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Acupuncture and moxibustion for irritable bowel syndrome:An umbrella systematic review

Journal of Integrative Medicine 2024年第1期22卷 22-31页

作者： Yue-ying Ma Zhou Hao Zi-yi Chen Yan-xi Shen hui-rong Liu Huan-gan Wu chun-hui bao Shanghai Clinical Research Centre for Acupuncture and Moxibustion Yueyang Hospital of Integrated Chinese and Western MedicineShanghai University of Traditional Chinese MedicineShanghai 200437China Key Laboratory of Acupuncture and Immunological Effects Shanghai University of Traditional Chinese MedicineShanghai 200030China

BackgroundIrritable bowel syndrome(IBS)is a functional bowel disease characterized by abdominal pain or discomfort associated with altered bowel *** clinical studies have demonstrated the effectiveness of acupuncture and moxibustion for *** systematic reviews of acupuncture and moxibustion for IBS have been published in recent years,but their results are not entirely *** evaluate the methodological,reporting,and evidence quality of systematic reviews of acupuncture and moxibustion for *** strategySystematic reviews of acupuncture and moxibustion for IBS published before February 20,2023 were searched in eight databases:PubMed,Embase,Cochrane Library,Web of Science,China National Knowledge Infrastructure,Wanfang Data,VIP Database for Chinese Technical Periodicals,and China Biology *** keywords used for literature search were acupuncture,moxibustion,systematic review,meta-analysis,and irritable bowel *** criteriaSystematic reviews and meta-analyses of randomized controlled trials of acupuncture and moxibustion for IBS were *** extraction and analysisRelevant information was independently extracted by two *** A MeaSurement Tool to Assess systematic Reviews 2(AMSTAR 2),Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA 2020),and Grading of Recommendations Assessment,Development and Evaluation(GRADE)were used to evaluate the methodological quality,reporting quality and evidence quality,*** total of 342 studies were retrieved and 15 systematic reviews were *** results of AMSTAR 2 showed low methodological quality in 2 studies and very low methodological quality in the remaining 13 studies,with main issues being failure to register a protocol,incomplete search strategy,not providing a list of excluded studies,incomplete consideration of the risk of bias in the included studies,and a failure to assess the publication *** results of

关键词： Irritable bowel syndrome Acupuncture Moxibustion Umbrella systematic review Systematic review

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Moxibustion down-regulates colonic epithelial cell apoptosis and repairs tight junctions in rats with Crohn's disease

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World Journal of Gastroenterology 2011年第45期17卷 4960-4970页

作者： chun-hui bao Lu-Yi Wu Yin Shi Huan-Gan Wu hui-Rong Liu Rong Zhang Li-Qing Yu Jin-Hai Wang Shanghai Institute of Acupuncture-Moxibustion and Meridian Shanghai University of Traditional Chinese Medicine Shanghai 200030 China

AIM: To investigate the effects of moxibustion on down-regulation of the colonic epithelial cell apoptosis and repair of the tight junctions in rats with Crohn's disease (CD). METHODS: Sixty male Sprague-Dawley rats were randomly divided into a normal control (NC) group, a model control (MC) group, an herbs-partitioned moxibustion (HPM) group, a mild-warm moxibustion (MWM) group and a salicylazosulphapyridine (SASP) group, with 12 rats in each group. The CD model rats were treated with trinitrobenzene sulphonic acid to induce intestinal inflammation. The rats in the HPM and MWM groups were treated at the Tianshu (ST25) and Qihai (CV6) acupoints once daily for 14 d, and the SASP group was fed SASP twice daily for 14 d. No additional treatment was given to the MC and NC groups. Themicrostructure of the colonic epithelium was observed under a transmission electron microscope, the transepithelial resistance was measured using a shortcircuit current, colonic epithelial cell apoptosis was determined by terminal deoxynucleotidyl transferasemediated dUTP-biotin nick end labelling assay, and the expression of occludin, claudin-1 and zonula occludens-l (ZO-1) in the colonic epithelial junction was determined by Western blotting and immunofluorescence staining. RESULTS: Compared with the MC group, the microstructure of the colonic epithelial barrier was signifi-cantly improved in rats treated with HPM, MWM or SASP, meanwhile, the current flow was reduced signifi-cantly, with values of 168.20 ± 6.14 vs 99.70 ± 3.13, 99.10 ± 4.28 and 120.30 ± 3.65 mA, respectively (P = 0.001). However, the HPM and MWM groups had higher current flow rates than the SASP group (99.70 ± 3.13, 99.10 ± 4.28 vs 120.30 ± 3.65 mA, P = 0.001). The number of the apoptotic colonic epithelial cells in HPM, MWM and SASP groups was largely reduced (61.5 ± 16.91 vs 15.5 ± 8.89, 14.8 ± 6.27 and 24.7 ± 9.68, respectively (P = 0.001); and the expression of occlu- din, claudin-1 and ZO-1 in the MWM and HPM groups w

