中国科技论文统计源期刊 中文核心期刊  
美国《化学文摘》《国际药学文摘》
《乌利希期刊指南》
WHO《西太平洋地区医学索引》来源期刊  
日本科学技术振兴机构数据库(JST)
第七届湖北十大名刊提名奖  
医药导报, 2017, 36(3): 237-240
doi: 10.3870/j.issn.1004-0781.2017.03.001
牛黄的现代研究(三):制剂技术*
Modern Research of Calculus Bovis (Third): Preparation Technology
李为, 张程亮, 刘东

摘要:

牛黄及其复方制剂已经在临床广泛应用。传统上,牛黄多以原药材方式入药,制成片剂、丸剂、散剂,或者直接服用牛黄粉。牛黄的主要药效成分被认为是胆红素和胆汁酸类等难溶性成分,因此传统剂型生物利用度低,易造成昂贵药材的浪费。近年来研究者们尝试应用现代制剂技术如固体分散技术、超微粉碎技术、粉末包衣技术、脂质体包裹技术等制备牛黄复方制剂,或使用已知药理作用的牛黄可溶性成分作为牛黄替代品入药。简化处方也被认为是开发牛黄复方新剂型的可行方法。该文对牛黄的超微结构、化学成分、复方制剂改进方法与技术等进行总结,综述近年来关于牛黄复方制剂剂型改进的相关技术与方法,以期为牛黄复方制剂的剂型改进和新剂型研制提供参考。

关键词: 牛黄 ; 复方制剂 ; 制剂技术

Abstract:

The preparation of Calculus bovis and its compounding preparations have been used widely in clinical practice. Traditionally, the forms of medicine were in raw material medicine way, preparing tablet, pill,powder or directly taking its powder. The main active ingredient of Calculus bovi were considered to be bilirubin and bile acids.However, the traditional formulations caused low bioavailability and wasted expensive herbs because its main component were insoluble in water. In recent years,many researchers have tried to use modern preparation technology to prepare its compounding formulations, such as solid dispersion technology, ultrafine grinding technology, powder coating technology, liposome encapsulation technology, or simplifying the prescription by using of known pharmacological effects of soluble components as substitutes. These methods were considered to be feasible to develop new formulations of Calculus bovis.In this paper,in order to provide reference of method and technology for the improvement of Calculus bovis compounding preparation and the development of new dosage form,ultramicrostructure, chemical composition,improvement methods and techniques of compounding preparation were analyzed. In addition, the relevant techniques and method of improving the formulation Calculus bovis compounding preparation in recent years were reviewed.

Key words: Calculus bovis ; Compound prescriptions ; Preparation technology

牛黄是牛科动物牛的干燥胆结石,性凉味甘,归肝经,具有清心、豁痰、开窍、凉肝、熄风、解毒的功能,始载于《神农本草经》,用于热病神昏、惊痫抽搐、癫痫发狂、咽喉肿痛、痈肿疔疮、中风痰迷、口舌生疮,是中医临床急症常用药。传统牛黄复方制剂绝大多数以牛黄原药材或牛黄原药材经简单粉碎后入药,导致牛黄生物利用度不高。牛黄属于贵重药材,简单粗放的入药形式易造成浪费。所以通过分析牛黄的结构特征,运用制剂学手段提高牛黄复方的生物利用度尤为重要。笔者从牛黄的物理化学性质和化学成分入手,对现代药物制剂新技术在牛黄复方制剂中的应用进行综述,以期为牛黄复方制剂的开发提供参考。

1 牛黄的理化性质
1.1 超微结构

牛黄的结构分为表面、剖面和核心结构。电镜下,牛黄表面呈絮状、棉花团状,或梅花状不规则团块;剖面可以观察到深浅相间的结构层次,高倍镜下深色层是致密交织的网架结构,浅色层是疏松的球形团块,嵌于网架结构;核心为颜色相同的同心圆层次结构。牛黄表面、剖面和核心在高倍镜下均呈蜂巢状、珊瑚石状或水锈石状团块,四周被细丝状物缠绕[1]。这些结构特征导致牛黄质轻松脆,易于破碎[2]。因此传统工艺将牛黄直接粉碎入药。

