# Patent

## Title
Anti-oxidant herbal composition

## Abstract

The present disclosure relates to a novel Anti-Oxidant Herbal composition comprising Termanalia arjuna extract, Camellia sinensis extract, and Trikatu extract in specific weight percentages and optionally at least one carrier. The present disclosure further relates to use of the composition for treatment and/or prevention of hyperlipidemia and/or Ischemic heart disease. The present disclosure also relates to a method of preparation of the composition.

## Background
FIELD OF INVENTION
The present disclosure relates to a novel Anti-Oxidant Herbal composition comprising Termanalia arjuna extract, Camellia sinensis extract, and Trikatu extract in specific weight percentages and optionally at least one carrier. The present invention further relates to use of the composition for treatment and/or prevention of hyperlipidemia and/or Ischemic heart disease. The present disclosure also relates to a method of preparation of the composition.
BACKGROUND OF THE INVENTION
Heart is a vital, fist-sized organ which is located in the left side of chest cavity, responsible for pumping blood throughout blood vessels by repeated, rhythmic contractions. Diseases affecting the heart may be structural or functional. Anything which damages heart or decreases heart's supply of oxygen, makes it less efficient, reduces its ability to fill and pump, disrupts a coordinated relationship between the heart, kidneys, and blood vessels and harms not only the heart but the rest of the body as well.
Heart disease, or cardiovascular disease, accounts for 30 percent of deaths worldwide, according to the World Health Organization (WHO). In the United States, almost 700,000 people die from heart disease each year. In India in the past five decades, rates of coronary disease among urban populations have risen from 4 percent to 11 percent. Nearly 50 percent of cardiovascular diseases-related deaths in India occur below the age of 70, compared with just 22 percent in the West. This trend is particularly alarming because of its potential impact on one of Asia's fastest-growing economies. In 2000, for example, India lost more than five times as many years of economically productive life to cardiovascular disease than did the U.S., where most of those killed by heart disease are above retirement age.
Nearly 95 percent of people who develop fatal cardiovascular disease have at least one of the following major risk factors: high blood cholesterol, high blood pressure, diabetes, besides a poor diet and overweight. In addition, cardiovascular diseases can also occur in absence of traditional risk factors.
Among the leading new potential culprits, LDL-C (low density lipoprotein cholesterol) puts us in the high risk zone as far as heart diseases are concerned. The cholesterol gets deposited in the arteries making them narrower and narrower. As a result the blood supply to the heart gets thwarted. This leads to heart attacks.
Several conventional drug therapies are commonly used in addition to the practice of healthy lifestyle. Prescription drug choices to treat elevated LDL-C are the bile acid sequestrants (cholestyramine and colestipol), nicotinic acid (niacin), gemfibrozil, probucol, and clofibrate. Niacin, in particular, has troublesome side effects (e.g. itching, flushing). Other types of prescription drugs such as HMG-CoA reductase inhibitors, commonly known as statins drugs, are commonly used nowadays. Examples are: Lipitor/atorvastatin, Baycol/cerivastatin, Lescol/fluvastatin, Mevacor/lovastatin, Pravachol/pravastatin, Crestor/rosuvastatin, and Zocor/simvastatin. However, these drugs have demonstrated side effects such as muscle pain, muscle weakness, fatigue, peripheral neuropathy, memory/thinking problems, and mood/personality changes, cognitive problems among other symptoms. Simvastatin could be a cause of disrupted sleep in some patients. Lovastatin also has side effects particularly including liver dysfunction.
Alternatives to prescription drugs are being viewed with increasing interest especially since the withdrawal from the market of the prescription cholesterol-lowering drug Baycol after numerous deaths associated with its use.
Ischaemic heart disease (IHD), characterized by reduced blood supply to the organs, is a condition of recurring chest pain or discomfort that occurs when a part of the heart does not receive enough blood. The signs and symptoms of ischemic heart disease may develop slowly as arteries gradually become blocked, or they may occur quickly if an artery suddenly becomes blocked. Some people with ischemic heart disease have no symptoms at all, while others may have severe chest pain (angina) and shortness of breath that can pose a risk of heart attack.
Several conventional drug therapies are commonly used for treatment of Ischemic heart disease. Severe symptoms that are not relieved by medication alone are treated with surgical procedures in addition with following healthy lifestyle.
Conventional drugs falling in various groups viz. Angiotensin Converting Enzyme Inhibitors, for example, Accuprila (quinapril), Altacea (ramipril), Capotena (captopril); Alpha & Beta Blockers, for example, Carduraa (doxazosin mesylate), Hytrina, Inderala (propanolol), Lopressora; Calcium Channel Blockerse, for example, Verapamil (Calana, Isoptina) and diltiazem; Cholesterol Lowering Drugs; Diuretics; Digitalis; Nitrates; Anticoagulants are used for treating IHD.
However, there exist a number of side effects for the existing therapies. Such side effects can include skin rash, dry hacking cough, dizziness, sleepiness, nasal congestion and fatigue or tiredness, edema. Many of the Cholesterol Lowering Drugs cause a variety of gastrointestinal symptoms such as constipation, diarrhea, bloating, excess gas, and abdominal distress. Many of these agents may also alter the function of the liver and the liver enzymes. Diuretics include excess loss of fluid leading to dehydration, excess loss of potassium, which may be life threatening. Digitalis may include visual difficulties as well as cardiac arrhythmias. The later may, at times, be life threatening.
The existing medications cause a number of side effects as discussed above. Therefore, alternatives to prescription drugs are being viewed with increasing interest in the treatment of Ischemic heart diseases and high cholesterol.
The herbal kingdom offers a few remedies for effective treatment of Ischemic Heart Diseases and high cholesterol. Further, the increasing hectic and stressful lifestyles of the people especially due to overworking, stress, fatigue, among other causes, demands new and more effective herbal compositions for appreciable relief up to the satisfaction of the patients.
Accordingly, there still exists an ongoing need for developing a new herbal composition which is safe and effective against Ischemic Heart Diseases and high cholesterol yet devoid of side effects and toxicity so as also to rejuvenate the general health. The present disclosure satisfies these needs.
OBJECTS OF THE INVENTION
An object of the invention is to provide a novel Anti-Oxidant Herbal composition comprising an extract of Termanalia arjuna, an extract of Camellia sinensis, and an extract of Trikatu in specific weight percentages, and optionally at least one carrier.
A further object of the present invention is to use the composition for treatment and/or prevention of hyperlipidemia, by administrating a therapeutically effective amount of the composition to a subject in need thereof.
Yet a further object of the present invention is to use this composition for treatment and/or prevention of Ischemic heart disease, by administrating a therapeutically effective amount of the composition to a subject in need thereof.
A further object of the present invention is to provide a method of preparation of the herbal composition.
SUMMARY OF THE INVENTION
The present invention relates to a novel Anti-Oxidant Herbal composition comprising an extract of Termanalia arjuna, an extract of Camellia sinensis, and an extract of Trikatu in specific weight percentages.
In one embodiment, the herbal composition of the present invention comprises 30-50% by weight of Termanalia arjuna extract, 30-50% percent by weight of Camellia sinensis extract, and 10-30% by weight of Trikatu.
The herbal composition of the present disclosure can optionally contain at least one carrier.
The present disclosure further relates to use of the composition of the present invention for treatment and/or prevention of hyperlipidemia, by administrating a therapeutically effective amount of the composition to a subject in need thereof.
The present invention further relates to use of the composition of the present invention for treatment and/or prevention of Ischemic heart disease, by administrating a therapeutically effective amount of the composition to a subject in need thereof.
The present invention further relates to a method of preparation of the composition.


