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Astaxanthin Ameliorates Atopic Dermatitis by Inhibiting the Expression of Signal Molecule NF-kB and Inflammatory Genes in Mice 虾青素通过抑制小鼠信号分子NF-kB和炎症基因的表达改善特应性皮炎
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00255
Donghwan Kim, Yong-Suk Kim, H. Song
Background: This study was conducted to determine the anti-inflammatory effect of astaxanthin, on atopic dermatitis.Methods: Changes in mouse body weight, lymph node weight, and the degree of improvement in symptoms were measured to determine the inflammatory response. Real-time reverse transcription-polymerase chain reaction tests were performed to determine the degree of expression of inflammation-related cytokines (IL-31 and IL-33 and chemokines such as CCL17 and CCL22), and western blot analysis was performed to evaluate the expression of inflammation-related factors (iNOS, COX-2, and NF-kB signaling molecules p-IkBα, p50, p-65 and pSTAT3).Results: The degree of symptoms significantly improved in the PA+AX group. Lymph node weight in the PA+AX group was lower than the PA group. Inflammatory cytokines (IL-31, IL-33, and inflammatory chemokines such as CCL17 and CCL22) were significantly reduced in the PA+AX group compared with the PA group. The expression of inflammatory genes (iNOS, COX-2, NF-kB and signaling molecules (p-IkBα, p50, p65, and p-STAT 3) was lower in the PA+AX group compared with the PA group.Conclusion: Astaxanthin may modulate the inflammatory response in a mouse model of atopic dermatitis and has an anti-inflammatory effect.
背景:本研究旨在确定虾青素对特应性皮炎的抗炎作用。方法:测定小鼠体重、淋巴结重量和症状改善程度的变化,以确定炎症反应。进行实时逆转录聚合酶链反应测试以确定炎症相关细胞因子(IL-31和IL-33以及趋化因子如CCL17和CCL22)的表达程度,并进行蛋白质印迹分析以评估炎症相关因子(iNOS、COX-2和NF-kB信号分子p-IkBα、p50、p-65和pSTAT3)的表达。结果:PA+AX组症状程度明显改善。PA+AX组的淋巴结重量低于PA组。与PA组相比,PA+AX组的炎性细胞因子(IL-31、IL-33和炎性趋化因子如CCL17和CCL22)显著降低。与PA组相比,PA+AX组炎症基因(iNOS、COX-2、NF-kB和信号分子(p-IkBα、p50、p65和p-STAT 3)的表达较低。结论:虾青素可能调节特应性皮炎小鼠模型的炎症反应,并具有抗炎作用。
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引用次数: 1
A Literature Review of Randomized Controlled Trials on Tobacco Cessation Using Auricular Acupuncture and Auricular Acupressure 耳针与耳压戒烟随机对照试验文献综述
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00185
Min-Gi Jo, Jun-Yeong Jang, Minkailov Ko, S. Chae, Seungeun Lee, Dongmin Lee, Won-Suk Sung, Jung-hyun Kim, Bonhyuk Goo, Yeoncheol Park, Y. Baek, Sang-Soo Nam, B. Seo
This study aimed to analyze auricular acupressure and auricular acupuncture used in smoking cessation research by analyzing published randomized controlled trials. Eight databases (PubMed, Cochrane, EMBASE, CNKI, CiNII, KMbase, KISS, OASIS) were searched until December 2021, and 21 out of 1,919 studies met inclusion criteria. Data on the treatment site, time, frequency, period, and outcomes were analyzed. Lung (MA-IC1) and Ear Shenmen (MA-TF1) were the most used acupoints. The number of treatments varied between a minimum of 2 to a maximum of 24, and treatment duration varied between a minimum of 2 weeks to a maximum of 8 weeks. Cigarette consumption and smoking cessation rate were the most studied outcome, followed by multiple other psychological indications.
