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WO2005092352A1 - A Producing Method and Applications of Chinese Medicine Liposome Preparation for Treating Viral Hepatitis B and Preventing and Curing Fibration of Liver Cell - Google Patents

A Producing Method and Applications of Chinese Medicine Liposome Preparation for Treating Viral Hepatitis B and Preventing and Curing Fibration of Liver Cell Download PDF

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WO2005092352A1
WO2005092352A1 PCT/CN2004/000257 CN2004000257W WO2005092352A1 WO 2005092352 A1 WO2005092352 A1 WO 2005092352A1 CN 2004000257 W CN2004000257 W CN 2004000257W WO 2005092352 A1 WO2005092352 A1 WO 2005092352A1
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chinese medicine
traditional chinese
liposome
extract
hepatitis
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PCT/CN2004/000257
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Chinese (zh)
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Jianzhong Zhu
Zupei Cao
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Jianzhong Zhu
Zupei Cao
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Priority to PCT/CN2004/000257 priority Critical patent/WO2005092352A1/en
Publication of WO2005092352A1 publication Critical patent/WO2005092352A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/127Synthetic bilayered vehicles, e.g. liposomes or liposomes with cholesterol as the only non-phosphatidyl surfactant
    • 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
    • A61K36/484Glycyrrhiza (licorice)
    • 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)
    • A61K36/65Paeoniaceae (Peony family), e.g. Chinese peony
    • 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)
    • A61K36/79Schisandraceae (Schisandra 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)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/906Zingiberaceae (Ginger family)
    • A61K36/9066Curcuma, e.g. common turmeric, East Indian arrowroot or mango ginger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals

Definitions

  • the traditional Chinese medicine liposome can be used for the treatment of viral hepatitis B chronic hepatitis, chronic active hepatitis, acute hepatitis, steatohepatitis, alcoholic hepatitis, toxic hepatitis, and initial liver cirrhosis.
  • the two groups were administered continuously for 8 weeks as a course of treatment.
  • the youngest patients were 18 years old and the highest 65 years old. There were 28 males and 12 females.
  • Patients who had used enzyme-lowering drugs within 45 days before treatment were not observed.
  • routine urine ALT, AST. SB, GGT, ALP. A / G, BuN, and testing were performed to record changes in clinical symptoms and signs.
  • the percentage of the total weight of the active ingredients of traditional Chinese medicine and the total weight of lecithin (including egg yolks and soybeans) and other corresponding medical accessories is: (35: 65)% of standard formulated lecithin (containing egg yolks, soybeans) ) And other corresponding medical accessories.

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  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
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  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • Engineering & Computer Science (AREA)
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  • Alternative & Traditional Medicine (AREA)
  • Biotechnology (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Communicable Diseases (AREA)
  • Oncology (AREA)
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  • Gastroenterology & Hepatology (AREA)
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Abstract

The present invention relates to a Chinese medicine liposome for curing viral hepatitis B and preventing and curing fibration of liver cell and its preparation method. Said Chinese medicine liposome is a multiphase liposome formed from 34-48 wt% of Chinese medicine active component extract and 66-52 wt% of lecithin and medicinal auxiliary material, in which the Chinese medicine active component includes Curcuma tuber, Schisandra berry, white peony and liquorice. The invention package some liver-protective and immune adjustive Chinese medicine with liposome for treating chronic viral hepatitis B and preventing and curing fibration of liver cell. It combines the advantages of liposome and characteristic of Chinese medicine. Its therapeutic effect of curing viral hepatitis B and preventing and curing fibration of liver cell is reliable and its application is convenient.

Description

一种治疗病毒性乙型肝炎、  A treatment for viral hepatitis B,
防治肝细胞纤维化的中药脂质体制剂制备方法及应用 技术领域  Preparation method and application of traditional Chinese medicine liposome preparation for preventing and treating liver cell fibrosis
本发明涉及中药制剂及制备方法, 具体涉及一种治疗病毒性乙型肝炎, 防治肝 纤维化的中药脂质体制剂制备方法及应用。 背景技术  The invention relates to a traditional Chinese medicine preparation and a preparation method, in particular to a preparation method and application of a traditional Chinese medicine liposome preparation for treating viral hepatitis B and preventing liver fibrosis. Background technique
病毒性乙型慢性肝炎、脂肪性肝炎和肝细胞纤维化等疾病,是目前常见多发病, 人群中肝炎病毒携带者比例接近 5%。由病毒性乙型慢性肝炎引起的肝细胞损伤和肝 细胞纤维化变性的产生, 对人类健康构成威胁。  Diseases such as chronic hepatitis B, steatohepatitis, and fibrosis of the liver cells are common and frequently occurring. The proportion of hepatitis virus carriers in the population is close to 5%. Hepatocyte damage and liver cell fibrosis caused by viral hepatitis B chronic hepatitis pose a threat to human health.
现代医学认为肝炎源于肝炎病毒对人体的侵袭, 一旦机体免疫力低下, 则患肝 脏疾病。 长期迁移性慢性乙型肝炎, 造成对肝细胞的严重损伤, 肝细胞纤维化变性 并发展到肝细胞坏死变性。 治疗的手段也以抗肝炎病毒和支持疗法为主。 治疗药品 品种不少, 临床需同时使用几种药品。 由于这些药品的理化特性、 生物利用度及在 人体内产生的代谢物不同, 易相互干扰治疗效果和产生副作用。 因此, 开发研究一 种具有治疗特异性集中、 疗效确切、 使用方便、 副作用低或无副作用的经济型药品 十分有意义。  Modern medicine believes that hepatitis originates from the invasion of the human body by the hepatitis virus. Once the body's immunity is low, it will suffer from liver disease. Long-term migration of chronic hepatitis B caused severe damage to liver cells, hepatocyte fibrosis and degeneration to hepatocyte necrosis. The main treatment methods are anti-hepatitis virus and supportive therapy. There are many types of therapeutic drugs, and several drugs are required for clinical use at the same time. Due to the different physical and chemical properties, bioavailability, and metabolites produced in the human body, these drugs are likely to interfere with each other's treatment effect and produce side effects. Therefore, it is of great significance to develop and research an economical medicine with concentrated specificity of treatment, precise curative effect, convenient use, low or no side effects.