DETAILED DESCRIPTION OF THE INVENTION
The present disclosure is directed to a novel Anti-Oxidant Herbal composition comprising Termanalia arjuna extract, Camellia sinensis extract, and Trikatu extract, and optionally at least one carrier, for use in treatment and/or prevention of Ischemic Heart Disease and/or Hyperlipidemia.
The term “Hyperlipidemia” as used herein, refers to a condition of elevated blood lipids/fats including cholesterol, cholesterol esters, phospholipids, triglycerides or lipoproteins in the bloodstream. Elevated low density lipoprotein-cholesterol (LDL-C) and reduced high density lipoprotein-cholesterol (HDL-C) levels are well recognized coronary heart disease (CHD) risk factors. When low density lipoproteins (LDL) are oxidized, they promote inflammation and lead to plaque formation or atherosclerosis.
The term “ischemic heart disease” or “ischaemic heart disease” or IHD, as used herein, refers to a disease characterized by reduced blood supply of the heart muscle, usually due to atherosclerosis. Its risk increases with age, smoking, hyperlipidemia (high cholesterol and high fats in the blood), diabetes, and hypertension (high blood pressure), and is more common in men and those who have close relatives with ischemic heart disease. The main causes of atherosclerosis (the disease process underlying IHD) include hyperlipidaemia, hypertension (high blood pressure), diabetes, and age, male sex, anxiety, stress, smoking, and family history. Atherosclerosis can lead to coronary heart disease, stroke, claudication and associated morbidity and mortality. Elevated cholesterol levels lead to the formation of fatty streaks and calcified plaques, and abnormalities in vascular functioning in both animals and humans. Population studies have shown that lipid-lowering strategies can reduce the risk of developing atherosclerotic disease, particularly myocardial infarction.
The term “subject” used herein refers to mammals, most preferably humans.
Terminalia arjuna: 
Terminalia arjuna is a deciduous medicinal tree of genus Terminalia, and is abundantly found in India. Terminalia arjuna tree bark powder has been shown to have an antioxidant and cholesterol lowering effect. Terminalia arjuna has also been shown to act as a therapeutic and preventive modulator in experimentally induced myocardial infarction.
Botanical Classification:

    
    
        Family: Combretaceae
        Genus: Terminalia 
        Species: T. arjuna 

Camellia sinensis: 

    
    


Camellia sinensis is native to mainland China, South and Southeast Asia. Common names include tea plant, tea tree, and tea shrub.
Botanical Classification:

    
    
        Family: Theaceae
        Genus: Camellia 
        Species: C. sinensis 

Dried leaves from the Camellia sinensis plant are processed into three types of tea: oolong tea, black tea, and green tea. In making green tea, the tea leaves are stabilized by moist or dry heat which destroys the enzyme polyphenoloxidase and thus, prevents oxidation of polyphenols. These polyphenols are the main biologically active ingredients in green tea. Catechins, a chemical group of polyphenols possessing antioxidant properties (protects cells from free radical-mediated damage), comprises of epigallocatechin-3 gallate (ECGC), epigallocatechin, and epicatechin-3-gallate. Polyphenol extracts prepared from Camellia sinensis exhibit antimutagenic, anticarcinogenic, antioxidant and antipromotional effects.

Trikatu:

    
    


Trikatu is a herbal combination containing equal parts of:

    
    
        fruits of Piper Nigrum; 
        fruits of Piper longum and
        Rhizomes of Zingiber officinalis; 

This combination streamlines metabolism of the body, which is the reason why the combination has been indicated in a wide range of health problems. This herbal combination of three ingredients is safe, digestive, carminative, anti-flatulent and effective in dyspepsia, and further improves gastric function. Trikatu possess Anti-oxidative property and radical scavenging activity.

    
    


Herbal ingredients and amounts used in the herbal composition of the present invention are set forth in Table 1. It should be understood that the proportions of the individual herbs may vary. In particular, proportions of one or more of the components may vary in order to optimize the treatment effects to suit individual patients.







TABLE 1







Preferred Composition of herbal ingredients and their biomarkers:

















Percent by







weight (%)