1.2 化学成分

牛黄为难溶性结石药物,对其化学成分进行分析发现,其主要化学成分为胆色素(胆红素和胆绿素)、胆汁酸、胆固醇、卵磷脂、氨基酸、无机物及维生素D等[3-4]。现代研究表明,其主要生物活性成分包括胆酸、脱氧胆酸、鹅去氧胆酸、猪去氧胆酸、熊去氧胆酸、牛磺胆酸、甘胆酸、胆红素和无机盐等[5-7]。其中胆红素和胆汁酸被认为是天然牛黄的主要活性成分或活性中间体[8],也是牛黄发挥药理作用的重要药效物质。胆红素和游离胆汁酸都是难溶性物质[9-10],开发难溶性物质的新剂型一直是制剂学难点。采用制剂技术,如固体分散技术、超微粉碎技术、粉体包衣技术、脂质体包裹技术,或使用已知药理作用的牛黄可溶性成分作为牛黄替代品入药,以简化处方,被认为是开发牛黄复方新剂型的可行方法。

2 传统牛黄复方制剂

传统牛黄复方制剂包括丸剂、片剂、散剂及胶囊剂等。受限于牛黄本身的结构特点、溶解度以及传统制剂技术,传统牛黄复方制剂存在制备过程中牛黄用量大、药材浪费严重、体内崩解迟缓、起效慢等问题。国家食品药品监督管理总局认定的88种牛黄原料药及其复方制剂中,丸剂有33种(占37.5%),片剂22种(占25.0%),胶囊剂16种(占18.2%),散剂10种(占11.4%),栓剂3种(占3.4%),颗粒剂、口服液、人工牛黄和体外培育牛黄各1种。牛黄散剂多见于儿科用药,主要是该剂型比表面积大,易分散,起效快,便于小儿服用;牛黄栓剂主要是牛黄痔疮栓,该药经直肠给予能迅速到达作用部位,避免首关效应,使药物不受胃肠道pH值或酶的影响。传统牛黄丸剂,以安宫牛黄丸为例,由于较片剂及散剂作用迟缓,安宫牛黄片和安宫牛黄散也陆续被开发出来[11],但目前尚未有研究表明片剂和散剂较丸剂疗效更好。目前市场上传统牛黄复方制剂基本以传统剂型为主,如果从提高牛黄中难溶性成分溶解度、增加活性成分吸收或改变牛黄粉体生物学特性等方面入手,结合适宜的给药途径,应用现代药剂学制剂策略和技术,改进和开发新制剂,有望改善该药复方制剂的生物利用度和临床效果。

3 开发牛黄复方制剂的现代策略
3.1 以部分药效成分入药

以牛黄的可溶性活性成分代替牛黄入药,对处方进行加减,改进剂型,从而增强疗效。例如,安宫牛黄丸由牛黄、朱砂、犀角、雄黄、黄连、黄芩、栀子、郁金、麝香、冰片、珍珠组成,研磨成极细粉,制成丸剂,金箔包衣。临床用于治疗病毒性脑炎、脑缺血、颅脑损伤、脑出血损伤、卒中及各种原因导致的高热和昏迷[12]。该药被誉为抢救温病重症的三宝之一,但受传统剂型限制,影响了其在重症昏迷患者中的应用。北京中医药大学中药系学者对其处方配伍进行分析,采用有效成分替代原药材入药,并对处方进行加减,如使用牛胆酸和猪胆酸代替牛黄,金银花提取物代替金银花,黄芩素代替黄芩,去除黄连、朱砂和金箔,将处方简化为牛胆酸、猪胆酸、水牛角、海珠母、黄芩素、金银花提取物、栀子和板蓝根,制成清开灵注射液[13]。由于牛黄中所含胆酸不溶于水,在加入注射液前将其转化为胆酸盐,通过对传统丸剂进行改造,拓展了其在急救和急症中的应用。