祖国中医中药学认为, 肝病的主要病理机因是肝"郁"和"湿热滞蕴"肝脾, 治疗 采取"疏,,肝、 "行"气、 "柔"肝, 使肝郁得柔, 湿热得利, 而滞结得疏。 由此, 病情得 以缓解, 患者得以康复。 长期来, 中医中药学科技工作者, 在治疗肝病临床工作中 创立和积累的经典处方和中成药十分繁多, 由于服药后, 被胃肠分解吸收, 对治疗 影响仍很大。 乙型病毒性慢性肝炎、 脂肪性肝炎、 酒精性肝损伤和肝细胞纤维化等 肝脏病, 病程长, 易于复发, 需长期服药治疗, 除了传统的舒肝丸、 逍遥散、 鳖甲 煎丸等常用中成药品种外, 目前, 医疗单位和药品商店供应的甘草甜素制剂强力宁 注射剂需静脉注射用药, 使用不方便, 并易产生医源性感染, 不易被接受。 而甘草 甜素片口服后, 大部分在胃内分解和变性, 血药浓度甚低, 疗效不佳。 因此需要探 索发明生物利用度好, 疗效显著的新颖制剂十分迫切。  According to the Chinese medicine of the motherland, the main pathological mechanism of liver disease is liver "stagnation" and "damp-heat stagnation" liver and spleen. The treatment is "sparse, liver," line "qi," soft "liver, so that liver depression is soft, Damp heat benefits, but stagnation becomes sparse. As a result, the condition can be relieved and the patient can recover. For a long time, traditional Chinese medicine and traditional Chinese medicine science and technology workers have created and accumulated classic prescriptions and proprietary Chinese medicines in the treatment of liver diseases. After taking the medicine, it is digested and absorbed by the gastrointestinal tract, which still has a great impact on the treatment. Liver diseases such as chronic hepatitis B virus, steatohepatitis, alcoholic liver injury, and hepatocyte fibrosis, have a long course and are prone to relapse, requiring long-term medication In addition to the commonly used proprietary Chinese medicines such as the traditional Shugan Pill, Xiaoyao San, and Biejiajian Pill, currently, the glycyrrhizin preparation Qianglining injection supplied by medical units and drug stores requires intravenous injection, which is inconvenient to use and easy to produce. Iatrogenic infections are not easy to accept. However, after oral administration of glycyrrhizin tablets, most of them decompose and degenerate in the stomach, the blood concentration is very low, and the curative effect is not good. It is necessary to explore new formulations with good bioavailability and significant curative effects.
脂质体制剂是当前科技前沿项目之一。 由于它的天然靶向性, 使网状内皮系统 的器官和细胞成为包封药物脂质体的靶向区, 定向地将治疗药物有效地运送到达内 皮系统患病细胞中释放药物。 脂质体能够停留在肝和脾、 肺等网状内皮系统丰富的 组织细胞内, 是网状内皮 (细胞) 组织系统疾病治疗药物的良好载体, 当药物进入 细胞组织将被巨噬细胞吞噬, 巨噬细胞的摄取量明显增加并被有效地活化, 有效地 增强人体免疫力。 脂质体是目前极少数应用于人类的无毒性免疫激活剂之一。 其类 脂成分在体内易生物降解, 且无免疫原性和毒性。 发明内容 Liposomal preparations are one of the current cutting-edge science and technology projects. Due to its natural targeting, the organs and cells of the reticuloendothelial system become the targeting area for encapsulating drug liposomes, and the therapeutic drug is effectively delivered to the diseased cells of the endothelial system to release the drug. Liposomes can stay in the abundant tissue cells of the reticuloendothelial system such as liver, spleen, and lung. Cell tissue will be engulfed by macrophages, and the uptake of macrophages will be significantly increased and effectively activated, effectively enhancing human immunity. Liposomes are one of the very few non-toxic immune activators currently used in humans. Its lipid component is easily biodegradable in the body, and is non-immunogenic and toxic. Summary of the invention
本发明所要解决的技术问题是根据中医中药学和现代医学理论, 利用脂质体的 特点, 提供一种配伍科学合理, 疗效显著的抗乙型肝炎病毒和防治肝细胞纤维化的 中药脂质体药物。  The technical problem to be solved by the present invention is to provide a traditional Chinese medicine liposome for preventing hepatitis B virus and preventing liver cell fibrosis by using scientific and reasonable compatibility and significant curative effect according to the characteristics of liposomes based on the theory of Chinese medicine and modern medicine. drug.
本发明公开的治疗病毒性乙型肝炎和防治肝细胞纤维化的中药脂质体是由重量 百分比为 34— 48%中药活性成份提取物和 52-66%卵磷脂及相应的药用辅料组成的 多相脂质体, 其中中药活性成份包括郁金、 五味子、 白芍和甘草。  The traditional Chinese medicine liposome for treating viral hepatitis B and preventing and treating hepatocyte fibrosis is composed of an active ingredient extract of 34-48% of traditional Chinese medicine, 52-66% lecithin and corresponding medicinal excipients Heterophasic liposomes, in which the active ingredients of traditional Chinese medicine include turmeric, schisandra, paeony and licorice.
本发明所述中药活性成份提取物是由重量百分比配方为郁金 12— 16%, 白芍 16 -22%, 五味子 10— 14%提取获得的活性成分与 48— 62%甘草提取物组成, 其中甘 草提取物由比例是 1 : 1的甘草甜素单铵盐和单钾盐组成。  The active ingredient extract of traditional Chinese medicine according to the present invention is composed of an active ingredient obtained by extracting 12-16% of turmeric, 16-22% of peony, and 10-14% of Schisandra chinensis and 48-62% of licorice extract, wherein The licorice extract is made up of 1: 1 glycyrrhizin monoammonium salt and monopotassium salt.
本发明所述的卵磷脂选自卵黄和大豆提取的卵磷脂。  The lecithin according to the present invention is selected from the group consisting of egg yolk and soybean lecithin.
本发明所述的以卵磷脂及相应的医用辅料组成的脂质体, 还可包括以脂肪酸甘 油脂、 蔗糖脂肪酸、 失水山梨醇脂肪酸酯、 聚氧乙烯失水山梨醇脂肪酸酯、 十二烷 基硫酸钠 (SLS )、 聚氧乙烯蓖麻油、 聚氧乙烯一聚氧丙烯共聚物 (Poloxamer Pluronics), 以及阿拉伯胶、 西黄蓍胶、 果糖脂胶、 单硬脂酸甘油脂、 聚氧乙烯硬脂 酸酯、聚氧乙烯 40硬脂酸酯、聚氧乙烯 400单月桂酸酯、聚氧乙烯 400单硬脂酸酯、 聚氧乙烯月桂醇醚、 苄泽 30, 以及司盘 20—司盘 85, 吐温 20—吐温 85等主要脂质 成分及相应的医用辅料组成的脂质体。  The liposomes composed of lecithin and corresponding medical auxiliary materials according to the present invention may further include fatty acid glycerolipid, sucrose fatty acid, sorbitan fatty acid ester, polyoxyethylene sorbitan fatty acid ester, Sodium dialkyl sulfate (SLS), polyoxyethylene castor oil, polyoxyethylene-polyoxypropylene copolymer (Poloxamer Pluronics), and gum arabic, tragacanth, fructolipid, glyceryl monostearate, poly Oxyethylene stearate, polyoxyethylene 40 stearate, polyoxyethylene 400 monolaurate, polyoxyethylene 400 monostearate, polyoxyethylene lauryl ether, benzyl 30, and spanner 20 —Span 85, Tween 20—Tween 85 and other major liposomes and corresponding medical excipients.
本发明所要解决的另一技术问题是公开上述中药脂质体的制备方法。  Another technical problem to be solved by the present invention is to disclose a method for preparing the above-mentioned traditional Chinese medicine liposome.
