CN108079089B - Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof - Google Patents

Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof Download PDF

Info

Publication number
CN108079089B
CN108079089B CN201810062569.9A CN201810062569A CN108079089B CN 108079089 B CN108079089 B CN 108079089B CN 201810062569 A CN201810062569 A CN 201810062569A CN 108079089 B CN108079089 B CN 108079089B
Authority
CN
China
Prior art keywords
parts
diabetic nephropathy
traditional chinese
chinese medicine
medicine composition
Prior art date
Legal status (The legal status 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 status listed.)
Active
Application number
CN201810062569.9A
Other languages
Chinese (zh)
Other versions
CN108079089A (en
Inventor
冯兴中
鄢丹
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Shijitan Hospital
Original Assignee
Beijing Shijitan Hospital
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 Beijing Shijitan Hospital filed Critical Beijing Shijitan Hospital
Priority to CN201810062569.9A priority Critical patent/CN108079089B/en
Publication of CN108079089A publication Critical patent/CN108079089A/en
Application granted granted Critical
Publication of CN108079089B publication Critical patent/CN108079089B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/481Astragalus (milkvetch)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/23Apiaceae or Umbelliferae (Carrot family), e.g. dill, chervil, coriander or cumin
    • A61K36/232Angelica
    • 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)
    • A61K36/62Nymphaeaceae (Water-lily family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/70Polygonaceae (Buckwheat family), e.g. spineflower or dock
    • A61K36/708Rheum (rhubarb)
    • 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)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • A61K36/718Coptis (goldthread)
    • 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)
    • A61K36/73Rosaceae (Rose family), e.g. strawberry, chokeberry, blackberry, pear or firethorn
    • A61K36/738Rosa (rose)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/331Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using water, e.g. cold water, infusion, tea, steam distillation, decoction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/39Complex extraction schemes, e.g. fractionation or repeated extraction steps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/50Methods involving additional extraction steps
    • A61K2236/53Liquid-solid separation, e.g. centrifugation, sedimentation or crystallization

Landscapes

  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Alternative & Traditional Medicine (AREA)
  • Biotechnology (AREA)
  • Botany (AREA)
  • Medical Informatics (AREA)
  • Medicinal Chemistry (AREA)
  • Microbiology (AREA)
  • Mycology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medicines Containing Plant Substances (AREA)

Abstract

The invention discloses a traditional Chinese medicine composition for treating diabetic nephropathy, which comprises the following raw materials in parts by weight: 30-50 parts of astragalus membranaceus, 5-15 parts of angelica sinensis, 5-15 parts of gordon euryale seed, 5-20 parts of cherokee rose fruit, 30-50 parts of coptis chinensis and 5-15 parts of rheum officinale. The traditional Chinese medicine composition defines the medicinal components and the proportion of the effective prescription medicine for clinically treating the diabetic nephropathy, can obviously improve the early clinical symptoms of the diabetic nephropathy, obviously reduce the excretion of microalbumin in urine at the early stage of the diabetic nephropathy, protect the renal function and effectively prevent or delay the progress of the diabetic nephropathy.

