Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0344307 (analgesia)
 28,200 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Substance P (SP), released from thin afferent terminals, is believed to be a neurotransmitter for pain transmission in the spinal dorsal horn. It has been demonstrated that in addition to analgesia, morphine increases the accumulation of SP possibly due to the inhibition of its release. The present work investigated the level of spinal SP like immunoreactivity (SPLI) following electroacupuncture analgesia in rats using immunohistochemistry and image analysis. Experiment results revealed that formalin injected into the hind paw elicited marked pain response and accumulation of SP in the spinal dorsal horn. Electroacupuncture of Tsu-San-Li could depress the pain response, however increasing further the SP accumulation. It is thus suggested that pain stimulation itself may activate the endogenous opioid mechanism to inhibit SP release and acupuncture is able to enhance the process. This may be one mechanism of acupuncture analgesia.
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PMID:Alterations of spinal dorsal horn substance P following electroacupuncture analgesia--a study of the formalin test with immunohistochemistry and densitometry. 137 50

Sixteen cases of adverse effects due to a new health-food product, gamma-hydroxybutyrate (GHB), were reported to the San Francisco Bay Area Regional Poison Control Center in the 5-month period from June to October 1990. Cases have also been reported in eight other states. Adverse effects included coma (four patients) and tonic-clonic seizurelike activity (two patients). Doses ranged from 1/4 teaspoon to 4 tablespoons. Acute symptoms resolved within 7 hours. GHB was investigated as an anesthetic agent during the 1960s until seizures and lack of analgesia precluded its use. It was recently introduced in the health-food market as a food supplement for body builders with claims of anabolic effects by stimulating growth hormone release. GHB remains under investigational new drug status with the Food and Drug Administration and is illegal for over the counter sale. The Food and Drug Branch of the California Department of Health Services has prohibited further sale of this product in California as have health departments in Florida and South Carolina; however, new cases continue to be reported. Health professionals should be aware of the potential health hazards of GHB.
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PMID:gamma-Hydroxybutyrate: a health-food product producing coma and seizurelike activity. 205 2

Eleven male and 15 female sheep were subjected to electroacupuncture (EA) treatment, using 2 needle loci described in the Chinese veterinary literature as Yao Pang (lumbar region) and San Yang Lu (1 thoracic limb). Noninjurious cutaneous stimuli were applied, using a calibrated pin-prick probe, a clamp, and a contact heat (75 to 95 C) probe. Cutaneous pain thresholds (PT) were quantified in 7 body areas during control (no acupuncture needles and no electrostimulation) and EA experiments, before and after IV injection of naloxone. Using each animal as its own control, each EA experiment was classified as inducing either good or poor anagelsia on the basis of whole-body PT values. Plasma concentrations of immunoreactive beta-endorphin (beta E) and prolactin were quantified in sequential plasma samples collected at 9-minute intervals throughout all experiments. Electroacupuncture at each locus increased (P less than 0.01) PT (ie, caused cutaneous analgesia) in 6 of 7 body areas, and increased (P less than 0.05) plasma concentrations of immunoreactive beta E and prolactin. In EA experiments in which good analgesia was induced, plasma beta E was increased more (P less than 0.05) than in EA experiments in which poor analgesia was induced. This difference was more evident for the Yao Pang locus. Generally, plasma prolactin concentrations were increased more with good analgesia than with poor analgesia for the Yao Pang locus. Electroacupuncture stimulation of the San Yang Lu locus was associated with higher plasma beta E concentrations than that associated with the Yao Pang locus. Increases in plasma prolactin concentrations were comparable between loci.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Electroacupuncture-induced analgesia in sheep: measurement of cutaneous pain thresholds and plasma concentrations of prolactin and beta-endorphin immunoreactivity. 293 27

The effects of stimulation of acupuncture loci Nei-Kuan (EH-6), Tsu-San-Li (St-36), San-Yin-Chiao (Sp-6) and Chu-Chih (LI-11) on cutaneous circulation and/or pain threshold were assessed in eight normal adults. Stimulation of acupuncture locus San-Yin-Chiao (located in the right leg) produced vasoconstriction in the right leg skin temperature (Tright leg) and in the left leg skin temperature (Tleft leg). There was no change in either right arm skin temperature (Tright arm), left arm skin temperature (Tleft arm), metabolic rate, or respiratory evaporative heat loss. Stimulation of Nei-Kuan (located in the right arm) produced vasoconstriction only in both Tright arm and Tleft arm without changes in Tright leg or Tleft leg. Stimulation of acupuncture locus Tsu-San-Li (located in the left leg) produced vasoconstriction in both Tleft leg and Tright leg without changes in either Tright arm or Tleft arm. Stimulation of acupuncture locus Chu-Chih (located in the left arm) produced vasodilatation in both Tleft arm and Tright arm without changes in either Tright leg or Tleft leg. On the other hand, stimulation of acupuncture locus San-Yin-Chiao (right side) produced analgesia only in the right foot sole, while stimulation of acupuncture locus Chu-Chih (left side) produced analgesia only in the left hand palm. Thus, the data indicate that each acupuncture locus may have its own topographical representation with special reference to both cutaneous circulation and pain threshold in normal adults.
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PMID:Effects of needle stimulation of acupuncture loci Nei-Kuan (EH-6), Tsu-San-Li (St-36), San-Yin-Chiao (Sp-6) and Chu-Chih (LI-11) on cutaneous temperature and pain threshold in normal adults. 705 29

