Acupuncture for postoperative ileus:Advancement and underlying mechanisms

Postoperative ileus(POI)remains a prevalent and significant challenge following abdominal surgeries,precipitating patient distress,prolonged hospital stays,and escalated medical expenditures.Conventionally addressed via pharmacological interventions,POI is increasingly being explored through adjunctive therapeutic strategies,with acupuncture gaining recognition as a promising option.Acupuncture has demonstrated encouraging potential in promoting gastrointestinal motility in patients with POI.Moreover,recent research has shed light on the therapeutic mechanisms underlying its efficacy.This article aims to present a comprehensive overview of acupuncture as a treatment for POI,highlighting advancements in clinical research and recent elucidations of its mechanistic underpinnings.It aspires to contribute a pivotal reference point for scholars and enthusiasts keen on garnering a deeper understanding of acupuncture’s role in managing POI.

Mechanism of"Five Meridians Acupuncture"in Treating Postoperative Urinary Retention after Anorectal Diseases

In recent years,with the change of rhythm and eating habits of the public,the number of patients with anorectal diseases has gradually increased,and postoperative urinary retention has also become more common.Urinary retention refers to the symptoms of anorectal diseases and is caused by improper urination and incompletion of urination due to surgical and pain causes that result in bladder and urine filling and are accompanied by lower abdominal distention and pain.In traditional Chinese medicine,acupuncture is simple and effective as a treatment.In this article,we focus on five meridians that pass through the lower abdomen Ren meridian,kidney meridian,spleen meridian,stomach meridian,and liver meridian,namely the"five meridians,"and study the mechanism of action so as to provide new therapeutic ideas for clinical acupuncture treatment of postoperative urinary retention of anorectal diseases.

Study on the Protective Mechanism of Acupuncture Regulating ICAM-5 mRNA Expression in Rats with Ischemic Stroke

Objective: The objective is to investigate whether acupuncture can protect brain by regulating the expression of ICAM-5 mRNA in brain tissue. Methods: Male SD rats were used to construct a middle cerebral artery occlusion reperfusion injury (Middle cerebral artery occlusion, MCAO) model, and the rats were randomly divided into 4 groups, namely the normal group (group A) and the sham operation group (group B), MCAO group (group C), MCAO + acupuncture group (group D);real-time fluorescent quantitative PCR (RT-qPCR) was used to detect the expression of ICAM-5 mRNA in the brain tissue of the ischemic area, and HE staining and TUNEL were used to detect the level of neuronal apoptosis to evaluate the therapeutic effect. Results: Acupuncture can improve neuronal morphology and reduce neuronal apoptosis in rats with ischemic stroke. RT-qPCR: compared with group A and group B, the expression level of ICAM-5 mRNA in the brain tissues of group C and group D decreased, while compared with group C, The expression of ICAM-5 mRNA in the brain tissue of group D was significantly up-regulated (P < 0.05). There was no statistical difference between group A and group B (P > 0.05). Conclusion: The effectiveness of acupuncture in the treatment of ischemic stroke may achieve neuroprotection by up-regulating the expression level of ICAM-5 mRNA.

Mechanism of acupuncture treatment of primary insomnia

Insomnia is one of the most common clinical health problems,which can lead to a variety of complications and seriously affect human physical and mental health.Acupuncture has been used for treating insomnia for thousands of years,and is currently widely used as an alternative thehere is still a lack of up-to-date and comprehensive understanding of the mechanism of acupuncture for insorapy for insomnia all over the world.However,the mechanism of acupuncture for insomnia is still unclear,the mechanism research is relatively discrete,and tmnia.After summary and analysis in this study,it is found that acupuncture may improve sleeping by adjusting central neurotransmitter,insomnia-related hormone,circadian rhythm,sleep structure,and brain function.How to scientifically explain the scientific mechanism of acupuncture in treating insomnia has great challenges.I hope this study can provide reference for future research on the mechanism of acupuncture for insomnia.