本发明公开的治疗病毒性乙型肝炎、 防治肝细胞纤维化的中药脂质体的制备包 括下列步骤:  The preparation of the traditional Chinese medicine liposome for treating viral hepatitis B and preventing and treating hepatocyte fibrosis includes the following steps:
一、 活性成份提取物制备  1. Preparation of active ingredient extract
( 1 ) 按配比将五味子置 78°C-85°C烘箱内密闭干燥, 冷却; 轧粗末, 过 10 目 筛, 另置, 备用;  (1) Place Schisandra in a 78 ° C-85 ° C oven in a closed, dry, and cool state according to the mixing ratio; roll the coarse powder through a 10-mesh sieve, place it separately, and set aside;
(2) 按配比将郁金置 62°C-75°C烘箱内, 密闭干燥, 冷却; 按配比加入白芍混 合, 轧粗末, 粉过 5目筛, 另置, 备用;  (2) Place turmeric in an oven at 62 ° C-75 ° C according to the mixing ratio, keep it tightly dry, and cool; add white scallion according to the mixing ratio, roll the coarse powder, pass the powder through a 5 mesh sieve, place it separately, and set aside;
(3 ) 将步骤 (1 ) 和 (2) 的粗末, 置一级萃取釜, 压力 Mpa8-18; 温度 54°C- 70 °C ; 65%-85%乙醇循环量 100ml h-150ml h; CO2流量 900ml/h-1500ml/h; 经 2.5h- 4h萃取后, 减压 8Mpa-15Mpa ; 温度 48°C-52° (:, 流入分离柱, 再进入解析釜, 减压 至常压后, 取出萃取物, 另置干净器皿, 密闭; 收集药渣, 待用; (3) Place the crude oil from steps (1) and (2) into a first-stage extraction kettle, pressure M pa 8-18; temperature 54 ° C- 70 ° C; 65% -85% ethanol circulation 100ml h-150ml h CO 2 flow 900ml / h-1500ml / h; after 2.5h- After 4h extraction, the pressure was reduced to 8M pa -15M pa; the temperature was 48 ° C-52 ° (:, flowed into the separation column, and then entered the analytical kettle, after decompression to normal pressure, the extract was taken out, placed in a clean vessel, and sealed; collected Drug residue, stand by
( 4 ) 将步骤 (3 ) 药渣, 置装有冷凝器的反应锅内, 加入 4倍量水, 2倍量水, 煎二次。 收集冷凝器挥发性油水混合物, 备用; 弃渣, 和匀二次煎液, 过滤, 滤液 内加入油水混合物, 搅和, 减压浓缩至 1.0-1.18稠膏, 加入步骤(3 )萃取物, 混合, 真空干燥至千膏体, 粉碎成 380目 -450目极细粉, 备用;  (4) Place the medicine residue in step (3) in a reaction kettle equipped with a condenser, add 4 times the amount of water, 2 times the amount of water, and fry twice. Collect the volatile oil-water mixture of the condenser and set aside; discard the residue and mix the secondary decoction, filter, add the oil-water mixture to the filtrate, stir, concentrate under reduced pressure to 1.0-1.18 thick paste, add the extract in step (3), mix, Vacuum-dried to a thousand pastes, pulverized into 380-450 mesh ultrafine powder, set aside;
二、 脂质体制剂制备  Preparation of liposome preparations
( 1 )将上述极细粉放置容器内, 加入蒸馏水至刻度, 水浴 65 °C-80°C保持温度, 搅拌至溶解; 再放入甘草甜素单铵盐和单钾盐, 搅拌至溶解, 将溶液置具有超声波 长的容器内, 输出超声波长; 将卵磷脂及其他相应的医用辅料, 置 65 °C -100°C水浴 中, 搅和, 融化, 呈透明即移分液器; 乘热以 30-45滴 /min, 滴注入置超声波容器的 药液内, 适度搅和; 滴注完毕, 保留超声波长发生 12-25min, 关闭发生器, 将脂质 体吸入无菌罐装机, 灌装;  (1) Put the above ultrafine powder in a container, add distilled water to the mark, keep the temperature in a water bath at 65 ° C-80 ° C, and stir until dissolved; then add glycyrrhizin monoammonium and monopotassium salts and stir until dissolved. Place the solution in a container with an ultrasonic wave length and output the ultrasonic wave length; Put lecithin and other corresponding medical auxiliary materials in a 65 ° C-100 ° C water bath, stir, melt, and transfer to a transparent pipette; 30-45 drops / min, drip into the medicine solution placed in the ultrasonic container, and moderately agitate; after the drip is completed, leave the ultrasonic wave for 12-25 minutes, turn off the generator, and suck the liposomes into a sterile canning machine, filling ;
( 2 ) 将罐装后的脂质体瓶放入超低温干燥箱内, 于 -45 Ό - -60 V 中干冻 10- 15h, 35Ό -45 Ό低温箱内稳定干燥 4-6h。 即得。  (2) Put the canned liposome bottle in an ultra-low temperature drying box, and freeze-dry in -45 Ό--60 V for 10-15 hours, and dry in a low temperature box of 35Ό -45 4 for 4-6h. That's it.
上述制备方法只是为制备本发明的中药脂质体制剂提供了一种较佳的实施方 案。 本领域技术人员可以根据本发明的描述对其中所采用的各个参数, 条件和辅料 进行适当地变化和改进, 这些变化也都包括在本发明范围内。  The above preparation method only provides a preferred embodiment for preparing the traditional Chinese medicine liposome preparation of the present invention. Those skilled in the art can appropriately change and improve various parameters, conditions, and auxiliary materials used therein according to the description of the present invention, and these changes are also included in the scope of the present invention.
本发明所要解决的再一技术问题是公开上述中药脂质体在制备治疗病毒性乙型 肝炎、 防治肝细胞纤维化的药物中的应用。  Yet another technical problem to be solved by the present invention is to disclose the application of the above-mentioned traditional Chinese medicine liposomes in the preparation of a medicament for treating viral hepatitis B and preventing and treating hepatocyte fibrosis.
本发明中药脂质体可用于病毒性乙型慢性肝炎、 慢性活动性肝炎、 急性肝炎、 脂肪肝炎、 酒精性肝炎、 中毒性肝炎、 初期肝硬化的治疗。  The traditional Chinese medicine liposome can be used for the treatment of viral hepatitis B chronic hepatitis, chronic active hepatitis, acute hepatitis, steatohepatitis, alcoholic hepatitis, toxic hepatitis, and initial liver cirrhosis.
本发明制剂处方中:  In the formulation of the invention:
五味子(Fructus Sehisandiae) : 敛肺滋肾、 生津敛汗、 涩精止泻、 宁心安神、 热 伤气阴。 专收敛肺气而滋水, 肝木得肾水滋养, 则肝湿热邪火得以祛除。  Schisandra (Fructus Sehisandiae): Gathering lungs and nourishing kidneys, regenerating sweat, astringent astringent to stop diarrhea, calming heart, relieving heat and qi and yin. Dedicated to the lungs and nourish the water, the liver wood nourish the kidney water, then the liver dampness and heat evil fire can be eliminated.
