Acupuncture at Back-Shu point improves insomnia by reducing inflammation and inhibiting the ERK/NF-κB signaling pathway

BACKGROUND Insomnia is a disease where individuals cannot maintain a steady and stable sleep state or fail to fall asleep.Western medicine mainly uses sedatives and hypnotic drugs to treat insomnia,and long-term use is prone to drug resistance and other adverse reactions.Acupuncture has a good curative effect and unique advantages in the treatment of insomnia.AIM To explore the molecular mechanism of acupuncture at Back-Shu point for the treatment of insomnia.METHODS We first prepared a rat model of insomnia,and then carried out acupuncture for 7 consecutive days.After treatment,the sleep time and general behavior of the rats were determined.The Morris water maze test was used to assess the learning ability and spatial memory ability of the rats.The expression levels of inflammatory cytokines in serum and the hippocampus were detected by ELISA.qRTPCR was used to detect the mRNA expression changes in the ERK/NF-κB signaling pathway.Western blot and immunohistochemistry were carried out to evaluate the protein expression levels of RAF-1,MEK-2,ERK1/2 and NF-κB.RESULTS Acupuncture can prolong sleep duration,and improve mental state,activity,diet volume,learning ability and spatial memory.In addition,acupuncture increased the release of 1L-1β,1L-6 and TNF-αin serum and the hippocampus and inhibited the mRNA and protein expression of the ERK/NF-κB signaling pathway.CONCLUSION These findings suggest that acupuncture at Back-Shu point can inhibit the ERK/NF-κB signaling pathway and treat insomnia by increasing the release of inflammatory cytokines in the hippocampus.

Effect of intradermal needle at five-zang Back-Shu points on treatment of chronic fatigue syndrome

Objective:To observe the effect of intradermal needle therapy on back-shu points of five zang organs in treating chronic fatigue syndrome(CFS)and provide evidence for the usage of unilateral back-shu point.Methods:Patients were randomly divided into bilateral back-shu point group,unilateral back-shu point group and non-acupoint group,remove shedding cases,each group remaining 30 patients.In bilateral back-shu point group,both sides of back-shu points of five zang organs were selected.In unilateral back-shu point group,only one side was selected,left or right alternately.The location where non-acupoint group inserted by intradermal needles were outward from the back-shu points,left or right alternately.Fatigue Scale-14(FS-14)was used to evaluate the fatigue level and the scores’improvement of physical fatigue and mental fatigue revealed the therapeutic effect on body constituents and spirits of CFS patient.Results:After the 8-week intradermal needle therapy,the total effective rate was 83.33%in the bilateral back-shu point group,which was 76.67%in the unilateral back-shu point group and 50.00%in the non-acupoint group.The curative effects of the two groups whose back-shu points of five zang organs were inserted by intradermal needles were better than the non-acupoint group(P<0.05).There was no significant difference in clinical efficacy between the bilateral back-shu point group and the unilateral back-shu point group(P>0.05).There were statistical differences in FS-14 questionnaires including total,physical and mental scores between before and after the treatment in both the two back-shu point groups(P<0.05).Only the scores of total and physical fatigue in decreased in non-acupoint group(P<0.05),which means it couldn’t help to alleviate mental fatigue statistically(P>0.05).Conclusions:(1)The intradermal needle therapy on back-shu points of five zang organs for CFS has a satisfying clinical efficacy in curing tiredness.It can help to reduce both physical and mental fatigue for the patients.Hence,it can regulate both body constituents and spirits simultaneously.(2)Needling the unilateral acupoints can get similar clinical efficacy to the bilateral points.It reveals that we can cut cost by reducing the consumption of the amount of intradermal needles used on one side.(3)Both the groups of back-shu points get better clinical efficacy than the non-acupoint group dramatically.The reason of why the intradermal needle can treat CFS maybe that back-shu points of five zang organs can regulate the functions of five zang organs characteristically.

