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. 2024 Feb 2:17:387-399.
doi: 10.2147/IJGM.S450027. eCollection 2024.

Efficacy of Fire-Needle Therapy in Improving Neurological Function Following Cerebral Infarction and Its Effect on Intestinal Flora Metabolites

Yi-Jun Feng #  1 , Bing-Quan Wang #  1 , Lu-Lu Cao  2 , Li-Ying Dong  3 , Chu-Yi Zhang  1 , Dong-Jian Hu  1 , Zhen Zhou  3 , Jin-Xiu Cao  4
Affiliations

Efficacy of Fire-Needle Therapy in Improving Neurological Function Following Cerebral Infarction and Its Effect on Intestinal Flora Metabolites

Yi-Jun Feng et al. Int J Gen Med. .

Abstract

Objective: This study was to investigate the mechanism of action and clinical efficacy of fire-needle therapy in improving neurological function in patients with acute cerebral infarction (identified as a wind-phlegm-blood stasis syndrome in traditional Chinese medicine).

Methods: We included patients diagnosed with acute cerebral infarction (wind-phlegm-blood stasis syndrome) admitted to the Encephalopathy and Acupuncture Center of the Second Affiliated Hospital of Tianjin University of Chinese Medicine. We randomly allocated them into the treatment and control groups, with 45 cases in each group. Acupuncture treatments that focused on regulating the mind and dredging the collaterals were used in the control group, while the treatment group additionally received fire-needle therapy. Our indicators included the National Institutes of Health Stroke Scale (NIHSS) scores, the Fugl-Meyer Assessment (FMA) scale, peripheral blood tumor necrosis factor-α (TNF-α), interleukin-17 (IL-17), hypersensitivity C-reactive protein (hs-CRP), and intestinal metabolites short-chain fatty acids (SCFAs). We measured these indicators before treatment and 14 days after treatment.

Results: The post-treatment NIHSS scores of the two groups were significantly reduced (P < 0.05), and the treatment group showed a more significant decline in the score when compared to the control group (P < 0.05). The treatment group showing significant improvement in the domains of reflex activity, mobility, cooperative movement, and finger movement (P < 0.05). Both groups showed a significant decrease in the IL-17 and hs-CRP levels (P < 0.05), with the treatment group demonstrating a significant declining trend when compared to the control group (P < 0.05). The levels of acetic acid, propionic acid, butyric acid, and valeric acid all increased significantly in the two groups (P < 0.05), with acetic acid and butyric acid increasing significantly in the treatment group when compared to the control group (P < 0.05). Clinical efficacy rate: 78.6% of patients in the treatment group had an excellent rate, whereas it was 30.0% in the control group, and the difference was statistically significant (P < 0.001).

Conclusion: Fire-needle therapy was effective in upregulating the SCFA content in patients with acute cerebral infarction (wind-phlegm-blood stasis syndrome), inhibiting the level of the inflammatory response, and improving the recovery of neurological functions.

Clinical registration number: Registration website link: https://www.chictr.org.cn. Registration date: 2022/9/27. Registration number: ChiCTR2200064122.

Keywords: acute cerebral infarction; fire-needle therapy; short-chain fatty acids; wind-phlegm-blood stasis syndrome.

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Conflict of interest statement

The authors report no conflicts of interest for this work.

Figures

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Figure 1
The flowchart of patient inclusion.
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References

    1. Chen HZ. Interpretation of Chinese and western medicine diagnosis and treatment guidelines for acute ischemic cerebrovascular disease. Clin J Trad Chin Med. 2013;25(11):949–954.
    1. Blasco MP, Chauhan A, Honarpisheh P, et al. Age-dependent involvement of gut mast cells and histamine in post-stroke inflammation. J Neuroinflammation. 2020;17(1):160. doi:10.1186/s12974-020-01833-1 - DOI - PMC - PubMed
    1. Liu Y, Luo S, Kou L, et al. Ischemic stroke damages the intestinal mucosa and induces alteration of the intestinal lymphocytes and CCL19 mRNA in rats. Neurosci Lett. 2017;658:165–170. doi:10.1016/j.neulet.2017.08.061 - DOI - PubMed
    1. Ye D, Hu Y, Zhu UN, et al. Exploratory investigation of intestinal structure and function after stroke in mice. Mediators Inflammation. 2021;2021:1315797. doi:10.1155/2021/1315797 - DOI - PMC - PubMed
    1. Huang YH. A study on the syndrome of acute stroke. Tianjin Colle Trad Chin Med. 2005;2:3.