CN116077606A - Pharmaceutical composition for treating prostatic hyperplasia, preparation method and application - Google Patents
Pharmaceutical composition for treating prostatic hyperplasia, preparation method and application Download PDFInfo
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- CN116077606A CN116077606A CN202310234052.4A CN202310234052A CN116077606A CN 116077606 A CN116077606 A CN 116077606A CN 202310234052 A CN202310234052 A CN 202310234052A CN 116077606 A CN116077606 A CN 116077606A
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Abstract
Description
技术领域technical field
本申请涉及医药技术领域,尤其是涉及一种用于治疗前列腺增生的药物组合物、制备方法和应用。The application relates to the technical field of medicine, in particular to a pharmaceutical composition, preparation method and application for treating hyperplasia of the prostate gland.
背景技术Background technique
前列腺增生症(benign prostatic hyperplasia,BPH)是老年男性的常见病,表现为排尿踌躇、尿频、尿急、夜尿增多、尿潴留等症状,并可能引发尿路感染、膀胱结石、甚至肾功能损害等症状,严重影响患者的正常生活。流行病学统计数字表明,男性在40岁之前的发病率较低,50岁以后发病率开始提高,60岁时发病率即可达到50%,而在80岁时发病率可达近90%。前列腺增生症是一个慢性过程,长期尿路梗阻易并发感染、肾积水、肾功能不全、膀胱结石、尿毒症及肾性高血压等症。随着我国老龄化社会的加重,对此病的治疗显得尤为迫切。Benign prostatic hyperplasia (BPH) is a common disease in elderly men, manifested as urinary hesitancy, frequency, urgency, nocturia, urinary retention and other symptoms, and may cause urinary tract infection, bladder stones, and even renal dysfunction Symptoms seriously affect the normal life of patients. Epidemiological statistics show that the incidence rate of men before the age of 40 is relatively low, and the incidence rate begins to increase after the age of 50. The incidence rate can reach 50% at the age of 60, and nearly 90% at the age of 80. Prostatic hyperplasia is a chronic process. Long-term urinary tract obstruction is prone to be complicated by infection, hydronephrosis, renal insufficiency, bladder stones, uremia and renal hypertension. With the aggravation of my country's aging society, the treatment of this disease is particularly urgent.
西医认为前列腺增生症的病因尚未完全阐明,一般认为功能性睾丸和高龄是发病的两个重要条件。手术疗法是西医治疗前列腺增生症的重要方法,但患者一般要承受较大痛苦和风险,而且手术治疗花费较高。治疗前列腺增生症的西药类药物品种繁多,有一定疗效,但毒副作用大,极易对患者尤其是老年患者的身体造成不良影响。Western medicine believes that the etiology of benign prostatic hyperplasia has not been fully elucidated, and it is generally believed that functional testis and advanced age are two important conditions for the onset. Surgical therapy is an important method for the treatment of benign prostatic hyperplasia by Western medicine, but patients generally have to bear greater pain and risks, and the cost of surgical treatment is relatively high. There are many kinds of western medicines for the treatment of benign prostatic hyperplasia, which have a certain curative effect, but have large toxic and side effects, which can easily cause adverse effects on the health of patients, especially elderly patients.
目前也有很多采用中医辨证施治的方法治疗前列生症的报道,如现有技术中公开了一种治疗前列腺炎、前列腺增生的药物组合物,该组合物由包括以下重量份的各原料药制成:鳖甲10-30份,龟甲10-20份,土鳖虫0.5-3份,水蛭0.1-1份,蜈蚣0.2-2份,山慈菇3-9份,穿山甲0.5-3份,黄芪10-20份,人参5-15份,延胡索10-20份,泽兰10-20份,三七1-6份,桃仁5-12份,山茱萸9-15份,琥珀1-6份,青皮3-9份,赤小豆9-15份,小茴香9-15份,苏木9-15份,半夏5-12份,菟丝子10-20份,熟地5-15份,浙贝母3-9份,冬瓜仁10-20份,石菖蒲9-15份,川楝子5-15份,山药9-15份,莪术5-12份,红藤10-20份,白芥子5-15份,沉香0.5-2份,川牛膝9-15份,川芎9-15份和血竭1-4份。该组合物可以用于治疗前列腺炎、前列腺增生,但该组合物的成份过于复杂,同时治疗前列腺增生的效果有待进一步提升。At present, there are also many reports on the treatment of prostatitis using TCM syndrome differentiation and treatment. As disclosed in the prior art, a pharmaceutical composition for the treatment of prostatitis and benign prostatic hyperplasia, the composition is prepared from each crude drug comprising the following parts by weight: Ingredients: 10-30 parts of turtle shells, 10-20 parts of tortoise shells, 0.5-3 parts of ground beetles, 0.1-1 parts of leeches, 0.2-2 parts of centipedes, 3-9 parts of Shanzi mushrooms, 0.5-3 parts of pangolins, 10 parts of astragalus -20 parts, 5-15 parts of ginseng, 10-20 parts of Corydalis, 10-20 parts of Eupatorium, 1-6 parts of Panax notoginseng, 5-12 parts of peach kernel, 9-15 parts of dogwood, 1-6 parts of amber, 3 parts of green bark -9 parts, 9-15 parts of red bean, 9-15 parts of cumin, 9-15 parts of sumac, 5-12 parts of pinellia, 10-20 parts of dodder, 5-15 parts of rehmannia, 3-9 parts of Fritillaria , 10-20 parts of winter melon kernel, 9-15 parts of Shichangpu, 5-15 parts of Toosendan, 9-15 parts of yam, 5-12 parts of Curcuma, 10-20 parts of red vine, 5-15 parts of white mustard seed, agarwood 0.5-2 parts, 9-15 parts of Sichuan Achyranthes bidentata, 9-15 parts of Chuanxiong and 1-4 parts of blood. The composition can be used for treating prostatitis and benign prostatic hyperplasia, but the components of the composition are too complicated, and the effect of treating benign prostatic hyperplasia needs to be further improved.
因此需要提供一种成份简单且治疗前列腺增生的效果显著的药物组合物。Therefore, it is necessary to provide a pharmaceutical composition with simple ingredients and significant effect in treating benign prostatic hyperplasia.