Botanical
Standardised


of the


S. No.
Name
Common Name
Part Used
Bio-markers
composition





1
Terminalia arjuna
Arjuna
Bark
About 40%
30-50%






arjunitine


2
Camellia sinensis
Tea
Leaves
About 35%
30-50%






polyphenols


3
Piper Nigrum,
Trikatu
1. Fruits of Piper nigrum;
About 25%
10-30%



Piper longum and

2. Fruits of Piper longum; and
of mixture of
20-30%



Zingiber officinalis

3. Rhizomes of Zingiber officinalis;
piperine and





in equal proportions
Gingerol









Termanalia arjuna, Camellia sinensis and Trikatu have been used individually for health promoting and varied therapeutic purposes. However, the herbal composition of the present disclosure is a unique combination that has been developed to provide therapeutic benefits in the treatment and/or prevention of Ischemic heart disease and/or hyperlipidemia.
An important aspect of the herbal composition of the present invention is that the composition comprises of a mixture of herbal extracts, which provide more benefit than a single herb. An unexpected synergistic effect is exhibited by the combination of various ingredients in the present herbal composition. Strategic combination of herbal ingredients of the present invention exhibits beneficial pharmacological effects when optimally combined. Active ingredients of the herbs are preferably combined in such a manner as to optimize and enhance the pharmacological effects with minimal or no adverse toxic reactions (which become a distinct possibility if the herbs are used singly at a concentration of 100%). An additional advantage of this herbal composition is that it minimizes the risk of developing drug resistance.
The herbal composition described herein can be used as an alternative to conventional drugs or treatments and has been found to effectively treat or maintain a wide range of physiological and pathological conditions in the human body, especially in individuals with hyperlipidemia.
An embodiment of the present disclosure provides use of the herbal composition of the present invention for the treatment and/or prevention of hyperlipidemia, by administrating a therapeutically effective amount of the composition to a subject in need thereof.
A further embodiment of the present disclosure provides use of the herbal composition of the present invention for the treatment and/or prevention of Ischemic Heart Disease, by administrating a therapeutically effective amount of the composition to a subject in need thereof.
In yet another embodiment, the beneficial uses of the herbal composition of the present disclosure include, but not limited to:

    
    
        (a) anti-hyperlipidemic (The composition reduces high cholesterol/lipids, the building block for plaques);
        (b) anti-atherosclerotic (The composition prevents plaque formation);
        (c) antioxidant (The composition reduces lipid peroxidation, and is helpful because plaques are formed by oxidized LDL and other lipids);
        (d) anti-stress (The composition reduces anxiety and stress, known causes of plaque build-up);
        (e) cardiotonic (The composition enables optimal heart function by acting on the cardiac smooth muscle); and
        (g) Cardioprotective (The composition protects the heart from damage causing toxins).
    
    


Active compounds responsible for specific therapeutic activity can be found in higher concentrations in specific parts of medicinal plants and in lower concentrations in other specific parts. Specific part of a medicinal plant having higher concentration is selected and processed for preparing the extracts as used in the preparation of the composition of the present invention. Preferably, extracts of Termanalia arjuna and Camellia sinensis are obtained from barks and leaves of respective plants. Trikatu as used in the preparation of the present invention is prepared or obtained from extracts of fruits of Piper longum, fruits of piper nigrum and rhizomes of Zingiber officinalis in equal parts.
Extracts of different parts of above mentioned herbal plants can be used in form of a dried powder, which facilitates preparation of herbal composition of the present disclosure.
The plant extracts composition of the present disclosure can be administered orally.
Dosage form of the herbal composition can be selected from a group comprising of tablet, capsule, powder, beads, pellets, granules, solution, syrup, suspension, oleoresin, and emulsion. A preferred dosage form is one of a tablet, capsule, powder, syrup, or granule. More preferably, the dosage form is one of a capsule, tablet, or syrup.
The herbal composition of the present disclosure can be prepared by using any common technique available in the art.
The herbal composition of the present disclosure comprises 30-50% by weight of Termanalia arjuna extract, 30-50% percent by weight of Camellia sinensis extract and 10-30% by weight of Trikatu.
The herbal composition of the present disclosure optionally contains at least one carrier. The carrier as used herein is selected from a group comprising of diluent, binder, disintegrant, glidant, and lubricant. There may be one or more carriers used in the preparation of composition.
Diluents are inert excipients that are used to adjust the bulk in a pharmaceutical composition. Commonly used diluents comprise of lactose, dicalcium phosphate, micro crystalline cellulose, kaolin, mannitol and starch. In an embodiment, Diluents can be used in a range of 2 to 5% by weight of the composition.
Binders are utilized in a pharmaceutical composition to impart cohesive force to the composition powder, which allows the powder materials to retain their integrity once they are compressed. Commonly used binders comprise of carboxymethyl cellulose, methyl cellulose, polyvinylpyrrolidone, ethyl cellulose, pregelatinized starch, and gelatin. In an embodiment, binders can be used in a range of 1 to 5% by weight of the composition.
Disintegrant is an excipient or a mixture of excipients added to facilitate breakup of binded powdered materials forming the composition. Dried and powdered corn starch or potato starch are widely used disintegrants. These disintegrants have a good affinity towards water and swell when moistened, and result in rupturing the tablet. A group of materials known as super-disintegrants comprising croscarmelose, cross-linked cellulose, crosprovidone, cross-linked polymer, sodium starch glycolate, and cross-linked starch can be used in the composition. In an embodiment, disintegrants can be used in a range of 2 to 5% by weight of the composition.
Lubricants are used in a pharmaceutical composition to prevent adhesion of a tablet material to the surface of dyes and punches. Commonly used lubricants comprise of magnesium stearate, calcium stearate, talc, stearic acid, hydrogenated vegetable oils, and PEG. In an embodiment, the lubricants can be used in a range of 0.5 to 4% by weight of the composition.
Glidants are used in a pharmaceutical composition to improve flow characteristics of powder materials. Colloidal silicon dioxide and anhydrous silica are commonly used glidants. Talc may serve as a combined lubricant/glidant. Glidants can be used in a range of 0.5 to 5% by weight of the composition.
Extracts procured from different plant parts are also tested for standard laboratory analytical tests as TLC, Identification, MS., Assay by Spectrophotometer, Heavy Metals, and Microbial Profile.
Herbal composition of the present disclosure can be prepared by techniques commonly available in the art.
An exemplary and generalized process for preparing the plant extracts/herbal composition of the present disclosure is described below in a stepwise manner.

