WO2008090410A2 - Cinnamomi and poria composition and uses thereof - Google Patents

Cinnamomi and poria composition and uses thereof Download PDF

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Publication number
WO2008090410A2
WO2008090410A2 PCT/IB2007/004483 IB2007004483W WO2008090410A2 WO 2008090410 A2 WO2008090410 A2 WO 2008090410A2 IB 2007004483 W IB2007004483 W IB 2007004483W WO 2008090410 A2 WO2008090410 A2 WO 2008090410A2
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WO
WIPO (PCT)
Prior art keywords
composition
poria
extracts
cinnamomi
preparing
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PCT/IB2007/004483
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French (fr)
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WO2008090410A4 (en
WO2008090410A3 (en
Inventor
Wei Xiao
Xiang Ling Dai
Ya Ling
Zhen Zhong Wang
Yu An Bi
Zheng Kuan Wang
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Jiangsu Kanion Pharmaceuticals Co. Ltd.
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Application filed by Jiangsu Kanion Pharmaceuticals Co. Ltd. filed Critical Jiangsu Kanion Pharmaceuticals Co. Ltd.
Priority to JP2009532916A priority Critical patent/JP5328656B2/en
Priority to EP07872088.5A priority patent/EP2073825B1/en
Priority to US12/376,601 priority patent/US8067040B2/en
Priority to CN200780027994.4A priority patent/CN101495129B/en
Priority to CA2659442A priority patent/CA2659442C/en
Publication of WO2008090410A2 publication Critical patent/WO2008090410A2/en
Publication of WO2008090410A3 publication Critical patent/WO2008090410A3/en
Publication of WO2008090410A4 publication Critical patent/WO2008090410A4/en

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    • 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)
    • A61K36/54Lauraceae (Laurel family), e.g. cinnamon or sassafras
    • 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
    • A61K36/06Fungi, e.g. yeasts
    • A61K36/07Basidiomycota, e.g. Cryptococcus
    • A61K36/076Poria
    • 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)
    • A61K36/73Rosaceae (Rose family), e.g. strawberry, chokeberry, blackberry, pear or firethorn
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/08Drugs for genital or sexual disorders; Contraceptives for gonadal disorders or for enhancing fertility, e.g. inducers of ovulation or of spermatogenesis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine

Definitions

  • the present invention is related to the making and using of a composition comprising Chinese herbal medicines Hamulus cinnamomi and Poria cocos (Chinese name: Guizhi and Fuling) .
  • Cassia Twig is the dried young stem of Cmnamomum cassia Presl (Fam. Lauraceae) .
  • the plant is collected in spring or summer. It is dried in the sun after collection and removal of its leaves. It can also be chopped into slides.
  • the medicinal preparation has cylindrical body, multi-branched, 30-
  • Cinnamomi 75 cm in length, with a thick end of 0.3-1 cm in diameter. It is brown or reddish-brown on the surface, with longitudinal lines, fine wrinkles, dotted with leaf, branch or bud scars. Hard and fragile, it is easily broken. For slices, it is 2-4 mm thick, cut surface showing reddish-brown in the bark area, yellowish-white to pale yellowish-brown in the wood part. It has a characteristic aromatic odor, and is tasted sweet or slightly pungent (especially in the bark) .
  • the medicinal preparation is the clean scraps of Cinnamomi without visible impurities.
  • the important ingredients of Cinnamomi is cmnamaldehyde and cinamic acid.
  • Indian Bread is the dried sclerotium of the fungus, Poria cocos (Fam. Polyporaceae) .
  • the plant is collected from July to September. After collection, it was piled up and spread about for air-drying repeatedly until wrinkles appears on the surface and its inner moisture evaporated.
  • the whole dried sclerotium is known as "Fulingge”. If the fresh sclerotium is peeled before drying, the separated parts are called "Fulmgpi"
  • the outer skin is thin and rough, brown to blackish brown, conspicuously shrivelled and striated.
  • the texture is hard and compact. It is odourless, tastes weak and becomes sticky when chewed.
  • the medicinal preparation is the clean scraps of Poria without visible impurities. Its important active ingredients are Pachman and Pachymic acid.
  • the present invention provides a composition comprising Chinese herbal medicines Ramulus cmnamomi and Poria cocos (Chinese name: Guizhi and Fuling) .
  • the herbal composition is formulated into capsule as described in U.S. Patent 7,052,700, which is hereby incorporated by reference .
  • the present invention provides a herbal composition comprising Ramulus cmnamomi and Poria cocos, wherein the composition produces 12 peaks when subjected to a method comprising the steps of: a) extracting the composition with an appropriate organic solvent; and b) performing chromatographic analysis.
  • the relative retention time ranges for peaks 1-12 as compared to paeoniflo ⁇ n are 0.209-0.314, 0.456-0.683, 0.733-0.999, 0.871-1.306, 0.921-1.382, 0.968-1.451, 1.009-1.514, 1.058-1.587, 1.152-1.728, 1.69-2.536, 1.771-2.657, and 1.943-2.915 respectively.
  • the present herbal composition further comprises paeoniflo ⁇ n and paeonol .
  • paeoniflo ⁇ n and paeonol Preferably, there are 1.26-1.90% paeomflo ⁇ n and 0.71-1.07% paeonol.
  • the present invention provides a composition produced by a method comprising the steps of: (a) preparing Poria powder; (b) preparing extracts of Cortex moutan;
  • the present invention also provides a method of producing a composition comprising Ramulus cinnamomi and Poria cocos, the method comprises the steps of: (a) preparing Poria powder; (b) preparing extracts of Cortex moutan; (c) preparing extracts of Ramulus cinnamomi; (d) preparing extracts of Radix paeoniae alba, Semen persicae and Poria; (e) combining the extracts obtained from steps (b) - (d) ; (f) mixing the Poria powder with the extracts obtained from step (e) , and generating fine powders; and (g) mixing the fine powders with inclusion substances comprising extracts of Cortex moutan and Ramulus cinnamomi . [0020] The present invention also provides a pharmaceutical composition comprising a pharmaceutically acceptable carrier and the herbal composition described herein.