3.2 固体分散技术

固体分散技术常用于难溶性药物的分散,可以将分子、胶体或微晶状态的药物均匀分散于某一固体载体中形成分散体系,增加难溶性药物溶解度,提高药物生物利用度[14]。朱晓静等[15]使用天然牛黄细粉入药,利用固体分散技术使牛黄的细粉均匀分散于基质(PEG 8000∶PEG10000=1∶1)中,采用熔融法制备高度分散的西黄滴丸。有研究表明,小、中、大剂量西黄丸滴丸均能提高小鼠免疫器官质量及血清肿瘤坏死因子α(TNF-α)、白细胞介素6(IL-6)、γ干扰素(INF-γ)含量,对H22荷瘤小鼠的抑瘤率显著优于西黄丸[16]。上述研究是固体分散技术在牛黄复方制剂中的初步探索。

3.3 超微粉碎技术

超微粉碎技术是将固体物质粉碎成粒径10~25 μm粉体的高科技技术,该法速度快,时间短,可低温粉碎,能增大粉体比表面积、吸附性和溶解性,尤其适用于贵重药材的粉碎[17-18]。付廷明等[19]研究了牛黄超微粉碎后的超细粉体表征,发现牛黄经超细粉碎后颗粒大小分布均匀,粉体孔隙率增加,流动性增强,比表面积显著提高,能够很好地分散、溶解在胃中。王俊香等[20]研究发现,在S180肿瘤细胞实验中,用超微粉碎技术处理以牛黄所制备的西黄软胶囊,其肿瘤抑制效果显著优于西黄丸。该研究表明,超微粉碎技术应用于牛黄复方制剂时有助于提高其疗效。

3.4 粉末包衣技术

粉末包衣技术不仅能提高药物稳定性,还能够改变药物释放行为[21]。将中药粉碎成微粒后,虽然有利于药物溶出,但药物可湿性也增加,导致药物极易吸潮。而且随着药物粉体粒径减小,颗粒表面能随之增强,颗粒间流动性变差,易聚集,不利于药物加工、制备和储存。遆铁军等[22]使用尤特奇EPO水分散体为包衣材料,对牛黄清感胶囊中的人工牛黄粉等重要浸膏粉进行粉末包衣,有效解决了牛黄清感胶囊内药物粉末易受潮结块的问题。该项技术能否改变牛黄复方制剂中的牛黄释药行为,有待进一步研究。

3.5 脂质体包裹技术

脂质体包裹技术是将药物包封于类脂质双分子层制成超微型球状药物载体的技术,该技术能提高药物生物利用度,具有高度靶向性特点,适用于水不溶性中药有效成分的剂型改进[23]。黄惠锋[24]将安宫牛黄丸处方简化,以人工牛黄醇提物代替牛黄入药,并采用脂质体包裹技术,制备安宫牛黄丸中单一有效成分的脂质微球,对其进行经鼻脑靶向研究,发现脂质体微球能增加其有效成分进入脑脊液和血液循环的速度及程度,直达作用靶点。在其有效成分的处方和工艺基础上成功制备了双相载药安宫牛黄鼻脂质微球。由于牛黄对中枢神经系统疾病如癫痫、惊厥等疗效显著[25],因此该技术应用于牛黄复方制剂,对未来提高其靶向性和疗效具有重要作用。

3.6 纳米技术

纳米技术在药剂学领域的应用,实际上是微粉化技术和超微粉碎技术的延伸,主要是在纳米尺寸(1~100 nm)范围内精确操纵药物的原子或分子,制备具有特殊功能的“纳米药物”,使得药物理化性质及生物学特性发生改变,如增强药物稳定性、降低药物的胃肠道刺激及毒副作用、提高药物生物利用度、实现药物缓控释或靶向作用等[26-27]。FENG等[28]使用干粉碎法处理牛黄得到牛黄纳米粒,与雄黄、乳香、没药纳米粒封装到一起,制备新型多部件给药系统,其药动学研究表明,这一新型给药系统药物浓度-时间曲线下面积、半衰期、达峰时间分别为传统牛黄醒消丸的5.21,1.96和1.99倍,显著提高了牛黄的生物利用度。

