Wang Fan, Cui Guang-Wei, Kuai Le, Xu Jian-Min, Zhang Ting-Ting, Cheng Huai-Jin, Dong Hong-Sheng, Dong Gui-Rong
School of Acupuncture-Moxibustion and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China.
Evid Based Complement Alternat Med. 2017;2017:2813437. doi: 10.1155/2017/2813437. Epub 2017 Apr 4.
The role of the acupoint area collagen fibers in the efficacy of acupuncture lifting and thrusting (L&T) manipulation will be explored in this paper. 30 male NZW rabbits were randomly divided into 6 groups: sham operation group (Group N), model group (Group M), acupuncture without manipulation group (Group W), acupuncture L&T manipulation group (Group A), collagenase pretreatment group (Group JM), and collagenase pretreatment + acupuncture L&T manipulation group (Group JA). The bacterial endotoxin was used to generate the rabbit fever models. Acupuncture was applied at IL-11. The levels of IL-1, TNF-, and IL-4 and the rectal temperature were measured at 2 h, 4 h, and 6 h after modeling and the collagen fiber morphology at acupoint area was observed after 6 hours. As compared with Group N, the levels of IL-1 and TNF- in Group M were significantly higher; the level of IL-4 was significantly lower ( < 0.05). As compared with Group M, IL-1 and TNF- in Groups W and A were significantly lower and IL-4 was significantly higher ( < 0.05). As compared with Group W, IL-1 and TNF- in Group A were lower and IL-4 was higher ( < 0.05). The collagen fiber in Group A was slightly rough, distorted, and fractured. As shown in studies, the endotoxin-induced inflammatory response can be significantly inhibited by acupuncture whose efficacy can also be significantly improved by the manipulations. Collagenase pretreatment may be the first receptor to the mechanical force of the L&T manipulation.
本文将探讨穴位区胶原纤维在针刺提插补泻手法疗效中的作用。将30只雄性新西兰白兔随机分为6组:假手术组(N组)、模型组(M组)、针刺不施手法组(W组)、针刺提插补泻手法组(A组)、胶原酶预处理组(JM组)和胶原酶预处理+针刺提插补泻手法组(JA组)。采用细菌内毒素制备家兔发热模型,针刺选取IL-11穴。于造模后2 h、4 h、6 h测量IL-1、TNF-α、IL-4水平及直肠温度,并于6 h后观察穴位区胶原纤维形态。与N组比较,M组IL-1、TNF-α水平显著升高,IL-4水平显著降低(P<0.05)。与M组比较,W组和A组IL-1、TNF-α水平显著降低,IL-4水平显著升高(P<0.05)。与W组比较,A组IL-1、TNF-α水平降低,IL-4水平升高(P<0.05)。A组胶原纤维稍粗糙、扭曲、断裂。研究表明,针刺可显著抑制内毒素诱导的炎症反应,手法可显著提高针刺疗效。胶原酶预处理可能是提插补泻手法机械力的首要感受器。