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Herb-partitioned moxibustion alleviates colon injuries in ulcerative colitis rats 被引量:13
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作者 Dan Zhang Yan-Bo Ren +7 位作者 Kai Wei Jue Hong Yan-Ting Yang Li-Jie Wu Ji Zhang Zheng Shi Huan-Gan Wu Xiao-Peng Ma 《World Journal of Gastroenterology》 SCIE CAS 2018年第30期3384-3397,共14页
AIM To observe the effect of herb-partitioned moxibustion(HPM) on expression of colonic cytokines in ulcerative colitis(UC) rats.METHODS A UC rat model was established by protein immunization in combination with topic... AIM To observe the effect of herb-partitioned moxibustion(HPM) on expression of colonic cytokines in ulcerative colitis(UC) rats.METHODS A UC rat model was established by protein immunization in combination with topical chemical stimulation.Rats in the HPM group(n = 8) received HPM at bilateral Tianshu(ST25) points.The gross injury and pathological scores of the colon were recorded.The expression profile of colonic cytokines was assayed using the protein microarray technique.Specific differential cytokines were selected and verified by ELISA.The corresponding Uni Prot Accessions of the differentially expressed cytokines were retrieved in the Uni Prot database.The pathways involved were analyzed with the help of the KEGG PATHWAY database.The DAVID database was used for functional cluster and pathway analysis.RESULTS HPM improved colon injuries in UC rats,manifested by accelerated repair of ulcers and alleviation of inflammation,and the gross injury and pathological scores both significantly decreased(P < 0.01).Fold change > 1.3 or < 0.77 was taken as the screening standard.There were 77 down-regulated and 9 up-regulated differentially expressed colonic cytokines in the HPM group compared with the model group,and expression of 20 differed significantly(P < 0.05).Twelve of the 20 significantly differentially expressed cytokines [β-catenin,interleukin-1 receptor 6(IL-1 R6),IL-1β,B7-1,nerve growth factor receptor,AMP-activated protein kinase-α1,neuropilin-2,orexin A,adipocyte differentiation-related protein,IL-2,Fas and Fas L] were up-regulated in the model group(n = 3,compared with the normal group) but downregulated in the HPM group(n = 3,compared with the model group).Functional cluster analysis showed that the differentially expressed colonic cytokines in the HPM group regulated apoptosis and protein phosphorylation.KEGG pathway analysis showed that 52 down-regulated and 7 up-regulated differentially expressed colonic cytokines in the HPM group had pathways.The pathways that interacted between the cytokines and their receptors accounted for the largest proportion(28 of the downregulated and 5 of the up-regulated cytokines).CONCLUSION HPM promotes the repair of colon injuries in UC rats,which is related to the regulation of several abnormally expressed cytokines. 展开更多
关键词 Cytokine expression profile ULCERATIVE COLITIS Protein microarray RATS Herb-partitioned moxibustion
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Herbs-partitioned moxibustion alleviates aberrant intestinal epithelial cell apoptosis by upregulating A20 expression in a mouse model of Crohn's disease 被引量:4
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作者 Jing Zhou Lu-Yi Wu +7 位作者 Liu Chen Ya-Jing Guo Yi Sun Tao Li Ji-Meng Zhao Chun-Hui Bao Huan-Gan Wu Yin Shi 《World Journal of Gastroenterology》 SCIE CAS 2019年第17期2071-2085,共15页