An overview of the mechanism of acupuncture and moxibustion in treating depression comorbidities insomnia

Depression and insomnia have become a frequent disease in the clinic.Clinically,depression and insomnia occur synchronously.Most researchers believe acupuncture treats insomnia and depression comorbidity through mechanisms such as inflammation theory,HPA axis theory,neurotransmitter theory,nervous system structure theory,immunoregulation theory,etc.Acupuncture has a clear effect on depression and insomnia comorbidity,and is two-way,specific,and integral.Therefore,a summary on the mechanism of using acupuncture to treat depression and insomnia comorbidity is made,to provide reference for future clinical application and laboratory research.

Acupuncture Mechanism,Applications,and Future Development

Researches about ancient needling,technique,have been made for many decades,whereas the results are discrepant.People tried to use modern science to explore thoroughly about the real structure of acupuncture functions.Much more progress has been made than the last century.This review summarized some of the most prevailed theories about the mechanisms of acupuncture and their common applications.And lastly,this article discussed the future development for acupuncture。

Review of Action Mechanisms of Acupuncture on Post-Traumatic Stress Disorder

Post-traumatic stress disorder(PTSD)is a kind of mental disorder caused by severe traumatic events.It has a high incidence,a serious of impacts on the physical and mental health of patients.Especially in the current situation of COVID-19,the researches on PTSD are particularly important,but the choice of drugs available for PTSD is limited and it is often accompanied by adverse reactions.In the field of acupuncture,there are many clinical research evidences suggested that PTSD is a predominant disease of acupuncture.However,its action mechanisms have not been fully elucidated,so the possible mechanisms of acupuncture in treating PTSD were discussed.

Analysis on the neurological mechanism of acupuncture treatment in Idiopathic tinnitus based on the theory of “central plasticity”

Recent studies have found that although tinnitus originates from the cochlea,its root lies in the plasticity of the auditory center.In other words,the peripheral auditory system damage causes abnormal excitement and even functional reorganization of the brain stem and cerebral cortex,finally leading to tinnitus progresses and persists in the center.The mechanism of"central plasticity"is related to the physiological characteristics of related brain regions,the characteristics of electrophysiological changes,the changes of central neurotransmitters,and psychological factors.It is speculated that the possible mechanisms of the acupuncture treatment of tinnitus are as follows:1.Acupuncture can alter the level of neurotransmitters 5-HT and GABA in nerve center,that is,GABA increases and 5-HT decreases after acupuncture;2.Acupuncture changes the wrong central pattern of the cerebral cortex caused by tinnitus through strong stimulation,and aids the cerebral cortex adapt to the changes of the internal and external environment to produce benign functional reorganization,in order to treat tinnitus;3.External stimulation of acupuncture can accelerate the contraction of muscle vessels around the ears,accelerate blood circulation and metabolism,and improve the blood supply of the auditory system,thus improving tinnitus.4.Acupuncture can improve or even cure tinnitus by stimulating the acupoint-nerve pathway around the ear,regulating unbalanced neurotransmitters,inhibiting abnormal nerve discharge,correcting wrong auditory pathway patterns,and establishing new auditory pathway nerve conduction patterns.

Role of ferroptosis in Parkinson’s disease and intervention mechanism of acupuncture and moxibustion

Parkinson’s disease(PD)is the second neurodegenerative disease in the world.The pathological characteristics of PD are degeneration,loss and death of dopaminergic neurons in the substantia nigra of the midbrain.At present,most scholars believe that the main pathogenesis of PD is α-synuclein aggregation,oxidative stress,mitochondrial dysfunction and neuroinflammatory reaction.More and more studies have demonstrated that ferroptosis plays an important role in the occurrence and development of PD.Ferroptosis is a new type of cell death that is significantly different from traditional apoptosis,scorching and necrosis.Its main feature is iron-dependent lipid peroxidation.Some studies have found that the efficacy of acupuncture and moxibustion in the treatment of PD may be related to the regulation of ferroptosis.Therefore,this study mainly discusses the occurrence and development mechanism of ferroptosis and its role in PD,and the possible mechanism of acupuncture and moxibustion in the treatment of PD dopaminergic neurons,so as to provide theoretical basis for acupuncture and moxibustion in the treatment of PD.