本研究旨在通过分析已发表的随机对照试验,分析耳穴按压和耳针在戒烟研究中的应用。截至2021年12月,共检索了8个数据库(PubMed、Cochrane、EMBASE、CNKI、CiNII、KMbase、KISS、OASIS),1919项研究中有21项符合纳入标准。对治疗部位、时间、频率、周期和结果的数据进行分析。肺(MA-IC1)和耳神门(MA-TF1)是最常用的穴位。治疗次数在最小2到最大24之间变化,治疗持续时间在最小2周到最大8周之间变化。吸烟量和戒烟率是研究最多的结果,其次是多种其他心理指标。
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引用次数: 0
The Risk of Applying Moving Cupping Therapy to A Patient with Chronic Lumbar Pain Previously Treated with Gold Thread Therapy 对曾接受金线疗法治疗的慢性腰痛患者应用走罐疗法的风险分析
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00192
Yeo-Gab Kim, Yoona Oh, Jihun Kim, Eunseok Kim, G. Yang, Byung-Ryul Lee
Gold thread therapy (GTT) continuously stimulates acupoints and is used to treat chronic conditions/diseases such as chronic lumbar pain. During the procedure gold thread is embedded into the skin and although gold thread is medically pure, GTT is an irreversible treatment where there is limited evidence on its safety. Here, we report a case of a 79-year-old woman being treated for low back pain who developed side effects following moving cupping therapy at a site of GTT (performed in the 1970s). Adverse reactions causing radiating pain persisted more than at least 9 days following moving cupping therapy. The symptoms of pain were evaluated using the numerical rating scale, and changes in tenderness and the state of bruising was recorded. Low back pain improved but the radiating low leg pain did not improve. This case highlights the need for caution when performing moving cupping therapy where GTT has been previously performed.
金线疗法(GTT)持续刺激穴位,用于治疗慢性疾病,如慢性腰椎疼痛。在手术过程中,金线嵌入皮肤,尽管金线在医学上是纯的,但GTT是一种不可逆的治疗方法,其安全性证据有限。在这里,我们报告了一例79岁的妇女因腰痛接受治疗,她在GTT(20世纪70年代进行)部位进行移动拔罐治疗后出现副作用。引起放射性疼痛的不良反应在移动拔罐治疗后持续了至少9天以上。使用数字评分量表评估疼痛症状,并记录压痛和瘀伤状态的变化。腰痛有所改善,但放射性小腿疼痛没有改善。这个案例强调了在进行之前进行过GTT的移动拔罐治疗时需要谨慎。
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引用次数: 1
A Study on the Significance of Acupuncture and Pharmacopuncture Therapy for Cold Accumulation Through a Literature Review on the Historical Development Process in Cold Accumulation Treatment 通过对寒积治疗历史发展过程的文献回顾,探讨针药治疗寒积的意义
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00178
Jin-Ho Jeong, Jaseung Ku, Ji-hye Hwang
In order to secure clinical evidence for the treatment of cold accumulation (CA), this study reviewed and analyzed 91 records of literature and related records. To perform a classical literature search, the Oriental Medicine Classic databases and the Uibujeonrok electronic data were searched. Books on Immuno-pharmacopuncture (IP) were also reviewed. A common etiology for CA was attributed to the abdomen, while the detailed sites of the abdomen differed. In IP, CA had a more comprehensive list of symptoms of physiological and pathological significance. As for the treatment of CA, typically, herbal medicine was used until the end of the Korean Empire period, and moxibustion treatment on CV4, CV6, CV-12, ST36, EX-B4, and conduction exercise therapy were also reported. Since 1965, acupuncture needle-based invasive treatment such as acupuncture for CA, and IP have been described in IP theory. Consequently, the treatment of CA (as described in the IP theory), was considered to be a more advanced method of treatment compared with the existing classical treatment methods.