Two acupuncture regimens were compared as to their efficacy in inducing analgesia sufficient for midline abdominal incisions in dogs. In addition, the physiologic effects of electrostimulation of the single point that the 2 regimens had in common, Tsu-san-li (stomach or St-36), were examined. The physiologic effects were compared with those monitored during the procedure used for induction of analgesia. Electrostimulation of 1 acupoint combination, St-36 and Yang-ling-chuan (gallbladder or GB-34), induced effective analgesia for an abdominal midline incision in 8 of 9 dogs tested (89%). The second point combination, St-36 and San-yin-chiao (spleen or Sp-6), induced effective analgesia for an abdominal midline incision in only 2 of 8 dogs tested (25%). Analgesia was inferred when an animal's struggling response during the incision procedure was absent or minimal. Heart rate, respiratory rate, and arterial blood pressure were monitored during acupoint stimulation. Significant changes in heart rate or respiratory rate were not detected during electrostimulation of St-36, St-36 and GB-34, or randomly selected nonacupuncture metatarsal loci. Although there were statistically significant decreases in systolic blood pressure during electrostimulation of nonacupuncture points alone and of St-36 alone, the magnitude of these increases was small, ranging from 3.75 mm of Hg to 4 mm of Hg.
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PMID:Physiologic and analgesic effects of acupuncture in the dog. 724 10

The use by the Khoisan of South Africa of Sceletium plants in psychoactive preparations has often been alluded to in the literature. However, much of it is fragmentary and contradictory. The current review reassembles the historical data recorded over a 300-year period, describes techniques for the preparation and use of "kougoed' from plants of Sceletium and documents the subjective experiences of a number of contemporary users. Apart from chewing the dried product, after "fermentation', there are reports of uses as tinctures for sedation and analgesia, chewing the material directly and smoking the residue after chewing. The symbolic connections of Sceletium with eland antelopes, the "trance animals' par excellence of the San hunter-gatherers is noted. Observations by Paterson (1789) and reports of contemporary users indicate a synergism and potentiation with smoked Cannabis. There is no evidence to support the view that "kougoed' or Sceletium alkaloids are hallucinogenic. The alkaloid distribution in Sceletium and other members of the family Mesembryanthemaceae are considered. Chemical studies have indicated as many as nine alkaloids in Sceletium which fall into three distinct structural categories. Mesembrine, the alkaloid first isolated and named is not the dominant constituent of plants and is weakly narcotic. Evidence is assembled to suggest that traditional and contemporary methods of preparation serve to reduce levels of potentially harmful oxalates, which are found in Sceletium and other Mesembryanthemaceae. It is concluded that there is a need for further pharmacological studies on these alkaloids, based on their narcotic-anxiolytic properties, strong synergism with other psychomimetics, moderate toxicity and anti-cancer activity.
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PMID:Psychoactive constituents of the genus Sceletium N.E.Br. and other Mesembryanthemaceae: a review. 869 46

Tooth pulp generated somatosensory evoked potential (TPSEP) recordings were used to evaluate analgesic responses to Electroacupuncture (EA) and laser stimulation (Ls) treatments in Dutch-hybrid male rabbits. TPSEP recorded 100 trials at 30 minute intervals for 120 minutes. Three groups, EA, Ls and control were analyzed. The EA group received intermittent 4 Hz, intensity 2-10 volts electro-stimulation for twenty minutes. In the Ls group, a gallium aluminium arsenide (GaAlAs) laser diode with wavelength 780 nm, switched pulse frequency 9720 Hz, energy density 0.6 J/point was employed. Both EA and Ls groups received stimulation of the points Ho-ku (LI-4) and Tzu-San-Li (ST-36). Results showed tooth pulp generated noxious stimulation produced a consistent late near-field SEP waveform, which is similar to those recorded in humans and correlated to the sensation of pains, thus confirming that tooth pulp stimulation is a reliable dolormetric index. EA and Ls TPSEP recordings showed decreased peak-wave amplitude in late near-field components. These decreases correlate to analgesia. This technique provides an objective and reliable dolormetric index.
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PMID:Electroacupuncture and laser stimulation treatment: evaluated by somatosensory evoked potential in conscious rabbits. 935 99

