Heat-sensitive moxibustion has neuroprotective effects against focal cerebral ischemia/reperfusion injury, however its mechanism of action remains unclear. In this study, rat models of focal cerebral ischemia/reperfus...Heat-sensitive moxibustion has neuroprotective effects against focal cerebral ischemia/reperfusion injury, however its mechanism of action remains unclear. In this study, rat models of focal cerebral ischemia/reperfusion injury were treated with suspended moxibustion at acupoint Dazhui (DU14) for 35 minutes. Results showed that suspended moxibustion decreased infarct volume, reduced cortical myeloperoxidase activity, and suppressed serum levels of proinflammatory cytokines in rats with focal cerebral ischemia/reperfusion injury. Our experimental findings indicated that heat-sensitive moxibustion can attenuate inflammation and promote repair after focal cerebral ischemia/reperfusion injury.展开更多
OBJECTIVE:To compare the curative effects of heat-sensitive moxibustion with conventional drugs on chronic persistent asthma and seek a valuable therapy to replaceWestern Medicine.METHODS:The participants in this mult...OBJECTIVE:To compare the curative effects of heat-sensitive moxibustion with conventional drugs on chronic persistent asthma and seek a valuable therapy to replaceWestern Medicine.METHODS:The participants in this multi-center,randomized,and controlled study were randomly divided into two groups:group A(n=144),treated with heat-sensitive moxibustion(50 sessions)and group B(n=144),treated with Seretide(salmeterol50μg/fluticasone 250μg,twice a day).The scores of asthma control test(ACT),forced expiratory volume in 1 second(FEV1),peak expiratory flow(PEF),and attack frequency were measured after 15,30,60,and 90 days of treatment.Patients followed up3 and 6 months after treatment.RESULTS:There was a significant difference(P=0.0002)in the ACT score and lung function between the two groups after 3 months of treatment and(P=0.000 03)during the follow-up visits.In addition,heat-sensitive moxibustion reduced attack frequency in the period from inclusion to the6-month follow-up visit.CONCLUSION:This study shows that heat-sensitive moxibustion may have a comparable curative effect toSeretide(salmeterol/fluticasone)on asthma.展开更多
Objective To observe the efficacy of knee-balancing manipulation plus heat-sensitive moxibustion in treating knee osteoarthritis(KOA)and its impact on the expression of C-telopeptide of type I collagen(CTX-Ⅰ),tartrat...Objective To observe the efficacy of knee-balancing manipulation plus heat-sensitive moxibustion in treating knee osteoarthritis(KOA)and its impact on the expression of C-telopeptide of type I collagen(CTX-Ⅰ),tartrate-resistant acid phosphatase 5b(TRACP-5b),A disintegrin and metalloproteinase with thrombospondin motifs 4(ADAMTS-4),and matrix metalloproteinase 3(MMP-3).Methods A total of 134 unilateral KOA patients were randomized into a knee-balancing group,a heat-sensitive moxibustion group,and a joint intervention group.The knee-balancing group received knee-balancing Tuina(Chinese therapeutic massage)manipulation for treatment.The heat-sensitive moxibustion group received heat-sensitive moxibustion treatment.The joint intervention group received the heat-sensitive moxibustion in addition to the knee-balancing manipulation.The intervention period lasted for four weeks.After the treatment,and at the 2-week and 6-week follow-ups,the three groups were assessed using the visual analog scale(VAS)for knee joint pain and Western Ontario and McMaster Universities arthritis index(WOMAC),and clinical efficacy was also evaluated.The enzyme-linked immunosorbent assay was adopted to detect the expression levels of serum CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3.Results The knee-balancing group had 44 participants,but one dropped out;there was no dropout case among the 44 participants in the heat-sensitive moxibustion group;among the 46 participants in the joint intervention group,two cases dropped out.After the treatment,and at the 2-week and 6-week follow-ups,the total effective rate was found higher in the joint intervention group than in the knee-balancing and heat-sensitive moxibustion groups(P<0.05).Compared with the baseline,the VAS and WOMAC scores and the serum levels of CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3 decreased significantly in all three groups after treatment and at the 2-week and 6-week follow-ups(P<0.05).At the same three time points,the VAS and WOMAC scores and serum levels of CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3 were lower in the joint intervention group than in the knee-balancing and heat-sensitive moxibustion groups(P<0.001).Conclusion Either used alone or combined,the knee-balancing manipulation and heat-sensitive moxibustion therapy can improve the symptoms and down-regulate the serum levels of CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3 in KOA patients,producing durable efficacy;nevertheless,a more significant efficacy can be achieved by combining the two methods.展开更多
