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Acupuncture for erectile dysfunction: Insights and future research directions 针刺治疗勃起功能障碍:见解及未来研究方向
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100269
Kalina Simões , Jorge Magalhães Rodrigues

Erectile dysfunction is a condition in which men have difficulty in obtaining or maintaining a satisfactory penile erection, affecting their sexual life and quality of life. It is a common condition and its prevalence is increasing due to lifestyle changes and psychosocial factors. There are various approaches to treat erectile dysfunction, however many patients are not satisfied with conventional treatments and seek alternatives. Acupuncture is a technique that involves the insertion of needles into specific points of the body to promote the regulation of several systems and improve well-being. Regarding erectile dysfunction, acupuncture seems to positively influence the regulation of the hypothalamus, hormonal function, and local nervous function. Acupuncture is a promising therapeutic option, especially when combined with conventional therapies and by directly addressing mental health. However, the scientific evidence on the effectiveness of acupuncture for erectile dysfunction is still limited.

勃起功能障碍是指男性难以获得或维持满意的阴茎勃起,影响其性生活和生活质量。这是一种常见病,由于生活方式的改变和社会心理因素,其患病率正在上升。治疗勃起功能障碍的方法多种多样,但许多患者对常规治疗不满意,转而寻求其他治疗方法。针灸是一种将针插入身体特定部位以促进几个系统的调节并改善健康的技术。对于勃起功能障碍,针灸似乎对下丘脑、激素功能和局部神经功能的调节有积极的影响。针灸是一种很有前途的治疗选择,特别是当与传统疗法结合使用时,并直接解决心理健康问题。然而,关于针灸治疗勃起功能障碍的有效性的科学证据仍然有限。
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引用次数: 0
Tratamiento con electroacupuntura de los síntomas de las alteraciones digestivas y de salud mental 电针治疗消化紊乱和心理健康症状
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100261
José Luis Vique-Sánchez, Luis Alejandro Ayala Medina

Objective

Demonstrate that acupuncture has a high therapeutic potential to treat patients with symptoms of digestive system disorders and mental health (depression, anxiety and sleep quality).

Materials and methods

A electroacupuncture treatment was developed to evaluate ten patients with digestive, sleep and mental health disorders using the baihui (Du 20), shenting (Du 24), and zusanli (E 36) points, inserting the needle through the skin (between 10 and 15°) baihui and shenting (connected for electrostimulation), and 90° to the bilateral zusanli point (bilateral electrostimulation), in 8 sessions of 20 min each, two times per week.

Results

After the 8 sessions, all the patients showed improvement in the signs and symptoms of the digestive system and reduced their 17-item Hamilton depression rating scale scores.

Conclusions

In this study we evaluated the therapeutic effect of the usage of electroacupuncture in 8 session (4 weeks), using the baihui (Du 20), shenting (Du 24) and zusanli (E 36) points in patients with digestive, sleep and mental health disorders. This study demonstrates the high therapeutic potential that electroacupuncture could have to attend these disorders in the population worldwide and that its use and more clinical studies can be promoted to promote and demonstrate its effectiveness.

目的证明针灸在治疗消化系统紊乱和心理健康(抑郁、焦虑和睡眠质量)患者方面具有很高的治疗潜力。材料与方法对10例消化、睡眠和精神障碍患者进行电针治疗,采用百会穴(杜20)、神庭穴(杜24)、足三里穴(E 36),将针穿过皮肤(10 ~ 15°)百会穴与神庭穴(连接电刺激),90°插入双侧足三里穴(双侧电刺激),分8次,每次20 min,每周2次。结果8次治疗后,所有患者的消化系统症状和体征均有所改善,汉密尔顿抑郁量表17项评分均有所降低。结论采用电针治疗消化、睡眠、精神障碍患者,以百会穴(杜20)、神庭穴(杜24)、足三里穴(E 36)为穴位,分8个疗程(4 周)进行疗效评价。这项研究表明,电针在治疗这些疾病方面具有很高的潜力,并且可以促进电针的使用和更多的临床研究,以促进和证明其有效性。
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引用次数: 0
Un acercamiento a la comprensión de la energía jing esencial prenatal y posnatal. Descubriendo el tesoro interno 一种理解产前和产后基本静能量的方法。发现内在宝藏
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100265
Roberto González-González , Amalia Dávila-Hernández , Jorge Arturo Santana-Portillo