为了获得治疗寒积症(CA)的临床证据,本研究回顾分析了91篇文献和相关记录。为了进行经典文献检索,检索了东方医学经典数据库和议釜全录电子数据。对免疫药物穿刺(IP)方面的书籍也进行了综述。CA的常见病因是腹部,而腹部的具体部位不同。在IP中,CA具有更全面的生理和病理意义的症状列表。对于CA的治疗,直到大韩帝国末期,一般都是使用草药,此外还有针对CV4、CV6、CV-12、ST36、EX-B4的艾灸治疗,以及传导运动疗法。自1965年以来,针刺针刺治疗CA、IP等侵入性治疗在IP理论中得到了描述。因此,与现有的经典治疗方法相比,对CA的治疗(如IP理论所述)被认为是一种更先进的治疗方法。
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引用次数: 1
The Evaluation of the Acute Toxicity and Safety of Verbenalin in ICR Mice 维拉那林对ICR小鼠急性毒性及安全性的评价
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00248
Hyejeong Shin, Y. Lim, Jisu Ha, Gabsik Yang, T. Yook
Background: Verbenalin is an iridoid glucoside, which is among the active components of some medicinal herbs such as Verbena officinalis Linn, and Cornus officinalis Siebold and Zucc. Previous studies have confirmed the antioxidant activity and neuroprotective potential of verbenalin. To confirm the safety of verbenalin, an approximate lethal dose was determined based on a single oral dose toxicity study.Methods: Institute of Cancer Research mice were randomly assigned to three verbenalin exposure groups (250, 500, and 1,000 mg/kg) and a control group (5% methylcellulose solution). There were (5 male and 5 female mice per group). Mortality, clinical signs, and body weight were monitored for 14 days, and necropsies were conducted.Results: No mortalities were observed in the control group or the verbenalin 250 mg/kg group, whereas mortalities were observed in the 500 mg/kg and 1,000 mg/kg verbenalin groups. During the observation period, stool abnormalities such as mucous stools were observed. Clinical signs such as loss of locomotor activity were observed in the 500 mg/kg and 1,000 mg/kg verbenalin groups. During the study period, significant changes in body weight were observed in the 500 mg/kg and 1,000 mg/kg verbenalin groups; however, no gross abnormalities were observed at necropsy. Overall, no toxicity was found in the 250 mg/kg group.Conclusion: The approximate lethal dose of verbenalin was estimated to be 500 mg/kg. For a more accurate assessment of the safety of verbenalin, other types of studies such as repeated-dose toxicity studies should also be conducted.
背景:马鞭草素是一种环烯醚萜苷,是马鞭草、山茱萸、山茱萸等药材的有效成分之一。先前的研究已经证实了马鞭草素的抗氧化活性和神经保护潜力。为了证实马鞭那林的安全性,根据单次口服剂量毒性研究确定了近似致死剂量。方法:癌症研究所小鼠随机分为三组(250、500和1000mg/kg)和对照组(5%甲基纤维素溶液)。共有(每组5只雄性和5只雌性小鼠)。监测死亡率、临床症状和体重14天,并进行尸检。结果:对照组或250 mg/kg组未观察到死亡,而500 mg/kg和1000 mg/kg组观察到死亡。在观察期间,观察到大便异常,如粘液性大便。在500mg/kg和1000mg/kg的verbenalin组中观察到诸如运动活动丧失的临床症状。在研究期间,观察到500 mg/kg和1000 mg/kg verbenalin组的体重发生了显著变化;然而,尸检时未观察到明显异常。总体而言,250 mg/kg组未发现任何毒性。结论:马鞭那林的近似致死剂量估计为500mg/kg。为了更准确地评估马鞭那林的安全性,还应进行其他类型的研究,如重复剂量毒性研究。
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引用次数: 0
Acupuncture for Adult Obstructive Sleep Apnea or Obstructive Sleep Apnea-Hypopnea Syndrome: A Review of the China National Knowledge Infrastructure Database 针刺治疗成人阻塞性睡眠呼吸暂停或阻塞性睡眠呼吸暂停低通气综合征:中国国家知识基础数据库综述
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00206
Hye-kyung Baek, Young Jun Kim, Y. Lee, H. Jo, Mi-so Park, Dong-guk Shin, Hyun A Shim
The purpose of this study was to analyze acupuncture treatment methods and acupoints used to treat obstructive sleep apnea (OSA) or obstructive sleep apnea-hypoapnea syndrome (OSAHS). The data were retrieved from January 2010 to May 2022 from the China National Knowledge Infrastructure database. The search terms included “adult,” “obstructive sleep apnea,” “obstructive sleep apnea hypoapnea syndrome,” “acupuncture,” and “electro-acupuncture.” Clinical trials for acupuncture treatment of OSA or OSAHS were included in this review (4 non-randomized controlled studies, 1 was a case report, and 10 randomized controlled studies). For OSA and OSAHS treatment, the acupoints that were most frequently used included REN23, LU7, ST40, EX9, LI11, and DU20. Compared with the control or Western treatment group, the treatment outcome measures of participants in the acupuncture treatment group significantly improved. In some studies, participants in the acupuncture group did not have side effects and the treatment was cost-effective. The data analyzed in this review suggest that acupuncture is an effective treatment for OSA or OSAHS.