郁金 (Radix curcumae) : 活血止痛、 行气解郁、 凉血清心、 利胆退黄。 能疏肝 行气以解郁。  Turmeric (Radix curcumae): Activating blood and relieving pain, relieving qi and stagnation, cooling serum, relieving biliary and yellowing. Can relieve liver and qi to relieve depression.
白芍 (Radix Paeomiae alba) : 养血敛阴、 柔肝止痛、 平抑肝阳、 养血柔肝、 缓 急止痛。 遇甘草, 治肝脾失和、 腕腹挛急作痛。  Radix Paeomiae alba: Nourishing blood and converging yin, softening liver and analgesic, calming liver yang, nourishing blood and softening liver, slowing and analgesic. In case of licorice, cure liver and spleen loss, pain in wrist and abdominal cramps.
此三味药, 在配伍中阴阳平衡, 在治疗功效中各得益彰, 发挥了中药协同疗效 的优势。  This three-drug medicine balances yin and yang in the compatibility, and each has its own effect in the treatment, and it exerts the advantages of the synergistic effect of Chinese medicine.
药材甘草, 有"解毒、 倍气力、 缓正气、 养阴血、 补脾胃、 久服延年"的功能。 甘草甜素(Glycyrrhizin GL)是甘草主要成分之一, 含有甘草酸单钾盐, 单铵盐及二 钾盐, 二铵盐, 有保护肝细胞膜, 减轻肝细胞脂肪变性, 减轻肝细胞坏死及间质炎 症反应, 抑制肝细胞纤维化; 并且有类固醇激素样作用, 而无激素样副作用。 经临 床验证有中和肝炎病毒, 抗炎, 抗变态反应, 消退黄疸, 改善脂质代谢, 增强免疫 能力。 The medicinal material licorice has the functions of "detoxification, double strength, slow righteousness, nourish yin and blood, nourish the spleen and stomach, and prolong life". Glycyrrhizin GL is one of the main components of glycyrrhizin. It contains monopotassium, monoammonium and dipotassium salts of diglycyrrhizinate, which can protect liver cell membrane, reduce liver cell steatosis, reduce liver cell necrosis and intermittency. Inflammatory response, inhibit liver fibrosis; and has steroid-like effects without hormone-like side effects. It has been clinically proven to neutralize hepatitis virus, anti-inflammatory, anti-allergic, subdued jaundice, improve lipid metabolism, and enhance immunity.
脂质体是理想的靶向载体, 能将药物载入靶器官或作用部位滞留释药, 提高靶 区药物有效浓度, 并维持较长时间, 同时全身其他部位则摄取很少的药物。 不仅要 求药物达到靶器官, 靶细胞, 甚至细胞内结构。 生物处理后的甘草甜素脂质体, 能 明显对肝脏的导向作用, 提高肝脏内血药浓度, 从而增加了药物对肝脏的特异性集 中治疗, 达到了其他口服甘草甜素制剂所难以获得的治疗效果。 是传统的中医中药 与现代生物医学技术相结合的新成果。  Liposomes are ideal targeting carriers. They can load drugs into the target organ or the active part of the drug and release the drug, increase the effective concentration of the drug in the target area, and maintain it for a long time. At the same time, other parts of the body take up very little drug. It is not only required that the drug reach the target organ, the target cell, or even the intracellular structure. The biologically processed glycyrrhizin liposomes can obviously guide the liver and increase the blood concentration in the liver, thereby increasing the specific and concentrated treatment of the drug on the liver, which is difficult to obtain by other oral glycyrrhizin preparations. treatment effect. It is a new achievement combining traditional Chinese medicine and traditional Chinese medicine with modern biomedical technology.
用本发明制剂进行临床试验,采用多中心, 随机对照方法。 以甘草甜素片剂(湖 北黄石飞云有限公司生产) 每片含甘草酸单钾盐 75mg作对照组。  Clinical trials are carried out with the preparations of the invention using a multi-center, randomized controlled method. Glycyrrhizin tablets (produced by Hubei Huangshi Feiyun Co., Ltd.) each contained 75 mg of glycyrrhizin monopotassium salt as a control group.
剂量: 150mg (2片) 一次, 每日二次。  Dosage: 150mg (2 tablets) once, twice daily.
本发明脂质体: 每日二次, 每次 15ml。  Liposomes of the present invention: 15ml twice daily.
二组分别连续给药 8周为一疗程。 患者年龄最低 18岁, 最高 65岁, 男性 28 例, 女性 12例。 观察病种: 病毒性乙型慢性肝炎, 伴有血清 ALT和 AST, 血清胆 红素大于正常上限值。 治疗前 45天内, 已用过降酶药物的患者, 不予观察。 治疗前 及给药二周后, 作尿常规 ALT、 AST. SB、 GGT、 ALP. A/G、 BuN、 检测, 记录 临床症状和体征变化。  The two groups were administered continuously for 8 weeks as a course of treatment. The youngest patients were 18 years old and the highest 65 years old. There were 28 males and 12 females. Observed diseases: viral hepatitis B chronic hepatitis, accompanied by serum ALT and AST, serum bilirubin is greater than the normal upper limit. Patients who had used enzyme-lowering drugs within 45 days before treatment were not observed. Before treatment and two weeks after administration, routine urine ALT, AST. SB, GGT, ALP. A / G, BuN, and testing were performed to record changes in clinical symptoms and signs.
疗效判断标准:  Efficacy criteria:
. 分显效、 有效、 无效三级  . Significantly effective, effective, ineffective three levels
显效: 1、 自觉症状消失或明显好转。  Significant effects: 1. Conscious symptoms disappeared or significantly improved.
2、 肝脾肿大, 縮小或稳定不变。  2, hepatosplenomegaly, shrinking or stable.
3、 肝功能检查 ALT、 AST及 SB恢复正常。  3. Liver function tests ALT, AST and SB returned to normal.
有效: 1、 自觉症状好转或稳定不变。  Effective: 1. The subjective symptoms are improved or stable.
2、 肝脾肿大稳定不变。  2. Hepatosplenomegaly is stable and unchanged.
3、 肝功能检查 ALT、 AST及 SB较前降低 5 0 %以上。  3. Liver function test ALT, AST and SB were reduced by more than 50% compared with the previous one.
无效: 无改变, 达不到以上标准或病情进展者。  Ineffective: no change, those who do not meet the above criteria or progress of the disease.
结果, 脂质体组降 ALT有效率 81.4%; 降 SB有效率 73.3%; 升白蛋白有效率 62.7%; 降球蛋白 48.8%; HBeAg阴转率 58.8%; 对照组降 ALT有效率 63.2%; 降 SB有效率 57.4%; 升白蛋白有效率 28.4%; 降球蛋白 3.8%; HBeAg阴转率 27.3%; 脂质体组平均显效率 65.0%; 对照组为 36.0%; As a result, the effective rate of reducing ALT in the liposome group was 81.4%; the effective rate of reducing SB was 73.3%; the effective rate of albumin rising was 62.7%; the globulin was 48.8%; the negative conversion rate of HBeAg was 58.8%; the effective rate of reducing ALT in the control group was 63.2%; The effective rate of reducing SB is 57.4%; the effective rate of albumin is 28.4%; the globulin is 3.8%; the negative conversion rate of HBeAg is 27.3%; The average effective rate in the liposome group was 65.0%; the control group was 36.0%;
脂质体组: 自觉症状明显好转 76.1%; 症状消失 20.1%; 有效 3.8%; 肝脾缩小 68.1%; 稳定不变 31.9%;  Liposomal group: Symptoms improved significantly 76.1%; symptoms disappeared 20.1%; effective 3.8%; liver and spleen reduced 68.1%; stable 31.9%;
对照组: 自觉症状明显好转 37.8%; 症状消失 1.8%; 有效 43.7%; 无效 16.7%。 二组患者均未发生不良副反应。  Control group: Symptoms improved significantly 37.8%; symptoms disappeared 1.8%; effective 43.7%; ineffective 16.7%. No adverse reactions occurred in the two groups of patients.
