Summary of the invention
Technical problem to be solved by this invention provides a kind of Chinese medicine for the treatment of apoplexy and preparation method thereof, it has solved the problem of paralytic aspect convalescent period and sequela treatment, it had both had the cerebral blood flow increasing amount, reduce vascular permeability, microcirculation improvement improves anti-ischemia, the anoxia ability of cerebral tissue, and alleviates the pathological change behind the ischemia, reduce brain water content, alleviate effects such as cerebral edema; Simultaneously have obvious anticoagulant and thrombosis again, improve brain function, the effect that improves one's memory.
The weight ratio scope of each raw material of the present invention is to carry out a large amount of groping through the inventor to draw with experimental summary, and the weight ratio of each raw material all has curative effect preferably at following weight range.The present invention adopts following 20 kinds of medicines to make up, and makes each efficacy of drugs produce synergism these drug regimens, thereby can effectively treat apoplexy.
It is to be made of by weight following raw material: Radix Rehmanniae Preparata: the Radix Paeoniae Alba: Radix Angelicae Sinensis: Rhizoma Chuanxiong: Radix Achyranthis Bidentatae: Os Draconis: Carapax et Plastrum Testudinis: Radix Salviae Miltiorrhizae: Semen Persicae: Radix Paeoniae Rubra: Pheretima: Rhizoma Acori Graminei: Concretio Silicea Bambusae: Fructus Chaenomelis: Herba Lycopodii: Semen Coicis: Ramulus Mori: Retinervus Luffae Fructus: Scorpio: Cortex Eucommiae carbon=, (8-12):, (8-12):, (3-7):, (3-7):, (3-7):, (6-10):, (3-7):, (8-12):, (3-7):, (3-7):, (3-7):, (3-7):, (8-12):, (6-10):, (4-8):, (8-12):, (8-12):, (3-7):, (1-5):, (1-3).
The present invention can adopt the conventional method of Chinese medicine preparation to make any conventional oral preparations.For example these crude drug pulverize mix homogeneously can be made powder takes after mixing it with water, also can make tablet etc.But the watered pill is convenient to swallow, and is difficult for the moisture absorption again, helps keeping and stores, and because of watered pill binding agent is a water, and has a certain amount of medical material fine powder to be used as medicine, and is easier to molten diffusing absorption behind the clothes, and produce effects is very fast, the preparation technology of the presents emphasis statement watered pill.But these can not be used to limit protection scope of the present invention.
Its preparation technology is as follows:
A. above 20 flavor medicines are got the Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, the Scorpio that meet the above-mentioned raw materials proportioning and are ground into coarse powder;
B. get the Radix Rehmanniae Preparata, the Radix Paeoniae Alba, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Os Draconis, Carapax et Plastrum Testudinis, Radix Salviae Miltiorrhizae, Semen Persicae, Radix Paeoniae Rubra, Fructus Chaenomelis, Herba Lycopodii, Ramulus Mori, Retinervus Luffae Fructus ten four Chinese medicines that meet the above-mentioned raw materials proportioning and decoct with water several times, filter to get filtrate at every turn;
C. the filtrate with above-mentioned each decoction gained merges, and is concentrated into thick paste, relative density 1.28-1.30 (50-60 ℃);
D. in above-mentioned thick paste, add Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, Scorpio five kinds of Chinese medicine coarse powder, mixing, drying is ground into fine powder, uses water pill, 65-95 ℃ of drying;
E. use the polishing of Cortex Eucommiae carbon coating, promptly.
Preferred feedstock ratio of the present invention is: Radix Rehmanniae Preparata: the Radix Paeoniae Alba: Radix Angelicae Sinensis: Rhizoma Chuanxiong: Radix Achyranthis Bidentatae: Os Draconis: Carapax et Plastrum Testudinis: Radix Salviae Miltiorrhizae: Semen Persicae: Radix Paeoniae Rubra: Pheretima: Rhizoma Acori Graminei: Concretio Silicea Bambusae: Fructus Chaenomelis: Herba Lycopodii: Semen Coicis: Ramulus Mori: Retinervus Luffae Fructus: Scorpio: Cortex Eucommiae carbon=10: 10: 5: 5: 5: 8: 5: 10: 5: 5: 5: 5: 10: 8: 6: 10: 10: 5: 3: 2.
Preferred feedstock preparation technology is as follows:
A. above 20 flavor medicines are got the Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, the Scorpio that meet the above-mentioned raw materials proportioning and are ground into coarse powder;
B. get Radix Rehmanniae Preparata, the Radix Paeoniae Alba, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Os Draconis, Carapax et Plastrum Testudinis, Radix Salviae Miltiorrhizae, Semen Persicae, Radix Paeoniae Rubra, Fructus Chaenomelis, Herba Lycopodii, Ramulus Mori, Retinervus Luffae Fructus and decoct with water secondary, with the water of 6 times of amounts, decocted 2 hours for the first time, filtration; With the water of 5 times of amounts, decocted 1.5 hours for the second time, filter;
C. the filtrate with above-mentioned decoction gained merges, and is concentrated into thick paste, relative density 1.29 (55 ℃);
D. in above-mentioned thick paste, add Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, Scorpio five kinds of Chinese medicine coarse powder, mixing, drying is ground into fine powder, uses water pill, 6595 ℃ of dryings;
