Summary of the invention
Technical problem to be solved by this invention is, provide a kind of to the treatment apoplexy have evident in efficacy, control short treating period, Chinese medicine composition that cure rate is high.
Another object of the present invention is, a kind of method for preparing above-mentioned Chinese medicine composition is provided.
The objective of the invention is to be achieved through the following technical solutions,
A kind of Chinese medicine composition for the treatment of apoplexy is characterized in that, it comprises following active component: Rhizoma Acori Graminei, Rhizoma Chuanxiong, Borneolum Syntheticum.The weight proportion of above-mentioned active component is: Rhizoma Acori Graminei 50-500, Rhizoma Chuanxiong 50-500, Borneolum Syntheticum 1-10.Preferred weight proportioning: Rhizoma Acori Graminei 150, Rhizoma Chuanxiong 150, Borneolum Syntheticum 4.
Described Chinese medicine composition also comprises the adjuvant of following weight proportion: polyethylene glycol 6000 5-50, Macrogol 4000 5-50, Tween-80 0.5-3.5.Preferred weight proportioning: polyethylene glycol 6000 16.66, Macrogol 4000 11.1, Tween-80 1.74.
The preparation method of the Chinese medicine composition of above-mentioned treatment apoplexy is: after being ready to raw material by said ratio, get Rhizoma Acori Graminei, Rhizoma Chuanxiong with carbon dioxide supercritical fluid extraction or water vapour distillation volatile oil, add Borneolum Syntheticum, adjuvant substrate, make said any dosage form on the clinical acceptable pharmaceutics.
Rhizoma Acori Graminei and Borneolum Syntheticum are the drugs of causing resuscitation by administering aromatic drugs of using always.Rhizoma Acori Graminei have one's ideas straightened out eliminating phlegm, refreshment Fructus Alpiniae Oxyphyllae; Borneolum Syntheticum consciousness and resuscitation restoring, clearing away heat to alleviate pain.Rhizoma Acori Graminei has clear and definite effect to CNS, and the cerebral edema and the brain stupor that form for different reasons clinically have good efficacy, can eliminate disturbance of consciousness and neural mental symptom rapidly; Have obvious convulsion, promote learning and memory of little mouse, improve hypoxia-bearing capability, maincenter sedation and antipyretic effect.Studies show that Rhizoma Acori Graminei volatile oil is its consciousness-restoring and orifice-opening and calm, anticonvulsant key component.Contain tens kinds of compositions in the Rhizoma Acori Graminei volatile oil, be mainly beta-Asarone and α-asaricin.External report asaricin can be protected the brain cortex cell, alleviates the neurotoxicity that is caused by aspartic acid (NMDA) or glutamic acid (Glu); Energy blood fat reducing, antiplatelet aggregation, antithrombotic form.With the Rhizoma Acori Graminei is that the main compound preparation of making effect aspect treatment apoplexy cerebral edema is remarkable, and can improve the extent of damage of experimental cerebral edema neuron, glial cell, blood capillary.
Borneolum Syntheticum has another name called Borneolum Syntheticum.Amplification on Canon of Materia Medica is put down in writing: " Borneolum Syntheticum, the big tonneau of this thing closes the heat of the diaphragm plug, and its delicate fragrance is that hundred medicines are earlier, and children's's adult wind saliva is stopped up, and the sudden and violent fever (of children) accompanied by fear that gets, and very Ji is used." Borneolum Syntheticum consciousness and resuscitation restoring, clearing away heat to alleviate pain, be used for the treatment of and disease such as close in calentura coma, the expectorant heat.Can obviously improve the concentration of gentamycin in brain after report rats gavaged Borneolum Syntheticum preparation is arranged, increase the concentration of gentamycin in the serum, and can strengthen Azo-Blue the indigo plant of cerebral tissue is dyed degree, the prompting Borneolum Syntheticum has the effect that improves (raising) blood-brain barrier permeability.