上述结果表明: 本发明用脂质体包埋某些具有护肝及免疫调节作用的中药治疗 病毒性乙型慢性肝炎和防止肝细胞纤维化, 把脂质体的优点 (免疫佐剂、 药物载体、 减少被包埋药物的剂量、 延长药物在靶器官作用时效) 和中药的特点 (疗效确切、 资源丰富、 价廉、 毒副作用少或无毒副反应) 结合在一起。 为治疗病毒性乙型慢性 肝炎和防治肝细胞纤维化提供了一种疗效确切、 使用方便的新颖药物。 具体实施方式:  The above results show that: The present invention uses liposomes to embed certain traditional Chinese medicines with liver protection and immunomodulatory effects to treat viral chronic hepatitis B and prevent liver cell fibrosis, and the advantages of liposomes (immune adjuvants, drug carriers , Reduce the dose of the embedded drug, prolong the effect of the drug in the target organ, and the characteristics of traditional Chinese medicine (exact curative effect, rich resources, cheap, low toxic side effects or non-toxic side effects) combined. It provides a novel drug with exact curative effect and convenient use for the treatment of viral chronic hepatitis B and the prevention and treatment of liver cell fibrosis. detailed description:
实施例 1、 Example 1.
五味子 11.2Kg  Schisandra 11.2Kg
郁 金 12.5Kg  Yujin 12.5Kg
白 芍 19.8Kg  White 芍 19.8Kg
甘草甜素单铵盐 28.25Kg  Glycyrrhizin monoammonium salt 28.25Kg
甘草甜素单钾盐 28.25Kg  Glycyrrhizin monopotassium salt 28.25Kg
卵磷脂 (大豆) 80kg  Lecithin (Soybean) 80kg
甘 油 150kg  Glycerine 150kg
蒸馏水 750kg 制备:  Distilled water 750kg Preparation:
1、 将五味子置 80°C烘箱内密闭干燥至用手重握不结团为度, 取出摊在洁净不 锈钢盘内, 在清洁环境中放至室温, 轧粗末, 过 10目筛, 另置, 备用;  1. Place Schisandra in an oven at 80 ° C and dry it tightly until it can be re-grown by hand. It is taken out and spread out in a clean stainless steel plate. It is placed at room temperature in a clean environment. It is rolled and passed through a 10-mesh sieve. Spare
2、 将郁金置 70°C烘箱内, 密闭干燥至手感干燥即取出, 摊放在清洁不锈钢盘 内, 密闭至室温, 加入白芍混合, 轧粗末, 粉过 5目筛;  2. Put the turmeric in an oven at 70 ° C, dry it tightly until it feels dry, and then take it out. Spread it in a clean stainless steel pan, seal it to room temperature, add white scallion and mix, roll the coarse powder, and pass through a 5 mesh sieve;
3、 将步骤 1和 2的粗末, 置一级萃取釜, 压力 25Mpa ; 温度 55Ό ; 75%乙醇循 环量 120ml/h; 。02流量 1000ml/h; 经 3.5h萃取后, 减压 10Mpa; 温度 40°C, 流入 分离柱, 再进入解析釜, 减压至常压后, 取出萃取物, 另置干净器皿, 密闭; 收集 药渣, 待用; 3. Place the crude oil from steps 1 and 2 in a first-stage extraction kettle, with a pressure of 25 MPa ; a temperature of 55 ° C; a 75% ethanol circulation volume of 120 ml / h; 0 2 flow rate 1000ml / h; after 3.5h extraction, decompress 10Mpa ; temperature 40 ° C, flow into the separation column, and then enter the analytical kettle, after decompression to normal pressure, remove the extract, place another clean vessel, and seal; Collect medicine residue and set aside
4、 将步骤 3药渣, 置装有冷凝器的反应锅内, 加入 4倍量水, 2倍量水, 煎二 次。 收集冷凝器挥发性油水混合物, 备用; 弃渣, 和匀二次煎液, 过滤, 滤液内加 入油水混合物, 搅和。 减压浓缩至 1.12稠膏, 加入步骤 3萃取物, 混合。 真空干燥 至干膏体, 粉碎成 400目极细粉, 备用; 4. Place the medicine residue from step 3 in a reaction pot equipped with a condenser, add 4 times the amount of water, 2 times the amount of water, and fry for 2 times. Times. Collect the volatile oil-water mixture of the condenser and set aside; discard the residue, and mix the secondary decoction, filter, add the oil-water mixture to the filtrate, and stir. Concentrated under reduced pressure to 1.12 thick paste, the extract from step 3 was added and mixed. Vacuum dry to dry paste, pulverize into 400 mesh ultrafine powder, set aside;
5、 投放甘草甜素单铵盐和甘草甜素单钾盐。  5. Add glycyrrhizin monoammonium salt and glycyrrhizin monopotassium salt.
6、 脂质体制剂制备。  6. Preparation of liposome preparations.