本研究旨在分析针灸治疗阻塞性睡眠呼吸暂停(OSA)或阻塞性睡眠暂停低呼吸暂停综合征(OSAHS)的方法和穴位。这些数据是从2010年1月至2022年5月从中国国家知识基础设施数据库中检索的。搜索词包括“成人”、“阻塞性睡眠呼吸暂停”、“梗阻性睡眠呼吸呼吸暂停低呼吸暂停综合征”、“针灸”和“电针”。本综述包括针灸治疗OSA或OSAHS的临床试验(4项非随机对照研究,1项为病例报告,10项随机对照研究)。对于OSA和OSAHS的治疗,最常用的穴位包括REN23、LU7、ST40、EX9、LI11和DU20。与对照组或西方治疗组相比,针刺治疗组参与者的治疗结果指标显著改善。在一些研究中,针灸组的参与者没有副作用,治疗具有成本效益。这篇综述中分析的数据表明,针灸是治疗OSA或OSAHS的有效方法。
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引用次数: 0
A Review of Rat Models of Avascular Necrosis of the Femoral Head Treated with Natural Extracts 天然提取物治疗大鼠股骨头缺血性坏死模型的研究进展
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00227
Go-Woon Kim, Hyoung-Yong Park, Yeoncheol Park
To determine the effect of Korean medicine treatment of avascular necrosis of the femoral head (ANFH) this study reviewed both single ingredients and bioactive compounds in the treatment of ANFH in a rat model. Literature was retrieved from PubMed and Google Scholar using the keywords “femur head necrosis,” “natural extract,” and “rat.” The data from studies analyzed included: rats’ characteristics, development methods of ANFH, natural extracts administration, observation methods, and outcome indicators. Two independent researchers screened all articles retrieved and 26 studies were chosen. The most used rat species was the Sprague Dawley rat (76.9%). To induce ANFH, steroid injections (46.2%), and oral gavage (53.8%) were typically used. Studies focused mainly on factors affecting bone formation (65.3%), and apoptosis (53.8%). Research on ANFH focused on using traditional natural substances mentioned in classical literature to confirm its effectiveness against anti-inflammation, osteogenesis, and cell death. ANFH has a diverse etiology, therefore research models such as genetic analysis of human-derived samples from ANFH patients may shed more light on the condition. Moreover, research into herbal medicines and pharmacoacupuncture treatment of ANFH should precede.
