水沟穴急救的中医理论依据和西医作用基础浅析

目的:分析"急救刺水沟"的中医理论依据和西医作用基础。方法:通过分析水沟穴的穴名、定位以及其与周围经脉的关系归纳"急救刺水沟"的中医理论依据;通过局部解剖所见的形态学基础和针刺水沟的量-效关系分析水沟穴在治疗脑病方面具有独特优势的作用基础。结果:水沟穴所处的位置及其与周围神经、血管、经络的关系是其发挥"急救刺水沟"功能的基础。结论:水沟穴所处的重要位置是其发挥"急救要穴"功能的基础,但是合理的刺激方法、刺激时间和刺激强度与腧穴之间的合理搭配应用也是水沟穴发挥最大量-效关系必不可少的辅助因素,有必要深入研究并制定科学规范的"急救刺水沟"的适应症和手法量-效学标准。     

隔姜灸治疗慢性疲劳综合征及对患者肠道菌群的影响

目的:观察隔姜灸对慢性疲劳综合征(CFS)患者疲劳状态及肠道菌群的影响。方法:将62例CFS患者随机分为观察组(31例,脱落3例)和对照组(31例,脱落2例)。对照组患者正常饮食,适量运动;观察组在对照组基础上于中脘、神阙、关元行隔姜灸治疗,每次30 min,隔日1次,每周3次,两组均干预4周。分别于治疗前后采用疲劳量表14(FS-14)观察两组患者疲劳状态的改善情况,采用16S rRNA检测技术检测肠道菌群分布。结果:观察组治疗后FS-14评分较治疗前降低(P<0.01),且降低幅度大于对照组(P<0.01)。两组治疗前门、属水平菌群相对丰度基本一致。对照组治疗前后无明显菌群差异,观察组治疗后肠杆菌目的肠杆菌科、棒状杆菌科的棒状杆菌属、丹毒丝菌科、放线菌目较治疗前增加(P<0.05),且放线菌属、瘤胃球菌属乳菇属较对照组具有明显菌群优势(P<0.05)。结论:隔姜灸可显著改善CFS患者的疲劳状态,可能与其调节肠道菌群结构从而修复肠道屏障有关。     

电针对急性脑梗死大鼠VEGF/Flt-1基因及其蛋白表达的影响

[目的]以大脑中动脉阻塞(MCAO)大鼠为研究对象,通过观察血管内皮生长因子及其受体(VEGF/Flt-1)基因及其蛋白表达的变化以探讨电针对急性脑梗死大鼠血管新生的干预机制。[方法]将120只Wistar大鼠随机分为3组,即空白组、模型组、电针组,模型组和电针组按术后3 h、6 h、12 h、24 h、3 d、7 d、12 d各分为7个时相组,每时相各8只。各组造模后,电针组依时相进行电针人中穴的治疗。各组大鼠依时间段处死后,进行实时荧光定量聚合酶连反应(PCR)及免疫组化的检测。[结果]电针组VEGF/Flt-1的mRNA及蛋白表达均较模型组有显著上调。[结论]电针对急性脑缺血大鼠VEGF/Flt-1的表达有良性调整作用,可促进缺血半暗带的血管新生。     

艾灸治疗月经过多1例

应用艾灸百会和双侧隐白穴治疗月经过多,温阳益气,调和经血,且对于头晕之症亦有一定的治疗作用,疗效显著.     

电针“水沟”穴对大脑中动脉梗死大鼠脑血管平滑肌蛋白激酶C的影响

目的:观察针刺"水沟"穴对大脑中动脉梗死(MCAO)大鼠蛋白激酶C(PKC)蛋白水平及活性的影响,探讨针刺"水沟"调节血管平滑肌收缩的分子机制。方法:Wistar大鼠随机分为模型组、针刺组、假手术组及空白组,每组分0.5h、1h、3h、6h和12h5个亚组。Longa线栓法复制MCAO模型。针刺组电针"水沟"穴,刺激20min。用免疫组化法检测PKC在血管平滑肌细胞表达水平,用ELISA法检测PKC活性。结果:PKC表达水平模型组较空白组增加(P0.05),各时相点针刺组均低于模型组(P0.05);模型组PKC相对活性值较空白组上升(P0.05),针刺组与模型组比较,PKC活性显著降低(P0.05)。结论:MCAO大鼠血管平滑肌PKC蛋白水平和活性增加,可能参与调节大脑中动脉平滑肌收缩。针刺MCAO大鼠"水沟"穴,下调PKC蛋白水平和活性,可能缓解大脑中动脉平滑肌痉挛。     

电针对急性脑梗死大鼠VEGF/Flt-1基因及其蛋白表达的影响

[目的] 以大脑中动脉阻塞（MCAO）大鼠为研究对象,通过观察血管内皮生长因子及其受体（VEGF/Flt-1）基因及其蛋白表达的变化以探讨电针对急性脑梗死大鼠血管新生的干预机制。[方法] 将120只Wistar大鼠随机分为3组,即空白组、模型组、电针组,模型组和电针组按术后3 h、6 h、12 h、24 h、3 d、7 d、12 d各分为7个时相组,每时相各8只。各组造模后,电针组依时相进行电针人中穴的治疗。各组大鼠依时间段处死后,进行实时荧光定量聚合酶连反应（PCR）及免疫组化的检测。[结果] 电针组VEGF/ Flt-1的mRNA及蛋白表达均较模型组有显着上调。[结论] 电针对急性脑缺血大鼠VEGF/ Flt-1的表达有良性调整作用,可促进缺血半暗带的血管新生。     

Effects of electroacupuncture on cochlear morphology and expression of aquaporins in rats with AVP-induced endolymphatic hydrops