以中药活性成分的总重量与卵磷脂 (含卵黄类和大豆类) 和其他相应的医用辅 料总重量的百分比为: (39: 61 ) %的标准配制卵磷脂 (含卵黄类, 大豆类) 和其他 相应的医用辅料;  The percentage of the total weight of the active ingredients of traditional Chinese medicine and the total weight of lecithin (including yolks and soybeans) and other corresponding medical excipients is: (39: 61)% of standard lecithin (containing yolks, soybeans) and Other corresponding medical accessories;
7、 将步骤 4极细粉放置容器内, 加入蒸馏净水至刻度, 水浴保持 65°C-80°C温 度, 搅拌至溶解, 再放入甘草甜素单铰盐和单钾盐, 搅拌至溶解。 将溶液置具有超 声波长的容器内, 输出超声波长; 将卵磷脂 (含卵黄类, 大豆类) 及其他相应的医 用辅料, 置器皿中放入 90°C水浴中, 搅和, 融化, 呈透明即移分液器, 乘热以 85 滴 /min,滴注入置超声波容器药液内,适度搅和,滴注完毕,保留超声波长发生 25min, 关闭发生器, 将脂质体吸入无菌罐装机, 每瓶装: 15ml, 用制有槽条的药用丁胶盖, 略压在瓶口上;  7. Place the fine powder from step 4 in a container, add distilled water to the mark, keep the water bath at 65 ° C-80 ° C, stir until dissolved, then add glycyrrhizin single hinge salt and single potassium salt, and stir until Dissolve. Place the solution in a container with an ultrasonic wave length and output the ultrasonic wave length; Put lecithin (containing egg yolks, soybeans) and other corresponding medical auxiliary materials in a vessel into a 90 ° C water bath, stir, melt, and become transparent, that is, Pipette, multiply by heat at 85 drops / min, and inject it into the ultrasonic container medicine solution, moderately stir, complete the infusion, keep the ultrasound for 25 minutes, turn off the generator, and suck the liposomes into a sterile canning machine Each bottle: 15ml, covered with a medicated butyl rubber with a groove, and slightly pressed on the bottle mouth;
8、 将装有 15ml的脂质体瓶放入洁净不锈钢盘内, 放入超低温干燥箱内, 于 - 60°C中干冻 12h, 关机, 将已将丁胶盖自动紧密盖上的冷冻瓶置 40°C低温箱内稳定 干燥 4-6h。 此时, 15ml脂质体制剂己成玻璃液晶体。 取出装箱。 患者服用前 5min, 加入小于 40°C洁净无菌水至 15ml刻度, 上盖, 晃摇 2-3min, 即恢复成与原浓度一 致的脂质体, 倒入小杯中, 口服, 即可。 实施例 2、  8. Put the 15ml liposome bottle into a clean stainless steel dish, put it into an ultra-low temperature drying box, dry freeze at -60 ° C for 12h, turn off the machine, and close the frozen bottle with the butadiene cap automatically closed tightly. Store in a low temperature box at 40 ° C for 4-6h. At this time, 15 ml of the liposome preparation had become a glass liquid crystal. Remove the box. 5 minutes before taking the patient, add clean sterile water less than 40 ° C to the 15ml mark, cover it, and shake it for 2-3min. The liposomes will be restored to the original concentration. Pour into a small cup and take it orally. Example 2,
配方: 五味子 14Kg Formula: Schisandra 14Kg
郁 金 16Kg  Yujin 16Kg
白 芍 22Kg  White 芍 22Kg
甘草甜素单铵盐 24Kg  Glycyrrhizin Monoammonium Salt 24Kg
甘草甜素单钾盐 24Kg  Glycyrrhizin monopotassium salt 24Kg
单硬脂酸甘油脂 65kg  Glyceryl monostearate 65kg
油 酸 135kg  Oleic acid 135kg
蒸馏水 800kg  Distilled water 800kg
1、 将五味子置 80Ό烘箱内密闭千燥至用手重握不结团为度, 取出摊在洁净不 锈钢盘内, 在清洁环境中放至室温, 轧粗末, 过 10目筛, 另置, 备用;1. Place Schisandra in an 80Ό oven and keep it tightly dry until it is re-grown by hand without clumping, and take it out and clean it. In a rusty steel pan, put it in room temperature in a clean environment, roll the coarse powder, pass through a 10-mesh sieve, place it separately, and set aside.
2、 将郁金置 65°C烘箱内, 密闭千燥至手感干燥即取出, 摊放在清洁不锈钢盘 内, 密闭至室温, 加入白芍混合, 轧粗末, 粉过 5目筛; 2. Put the turmeric in an oven at 65 ° C, seal it tightly until it feels dry, and then take it out. Spread it in a clean stainless steel plate, seal it to room temperature, add white scallion and mix, roll the coarse powder, and pass through a 5 mesh sieve;
3、 将步骤 1和 2的粗末, 置一级萃取釜, 压力 26Mpa; 温度 58。C ; 72%乙醇循 环量 110ml/h; CO2流量 1100ml/h; 经 4h萃取后, 减压 12Mpa; 温度 44°C, 流入分 离柱, 再进入解析釜, 减压至常压后, 取出萃取物, 另置干净器皿, 密闭; 收集药 渣, 待用; 3, the thick end of the steps 1 and 2, a set extraction reactor, pressure 26M pa; 58 temperature. C; 72% ethanol circulation volume 110ml / h; CO 2 flow rate 1100ml / h; after 4h extraction, the pressure is reduced to 12M pa ; the temperature is 44 ° C, flows into the separation column, and then enters the analytical kettle, after decompression to normal pressure, takes out Extracts, place in separate clean vessels, and seal; collect medicine residues, set aside;
4、 将步骤 3药渣, 置装有冷凝器的反应锅内, 加入 4倍量水, 2倍量水, 煎二 次。 收集冷凝器挥发性油水混合物, 备用; 弃渣, 和匀二次煎液, 过滤, 滤液内加 入油水混合物, 搅和。 减压浓缩至 1.12稠膏, 加入步骤 3萃取物, 混合。 真空干燥 至干膏体, 粉碎成 400目极细粉, 备用;  4. Place the medicine residue from step 3 in a reaction pot equipped with a condenser, add 4 times the amount of water, 2 times the amount of water, and fry twice. Collect the volatile oil-water mixture of the condenser and set aside; discard the residue and mix the secondary decoction, filter, add the oil-water mixture to the filtrate, and stir. Concentrated under reduced pressure to 1.12 thick paste, add the extract from step 3 and mix. Vacuum dry to dry paste, pulverize into 400 mesh ultrafine powder, set aside;
5、 投放甘草甜素单铵盐和甘草甜素单钾盐;  5. Add glycyrrhizin monoammonium salt and glycyrrhizin monopotassium salt;
6、 以中药活性成分的总重量与卵磷脂(含卵黄类和大豆类)和其他相应的医用 辅料总重量的百分比为: (35: 65 ) %的标准配制卵磷脂 (含卵黄类, 大豆类) 和其 他相应的医用辅料。  6. The percentage of the total weight of the active ingredients of traditional Chinese medicine and the total weight of lecithin (including egg yolks and soybeans) and other corresponding medical accessories is: (35: 65)% of standard formulated lecithin (containing egg yolks, soybeans) ) And other corresponding medical accessories.