CLINICAL OBSERVATION ON TREATMENT OF ACUTE BRONCHITIS PRIMARILY WITH PRICKING-CUPPING ON BACK-SHU POINTS

To observe the clinical effect of treatment of acute bronchitis primarily with prickingcupping method on Back-shu points. Methods. The patients of acute bronchitis were randomly divided into 2 groups. In the observation group, there were 36 cases, who were treated with the integrated traditional Chinese and western medicine, primarily the pricking-cupping method on Back-shu points; while in the control group, there were 29 cases who were given the conventinal treatment of western medicine. All the 2 groups were treated for 7 days as one treating course. Results： The total effective rate of the observation group was 97.2% while that of the control group was 82,8%, so there is a significant difference between them. On the first and third days the clinical manifestations were more satisfactorily improved in the treatment group than in the control group （P 〈 0.01） and on the fifth and seventh days, the comparison showed no significant difference （P〉0.05）. Conclusion： The treatment of acute bronchitis by means of the integrated traditional Chinese and western medicine primarily with pricking-cupping method on Back-shu points is of marked therapeutic effect, simple manipulation, and little untoward effects, thus claiming the unique advantage.

Observation of the effects of back-Shu and front-Mu points combination needling on balance and walking function in patients after stroke and its mechanism

Objective:To observe the clinical efficacy of back-Shu and front-Mu points combination needling on balance and walking function in patients after stroke and its mechanism.Methods:A total of 79 patients with post-stroke balance and walking dysfunction were randomly divided into a control group and an observation group.Both groups received conventional treatments such as dietary guidance and oral medications as well as rehabilitation training.On this basis,the control group was treated with additional conventional acupuncture,and the observation group was treated with additional back-Shu and front-Mu points combination needling.Both groups were treated for 4 consecutive weeks.The thickness of abdominal muscle group(transverse abdominal muscle,rectus abdominis,obliquus internus abdominis,and obliquus externus abdominis),the scores of Berg balance scale(BBS),Fugl-Meyer assessment(FMA),and functional ambulation categories(FAC),and walking velocity and stride were compared between the two groups.Results:During the trial,there was 1 dropout case in the control group and 4 dropout cases in the observation group.Before treatment,there were no statistical differences in the abdominal muscle group thickness,scores of BBS,FMA,and FAC,and walking velocity and stride between the two groups(P>0.05).After 4 weeks of treatment,the thickness of abdominal muscle groups,scores of BBS,FMA,and FAC,and walking velocity and stride in both groups were improved(P<0.01),and the observation group was superior to the control group(P<0.05).Conclusion:Both conventional acupuncture and back-Shu and front-Mu points combination needling are conducive to the improvement of balance and walking function in patients after stroke.The back-Shu and front-Mu points combination needling method has better curative efficacy.Strengthening the core muscle group strength may be one of the mechanisms of back-Shu and front-Mu points combination needling treatment.

Clinical research on insomnia treated by acupuncture at back-shu points

Objective To observe the clinical therapeutic effect on insomnia treated with acupuncture at back-shu points. Methods Sixty-four cases of insomnia were selected and divided randomly into a back-shu points group （group A） and a conventional acupoints group （group B） by a computer generated allocation list, 32 cases in each one. In the trial group, acupuncture was applied at xinshu （心俞 15）, Ganshu （刊俞 18）, Pishu （脾俞 BL 20） and Geshu （膈俞 BL 17）. In the control group, acupuncture was applied conventionally to Neiguan （内关 PC 6）, Shenmen （神门 HT 7）, Sanyinjiao （三阴交 SP 6）, Baihui （百会 GV 20） and Sishencong （四神聪 EX-HN 2）. Ten treatments made a session. The efficacy was analyzed statistically after 3 sessions of treatment. Results There were significant differences between the two groups in the relief of sleep disorders after the treatment （P〈0.O2）. The improvement in sleep efficiency was different significantly （P〈0.05）. The difference in sleep difficulty was significant in Chinese medicine （TCM） symptom score （P〈0.05）. Conclusion The clinical efficacy is achieved by either acupuncture at back-shu points or by acupuncture at conventional acupoints. The improvements of sleep efficiency and sleep disorder scores in PSO.I, and sleep difficulty in TCM as well as the long-term efficacy are superior in group A as compared with those in group B.