Description

Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof
Technical Field
The invention belongs to the field of traditional Chinese medicines, and particularly relates to a traditional Chinese medicine composition for treating diabetic nephropathy and a preparation method thereof.
Background
Diabetic nephropathy is one of the most serious and common chronic complications of diabetic patients, and is also one of the main causes of end-stage nephropathy, and the incidence rate of the diabetic nephropathy is about 20-40%. Although the incidence of diabetic nephropathy is on the rise, no effective treatment means is available for diabetic nephropathy, and the application of chemosynthetic drugs is limited. The treatment principle is as follows: strictly controlling blood sugar, making the blood sugar close to normal level as far as possible, and preventing and delaying the occurrence of diabetic nephropathy; ② the rate of renal function decline is delayed; ③ dialysis treatment and kidney transplantation. Therefore, the traditional Chinese medicine has certain advantages in treating the diabetic nephropathy in an overall regulation way due to the nature, and becomes a common treatment method for the diabetic nephropathy.
The Chinese patent with the publication number of CN104971101A discloses a traditional Chinese medicine composition for treating diabetic nephropathy, which comprises the following raw material medicines in parts by weight: 10-120 parts of caulis sinomenii, 10-120 parts of flatstem milkvetch seed, 10-120 parts of astragalus root, 5-60 parts of coptis root and 5-50 parts of safflower.
The Chinese patent with the publication number of CN104758379A discloses a traditional Chinese medicine for treating diabetic nephropathy, which is prepared from the following raw medicinal materials in parts by weight: 6 parts of leech, 15 parts of salvia miltiorrhiza, 20 parts of ligusticum wallichii, 10 parts of red paeony root, 15 parts of cornus officinalis, 12 parts of achyranthes root, 15 parts of herba lycopi, 15 parts of semen lepidii and 15 parts of plantain seed.
The Chinese patent with the publication number of CN104888082A discloses a traditional Chinese medicine for treating diabetic nephropathy, which is prepared from the following traditional Chinese medicine raw materials in parts by weight: 8-16 parts of fructus psoraleae, 8-16 parts of fructus alpiniae oxyphyllae, 8-16 parts of semen cuscutae, 8-16 parts of radix achyranthis bidentatae, 8-16 parts of salvia miltiorrhiza, 8-16 parts of folium sennae, 4-8 parts of semen pharbitidis, 8-16 parts of angelica sinensis, 11-19 parts of prepared rehmannia root, 8-16 parts of donkey-hide gelatin, 8-16 parts of ginseng, 8-16 parts of rhizoma atractylodis macrocephalae, 8-16 parts of Chinese yam and 4-8 parts of liquorice.
Therefore, the utilization of traditional Chinese medicines for treating diabetic nephropathy becomes a hotspot of current research, and how to provide a traditional Chinese medicine composition with remarkable curative effect and small toxic and side effects has very important significance.
Disclosure of Invention
The invention aims to develop a traditional Chinese medicine composition for treating diabetic nephropathy, which defines the medicine compatibility and the dosage proportion of traditional Chinese medicines, can obviously improve the main clinical symptoms of the diabetic nephropathy, obviously reduce the excretion of microalbumin in urine of the diabetic nephropathy, regulate glycolipid metabolism, protect renal functions, effectively prevent or delay the progress of the diabetic nephropathy, does not find obvious adverse reactions, has good safety, and is an effective traditional Chinese medicine composition for treating the diabetic nephropathy.
The other purpose of the invention is to provide a preparation method of the traditional Chinese medicine composition for treating diabetic nephropathy, which can effectively extract the main effective components contained in the traditional Chinese medicine composition.
In order to solve the technical problems, the invention provides the following technical scheme:
a traditional Chinese medicine composition for treating diabetic nephropathy comprises the following raw materials in parts by weight: 30-50 parts of astragalus membranaceus, 5-15 parts of angelica sinensis, 5-15 parts of gordon euryale seed, 5-20 parts of cherokee rose fruit, 30-50 parts of coptis chinensis and 5-15 parts of rheum officinale. Particularly, the characteristics of the traditional Chinese medicine composition are that the astragalus and the coptis are used in large dose, and the traditional Chinese medicine composition is very important for improving diabetic nephropathy indications.
Preferably, the traditional Chinese medicine composition comprises the following raw materials in parts by weight: 30 parts of astragalus, 10 parts of angelica, 10 parts of gordon euryale seed, 10 parts of cherokee rose fruit, 10 parts of coptis root and 6 parts of rhubarb.
Wherein the dosage form of the traditional Chinese medicine composition is tablets or capsules.