  • the present invention provides a composition comprising Chinese herbal medicines Guizhi and FuIing (Hamulus cinnamomi and Poria cocos) .
  • the herbal composition can be formulated into capsule as described in U.S. Patent 7,052,700, the disclosure of which is hereby incorporated by reference.
  • the present invention provides a herbal composition comprising Ramulus cinnamomi and Poria cocos, wherein the herbal composition is defined by a 12-peaks fingerprint (Figure 1) obtained by a fingerprinting method comprising the steps of extracting the composition with an appropriate organic solvent, and performing chromatographic analysis.
  • the chromatographic analysis is high performance liguid chromatography (HPLC) .
  • HPLC high performance liguid chromatography
  • the present herbal composition is extracted with the organic solvent methanol, and then subjected to HPLC with a paeoniflo ⁇ n standard according to procedures well-known in the art.
  • the relative peak area ranges for peaks 1, 8, 9, and 12 as compared to paeoniflorin are 0.25-0.89, 0.69-1.5, 0.3- 0.85, and 1.56-3.06 respectively.
  • the relative retention time ranges for peaks 1-12 as compared to paeoniflorin are 0.209-0.314, 0.456-0.683, 0.733- 0.999, 0.871-1.306, 0.921-1.382, 0.968-1.451, 1.009-1.514, 1.058-1.587, 1.152-1.728, 1.69-2.536, 1.771-2.657, and 1.943- 2.915 respectively.
  • the present invention also provides a pharmaceutical composition
  • a pharmaceutical composition comprising the herbal composition described herein and a pharmaceutically acceptable carrier.
  • the herbal composition can be formulated into a pill, capsule, tablet, suspension, or syrup according to standard procedures.
  • compositions for use in accordance with the present invention may include a pharmaceutically acceptable excipient or carrier.
  • pharmaceutically acceptable carrier means a non-toxic, inert solid, semi-solid or liquid filler, diluent, encapsulating material or formulation.
  • compositions which can serve as pharmaceutically acceptable carriers are sugars such as lactose, glucose, and sucrose; starches such as corn starch and potato starch; cellulose and its derivatives such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; malt; gelatin; talc; excipients such as cocoa butter and suppository waxes; oils such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil, and soybean oil; glycols, such as propylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffering agents such as magnesium hydroxide and aluminum hydroxide; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; and phosphate buffer solutions, as well as other non-toxic compatible lubricants such as sodium lauryl sulfate and magnesium stearate, as well as coloring
  • the present invention also provides a method of treating a subject having a disease or disorder, comprising the step of administering to the subject an effective amount of the herbal composition disclosed herein.
  • the "effective amount" of an agent or composition refers to the amount necessary to elicit a desired biological response.
  • the effective amount of the active components of an herb or herbal remedy is the amount necessary to decrease a particular sign and/or symptom.
  • One of ordinary skill in the art could readily determine an effective amount of the present herbal composition through conventional methods and techniques.
  • the herbal composition of the present invention can be used to treat a variety of disease or disorder.
  • a number of applications have been discussed in U.S. Patent 7,052,700.
  • the Cinnamomi & Poria capsule can be used to treat primary or secondary dysmenorrhea, dysfunctional uterine bleeding caused by irreglar shedding of endometrim, chronic pelvic inflammations with inflammatory lower abdomen masses or small intramural hysteromyoma, and many other common pelvic disorders.
  • Further pharmacological studies, pre-clinical as well as clinical studies using the herbal composition of the present invention can be carried out as described in U.S. Patent 7,052,700.
  • inventive pharmaceutical compositions of the present invention can be administered orally.
  • pharmaceutical compositions may be delivered to mucous membranes, for example, by inhalation or injection.
  • the present inventive pharmaceutical compositions can be administered to humans and/or other animals orally, rectally, parenterally, lntracisternally, intravaginally, intraperitoneally, topically (as by powders, ointments, or drops), bucally, or as an oral or nasal spray.
  • the present example provides a herbal composition comprising Cinnamomi & Poria in capsule form (Cinnamomi & Poria capsule) .
  • Cinnamomi & Poria capsule The process of making Cinnamomi & Poria capsule has been described in U.S. Patent 7,052,700, which is hereby incorporated by reference.
  • the Cinnamomi & Poria capsule contains yellowish brown granule which tasted slightly bitter.
  • each capsule containing 0.31 g of the granule can be stored for 24 months at room temperature.
  • Step 1 Weigh (50%-90% of the formulation quantity) Porta
  • Step 3 Sterilize the Poria powder by microwave. This is designated as Poria Powder.
  • Step 6 Collect the liquid distillate.
  • the Liquid Distillate is refrigerated, filtered and cool dried to achieve a extract.
  • the dried extract is designated as Paeonol.
  • Step 8 Extract Solid Residue I with 80 ⁇ 95% ethanol twice (3-5 times volume for the first time and 2-4 times for the second). Boil for 1 ⁇ 3 hours each time.
  • Step 9 Combine the ethanol extracts This is Extract I.
  • Step 10 Extract the solid residue with water twice (5-7 times volume for the first time and 3-5 times for the second). Boil for 1 ⁇ 3 hours each time.
  • Step 11 Combine the aqueous extracts. This is Extract II.
  • Step 12 Weigh Ramulus cinnamomi.
  • Step 15 Extract Solid Residue II with 80—95% ethanol twice (3—5 times volume for the first time and 2 ⁇ 4 times for the second). Boil for 1 ⁇ 3 hours each time.
  • Step 19 Weigh Radix paeoniae alba, Semen persicae, and PoHa (10%-50% of the formulation quantity) .
  • Step 20 Add 3—5 times of 80—95% ethanol and leave at room temperature for
  • Step 25 Combine Extract I (Step 9), III (Step 16) and V (Step 22). Concentrate under vacuum till no ethanol smell. This is Liquid A.