    
    
        a) Sifting extracts of Termanalia arjuna, Camellia sinensis, and Trikatu (Piper longum, piper nigrum and Zingiber officinalis in equal parts) through 20# and optionally sifting at least one carrier through 40# and;
        b) Mixing the sifted extracts of step a) and optionally;
        c) Granulating the mixed sifted extracts of step b) using a solvent and optionally;
        d) Drying granules formed from step c) and optionally;
        e) Sifting dried granules of step d) through 20# and optionally;
        f) Mixing materials of step b) or e) with the carrier from step a); and
        g) Filling of material of step f) into capsules or compressing into tablets.
    
    


To obtain a homogenized composition, material obtained from step (f) is shifted to the homogenizer for further process.
Processing steps such as sifting, granulation, drying, mixing, filling of capsule, soft gelatine capsule, syrup, tablet compression, as described above, can be performed according to well known techniques available in the art.
EXAMPLES
The present invention is further explained in the form of following examples. However it is to be understood that the foregoing examples are merely illustrative and are not to be taken as limitations upon the scope of the invention. Various changes and modifications to the disclosed embodiments will be apparent to those skilled in the art. Such changes and modifications may be made without departing from the scope of the invention.
Example 1
Herbal Composition of the Present Invention in Capsule Form in Table 2










TABLE 2







Ingredients
Mg









Extract of Termanalia arjuna
200



Extract of Camellia sinensis
200



Extract of Trikatu
100



Total
500










Example 2
Standard Laboratory Analytical Tests for Terminalia arjuna Dry Extract in Table 3







TABLE 3







Terminalia arjuna Dry extract









Specified Test
Result
Specification












1) Physiochemical












a.
Description
Reddish brown
Reddish brown




coloured dry powder
coloured dry powder




with astringent taste
with astringent taste


b.
Solubility in ASE
72.59% 
NLT 50%



50


c.
pH of 1% w/v
4.62  
3-7



soln.


d.
Ash content
7.96%
NMT 10% 


e.
Loss on drying
4.85%
 NMT 7%











f.
Heavy metals
Complies
NMT 20
ppm









2) Active Ingredients




Tannins
26.63%
NLT 20% (On dry basis)


3) Micro Biologicals










Total plate count
720 Cfu/gm
NMT 1000
Cfu/gm


Total yeast mould
 50 Cfu/gm
NMT 100
Cfu/gm









E. coli
ABSENT
ABSENT


Salmonella spp.
ABSENT
ABSENT


S. aereus
ABSENT
ABSENT









Example 3
Standard Laboratory Analytical Tests for Camellia sinensis Dry Extract in Table 4







TABLE 4







Camellia sinensis dry extract









Specified Test
Result
Specification












1) Physiochemical












a.
Description
Brown coloured dry
Brown coloured dry




powder
powder


b.
Solubility in Water
72.11% 
NLT 50%


c.
Loss on drying
4.41%
 NMT 7%


d.
pH of 1% w/v soln.
4.43  
3-7


e.
Ash content
6.10%
NMT 15% 











f.
Heavy metals
Complies
NMT 10
ppm









2) Active Ingredients




Polyphenols
51.40%
NLT 50% (On dry basis)


3) Micro Biologicals










Total plate count
790 Cfu/gm
NMT 1000
Cfu/gm


Total yeast mould
 40 Cfu/gm
NMT 100
Cfu/gm









E. coli
ABSENT
ABSENT


Salmonella spp.
ABSENT
ABSENT


S. aereus
ABSENT
ABSENT









Example 4
Standard Laboratory Analytical Tests for Trikatu Dry Extract in Table 5