With [3H]-ohmefentanyl as a ligand, autoradiographic technique was used to observe the effect of electroacupuncture (EA) on mu opioid receptor binding sites in the brain areas related to pain modulation. The results were as follows: (1) The distribution of the mu receptor in the rat central nervous system was consistent in general with the results reported previously. (2) After EA of Tsu-San-Li, the mu receptor binding sites were increased significantly in the following examined structures: the caudate nucleus, septal nucleus, medial preoptic area, amygdalaoid nucleus, periaqueducal gray, interpeduncular nucleus, nucleus raphe magnus, and cervical and lumbar enlargements. The results indicate that EA is able to increase mu binding sites in the brain areas related to analgesia, suggesting the enhancement of mu receptor function by EA.
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PMID:Changes of mu opioid receptor binding sites in rat brain following electroacupuncture. 949 24

The interaction between electroacupuncture and an N-methyl-D-aspartic acid (NMDA) receptor antagonist, (DL-2-amino-5-phosphonopentanoic acid; AP5), or an (+/-)-alpha-Amino-3-hydroxy-5-methylisoxazole-4-propionic acid/kainite (AMPA/KA) receptor antagonist, (6,7-dinitroquinoxaline-2,3 (1H,4H); DNQX) administered intrathecally on carrageenan-induced thermal hyperalgesia and spinal c-Fos expression was investigated. The latency of paw withdrawal (PWL) from a thermal stimulus was used as a measure of hyperalgesia in awake rats. Intrathecal (i.t.) injection of 1 and 10 nmol AP5, but not DNQX, markedly increased the PWL of the carrageenan-injected paw. At a dose of 100 nmol, either AP5 or DNQX significantly increased the PWL of carrageenan-injected paw, with AP5 being more potent. The PWLs of the non-injected and normal saline (NS)-injected paws were not detectably affected by the administration of NMDA or AMPA/KA receptor antagonists at the doses tested. Unilateral electroacupuncture stimulation of the 'Zu-San-Li' (St 36) and 'Kun-Lun' (UB 60) acupuncture points (60 and 2 Hz alternately, 1-2-3 mA) contralateral to the carrageenan-injected paw significantly elevated the PWLs of carrageenan- and NS-injected paws. Although neither i.t. injection of 0.1 nmol AP5 nor 1 nmol DNQX alone had an effect on the PWL of the carrageenan- and NS-injected paws, both significantly potentiated electroacupuncture-induced analgesia in carrageenan-injected rats, especially 0.1 nmol AP5. Fos expression evoked by intraplantar (i.pl.) injection of carrageenan was examined in the spinal cord with immunohistochemical methods. Three hours after i.pl. injection of carrageenan, the number of Fos-like immunoreactive (Fos-LI) neurons was significantly increased in all the layers of the ipsilateral spinal cord at L(4-5), with the highest density in laminae I-II and V-VI. Intrathecally pre-administered AP5 (10 nmol) or DNQX (100 nmol) significantly reduced the total number of carrageenan-induced Fos-LI neurons. The reduction was most apparent in laminae I-II and IV-V. Similarly, following bilateral electroacupuncture stimulation of the 'Zu-San-Li' and 'Kun-Lun' acupuncture points, the numbers of carrageenan-induced Fos-LI neurons in laminae I-II and V-VI were also markedly reduced. When a combination of electroacupuncture with 10 nmol AP5 or 100 nmol DNQX was used, the level of Fos expression in the spinal cord induced by carrageenan was significantly lower than electroacupuncture or i.t. injection of AP5 or DNQX alone. These results demonstrate that electroacupuncture and NMDA or AMPA/KA receptor antagonists have a synergetic anti-nociceptive action against inflammatory pain. Furthermore, this study supports the idea that both NMDA and AMPA/KA receptors are involved in spinal nociceptive transmission in carrageenan-inflamed rats, with the former more preferentially mediating transmission of nociceptive information from cutaneous tissue.
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PMID:Excitatory amino acid receptor antagonists and electroacupuncture synergetically inhibit carrageenan-induced behavioral hyperalgesia and spinal fos expression in rats. 1240 29

There are two species of snakes associated with snake bite poisoning in Chile: Philodryas chamissonis and Tachymenis peruviana. A case associated with a P. chamissonis bite occurring during a summer activity in San Antonio, V Region, is presented. The bite compromised the dorsum of the right hand between the thumb and the index finger and was initially painless. During the following 24 hours equimotic edema developed up to the shoulder and pectoral region, with intense pain, headache, nausea, fever and appearance of a serohematic bulla on the elbow fold. The patient was treated with antihistamines, systemic steroids, analgesia and antibiotics for 7 days. Other cases of snake bites published in Chile are reviewed and treatment and prevention strategies are proposed.
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PMID:[Snake bite by Philodryas chamissonis. A case presentation and literature review]. 1755 46


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