  • Step 26 Combine Extract II (Step 11), IV (Step 18) and VI (Step 24). Concentrate under vacuum. This is Liquid B.
  • Step 27 Combine Liquid A and B. Concentrate under vacuum till the relative density equal to 1.15-1.35(60— 9O 0 C). The concentrated liquid extract is designated as Semisolid Extract.
  • Step 28 Weigh ⁇ -cyclodextrin and add into 2—3 times of water. Heat the ⁇ - cyclodextrin solution to 50— 7O 0 C.
  • Step 29 Dissolve the total paeonol extract from Step 6 into 4 ⁇ 6 times of 80-95% ethanol.
  • Step 30 Add the paeonol solution into the ⁇ -cyclodextrin solution.
  • Step 31 Grind for 10—30 minutes.
  • Step 32 Then place into refrigerator for 12—36 hours.
  • Step 35 Weigh ⁇ -cyclodextrin and add into 4-6 times of 10—30 % ethanol solution. Add the all volatile oil from Step 13 into the ⁇ -cyclodextrin solutionunder continuous stirring Step 36: Keep grind for 20—40 minutes.
  • Step 37 Then place into refrigerator for 12-36 hours.
  • Step 38 Filter under vacuum.
  • Step 39 Dry at 40— 6O 0 C.
  • the resulted white powder is Inclusion Substance II.
  • Step 40 Mix the Poria Powder with all the Semisolid Extract.
  • Step 41 Dry the mixture at 70— 100 0 C, and grind into fine powders
  • Step 42 Mix Fine Powder I with Inclusion Substances I and Inclusion Substances II.
  • Step 43 Add 50 ⁇ 80% ethanol solution to make a dough-like mass.
  • Step 44 Pass the wet material through a 16-24mesh sieve to obtain the granules.
  • Step 45 Dry the granules at 40 ⁇ 6O 0 C.
  • Step 46 Pass the dried granules through the sieve again.
  • Step 47 Mix the dried granules well. This is Final Granules.
  • Poria fine powder needs to be screened by 100 meshes of screen (inner diameter 150 ⁇ 6.6 ⁇ m.)
  • the concentration of crude paeonol should be no less than 90%.
  • Creamed extractive the creamed extractive is dark brown in color. Its relative density should be 1.15-1.35 (60 ⁇ 70 0 C), and the content of paeoniflorin should be 1.36-2.04%
  • Capsules clean, not sticky or mutilated in shape. Differences in content should be no more than ⁇ 10% (0.31 g/capsule) . Dissolving time is within 30 minutes. Water content should be no more than 7.0%. Content of paeoniflorin is at 1.26-1.90% and paeonol 0.71-1.07%.
  • test was carried out according to the HPLC method (Chinese Pharmacopoeia 2000 Ed, Vol. One, Appendix VI D) and the requirements for fingerprints .
  • Sample Preparation Take the content of the samples for Weight Variation Test, mix thoroughly, and grind into fine powder. Weigh accurately about 0.25 g of the mixture and add 25 ml of 50% methanol. Sonicate the mixture for 30 min, and then filter. Discard the first part of the filtrate. Collect the rest filtrate as the test solution. Assay
  • the HPLC chromatogram of any batch of Cinnamomi & Poria composition should have the 13 characteristic peaks.
  • the relative retention time of the 13 peaks and the relative peak area of Peaks 1, 8, 9 and 12 should be in the specified range.
  • HPLC data from ten different batches of Cinnamomi & Poria capsules have been confirmed to display the fingerprint profile presented herein.
  • the fingerprint profile presented herein is different from the ones shown in U.S. Patent 7,052,700.
  • the aqueous samples for HPLC were prepared by water reflux extraction. The contents of 3 Cinnamomi & Poria capsules were mixed with 200 ml distilled water for heat reflux for 30 mm (start timing at boiling) . The solution was cooled down, centrifuged for 10 mm, and filtered with a 0.45 ⁇ m filtration membrane. The first part of the filtrate was discarded and the rest of the filtrate was taken as the test solution. Consequently, the ⁇ 700 patent presents four chromatograms, i.e. one for water-soluble components, two for lipid-soluble components (of different chromatographic conditions and detection wavelengths), and one for gas Chromatography. The first three chromatograms exhibit poor reproducibility and have some peaks overlapping with each other.
  • this processing method has been changed to use 50% methanol to extract the sample.
  • the content of the samples for Weight Variation Test was mixed thoroughly and grinded into fine powder. Twenty five ml of methanol was added to 0.25 g of the mixture, which was then sonicated for 30 mm and then filtered. The first part of the filtrate was discarded, and the rest of the filtrate was collected as the test solution. It was found that extraction with 50% methanol resulted in more peaks, revealing not only more components of the Cinnamomi & Poria capsules, but also shows lipid-soluble and volatile components in the product. Therefore, the current method produces only one chromatogram, which can be used in combination with other quality control procedures to control the quality of the Cinnamomi & Poria capsules .
  • the difference between these two methods is that the former method of water reflux extraction extracted components that were mainly water-soluble, and the major peaks in the chromatogram were the water-soluble compounds in the product.
  • the method of the instant invention uses 50% methanol as the extraction solvent to extract more water- soluble components, lipid-soluble components as well as the volatile compound paeonol, and these compounds can be presented in one chromatogram that shows a higher paeonol peak based on equal sample amount.
  • the evaluation parameters for the fingerprints of Traditional Chinese medicines are usually the ratios of the retention time and area of the characteristic peaks to those of the references.
  • the relative retention time and peak area of each peak are used for the characterization of the fingerprint.
  • the relative retention time and relative peak area of the feature peaks are specified.
  • Such evaluation parameters can eliminate variations caused by differences in instruments, columns, mobile phase and environment that can change the retention time and peak area. Therefore, these parameters can be used objectively and comprehensively to represent the actual conditions of the constituents in and the internal quality of the product.
  • the fingerprint characteristics presented herein are unique to the Cinnamomi & Poria Capsule of the present invention.