发明内容Contents of the invention
为了解决现有技术的不足,本申请提供一种新的用于治疗前列腺增生的药物组合物,该药物组合物的配方简单,且对前列腺增生的治疗效果显著,能够较好的应用在前列腺增生的治疗中。In order to solve the deficiencies in the prior art, the application provides a new pharmaceutical composition for the treatment of benign prostatic hyperplasia. in treatment.
为此,本申请第一方面提供了一种用于治疗前列腺增生的药物组合物,以重量份数计,所述药物组合物的制备原料包括如下组分:To this end, the first aspect of the present application provides a pharmaceutical composition for the treatment of benign prostatic hyperplasia, in parts by weight, the preparation raw materials of the pharmaceutical composition include the following components:
白胡椒5~15份,姜黄5~10份,木香3~8份,苏木3~8份,积雪草1~5份,余甘子1~5份5-15 parts of white pepper, 5-10 parts of turmeric, 3-8 parts of woody fragrance, 3-8 parts of sumac, 1-5 parts of centella asiatica, 1-5 parts of emblica
和僵蚕10~20份。And 10-20 copies of silkworm.
本申请中,所述药物组合物中的白胡椒为胡椒科植物胡椒的果实,其具有温中散寒、下气等功效,在抗癌、镇痛、镇静、细胞保护、抗炎、抑菌杀虫等多方面存在活性;胡椒中的胡椒碱为白胡椒的活性成分,具有抗肿瘤、抗氧化、抗消化系统溃疡和抗抑郁等功效。姜黄为姜科植物姜黄的干燥根茎,味辛、苦,具有破血行气、通经止痛等功效;姜黄中的姜黄素有很好的抗肿瘤作用,可以有效地抑制肿瘤细胞的增殖,增加肿瘤细胞的凋亡,使肿瘤数目减少同时可以缩小肿瘤的体积,在一定程度上可以逆转癌细胞的恶性表型。药物组合物中白胡椒与姜黄中的胡椒碱和姜黄素配合能够相互促进,起到协同增效的目的,进而能够更好地应用在前列腺增生的治疗中。In the present application, the white pepper in the pharmaceutical composition is the fruit of Piperaceae plant pepper, which has the functions of warming the middle and expelling cold, lowering the qi, etc. There are many activities such as insecticidal; piperine in pepper is the active ingredient of white pepper, which has anti-tumor, anti-oxidation, anti-digestive ulcer and anti-depression effects. Turmeric is the dried rhizome of turmeric, a plant in the ginger family. It tastes pungent and bitter, and has the effects of breaking blood and promoting qi, dredging menstruation and relieving pain; curcumin in turmeric has a good anti-tumor effect, which can effectively inhibit the proliferation of tumor cells and increase tumor growth. Apoptosis of cells reduces the number of tumors and shrinks the volume of tumors, which can reverse the malignant phenotype of cancer cells to a certain extent. The combination of the white pepper in the pharmaceutical composition and the piperine and curcumin in the turmeric can promote each other and achieve the purpose of synergistic effect, and thus can be better used in the treatment of benign prostatic hyperplasia.
本申请中,药物组合物中木香的菊科植物云木香和川木香的通称,具有行气止痛、温中和胃、涩肠止泻等功效;苏木是豆科云实属植物,在临床上是常用药,《本草纲目》有记载,苏木乃三阴经的血分药,少用则和血,多用则破血,苏木性平,归肝经,主要功效和作用是行气、破瘀、消肿、止痛,能够促进血液循环,增强免疫力;积雪草是伞形科植物积雪草的全草,具有清热利湿、活血止血、解毒消肿的功效,积雪草中的积雪草苷和羟基积雪草苷具有很多药理作用,如能抑制胶原纤维,具有抑制纤维组织增生的作用,能治疗皮肤溃疡等;余甘子是大戟科叶下珠属植物,性味甘、酸、涩、凉,归肺、胃经,具有消食健胃、清热解毒的功效,现代药理学表明余甘子中含有大量的超氧化物歧化酶,11.8%维生素,具有优异的清除自由基与抗肿瘤的作用。药物组合物中的木香、苏木、积雪草和余甘子配合能够相互促进,起到协同增效的目的,进而能够进一步提升药物组合物治疗前列腺增生的效果。In this application, the general name of the Compositae plants of the woody woody woody woody and Chuankiyaki in the pharmaceutical composition has the effects of promoting qi and relieving pain, warming the stomach, astringent intestines and antidiarrheal; sumac is a plant of the genus Yunshi , is a commonly used medicine in clinical practice. It is recorded in "Compendium of Materia Medica" that sumac is a blood-dividing medicine for the three yin meridians. Qi, blood stasis, swelling, pain relief, can promote blood circulation, enhance immunity; The asiaticoside and madecassoside in the grass have many pharmacological effects, such as inhibiting collagen fibers, inhibiting the proliferation of fibrous tissue, and treating skin ulcers; Sweet, sour, astringent, cool in nature and flavor, it belongs to the lung and stomach meridians, and has the effects of digesting food and invigorating the stomach, clearing away heat and detoxifying. Free radicals and anti-tumor effects. The combination of woody incense, sumac, centella asiatica and emblica in the pharmaceutical composition can promote each other to achieve the purpose of synergistic effect, and further enhance the effect of the pharmaceutical composition for treating hyperplasia of the prostate gland.
本申请中,药物组合物中的僵蚕,性平,味咸、辛,归肝肺胃经,具有祛风解痉,化痰散结等功效,临床多用于治有形之包块,如结节,咽肿痛,瘰疬,风疮瘾疹等,皆取其通散之能。药物组合物中的僵蚕能够与药物组合物中的植物性成分相互弥补配合,进而使得本申请的药物组合物能够更好地应用在在前列腺增生的治疗中。In the present application, the silkworm in the pharmaceutical composition is flat in nature, salty and pungent in taste, and belongs to the liver, lung and stomach meridian. Rheumatoid arthritis, sore throat, scrofula, rheumatic sore rash, etc., all take its ability to clear and disperse. The silkworm in the pharmaceutical composition can complement each other with the plant components in the pharmaceutical composition, so that the pharmaceutical composition of the present application can be better applied in the treatment of benign prostatic hyperplasia.
进一步地,本申请通过将药物组合物中各原料药的含量控制在上述范围内,能够使药物组合物的效果更佳。Furthermore, the present application can make the effect of the pharmaceutical composition better by controlling the content of each raw drug in the pharmaceutical composition within the above range.
