In this study, we used a traditional method to prepare liquid extracts of Taohong Siwu decoction and prepared an herbal powder by concentration and drying. By keeping the herbal powder, disintegrant, and lubricant unchanged, we screened r-lactose, pregelatinized starch, and microcrystalline cellulose as fillers to determine the disintegration time. Although the disintegration time with lactose as the disintegrant was better than that with pregelatinized starch and microcrystalline cellulose, the hardness and surface finish did not meet the required standards; thus, microcrystalline cellulose was selected as the filler.
To select an appropriate disintegrant, we established three prescriptions with the same herbal powder, filler, and lubricant: prescription 1 (cross-linked polyvinylpyrrolidone and low-substituted hydroxypropyl cellulose), prescription 2 (low-substituted hydroxypropyl cellulose and sodium carboxymethyl starch), and prescription 3 (crosslinked polyvinylpyrrolidone and sodium carboxymethyl starch); the ratio was 1:1 in each case. Taking appearance, disintegration time, and dispersion uniformity as the inspection indicators, we found the combined disintegration time and dispersion uniformity of crosslinked polyvinylpyrrolidone and sodium was optimal. Next, we performed orthogonal testing to identify the optimal filler and disintegrant content. The best results were obtained with 4.4 g of microcrystalline cellulose (MCC, Factor A), 1.8 g of crosslinked polyvinylpyrrolidone (PVPP, Factor B), and 1.2 g of sodium carboxymethyl starch (CMS-Na, Factor C). Once we had identified the optimal dosage and proportions of filler and disintegrant, we next identified the optimal amount of herbal powder by investigating the disintegration time, dispersion uniformity, and hardness of different proportions. Figure 3 shows that the four prescriptions passed the dispersion uniformity assessment. However, with a larger drug load, we observed a longer disintegration time and a reduction in harness. The final prescription was identified as 1.5 g of medicinal powder, 4.4 g of microcrystalline cellulose, 1.8 g of cross-linked polyvinylpyrrolidone, 1.2 g of sodium carboxymethyl starch, and 0.1 g of magnesium stearate. The final specification was 0.30 g per tablet and four tablets per administration (three times per day); this was equivalent to 1.068 g of the crude drug.
Content determination and dissolution testing showed that the content of amygdalin in each dispersible tablet was 0.257 mg. In the dissolution test, the dissolution rates of the six batches of dispersible tablets at 50 min were 98%, 99%, 96%, 97%, 97%, and 98%, respectively, thus indicating that the dissolution rate of dispersible Taohong Siwu tablets was good.

Figure 1: The mean trend for the test indices. The average trend chart for the test indicators. Factor A in the figure is the content of Taohong Siwu medicine powder, factor B is the content of PVPP, factor C is the content of CMS-Na, and factor D is the blank error group. The numbers in each factor represent different contents (see Table 3 for details). The value on the y-axis represents the K value, and lower K values indicate better results. Please click here to view a larger version of this figure.

Figure 2: Laetrile standard curve. The standard curve of amygdalin, with the x-axis representing the injection volume, and the y-axis representing the peak area. Please click here to view a larger version of this figure.