BACKGROUND A20 inhibits intestinal epithelial cell apoptosis in Crohn's disease, and herbspartitioned moxibustion(HPM) has been demonstrated to be an effective treatment for Crohn's disease. However, the mecha... BACKGROUND A20 inhibits intestinal epithelial cell apoptosis in Crohn's disease, and herbspartitioned moxibustion(HPM) has been demonstrated to be an effective treatment for Crohn's disease. However, the mechanism by which HPM reduces intestinal epithelial cell apoptosis in Crohn's disease has not been thoroughly elucidated to date.AIM To elucidate whether HPM exerts its effects by upregulating A20 to affect intestinal epithelial cell apoptosis in a Crohn's disease mouse model.METHODS In this study, mice with A20 deletion in intestinal epithelial cells(A20 IEC-KO) were utilized to establish a Crohn's disease mouse model with 2,4,6-trinitrobenzenesulfonic acid(TNBS) administration, as well as wild-type mice. Mice were randomly divided into normal control(NC), model control(MC), mesalazine(MESA), and HPM groups. The morphology of the colonic mucosa was observed by hematoxylin-eosin staining, and serum endotoxin and apoptosis of epithelial cells were evaluated by enzyme-linked immunosorbent assay and terminal dUTP nick-end labeling assay accordingly. The protein expression levels of A20 and tumor necrosis factor receptor 1(TNFR1)-related signaling molecules were evaluated by Western blot, and co-expression of A20 and TNFR1-associated death domain(TRADD) and co-expression of A20 and receptor-interacting protein 1(RIP1) were observed by double immunofluorescence staining.RESULTS The intestinal epithelial barrier was noted to have an improvement in the HPM group of wild-type(WT) mice compared with that in A20 IEC-KO mice. Compared with A20 IEC-KO HPM mice, serum endotoxin levels and apoptosis percentages were decreased(P < 0.01), A20 expression levels were increased(P < 0.01), and expression of TNFR1, TRADDD, and RIP1 was decreased in the HPM group of WT mice(PTNFR1 < 0.05, PTRADD < 0.01, PRIP1 < 0.01). Both of the co-expression of A20/TRADD and A20/RIP1 showed a predominantly yellow fluorescence in the HPM group of WT mice, while a predominantly red fluorescence was noted in the HPM group of A20 IEC-KO mice.CONCLUSION Our findings suggest that HPM in treating Crohn's disease functions possibly via upregulation of the A20 expression level, resulting in downregulation of TNFR1,TRADD, and RIP1 to alleviate increased cell apoptosis in the intestinal epithelial barrier in Crohn's disease. 展开更多
关键词 Herbs-partitioned moxibustion Crohn's disease Apoptotic pathway Inflammation A20
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Extracellular signal-regulated kinase, substance P and neurokinin-1 are involved in the analgesic mechanism of herb-partitioned moxibustion 被引量:8
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作者 Zhi-yuan Li Yan-ting Yang +8 位作者 Jue Hong Dan Zhang Xiao-fei Huang Li-jie Wu Huan-gan Wu Zheng Shi Jie Liu Yi Zhu Xiao-peng Ma 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第9期1472-1478,共7页