在一些实施方式中,所述白胡椒的重量份数为8~10份,所述姜黄的重量份数为6~8份,且所述白胡椒与姜黄的重量比为(1~2):1。In some embodiments, the parts by weight of the white pepper are 8-10 parts, the parts by weight of the turmeric are 6-8 parts, and the weight ratio of the white pepper and turmeric is (1-2): 1.
在一些优选的实施方式中,所述白胡椒的重量份数为9份,所述姜黄的重量份数为6份,且所述白胡椒与姜黄的重量比为1.5:1。In some preferred embodiments, the parts by weight of the white pepper are 9 parts, the parts by weight of the turmeric are 6 parts, and the weight ratio of the white pepper to turmeric is 1.5:1.
本申请通过将药物组合物中白胡椒和姜黄的重量份数以及二者重量关系控制在上述范围内,能够更好地发挥白胡椒和姜黄的协同效果,进而进一步提升药物组合物的疗效。In the present application, by controlling the parts by weight of white pepper and turmeric in the pharmaceutical composition and the weight relationship between the two within the above range, the synergistic effect of white pepper and turmeric can be better exerted, thereby further improving the curative effect of the pharmaceutical composition.
在一些实施方式中,所述木香的重量份数为5~6份,所述苏木的重量份数为5~6份,所述积雪草的重量份数为2~4份,所述余甘子的重量份数为2~4份;且所述木香、苏木、积雪草和余甘子的重量比为(2~3):(2~3):(1~2):(1~2)。In some embodiments, the parts by weight of the woody fragrance is 5-6 parts, the parts by weight of the sumac is 5-6 parts, and the parts by weight of the centella asiatica are 2-4 parts, so The parts by weight of the emblica are 2-4 parts; and the weight ratio of the woody, sumac, centella asiatica and emblica is (2-3):(2-3):(1-2): (1~2).
在一些优选的实施方式中,所述木香的重量份数为6份,所述苏木的重量份数为6份,所述积雪草的重量份数为3份,所述余甘子的重量份数为3份;且所述木香、苏木、积雪草和余甘子的重量比为2:2:1:1。In some preferred embodiments, the parts by weight of the woody fragrance is 6 parts, the parts by weight of the sumac is 6 parts, the parts by weight of the centella asiatica is 3 parts, and the parts by weight of the emblica The parts by weight are 3 parts; and the weight ratio of the woody fragrance, sumac, centella asiatica and emblica is 2:2:1:1.
本申请通过将药物组合物中木香、苏木、积雪草和余甘子的重量份数以及四者重量关系控制在上述范围内,能够更好地发挥木香、苏木、积雪草和余甘子的协同效果,进而进一步提升药物组合物的疗效。The present application controls the weight parts of woody, sumac, centella asiatica and emblica in the pharmaceutical composition and the weight relationship of the four within the above-mentioned range, and can better play the role of woody, sumac, centella asiatica and emblica. The synergistic effect of emblica further enhances the curative effect of the medicinal composition.
在一些具体实施例中,所述药物组合物中僵蚕的重量份数可以为10份、11份、12份、13份、14份、15份、16份、17份、18份、19份或20份等。在一些优选的实施方式中,所述所述药物组合物中僵蚕的重量份数为14~16份。在一些更为优选的实施方式中,所述药物组合物中僵蚕的重量份数为15份。In some specific embodiments, the parts by weight of the silkworm in the pharmaceutical composition can be 10 parts, 11 parts, 12 parts, 13 parts, 14 parts, 15 parts, 16 parts, 17 parts, 18 parts, 19 parts or 20 servings etc. In some preferred embodiments, the weight parts of silkworms in the pharmaceutical composition are 14-16 parts. In some more preferred embodiments, the weight part of the silkworm in the pharmaceutical composition is 15 parts.
本申请中,药物组合物中的僵蚕属于动物性成分,将僵蚕的含量控制在上述范围内能够更好地与组合物中的植物性成分相互弥补配合,提升植物性成分对前列腺增生的疗效,同时降低上述成份对身体带来的毒副作用,进而将本申请药物组合物治疗前列腺增生的效果发挥到最佳。In the present application, the silkworm in the pharmaceutical composition is an animal component, and controlling the content of the silkworm in the above range can better complement and cooperate with the plant components in the composition, and improve the effect of the plant components on benign prostatic hyperplasia. curative effect, while reducing the toxic and side effects of the above ingredients on the body, and then the application of the pharmaceutical composition to the best effect of the treatment of benign prostatic hyperplasia.
因此,在本申请的最优实施方式中,以重量份数计,所述药物组合物的制备原料包括如下组分:白胡椒9份,姜黄6份,木香6份,苏木6份,积雪草3份,余甘子3份和僵蚕15份;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Therefore, in the most preferred embodiment of the present application, in parts by weight, the preparation raw materials of the pharmaceutical composition include the following components: 9 parts of white pepper, 6 parts of turmeric, 6 parts of woody fragrance, 6 parts of sumac, 3 parts of Centella asiatica, 3 parts of Emlical emblica and 15 parts of silkworm; wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody fragrance, sumac, Centella asiatica and Emlical seed is 2:2: 1:1.
本申请中,可以根据需要在所述药物组合物中加入药学上可接受的辅料或辅助性成分进而制备成制剂,如口服制剂。所述口服制剂例如可以为汤剂、膏剂、口服液、颗粒剂、胶囊剂、丸剂、片剂或散剂等。In the present application, pharmaceutically acceptable adjuvants or auxiliary components can be added to the pharmaceutical composition as required to prepare preparations, such as oral preparations. The oral preparations can be, for example, decoctions, ointments, oral liquids, granules, capsules, pills, tablets or powders.
本申请第二方面提供了一种制备如本申请第一方面所述的药物组合物的方法,所述方法包括以下步骤:The second aspect of the present application provides a method for preparing the pharmaceutical composition as described in the first aspect of the present application, the method comprising the following steps:
S1,制备白胡椒和姜黄的乙醇提取液;S1, preparing the ethanol extract of white pepper and turmeric;
S2,将僵蚕炒制后磨成粉末,获得僵蚕粉末;S2, fry the silkworm and grind it into powder to obtain silkworm powder;
S3,将木香、苏木、积雪草和余甘子粉碎,制得混合粉末,将所述混合粉末与僵蚕粉末添加到所述白胡椒和姜黄的乙醇提取液中,获得所述药物组合物。S3, pulverizing woody incense, sumac, centella asiatica and emblica to obtain a mixed powder, adding the mixed powder and silkworm powder to the ethanol extract of white pepper and turmeric to obtain the drug combination things.