Objective: The objective of this study was to investigate the effects of EA on EH and the regulation of AQP2 and AQP7 protein expression in rats.Methods: Twenty-four rats were allocated randomly to four groups of blank group, EH group,EH+tolvaptan group and EH + EA group(n = 6 per group). EH rat model was established by intraperitoneally injection of arginine vasopressin(AVP). EA was administered at acupoints "Baihui(百会 GV 20)"and "Tinggong(听宫 SI 19)". Rats in the EH + tolvaptan group and EH+ EA group were treated with tolvaptan and EA, respectively, after EH establishment. Hematoxylin-eosin staining was used to measure the cochlear hydrops degree, and then the ratio of scala media(SM) area to SM + scala vestibuli(SV) area(R value) was calculated. Immunohistochemical method was used to observe AQP2/AQP7 protein expression in the rat cochlear lateral wall after treatment.Results: ①There was no endolymphatic hydrops in the blank group. Reissner' s membrane was extended markedly and bulged into SV in cochleae of the EH group and endolymphatic hydrops was noted. Statistical analysis revealed that R value in the EH group showed a significant increase compared with that in the blank group(0.42 ± 0.02 vs. 0.31 ± 0.05, P=0.000). The distension of Reissner's membrane was less obvious in the EH + tolvaptan group and EH + EA group when compared with the EH group. R value in the EH + tolvaptan group and the EH + EA group was significantly less than that in EH group(0.32±0.04 vs. 0.42 ± 0.02, =0.001;0.35 ± 0.05 vs. 0.42 ± 0.02, P=0.012). The degree of the hydrops in the EH + EA group was not different from that in the EH + tolvaptan group(0.35 ± 0.05 vs. 0.32 ±0.04,P= 1.000). ②The AQP2 protein expression in the rat cochlear lateral wall of EH group was significantly increased when compared with the blank group(12.74 ± 5.18 vs. 5.92 ± 1.52, P = 0.014). The AQP2 protein expression in the rat cochlear lateral wall of EH + tolvaptan group and EH + EA group were all lower than that of the EH group(6.52 ± 2.73 vs. 12.74 ± 5.18. P = 0.029;6.95 ± 3.10 vs. 12.74 ± 5.18, P = 0.047).The AQP2 protein expression in the rat cochlear lateral wall of EH + EA group was not different from that in the EH + tolvaptan group(6.95 ± 3.10 vs. 6.52 ± 2.73, P= 1.000).③The AQP7 protein expression in the rat cochlear lateral wall of EH group was significantly increased when compared with the blank group(30.32 ± 6.39 vs 16.64 ± 3.21, P=0.000). The AQP7 protein expression in the rat cochlear lateral wall of EH + tolvaptan group and EH + EA group were all lower than that of the EH group(18.32 ± 2.45 vs.30.32 ± 6.39, P= 0.001;19.54 ± 4.61 vs. 30.32 ± 6.39, P= 0.003). The AQP7 protein expression in the rat cochlear lateral wall of EH + EA group was not different from that in the EH + tolvaptan group(19.54 ±4.61 vs. 18.32 ± 2.45, P= 1.000).Conclusions: These results indicate that repeated EA stimulation exerted the same effects as tolvaptan application on AQPs levels and subsequent aquaretic effects. And dehydrating effect of EA on the inner ear might be associated with its down-regulation of both AQP2 and AQP7 protein expression, thereby provide a potential molecular mechanism involved in the treatment of Meniere's disease by EA.     

大鼠大脑中动脉梗死模型的评价标准探讨

[目的] 选择适合的评价方法及纳入排除标准,以提高对脑缺血模型是否成功的准确判定程度。[方法] 采用线栓法建立Wistar大鼠的大脑中动脉阻塞(MCAO)模型,用激光多普勒分别测量造模前、后局部脑血流量(rCBF).分别在缺血后1、2、3、6、9、12、15、18、21、24 h进行Longa神经行为学评分,断头取脑,利用2,3,5-氯化三苯基四氮唑(TTC)染色法对脑梗死情况进行判定。[结果] 经解剖和TTC染色验证,神经行为学评分法对44只MCAO大鼠模型判读准确,准确率为75.86%,结合解剖结果,准确率为86.21%.多普勒脑血流量检测法对51只模型MCAO大鼠模型判读准确,准确率为87.93%.结合解剖结果,准确率为100%.[结论] 激光多普勒血流测量法对大鼠大脑中动脉梗死模型是否成功的判断具有良好的敏感性和准确性,尤其适用于超急性期大脑中动脉梗死模型的判定。     

大鼠大脑中动脉梗死模型的评价标准探讨

[目的]选择适合的评价方法及纳入排除标准,以提高对脑缺血模型是否成功的准确判定程度。[方法]采用线栓法建立Wistar大鼠的大脑中动脉阻塞(MCAO)模型,用激光多普勒分别测量造模前、后局部脑血流量(rCBF)。分别在缺血后1、2、3、6、9、12、15、18、21、24 h进行Longa神经行为学评分,断头取脑,利用2,3,5-氯化三苯基四氮唑(TTC)染色法对脑梗死情况进行判定。[结果]经解剖和TTC染色验证,神经行为学评分法对44只MCAO大鼠模型判读准确,准确率为75.86%,结合解剖结果,准确率为86.21%。多普勒脑血流量检测法对51只模型MCAO大鼠模型判读准确,准确率为87.93%。结合解剖结果,准确率为100%。[结论]激光多普勒血流测量法对大鼠大脑中动脉梗死模型是否成功的判断具有良好的敏感性和准确性,尤其适用于超急性期大脑中动脉梗死模型的判定。