Experimental Studies on the Effects of Chunggeumtang

청금탕(淸金湯)의 효능(效能)에 관(關)한 실험적(實驗的) 연구(硏究)

  • Kim, Eung-Sik (Dept. of Internal Medicine College of Oriental Medicine Wonkwang University) ;
  • Lee, Si-Hyeong (Dept. of Internal Medicine College of Oriental Medicine Wonkwang University)
  • 김응식 (원광대학교 한의과대학 내과학교실) ;
  • 이시형 (원광대학교 한의과대학 내과학교실)
  • Published : 1997.12.30

Abstract

Chunggeumtang has been used in Korea for many centuries as a treatment for respiratory disease. The effect of Chunggeumtang on tracheal smooth muscle is not konwn. The purpose of the present study is to determine the effect of Chunggeumtang on histamine and acetylcholine induced tracheal smooth muscle contraction in rats and guinea pigs. Guinea pig(500g, male) and Sprague Dawley rats (250g, male) were killed by $CO_2$ exposure and a segment (8-10mm) of the thoracic trachea from each rat and guinea pig was cut into equal swegments and mounted 'in pairs' in a tissue bath. Contractile force was measured with force diplacement transducers under 0.5g loading tension. The dose of histamine (His) and acetylcholine (Ach) which evoked 50% of maximal response ($ED_{50}$) was obtained from cumulative dose response curves for histamine and acetylcholine($10^{-7}{\sim}10^{-4}M$). Contractions evoked by His ($ED_{50}$) and Ach ($ED_{50}$) were inhibited significantly by Chunggeumtang. In guinea pig tracheal smooth muscle, the mean percent inhibition of acetylcholine induced contraction was $6.1%after\;30{\mu}l/ml$ Chunggeumtang, and 49.4% (p<0.01) after $100{\mu}l/ml$ Chunggeumtang. In rat tracheal smooth muscle, the mean percent inhibition of acetylcholine induced contraction was $6.7%\;after\;30{\mu}l/ml$ Chunggeumtang, and $54.2%\;(p<0.01)\;after\;100{\mu}l/ml$ Chunggeumtang. Also, in guinea pig tracheal smooth muscle, the mean percent inhibition of histamine induced contraction was $30.6%\;(p<0.05)\;after\;30{\mu}l/ml$ Chunggeumtang, and $53.0%\;(p<0.01)\;after\;100{\mu}l/ml$ Chunggeumtang. In rat tracheal smooth muscle, the mean percent inhibition of histamine induced contraction was $24.1%\;(p<0.05)\;after\;30{\mu}l/ml$ Chunggeumtang, and $55.3%\;(p<0.01)\;after\;100{\mu}l/ml$ Chunggeumtang. Propranolol and indomethacin($10^{-7}M$) slightly but significantly attenuated the inhibitory effects of Chunggeumtang. Following treatment with propranolol, the mean percent inhibition caused by $100{\mu}l/ml$ Chunggeumtang fell to 27.6% in guinea pig induced by acetylcholine contraction and by $100{\mu}l/ml$ Chunggeumtang fell to 28.7% (p<0.05) in rat induced by acetylcholine contraction and the mean percent inhibition caused by $100{\mu}l/ml$ Chunggeumtang fell to 16.2% in guinea pig induced by histamine contraction and by $100{\mu}l/ml$ Chunggeumtang fell to 28.7% (p<0.05) in rat induced by histamine contraction. Indomethacin, the mean percent inhibition caused by $100{\mu}l/ml$ Chunggeumtang fell to 20.0% in guinea pig induced by acetylcholine contraction and by $100{\mu}l/ml$ Chunggeumtang fell to 16.9% (p<0.05) in rat induced by acetylcholine contraction and the mean percent inhibition caused by $100{\mu}l/ml$ Chunggeumtang fell to 16.4% in guinea pig induced by histamine contraction and by $100{\mu}l/ml$ Chunggeumtang fell to 23.1% (p<0.05) in rat induced by histamine contraction. Methylene blue($10^{-7}M$) did not significantly alter the inhibitory effect of Chunggeumtang. Also, I could find the effects of Chunggeumtang and Chunggeumtanggamorphine on the tracheal smooth muscle in guinea pig and rat did not change significantly. These results indicate that Chunggeumtang can relax histamine and acetylcholine-induced contraction of guinea pig and rat tracheal smooth muscle, and that this inhibition involves sympathetic effects and the release of cyclooxygenase products.