Objective: To observe the effect of thermosensitive moxibustion on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation.Methods: From January 2015 to January 2017, 60 patients of ...Objective: To observe the effect of thermosensitive moxibustion on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation.Methods: From January 2015 to January 2017, 60 patients of insomnia differentiated as liver qi stagnation were collected in Shijiazhuang Municipal Chinese Medicine Hospital. According to the random number table, the patients were randomized into a moxibustion group(30 cases) and an estazolam group(30 cases). In the moxibustion group, the thermosensitive moxibustion was adopted alternatively to the bilateral yuan-source points of the liver and gallbladder meridians. In the estazolam group, estazolam, 1 mg was prescribed for oral administration before sleep every day. After 15-day treatments, the sleep quality, the severity of anxiety and depression and the therapeutic effects were observed before and after treatment in the two groups.Results: Before treatment, the differences were not significant in the scores of Pittsburgh sleep quality index(PSQI), the self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) between the two groups(all P〉0.05). After treatment, the scores of PSQJ, SAS and SDS were all reduced remarkably as compared with those before treatment in the two groups(all P〈0.05). PSQI score was(6.72 ±2.311)points in the moxibustion group and was(5.37 ±2.621) points in the estazolam group. SAS score was(31.76 ± 6.511) points in the moxibustion group and was(39.62 ± 4.371) points in the estazolam group.SDS score was(35.98 ±5.161) points in the moxibustion group and was(46.38 ±4.971) points in the estazolam group. After treatment, the scores of PSQI, SAS and SDS in the moxibustion group were reduced more remarkably as compared with the estazolam group, indicating the significant differences(all P 〈0.05). After treatment, the scores of sleep efficacy and TCM symptoms were(72.65 ± 14.36) points and(69.36 ±4.28) points respectively in the moxibustion group, better than the estazolam group, indicating the significant differences(all P〈0.05).Conclusion: The thermosensitive moxibustion at the yuan-source points of the liver and gallbladder meridians significantly improves the sleep quality, relieves the symptoms of anxiety and depression and enhances the therapeutic effects in the patients of insomnia differentiated as liver qi stagnation. Hence,this therapy deserves to be recommended in clinical practice.展开更多
目的探查热敏灸治疗脑卒中后痉挛性偏瘫患者热敏化穴位的分布情况,观察热敏灸治疗痉挛性偏瘫患者的临床疗效。方法将70例脑卒中后痉挛性偏瘫患者随机分为对照组和热敏灸组,每组35例;对照组采用常规康复治疗和针刺治疗,热敏灸组在对照组...目的探查热敏灸治疗脑卒中后痉挛性偏瘫患者热敏化穴位的分布情况,观察热敏灸治疗痉挛性偏瘫患者的临床疗效。方法将70例脑卒中后痉挛性偏瘫患者随机分为对照组和热敏灸组,每组35例;对照组采用常规康复治疗和针刺治疗,热敏灸组在对照组治疗基础上采用热敏灸治疗;观察热敏灸组患者热敏化穴位分布情况,比较两组患者治疗前后美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分和改良Rankin量表(modified Rankin scale,MRS)评分、徒手肌力检查(manual muscle testing,MMT)评分、Fugl-Meyer评估(Fugl-Meyer assessment,FMA)量表评分、Wolf运动功能测试(Wolf motor function test,WMFT)量表评分、日常生活活动能力(activity of daily living,ADL)量表评分、世界卫生组织生活质量简表(World Health Organization quality of life brief,WHOQOL-BREF)评分以及临床疗效。结果共有35例患者出现热敏化穴位现象,共出现119个热敏化穴位;热敏化穴位中出现频率最高的5个穴位依次为足三里、曲池、悬钟、外关和阳陵泉。热敏灸组NIHSS评分、MRS评分均显著低于对照组(P<0.05),MMT评分、FMA量表评分、WMFT量表评分、ADL量表评分、WHOQOL-BREF各维度评分均显著高于对照组(P<0.05)。热敏灸组临床疗效显著优于对照组(P<0.05)。结论热敏灸联合常规针刺和康复治疗脑卒中后痉挛性偏瘫,能够显著改善患者肢体功能障碍,提高生活质量,疗效确切;应用热敏灸治疗该病时可优先选择足三里、曲池、悬钟、外关、阳陵泉穴进行治疗。展开更多
基金supported by the National Natural Science Foundation of China, No. 81060305
文摘Heat-sensitive moxibustion has neuroprotective effects against focal cerebral ischemia/reperfusion injury, however its mechanism of action remains unclear. In this study, rat models of focal cerebral ischemia/reperfusion injury were treated with suspended moxibustion at acupoint Dazhui (DU14) for 35 minutes. Results showed that suspended moxibustion decreased infarct volume, reduced cortical myeloperoxidase activity, and suppressed serum levels of proinflammatory cytokines in rats with focal cerebral ischemia/reperfusion injury. Our experimental findings indicated that heat-sensitive moxibustion can attenuate inflammation and promote repair after focal cerebral ischemia/reperfusion injury.
