerated.
片芯11内部镶嵌有多个外向渗透引导线5,外向渗透引导线5其中一个端部延伸至片芯11外侧并位于粗糙片层12内,外向渗透引导线5为膳食纤维制成,膳食纤维可选用可溶性膳食纤维,膳食纤维是一种多糖,它既不能被胃肠道消化吸收,也不能产生能量,因而将其镶嵌在本片剂中并不会对本片剂的药效造成不良影响,同时膳食纤维的吸水性超强,当糖衣层13被溶解后,外向渗透引导线5一端在粗糙片层12内,可快速吸收胃液并向片芯11 内部运输胃液,从而使得本片剂可以在内外部同时被胃液消化,从而显著加速片剂的崩解,有效提高本片剂的被吸收率,从而使得药物恢复和增强免疫力的扶正效果更佳。The core 11 is inlaid with a plurality of outward permeation guide lines 5, one end of the outward permeation guide line 5 extends to the outside of the core 11 and is located in the rough sheet 12, and the outward permeation guide line 5 is made of dietary fiber. Can choose soluble dietary fiber, dietary fiber is a kind of polysaccharide, it can neither be digested and absorbed by the gastrointestinal tract, nor can it produce energy, so embedding it in this tablet will not adversely affect the efficacy of this tablet. At the same time, the dietary fiber is super absorbent. When the sugar coating layer 13 is dissolved, one end of the outer penetration guide line 5 is in the rough sheet layer 12, which can quickly absorb gastric juice and transport the gastric juice into the tablet core 11, so that the tablet can be used in The inside and outside are digested by gastric juice at the same time, thereby significantly accelerating the disintegration of the tablet, effectively improving the absorption rate of the tablet, so that the medicine recovery and the strengthening effect of immunity are better.
上述实施例涵盖本发明所述新药配方其中的几个用量,实际使用过程中,可以根据患者实际的身体状态调整用量,从而使得效果更佳。The foregoing embodiments cover several dosages of the new drug formula of the present invention. During actual use, the dosage can be adjusted according to the actual physical condition of the patient, so as to make the effect better.
二、药物制备和用法用量2. Drug preparation, usage and dosage
1.基本方的制备1. Preparation of the basic formula
基本方以典型成人剂量(实施例1所提供基本方)为例,每天典型成人剂量称为日剂量,日剂量1日3次分服,具体剂量如表1所示。The basic prescription takes a typical adult dose (the basic prescription provided in Example 1) as an example. The typical adult dose per day is called the daily dose, and the daily dose is taken three times a day. The specific dose is shown in Table 1.
表1.基本方的临床剂量Table 1. The clinical dosage of the basic prescription
Figure PCTCN2021098179-appb-000001
Figure PCTCN2021098179-appb-000001
1.1基本方成药直接处方1.1 Direct prescription of basic prescription and over-the-counter medicine
按基本方剂量采用维生素C泡腾片、复方氨维胶囊两个成药处方构建基本方。日剂量1日3次分服,按每次口服剂量,维生素C泡腾片先用温水化开,并用其送服复方氨维胶囊。According to the dosage of the basic prescription, the basic prescription was constructed with two prescriptions of vitamin C effervescent tablets and compound ammonia capsules. The daily dose is taken 3 times a day. According to each oral dose, the vitamin C effervescent tablet is dissolved with warm water and used to take compound ammonia capsules.
1.2基本方成药配伍汤剂1.2 Compatible decoctions of basic prescription medicines
分别取日剂量1/3的维生素C泡腾片、复方氨维胶囊,将复方氨维胶囊内容物加入到100-300ml、40-60℃的温水中,静置3分钟,搅拌1分钟使其成混悬液,然后加入维生素C泡腾片,静待泡腾片完全溶解,即得成人1次口服剂量的汤剂。现配温服,1日3次。Take 1/3 of the daily dose of vitamin C effervescent tablets and compound ammonia capsules, add the contents of the compound ammonia capsules to 100-300ml of warm water at 40-60°C, let stand for 3 minutes, and stir for 1 minute to make it Then add the vitamin C effervescent tablet to the suspension, and wait for the effervescent tablet to dissolve completely to obtain a decoction for adult one oral dose. Now with warm clothes, 3 times a day.
分别取日剂量10倍的维生素C泡腾片、复方氨维胶囊,将复方氨维胶囊内容物加入到3L、40-60℃的温水中,搅拌3-5分钟使其成混悬液,然后加入维生素C泡腾片,静待泡腾片完全溶解,即得成人10日份的汤剂。搅拌摇匀罐装于30袋避光中药汤剂包装袋中,每袋约100ml,避光冷藏保存备用。服用时兑入适量热开水温服,成人每次1袋,1日3次。Take 10 times the daily dose of vitamin C effervescent tablets and compound ammonia capsules, add the contents of the compound ammonia capsules to 3L of warm water at 40-60°C, stir for 3-5 minutes to make a suspension, and then Add vitamin C effervescent tablets, and wait for the effervescent tablets to completely dissolve to obtain a decoction for 10 days for adults. Stir and shake well, canned it in 30 bags of light-proof Chinese medicine decoction packaging bags, each bag is about 100ml, protected from light and stored for later use. Add an appropriate amount of hot boiled water and take it with warm water. Adults take 1 bag each time, 3 times a day.
1.3基本方原料药制备散剂1.3 Preparation of raw materials of basic prescription powder
取日剂量100倍的基本方各组分原料药粉,搅拌后震动混匀,等量封装于300袋不透光的药用真空包装袋中,避光真空包装,常温保存备用。服用时加入温水化开温服,成人每次1袋,1日3次。Take 100 times the daily dose of the raw material powder of each component of the basic formula, stir and shake and mix, and pack the same amount in 300 bags of opaque medicinal vacuum packaging bags, vacuum packaging in the dark, and store at room temperature for later use. When taking it, add warm water to dissolve it, take 1 bag each time for adults, 3 times a day.
1.4其它常见剂型1.4 Other common dosage forms
基本方按常见制药工艺,添加必要的辅料,还可以制作成片剂、冲剂(颗粒剂)、胶囊、口服液和注射液中的一种。The basic prescription can be made into one of tablets, granules (granules), capsules, oral liquids and injections by adding necessary auxiliary materials according to common pharmacy techniques.
2.组合方的制备2. Preparation of the combination
2.1风热组合方制备2.1 Preparation of wind-heat combination
2.1.1成药配伍汤剂2.1.1 Compatible decoctions of patent medicines
①按日剂量采用维生素C泡腾片、复方氨维胶囊两个成药处方构建基本方。① According to the daily dose, use vitamin C effervescent tablets and compound ammonia capsules to construct the basic prescription.
②取金银花9g,加入沸水1L,加盖,静待其冷却至室温,滤渣取液。②Take 9g of honeysuckle, add 1L of boiling water, cover it, and let it cool to room temperature, then take the liquid from the filter residue.
③向滤出液中加入蜂蜜15g,搅拌均匀,即得1日份金银花蜂蜜茶。③Add 15g of honey to the filtrate and stir evenly to obtain 1 day's honeysuckle honey tea.
④1日份金银花蜂蜜茶分3次温服,每服前加入1/3日剂量的基本方对应剂量的维生素C泡腾片和复方氨维胶囊内容物一并调服。复方氨维胶囊也可以不加入汤剂内,用金银花蜂蜜茶和维生素C所组成的汤剂直接送服复方氨维胶囊。④ 1 day serving of honeysuckle honey tea is divided into three warm doses. Before each serving, add 1/3 of the daily dose of vitamin C effervescent tablets corresponding to the dose of the basic formula and the contents of the compound ammonia capsules. The compound aminovitamin capsules can also be taken directly with the decoction composed of honeysuckle honey tea and vitamin C without being added to the decoction.
2.1.2冻干粉散剂2.1.2 Lyophilized powder
①取金银花90g,加入沸水10L,加盖,静待其冷却至室温,滤渣取液。① Take 90g of honeysuckle, add 10L of boiling water, cover it, and let it cool to room temperature, then take the liquid from the filter residue.
②向滤出液中加入蜂蜜150g,搅拌均匀。②Add 150g of honey to the filtrate and stir evenly.
③再加入10倍日剂量的基本方各组分原料药粉,搅拌均匀。 ③Add 10 times the daily dose of the raw material powder of each component of the basic prescription, and stir evenly.
④将上述溶液冻干,制粉,即得10日份的风热组合方冻干粉散剂。④ The above solution is freeze-dried and powdered to obtain 10 days' worth of air-heat combined prescription freeze-dried powder powder.
⑤将冻干粉等量封装于30袋不透光的药用真空包装袋中,避光真空包装,冷藏保存备用。⑤Pack the freeze-dried powder in 30 bags of opaque medicinal vacuum packaging bags in the same amount, vacuum packaging in the dark, and keep refrigerated for later use.
⑥服用时用温水化开温服,成人每次1袋,1日3次。⑥When taking it, use warm water to dissolve it and take it with warm water. Adults take 1 bag each time, 3 times a day.
2.2风寒组合方制备2.2 Preparation of wind-cold combination prescription
2.2.1成药配伍汤剂2.2.1 Compatible decoctions of patent medicines
①按日剂量处方维生素C泡腾片、复方氨维胶囊两个成药构建基本方。① According to the daily dose of prescription vitamin C effervescent tablets and compound ammonia capsules, the basic formula is constructed.
②取生姜15g,红糖25g,加水1.5L煮沸后再文火煎煮15分钟,静待其冷却至室温,滤渣取液。即得1日份红糖姜茶。②Take 15g of ginger and 25g of brown sugar, add 1.5L of water to boil, then simmer for 15 minutes, let it cool to room temperature, and filter the residue to take the liquid. Get 1 day's brown sugar ginger tea.
③1日份红糖姜茶分3次温服,每服前加入1/3日剂量的基本方对应剂量的维生素C泡腾片和复方氨维胶囊内容物调服。复方氨维胶囊也可以不加入汤剂内,用红糖姜茶和维生素C所组成的汤剂直接送服复方氨维胶囊。③One-day brown sugar ginger tea is taken in 3 warm doses. Before each serving, add 1/3 of the daily dose of vitamin C effervescent tablets and the contents of the compound ammonia capsules corresponding to the dose of the basic prescription. The compound aminovitamin capsules can also be taken directly with the decoction composed of brown sugar ginger tea and vitamin C without adding the decoction.
2.2.2冻干粉散剂2.2.2 Lyophilized powder