Herb-partitioned moxibustion can effectively mitigate visceral pain, a major symptom in inflammatory bowel disease, but the analgesic lnechanism is still unclear. Moreover, extracellular signal-regulated kinase, subst... Herb-partitioned moxibustion can effectively mitigate visceral pain, a major symptom in inflammatory bowel disease, but the analgesic lnechanism is still unclear. Moreover, extracellular signal-regulated kinase, substance P, and neurokinin-1 are involved in formation of central hyperalgesia. Thus, we postulated that the analgesic effect of herb-partitioned moxibustion may be associated with these factors. Accordingly, in this study, we established an inflammatory bowel disease visceral pain model in rat by enema with a mixed solution of 5% trinitrobenzenesulfonic acid and 50% ethanol. Bilateral Tianshu (ST25) and Qihai (CV6) points were selected for herb-partitioned moxi- bustion. Our results showed that herb-partitioned moxibustion improved visceral pain and down-regulated extracellular signal-regulated kinase, substance P, and neurokinin-1 protein and mRNA expression in dorsal root ganglia. These results indicate that down-regulation of extracellular signal-regulated kinase, substance E and neurokinin-1 protein and mRNA may be a central mechanism for the analgesic effect of herb-partitioned moxibustion. 展开更多
关键词 nerve regeneration inflammatory bowel disease visceral pain herb-partitioned moxibustion analgesic effect Tianshu (ST25) Qihai (CV6) dorsal root ganglion extracellular signal-regulated kinase substance P neurokinin-I neural regeneration
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Moxibustion combined with acupuncture increases tight junction protein expression in Crohn's disease patients 被引量:24
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作者 Hai-Xia Shang An-Qi Wang +6 位作者 Chun-Hui Bao Huan-Gan Wu Wei-Feng Chen Lu-Yi Wu Rong Ji Ji-Meng Zhao Yin Shi 《World Journal of Gastroenterology》 SCIE CAS 2015年第16期4986-4996,共11页
AIM:To investigate the effect of herb-partitioned moxibustion combined with acupuncture on the expression of intestinal epithelial tight junction(TJ) proteins.METHODS:Sixty patients diagnosed with mild to moderate Cr... AIM:To investigate the effect of herb-partitioned moxibustion combined with acupuncture on the expression of intestinal epithelial tight junction(TJ) proteins.METHODS:Sixty patients diagnosed with mild to moderate Crohn’s disease(CD)were allocated into the herb-partitioned moxibustion combined with acupuncture(HMA)group(n=30)or the mesalazine(MESA)group(n=30)using a parallel control method.There were 2 sets of acupoints used alternately for HMA treatment.The following points were included in Set A:ST25(Tianshu),RN6(Qihai),and RN9(Shuifen)for herb-partitioned moxibustion and ST36(Zusanli),ST37(Shangjuxu),LI11(Quchi),and LI4(Hegu)for acupuncture.The points for Set B included BL23(Shenshu)and BL25(Dachangshu)for herb-partitioned moxibustion and EX-B2 of T6-T1(Jiajixue)fo r acupuncture.The patients received the same treatment6 times a week for 12 consecutive weeks.The MESA group received 1 g of mesalazine enteric coated tablets4 times daily for 12 consecutive weeks.Intestinaltissues were stained and examined to compare the morphological and ultrastructural changes before and after the treatment session.Immunohistochemistry and in situ hybridization assays were used to detect the expression of intestinal epithelial TJ proteins zonula occludens-1(ZO-1),occludin,and claudin-1.The m RNA levels were also evaluated.RESULTS:After the treatment,both herb-partitioned moxibustion combined with acupuncture and mesalazine improved intestinal morphology and ultrastructure of CD patients;the patients treated with HMA showed better improvement.HMA significantly increased the expression of ZO-1(P=0.000),occludin(P=0.021),and claudin-1(P=0.016).MESA significantly increased the expression of ZO-1(P=0.016)and occludin(P=0.026).However,there was no significant increase in the expression of claudin-1(P=0.935).There was no statistically