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青璞中醫 | 青埔中醫 機捷A18 桃園高鐵
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    • 中醫艾灸療程 | 基本原理 補瀉 過敏 腸胃 調理
    • 中醫耳鼻喉 | 久咳 夜咳, 鼻過敏, 鼻竇炎, 喉嚨卡 青埔中醫
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    • 中醫腸胃 | 胃脹氣 胃食道逆流 腹瀉腹痛 便秘 消化不良
    • 中醫皮膚 | 背部痘痘 汗皰疹 皮膚刺癢 脂漏性皮膚炎
    • 中醫泌尿 | 頻尿 漏尿 膀胱過動症 反覆尿道炎
    • 中醫痛症 | 容易抽筋 膏肓痛 足跟痛 閃到腰 睡醒腰痛
    • 中醫婦科 | 月經頭痛 經痛舒緩 白帶分泌物 更年期 青埔
    • 中醫神經 | 失智 中風後失智 自律神經失調 不寧腿
    • 中醫大腦保健 | 失智保健三方向 類澱粉 血管型 第三型
    • 2025 T-Cross 在地數位種子人才培力方案
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減重益生菌? 看看實證研究所麼說

減重益生菌能有效幫助犬隻控制體重、促進腸道健康。Lactiplantibacillus plantarum CBT LP3 和 Bifidobacterium breve CBT BR3顯著改善超重犬隻的腸道菌群、降低脂肪及代謝風險。 

Sci Rep. 2024 Oct 26;14:25446. 

減重益生菌對犬隻的健康意義
減重益生菌的作用機制
減重益生菌如何幫助犬隻減重?
減重益生菌對代謝健康的改善
減重益生菌對腸道菌群的調節作用
減重益生菌對長期健康的影響
如何為犬隻選擇合適的減重益生菌?
減重益生菌的未來展望

減重益生菌對犬隻的健康意義

隨著生活條件提升及飼料營養豐富,犬隻的肥胖問題日益嚴重。超重不僅影響犬隻的日常活動,更增加了患上心血管疾病、糖尿病及其他代謝問題的風險。根據研究指出,適當的減重益生菌(如Lactiplantibacillus plantarum CBT LP3和Bifidobacterium breve CBT BR3)對犬隻的體重管理和健康維護有明顯幫助。減重益生菌能通過調整腸道菌群和代謝,幫助犬隻減少脂肪堆積、改善體重控制,同時支持腸道及免疫系統的健康,對長期健康管理意義重大。

減重益生菌的作用機制

減重益生菌的核心機制主要是透過調整腸道菌群,影響脂肪代謝和代謝健康。研究顯示,減重益生菌可以平衡腸道內的有益菌與有害菌,減少肥胖相關的炎症反應。具體來說,Lactiplantibacillus plantarum CBT LP3和Bifidobacterium breve CBT BR3這兩種益生菌的混合補充劑,能顯著增加腸道內有益菌(如Lactiplantibacillus)的比例,並減少可能引發肥胖的有害菌(如Erysipelatoclostridium和Staphylococcus)。透過這種調節作用,腸道環境更加健康,有助於控制體內脂肪堆積、促進脂肪代謝,達到體重控制效果。

減重益生菌如何幫助犬隻減重?

減重益生菌有助於犬隻的體重管理。在一項為期12週的隨機試驗中,超重犬隻服用含有Lactiplantibacillus plantarum CBT LP3和Bifidobacterium breve CBT BR3的混合益生菌配方後,顯著減少了體重及體脂。在這項試驗中,益生菌組的犬隻平均減少了0.39公斤體重,相較之下,未服用益生菌的對照組則顯示體重維持甚至增加。這項結果顯示出,減重益生菌可以通過影響脂肪代謝來幫助減重。研究中還發現,這些犬隻的體脂分布顯著減少,這是由於益生菌增強了脂肪細胞分解的效率,使得脂肪堆積量降低,進而有效管理體重。

除了直接減少體重和體脂外,減重益生菌還可以幫助犬隻維持體重。研究發現,超重犬隻在進行減重計劃的初期階段特別容易遇到「減重瓶頸」問題,即體重減少速度變慢。此時,適當的減重益生菌補充能幫助打破瓶頸,保持穩定的體重管理進程,從而提高長期體重控制效果。