本申请中,药物组合物中的白胡椒和姜黄为白胡椒和姜黄的乙醇提取液,通过制备白胡椒和姜黄的乙醇提取液能够将白胡椒中的胡椒碱以及姜黄中的姜黄素充分提取,进而更有利于发挥药物组合物的疗效。In the present application, the white pepper and turmeric in the pharmaceutical composition are ethanol extracts of white pepper and turmeric, and the piperine in white pepper and curcumin in turmeric can be fully extracted by preparing the ethanol extract of white pepper and turmeric, Thereby, it is more beneficial to bring into play the curative effect of the pharmaceutical composition.
在一些实施方式中,所述步骤S1具体包括:将白胡椒和姜黄粉碎后添加到乙醇溶液中,进行加热回流提取,制得白胡椒和姜黄的乙醇提取液。In some embodiments, the step S1 specifically includes: crushing the white pepper and turmeric, adding them to the ethanol solution, and performing heating and reflux extraction to obtain an ethanol extract of the white pepper and turmeric.
本申请中,白胡椒和姜黄中的有效成分可以一步提取,简化了制备步骤,降低了生产成本。In the present application, the active ingredients in white pepper and turmeric can be extracted in one step, which simplifies the preparation steps and reduces the production cost.
在一些实施方式中,所述加热回流提取的参数为:乙醇溶液中乙醇的浓度为75%~95%;料液比为1g:(3~8)mL;提取次数为2~3次;提取温度为65~75℃;单次提取的时间为0.5~1.5h。In some embodiments, the parameters of the heating and reflux extraction are: the concentration of ethanol in the ethanol solution is 75% to 95%; the ratio of solid to liquid is 1g: (3 to 8) mL; the number of extractions is 2 to 3 times; The temperature is 65-75°C; the time for a single extraction is 0.5-1.5h.
在一些优选的实施方式中,所述加热回流提取的参数为:乙醇溶液中乙醇的浓度为85%;料液比为1g:5mL;提取次数为2次;提取温度为70℃;单次提取的时间为1h。In some preferred embodiments, the parameters of the heating reflux extraction are: the concentration of ethanol in the ethanol solution is 85%; the ratio of solid to liquid is 1g:5mL; the number of extractions is 2 times; the extraction temperature is 70°C; The time is 1h.
本申请中,乙醇溶液中乙醇的浓度指的是乙醇的体积分数;料液比指的是白胡椒和姜黄的总质量与乙醇溶液的质量体积比。本申请通过在上述提取条件下制备白胡椒和姜黄的乙醇提取液,能够一步提取白胡椒和姜黄中的有效成分,且使提取液中胡椒碱和姜黄素的含量最佳,进而使得本申请的药物组合物能够更好地治疗前列腺增生。In this application, the concentration of ethanol in the ethanol solution refers to the volume fraction of ethanol; the ratio of solid to liquid refers to the mass volume ratio of the total mass of white pepper and turmeric to the ethanol solution. The present application prepares the ethanol extract of white pepper and turmeric under the above extraction conditions, can extract the active ingredients in white pepper and turmeric in one step, and make the content of piperine and curcumin in the extract optimal, and then make the present application The pharmaceutical composition can better treat benign prostatic hyperplasia.
在一些实施方式中,步骤S2中所述僵蚕炒制的过程为:将炒锅加热,均匀撒入麸皮,待麸皮焦化起浓烟时,随即加入待炒制的僵蚕,迅速翻炒至僵蚕表面呈棕黄色,取出,筛去焦麸渣,摊晾凉。In some embodiments, the process of frying silkworms described in step S2 is as follows: heat the frying pan, sprinkle bran evenly, and when the bran burns into thick smoke, add silkworms to be fried immediately, and turn over quickly Stir-fry until the surface of the silkworm is brownish yellow, take it out, sieve off the burnt bran residue, and spread it out to cool.
本申请第三方面提供了一种如本申请第一方面所述的药物组合物或第二方面所述方法制备的药物组合物在制备用于治疗和/或预防前列腺增生的药物中的应用。The third aspect of the present application provides an application of the pharmaceutical composition described in the first aspect of the application or the pharmaceutical composition prepared by the method described in the second aspect in the preparation of a medicament for treating and/or preventing hyperplasia of the prostate gland.
本申请所述药物组合物中含有特定配比的原料药,通过各原料药之间的协同配合使得本申请所述药物组合物能够有效治疗前列腺增生,且该药物组合物的配方简单,制备方法简单易行,进而都够很好地应用在制备用于治疗和/或预防前列腺增生的药物中。The pharmaceutical composition described in this application contains raw materials with specific proportions, and the pharmaceutical composition described in this application can effectively treat benign prostatic hyperplasia through the synergy between each raw material drug, and the formula of the pharmaceutical composition is simple, and the preparation method It is simple and easy to implement, and can be well applied in the preparation of medicines for treating and/or preventing hyperplasia of the prostate gland.
本申请的有益技术效果:本申请所述药物组合物的原料药中包括白胡椒、姜黄、木香、苏木、积雪草、余甘子和僵蚕,白胡椒与姜黄中的胡椒碱和姜黄素配合能够协同增效,且木香、苏木、积雪草和余甘子配合,也能够相互促进起到协同增效的目的;同时僵蚕与药物组合物中的植物性成分相互弥补配合,进而使得本申请的药物组合物能够更好地应用在在前列腺增生的治疗中。另外,本申请所述药物组合物的配方简单,制备方法简单易行,应用前景良好,都够很好地应用在制备用于治疗和/或预防前列腺增生的药物中。Beneficial technical effects of the present application: the raw materials of the pharmaceutical composition described in the present application include white pepper, turmeric, woody fragrance, sumac, centella asiatica, emblica and silkworm, piperine and turmeric in white pepper and turmeric The synergistic effect can be achieved through the combination of the elements, and the combination of woody fragrance, sumac wood, centella asiatica and emblica can also promote each other to achieve the purpose of synergistic effect; at the same time, the botanical components in the silkworm and the medicinal composition complement each other, Furthermore, the pharmaceutical composition of the present application can be better applied in the treatment of benign prostatic hyperplasia. In addition, the pharmaceutical composition described in the present application has a simple formula, a simple and easy preparation method, and good application prospects, all of which can be well used in the preparation of drugs for treating and/or preventing benign prostatic hyperplasia.