The concept of jing qi function is essential in traditional Chinese medicine and its understanding is important in clinical practice to comprehend the processes of growth, development, and life maintenance. Essential jing energy is divided into two categories: prenatal and postnatal. Postnatal essential jing energy is related to the transformation of fluids and food in the spleen-stomach, and its deficiency is related to the lack of elements obtained from food. Prenatal essential jing energy is related to body formation and repair, growth factors, and regulatory processes of genomic, transcriptomic, proteomic, and metabolomic activity. Products that strengthen prenatal essential jing energy are related to the production and regulation of growth factors and stem cell therapy, reinforcing the idea of its relationship with genomic, transcriptomic, proteomic, and metabolomic regulation.

经气功能的概念在中医中是必不可少的,对经气功能的认识在临床实践中对理解生长发育和生命维持的过程具有重要意义。精气分为两类:产前和产后。出生后精气与脾胃液食转化有关,精气不足与食源性元素缺乏有关。产前必需能量与机体形成和修复、生长因子以及基因组、转录组、蛋白质组和代谢组活性的调控过程有关。增强产前必需能量的产品与生长因子和干细胞治疗的产生和调节有关,强化了其与基因组、转录组、蛋白质组和代谢组调节的关系。
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引用次数: 0
Comparative analysis of the anti-depression effects of lorazepam, acupuncture, and curcumin utilizing the forced swimming test in experimental rats models 劳拉西泮、针刺、姜黄素对大鼠抗抑郁作用的强迫游泳实验对比分析
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100268
Sarah Najem Abed , Noor Hadi Farhan , Marwah Ali Zghair , H.M. Abo Almaali

Introduction

lorazepam is one of benzodiazepine medication that is usually used for its sedative and anxiolytic effect and has anti-depressant like effects. Turmeric is a plant that contain curcumin as main active compound that exert its antidepressant action inhibit monoamine oxidase and increase levels of dopamine and serotonin in brain.

Aim

the present study investigate the depression effect of curcumin (natural selective serotonin inhibitors) in comparison with acupuncture and lorazepam.

Method

32 adult rats weighing (150 g−280 g) were divided equally into 8 groups each group contain 4 rats. The first 3 group of rats were treated with lorazepam, mixture of (curcumin, black pepper and olive oil) and pricked with insulin needle at point gb39, respectively, while second 4 groups of rats were received lorazepam and mixture, lorazepam and acupuncture, mixture and acupuncture, and lorazepam, mixture and acupuncture, separately, and the eighth group is control group don't receive any drugs. After 35 days, forced swimming test was made for all rats.

Results

Liver parameters: - GOT increased in all group, GPT increased in rat's group that received lorazepam, mixture group and lorazepam + mixture group, This indicates the existence of problems previously with the liver of the rat used, and what remains is the high levels of GOT and GPT in the control group, while TSB is within the normal range for all groups. Kidney parameters:-blood urea levels increased in all groups and S. creatinine levels within normal range for all groups.

Conclusion

the evaluation of natural SERMs in the forced swimming test showed promising antidepressant-like effects, comparable to lorazepam and acupuncture. Further research is needed to understand the mechanisms and determine optimal dosage and safety. Natural selective serotonin inhibitors hold potential as alternative or complementary treatments for depression.

劳拉西泮是一种苯二氮卓类药物,通常用于镇静和抗焦虑作用,并具有抗抑郁作用。姜黄是一种以姜黄素为主要活性化合物的植物,其抗抑郁作用可抑制单胺氧化酶,提高大脑中多巴胺和血清素的水平。本研究探讨了姜黄素(天然选择性血清素抑制剂)与针灸和劳拉西泮的抑制作用。方法32只体重150 g ~ 280 g的成年大鼠随机分为8组,每组4只。前3组大鼠分别给予劳拉西泮、(姜黄素、黑胡椒、橄榄油)合剂治疗,并用胰岛素针在gb39点刺入,后4组大鼠分别给予劳拉西泮与合剂、劳拉西泮与针刺、合剂与针刺、劳拉西泮、合剂与针刺,第八组为对照组,不给予任何药物。35 d后,对所有大鼠进行强迫游泳试验。结果银参数:-所有组均有GOT升高,劳拉西泮组、合剂组和劳拉西泮+合剂组均有GPT升高,说明所用大鼠肝脏前期存在问题,对照组仍有较高的GOT和GPT水平,TSB均在正常范围内。肾脏参数:各组血尿素水平升高,血清肌酐水平在正常范围内。结论在强迫游泳试验中对天然SERMs的评价显示出良好的抗抑郁样作用,与劳拉西泮和针灸相当。需要进一步研究以了解其作用机制并确定最佳剂量和安全性。天然选择性血清素抑制剂作为抑郁症的替代或补充治疗具有潜力。
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引用次数: 0
Circuitos neuronales de las 五神 wu shen: fundamentos de neurociencias en las actividades espirituales 吴的神经回路五神shen:基本活动中的神经精神
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.acu.2023.100263
Amalia Dávila-Hernández , Roberto González-González