4 结束语

我国现有大量以牛黄为君药的复方制剂,多为传统剂型,如丸剂、胶囊剂、片剂、散剂等,这些制剂体内生物利用度总体偏低,易导致珍贵药材浪费。受牛黄独特物理化学性质影响,牛黄复方制剂及新剂型的研制常常受到限制,而且目前对牛黄复方制剂的研究多集中于有效活性成分、质量控制、药理作用及药效学研究,将现代制剂技术用于牛黄复方的改造尚处于起步阶段。基于上述分析,笔者认为,应进一步加深对牛黄有效成分、作用机制的研究,结合牛黄自身特点,使用适宜的药物制剂技术与方法,提高其生物利用度,这也将是牛黄复方制剂发展和改造的重要途径。随着制剂技术的不断发展,固体分散技术、脂质体包裹技术以及纳米技术等已经被探索应用于改进牛黄复方制剂,并表现出潜在的应用前景。如能在此基础上深入开展生物利用度评价和药效学研究,必将有力推动牛黄制剂的临床应用。

The authors have declared that no competing interests exist.

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So far, the components responsible for the neuroprotective effects of are unclear. Cholesterol, one of the major components in , is easily oxidized into oxysterols, which possess direct or indirect neuroprotective effects proved by our and others’ previous studies. Therefore, a liquid chromatography with mass spectrometry method coupled with ultrasonic extraction and solid‐phase extraction was developed for the determination of neuroprotective oxysterols in , human gallstones, and traditional Chinese medicine preparations. Chromatographic separation was achieved on a Ccolumn with isocratic elution at a flow rate of 1 mL/min. The established method showed good linearity (> 0.998), sensitivity with low limits of detection (0.06–0.39 μg/g), acceptable precisions (relative standard deviations ≤ 7.4%), stability (relative standard deviations ≤ 5.9%), and satisfactory accuracy (92.4–102.9%) for all analytes identified by different retention times, which could be applied for the determination of oxysterols. Five kinds of oxysterols proved to function as neuroprotectants were detected at different concentrations. Among them, 7β‐hydroxycholesterol and cholestane‐3β,5α,6β‐triol were rather abundant in the samples. It could be concluded that the potential neuroprotective components in may be these oxysterols.
DOI:10.1002/jssc.201400850      PMID:25545614      URL    
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[7] YAN S K,WU Y W,LIU R H,et al.Comparative study on major bioactive components in natural,artificial and in-vitro cultured Calculus Bovis[J].Chem Pharm Bull,2007,55(1):128-132.
Major bioactive components in various Calculus Bovis, including natural, artificial and in-vitro cultured Calculus Bovis, were comparatively studied. An approach of high-performance liquid chromatography coupled with ultraviolet and evaporative light scattering detections (HPLC/UV/ELSD) was established to simultaneously determinate six bioactive components thereof, including five bile acids (cholic acid, deoxycholic acid, ursodeoxycholic, chenodeoxycholic acid, hyodeoxycholic acid) and bilirubin. ELSD and UV detector were applied to detect bile acids