  • the characteristic peaks of the fingerprint reveal constituents of every batch of Cinnamomi & Poria Capsule processed according to the disclosed manufacturing procedure.
  • the current fingerprint standard was derived from optimization of assay conditions and data collected from many batches. Results from repeated assays of the same batch, as well as data from ten different batches (Tables 2-3) show that the current method can accurately fingerprint Cinnamomi & Poria Capsule with good reproducibility. The results also show that the constituents' contents are similar in different batches, the relative retention time and peak area of all the characteristic peaks being m the specified range.

Abstract

a composition comprising Chinese herbal medicines Ramulus cinnamoni and Poria cocos is provided, wherein the composition is defined by a fingerprint profile obtained from an improved chromatographic method. Various uses of such compositions are also provided.

Description

CINNAMOMI AND PORIA COMPOSITION AND USES THEREOF
[0001] This application claims priority of U.S. provisional application No. 60/829,945, filed October 18, 2006. The entire contents and disclosures of the preceding application are incorporated by reference into this application.
FIELD OF THE INVENTION
[0002] The present invention is related to the making and using of a composition comprising Chinese herbal medicines Hamulus cinnamomi and Poria cocos (Chinese name: Guizhi and Fuling) .
BACKGROUND OF THE INVENTION
[0003] Traditional Chinese medicine employs herbal formulations to treat bodily ailments. In some cases, single herbs or herb derivatives are used. More commonly, however, "formulas", or specific combinations of several particular herbs, are administered. The following five herbal materials have been used in Traditional Chinese medicine for more than 2000 years. They have been recorded in many historical Chinese medical textbooks, and are cited in many articles published in contemporary scientific journals.
COMMON NAME LATIN NAME CHINESE NAME
Cassia Twig Hamulus cinnamomi Guizhi
Indian Bread Poria cocos Fuling
Peach Seed Semen persicae Tao Ren
White Peony Root Radix paeoniae alba Bai Shao
Tree Peony Bark Cortex moutan Mu Dan Pi,
[0004] Cassia Twig is the dried young stem of Cmnamomum cassia Presl (Fam. Lauraceae) . The plant is collected in spring or summer. It is dried in the sun after collection and removal of its leaves. It can also be chopped into slides. The medicinal preparation has cylindrical body, multi-branched, 30-
75 cm in length, with a thick end of 0.3-1 cm in diameter. It is brown or reddish-brown on the surface, with longitudinal lines, fine wrinkles, dotted with leaf, branch or bud scars. Hard and fragile, it is easily broken. For slices, it is 2-4 mm thick, cut surface showing reddish-brown in the bark area, yellowish-white to pale yellowish-brown in the wood part. It has a characteristic aromatic odor, and is tasted sweet or slightly pungent (especially in the bark) . The medicinal preparation is the clean scraps of Cinnamomi without visible impurities. The important ingredients of Cinnamomi is cmnamaldehyde and cinamic acid.
[0005] Indian Bread is the dried sclerotium of the fungus, Poria cocos (Fam. Polyporaceae) . The plant is collected from July to September. After collection, it was piled up and spread about for air-drying repeatedly until wrinkles appears on the surface and its inner moisture evaporated. The whole dried sclerotium is known as "Fulingge". If the fresh sclerotium is peeled before drying, the separated parts are called "Fulmgpi"
(peel) and "Fulingkuai" (flesh) .
[0006] The outer skin is thin and rough, brown to blackish brown, conspicuously shrivelled and striated. The texture is hard and compact. It is odourless, tastes weak and becomes sticky when chewed. The medicinal preparation is the clean scraps of Poria without visible impurities. Its important active ingredients are Pachman and Pachymic acid.
[0007] A number of United States Patents and literatures have taught methods of composing curative compositions from herbs like Cinnamomi, Poria etc. A number of investigators from China have also reported on animal or clinical research using certain Cinnamomi and Poria composition.
[0008] In U.S. Patent No. 6,093,403, a formula consists of Poria extract up to 20% in weight is been used to treat or prevent disorders in sugar balance, diabetes, and blood circulation diseases such as Angina Pectoris. [0009] Poria cocos wolf is being use for treating cardio-, cerebro-vascular diseases, Alzheimer's and depression. A composition containing Poria cocos wolf up to 20% of its weight has been disclosed in U.S. Patent No. 5,589,182.
[0010] He et al. has published an article in 1994 on clinical study of a Cmnamomi and Poria composition in 100 cases of gynecopathies: dysfunctional uterine bleeding caused by irregular shedding of uterine endometrim, chronic pelvic inflammations, dysmenorrhea and small intramural hysteromyoma . In comparison with 50 cases of patients that were treated with another medicinal preparation (Bolus of Clnnamomi and Poria, BCP) , observations based on multiple complaining symptoms and physical signs showed no significant difference between the two groups.
[0011] Shi et al. reported in 2000 the therapeutic effects of a Cmnamomi and Poria composition in 60 patients with hysteromyoma. Patients accepted physical gynecology examination, ultrasonic examination and hematochrome test. The Shi's study reported an effective rate of 91.7%, and among which, 10% of the cases was of significant improvement. The effectiveness of treatment was defined as "significant improvement" if the tumor was reduced 3-5 cm and enlarged menstrual flow was reduced 50% or more; or "improvement" if the tumor was reduced 2-3 cm and menstrual flow was reduced 25% or more .
[0012] The present invention provides a herbal composition comprising Cmnamomi and Poria that would be effective in relieving symptoms of a number of diseases such as those discussed above. In contrast to the more traditional practice in Chinese medicine, the present invention is produced by updated technologies which could better preserve the effective ingredients of Clnnamomi and Poria. [0013] Throughout this application, various publications are referenced and full citations for these publications may be found in the references at the end of the specifications preceding the claims. The disclosures of these publications are hereby incorporated by reference into this application m order to more fully describe the state of the art as known to the skilled therein as of the date of the invention described and claimed herein.
