针刺加艾灸结合疗法对类风湿性关节炎的近远期疗效

目的:探讨针刺加艾灸配合治疗类风湿关节炎的近远期疗效。方法:选择我院2013年4月~2014年1月门诊病房治疗的74例类风湿关节炎患者为研究对象,以随机数字表法分组,观察组37例,对照组37例,对照组实施西医疗法治疗,观察组在对照组基础上采取针刺配合艾灸治疗,对两组患者治疗后效果进行分析。结果:观察组治疗后1个月有效率为89.19%,对照组为70.27%,差异显著(P0.05);治疗后1年疗效显示,对照组有效率为59.46%,观察组94.59%,两组差异存在统计学意义(P0.05);治疗前两组患者晨僵时间、关节压痛指数、关节肿胀指数、关节功能评分、握力等指标水平无明显差异,治疗后两组患者均有变化,观察组治疗后以上指标水平明显优于对照组,两组差异有统计学意义(P0.05);治疗前血沉(ESR)、C-反应蛋白(CRP)与类风湿因子(RF)指标无明显差异,治疗后均有改善,但是观察组治疗后各项指标水平明显低于对照组,差异有统计学意义(P0.05);对照组治疗后不良反应发生率为16.22%,观察组为2.70%,两组差异有统计学意义(P0.05)。结论:艾灸配合针刺治疗类风湿关节炎可取得较好近远期疗效,提高了患者关节功能及握力,有效缓解晨僵、关节疼痛、肿胀等症状。     

穴位艾灸治疗产后乳汁不足的疗效观察

目的观察穴位艾灸治疗产后乳汁不足的效果。方法选择2016年3月~2017年3月在我院产科分娩后乳汁不足产妇100例,随机分为对照组和治疗组各50例。对照组采用产科产后乳汁不足的常规护理,治疗组在对照组的基础上加艾灸膻中穴、乳根穴和少泽穴治疗,并对两组产妇乳汁分泌情况和婴儿的哺乳情况进行比较。结果治疗组乳汁分泌正常有效率为90%,对照组乳汁分泌正常有效率为60%,两组比较差异有显著统计学意义(P0.05)。结论艾灸膻中穴、乳根穴和少泽穴治疗产后乳汁不足的疗效较好,可明显改善产后母乳不足,是治疗产后乳汁不足的有效措施。     

Effect of Moxibustion on Dopaminergic and Serotonergic Systems of Rat Nucleus Accumbens

Acupuncture and moxibustion are traditional medical treatments that have come to play important roles in complementary and alternative medicines. Moxibustion also has a long history as a folk remedy in Japan, particularly due to the technical simplicity and selective efficacy on certain types of disease and distress. This study examined the effects of moxibustion focusing on the brain reward system, particularly in the nucleus accumbens. The effects of moxibustion stimulation at various sites and frequencies on monoamine levels of adult male Sprague-Dawley rats were examined using high-preformance liquid chromatography of dissected nucleus accumbens tissues. The rats weighing 290–310 g were divided into 3 groups according to the moxibustion point used: hindlimb, lumbar or parietal points. Each group was further divided into 3 subgroups, with stimulation for 10 consecutive days, for 1 day, or sham treatment (control). On each day of stimulation, 5 moxibustion cones with a peak temperature of 200°C were applied consecutively. Stimulation of any point on 1 day only did not change dopamine or serotonin levels, but lumbar stimulation significantly increased the metabolic turnover of dopamine. Conversely, stimulation for 10 consecutive days resulted in significantly decreased serotonin levels for hindlimb and parietal stimulations, and significantly increased 5-hydroxyindolacetic acid/serotonin ratio for hindlimb stimulation. These results suggest that the metabolic turnover of serotonin release may be accentuated by moxibustion in a reward-related brain area. Moxibustion over consecutive days, especially that to peripheral regions, appears most efficient to influence on monoamine levels in the nucleus accumbens. Special issue dedicated to Dr. Simo S. Oja     