and bilirubin respectively. The assay was performed on a C(18) column with water-acetonitrile gradient elution and the investigated constituents were authenticated by comparing retention times and mass spectra with those of reference compounds. The proposed method was applied to analyze twenty-one Calculus Bovis extraction samples, and produced data with acceptable linearity, precision, repeatability and accuracy. The result indicated the variations among Calculus Bovis samples under different developmental conditions. Artificial and in-vitro cultured Calculus Bovis, especially in-vitro cultured ones, which contain total bioactive constituents no less than natural products and have the best batch-to-batch uniformity, suffice to be used as substitutes of natural Calculus Bovis.
DOI:10.1248/cpb.55.128      PMID:17202716      URL    
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[8] PENG C,TIAN J,LV M,et al.Development and validation of a sensitive LC-MS-MS method for the simultaneous determination of multicomponent contents in artificial Calculus Bovis[J].J Chromatogr Sci,2014,52(2):128-136.
Artificial Calculus Bovis is a major substitute in clinical treatment for Niuhuang, a widely used, efficacious but rare traditional Chinese medicine. However, its chemical structures and the physicochemical properties of its components are complicated, which causes difficulty in establishing a set of effective and comprehensive methods for its identification and quality control. In this study, a simple, sensitive and reliable liquid chromatography-tandem mass spectrometry method was successfully developed and validated for the simultaneous determination of bilirubin, taurine and major bile acids (including six unconjugated bile acids, two glycine-conjugated bile acids and three taurine-conjugated bile acids) in artificial Calculus Bovis using a Zorbax SB-C18 column with a gradient elution of methanol and 10 mmol/L ammonium acetate in aqueous solution (adjusted to pH 3.0 with formic acid). The mass spectra were obtained in the negative ion mode using dehydrocholic acid as the internal standard. The content of each analyte in artificial Calculus Bovis was determined by monitoring specific ion pairs in the selected reaction monitoring mode. All analytes demonstrated perfect linearity (r(2) > 0.994) in a wide dynamic range, and 10 batches of samples from different sources were further analyzed. This study provided a comprehensive method for the quality control of artificial Calculus Bovis.
DOI:10.1093/chromsci/bms256      PMID:23315150      Magsci     URL    
