Evidence Details for Jiexi
PMID Title Journal Year Abstract
34564665 Bee Venom Alleviated Edema and Pain in Monosodium Urate Crystals-Induced Gouty Arthritis in Rat by Inhibiting Inflammation. Toxins (Basel). 2021 Sep 16;13(9):661. doi: 10.3390/toxins13090661. 2021 Sep 16 Bee venom (BV) acupuncture has anti-inflammatory and analgesic effects; therefore, it was used as a traditional Korean medicine for various musculoskeletal disorders, especially arthritis. In this study, we investigated the effect of BV on monosodium urate (MSU) crystal-induced acute gouty rats. An intra-articular injection of MSU crystal suspension (1.25 mg/site) was administered to the tibiotarsal joint of the hind paw of Sprague Dawley rats to induce MSU crystal-induced gouty arthritis. Colchicine (30 mg/kg) was orally administered 1 h before MSU crystal injection as a positive control, and BV (0.5 mg/kg) was injected into the tibiotarsal joint immediately after MSU crystal injection. The ankle thickness, mechanical allodynia, and expression of proinflammatory cytokines (TNF-alpha, IL-1beta, IL6, COX2 and iNOS) and chemokines (MIP-1alpha, MIP-1beta, MCP-1, GRO-alpha, MIP-2alpha) were then evaluated. BV reduced the expression of proinflammatory cytokines and chemokines, which are important mediators of MSU crystal-induced inflammatory responses. This anti-inflammatory effect was also confirmed histologically to attenuate synovitis and neutrophil infiltration. We demonstrated that BV markedly ameliorated ankle edema and mechanical allodynia in gouty rats. These results suggest that BV acupuncture is a potential clinical therapy for acute gouty management."

Evidence Sentence: The injection point corresponds to the Jiexi (ST41) in traditional Korean medicine, and the injection technique used in the experiment was performed in the same way as the intra-articular acupuncture technique of the Jiexi (ST41).