SUMMARY OF THE INVENTION
[0014] The present invention provides a composition comprising Chinese herbal medicines Ramulus cmnamomi and Poria cocos (Chinese name: Guizhi and Fuling) . In one embodiment, the herbal composition is formulated into capsule as described in U.S. Patent 7,052,700, which is hereby incorporated by reference .
[0015] The herbal composition of the present invention is defined by a HPLC fingerprint that displays 12 peaks. Extracting the herbal composition with methanol and analyzed against paeoniflorin as a standard, the 12 peaks have the following characteristic:
Common Relative Retention Time Relative Peak Area Range
Peak No. Range
1 0. 25—0.
2 0. 456—0. 683
3 0. 733—0. 999
S 1
4 0. 871 — 1. 306
5 0. 921 — 1. 382
6 0. 968—1. 451
7 1. 009—1. 514
8 1. 058—1. 587 0. 69- -1. 50
9 1. 152—1. 728 0. 30- -0. 85
10 1. 690—2. 536
11 1. 771—2. 657
12 1. 943—2. 915 1. 56—3. 06 [0016] In one embodiment, the present invention provides a herbal composition comprising Ramulus cmnamomi and Poria cocos, wherein the composition produces 12 peaks when subjected to a method comprising the steps of: a) extracting the composition with an appropriate organic solvent; and b) performing chromatographic analysis. The relative retention time ranges for peaks 1-12 as compared to paeonifloπn are 0.209-0.314, 0.456-0.683, 0.733-0.999, 0.871-1.306, 0.921-1.382, 0.968-1.451, 1.009-1.514, 1.058-1.587, 1.152-1.728, 1.69-2.536, 1.771-2.657, and 1.943-2.915 respectively.
[0017] In another embodiment, the present herbal composition further comprises paeonifloπn and paeonol . Preferably, there are 1.26-1.90% paeomfloπn and 0.71-1.07% paeonol.
[0018] In another embodiment, the present invention provides a composition produced by a method comprising the steps of: (a) preparing Poria powder; (b) preparing extracts of Cortex moutan;
(c) preparing extracts of Ramulus cinnamomi; (d) preparing extracts of Radix paeomae alba, Semen persicae and Poria; (e) combining the extracts obtained from steps (b) - (d) ; (f) mixing the Poria powder with the extracts obtained from step (e) , and generating fine powders; and (g) mixing the fine powders with inclusion substances comprising extracts of Cortex moutan and Ramulus cinnamomi .
[0019] The present invention also provides a method of producing a composition comprising Ramulus cinnamomi and Poria cocos, the method comprises the steps of: (a) preparing Poria powder; (b) preparing extracts of Cortex moutan; (c) preparing extracts of Ramulus cinnamomi; (d) preparing extracts of Radix paeoniae alba, Semen persicae and Poria; (e) combining the extracts obtained from steps (b) - (d) ; (f) mixing the Poria powder with the extracts obtained from step (e) , and generating fine powders; and (g) mixing the fine powders with inclusion substances comprising extracts of Cortex moutan and Ramulus cinnamomi . [0020] The present invention also provides a pharmaceutical composition comprising a pharmaceutically acceptable carrier and the herbal composition described herein.
[0021] The present invention also provides uses of the composition described herein in the manufacture of medicament for treating a disease or disorder selected from the group consisting of primary dysmenorrheal, secondary dysmenorrheal, dysfunctional uterine bleeding, chronic pelvic inflammations, and small intramural hysteromyoma
DETAILED DESCRIPTION OF THE FIGURES
[0022] Figure 1 shows the HPLC fingerprint of a Cinnamomi & Poria capsule composition as described herein.
DETAILED DESCRIPTION OF THE INVENTION
[0023] The present invention provides a composition comprising Chinese herbal medicines Guizhi and FuIing (Hamulus cinnamomi and Poria cocos) . In one embodiment, the herbal composition can be formulated into capsule as described in U.S. Patent 7,052,700, the disclosure of which is hereby incorporated by reference.
[0024] In one embodiment, the present invention provides a herbal composition comprising Ramulus cinnamomi and Poria cocos, wherein the herbal composition is defined by a 12-peaks fingerprint (Figure 1) obtained by a fingerprinting method comprising the steps of extracting the composition with an appropriate organic solvent, and performing chromatographic analysis. In one embodiment, the chromatographic analysis is high performance liguid chromatography (HPLC) . In general, the present herbal composition is extracted with the organic solvent methanol, and then subjected to HPLC with a paeonifloπn standard according to procedures well-known in the art. [0025] The relative peak area ranges for peaks 1, 8, 9, and 12 as compared to paeoniflorin are 0.25-0.89, 0.69-1.5, 0.3- 0.85, and 1.56-3.06 respectively.
[0026] The relative retention time ranges for peaks 1-12 as compared to paeoniflorin are 0.209-0.314, 0.456-0.683, 0.733- 0.999, 0.871-1.306, 0.921-1.382, 0.968-1.451, 1.009-1.514, 1.058-1.587, 1.152-1.728, 1.69-2.536, 1.771-2.657, and 1.943- 2.915 respectively.
[0027] The herbal composition of the present invention further comprises paeoniflorin and paeonol. In one embodiment, there are 1.26-1.90% paeoniflorin and 0.71-1.07% paeonol.
[0028] The present invention also provides a pharmaceutical composition comprising the herbal composition described herein and a pharmaceutically acceptable carrier. In general, the herbal composition can be formulated into a pill, capsule, tablet, suspension, or syrup according to standard procedures.
[0029] Pharmaceutical compositions for use in accordance with the present invention may include a pharmaceutically acceptable excipient or carrier. As used herein, the term "pharmaceutically acceptable carrier" means a non-toxic, inert solid, semi-solid or liquid filler, diluent, encapsulating material or formulation. Representative examples of materials which can serve as pharmaceutically acceptable carriers are sugars such as lactose, glucose, and sucrose; starches such as corn starch and potato starch; cellulose and its derivatives such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; malt; gelatin; talc; excipients such as cocoa butter and suppository waxes; oils such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil, and soybean oil; glycols, such as propylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffering agents such as magnesium hydroxide and aluminum hydroxide; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; and phosphate buffer solutions, as well as other non-toxic compatible lubricants such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, releasing agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the composition according to the uses of the herbal composition.