TABLE 5







Trikatu dry extract









Specified Test
Result
Specification












1) Physiochemical












a.
Description
Light Green coloured
Light Green coloured




dry powder with
dry powder with




characteristic aromatic
characteristic aromatic




odour and pungent
odour and pungent




taste
taste


b.
Solubility in
21.56% 
NLT 20%



Alcohol 90% v/v


c.
Loss on drying
4.11%
 NMT 7%


d.
pH (1% w/v
6.40  
Between 4-7



soln.)











e.
Heavy metals
Complies
NMT 20
ppm










f.
Ash content
2.21%
NMT 15%









2) Active Ingredients




Volatile Oil
4.10%
  NLT 3%


3) Micro Biologicals










Total plate count
720 Cfu/gm
NMT 1000
Cfu/gm


Total yeast mould
 30 Cfu/gm
NMT 100
Cfu/gm









E. coli
ABSENT
ABSENT


Salmonella spp.
ABSENT
ABSENT


S. aereus
ABSENT
ABSENT









Example 5
Clinical Investigation of the Composition of the Present Invention
The pilot study to check the effectiveness of the composition in patients has been conducted. The voluntary Clinical Trials of the patients have been observed and undertaken (Table 6). The composition in dosage form of 500 mg hard gelatin capsule has been administered in dosing schedule of 2 capsules 2 times a day for duration of three months. The clinical observation for three months suggests further duration of course to acquire more prolific results. The drug is safe and has significant efficacy even in case of diabetes mellitus. The composition fetched results with safety and efficacy and further without any interaction even if taken with the conventional drug. The composition has pathophysiological significance with safety and efficacy.







TABLE 6







CLINICAL TRIAL OBSERVATION


















Report Date before and











after administration


S.

of the composition of
S.


S.


LD/HD


No.
Patient
the present invention
Cholesterol
HDL
CH/HD
Triglyceride
V.L.D.L.
LDL
(Ratio)



















