Abstract
Objective
To observe the effects of sparrow-pecking moxibustion at Shenque (CV8) and Guanyuan (CV4) on the writhing reaction and score, the temperature and blood flow perfusion of moxibustion point area and uterus, the serum levels of arginine vasopressin (AVP), prostaglandin (PG) F2α, and thromboxane (TX) B2 in rats with primary dysmenorrhea (PD) due to cold-dampness stagnation, and to explore the possible mechanism of sparrow-pecking moxibustion in treating PD.
Methods
Thirty-two healthy non-pregnant female Wistar rats were randomly divided into a normal group, a model group, an ibuprofen group, and a sparrow-pecking moxibustion group, with 8 rats in each group. Except for the normal group, the other three groups were subjected to modeling with cold water bath combined with estradiol benzoate and oxytocin injection. Rats in the sparrow-pecking moxibustion group were treated with sparrow-pecking moxibustion at Shenque (CV8) and Guanyuan (CV4) on the 8th day of modeling, 30 min/time, once a day for 3 d; those in the ibuprofen group were treated with 0.8 mL ibuprofen solution (a specification of 125 mg in 10 mL) on the 8th day of modeling, once a day for 3 d; those in the normal group and the model group were given 0.8 mL normal saline, once a day for 3 d. On the 11th day, rats in each group were intraperitoneally injected with oxytocin (2 U/rat), and the writhing incubation period and writhing score in 20 min were observed; the temperature and the blood perfusion of Shenque (CV8), Guanyuan (CV4), and uterus in vivo were detected; the serum levels of AVP, PGF2α, and TXB2 were determined.
Results
The writhing incubation period was significantly longer (P<0.01) and the writhing score was significantly lower (P<0.01) in the sparrow-pecking moxibustion group and the ibuprofen group than in the model group; compared with the ibuprofen group, the writhing incubation period was prolonged (P<0.01) and the writhing score was decreased (P<0.01) in the sparrow-pecking moxibustion group; compared with the normal group, the temperature and the blood perfusion of Shenque (CV8), Guanyuan (CV4), and uterus were significantly decreased, while the serum PGF2α, AVP, and TXB2 levels were significantly increased (P<0.01) in the model group; compared with the model group, the temperature and the blood perfusion of Shenque (CV8), Guanyuan (CV4), and uterus were significantly increased, and the serum levels of PGF2α, AVP, and TXB2 were significantly decreased in the ibuprofen group and the sparrow-pecking moxibustion group (P<0.05 or P<0.01); compared with the ibuprofen group, the temperature and the blood perfusion of Shenque (CV8), Guanyuan (CV4), and uterus were significantly increased (P<0.05), the serum AVP and TXB2 levels were significantly decreased (P<0.05), while the serum PGF2α level had no statistical difference in the sparrow-pecking moxibustion group (P>0.05).
Conclusion
Sparrow-pecking moxibustion had a remarkable analgesic effect on the rats with PD due to cold-dampness stagnation, and the mechanism may be related to the increased temperature and blood perfusion of the moxibustion point area and uterus, as well as the decreased serum PGF2α, AVP, and TXB2 levels.
摘要
目的
观察雀啄灸神阙、关元对寒湿凝滞型原发性痛经(PD)大鼠扭体反应及评分, 施灸穴区及子宫温度值, 子 宫血流灌注量, 大鼠血清精氨酸血管加压素(AVP), 前列腺素(PG) F2α及血栓素(TX)B2含量的影响, 探讨雀啄灸治疗PD的 可能机制。
方法
将32只雌性未孕健康Wistar大鼠采用随机数字表法分为正常组、模型组、布洛芬组及雀啄灸组, 每 组8只。除正常组外, 其余三组采用冷水浴结合苯甲酸雌二醇复合缩宫素注射的方法造模。雀啄灸组大鼠于造模第 8天接受雀啄灸神阙和关元治疗, 每次30 min, 1次/日, 连续3 d; 布洛芬组大鼠于造模第8天接受布洛芬溶液(规格为 10 mL, 125 mg) 0.8 mL灌服治疗, 1次/日, 连续3 d; 正常组与模型组给予0.8 mL 生理盐水灌胃, 1次/日, 连续3 d。第11天, 各组大鼠腹腔注射缩宫素(2 U/只)。观察各组大鼠20 min内扭体潜伏期及扭体评分, 观测大鼠神阙、关元穴区及在体 子宫的温度值及血流灌注量, 检测大鼠血清中AVP、PGF2α及TXB2的含量。
结果
雀啄灸组及布洛芬组扭体潜伏期较模 型组明显延长(P<0.01), 扭体评分显著降低(P<0.01); 与布洛芬组比较, 雀啄灸组扭体潜伏期延长(P<0.01), 扭体评分降 低(P<0.01); 与正常组比较, 模型组大鼠神阙、关元穴区及子宫温度值, 以及子宫血流灌注量明显降低, 血清PGF2α、AVP 及TXB2含量明显升高(P<0.01); 与模型组比较, 布洛芬组、雀啄灸组大鼠神阙、关元穴区及子宫温度值, 以及子宫血流 灌注量均明显升高, 血清PGF2α、AVP及TXB2的含量明显降低(P<0.05或P<0.01);与布洛芬组比较, 雀啄灸组大鼠神阙、 关元穴区及子宫温度值, 以及子宫血流灌注量均明显升高(P<0.05), 血清AVP及TXB2含量明显降低(P<0.05), 血清PGF2α 含量无统计学差异(P>0.05)。
结论
雀啄灸对寒湿凝滞型原发性痛经镇痛效果显著, 其机制可能与提高灸治穴区、子 宫温度值及子宫血流灌注量, 降低血清PGF2α、AVP及TXB2含量有关。
Similar content being viewed by others
References
YANG M, LU Y, WANG X J. Research progress of moxibustion in the treatment of primary dysmenorrhea. Zhongxiyi Jiehe Huli, 2022, 8(2): 104–107.
YU W Y, MA L X, TIAN Y, MU J D, ZHANG Z, SUN T Y, QIAN X, ZHANG Y D. Research progress and reflection on mechanisms of acupuncture against primary dysmenorrhea. Zhen Ci Yan Jiu, 2022, 47(8): 724–727, 733.
REN Q, WANG X. Treatment progress of primary dysmenorrhea by Chinese and Western medicine. Shiyong Zhongyi Neike Zazhi, 2020, 34(7): 4–7.
ZHANG Q. Comparison of therapeutic effects of Wen Jing Zhi Tong Fang combined with point application at Shenque (CV8) and ibuprofen capsules on primary dysmenorrhea in female college students. Zhongguo Shiyong Yiyao, 2021, 16(13): 180–182.
LIN Q A, WU M X. Research progress of primary dysmenorrhea treated by Chinese medicine. Anmo Yu Kangfu Yixue, 2021, 12(2): 69–71.
LIU X Y, LI L H, CAO Q A, HE Y M, ZHOU Y P, FU Y. Clinical research progress of treating primary dysmenorrhea with different moxibustion methods. Jiangxi Zhongyiyao Daxue Xuebao, 2022, 34(1): 110–114.
ZHOU X Y. Research progress of moxibustion in treating primary dysmenorrhea. Shijie Zuixin Yixue Xinxi Wenzhai, 2017, 17(99): 73–75.
JI B, ZHANG L F, ZHU J, REN X X, GUO M W, ZHAO Y F, XU L L, SONG X L. On building the dysmenorrhea model and assessment methods. Zhongguo Yaolixue Tongbao, 2008, 24(6): 711–714.
ZHOU H M, GUO Y. Building of mice’s models with blood stasis due to cold syndrome and evaluation. Zhongguo Zhongyiyao Keji, 2010, 17(1): 1–2, 7.
ZHANG L F. Experimental Acupuncture Science. Beijing: Chemical Industry Press, 2010: 220.
ZHENG L Y, ZHANG X Q, WANG X, LIU J Y, YU J, CHONG F F. Objective detection and labeling of the common acupoints in rats. Liaoning Zhongyi Zazhi, 2010, 37(10): 2058–2060.
SCHMAUSS C, YAKSH T L. In vivo studies on spinal opiate receptor systems mediating antinociception. II. Pharmacological profiles suggesting a differential association of mu, delta and kappa receptors with visceral chemical and cutaneous thermal stimuli in the rat. J Pharmacol Exp Ther, 1984, 228(1): 1–12.
MA Q, SHI W, LIU S L, LI X, LAI N N, WANG D M. Effect of Wenjing Huayu Zhitong treatment on E2, P, PGE2, PGF2α, TXB2 and 6-keto-PGF1α in rats with primary dysmenorrhea of syndrome of blood stasis due to cold accumulation. Zhonghua Zhongyiyao Xuekan, 2017, 35(5): 1281–1284.
RAN X, YIN J, WANG R Q, WANG G. Effect of angelica essential oil on PGF2α, PGE2 and AVP in the uterus of mice with primary dysmenorrhea. Shizhen Guoyi Guoyao, 2022, 33(3): 530–532.
XIN S Y, YANG Z X, GUO J E, LIN F, LI C H. Effect of electroacupuncture at “Sanyinjiao-Xuanzhong” on plasma TXB2 and 6-keto-PGF1α in dysmenorrhea-like model rats. Ke Ji Feng, 2020, (29): 186–187.
PAN Y Q, ZHANG J A. Pathogenesis and treatment of primary dysmenorrhea. Anhui Yufang Yixue Zazhi, 2017, 23(2): 113–115, 141.
LEI Y P, LI F J, WANG W M. Research progress of primary dysmenorrhea treated with traditional Chinese medicine. Zhongguo Yiyao Kexue, 2021, 11(3): 29–32.
LIU Y Q, SHE Y F, ZHU J, SONG J S, CHEN Y Y, ZHENG Y Y, MA Z B, CHEN X, YANG H, XIE J P, YUAN H W. Discussion about traditional Chinese medicine causes and pathogenesis of moderate and severe primary dysmenorrhea based on questionnaire investigation. Zhonghua Zhongyiyao Zazhi, 2012, 27(1): 57–61.
ZHANG Z N, LI S C, QIU L Z, ZHANG W C. Terahertz spectral characteristics of human body acupoints with ginger moxibustion, mild-warm moxibustion, and sparrow-pecking moxibustion. Zhonghua Zhongyiyao Zazhi, 2019, 34(10): 4828–4831.
SONG T S, QIANG J, WAN Z X. Mechanism of sparrow-pecking moxibustion in the treatment of chronic pain based on the theory of gate control. Shaanxi Zhongyi, 2017, 38(5): 652–653.
LUO Q P, LIN X M. Ginger moxibustion on “Shenque (RN8)” and “Guanyuan (RN4)” for 65 cases of primary dysmenorrhea with ginger due to cold and blood stagnation. Zhongyiyao Daobao, 2015, 21(9): 40, 43.
SUN X X, YANG L Y, LIANG Y L, LI X H, GAO F, DU X Y, ZHOU X H, CHEN Y, LI X N, SUN L H. Mild moxibustion at different intervention times on the levels of ET-1 and NO in the uterine tissues of rats with cold-damp coagulation and stagnation type dysmenorrhea. World J Acupuncture-Moxibustion, 2018, 28(2): 103–108, 153.
LI X H, SUN X X, LIANG Y L, GAO F, DU X Y, CHEN Y, LI X N, SUN L H, MA X S. Effects of moxibustion at different times on prostaglandin and vasopressin levels in uterine tissues of rats with dysmenorrhea due to cold-dampness retention. J Acupunct Tuina Sci, 2017, 15(4): 250–256.
LIU C, LI X H, ZHOU C X, LIANG Y L, ZHANG X P, LIU Y C, ZHAO Z G, MA X S. Effects of ginger-partitioned moxibustion on the expression levels of PGF2α, E2, P, and mRNAs of PGF2αR and E2R in rats with primary dysmenorrhea due to cold-dampness stagnation. J Acupunct Tuina Sci, 2022, 20(2): 104–110.
ZHENG Z X, WU S G, SHI X K. Clinical application of ibuprofen in pediatrics. Shiyong Xinnaofei Xueguanbing Zazhi, 2011, 19(3): 446–447.
ZHANG Z, FU S, WANG W, XU J Z. Study on effects of different low frequency acoustic wave on the microcirculation and temperature of the Five Shu Points of the Stomach Meridian. Shijie Zhongyiyao, 2015, 10(3): 438–442.
Acknowledgments
This work was supported by the Science and Technology Research Project of Colleges and Universities in Hebei Province (河北省高等学校科学技术研究项目, No. ZD2019099).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
The authors declare that there is no potential conflict of interest in this article.
Statement of Human and Animal Rights
The treatment of animals conformed to the ethical criteria in this experiment.
Additional information
First Author: ZHOU Chenxi, master degree candidate
Rights and permissions
About this article
Cite this article
Zhou, C., Li, X., Meng, X. et al. Effects of sparrow-pecking moxibustion on the temperature and blood flow perfusion of moxibustion point area and uterus and serum AVP, PGF2α, and TXB2 in rats with dysmenorrhea. J. Acupunct. Tuina. Sci. 21, 265–272 (2023). https://doi.org/10.1007/s11726-023-1384-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11726-023-1384-2
Keywords
- Moxibustion Therapy
- Sparrow-pecking Moxibustion
- Coagulated Cold in Uterus
- Dysmenorrhea
- Point, Guanyuan (CV4)
- Point, Shenque (CV8)
- Rats