目的运用数据挖掘技术分析阳陵泉现代主治优势病症及腧穴配伍规律。方法检索中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Web of Science及Embase建库至202...目的运用数据挖掘技术分析阳陵泉现代主治优势病症及腧穴配伍规律。方法检索中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Web of Science及Embase建库至2022年12月31日收录的阳陵泉相关研究文献。建立阳陵泉单穴、配伍主治病症和配伍腧穴等数据库,利用Gephi0.10.1、SPSS Modeler 18.0、Cytoscape3.9.1、SPSS27.0软件对纳入文献进行复杂网络分析、关联分析和聚类分析。结果纳入文献530篇,阳陵泉单穴主治病症37种,优势病症为肩关节周围炎、落枕、急性胆囊炎及踝关节扭伤等,治疗方式以运动针法为主;配伍主治病症105种,优势病症为膝骨关节炎、腰椎间盘突出症及偏头痛等24种,治疗方式以电针为主。阳陵泉高频配伍特定穴为五输穴、交会穴、下合穴,高频配穴为足三里、血海、三阴交、阴陵泉、犊鼻、内膝眼等17个腧穴,配伍经脉主要为足阳明胃经,聚类分析共得3系4类配伍处方组合。结论阳陵泉主治范围广泛,以运动系统病症为主,单穴、配伍应用各有优势病症。特定穴多重配伍与聚类处方灵活组合,有助于临床精准选穴、科学用穴。展开更多
目的 基于功能性磁共振成像(functional magnetic resonance imaging,fMRI)技术,观察针刺阳陵泉对右侧缺血性卒中患者百分比振幅(percent amplitude of fluctuation,PerAF)变化的影响。方法 纳入右侧缺血性卒中患者28例(观察组),并募集...目的 基于功能性磁共振成像(functional magnetic resonance imaging,fMRI)技术,观察针刺阳陵泉对右侧缺血性卒中患者百分比振幅(percent amplitude of fluctuation,PerAF)变化的影响。方法 纳入右侧缺血性卒中患者28例(观察组),并募集与患者性别和年龄相匹配的健康受试者28例(对照组)。观察组分别进行静息态及针刺阳陵泉后静息态fMRI扫描,对照组仅进行静息态fMRI扫描。计算两组全脑体素的PerAF。结果观察组静息态左侧楔前叶PerAF值高于对照组静息态(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾);观察组针刺后左侧楔前叶PerAF值与对照组静息态比较有升高有降低(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾),观察组针刺后左侧枕中回、右侧角回和右侧中扣带回PerAF值较对照组静息态降低(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾)。观察组针刺后右侧中扣带回PerAF值较观察组静息态降低(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾)。结论 右侧缺血性卒中患者静息态左侧楔前叶PerAF值高于健康者,针刺阳陵泉穴可调节右侧缺血性卒中患者多个脑区PerAF值,右侧中扣带回可能是其发挥脑效应机制潜在脑区。展开更多
Objective:To observe the effect of electroacupuncture(EA)at Lower He-Sea points on the expression levels of interleukin-1β(IL-1β)in the serum and gallbladder tissues,and nuclear factor-κB(NF-κB)in gallbladder tiss...Objective:To observe the effect of electroacupuncture(EA)at Lower He-Sea points on the expression levels of interleukin-1β(IL-1β)in the serum and gallbladder tissues,and nuclear factor-κB(NF-κB)in gallbladder tissues of the guinea pigs with acute cholecystitis(AC),and to explore whether Yanglingquan(GB 34),the Lower He-Sea point pertaining to Dan Fu(gallbladder),is relatively specific for the Dan Fu(gallbladder)disorders.Methods:Eighty-two healthy guinea pigs were randomly divided into 6 groups according to the random number table method,a blank group,a model group,a Yanglingquan(GB 34)group,a Zusanli(ST 36)group,a Shangjuxu(ST 37)group,and a Xiajuxu(ST 39)group,with 12 guinea pigs in the blank group while 14 in the other groups,respectively,half males and half females in each group.Except for the blank group,guinea pigs in the other groups were injected with E.coli into the gallbladder to establish AC models.Guinea pigs in the blank group were fed routinely without special treatment;those in the model group were daily tied up for 30 min without EA treatment;those in the 4 groups receiving EA treatment were acupunctured at the corresponding Lower He-Sea points after daily binding and stimulated with the SDZ-V EA instrument.After successful modeling and treatment for 5 d,blood was collected from the abdominal aorta of the guinea pigs,and the gallbladder tissues in each group were isolated for hematoxylin-eosin(HE)staining to observe the morphological