Study of the potential mechanism of acupuncture treatment for functional dyspepsia based on association rule mining and bioinformatics/network pharmacology approach

Objective:To explore the main acupoint prescription and mechanism of acupuncture in treating Functional dyspepsia(FD)by analyzing the clinical randomized controlled trial literature on acupoints and targets of acupuncture in the treatment of FD combined with association rule mining and bioinformatics/network pharmacology methods.Methods:Search relevant clinical randomized controlled trial literature on acupoints and therapeutic targets of acupuncture in the treatment of FD from eight databases from their inception to June 18th,2022.We obtained acupuncture selection points,meridian,and therapeutic targets and established acupoints database for acupuncture treatment of FD.FD-related targets were collected from GeneCards,DisGeNET,OMIM,and DrugBank databases.We obtained the potential targets of acupuncture on FD by taking the intersection of acupuncture for FD therapeutic targets and FD-related targets.We performed the protein-protein interaction network,Gene Ontology(GO)analysis,and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analysis.Results:In this study,26 Randomized Controlled Trials related to acupuncture treatment of FD were retrieved.We obtained 29 acupoints,17 acupuncture for FD therapeutic targets,and 10 intersection targets.Tumor necrosis factor(TNF),Interleukin(IL)-1,and Neuropeptide Y(NPY)are key targets of acupuncture in the treatment of FD.Conclusion:ST36-CV12-PC6-LR3 is the main acupoint prescription for FD.Acupuncture may affect Neuroactive ligand-receptor interaction,Gastric acid secretion,and IL-17,TNF signaling pathways by regulating related key targets,and play a synergistic role in the treatment of FD by inhibiting gastric acid secretion,alleviating inflammatory response,regulating the brain-gut axis,improving mood and other aspects.

A study on the mechanism of acupuncture treatment of acne based on immune inflammation

Acne is a chronic inflammatory skin disease involving hair follicle sebaceous glands,which is characterized by acne,papules,pustules,nodules,cysts and so on.The disorder of immune inflammation is the key link.A variety of factors participate in the immune inflammatory response of acne and interact with each other,leading to the occurrence and development of acne inflammation.Acupuncture can regulate the immune and inflammatory response through many links and improve the skin lesions.This study explains potential mechanisms of acupuncture in the treatment of acne by regulating the body's immune inflammatory response,in order to provide new ideas.

Overview of the Mechanism of Acupuncture and Moxibustion treatment of Decreased Ovarian Reserve

Decreased ovarian reserve is one of the hot topics in current research.This article discusses the mechanism of acupuncture treatment of decreased ovarian reserve through the current acupuncture and moxibustion experimental research on the endocrine system and immune system.

Acupuncture for ischemic stroke:where are we now?

Acupuncture is an effective treatment for ischemic stroke(IS)and plays a key role in neurological rehabilitation after IS.Acupuncture can improve the clinical symptoms of various complications after IS,including motor dysfunction,swallowing disorders,speech disorders,cognitive impairment,depression,insomnia,and fatigue.However,the mechanisms underlying the effects of acupuncture in IS remain unclear.Available evidence suggests that acupuncture may exert neuroprotective effects through neuroplasticity(neurogenesis and synaptogenesis),angiogenesis,cell proliferation and apoptosis,and regulation of oxidative stress,inflammation,and immunity.Further studies should be conducted to improve the high-quality evidence-based system of acupuncture intervention for IS,by focusing on the clinical and basic research design,increasing the sample size,standardizing and quantifying the standards of acupuncture operations,using multidisciplinary techniques and methods to systematically explore the key targets of acupuncture intervention for IS,and reveal the efficacy and mechanism of acupuncture in the treatment of IS.