基金Supported by the Major State Basic Research and Development Program of People's Republic of China(No.2009CB522902)National Key Technology R&D Program(No.2006BAI12B04-2)+2 种基金National Natural Science Foundation of China(No.81160453)National Natural Science Foundation of China(No.81202854)Jiangxi Key R&D Project
文摘OBJECTIVE:To compare the curative effects of heat-sensitive moxibustion with conventional drugs on chronic persistent asthma and seek a valuable therapy to replaceWestern Medicine.METHODS:The participants in this multi-center,randomized,and controlled study were randomly divided into two groups:group A(n=144),treated with heat-sensitive moxibustion(50 sessions)and group B(n=144),treated with Seretide(salmeterol50μg/fluticasone 250μg,twice a day).The scores of asthma control test(ACT),forced expiratory volume in 1 second(FEV1),peak expiratory flow(PEF),and attack frequency were measured after 15,30,60,and 90 days of treatment.Patients followed up3 and 6 months after treatment.RESULTS:There was a significant difference(P=0.0002)in the ACT score and lung function between the two groups after 3 months of treatment and(P=0.000 03)during the follow-up visits.In addition,heat-sensitive moxibustion reduced attack frequency in the period from inclusion to the6-month follow-up visit.CONCLUSION:This study shows that heat-sensitive moxibustion may have a comparable curative effect toSeretide(salmeterol/fluticasone)on asthma.
文摘Objective To observe the efficacy of knee-balancing manipulation plus heat-sensitive moxibustion in treating knee osteoarthritis(KOA)and its impact on the expression of C-telopeptide of type I collagen(CTX-Ⅰ),tartrate-resistant acid phosphatase 5b(TRACP-5b),A disintegrin and metalloproteinase with thrombospondin motifs 4(ADAMTS-4),and matrix metalloproteinase 3(MMP-3).Methods A total of 134 unilateral KOA patients were randomized into a knee-balancing group,a heat-sensitive moxibustion group,and a joint intervention group.The knee-balancing group received knee-balancing Tuina(Chinese therapeutic massage)manipulation for treatment.The heat-sensitive moxibustion group received heat-sensitive moxibustion treatment.The joint intervention group received the heat-sensitive moxibustion in addition to the knee-balancing manipulation.The intervention period lasted for four weeks.After the treatment,and at the 2-week and 6-week follow-ups,the three groups were assessed using the visual analog scale(VAS)for knee joint pain and Western Ontario and McMaster Universities arthritis index(WOMAC),and clinical efficacy was also evaluated.The enzyme-linked immunosorbent assay was adopted to detect the expression levels of serum CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3.Results The knee-balancing group had 44 participants,but one dropped out;there was no dropout case among the 44 participants in the heat-sensitive moxibustion group;among the 46 participants in the joint intervention group,two cases dropped out.After the treatment,and at the 2-week and 6-week follow-ups,the total effective rate was found higher in the joint intervention group than in the knee-balancing and heat-sensitive moxibustion groups(P<0.05).Compared with the baseline,the VAS and WOMAC scores and the serum levels of CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3 decreased significantly in all three groups after treatment and at the 2-week and 6-week follow-ups(P<0.05).At the same three time points,the VAS and WOMAC scores and serum levels of CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3 were lower in the joint intervention group than in the knee-balancing and heat-sensitive moxibustion groups(P<0.001).Conclusion Either used alone or combined,the knee-balancing manipulation and heat-sensitive moxibustion therapy can improve the symptoms and down-regulate the serum levels of CTX-Ⅰ,TRACP-5b,ADAMTS-4,and MMP-3 in KOA patients,producing durable efficacy;nevertheless,a more significant efficacy can be achieved by combining the two methods.