①取生姜150g,红糖250g,加水15L煮沸后再文火煎煮15分钟,静待其冷却至室温,滤渣取液。①Take 150g of ginger and 250g of brown sugar, add 15L of water and boil, then simmer for 15 minutes, wait for it to cool to room temperature, filter the residue and take the liquid.
②再加入10倍日剂量的基本方各组分原料药粉,搅拌均匀。 ②Add 10 times the daily dose of the raw material powder of each component of the basic prescription, and stir evenly.
③将上述溶液冻干,制粉,即得10日份的风寒组合方冻干粉散剂。③The above solution is freeze-dried and powdered to obtain 10 days' worth of wind-cold combination prescription freeze-dried powder powder.
④将冻干粉等量封装于30袋不透光的药用真空包装袋中,避光真空包装,冷藏保存备用。④Pack the freeze-dried powder in 30 bags of opaque medicinal vacuum packaging bags in the same amount, vacuum packaging in the dark, and keep refrigerated for later use.
⑤服用时用温水化开温服,成人每次1袋,1日3次。⑤When taking it, use warm water to dissolve it, take 1 bag each time for adults, 3 times a day.
三、动物实验Three, animal experiment
1.受试药物剂量设置依据1. Basis for setting the dose of test drug
采用药物制备和用法用量一节中所述的成药配伍汤剂法制备基本方。基本方所述免疫增强剂的维生素C采用维生素C泡腾片,基本方所述免疫补给剂采用复方氨维胶囊,按照典型成人剂量计算小鼠临床等效剂量,并将新药配方中所含维生素C和复方氨维胶囊两个组分分别按临床等效剂量设置为对照组。基本方的临床剂量如药物制备和用法用量一节中的表1所示。The basic prescription is prepared by the drug compatibility decoction method described in the section of drug preparation and usage and dosage. Vitamin C of the immune enhancer in the basic prescription uses vitamin C effervescent tablets, and the immune supplement in the basic prescription uses compound ammonia capsules. The two components of C and compound ammonia capsules were set as the control group at clinically equivalent doses. The clinical dosage of the basic prescription is shown in Table 1 in the section of drug preparation and usage.
维生素C泡腾片:本品为淡橙色片,片面有散在的斑点。片重3.261g,其中每片VC的净含量为1g。按照成人1片/天计算小鼠临床等效剂量。Vitamin C effervescent tablets: This product is a light orange tablet with scattered spots on one side. The tablet weighs 3.261g, of which the net content of VC per tablet is 1g. Calculate the clinical equivalent dose in mice based on adult 1 tablet/day.
复方氨维胶囊:本品内容物为白色薄膜包衣和橙色薄膜包衣两种颗粒。胶囊内容物重量0.327g,有效成分的净含量如表2所示。以基本方对应剂量(2粒/次,3次/天)做临床剂量,计算小鼠临床等效剂量,按临床等效剂量设置为对照组。Compound ammonia capsules: The contents of this product are white film-coated and orange film-coated particles. The weight of the capsule content is 0.327g, and the net content of the active ingredients is shown in Table 2. Take the corresponding dose of the basic prescription (2 capsules/time, 3 times/day) as the clinical dose, calculate the clinical equivalent dose of mice, and set it as the control group according to the clinical equivalent dose.
表2.复方氨维胶囊有效成分的净含量Table 2. Net content of active ingredients in compound ammonia capsules
Figure PCTCN2021098179-appb-000002
Figure PCTCN2021098179-appb-000002
Figure PCTCN2021098179-appb-000003
Figure PCTCN2021098179-appb-000003
复方8-11胶囊组:本品为胶囊剂,品名全称为复方氨基酸(8)维生素(11)胶囊,内容物为黄色至橘红色的粉末或颗粒。胶囊内容物重量0.215g,有效成分的净含量如表3所示。以说明书中最大成人剂量(2粒/次,3次/天)做临床剂量,计算小鼠临床等效剂量,按临床等效剂量设置为对照组。Compound 8-11 capsule group: This product is a capsule with the full name of the compound amino acid (8) vitamin (11) capsule, and the content is yellow to orange-red powder or granules. The weight of the capsule content is 0.215g, and the net content of the active ingredients is shown in Table 3. Take the maximum adult dose in the instructions (2 capsules/time, 3 times/day) as the clinical dose, calculate the clinical equivalent dose in mice, and set it as the control group according to the clinical equivalent dose.
表3.复方8-11胶囊组有效成分的净含量Table 3. Net content of active ingredients in the compound 8-11 capsule group
Figure PCTCN2021098179-appb-000004
Figure PCTCN2021098179-appb-000004
小鼠给药剂量换算公式:B=W×A(B:小鼠;A:人;W=9.1,折算系数)The conversion formula of the dose for mice: B=W×A (B: mouse; A: human; W=9.1, conversion factor)
依据上述临床剂量和受试药品规格计算出小鼠等效剂量:Calculate the mouse equivalent dose based on the above clinical dose and the specifications of the tested drug:
维生素C泡腾片的剂量为13mg/ml(VC净含量);The dosage of vitamin C effervescent tablets is 13mg/ml (VC net content);
复方氨维胶囊的剂量为26mg/ml;The dose of compound ammonia capsules is 26mg/ml;
复方8-11胶囊组的剂量为17mg/ml。The dose of the compound 8-11 capsule group was 17 mg/ml.
基本方设低、中、高三个剂量组,其中中剂量组各组分给药量为前述临床等效剂量,低剂量为1/3临床等效剂量,高剂量为2倍临床等效剂量。The basic prescription has three dose groups: low, medium, and high. The dose of each component in the middle dose group is the aforementioned clinical equivalent dose, the low dose is 1/3 of the clinical equivalent dose, and the high dose is 2 times the clinical equivalent dose.
给药剂量和给药容积如下:The dose and volume of administration are as follows:
正常组:生理盐水,0.2ml/只Normal group: normal saline, 0.2ml/only
模型组:生理盐水,0.2ml/只Model group: normal saline, 0.2ml/only
维生素C组(简称VC组):13mg/ml(VC净含量,下同),0.2ml/只Vitamin C group (referred to as VC group): 13mg/ml (VC net content, the same below), 0.2ml/piece
复方氨维胶囊组:26mg/ml,0.2ml/只Compound ammonia capsule group: 26mg/ml, 0.2ml/piece
复方8-11胶囊组:17mg/ml,0.2ml/只Compound 8-11 capsule group: 17mg/ml, 0.2ml/piece
低剂量组:4.3mg/ml VC+8.7mg/ml复方氨维胶囊,0.2ml/只Low-dose group: 4.3mg/ml VC+8.7mg/ml compound ammonia capsules, 0.2ml/piece
中剂量组:13mg/ml VC+26mg/ml复方氨维胶囊,0.2ml/只Middle dose group: 13mg/ml VC+26mg/ml compound ammonia capsules, 0.2ml/piece
高剂量组:26mg/ml VC+52mg/ml复方氨维胶囊,0.2ml/只High-dose group: 26mg/ml VC+52mg/ml compound ammonia capsules, 0.2ml/piece
各组均1次/天给药。Each group was administered once a day.
其中关于小鼠的信息如下:The information about mice is as follows:
种属:小鼠Species: Mouse
品系:Balb/cStrain: Balb/c
级别:SPF级Level: SPF level
体重:20g±2gWeight: 20g±2g
性别:雄性Sex: male
动物数:48只Number of animals: 48
关于小鼠的饲养环境如下:The breeding environment of mice is as follows:
动物房室内温度:25±1℃Indoor temperature of animal room: 25±1℃
动物房湿度:50-70%Humidity in animal room: 50-70%
动物房光照:12小时交替照明Animal room lighting: 12 hours of alternating lighting
饮水:自由饮水Drinking water: free drinking
饲料:颗粒饲料Feed: pelleted feed
2.实验方法2. Experimental method
实验分组及给药:Experimental grouping and administration:
48只Balb/c小鼠,置前述饲养环境中适应性饲养一周,期间密切观察毛发、排泄物、活动情况,均未发现异常。一周后,将小鼠按体重随机均分为正常组、模型组、VC组、复方氨维胶囊组、复方8-11胶囊组、基本方低剂量组、中剂量组和高剂量组,共8组,每组6只。每组分别给予相应药物,连续给药15天;除正常组外,第8、9、10天其余各组小鼠在给药同时,采取腹腔注射环磷酰胺(给药量为60mg/kg)方式抑制小鼠免疫系统。给药结束后,取各组小鼠外周血、脾脏和胸腺组织等进行细胞因子检测及脏器样本采集。48 Balb/c mice were bred adaptively in the aforementioned breeding environment for one week. During the period, the hair, excrement, and activity were closely observed, and no abnormalities were found. One week later, the mice were randomly divided into normal group, model group, VC group, compound ammonia capsule group, compound 8-11 capsule group, basic prescription low-dose group, medium-dose group and high-dose group according to their weight. Group, each group has 6 animals. Each group was given the corresponding drugs for 15 consecutive days; except for the normal group, mice in the other groups were given intraperitoneal injection of cyclophosphamide (60mg/kg) on the 8, 9 and 10 days. Ways to suppress the mouse immune system. After the administration, peripheral blood, spleen and thymus tissues of each group of mice were collected for cytokine detection and organ sample collection.
细胞因子检测及脏器样本采集:Cytokine detection and organ sample collection:
(1)实验期间,每3天测量一次体重。(1) During the experiment, the body weight was measured every 3 days.
(2)实验终点,每只小鼠眼眶采血,血样分为两份,一份用于检测IL-2、IL-6、IFN-γ,一份用于检测CD4+/CD8+水平。(2) At the end of the experiment, blood was collected from the orbit of each mouse. The blood sample was divided into two parts, one for the detection of IL-2, IL-6, IFN-γ, and the other for the detection of CD4+/CD8+ levels.
①200μl不抗凝血液,4℃静置1h后,3500r/min离心10min,取上层血清用于多因子(IL-2、IL-6、IFN-γ)检测。多因子检测严格按照LEGENDplexTW kits操作流程进行。①200μl of non-anticoagulated blood, stand at 4℃ for 1h, centrifuge at 3500r/min for 10min, and take the upper serum for multifactor (IL-2, IL-6, IFN-γ) detection. Multi-factor detection is carried out in strict accordance with the LEGENDplexTW kits operating procedure.
②600μl新鲜采集的抗凝血液用PBS稀释一倍,平铺至3ml小鼠淋巴细胞分离液液面上层,室温,水平转子800g离心20min(设置较慢的加/减速度),离心完成后,小心吸出淋巴细胞层,加入10ml PBS,颠倒洗涤,室温,250g离心10min收集细胞,倾倒上清液,用细胞固定液重悬细胞并计数,调整细胞浓度为1×10 7/ml。将100μl上述细胞悬液转移至2ml离心管中,分别加入2μl FITC-CD3,1.25μl APC-CD4,1.25μl PE-CD8,4℃冰箱避光孵育20min,1ml PBS洗涤两遍,流式细胞仪检测CD4+/CD8+水平。 ②600μl of freshly collected anticoagulant blood is diluted twice with PBS, spread flat to the upper layer of 3ml mouse lymphocyte separation solution, and centrifuged at 800g on a horizontal rotor for 20min (set slower acceleration/deceleration) at room temperature. After centrifugation, be careful Aspirate the lymphocyte layer, add 10ml PBS, wash upside down, collect the cells by centrifugation at 250g for 10min at room temperature, pour the supernatant, resuspend the cells with cell fixation solution and count, adjust the cell concentration to 1×10 7 /ml. Transfer 100μl of the above cell suspension to a 2ml centrifuge tube, add 2μl FITC-CD3, 1.25μl APC-CD4, 1.25μl PE-CD8, 4°C refrigerator, incubate in the dark for 20min, wash twice with 1ml PBS, flow cytometer Detect CD4+/CD8+ levels.