Application of an electrophysiological technique combined with auricular acupuncture in gynecological perioperative gastrointestinal dysfunction

Objective:This study aimed to evaluate the effectiveness and safety of combining low-frequency pulsed electrophysiological techniques with auricular acupuncture(a fusion of traditional Chinese and Western medicine)for patients experiencing perioperative gastrointestinal dysfunction(POGD)following gynecological surgery.Methods:Eighty patients undergoing gynecological surgery were randomly assigned to an experimental group and a control group.Both groups received enhanced recovery after surgery(ERAS)care,with the experimental group receiving additional treatment combining electrophysiology and auricular acupuncture.Postoperative recovery indicators,including bowel sound recovery time,time to first exhaust and defecation,duration and incidence of abdominal pain and distension,nausea and vomiting,and specific gastrointestinal markers(HSP70,I-FABP,DAO,D-lactate),were monitored and compared between the two groups.Results:After treatment,the postoperative bowel sound recovery time,first postoperative exhaust time,duration of abdominal pain,and duration of abdominal distension were shorter in the experimental group than in the control group(P<0.05).The 6-hour and 48-hour integral values of the experimental group were significantly lower than those of the control group.In the experimental group,60%of the patients were completely cured of gastrointestinal function after surgery,whereas only 32.5%of the patients in the control group were cured.The main symptom scores(abdominal pain,abdominal distension,nausea and vomiting)on the third postoperative day and the total symptom scores on the third postoperative day were significantly lower in the experimental group than in the control group(P<0.05).The values of HSP70,I-FABP,DAO,and D-lactate in the experimental group on postoperative day one were significantly lower than those in the control group(P<0.05).Conclusion:The combination of the Chinese and Western medicine ERAS programs of low-frequency pulse electrophysiology technology plus auricular acupuncture can accelerate local gastrointestinal blood circulation during the perioperative period of gynecology,promote the recovery of gastrointestinal function,promote anal exhaustion,and prevent the occurrence of postoperative abdominal pain and bloating.The combination of Chinese and Western medicine ERAS can increase gastrointestinal fluid secretion,increase gastrointestinal hormone and blood flow values,increase gastrointestinal electrophysiological detection values,and change the indicators of gastrointestinal dysfunction.

腰椎间盘突出症模型大鼠疼痛的针刺干预

背景:针灸是缓解腰椎间盘突出症腰痛的有效方法,但其机制目前尚未明确。JAK2/STAT3信号通路相关因子可调节机体炎症反应,参与神经病理性疼痛的过程。目的:基于JAK2/STAT3信号通路研究针刺对腰椎间盘突出症模型大鼠的作用机制。方法:采用随机数字表法将40只SD大鼠分为假手术组、模型组、针刺组与针刺+激动剂组,每组10只。模型组、针刺组及针刺+激动剂组采用自体髓核移植法构建L5腰椎间盘突出症模型,造模3 d后,针刺组开始进行针刺治疗(作用于阳陵泉、肾俞、环跳、大肠俞等穴位),针刺+激动剂组造模后第6,12,18天针刺治疗前向L4/L5椎间隙鞘内注射JAK2激动剂香豆霉素A1,针刺治疗1次/d,20 min/次,连续治疗15 d。造模前及造模后3,6,9,12,15,18 d,检测大鼠机械缩足阈值;造模后18 d,检测血清炎症因子水平,苏木精-伊红染色观察L5-L6组织形态,RT-PCR检测L5-L6组织JAK2、STAT3 mRNA表达,Western Blot检测L5-L6组织JAK2、STAT3、p-JAK2及p-STAT3蛋白表达。结果与结论:①模型组大鼠造模后不同时间点的机械缩足阈值均低于假手术组(P<0.05),针刺组大鼠造模后9,12,15,18 d的机械缩足阈值均高于模型组(P<0.05),针刺+激动剂组大鼠造模后9,12,15,18 d的机械缩足阈值均低于针刺组(P<0.05);②与假手术组比较,模型组白细胞介素6、肿瘤坏死因子α、神经递质P物质、脑部神经肽Y水平均升高(P<0.05);与模型组比较,针刺组4种炎症因子水平均降低(P<0.05);与针刺组比较,针刺+激动剂组4种炎症因子水平均升高(P<0.05);③苏木精-伊红染色显示模型组大鼠腰椎退行性变化明显,针刺组与针刺+激动剂组大鼠腰椎退行性变化减轻,针刺组减轻更明显;④与假手术组比较,模型组JAK2与STAT3 mRNA表达、p-JAK2与p-STAT3蛋白表达均升高(P<0.05);与模型组比较,针刺组JAK2与STAT3 mRNA表达、p-JAK2与p-STAT3蛋白表达均降低(P<0.05);与针刺组比较,针刺+激动剂组JAK2与STAT3 mRNA表达、p-JAK2与p-STAT3蛋白表达均升高(P<0.05);⑤结果表明,针刺干预可通过降低腰椎间盘突出症模型大鼠的炎症反应来缓解疼痛,其作用机制可能与抑制JAK2/STAT3信号通路有关。