基金Supported by Funding project of Hebei Administration of Traditional Chinese Medicine(2015190)Funding project of Natural Science Foundation of China(81072883,81173342,81473773)~~
文摘Objective: To observe the effect of thermosensitive moxibustion on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation.Methods: From January 2015 to January 2017, 60 patients of insomnia differentiated as liver qi stagnation were collected in Shijiazhuang Municipal Chinese Medicine Hospital. According to the random number table, the patients were randomized into a moxibustion group(30 cases) and an estazolam group(30 cases). In the moxibustion group, the thermosensitive moxibustion was adopted alternatively to the bilateral yuan-source points of the liver and gallbladder meridians. In the estazolam group, estazolam, 1 mg was prescribed for oral administration before sleep every day. After 15-day treatments, the sleep quality, the severity of anxiety and depression and the therapeutic effects were observed before and after treatment in the two groups.Results: Before treatment, the differences were not significant in the scores of Pittsburgh sleep quality index(PSQI), the self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) between the two groups(all P〉0.05). After treatment, the scores of PSQJ, SAS and SDS were all reduced remarkably as compared with those before treatment in the two groups(all P〈0.05). PSQI score was(6.72 ±2.311)points in the moxibustion group and was(5.37 ±2.621) points in the estazolam group. SAS score was(31.76 ± 6.511) points in the moxibustion group and was(39.62 ± 4.371) points in the estazolam group.SDS score was(35.98 ±5.161) points in the moxibustion group and was(46.38 ±4.971) points in the estazolam group. After treatment, the scores of PSQI, SAS and SDS in the moxibustion group were reduced more remarkably as compared with the estazolam group, indicating the significant differences(all P 〈0.05). After treatment, the scores of sleep efficacy and TCM symptoms were(72.65 ± 14.36) points and(69.36 ±4.28) points respectively in the moxibustion group, better than the estazolam group, indicating the significant differences(all P〈0.05).Conclusion: The thermosensitive moxibustion at the yuan-source points of the liver and gallbladder meridians significantly improves the sleep quality, relieves the symptoms of anxiety and depression and enhances the therapeutic effects in the patients of insomnia differentiated as liver qi stagnation. Hence,this therapy deserves to be recommended in clinical practice.
文摘目的探查热敏灸治疗脑卒中后痉挛性偏瘫患者热敏化穴位的分布情况,观察热敏灸治疗痉挛性偏瘫患者的临床疗效。方法将70例脑卒中后痉挛性偏瘫患者随机分为对照组和热敏灸组,每组35例;对照组采用常规康复治疗和针刺治疗,热敏灸组在对照组治疗基础上采用热敏灸治疗;观察热敏灸组患者热敏化穴位分布情况,比较两组患者治疗前后美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分和改良Rankin量表(modified Rankin scale,MRS)评分、徒手肌力检查(manual muscle testing,MMT)评分、Fugl-Meyer评估(Fugl-Meyer assessment,FMA)量表评分、Wolf运动功能测试(Wolf motor function test,WMFT)量表评分、日常生活活动能力(activity of daily living,ADL)量表评分、世界卫生组织生活质量简表(World Health Organization quality of life brief,WHOQOL-BREF)评分以及临床疗效。结果共有35例患者出现热敏化穴位现象,共出现119个热敏化穴位;热敏化穴位中出现频率最高的5个穴位依次为足三里、曲池、悬钟、外关和阳陵泉。热敏灸组NIHSS评分、MRS评分均显著低于对照组(P<0.05),MMT评分、FMA量表评分、WMFT量表评分、ADL量表评分、WHOQOL-BREF各维度评分均显著高于对照组(P<0.05)。热敏灸组临床疗效显著优于对照组(P<0.05)。结论热敏灸联合常规针刺和康复治疗脑卒中后痉挛性偏瘫,能够显著改善患者肢体功能障碍,提高生活质量,疗效确切;应用热敏灸治疗该病时可优先选择足三里、曲池、悬钟、外关、阳陵泉穴进行治疗。