[0030] The present invention also provides a method of treating a subject having a disease or disorder, comprising the step of administering to the subject an effective amount of the herbal composition disclosed herein. The "effective amount" of an agent or composition refers to the amount necessary to elicit a desired biological response. The effective amount of the active components of an herb or herbal remedy is the amount necessary to decrease a particular sign and/or symptom. One of ordinary skill in the art could readily determine an effective amount of the present herbal composition through conventional methods and techniques.
[0031] The herbal composition of the present invention can be used to treat a variety of disease or disorder. A number of applications have been discussed in U.S. Patent 7,052,700. For example, the Cinnamomi & Poria capsule can be used to treat primary or secondary dysmenorrhea, dysfunctional uterine bleeding caused by irreglar shedding of endometrim, chronic pelvic inflammations with inflammatory lower abdomen masses or small intramural hysteromyoma, and many other common pelvic disorders. Further pharmacological studies, pre-clinical as well as clinical studies using the herbal composition of the present invention can be carried out as described in U.S. Patent 7,052,700.
[0032] Preferably, the inventive pharmaceutical compositions of the present invention can be administered orally. In another embodiment of the invention, pharmaceutical compositions may be delivered to mucous membranes, for example, by inhalation or injection. In general, the present inventive pharmaceutical compositions can be administered to humans and/or other animals orally, rectally, parenterally, lntracisternally, intravaginally, intraperitoneally, topically (as by powders, ointments, or drops), bucally, or as an oral or nasal spray.
[0033] The invention being generally described, will be more readily understood by reference to the following examples which are included merely for purposes of illustration of certain aspects and embodiments of the present invention, and are not intended to limit the invention.
EXAMPLE 1 Cinnamomi & Poria Capsule
[0034] The present example provides a herbal composition comprising Cinnamomi & Poria in capsule form (Cinnamomi & Poria capsule) . The process of making Cinnamomi & Poria capsule has been described in U.S. Patent 7,052,700, which is hereby incorporated by reference. The Cinnamomi & Poria capsule contains yellowish brown granule which tasted slightly bitter. In one embodiment, each capsule containing 0.31 g of the granule can be stored for 24 months at room temperature.
[0035] In one embodiment, the Cinnamomi and Poria capsules can be produced by a process described below:
Step 1: Weigh (50%-90% of the formulation quantity) Porta
Step 2: Grind the Poria into fine powder, and pass through a 100-mesh sieve.
Step 3: Sterilize the Poria powder by microwave. This is designated as Poria Powder.
Step 4: Weigh Cortex moutan
Step 5: Extract Cortex moutan by steam distillation.
Step 6: Collect the liquid distillate. The Liquid Distillate is refrigerated, filtered and cool dried to achieve a extract.The dried extract is designated as Paeonol.
Step 7: Save the extracted raw materials (Solid Residue I).
Step 8: Extract Solid Residue I with 80~95% ethanol twice (3-5 times volume for the first time and 2-4 times for the second). Boil for 1 ~3 hours each time. Step 9: Combine the ethanol extracts This is Extract I. Step 10: Extract the solid residue with water twice (5-7 times volume for the first time and 3-5 times for the second). Boil for 1~3 hours each time. Step 11: Combine the aqueous extracts. This is Extract II. Step 12: Weigh Ramulus cinnamomi.
Step 13: Extract the volatile oil by steam distillation. Collect the yield of the volatile oil Step 14: Save the extracted raw materials (Solid Residue II).
Step 15: Extract Solid Residue II with 80—95% ethanol twice (3—5 times volume for the first time and 2~4 times for the second). Boil for 1~3 hours each time.
Step 16: Combine the ethanol extracts. This is Extract III. Step 17: Extract the solid residue with water twice (5~7 times volume for the first time and 3~5 times for the second). Boil for 1 —3 hours each time. Step 18: Combine the aqueous extracts. This is Extract IV.
Step 19: Weigh Radix paeoniae alba, Semen persicae, and PoHa (10%-50% of the formulation quantity) .
Step 20: Add 3—5 times of 80—95% ethanol and leave at room temperature for
20—40 minutes and then boil for 1 — 3hours.
Step 21: Extract the solid again with 2—4 times of ethanol, and boil for 1—3 hours. Step 22: Combine the ethanol extracts. This is Extract V. Step 23: Extract the solid residue with water twice (5—7 times volume for the first time and3— 5 times for the second). Boil for 1 —3 hours each time. Step 24: Combine the aqueous extracts. This is Extract VI.
Step 25: Combine Extract I (Step 9), III (Step 16) and V (Step 22). Concentrate under vacuum till no ethanol smell. This is Liquid A.
Step 26: Combine Extract II (Step 11), IV (Step 18) and VI (Step 24). Concentrate under vacuum. This is Liquid B. Step 27: Combine Liquid A and B. Concentrate under vacuum till the relative density equal to 1.15-1.35(60— 9O0C). The concentrated liquid extract is designated as Semisolid Extract.
Step 28: Weigh β-cyclodextrin and add into 2—3 times of water. Heat the β- cyclodextrin solution to 50— 7O0C. Step 29: Dissolve the total paeonol extract from Step 6 into 4~6 times of 80-95% ethanol.
Step 30: Add the paeonol solution into the β-cyclodextrin solution.
Step 31: Grind for 10—30 minutes.
Step 32: Then place into refrigerator for 12—36 hours.
Step 33: Filter under vacuum. Step 34: Dry at 40— 6O0C. The resulted white powder is Inclusion Substance I.
Step 35: Weigh β-cyclodextrin and add into 4-6 times of 10—30 % ethanol solution. Add the all volatile oil from Step 13 into the β-cyclodextrin solutionunder continuous stirring Step 36: Keep grind for 20—40 minutes.
Step 37: Then place into refrigerator for 12-36 hours.
Step 38: Filter under vacuum.