significant difference between the two groups for the expression of occludin and claudin-1(P>0.05).The HMA group showed a significant improvement in ZO-1 expression compared to the MESA group(2333.34±352.51 vs 2160.38±307.08,P=0.047).HMA significantly increased the expression of ZO-1 m RNA(P=0.000),occludin m RNA(P=0.017),and claudin-1 m RNA(P=0.017).MESA significantly increased the expression of ZO-1 m RNA(P=0.000),occludin m RNA(P=0.042),and claudin-1 m RNA(P=0.041).There was no statistically significant difference between the two groups in the expression of occludin and claudin-1 m RNA(P>0.05).However,the HMA group showed a significant improvement in ZO-1 m RNA expression compared with the MESA group(2378.17±308.77 vs 2200.56±281.88,P=0.023).CONCLUSION:HMA can repair intestinal epithelial barrier lesions and relieve inflammation by upregulating the expression of TJ proteins and their m RNAs. 展开更多
关键词 Crohn's disease Herb-partitioned moxibustion ACUPUNCTURE Intestinal EPITHELIAL cells Tight junctionproteins
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隔药饼灸调节大鼠免疫抑制机制的转录组测序分析
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作者 田岳凤 熊罗节 +2 位作者 王慧芳 翟春涛 李玮 《中国组织工程研究》 CAS 北大核心 2025年第5期978-988,共11页
背景:免疫抑制会导致机体免疫功能受损,加重病情。隔药饼灸能有效调节机体免疫功能,提高机体免疫力,但其调节机制目前仍不清楚。目的:基于转录组学的生物信息学技术对隔药饼灸干预的免疫抑制模型大鼠进行测序,探究隔药饼灸调控免疫的机... 背景:免疫抑制会导致机体免疫功能受损,加重病情。隔药饼灸能有效调节机体免疫功能,提高机体免疫力,但其调节机制目前仍不清楚。目的:基于转录组学的生物信息学技术对隔药饼灸干预的免疫抑制模型大鼠进行测序,探究隔药饼灸调控免疫的机制。方法:将24只SD大鼠随机分为空白组、模型组和隔药饼灸组,每组8只,模型组与隔药饼灸组采用腹腔注射环磷酰胺制备免疫抑制模型,35 mg/kg,连续3 d,造模结束后空白组与模型组不做干预,隔药饼灸组在大鼠中脘、神阙、关元及足三里穴位进行艾炷与药饼结合的隔药饼灸干预,连续10 d,1次/d,干预结束后次日取材。取各组大鼠外周血进行白细胞数量检测;采用Illumina测序平台进行RNA-seq,筛选差异基因,结合GO与KEGG数据库,对差异基因进行生物信息学相关分析。结果与结论:①与空白组比较,模型组白细胞数量显著减少(P<0.001)。②RNA-seq共筛选出模型组与空白组间差异基因3026个,其中1565个上调、1461个下调,隔药饼灸组与模型组间差异基因535个,其中280个上调、255个下调。③韦恩图分析获得模型组与空白组159个下调基因经隔药饼灸干预后上调,蛋白互作网络分析获得Oasl,Oas2,Isg15,Herc6,Mx2,Helz2,Mx1,Syk,Hspa1a及Ret等10个核心靶点;④GO与KEGG分析隔药饼灸调节机体的机制有免疫应答途径、病毒相关、血管新生和自身免疫系统等通路。⑤上述结果证实,实验筛选出隔药饼灸干预免疫抑制与Oasl,Oas2,Isg15,Herc6,Mx2,Helz2及Mx1靶点有明显关联,并且在免疫应答、病毒相关及血管新生等通路中发挥调控作用。 展开更多
关键词 免疫抑制 隔药饼灸 转录组测序 寡腺苷酸合成酶样蛋白 寡腺苷酸合成酶2 干扰素诱导基因15 E3泛素蛋白连接酶家族成员6 抗黏病毒蛋白2 锌指解旋酶2 抗黏病毒蛋白1
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Effect of herb-partitioned moxibustion on dopamine levels and dopamine receptor 1 expression in the colon and central nervous system in rats with Crohn’s disease 被引量:4
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作者 Lu Yuan Zheng Handan +9 位作者 Lü Tingting Ma Zhe Wu Huangan Xu Manwen Weng Zhijun Feng Hui Zhang Fang Ding Guanghong Wu Luyi Liu Huirong 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2019年第3期356-363,共8页
OBJECTIVE:To observe the effect of herb-partitioned moxibustion at the Tianshu (ST 25) and Qihai (CV 6) acupoints in rats with Crohn's disease,and explore the underlying mechanism from dopamine (DA) and dopamine r... OBJECTIVE:To observe the effect of herb-partitioned moxibustion at the Tianshu (ST 25) and Qihai (CV 6) acupoints in rats with Crohn's disease,and explore the underlying mechanism from dopamine (DA) and dopamine receptor 1 (D1 R) in the colon,spinal dorsal horn and hypothalamus.METHODS:The rats were randomly divided into the normal,model (CD),herb-partitioned moxibustion (Mox) and mesalazine (Mesa) groups.Damage in the colons was scored and observed by hematoxylin and eosin staining.DA and D1R protein expression in the colonic mucosa were detected by immunohistochemistry.The concentrations of DA and D1R in the spinal dorsal horn and hypothalamus were measured by