Clinical observation over treating depression with scalp acupuncture accompanied by acunpuncture on Back-shu points

Objective To find therapeutic effect of acupuncture treating depression. Methods Eighteen cases of depression divided into two groups： one group treated with electroacupuncture （8 cases）, the other with medication （10 cases）. For the group with electroacupuncture, Shenting （神庭 GV 24）, Baihui （百会 GV 20）, Pishu （脾俞 BL 20）, Weishu（胃俞 BL 21）, Dachangshu （大肠俞 BL 25）, Xiaochangshu （小肠俞BL 27） were selected for treatment; and for the group of medication, venlafaxine was given as usual. 30 days later, an open unidirectional qualitative response sequential method was taken to compare the therapeutic effects of two groups. Result The therapeutic effects from two 8 cases proved that the group of electroacupuncture was better than the group of medication. Conclusion For depression, scalp acupuncture accompanied by acupuncture on the Back-shu points has a better effect for depression, and is superior to medication.

Clinical Observation on Pricking Bloodletting Therapy at Back-Shu Acupoints Plus Chinese Herbal Mask in Treating Patients with Acne

Objective： To observe the clinical efficacy on pricking bloodletting and cupping therapy combined with Chinese herbal mask in treating acne. Methods： Thirty-seven patients with ache were randomly divided into a treatment group （treated by pricking bloodletting and cupping therapy combined with Chinese herbal mask） and a control group （only by Chinese herbal mask）. The therapeutic efficacy was observed after 2-course treatment. Results： The total effective rate in the treatment group was 94.7% versus 61.1% in the control group. According to the statistical management, the total effective rate in the treatment group was significantly higher than that in the control group （P〈O.05）. Conclusion： Pricking bloodletting and cupping therapy combined with Chinese herbal mask therapy for acne is more effective than Chinese herbal mask treatment alone.

Treatment of 22 Cases of Chronic Fatigue Syndrome by Puncturing Back-Shu Points

Objective： To observe the clinical effect of puncturing Back-Shu points in treating chronic fatigue syndrome. Methods： Twenty-two subjects were recruited and treated by puncturing corresponding Back-Shu points based on syndrome differentiation. The short-form General Health Survey （MOSSF GHS） and the Chalder Questionnaires for Fatigue were adopted for evaluating the therapeutic effects. Results： Of the 22 patients, 4 cases showed a marked effect, 11 got effect, 7 got failure, and the total effective rate was 68.2%. Conclusion： Puncturing Back-Shu points is effective in relieving the symptoms of chronic fatigue syndrome and enhancing the patients＇ health standard.

Obesity complicated with insulin resistance treated with the electroacupuncture at the combination of back-shu and front-mu points:A randomized clinical trail