膜片钳技术10年发展:基于CiteSpace和VOSviewer的可视化分析

背景:膜片钳技术作为研究离子通道的“金标准”,已有40多年的发展历史。然而,科研机构的研究内容相对独立,没有对现有研究成果进行系统总结,导致现有研究存在重复性高、创新性弱的现象。因此,急需对膜片钳技术做一个全面的回顾,以明晰现今的研究现状、热点和未来发展方向。目的:总结近10年膜片钳技术领域的研究现状和发展趋势。方法:使用Web of Science核心合集数据库收集了2013-2023年关于膜片钳技术的出版物。采用CiteSpace和VOSviewer软件对出版物数量进行量化分析,并分析文献条目网络,包括国家、机构、期刊、作者、关键词、高被引文献和共被引参考文献。结果与结论:①近10年间,膜片钳技术领域研究已逐步进入稳定发展阶段。②中国和美国是这方面的领先国家,中国科学院是具有核心影响力的机构,《Journal of Neuroscience》是主要出版刊物,PARK,WON SUN团队(韩国全北国立大学)和CHU,LI团队(中国河北省心脑血管病中医药防治研究重点实验室)在该领域作出了杰出的贡献,但团队之间的协作与交流较少,尚未形成网络合作模式。③膜片钳技术主要应用在神经系统的电生理特性及其疾病的病理机制方面,是研究人员持续关注的焦点。④在心血管系统电生理特性及其疾病病理机制的研究方面,对原代心肌细胞、诱导多能干细胞衍生的心肌细胞的电生理特性和心房颤动、心脏毒性、心源性猝死和高血压等心血管疾病的病理机制方面的研究,是近几年来研究的热点。⑤在膜片钳技术与其他生物技术的结合应用方面,关注的是与光遗传学、双光子钙成像等技术的交叉融合,将是一个重要的研究方向。⑥在药物筛选及治疗靶点的识别研究方面,尤其对于膜片钳技术和中药复方的研究,将成为未来组分中药研究中的一大助力。

针灸治疗溃疡性结肠炎机制研究进展

溃疡性结肠炎的发生发展与遗传和环境因素、肠道黏膜屏障功能受损、免疫紊乱及肠道菌群失调密切相关,针灸治疗因能改善溃疡性结肠炎肠道炎症而得到重视。本文从免疫细胞、炎症因子、肠道菌群等方面梳理针灸缓解溃疡性结肠炎作用机制研究,认为其与改善T淋巴细胞间的免疫平衡,抑制白细胞介素(IL)-1β、IL-6和IL-8等促炎因子表达,调节肠道不同种属菌的丰度,调控巨噬细胞极化,以及抗氧化应激等有关。通过归纳针灸治疗溃疡性结肠炎可能的作用机制,为炎症性肠病相关研究提供参考。

针灸治疗阿尔茨海默病研究进展

阿尔茨海默病是一种常见的神经退行性疾病,其发病机制涉及多种复杂的因素。针灸作为一种传统的治疗方法,近年来备受关注,并在临床实践中展现出一定的疗效。该综述通过对阿尔茨海默病机制研究的深入分析,将中医病机理论与阿尔茨海默病现代医学病理生理机制结合,着重探讨了针灸治疗在突触可塑性、神经递质分泌、β-淀粉样蛋白沉积、Tau蛋白磷酸化、小胶质细胞介导的神经炎症等方面的潜在作用机制及研究进展,并对其可能涉及的神经通路进行概述。