The preparation method of the traditional Chinese medicine composition for treating diabetic nephropathy comprises the following steps:
(1) crushing the medicinal materials of gordon euryale seed and cherokee rose fruit, sieving the crushed medicinal materials with a No. 1 sieve, adding 5-10 times of water, soaking for 0.4-0.6 h, heating, decocting and extracting for 2 times, each time for 0.8-1.2 h, filtering, combining the filtrates, and concentrating under reduced pressure to obtain thick paste 1;
(2) crushing astragalus, angelica, coptis and rhubarb, sieving the crushed astragalus, angelica, coptis and rhubarb by a No. 1 sieve, adding 5-10 times of water, soaking for 0.4-0.6 h, heating, decocting and extracting for 2 times, each time for 0.8-1.2 h, filtering, combining filtrates, concentrating under reduced pressure, adding 95% ethanol until the alcohol concentration is 50-80%, uniformly mixing, standing, taking supernatant, and concentrating under reduced pressure to obtain thick paste 2;
(3) mixing the soft extracts 1 and 2, and mixing.
Preferably, in step (1), the density of the thick paste 1 measured at 60 ℃ is 1.10-1.15 g/ml.
In the step (2), the density of the thick paste 2 measured at 60 ℃ is 1.10-1.15 g/ml.
The efficacy of the various formulations adopted by the invention is as follows:
astragalus root: has effects of invigorating qi, consolidating superficial resistance, arresting sweating, promoting granulation, inducing diuresis, and relieving swelling. Can be used for treating deficiency of vital energy, asthenia, collapse of middle-warmer energy, chronic diarrhea, proctoptosis, hematochezia, metrorrhagia, superficial deficiency, spontaneous perspiration, carbuncle, cellulitis, intractable ulcer, blood deficiency, sallow complexion, internal heat, diabetes, chronic nephritis, albuminuria, diabetes, etc. Huang Qi Zhi has the actions of tonifying qi and strengthening middle energizer, while the raw one is used for strengthening exterior and relieving sore.
Chinese angelica: sweet, pungent, bitter and warm in nature; it enters liver, heart and spleen meridians; used for various syndromes of blood deficiency; menoxenia; amenorrhea; dysmenorrhea; the accumulation of symptoms; (ii) metrorrhagia and metrostaxis; abdominal pain due to deficiency-cold; flaccidity and paralysis; numbness of the skin; intestinal dryness and difficult defecation; severe dysentery with diarrhea; carbuncle, cellulitis, sore and ulcer; injury from falling.
Gorgon fruit: the astringent in the gorgon fruit traditional Chinese medicine has the functions of tonifying middle-jiao and Qi, tonifying kidney and securing essence, and removing dampness and stopping leukorrhagia; can be used for treating nocturnal emission, enuresis, frequent micturition, spleen deficiency, chronic diarrhea, whitish and turbid urine, and leukorrhagia.
Cherokee rose fruit: sour, sweet, astringent and neutral. It enters kidney, bladder and large intestine meridians. Can secure essence and reduce urination, astringe intestines and stop diarrhea, the cherokee rose contains a great amount of acid substances, soap and the like, can secure essence and prevent spermatorrhea and diarrhea of men and leukorrhagia of women, can also secure intestinal tracts and prevent diarrhea and dysentery caused by spleen deficiency and poor restraint. Can also be used for arresting urination and enuresis, contains a large amount of acidic substances and saponins, has effects of restricting upper sphincter from dropping, prolonging urination time interval, and increasing urine output per time, and can be used for treating enuresis and frequent micturition.
Coptis chinensis: the product is dried rhizome of Coptidis rhizoma of Ranunculaceae; bitter taste and cold nature; the channels of heart, spleen, stomach, liver, gallbladder and large intestine; clear heat and dry dampness, purge fire and remove toxicity.
Rhubarb: nature and taste: bitter and cold. Meridian tropism: stomach, large intestine, liver and spleen meridians; clearing away damp-heat: it can conduct damp-heat out of the stool. The main treatment is as follows: constipation due to excess heat; heat retention in the chest and fullness; dysentery due to damp-heat; jaundice; gonorrhea; edema and abdominal fullness; difficulty in urination; conjunctival congestion; swollen and sore throat; sores develop in the mouth and tongue.
The formula is reasonable in compatibility, and the medicines are combined to play the effects of tonifying kidney and qi, removing blood stasis and dredging collaterals, expelling toxin and discharging turbidity, and enriching blood and nourishing blood, so that the pathogenesis of early diabetic nephropathy is fastened, and the renal function of a patient can be obviously improved.
The invention has the beneficial effects that:
(1) the traditional Chinese medicine composition defines the medicinal components and the proportion of an effective prescription for clinically treating diabetic nephropathy, can obviously improve the early clinical symptoms of the diabetic nephropathy, obviously reduce the excretion of microalbumin in urine at the early stage of the diabetic nephropathy, regulate the glycometabolism, protect the renal function and effectively prevent or delay the progress of the diabetic nephropathy; (2) the composition is a traditional Chinese medicine formula, has no obvious adverse reaction and has good safety; the traditional Chinese medicine composition has comprehensive effects and better medicine treatment effect, obviously improves the medication compliance of the diabetic patients, and improves the life quality of the patients; (3) the components of the traditional Chinese medicine composition are extracted from conventional natural traditional Chinese medicinal materials, and the raw materials are convenient and easy to obtain; the extraction process is simple and easy to operate, the process index is easy to control, and the whole process is easy to realize industrial production; (4) the Chinese medicinal composition has flexible and various preparation types, can be prepared into dosage forms such as tablets, capsules and the like which are convenient to take orally according to different requirements, is convenient to use, is suitable for long-term administration treatment of diabetic nephropathy, and is easily accepted by patients; it also has the advantages of good therapeutic effect, low cost, high therapeutic effect, etc.
Drawings
FIG. 1 is a graph showing the body weight changes of rats in different treatment groups according to example 1 of the present invention;
FIG. 2 is the body weight of rats of different treatment groups at the end of the experiment in example 1 of the present invention;
FIG. 3 is a graph showing the blood glucose changes of rats in different treatment groups according to example 1 of the present invention;
FIG. 4 is the blood glucose of rats of different treatment groups at the end of the experiment in example 1 of the present invention;
FIG. 5 shows the change in microalbumin in 24h urine in rats from different treatment groups according to example 1 of the present invention;
FIG. 6 shows 24h urine microalbumin at the end of the experiment in example 1 of the present invention in rats from different treatment groups;
FIG. 7 shows the body weight changes of rats in different treatment groups according to example 3 of the present invention;
FIG. 8 is the body weight of rats of different treatment groups at the end of the experiment in example 3 of the present invention;
FIG. 9 shows the blood glucose changes of rats in different treatment groups according to example 3 of the present invention;
FIG. 10 is the blood glucose of rats of different treatment groups at the end of the experiment in example 3 of the present invention;
FIG. 11 shows the 24h urine microalbumin changes in rats from different treatment groups according to example 3 of the present invention;
FIG. 12 is 24h urine microalbumin from different treatment groups of rats at the end of the experiment in example 3 of the invention.
Detailed Description
The experimental procedures used in the following examples are all conventional procedures unless otherwise specified.
Materials, reagents and the like used in the following examples are commercially available unless otherwise specified.
Example 1
A traditional Chinese medicine composition for treating diabetic nephropathy comprises the following raw materials in parts by weight: 30 parts of astragalus, 5 parts of angelica, 5 parts of gordon euryale seed, 5 parts of cherokee rose fruit, 30 parts of coptis root and 5 parts of rhubarb.
The preparation method of the traditional Chinese medicine composition for treating diabetic nephropathy comprises the following steps:
(1) pulverizing semen euryales and fructus Rosae Laevigatae, sieving with No. 1 sieve (10 mesh), soaking in 5 times of water for 0.4 hr, heating, decocting for 2 times (each time for 1.2 hr), filtering, mixing filtrates, and concentrating under reduced pressure to obtain soft extract (density of 1.12g/ml at 60 deg.C) to obtain soft extract 1;
(2) pulverizing radix astragali, radix Angelicae sinensis, Coptidis rhizoma, and radix et rhizoma Rhei, sieving with No. 1 sieve, adding 5 times of water, soaking for 0.4h, heating, decocting for 2 times, each for 1.2h, filtering, mixing filtrates, concentrating under reduced pressure (density 1.06g/ml measured at 60 deg.C), adding 95% ethanol until alcohol concentration reaches 60%, mixing, standing for 12h, collecting supernatant, and concentrating under reduced pressure to obtain soft extract (density 1.13g/ml measured at 60 deg.C) to obtain soft extract 2;
(3) mixing the soft extracts 1 and 2, mixing, adding pharmaceutical adjuvants such as microcrystalline cellulose, starch, magnesium stearate, etc., tabletting, and making into tablet.
Compared with the traditional Chinese medicine composition which uses astragalus and coptis in large dose, the traditional proportioning group of the astragalus and the coptis is selected as a reference, namely 10 parts of the astragalus, 5 parts of angelica, 5 parts of gordon euryale seed, 5 parts of cherokee rose fruit, 10 parts of coptis and 5 parts of rhubarb. The same preparation formulation is prepared according to the same preparation process.