E. use the polishing of Cortex Eucommiae carbon coating, that is, and the heavy 5g of per 30 balls.
The present invention has following advantage:
The present invention is to the treatment of apoplexy, and the improvement of the recovery of traditional Chinese medical science disease, hemorheology, platelet aggregation index all has tangible effect.The present invention has nourishing the liver and kidney, suppressing hyper-yang to eliminate wind, gentle nourishing muscle and tendon arteries and veins, blood circulation promoting and blood stasis dispelling, the effect of eleminating phlegm and freeing channels.Cure mainly the hemiplegia, crooked mouth and tongue, stiff tongue and retardation in speech, the hemianesthesia that cause by wind-phlegm blood stasis, numbness resistance venation and stirring of wind due to deficiency of YIN card, have a dizzy spell or irritated insomnia, vertigo and tinnitus, feverish sensation in the palms and soles are the apoplexy patient of main clinical manifestation; to the wind-phlegm blood stasis, the traditional Chinese medical science disease of numbness resistance venation and stirring of wind due to deficiency of YIN card unusually all has the obvious treatment effect.Pill volume of the present invention is little, and is smooth with Cortex Eucommiae carbon coating surface compact, both has been convenient to swallow, and is difficult for the moisture absorption again, helps keeping and stores.Because of its binding agent is a water, and have a certain amount of medical material fine powder to be used as medicine, be easier to molten diffusing absorption behind the clothes, produce effects is fast.
The specific embodiment
Below routine by experiment beneficial effect of further setting forth medicine of the present invention (to call Testudinis dragon apoplexy ball in the following text), these experiments comprise pharmacodynamic experiment and long term toxicity test.
(experimental example 1)
The research of Testudinis dragon apoplexy ball long term toxicity test
Testudinis dragon apoplexy ball cures mainly apoplexy, makes an appraisal for this medicine is had no side effect, and to guarantee clinical drug safety, by the pertinent regulations of " provisions for new drugs approval ", we have carried out long term toxicity test to Testudinis dragon apoplexy ball, now the result are reported as follows:
One, material
1, animal: SD kind rat, body weight 150-180 gram.Male and female half and half.Available from state plan fertility scientific research institution animal center.
2, medicine: Testudinis dragon apoplexy ball is provided by Shenyang Traditional Chinese Medicine Factory.
3, route of administration: gastric infusion.
Two, method:
1, rat is 60, and male and female half and half are divided into three groups at random, each 10 of every group of male and female.
2, dosage: heavy dose of group: 37.5g crude drug/kg (dry extract 14.76g/kg is equivalent to 50 times of clinical consumption), small dose group: 18.75g crude drug/kg (dry extract 7.38g/kg is equivalent to 25 times of clinical consumption), gastric infusion, once a day, successive administration 5 months.
3, experimental arrangement: observe the general situation of animal, variations such as behavior body weight.Every administration claimed a body weight in one month, according to the corresponding increase dose of body weight.Each component another name is heavy after five months, and abdominal aortic blood is checked biochemical indicators such as routine blood test, hepatic and renal function.Core, liver, spleen, lung, kidney weigh, calculate organ index, and get internal organs such as above-mentioned tissue and stomach, large intestine, small intestinal, adrenal gland and carry out pathological examination.
Three, result:
1, general situation: the appetite of each dosage group and control rats after the medication, all no abnormal change such as activity.
2, to the influence of body weight: every month, each component another name heavily the results are shown in Table 1
Table 1 Testudinis dragon apoplexy ball is to the influence of rat body weight (X ± SD)
| | Before the administration (g) | 1 month | 2 months | 3 months | 4 months | 5 months |
| Contrast is heavy dose of low dose of | 159.66±20.27 160.55±39.13 167.50±47.67 | 234.6±27.56 243.5±32.39 247.6±26.56 | 281.9±23.86 286.3±37.54 284.3±36.90 | 320.8±22.86 328.4±30.43 334.6±23.89 | 356.6±32.81 358.7±29.04 360.4±38.54 | 384.9±28.33 399.0±30.37 384.8±43.54 |
Relatively there is not significant difference by visible each treated animal body weight gain of table 1 and normal control group.P>0.05。
3, to the influence of rat peripheral hemogram: the results are shown in Table 2
Table 2 Testudinis dragon apoplexy ball is to the influence of rat peripheral hemogram (X ± SD)
| | (ten thousand/mm of leukocyte
2)
| Classification (%) | Hemoglobin (g/%) |
| Neutral | Lymph |
| Contrast is heavy dose of low dose of | 0.69±0.28 0.61±0.21 0.56±0.16 | 27.5±5.89 27.3±3.35 28.5±6.40 | 72.5±5.89 72.7±3.35 71.5±6.40 | 15.46±1.98 15.19±1.44 14.35±1.57 |
By visible each the dosage group of this medicine of table 2 rat hemoglobin, leukocyte and classification are not made significant difference.P>0.05
4, to the influence of liver, renal function: abdominal aortic blood is surveyed ALT, AST (enzyme coupling method) and BUN (urase-Na Shi reagent explicit representation).The results are shown in Table 3.
Table 3 Testudinis dragon apoplexy ball is to the influence of rats'liver renal function (X ± SD)
| | ALT(umol/sh) | AST(umol/sh) | BUN(mmol/l) |
| The heavy dose of group of matched group small dose group | 0.11±0.02 0.10±0.02 0.10±0.01 | 0.61±0.08 0.60±0.08 0.62±0.06 | 7.26±1.37 7.61±1.18 7.23±1.18 |
By each dosage group of the visible Testudinis dragon of table 3 apoplexy ball the rats'liver renal function all there is not influence.P>0.05
5, each internal organs pathological examination: dissect animal, all no abnormal change of Rats Organs and Tissues is respectively organized in perusal, cores, liver, spleen, lung, kidney weigh respectively, calculates organ index, the results are shown in Table 4.