为了确定韩国药物治疗股骨头缺血性坏死(ANFH)的效果,本研究综述了在大鼠模型中治疗ANFH的单一成分和生物活性化合物。文献检索自PubMed和Google Scholar,关键词为“股骨头坏死”、“天然提取物”和“大鼠”。分析的研究数据包括:大鼠的特征、ANFH的发展方法、天然提取物的给药、观察方法和结果指标。两名独立研究人员对检索到的所有文章进行了筛选,并选择了26项研究。最常用的大鼠是Sprague-Dawley大鼠(76.9%)。为了诱导ANFH,通常使用类固醇注射(46.2%)和灌胃(53.8%)。研究主要集中在影响骨形成(65.3%)和细胞凋亡(53.8%)的因素上。对ANFH的研究集中在使用经典文献中提到的传统天然物质来证实其对抗炎、成骨和细胞死亡的有效性。ANFH有多种病因,因此研究模型,如对ANFH患者的人类来源样本进行基因分析,可能会对这种情况有更多的了解。此外,对中药和药物针灸治疗ANFH的研究也应优先。
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引用次数: 0
Quality Assessment of Clinical Practice Guidelines for Ankle Sprains Using the Appraisal of Guidelines for Research and Evaluation II Assessment Tool 使用研究和评估指南II评估工具评估踝关节扭伤临床实践指南的质量
Pub Date : 2022-11-30 DOI: 10.13045/jar.2022.00213
Jun-Yeong Jang, Min-Gi Jo, Minkailov Ko, S. Chae, Seungeun Lee, Dongmin Lee, Jung-hyun Kim, Bonhyuk Goo, B. Seo, Y. Baek, Sang-Soo Nam, Yeoncheol Park
This study aimed to evaluate clinical practice guidelines (CPGs) for ankle sprains using the Appraisal of Guidelines for Research and Evaluation II tool, using electronic databases (GIN, PubMed, EMBASE, NCKM, CNKI, CiNii, WanFang database, RISS, and SCOPUS), to suggest strategies for improvement in the future. The search was performed on April 23, 2021 and 10 CPGs were selected for evaluation. Three CPGs were recommended without modification (Class A scores), five were recommended with modification (Class B), and two were not recommended (Class C scores). The CPG domain that received the lowest score was “applicability.” The traditional medicine CPGs scored higher [Class A (n = 1) and Class B (n = 1)] than the conventional Western medicine CPGs [Class A (n = 2), Class B (n = 4), and Class C (n = 2)] and were considered to be more methodical. In the future, more research into traditional medicine is required.
本研究旨在使用研究与评估指南评估II工具,使用电子数据库(GIN、PubMed、EMBASE、NCKM、CNKI、CiNii、WanFang数据库、RISS和SCOPUS)评估踝关节扭伤的临床实践指南(CPG),以提出未来的改进策略。搜索于2021年4月23日进行,选择了10个CPG进行评估。三个CPG被推荐为无修改(A级分数),五个被推荐为有修改(B级),两个不被推荐(C级分数)。得分最低的CPG领域是“适用性”。传统医学CPG的得分高于传统西医CPG[A类(n=2)、B类(n=4)和C类(n=2。未来,需要对传统医学进行更多的研究。
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引用次数: 0
Electroacupuncture Treatment for Primary Dysmenorrhea: A Review of Randomized Controlled Trials 电针治疗原发性痛经:随机对照试验综述
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00164
M. Jeon, J. Park, M. Lee, H. Kim, J. Ahn, N. Shin, H. Nam, Go-Eun Chae, Hyemi Jo, Hyun Woo Kim, Young Jin Lee, Arha Koh, Woo Young Kim
To evaluate the effectiveness of electroacupuncture treatment for primary dysmenorrhea (PD), a literature review of a randomized controlled trials (RCTs) was performed where electroacupuncture was used as a treatment intervention in patients diagnosed with PD. Relevant clinical studies (N = 226) were retrieved from multiple databases according to the study inclusion/exclusion criteria, and interventions and outcomes were analyzed. As a result of the review, there were 6 RCTs which met the criteria. In all 4 studies that measured pain indicators (visual analog scales), electroacupuncture showed significantly positive changes. In addition, positive changes were observed in most indicators (MMDQ, PGF2a, PGE2, 6-keto PGF1, TXB2, clinical efficacy score, uterine arterial blood flow parameters, and blood viscosity). 2 studies showed that electroacupuncture had a stronger therapeutic effect than NSAIDs. No major side effects were reported. Electroacupuncture may be an effective and safe treatment for PD however, further RCTs are required.