減重益生菌對代謝健康的改善

減重益生菌不僅有助於體重控制,還能顯著改善犬隻的代謝健康。研究顯示,減重益生菌能顯著降低犬隻的血清中三酸甘油酯(TG)和總膽固醇(TC)水平,減少低密度脂蛋白(LDL)濃度,並增加高密度脂蛋白(HDL)濃度。這些脂質參數的變化表明,減重益生菌可以有效幫助降低犬隻的心血管風險。

此外,減重益生菌對於減少胰島素抵抗也有積極作用。減重益生菌在實驗中顯著降低了犬隻的胰島素水平,並增強了胰島素敏感性,這對預防糖尿病及其他代謝相關疾病非常重要。試驗結果還顯示,補充減重益生菌能顯著增加犬隻體內的腸源性激素「腸泌素」分泌,這種激素能調節食慾,促進飽足感,減少食物攝入,從而達到減少體脂的效果。

減重益生菌對腸道菌群的調節作用

腸道健康是影響犬隻減重效果的重要因素。超重及肥胖犬隻的腸道菌群通常顯示出多樣性減少及有害菌增加的情況,這不僅導致腸道不適,更會引發肥胖及代謝問題。減重益生菌透過促進腸道有益菌的生長來幫助平衡腸道菌群,減少有害菌的比例,並改善腸道環境。

研究顯示,在補充Lactiplantibacillus plantarum CBT LP3和Bifidobacterium breve CBT BR3後,這兩種菌株在犬隻腸道內顯著增加,而潛在的致病菌如Erysipelatoclostridium和Staphylococcus則顯著減少。這種改變使得腸道菌群更加健康,減少了肥胖相關的發炎反應。發炎反應減少後,犬隻體內的脂肪代謝更加穩定,有助於脂肪的有效分解及代謝,提高整體健康狀態。

減重益生菌對長期健康的影響

除了體重管理及腸道健康,減重益生菌還對犬隻的長期健康具有積極影響。研究顯示,Lactiplantibacillus plantarum CBT LP3和Bifidobacterium breve CBT BR3能夠有效降低肝功能指數,包括天門冬氨酸轉氨酶(AST)及丙氨酸轉氨酶(ALT)等。這表示減重益生菌不僅可以維持健康的腸道環境,還能幫助改善肝臟功能,減少慢性肝病的風險。

在長期服用下,減重益生菌還可以幫助犬隻穩定血糖水平及促進脂肪代謝,這些健康效果有助於預防與肥胖相關的慢性疾病,例如糖尿病、心血管疾病等。透過日常的減重益生菌補充,飼主能為愛犬提供持久的健康支持,提升其生活品質及壽命。

如何為犬隻選擇合適的減重益生菌?

選擇合適的減重益生菌至關重要。建議選擇經過臨床研究證實有效的減重益生菌菌株,如Lactiplantibacillus plantarum CBT LP3和Bifidobacterium breve CBT BR3,這些菌株在多項研究中證實具有幫助腸道健康、支持代謝並促進減重的效果。

在選擇減重益生菌時,飼主還應注意產品的安全性和適口性,確保愛犬願意接受並能順利服用。此外,建議飼主在開始減重益生菌補充前,先與獸醫師進行討論,以確保減重計劃的安全性和有效性。隨著補充益生菌進行減重,飼主應定期觀察犬隻的體重、健康狀況及行為變化,確保其順利達到健康目標。

減重益生菌的未來展望

隨著對腸道菌群及其健康效益的深入研究,減重益生菌未來在犬隻健康管理中的應用潛力巨大。未來,減重益生菌可能會被應用於更多的健康方案中,從而成為維護犬隻健康的基本補充。對於想要給予愛犬最佳健康照顧的飼主來說,減重益生菌是一種值得考慮的長期健康管理工具。


Sci Rep. 2024 Oct 26;14:25446. doi: 10.1038/s41598-024-75594-9

Effects of Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 supplementation on weight loss and gut microbiota of overweight dogs