Rhizoma Chuanxiong is the dry rhizome of samphire Rhizoma Chuanxiong, has effects such as blood-activating and qi-promoting, wind-expelling pain-stopping, dissipating depression of QI dampness.Chinese medical theory is thought Rhizoma Chuanxiong, and " Xin Xiang walks to scurry and circulation of qi promoting, and blood circulation promoting and blood stasis dispelling is with hemostasis, and the up head and dispeling the wind is lowered to the sea of blood with regulating menstruation.And outer thorough fur, the bypass extremity are the gas medicine in the blood ".
After mixing according to certain proportioning, the Rhizoma Chuanxiong that the present invention will have the Rhizoma Acori Graminei of the eliminating phlegm of having one's ideas straightened out, refreshment Fructus Alpiniae Oxyphyllae and blood-activating and qi-promoting, wind-expelling pain-stopping, dissipating depression of QI dampness extracts volatile oil, add the Borneolum Syntheticum of consciousness and resuscitation restoring, clearing away heat to alleviate pain and the Chinese medicine composition that other adjuvant substrate obtains then, CNS had clear and definite effect, cerebral edema and brain stupor for different reasons formation clinically have good efficacy, can eliminate disturbance of consciousness and neural mental symptom rapidly; Have obvious convulsion, promote learning and memory of little mouse, improve hypoxia-bearing capability, maincenter sedation and antipyretic effect; Can protect the brain cortex cell, alleviate the neurotoxicity that causes by aspartic acid (NMDA) or glutamic acid (Glu); Energy blood fat reducing, antiplatelet aggregation, antithrombotic form, and the effect that improves (raising) blood-brain barrier permeability is arranged; Improve the extent of damage of experimental cerebral edema neuron, glial cell, blood capillary.
Below in conjunction with pharmacodynamics and toxicological experiment, introduce the effect of the present invention at the treatment apoplexy.
Pharmacodynamics test:
1, blood coagulation resisting function and rat suppository form experiment
1.1 animal: NIH mice, the animal quality certification number: 2001A044; The Guangdong number of checking and affirm 2004A018; The SD rat, the animal quality certification number: 2001A026; The Guangdong number of checking and affirm 2004A021.All animals are all available from Guangdong Medical Lab Animal Center.
Experimental enviroment: Animal House keep to ventilate, dry, room temperature 22-25 ℃, humidity 50-70%, and the Mus amount of anticipating is raised, and freely drinks water.
1.2 medicine and dosage:
(1), be subjected to the reagent thing: refreshment Fructus Alpiniae Oxyphyllae drop pill, LiZhu Medicine Group Co., Ltd provides, it comprises following active component: Rhizoma Acori Graminei, Rhizoma Chuanxiong, Borneolum Syntheticum.
According to the preliminary experiment result, mice minimum effective dose 0.45g/kg body weight; Rat minimum effective dose 0.21g/kg body weight.Basic, normal, high dosage is than being 1:2:4, and the corresponding middle and high dosage of mice is respectively 0.90g/kg and 1.8g/kg; The corresponding middle and high dosage of rat is respectively 0.42g/kg and 0.84g/kg, gastric infusion, and every day twice, the upper and lower noon is respectively once
(2), positive control drug:
Aspirin enteric coatel tablets: Hangzhou grace China Co., Ltd of Pharmaceutical group.Gastric infusion, every day secondary, the upper and lower noon each once, each dosage is: mice 61mg/kg body weight, rat 28.2mg/kg body weight.
(3), negative control medicine: mice 2.25% substrate, rat 2.1% substrate (substrate :) with the adjuvant preparation of removing active component Rhizoma Acori Graminei volatile oil, Rhizoma Chuanxiong volatile oil, Borneolum Syntheticum in the component of the present invention.
Medication: irritate stomach.
1.3 data and statistical procedures: experimental data is represented with x ± SD, carries out significance test of difference with SPSS10.0 software ANOVA variance analysis.