enzyme-linked immunosorbent assay,and D1R mRNA expression was evaluated by quantitative real-time polymerase chain reaction.RESULTS:In the colon,compared with the normal group,DA,D1 R protein expressions and D1 R mRNA expression were significantly higher in the model group,while decreased in the Mox group and the Mesa group.In the spinal dorsal horn and hypothalamus,compared with the normal group,the concentrations of DA and D1 R,and the D1R mRNA expressions were significantly higher in the model group,and decreased in the Mox group and the Mesa group.CONCLUSION:Herb-partitioned moxibustion at the Tianshu (ST 25) and Qihai (CV 6) acupoints relieved ulceration in CD rats,the underlying mechanism maybe relative with the regulation of DA and D1R in the colon,spinal dorsal horn and hypothalamus by moxibustion. 展开更多
关键词 Crohn disease DOPAMINE Receptors dopamine Neuropeptides POINT ST25 (Tianshu) POINT CV6 (Qihai) Herb-partitioned moxibustion
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Treatment of 28 Chronic Diarrhea Patients by Ginger-partitioned Moxibustion 被引量:1
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作者 DONG Min-wei WANG Si-you 《Journal of Acupuncture and Tuina Science》 2003年第2期31-32,共2页
Tianshu (ST 25), Shongwan (CV 12), Qihai (CV 6), Zusanli (ST 36) and etc were selected to treat chronic diarrhea. The curative effect between ginger moxibustion and acupuncture was compared. The effective rate of two ... Tianshu (ST 25), Shongwan (CV 12), Qihai (CV 6), Zusanli (ST 36) and etc were selected to treat chronic diarrhea. The curative effect between ginger moxibustion and acupuncture was compared. The effective rate of two groups was respectively 93% and 82%. Key Words Diarrhea, Chronic - Ginger-partitioned Moxibustion - Acupuncture-moxibustion Translator: WANG Si-you 展开更多
关键词 Diarrhea Chronic Ginger-partitioned moxibustion ACUPUNCTURE-moxibustion
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Clinical Observation of 82 Cases of Enuresis Treated by Ginger-partitioned Moxibustion plus Cupping Therapy
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作者 ZHU Wei-ping HUANG Guo-qi 《Journal of Acupuncture and Tuina Science》 2003年第6期24-25,共2页
Purpose: To observe the clinical therapeutic effect in the treatment of enuresis by ginger-partitioned moxibustion plus cupping therapy.Methods: Ginger-partitioned moxibustion was applied on Guanyuan (CV 4) and bilate... Purpose: To observe the clinical therapeutic effect in the treatment of enuresis by ginger-partitioned moxibustion plus cupping therapy.Methods: Ginger-partitioned moxibustion was applied on Guanyuan (CV 4) and bilateral Zusanli (ST 36) and cupping therapy was applied on Shenque (CV 8) in the treatment of 82 cases of enuresis, in comparison with 76 cases treated by Chinese herbal medicine.Results: The effective rate was 84.1% in the treatment by ginger-partitioned moxibustion plus cupping therapy and was 64.5% in the treatment by Chinese herbal medicine.Conclusion: Ginger-partitioned moxibustion plus cupping therapy was better than Chinese herbal medicine in the treatment of enuresis (P<0.05). Key Words Ginger-partitioned Moxibustion - Cupping Therapy - Enuresis Translator: HUANG Guo-qi 展开更多
关键词 Ginger-partitioned moxibustion Cupping Therapy ENURESIS
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Treatment of Child Diarrhea by Ginger-partitioned Moxibustion plus Tuina: A Report of 52 Cases
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作者 LIU Xiao-feng 《Journal of Acupuncture and Tuina Science》 2003年第6期20-21,共2页