具体实施方式Detailed ways
为使本申请更加容易理解,下面将结合实施例来进一步详细说明本申请,这些实施例仅起说明性作用,并不局限于本申请的应用范围。本申请中所使用的原料或组分若无特殊说明均可以通过商业途径或常规方法制得。In order to make the present application easier to understand, the present application will be further described in detail below in conjunction with examples, and these examples are for illustrative purposes only, and do not limit the scope of application of the present application. The raw materials or components used in this application can be prepared by commercial channels or conventional methods unless otherwise specified.
实施例1:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒9g,姜黄6g,木香6g,苏木6g,积雪草3g,余甘子3g和僵蚕15g;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Example 1: The preparation formula of the pharmaceutical composition: weigh each raw material according to the following weight and set aside: 9g of white pepper, 6g of turmeric, 6g of woody incense, 6g of sumac, 3g of centella asiatica, 3g of emblica and 15g of silkworm; Wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody incense, sumac, centella asiatica and emblica is 2:2:1:1.
制备:将称取的白胡椒和姜黄一起粉碎后放入圆底烧瓶中,然后在圆底烧瓶中加入75mL乙醇浓度为85%的乙醇溶液(料液比为1g:5mL),置于70℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得白胡椒和姜黄的乙醇提取液。Preparation: Put the weighed white pepper and turmeric together into a round bottom flask, then add 75mL of ethanol solution with an ethanol concentration of 85% (the ratio of solid to liquid is 1g:5mL) in the round bottom flask, and place at 70°C Heated and refluxed extraction in a constant temperature water bath, extracted twice, 1 hour each time, combined filtrates to obtain ethanol extracts of white pepper and turmeric.
将炒锅加热,均匀撒入麸皮,待麸皮焦化起浓烟时,随即加入待炒制的僵蚕,迅速翻炒至僵蚕表面呈棕黄色,取出,筛去焦麸渣,摊晾凉。然后将炒制后的僵蚕磨成粉末,制得僵蚕粉末。Heat the frying pan, sprinkle the bran evenly, when the bran burns and smoke, then add the silkworms to be fried, stir-fry quickly until the surface of the silkworms turns brown, take it out, sieve off the burnt bran residue, and let it dry cold. Then the fried silkworm is ground into powder to obtain silkworm powder.
将木香、苏木、积雪草和余甘子一起粉碎,制得混合粉末,将所述混合粉末与僵蚕粉末添加到白胡椒和姜黄的乙醇提取液中,制得药物组合物。Pulverize woody incense, sumac, centella asiatica and emblica together to prepare a mixed powder, add the mixed powder and silkworm powder to ethanol extracts of white pepper and turmeric to prepare a pharmaceutical composition.
实施例2:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒15g,姜黄10g,木香6g,苏木6g,积雪草3g,余甘子3g和僵蚕15g;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Example 2: The preparation formula of the pharmaceutical composition: take each raw material according to the following weight and set aside: 15g of white pepper, 10g of turmeric, 6g of woody fragrance, 6g of sumac, 3g of centella asiatica, 3g of emblica and 15g of silkworm; Wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody incense, sumac, centella asiatica and emblica is 2:2:1:1.
制备:将称取的白胡椒和姜黄一起粉碎后放入圆底烧瓶中,然后在圆底烧瓶中加入125mL乙醇浓度为85%的乙醇溶液(料液比为1g:5mL),置于70℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得白胡椒和姜黄的乙醇提取液。Preparation: Put the weighed white pepper and turmeric together into a round bottom flask, then add 125mL of ethanol solution with an ethanol concentration of 85% (the ratio of solid to liquid is 1g:5mL) in the round bottom flask, and place at 70°C Heated and refluxed extraction in a constant temperature water bath, extracted twice, 1 hour each time, combined filtrates to obtain ethanol extracts of white pepper and turmeric.
后续步骤同实施例1。Subsequent steps are the same as in Example 1.
实施例3:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒8g,姜黄8g,木香6g,苏木6g,积雪草3g,余甘子3g和僵蚕15g;其中白胡椒与姜黄的的重量比为1:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Example 3: The preparation formula of the pharmaceutical composition: take the raw materials according to the following weights and set aside: 8g of white pepper, 8g of turmeric, 6g of woody incense, 6g of sumac, 3g of centella asiatica, 3g of emblica and 15g of silkworm; Wherein the weight ratio of white pepper and turmeric is 1:1, and the weight ratio of woody incense, sumac, centella asiatica and emblica is 2:2:1:1.
制备:将称取的白胡椒和姜黄一起粉碎后放入圆底烧瓶中,然后在圆底烧瓶中加入80mL乙醇浓度为85%的乙醇溶液(料液比为1g:5mL),置于70℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得白胡椒和姜黄的乙醇提取液。Preparation: Put the weighed white pepper and turmeric together into a round bottom flask, then add 80mL of ethanol solution with an ethanol concentration of 85% (the ratio of solid to liquid is 1g:5mL) in the round bottom flask, and place at 70°C Heated and refluxed extraction in a constant temperature water bath, extracted twice, 1 hour each time, combined filtrates to obtain ethanol extracts of white pepper and turmeric.
后续步骤同实施例1。Subsequent steps are the same as in Example 1.
实施例4:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒9g,姜黄6g,木香3g,苏木3g,积雪草1.5g,余甘子1.5g和僵蚕15g;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Example 4: The preparation formula of the pharmaceutical composition: Take the raw materials according to the following weights for later use: 9g of white pepper, 6g of turmeric, 3g of woody incense, 3g of sumac, 1.5g of centella asiatica, 1.5g of emblica and silkworm 15g; wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody incense, sumac, centella asiatica and emblica is 2:2:1:1.
制备:同实施例1。Preparation: with embodiment 1.
实施例5:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒9g,姜黄6g,木香8g,苏木8g,积雪草2g,余甘子2g和僵蚕15g;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为4:4:1:1。Example 5: The preparation formula of the pharmaceutical composition: take each raw material according to the following weight and set aside: 9g of white pepper, 6g of turmeric, 8g of woody fragrance, 8g of sumac, 2g of centella asiatica, 2g of emblica and 15g of silkworm; Wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody incense, sumac, centella asiatica and emblica is 4:4:1:1.
制备:同实施例1。Preparation: with embodiment 1.