7、 将步骤四极细粉放置容器内, 加入蒸馏净水至刻度, 水浴保持 90°C温度, 搅拌至溶解, 再放入甘草甜素单铵盐和单钾盐, 搅拌至溶解。 将溶液置具有超声波 长的容器内, 输出超声波长; 将卵磷脂 (含卵黄类, 大豆类) 及其他相应的医用辅 料, 置器皿中放入 92°C水浴中, 搅和, 融化, 呈透明即移分液器, 乘热以 85滴 /min, 滴注入置超声波容器药液内, 适度搅和, 滴注完毕, 保留超声波长发生 25min, 关 闭发生器; 将脂质体吸入无菌罐装机, 每瓶装: 15ml, 用制有槽条的药用丁胶盖, 略压在瓶口上;  7. Place the fine powder of step 4 in a container, add distilled water to the mark, keep the water bath at 90 ° C, stir until dissolved, and then add glycyrrhizin monoammonium salt and monopotassium salt, and stir until dissolved. Place the solution in a container with an ultrasonic wave length and output the ultrasonic wave length. Put lecithin (containing egg yolks, soybeans) and other corresponding medical auxiliary materials in a container into a 92 ° C water bath, stir, melt, and it is transparent. Pipette, multiply by heat at 85 drops / min, and inject it into the ultrasonic container medicine solution, moderately agitate, complete the infusion, keep the ultrasonic wave for 25 minutes, turn off the generator, and suck the liposomes into a sterile canning machine Each bottle: 15ml, covered with a medicated butyl rubber with grooves, and slightly pressed on the bottle mouth;
8、 将装有 15ml的脂质体瓶放入洁净不锈钢盘内, 放入超低温干燥箱内, 于 - 60°C中干冻 12h, 关机, 将已将丁胶盖自动紧密盖上的冷冻瓶置 40Ό低温箱内稳定 干燥 6h。 此时, 15ml脂质体制剂己成玻璃液晶体。 取出装箱。 患者服用前 5min, 加入小于 40°C洁净无菌水至 15ml刻度, 上盖, 晃摇 2-3min, 即恢复成与原浓度一 致的脂质体, 倒入小杯中, 口服, 即可。  8. Put the 15ml liposome bottle into a clean stainless steel dish, put it into an ultra-low temperature drying box, dry freeze at -60 ° C for 12h, turn off the machine, and close the frozen bottle with the butadiene cap automatically closed tightly. Place in a 40Ό low temperature box for 6h to dry stably. At this time, 15 ml of the liposome preparation had become a glass liquid crystal. Remove the box. 5 minutes before taking the patient, add less than 40 ° C clean sterile water to the 15ml mark, cover it, and shake it for 2-3min. The liposome will be restored to the original concentration. Pour into a small cup and take it orally.

Claims

权利要求 Rights request
1、一种中药脂质体, 其特征在于该脂质体是基本上由重量百分比为 34— 48%中药活 性成份提取物和 52-66%卵磷脂组成的多相脂质体, 其中中药活性成份包括郁金、 五 味子、 白芍和甘草。 1. A traditional Chinese medicine liposome, characterized in that the liposome is a heterophasic liposome consisting essentially of 34-48% extract of active ingredients of traditional Chinese medicine and 52-66% lecithin, wherein the traditional Chinese medicine activity Ingredients include turmeric, schisandra, amaranth and licorice.
2、根据权利要求 1所述的中药脂质体, 其特征在于其中所述的中药活性成份提取物 是由重量百分比配方为郁金 12— 16%, 白芍 16— 22%, 五味子 10— 14%提取获得的 活性成分与 48— 62 %甘草提取物组成, 其中甘草提取物由比例是 1 : 1 的甘草甜素 单铵盐和单钾盐组成。 2. The traditional Chinese medicine liposome according to claim 1, characterized in that said traditional Chinese medicine active ingredient extract is formulated by weight percentage as turmeric 12-16%, paeony 16-22%, and Schisandra 10-14 The active ingredients obtained by% extraction are composed of 48-62% licorice extract, wherein the licorice extract is composed of glycyrrhizin monoammonium salt and monopotassium salt in a ratio of 1: 1.
3、 根据权利要求 1所述的中药脂质体, 其特征在于其中所述的卵磷脂选自卵黄和大 豆提取的卵磷脂。 3. The traditional Chinese medicine liposome according to claim 1, wherein the lecithin is selected from the group consisting of egg yolk and soybean lecithin.
4、根据权利要求 1所述的中药脂质体, 其特征在于所述中药脂质体还包含选自脂肪 酸甘油脂、 蔗糖脂肪酸、 失水山梨醇脂肪酸酯、 聚氧乙烯失水山梨醇脂肪酸酯、 十 二垸基硫酸钠 (SLS )、 聚氧乙烯蓖麻油、 聚氧乙烯一聚氧丙烯共聚物 (Poloxamer Pluronics ) , 以及阿拉伯胶、 西黄蓍胶、 果糖脂胶、 单硬脂酸甘油脂、 聚氧乙烯硬脂 酸酯、聚氧乙烯 40硬脂酸酯、聚氧乙烯 400单月桂酸酯、聚氧乙烯 400单硬脂酸酯、 聚氧乙烯月桂醇醚、苄泽 30, 以及司盘 20~司盘85,吐温 20—吐温 85的医用辅料。 4. The traditional Chinese medicine liposome according to claim 1, characterized in that the traditional Chinese medicine liposome further comprises a member selected from the group consisting of fatty acid glycerolipid, sucrose fatty acid, sorbitan fatty acid ester, polyoxyethylene sorbitan fat Acid ester, sodium lauryl sulfate (SLS), polyoxyethylene castor oil, polyoxyethylene-polyoxypropylene copolymer (Poloxamer Pluronics), and gum arabic, tragacanth gum, fructolipid gum, monostearic acid Glycerides, polyoxyethylene stearate, polyoxyethylene 40 stearate, polyoxyethylene 400 monolaurate, polyoxyethylene 400 monostearate, polyoxyethylene lauryl ether, benzyl 30, And medical accessories from Span 20 to Span 85, Tween 20 to Tween 85.
5、权利要求 1所述的中药脂质体的制备方法, 其特征在于该中药脂质体的制备包括 下列步骤: 5. The method for preparing a traditional Chinese medicine liposome according to claim 1, characterized in that the preparation of the traditional Chinese medicine liposome comprises the following steps:
a) 制备中药活性成份的提取物, 所述中药活性成份包括郁金、 五味子、 白芍 和甘草;  a) preparing an extract of an active ingredient of a traditional Chinese medicine, the active ingredient of the traditional Chinese medicine includes turmeric, Schisandra chinensis, Paeonia lactiflora and licorice;
b) 将步骤 (a)所得中药活性成份的提取物与卵磷脂混合,制得基本上由重量百分 比为 34— 48%中药活性成份提取物和 52-66%卵磷脂组成的多相脂质体。  b) Mixing the extract of the active ingredient of the traditional Chinese medicine obtained in step (a) with lecithin to prepare a heterophasic liposome consisting essentially of 34-48% extract of the active ingredient of traditional Chinese medicine and 52-66% lecithin .