关键词： Moxibustion Colonic epithelial cells apoptosis Tight junctions Colonic epithelial barrier Crohn’s disease Rats

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Moxibustion treatment modulates the gut microbiota and immune function in a dextran sulphate sodium-induced colitis rat model

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World Journal of Gastroenterology 2018年第28期24卷 3130-3144页

作者： Qin Qi Ya-Nan Liu Xiao-Ming Jin Lin-Shuang Zhang Cun Wang chun-hui bao hui-Rong Liu Huan-Gan Wu Xiao-Mei Wang Yueyang Clinical Medical College Shanghai University of Traditional Chinese MedicineShanghai 200437China Stark Neurosciences Research Institute and Department of Anatomy and Cell Biology Indiana University School of MedicineIndianapolisIN 46202United States Zhejiang Institute for Food and Drug Control Hangzhou 310052Zhejiang ProvinceChina Shanghai Research Institute of Acupuncture-moxibustion and Meridian Shanghai University of Traditional Chinese MedicineShanghai 200030China

AIM To investigate the effect and mechanism of moxibustion in rats with ulcerative *** A rat colitis model was established by administering 4% dextran sulphate sodium solution. Seventy male rats were randomly divided into seven groups: Healthy controls(HC), ulcerative colitis model group(UC), UC with 7 d of moxibustion(UC-7), UC with 14 d of moxibustion(UC-14), UC with mesalazine gavage(UC-W), HC with 7 d of moxibustion(HC-7), HC with 14 d of moxibustion(HC-14). Moxibustion was applied to the bilateral Tianshu(ST25). Gut microbiome profiling was conducted by 16 S r RNA amplicon sequencing, and PCR and ELISA determined the expression of inflammatory cytokines in colon mucosa and serum, respectively. RESULTS Moxibustion treatment restored the colonic mucosa and decreased submucosal inflammatory cell infiltration in colitis rats. Rats treated with moxibustion and mesalazine had significantly lower levels of the dominant phyla Proteobacteria and the genera Saccharibacteria, Sphingomonas and Barnesiella than colitis rats, and they could restore the microbiome to levels similar to those observed in healthy rats. UC rats had reduced alpha diversity, which could be alleviated by moxibustion therapy, and UC-7 had a higher alpha diversity than UC-14. This finding suggests that short-term(7 d) but no longer term(14 d) moxibustion treatment may significantly affect the gut microbiome. The potential bacterial functions affected by moxibustion may be ascorbate and aldarate metabolism, and amino acid metabolism. Compared with HC group, the levels of the cytokines interleukin-12(IL-12)(P < 0.05) and IL-6, IL-17, IL-23, interferon-γ, lipopolysaccharide, Ig A, tumour necrosis factor-α and its receptors 1(TNFR1) and TNFR2(P < 0.01) were all increased, whereas anti-inflammatory cytokine IL-2 and IL-10(P < 0.01) and transforming growth factor-β(P < 0.05) were decreased in UC rats. These changes were reversed by *** Our findings suggest that moxibustion exe

关键词： Ulcerative colitis Moxibustion 16S rRNA Gut microbiome Inflammatory cytokine

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Effect of mild moxibustion on intestinal microbiota and NLRP6 inflammasome signaling in rats with post-inflammatory irritable bowel syndrome

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World Journal of Gastroenterology 2019年第32期25卷 4696-4714页