Objective To observe the influences of electroacupuncture at the combination of back-shu and front-mu points on insulin sensitivity indicators and somatological parameter indicators in the patients with obesity complicated with insulin resistance.Methods A total of 60 patients with obesity and insulin resistance were randomized into a control group(30 cases,4 cases of them dropped out)and a trial group(30 cases,2 cases of them dropped out).In the control group,the intervention with diet and exercise were provided.In the trial group,on the base of the treatment as the control group,electroacupuncture was added at the combination of back-shu points and front-mu points,3 times weekly.The duration of treatment was 12 weeks in two groups.The therapeutic effect and the somatological parameter indicators(body mass[BW],body mass index[BMI],waist circumference[WC],waist-to-hip ratio[WHR])as well as the insulin sensitivity indicators(fasting plasma glucose[FPG],fasting insulin[FIN],insulin sensitivity index[ISI]and insulin resistance index[HOMA-IR])before and after treatment were compared between two groups.Results①The effective rate was 92.86%in the trial group and was 57.69%in the control group.The effective rate of the trial group was higher than the control group,indicating the statistical difference(P<0.01).②BW,BMI,WC and WHR after treatment were all reduced obviously as compared with before treatment in two groups(all P<0.01).After treatment,BMI,WC and WHR in the trial group were all lower than those in the control group(all P<0.05)and the differences in BW,BMI,WC and WHR before and after treatment in the trial group were larger than those in the control group(all P<0.01).③After treatment,FIN and HOMA-IR were all lower significantly than those before treatment in two group and ISI was increased significantly as compared with before treatment(all P<0.01).After treatment,FPG was reduced significantly as compared with before treatment in the trial group(P<0.01)and the difference in FPG was not significant statistically in the control group(P>0.05).After treatment,FPG and HOMA-IR in the trial group were lower than the control group and ISI was higher than the control group(all P<0.05).Besides,the differences in FPG,FIN,ISI and HOMA-IR before and after treatment in the trial group were larger significantly than those in the control group(P<0.01,P<0.05).Conclusion Electroacupuncture at the combination of back-shu and front-mu points in association with the intervention with diet and exercise is effective on obesity complicated with insulin resistance.The effects of this combined therapy are superior as compared with simple intervention with diet and exercise in body mass,body mass index,waist circumference and waist-to-lip ratio as well as fasting blood glucose,fasting insulin,insulin sensitivity index and insulin resistance index in patients.

Clinical Observation on Treatment of Insomnia with Puncturing Back-Shu Acupoints

Objective： To evaluate the clinical efficacy of puncturing Back-Shu acupoints for insomnia. Methods： Sixty patients were randomly divided into two groups, 30 cases in each. Back-Shu acupoints acupuncture was employed in the treatment group, whereas conventional acupoints acupuncture was administered in the control group. And the efficacy was assessed by the efficiency rate of relief of sleep disorders and the global Pittsburgh Sleep Quality Index （PSOJ） score. Results： The total effective rate was 93.3% in the treatment group, versus 80.0% in the control group, showing that the two groups were significantly different （P〈0.01）. After treatment, the global PSO, I scores in the two groups decreased compared with those before treatment （P〈0.01）, and the global PSO, I scores of the two groups after treatment were also statistically different （P〈0.05）. Conclusion： Puncturing Back-Shu acupoints can effectively reduce the global PSQI score, improve the patient＇s quality of life, has a good effect on insomnia.

Acupuncture on back-shu points of five zang for chronic fatigue syndrome:A randomized control trial

Objective: To observe the clinical efficacy of acupuncture on back-shu points of five zang in treating chronic fatigue syndrome(CFS).Methods: Sixty patients were randomized into treatment group and control group. In treatment group,the back-shu points of five zang organs were adopted for acupuncture. Shènshū(肾俞 BL23) was perpendicularly needled 15-30 mm in depth. The rest of the selected points were inserted obliquely 15-30 mm in the direction of the spine with even method of lifting-thrusting and twisting-twirling, 10 s for each acupoint. In control group, the acupoints were approximately 1.5-2 cm away outward from the back-shu points of five zang organs(about on the middle of the two sidelines of the bladder meridian of foottaiyang) and the points from the bladder meridian of foot-taiyang were excluded. Acupoints were needled6-9 mm in depth, and deqi was not required, without any manipulation. The treatments were carried out twice a week for twenty minutes each time, a total of eight treatments were given. The clinical efficacy of acupuncture treatment for CFS was evaluated through the Fatigue Scale-14(FS-14) and the Symptom Check-List 90(SCL-90) after treatment.Results: The total effective rate was 86.67% in the treatment group and 53.33% in the control group(P<0.01). In treatment group, FS-14 total scores, somatic fatigue scores, and mental fatigue scores were significantly reduced than before treatment(all P<0.01). In control group, FS-14 total scores and somatic fatigue scores were significantly reduced(both P<0.01). The improvement of FS-14 total scores, somatic fatigue scores, and mental fatigue scores in the treatment group were better than those in the control group(P<0.01, P<0.05). After treatment, SCL-90 total scores and somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, psychoticism, and other factors scores were significantly reduced in the treatment group compared with before treatment(P<0.01). In control group, the SCL-90 total scores and the scores of somatization, compulsion, hostility, and other factors after treatment were lower than those before treatment(P< 0.01). The total scores of SCL-90 and somatization, compulsion, interpersonal sensitivity, depression, anxiety, psychoticism, and other factors in the treatment group were significantly lower than those in the control group(P< 0.01, P< 0.05).Conclusions: Acupuncture on back-shu points of five zang can significantly improve the somatic fatigue and mental fatigue of the patients, and at the same time improve their psychological status. Significant therapeutic effect was found on CFS. Compared with the control group, the acupuncture treatment can significantly improve the patient’s somatic fatigue, mental fatigue and psychological status.