Table 4 Testudinis dragon apoplexy ball is to the influence of organ index (X ± SD)
| | The heart (%) | Liver (%) | Spleen (%) | Lung (%) | Kidney (%) |
| Contrast is heavy dose of low dose of | 0.36±0.14 0.35±0.11 0.36±0.22 | 4.47±0.52 4.39±0.48 4.46±0.37 | 0.16±0.04 0.18±0.05 0.17±0.09 | 0.66±0.12 0.64±0.15 0.66±0.06 | 0.85±0.14 0.84±0.11 0.85±0.09 |
By table 4 as seen, this medicine does not have the obvious P of influence>0.05 to each group Rats Organs and Tissues index
With above-mentioned internal organs and brain, stomach, large intestine, small intestinal, adrenal gland etc. with formalin solution fix, waxdip, embedding, section, dyeing, under mirror, carry out pathological examination.
Internal organs such as matched group and each administration treated animal brain, the heart, liver, spleen, lung, adrenal gland, stomach, large intestine, small intestinal reach under the mirror observation substantially all not to be had pathology and changes, and the result is as follows:
The result shows: this medicine does not have remarkable toxicity to each internal organs.
Four, conclusion
This experimental result shows, Testudinis dragon apoplexy ball is by 25 and 50 times of clinical consumption, and successive administration 5 months does not have obvious influence and toxicity to growth, body weight, hemogram, the hepatic and renal function of animal, internal organs pathological examination also no abnormality seen changes, and as seen this medicine can be used safely in clinical.
(experimental example 2)
Testudinis dragon apoplexy ball pharmacodynamic study
A. Testudinis dragon apoplexy ball to rat cerebral ischemia after the research of therapeutical effect
One, material
1, animal: 50 of Wistar kind rats, male, body weight 228.1 ± 25.1 grams.Provide by the court animal housing.
2, medicine: Testudinis dragon apoplexy ball, 2.54g crude drug/g extracts dry extract, and Shenyang Traditional Chinese Medicine Factory provides; HUATUO ZAIZAO WAN, Qixing Pharmaceutical Factory of Guangzhou, 931301; Scotcil, North China Pharmaceutical Factory 9211410; Pentobarbital sodium, Shanghai chemistry trial-production purchasing and supply station packing factory, 86-01-22.
Two, method
Animal is with pentobarbital sodium (45mg/kg) intraperitoneal anesthesia, separate bilateral common carotid arteries (the about 2cm of length), the experimental thrombus in vivo of BT87-2 type is formed the stimulating electrode of analyzer and temperature sensor hook on tremulous pulse, continue to stimulate blood vessel wall 7 minutes with the 1.5mA unidirectional current, use the variations in temperature and the thrombosis situation of temperature sensor monitors blood vessel surface simultaneously, after forming the bilateral thrombosis, sew up wound, intramuscular injection scotcil (40U/Kg).Postoperative begins administration next day.
Animal is divided into 5 groups at random, sham operated rats (not modeling type), model group, HUATUO ZAIZAO WAN group (3g/kg), two dosage groups of Testudinis dragon apoplexy ball (10 and the 4g crude drug/Kg).
Each administration treated animal gastric infusion every day once continues a week, coordinates to test in one hour after the last administration, then sacrificed by decapitation.Win brain and bilateral common carotid arteries place thrombosis, weighing thrombus weight and cutaneous horn are heavy, and brain was placed 100 ℃ of constant temperature roasters dry 48 hours, and the weighing brain stem is heavy, and calculates cerebral index and brain water content, and the result all carries out statistical procedures (t check).
The heavy ÷ body weight of cerebral index=cutaneous horn * 100%
Brain water content=(cutaneous horn weight-brain stem is heavy) ÷ cutaneous horn heavy * 100%
The result
Table Testudinis dragon apoplexy ball is to the influence of rat cerebral ischemia
| Grouping | Dosage | N | Coordinate experiment (s) | Thrombus weight (g) | Cerebral index (%) | Brain water content |
| The heavy dose of group of sham operated rats model group HUATUO ZAIZAO WAN group apoplexy health apoplexy health small dose group | 3.0g/kg 10.0g/kg 4.0g/kg | 10 10 10 10 10 | 48.20±14.28 10.00±8.01
## 24.40±10.55
** 24.20±18.08
* 17.50±8.07
| 0.0000±0.0000 0.0132±0.0036
## 0.0102±0.0029 0.0104±0.0023 0.0105±0.0017
| 0.565±0.052 0.623±0.060
# 0.598±0.040 0.560±0.067
* 0.575±0.073
| 78.565±0.372 79.034±0.284
## 78.729±0.312
* 78.811±0.540 78.945±0.507
|
#, ##: compare P<0.05, P<0.01 with sham operated rats
*, * *: compare P<0.05, P<0.01 with model group
One, coordinates experiment
By table as seen, the model group animal runner time obviously shortens, and with sham operated rats significant difference (P<0.01) is arranged relatively; Testudinis dragon apoplexy heavy dose of group runner time of ball obviously prolongs, and with model group significant difference (P<0.05) is arranged relatively; Small dose group does not have obvious influence; Also there is prolongation the HUATUO ZAIZAO WAN group runner time, with model group significant difference (P<0.01) is arranged relatively.
Two, to the influence of thrombus weight
By table as seen, tangible thrombosis is arranged in the model group common carotid artery, significant difference (P<0.01) is relatively arranged with sham operated rats; Testudinis dragon two dosage groups of apoplexy ball and positive drug HUATUO ZAIZAO WAN group thrombus weight and model group relatively have the trend of alleviating, but there was no significant difference.
Three, to the influence of cerebral index and brain water content
By table as seen, model group cerebral index and brain water content obviously increase, and with sham operated rats significant difference (P<0.05, P<0.01) are arranged relatively; The heavy dose of group of Testudinis dragon apoplexy ball cerebral index obviously alleviates, and with model group significant difference (P<0.05) is arranged relatively, and brain water content is also seen effect trend, the rarely seen trend that alleviates of small dose group cerebral index and brain water content; HUATUO ZAIZAO WAN group cerebral index has the trend of alleviating, but does not have significant difference, and brain water content then obviously reduces, and with model group significant difference (P<0.01) is arranged relatively.