Figure 3: Drug load screening results. This figure shows the drug load results; the left y-axis is the time, the right y-axis is the hardness, and the four prescriptions on the x-axis represent different drug load volumes. Please click here to view a larger version of this figure.
| serial number | medicinal powder (g) | PVPP (g) | MCC (g) | pregelatinized starch (g) | lactose (g) | Disintegration time limit (s) | Exterior |
| 1 | 0.5 | 1 | 3.4 | | | 26 | clean |
| 2 | 0.5 | 1 | | 3.4 | | 54 | clean |
| 3 | 0.5 | 1 | | | 3.4 | 16 | common |
Table 1: Filler selection results. The main drug content and PVPP dosage in the three prescriptions remained unchanged; prescription 1 used MCC as the filler, prescription 2 used pregelatinized starch as the filler, and prescription 3 used lactose as the filler. From these, lactose as the filler had the shortest disintegration time, but the gloss was not up to standard.
| Disintegrant prescription | Exterior | Disintegration time limit (s) | Dispersion uniformity (s) |
| PVPP+L-HPC | clean | 39 | 39 |
| L-HPC+CMS-Na | clean | 40 | 52 |
| PVPP+CMS-Na | clean | 42 | 40 |
Table 2: Disintegrant combination screening. Under conditions with the main drug and filler remaining unchanged, different disintegrant combinations were tested in terms of their disintegration time limit and dispersion uniformity. Prescription 1 was PVPP + L-HPC, prescription 2 was L-HPC + CMS-Na, and prescription 3 was PVPP + CMS-Na, among which the combination of PVPP + CMS-Na had the shortest disintegration time limit.
| Level | A (g) | B (g) | C (g) | D (g) |
| 1 | 3.4 | 0.6 | 0.4 | blank |
| 2 | 4.4 | 1.2 | 0.8 | blank |
| 3 | 5.4 | 1.8 | 1.2 | blank |
Table 3: Factor levels for orthogonal designs. The dosage of the main drug of each prescription remained unchanged. Factor A is the dosage of filler MCC, factor B is the dosage of PVPP, factor C is the dosage of CMS-Na, and factor D is the blank error.
| Numbering | A (g) | B (g) | C (g) | D (blank) | Disintegration time limit (s) |
| 1 | 1 | 1 | 1 | 1 | 69 |
| 2 | 1 | 2 | 2 | 2 | 123 |
| 3 | 1 | 3 | 3 | 3 | 40 |
| 4 | 2 | 1 | 2 | 3 | 43 |
| 5 | 2 | 2 | 3 | 1 | 31 |
| 6 | 2 | 3 | 1 | 2 | 39 |
| 7 | 3 | 1 | 3 | 2 | 78 |
| 8 | 3 | 2 | 1 | 3 | 59 |
| 9 | 3 | 3 | 2 | 1 | 34 |
| K1 | 232 | 190 | 167 | 134 | |
| K2 | 113 | 213 | 200 | 240 | |
| K3 | 171 | 113 | 149 | 142 | |
| K1 | 77.333 | 66.333 | 55.667 | 44.667 | |
| K2 | 37.667 | 71 | 66.667 | 80 | |
| K3 | 57 | 37.667 | 49.667 | 47.333 | |
| R | 39.667 | 33.333 | 17 | 35.333 | |
| primary and secondary | RA>RD>RB>RC | | | | |
Table 4: Orthogonal experimental arrangement and experimental results.
| source of variance | sum of squared deviations | degrees of freedom | mean square | F value | salience |
| A | 236.667 | 2 | 1180.333 | 1.016 | >0.05 |
| B | 1828.667 | 2 | 914.333 | 0.787 | >0.05 |
| C | 446 | 2 | 223 | 0.192 | >0.05 |
| D (error) | 2322.667 | 2 | 1161.333 | | |
Table 5: Variance analysis results.
| Prescription | Medicinal powder (g) | MCC (g) | PVPP (g) | CMS-Na (g) | Magnesium stearate (g) |
| 1 | 1 | 4.4 | 1.8 | 1.2 | 0.1 |
| 2 | 1.5 | 4.4 | 1.8 | 1.2 | 0.1 |
| 3 | 2 | 4.4 | 1.8 | 1.2 | 0.1 |
| 4 | 2.5 | 4.4 | 1.8 | 1.2 | 0.1 |
Table 6: Drug load formulations. The dosage of MCC, PVPP, and CMS-Na for each prescription remained unchanged. The dosage of the main drug in prescription 1 was 1 g, in prescription 2 was 1.5 g, in prescription 3 was 2 g, and in prescription 4 was 2.5 g.
| Batch number | Exterior | Average sheet weight (g) | Weight difference (g) | Average hardness (N) | Disintegration time limit (s) | Dispersion uniformity (s) |
| 20220710 | clean | 0.1978 | qualified | 22 | 39 | 43 |
| 20220711 | clean | 0.186 | qualified | 21 | 35 | 41 |
| 20220712 | clean | 0.1948 | qualified | 18 | 29 | 32 |
Table 7: Quality evaluation for the dispersible Taohong Siwu tablets. An appearance analysis, average weight analysis, weight difference check, hardness check, disintegration time limit check, and dispersion uniformity check were performed for the three batches of samples.