Keywords

References

  1. 丹溪心法附餘(上卷) 朱震亨
  2. 奇效良方 方賢
  3. 淸肺湯 및 加味淸肺湯이 Oleic acid로 誘發시킨 家兎의 肺水腫과 GUINEA PIG의 氣管支平滑筋에 미치는 影響 金炳勳
  4. 紫蘇飮子가 GUINEA PIG의 氣管支平滑筋에 미치는 影響 宋鎭吾
  5. 九仙散이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 柳東樹
  6. 柴胡枳桔湯이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 李敏燮
  7. 九仙散이 AIRWAY SMOOTH MUSCLE에 미치는 影響 金榮喆
  8. 編註醫學入門(外集卷二) 李천
  9. 古今醫方 閔仁植
  10. 東醫肺系內科學 李珩九;鄭昇杞
  11. 脈因證治 朱丹溪
  12. 劉河間復寒六書 劉河間
  13. 診療要鑑(上卷) 金定濟
  14. 內科診斷學 吉利和
  15. 內科診斷學 兪炳瑞
  16. 病症診治 申天浩
  17. 東醫臨床內科 姜允皓
  18. 家庭醫學 醫學敎育硏修院
  19. 호흡기학 서울대학교 의과대학
  20. 內科學(下) 李文鎬(外)
  21. 最新診斷과 治療 金東輝(外)
  22. 半瓜丸이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 盧丞錫
  23. 華蓋散이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 金聖炫
  24. 解表兩陳湯 및 解表二陳湯이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 朴千洙
  25. 麻黃湯이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 洪在義
  26. 潤肺除嗽飮이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 尹浩碩
  27. 三拗湯 및 神朮散이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 吳英旭
  28. 五拗湯 및 神朮散이 GUINEA PIG의 氣管支平滑筋에 미치는 影響 李始炯
  29. 杏子湯不得者 宜橘蘇散에 對한 實驗的硏究 韓宗鉉
  30. 半夏溫肺湯 및 構成藥物이 實驗動物에 미치는 影響 宋鎭吾
  31. 九寶飮이 Sensitized Rat의 氣管支平滑筋에 미치는 影響 李昇祐
  32. 人蔘潤肺散이 Histamine으로 收縮한 Rat의 氣管支平滑筋에 미치는 影響 崔善燁
  33. 五虎湯이 白鼠의 呼吸器系에 미치는 影響 金鎬淳
  34. Allergic Brown-Norway Rat에 미치는 溫肺湯의 效果 金應植
  35. 瀉白散과 瀉白散加訶黎勒이 呼吸器系에 미치는 影響 李恂鎬
  36. 定喘湯의 效能에 關한 實驗的 硏究 朴千洙
  37. 人蔘淸肺湯이 呼吸器系에 미치는 影響 李始炯
  38. 黃帝內經, 素問譯解 楊維傑
  39. 儒門事親(卷三十三) 張子和
  40. 張氏景岳全書 張介賓
  41. 中國歷代醫論選 王新華
  42. 類證治裁 林佩琴
  43. 中內醫科學 江蘇中醫學院
  44. 漢方診斷學[II]辨證 朴英培(外)
  45. 東洋醫學叢書(VII) 張伯臾(外)
  46. Internal Medicine Stein, Jay H.
  47. 中醫內科學 張伯臾
  48. 中醫內科學 上海中醫學院
  49. 黃帝內經 靈樞譯解 楊維傑
  50. 申氏本草學 申佶求
  51. 本草學 李尙仁
  52. 臨床本草學 辛民敎
  53. 現代本草學 陸昌洙;安德均
  54. 漢藥臨床應用 辛民敎(外 5人)
  55. 李宇柱의 藥理學講義 洪思奭
  56. Ethical Drug Index 고창순;김신근
  57. 藥物學 韓國藥學大學協議會 藥物學分科會
  58. 生藥學 李善宙;李容柱
  59. 藥理學 朴贊雄
  60. 藥物治療의 基礎와 臨床(上卷) Goodman and Gilman
  61. Pflugers Arch,ges. Physiol.
  62. Br. J. Pharmac. v.91 The obligatory role of calcium in the development of antigen-induced airway hyperreactivity to cold provocation in the rat isolated trachea Chand, N.;Diamantis, W.;Sofia, R.D.
  63. Statistical Methods Snedecor, G.H.;Cochran, W.G.
  64. Am. Rev. Respir. Dis. v.118 Bronchial hyperirritability in healthy subjects after exposure to ozone Golden, J.A.;Nadel, J.A.;Boushey, H.A.
  65. Am. Rev. Respir. Dis. v.127 Importance of airway inflammation for hyperresponsiveness induced by ozone Holtzan, M.J.;Fabbri, L.M.;O Byrne, P.M.;Gold, B.D.;Aizawa, H.;Walters, E.H.;Alpert, S.E.;Nadel, J.A.
  66. J. Appl. physiol. v.58 Respiratory epithelium inhibits bronchial smooth muscle tone Flavahan, N.A.;Aarhuus, L.L.;Rimele, T.J.;Vanhoutte, P.M.