Observations on Therapeutic Effect of Back-Shu Acupoint in Treatment of Asthma

Objective： To investigate the therapeutic effect of Back-Shu acupoint in treating asthma. Methods： Sixty-one patients were randomly divided into a Back-Shu acupoint group, a acupuncture-moxibustion group and a acupuncture group. All the three groups were treated twice a week, 10 times made up a treatment course. The therapeutic effect was evaluated after three courses of treatment. Results and conclusion： The control and marked effective rate were significantly higher in the Back-Shu acupoint group and acupuncture-moxibustion groups than in the acupuncture group （P〈0.05）. They were slightly higher in the acupuncture-moxibustion group than in the Back-Shu acupoint group, but there was no statistically significant difference. The results indicated that the Back-Shu acupoints have a good therapeutic effect in treating asthma.

Treatment of 28 Cases of Tourette's Syndrome by Puncturing Back-Shu Points

Twenty-eight cases of Infantile Tourette＇s syndrome were treated by puncturing Back-Shu points. In 28 cases of the patients, the results showed cure in 6 cases, effect in 21 cases and failure in one case, and the total effective rate in 96.4%.

Experimental study of glucose-lowering effects on electroacupuncture at back-shu points in rats

Objective To observe the effects of electroacupuncture(EA)at different acupoints for fasting blood glucose(FBG)and oral glucose tolerance in type 2 diabetes rats so as to verify the glucose-lowering effects of EA.Methods Total100 SD male rats were used as experimental objects。

俞募配穴针刺治疗肝郁脾虚型抑郁症的临床效果观察

目的:观察俞募配穴针刺治疗肝郁脾虚型抑郁症患者的临床疗效。方法:选取2022年1月至2022年12月福建中医药大学附属第二人民医院收治的肝郁脾虚型抑郁症患者100例作为研究对象,随机分为对照组和观察组,每组50例。对照组给予艾司西酞普兰口服治疗,持续用药1个月;观察组在对照组基础上联合俞募配穴针刺治疗,2 d治疗1次,持续治疗15次。比较2组患者治疗前后主要症状、抑郁程度、生命质量评分、血清5-羟色胺(5-HT)水平、肠道菌群、不良反应、复发率及临床疗效。结果:治疗后,观察组健康调查简表(SF-36)评分、血清5-HT水平、粪便标本乳酸杆菌及双歧杆菌数量高于对照组(均P<0.05),主要症状评分、汉密尔顿抑郁量表(HAMD-24)评分、粪便标本大肠埃希菌及肠球菌数量低于对照组(均P<0.05)。2组患者不良反应发生率比较差异无统计学意义(P>0.05)。观察组治疗后6个月复发率略低于对照组,但差异无统计学意义(P>0.05)。治疗后观察组总有效率高于对照组(P<0.05)。结论:俞募配穴针刺治疗肝郁脾虚型抑郁症患者疗效明确,可有效改善患者症状,减轻抑郁程度,提高生命质量,调节血清5-HT水平及改善肠道菌群分布,安全性高。