艾灸干预不同穴位对束缚应激模型大鼠心理行为改变的影响

目的:观察艾灸不同穴位对束缚应激模型大鼠行为学改变的影响,进一步探讨艾灸对束缚应激所致心理行为改变的作用规律。方法:将35只雄性Wistar大鼠按分层随机法分为正常组、束缚应激模型组、艾灸百会(GV20)组、艾灸关元(CV4)组、艾灸足三里(ST36)组,每组各7只。除正常组外,余各组均采用自制布袋束缚大鼠30 min,每日1次,共20次,制备束缚应激大鼠模型,于造模第2天各治疗组捆绑固定后给予艾炷灸3壮,正常组及模型组捆绑束缚20 min,隔日一次,共10次。于造模前、造模后,治疗5次、10次分别采用高架十字迷宫检测各组大鼠开放臂进入次数比例(OE%)及开放臂停留时间比例(OT%)的变化。结果:①与造模前比较,艾灸百会(GV20)组大鼠造模后、治疗10次后OE%均降低明显,治疗5次后OT%升高明显,均有显著性差异(P<0.05),艾灸关元(CV4)组大鼠造模后OT%降低明显,有显著性差异(P<0.05),艾灸足三里(ST36)组大鼠造模后OE%和OT%、治疗10次后OE%均明显降低,均有显著性差异(分别为P<0.05,P<0.05,P<0.01);与造模刚结束比较,艾灸百会(GV20)组大鼠治疗5次后OE%与OT%均升高明显,均有显著性差异(P<0.05),艾灸关元(CV4)组大鼠治疗10次后OT%升高明显,有显著性差异(P<0.01),艾灸足三里(ST36)组大鼠治疗5次后OE%、治疗10次后OT%均明显升高,有显著性差异(分别为P<0.01,P<0.05);与治疗5次比较,艾灸百会(GV20)组、足三里(ST36)组大鼠治疗10次后OE%明显降低,艾灸关元(CV4)组大鼠治疗10次后OE%和OT%升高明显,均有显著性差异(P<0.05)。②与艾灸百会(GV20)组比较,艾灸关元(CV4)组与艾灸足三里(ST36)组大鼠在治疗5次、10次后OE%和OT%呈不同程度的升高或降低趋势,未见显著性差异(P>0.05)。结论:艾灸不同穴位可一定程度改善慢性束缚应激所致大鼠焦虑心理行为的变化;关元(CV4)、百会(GV20)、足三里(ST36)三穴均表现出一定抗焦虑效应,百会(GV20)穴在治疗早期效果显著,足三里(ST36)穴的疗效肯定,而关元(CV4)穴在长期治疗中效应更为稳定、明显,具有相对特异性。     

痛敏穴刺血加艾灸疗法治疗类风湿关节炎临床疗效研究

摘要 目的：观察痛敏穴刺血加艾灸疗法治疗类风湿关节炎（RA）患者的临床疗效。方法：选取2019年1月~2022年1月44例类风湿关节炎患者随机分为2组,每组22例。对照组予以来氟米特片和塞来昔布胶囊治疗,观察组在对照组基础上采用痛敏穴刺血加艾灸疗法。两组患者治疗前后采用视觉模拟评分法（VAS）和疾病活动评分（DAS-28）进行评估,并检测类风湿因子(RF)、超敏C反应蛋白（hs-CRP）、血沉(ESR)、类风湿因子（RF）、纤维蛋白原（FIB）、D二聚体水平。结果：两组治疗后VAS评分降低（P<0.05）,而研究组较对照组低（P<0.05）。两组治疗后DAS-28评分降低（P<0.05）,而研究组较对照组低（P<0.05）。两组治疗后RF、hs-CRP、FIB、D二聚体水平均明显下降（P<0.05）,而研究组均明显低于对照组（P<0.05）。观察组总有效率（100.00 %）明显高于对照组（72.73 %）（P<0.05）。结论：痛敏穴刺血加艾灸能够提高RA患者的临床疗效,且能够提高机体的抗炎效应。     

Cortical activities of heat-sensitization responses in suspended moxibustion: an EEG source analysis with sLORETA

Moxibustion is under active research as a complementary and alternative treatment for various diseases such as pain. “Heat-sensitization” responses have been reported during suspended moxibustion, whose occurrence is associated with significantly better therapeutic effects. The present study aimed to investigate the cortical activities of this interesting phenomenon by a standardized low-resolution brain electromagnetic tomography. We performed electroencephalography recording in a group of patients with chronic low back pain before, during, and after moxibustion treatment at Yaoyangguan (DU3) areas. 11 out of 21 subjects experienced strong heat-sensitization during moxibustion, which were accompanied with significant decreases of current densities in the beta frequency bands in prefrontal, primary and second somatosensory, and cingulate cortices, as well as increased current densities in the alpha2 band in the left insula. No changes were detected in patients without sensitization responses, or in the post-moxibustion phase of either group. These data indicated widespread activity changes across different frequency bands during heat-sensitization. Cortical oscillatory activities could be used to evaluate the “heat-sensitization” responses during suspended moxibustion.     