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[9] 刘斐斐,张萍,王伽伯.不同消化液介质对难溶中药溶出量的影响:以牛黄为例[J].环球中医药,2012,5(3):165-169.
目的通过模拟人体胃肠消化液条件,比较不同溶出介质中动物结石药物牛黄及其代用品人工牛黄中胆汁酸类成分的溶出量差异,从体外溶出的角度探讨影响难溶中药疗效的可能因素。方法分别取同一批天然牛黄、人工牛黄,分别加入3种不同溶出介质(人工胃液、小肠液、大肠液),平行提取处理,以UPLC法测定胆汁酸类成分的溶出量,以甲醇中的溶出量为参比,计算各胆汁酸成分的相对溶出率。液相检测色谱柱为WatersAcquityCSH柱(50mm×2.1mm,1.7μm),流动相为乙腈(A)-0.2%甲酸-水(B),线性梯度洗脱:0~2分钟,10%A;2~3分钟,12%~25%A;3~3.01分钟,25%~35%A;3.01~10分钟,35%~37%A;10~17分钟,37%~43%A;17~17.01分钟,43%~48%A;17.01~20分钟,48%~52%A。检测波长254nm,流速0.4ml/min,柱温35℃。结果牛黄中胆汁酸类成分在人工大肠液(pH7.6)中溶出率高于人工胃液和小肠液;天然牛黄中,除去氧胆酸外,各胆汁酸成分的溶出率均高于人工牛黄,其中鹅去氧胆酸相差9.13倍;天然牛黄中甘氨胆酸、甘氨去氧胆酸和鹅去氧胆酸溶出率较高,而现行药典质量控制指标胆酸的溶出较差。结论以胆汁酸类成分来看,天然牛黄溶出能力高于人工牛黄,可能是人工牛黄临床疗效低于天然牛黄的原因之一。加强难溶性中药的溶出研究,对提高相关制剂的疗效、节约药材等具有重要意义。
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[10] 徐敏,陈良勇,杨彬,.胆红素提取工艺及条件的探索[J].广东化工,2014,41(24):18-19.
胆红素是生化研究的重要试剂,也是制药工业的重要原料,它具有祛痰、镇静、拟菌、降压的作用,又有促进红细胞再生、拟制癌细胞的作用。文章主要对胆红素提取工艺及条件、工艺流程进行探讨,以提高胆红素产量。
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[11] 张军. 安宫牛黄丸的演化制剂及应用进展[J].中成药,1993,15(8):34-35.
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[12] 崔爱瑛. 安宫牛黄丸的药理及临床研究进展[J].中国实验方剂学杂志,2012,18(20):341-344.
作为久负盛名的中药急救药品,安宫牛黄丸协同其他疗法对脑炎,中风,脑出血、脑缺血性损伤等脑病及所导致 的高热昏迷有独特的疗效,现代药理实验表明安宫牛黄丸对大鼠急性期脑出血、脑缺血损伤有较好的保护作用,对闭合性脑损伤大鼠的脑水肿、脑缺血缺氧状态等有 一定的积极作用,另外安宫牛黄丸对脓毒症大鼠也有一定的干预作用.但由于安宫牛黄丸组方中含有雄黄(砷)和朱砂(汞),其安全服用尤为重要,本文从安宫牛 黄丸的现代药理作用、临床应用等方面阐述它的研究现状,旨在为合理应用安宫牛黄丸提供新的思路和参考.
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[13] 北京中医学院中药系安宫牛黄丸剂改专题研究小组.安宫牛黄丸新剂型的研究——清开灵的试制及其质量的检查[J].新医药学杂志,1975,(8):12-13.
正 安宫牛黄丸具有清热解毒、辟秽通窍、镇静安神的功效,用以治疗温邪内陷,高热烦躁,神昏谵语,抽搐惊厥,疗效显著。长期以来,它与局方至宝丹、紫雪丹并被誉为抢救温病重症的“三宝”,为我国医药界所熟知的著名中成药之一。但是,由于其所含的某些药物,来源
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[14] SEKIGUCHI O N.Studies on absorption of Eutectic Mixture. La comparsion of behaoior of eutectic mixture of sulfathiazole and that of ordinary sulfathiazole in man[J]. Chem Pharm Bull, 1961, 9(11):866-869.
1) Sulfathiazole forms eutectic mixtures with urea, l-ascorbic acid, acetamide, nicotinic acid, nicotinamide, or succinimide. It was observed that a eutectic mixture of sulfathiazole and urea produces a microcrystalline suspension of sulfathiazole in water. 2) Sulfathiazole in a eutectic mixture with urea shows higher absorption and excretion after oral administration than ordinary sulfathiazole. 3) Since urea does not possess solubilizing action on sulfathiazole and also it does not enhance absorption of the drug physiologically, the accelerated absorption or excretion must be attributed to the physical state of sulfathiazole in its eutectic mixture with easily soluble compound, such as urea. 4) It is assumed that this new form of preparation will give a means of adjusting therapeutic effect of medical compounds.