Spiritual activities are concepts from traditional Chinese medicine (TCM). According to TCM, each organ controls a spiritual function or activity. These activities are considered as the most ethereal in each of the components of organic phenomenology. Based on González's approaches in 2009, this paper proposes that spiritual activities correspond to neural pathways related to processes studied by neurosciences. In this sense, shen could corresponds to consciousness (including the level of alertness as well as the content of the thought); hun to the pathways related to the processing of the emotions and the activity of default network mode; yi to the processes involved in cognition (memory and learning); po with the oscillations that allow the renewal and maintenance of the processes, and zhi with processes could be related to motivational behaviors (yang aspect) and with the pathways of pleasure and reward (yin aspect).

精神活动是来自中医的概念。根据中医,每个器官都控制着一种精神功能或活动。在有机现象学的各个组成部分中,这些活动被认为是最空灵的。本文在2009年González方法的基础上,提出精神活动与神经科学研究的过程相关的神经通路相对应。在这个意义上,“神”可以对应于意识(包括警觉的程度和思想的内容);研究了与情绪加工相关的通路和默认网络模式的活动;易到认知过程所涉及的(记忆和学习);Po与允许过程更新和维持的振荡有关,而zhi与过程有关,可能与动机行为(阳方面)和快乐和奖励途径(阴方面)有关。
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引用次数: 0
Aplicación de acupuntura manual como tratamiento de dislipidemia mixta: reporte de un caso 手工针灸治疗混合性血脂异常的应用:一例报告
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.acu.2023.100264
José Napoleón Monroy García, Michelle Christlieb Rivera Ortiz, Yadhira Martínez García, Laura Lizbeth Torres Domínguez

Mixed dyslipidemia is defined as increased blood concentrations of cholesterol and triglycerides. This pathology is considered a risk factor for developing cardiovascular diseases such as atherosclerosis or acute myocardial infarction.

We present the case of a 51-year-old patient with cholesterol and triglyceride levels above normal values who receives acupuncture treatment at points H 3 (Taichong), B 4 (Gongsun), E 40 (Fenglong), VB 34 (Yanglingquan), PC 5 (Jiangshi), H 14 (Qimen). After a treatment of 10 sessions (with a frequency of twice a week) with 1.5 cun acupuncture needles, insertion—except H 14 (Qimen) with transverse insertion following the curve of the rib—and manipulation with trepidation technique, we obtain as a result the relief of symptoms and a decrease in cholesterol (from 226.8 mg/dl to 95 mg/dl) and triglyceride (from 174.2 mg/dl to 118 mg/dl) concentrations, in addition to the reduction of cardiovascular risk according to the classical Framingham table.

混合性血脂异常被定义为血液中胆固醇和甘油三酯浓度升高。这种病理被认为是发生心血管疾病如动脉粥样硬化或急性心肌梗死的危险因素。我们报告一例51岁的胆固醇和甘油三酯水平高于正常值的患者,接受针灸治疗的穴位有:h3(太冲)、b4(公孙)、e40(丰龙)、v34(阳陵泉)、pc5(江石)、h14(启门)。经过10次治疗(频率为每周两次),使用1.5寸针灸针,沿着肋骨曲线横向插入(除h14(气门)外),并使用震颤技术操作,我们获得了症状的缓解,胆固醇(从226.8 mg/dl降至95 mg/dl)和甘油三酯(从174.2 mg/dl降至118 mg/dl)浓度的降低。除了根据经典的弗雷明汉表降低心血管风险之外。
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引用次数: 0
El campo receptivo de acupuntura y neurodinámica de los puntos de acupuntura 针灸的接受领域和穴位的神经动力学
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.acu.2023.100262
Salvador Quiroz-González , Emma López-Espinoza , Ismael Jiménez-Estrada