基于JAK2/STAT3信号通路探讨头针结合艾灸对缺血缺氧脑瘫幼鼠模型的影响及作用机制

摘要 目的：基于JAK2/STAT3信号通路探讨头针结合艾灸对缺血缺氧脑瘫幼鼠模型的影响及作用机制。方法：选取40只7 d龄的清洁级SD幼鼠,按随机数字表法分为A组、B组、C组、D组、E组,每组8只。E组不予以任何处理,其余各组幼鼠均以改良的缺氧缺血性脑病造模方法构建缺血缺氧脑瘫模型。造模成功后A组、B组、C组分别给予头针结合艾灸治疗、头针治疗、艾灸治疗,D组、E组均给予50 ?滋L生理盐水。对比各组幼鼠脑组织Janus蛋白酪氨酸激酶2（JAK2）及转录活化因子3（STAT3）蛋白表达量、血清炎症因子[白介素-6（IL-6）、肿瘤坏死因子--α（TNF-α）、白介素-1（IL-1）]水平、神经递质[去甲肾上腺素（NE）、5-羟色胺（5-HT）]水平、记忆功能。结果：A组脑组织JAK2、STAT3 蛋白表达量低于B、C、D组,但高于E组（P<0.05）;A组血清IL-6、IL-1和TNF-α水平低于B、C、D组,但高于E组（P<0.05）;A组血清NE、5-HT水平低于B、C、D组,但高于E组（P<0.05）;A组Y迷宫实验正确次数多于B、C、D组（P<0.05）,而少于E组（P<0.05）。结论：头针结合艾灸可通过靶向抑制JAK2/STAT3信号通路相关蛋白的表达下调机体炎症反应水平,从而降低缺血缺氧脑瘫幼鼠脑组织损伤,促进其记忆功能恢复。     

艾灸对诱导性大鼠关节炎症及肠道菌群的影响

目的 观察艾灸治疗大鼠实验性类风湿关节炎(RA)的效果及其肠道菌群变化。方法 将46只SD大鼠随机分为正常对照组10只,正常艾灸组12只,RA模型组12只,RA艾灸组12只。RA艾灸组与RA模型组以牛Ⅱ型胶原诱导方法建立关节炎大鼠模型。正常艾灸组与RA艾灸组给予艾灸双侧肾俞、足三里,正常对照组与RA模型组不进行艾灸治疗。分别于造模成功后,艾灸干预第1、2、3周测量各组大鼠体质量、足趾容积、关节炎指数(AI)评分、杆菌/球菌、革兰阳性杆菌/细菌总数并比较差异。结果 大鼠造模后较正常对照组一般情况差、体质量低、足趾容积大、AI评分高、杆菌/球菌及革兰阳性杆菌/细菌总数比值低。艾灸干预后一般情况改善、体质量增加、足趾容积稳定增加、AI评分下降、杆菌/球菌及革兰阳性杆菌/细菌总数比值增加。RA临床表现和肠道菌群变化呈显著性相关,各时间段艾灸干预后RA模型组、RA艾灸组大鼠杆菌/球菌、革兰阳性杆菌/细菌总数差异有统计学意义(P0.05或P0.01)。结论 艾灸能够有效治疗Ⅱ型胶原诱导关节炎大鼠关节炎症和调节肠道菌群紊乱状态。     

灸法防治原发性肝癌的临床与实验研究进展

原发性肝癌是发病率和死亡率最高的恶性肿瘤之一。中医学认为,灸法具有较好的提高免疫力的作用,特别是对于“癥瘕积聚”类肿瘤疾病有独特的优势。该文从艾灸防治原发性肝癌的临床与实验研究两方面,就近年来有关文献进行总结。通过分析灸法在抑制肿瘤生长,缓解临床症状,改善放化疗不良反应和提高机体免疫力等方面的作用,发现应用灸法防治原发性肝癌疗效确切。建议今后的研究中进一步提高临床研究质量,加强系统化研究以明确作用机制。