(3)小鼠颈椎脱臼处死,分离胸腺和脾脏,并称取小鼠胸腺、脾脏重量,计算胸腺指数、脾脏指数。(3) The mouse was sacrificed by cervical dislocation, the thymus and spleen were separated, and the weight of the mouse thymus and spleen was weighed to calculate the thymus index and spleen index.
Figure PCTCN2021098179-appb-000005
Figure PCTCN2021098179-appb-000005
3.数据统计3. Statistics
所有数据均以均数和标准差(Mean±SD)表示,采用graphpad7.0软件进行统计,t-tests比较各组差异,若p<0.05则被认为具有统计学意义。All data are expressed as mean and standard deviation (Mean±SD). Graphpad7.0 software is used for statistics. The t-tests compares the differences between groups. If p<0.05, it is considered to be statistically significant.
4.实验结果4. Experimental results
A.体重变化A. Weight change
各组小鼠体重变化如图4所示,起始体重无组间差异(p>0.05)。正常组小鼠体重逐渐增加,其余各组小鼠在未造模前体重逐渐增加,其中复方氨维胶囊组、复方8-11胶囊组和基本方中剂量组小鼠体重增加优于正常组、模型组、VC组、基本方低剂量组和基本方高剂量组。The body weight changes of mice in each group are shown in Figure 4, and there is no difference in initial body weight between groups (p>0.05). The weight of the mice in the normal group gradually increased, and the mice in the other groups gradually increased before the model was established. Among them, the weight gain of the mice in the compound ammonia capsule group, the compound 8-11 capsule group and the basic prescription middle-dose group was better than that of the normal group. Model group, VC group, basic formula low-dose group and basic formula high-dose group.
表4.环磷酰胺造模后各组小鼠体重增长率Table 4. Body weight growth rate of mice in each group after cyclophosphamide modeling
Figure PCTCN2021098179-appb-000006
Figure PCTCN2021098179-appb-000006
在给药第8、9、10天,除正常组外,其余各组小鼠注射环磷酰胺,建立免疫抑制模型。由图4可知,采取免疫抑制措施的各组小鼠体重出现明显下 降。停止注射环磷酰胺后,与模型组比较,各给药组小鼠体重下降趋势得以抑制。环磷酰胺造模后各组小鼠体重增长率如表4所示,根据表4数据将小鼠体重增长率由小到大排列如下:On the 8, 9, and 10 days of administration, except for the normal group, mice in the other groups were injected with cyclophosphamide to establish an immunosuppressive model. It can be seen from Figure 4 that the body weight of mice in each group that took immunosuppressive measures dropped significantly. After stopping the injection of cyclophosphamide, compared with the model group, the weight loss trend of mice in each administration group was inhibited. After cyclophosphamide modeling, the weight growth rate of mice in each group is shown in Table 4. According to the data in Table 4, the weight growth rate of mice is arranged from small to large as follows:
(1)前期(第10-13天):模型组>低剂量组>高剂量组>复方8-11胶囊组>VC组>复方氨维胶囊组>中剂量组;(1) Early stage (day 10-13): model group>low-dose group>high-dose group>Fufang 8-11 capsule group>VC group>Fufang ammonia capsule group>medium dose group;
(2)后期(第13-16天):VC组>复方氨维胶囊组>复方8-11胶囊组>模型组>中剂量组>高剂量组>低剂量组。(2) Late stage (day 13-16): VC group> Fufang ammonia capsule group> Fufang 8-11 capsule group>model group>medium dose group>high dose group>low dose group.
由此体重增长率变化可推知各组实验药对小鼠体重下降的抑制作用为:From this change in weight growth rate, it can be inferred that the inhibitory effects of each group of experimental drugs on mice weight loss are:
(1)基本方组:中剂量组快速且稳定抑制了小鼠体重下降;低、高剂量前期抑制作用较弱,但后期抑制作用明显加强(强于复方8-11胶囊组、VC组和复方氨维胶囊组),尤其是低剂量组小鼠体重减轻趋势几乎得到完全抑制;(1) Basic prescription group: The middle dose group quickly and stably inhibited the weight loss of mice; the low and high doses had weaker inhibition in the early stage, but significantly enhanced the inhibition in the later stage (stronger than the compound 8-11 capsule group, VC group and compound Amavi capsule group), especially the low-dose group, the weight loss trend of mice is almost completely suppressed;
(2)VC组和复方氨维胶囊组:前期对小鼠体重下降抑制作用表现较好,仅弱于基本方中剂量组,但后期对小鼠体重抑制作用几乎消失(小鼠体重下降速率几乎与免疫抑制期相同);(2) VC group and compound ammonia capsule group: In the early stage, the inhibitory effect on the weight loss of mice was better, only weaker than the basic dose group, but the weight inhibition effect on the mice was almost disappeared in the later period (the rate of weight loss in mice was almost Same as the immunosuppressive period);
(3)复方8-11胶囊组:抑制作用表现稳定,但稍弱于基本方中剂量组。(3) Compound 8-11 capsule group: The inhibitory effect is stable, but slightly weaker than the basic prescription middle-dose group.
至实验终点时,中剂量组小鼠的体重高于其它给药组。At the end of the experiment, the body weight of the mice in the middle dose group was higher than that of the other administration groups.
综上所述,在对抗环磷酰胺导致的体重下降方面,基本方中剂量组表现最佳,优于单独组分VC组和复方氨维胶囊组,也优于复方8-11胶囊组。In summary, in terms of combating weight loss caused by cyclophosphamide, the basic prescription middle-dose group performed best, better than the single component VC group and the compound ammonia capsule group, and also better than the compound 8-11 capsule group.
B.脏器重量和脏器指数B. Organ weight and organ index
实验终点,各组小鼠脏器重量和脏器指数如图5和表5所示。At the end of the experiment, the organ weight and organ index of each group of mice are shown in Figure 5 and Table 5.
表5.脏器重量和脏器指数(Mean±SD)Table 5. Organ weight and organ index (Mean±SD)
Figure PCTCN2021098179-appb-000007
Figure PCTCN2021098179-appb-000007
Figure PCTCN2021098179-appb-000008
Figure PCTCN2021098179-appb-000008
符号说明:对比模型组,*p<0.05,**p<0.01,***p<0.001,****p<0.0001。Symbol description: Compare model group, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001.
(1)脾脏重量和脾脏指数:相比正常组,模型组小鼠脾脏重量和脾脏指数均降低,符合环磷酰胺造模特征,表明模型复制成功。与模型组小鼠脾脏重量和脾脏指数相比,各给药组小鼠脾脏重量和脾脏指数均上升,且与模型组比较具有统计学意义(p<0.05),这表明各组药物均能够改善免疫抑制小鼠的脾脏指数。(1) Spleen weight and spleen index: Compared with the normal group, the spleen weight and spleen index of mice in the model group were reduced, which accorded with the characteristics of cyclophosphamide modeling, indicating that the model was successfully replicated. Compared with the spleen weight and spleen index of mice in the model group, the spleen weight and spleen index of the mice in each administration group increased, and compared with the model group, it was statistically significant (p<0.05), which indicates that the drugs in each group can improve The spleen index of immunosuppressed mice.
(2)胸腺重量和胸腺指数:相比正常组,模型组小鼠胸腺重量和胸腺指数均降低,符合环磷酰胺造模特征,表明模型复制成功。与模型组小鼠胸腺重量和胸腺指数相比,各给药组小鼠胸腺重量和胸腺指数均上升,其中VC组、复方氨维胶囊组和基本方中剂量组具有统计学意义(p<0.05),三组均值相近,基本方中剂量组标准差最小且p值更小(p<0.01),提示中剂量组改善胸腺指数的效果最佳,优于VC组和复方氨维胶囊组。(2) Thymus weight and thymus index: Compared with the normal group, the mouse thymus weight and thymus index of the model group were reduced, which accorded with the characteristics of cyclophosphamide modeling, indicating that the model was successfully replicated. Compared with the mouse thymus weight and thymus index in the model group, the thymus weight and thymus index of the mice in each administration group increased. Among them, the VC group, the compound ammonia capsule group and the basic prescription middle-dose group were statistically significant (p<0.05) ), the mean values of the three groups are similar, the standard deviation of the basic formula middle-dose group is the smallest and the p-value is smaller (p<0.01).
综上所述,从改善脾脏指数和胸腺指数的两个方面综合来看,基本方中剂量组的效果最佳,优于VC组、复方氨维胶囊组、复方8-11胶囊组。In summary, from the comprehensive perspective of improving the spleen index and thymus index, the basic prescription middle-dose group has the best effect, which is better than the VC group, the compound ammonia capsule group, and the compound 8-11 capsule group.
C.外周血IFN-γ、IL-2、IL-6和CD4+/CD8+水平C. Peripheral blood IFN-γ, IL-2, IL-6 and CD4+/CD8+ levels
实验终点,细胞因子IFN-γ、IL-2、IL-6水平和CD4 +/CD8 +结果如表6和图6、图7-1、图7-2、图7-3、图7-4所示。从这些图、表中的数据可知:相比正常组,模型组所有指标均有所下降。 The end of the experiment, the levels of cytokines IFN-γ, IL-2, IL-6 and CD4 + /CD8 + results are shown in Table 6 and Figure 6, Figure 7-1, Figure 7-2, Figure 7-3, Figure 7-4 Shown. From the data in these figures and tables, we can see that compared with the normal group, all indicators of the model group have decreased.
表6.外周血IFN-γ、IL-2、IL-6和CD4 +/CD8 +水平 Table 6. Peripheral blood IFN-γ, IL-2, IL-6 and CD4 + /CD8 + levels
Figure PCTCN2021098179-appb-000009
Figure PCTCN2021098179-appb-000009
Figure PCTCN2021098179-appb-000010