实施例6:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒9g,姜黄6g,木香6g,苏木6g,积雪草3g,余甘子3g和僵蚕10g;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Example 6: The preparation formula of the pharmaceutical composition: Weigh the raw materials according to the following weights for later use: 9g of white pepper, 6g of turmeric, 6g of woody incense, 6g of sumac, 3g of centella asiatica, 3g of emblica and 10g of silkworm; Wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody incense, sumac, centella asiatica and emblica is 2:2:1:1.
制备:同实施例1。Preparation: with embodiment 1.
实施例7:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒9g,姜黄6g,木香6g,苏木6g,积雪草3g,余甘子3g和僵蚕20g;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Example 7: The preparation formula of the pharmaceutical composition: weigh each raw material according to the following weight and set aside: 9g of white pepper, 6g of turmeric, 6g of woody incense, 6g of sumac, 3g of centella asiatica, 3g of emblica and 20g of silkworm; Wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody incense, sumac, centella asiatica and emblica is 2:2:1:1.
制备:同实施例1。Preparation: with embodiment 1.
实施例8:药物组合物的制备Embodiment 8: the preparation of pharmaceutical composition
配方:同实施例1。Prescription: with embodiment 1.
制备:将称取的白胡椒和姜黄一起粉碎后放入圆底烧瓶中,然后在圆底烧瓶中加入75mL乙醇浓度为95%的乙醇溶液(料液比为1g:5mL),置于70℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得白胡椒和姜黄的乙醇提取液。Preparation: Put the weighed white pepper and turmeric together into a round bottom flask, then add 75mL of ethanol solution with an ethanol concentration of 95% (the ratio of solid to liquid is 1g:5mL) in the round bottom flask, and place at 70°C Heated and refluxed extraction in a constant temperature water bath, extracted twice, 1 hour each time, combined filtrates to obtain ethanol extracts of white pepper and turmeric.
其余步骤同实施例1。All the other steps are the same as in Example 1.
实施例9:药物组合物的制备Embodiment 9: the preparation of pharmaceutical composition
配方:同实施例1。Prescription: with embodiment 1.
制备:将称取的白胡椒和姜黄一起粉碎后放入圆底烧瓶中,然后在圆底烧瓶中加入45mL乙醇浓度为85%的乙醇溶液(料液比为1g:3mL),置于70℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得白胡椒和姜黄的乙醇提取液。Preparation: Put the weighed white pepper and turmeric together into a round bottom flask, then add 45mL of ethanol solution with an ethanol concentration of 85% (the ratio of solid to liquid is 1g:3mL) in the round bottom flask, and place at 70°C Heated and refluxed extraction in a constant temperature water bath, extracted twice, 1 hour each time, combined filtrates to obtain ethanol extracts of white pepper and turmeric.
其余步骤同实施例1。All the other steps are the same as in Example 1.
实施例10:药物组合物的制备Embodiment 10: the preparation of pharmaceutical composition
配方:同实施例1。Prescription: with embodiment 1.
制备:将称取的白胡椒和姜黄一起粉碎后放入圆底烧瓶中,然后在圆底烧瓶中加入75mL乙醇浓度为85%的乙醇溶液(料液比为1g:5mL),置于65℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得白胡椒和姜黄的乙醇提取液。Preparation: Put the weighed white pepper and turmeric together into a round bottom flask, then add 75mL of ethanol solution with an ethanol concentration of 85% (the ratio of solid to liquid is 1g:5mL) in the round bottom flask, and place at 65°C Heated and refluxed extraction in a constant temperature water bath, extracted twice, 1 hour each time, combined filtrates to obtain ethanol extracts of white pepper and turmeric.
其余步骤同实施例1。All the other steps are the same as in Example 1.
对比例1:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒15g,木香6g,苏木6g,积雪草3g,余甘子3g和僵蚕15g;其中木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Comparative Example 1: The preparation formula of the pharmaceutical composition: take each raw material medicine according to the following weight and set aside: white pepper 15g, woody wood 6g, sumac 6g, centella asiatica 3g, emblica 3g and silkworm 15g; The weight ratio of sapphire, sumac, centella asiatica and emblica is 2:2:1:1.
制备:将称取的白胡椒碎后放入圆底烧瓶中,然后在圆底烧瓶中加入75mL乙醇浓度为85%的乙醇溶液(料液比为1g:5mL),置于70℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得白胡椒的乙醇提取液。Preparation: Put the weighed white pepper into a round-bottomed flask, then add 75mL of ethanol solution with an ethanol concentration of 85% (the ratio of solid to liquid is 1g:5mL) into the round-bottomed flask, and place it in a constant temperature water bath at 70°C Heating and reflux extraction in the middle, extraction twice, 1 hour each time, combining the filtrates to obtain the ethanol extract of white pepper.
其余步骤同实施例1。All the other steps are the same as in Example 1.
对比例2:药物组合物的制备配方:按照如下重量称取各原料药后备用:姜黄15g,木香6g,苏木6g,积雪草3g,余甘子3g和僵蚕15g;其中木香、苏木、积雪草和余甘子的重量比为2:2:1:1。Comparative example 2: the preparation formula of pharmaceutical composition: according to the following weights, take each crude drug for later use: turmeric 15g, woody wood 6g, sumac 6g, centella asiatica 3g, emblica 3g and silkworm 15g; The weight ratio of sumac, centella asiatica and emblica is 2:2:1:1.
制备:将称取的姜黄碎后放入圆底烧瓶中,然后在圆底烧瓶中加入75mL乙醇浓度为85%的乙醇溶液(料液比为1g:5mL),置于70℃的恒温水浴中进行加热回流提取,提取两次,每次提取1小时,合并滤液,制得姜黄的乙醇提取液。Preparation: put the weighed turmeric into a round-bottomed flask, then add 75mL of ethanol solution with an ethanol concentration of 85% (the ratio of solid to liquid is 1g:5mL) in the round-bottomed flask, and place it in a constant temperature water bath at 70°C Carry out heating and reflux extraction, extract twice, extract 1 hour each time, combine the filtrates, and obtain the ethanol extract of turmeric.
其余步骤同实施例1。All the other steps are the same as in Example 1.
对比例3:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒9g,姜黄6g,木香9g,苏木9g和僵蚕15g;其中白胡椒与姜黄的的重量比为1.5:1。Comparative Example 3: The preparation formula of the pharmaceutical composition: take each raw material according to the following weight for later use: 9g of white pepper, 6g of turmeric, 9g of woody fragrance, 9g of sumac and 15g of silkworm; wherein the weight ratio of white pepper to turmeric It is 1.5:1.
