传入 C 纤维的兴奋在电针“足三里” 激活中缝大核中的作用

为了分析电针“足三里”是否以其伤害性刺激性质引起镇痛作用,我们试探了电刺激“足三里”穴区所引起的传人(顺行)冲动是否可以减小刺激腓总神经引起的逆行 C 波。碰撞实验表明刺激“足三里”确可兴奋了腓神经的一些 C 纤维。此外我们还观察到刺激“足三里”的强度达到或超过 C 纤维阈值时。可明显激活中缝大核神经元,当刺激强度达到可引起最大 c 波时,激活 NRM 的效应也达到最大。上述结果提示电针“足三里”除可以其非伤害性刺激性质引起镇痛作用外,可能主要是以其伤害性刺激,经 C 类纤维激活 NRM,再经过痛负反馈调制引起镇痛。     

子午岭产4种百合科植物的核型多样性研究

对子午岭产百合科黄精属大苞黄精（Ｐ．ｍｅｇａｐｈｙｌｌｕｍ）、玉竹（Ｐ．ｏｄｏｒａｔｕｍ）,百合属的细叶百合（Ｌ．ｐｕｍｉｌｕｍ）,葱属的糙葶韭（Ａ．ａｎｉｓｏｐｏｄｉｕｍ）４种植物进行了染色体研究。其染色体数目和核型分别为：玉竹２ｎ（２ｘ）＝２０＝１２ｍ（２ＳＡＴ）＋８ｓｍ,核型为２Ｂ型;大苞黄精２ｎ（２ｘ）＝２２＝４ｍ＋１２ｓｍ＋６ｓｔ,核型为３Ｂ型;细叶百合２ｎ（２ｘ）＝２４＝４ｍ＋１０ｓｔ     

温针灸联合腰部核心肌力训练对腰椎间盘突出症患者康复效果、生活质量以及血清炎性因子的影响

摘要 目的：探讨腰部核心肌力训练联合温针灸对腰椎间盘突出症（LDH）患者康复效果、生活质量以及血清炎性因子的影响。方法：选取我院于2017年3月~2019年3月期间收治的LDH患者117例，按照随机数字表法将患者分为对照组（n=58）、研究组（n=59），对照组患者予以常规康复训练，研究组则在对照组的基础上给予温针灸联合腰部核心肌力训练治疗，比较两组患者疗效、康复效果、生活质量以及血清炎性因子变化情况。结果：治疗4周后，研究组临床总有效率高于对照组（P<0.05）。两组治疗4周后血清白介素-1（IL-1）、白介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）水平均下降，且研究组低于对照组（P<0.05）。两组治疗4周后视觉疼痛模拟评分（VAS）、FairbankJC评分均降低，且研究组低于对照组（P<0.05）；日本骨科协会评估治疗分数（JOA）评分升高，且研究组高于对照组（P<0.05）。两组治疗4周后躯体角色（RP）、情感角色（RE）、躯体功能（PF）、社会功能（SF）、总体健康（GH）、躯体疼痛（BP）、活力（VT）以及心理健康（MH）等维度评分均升高，且研究组高于对照组（P<0.05）。结论：温针灸联合腰部核心肌力训练治疗LDH患者，可提高康复效果及生活质量，同时还可减轻炎性因子水平，疗效显著。     

Microwave-induced and pharmacological suppression of somatic pain under conditions of the formalin test in mice

We examined pain-related behavioral reactions and non-pain behavioral manifestations in mice under conditions of the formalin test. Levels of analgesia induced by i.p. injections of analgin, microwave irradiation of an antinociceptive acupuncture point (AP), E-36, or combined application of the above factors were measured. The duration of the pain behavioral reaction (licking of the injured limb) decreased due to irradiation of the AP with microwaves and to injection of 8.3 mg/kg analgin by 24.3% and 53.8%, on average, respectively. Combination of injection of analgin in a smaller dose (4.2 mg/kg) and microwave irradiation of the AP suppressed manifestations of the pain behavioral reaction by 43.4%. Thus, combination of pharmacologically induced analgesia with the action of microwaves on the antinociceptive AP allows one to significantly decrease the doses of analgesic preparations necessary to provide a full-level analgesic effect; in such a way, side effects of the respective drugs can be weakened. Neirofiziologiya/Neurophysiology, Vol. 38, No. 1, pp. 46–51, January–February, 2006.     