1.4 experimental technique
1.4.1 blood coagulation resisting function: get 60 of healthy NIH mices, male and female half and half, divide 5 groups at random: the high, medium and low dosage group of refreshment Fructus Alpiniae Oxyphyllae drop pill, positive controls (give aspirin, 0.12g/kg.d), negative control group (giving equal-volume substrate), 12 every group.Gastric infusion 7d divides 2 times/d administration, is that the capillary glass tube insertion mice endocanthion eyeball rear vein beard of 1mm is got blood with internal diameter behind the 7d administration 30min, reaches 5cm to the capillary blood post.Every 30s capillary glass-tube 1 segment that fractures, check to have or not the blood clotting silk to occur.Calculating is taken a blood sample to from the capillary glass-tube and the time of blood clotting silk occurred, is clotting time, compares (seeing Table 1) with matched group.
Table 1 refreshment Fructus Alpiniae Oxyphyllae drop pill is to the influence of clotting time of mice (X ± S)
Compare with negative control group: * P<0.05**P<0.01***P<0.001
Results suggest: refreshment Fructus Alpiniae Oxyphyllae drop pill can prolong the clotting time of mice, with negative control group the significance difference is arranged relatively, illustrates that this medicine has blood coagulation resisting function; With positive controls relatively, clotting time does not have the significance difference, illustrate aspect anticoagulation and the therapeutic equivalence of existing medicine; In addition, refreshment Fructus Alpiniae Oxyphyllae drop pill has with the enhanced trend of dosage increase effect.
1.4.2 rat suppository forms experiment: get 50 of healthy SD rats, male and female half and half, divide 5 groups at random: the high, medium and low dosage group of refreshment Fructus Alpiniae Oxyphyllae drop pill, positive controls (give aspirin, 0.0564g/kg.d), negative control group (giving equal-volume substrate), 10 every group.Gastric infusion 7d, divide 2 times/d administration, behind the last administration 30min, rat is got dorsal position with 10% chloral hydrate (3ml/kg body weight) intraperitoneal injection of anesthesia, cuts the about 3cm of skin in the abdomen median line, open the abdominal cavity from hunter's line, find postcava and separation, with thick line ligation postcava, sew up stomach wall in the left renal vein below.Behind the 2h, reopen the abdominal cavity, 2cm clamps blood vessel with mosquito forceps in the place below ligation, and this section tube chamber inner blood is exhausted, and tube chamber is cut off in stringer then, observes to have or not thrombosis, if any then taking out 60 ℃ of dryings, weighs behind the 24h.With thrombosis percentage rate and thrombus weight is index.Relatively administration group and matched group have or not significant difference (seeing Table 2).
The influence that table 2 pair rat suppository forms (X ± S, n=10)
Compare with negative control group: * P<0.05
Results suggest: refreshment Fructus Alpiniae Oxyphyllae drop pill can reduce rat suppository and form percentage rate, reduces thrombus weight, with negative control group the significance difference is arranged relatively, illustrates that this medicine has the effect that rat suppository forms that suppresses.
2, to the cerebrovascular influence of anesthetized dog
2.1 animal
Healthy hybrid dog is provided by the The 2nd Army Medical College Animal House, the animal feeding quality certification number: SCXK (Shanghai) 20020006.Body weight: 10~13kg; Sex: male and female dual-purpose; Every treated animal number: 6 of dogs.Animal sum: 30
2.2 the test method animal is used Nembutal vein anesthetic (30mgkg
-1); Separate right common carotid artery and external carotid artery, behind the ligation external carotid artery, laying diameter on common carotid artery is the electromagnetic flowmeter probe of 2.5~3mm, with MFV-1100/1200 type electromagnetic flowmeter record ICAF amount (Japanese Nihon Kohden company); Separate femoral artery, parallel intubate is through pressure transducer record tremulous pulse mean blood pressure; Needle electrodes is inserted the subcutaneous record mark of extremity II lead electrocardiogram, and ICAF amount, blood pressure and electrocardiosignal are imported polygraph by PowerLab data acquiring and recording analytical system (ML785/8S, AD Instruments, Australia).After operation finishes, stablized 30 minutes, write down once every index as administration before control value, the solvent control group is irritated stomach and is given normal saline 2ml/kg, positive drug control group filling stomach NAOAN JIAONANG 160mg/kg.Be subjected to reagent thing group to irritate stomach refreshment Fructus Alpiniae Oxyphyllae drop pill, write down every desired value after the administration in 15,30,60,90,120,180 minutes respectively.Put to death dog after 180 minutes, get brain and weigh.Multiply by 2 representative full cerebral blood flows (CBF) with the right common carotid artery blood flow.Cerebral vascular resistance can be calculated with formula: R=BP (kPa)/[CBF (ml/min) 100g brain].
