| BackgroundInfluenza (flu) is a kind of acute upper respiratory tract epidemic caused by influenza virus infection, which is characteristized by strong nfectivity, fast transmission, repeatedly susceptibility. The features of shorter incubation period and higher mortality rate make it become a great threaten to human life and health. It has caused a worldwide pandemic many times, in which, between1918and1919, the death toll reached a number of20million. Different regions lead to epidemic peak which depend on the season. For example, The epidemic time in Guangdong Province is from March to July.Modern medicine in the anti-influenza virus among the use of drugs and vaccines has made considerable progress. The characteristics of the antigenic variation of influenza virus has occurred, The anti-influenza virus drugs and vaccines has certain limitations, and with varying degrees of side effects. Therefore, there is no better prevention and treatment of influenza drugs and vaccines, and control of influenza is a long way to goChinese medicine has its unique advantages in antiviral. Which has the characters like simple, convenient, inexpensive and effective.In the long history, the ancient physicians have accumulated a wealth of clinical experience While most of the experience is proved to be safe and effective. In this context, My mentor——professor Zuo has done series of studies in the treatment of influenza with herbs since2003. These studies combined Treatise on the six meridians theory, Febrile Diseases Wei Qi Ying Xue and Triple burner dialectical theory, At the same time, he carried out the drug discovery research and beared the Eleventh Five-Year Technology in the Ministry of Science and Technology to support projects The monitoring of clinical and experimental study based on Han Wen Bing Yong theory is using traditional Chinese medicine to prevent influenza Filter Yinqiao Cai Gui Fang as a treatment for influenza focus recipe. After that commitment to the national second five major new drugs created special issue pre-clinical studies about silver Alice Cai Gui particle treating influenza Based on the experience of Lingnan epidemic, Silver Alice Cai Gui particle as a key to development. Dedicated to the research and the creation of Han Wen Bing Yong with the new TCM treatment of Khan. This research project which belongs to series of studies about influenza is using pharmaceutical basised in Han Wen Bing Yong Khan treatment. The main contents include experimental and clinical research.Objectivethrough clinical research to explore the mechanism of action of the of Yinqiao Cai Gui particles in the three aspects of the regulation of immune protection organs, inhibition of viral, to evaluate the safety, effectiveness and practicality. Draw on modern research techniques, new evidence of "Zheng" information collection under the guidance of efficacy understand Yinqiao Cai Gui particles observed through clinical research, and symptom score improvement, decreased body temperature curve, and peripheral blood cells and other related indicators in order to study its clinical utility, safety and efficacy. Clinical application of the particles of Yinqiao Cai Gui, scientific, objective and reasonable observation and analysis.Experimental ResearchMethodsTo study the mechanism of Yinqiaochaigui granules to cure influenza, we did some experiments. This experiments takes mouse infected by influenza virus dropping nose as the model and uses Yinqiaochaigui granules to carry out experiments. The NIH into the mice is randomly divided into nine groups:normal control group, model control group, Amantadine group, the group on high dose of traditional Chinese medicine, the group on medium dose of traditional Chinese medicine, the group on low dose of traditional Chinese medicine.There are10mice in each group. Under slight anesthesia caused by ether, the mice are infected by dropping influenza virus into the nose. After the day the virus attacks, medicine is given. Then, according to the objective of every expeiment, relevant indexes are measured. The experiments included:1. Acute toxicity of Yinqiaochaigui granules;2.The pharmacodynamics study including the lung exponent and life protection;3. Study of Yinqiaochaigui granules' influence on the phagocytizing function of IV FM1infected mice's macrophages.Result(1) Acute toxicity of Yinqiaochaigui granules:There is no mice died. The traditional Chinese medicine low/medium/high dose have no toxicity.(2)Study of Yinqiaochaigui granules'influence on the inhibition of the IV FM1infected mice's pneumonia:compared with normal control group, the lung exponent of the model group increase obviously which have significant difference (P<0.05). Compared with the model group, the lung exponent of amantadine group and traditional Chinese medicine low/medium/high dose group all reduced which have significant difference (P<0.05). Besides, the correlation of lung exponent and the medicine dose are negative, inhibition rate of lung and the medicine are positive.(3) Study of Yinqiaochaigui granules, influence on the protection of the Ⅳ FM1infected mice, s death:Compared with model group, the average life time of the FM1infected mice in traditional Chinese medicine of high/medium/low dose groups all improved obviously;The life protection rate of the FM1infected mice in traditional Chinese medicine of high/medium/low dose groups were35%,25%,15%. The health extension rate of the FM1infected mice in traditional Chinese medicine of high/medium/low dose groups were38.06%,32.26%,25.18%. The life protection rate and the health extension rate of the FM1infected mice in amantadine group were60%,43.31%.(4) Study of Yinqiaochaigui granules'influence on the phagocytizing function of IV FM, infected mice's macrophages"Compared with normal control group, the OD(optical delnsity) of model group was lower (P<0.05) which indicate the phagocytizing function of IV FM1infected mice's macrophages reduced obviously;Compared with model group, the OD of medication groups were higher (P<0.05).ConclusionSummary, Yinqiaochaigui granules can alleviate the pathological changes in the lung of FM, infected mice and have a protective and life extension effect on FM1infected mice. Meanwhile, Yinqiaochaigui granules can improve the phagocytizing function of IV infected mice's macrophages so that have the regulative funcation of the immune.Cl inical ResearchMethodsThe research is a clinical trial adopts to prospective randomized controlled.We selected cases that meet the above criteria. A total of140patients enrolled in this study,140patients were randomly divided into healing group(Yin Qiao Chai Gui particles) and control group (Ke Gan Li Yan Oral Solution)。It was a clinical observation on140influenza patients with indicators which are including symptoms, signs, the efficacy of diseases, syndromes, the improvement on symptom score and so on.Result(1) Compare with the control groups, cure rate and total effective contrast, Statistically significant. Treatment group improve the clinical symptoms. P<0.05.(2) Prior treatment comparability test indicated that there weren't significant senses on the comparison about the average integral of symptoms. After1-day of courses:Through comparison, there was statistical significance on the differences between two groups on curative effects. P<0.05. After3-day treatment, there was a significant difference on improving cold symptom differences between two groups (P<0.05). After7-day treatment, there was a significant difference on improving the average integral of symptoms between two groups (P<0.05).(3) Prior treatment comparability test indicated that there was no significant difference on the comparison about the integral of fever, sore throat and headache.(P>0.05). After treatment, there was significant difference between two groups of improving effect on curing fever, sore throat and headache (P<0.05). The result cued that the curative effect on above-mentioned symptom of the healing group was better than control group.(4) It was confirmed that both of the healing and control groups were not drug toxicity and adverse events around the clinical research process.ConclusionYin Qiao Chai Gui particles Restoring Healthy Energy with significant clinical efficacy. It not only could relieving fever and improving the symptoms, but also regulating the immune system. It done better in diseases than Ke Gan Li Yan Oral Solution and the clinical detection was safe,efficacy and reliability. |