DOI:10.1248/cpb.9.866      URL    
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[15] 朱晓静,李峰,吴超,.西黄滴丸成型工艺优选[J].中国实验方剂学杂志, 2013,19(24):36-38.
目的:优选西黄滴丸的成型工艺.方法:以滴丸的溶散时限、外观质量及丸重差异为综合评价指标,在单因素试 验基础上,选取药物与基质的配比、滴制温度、冷却剂温度、滴距为考察因素,采用正交试验优选西黄滴丸的成型工艺.结果:最佳成型工艺条件为以 PEG8000-PEG10000(1∶1)为基质,药物-基质(1:1.5),冷却剂为二甲基硅油100,药液温度75℃,冷却剂温度采用梯度冷却方式 (上部温度30℃,下部温度0~5℃),滴速20 ~ 25滴/min,滴距4 cm.结论:优选的西黄滴丸成型工艺合理、稳定可行,为西黄滴丸的临床推广提供参考.
DOI:10.11653/syfj2013240036      URL    
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[16] 王志宏,王中霞,刘超,.西黄丸滴丸抗肿瘤作用及对免疫功能的影响[J].山东大学学报(医学版),2013,4(4):18-20.
目的 研究西黄丸滴丸抗肿瘤作用及对免疫功能的影响.方法 将H22荷瘤小鼠模型分为模型组、西黄丸组、西黄丸滴丸不同剂量组,干预10 d后,测定各组小鼠的脾指数和胸腺指数,ELISA法测定小鼠血清中TNF-α、IL-1、IL-6、INF-γ含量.结果 西黄丸滴丸低、中、高剂量均对H22荷瘤小鼠具有明显的抑瘤作用,其抑瘤率分别为62.45%、70.61%、76.93%;各剂量西黄丸滴丸均能提高免 疫器官的质量及血清中TNF-α、IL-1、IL-6、INF-γ含量.结论 西黄丸滴丸具有明显的抑制肿瘤生长和增强机体免疫功能作用.
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[17] 孙源源,杜光.超微粉碎技术在中药中的应用进展[J].医药导报,2014,33(1):69-71.
探讨近年来超微粉碎技术的研究进展。介绍超微粉碎技术对粉末性质、有效成分提取以及药动学方面的影响,并且对超微粉碎技术存在的弊端给出思考和建议。超微粉碎技术研磨出的粉体粒度小而均匀,能够增加药物有效成分的溶出度,促进药物在体内的吸收。超微粉碎技术提高了药物的生物利用度和药物的品质。
DOI:10.3870/yydb.2014.01.020      URL    
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[18] 高杨. 牛黄上清颗粒制备[D].长春: 吉林大学, 2010:1-2.
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[19] 付廷明,袁红宇,郭立玮,.珍珠、牛黄超细粉体的表征[J].南京中医药大学学报,2003,19(4):215-216.
目的探索珍珠、牛黄普通粉和超细粉间理化特性的差异.方法通过粒径、分布宽度、松密度、休止角及比表面积 测定等方法对其普通粉和超细粉体进行表征.结果与普通粉相比,超细粉体颗粒大小均匀,平均粒径d90小于30 μm,较普通粉降低6.9~16.5倍;松密度下降;比表面积提高2.4~5.4倍.结论珍珠、牛黄经超细粉碎后,颗粒大小分布均匀,球性度及均质度明显 改善;粉体孔隙率增加,流动性增强,比表面积显著提高,从而使药物与机体亲和力变大,化学反应速率增加,药物的疗效大大提高.
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[20] 王俊香,杨莹.西黄软胶囊抗肿瘤作用及其对免疫功能的影响[J].山东中医杂志,2010,29(7):482-483.
目的:研究西黄软胶囊的抑瘤作 用,并探讨其抑瘤机制。方法:建立移植性S180肉瘤小鼠模型,观察西黄软胶囊对小鼠抑瘤率、脾指数、胸腺指数的影响,采用流式细胞仪检测西黄软胶囊对荷 瘤小鼠外周血T细胞亚群的影响。结果:西黄软胶囊各剂量组对S180肉瘤小鼠均有明显的抑瘤作用,增加荷瘤小鼠的脾指数、胸腺指数,显著性提高CD4+与 CD8+T细胞数目,升高CD4+/CD8+。结论:西黄软胶囊有明显的抗肿瘤作用,其机制可能是通过增强荷瘤小鼠的免疫功能来实现的。
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[21] 徐晨,谢俊,黄春玉,.粉末包衣技术在药物制剂领域的应用研究进展[J].药学进展,2013,37(12):635-641.
粉末今的一个重要分支,其在药物制剂领域的应用优势突出,近年来受到药剂学研究者的广泛关注。分类综述目前应用于药物制剂的几种主要粉末包衣技术,包括属于物理化学法中的凝聚法、以及物理机械法中的喷雾干燥法、喷雾冷凝法、干法包衣技术和气流悬浮包衣技术,并探讨粉末包衣技术的主要功用,如用于制备缓控释制剂、药物粉末表面改性、改善口服制剂感官效果和提高药物及制剂稳定性等。
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[22] 遆铁军,庄书蓓.牛黄清感胶囊粉末包衣工艺研究[J].黑龙江中医药,2015, 44(1):57-58.
目的:为提高牛黄清感胶囊的稳定性,保证药品的质量.方法:采用正交设计法,以尤特奇EPO水分散体作为 包衣材料,对内容物中的中药浸膏粉进行粉末包衣工艺进行优选.结果:中药浸膏粉最佳包衣工艺条件:是采用底喷包衣,包衣进风温度35℃,喷气压力 0.1MPa,喷液速率4.Sg/min,包衣增重40%,重复包衣4次.结论:可有效提高产品质量.
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[23] 李海涛,孙靓.脂质体技术在中药方面应用的概况[J].江苏中医药,2005, 26(5):57-58.