Acupuncture points are essential for diagnosis and treatment in acupuncture. They are usually described in books and charts as a system of channels distributed along the body in precise and fixed places. However, despite its acceptance by academics, clinicians, and researchers, experimental evidence regarding the location and specificity of the acupoints is controversial. In this article we showed neurophysiological evidence to propose to propose that: a) the acupuncture point corresponds to an acupuncture receptive field of sensory neurons; and b) in situations such as pain and inflammation this receptive field is modified, showing neurodynamic and neuroplastic properties. Such changes in the peripheral nerve arborizations are associated with the organic conditions of the patient. Contextualization of the acupuncture receptive field is also consistent with mechanisms of acupoint sensitivity and unmasking of new acupuncture points, which would allow the understanding of similar clinical outcomes when puncturing sites close to acupuncture points. Likewise, this proposal emphasizes that for the design and execution of clinical trials, “control points” should be used away from the acupuncture receptive fields, to avoid biases in the results interpretation about clinical investigations with acupuncture.

穴位在针灸诊断和治疗中是必不可少的。它们通常在书籍和海图中被描述为沿着身体分布在精确和固定位置的通道系统。然而,尽管它被学术界,临床医生和研究人员所接受,关于穴位位置和特异性的实验证据是有争议的。在本文中,我们通过神经生理学证据提出:a)穴位对应于感觉神经元的针刺接受野;b)在疼痛和炎症等情况下,这种感受野被改变,表现出神经动力学和神经可塑性的特性。周围神经病变的这种改变与患者的器官状况有关。针刺感受野的情境化也与穴位敏感的机制和新穴位的揭示一致,这将有助于理解针刺靠近穴位的部位时的类似临床结果。同样,本建议强调,在临床试验的设计和执行中,“控制点”应远离针灸感受野,以避免对针灸临床研究结果的解释产生偏差。
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引用次数: 0
Immediate effect of acupuncture on lactate removal after exercise: A pilot study 针灸对运动后乳酸清除的直接影响:一项初步研究
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.acu.2023.100260
Rui Pedro Carpinteiro , Jorge Machado , Maria João Santos , Luís Carlos Matos

Background

The recovery process is of utmost importance in activities where the athlete has to compete more than once a day during the competition. It is generally accepted that intense physical activity results in lactate production and the accumulation of lactate in exercising muscle is considered one of the main determining factors of fatigue.

Objective

The main goal of this pilot study was to evaluate the immediate effects of acupuncture on lactate removal after just one treatment session and to evaluate lactate, heart rate, and oxygen saturation behavior at 5, 30, and 60 min after exercise.

Methods

Four individuals were evaluated and were part of both the experimental group (real acupuncture) and the placebo group (sham acupuncture) and were tested at two distinct times with a one-week interval. Baseline values of lactate, heart rate, and oxygen saturation were measured, and then the participants performed a warm-up and subsequently completed the Wingate test. The individuals were re-evaluated 5, 30, and 60 min after the Wingate test, and either real or sham acupuncture was applied after the test.

Results

After the intervention period, there was an increased ability to reduce or remove lactate after maximum effort. No significant differences were observed in heart rate or oxygen saturation. Conclusions: The results of this case study seem to suggest that acupuncture has a positive effect on lactate removal after intense physical exercise.

运动员在比赛中每天要参加不止一次的比赛,恢复过程是至关重要的。人们普遍认为,剧烈的体育活动导致乳酸的产生,乳酸在运动肌肉中的积累被认为是疲劳的主要决定因素之一。这项初步研究的主要目的是评估针灸在一次治疗后对乳酸去除的直接影响,并评估运动后5、30和60 min时乳酸、心率和氧饱和度的行为。方法将4例患者分为实验组(真针灸组)和安慰剂组(假针灸组),每隔一周进行两次不同时间的测试。测量乳酸、心率和血氧饱和度的基线值,然后参与者进行热身,随后完成温盖特测试。在Wingate测试后5、30和60 分钟,对这些个体进行重新评估,并在测试后应用真实或虚假针灸。结果干预期结束后,在最大限度的努力下,减少或去除乳酸的能力有所提高。心率和血氧饱和度无显著差异。结论:本病例研究的结果似乎表明,针灸对剧烈运动后乳酸清除有积极作用。
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引用次数: 0
Cómo se garantiza el control de infecciones asociadas a la práctica de la acupuntura 如何保证与针灸实践相关的感染控制
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.1016/j.acu.2023.100251
Johann Perdomo Delgado , Evelyn Anie González Pla , Ismary Alfonso Orta