作者： chun-hui bao chun-Ye Wang Guo-Na Li Yi-Lu Yan Di Wang Xiao-Ming Jin Lu-Yi Wu hui-Rong Liu Xiao-Mei Wang Zheng Shi Huan-Gan Wu Key Laboratory of Acupuncture and Immunological Effects Shanghai University of Traditional Chinese MedicineShanghai 200030China Stark Neurosciences Research Institute Indiana University School of MedicineIndianapolisIN 46202United States

BACKGROUND About one-third of refractory irritable bowel syndrome(IBS)cases are caused by gastrointestinal(GI)infection/inflammation,known as post-infectious/postinflammatory IBS(PI-IBS).Although it is known that intestinal microbiota and host NOD-like receptor family pyrin domain containing 6(NLRP6)inflammsome signaling are closely related to PI-IBS and moxibustion has a therapeutic effect on PI-IBS,whether moxibustion regulates the intestinal flora and host NLRP6 events in PI-IBS remains *** To examine the regulatory effect of moxibustion on intestinal microbiota and host NLRP6 inflammatory signaling in *** Sprague-Dawley rats were divided into a normal control group,a model control group,a mild moxibustion group,and a sham mild moxibustion ***-IBS rats in the mild moxibustion group were treated with moxibusiton at bilateral Tianshu(ST 25)and Zusanli(ST36)for 7 consecutive days for 10 min each *** sham group rats were given the same treatment as the mild moxibustion group except the moxa stick was not *** withdrawal reflex(AWR)score was measured to assess the visceral sensitivity,and colon histopathology and ultrastructure,colonic myeloperoxidase(MPO)activity,and serum C-reactive protein(CRP)level were measured to evaluate low-grade colonic inflammation in *** relative abundance of selected intestinal bacteria in rat feces was detected by 16S rDNA PCR and the NLRP6 inflammsome signaling in the colon was detected by immunofluorescence,qRTPCR,and Western *** The AWR score was significantly decreased and the low-grade intestinal inflammation reflected by serum CRP and colonic MPO levels was inhibited in the mild moxibustion group compared with the sham *** moxibustion remarkably increased the relative DNA abundances of Lactobacillus,Bifidobacterium,and Faecalibacterium prausnitzii but decreased that of Escherichia coli in the gut of PI-IBS ***,mild moxibustion induced mRNA and protein expre

关键词： Moxibustion Post-inflammation irritable bowel syndrome Intestinal microbes NLRP6 inflammasome Intestinal inflammation Visceral hypersensitivity Traditional Chinese medicine

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Moxibustion combined with acupuncture increases tight junction protein expression in Crohn's disease patients

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World Journal of Gastroenterology 2015年第16期21卷 4986-4996页

作者： Hai-Xia Shang An-Qi Wang chun-hui bao Huan-Gan Wu Wei-Feng Chen Lu-Yi Wu Rong Ji Ji-Meng Zhao Yin Shi Shanghai University of Traditional Chinese Medicine Shanghai Institute of Acupuncture-Moxibustion and Meridian Zhongshan Hospital affiliated to Fudan University

AIM:To investigate the effect of herb-partitioned moxibustion combined with acupuncture on the expression of intestinal epithelial tight junction(TJ) ***:Sixty patients diagnosed with mild to moderate Crohn’s disease(CD)were allocated into the herb-partitioned moxibustion combined with acupuncture(HMA)group(n=30)or the mesalazine(MESA)group(n=30)using a parallel control *** were 2 sets of acupoints used alternately for HMA *** following points were included in Set A:ST25(Tianshu),RN6(Qihai),and RN9(Shuifen)for herb-partitioned moxibustion and ST36(Zusanli),ST37(Shangjuxu),LI11(Quchi),and LI4(Hegu)for *** points for Set B included BL23(Shenshu)and BL25(Dachangshu)for herb-partitioned moxibustion and EX-B2 of T6-T1(Jiajixue)fo r *** patients received the same treatment6 times a week for 12 consecutive *** MESA group received 1 g of mesalazine enteric coated tablets4 times daily for 12 consecutive *** were stained and examined to compare the morphological and ultrastructural changes before and after the treatment *** and in situ hybridization assays were used to detect the expression of intestinal epithelial TJ proteins zonula occludens-1(ZO-1),occludin,and *** m RNA levels were also ***:After the treatment,both herb-partitioned moxibustion combined with acupuncture and mesalazine improved intestinal morphology and ultrastructure of CD patients;the patients treated with HMA showed better *** significantly increased the expression of ZO-1(P=0.000),occludin(P=0.021),and claudin-1(P=0.016).MESA significantly increased the expression of ZO-1(P=0.016)and occludin(P=0.026).However,there was no significant increase in the expression of claudin-1(P=0.935).There was no statistically significant difference between the two groups for the expression of occludin and claudin-1(P>0.05).The HMA group showed a significant improvement in ZO-1 exp