Conclusion
The clinical treatment that is used for apoplexy of Testudinis dragon apoplexy ball.This experiment causes ischemia model with the bilateral common carotid arteries thrombosis, and showing as brain water content and cerebral index increases, and the coordination exercise ability reduces.The therapeutic administration is adopted in experiment, causes cerebral ischemia earlier, and then administration is to observe the effect of medicine.
Practice result confirms that model group animal brain index and brain water content obviously increase, and is higher than normal group animal (sham operated rats) coordination exercise function and reduces, and shows as typical symptoms of cerebral ischemia.Testudinis dragon apoplexy ball group thrombus weight has the trend of alleviating, and cerebral index obviously reduces, and the coordination exercise time obviously prolongs, and symptom is obviously improved.
Testudinis dragon apoplexy ball can obviously improve experimental cerebral ischemia, and no matter preventive administration, or therapeutic administration all has clear and definite therapeutical effect.
B, Testudinis dragon apoplexy ball is to the influence of rat brain microcirculation disturbance
Materials and methods
One, medicine: Testudinis dragon apoplexy ball, HUATUO ZAIZAO WAN, glucosan, normal saline, pentobarbital sodium.
Two, animal: 40 of Wistar kind rat, male and female dual-purpose, body weight 250-350 gram.
Three, method: animal is divided into four groups at random, anaesthetizes with 0.6% pentobarbital sodium (0.75ml/100g) intraperitoneal administration.Open skull and expose the about 5mm * 5mm in Interhemispheric volume top, under the irradiation of cold light source 45, amplify 40 times with XIL-01 type microscope and observe the pia mater encephali microcirculation, separate a side femoral vein and inject 10% glucosan (3ml/kg), to form the pia mater encephali microcirculation disturbance.Test medicine after 20 minutes again, observed following index in same field of view in 20 minutes before medicine and behind the medicine.
1, blood flow rate: be divided into 5 grades.
0 grade: as seen blood capillary is not passed through but there is the blood cell; The I level: visible hemocyte in the blood capillary, occur hemocyte sometimes and assemble agglomeratingly, negligible amounts is pushed ahead gradually, and in time, advance in the stopping time; The II level: hemocyte is full of tube chamber in the blood capillary, slowly flows forward; The III level: hemocyte is full of tube chamber, flow to be line style, but mirror can be told the hemocyte in flowing down; The IV level: hemocyte can not differentiated in the blood capillary, and flowing velocity is exceedingly fast.
2, blood fluidised form: be divided into 5 grades.
0 grade: (-), achroacyte is assembled; The I level: (+), 2-3 hemocyte is gathered into fine graininess, do not influence blood flow rate; The II level: (++), 4-6 hemocyte is gathered into the coarse granule shape; The III level: (+++), hemocyte is gathered into lumps and influences blood flow rate.The IV level: (++ ++), blood flow stops or forming microthrombus.
Statistical method adopts grade preface value method.
The result
1, blood flow rate: blood flow rate is not seen notable difference (P>0.05) before matched group and each the administration group medicine.The saline group is not seen change after the administration: positive drug HUATUO ZAIZAO WAN group and the visible flow velocity of the heavy dose of group of Testudinis dragon apoplexy ball make moderate progress, and with matched group significant difference (P<0.05) are arranged relatively; Testudinis dragon apoplexy ball small dose group flow velocity is not seen improvement.The results are shown in Table 1.
2, blood fluidised form: the blood fluidised form does not have notable difference (P>0.05) before matched group and the administration group medicine, and improvement is not seen in the gathering of saline group hemocyte after the administration; Testudinis dragon apoplexy ball heavy dose and HUATUO ZAIZAO WAN medicine bleeding from anus cell aggregation degree alleviate, and with matched group significance (P<0.05) are arranged relatively, and Testudinis dragon apoplexy ball small dose group is not seen obvious improvement.See Table 2.
The influence of table 1 pair rat's pial microcirculation blood flow velocity
| Group | Dosage (g/kg) | Number of animals (only) | Classification | The P value |
| 1 | 1.5 | 2 | 2.5 |
| Tortoise dragon apoplexy ball group behind big group of big group of prechelonian dragon of the medicine control group huatuo zaizao pill group tortoise dragon apoplexy ball apoplexy ball group medicine control group huatuo zaizao pill group tortoise dragon apoplexy ball | 3 10 4 | 10 10 10 10 10 10 10 10 | 1 1 1 2 1 1 | 4 5 5 3 5 4 5 3 | 5 4 4 4 4 3 3 5 | 1 3 2 1 | >0.05 >0.05 >0.05 >0.05 <0.05 <0.05 >0.05 |
The influence of table 2 pair rat's pial microcirculation blood fluidised form
| Group | Dosage (g/kg) | Number of animals (only) | Classification | The P value |
| 1.5 | 2 | 2.5 | 3 |
| Big group of big group of prechelonian dragon of medicine control group huatuo zaizao pill group tortoise dragon apoplexy ball apoplexy ball group medicine control group huatuo zaizao pill group tortoise dragon apoplexy ball | 3 10 | 10 10 10 10 10 10 10 | 1 1 1 2 1 4 6 | 5 5 5 4 5 5 2 | 2 2 1 4 2 1 2 | 2 2 3 2 | >0.05 >0.05 >0.05 >0.05 <0.05 <0.05 |
| The imperial apoplexy ball of back Testudinis group | 4 | | 10 | 2 | 5 | 2 | >0.05 |
The result shows that the heavy dose of group of Testudinis dragon apoplexy ball can make the microcirculatory velocity of blood flow of pia mater encephali accelerate, and the blood fluidised form is obviously improved, and the hemocyte aggregation extent obviously alleviates, and relatively is remarkable difference with matched group.