Figure PCTCN2021098179-appb-000010
符号说明:对比模型组,*p<0.05,**p<0.01,***p<0.001,****p<0.0001。Symbol description: Compare model group, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001.
各组小鼠细胞因子指标如下所述:The cytokine indicators of each group of mice are as follows:
(1)各给药组小鼠外周血IFN-γ水平高于模型组,但除低剂量组外,其它组与模型组相比均无统计学差异(p>0.05);各给药组小鼠外周血IL-6水平高于模型组,其中VC组与模型组相比有统计学意义(p<0.05),基本方低、中和高剂量组有升高趋势但无统计学意义(p>0.05)。各组IFN-γ和IL-6水平相比模型组缺乏普遍的统计学差异,提示IFN-γ和IL-6水平在本实验中可能不具有显著参考意义。(1) The peripheral blood IFN-γ level of mice in each administration group was higher than that of the model group, but there was no statistical difference between the other groups and the model group except for the low-dose group (p>0.05); each administration group was small The level of IL-6 in the peripheral blood of mice was higher than that of the model group. The VC group was statistically significant compared with the model group (p<0.05). The low, medium and high dose groups of the basic formula showed an upward trend but no statistical significance (p >0.05). Compared with the model group, the levels of IFN-γ and IL-6 in each group lacked general statistical differences, suggesting that the levels of IFN-γ and IL-6 may not have significant reference significance in this experiment.
(2)各给药组小鼠外周血IL-2水平高于模型组,除VC组外,其它组与模型组相比均有统计学意义(p<0.05),其中基本方中剂量组IL-2水平最高且对比模型组p值最小,提示基本方低、中、高剂量组均能提升IL-2水平,并且中剂量组效果最佳,优于VC组、复方氨维胶囊组、复方8-11胶囊组。(2) The level of IL-2 in peripheral blood of mice in each administration group was higher than that of the model group. Except for the VC group, the other groups were statistically significant compared with the model group (p<0.05). Among them, the basic prescription middle-dose group IL-2 -2 has the highest level and the smallest p value in the comparison model group, suggesting that the basic formula low, medium, and high dose groups can all increase IL-2 levels, and the middle dose group has the best effect, which is better than the VC group, the compound ammonia capsule group, and the compound 8-11 capsule group.
(3)各给药组CD4+/CD8+水平,除高剂量组外,均高于模型组且有统计学意义(p<0.05),其中基本方中剂量组和复方8-11胶囊组CD4+/CD8+水平高于正常组,且对比模型组p<0.0001,中剂量组CD4+/CD8+水平最高且比复方8-11胶囊组的标准差更小,提示基本方低、中剂量组均能提升CD4+/CD8+水平,并且中剂量组效果最佳,优于VC组、复方氨维胶囊组、复方8-11胶囊组。(3) The CD4+/CD8+ levels of each administration group, except for the high-dose group, were higher than those of the model group and were statistically significant (p<0.05). Among them, the basic prescription middle-dose group and the compound 8-11 capsule group had CD4+/CD8+ The level is higher than that of the normal group, and the comparison model group has p<0.0001. The medium-dose group has the highest CD4+/CD8+ level and has a smaller standard deviation than the compound 8-11 capsule group, suggesting that both the basic low and medium-dose groups can increase CD4+/CD8+ And the middle-dose group has the best effect, which is better than the VC group, the compound ammonia capsule group, and the compound 8-11 capsule group.
(4)IL-2水平升高且CD4+/CD8+水平同步升高,提示免疫力增强,结合IL-2水平和CD4+/CD8+水平,发现基本方中剂量组能够显著增强免疫力并 且效果最佳,优于VC组、复方氨维胶囊组、复方8-11胶囊组。(4) The level of IL-2 increased and the level of CD4+/CD8+ increased simultaneously, suggesting increased immunity. Combined with the level of IL-2 and CD4+/CD8+, it was found that the basic prescription middle-dose group can significantly enhance immunity and has the best effect. It is better than VC group, compound ammonia capsule group, compound 8-11 capsule group.
综上,环磷酰胺是一种常用的细胞毒性药物,广泛应用于抗肿瘤治疗,可抑制骨髓功能,降低白细胞数量。据报道,环磷酰胺可抑制小鼠免疫器官功能并导致体量减轻,引起外周血中各种血细胞的失衡,最终导致免疫功能的抑制,本实验通过连续3d腹腔注射环磷酰胺,建立免疫低下小鼠模型,给予相应药物干预15d,评价药物对免疫功能的调节作用。In summary, cyclophosphamide is a commonly used cytotoxic drug, widely used in anti-tumor therapy, which can inhibit bone marrow function and reduce the number of white blood cells. According to reports, cyclophosphamide can inhibit the function of immune organs in mice and lead to weight loss, causing various blood cell imbalances in the peripheral blood, and ultimately leading to the suppression of immune function. In this experiment, a continuous 3d intraperitoneal injection of cyclophosphamide was used to establish immunodeficiency. The mouse model was given corresponding drug intervention for 15 days to evaluate the regulatory effect of the drug on immune function.
实验结果论述如下:The experimental results are discussed as follows:
(1)胸腺和脾脏是机体重要的免疫器官,免疫器官指数反映了机体的免疫功能。本实验结果表明,各组药物均可提高免疫抑制小鼠的脾脏指数或胸腺指数,综合脾脏指数和胸腺指数两个方面,基本方中剂量组效果最佳。(1) Thymus and spleen are important immune organs of the body, and the immune organ index reflects the immune function of the body. The results of this experiment show that each group of drugs can increase the spleen index or thymus index of immunosuppressed mice. In terms of comprehensive spleen index and thymus index, the basic prescription middle-dose group has the best effect.
(2)细胞因子是由免疫细胞和某些非免疫细胞经刺激合成、分泌的一类小分子蛋白质,具有调节免疫和促进细胞生长等功能。IL-2是一种多效性细胞因子,在免疫细胞分化、生长和活性发挥方面具有重要作用。它既能够促进具有免疫刺激性的效应细胞增殖激活,也能促进具有免疫抑制性的Treg细胞增殖激活,具有免疫调节作用;IL-6可诱导B细胞和T细胞的增值分化;IFN-γ具有活化巨噬细胞、促进APC(S)表达MHC-Ⅱ类分子表达以提高抗原递呈功能、促进MHC-I类分子表达以增强CTL细胞的杀伤活性、增强NK细胞的杀伤活性、促进B细胞分化、增殖、抑制TH2细胞分化及细胞因子合成等,是目前机体发挥抗病毒作用最快的第一病毒防御体系。本实验结果表明,各组药物均可以升高免疫抑制小鼠血清中IL-2、IL-6和IFN-γ的水平。对于IL-6,仅VC组与模型组相比有统计学意义(p<0.05),基本方低、中和高剂量组有升高趋势但无统计学意义(p>0.05);对于IFN-γ,仅低剂量组与模型组相比有统计学意义(p<0.05);IL-2水平改善较为显著,除VC组外,其它组与模型组相比均有统计学意义(p<0.05)。(2) Cytokines are a class of small molecular proteins synthesized and secreted by immune cells and certain non-immune cells through stimulation, and have the functions of regulating immunity and promoting cell growth. IL-2 is a pleiotropic cytokine, which plays an important role in the differentiation, growth and activity of immune cells. It can not only promote the proliferation and activation of immunostimulatory effector cells, but also promote the proliferation and activation of immunosuppressive Treg cells, and has an immunoregulatory effect; IL-6 can induce the proliferation and differentiation of B cells and T cells; IFN-γ has Activate macrophages, promote APC(S) expression, MHC-Ⅱ molecule expression to improve antigen presentation function, promote MHC-I molecule expression to enhance the killing activity of CTL cells, enhance the killing activity of NK cells, and promote B cell differentiation , Proliferation, inhibition of TH2 cell differentiation and cytokine synthesis, etc., is currently the body's fastest anti-viral defense system. The results of this experiment show that each group of drugs can increase the levels of IL-2, IL-6 and IFN-γ in the serum of immunosuppressed mice. For IL-6, only the VC group was statistically significant compared with the model group (p<0.05), and the basic prescription low, medium and high dose groups showed an upward trend but not statistically significant (p>0.05); for IFN- γ, only the low-dose group was statistically significant compared with the model group (p<0.05); IL-2 levels improved significantly, except for the VC group, other groups were statistically significant compared with the model group (p<0.05) ).
(3)T淋巴细胞是介导机体特异性免疫应答的主要效应细胞。根据其表 面标志物的不同,可分为CD3+、CD4+、CD8+等细胞亚群,其中CD3+为成熟T细胞表面标志,可代表T细胞的总体水平,CD4+细胞即辅助T细胞,在细胞免疫中起辅助作用,CD8+细胞即细胞毒性T细胞,通过降低淋巴细胞的活性,发挥抑制细胞免疫的作用。CD4+/CD8+的动态平衡是免疫调节的关键,若CD4+/CD8+的动态平衡被破坏,便会引起导致免疫功能紊乱,导致一系列的免疫病理改变,影响机体的免疫保护机制。在本实验中,除基本方高剂量组外,各给药组CD4+/CD8+水平均高于模型组且有统计学意义(p<0.05),基本方中剂量组和复方8-11胶囊组效果较明显,CD4+/CD8+水平高于正常组,其中以中剂量组效果最佳。(3) T lymphocytes are the main effector cells that mediate the body's specific immune response. According to their different surface markers, they can be divided into CD3+, CD4+, CD8+ and other cell subgroups. Among them, CD3+ is the surface marker of mature T cells, which can represent the overall level of T cells. CD4+ cells are helper T cells, which play a role in cellular immunity. As a helper function, CD8+ cells, namely cytotoxic T cells, play a role in suppressing cellular immunity by reducing the activity of lymphocytes. The dynamic balance of CD4+/CD8+ is the key to immune regulation. If the dynamic balance of CD4+/CD8+ is disrupted, it will cause immune dysfunction, lead to a series of immune pathological changes, and affect the body's immune protection mechanism. In this experiment, with the exception of the basic prescription high-dose group, the CD4+/CD8+ levels of each administration group were higher than the model group and were statistically significant (p<0.05). The basic prescription middle-dose group and the compound 8-11 capsule group were effective Obviously, the level of CD4+/CD8+ is higher than that of the normal group, and the middle-dose group has the best effect.