背俞穴温针灸联合刺络放血治疗肝郁脾虚型产后抑郁症的临床观察

【目的】观察背俞穴温针灸联合刺络放血治疗肝郁脾虚型产后抑郁症(PPD)的临床疗效。【方法】将98例肝郁脾虚型产后抑郁症患者随机分为观察组和对照组,每组各49例,对照组给予盐酸舍曲林片口服,观察组在对照组治疗的基础上,给予背俞穴温针灸联合刺络放血治疗。2组均治疗2个月。治疗2个月后,评价2组临床疗效,观察2组患者治疗前后汉密尔顿抑郁量表(HAMD)评分和爱丁堡产后抑郁量表(EPDS)评分的变化情况,以及匹兹堡睡眠质量指数量表(PSQI)评分和世界卫生组织生活质量测定量表(WHOQOL-BREF)评分的情况。比较2组患者治疗前后血清5-羟色胺(5-HT)、去甲肾上腺素(NE)、多巴胺(DA)水平以及性激素雌二醇(E2)、孕酮(P)水平的变化情况。【结果】(1)观察组总有效率为93.88%(46/49),对照组为75.51%(37/49)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的HAMD和EPDS评分均明显改善(P<0.05),且观察组在改善HAMD和EPDS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的PSQI评分和WHOQOL-BREF评分明显改善(P<0.05),且观察组在改善PSQI评分和WHOQOL-BREF评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的血清5-HT、NE、DA水平及E2、P水平均明显改善(P<0.05),且观察组在改善血清5-HT、NE、DA水平及E2、P水平方面均明显优于对照组,差异有统计学意义(P<0.05)。【结论】背俞穴温针灸联合刺络放血治疗肝郁脾虚型产后抑郁症,有助于缓解患者的临床症状,改善患者血清神经递质和性激素水平,提高睡眠质量和生存质量,从而提高患者生活质量,临床疗效显著。

Mulligan动态关节松动配合背俞穴透刺夹脊穴对腰椎间盘突出症患者生活质量的影响

目的探讨Mulligan动态关节松动配合背俞穴透刺夹脊穴对腰椎间盘突出症(LDH)患者生活质量的影响。方法选取2021年1月至12月在康复医学科就诊且行适宜手法治疗的80例LDH患者为研究对象,将其随机分为对照组和观察组,各40例。两组均采用常规腰部推拿和干扰电疗法治疗,对照组采用背俞穴透刺夹脊穴治疗,观察组在对照组基础上配合Mulligan动态关节松动治疗。比较两组的治疗效果。结果治疗后,两组的疼痛分级指数(PRI)、视觉模拟评分法(VAS)、现在疼痛状况(PPI)评分均低于治疗前,且观察组低于对照组(P<0.05)。治疗后,两组的日本骨科协会下腰痛评分法(JOA)评分高于治疗前,中文版Oswestry功能障碍指数(CODI)评分低于治疗前,且观察组优于对照组(P<0.05)。治疗后,两组的健康调查简表(SF-36)各维度评分均高于治疗前,且观察组高于对照组(P<0.05)。结论Mulligan动态关节松动配合背俞穴透刺夹脊穴可减轻LDH患者的腰部疼痛不适症状,改善腰椎功能,提高生活质量。

俞募配穴联合脐针疗法治疗脑卒中后昼夜节律失调性睡眠-觉醒障碍的临床研究

目的探讨俞募配穴联合脐针疗法治疗脑卒中后昼夜节律失调性睡眠-觉醒障碍(circadian rhythm sleep-wake disorder,CRSWD)的临床疗效。方法选取2020年5月至2022年8月就诊于杭州市中医院的脑卒中后CRSWD患者87例为研究对象,根据随机数字表法将其分为治疗组(n=44)和对照组(n=43)。对照组患者予艾司唑仑片治疗,治疗组患者予俞募配穴联合脐针疗法治疗,观察两组患者治疗前、治疗5d、治疗2周的匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)和清晨型-夜晚型量表(morningness-eveningness questionnaire,MEQ)评分。结果两组患者的PSQI总分、PSQI-D、PSQI-G评分、MEQ评分以时点因素、时点与组别交互、组别为源的主体间效应比较,差异均有统计学意义(P<0.05);治疗2周后,治疗组患者的PSQI总分、PSQI-C、PSQI-D、PSQI-G评分均显著低于对照组,MEQ评分显著高于对照组(P<0.05)。结论俞募配穴联合脐针疗法治疗脑卒中后CRSWD可显著改善患者的睡眠质量,延长睡眠时间,改善日间功能状态,调整昼夜节律,有良好的临床疗效。