Conclusion
The intravenous injection of macromolecule glucosan can cause animal multisystem microcirculation disturbance, and this experiment forms the rat's pial model of microcirculation obstacle with glucosan, shows as blood flow rate and slows down, and hemocyte is assembled.
After matched group gave normal saline, velocity of blood flow and blood fluidised form there is no improvement.HUATUO ZAIZAO WAN and the administration of the heavy dose of group of Testudinis dragon apoplexy ball are after 20 minutes, and blood flow rate is accelerated.The blood fluidised form is obviously improved, and the hemocyte aggregation extent obviously alleviates.
Facts have proved that Testudinis dragon apoplexy ball has the effect that improves the animal brain microcirculation disturbance, blood flow rate and blood fluidised form are improved, thereby improve the blood supply oxygen supply of cerebral tissue and play therapeutical effect.
The research that C, Testudinis dragon apoplexy ball treated in vitro influence the rabbit platelet aggregation
Materials and methods
One, material
(1) medicine Testudinis dragon apoplexy ball, HUATUO ZAIZAO WAN, sterile saline, arachidonic acid.
(2) instrument BS631 type platelet aggregation instrument, Beijing biochemical instrument factory product.
(3) large ear rabbit is planted by the male New Zealand of animal health, and body weight is 2.0-3.0kg, purchases the animal housing in Military Medical Science Institute, raises in the court animal housing to be used for experiment a week.
Two, method
(1) PRP prepare rabbit with pentobarbital sodium (30mg/kg) anaesthetize through ear vein, cut the abdominal cavity and expose ventral aorta, get blood with the puncture of silication syringe, with 3.8% sodium citrate solution anticoagulant (blood: anticoagulant=9: 1), centrifugal 8 minutes of 200 * g, drawing supernatant partly is platelet rich plasma, centrifugal 15 minutes of remainder 2200 * g, and getting supernatant partly is that platelet count is 4.0 * 10 in the platelet poor plasma
5/ mm
3About.
(2) observation and analytical method adopt improvement BornShi turbidimetry
(1-2)Put the opacity tube that fills 0.45mlPRP, a little bar magnet and treat reagent or normal saline in right amount in platelet aggregation instrument, 37 ℃ of insulated and stirred 1 minute mix up baseline, add 5mg/mlAAlOul and induce gathering.According to the influence of the gathering tracing analysis medicine of being traced on the monitor to the poly-property of platelet.By following formula
(2)Calculate aggregation rate and suppression ratio:
The result
Testudinis dragon apoplexy ball and each three dosage group platelet aggregation rate of HUATUO ZAIZAO WAN all are starkly lower than normal saline group (P<0.01) and are good dose-effect relationship.And also there is good dose-effect relationship between suppression ratio.Find out also simultaneously that the effect of Testudinis dragon apoplexy ball anticoagulant is better than HUATUO ZAIZAO WAN.The results are shown in subordinate list.
Subordinate list Testudinis dragon apoplexy ball is to the influence of the inductive rabbit platelet aggregation of AA
(X±SD%,n=6)
| The medicine mediating recipe | | Aggregation rate (%) | Suppression ratio (%) |
| Normal saline apoplexy health HUATUO ZAIZAO WAN | 25mg crude drug/ml 35mg crude drug/ml 50mg crude drug/ml 25mg/ml 35mg/ml 50mg/ml | 60.9±1.7 32.0±9.3※ 20.4±8.1※ 0 49.0±5.3※ 32.4±5.4※ 16.1±3.5※ | 47.9±13.8 68.6±12.4 100 19.6±7.6 49.5±8.9 74.6±6.9 |
Annotate: ※ P<0.01
Conclusion
This experimental result shows that Testudinis dragon apoplexy ball and HUATUO ZAIZAO WAN all can suppress the inductive rabbit platelet aggregation of AA, and this effect is good dose-effect relationship.Dosage is big more, and depression effect is strong more.The effect of Testudinis dragon apoplexy ball anticoagulant is better than HUATUO ZAIZAO WAN.
The influence that D, Testudinis dragon apoplexy ball form rat suppository
Materials and methods
One, material:
(1) medicine: Testudinis dragon apoplexy ball, HUATUO ZAIZAO WAN, normal saline.
(2) animal: 70 of SD rats, body weight are 180-200g male and female half and half.
(3) instrument: extracorporeal thrombosis forming device: the SDZ-A1 type, electronic machine two factories in jiangsu wuxi county produce.
Two, method: the healthy SD rat is divided into 7 groups at random.
This experiment is to dynamic observe the thrombosis overall process.With blood flow state in the analogue body in blood ex-vivo and the external rotating ring, under the hydrodynamic effect effect, form thrombosis.This thrombosis that forms under blood flow is in flow regime, its structure is very similar to the interior thrombosis that forms of body
(1)
(1) simulated conditions:
Polyethylene bore 4.0mm, long 240mm, rotating ring radius are 30.0mm, rotating ring and horizontal sextant angle 74.0 degree, the rotating ring rotating speed is 17 ± 1 rev/mins, be 10 minutes observing time, 37 ℃ of experimental temperatures.
(2) blood sample pinching:
Rat clings to than sodium (30mg/kg) intraperitoneal injection of anesthesia with penta, cut the abdominal cavity and expose ventral aorta, get blood 2ml (being sure not to be with bubble) with the puncture of silication syringe, injection at once contains in the rotating ring of 0.2ml medicinal liquid or normal saline, and the blood volume of injection should be full of rotating ring (1.8ml) below 1/2.The time that begins to rotate from blood injection syringe to rotating ring should be in 90 seconds.