制备:基本同实施例1,不同之处在于,将木香和苏木一起粉碎,制得混合粉末,将所述混合粉末与僵蚕粉末添加到白胡椒和姜黄的乙醇提取液中,制得药物组合物。Preparation: basically the same as in Example 1, the difference is that the coriander and sumac are pulverized together to obtain a mixed powder, and the mixed powder and silkworm powder are added to the ethanol extract of white pepper and turmeric to obtain pharmaceutical composition.
对比例4:药物组合物的制备配方:按照如下重量称取各原料药后备用:白胡椒9g,姜黄6g,积雪草9g,余甘子9g和僵蚕15g;其中白胡椒与姜黄的的重量比为1.5:1。Comparative Example 4: The preparation formula of the pharmaceutical composition: take each raw material medicine according to the following weight and set aside: white pepper 9g, turmeric 6g, centella asiatica 9g, emblica 9g and silkworm 15g; wherein the weight of white pepper and turmeric The ratio is 1.5:1.
制备:基本同实施例1,不同之处在于,将积雪草和余甘子一起粉碎,制得混合粉末,将所述混合粉末与僵蚕粉末添加到白胡椒和姜黄的乙醇提取液中,制得药物组合物。Preparation: basically the same as in Example 1, the difference is that Centella asiatica and Emlical emblica are pulverized together to obtain a mixed powder, and the mixed powder and silkworm powder are added to the ethanol extract of white pepper and turmeric to prepare obtain the pharmaceutical composition.
测试例test case
将实施例1-10和对比例1-4中制得的药物组合物分别旋蒸浓缩至膏状,然后分别加入10g麦芽糊精和5g硬质酸镁,混合制成湿粒,机器冲压成片,分别制得片剂,每片药重0.3g。The pharmaceutical compositions prepared in Examples 1-10 and Comparative Examples 1-4 were concentrated to a paste by rotary evaporation respectively, and then 10 g of maltodextrin and 5 g of magnesium stearate were added respectively, mixed to form wet granules, and machine punched into Tablets were made into tablets, each weighing 0.3 g.
1、对前列腺增生病理模型大鼠的影响1. Effects on pathological model rats with benign prostatic hyperplasia
选用成年健康SD雄性大鼠80只,体重190±20g。随机取5只作为正常组,另取75只按照0.3mL/100g腹腔注射10%水合氯醛,麻醉,将麻醉成功的大鼠固定手术台上,阴囊皮肤消毒,无菌条件下摘除双侧睾丸,缝合。大腿内侧肌处肌内注射青霉素20万U/kg/d,连续7d。一周后,将去势大鼠随机分为15组,每组5只,分别为:模型组,14个用药组(分别给药由实施例1-10和对比例1-4的药物组合物制备的片剂)。实验动物分笼饲养,除正常组外,其余15组大鼠每日灌服丙酸睾丸素(1mg/300g体重)一次,用药组同时予以灌服上述片剂配制的药液(将片剂碾碎后加水混匀),0.3g片剂/100g体重,正常组给予等体积水灌胃。术后7日起连续给药30日。于末次给药后5h后,称取各组大鼠体重,然后处死大鼠、解剖分离出大鼠前列腺,电子天平称湿重,容积法测前列腺体积,计算前列腺重量系数(前列腺湿重/大鼠体重(mg/100g))和前列腺体积系数(前列腺体积/大鼠体重(cm3/100g)),结果如表1所示。另外,给药期间及停药后30天时,观察大鼠生长状态和活动饮食,鉴定血液学、血液生化学、脏器组织结构以及尿常规等。结果发现所有大鼠均健康生存,无任何毒副作用;解剖观察血象、肝功能、各脏器组织状态,与正常大鼠比较无差异,表明本申请的药物组合物无毒副作用,可以安全使用。80 adult healthy SD male rats, weighing 190±20g, were selected. Randomly select 5 rats as the normal group, and another 75 rats are injected intraperitoneally with 0.3mL/100g of 10% chloral hydrate for anesthesia. The anesthetized rats are fixed on the operating table, the skin of the scrotum is disinfected, and the bilateral testes are removed under aseptic conditions. , stitched. Penicillin 200,000 U/kg/d was injected intramuscularly into the inner thigh muscle for 7 consecutive days. After one week, castrated rats were randomly divided into 15 groups, 5 in every group, respectively: model group, 14 medication groups (administration was prepared by the pharmaceutical composition of embodiment 1-10 and comparative example 1-4 respectively) tablet). The experimental animals were raised in separate cages. Except the normal group, the remaining 15 groups of rats were fed with testosterone propionate (1mg/300g body weight) once a day, and the drug group was fed with the medicinal solution prepared from the above tablets simultaneously (the tablets were ground to Add water and mix after crushing), 0.3g tablet/100g body weight, and the normal group is given an equal volume of water for gavage. The drug was administered continuously for 30 days from the 7th day after the operation. After 5 hours after the last administration, the body weight of the rats in each group was weighed, then the rats were killed, the rat prostate was dissected and separated, the wet weight was weighed with an electronic balance, the volume of the prostate was measured by the volumetric method, and the weight coefficient of the prostate was calculated (wet weight of the prostate/large Rat body weight (mg/100g)) and prostate volume coefficient (prostate volume/rat body weight (cm 3 /100g)), the results are shown in Table 1. In addition, during the administration period and 30 days after drug withdrawal, the growth status, activity and diet of the rats were observed, and the hematology, blood biochemistry, organ tissue structure, and urine routine were identified. As a result, all rats were found to be healthy and survived without any toxic or side effects; the blood picture, liver function, and the state of various organs and tissues were observed by dissection, and there was no difference compared with normal rats, indicating that the pharmaceutical composition of the present application has no toxic and side effects and can be used safely.