Step 39: Dry at 40— 6O0C. The resulted white powder is Inclusion Substance II. Step 40: Mix the Poria Powder with all the Semisolid Extract.
Step 41 : Dry the mixture at 70— 1000C, and grind into fine powders Step 42: Mix Fine Powder I with Inclusion Substances I and Inclusion Substances II. Step 43: Add 50~80% ethanol solution to make a dough-like mass.
Step 44: Pass the wet material through a 16-24mesh sieve to obtain the granules.
Step 45: Dry the granules at 40 ~ 6O0C.
Step 46: Pass the dried granules through the sieve again. Step 47: Mix the dried granules well. This is Final Granules.
Technical Requirements
[0036] (1) The Poria fine powder needs to be screened by 100 meshes of screen (inner diameter 150 ± 6.6 μm.)
[0037] (2) The concentration of crude paeonol should be no less than 90%.
[0038] (3) Concentration must be performed under vacuumed conditions.
[0039] (4) The volatile matter is tested for the presence of cinnamaldehyde .
[0040] (5) Material mass balance should be ± 5%.
Quality Control
[0041] Creamed extractive: the creamed extractive is dark brown in color. Its relative density should be 1.15-1.35 (60~ 700C), and the content of paeoniflorin should be 1.36-2.04%
[0042] Soft powder after mixing of Poria cocos: yellowish brown in color with a slightly bitter taste. The microbe limit: number of bacteria can not exceed 5000 entries/g; fungus can not exceed 100 entries/g; living acarid, acarid egg or coliform should not be detected. Content of paeoniflorin: (1.23-0.87%) . (1.23-1.87%)
[0043] Final granules: yellowish brown with no more than 6.0% water content.
[0044] Capsules: clean, not sticky or mutilated in shape. Differences in content should be no more than ± 10% (0.31 g/capsule) . Dissolving time is within 30 minutes. Water content should be no more than 7.0%. Content of paeoniflorin is at 1.26-1.90% and paeonol 0.71-1.07%.
EXAMPLE 2 Fingerprinting of Cinnamomi & Poria Capsule
[0045] The test was carried out according to the HPLC method (Chinese Pharmacopoeia 2000 Ed, Vol. One, Appendix VI D) and the requirements for fingerprints .
HPLC Conditions and. System Suitability
[0046] Agilent 1100 Liquid Chromatograph; Alltima C18 5μm, 250mm X 4.6mm column. Mobile Phase A contains 0.1% phosphoric acid and 5% acetonitrile aqueous solution; Mobiel Phase B contains 0.1% phosphoric acid and 50% acetonitrile aqueous solution. Flow rate: lml/min; detection wavelength: 230nm. Based on the peak of paeoniflorin, the number of theoretical plates of the column should be no less than 6000. The gradient elution program runs as follows:
Figure imgf000013_0001
0 100 0
70 0 100
Preparation of Reference Solution [0047] Weigh accurately certain amount of paeoniflorin standard reference, and then add suitable amount of methanol to make a solution of 50μg/ml.
Sample Preparation [0048] Take the content of the samples for Weight Variation Test, mix thoroughly, and grind into fine powder. Weigh accurately about 0.25 g of the mixture and add 25 ml of 50% methanol. Sonicate the mixture for 30 min, and then filter. Discard the first part of the filtrate. Collect the rest filtrate as the test solution. Assay
[0049] Inject lOμl of each the reference solution and the test solution into the HPLC system, and run the procedure.
CJl
Results
[0050] As shown in Figure 1 and Table 1, 13 peaks (No. 1-12 and standard, S) were detected, and their relative retention time ranges were specified. In addition, Peaks 1, 8, 9 and 12 were specified for the range of relative peak area (Table 1) . Such specifications were based on the combined analysis on HPLC from many batches of Cinnamomi & Poria composition.
[0051] According to the results presented herein, the HPLC chromatogram of any batch of Cinnamomi & Poria composition should have the 13 characteristic peaks. The relative retention time of the 13 peaks and the relative peak area of Peaks 1, 8, 9 and 12 should be in the specified range. Through such control, the reproducibility and internal quality of Cinnamomi & Poria composition can be controlled and ensured. HPLC data from ten different batches of Cinnamomi & Poria capsules have been confirmed to display the fingerprint profile presented herein.
TABLE 1 Common Peaks and Their Limits in HPLC Fingerprint
Common Relative Retention Time Relative Peak Area Range
Figure imgf000014_0001
1 0. 209- O. 314 0. 25—0. 89
2 0. 456- <0. 683
3 0. 733- <0. 999
S 1
4 0. 871- 1. 306
0. 921- 1. 382
6 0. 968- 1. 451
7 1. 009- 1. 514
8 1. 058- -1. 587 0. 69- -1. 50
9 1. 152- 1. 728 0. 30- -0. 85
10 1. 690- -2. 536
11 1. 771- 2. 657
12 1. 943- -2. 915 [0052] The fingerprint profile presented herein is different from the ones shown in U.S. Patent 7,052,700. In the λ700 patent, the aqueous samples for HPLC were prepared by water reflux extraction. The contents of 3 Cinnamomi & Poria capsules were mixed with 200 ml distilled water for heat reflux for 30 mm (start timing at boiling) . The solution was cooled down, centrifuged for 10 mm, and filtered with a 0.45 μm filtration membrane. The first part of the filtrate was discarded and the rest of the filtrate was taken as the test solution. Consequently, the Λ700 patent presents four chromatograms, i.e. one for water-soluble components, two for lipid-soluble components (of different chromatographic conditions and detection wavelengths), and one for gas Chromatography. The first three chromatograms exhibit poor reproducibility and have some peaks overlapping with each other.