(3) observational technique:
After the rotating ring rotation, tube wall is mobile relatively on certain equilbrium position for the blood post in the ring, observes and read the preceding residing angle position of concave surface of blood post.Thrombosis occurs in the relative tube wall process of flowing of blood post, thrombotic process is
(2): the platelet particle at first occurs, " snowstorm " the same phenomenon takes place thereupon, rotate beginning to above-mentioned phenomenon from rotating ring and occur, be the platelet aggregation time.Then platelet thrombus forms gradually, and then Fibrinogen is transformed into fibrin and is connected formation fibrin post on the platelet thrombus, constantly increases at this stage fiber albumen bolt, and thrombosis angle of living in also constantly changes.Carry out when complete when thrombosis, angle no longer changes, and stops operating after 10 minutes, and inclining thrombosis, measures its length, and the thrombosis bar was put 80 ℃ of baking boxs roasting 4 hours, claims its dry weight after the constant weight.
The result
One, to the influence of thrombus length.
Testudinis dragon apoplexy ball is to the influence of rats in vitro thrombosis length: the results are shown in Table 1
Table 1 Testudinis dragon apoplexy ball is to the influence of rats in vitro thrombosis length (X ± SD)
| Medicine | Concentration ※ | The example number | Thrombosis length (mm) | P |
| NS apoplexy health HUATUO ZAIZAO WAN | 12.5mg/ml 25mg/ml 50mg/ml 12.5mg/ml 25mg/ml 50mg/ml | 10 10 10 10 10 10 10 | 21.2±1.13 17.3±2.11 14.8±1.03 10.8±1.65 16.0±1.26 13.8±1.75 9.3±1.56 | <0.05 <0.05 <0.05 >0.05 >0.05 >0.05 |
※ concentration: be final concentration in the rotating ring.
As seen from the above table, the thrombus length of each dosage group of Testudinis dragon apoplexy ball is shorter than the external thrombus of NS group, and more obvious along with the increase of concentration, illustrates that Testudinis dragon apoplexy ball has the shortening effect to rats in vitro thrombosis length, and good dose-effect relationship is arranged.HUATUO ZAIZAO WAN also has the shortening effect to rats in vitro thrombosis length.
E, Testudinis dragon apoplexy ball influence scopolamine induced mice dysmnesia
One, materials and methods
1, medicine: Testudinis dragon apoplexy ball, HUATUO ZAIZAO WAN, piracetam.
2, animal: Kunming kind white mice, male, body weight 18-22 gram is purchased the animal institute in the Chinese Academy of Sciences.
3, method:
[1,2,3]Mice is divided into 7 groups at random, and every group of 10-12 only.<1〉normal control group;<2〉scopolamine group (0.005g/kg);<3〉piracetam group (0.4g/kg);<4〉HUATUO ZAIZAO WAN group (10g/kg);<5〉the Testudinis dragon apoplexy heavy dose of group of ball (10g/kg);<6〉dosage group (5g/kg) in the Testudinis dragon apoplexy ball;<7〉Testudinis dragon apoplexy ball small dose group (2.5g/kg).The equal gastric infusion of each administration group, normal control group and scopolamine group give the equivalent distilled water, once a day, continuous seven days.After the last administration 50 minutes,<2 〉-<7〉group every mouse subcutaneous injection hydrogen bromine scopolamine 5mg/kg cause memory acquisition disturbance, and after 10 minutes, the training of beginning diving tower method was subjected to shock count (errors number) in the test animal 3min after 24 hours.Relatively reach statistical procedures between organizing.
Two, result
This experiment causes the memory acquisition disturbance model by to the mouse subcutaneous injection scopolamine, the results are shown in Table.Three dosage groups of Testudinis dragon apoplexy ball errors number all has minimizing in various degree, and wherein heavy dose of group errors number is 0.82 ± 0.75 significant difference relatively to be arranged, P<0.05 with scopolamine group 1.60 ± 0.80.The have some improvement ability of learning and memory of little mouse of Testudinis dragon apoplexy ball is described, the mouse memory acquired disturbance is had protective effect.Piracetam group errors number is compared with scopolamine and is obviously reduced P<0.05; HUATUO ZAIZAO WAN is to the obviously influence of mice diving tower experiment nothing.
Table: Testudinis dragon apoplexy ball is to the influence of memory acquisition disturbance due to the scopolamine: (X ± SD)
| Group | Dosage (g/kg) | Scopolamine (g/kg) | Number of animals (only) | Errors number (inferior) |
| Dosage group apoplexy health small dose group in the heavy dose of group of the normal control group scopolamine group piracetam group apoplexy health apoplexy health | 0.4 10 5 2.5 | 0.005 0.005 0.005 0.005 0.005 | 10 10 11 11 11 12 | 0.10±0.30 1.60±0.80
△△△ 0.64±0.81
※ 0.82±0.75
※ 1.09±0.70 0.92±0.79
|
Annotate: compare with the normal control group △ △ △<0.001
Compare with the scopolamine group ※ P<0.05
Three, conclusion
Experiment showed, that Testudinis dragon apoplexy ball can improve the ability of learning and memory of little mouse, scopolamine is caused that mouse memory obtains to have the certain protection effect, and similar to the effect of piracetam.
Embodiment one
A kind of Chinese medicine (Testudinis dragon apoplexy ball) for the treatment of apoplexy of the present invention is to be made of by weight following preferred feedstock: Radix Rehmanniae Preparata: the Radix Paeoniae Alba: Radix Angelicae Sinensis: Rhizoma Chuanxiong: Radix Achyranthis Bidentatae: Os Draconis: Carapax et Plastrum Testudinis: Radix Salviae Miltiorrhizae: Semen Persicae: Radix Paeoniae Rubra: Pheretima: Rhizoma Acori Graminei: Concretio Silicea Bambusae: Fructus Chaenomelis: Herba Lycopodii: Semen Coicis: Ramulus Mori: Retinervus Luffae Fructus: Scorpio: Cortex Eucommiae carbon=8: 8: 3: 3: 3: 6: 3: 8: 3: 3: 3: 3: 8: 6: 4: 8: 8: 3: 1: 1.
