Zhou En-Hua, Liu Hui-Rong, Wu Huan-Gan, Shi Zheng, Zhang Wei, Zhu Yi, Shi Da-Ren, Zhou Shuang
Shanghai Institute of Acupuncture-Moxibustion and Meridians, Shanghai 200030, People's Republic of China.
Dig Dis Sci. 2009 Oct;54(10):2198-206. doi: 10.1007/s10620-008-0620-4. Epub 2008 Dec 13.
Our previous studies have demonstrated the efficacy of partition-herb moxibustion on ulcerative colitis (UC) rats. However, the mechanism of actions of partition-herb moxibustion is still unclear. Most Chinese acupuncturists believe that partition-herb improves the effect of moxibustion therapy. However, this argument lacks confirming experimental and clinical evidence. So, whether partition-herb does play a role in the mechanism of actions of partition-herb moxibustion was reported in this paper. A total of 123 patients were randomly divided into the partition-herb moxibustion group and the control group (partition-bran moxibustion group). Fourteen patients dropped out of the study. Finally, 109 patients finished the intervention. Sixty-one patients with UC received partition-herb moxibustion and 48 patients with UC received partition-bran moxibustion for 72 treatments, one treatment per day, every 12 treatments with an interval of 3 days. The expressions of interleukin-8 (IL-8) and intercellular adhesion molecule-1 (ICAM-1) in the colonic mucosa tissue in mild patients with UC were assayed by immunohistochemistry and RT-PCR. Histology of the colon also was observed at entry and after 72 treatments. Clinical therapeutic effect in partition-herb moxibustion was significantly better than those in partition-bran moxibustion (P < 0.05). Protein and mRNA expression of IL-8, ICAM-1 in the patients was inhibited by both partition-herb moxibustion and partition-bran moxibustion, of those the inhibition in the partition-herb moxibustion group was more obvious (P < 0.01). Partition-herb moxibustion was shown to significantly improve the histology of the colon, and partition-herb was shown to improve the therapeutic effect of moxibustion on treatment of UC patients.
我们之前的研究已经证实隔药灸对溃疡性结肠炎(UC)大鼠具有疗效。然而,隔药灸的作用机制仍不清楚。大多数中国针灸师认为隔药可提高灸疗效果。然而,这一观点缺乏确凿的实验和临床证据。因此,本文报道了隔药是否在隔药灸作用机制中发挥作用。总共123例患者被随机分为隔药灸组和对照组(隔麸灸组)。14例患者退出研究。最终,109例患者完成干预。61例UC患者接受隔药灸,48例UC患者接受隔麸灸,共治疗72次,每日1次,每12次治疗间隔3天。采用免疫组织化学和逆转录-聚合酶链反应(RT-PCR)检测轻度UC患者结肠黏膜组织中白细胞介素-8(IL-8)和细胞间黏附分子-1(ICAM-1)的表达。在入组时和72次治疗后观察结肠组织学变化。隔药灸的临床治疗效果明显优于隔麸灸(P<0.05)。隔药灸和隔麸灸均能抑制患者IL-8、ICAM-1的蛋白和mRNA表达,其中隔药灸组的抑制作用更明显(P<0.01)。结果表明,隔药灸能显著改善结肠组织学变化,隔药可提高灸疗对UC患者的治疗效果。