changes.Enzyme-linked immunosorbent assay(ELISA)was used to detect the serum IL-1βlevel,and immunohistochemistry(IHC)was used to detect the expression levels of NF-κB and IL-1βin gallbladder.Results:On the 3rd day after modeling,the guinea pigs in the five groups with modeling were mentally depressed with decreased appetite,significantly reduced activities,slouch,lassitude,slack and matted fur,and loose stools;two guinea pigs were selected from each group(one male and one female,not included in the final statistics)to isolate the gallbladder after sacrifice;macroscopic observation showed that the gallbladder wall was differently thickened;the bile color was dark green and opaque with particles suspended or accumulated;light microscope observation showed that the submucosal blood vessels of the gallbladder were congested,along with mucosal edema,ulceration,necrosis,shedding,and a large number of inflammatory cells infiltrating in the lamina propria,indicating that the AC model was successfully prepared.Compared with the model group,the gallbladder tissue injuries of the four groups receiving EA treatment were all differently repaired,the serum IL-1βlevels were reduced(P<0.01 or P<0.05),and the IL-1βlevels in the gallbladder tissues were reduced(P<0.01 or P<0.05).Compared with the model group,the NF-κB expression level in the Yanglingquan(GB 34)group was significantly reduced(P<0.01),but was not statistical different in the Zusanli(ST 36)group,Shangjuxu(ST 37)group and Xiajuxu(ST 39)group(all P>0.05).Compared with the Yanglingquan(GB 34)group,the gallbladder tissues of the Zusanli(ST 36)group,Shangjuxu(ST 37)group and Xiajuxu(ST 39)group were more severely damaged,and the expression levels of serum IL-1β,the NF-κB and IL-1βin the gallbladder tissues were increased(P<0.01 or P<0.05).Intervention effect of Yanglingquan(GB 34)on AC guinea pigs was superior to that of Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39).Conclusion:EA at the Lower He-Sea points of the stomach,large intestine,small intestine and gallbladder can produce curative effects on AC guinea pigs and reduced the inflammatory symptoms.Intervention effect of Yanglingquan(GB 34)on AC guinea pigs is superior to that of Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39).The mechanism of EA at Yanglingquan(GB 34)in treating AC may be regulating IL-1βand NF-κB to control the inflammatory response and improve the gallbladder tissue damage.展开更多
目的:基于穴位配伍效应-脑相关假说,观察针刺青年健康志愿者右侧外关穴和外关配伍阳陵泉穴对不同脑区激活效应的功能性磁共振成像(functional magnetic resonance i maging,f MRI)。方法:16名健康志愿者,随机分为外关穴组和外关配伍阳...目的:基于穴位配伍效应-脑相关假说,观察针刺青年健康志愿者右侧外关穴和外关配伍阳陵泉穴对不同脑区激活效应的功能性磁共振成像(functional magnetic resonance i maging,f MRI)。方法:16名健康志愿者,随机分为外关穴组和外关配伍阳陵泉穴组,每组8名,分别针刺右侧外关和外关配伍阳陵泉穴。运用GE1.5T超导核磁共振系统完成脑部f MRI扫描,所得数据采用感兴趣区(region of in-terest,ROI)法进行处理和分析。结果:ROI激活几率表明,针刺外关和外关配伍阳陵泉穴均可相对集中(激活几率>4)激活双侧额叶和双侧顶叶等脑部功能区,但针刺外关和外关配伍阳陵泉穴对左右各脑区激活几率比较,差异无统计学意义。ROI激活点数表明,针刺外关穴能相对集中(激活点点数>10)激活双侧额叶和双侧顶叶等脑部功能区,且针刺外关穴能相对特异地激活右侧小脑(P<0.05),而针刺外关配伍阳陵泉穴则相对特异地激活左侧顶叶、左侧枕叶和双侧基底节区(P<0.05)。ROI激活强度表明,针刺外关配伍阳陵泉穴对于右侧小脑的激活强度较单纯针刺外关穴高,差异有统计学意义(P<0.05)。结论:f MRI脑功能成像研究表明,手足少阳经同名经穴配伍能够加强对运动障碍、感觉障碍、平衡障碍的治疗作用,穴位配伍的作用机制与脑功能区活动有关。展开更多