背俞功能带推法对慢性疲劳综合征大鼠肠道菌群及色氨酸代谢的影响

目的探究背俞功能带推法改善慢性疲劳综合征(chronic fatigue syndrome,CFS)大鼠的症状,以及对其肠道菌群和色氨酸代谢的影响。方法选取SPF级SD大鼠24只,随机分为空白组8只、造模组16只,造模组制备CFS模型21 d,模型制备成功后随机分为模型组和推法组,每组8只。推法干预14 d,做旷场实验及力竭游泳实验等行为学实验后,取大鼠血清、结肠进行酶联免疫吸附法检测血清色氨酸(tryptophan,TRP)、犬尿氨酸(kynurenine,KYN)及结肠吲哚胺2,3-双加氧酶(indoleamine 2,3-dioxygenase,IDO),取肠道粪便进行16 s rRNA测序分析肠道菌群结构及多样性。结果与空白组大鼠相比,模型组大鼠总路程、跨格数、中心区时间和路程、进入中心区次数力竭游泳时间均显著减少(P<0.01);与模型组相比,推法组大鼠上述各项指标均增加(P<0.05)。在门水平,与空白组相比,模型组厚壁菌门、拟杆菌门和疣微菌门比例下降,变形菌门和酸杆菌门比例明显上升;与模型组相比,推法组厚壁菌门和酸杆菌门比例下降,而拟杆菌门和变形菌门比例升高。在属水平上,与空白组相比,模型组中罗姆布茨菌属(Romboutsia)和疣微菌科UCG-005菌属(Ruminococcaceae_UCG-005,简称UCG-005)的比例明显降低,而乳杆菌属(Lactobacillus)和双歧杆菌属(Bifidobacterium)比例明显增加;与模型组相比,推法组Lactobacillus和杜氏杆菌属(Dubosiella)比例下降,而Romboutsia和UCG-005比例上升。Alpha和Beta多样性分析,与空白组相比,模型组的菌群丰富度和多样性均降低;与模型组相比,推法组大鼠菌群丰富度和多样性有明显上升;但组间差异均无统计学意义(P>0.05)。LEfSe分析中,与空白组相比,模型组的优势物种主要聚集在目、科、属,推法组的优势物种主要聚集在科、属。与空白组大鼠相比,模型组大鼠血清TRP含量显著降低(P<0.01),血清KYN和结肠IDO含量明显升高(P<0.01);与模型组相比,推法组大鼠血清TRP含量明显升高(P<0.01),血清KYN和结肠IDO含量降低(P<0.05)。相关性分析发现,与TRP相关性较大的菌属包括Lachnospiraceae_NK4A136_group、Lactobacillus、Romboutsia等(P<0.05),与KYN相关性较大的菌属包括Bifidobacterium05、Lachnospiraceae_NK4A136_group、UCG-005(P<0.05或P<0.01),与IDO相关性较大的菌属包括Allobaculum、Lachnospiraceae_NK4A136_group、Romboutsia(P<0.05或P<0.01)。结论背俞功能带推法能明显改善CFS大鼠的疲劳以及焦虑症状,调节菌群代谢物TRP、KYN及结肠IDO含量,对肠道菌群结构及其多样性有一定的调节作用,且部分菌属与TRP、KYN、IDO具有相关性。

背俞穴隔药灸配合天灸治疗变应性鼻炎的疗效观察

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。