Experimental animals: healthy male Wistar rats, 5 weeks old, 70, 150-170 g, purchased from Beijing Wittingle laboratory animal technology Limited, were raised in a clean animal room of animal building, Beijing century Tan Hospital, affiliated to the university of capital medicine, at a temperature of 20-25 ℃, with a relative humidity of 55 + -15%, with proper ventilation and reasonable illumination.
Preparation and experimental grouping of animal models: after the rats are purchased, the rats are adaptively fed for 1 week, the blood sugar and the body weight of the rats in the basic state are measured, all the rats are divided into a normal control group, a model group, a positive drug group (fosinopril) (1.05mg/kg), a tablet high dose group (15.96g/kg), a tablet medium dose group (7.98g/kg) and a tablet low dose group (3.99g/kg) according to the body weight by adopting a random grouping design, the conventional proportioning group (15.96g/kg) keeps the same administration dose with the tablet high dose group, and 10 rats are respectively arranged in each group. The normal group rats were given maintenance diet throughout the entire experimental period, while the model group rats were given high-fat high-sugar diet at the formal start of the experiment. After 8 weeks, rats in the normal group were intraperitoneally injected with 0.1mmoL/L citric acid-sodium citrate buffer at a dose of 3 mL/kg; the model group is injected with 1% streptozotocin solution in the abdominal cavity at the dose of 30mg/kg, blood is collected from the tail tip after 72 hours to detect the blood sugar, and the blood sugar value is higher than 16.7mmoL/L to be used as the successful standard of the diabetes model. Administration was started 4 weeks after STZ injection and 12 weeks.
Evaluation indexes are as follows: blood glucose, body weight and 24h urine microalbumin were measured every 4 weeks during the dosing period.
As a result: the combined drug tablet has a better protective effect on diabetic nephropathy rats, the weight of diabetic nephropathy animals is increased to different degrees by the administration doses of the positive drug and the tablet (compared with a model group, P is less than 0.05), and the conventional proportioning group does not show the trend of significant weight increase (compared with the model group, P is more than 0.05); the medium and high dose groups of the tablets show obvious effect of reducing the blood sugar of diabetic nephropathy rats (P <0.05 compared with the model group), while the conventional proportioning group does not show obvious effect of reducing the blood sugar (P >0.05 compared with the model group); each tablet administration dose group can obviously reduce 24h urine microalbumin (P <0.05 compared with a model group), while the conventional proportioning group does not show obvious reduction of 24h urine microalbumin (P >0.05 compared with the model group), and the results are shown in figures 1-6.
Example 2
A traditional Chinese medicine composition for treating diabetic nephropathy comprises the following raw materials in parts by weight: 40 parts of astragalus, 8 parts of angelica, 8 parts of gordon euryale seed, 8 parts of cherokee rose fruit, 40 parts of coptis root and 8 parts of rhubarb.
The preparation method of the traditional Chinese medicine composition for treating diabetic nephropathy comprises the following steps:
(1) pulverizing semen euryales and fructus Rosae Laevigatae, sieving with No. 1 sieve, soaking in 8 times of water for 0.5 hr, heating, decocting for 2 times, each for 1 hr, filtering, mixing filtrates, and concentrating under reduced pressure to obtain soft extract (density of 1.10g/ml at 60 deg.C) to obtain soft extract 1;
(2) pulverizing radix astragali, radix Angelicae sinensis, Coptidis rhizoma, and radix et rhizoma Rhei, sieving with No. 1 sieve, adding 8 times of water, soaking for 0.5h, heating, decocting for 2 times, each time for 1h, filtering, mixing filtrates, concentrating under reduced pressure (density of 1.07g/ml at 60 deg.C), adding 95% ethanol to alcohol concentration of 70%, mixing, standing for 12h, collecting supernatant, and concentrating under reduced pressure to obtain soft extract (density of 1.15g/ml at 60 deg.C) to obtain soft extract 2;
(3) mixing the soft extracts 1 and 2, mixing, adding medicinal adjuvants such as dextrin, calcium hydrogen phosphate, liquid paraffin, and sodium carboxymethyl starch, and making capsule No. 1.
Compared with the traditional Chinese medicine composition which uses astragalus and coptis in large dose, the traditional proportioning group of astragalus and coptis is selected as a reference, namely 8 parts of astragalus, 8 parts of angelica, 8 parts of gordon euryale seed, 8 parts of cherokee rose fruit, 8 parts of coptis and 8 parts of rhubarb. The same preparation formulation is prepared according to the same preparation process.
Example 3
A traditional Chinese medicine composition for treating diabetic nephropathy comprises the following raw materials in parts by weight: 50 parts of astragalus, 15 parts of angelica, 15 parts of gordon euryale seed, 20 parts of cherokee rose fruit, 50 parts of coptis root and 15 parts of rhubarb.
The preparation method of the traditional Chinese medicine composition for treating diabetic nephropathy comprises the following steps:
(1) pulverizing semen euryales and fructus Rosae Laevigatae, sieving with No. 1 sieve, soaking in 10 times of water for 0.6 hr, heating, decocting for 2 times (each time for 0.8 hr), filtering, mixing filtrates, and concentrating under reduced pressure to obtain soft extract (density of 1.15g/ml at 60 deg.C) to obtain soft extract 1;
(2) pulverizing radix astragali, radix Angelicae sinensis, Coptidis rhizoma, and radix et rhizoma Rhei, sieving with No. 1 sieve, adding 10 times of water, soaking for 0.6h, heating, decocting for 2 times, each time for 0.8h, filtering, mixing filtrates, concentrating under reduced pressure (density of 1.07g/ml at 60 deg.C), adding 95% ethanol to alcohol concentration of 70%, mixing, standing for 12h, collecting supernatant, and concentrating under reduced pressure to obtain soft extract (density of 1.10g/ml at 60 deg.C) to obtain soft extract 2;
(3) mixing the soft extracts 1 and 2, mixing, adding medicinal adjuvants such as dextrin, calcium hydrogen phosphate, liquid paraffin, and sodium carboxymethyl starch, and making capsule No. 1.
Compared with the traditional Chinese medicine composition which uses astragalus and coptis root in large dose, the traditional proportioning group of the astragalus and the coptis root is selected as a reference, namely 12 parts of the astragalus, 15 parts of angelica, 15 parts of gordon euryale seed, 20 parts of cherokee rose fruit, 6 parts of coptis root and 15 parts of rhubarb. The same preparation formulation is prepared according to the same preparation process.
Experimental animals: healthy male Wistar rats, 5 weeks old, 70 rats, 160-180 g, purchased from Beijing Wittingle laboratory animal technology Limited, were raised in a clean animal room of animal building, Beijing century Tan Hospital, affiliated to the university of capital medicine, at a temperature of 20-25 ℃, with a relative humidity of 55 + -15%, with proper ventilation and reasonable illumination.
Preparation and experimental grouping of animal models: after the rats are purchased, the rats are adaptively fed for 1 week, the blood sugar and the body weight of the rats in the basic state are measured, all the rats are divided into a normal control group, a model group, a positive drug group (fosinopril) (1.03mg/kg), a capsule high dose group (16.06g/kg), a capsule medium dose group (8.08g/kg) and a capsule low dose group (4.04g/kg) according to the body weight by adopting a random grouping design, the conventional proportioning group (16.06g/kg) keeps the same administration dose with the capsule high dose group), and 10 rats are respectively arranged in each group. The normal group rats were given maintenance diet throughout the entire experimental period, while the model group rats were given high-fat high-sugar diet at the formal start of the experiment. After 8 weeks, rats in the normal group were intraperitoneally injected with 0.1mmoL/L citric acid-sodium citrate buffer at a dose of 3 mL/kg; the model group is injected with 1% streptozotocin solution in the abdominal cavity at the dose of 30mg/kg, blood is collected from the tail tip after 72 hours to detect the blood sugar, and the blood sugar value is higher than 16.7mmoL/L to be used as the successful standard of the diabetes model. Administration was started 4 weeks after STZ injection and 12 weeks.
Evaluation indexes are as follows: blood glucose, body weight and 24h urine microalbumin were measured every 4 weeks during the dosing period; at the end of the experiment the animals were sacrificed under chloral hydrate anaesthesia, blood was taken from the abdominal aorta, serum was centrifuged and tested for total serum protein (TP), Albumin (ALB), Blood Urea Nitrogen (BUN), creatinine (Scr).
As a result: the combined medicine capsule has a good protective effect on diabetic nephropathy rats, the weight of diabetic nephropathy animals is increased to different degrees by the administration doses of the positive medicine and the capsule (compared with a model group, P is less than 0.05), and the conventional proportioning group does not show the trend of significant weight increase (compared with the model group, P is more than 0.05); the middle and high dose groups of the capsule show obvious effect of reducing the blood sugar of diabetic nephropathy rats (compared with the model group P <0.05), while the conventional proportioning group does not show obvious effect of reducing the blood sugar (compared with the model group P > 0.05); each administration dose group of the capsule can obviously reduce 24h urine microalbumin (P is less than 0.05 compared with a model group), while the conventional proportioning group does not show obvious reduction of 24h urine microalbumin (P is more than 0.05 compared with the model group), and the results are shown in figures 7-12.
The technical solutions described above only represent the preferred technical solutions of the present invention, and some possible modifications to some parts of the technical solutions by those skilled in the art all represent the principles of the present invention, and fall within the protection scope of the present invention.

