The herbal prescription Hachimi-jio-gan (HJ) (Ba-Wei-DiHuang-Wan) has been widely used for the treatment of patients with diabetes mellitus, hypertension, nephrotic syndromes, and glomerulonephritis since the late middle ages. HJ is used as a Kampo formula for diabetes and the package insert for HJ extract for medical use states that HJ suppresses experimentally induced diabetes, inhibits reduction in vascular elasticity due to high-cholesterol diets, hinders aldose reductase activity, and protects the renal tissue of rats that are genetically sensitive to salt.
1)The composition of HJ is as follows: Rehmanniae radix (6 g), Corni fructus (3 g), Dioscoreae rhizoma (3 g), Alismatis rhizoma (3 g), Hoelen (3 g), Moutan cortex (2.5 g), Cinnamomi cortex (1 g), and Aconiti tuber (0.5 g). Animal studies have shown that Rehmanniae radix, Corni fructus and Hoelen lower blood sugar, but HJ does not contain ginseng which is frequently used to treat diabetes in the clinical setting.As to the therapeutic effects of HJ, various human and animal studies have been conducted, 2-5) most of which examined the effects of HJ on renal damage and the action mechanism for such effects. [6][7][8] Experimentally, HJ has exhibited beneficial effects in patients with diabetes mellitus and in many diabetic animal models, and in particular, it is used in the treatment of dry mouth, thirst, and polyuria associated with diabetes. However, details of the mechanism responsible for the effects of HJ against hyperglycemia remain unclear, and there are few scientific studies supporting the effects of HJ on such subjective symptoms to date.Many animal models of diabetes are available, but in the present study, diabetic rats were prepared by administration of streptozotocin (STZ) which is frequently used to prepare insulin-deficiency models. STZ is an antibiotic, antineoplastic agent that has a 2-deoxy-D-glucose molecule connected to an N-nitroso-N-methyl urea group, and it is used to induce diabetes under experimental conditions. The diabetogenic action of STZ was shown to result primarily from its highly specific cytotoxic action on the b-cells of the pancreatic Langerhans' islets. This causes rapid and irreversible necrosis, leading to metabolic alterations associated with the increase of blood glucose and decrease of serum insulin levels and pancreatic insulin contents; i.e., insulin deficiency. STZtreatment thereby sustainably causes hyperglycemia, increase in water and food intake, glycosuria, and decrease in body weight in animals.
9)In this study, we investigated the effects of HJ on hyperglycemia by means of pharmacological and biochemical procedures, using STZ-induced diabetic rats.
MATERIALS AND METHODS
AnimalsMale Wistar rats (Clea Japan Inc., Tokyo, Japan) weighing 180-190 g were used. Rats were maintained for 1 week on an MF diet (Oriental Yeast, Tokyo, Japan). They had free access to the rat chow and water and were kept in a room maintained at 23Ϯ2°C with a 12 h/12 h light/dark cycle. All experimental procedures were conducted in accord...