2.3 dosage setting: according to the preliminary experiment result, the dog minimum effective dose is 0.4g/kg, and basic, normal, high dosage is than being 1:3:6, and corresponding middle and high dosage is respectively 1.2g/kg and 2.4g/kg.Positive control NAOAN JIAONANG (LiaoYuan YaDong Medicine Co., Ltd., Jilin Province, lot number 040716), it recommends clinical dosage is 1.6g/ people/sky, the people presses the 60kg body weight and calculates, corresponding dosage is 27mg/kg/d, conversion is 54mg/kg for the dosage of dog, and design positive drug dosage quite is subjected to the middle dosage of reagent thing, so be taken as 160mg/kg.
2.4 solvent control: normal saline is pressed the 2ml/kg gastric infusion.
2.5 observation index and observing time: observed and recorded ICAF amount, blood pressure, electrocardiogram, heart rate, be administration 0,15,30,60,90,120,180 minutes observing time.
2.6 data and statistical procedures: experimental data is represented with x ± SD, carries out significance test of difference with SPSS10.0 software ANOVA variance analysis.
2.7 result of the test: anesthetized dog is stablized 30min after surgery, the heart rate, blood pressure, ICAF amount of record dog as administration before control value, irritate stomach refreshment Fructus Alpiniae Oxyphyllae drop pill, NAOAN JIAONANG or normal saline then respectively, and after irritating stomach 15,30,60,90,120,180min writes down every index respectively.Experimental result shows:
(1) to the influence of cerebral blood flow: solvent control group cerebral blood flow 15~180min has fluctuation, but with administration before relatively do not have significant difference.The basic, normal, high dosage of refreshment Fructus Alpiniae Oxyphyllae drop pill (0.4,1.2,2.4g/kg) group and positive control NAOAN JIAONANG group gastric infusion, the cerebral blood flow increase.Refreshment Fructus Alpiniae Oxyphyllae drop pill rate of change compares with time point with the solvent control group: refreshment Fructus Alpiniae Oxyphyllae drop pill low dose group (0.4g/kg) 30~60min cerebral blood flow after administration increases has compared remarkable rising (P<0.05) with the blank group, and the cerebral blood flow increase has highly significant meaning (P<0.01) during 90~120min; The increase of 30~180min cerebral blood flow has highly significant meaning (P<0.01) after middle dosage group (1.2g/kg) and high dose group (2.4g/kg) administration; The increase of 60~180min cerebral blood flow has highly significant meaning (P<0.01) after the administration of NAOAN JIAONANG group.Experimental result sees Table 3 and Fig. 1.
(2) to the influence of cerebral vascular resistance: solvent control group cerebral vascular resistance 15~180min has fluctuation, but with administration before relatively do not have significant difference.Basic, normal, high dosage group of refreshment Fructus Alpiniae Oxyphyllae drop pill (0.4,1.2,2.4g/kg) and NAOAN JIAONANG group gastric infusion, cerebral vascular resistance reduces.Rate of change and solvent control group be with time point relatively: refreshment Fructus Alpiniae Oxyphyllae drop pill low dose group (0.4g/kg) after administration during 30min cerebral vascular resistance reduce and have remarkable meaning (P<0.05), have highly significant meaning (P<0.01) during 60~120min; After middle dosage group (1.2g/kg) administration, the cerebral vascular resistance reduction has highly significant meaning (P<0.01) during 30~120min, still has remarkable meaning (P<0.05) during 180min; 30~180min cerebral vascular resistance reduction is compared with the blank group after high dose group (2.4g/kg) administration, and highly significant meaning (P<0.01) is all arranged; After the administration of NAOAN JIAONANG group during 90~120min cerebral vascular resistance reduce and have highly significant meaning (P<0.01).Experimental result sees Table 4 and Fig. 2.