文摘目的运用数据挖掘技术分析阳陵泉现代主治优势病症及腧穴配伍规律。方法检索中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Web of Science及Embase建库至2022年12月31日收录的阳陵泉相关研究文献。建立阳陵泉单穴、配伍主治病症和配伍腧穴等数据库,利用Gephi0.10.1、SPSS Modeler 18.0、Cytoscape3.9.1、SPSS27.0软件对纳入文献进行复杂网络分析、关联分析和聚类分析。结果纳入文献530篇,阳陵泉单穴主治病症37种,优势病症为肩关节周围炎、落枕、急性胆囊炎及踝关节扭伤等,治疗方式以运动针法为主;配伍主治病症105种,优势病症为膝骨关节炎、腰椎间盘突出症及偏头痛等24种,治疗方式以电针为主。阳陵泉高频配伍特定穴为五输穴、交会穴、下合穴,高频配穴为足三里、血海、三阴交、阴陵泉、犊鼻、内膝眼等17个腧穴,配伍经脉主要为足阳明胃经,聚类分析共得3系4类配伍处方组合。结论阳陵泉主治范围广泛,以运动系统病症为主,单穴、配伍应用各有优势病症。特定穴多重配伍与聚类处方灵活组合,有助于临床精准选穴、科学用穴。
文摘目的 基于功能性磁共振成像(functional magnetic resonance imaging,fMRI)技术,观察针刺阳陵泉对右侧缺血性卒中患者百分比振幅(percent amplitude of fluctuation,PerAF)变化的影响。方法 纳入右侧缺血性卒中患者28例(观察组),并募集与患者性别和年龄相匹配的健康受试者28例(对照组)。观察组分别进行静息态及针刺阳陵泉后静息态fMRI扫描,对照组仅进行静息态fMRI扫描。计算两组全脑体素的PerAF。结果观察组静息态左侧楔前叶PerAF值高于对照组静息态(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾);观察组针刺后左侧楔前叶PerAF值与对照组静息态比较有升高有降低(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾),观察组针刺后左侧枕中回、右侧角回和右侧中扣带回PerAF值较对照组静息态降低(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾)。观察组针刺后右侧中扣带回PerAF值较观察组静息态降低(GRF校正,体素水平P<0.001,团块水平P<0.05,双尾)。结论 右侧缺血性卒中患者静息态左侧楔前叶PerAF值高于健康者,针刺阳陵泉穴可调节右侧缺血性卒中患者多个脑区PerAF值,右侧中扣带回可能是其发挥脑效应机制潜在脑区。
文摘Objective:To observe the effect of electroacupuncture(EA)at Lower He-Sea points on the expression levels of interleukin-1β(IL-1β)in the serum and gallbladder tissues,and nuclear factor-κB(NF-κB)in gallbladder tissues of the guinea pigs with acute cholecystitis(AC),and to explore whether Yanglingquan(GB 34),the Lower He-Sea point pertaining to Dan Fu(gallbladder),is relatively specific for the Dan Fu(gallbladder)disorders.Methods:Eighty-two healthy guinea pigs were randomly divided into 6 groups according to the random number table method,a blank group,a model group,a Yanglingquan(GB 34)group,a Zusanli(ST 36)group,a Shangjuxu(ST 37)group,and a Xiajuxu(ST 39)group,with 12 guinea pigs in the blank group while 14 in the other groups,respectively,half males and half females in each group.Except for the blank group,guinea pigs in the other groups were injected with E.coli into the gallbladder to establish AC models.Guinea pigs in the blank group were fed routinely without special treatment;those in the model group were daily tied up for 30 min without EA treatment;those in the 4 groups receiving EA treatment were acupunctured at the corresponding Lower He-Sea points after daily binding and stimulated with the SDZ-V EA instrument.After successful modeling and treatment for 5 d,blood was collected from the abdominal aorta of the guinea pigs,and the gallbladder tissues in each group were isolated for hematoxylin-eosin(HE)staining to observe the morphological changes.Enzyme-linked immunosorbent assay(ELISA)was used to detect the serum IL-1βlevel,and immunohistochemistry(IHC)was used to detect the expression levels of NF-κB and IL-1βin gallbladder.Results:On the 3rd day after modeling,the guinea pigs in the five groups with modeling were mentally depressed with decreased appetite,significantly reduced activities,slouch,lassitude,slack and matted fur,and loose stools;two guinea pigs were selected from each group(one male and one female,not included in the