脂质体作为一种新型的药物载体,具有靶向性,可提高药物的治疗指数和疗效,降低药物的毒性,缓释药物,保护被包封的药物等,采用脂质体作为药物载体是目前国际研究的热点.综合近年来脂质体技术在中药制剂及中药复方等方面的应用并对其进一步的发展做出展望.
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[24] 黄惠锋. 安宫牛黄鼻用脑靶向制剂的研究[D].沈阳: 沈阳药科大学,2009: 38-89.
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[25] 张伯礼,康立源,张萌.牛黄对中枢神经系统作用研究进展[N].中国中医药报,2004-07-21(2180).
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[26] 张启阳. 浅谈纳米技术在药物制剂中的应用[J].中国高新技术企业,2009,(2):63-64.
文章从纳米技术出发,介绍了纳米技术的核心和本质,及其在制药工程中的应用背景;分析了药物制剂中的纳米粒类型,并分别详细阐述,最后讨论了纳米药物制剂比普通药物制剂具有的更多优良性状。
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[27] 吴云,严国俊,蔡宝昌.纳米技术在中药领域的研究进展[J].中草药,2011, 42(2):403-408.
纳米技术在中药领域的应用与发展是中药走向国际化与现代化的有效途径.中药产生的药效并非仅仅取决于药物 的化学成分,还与药物的物理状态(如颗粒大小)有关,当药物处于纳米级时常会呈现新的药效,将纳米技术应用于中药中可拓宽中药的使用范围.介绍了纳米中药 的概念,对纳米中药的制备方法 、优势和发展方向等进行了综述,并分析了纳米中药发展中存在的问题,以及提出解决这些问题的设想,为纳米中药的发展提供新的思路.
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[28] FENG S,ZHANG Y,GANG Y,et al.Preparation of a micro/nanotechnology based multi-unit drug delivery system for a Chinese medicine Niuhuang Xingxiao Wan and assessment of its antitumor efficacy[J].Int J Pharmaceut,2015,492(1/2):244-247.
Novel drug delivery systems have previously never been used in the formulation of any crude unfractionated traditional Chinese medicine. In the present study, a multi-unit drug delivery system (MUDDS) for a Chinese medicine Niuhuang Xingxiao Wan (NXW) was prepared using micro/nanotechnologies to enhance the bioavailability and efficacy. NXW was formulated into four units, that is, , and oil (FMO), , and . The four units were processed using the wet ball milling, high-pressure homogenization, liquid freezing-ultracentrifugation trituration, and dry grinding methods, respectively. After formulation, the four independent units prepared were encapsulated together to obtain the final NXW-MUDDS. Pharmacokinetic studies showed that the area under the plasma concentration-time curve (AUC), terminal half-life (T1/2), and time to reach the peak plasma concentration (Tmax) following administration of NXW-MUDDS were 5.21, 1.96, and 1.99 times higher, respectively, than that of NXW. The in vivo antitumor activity assay showed that the efficacy of NXW-MUDDS was significantly higher (P<0.05) than that of NXW. Collectively, these results reveal the feasibility of applying micro/nanotechnologies in formulating Chinese medicines.
DOI:10.1016/j.ijpharm.2015.07.023      PMID:26188318      URL    
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关键词(key words)
牛黄
复方制剂
制剂技术

Calculus bovis
Compound prescriptions
Preparation technology

作者
李为
张程亮
刘东

LI Wei
ZHANG Chengliang
LIU Dong