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[采用撤药分析法比较含当归药对促新生化颗粒活血化瘀作用贡献]

[Comparatively evaluating effect contribution of promoting blood circulation of herb pairs containing Angelicae Sinensis Radix on Xin-Sheng-Hua granule by withdrawal analysis].

作者信息

Pang Han-Qing, Wang Jun, Tang Yu-Ping, Wu Liang, Xu Hui-Qin, Jin Yi, Zhu Zhen-Hua, Huang Sheng-Liang, Sun Da-Zheng, Duan Jin-Ao

机构信息

Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, and Jiangsu Key Laboratory for High Technology Research of Traditional Chinese Medicine Formulae, and National and Local Collaborative Engineering Center of Chinese Medicinal Resources Industrialization and Formulae Innovative Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China.

Jiangsu Revolence Pharmaceutical Co., Ltd., Huaian 223200, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2016 Nov;41(21):4006-4014. doi: 10.4268/cjcmm20162120.

Abstract

Xin-Sheng-Hua granule (XSHG) is a popular remedy commonly used in clinic for the treatment of lochiostasis after delivery. To comparatively investigate the roles of herb pairs containing Angelicae Sinensis Radix (Danggui) upon the formula by evaluating the blood coagulation and hemorheology function in acute blood stasis rats, acute blood stasis rat model was established by ice water bath and subcutaneous injection of adrenaline. And the blood stasis mice were administrated intragastrically with different samples of the formula minus herb pairs containing Danggui and the whole formula (XSHG, SHD, DY, DC, DT, DH, DJ and DZ). The whole blood viscosity (WBV), plasma viscosity (PV), erythrocyte sedimentation rate (ESR) and haematocrit (HCT) were applied to evaluate the effects of the formula minus herb pairs containing Danggui on hemorheology of blood stasis rats. The thrombin time (TT), activated partial thromboplastin time (APTT), prothrombin time (PT), and plasma fibrinogen (FIB) were used to observe the effects of the formula minus herb pairs containing Danggui on blood coagulation function of blood stasis rats. Additionally, the maximum aggregation induced by adenosine diphosphate (ADP) was tested to observe the effect of different samples on platelet aggregation index of blood stasis rats.Afterwards, multi-attribute comprehensive index methods and principal component analysis were both applied to comprehensively assess the total effects of the formula minus herb pairs containing Danggui on promoting blood circulation and dissipating blood stasis. Compared with normal group, the hemorheological parameters and coagulation indexes of model group had statistical differences (P<0.01). Compared with model group, different samples (XSHG, SHD, DY, DC, DT, DH, DJ and DZ) could improve the blood hemorheology indexes, coagulation parameters and platelet aggregation in acute blood stasis rats. According to multi-attribute comprehensive index methods and the principal component analysis, the effects of promoting blood circulation by removing blood stasis became poor when excluding herb pairs containing Danggui from the formula, the sample DY and DC had the weakest effect of activating blood circulation and dissipating blood stasis, and the effect of sample DY was slightly poorer than DC. The orders of contribution of herb pairs containing Danggui on the formula were Danggui-Yimucao>Danggui-Chuanxiong>Danggui-Honghua>Danggui-Zhigancao>Danggui-Taoren>Danggui-Jiangtan. In conclusion, various herb pairs containing Danggui played different roles on the effects of improving the abnormality of hemorheology and coagulation function. And the herb pairs Danggui-Yimucao were particularly important for the formula, which was consistent with the characteristics of XSHG and the traditional effect of Yimucao. Moreover, it could lay foundation to further reveal the compatibility mechanism of XSHG.

摘要

新生化颗粒(XSHG)是临床上常用于治疗产后恶露不下的常用方剂。为通过评估急性血瘀大鼠的凝血和血液流变学功能,比较含当归药对在该方剂中的作用,采用冰水浴结合皮下注射肾上腺素的方法建立急性血瘀大鼠模型。将血瘀小鼠分别灌胃给予不含当归药对的方剂不同样品及全方(新生化颗粒、SHD、DY、DC、DT、DH、DJ和DZ)。应用全血黏度(WBV)、血浆黏度(PV)、红细胞沉降率(ESR)和血细胞比容(HCT)评估不含当归药对方剂对血瘀大鼠血液流变学的影响。采用凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)和血浆纤维蛋白原(FIB)观察不含当归药对方剂对血瘀大鼠凝血功能的影响。此外,检测二磷酸腺苷(ADP)诱导的最大聚集率,观察不同样品对血瘀大鼠血小板聚集指数的影响。之后,应用多属性综合指标法和主成分分析法综合评价不含当归药对方剂活血化瘀的总体效果。与正常组比较,模型组血液流变学参数和凝血指标有统计学差异(P<0.01)。与模型组比较,不同样品(新生化颗粒、SHD、DY、DC、DT、DH、DJ和DZ)均可改善急性血瘀大鼠的血液流变学指标、凝血参数及血小板聚集情况。根据多属性综合指标法和主成分分析法,方剂中不含当归药对时活血化瘀作用减弱,样品DY和DC活血化瘀作用最弱,且DY作用略逊于DC。含当归药对对方剂作用的贡献顺序为:当归-益母草>当归-川芎>当归-红花>当归-炙甘草>当归-桃仁>当归-姜炭。综上所述,不同含当归药对在改善血液流变学和凝血功能异常方面发挥不同作用。其中当归-益母草药对对方剂尤为重要,这与新生化颗粒特点及益母草传统功效相符。且可为进一步揭示新生化颗粒的配伍机制奠定基础。

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