Mechanism of Jaeumgenby-tang adding Aurantii FructusㆍGastrodae Rhizoma on the Improvement and Changes of Cerebral Hemodynamics

자음건비탕가지각ㆍ천마가 뇌혈류역학 변동에 미치는 작용기전

  • Im Gwang Mo (Department of Pathology, College of Oriental Medicine, Dongshin University) ;
  • Park Choul Hoon (Department of Pathology, College of Oriental Medicine, Dongshin University) ;
  • Jeong Hyun Woo (Department of Pathology, College of Oriental Medicine, Dongshin University)
  • 임광모 (동신대학교 한의과대학 병리학교실) ;
  • 박철훈 (동신대학교 한의과대학 병리학교실) ;
  • 정현우 (동신대학교 한의과대학 병리학교실)
  • Published : 2003.04.01

Abstract

Jaeumgenby-tang(JGT) have been used in oriental medicine for many centuries as a therapeutic agent of vertigo caused by deficiency of qi(氣) and blood(血). Effect of Aurantii Fructus(AF) take off the phlegm by promoting the circulation of qi, Gastrodae Rhizoma(GR) has effects treating for headache, vertigo by calming the liver and suppressing hyperactivity of the liver-yang(陽). And, We reported that JGT adding AFㆍGR extract(JGTAG) was significantly increased regional cerebral blood f1ow(rCBF) by dilating pial arterial diameter(PAD). Therefor we designed to investigate whether JGTAG is mediated by adrenergic β-receptor, cyclooxygenase or guanylate cyclase in normal rats. The changes of rCBF and mean arterial blood pressure(MABP) were determinated by laser-doppler flowmetry(LDF), and the change of PAD was determinated by video microscope and width analyzer. The results were as follows in normal rats; Pretreatment with propranolol(1mg/kg, i.v.) was significantly inhibited JGTAG induced increase of rCBF, PAD and MABP, and pretreatment with indomethacin(1 mg/kg, i.v.) was significantly inhibited too. But pretreatment with methylene blue(10μg/kg, i.v.) were accelerated JGTAG induced increase of rCBF and MABP, but pretreatment with methylene blue was inhibited JGTAG induced increase of PAD. This results suggest that the mechanism of JGTAG is mediated by adrenergic β-receptor and cyclooxygenase.