Its preparation technology following (Fig. 1):
A. above 20 flavor medicines are got Concretio Silicea Bambusae 32g, Rhizoma Acori Graminei 12g, Semen Coicis 32g, Pheretima 12g, Scorpio 4g is ground into coarse powder;
B. get Radix Rehmanniae Preparata 32g, Radix Paeoniae Alba 32g, Radix Angelicae Sinensis 12g, Rhizoma Chuanxiong 12g, Radix Achyranthis Bidentatae 12g, Os Draconis 24g, Carapax et Plastrum Testudinis 12g, Radix Salviae Miltiorrhizae 32g, Semen Persicae 12g, Radix Paeoniae Rubra 12g, Fructus Chaenomelis 24g, Herba Lycopodii 16g, Ramulus Mori 32g, Retinervus Luffae Fructus 16g decoct with water secondary, for the first time with the water of 4 times of amounts, decocted 1 hour, and filtered; With the water of 7 times of amounts, decocted 2.5 hours for the second time, filter;
C. above-mentioned twice filtrate is merged, be concentrated into thick paste, subtract and be compressed to relative density 1.28 (50 ℃);
D. in above-mentioned thick paste, add Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, Scorpio five kinds of Chinese medicine coarse powder, mixing, drying is ground into fine powder, uses water pill, and 65 ℃ of dryings get plain ball;
E. use 4g Cortex Eucommiae carbon with plain ball coating, polishing, ball gets product.The heavy 5g of per 30 balls.
Embodiment two
A kind of Chinese medicine (Testudinis dragon apoplexy ball) for the treatment of apoplexy of the present invention is to be made of by weight following preferred feedstock: Radix Rehmanniae Preparata: the Radix Paeoniae Alba: Radix Angelicae Sinensis: Rhizoma Chuanxiong: Radix Achyranthis Bidentatae: Os Draconis: Carapax et Plastrum Testudinis: Radix Salviae Miltiorrhizae: Semen Persicae: Radix Paeoniae Rubra: Pheretima: Rhizoma Acori Graminei: Concretio Silicea Bambusae: Fructus Chaenomelis: Herba Lycopodii: Semen Coicis: Ramulus Mori: Retinervus Luffae Fructus: Scorpio: Cortex Eucommiae carbon=12: 12: 7: 7: 7: 10: 7: 12: 7: 7: 7: 7: 12: 10: 8: 12: 12: 7: 5: 3.
Preparation technology of the present invention following (Fig. 1):
A. above 20 flavor medicines are got Concretio Silicea Bambusae 48g, Rhizoma Acori Graminei 28g, Semen Coicis 48g, Pheretima 28g, Scorpio 20g is ground into coarse powder;
B. get Radix Rehmanniae Preparata 48g, Radix Paeoniae Alba 48g, Radix Angelicae Sinensis 28g, Rhizoma Chuanxiong 28g, Radix Achyranthis Bidentatae 28g, Os Draconis 40g, Carapax et Plastrum Testudinis 28g, Radix Salviae Miltiorrhizae 48g, Semen Persicae 28g, Radix Paeoniae Rubra 28g, Fructus Chaenomelis 40g, Herba Lycopodii 32g, Ramulus Mori 48g Retinervus Luffae Fructus 28g decocts with water secondary, for the first time with the water of 4 times of amounts, decocted 1 hour, and filtered; With the water of 7 times of amounts, decocted 2.5 hours for the second time, filter;
C. above-mentioned twice filtrate is merged, be concentrated into thick paste, subtract and be compressed to relative density 1.30 (60 ℃);
D. in above-mentioned thick paste, add Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, Scorpio five kinds of Chinese medicine coarse powder, mixing, drying is ground into fine powder, uses water pill, and 95 ℃ of dryings get plain ball;
E. use Cortex Eucommiae carbon with plain ball coating, polishing, ball gets product.The heavy 5g of per 30 balls.
Embodiment three
A kind of Chinese medicine (Testudinis dragon apoplexy ball) for the treatment of apoplexy of the present invention is to be made of by weight following preferred feedstock: Radix Rehmanniae Preparata: the Radix Paeoniae Alba: Radix Angelicae Sinensis: Rhizoma Chuanxiong: Radix Achyranthis Bidentatae: Os Draconis: Carapax et Plastrum Testudinis: Radix Salviae Miltiorrhizae: Semen Persicae: Radix Paeoniae Rubra: Pheretima: Rhizoma Acori Graminei: Concretio Silicea Bambusae: Fructus Chaenomelis: Herba Lycopodii: Semen Coicis: Ramulus Mori: Retinervus Luffae Fructus: Scorpio: Cortex Eucommiae carbon=10: 10: 5: 5: 5: 8: 5: 10: 5: 5: 5: 5: 10: 8: 6: 10: 10: 5: 3: 2.