(3) to the influence of blood pressure, heart rate: blood pressure, each time point of heart rate of low dosage (0.4g/kg, 1.2g/kg) and positive control NAOAN JIAONANG group anesthetized dog slightly change in blank group, the refreshment Fructus Alpiniae Oxyphyllae drop pill, but between there was no significant difference.Blood pressure is compared remarkable reduction (P<0.01 and P<0.05) than the blank group with time point during refreshment Fructus Alpiniae Oxyphyllae drop pill high dose (2.4g/kg) group 60~90min.Experimental result sees Table 5,6 and Fig. 3,4.
Conclusion (of pressure testing): refreshment Fructus Alpiniae Oxyphyllae drop pill is irritated low, the middle dosage group of stomach (0.4g/kg, 1.2g/kg) blood pressure, heart rate is not made significant difference; Blood pressure significantly reduces during high dose group 60~90min, and all the other each time points and heart rate are compared with the blank group and do not made significant difference; Each dosage group all can significantly increase the cerebral blood flow of anesthetized dog, reduces cerebral vascular resistance.
Toxicologic study:
1, acute toxicity: examine the specific requirement that relevant acute toxicity test is studied in the way by new Chinese medicine, refreshment Fructus Alpiniae Oxyphyllae drop pill is carried out acute toxicity test.The drop pill of refreshment Fructus Alpiniae Oxyphyllae as a result its mouse oral is irritated stomach LD
50Be 5.1255g/kg, LD
50The 95% average credible 5.1255 ± 0.1686g/kg that is limited to.Refreshment Fructus Alpiniae Oxyphyllae drop pill mice safe dose is 4.348g/kg, is equivalent to 348 times of clinical application, and under this dosage, animal breath is more even, activity has minimizing slightly, and other general state is good, and feed drinking-water is normal, weight increase does not have tangible toxic reaction symptom, and none example of animal is dead.Though the toxic reaction of refreshment Fructus Alpiniae Oxyphyllae drop pill is described, under this dosage, does not have tangible acute toxicity effect.
2, long term toxicity: rat was irritated stomach in continuous 3 months and gives refreshment Fructus Alpiniae Oxyphyllae drop pill.Tried rat and be divided into four groups, 20 every group, male and female half and half.High, medium and low dosage group dosage is respectively: 1.4g/kg every day (body weight), 0.7g/kg (body weight) and 0.35g/kg (body weight), matched group gives substrate.Observe general situation every day, measure body weight weekly 1 time, to adjust dosage.After the administration 3 months, put to death 2/3 animal for every group and carry out pathology, hematological examination, blood biochemical inspection.Continue to observe for 2 weeks after the drug withdrawal of residue animal, carry out pathology, hematological examination, blood biochemical inspection equally.The result: some animal activity of high dose group reduces, hair is loose, and the mental status is poor slightly; It is normal substantially that other respectively organizes activities in rats, overt toxicity symptom or death do not occur.Hematological examination, blood biochemical are learned results such as inspection and pathological examination and are shown: give refreshment Fructus Alpiniae Oxyphyllae drop pill continuously after 3 months, high dose group total white blood cells (WBC), lymphocyte number (LYM) and blood glucose (Glu) raise, hemoglobin (HGB) reduces (P<0.05), and all the other every hematologys, blood biochemical are learned and checked no abnormality seen; Pathological examination, high dose group: 2 rat heart muscles have kitchen range shape edema, vacuolar degeneration, wherein accompany fibrosis cicatrization, all the other each organ no abnormality seens for 1; Pathological anatomy and organ index no abnormality seen, in, the low dose group no abnormality seen;
After 2 weeks of drug withdrawal, each organizes the hematology, blood biochemical is learned inspection, pathological anatomy, histological examination and organ index no abnormality seen.Though the toxic reaction under high dose of refreshment Fructus Alpiniae Oxyphyllae drop pill is described, under this dosage, does not have tangible toxic action; Under middle low dosage, there is not toxic action.
