中国神经再生研究(英文版) ›› 2017, Vol. 12 ›› Issue (5): 770-778.doi: 10.4103/1673-5374.206648

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

捻转补泻针刺治疗可抑制自发性高血压大鼠海马神经元的凋亡

  

  • 收稿日期:2017-04-20 出版日期:2017-05-15 发布日期:2017-05-15
  • 基金资助:

    国家自然科学基金项目(81072861,81373727)

Acupuncture with reinforcing and reducing twirling manipulation inhibits hippocampal neuronal apoptosis in spontaneously hypertensive rats

Juan Lu1, Yan Guo2, Chang-qing Guo1, Xue-min Shi2, Ning-yu Du1, Rui-li Zhao1, Wen-ping Du3, Jing-rong Liang1, Shi-peng Zhu4, Huan Chen5   

  1. 1 First Hospital Affiliated to Tianjin University of Traditional Chinese Medicine, Tianjin, China; 2 Collage of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China; 3 Shijiazhuang Hospital of Traditional Chinese Medicine, Shijiazhuang, Hebei Province, China; 4 Second School of Clinical Medicine of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu Province, China; 5 Department of Acupuncture and Moxibustion, Jiangsu Province Hospital, Nanjing, Jiangsu Province, China
  • Received:2017-04-20 Online:2017-05-15 Published:2017-05-15
  • Contact: Chang-qing Guo or Xue-min Shi, guochangqing5901@163.com or shixuemin56789@163.com.
  • Supported by:

    This study was supported by the National Natural Science Foundation of China, No. 81072861, 81373727.

摘要:

为比较不同针刺手法对高血压后海马损害的影响,实验设计对自发性高血压大鼠采用捻转补泻手法中的补法(深度1.5-2mm,先顺时针旋转360°,再逆时针旋转360°,拇指捻转向前急重,向后轻柔,60次/min,连续1min,留针9min)、泻法(深度1.5-2mm,先顺时针旋转360°,再逆时针旋转360°,拇指捻转向后急重,向前轻柔,60次/min,连续1min,留针9min)及留针法(深度1.5-2mm,留针10min)进行针刺治疗,以双侧太冲穴为刺激穴位,与未进行针刺治疗的大鼠相比,结果发现,经补法、泻法及留针法治疗的自发性高血压大鼠海马CA1区神经元凋亡明显减少,Bax mRNA和蛋白表达下降,Bcl-2/Bax mRNA和蛋白比值升高,且其中泻法治疗的自发性高血压大鼠Bcl-2/Bax蛋白比值最高,留针法治疗的自发性高血压大鼠Bcl-2/BaxmRNA比值最高。说明补法、泻法及留针法均可以降低自发性高血压大鼠血压,并通过促进抑制性凋亡因子的表达,抑制神经元凋亡。

ORCID:0000-0003-0414-3423(Xue-min Shi)

关键词: 神经再生, 自发性高血压, 针刺, 捻转补泻手法, 太冲, 海马CA1区, 血压, 细胞凋亡

Abstract:

To observe the effects of different acupuncture manipulations on blood pressure and target organ damage in spontaneously hypertensive rats (SHRs), this study used the reinforcing twirling method (1.5–2-mm depth; rotating needle clockwise for 360° and then counter clockwise for 360°, with the thumb moving heavily forward and gently backward, 60 times per minute for 1 minute, and retaining needle for 9 minutes), the reducing twirling method (1.5–2-mm depth; rotating needle counter clockwise for 360° and then clockwise for 360°, with the thumb moving heavily backward and gently forward, 60 times per minute for 1 minute, and retaining needle for 9 minutes), and the needle retaining method (1.5–2-mm depth and retaining the needle for 10 minutes). Bilateral Taichong (LR3) was treated by acupuncture using different manipulations and manual stimulation. Reinforcing twirling, reducing twirling, and needle retaining resulted in a decreased number of apoptotic cells, reduced Bax mRNA and protein expression, and an increased Bcl-2/Bax ratio in the hippocampus compared with the SHR group. Among these groups, the Bcl-2/Bax protein ratio was highest in the reducing twirling group, and the Bcl-2/Bax mRNA ratio was highest in the needle retaining group. These results suggest that reinforcing twirling, reducing twirling, and needle retaining methods all improve blood pressure and prevent target organ damage by increasing the hippocampal Bcl-2/Bax ratio and inhibiting cell apoptosis in the hippocampus in SHR.

Key words: nerve regeneration, spontaneously hypertensive, acupuncture, reinforcing and reducing twirling manipulation, Taichong (LR3), hippocampal CA1 area, blood pressure, apoptosis, neural regeneration