综上所述,基本方低、中、高剂量组均能改善环磷酰胺引起的免疫抑制和体重下降。其中基本方中剂量组效果最佳,能够显著减缓小鼠体重下降,提高脾脏指数和胸腺指数,显著升高IL-2水平和CD4+/CD8+水平,能够同时从前述多个方面改善免疫抑制小鼠的免疫功能,显著恢复和增强免疫抑制小鼠的免疫力,并且效果最佳,优于VC组、复方氨维胶囊组和复方8-11胶囊组。实验结果从免疫功能的角度提示,基本方具有较强的中医所述的扶正效果。复方8-11胶囊每粒含有维生素A2000IU,维生素A超量服用或大剂量长期服用可引起中毒,通常孕妇每日维生素A限量不超过5000IU。基本方不含维生素A,这方面的剂量安全性优于复方8-11胶囊。In summary, the basic prescription low, medium and high dose groups can all improve the immunosuppression and weight loss caused by cyclophosphamide. Among them, the middle-dose group of the basic prescription has the best effect. It can significantly slow down the weight loss of mice, increase the spleen index and thymus index, and significantly increase the level of IL-2 and CD4+/CD8+. It can simultaneously improve the immunosuppressive mice from the aforementioned aspects. It has the best immune function, which significantly restores and enhances the immunity of immunosuppressed mice, and has the best effect, which is better than the VC group, the compound ammonia capsule group and the compound 8-11 capsule group. The experimental results suggest from the perspective of immune function that the basic prescription has a strong righting effect as described in Chinese medicine. Compound 8-11 capsules contain 2000IU of vitamin A per capsule. Excessive or long-term use of vitamin A can cause poisoning. Normally, the daily limit of vitamin A for pregnant women is not more than 5000IU. The basic formula does not contain vitamin A, and the dose safety in this respect is better than that of the compound 8-11 capsules.
四、发明人家庭内疗效观察4. Observation of curative effect in the inventor's family
本发明所述新药配方的基本方和组合方确定后,发明人采用药物制备和用法用量一节所述的成药直接处方和成药配伍汤剂在家庭成员内进行了为期16个月的实际验证,具体情况如表7所示。After the basic formula and combination formula of the new drug formula of the present invention were determined, the inventors used the direct prescription of the patent medicine and the compatibility decoction of the patent medicine as described in the section Drug Preparation, Usage and Dosage to carry out a 16-month actual verification in the family members. The specific situation is shown in Table 7.
表7.发明人家庭内疗效观察Table 7. Observation of curative effect in the inventor's family
Figure PCTCN2021098179-appb-000011
Figure PCTCN2021098179-appb-000011
在此期间没有使用除退烧药以外的其它感冒药,因感冒输液或住院次数降低为0,抗生素应用次数降低为0,退烧药应用次数降低为2,与以往两个年度小孩每年都会因为感冒继发感染高烧住院1次、每个季度都会使用抗生素和退烧药形成了鲜明对比,达到了减少感冒去医院次数、减少感冒诊疗费用和时间、减少抗生素和退烧药用量的目标效果。During this period, no cold medicines other than antipyretics were used. The number of cold infusions or hospitalizations was reduced to 0, the number of antibiotics applications was reduced to 0, and the number of antipyretics was reduced to 2. This is the same as that of the previous two years. There is a sharp contrast between the use of antibiotics and anti-fever medicines for infections and high fever once every quarter. This has achieved the goal of reducing the number of cold visits to the hospital, reducing the cost and time of cold diagnosis and treatment, and reducing the amount of antibiotics and anti-fever drugs.
五、真实世界疗效观察Five, real-world observation of curative effect
一些具有病例自随访跟踪经验的、以癌症患者家属为主体的志愿者,对基本方和组合方在家庭内的真实世界疗效进行了跟踪随访,并进行了汇总研究。这些志愿者有的是久病成医,有的本身就是医学相关专业人员,并且对感冒治疗和症状评估进行了必要的学习,具备跟踪随访家庭内感冒事件的能力。诊疗遵医嘱进行,处方药物由医生开具处方。Some volunteers with experience in self-follow-up follow-up of cases, with family members of cancer patients as the main body, followed up the real-world effects of the basic formula and the combined formula in the family, and conducted a summary study. Some of these volunteers are long-term medical practitioners, and some are medical professionals themselves, and have carried out necessary learning on cold treatment and symptom evaluation, and have the ability to follow up cold events in the family. Diagnosis and treatment are carried out in accordance with the doctor's orders, and the prescription drugs are prescribed by the doctor.
1.感冒事件的入选标准1. Selection criteria for cold incidents
①患者年龄在6岁以上,性别不限,能够清晰表述症状变化。①Patients are over 6 years old, have no gender limitation, and can clearly express changes in symptoms.
②经验判断为感冒,使用了基本方或组合方治疗。②It was judged by experience to have a cold, and the basic prescription or combination prescription was used for treatment.
③有可供评估的感冒样症状,例如鼻塞、流涕、发热、乏力、全身酸痛、头疼、咽喉肿痛、口疮等。③Have cold-like symptoms that can be evaluated, such as nasal congestion, runny nose, fever, fatigue, body aches, headaches, sore throat, mouth sores, etc.
④排除除抗生素、退烧药、基本方和组合方外还使用了其它感冒药的事件。④ Exclude the use of other cold medicines in addition to antibiotics, antipyretics, basic prescriptions and combination prescriptions.
⑤排除经临床诊断明确为过敏等非呼吸道感染、非口腔感染的事件。⑤Exclude events that have been clinically diagnosed as non-respiratory infections and non-oral infections such as allergies.
⑥包含经临床诊断为肺炎、扁桃体炎等呼吸道感染的事件。⑥ Including clinically diagnosed respiratory infections such as pneumonia and tonsillitis.
2.基本方和组合方的用法用量2. The usage and dosage of basic formula and combination formula
基本方使用成药直接处方构建,组合方使用成药配伍汤剂,具体制备方法和用量参见药物制备和用法用量一节所述。基本方和组合方的用法参见附图8所示,阐述如下:The basic prescription uses the patent medicine to directly formulate the prescription, and the combined prescription uses the patent medicine compatibility decoction. For the specific preparation method and dosage, please refer to the section of drug preparation and usage and dosage. Refer to Figure 8 for the usage of the basic party and the combined party, and the explanation is as follows:
①有感冒样症状,且有咽痛、口疮、面部毒包等上火症状,使用风热组合方。① If you have cold-like symptoms, and have sore throat, mouth sores, facial toxic packs and other symptoms of getting angry, use a combination of wind and heat.
②有感冒样症状,且有淋雨、受凉等明确风寒诱因,并且没有上火症状,使用风寒组合方。②If there are cold-like symptoms, and there are clear causes of wind and cold such as rain or cold, and no symptoms of fire, use a combination of wind and cold.
③不符合上述风热或风寒的特征,或者辨不清是否风热、风寒时,单用基本方。③When it does not meet the above-mentioned characteristics of wind-heat or wind-cold, or if it is unclear whether it is wind-heat or wind-cold, use the basic prescription alone.
每12-24小时评估疗效。疗效不佳或症状反复时,应及时就医或复诊,完善相关检查,评估是否需要联合抗生素,是否非普通感冒(例如支原体感染、流行性乙型脑炎)等并做相应处理。Evaluate the efficacy every 12-24 hours. When the curative effect is poor or the symptoms are repeated, you should seek medical treatment or follow-up in time, improve related examinations, evaluate whether you need to combine antibiotics, whether it is a non-common cold (such as mycoplasma infection, Japanese encephalitis), etc., and deal with them accordingly.
基本方和组合方显效快,对于普通感冒,患者通常在6-12小时即可感知疗效。因此,症状不减轻、有反复或者迁延不愈时,应及时就医复诊,听诊心肺、完善血常规等必要检查,以便诊断和调整治疗方案。辨证论治并根据治疗反馈调整治疗方案符合中医思想,也符合现代循证医学思想。症状严重者应立即就医。The basic prescription and the combination prescription have a fast effect. For the common cold, the patient can usually feel the effect within 6-12 hours. Therefore, when the symptoms do not alleviate, recur, or persist and do not heal, you should see a doctor in time for follow-up, auscultate the heart and lungs, improve blood routines and other necessary examinations in order to diagnose and adjust the treatment plan. Syndrome differentiation and treatment and adjustment of the treatment plan based on treatment feedback conform to the thinking of Chinese medicine and modern evidence-based medicine. Those with severe symptoms should seek medical attention immediately.
注意事项:Precautions:
①细菌感染、支原体感染等需要抗生素的,根据医嘱按需联合抗生素,遵守抗生素疗程。① If antibiotics are needed for bacterial infections, mycoplasma infections, etc., combine antibiotics as required according to doctor's orders and follow the course of antibiotic treatment.
②高烧时,或低烧但因发烧难受影响休息时,按需联用退烧药,每6-12小时评估,发烧未见减轻应及时就医。②When the fever is high, or when the fever is not affected by the fever, when resting, use antipyretics as needed, and evaluate every 6-12 hours. If the fever is not relieved, you should consult a doctor in time.
③疗程内避免风寒、疲劳、熬夜、饮酒、高耗氧运动等不利于感冒恢复的活动,以免病情反复。起病一周内,即便症状已经消失,也应尽量避免前述不利于恢复的活动,保证休息。③ Avoid wind-cold, fatigue, staying up late, drinking, high oxygen consumption exercise and other activities that are not conducive to cold recovery during the treatment, so as to avoid recurrence of the disease. Within one week of onset, even if the symptoms have disappeared, the aforementioned activities that are not conducive to recovery should be avoided as much as possible, and rest should be guaranteed.