3, ICR mouse marrow cell chromosome aberration test
Adopt chromosomal aberration test method in the ICR mice body, detected refreshment Fructus Alpiniae Oxyphyllae drop pill chromosomal damaging action, test establish 2.0,1.0 and three dosage groups of 0.5g/kg (be equivalent to mice LD respectively
501/2.5,1/5,1/10), the per os single administration.The result shows: be subjected to ICR mouse marrow cell chromosome aberration rate and matched group there was no significant difference under the amount of reagent, illustrating that this medicine does not have the aberration inducing effect to the ICR mouse marrow cell chromosome.
4, rodent micronucleus test
By the designing requirement of " new drug (Western medicine) preclinical study guideline compilation ", use mouse bone marrow cells micronucleus test method refreshment Fructus Alpiniae Oxyphyllae drop pill is carried out mutagenicity research.The test establish 2.0,1.0 and three dosage groups of 0.5g/kg (be equivalent to mice LD respectively
501/2.5,1/5,1/10), a gastric infusion.The result shows: under set dosage, refreshment Fructus Alpiniae Oxyphyllae drop pill brings out rate (‰) and negative control group to the micronucleus of NIH mice does not more all have significant difference (P〉0.05), shows that being tried thing refreshment Fructus Alpiniae Oxyphyllae drop pill does not have the effect of bringing out bone marrow polychromatic erythrocyte micronucleus to the NIH mice.
5, microorganism reverse mutation test
Designing requirement by " new drug (Western medicine) preclinical study guideline compilation ", selecting histidine defect type Salmonella typhimurium (S.typhimurium) TA97, TA98, TA100, TA102 and TA1535 for use is indicator strain, adopts the dressing plate method of mixing to detect the mutagenicity of refreshment Fructus Alpiniae Oxyphyllae drop pill.If 5000, five dosage groups of 500,50,5,0.5 μ g/ ware, test is not adding and is not adding under metabolism activation system (S9) condition and carry out.The result shows, is subjected under the amount of reagent at 5000 μ g/ wares, and TA97 and TA98 bacterial strain are had certain bacteriostasis.Tried thing when not adding metabolism activation agent (S9), be significantly increased being subjected to respectively under the amount of reagent that returning of TA98 become the bacterium colony number average, become clump count and contrast no significant difference, illustrated that medicine can detoxify through metabolism but return when adding metabolism activation agent (S9).Be subjected under the amount of reagent to other each bacterial strains add or do not add under metabolism activation agent (S9) condition all with negative control group to return parameter close.Show that refreshment Fructus Alpiniae Oxyphyllae drop pill has mutagenicity to TA98 when not adding S9.But under adding metabolism activation agent (S9) condition, there is not mutagenicity.
6, sensitive period to teratogenic agent toxicity test
Application standard tertogenicity test method detects refreshment Fructus Alpiniae Oxyphyllae drop pill to the toxicity of SD rat at sensitive period to teratogenic agent of becoming pregnant.3 dosage groups, i.e. 1.0gkg are established in experiment
-1, 0.5gkg
-1And 0.25gkg
-1Body weight (is equivalent to mice LD
501/5-20/1 and clinical recommended dose 540mg/ people/day, 9.33mg/kg 25-100 times) and 1 negative control (solvent), in GD6 to GD15 organ generation sensitive period, adopt gastric infusion, GD20 cuts open to kill and observe and has or not deformity, skeleton deformity and internal organs deformity substantially.The result: refreshment Fructus Alpiniae Oxyphyllae drop pill is at high dose (1.0gkg
-1) time female Mus weightening finish reduce, live that the tire rate reduces and still birth rate increases.Tire Mus sex ratio there is not obvious influence; Do not see tangible cardinal principle deformity, skeleton deformity and internal organs deformity yet.Conclusion: refreshment Fructus Alpiniae Oxyphyllae drop pill is at 1.0gkg
-1During dosage, rat there are maternal toxicity and fetal toxicity, at 0.5gkg
-1And 0.25gkg
-1Following dosage is not observed maternal toxicity and fetal toxicity, is subjected to all not observed under the amount of reagent tangible teratogenesis.