Analgesia Induced by Microwave Irradiation of an Acupuncture Point under Conditions of Visceral Pain in Mice: Role of the Serotonergic Cerebral System

We studied behavioral manifestations of analgesic effects induced in mice by irradiation of the E36 acupuncture point (AcP) by low-intensity microwaves under conditions of visceral pain evoked by i.p. injections of 0.08 ml of a 2% solution of acetic acid. We also examined changes in these analgesic effects resulting from a drop in the level of serotonin after i.p. injection of 300 mg/kg of a blocker of synthesis of serotonin, DL-parachlorophenylalanine (PChPhA). Two modes of irradiation were tested, with a wide frequency range (30 to 300 GHz) and amplitude modulation (mode 1) and with a stable frequency (61 ± ± 4 GHz, mode 2). Irradiation in mode 1 provided a higher level of analgesia than that in mode 2 (decreases in the duration of manifestations of the pain reaction were, on average, 35.7 and 20.4%, respectively). The level of analgesia dropped after injections of PChPhA; the durations of behavioral pain manifestations 24 h after such injections were greater than those in the group with no injections of the blocker by 41.3 and 12.1% in irradiation modes 1 and 2, respectively. The respective figures 48 h after PChPhA injections were 52.0 and 16.1%. Thus, under conditions of visceral pain, irradiation of the AcP by low-intensity microwaves provides noticeable analgesia, and the serotonergic brain system mediates the development of analgesia under the above-mentioned conditions. Neirofiziologiya/Neurophysiology, Vol. 37, No. 3, pp. 250–256, May–June, 2005.     

子午岭森林与灌丛植被的主要类型及特征的研究

子午岭森林植被主要类型有油松林、侧柏林、辽东栎林、山杨林、小叶杨林、白桦林、油松—辽东栎林、侧柏—辽东栎林、辽东栎—山杨林、白桦—山杨—辽东栎林、辽东栎—山杨—槭树—漆树杂木林等11个群丛。子午岭灌丛植被主要类型有沙棘灌丛、单瓣黄刺玫灌丛、樱草蔷薇灌丛、白刺花灌丛、虎榛子灌丛、牛奶子灌丛、山杏灌丛、山桃灌丛、酸枣灌丛、杠柳灌丛、红皮柳—皂柳—乌柳灌丛、白刺花—酸枣—单瓣黄刺玫灌丛等12个群丛。     

Prediction and prenosological diagnostics of heart diseases based on energy characteristics of acupuncture points and fuzzy logic

Many theories of reflexology use ancient concepts which do not coincide with the modern medical terminology of anatomy, physiology and biophysics. This substantially reduces the trust of physicians in reflexology methods. During this research, several mathematical models for the interaction of the internal and biological active points of meridian structures have been proposed. The analysis of these models allows the specification of a list of heart diseases for which reflex diagnostics and reflex therapy methods are most effective and also allows increasing the effectiveness of these procedures. It is shown that good results for the prediction and early diagnosis of diseases from the reaction energy of biologically active points (acupuncture points) are obtained using fuzzy logic decision making.     

Prediction of gastric ulcers based on the change in electrical resistance of acupuncture points using fuzzy logic decision-making

Many theories of reflexology use ancient concepts which do not coincide with the modern medical terminology of anatomy, physiology and biophysics. This substantially reduces the trust of physicians in reflexology methods. During this research, several mathematical models for the interaction of the internal and biological active points of meridian structures have been proposed. The analysis of these models allows the specification of a list of gastric diseases for which reflex diagnostics and reflex therapy methods are most effective and also allows increasing the effectiveness of these procedures. It is shown that good results for the prediction and early diagnosis of diseases from the reaction energy of biologically active points (acupuncture points) are obtained using fuzzy logic decision making.     

下肢康复训练方法的研究现状

下肢运动功能障碍严重影响了患者的日常生活及步行的功能,严重时会造成偏瘫等现象,越来越多的研究者致力于寻找新的有效的下肢康复训练方法。目前临床常用的下肢康复训练方法有肌电生物反馈与综合康复训练结合法、针灸联合康复训练法、电刺激疗法和步态训练法。本文针对近年来下肢康复训练方法的多样性进行了系统回顾及总结,尤其对早期介入的减重步态训练康复模式进行了综述及展望。     

毫火针联合补肾活血方对寻常型白癜风患者外周血炎性因子和免疫指标的影响

目的:探讨毫火针联合补肾活血方对寻常型白癜风患者外周血炎性因子和免疫指标的影响。方法:选取2017年3月2019年7月期间我院收治的寻常型白癜风患者75例,根据随机数字表法分为对照组(n=37)和观察组(n=38),对照组予以常规治疗和补肾活血方,观察组在对照组的基础上联合毫火针治疗,比较两组疗效、白癜风皮损面积、炎性因子[白介素-17(IL-17)、白介素-10(IL-10)、白介素-22(IL-22)]和免疫指标[粒细胞-巨噬细胞集落刺激因子(GM-CSF)、CD4⁺CD25⁺Treg]水平,记录两组治疗期间不良反应情况。结果:观察组治疗12周后的临床总有效率高于对照组(P<0.05)。两组白癜风皮损面积均较治疗前缩小,且观察组小于对照组(P<0.05)。两组患者治疗12周后血清IL-17、IL-22、GM-CSF水平降低,且观察组低于对照组(P<0.05);IL-10、CD4⁺CD25⁺Treg比例水平升高,且观察组高于对照组(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论:毫火针联合补肾活血方治疗寻常型白癜风的疗效显著,可有效提高患者的免疫功能,抑制炎性反应,改善患者临床症状,且用药安全性较好。