Treated 52 cases of child diarrhea with ginger-partitioned moxibustion plus Tuina, after three treatments, all the patients are cured. Key Words Point CV 8 (Shenque) - Ginger-partitioned Moxibustion - Massage - Tuina... Treated 52 cases of child diarrhea with ginger-partitioned moxibustion plus Tuina, after three treatments, all the patients are cured. Key Words Point CV 8 (Shenque) - Ginger-partitioned Moxibustion - Massage - Tuina - Diarrhea - Abdominal Pain Author: LIU Xiao-feng (1968-), male, resident physician 展开更多
关键词 Point CV 8 (Shenque) Ginger-partitioned moxibustion MASSAGE TUINA DIARRHEA Abdominal Pain
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灸法治疗肝郁气滞型抑郁症的疗效观察及对褪黑素、NSE、IL-6及神经递质的影响 被引量:1
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作者 李晓燕 李吉庆 +1 位作者 赖智君 林荫 《上海针灸杂志》 CSCD 2024年第2期174-179,共6页
目的 观察灸法治疗肝郁气滞型抑郁症的临床疗效及其对患者褪黑素、神经元特异性烯醇化酶(serum neuron specific enolase,NSE)、白介素-6(interleukin-6,IL-6)及神经递质水平的影响。方法 将100例肝郁气滞型抑郁症患者随机分成观察组和... 目的 观察灸法治疗肝郁气滞型抑郁症的临床疗效及其对患者褪黑素、神经元特异性烯醇化酶(serum neuron specific enolase,NSE)、白介素-6(interleukin-6,IL-6)及神经递质水平的影响。方法 将100例肝郁气滞型抑郁症患者随机分成观察组和对照组,每组50例。对照组采用西医常规治疗,观察组在对照组治疗基础上联合海南沉香灸治疗。观察两组治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、汉密顿抑郁量表(Hamilton depression scale,HAMD)、抑郁自评量表(self-rating depression scale,SDS)、健康调查简表(36 items short form health survey,SF-36)和中医证候积分的评分变化,观察两组治疗前后血清褪黑素、NSE、IL-6、白介素-10(interleukin-10,IL-10)、碱性髓鞘蛋白(myelin basic protein,MBP)、多巴胺(dopamine,DA)和去甲肾上腺素(noradrenalin,NE)水平的变化。比较两组临床疗效。结果 观察组总有效率高于对照组(P<0.05)。观察组治疗后PSQI评分、HAMD评分、SDS评分和中医证候积分均低于对照组(P<0.05),SF-36评分高于对照组(P<0.05)。观察组治疗后血清IL-10、褪黑素、DA和NE水平均高于对照组(P<0.05),血清MBP、NSE和IL-6水平均低于对照组(P<0.05)。结论 在西药治疗基础上联合灸法治疗可提高肝郁气滞型抑郁症的临床疗效,改善抑郁症状,调节炎性因子,促进神经功能恢复。 展开更多
关键词 灸法 直接灸 药饼灸疗法 抑郁 肝郁气滞 睡眠障碍 褪黑素 神经递质
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脐灸配合健脾益气通便汤治疗儿童功能性便秘的疗效观察 被引量:1
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作者 陈欢 赵敏 耿文婧 《上海针灸杂志》 CSCD 2024年第5期510-515,共6页
目的观察脐灸配合健脾益气通便汤治疗儿童功能性便秘的临床疗效及其对中医症候积分、肠道微生态和血清肠神经递质的影响。方法将106例儿童功能性便秘患者随机分为治疗组56例和对照组50例。治疗组采用脐灸配合健脾益气通便汤治疗,对照组... 目的观察脐灸配合健脾益气通便汤治疗儿童功能性便秘的临床疗效及其对中医症候积分、肠道微生态和血清肠神经递质的影响。方法将106例儿童功能性便秘患者随机分为治疗组56例和对照组50例。治疗组采用脐灸配合健脾益气通便汤治疗,对照组采用单纯口服健脾益气通便汤治疗。观察两组治疗前后各项主要症状评分、中医症候积分、肠道微生态(双歧杆菌、乳杆菌、大肠埃希菌数量)及血清肠神经递质[一氧化氮(nitric oxide,NO)、P物质(substance P,SP)、生长抑素(somatostatin,SS)]水平的变化情况,比较两组临床疗效及治疗期间不良反应发生率。结果两组治疗后各项主要症状评分、中医症候积分及血清NO、SS水平均较同组治疗前显著下降,双歧杆菌、乳杆菌、大肠埃希菌数量及血清SP水平均显著上升,差异均具有统计学意义(P<0.05)。治疗组治疗后各项主要症状评分、中医症候积分及血清NO、SS水平均明显低于对照组,双歧杆菌、乳杆菌、大肠埃希菌数量及血清SP水平均明显高于对照组,两组比较差异均具有统计学意义(P<0.05)。治疗组治疗后总有效率及治疗期间不良反应发生率分别为96.4%和5.4%,对照组分别为84.0%和8.0%,两组总有效率比较,差异具有统计学意义(P<0.05)。结论脐灸配合健脾益气通便汤治疗儿童功能性便秘疗效确切,可改善患者各项临床症状和中医症候,纠正肠道微生态紊乱,调节肠道菌群,纠正肠神经递质水平。 展开更多
关键词 灸法 脐灸 药饼灸疗法 便秘 功能性 儿童 肠道微生态 肠神经递质 健脾益气通便汤
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隔姜灸联合益生菌对结直肠癌术后胃肠功能恢复的影响
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作者 谭丹婷 庞永慧 +4 位作者 左红群 潘意 罗善山 林小力 洪华 《上海针灸杂志》 CSCD 2024年第10期1121-1127,共7页
目的观察隔姜灸联合益生菌对结直肠癌术后胃肠功能恢复的影响。方法采用随机数字表法将结直肠癌根治术后患者分为4组,分别为对照组、益生菌组、隔姜灸组和联合组,每组50例。对照组术前和术后均采取常规护理;益生菌组在术前行常规护理并... 目的观察隔姜灸联合益生菌对结直肠癌术后胃肠功能恢复的影响。方法采用随机数字表法将结直肠癌根治术后患者分为4组,分别为对照组、益生菌组、隔姜灸组和联合组,每组50例。对照组术前和术后均采取常规护理;益生菌组在术前行常规护理并连用3 d益生菌,且术后第1天起连续用4 d益生菌;隔姜灸组在术前行常规护理并连用3 d隔姜灸,且术后第1天起连续4 d予隔姜灸干预;联合组术前和术后均行益生菌联合隔姜灸干预。比较4组术后肠鸣音恢复时间、首次排气时间、首次排便时间、首次经口进食时间、首次下床活动时间和胃肠道不良反应发生情况,观察4组手术前后白细胞、中性粒细胞和淋巴细胞计数的变化。结果4组术后肠鸣音恢复时间、首次排气时间和首次排便时间比较,差异均具有统计学意义(P<0.05)。益生菌组、隔姜灸组和联合组术后肠鸣音恢复时间、首次排气时间和首次排便时间均短于对照组(P<0.05)。联合组术后肠鸣音恢复时间、首次排气时间和首次排便时间均短于益生菌组和隔姜灸组(P<0.05)。4组术后首次经口进食时间比较,差异无统计学意义(P>0.05);联合组术后首次经口进食时间短于对照组(P<0.05)。4组术后首次下床活动时间比较,差异无统计学意义(P>0.05)。联合组术后白细胞和中性粒细胞计数均低于其余3组(P<0.05),淋巴细胞计数均高于其余3组(P<0.05)。联合组术后腹胀和恶心的发生率明显低于其余3组(P<0.05),呕吐发生率明显低于对照组(P<0.05)。结论隔姜灸联合益生菌能促进结直肠癌术后胃肠功能的恢复,抑制炎症反应,减少术后胃肠道不良反应。 展开更多