[0053] In the instant invention, this processing method has been changed to use 50% methanol to extract the sample. The content of the samples for Weight Variation Test was mixed thoroughly and grinded into fine powder. Twenty five ml of methanol was added to 0.25 g of the mixture, which was then sonicated for 30 mm and then filtered. The first part of the filtrate was discarded, and the rest of the filtrate was collected as the test solution. It was found that extraction with 50% methanol resulted in more peaks, revealing not only more components of the Cinnamomi & Poria capsules, but also shows lipid-soluble and volatile components in the product. Therefore, the current method produces only one chromatogram, which can be used in combination with other quality control procedures to control the quality of the Cinnamomi & Poria capsules .
[0054] Hence, the difference between these two methods is that the former method of water reflux extraction extracted components that were mainly water-soluble, and the major peaks in the chromatogram were the water-soluble compounds in the product. In contrast, the method of the instant invention uses 50% methanol as the extraction solvent to extract more water- soluble components, lipid-soluble components as well as the volatile compound paeonol, and these compounds can be presented in one chromatogram that shows a higher paeonol peak based on equal sample amount.
EXAMPLE 3
Specificity, Reproducibility, and Stability of Cinnamomi & Poria
Capsule Fingerprinting
[0055] The evaluation parameters for the fingerprints of Traditional Chinese medicines are usually the ratios of the retention time and area of the characteristic peaks to those of the references. The relative retention time and peak area of each peak are used for the characterization of the fingerprint. In standard fingerprinting, the relative retention time and relative peak area of the feature peaks are specified.
[0056] Such evaluation parameters can eliminate variations caused by differences in instruments, columns, mobile phase and environment that can change the retention time and peak area. Therefore, these parameters can be used objectively and comprehensively to represent the actual conditions of the constituents in and the internal quality of the product.
Specificity:
[0057] The fingerprint characteristics presented herein are unique to the Cinnamomi & Poria Capsule of the present invention. The characteristic peaks of the fingerprint reveal constituents of every batch of Cinnamomi & Poria Capsule processed according to the disclosed manufacturing procedure.
Reproducibility :
[0058] The current fingerprint standard was derived from optimization of assay conditions and data collected from many batches. Results from repeated assays of the same batch, as well as data from ten different batches (Tables 2-3) show that the current method can accurately fingerprint Cinnamomi & Poria Capsule with good reproducibility. The results also show that the constituents' contents are similar in different batches, the relative retention time and peak area of all the characteristic peaks being m the specified range.
Stability:
[0059] The fingerprints of consecutive three batches have been studied from 0 to 12 months. The results show that there is no obvious change of the characteristic peaks in 12 months, demonstrating the stability of the quality of the product as well as the fingerprint assay method (Tables 4-6) .
TABLE 2 Finger Print Data From Five Batches
Figure imgf000018_0001
TABLE 3 Finger Print Data From Five Other Batches
Figure imgf000019_0001
TABLE 4 Stability Data
Figure imgf000020_0001
TABLE 5 Stability Data
Figure imgf000020_0002
TABLE 6 Stability Data
Figure imgf000021_0001

Claims

What is claimed is :
1. A composition comprising Ramulus cinnamomi and Poria cocos, wherein the composition produces 12 peaks when subjected to a method comprising the steps of: a) extracting the composition with an appropriate organic solvent; and b) performing chromatographic analysis.
2. The composition of claim 1, wherein the relative peak area ranges for peaks 1, 8, 9, and 12 as compared to paeonifloπn are 0.25-0.89, 0.69-1.5, 0.3-0.85, and 1.56- 3.06 respectively.
3. The composition of claim 1, wherein the relative retention time ranges for peaks 1-12 as compared to paeoniflorin are 0.209-0.314, 0.456-0.683, 0.733-0.999, 0.871-1.306, 0.921- 1.382, 0.968-1.451, 1.009-1.514, 1.058-1.587, 1.152-1.728, 1.69-2.536, 1.771-2.657, and 1.943-2.915 respectively.
4. The composition of claim 1, wherein the organic solvent is methanol .
5. The composition of claim 1, wherein paeoniflorin is used as a standard in the chromatographic analysis.
6. The composition of claim 1, wherein the chromatographic analysis is high performance liquid chromatography (HPLC) .
7. The composition according to any one of claims 1-6, further comprising paeoniflorin and paeonol.
8. The composition of claim 7, wherein the paeoniflorin is present at 1.26-1.90% and the paeonol is present at 0.71-1.07%.
9. The composition according to any one of claims 1-8, wherein the composition is produced by a method comprising the steps of:
(a) preparing Poria powder; (b) preparing extracts of Cortex moutan;
(c) preparing extracts of Hamulus cinnamomi ;
(d) preparing extracts of Radix paeoniae alba, Semen persicae and Poria;
(e) combining the extracts obtained from steps (b) - (d) ; (f) mixing the Poria powder with the extracts obtained from step (e) , and generating fine powders; and (g) mixing the fine powders with inclusion substances comprising extracts of Cortex moutan and Ramulus cinnamomi .
10. A pharmaceutical composition comprising the composition of claim 1 and a pharmaceutically acceptable carrier.
11. The pharmaceutical composition of claim 10, wherein the composition is formulated into a form selected from the group consisting of a pill, capsule, granule, tablet, suspension, and syrup.
12. A method of producing a composition comprising Ramulus cinnamomi and Poria cocos, the method comprises the steps of:
(a) preparing Poria powder;
(b) preparing extracts of Cortex moutan;
(c) preparing extracts of Ramulus cinnamomi ; (d) preparing extracts of Radix paeoniae alba, Semen persicae and Poria;
(e) combining the extracts obtained from steps (b) - (d) ;
(f) mixing the Poria powder with the extracts obtained from step (e) , and generating fine powders; and (g) mixing the fine powders with inclusion substances comprising extracts of Cortex moutan and Ramulus cinnamomi .
13. Use of the composition of claim 1 or claim 10 in the manufacture of medicament for treating a disease or disorder selected from the group consisting of primary dysmenorrheal, secondary dysmenorrheal, dysfunctional uterine bleeding, chronic pelvic inflammations, and small intramural hysteromyoma .
14. The use of claim 13, wherein the composition is administered orally, rectally, parenterally, intravaginally, intraperitoneally, topically, or as an oral or nasal spray.
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