1.
VN
Before- Mar. 1, 2011
256.2
66.2
3.9
217.4
12.9
130.5
1.97



F/45
After- Jun. 2, 2011
216.3
80
207
201.7
8.98
146.2
1.82


2.
VS
Before- Mar. 2, 2011
226.9
63.2
3.6
227.6
30.1
156
2.47



M/52
After- Jun. 1, 2011
178
48.7
3.7
201.7
40.37
165.76
3.4


3.
IS
Before- Mar. 3, 2011
226.2
64.5
3.5
149
30.2
160.2
2.48



F/40
After- Jun. 2, 2011
226.2
64.5
3.5
149
30.2
160.2
2.48


4.
JB
Before- Mar. 4, 2011
236.3
40.56
5.8
156.2
30
151.2
3.7



F/48
After-Jun. 4, 2011
167.4
80.4
2.1
137.5
28.6
137.2
1.71


5.
RJ
Before- Mar. 5, 2011
249.1
88.2
2.83
121
23
136
1.54



F/45
After- Jun. 4, 2011
229.6
70.6
3.3
156
25.2
151
2.14


6.
BP
Before- Mar. 5, 2011
268
74
3.6
150
29
151
2.04



F/39
After-Jun. 6, 2011
216.3
81.2
2.7
117.3
24.2
132
1.63


7.
PP
Before- Mar. 6, 2011
248
56
4.43
170
32.8
120
2.14



M/38
After-Jun. 8, 2011
206
56
3.68
164
32.8
117.2
2.09


8.
PD
Before- Mar. 6, 2011
236.3
41.2
5.7
81.6
13.4
155.4
3.76



M/33
After-Jun. 7, 2011
174.8
47.6
3.67
80.3
16.06
111.2
2.33


9.
HP
Before- Mar. 6, 2011
223.2
79
2.8
199.6
26.1
153.2
1.94



M/32
After- Jun. 10, 2011
155.5
89
1.8
192.6
24
136.8
1.54


10.
RG
Before- Jun. 7, 2011
241
82
2.94
110
22
109
1.33



M/40
After-Jun. 9, 2011
182
49
3.71
120
24
109
2.22


11.
DR
Before- Mar. 8, 2011
530.1
46
11.5
168.4
39
210.2
4.57



M/43
After- Jun. 13, 2011
517.8
56.1
9.2
139.7
27
167.2
2.99


12.
NP
Before- Mar. 8, 2011
228
61
3.73
182
28.1
156
2.56



F/80
After-Jun. 7, 2011
164.6
67
2.5
179.5
27
137
2.04


13.
DM
Before- Mar. 8, 2011
530.1
46
11.5
198.4
29
210.2
4.57



F/43
After- Jun. 10, 2011
517.8
56
9.2
190.7
27
167.2
2.99


14.
BJ
Before- Mar. 9, 2011
221.8
89
2.5
151.3
17
129
1.45



F/42
After- Jun. 11, 2011
166.3
94
1.8
143.2
25.8
110
1.17


15.
BA
Before- Mar. 10, 2011
238
91.2
2.6
176
32
151.4
1.66



F/30
After- Jun. 14, 2011
223.1
94
2.4
173
30
138.6
1.47


16.
BR
Before- Mar. 12, 2011
231.6
67.8
3.4
148.3
28
152
2.24



M/47
After- Jun. 11, 2011
193.1
86.1
2.2
144.4
23.4
149
1.73


17.
AV
Before- Mar. 14, 2011
258
89
2.4
197
35.8
147.2
1.65



F/45
After- Jun. 17, 2011
237
54
4.39
179
35.8
147.2
2.73


18.
GZ
Before- Mar. 19, 2011
192
56
3.43
204
40.8
95.2
1.7



M/56
After- Jun. 18, 2011
180
46
3.91
164
40.8
95.2
2.06


19.
KP
Before- Mar. 21, 2011
220
55
3.04
235
37
92
1.07



M/46
After- Jun. 20, 2011
180
53
3.4
185
37
90
1.7


20.
PA
Before- Mar. 30, 2011
231.5
53.2
4.35
219.9
41.76
71.74
1.35



M/46
After- Jun. 30, 2011
222
51.8
4.2
198
40.76
68.74
1.33


21.
BSP
Before- Mar. 28, 2011
246.5
42.02
5.86
93.5
18.7
185.7
3.7



M/45
After- Jun. 30, 2011
227.8
43.06
5.03
92
17.3
167.02
3.88


22.
HS
Before- Apr. 22, 2011
239.5
43.6
5.5
156.2
30.8
158.9
3.6



M/47
After- Jul. 22, 2011
212.2
50.6
4.2
139.5
36.5
120.9
2.4


23.
RR
Before- Apr. 22, 2011
227
44.06
5.1
141.8
19.04
130
2.95



M/58
After- Jul. 21, 2011
140.7
45.04
3.12
129.2
18
126
2.8


24.
SS
Before- Apr. 21, 2011
258.56
40.3
6.4
161.5
29.1
152
3.77



F/50
After- Jul. 26, 2011
217.6
50.8
4.3
141.4
28.3
138.5
2.73


25.
SGS
Before- Apr. 24, 2011
246.1
44.05
5.6
147.4
28.2
141.2
3.2



F/50
After- Jul. 26, 2011
217.6
50.08
4.3
141.4
28.3
138.5
2.77


26.
RV
Before- Apr. 25, 2011
248
71
3.5
169.7
33.1
155.3
2.19



F/40
After- Jul. 30, 2011
223
78
2.9
166
30.2
149
1.91


27.
DV
Before- Apr. 26, 2011
223
41.4
5.4
197.3
30.2
156
3.8



M/39
After- Jul. 27, 2011
169.9
48.7
3.5
187.1
37.42
83.78
1.72


28.
GS
Before- Apr. 27, 2011
234.4
45.06
5.2
153.8
26.2
145.2
3.23



M/57
After- Jul. 26, 2011
226.23
48.9
4.6
153
21.2
120.2
2.45


29.
LP
Before- Apr. 28, 2011
235.4
62.7
3.8
137
31
147.2
2.35



F/65
After- Jul. 30, 2011
196.8
52.2
3.8
152
31.06
156.1
2.99


30.
PL
Before- Apr. 30, 2011
231.5
53.2
4.35
211.9
31.76
71.74
1.35



M/46
After- Jul. 30, 2011
222
51.8
4.2
138
21.17
68.74
1.33

## Claims

1. A pharmaceutical composition for treating ischemic heart disease consisting essentially of therapeutically effective amounts of termanalia arjuana extract, camellia sinensis extract, piper nigrum extract, piper longum extract and zingiber officinalis extract.