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陕产附子炮制前后急性毒性及强心作用研究OACSTPCD

Acute Toxicity and Cardiotonic Effect of Shanxi-Produced Aconiti Lateralis Radix Praeparata Before and After Processing

中文摘要英文摘要

目的:考察陕产附子炮制前后的急性毒性和强心作用.方法:通过对生附子LD50 的测定和自制黑顺片最大耐受量实验比较生附子和自制黑顺片的急性毒性;通过复制慢性心衰大鼠模型,检测大鼠体质量、心脏指数、血流动力学指标,检测血清BNP及cTnI含量以及组织病理学检查比较其强心作用.结果:生附子的半数致死量(LD50)为 9.45 g/kg,黑顺片的最大耐受量为 27.39 g/kg,经炮制后毒性降低.与模型组相比,自制黑顺片组大鼠症状及体征均有改善,能够降低心脏指数、左心室指数降低和左心室舒张压(LVEDP),升高左心室收缩压(LVSP)、收缩期左心室内压上升最大变化速率(+ dp/dtmax)和舒张期左心室内压下降最大变化速率(-dp/dtmax)(P<0.05,P<0.01);降低血清中脑钠肽(BNP)、心肌肌钙蛋白I(cTnI)含量(P<0.05);心肌纤维排列相对紧密,胞核清晰可见,但有一定断裂,其中有少量空泡存在,未发现炎性细胞浸润,各指标有明显差异.生附子组各指标有一定程度的改善,但差异无统计学意义(P>0.05).结论:生附子经炮制后,毒性降低,起到减毒的作用;自制黑顺片较生附子强心作用有显著增强.

Objective:To study the acute toxicity and cardiotonic effects of Aconiti Lateralis radix praeparata produced in Shaanxi before and after processing.Methods:The acute toxicity of raw Aconiti Lateralis radix praeparata and self-made Heishun tablet was compared through the measurement of LD50 in raw Aconiti Lateralis radix praeparata and the maximum tolerance experiment of self-made Heishun tablet.By replicating a chronic heart failure rat model,the body mass,cardiac index,hemodynamic indicators,serum BNP and cTnI levels,and histopathological changes were measured to compare their cardiotonic effects.Results:the LD50 of raw Aconiti Lateralis radix praeparata was 9.45 g/kg,the maximum tolerable dose of Heishun tablet was 27.39 g/kg.The toxicity of Aconiti Lateralis radix praeparata was reduced after being processed.Compared with the model group,the symptoms and signs of the rats in self-made Heishun tablet group were improved,the heart and left ventricular indexes were reduced;the LVEDP was significantly reduced,the LVSP was increased,and + dp/dtmax and-dp/dtmax were significantly increased(P<0.05,P<0.01).Serum BNP and cTnI levels were significantly reduced(P<0.05),and the cardiac muscle fibers were arranged relatively tightly.The nuclei were clearly visible,but there were some ruptures,a small amount of vacuoles were present,no inflammatory cell infiltration was found,and there were significant differences in the indicators.The indexes of raw Aconiti Lateralis radix praeparata group improved to a certain extent,but there was no statistical significance(P>0.05).Conclusion:After processing,the toxicity of raw Aconiti Lateralis radix praeparata is reduced,and the self-made Heishun tablets have significantly cardiotonic enhancing effect compared to raw Aconiti Lateralis radix praeparata.

李凡;张景霞;赵林涛;王卫锋;陈曦;韩昕;李芳

陕西省中医药研究院,陕西 西安 710003西安国际医学中心有限公司,陕西 西安 710119陕西中医药大学,陕西 咸阳 712046

中医学

附子炮制急性毒性强心作用

Aconiti Lateralis radix praeparataProcessingAcute toxicityCardiotonic effect

《中医药学报》 2024 (004)

23-28 / 6

陕西省科技计划项目(2020SF-325);陕西省中医药研究院"苗圃培育计划"(2021-16)

10.19664/j.cnki.1002-2392.240069

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