关键词 针灸疗法 间接灸 隔姜灸 术后并发症 结肠肿瘤 益生菌 胃肠功能
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隔药饼灸对克罗恩病肠纤维化大鼠结肠氧化应激和Nrf2的调节作用
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作者 张智英 赵敏 +7 位作者 李琪 韩冬 吴焕淦 乔宇 郑寒丹 翁志军 张方 刘慧荣 《上海中医药杂志》 CSCD 2024年第12期163-169,共7页
目的观察隔药饼灸对克罗恩病(CD)肠纤维化大鼠结肠氧化应激标志物和核因子E2相关因子2(Nrf2)表达的影响,以探究其治疗CD肠纤维化的效应机制。方法将SD大鼠分为正常组、模型组、隔药饼灸组,每组各6只,通过三硝基苯磺酸(TNBS)与乙醇混合... 目的观察隔药饼灸对克罗恩病(CD)肠纤维化大鼠结肠氧化应激标志物和核因子E2相关因子2(Nrf2)表达的影响,以探究其治疗CD肠纤维化的效应机制。方法将SD大鼠分为正常组、模型组、隔药饼灸组,每组各6只,通过三硝基苯磺酸(TNBS)与乙醇混合液灌肠制备CD肠纤维化大鼠模型(每周1次,连续6周)。隔药饼灸组选取大鼠“天枢穴”和“气海穴”进行隔药饼灸治疗(每日1次,连续10 d)。治疗结束后,测量大鼠结肠长度,观察结肠病理形态表现;Western blot法检测结肠α-平滑肌肌动蛋白(α-SMA)、胶原蛋白Ⅰ(ColleganⅠ)表达;硫代巴比妥酸(TBA)法检测结肠丙二醛(MDA)含量、羟胺法检测结肠超氧化物歧化酶(SOD)活性、比色法检测谷胱甘肽过氧化物酶(GSH-Px)活性;酶联免疫吸附测定(ELISA)及实时荧光定量逆转录聚合酶链式反应(RT-qPCR)法检测结肠Nrf2蛋白及其mRNA表达。结果①模型组大鼠结肠长度较正常组显著短缩(P<0.05);隔药饼灸组大鼠结肠长度较模型组明显增加(P<0.05)。②模型组大鼠结肠组织较正常组结构紊乱,并可见CD典型裂隙样溃疡及大量胶原纤维组织沉积(P<0.05);隔药饼灸组大鼠结肠组织较模型组排列整齐,溃疡组织表层可见新生上皮细胞修复,结肠胶原纤维组织沉积明显减少(P<0.05)。③模型组大鼠结肠α-SMA、Collegan I、MDA表达水平较正常组明显增高(P<0.05);隔药饼灸组大鼠结肠α-SMA、Collegan I、MDA蛋白表达较模型组明显降低(P<0.05)。④模型组大鼠结肠SOD、GSH-Px、Nrf2表达较正常组明显降低(P<0.05);隔药饼灸组大鼠结肠SOD、GSH-Px、Nrf2表达较模型组均明显增高(P<0.05)。结论隔药饼灸能够抑制CD大鼠肠纤维化,缓解肠道炎症及氧化损伤,促进结肠组织修复,其机制可能与隔药饼灸能够调节Nrf2并转导其下游相关抗氧化物酶有关。 展开更多
关键词 克罗恩病 肠纤维化 隔药饼灸 艾灸 氧化应激 核因子E2相关因子2 作用机制
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背俞穴隔药灸配合天灸治疗变应性鼻炎的疗效观察 被引量:2
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作者 宋帅 贾聪聪 《上海针灸杂志》 CSCD 2024年第3期307-311,共5页
目的 观察背俞穴隔药灸配合天灸治疗变应性鼻炎的临床疗效。方法 将60例变应性鼻炎患者随机分成对照组和观察组,每组30例。对照组口服氯雷他定片,观察组采用背俞穴隔药灸配合天灸。观察两组治疗前后鼻部症状总评分(total nasal symptom ... 目的 观察背俞穴隔药灸配合天灸治疗变应性鼻炎的临床疗效。方法 将60例变应性鼻炎患者随机分成对照组和观察组,每组30例。对照组口服氯雷他定片,观察组采用背俞穴隔药灸配合天灸。观察两组治疗前后鼻部症状总评分(total nasal symptom score, TNSS)、鼻伴随症状总分(total non-nasal symptom score,TNNSS)、症状体征总分及鼻结膜炎生活质量调查问卷(rhino-conjunctivitis quality of life questionnaire,RQLQ)评分,并比较两组临床疗效。结果 两组治疗后TNSS、TNNSS、症状体征总分和RQLQ评分较治疗前降低(P<0.05);观察组治疗后TNSS、TNNSS、症状体征总分和RQLQ评分均低于对照组(P<0.05)。对照组总有效率为83.3%,观察组总有效率为93.3%,观察组高于对照组(P<0.05)。结论 背俞穴隔药灸配合天灸可以有效改善变应鼻炎的相关临床症状,提高变应性鼻炎患者生活质量,其疗效优于口服氯雷他定。 展开更多
关键词 灸法 发泡疗法 隔药灸 背俞 鼻炎 变应性
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痛泻要方联合鳖甲灸及循经摩腹治疗腹泻型肠易激综合征的随机对照试验
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作者 姚婕妤 杨芳 冯娟 《药学前沿》 CAS 2024年第12期679-685,共7页
目的分析痛泻要方(TXYF)联合鳖甲灸(TSPM)及偱经摩腹(MM)治疗肝郁脾虚证腹泻型肠易激综合征(IBS-D)的疗效。方法招募2022年6月至2024年6月南通市中医院消化内科诊治的肝郁脾虚证IBS-D患者为研究对象,随机均等分为TXYF组和联合组。本研... 目的分析痛泻要方(TXYF)联合鳖甲灸(TSPM)及偱经摩腹(MM)治疗肝郁脾虚证腹泻型肠易激综合征(IBS-D)的疗效。方法招募2022年6月至2024年6月南通市中医院消化内科诊治的肝郁脾虚证IBS-D患者为研究对象,随机均等分为TXYF组和联合组。本研究主要疗效指标为治疗总有效率,次要疗效指标为中医证候(TCM-SS)、生活质量量表(IBS-QOL)、病情严重程度量表(IBS-SSS)评分、汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分、血清白细胞介素-10(IL-10)和白细胞介素-12(IL-12)含量。结果研究共纳入96例患者,TXYF组和联合组各48例患者。治疗2周后,联合组治疗总有效率显著高于TXYF组(P<0.05)。此外,联合组TCM-SS总分、IBS-SSS评分、HAMA评分、HAMD评分和血清IL-12含量显著低于TXYF组,而IBS-QOL评分和血清IL-10含量显著高于TXYF组(P<0.05)。结论TXYF联合TSPM及MM可通过调节炎症水平来改善IBS-D患者的临床疗效。 展开更多
关键词 痛泻要方 鳖甲灸 循经摩腹 肝郁脾虚 腹泻型肠易激综合征
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督灸联合康复训练治疗产后压力性尿失禁的疗效观察
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作者 林椠 杜林山 +2 位作者 刘婷婷 于恬 杜美容 《上海针灸杂志》 CSCD 2024年第10期1076-1080,共5页