3.疗效评价标准3. Efficacy evaluation criteria
参考《证候类中药新药临床研究技术指导原则》,以患者自评症状是否减轻或消失为依据,将基本方和组合方的疗效划分为痊愈、显效、进步和无效。With reference to the "Technical Guidelines for the Clinical Research of Syndrome Types of New Chinese Medicines", based on the patient's self-evaluation of whether the symptoms are alleviated or disappeared, the curative effects of the basic prescription and the combined prescription are divided into healing, markedly effective, improved, and ineffective.
①显效:从使用基本方或组合方算起,24小时内症状减轻。① Significantly effective: starting from using the basic prescription or the combination prescription, the symptoms are alleviated within 24 hours.
②痊愈:显效前提下,继续治疗,7天内症状完全消失。②Healed: Under the premise of marked effect, continue the treatment, and the symptoms disappear completely within 7 days.
③进步:显效前提下,继续治疗,7天内没有痊愈,但是症状减轻了。③Progress: Under the premise of significant effect, continue the treatment, but the symptoms are alleviated without recovery within 7 days.
④无效:不符合显效标准的,记录为无效。④ Invalid: Those that do not meet the markedly effective standard are recorded as invalid.
4.随访结果4. Follow-up results
经过一个冬春换季的感冒高峰,共随访符合入选标准的感冒事件29次。其中风寒感冒1次,风热感冒7次,这与现代人因衣食条件较好多患风热感冒相符。患者反馈基本方和组合方能够较快的明显减轻感冒引起的鼻塞、流涕、咳嗽等症状,改善体感。具体随访结果如表8所示。After a cold peak in winter and spring, a total of 29 cold events that met the selection criteria were followed up. Among them, one had a cold and cold and seven had a cold, which is consistent with the fact that modern people often suffer from a cold due to better food and clothing. Patients reported that the basic formula and the combined formula can quickly and significantly reduce symptoms such as nasal congestion, runny nose, and cough caused by a cold, and improve body sensation. The specific follow-up results are shown in Table 8.
表8真实世界疗效随访结果Table 8 Real-world efficacy follow-up results
Figure PCTCN2021098179-appb-000012
Figure PCTCN2021098179-appb-000012
根据基本方和组合方的用法,使用基本方或组合方12-24小时评估效果不佳时,再评估是否需要联合抗生素。为了更严格的统计基本方和组合方的疗效,排除抗生素的影响,对感冒事件归类进行下述调整:According to the usage of the basic prescription and the combination prescription, if the basic prescription or the combination prescription is used for 12-24 hours to evaluate the effect is not good, then evaluate whether the combination of antibiotics is needed. In order to more rigorously calculate the efficacy of the basic formula and combination formula, and exclude the influence of antibiotics, the following adjustments were made to the classification of cold events:
①将基本方联合抗生素的病例数视作基本方无效病例数。① The number of cases of the basic prescription combined with antibiotics is regarded as the number of invalid cases of the basic prescription.
②将风热组合方联合抗生素的病例数视作风热组合方无效病例数。②The number of cases of the combination of wind-heat and antibiotics is regarded as the number of invalid cases of the combination of wind-heat.
③将风寒组合方联合抗生素的病例数视作风寒组合方无效病例数。③The number of cases of Fenghan combination prescription combined with antibiotics is regarded as the number of invalid cases of Fenghan combination prescription.
经此调整后,整体有效率为82.8%(24/29),基本方亚组有效率为88.9%(16/18)、风热组合方亚组有效率为70.0%(7/10)、风寒组合方亚组有效率为100%(1/1)。抗生素使用率17.2%(5/29)。整体退烧药使用率10.3%(3/29),3例使用退烧药的病例,1例经医院诊断为急性化脓性扁桃体炎,2例为上呼吸道支原体感染,均是比较严重的感染。较低的退烧药使用率,提示基本方和组合方显著改善了普通感冒的发热病程。After this adjustment, the overall effective rate is 82.8% (24/29), the effective rate of the basic prescription subgroup is 88.9% (16/18), the effective rate of the Fengre combined prescription subgroup is 70.0% (7/10), and the effective rate is 70.0% (7/10). The subgroup effective rate of the combined prescription is 100% (1/1). The antibiotic usage rate was 17.2% (5/29). The overall use rate of antipyretics was 10.3% (3/29). There were 3 cases using antipyretics, 1 case was diagnosed as acute suppurative tonsillitis by the hospital, and 2 cases had upper respiratory tract mycoplasma infection, all of which were relatively serious infections. The lower use rate of anti-fever medicines suggests that the basic prescription and the combined prescription have significantly improved the course of fever of the common cold.
真实世界疗效随访结果显示,基本方及其组合方总体有效率达82.8%,可在24小时内快速显效,能显著改善普通感冒患者的体感,进而减少了轻症感冒因缺乏特效药而发展为重症感冒或其它继发感染的情况。Real-world efficacy follow-up results show that the overall effective rate of the basic formula and its combination is 82.8%, which can be quickly effective within 24 hours, and can significantly improve the body sensation of patients with common colds, thereby reducing the development of mild colds due to lack of specific medicines. Severe cold or other secondary infections.
感冒初期如果没有得到有效治疗,存在发展为肺炎或心肌炎的风险,对儿童来说这种风险更大。所以尽管西医认为大多数感冒不需要治疗就可以自愈,但早期没有便捷的办法来区分普通感冒和非普通感冒,患者感冒时仍不得不及时就医,医生有时也不得不经验性应用抗生素,使得避免抗生素滥用非常困难。If the cold is not effectively treated in the early stage, there is a risk of developing pneumonia or myocarditis, which is even greater for children. Therefore, although Western medicine believes that most colds can heal themselves without treatment, there is no convenient way to distinguish between common colds and non-common colds in the early stage. Patients still have to seek medical treatment in time when they have a cold. Doctors sometimes have to apply antibiotics empirically. Avoiding antibiotic abuse is very difficult.
基本方和组合方主要由营养素和药食同源配方构成,毒副作用低,24小时显效,使得普通感冒和非普通感冒在早期就可以通过疗效而区分开来,普通感冒患者的体感也得到显著改善。这首先节省了医疗资源,缓解了医院门诊的压力;其次可有效减少患者入院就医次数,减少化验检查次数,节约医疗费用,减少就诊时间成本;第三,还可以让抗生素和退烧药只用于必要的 非普通感冒上,减少了抗生素和退烧药的用量,有利于避免抗生素滥用,减少抗生素过多使用带来的免疫力损伤。The basic formula and the combination formula are mainly composed of nutrients and medicine and food homologous formula, with low side effects and obvious effects within 24 hours, so that common colds and non-common colds can be distinguished by curative effect at an early stage, and the somatosensory of common cold patients is also significantly improved. improve. This firstly saves medical resources and relieves the pressure on outpatient clinics in hospitals; secondly, it can effectively reduce the number of patient admissions, reduce the number of laboratory tests, save medical expenses, and reduce the cost of treatment time; third, it can also allow antibiotics and antipyretics to be used only for For necessary non-common colds, the dosage of antibiotics and anti-fever medicines is reduced, which is beneficial to avoid antibiotic abuse and reduce immune damage caused by excessive use of antibiotics.
感冒成因复杂,多数感冒是病毒感染引起,少数感冒是细菌感染引起,能够引起感冒的病毒种类也很多。为了寻找感冒特效方案,医学界进行了近百年的探索尝试,组织过入组病例超过5000人的大型临床试验,但没有找到好的方案,目前实际治疗仍是对症支持为主。医学界很早就有用维生素C治疗感冒的尝试,但是其疗效不稳定不确切,一直未能通过临床试验确证疗效。基本方及其组合方的疗效表现,提示维生素C单用治疗感冒疗效不佳的原因可能是缺乏免疫补给剂和免疫调节剂组分的支持。基本方和组合方在一定程度上解决了感冒治疗缺乏特效药的难题。The causes of colds are complex. Most colds are caused by viral infections, and a small number of colds are caused by bacterial infections. There are many types of viruses that can cause colds. In order to find a cure for a cold, the medical community has conducted nearly a hundred years of exploration and experimentation, and organized large-scale clinical trials involving more than 5,000 cases, but no good program has been found. At present, the actual treatment is still based on symptomatic support. The medical community has tried to treat colds with vitamin C for a long time, but its efficacy is unstable and uncertain, and it has not been confirmed by clinical trials. The efficacy of the basic formula and its combination formula suggest that the reason for the poor efficacy of vitamin C in the treatment of colds may be the lack of immune supplements and immunomodulator components. To a certain extent, the basic prescription and the combination prescription solve the problem of the lack of specific medicines for the treatment of colds.
上述实施例仅为本发明较佳的具体实施方式,但本发明的保护范围并不局限于此。任何熟悉本技术领域的技术人员在本发明揭露的技术范围内,根据本发明的技术方案及其改进构思加以等同替换或改变,都应涵盖在本发明的保护范围内。The foregoing embodiments are only preferred specific implementations of the present invention, but the protection scope of the present invention is not limited thereto. Any person familiar with the technical field within the technical scope disclosed by the present invention, equivalent replacements or changes according to the technical solution and improvement concept of the present invention shall be covered by the protection scope of the present invention.