Jihee Choi 1,2, Dooheon Son 3, Subin An 1,2, Eunbee Cho 3, Sanghyun Lim 3,✉, Hae-Jeung Lee 1,2,✉

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PMCID: PMC11511819  PMID: 39455650

Abstract

The prevalence of obesity in dogs is increasing worldwide. This study evaluated the effects of a mixed probiotic formula on the weight, body condition score (BCS), blood metabolite profiles, and gut microbiota of overweight and obese dogs over a 12-week supplementation period to determine the anti-obesity effects of Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3. This was a community-based, randomized study that sampled 41 overweight and obese dogs with a veterinarian-determined BCS of 6 or more. The physical activity of all the subjects was measured using a pedometer designed exclusively for dogs. The food intake was measured using the developed application. Only the treatment group received the mixed probiotic formula twice daily (3 g per dose). A significant decrease in body weight (p < 0.0001), BCS (p < 0.0001), serum TG (p < 0.0001), serum TC (p = 0.0400), and serum leptin (p = 0.0252), and a significantly increased serum adiponectin levels (p = 0.0007) were observed in the treatment group compared with the values in the control group. Microbiota analysis showed that Lactiplantibacillus increased and Erysipelatoclostridium, Staphylococcus, and Gemella decreased more significantly in the treatment group than in the control group. These results suggested that Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 may be effective in alleviating obesity in dogs.

Supplementary Information

The online version contains supplementary material available at 10.1038/s41598-024-75594-9.

Keywords: Obesity, Lactiplantibacillus plantarum CBT LP3, Bifidobacterium breve CBT BR3, Weight, Gut microbiota, Dog

Subject terms: Zoology, Diseases

Introduction

Overweightness and obesity in dogs have been reported to cause a range of health concerns, including chronic inflammatory conditions, elevated risk of diabetes, and hypertension, orthopedic conditions such as patellar luxation, increased risk of heart-related conditions, and increased risk of urological problems1–6. Globally, overweight and obese dogs account for 34–63% of the total number of dogs1,2,5, and the ratio is increasing every year7. Obesity-induced diseases in dogs can increase healthcare costs, which can be a significant burden for dog owners8. Known risk factors for overweight and obesity in dogs include an imbalance between food intake and energy consumption, medical conditions (e.g., hypothyroidism), genetic factors, breed (e.g., Labrador Retriever, Cocker Spaniel, Beagle, etc.), spay/neuter status, sex, living environment, and age9,10.

Obesity in dogs is measured using various techniques, including body condition score (BCS), body weight, electrical impedance, X-ray absorptiometry, ultrasound, and magnetic resonance imaging (MRI)9. BCS and body weight measurement are the two most popular methods owing to their cost-effectiveness and convenience. BCS is a subjective and semiquantitative method for measuring body composition, and there are 5-point scale, 7-point scale, and 9-point scale methods11–13. Among them, the 9-point scale method is the most widely used11–13. BCS is a subjective visual and tactile assessment of subcutaneous fat, abdominal fat, ribs, vertebrae, and back muscles9. There is no significant difference in BCS measurements between non-experts, such as dog owners, and trained experts9,13. Therefore, non-experts can perform BCS measurements9,13. On the 9-point BCS scale, 4–5, 6–7, and 8–9 points indicate normal, overweight, and obese weight categories, respectively14,15. A higher BCS point is associated with a reduced life expectancy in dogs16. Several studies have shown that the longer a dog is on a weight loss program, the more difficult it is to lose weight17,18. So, most veterinarians recommend losing about 1% of body weight per week in the early stages (about 2–3 months) of weight loss19.

Several studies have revealed the effect of diet on the gut microbiota of dogs, which is linked to obesity-related metabolism20–24. An unhealthy diet causes an imbalance in the gut microbiota, which in turn promotes the overgrowth of pathogenic organisms resulting in obesity25–27. In contrast, a balanced gut microbiota, which can be achieved through a healthy diet, may prevent or mitigate obesity28,29. A substantial difference was observed in the gut microbiota of obese and non-obese dogs23. Obese dogs exhibit markedly lower diversity of gut microbiota23.