目的观察隔姜蒜督灸联合Kegel盆底康复训练治疗产后压力性尿失禁(stress urinary incontinence,SUI)的临床疗效。方法纳入102例产后SUI患者,采用随机数字表法分成训练组(51例)和联合组(51例)。训练组开展Kegel盆底康复训练,联合组在训... 目的观察隔姜蒜督灸联合Kegel盆底康复训练治疗产后压力性尿失禁(stress urinary incontinence,SUI)的临床疗效。方法纳入102例产后SUI患者,采用随机数字表法分成训练组(51例)和联合组(51例)。训练组开展Kegel盆底康复训练,联合组在训练组基础上行隔姜蒜督灸。比较两组临床疗效,观察两组治疗前后中医证候积分、1 h尿垫试验漏尿量、盆底功能指标(静息压和收缩压)以及尿道动力学指标[最大尿道关闭压(maximum urethral closure pressure,MUCP)和腹压漏尿点压(abdominal pressure leakage point pressure,ALPP)]的变化。结果联合组总有效率为94.1%,高于训练组的78.4%,差异具有统计学意义(P<0.05)。治疗后,两组中医证候积分和1 h尿垫试验漏尿量均低于同组治疗前(P<0.05),且联合组上述指标均低于训练组(P<0.05)。治疗后,两组盆底静息压、收缩压、MUCP及ALPP均高于同组治疗前(P<0.05),且联合组上述指标均高于训练组(P<0.05)。结论隔姜蒜督灸联合Kegel盆底康复训练治疗产后SUI的临床疗效优于单纯康复训练,可更好地提高盆底功能及尿道动力学指标,进一步改善症状及漏尿情况。 展开更多
关键词 针灸疗法 隔姜灸 隔蒜灸 穴位 督脉 产后 尿失禁 压力性 女性 肾阳虚
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艾灸联合电刺激治疗神经源性膀胱的疗效观察
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作者 陈吉翠 朱希成 +3 位作者 汪为聪 鲍芳 袁翠红 丁曾霞 《上海针灸杂志》 CSCD 2024年第11期1234-1238,共5页
目的观察艾灸联合电刺激治疗神经源性膀胱的临床疗效。方法将90例神经源性膀胱且留置导尿患者随机分为对照组和观察组,每组45例。两组均接受常规基础治疗,对照组予以电刺激治疗,观察组在对照组基础上采用艾灸治疗。观察两组治疗前后残... 目的观察艾灸联合电刺激治疗神经源性膀胱的临床疗效。方法将90例神经源性膀胱且留置导尿患者随机分为对照组和观察组,每组45例。两组均接受常规基础治疗,对照组予以电刺激治疗,观察组在对照组基础上采用艾灸治疗。观察两组治疗前后残余尿量、膀胱功能评分、日常生活活动能力(activity of daily living,ADL)评分和肛门括约肌舒缩波幅的变化,并比较两组临床疗效。结果观察组总有效率为88.9%,对照组为71.1%,两组比较差异有统计学意义(P<0.05)。治疗后,两组残余尿量均下降(P<0.05),且观察组低于对照组(P<0.05)。治疗后,两组肛门括约肌扩张波幅、收缩波幅均上升(P<0.05),且观察组高于对照组(P<0.05)。治疗后,两组膀胱功能评分下降(P<0.05),ADL评分上升(P<0.05),且观察组优于对照组(P<0.05)。结论在常规基础治疗的基础上,艾灸联合电刺激可提高神经源性膀胱患者治疗效果,改善其残余尿量、肛门括约肌舒缩波幅和膀胱功能评分,提高生活质量。 展开更多
关键词 灸法 隔姜灸 电刺激疗法 膀胱 神经源性 尿动力学 膀胱功能
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艾灸干预免疫抑制兔细胞毒性T淋巴细胞抗原-4的作用效应分析
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作者 熊罗节 田岳凤 +2 位作者 徐小珊 翟春涛 李玮 《中国免疫学杂志》 CAS CSCD 北大核心 2024年第5期1064-1068,共5页
目的:比较不同艾灸干预下免疫抑制兔细胞毒性T淋巴细胞相关抗原4(CTLA-4)及程序性死亡受体1(PD-1)表达变化的异同。方法:20只大耳白兔随机分为空白组、模型组、艾条灸(MSM)组与隔药饼灸(HPM)组,每组5只,连续7 d腹腔注射环磷酰胺(CTX)诱... 目的:比较不同艾灸干预下免疫抑制兔细胞毒性T淋巴细胞相关抗原4(CTLA-4)及程序性死亡受体1(PD-1)表达变化的异同。方法:20只大耳白兔随机分为空白组、模型组、艾条灸(MSM)组与隔药饼灸(HPM)组,每组5只,连续7 d腹腔注射环磷酰胺(CTX)诱导免疫抑制模型。造模成功后分别进行MSM与HPM干预,均为隔日灸,共治疗10次。治疗结束后麻醉白兔,取血清、肝脏与脾脏,ELISA检测血清中PD-1、PD-L1含量,免疫组化法检测肝组织PD-1含量,RT-qPCR检测肝、脾组织CTLA-4 mRNA含量。结果:HPM和MSM均可降低免疫抑制下PD-1及PD-L1水平,并可有效抑制脾脏CTLA-4和肝脏PD-1、CTLA-4水平升高,与免疫抑制模型组相比差异均存在统计学意义(P<0.05),且Pearson相关性检验表明肝组织中CTLA-4与PD-1呈显著正相关(r=0.7807,P<0.001)。结论:HPM可通过调控多个免疫抑制位点改善机体免疫功能。 展开更多
关键词 细胞毒性T淋巴细胞相关抗原4 隔药饼灸 免疫抑制 环磷酰胺 程序性死亡受体1
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不同灸量隔药灸治疗原发性痛经寒凝血瘀证临床观察
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作者 袁近 《中国中医药现代远程教育》 2024年第10期121-123,共3页
目的探讨不同灸量隔药灸治疗原发性痛经寒凝血瘀证的临床效果。方法选择上饶市妇幼保健院妇科于2020年1月—2021年12月收治的原发性痛经寒凝血瘀证患者68例,根据采用的方法不同将其分为观察组(34例)与对照组(34例),观察组患者每次每穴... 目的探讨不同灸量隔药灸治疗原发性痛经寒凝血瘀证的临床效果。方法选择上饶市妇幼保健院妇科于2020年1月—2021年12月收治的原发性痛经寒凝血瘀证患者68例,根据采用的方法不同将其分为观察组(34例)与对照组(34例),观察组患者每次每穴隔药灸治4壮,对照组患者每次每穴隔药灸治8壮,确保对两组患者每个月经周期施灸7次,持续3个月,比较两组治疗前后中医证候评分、视觉模拟量表(VAS)评分、持续痛经时间。结果观察组患者临床治疗有效率为91.2%(31/34),高于对照组的73.5%(25/34),但差异无统计学意义(P>0.05)。两组患者治疗前后的VAS评分及疼痛持续时间均得到显著改善(P<0.05)。结论隔药灸可改善原发性痛经寒凝血瘀证患者的疼痛症状,缩短疼痛持续时间,有很好的疗效,而不同灸量对疗效的影响不大,文章建议应用4壮治疗。 展开更多
关键词 原发性痛经 寒凝血瘀证 隔药灸 灸量 中医外治法
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隔姜灸联合穴位按压在妊娠剧吐孕妇护理的应用
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作者 李菊 《光明中医》 2024年第20期4196-4199,共4页
目的探讨妊娠剧吐(HG)孕妇采用隔姜灸联合穴位按压的应用效果。方法选取148例HG孕妇随机分成干预组(74例,隔姜灸联合穴位按压)和对照组(74例,常规护理),比较2组中医证候积分、情绪状况、恶心呕吐情况、舒适度、生活质量、护理满意度。... 目的探讨妊娠剧吐(HG)孕妇采用隔姜灸联合穴位按压的应用效果。方法选取148例HG孕妇随机分成干预组(74例,隔姜灸联合穴位按压)和对照组(74例,常规护理),比较2组中医证候积分、情绪状况、恶心呕吐情况、舒适度、生活质量、护理满意度。结果治疗后,2组中医证候积分、情绪状态、恶心呕吐情况、舒适度、生活质量均改善(P<0.05),干预组优于对照组(P<0.05);干预组护理满意度较对照组更高(P<0.05)。结论隔姜灸联合穴位按压应用于HG孕妇护理中,能够降低中医证候积分,改善情绪状况,缓解恶心呕吐情况,提高舒适度、生活质量及护理满意度。 展开更多
关键词 妊娠剧吐 隔姜灸 穴位按压 孕妇 中医护理学
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