Claims (10)

  1. 一种用于免疫治疗的新药配方,包括新药基本方,所述新药基本方包括配合使用免疫增强剂和免疫补给剂,其特征在于:A new drug formulation for immunotherapy, including a new drug basic prescription, the new drug basic prescription including the coordinated use of an immune enhancer and an immune supplement, and is characterized in:
    所述免疫增强剂为维生素C 300-1800mg;The immune enhancer is vitamin C 300-1800mg;
    所述免疫补给剂包括以下配料:L-异亮氨酸36-216mg、L-亮氨酸20-120mg、L-盐酸赖氨酸43.5-261mg、L-苯丙氨酸15-90mg、L-苏氨酸8-48mg、L-缬氨酸12-72mg、L-色氨酸10-60mg、L-蛋氨酸36-216mg、L-盐酸精氨酸20-120mg、L-谷氨酸30-180mg、甘氨酸50-300mg、维生素B1硝酸盐15-90mg、维生素B2 5-30mg、维生素B6 14-84mg、烟酰胺30-180mg、叶酸1-6mg、维生素E醋酸酯4-24mg。The immune supplement includes the following ingredients: L-isoleucine 36-216mg, L-leucine 20-120mg, L-lysine hydrochloride 43.5-261mg, L-phenylalanine 15-90mg, L- Threonine 8-48mg, L-valine 12-72mg, L-tryptophan 10-60mg, L-methionine 36-216mg, L-arginine hydrochloride 20-120mg, L-glutamic acid 30-180mg , Glycine 50-300mg, Vitamin B1 nitrate 15-90mg, Vitamin B2 5-30mg, Vitamin B6 14-84mg, Nicotinamide 30-180mg, Folic acid 1-6mg, Vitamin E acetate 4-24mg.
  2. 根据权利要求1所述的一种用于免疫治疗的新药配方,其特征在于:所述新药配方还包括增加免疫调节剂,以构成风热组合方,所述免疫调节剂为金银花3-15g,蜂蜜10-30g。A new drug formulation for immunotherapy according to claim 1, characterized in that: the new drug formulation further comprises adding an immunomodulator to form a wind-heat combination prescription, and the immunomodulator is honeysuckle 3-15g, 10-30g of honey.
  3. 根据权利要求2所述的一种用于免疫治疗的新药配方,其特征在于:所述新药配方能够更换免疫调节剂,以构成风寒组合方,所述风寒组合方的免疫调节剂为生姜15-45g,红糖15-45g。The new drug formula for immunotherapy according to claim 2, wherein the new drug formula can replace an immunomodulator to form a wind-cold combination prescription, and the immunomodulator of the wind-cold combination prescription is ginger 15- 45g, 15-45g brown sugar.
  4. 根据权利要求2或3所述的一种用于免疫治疗的新药配方,其特征在于:所述新药配方用于感冒的免疫治疗;所述新药配方中的剂量均为成人剂量范围,儿童剂量按照成人剂量减半,婴幼儿剂量按照体重换算;A new drug formulation for immunotherapy according to claim 2 or 3, characterized in that: the new drug formulation is used for immunotherapy of colds; the doses in the new drug formulation are in the adult dose range, and the children's dose is in accordance with The adult dose is halved, and the infant dose is converted according to body weight;
    所述风寒组合方或风热组合方可以制作为中药汤剂或散剂。The wind-cold combination prescription or the wind-heat combination prescription can be made into a traditional Chinese medicine decoction or powder.
  5. 根据权利要求1所述的一种用于免疫治疗的新药配方,其特征在于:所述新药基本方可以制作为中药汤剂或散剂,还可以按常见制药工艺制作成片剂、冲剂、胶囊、口服液和注射液中的一种;A new drug formulation for immunotherapy according to claim 1, characterized in that: the basic prescription of the new drug can be made into traditional Chinese medicine decoctions or powders, and can also be made into tablets, granules, capsules, etc. according to common pharmaceutical techniques. One of oral liquid and injection;
  6. 一种用于免疫治疗的新药片剂结构,包括片芯(11)和糖衣层(13),其特征在于:所述糖衣层(13)包裹在片芯(11)外表面,所述片芯(11)中部预留有中心助溶孔(2),所述中心助溶孔(2)内部填充有多孔骨架层 (3)。A new drug tablet structure for immunotherapy, comprising a tablet core (11) and a sugar coating layer (13), characterized in that: the sugar coating layer (13) is wrapped on the outer surface of the tablet core (11), and the tablet core (11) A central dissolution-aid hole (2) is reserved in the middle part, and the inside of the central dissolution-aid hole (2) is filled with a porous framework layer (3).
  7. 根据权利要求6所述的一种用于免疫治疗的新药片剂结构,其特征在于:所述片芯(11)外表面还设置有粗糙片层(12),所述糖衣层(13)完全包裹在粗糙片层(12)外。A new drug tablet structure for immunotherapy according to claim 6, characterized in that: the outer surface of the tablet core (11) is also provided with a rough layer (12), and the sugar coating layer (13) is completely Wrapped outside the rough sheet (12).
  8. 根据权利要求6所述的一种用于免疫治疗的新药片剂结构,其特征在于:所述中心助溶孔(2)内壁开凿有多个均匀分布的内向渗透槽(4),多个所述内向渗透槽(4)的深度不同,且多个内向渗透槽(4)截面呈现起伏状。A new drug tablet structure for immunotherapy according to claim 6, characterized in that: the inner wall of the central dissolution-aid hole (2) is excavated with a plurality of uniformly distributed inward penetration grooves (4), and a plurality of The depths of the inward infiltration grooves (4) are different, and the cross-sections of the inward infiltration grooves (4) are undulating.
  9. 根据权利要求7所述的一种用于免疫治疗的新药片剂结构,其特征在于:所述片芯(11)内部镶嵌有多个外向渗透引导线(5),所述外向渗透引导线(5)其中一个端部延伸至片芯(11)外侧并位于粗糙片层(12)内。The structure of a new drug tablet for immunotherapy according to claim 7, characterized in that: the core (11) is inlaid with a plurality of outward permeation guide lines (5), and the outward permeation guide lines ( 5) One of the ends extends to the outside of the core (11) and is located in the rough layer (12).
  10. 根据权利要求9所述的一种用于免疫治疗的新药片剂结构,其特征在于:所述外向渗透引导线(5)为膳食纤维制成,所述膳食纤维可选用可溶性膳食纤维。A new drug tablet structure for immunotherapy according to claim 9, characterized in that the outward penetration guide line (5) is made of dietary fiber, and the dietary fiber can be soluble dietary fiber.
PCT/CN2021/098179 2020-06-11 2021-06-03 New drug formula for immunotherapy and tablet structure thereof WO2021249286A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN202010531334.7A CN111544410A (en) 2020-06-11 2020-06-11 Novel drug formula for immunotherapy and tablet structure thereof
CN202010531334.7 2020-06-11
CN202110605277.7 2021-05-31
CN202110605277.7A CN113181131A (en) 2020-06-11 2021-05-31 Novel drug formula for immunotherapy and tablet structure thereof