Keywords

References

  1. 萬病回春(卷上) 공정현
  2. 東醫寶鑑 許浚
  3. Cecil-Loeb textbook of medicine Bessen, Mcdermoff
  4. 대한신경과학회지 v.15 어지러움증 환자의 임상 및 검사소견에 관한 연구 이향운;박기덕;최경규
  5. 최신응급의학 윤여규
  6. 中醫內科學 上海中醫學院
  7. 黃帝內經素閭靈樞譯辨 楊維傑
  8. 醫擧入門 이천
  9. 東醫內科學 朴鎬程;尹泰汝;崔栖瀅;金東圭;具本泓
  10. 병리학 대한병리학회
  11. 大韓神經科學會誌 v.8 no.1 허혈,재관류 손상에서 뇌조직 아민 변동 Free Radical과의 관련성 이경은;김경환
  12. 동의생리병리학회지 v.15 no.2 청열도람탕이 뇌혈류개선 및 작용기전에 미치는 영향 김희성;정현우
  13. 大韓本草學會誌 v.14 no.2 石菖蒲가 血壓 및 局所腦血流量에미치는 影響 鄧鉉雨;康成溶;白承化
  14. 東醫病理學會誌 v.14 no.2 導痰湯이 白鼠의 腦血流改善 및 作用機轉에미치는 影響 鄧鉉雨;金義成
  15. 大韓本草學會誌 v.15 no.2 石菖蒲가 白鼠의 腦軟膜動脈의 直徑에 미치는 機轉硏究 李金洙;鄧鉉雨;康成溶
  16. 한국전통의학지 v.9 no.2 十二味寬中湯, 凉堯散火湯, 荊防瀉白散이 백서의 혈압 및 국소뇌혈류량에 미치는 영향 李基珠;金敬堯
  17. 大韓針灸學會誌 v.15 no.1 肝$\cdot$$\cdot$賢兪에 艾灸施術과 Lasser光線鍼이 血壓과 腦血流量에 미치는 影響 趙南根;金庚植
  18. 大韓韓醫學會誌 v.7 no.1 眩暈의 病因病理에 관한 東西醫學的 考察 宋孝貞
  19. 현훈의 침구치료에 관한 문헌적 고찰 방규상
  20. 大韓針灸學會誌 v.7 no.1 眩暈의 針灸治療에 관한 文獻的 考察 朴修泳
  21. 東醫生理病理學會誌 v.16 no.2 淸暈化痰湯이 局所腦血流量에 미치는 實驗的 硏究 김천중;조수인;정현우
  22. 東醫生理病理學會誌 v.16 no.4 淸暈化痰湯加荊芥가 局所腦血流量 및 平均血壓에 미치는 作用機轉 閔丙一;任光模;鄭鉉雨
  23. 滋陰健脾湯이 拘束 stress흰쥐의 腦 Catecholamine含量 및 體重에 미치는 影響 洪大成
  24. 滋陰健脾湯이 拘束 스트레스 흰쥐의 胃潰瘍 및 血中 Catecholamine 含量에 미치는 影響 姜賢根
  25. 동의생리병리학회지 v.16 no.3 자음건비항이 국소뇌혈류량, 평균혈압, 심박동수에 미치는 작용기전 정현우;김희성;양기호
  26. 東醫生理病理學會誌 v.17 no.1 滋陰健脾湯加枳곡$\cdot$天麻가 腦細胞 및 腦血流變動에 미치는 影響 任光模;鄭鉉雨
  27. 本草學 全國韓醫科大學 本草學敎授(拱編)
  28. Stroke v.17 A model of focal ischemic stoke in the rat :reproducible extension cortical infarction Chen, S.T.;Hsu, C.Y.;Hogan, E.L.;Maricque, H.;Balentlne, J.D.
  29. J. Celeb Blood Flow Metab v.6 no.1 Reactivity of rat pialarterioles and venules to adenosine and carbon dioxide , with detailed description of the closed cranial window technique in rats. Morii, S.;Ngai, A.C.;Winn, H.R. https://doi.org/10.1038/jcbfm.1986.5
  30. Stroke v.6 Detailed description of a cranial window technique for acute and chronic experimentals Joseph E.;Lebasseur M.S.;Wei E.P.;Raper A.J.;Kontos H.A.;Patterson J.L. https://doi.org/10.1161/01.STR.6.3.308
  31. 이우주의 약리학 강의(제4판) 김경환
  32. Statistical Methods Snedecor, G.H.;Cocharn, W.C.
  33. 바른 方劑學 康舜洙
  34. 東醫方劑와 處方解說 尹用甲
  35. 臨正指南醫案 葉天士
  36. 丹溪心法附餘 朱丹溪
  37. 張景岳醫學全書 李志庸
  38. 劉洞間三六書 劉河間
  39. 醫學正博 虞天民
  40. 中醫醫藥匯海 蔡陸仙
  41. 濟衆新篇 廉命吉
  42. 한방병리학 전국한의과대학 병리학교실(編)
  43. 대한한의학회지 v.16 no.1 風의 病理的 意味糾明과 中風의 原因 및 治療에 대한 東西醫學的 比較 金世吉
  44. 大田大學校 論文集 v.5 no.1 痰飮에 관한 文獻的 考察 李周姬;吳泰煥;鄭昇杞;李珩九
  45. 漢方臨床入門 神戶中醫學硏究會
  46. 中醫學基礎 上海中醫學院
  47. 大韓韓醫學會誌 v.9 no.1 滋陰健脾湯이 鎭諦, 補血效果에 관한 實驗的 硏究 金俊顯;李京燮
  48. 생리학(제6판) 성호경
  49. FASEH J. v.6 Nitric oxide as a secretory product of mammalian cells Nathan, C.
  50. Nature v.336 Endothelium-derived relaxing factor release on activation of NMDA receptors suggests role as intercellular messenger in the Brain Carthwaite, J.Charles, S.L.;Chess-Williams, R. https://doi.org/10.1038/336385a0