  67. J. Appl. physiol. v.60 Ozone induced change in bronchial reactivity to methancholine and airway inflammation in humans Seltzer, J.;Bigby, B.G.;Stulbarg, M.;Holtzman, M.J.;Ueki, I.F.;Leikauf, G.D.;Goetzl, E.J.;Boushey, H.A.
  68. Am. Rev. Respir. Dis. v.130 Neutrophill depletion inhibits airway hyperresponsiveness induced by ozone exposure O'Byrne, P.M.;Watlters, E.H.;Gold, B.D.;Aizawa, H.A.;Fabbri, L.M.;Alpert, S.E.;Nadel, J.A.;Holtzman, M.J.
  69. Am. Rev. Respir. Dis. v.130 Indomethacin inhibits the airway hyperresponsiveness but not the neurtrophil influx induce by ozone in dogs O'Byrne, P.M.;Walter, E.H.;Aizawa, H.;Fabbri, L.M.;Holtzman, M.J.;Nadel, J.A.
  70. J. Appl. physiol. v.59 Leukotriene B4 induced airway hyperresponsiveness in dogs O'Byrne, P.M.;Leikauf, G.D.;Aizawa, H.;Bethel, R.A.;Ueki, I.F.;Holtzman, M.J.;Nadel, J.A.
  71. J. Allergy Clin. Immunol. v.76 The effect of inhaled hexamethonium bromide and atropine sulphate on airway responsiveness to histamine O'Byrne, P.M.;Thomson, N.C.;Latimer, K.M.;Roberts, R.S.;Morris, M.M.;Daniel, E.E.;Hargreave, F.E.
  72. Am. Rev. Respir. Dis. v.134 Inhibition of antigen-induced airway hyperresponsiveness by thromboxane synthetase inhibitor(OKY 046) in allergic dogs Chung, K.F.;Aizawa, H.;Becker, A.B.;Frick, O.;Gold, W.M.;Nadel, J.A.
  73. J. Appl. Physiol. v.65 no.3 Release of epithelium derived relaxing factor after ozone inhalatoion in dogs Jones, G.L.;Lane, C.G.;Daniel, E.E.;O'Byren, P.M.
  74. Br. J. Pharmacol. v.86 The effect of airway epithelium on smooth muscle contractility in bovine trachea Barnes, P.J.;Cuss, F.M.;Palmer, J.B.
  75. J. Appl. Physiol. v.58 Respiratory epithelium inhibits bronchial smooth muscle tone Flavahan, N.A.;Aarhuus, L.L.;Rimele, T.J.;Vanhoutte, P.M.
  76. Eur. J. Pharmacol. v.129 Airway epithelium modulates the reactivity of guinea-pig respiratory smooth muscle Hay, D.W.P.;Farmer, S.G.;Raeburn, D.;Robinson, V.A.;Fleming, W.W.;Fedan, J.S.
  77. Mechanisms in Asthma : Pharmacology, Physsiology, and Management Neural transmission during ozone-induced airway hyperresponsiveness O'Byrne, P.M.;Jones, G.L.;Lane, C.G.;Pashley, M.;Daniel, E.E.
  78. Eur. J. Pharmacology v.178 The inhibitory influence of tracheal mucosa mounted in close proximity to canine tracheals Manning, P.J.;Jones, G.L.;Otis, J.;Daniel, E.E.;O'Byrne, P.M.
  79. Eru. J. of Pharmacol. v.157 ${\beta}$-Adrenoceptor desensitization in guinea-pig isolated trachea Fernandes, Lynette B.;Knight, Darryl A.;Rigby, Paul J.;Spina, Domenico;Paterson, James W.;Goldie, Roy G.
  80. Pharmacol. Res. Commun. v.18 Arachidonic acid metabolites and lung ${\beta}$-adrenoceptor desensitization Abbrachio, M.P.;Daffonchio, I.;Omini, C.
  81. J. Aulon. pharmacol. v.2 Desensitization of ${\beta}$-adrenoceptor in guinea-pig trachea : A prostaglandin mediated phenomenon Berti, F.L.;Daffonchio;Folco, G.C.;Omini, C.;Vigano, T.