The adverse events associated with acupuncture include infections with a range of causes. Reports worldwide document this phenomena, and it is recommended internationally that safe practice guides for acupuncture should be adopted to reduce the general incidence of adverse events, including infections associated with treatments of this type. Technical and regulatory documents are available for reference to achieve this aim. It is considered that if the professionals who practice acupuncture observed a series of aspects, this would affect the quality of care and in particular would help to reduce the incidence of adverse events associated with their practice. This paper describes the recommendations that are thought to be necessary to control the infections associated with the practice of acupuncture, and which are also applicable to similar techniques.

与针灸相关的不良事件包括一系列原因的感染。世界各地的报告都记录了这一现象,国际上建议采用针灸安全操作指南,以减少不良事件的一般发生率,包括与此类治疗相关的感染。技术和法规文件可供参考,以实现这一目标。人们认为,如果针灸专业人员观察到一系列方面,这将影响护理质量,特别是有助于减少与他们的实践相关的不良事件的发生率。本文介绍的建议,被认为是必要的,以控制感染与针灸的做法,这也适用于类似的技术。
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引用次数: 0
Vía catecolaminérgica antiinflamatoria en pulpa dental y su relación con el control del dolor durante el manejo complementario con electroacupuntura: un estudio de cohorte 牙髓儿茶酚胺能抗炎途径及其与电针辅助治疗疼痛控制的关系:一项队列研究
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.1016/j.acu.2023.100250
María Eugenia Marcela Castro-Gutiérrez , Liliana Argueta-Figueroa , Mario Alberto Bautista-Hernández , Adriana Moreno-Rodríguez , Carlos Josué Solórzano-Mata , Rafael Torres-Rosas

Acupuncture can control inflammation and pain by modulating various neuroimmunological communication pathways, including a catecholamine-dependent pathway. On the other hand, it has been reported that there are nerve terminals of the sympathetic nervous system in the dental pulp and these nerves can control the blood flow in the dental pulp. This study aimed to determine if acupuncture has an analgesic effect on the dental pulp and the relationship with neuroimmunological control elements in this tissue. A prospective cohort study was carried out with patients scheduled for tooth extraction for orthodontic reasons, which were treated with complementary management of electroacupuncture during the extraction process (n = 17). The success of dental anesthesia was determined using electrical tests and postoperative pain scales. In addition, the presence of the α2 adrenergic receptor in cells of immune lineage in dental pulp was determined by fluorescence microscopy. The results showed that complementary therapy with electroacupuncture has a success rate of 72.5%. In addition, cells of immune lineage in dental pulp expressed α2 adrenergic receptors. Consequently, the anatomical and molecular elements in the dental pulp related to catecholaminergic neuroimmune control are present. These anatomical and molecular elements may be related to pulp anesthesia and pain control during tooth extraction.

针刺可以通过调节多种神经免疫通讯通路,包括儿茶酚胺依赖通路,来控制炎症和疼痛。另一方面,据报道,在牙髓中存在交感神经系统的神经末梢,这些神经可以控制牙髓内的血流。本研究旨在确定针灸是否对牙髓有镇痛作用,以及与牙髓组织中神经免疫控制因子的关系。一项前瞻性队列研究对因正畸原因计划拔牙的患者进行了研究,这些患者在拔牙过程中采用电针辅助治疗(n = 17)。通过电试验和术后疼痛量表来确定牙麻醉的成功与否。荧光显微镜检测牙髓免疫系细胞α2肾上腺素能受体的表达。结果表明,电针辅助治疗的成功率为72.5%。此外,牙髓免疫系细胞表达α2肾上腺素能受体。因此,牙髓中与儿茶酚胺能神经免疫控制相关的解剖和分子元素存在。这些解剖和分子因素可能与拔牙过程中的牙髓麻醉和疼痛控制有关。
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引用次数: 0
期刊
Revista Internacional de Acupuntura
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