6、 根据权利要求 5 所述的中药脂质体的制备方法, 其特征在于该中药脂质体的制 备包括下列步骤- 一、 活性成份提取物制备 ( 1 ) 按配比将五味子置 78°C-85°C烘箱内密闭干燥冷却, 轧粗末, 过 10目筛, 备用; 6. The method for preparing traditional Chinese medicine liposomes according to claim 5, characterized in that the preparation of traditional Chinese medicine liposomes comprises the following steps-1. Preparation of active ingredient extracts (1) Place Schisandra in a 78 ° C-85 ° C oven in a closed, dry and cooled state according to the mixing ratio, roll the coarse powder, pass through a 10-mesh sieve, and set aside;
(2) 将郁金置 62°C-75°C烘箱内, 密闭千燥冷却, 加入白芍混合, 轧粗末, 粉 过 5目筛, 备用;  (2) Put turmeric in an oven at 62 ° C-75 ° C, keep it dry and cool, add white scallion and mix, roll the coarse powder, pass through a 5 mesh sieve, and set aside;
(3 ) 将步骤 (1 ) 和 (2 ) 的粗末, 置一级萃取釜, 压力 Mpa8-18; 温度 54Ό- 70 ; 65%-85%乙醇循环量 100ml/h-150ml/h; CO2流量 900ml/h-1500ml/h; 经 2.5h- 4h萃取后, 减压 8Mpa-15Mpa; 湿度 48°C-52°C, 流入分离柱, 再进入解析釜, 减压 至常压后, 取出萃取物, 另置干净器皿, 密闭; 收集药渣, 待用; (3) Put the crude oil from steps (1) and (2) into a first-stage extraction kettle, pressure M pa 8-18; temperature 54Ό- 70; 65% -85% ethanol circulation 100ml / h-150ml / h; CO 2 flow 900ml / h-1500ml / h; after 2.5h-4h extraction, decompress 8M pa -15M pa; humidity 48 ° C-52 ° C, flow into the separation column, then enter the analytical kettle, decompress to normal pressure Take out the extract, place another clean vessel, and keep it tightly closed; collect medicine residue, set aside;
(4) 将步骤 (3 ) 药渣, 置装有冷凝器的反应锅内, 加入 4倍量水, 2倍量水, 煎二次。 收集冷凝器挥发性油水混合物, 备用; 弃渣, 和匀二次煎液, 过滤, 滤液 内加入油水混合物, 搅和, 减压浓缩至 1.0-1.18稠膏, 加入步骤(3 )萃取物, 混合, 真空干燥至千膏体, 粉碎成 380目 -450目极细粉, 备用;  (4) Put the medicine residue in step (3) into a reaction pot equipped with a condenser, add 4 times the amount of water, 2 times the amount of water, and fry twice. Collect the volatile oil-water mixture of the condenser and set aside; discard the residue and mix the secondary decoction, filter, add the oil-water mixture to the filtrate, stir, concentrate under reduced pressure to 1.0-1.18 thick paste, add the extract in step (3), mix, Vacuum-dried to a thousand pastes, pulverized into 380-450 mesh ultrafine powder, set aside;
二、 脂质体制剂制备  Preparation of liposome preparations
( 1 )将上述极细粉放置容器内, 加入蒸馏水至刻度, 水浴 65°C-80°C保持温度, 搅拌至溶解; 再放入甘草甜素单铵盐和单钾盐, 搅拌至溶解, 将溶液置具有超声波 长的容器内, 输出超声波长; 将卵磷脂及其他医用辅料, 置 65°C-100°C水浴中, 搅 和,融化,呈透明即移分液器;乘热以 30-45滴 /min,滴注入置超声波容器的药液内, 适度搅和; 滴注完毕, 保留超声波长发生 12-25min, 关闭发生器, 将脂质体吸入无 菌罐装机, 灌装;  (1) Place the above ultrafine powder in a container, add distilled water to the mark, keep the temperature in a water bath at 65 ° C-80 ° C, and stir until dissolved; then add glycyrrhizin monoammonium and monopotassium salts, stir until dissolved, Place the solution in a container with an ultrasonic wave length and output the ultrasonic wave length; Put lecithin and other medical auxiliary materials in a 65 ° C-100 ° C water bath, stir, melt, and transfer to a pipette when transparent; 45 drops / min, drip into the medicine solution placed in the ultrasonic container, and moderately agitate; after the drip is completed, leave the ultrasonic wave for 12-25 minutes, turn off the generator, and suck the liposomes into a sterile canning machine for filling;
(2 ) 将罐装后的脂质体瓶放入超低温干燥箱内, 于 -45°C ― -60 °C 中干冻 10-15h, 35°C-45°C低温箱内稳定干燥 4-6h。 即得。  (2) Put the canned liposome bottle into an ultra-low temperature drying box, dry it at -45 ° C ― -60 ° C for 10-15h, and dry it in 35 ° C-45 ° C low-temperature box. 6h. That's it.
7、权利要求 1所述的中药脂质体在制备治疗病毒性乙型肝炎、 防治肝细胞纤维化的 药物中的应用。 7. The application of the traditional Chinese medicine liposomes according to claim 1 in the preparation of a medicament for treating viral hepatitis B and preventing fibrosis of liver cells.
8、 根据权利要求 7所述的中药脂质体的应用, 其特征在于其中所述的药物可用于 病毒性乙型慢性肝炎、 慢性活动性肝炎、 急性肝炎、 脂肪肝炎、 酒精性肝炎、 中毒 性肝炎、 初期肝硬化的治疗。 8. The application of traditional Chinese medicine liposomes according to claim 7, characterized in that the medicine is used for viral hepatitis B chronic hepatitis, chronic active hepatitis, acute hepatitis, steatohepatitis, alcoholic hepatitis, toxicity Treatment of hepatitis, initial liver cirrhosis.
PCT/CN2004/000257 2004-03-26 2004-03-26 A Producing Method and Applications of Chinese Medicine Liposome Preparation for Treating Viral Hepatitis B and Preventing and Curing Fibration of Liver Cell WO2005092352A1 (en)

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Publication number Priority date Publication date Assignee Title
CN113244281A (en) * 2021-06-09 2021-08-13 贵州医科大学 Application of Huangshui Zhitong extract in preparing medicine for treating, protecting and regulating liver fibrosis diseases
US11197834B2 (en) 2017-07-11 2021-12-14 Aquanova Ag Solubilizate with curcumin and optionally at least one other active substance
CN114767748A (en) * 2022-05-18 2022-07-22 中山大学 Application of roxburgh rose or extract thereof in preparation of medicine or functional food for preventing and treating hepatic fibrosis
US11786484B2 (en) 2018-07-11 2023-10-17 Aquanova Ag Xanthohumol solubilizate

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JPH03197408A (en) * 1989-12-27 1991-08-28 Kobayashi Kose Co Ltd Stabilization of liposome and phospholipid dispersion
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Publication number Priority date Publication date Assignee Title
US11197834B2 (en) 2017-07-11 2021-12-14 Aquanova Ag Solubilizate with curcumin and optionally at least one other active substance
US11344509B2 (en) 2017-07-11 2022-05-31 Aquanova Ag Solubilizate with curcumin and boswellia and xanthohumol
US11931322B2 (en) 2017-07-11 2024-03-19 Aquanova Ag Solubilizate with curcumin and optionally at least one other active substance
US12144784B2 (en) 2017-07-11 2024-11-19 Aquanova Ag Solubilizate with curcumin and optionally at least one other active substance
US11786484B2 (en) 2018-07-11 2023-10-17 Aquanova Ag Xanthohumol solubilizate
CN113244281A (en) * 2021-06-09 2021-08-13 贵州医科大学 Application of Huangshui Zhitong extract in preparing medicine for treating, protecting and regulating liver fibrosis diseases
CN113244281B (en) * 2021-06-09 2022-11-01 贵州医科大学 Application of Huangshui Zhitong extract in preparing medicine for treating, protecting and regulating liver fibrosis diseases
CN114767748A (en) * 2022-05-18 2022-07-22 中山大学 Application of roxburgh rose or extract thereof in preparation of medicine or functional food for preventing and treating hepatic fibrosis
CN114767748B (en) * 2022-05-18 2023-11-10 中山大学 Application of roxburghii or its extract in the preparation of medicines for preventing and treating liver fibrosis

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