  51. Boichem Biophysic Res Commum v.157 Nitric oxide , A cytotoxic and activated macrophage effector molecule Hibbs, J.B.;Taintor, R.R.;Vavrin, Z.;Rachlin, E.M. https://doi.org/10.1016/S0006-291X(88)80015-9
  52. FASEB J. v.7 Niric oxide sythesis inhibitioI\ induced leukocyte adhesion via superoxide and master cell Kubes, P.;Kanwar, S.;Niu, X.;Caboury, J.P. https://doi.org/10.1096/fasebj.7.13.8405815
  53. Nature v.327 Nitric oxide release accounts for the biology activity of endothelium derived relaxing factor Palmer, P.M.J.;Ferrige, A.G.;Monacada, S. https://doi.org/10.1038/327524a0
  54. Nature v.349 Endogenous nitric oxide release required for long term synatic depression in the cerebellum Shibuki, K.;Okada, D. https://doi.org/10.1038/349326a0
  55. J. Exp. Med. v.169 Nitric oxide macrophage product responsible for cytostasis and respiratory inhibition in tumor target cells Stuehr, D.J.;Nathan, C.F. https://doi.org/10.1084/jem.169.5.1543
  56. J. Appl Physiol v.73 no.6 Methylene blue inhibits hypoxic cerebral vasodilation in awake sheep Iwamoto, J.;Yoshinaga, M.;Yang, S.P.;Krasney, E.;Krasney, J.
  57. Brain Res. v.641 no.2 Comparison of the effects of NG-nitro-L-arginine and indomethacin on the hypercapnic cerebral blood flow increase in rats Wang, Q.;Pelligrino, D.A.;Paulson, O.B.;Lassen, N.A. https://doi.org/10.1016/0006-8993(94)90152-X
  58. Acta Physiol. Scand. v.107 no.4 Quantitative changes in regional cerebral blood flow of rats induced by alpha-and beta-adrenergic stimulants 58. Edvinsson, L.;Lacombe, P.;Owman, C.;Reynier-Rebuffel, A.M.;Seylaz, J. https://doi.org/10.1111/j.1748-1716.1979.tb06478.x
  59. Arch Int Pharmacodyn Ther. v.296 Effects of beta-adrenergic agents on the regional cerebral blood flow in cortex and thalamus of the cat Vlahov, V.;Bacracheva, N.
  60. Exp. Biol. Med. v.227 no.7 The cyclooxygenase inhibitors indomethacin and Rofecoxib reduced regional cerebral blood flow evoked by somatosensory stimulation in rats Bakalova, R.;Matsuura, T.;Kanno, I. https://doi.org/10.1177/153537020222700710
  61. Stroke v.29 no.6 Role of inducible nitric oxide synthase and cyclooxygenase-2 endotoxin-induced cerebral hyperemia Okamoto, H.;Ito, 0.;Roman, R.J.;Hudetz, A.G. https://doi.org/10.1161/01.STR.29.6.1209
  62. Am J. Physiol Heart Circ Physiol v.278 no.2 Role of adenosine A(2B) receptors in vasodilation of rat pial artery and cerebral blood flow autoregulation Shin, H.K.;Shin, Y.W.;Hong, K.W. https://doi.org/10.1152/ajpheart.2000.278.2.H339
  63. Brain Res. v.757 no.1 Subarachnoid hemorrhage impairs cerebral blood flow response to nitric oxide but not to cyclic GMP in large cerebral arteries Yamamoto, S.;Nishizawa, S.;Yokoyama, T.;Ryu, H.;Uemura, K. https://doi.org/10.1016/S0006-8993(96)01433-3
  64. Am J. Physiol. v.267 no.1 SIN-1 reverses attenuation of hypercapnic cerebrovasodilation by nitric oxide synthase inhibitors Iadecola, C.;Zhang, F.;Xu, X.