Probiotics, a generic term denoting a variety of beneficial bacteria, control obesity by modulating the mechanisms associated with body weight, gut microbiota, and inflammation30–33. When five Lactobacillus strains were fed to C57BL/6J mice with obesity induced by a high-fat diet, they alleviated obesity by regulating lipid metabolism mitigating fat accumulation and reducing total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL), and leptin levels, while increasing high-density lipoprotein (HDL) and adiponectin levels in serum31.

Lactiplantibacillus plantarum is found in dairy products and various fermented products such as kimchi34, and Bifidobacterium breve is commonly isolated from the gut of healthy breastfed infants and breast milk35. Lactiplantibacillus plantarum and Bifidobacterium breve are two representative probiotics that have long been known to be safe and are available in a variety of commercial products36–40. Many clinical studies in humans showed their benefits in improving immune, enhancing gut health, and preventing obesity36–40.

When mouse models of high-fat diet-induced obesity were fed Lactiplantibacillus plantarum, their body weight decreased41, blood TG concentrations decreased26, and insulin sensitivity improved (determined based on the lower fasting blood glucose level and fructosamine concentrations in serum)42. more than their values in the control group. Moreover, when they were fed Bifidobacterium breve, their body weight, blood TC concentrations, and fasting blood glucose levels decreased43.

However, to date, no studies have reported a mixed probiotic formula containing Lactiplantibacillus plantarum and Bifidobacterium breve for the management of obesity in dogs. Because Lactiplantibacillus plantarum and Bifidobacterium breve have been proven to have potential effects on obesity prevention in humans and mouse models, they may be a meaningful option for the management of obesity in dogs.

The objective of this study was to evaluate the anti-obesity effects of a mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 on overweight and obese dog models. To achieve this objective, this study analyzed the effects of supplementation with Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 on the body weight, BCS, serum biochemistry, and gut microbiota of overweight and obese dogs.

Materials and methods

Ethics statement

This study was approved by the Gachon University Institutional Animal Care and Use Committee (IACUC approved No. GU1-2023-IA0037-00), and all researchers complied with all animal care and other protocols. The study was carried out from July 4 to November 30, 2023. Clinical questionnaires were also provided to dog owners after obtaining approval from the Gachon University Institutional Review Board (IRB approved No. 1044396-202306-HR-089-01).

Study design

We designed a community-based, randomized, open-label trial to examine the anti-obesity effects of a mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3. Overweight and obese dogs with a BCS of 6 or higher, determined by a veterinarian, were recruited, and randomly assigned to treatment and control groups. Randomization lists were computer-generated by researchers who had no contact with owners. The quantity of physical activity in dogs was automatically recorded using a pedometer (Pevo, DDCares Co., Seongnam-si, Republic of Korea). The owners were also asked to record their dogs’ daily food intake using the developed mobile application. The treatment group was administered the probiotic formula and collected the same physical activity and daily food intake information as the control group. The food intake was first quantified on a dedicated feed scale before feeding and the precise amount was entered into the mobile application. All the target dogs maintain their usual food and physical activity regimens throughout the study period. The treatment period was 12 weeks.

Prior to commencement of the study, the purpose of the study and the protocol were explained to the dog owners, and written informed consent was obtained. All dogs were fasted for 12 h prior to the Week 0 examination. The Week 0 examination included baseline characteristics (e.g., breed, age, sex, and spay/neuter status), physical examination (e.g., weight and BCS 9-point scale), vital signs (e.g., heart rate, respiratory rate, and body temperature), owner-administered obesity-related clinical questionnaires (e.g., food intake and physical activity), serum biochemistry, and feces sampling. The items of the Week 12 examination were the same as those of the Week 0 examination except for baseline characteristics (Fig. 1). To evaluate the effectiveness of probiotics, dogs that had taken a probiotic product in the last 3 months or had serious medical conditions other than obesity were excluded.

Fig. 1.

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Diagram of the clinical trial.

Subjects.