Publications (1)

Publication Number Publication Date
WO2021249286A1 true WO2021249286A1 (en) 2021-12-16

Family

ID=71997445

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2021/098179 WO2021249286A1 (en) 2020-06-11 2021-06-03 New drug formula for immunotherapy and tablet structure thereof

Country Status (2)

Country Link
CN (2) CN111544410A (en)
WO (1) WO2021249286A1 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111544410A (en) * 2020-06-11 2020-08-18 许新朋 Novel drug formula for immunotherapy and tablet structure thereof

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1640396A (en) * 2004-01-02 2005-07-20 广东奇方药业有限公司 Novel medicinal compositions
CN1823766A (en) * 2006-03-30 2006-08-30 胡正岳 Compound amino acid vitamin dispersion tablet and its preparation method
CN102811711A (en) * 2010-03-23 2012-12-05 琳得科株式会社 Solid preparation
WO2020017828A1 (en) * 2018-07-20 2020-01-23 주식회사 코아팜바이오 Tablet comprising drug release control structure and tablet manufacturing method using 3d printing technology
CN110897156A (en) * 2019-11-11 2020-03-24 徐州诺克非医药科技有限公司 Health-care preparation for preventing senile dementia and resisting aging
CN111544410A (en) * 2020-06-11 2020-08-18 许新朋 Novel drug formula for immunotherapy and tablet structure thereof

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103948610B (en) * 2014-05-06 2016-01-20 成都中畜德科生物技术有限公司 A kind of immunostimulant and application thereof

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1640396A (en) * 2004-01-02 2005-07-20 广东奇方药业有限公司 Novel medicinal compositions
CN1823766A (en) * 2006-03-30 2006-08-30 胡正岳 Compound amino acid vitamin dispersion tablet and its preparation method
CN102811711A (en) * 2010-03-23 2012-12-05 琳得科株式会社 Solid preparation
WO2020017828A1 (en) * 2018-07-20 2020-01-23 주식회사 코아팜바이오 Tablet comprising drug release control structure and tablet manufacturing method using 3d printing technology
CN110897156A (en) * 2019-11-11 2020-03-24 徐州诺克非医药科技有限公司 Health-care preparation for preventing senile dementia and resisting aging
CN111544410A (en) * 2020-06-11 2020-08-18 许新朋 Novel drug formula for immunotherapy and tablet structure thereof

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
HU, WEIQIN: "Ginger for Weight Loss and Keeping You Warm: How It Works and How to Consume It", 30 November 2016, HEILONGJIANG SCIENCE AND TECHNOLOGY, CN, ISBN: 978-7-5388-8960-4, article "Ginger plus Brown Sugar", pages: 025, XP009532796 *
XUE, LIJUN: "Healthy or Harmful: Family Handbook of TCM Food Therapy", 31 January 2019, JIANGXI SCIENCE AND TECHNOLOGY PRESS, CN, ISBN: 978-7-5390-5945-7, article "Honeysuckle and Honey Tea", pages: 041 - 042, XP009532794 *

Also Published As

Publication number Publication date
CN113181131A (en) 2021-07-30
CN111544410A (en) 2020-08-18

Similar Documents

Publication Publication Date Title
JP6305407B2 (en) Chinese medicine composition for regulating immunity and method for producing the same
CN111110824B (en) Medicinal composition for strengthening body resistance and rescuing lung and application thereof
AU2011282200B2 (en) Anti-viral properties of Aloe vera and Acquired Immune Deficiency Syndrome (AIDS) treatment
CN101607027A (en) The application of a kind of Chinese medicine composition in the medicine of preparation treatment chronic fatigue syndrome
CN101049323A (en) Health protection medicine in use for treating chronic degenerative diseases, and producing method
WO2021249286A1 (en) New drug formula for immunotherapy and tablet structure thereof
US20070212406A1 (en) Homeopathic drug composition and methods of use thereof
WO2021164523A1 (en) Akkermansia muciniphila composition
CN104161746B (en) Sugarless type Lysinepuzinc particulate composition and preparation method
CN105616581A (en) Glipizide-containing pharmaceutical composition for treating diabetes and preparation method thereof
CN102552440B (en) Anti-asthmatic and anti-inflammatory medicament and preparation method and application thereof
CN105194658A (en) Traditional Chinese medicinal preparation for treating obesity and enhancing physique and preparation method of traditional Chinese medicinal preparation
CN104721808A (en) Pharmaceutical composition for treating neonatal jaundice
CN113440574B (en) Application of traditional Chinese medicine composition in preparation of medicine for treating viral myocarditis
US4990513A (en) Antihypoxic drug and method of its application
CN107158195A (en) It is a kind of to treat pharmaceutical composition of children&#39;s bronchus asthma and preparation method thereof
CN104887696B (en) Iron-dextrin and ascorbic compound preparation
CN113244208B (en) Application of HPA in preparation of medicine for treating non-alcoholic fatty liver disease
CN102526110B (en) Venenum bufonis powder injection for cardiotonic emergency treatment and preparation method thereof
CN102283832B (en) Medicinal composition for preventing or treating hypertensive obese patient and application thereof
CN102178757B (en) Medicinal composition containing ferment caterpillar fungus powder and pears serving as raw materials
CN105708984A (en) Tibetan medicine composition for treating diarrhea of sheep and application of Tibetan medicine composition
Senanayake et al. Profound thrombocytopenia and generalized hyperpigmentation following pyrimethamine use
WO2022257693A1 (en) Traditional chinese medicine composition for treating hypertension and preparation method therefor
CN113082199A (en) Pharmaceutical composition for treating nephropathy and preparation method thereof

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 21821407

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 21821407

Country of ref document: EP

Kind code of ref document: A1