Efeito da atividade física moderada sobre neurônios mioentéricos nitrérgicos do íleo de ratos de meia idade / The effect of moderate physical activity on myoenteric nitrergic neurons in the ileum of middle-aged rats / Efecto de la actividad física moderada en neuronas mientéricas nitrérgicas del íleon de ratas de mediana edad

Poucos são os relatos a respeito do efeito da atividade física sobre o plexo mioentérico ao longo do envelhecimento. Portanto, analisaram-se os neurônios mioentéricos NADPH-diaforase positivos do íleo em ratos que envelheceram praticando atividade física a partir dos seis meses de vida. Dez ratos Wistar foram distribuídos em dois grupos (n = 5/grupo): S (ratos sedentários controles com 12 meses de idade) e T (ratos treinados com 12 meses de idade). Os animais do grupo T realizaram, dos seis aos 12 meses de idade, atividade física regulada conforme resultados obtidos em teste de esforço máximo. Ao final do período experimental, o íleo obtido de cada animal foi processado para a técnica de NADPH-diaforase para evidenciar neurônios mioentéricos em preparados de membrana e quantificar e mensurar a área do pericário desses neurônios. A área do pericário não diferiu (P> 0,05) entre o grupo S (218,49 µm2) e o grupo T (210,59 µm2). A média de neurônios presente em 60 campos microscópicos de preparados de membranas no grupo S (126 neurônios) foi superior (P<0,05) a média encontrada no grupo T (93 neurônios), sugerindo que a atividade física pode inibir ou diminuir a expressão dos neurônios nitrérgicos em ratos de 12 meses de idade que praticaram atividade física desde os seis meses de vida. Os resultados quantitativos sugerem que a falta de atividade física regular propicia aumento na atividade dos neurônios nitrérgicos, contribuindo para o surgimento dos distúrbios da motricidade gastrointestinal que podem ocorrer ao longo do envelhecimento.

There are only a few reports on the effect of physical activity in the myoenteric plexus throughout the aging process. For such, the positive myoenteric NADPH-diaphoresis neurons in the ileum of those rats that aged practicing physical activity from the sixth month were analyzed. Ten Wistar rats were distributed into two groups (n= 5/group): S (12 months-old control sedentary rats) and T (12 months-old trained rats). The animals from the T group practiced controlled physical activity from the age of 6 months to 12 months, according to the maximum effort test results. At the end of the experimental period, the ileum obtained from each animal was processed in the NADPH-diaphoresis technique to highlight myoenteric neurons in membrane preparations, and quantify and measure the perikaryon area from those neurons. The Perikaryon area did not differ (P>0.05) among the S group (218.49 µm2) and the T group (210.59 µm2). The average of neurons in 60 membrane preparations in the S group (126 neurons) was higher (P<0.05) than the average finding in the T group (93 neurons), indicating that the physical activity can inhibit or decrease the nitrergic expression in 12 month-old rats that have practiced physical activity from the age of 6 months. The quantitative results suggest that the lack of regular physical activity provides the elevation of nitrergic neurons, concurring to the emergence of gastrointestinal motility disorders that can occur during the aging process.

Hay pocos informes sobre el efecto de la actividad física sobre el plexo mientérico a lo largo del envejecimiento. Por lo tanto, se analizaron las neuronas mientéricas NADPH-diaforasa positivas del íleon en ratas que envejecieron practicando actividad física a partir de seis meses de vida. Diez ratas Wistar se dividieron en dos grupos (n = 5 / grupo): S (ratas sedentarias de control con 12 meses de edad) y T (ratas entrenadas con 12 meses de edad). Los animales del grupo T realizaron, de los seis a los doce meses de edad, actividad física regulada conforme resultados obtenidos en prueba de esfuerzo máximo. Al final del período experimental, el íleon obtenido de cada animal se procesó por la técnica de NADPH-diaforasa para mostrar las neuronas mientéricas en preparados de membrana, cuantificar y medir el área del pericario de esas neuronas. El área del pericario no difirió (P> 0.05) entre el grupo S (218.49 µm2) y el grupo T (210.59 µm2). El número medio de neuronas presentes en 60 campos microscópicos de preparados de membranas en el grupo S (126 neuronas) fue mayor (P <0,05), promedio encontrado en el grupo T (93 neuronas), lo que sugiere que la actividad física puede inhibir o disminuir la expresión de las neuronas nitrérgicas en ratas de 12 meses de edad que practicaron actividad física desde los seis meses de edad. Los resultados cuantitativos sugieren que la falta de actividad física regular promueve aumento en la actividad de las neuronas nitrérgicas, contribuyendo a la aparición de disturbios de la motricidad gastrointestinal que pueden ocurrir a lo largo del envejecimiento.

The Analyzing and Clinical Use of Zhong Jing's Method of Diaphoresis / 浙江中医药大学学报

By analyzing 《Shang Han Lun》,《Jin Kui Yao lue》records about diaphoresis,Zhong Jing's method of diaphoresis was generalized in adaptation disease,contraindication,regulation and combination with other methods.The aim is to use the method of diaphoresis well clinically.

Clinical Observation on Wind-Dispersing and Cold-dispelling, Blood-activating and Stasis-removing Therapy for Cold-type Urticaria / 广州中医药大学学报

[Objective] To observe the therapeutic effect of wind-dispersing and cold-dispelling, blood-activating and stasis-removing therapy for cold-type urticaria and to explore its possible mechamism. [Methods] Sixty-six cases were allocated to two groups by a simple random sampling method. Group A ( n = 36) was treated with wind-dispersing and cold-dispelling, blood-activating and stasis-removing herbal medicine including Herba Ephedrae, Ramulus Cinnamomi, Herba Schizonepetae, Radix Saposhnikoviae, Semen Armeniacae Amarum, Rhizoma Zingiberis Recens, Fructus Jujubae, Radix Salviae Miltiorrhizae, Radix Angelicae Sinensis, Caulis Spatholobi, Radix Paeoniae Rubra, etc. Group B (n =30) was treated with cetirizine hydrochloride tablets. The two groups were treated for two 20-day courses. One week after treatment, the therapeutic effect and the changes of hemorheological parameters before and after treatment were observed and compared with those in 38 healthy volunteers. [Results] The total effective rate was 80.6% in group A and 63.3% in group B, the difference being significant ( P 0.05) . [ Conclusion] Wind-dispersing and cold-dispelling, blood-activating and stasis-removing therapy is an important method for cold-type urticaria and the selected herbal medicines are effective. Its therapeutic mechanism may be related to the improvement of hemorheological parameters.

A Case of Severe Serotonin Syndrome Induced by Fluoxetine and Sertraline

A 54-year-old male patient who was suffering from bipolar I disorder for 19 years and was admitted to the National Bugok Mental Hospital due to a depressive episode, was referred to the Kosin University Gospel Hospital. On arrival at the emergency room, he had confused mentality with disorientation, memory impairment, hypomania, marked anxiety and hyperirritability. The change of neuromuscular activity such as ataxia, gait disturbance, tremor, shivering, myoclonus and epileptic seizures was also shown. In addition, the symptoms and signs of autonomic instability including diaphoresis, tachycardia, hypotension, fever and facial flushing were noticed. The above symptoms developed after the administration of sertraline successive to the discontinuation of fluoxetine without any washout period. The degree of severity seemed to be severe because he had epileptic seizures, fever and hypotension. He was recovered from the severe serotonin syndrome by the supportive symptomatic treatment with sodium valproate, clonazepam, lorazepam and cyproheptadine after cessation of the selective serotonin reuptake inhibitors during hospitalization. Therefore, this rare case of severe serotonin syndrome was reported and related literatures were also reviewed.

Effects of Mahuang Decoction in Different Combinations on Diaphoretic Function in Rats / 中药新药与临床药理

Objective To study the influence of Mahuang Decoction(MD)in different combinations on diaphoretic function in rats.Methods Vacuole incidence of axillary sweat gland was determined by observing the histolomorphological changes of vacuole to evaluate the diaphoretic function.The diaphoretic function was observed in 30 minutes after administration.Results The combination of Mahuang(Herba Ephedrae)and Guizhi(Ramulus Cinnamomi)had the strongest diaphoretic function in all of the different combinations.The diaphoretic function of the combinations including Mahuang(Herba Ephedrae)was stronger than those excluding Mahuang(Herba Ephedrae).The diaphoretic function of Mahuang(Herba Ephedrae)became stronger when used together with Guizhi(Ramulus Cinnamomi),remained the same when used together with Xingren(Semen Armeniacea Amarum),and became weaker when used together with Gancao(Radix Glycyrrhizac).Conclusion Mahuang(Herba Ephedrae),Guizhi(Ramulus Cinnamomi),Xingren(Semen Armeniacea Amarum),and Gancao(Radix Glycyrrhizac)play the roles of principle drug,assistant drug,adjuvant drug and conductantr drug respectively in Mahuang Decoction,which embodying the method of composing a prescription.