为了评估电针治疗原发性痛经(PD)的有效性,对一项随机对照试验(RCTs)进行了文献综述,其中电针被用作诊断为PD患者的治疗干预。根据研究纳入/排除标准,从多个数据库中检索相关临床研究(N=226),并对干预措施和结果进行分析。根据审查结果,共有6项随机对照试验符合标准。在所有4项测量疼痛指标(视觉模拟量表)的研究中,电针显示出显著的积极变化。此外,大多数指标(MMDQ、PGF2a、PGE2、6-keto-PGF1、TXB2、临床疗效评分、子宫动脉血流参数和血液粘度)均出现阳性变化。2项研究表明,电针的治疗效果强于非甾体抗炎药。没有重大副作用的报告。电针治疗帕金森病可能是一种有效且安全的治疗方法,但还需要进一步的随机对照试验。
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引用次数: 0
The Effects of Korean Medicine Treatment for Meniscus Tears: A Retrospective Chart Review 韩药治疗半月板撕裂的疗效:回顾性图表回顾
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00066
Ji-won Park, Myung-In Jeong, Wu-Jin Jeong, Hae-Won Hong, Ji-eun Koo, Jun-Hyo Bae, Su-jin Kim, Ji-eun Bae
Changes in symptoms and dysfunction related to meniscus tears following the use of Korean medicine for ≥ 4 days were studied. The medical charts of 53 cases of diagnosed meniscus tears (magnetic resonance imaging) with an admission Numeric Rating Scale (NRS) score ≥ 4, between 2017 and 2022 were retrospectively reviewed. Treatments included acupuncture, pharmacopuncture, herbal treatment, Chuna therapy, and physiotherapy. The NRS, Western Ontario and McMaster Universities Osteoarthritis Index, and European Quality of Life 5 Dimensions were performed at admission and discharge. There were 42 females and 11 males in this study. Patients were more likely to be in their 60s (38.18%), have an unknown etiology (81.13%), and have complex tears (50.94%). After receiving a combination of alternative Korean medicine during hospitalization, the mean NRS score improved from 6.82 ± 1.19 to 3.66 ± 1.83 (p < 0.001), the Western Ontario and McMaster Universities Osteoarthritis Index score improved from 46.47 ± 20.99 to 37.98 ± 19.23 (p < 0.001), and the mean European Quality of Life Five Dimensions score improved from 0.61 ± 0.18 to 0.68 ± 0.14 (p < 0.001) after treatment. These results suggest that Korean medicine treatment of meniscus tears alleviated pain and improved physical function.
研究使用韩药≥4天后半月板撕裂相关症状和功能障碍的变化。回顾性分析2017 ~ 2022年53例入院数字评定量表(NRS)评分≥4分诊断为半月板撕裂(磁共振成像)的病历。治疗方法包括针灸、药物穿刺、草药治疗、推拿治疗和物理治疗。入院和出院时分别进行NRS、西安大略和麦克马斯特大学骨关节炎指数和欧洲生活质量5维度测试。在这项研究中有42名女性和11名男性。患者多为60多岁(38.18%)、病因不明(81.13%)和复杂泪液(50.94%)。住院期间接受韩药联合治疗后,NRS评分从6.82±1.19分提高到3.66±1.83分(p < 0.001), Western Ontario and McMaster university Osteoarthritis Index评分从46.47±20.99分提高到37.98±19.23分(p < 0.001), European Quality of Life Five Dimensions评分从0.61±0.18分提高到0.68±0.14分(p < 0.001)。这些结果表明,韩药治疗半月板撕裂减轻了疼痛,改善了身体机能。
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引用次数: 0
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Journal of Acupuncture Research
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