关键词： Crohn's disease Herb-partitioned moxibustion Acupuncture Intestinal epithelial cells Tight junctionproteins

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Moxibustion inhibits interleukin-12 and tumor necrosis factor alpha and modulates intestinal flora in rat with ulcerative colitis

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World Journal of Gastroenterology 2012年第46期18卷 6819-6828页

作者： Xiao-Mei Wang Yuan Lu Lu-Yi Wu Shu-Guang Yu Bai-Xiao Zhao Hong-Yi Hu Huan-Gan Wu chun-hui bao hui-Rong Liu Jin-Hai Wang Yi Yao Xue-Gui Hua hui-Ying Guo Li-Rong Shen Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Shanghai University of Traditional Chinese Medicine Key Laboratory of Acupuncture-Moxibustion and Immunological Effects Shanghai University of Traditional Chinese Medicine Laboratory of Experimental Acupuncture of College of Acumox and Tuina Chengdu University of Traditional Chinese Medicine Chengdu 610075 Sichuan Province China School of Acupuncture-Moxibustion and Tuina Beijing University of Chinese Medicine Longhua Hospital Shanghai University of Traditional Chinese Medicine

AIM: To investigate the effect of moxibustion on intestinal flora and release of interleukin-12 (IL-12) and tumor necrosis factor-α (TNF-α) from the colon in rat with ulcerative colitis (UC). METHODS: A rat model of UC was established by local stimulation of the intestine with supernatant from colonic contents harvested from human UC patients. A total of 40 male Sprague-Dawley rats were randomly divided into the following groups: normal (sham), model (UC), herb-partition moxibustion (HPM-treated), and positive control sulfasalazine (SA-treated). Rats treated with HPM received HPM at acupuncture points ST25 and RN6, once a day for 15 min, for a total of 8 d. Rats in the SA group were perfused with SA twice a day for 8 d. The colonic histopathology was observed by hematoxylin-eosin. The levels of intestinal flora, including Bifidobacterium, Lactobacillus, Escherichia coli (E. coli), and Bacteroides fragilis (B. fragilis), were tested by real-time quantitative polymerase chain reaction to detect bacterial 16S rRNA/DNA in order to determine DNA copy numbers of each specific species. Immunohistochemical assays were used to observe the expression of TNF-α and IL-12 in the rat colons. RESULTS: HPM treatment inhibited immunopathology in colonic tissues of UC rats; the general morphological score and the immunopathological score were significantly decreased in the HPM and SA groups compared with the model group [3.5 (2.0-4.0), 3.0 (1.5-3.5) vs 6.0 (5.5-7.0), P < 0.05 for the general morphological score, and 3.00 (2.00-3.50), 3.00 (2.50-3.50) vs 5.00 (4.50-5.50), P < 0.01 for the immunopathological score]. As measured by DNA copy number, we found that Bifidobacterium and Lactobacillus, which are associated with a healthy colon, were significantly higher in the HPM and SA groups than in the model group (1.395 ± 1.339, 1.461 ± 1.152 vs 0.045 ± 0.036, P < 0.01 for Bifidobacterium, and 0.395 ± 0.325, 0.851 ± 0.651 vs 0.0015 ± 0.0014, P < 0.01 for Lactobacillus). On the other hand

关键词： Ulcerative colitis Herb-partition moxibustion Intestinal flora Immune regulation

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Chemical synthesis, spectroscopic properties and biochemical evaluation of an adenine nucleotide derivative 2-aminoadenosine 5＇-triphosphate

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Journal of Chemistry and Chemical Engineering 2009年第4期3卷 1-7,17页

作者： WU chun-hui CHEN Chang-bao ZHOU Jie College of Chemistry and Material Science Shandong Agricultural University Tai ＇an Shandong 271018 China

An adenine nucleotide derivative 2-aminoadenosine 5＇-triphosphate was chemically synthesized through four steps and was characterized with 1H NMR, 31p NMR, 13C NMR, EA and FT-IR. Its ultraviolet and fluorescence properties at various pH values were studied. Two pKa values for the compound were determined by the curves of UV absorption dependency on pH, Which were 0.68 and 4.83, respectively. The values were consistent with those calculated from ACD/Labs software. In addition, hydrolysis of the adenine nucleotide derivative in the catalysis of potato apyrase was studied. The competition of the ATP analogue with ATP for potato apyrase＇ active site was proved to be a sequential reaction mechanism.

关键词： 2-aminoadenosine 5'-triphosphate chemical synthesis spectroscopic property biochemical evaluation

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Herbs-partitioned moxibustion alleviates aberrant intestinal epithelial cell apoptosis by upregulating A20 expression in a mouse model of Crohn's disease

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World Journal of Gastroenterology 2019年第17期25卷 2071-2085页

作者： Jing Zhou Lu-Yi Wu Liu Chen Ya-Jing Guo Yi Sun Tao Li Ji-Meng Zhao chun-hui bao Huan-Gan Wu Yin Shi Graduate School Shanghai University of Traditional Chinese Medicine Qigong Institute Shanghai University of Traditional Chinese Medicine Key Laboratory of Acupuncture and Immunological Effects Shanghai University of Traditional Chinese Medicine Key Laboratory of Acupuncture and Immunological Effects Shanghai Institute of Acupuncture-Moxibustion and Meridian Outpatient Department Shanghai Institute of Acupuncture-Moxibustion and Meridian

BACKGROUND A20 inhibits intestinal epithelial cell apoptosis in Crohn's disease, and herbspartitioned moxibustion(HPM) has been demonstrated to be an effective treatment for Crohn's disease. However, the mechanism by which HPM reduces intestinal epithelial cell apoptosis in Crohn's disease has not been thoroughly elucidated to *** To elucidate whether HPM exerts its effects by upregulating A20 to affect intestinal epithelial cell apoptosis in a Crohn's disease mouse *** In this study, mice with A20 deletion in intestinal epithelial cells(A20 IEC-KO) were utilized to establish a Crohn's disease mouse model with 2,4,6-trinitrobenzenesulfonic acid(TNBS) administration, as well as wild-type mice. Mice were randomly divided into normal control(NC), model control(MC), mesalazine(MESA), and HPM groups. The morphology of the colonic mucosa was observed by hematoxylin-eosin staining, and serum endotoxin and apoptosis of epithelial cells were evaluated by enzyme-linked immunosorbent assay and terminal dUTP nick-end labeling assay accordingly. The protein expression levels of A20 and tumor necrosis factor receptor 1(TNFR1)-related signaling molecules were evaluated by Western blot, and co-expression of A20 and TNFR1-associated death domain(TRADD) and co-expression of A20 and receptor-interacting protein 1(RIP1) were observed by double immunofluorescence *** The intestinal epithelial barrier was noted to have an improvement in the HPM group of wild-type(WT) mice compared with that in A20 IEC-KO mice. Compared with A20 IEC-KO HPM mice, serum endotoxin levels and apoptosis percentages were decreased(P < 0.01), A20 expression levels were increased(P < 0.01), and expression of TNFR1, TRADDD, and RIP1 was decreased in the HPM group of WT mice(PTNFR1 < 0.05, PTRADD < 0.01, PRIP1 < 0.01). Both of the co-expression of A20/TRADD and A20/RIP1 showed a predominantly yellow fluorescence in the HPM group of WT mice, while a predominantly red fluorescence was note

关键词： Herbs-partitioned moxibustion Crohn's disease Apoptotic pathway Inflammation A20

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Randomized controlled trial: Moxibustion and acupuncture for the treatment of Crohn's disease

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World Journal of Gastroenterology 2014年第31期20卷 11000-11011页

作者： chun-hui bao Ji-Meng Zhao hui-Rong Liu Yuan Lu Yi-Fang Zhu Yin Shi Zhi-Jun Weng hui Feng Xin Guan Jing Li Wei-Feng Chen Lu-Yi Wu Xiao-Ming Jin Chuan-Zi Dou Huan-Gan Wu Key Laboratory of AcupunctureMoxibustion and Immunological Effects Shanghai University of Traditional Chinese Medicine Outpatient Department Shanghai Institute of Acupuncture-Moxibustion and Meridian Department of Rehabilitation Guanghua Integrative Medicine Hospital Department of Acupuncture-Moxibustion Shuguang Hospital Shanghai University of Traditional Chinese Medicine Department of Acupuncture-Moxibustion Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Shanghai University of Traditional Chinese Medicine Endoscopy Center Zhongshan Hospital Fudan University Qigong Institute Shanghai University of Traditional Chinese Medicine Stark Neurosciences Research Institute Indiana University School of Medicine Indianapolis IN 46202 United States

AIM: To evaluate the clinical efficacy and safety of acupuncture and moxibustion for the treatment of active Crohn’s disease (CD).

关键词： Moxibustion Acupuncture Crohn's disease Randomized controlled trial Traditional Chinese medicine

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Comparison of the analgesic effects between electro-acupuncture and moxibustion with visceral hypersensitivity rats in irritable bowel syndrome

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World Journal of Gastroenterology 2017年第16期23卷 2928-2939页

作者： Ji-Meng Zhao Liang Li Liu Chen Yin Shi Yu-Wei Li Hai-Xia Shang Lu-Yi Wu Zhi-Jun Weng chun-hui bao Huan-Gan Wu Shanghai Institute of Acupuncture-Moxibustion and Meridian Shanghai 200030China Institute of Acupuncture and Moxibustion China Academy of Chinese Medical SciencesBeijing 100700China Shanghai University of Traditional Chinese Medicine Shanghai 201203China

AIM To observe whether there are differences in the effects of electro-acupuncture(EA) and moxibustion(Mox) in rats with visceral hypersensitivity. METHODS EA at 1 m A and 3 m A and Mox at 43?℃ and 46?℃ were applied to the Shangjuxu(ST37, bilateral) acupoints in model rats with visceral hypersensitivity. Responses of wide dynamic range neurons in dorsal horns of the spinal cord were observed through the extracellular recordings. Mast cells(MC) activity in the colons of rats were assessed, and 5-hydroxytryptamine(5-HT), 5-hydroxytryptamine 3 receptor(5-HT3R) and 5-HT4Rexpressions in the colons were *** Compared with normal control group, responses of wide dynamic range neurons in the dorsal horn of the spinal cord were increased in the EA at 1 m A and 3 m A groups(1 m A: 0.84 ± 0.74 vs 2.73 ± 0.65, P < 0.001; 3 m A: 1.91 ± 1.48 vs 6.44 ± 1.26, P < 0.001) and Mox at 43?℃ and 46?℃ groups(43?℃: 1.76 ± 0.81 vs 4.14 ± 1.83, P = 0.001; 46?℃: 5.19 ± 2.03 vs 7.91 ± 2.27, P = 0.01). MC degranulation rates and the expression of 5-HT, 5-HT3 R and 5-HT4 R in the colon of Mox 46?℃ group were decreased compared with model group(MC degranulation rates: 0.47 ± 0.56 vs 0.28 ± 0.78, P < 0.001; 5-HT: 1.42 ± 0.65 vs 7.38 ± 1.12, P < 0.001; 5-HT3R: 6.62 ± 0.77 vs 2.86 ± 0.88, P < 0.001; 5-HT4R: 4.62 ± 0.65 vs 2.22 ± 0.97, P < 0.001). CONCLUSION The analgesic effects of Mox at 46?℃ are greater than those of Mox at 43?℃, EA 1 m A and EA 3 m A.

关键词： Electro-acupuncture Moxibustion Visceral hypersensitivity Analgesic effect Rats

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