针刺联合神经干细胞修复脊髓损伤的科学依据

背景:脊髓损伤是由创伤性或非创伤性事件引起的一种神经系统疾病,常导致损伤节段以下严重功能障碍。近年来,神经干细胞移植被认为在调控脊髓损伤后的炎症反应、抑制胶质瘢痕的过度增生以及促进神经再生方面具有显著的治疗潜力。目的:综述并讨论针刺及神经干细胞移植疗法在抑制脊髓损伤诱导的继发性损伤中的潜在作用机制,深入探讨其治疗脊髓损伤的科学依据。方法:以“脊髓损伤,针刺,神经干细胞,SDF-1α/CXCR4轴”为中文检索词,以“Spinal cord injury,acupuncture,neural stem cells,SDF-1α/CXCR4 axis”为英文检索词,分别检索PubMed、Elsevier、万方及中国知网数据库,最终纳入96篇文献,汇总分析了针刺联合神经干细胞治疗脊髓损伤的相关研究成果,总结了这一联合疗法在治疗脊髓损伤后继发性损伤中的相关机制。结果与结论:①基质细胞衍生因子1α(stromal-derived factor 1α,SDF-1α)/CXC趋化因子受体4(chemokine receptor 4,CXCR4)轴在神经干细胞移植治疗脊髓损伤中扮演着至关重要的角色,该信号传导机制不仅影响神经干细胞的迁移、增殖和分化,更是决定干细胞归巢至损伤部位效率的关键因素。因此,针对该轴线的调控,对于提升脊髓损伤的治疗效果具有重要意义。②针刺作为一种传统中医疗法,在脊髓损伤的继发性损伤调控中展现出独特的优势,它能够通过调节炎症反应、抑制细胞凋亡、改善微循环、减少神经胶质瘢痕形成以及对抗氧化应激等多种途径,有效减轻脊髓损伤后的继发性损伤。③针刺还能够影响SDF-1α/CXCR4轴的表达与功能,从而增强神经干细胞的归巢和存活能力,促进神经再生和功能恢复。④结合针刺与干细胞移植的疗法,是一种创新且较好的脊髓损伤治疗策略,适用于修复神经环路,它结合了传统中医的智慧与现代生物技术的优势,为脊髓损伤患者提供了新的治疗选择。然而,目前这种联合疗法仍处于研究和探索阶段,其长期疗效和安全性尚需进一步验证。⑤综合而言,针刺及神经干细胞移植治疗脊髓损伤具有巨大的临床应用潜力,但仍需深入研究和优化治疗方案。未来,期待通过更多的临床试验和机制研究,进一步揭示这一疗法的疗效机制和最佳适应证,为脊髓损伤患者带来更好的康复希望和更高效的治疗效果。

针灸治疗痛性糖尿病周围神经病变多模态脑影像学研究进展

痛性糖尿病周围神经病变(painful diabetic peripheral neuropathy,PDPN)是糖尿病并发症之一。痛性糖尿病周围神经病变发病机制复杂,涉及代谢紊乱、血管损伤、神经损伤、氧化应激损伤、炎症反应等多个方面。外周敏化和中枢敏化在痛性糖尿病周围神经病变的产生和维持过程中具有重要作用。多模态脑影像学技术为痛性糖尿病周围神经病变中枢机制研究提供了新的方向。磁共振成像(magnetic resonance imaging,MRI)技术成为深入揭示痛性糖尿病周围神经病变发病机制与病变程度的重要研究手段。针灸治疗痛性糖尿病周围神经病变的中枢作用机制有待进一步明确。从痛性糖尿病周围神经病变的诊断及风险因素、中枢敏化概述痛性糖尿病周围神经病变的发展现状,梳理针灸治疗痛性糖尿病周围神经病变的临床证据及中枢机制,从灰质体积萎缩、白质结构受损、脑区激活改变、脑功能网络异常、脑内代谢物质浓度变化等角度,分析基于多模态磁共振成像技术的痛性糖尿病周围神经病变中枢神经系统改变研究现状,阐述针灸治疗本病的中枢效应机制。