表1Table 1
从表1可知,相较于模型组以及服用对比例1-4制备的药物组合物的大鼠,服用实施例1-10制得的药物组合物的大鼠的前列腺重量系数和前列腺体积系数均得到明显降低。表明本申请提供的药物组合物对治疗前列腺增生具有明显效果。实施例1和对比例1-2的检测结果可知,本申请药物组合物中的白胡椒和姜黄具有协同增效作用;实施例1和对比3-4的检测结果可知,本申请药物组合物中的木香、苏木、积雪草和余甘子同样具有协同增效作用。从实施例1-10的检测结果可知,当药物组合物中各原料药的配方(重量份)为:白胡椒9份,姜黄6份,木香6份,苏木6份,积雪草3份,余甘子3份和僵蚕15份;其中白胡椒与姜黄的的重量比为1.5:1,木香、苏木、积雪草和余甘子的重量比为2:2:1:1时,能使该药物组合物治疗前列腺增生的效果最佳。As can be seen from Table 1, compared with the rats of the model group and the rats taking the pharmaceutical composition prepared in Comparative Examples 1-4, the prostate weight coefficient and prostate volume coefficient of the rats taking the pharmaceutical composition prepared in Examples 1-10 were both be significantly reduced. It shows that the pharmaceutical composition provided by the application has obvious effect on treating benign prostatic hyperplasia. The detection results of Example 1 and Comparative Example 1-2 show that the white pepper and turmeric in the pharmaceutical composition of the present application have a synergistic effect; the detection results of Example 1 and comparison 3-4 show that the pharmaceutical composition of the application The woody wood, sumac, centella asiatica and emblica also have a synergistic effect. From the detection result of embodiment 1-10 as can be known, when the formula (parts by weight) of each crude drug in the pharmaceutical composition is: 9 parts of white pepper, 6 parts of turmeric, 6 parts of woody fragrance, 6 parts of sumac, 3 parts of centella asiatica Parts, 3 parts of emblica and 15 parts of silkworm; wherein the weight ratio of white pepper and turmeric is 1.5:1, and the weight ratio of woody fragrance, sumac, centella asiatica and emblica is 2:2:1:1 , can make the effect of the pharmaceutical composition for treating hyperplasia of the prostate best.
2.对前列腺增生的患者的疗效2. Curative effect on patients with benign prostatic hyperplasia
(1)患者资料(1) Patient information
患者总共60例,年龄45周岁以上,65周岁以下。There are a total of 60 patients, aged over 45 and under 65.
(2)诊断标准:所观察患者参照卫生部颁布的《中药新药临床研究指导原则》为诊断标准:(2) Diagnostic criteria: The observed patients refer to the "Guiding Principles for Clinical Research of New Drugs of Traditional Chinese Medicine" promulgated by the Ministry of Health as the diagnostic criteria:
排尿困难史:排尿踌躇,费时费力,尿线细、无力,残余尿感,夜尿频数,甚者有尿失禁;肛门指诊:前列腺两侧叶扩大,或中间沟消失;History of dysuria: hesitancy, time-consuming and laborious urination, thin and weak urine stream, residual urine sensation, frequent nocturia, and even urinary incontinence; DRE: enlargement of both lobes of the prostate gland, or disappearance of the middle sulcus;
超声波检查:经直肠超声断层最为理想,前列腺大部密度均匀,对称性扩大,重量>20g;尿流率测定:尿量≥200mL为宜,最大尿流率<15mL/s;Ultrasound examination: transrectal ultrasound is the most ideal, most of the prostate gland has uniform density, symmetrical enlargement, and weight > 20g; urine flow rate measurement: urine volume ≥ 200mL is appropriate, and the maximum urine flow rate is < 15mL/s;
尿道膀胱造影:可发现向上的对膀胱的压迹及后尿道被压变长,侧位片呈半展的扇形影像。Urethrocystography: upward pressure on the bladder can be found and the posterior urethra is compressed and elongated, and the lateral view shows a semi-expanded fan-shaped image.
尿道膀胱镜检查:可发现前列腺两侧叶或中叶的增生,凸向尿道或膀胱。Urethral cystoscopy: Hyperplasia on both sides or middle lobes of the prostate can be found, protruding toward the urethra or bladder.
(3)治疗方法(3) Treatment method
患者口服本申请实施例1的药物组合物,每日早、中、晚各一次口服,每次服用3片,治疗疗程为1个月。The patient took the pharmaceutical composition of Example 1 of the present application orally, once a day in the morning, noon and evening, taking 3 tablets each time, and the course of treatment was 1 month.
(4)疗效判定标准:参照卫生部颁布的《中药新药临床研究指导原则》疗效判定标准;(4) Curative effect judgment standard: refer to the curative effect judgment standard of "Guiding Principles for Clinical Research of New Chinese Medicines" promulgated by the Ministry of Health;
治愈:症状全部消失,前列腺液常规检查结果正常;Cure: all symptoms disappear, and the results of routine examination of prostatic fluid are normal;
显效:前列腺体积缩小为原来的60%,最大尿流率≥18mL/s;Significantly effective: the volume of the prostate gland is reduced to 60% of its original size, and the maximum urine flow rate is ≥18mL/s;
有效:前列腺体积缩小为原来的80%以下,残余尿量减少50%以上,最大尿流率≥12mL/s;无效:前列腺体积无明显变化。Effective: the volume of the prostate is reduced to less than 80% of the original volume, the residual urine volume is reduced by more than 50%, and the maximum urinary flow rate is ≥12mL/s; Ineffective: the volume of the prostate does not change significantly.
(5)治疗效果(5) Treatment effect
60例患者中,痊愈32例,显效14例,有效9例,无效5例,总有效率达91.67%。Among the 60 patients, 32 were cured, 14 were markedly effective, 9 were effective, and 5 were ineffective. The total effective rate was 91.67%.
应当注意的是,以上所述的实施例仅用于解释本申请,并不构成对本申请的任何限制。通过参照典型实施例对本申请进行了描述,但应当理解为其中所用的词语为描述性和解释性词汇,而不是限定性词汇。可以按规定在本申请权利要求的范围内对本申请作出修改,以及在不背离本申请的范围和精神内对本发明进行修订。尽管其中描述的本申请涉及特定的方法、材料和实施例,但是并不意味着本申请限于其中公开的特定例,相反,本申请可扩展至其他所有具有相同功能的方法和应用。It should be noted that the above-mentioned embodiments are only used to explain the present application, and do not constitute any limitation to the present application. This application has been described with reference to typical embodiments, but the words which have been used therein are words of description and explanation rather than words of limitation. Amendments may be made to the application as prescribed within the scope of the claims of the application, and the invention may be amended without departing from the scope and spirit of the application. Although the application described therein relates to specific methods, materials, and examples, it does not mean that the application is limited to the specific examples disclosed therein. On the contrary, the application can be extended to all other methods and applications having the same function.
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