1. 南京中医药大学第二临床医学院
2. 昆山市中医院
纸质出版:2018
移动端阅览
[1]熊英,沈楚楚,樊璞,周瑞鹏,陈骁,奚人杰.捏脊法对脾虚哮喘大鼠肠道菌群和肺部炎症的影响[J].中医杂志,2018,59(01):61-65.
XIONG Ying, SHEN Chuchu, FAN Pu, et al. Effect of Chiropractic Method on Intestinal Flora and Pulmonary Inflammation in Asthmatic Rats with Spleen Deficiency[J]. Journal of Traditional Chinese Medicine2018, 59(1): 61-65.
[1]熊英,沈楚楚,樊璞,周瑞鹏,陈骁,奚人杰.捏脊法对脾虚哮喘大鼠肠道菌群和肺部炎症的影响[J].中医杂志,2018,59(01):61-65. DOI: 10.13288/j.11-2166/r.2018.01.015.
XIONG Ying, SHEN Chuchu, FAN Pu, et al. Effect of Chiropractic Method on Intestinal Flora and Pulmonary Inflammation in Asthmatic Rats with Spleen Deficiency[J]. Journal of Traditional Chinese Medicine2018, 59(1): 61-65. DOI: 10.13288/j.11-2166/r.2018.01.015.
目的探讨捏脊法治疗脾虚哮喘的可能作用机制。方法 44只SD大鼠随机分为正常对照组8只
哮喘组、脾虚哮喘组和捏脊脾虚哮喘组各12只。哮喘组以卵蛋白(OVA)致敏和激发方法建立大鼠哮喘模型
脾虚哮喘组和捏脊脾虚哮喘组在小承气汤灌胃致脾虚基础上以OVA致敏和激发方法建立大鼠脾虚哮喘模型
正常对照组与哮喘组以自来水1.5 ml/100 g灌胃
轻抚大鼠头部和轻持鼠尾根部而不做捏脊;脾虚哮喘组轻抚大鼠头部和轻持鼠尾根部而不做捏脊;捏脊脾虚哮喘组给予捏脊法干预。以粪便涂片革兰染色法检测肠道菌群状况
以HE染色观察肺组织病理学情况
并测定肺泡灌洗液中炎症细胞总数和嗜酸性粒细胞比例。结果第44、51、62天时
各组大鼠体重、杆菌/球菌、阳性杆菌/细菌总数差异有统计学意义(P<0.01)。哮喘造模后18、42 h
与正常对照组比较
哮喘组、脾虚哮喘组和捏脊脾虚哮喘组炎症细胞总数、嗜酸性粒细胞比例均明显升高
且脾虚哮喘组显著高于哮喘组和捏脊脾虚哮喘组(P<0.05或P<0.01)。与本组哮喘造模后18 h比较
哮喘造模后42 h时哮喘组、捏脊脾虚哮喘组炎症细胞总数和嗜酸性粒细胞比例均显著下降(P<0.05或P<0.01)。结论捏脊法能有效改善脾虚哮喘大鼠的肠道菌群紊乱及炎症状态
这可能是其防治脾虚哮喘的重要机制之一。
Objective To explore the potential mechanism of chiropractic method in treating asthma of spleen deficiency type. Methods Forty-four Sprague-Dawley rats were randomized into control group( n = 8)
and asthma group
spleen deficiency asthma group and chiropractic spleen deficiency asthma group( n = 12 in each). Asthma model in the asthma group was built by OVA sensitization and stimulation; while spleen deficiency asthma model in the spleen deficiency asthma group and chiropractic spleen deficiency asthma group was built with OVA sensitization and stimulation on the basis of spleen deficiency caused by oral administration of Xiao Chengqi Decoction( 小承气汤).The control group and the asthma group were simply given oral tap water( 1. 5 ml/100 g)
with head soft touch and tail held lightly without chiropractic; the spleen deficiency asthma group was treated with the head soft touch and the tail held lightly without chiropractic; chiropractic spleen deficiency asthma group was given chiropractic. Intestinal flora was detected by gram staining after fecal smear. The histopathology of lung tissue was observed and the total number of inflammatory cells and the proportion of eosinophils in alveolar lavage fluid were measured by HE staining.Results There were significant differences in the body weight
ratio of bacillus to cocci
and rato of positive bacillus to total number of bacteria among groups on the 44 th
51 st and 62 nd day( P < 0. 01). At the 18 th and 42 nd hour after modeling
compared with those in the control group
the number of inflammatory cells and the proportion of eosinophils were significantly higher in asthma group
spleen deficiency asthma group and chiropractic spleen deficiency asthma group
and those in the spleen deficiency asthma group were significantly higher than those in the asthma group and chiropractic spleen deficiency asthma group( P < 0. 05 or P < 0. 01). At the 42 nd hour after modeling
the number of inflammatory cells and the proportion of eosinophils in the asthma group and chiropractic spleen deficiency asthma group significantly decreased compared with those at the 18 th hour( P < 0. 05 or P < 0. 01). Conclusion Chiropractic method could effectively improve the intestinal flora disturbance status in spleen deficiency
helping to reduce the inflammation in the asthma of spleen deficiency type
which may be one of the important mechanisms of prevention and treatment of asthma of spleen deficiency type.
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