  82. Br. J. Pharmacol. v.85 Pharmacological moleculation of responses guinea-pig airways contracted with arachidonic acid Burka, John F.
  83. Prostaglandins v.22 Immunolgical and non-immunological synthesis and release of prostaglandines and thromboxanes from isolated guinea-pig tracheas Bruka, J.F.;Ali, M.;Mcdonald, J.W.D.;Paterson, N.A.M.
  84. Br. J. Pharmac. v.81 Mediators of arachidonic acid-induced contraction of indomethacin-treated guinea-pig airways : Leukotrienes C4 and D4 Burka, J.F.;Saad, M.H.
  85. Prostaglandins v.28 Metabolism of arachidonic acid by 5-lipoxygenase in guinea-pig lung Burka, J.F.;Saad, M.H.
  86. Am. Rev. Respir. Dis. v.130 Indomethacin inhibits the airway hyperresponsiveness but not the neutrophil influx by ozone in dogs O'Byrne, P.M.;Walters, E.H.;Aizawa, H.A.;Fabbri, L.M.;Holtzman, M.J.;Nadel, J.A.
  87. Eur. J. Pharmacol. v.136 Demonstration of the release of an epithelium-derived inhibitory fator form a nivel preparation of guinea-pig trachea Hay, D.W.P.;Muccitelli, R.M.;Horstemeyer, D.L.;Wilson, K.A.;Raeburn, D.
  88. J. Pharmacol and experimental therapeutics v.232 Selective blockade of endothelium-dependent and gryceryl trinitrate-induced relaxation by hemoglobin and by methylene bule in the rabbit aorta Martin, William;Villani, Gina M.;Jothianandan, Desingaro;Furchgott, Robert F.
  89. Res. Commun. Chem. Pathol. Pharmacol. v.41 Possible role for cyclic GMP in endothelium-dependent relaxation of rabbit aorta by histamine. Comparison with nitroglycerin Diamond, J.;Chu, E.B.
  90. Fed. Proc. v.42 Relation of cyclic GMP levels to endothelium-dependent relaxation of rabbit aorta by acetycholine in rabbit aorta(Abstract) Furchgott, R.F.;Jothinandan, D.
  91. Fed. Proc. v.43 Relation of rabbit aorta by light is associated with an increase in cyclic GMP(Abstract) Furchott, R.F.;Jothianandan, D.
  92. J. Cyclic Mucleotide Res. v.8 Endothelium-induced relaxation by histamine associated with larger rises in cyclic GMP in coronary arterial strips Holzmann, S.
  93. J. Pharmacol. Exp. Ther. v.228 Association between cyclic GMP accumulation and histamine-elicited relaxation of bovine intrapulmonary artery Ignarro, L.J.;Burke, T.M.;Wood, K.S.;Wolin, M.S.;Kadowitz, P.J.
  94. Nature(Lond.) v.306 Endothelium-dependent relaxation in rat aorta may be mediated through cyclic GMP-dependent protein phosphorylation Rapoport, R.M.;Draznin, M.B.;Murad, F.
  95. Trans. Assoc. Am. Physicans v.96 Endothelium-dependent vasodilator and nitrovasodilator-induced relaxation may be mediated through cyclic GMP formation and cyclic GMP-dependent protein phosphorylation Rapoport, R.M.;Draznin, M.B.;Murad, F.
  96. The Pharmacological Basic of Therapeutics Gilman, Alfred Goodman
  97. Current Medical Diagnosis and Treatment Krupp;Chatton;Werdegar