Preparation technology of the present invention following (Fig. 1):
A. above 20 flavor medicines are got Concretio Silicea Bambusae 40g, Rhizoma Acori Graminei 20g, Semen Coicis 40g, Pheretima 20g, Scorpio 12g is ground into coarse powder;
B. get Radix Rehmanniae Preparata 40g, Radix Paeoniae Alba 40g, Radix Angelicae Sinensis 20g, Rhizoma Chuanxiong 20g, Radix Achyranthis Bidentatae 20g, Os Draconis 32g, Carapax et Plastrum Testudinis 20g, Radix Salviae Miltiorrhizae 40g, Semen Persicae 20g, Radix Paeoniae Rubra 20g, Fructus Chaenomelis 32g, Herba Lycopodii 24g, Ramulus Mori 40g, Retinervus Luffae Fructus 20g decoct with water secondary, for the first time with the water of 6 times of amounts, decocted 2 hours, and filtered; With the water of 5 times of amounts, decocted 1.5 hours for the second time, filter;
C. above-mentioned twice filtrate is merged, be concentrated into thick paste, subtract and be compressed to relative density 1.29 (55 ℃);
D. in above-mentioned thick paste, add Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, Scorpio five kinds of Chinese medicine coarse powder, mixing, drying is ground into fine powder, uses water pill, and 85 ℃ of dryings get plain ball;
E. use Cortex Eucommiae carbon with plain ball coating, polishing, promptly get 1000 ball finished product balls.The heavy 5g of per 30 balls.
Embodiment four
A kind of Chinese medicine (Testudinis dragon apoplexy ball) for the treatment of apoplexy of the present invention is to be made of by weight following preferred feedstock: Radix Rehmanniae Preparata: the Radix Paeoniae Alba: Radix Angelicae Sinensis: Rhizoma Chuanxiong: Radix Achyranthis Bidentatae: Os Draconis: Carapax et Plastrum Testudinis: Radix Salviae Miltiorrhizae: Semen Persicae: Radix Paeoniae Rubra: Pheretima: Rhizoma Acori Graminei: Concretio Silicea Bambusae: Fructus Chaenomelis: Herba Lycopodii: Semen Coicis: Ramulus Mori: Retinervus Luffae Fructus: Scorpio: Cortex Eucommiae carbon=11: 11: 6: 6: 6: 9: 6: 11: 6: 6: 6: 6: 11: 9: 7: 11: 11: 6: 4: 2.
Preparation technology of the present invention following (Fig. 1):
A. above 20 flavor medicines are got Concretio Silicea Bambusae 44g, Rhizoma Acori Graminei 24g, Semen Coicis 44g, Pheretima 24g, Scorpio 16g is ground into coarse powder;
B. get Radix Rehmanniae Preparata 44g, Radix Paeoniae Alba 44g, Radix Angelicae Sinensis 24g, Rhizoma Chuanxiong 24g, Radix Achyranthis Bidentatae 24g, Os Draconis 36g, Carapax et Plastrum Testudinis 24g, Radix Salviae Miltiorrhizae 44g, Semen Persicae 24g, Radix Paeoniae Rubra 24g, Fructus Chaenomelis 36g, Herba Lycopodii 28g, Ramulus Mori 44g Retinervus Luffae Fructus 24g decocts with water secondary, for the first time with the water of 5 times of amounts, decocted 1.5 hours, and filtered; With the water of 7 times of amounts, decocted 2 hours for the second time, filter;
C. above-mentioned twice filtrate is merged, be concentrated into thick paste, subtract and be compressed to relative density 1.29 (60 ℃);
D. in above-mentioned thick paste, add Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, Scorpio five kinds of Chinese medicine coarse powder, mixing, drying is ground into fine powder, uses water pill, and 85 ℃ of dryings get plain ball;
E. use 8g Cortex Eucommiae carbon with plain ball coating, polishing, ball gets product.The heavy 5g of per 30 balls.
Embodiment five
A kind of Chinese medicine (Testudinis dragon apoplexy ball) for the treatment of apoplexy of the present invention is to be made of by weight following preferred feedstock: Radix Rehmanniae Preparata: the Radix Paeoniae Alba: Radix Angelicae Sinensis: Rhizoma Chuanxiong: Radix Achyranthis Bidentatae: Os Draconis: Carapax et Plastrum Testudinis: Radix Salviae Miltiorrhizae: Semen Persicae: Radix Paeoniae Rubra: Pheretima: Rhizoma Acori Graminei: Concretio Silicea Bambusae: Fructus Chaenomelis: Herba Lycopodii: Semen Coicis: Ramulus Mori: Retinervus Luffae Fructus: Scorpio: Cortex Eucommiae carbon=9: 9: 4: 4: 4: 7: 4: 9: 4: 4: 4: 4: 9: 7: 5: 9: 9: 4: 1: 1.
Its preparation technology following (Fig. 1):
A. above 20 flavor medicines are got Concretio Silicea Bambusae 36g, Rhizoma Acori Graminei 16g, Semen Coicis 36g, Pheretima 16g, Scorpio 4g is ground into coarse powder;
B. get Radix Rehmanniae Preparata 36g, Radix Paeoniae Alba 36g, Radix Angelicae Sinensis 16g, Rhizoma Chuanxiong 16g, Radix Achyranthis Bidentatae 16g, Os Draconis 28g, Carapax et Plastrum Testudinis 16g, Radix Salviae Miltiorrhizae 36g, Semen Persicae 16g, Radix Paeoniae Rubra 16g, Fructus Chaenomelis 28g, Herba Lycopodii 20g, Ramulus Mori 36g, Retinervus Luffae Fructus 16g decoct with water secondary, for the first time with the water of 4 times of amounts, decocted 1 hour, and filtered; With the water of 7 times of amounts, decocted 2.5 hours for the second time, filter;
C. above-mentioned twice filtrate is merged, be concentrated into thick paste, subtract and be compressed to relative density 1.28 (50 ℃);
D. in above-mentioned thick paste, add Concretio Silicea Bambusae, Rhizoma Acori Graminei, Semen Coicis, Pheretima, Scorpio five kinds of Chinese medicine coarse powder, mixing, drying is ground into fine powder, uses water pill, and 65 ℃ of dryings get plain ball;
E. use 4g Cortex Eucommiae carbon with plain ball coating, polishing, ball gets product.The heavy 5g of per 30 balls.