final statistics)to isolate the gallbladder after sacrifice;macroscopic observation showed that the gallbladder wall was differently thickened;the bile color was dark green and opaque with particles suspended or accumulated;light microscope observation showed that the submucosal blood vessels of the gallbladder were congested,along with mucosal edema,ulceration,necrosis,shedding,and a large number of inflammatory cells infiltrating in the lamina propria,indicating that the AC model was successfully prepared.Compared with the model group,the gallbladder tissue injuries of the four groups receiving EA treatment were all differently repaired,the serum IL-1βlevels were reduced(P<0.01 or P<0.05),and the IL-1βlevels in the gallbladder tissues were reduced(P<0.01 or P<0.05).Compared with the model group,the NF-κB expression level in the Yanglingquan(GB 34)group was significantly reduced(P<0.01),but was not statistical different in the Zusanli(ST 36)group,Shangjuxu(ST 37)group and Xiajuxu(ST 39)group(all P>0.05).Compared with the Yanglingquan(GB 34)group,the gallbladder tissues of the Zusanli(ST 36)group,Shangjuxu(ST 37)group and Xiajuxu(ST 39)group were more severely damaged,and the expression levels of serum IL-1β,the NF-κB and IL-1βin the gallbladder tissues were increased(P<0.01 or P<0.05).Intervention effect of Yanglingquan(GB 34)on AC guinea pigs was superior to that of Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39).Conclusion:EA at the Lower He-Sea points of the stomach,large intestine,small intestine and gallbladder can produce curative effects on AC guinea pigs and reduced the inflammatory symptoms.Intervention effect of Yanglingquan(GB 34)on AC guinea pigs is superior to that of Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39).The mechanism of EA at Yanglingquan(GB 34)in treating AC may be regulating IL-1βand NF-κB to control the inflammatory response and improve the gallbladder tissue damage.
文摘目的观察恢刺联合超声引导下冲击波对卒中后痉挛(post-stroke spasticity,PSS)患者肌张力和运动功能的影响。方法将96例PSS患者随机分为观察组和对照组,每组48例。对照组给予超声引导下体外冲击波(extra-corporeal shock wave therapy,ESWT)治疗,观察组在对照组基础上采用恢刺阳陵泉穴治疗。观察两组治疗前后改良Ashworth量表(modified Ashworth scale,MAS)、Wolf运动功能测试(Wolf motor function test,WMFT)、功能综合评定(functional comprehensive assessment,FCA)量表、肌电均方根值(root mean square,RMS)和积分肌电值(integrated electromyogram,iEMG)变化。结果两组治疗后肌张力评分等级分布优于治疗前(P<0.05),且观察组等级分布优于对照组(P<0.05)。治疗后,两组WMFT评分均高于治疗前(P<0.05),且观察组高于对照组(P<0.05);两组FCA日常生活功能、认知功能及总分高于治疗前(P<0.05),且观察组高于对照组(P<0.05);两组RMS、iEMG低于治疗前(P<0.05),且观察组低于对照组(P<0.05)。结论恢刺联合超声引导下冲击波治疗PSS效果显著,可有效改善肌电生理指标、肌张力及运动功能,提高日常生活能力及认知水平。
文摘目的:基于穴位配伍效应-脑相关假说,观察针刺青年健康志愿者右侧外关穴和外关配伍阳陵泉穴对不同脑区激活效应的功能性磁共振成像(functional magnetic resonance i maging,f MRI)。方法:16名健康志愿者,随机分为外关穴组和外关配伍阳陵泉穴组,每组8名,分别针刺右侧外关和外关配伍阳陵泉穴。运用GE1.5T超导核磁共振系统完成脑部f MRI扫描,所得数据采用感兴趣区(region of in-terest,ROI)法进行处理和分析。结果:ROI激活几率表明,针刺外关和外关配伍阳陵泉穴均可相对集中(激活几率>4)激活双侧额叶和双侧顶叶等脑部功能区,但针刺外关和外关配伍阳陵泉穴对左右各脑区激活几率比较,差异无统计学意义。ROI激活点数表明,针刺外关穴能相对集中(激活点点数>10)激活双侧额叶和双侧顶叶等脑部功能区,且针刺外关穴能相对特异地激活右侧小脑(P<0.05),而针刺外关配伍阳陵泉穴则相对特异地激活左侧顶叶、左侧枕叶和双侧基底节区(P<0.05)。ROI激活强度表明,针刺外关配伍阳陵泉穴对于右侧小脑的激活强度较单纯针刺外关穴高,差异有统计学意义(P<0.05)。结论:f MRI脑功能成像研究表明,手足少阳经同名经穴配伍能够加强对运动障碍、感觉障碍、平衡障碍的治疗作用,穴位配伍的作用机制与脑功能区活动有关。