Claims (6)

1. The traditional Chinese medicine composition for treating diabetic nephropathy is characterized by comprising the following raw materials in parts by weight: 30-50 parts of astragalus membranaceus, 5-15 parts of angelica sinensis, 5-15 parts of gordon euryale seed, 5-20 parts of cherokee rose fruit, 30-50 parts of coptis chinensis and 5-15 parts of rheum officinale.
2. The traditional Chinese medicine composition for treating diabetic nephropathy according to claim 1, which is prepared from the following raw materials in parts by weight: 40 parts of astragalus, 8 parts of angelica, 8 parts of gordon euryale seed, 8 parts of cherokee rose fruit, 40 parts of coptis root and 8 parts of rhubarb.
3. The traditional Chinese medicine composition for treating diabetic nephropathy according to claim 1 or 2, wherein the dosage form of the traditional Chinese medicine composition is tablet or capsule.
4. A method of preparing the traditional Chinese medicine composition for treating diabetic nephropathy of claim 1, the method comprising the steps of:
(1) pulverizing semen euryales and fructus Rosae Laevigatae, sieving with a No. 1 sieve, adding 5-10 times of water, soaking for 0.4-0.6 h, heating, decocting and extracting for 2 times, each time for 0.8-1.2 h, filtering, mixing filtrates, and concentrating under reduced pressure to obtain soft extract 1;
(2) crushing astragalus, angelica, coptis and rhubarb, sieving the crushed astragalus, angelica, coptis and rhubarb by a No. 1 sieve, adding 5-10 times of water, soaking for 0.4-0.6 h, heating, decocting and extracting for 2 times, each time for 0.8-1.2 h, filtering, combining filtrates, concentrating under reduced pressure, adding 95% ethanol until the alcohol concentration is 50-80%, uniformly mixing, standing, taking supernatant, and concentrating under reduced pressure to obtain thick paste 2;
(3) mixing the soft extracts 1 and 2, and mixing.
5. The preparation method of the traditional Chinese medicine composition for treating diabetic nephropathy according to claim 4, wherein in the step (1), the density of the thick paste 1 measured at 60 ℃ is 1.10-1.15 g/ml.
6. The preparation method of the traditional Chinese medicine composition for treating diabetic nephropathy according to claim 4, wherein in the step (2), the density of the thick paste 2 measured at 60 ℃ is 1.10-1.15 g/ml.
CN201810062569.9A 2018-01-23 2018-01-23 Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof Active CN108079089B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810062569.9A CN108079089B (en) 2018-01-23 2018-01-23 Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810062569.9A CN108079089B (en) 2018-01-23 2018-01-23 Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof

Publications (2)

Publication Number Publication Date
CN108079089A CN108079089A (en) 2018-05-29
CN108079089B true CN108079089B (en) 2020-12-22

Family

ID=62182496

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201810062569.9A Active CN108079089B (en) 2018-01-23 2018-01-23 Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof

Country Status (1)

Country Link
CN (1) CN108079089B (en)

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
固肾解毒法治疗糖尿病肾病早期的临床观察;冯兴中等;《北京中医药大学学报》;20110430;第34卷(第4期);第286-288页,尤其是第286页1.2一般资料、2.1治疗方法和第287页3.4疗效评定结果 *
大剂量黄连对糖尿病肾病大鼠糖化血红蛋白、TNF-α及肾脏病理的影响;郭杨志等;《时珍国医国药》;20171231;第28卷(第4期);第830-832页,尤其是第830页摘要和第831页左栏第1段 *

Also Published As

Publication number Publication date
CN108079089A (en) 2018-05-29

Similar Documents

Publication Publication Date Title
CN101940658A (en) Chinese medicinal composition for treating toothache and preparation method thereof
CN101502588B (en) Composition for beauty treatment and removing blain and method for preparing the same
CN102000175A (en) Traditional Chinese medicine composition for treating hemorrhoids and preparation method thereof
CN103007012B (en) Traditional Chinese medicine composition for treating toothaches and preparation method thereof
CN1977959A (en) Chinese medicine compound preparation for comprehensively regulating body function and its preparing method
CN101940733A (en) Traditional Chinese medicinal composition for curing nephritis diseases and preparation method thereof
CN113713039A (en) Traditional Chinese medicine composition for treating membranous nephropathy and application thereof
CN105497439A (en) Medicine composition for treating gynecological postoperative low fever
CN104922426A (en) Pharmaceutical composition for treating post gynecologic operation low fever
CN108721431B (en) Traditional Chinese medicine composition for removing heavy metals and application thereof
CN101269138B (en) Traditional Chinese medicine for treating hemorrhoid
CN102343019B (en) Chinese medicinal composition for treating amenorrhea and preparation method of preparation thereof
CN108079089B (en) Traditional Chinese medicine composition for treating diabetic nephropathy and preparation method thereof
CN105055841A (en) Medicine for treating chronic pharyngitis and preparing method thereof
CN102114189A (en) Chinese medicinal blood glucose reducing tablet for treating diabetes comprising superfine powder
CN103463449A (en) Traditional Chinese medicine composite used for treating haemorrhoids and preparation method and application thereof
CN113616758A (en) Traditional Chinese medicine suitable technology for treating functional constipation of children by external application of medicine
CN100441166C (en) Combination of medication of containing medicinal rhubarb and activated carbon or carbo medicinalis
WO2022057157A1 (en) Traditional chinese medicine composition for treating precocious puberty in children, and preparation method therefor and use thereof
CN103690869B (en) Chinese medicine for the treatment of irritable bowel syndrome and preparation method thereof
CN102327526B (en) Traditional Chinese medicine composition for lowering blood sugar
CN101269130B (en) Chinese medicinal composition for treating hemorrhoid
CN104399036A (en) Medicine composition for treating chronic diarrhea and application of medicine composition
CN104352797A (en) Traditional Chinese medicine for treating advanced lung cancer and application of traditional Chinese medicine
CN104147229B (en) A kind of compound Chinese medicinal preparation for the treatment of female climacteric syndrome kidney yin and yang deficiency type

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant