Zusanli(ST 36) Acupoint Injection with Neostigmine for Sepsis Acute Gastrointestinal Injury
DOI:
https://doi.org/10.53469/jcmp.2024.06(11).31Keywords:
Acupoint Injection, Zusanli (ST36), Neostigmine, Sepsis AGIAbstract
Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection. Acute gastrointestinal injury is a common complication of sepsis and one of the major causes of high mortality in sepsis. However, the treatment of acute gastrointestinal injury is limited and the effect is not ideal. Acupoint injection is a traditional Chinese medicine characteristic therapy that injects liquid or drug into acupoints, which can treat multiple system diseases. Compared with traditional acupuncture or intramuscular injection, Acupoint injection effect is more lasting. We provide a method for the treatment of acute gastrointestinal injury other than intravenous and gastrointestinal routes, which is simple and easy to operate. It may have a positive effect on the treatment of acute gastrointestinal injury in sepsis by injecting neostigmine into the acupoint within Zusanli (ST 36), and provide support for the treatment activities of traditional ethnic medicine entering the intensive care unit (ICU).
References
Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016 Feb 23; 315(8): 801-810.
Chen H, Zhang H, Li W, et al. Acute gastrointestinal injury in the intensive care unit: a retrospective study. Ther Clin Risk Manag. 2015 Oct 5;11:1523-1529.
Zhang D, Li N, Dong L, et al. Evaluation of clinical application of ESICM acute gastrointestinal injury grading system: a single-center observational study. Chin Med J (Engl). 2014;127(10):1833-1836.
Reintam Blaser A, Malbrain ML, Starkopf J, et al. Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM Working Group on Abdominal Problems. Intensive Care Med. 2012 Mar; 38(3):384-394.
Deitch EA. Gut-origin sepsis: evolution of a concept. Surgeon. 2012 Dec;10(6):350-356.
Reintam Blaser A, Starkopf J, Moonen PJ, et al. Perioperative gastrointestinal problems in the ICU. Anaesthesiol Intensive Ther. 2018; 50:59–71.
Reintam Blaser A, Jakob SM, Starkopf J. Gastrointestinal failure in the ICU. Curr Opin Crit Care. 2016.
Wang Y, Zhang Y, Jiang R. Early traditional Chinese medicine bundle therapy for the prevention of sepsis acute gastrointestinal injury in elderly patients with severe sepsis. Sci Rep. 2017 Apr 6;7:46015.
Li P. Clinical Summary of Acupoint injection Therapy. Beijing: China Traditional Chinese Medicine Press. 1996:68
Ni Feng, Lin Jingyu, Zhou Chunquan, et al. Study on mechanisms of acupoint-injection therapy [J]. Chinese Acupuncture & Moxibustion, 2003(10):45-47.
Wang M, Gao YH, Xu J, et al. Zusanli (ST36) acupoint injection for preventing postoperative ileus: A systematic review and meta-analysis of randomized clinical trials. Complement Ther Med. 2015 Jun; 23(3): 469-483.
Li yingsi, Xu Bin. Mechanism Ana lysis of Acupoint injection Zusanli Treatment of Digestive System Diseases. Journal of Clinical Acupuncture and Moxibustion. 2014,30(01):70-72.
Wu Junhua, Sun Jianhua. Research Progress on Regulation of Gastrointestinal Motility by Acupuncture. Anhui Medical and Pharmaceutical Journal. 2011, 15(11):1436-1439.
Li Menghan, Guo Yi. Research progress and prospect of Acupoint injection [J]. Journal of Clinical Acupuncture and Moxibustion. 2010, 26(10):69-72.
Zhang Weibo, Li Hong, Wang Yuanchao, et al. The mechanism of propagation of hydraulic wave and Acupoint injection in rat conception vessel tissue. Chinese Acupuncture & Moxibustion. 1998(01):60-61.
Chen Jianyi, Tang Hongtu, Wang Hua, et al. Exploring and Discussing the Acupoint Zusanli. Acta Chinese Medicine. 2020, 35(12): 2521-2524.
Ponec RJ, Saunders MD, Kimmey MB. Neostigmine for the treatment of acute colonic pseudo-obstruction. N Engl J Med. 1999 Jul 15;341(3):137-41.
Liao Y, Li Y, Ouyang W. Effects and safety of neostigmine for postoperative recovery of gastrointestinal function: a systematic review and meta-analysis. Ann Palliat Med. 2021 Dec; 10(12): 12507-12518.
You X, Wang Y, Wu J, et al. Zusanli (ST36) Acupoint Injection with Neostigmine for Paralytic Postoperative Ileus following Radical Gastrectomy for Gastric Cancer: a Randomized Clinical Trial. J Cancer. 2018 Jun 5; 9(13): 2266-2274.
Liu Fang, Chen Eryu, Dang Rrui. Distribution of blood vessels in front of interosseous membrane of leg and its relationship with acupoints. Shanghai Journal of Traditional Chinese Medicine. 2000(12): 40-41.
Zheng Minlin, Chen Yue. Study on relationship between depth of Acupoint injection at Zusanli and clinical effect. Jiangxi Journal of Traditional Chinese Medicine. 2010, 41(12):51-53.
Lou Xinfa, Yang Xindong, Jiang Hesong, et al. Study on angle and depth of needle insertion in acupuncture at Zusanli(ST36). Chinese Acupuncture & Moxibustion. 2006(07):483-486.
Li Lingfeng, Qiu Lu, Zhou Youdong, et al. Effect of Acupuncture at Zusanli on Small Intestinal Microvascular Remodeling in Septic Rats. Chinese Archives of Traditional Chinese Medicine. 2022, 40(09): 213-216+286.
Meng Zhen, Dou Lin, Du Guangzhong, et al. Therapeutic Observation on Electroacupuncture for Gastroparesis after Subtotal Gastrectomy. Shanghai Journal of Acupuncture and Moxibustion. 2012, 31(05): 321-322.
Tian Bingxing. 30 Cases of Gastroparesis Syndrome Treated by Electroacupuncture. Shanghai Journal of Acupuncture and Moxibustion. 2010,29(07):456-457.
Wu Kening, Xia Huanjuan, Chu Haoran. Research progress on acupuncture treatment of functional dyspepsia. Guangxi Journal of Traditional Chinese Medicine. 2016,39(06):4-6.
Wu Yinghui, Nian Ffeng, Li Yan, et al. The stimulation of Zusanli point effects on the body's immune function: a Meta-analysis. Contemporary Medicine. 2020, 26(02): 108-111.
Liu Zushun, Zhou Ailing, Ding Fei, et al. Reactivity of acupoints to drugs (chemical stimulation). Shanghai Journal of Acupuncture and Moxibustion. 1996(05): 34-36.
Sha T, Gao LL, Zhang CH, et al. An update on acupuncture Acupoint injection. QJM. 2016 Oct; 109(10):639-641.
Deng H. Clinical study of hyperemesis gravidarum in vitamin B1, B6mixed solution of Neiguan Acupoint injection therapy. Nanjing University of Traditional Chinese Medicine. 2013.
Jiang Yaping, Liu Baogui, Pang Yang, et al. Clinical effect of neostigmine Zusanli Acupoint injection in the treatment of severe bedridden patients with abdominal distension. Clinical Research and Practice. 2021, 6(36): 61-63.
Zhao Shan, Dai Dahua, Fu Bao, et al. Clinical observation on injection of Neostigmine at acupoints of Zusanli and Tianshu to improve gastrointestinal motility disorder in patients with severe acute pancreatitis. Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care. 2022, 29(3): 320-323.
Huang Jin, Sun Ning, Zhang Na, et al. Clinical research progress of different acupuncture treatments for postoperative intestinal paralysis. Lishizhen Medicine and Materia Medica Research. 2020,31(09):2223-2225.
Zhong WX, Qin QG, Li YK. Problems of Acupoint injection therapy. Chinese Acupuncture & Moxibustion. 2021 Jul 12;41(7):795-797.
Murray RJ, Pearson JC, Coombs GW, et al. Outbreak of invasive methicillin-resistant Staphylococcus aureus infection associated with acupuncture and joint injection. Infect Control Hosp Epidemiol. 2008 Sep; 29(9): 859-865.
Jia Z, Chen S, Hao C, et al. Outbreak of extrapulmonary tuberculosis infection associated with acupuncture point injection. Clin Microbiol Infect. 2015 Apr;21(4):349-53.
Charleston L. The incidence of vasovagal responses in interventional procedures for head and neck pain in a newly established headache specialty center. Headache 2012; 52:888.
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