We estimated the minimum sample size using power calculations, with a significance level of P = 0.05 and a power of 80%. The estimated minimum sample size for each group was 15 dogs44. We aimed to recruit 40 dogs (20 dogs per group), with an estimated dropout rate of 15%. This study recruited 52 overweight and obese dogs owned by individuals with a veterinarian determined BCS of 6 or higher and a history of visiting a local veterinary clinic (Table 1).

Table 1.

Baseline characteristics.


Control group

Treatment group

p-value

Animals, N

26

26


Age, Mean ± SE, Year

7.15 ± 0.54

6.64 ± 0.65

0.5450

Sex, N

Male, 2

Castrated male, 12

Female, 3

Spayed female, 9

Castrated male, 14

Spayed female, 12


Breed, N

Maltese, 6

Poodle, 5

Pomeranian, 3

Shih Tzu, 1

Bichon Frise, 1

Retriever, 1

Chihuahua, 2

Schnauzer, 2

Spitz, 3

Mixed, 2

Maltese, 5

Poodle, 6

Pomeranian, 3

Shih Tzu, 1

Bichon Frise, 2

Retriever, 1

Chihuahua, 2

Schnauzer, 2

Spitz, 2

Mixed, 2


Body weight, Mean ± SE, kg

10.37 ± 1.83

8.50 ± 1.71

0.4596

BCS, Mean ± SE, Point

6.96 ± 0.16

7.18 ± 0.19

0.3943

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Probiotics supplementation and food intake

The probiotic formula used in this study was manufactured by Cell Biotech (Gimpo-si, Republic of Korea), and a mixed microtablet product containing 2.5 × 109 CFU/day of Lactiplantibacillus plantarum CBT LP3 (KCTC 10782BP) and 2.5 × 109 CFU/day of Bifidobacterium breve CBT BR3 (KCTC 12201BP). The owners of the dogs in the treatment group were instructed to administer 6 g (2 doses, 3 g each) per day to their dogs either alone or sprinkled on top of the dog food, according to the formula administration method.

The dog’s food was advised to maintain their usual intake as before the study began. Only the treatment group received probiotics in addition to their usual diet and physical activity routine. A trained researcher confirmed the amount of dog food intake by mobile application during the study. Also, inaccurate food intake was reconfirmed with the owners through a call.

Body weight and BCS and physical activity

The body weight and BCS of the dogs were measured at Week 0 and Week 12. Body weight was measured by a veterinarian using the same digital weighing scale (DL-150, CAS Co., Yangju-si, Republic of Korea). The BCS was measured by the same veterinarian based on a 9-point scale method per the guidelines provided by the World Small Animal Veterinary Association (www.WSAVA.org).

The amount of physical activity was automatically recorded collected by the pedometer (Pevo, DDCares Co., Seongnam-si, Republic of Korea). This pedometer is a device that automatically collects and calculates physical activity (kcal/day) by considering the dog’s breed, weight, age, etc.

Serum biochemistry

Blood samples were collected from subjects at Week 0 and Week 12. After collecting blood samples in tubes, they were left for at least 30 min and then centrifuged at 400 × g for 10 min at 4 °C. The serum was stored at -80 °C until analysis. The levels of triglyceride (TG) and total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), aspartate aminotransferase (AST), alanine aminotransferase (ALT), and γ-glutamyl transferase (GGT) were analyzed using commercial kits following the manufacturer’s directions. Serum adiponectin, leptin, and insulin levels were measured using a commercial canine kit according to the manufacturer’s protocol. All samples were tested in duplicates.

Feces sampling

A veterinarian collected feces samples directly from the subjects’ rectums at Week 0 and Week 12. The feces samples were transported to the laboratory at 5 °C within 4 h. The feces samples were stored at -80 °C until analysis.

DNA extraction

Microbial DNA was isolated using a SPINeasy DNA Kit for Feces/Soil (MP Biomedicals, USA) in according to the manufacturer’s instructions. The quality of the extracted microbial DNA was assessed using both the QuickDrop spectrophotometer (Molecular Devices, USA) and the Qubit™ dsDNA BR Assay Kit (Thermo Fisher Scientific, USA), ensuring optimal integrity and concentration for subsequent applications.

16S rRNA gene sequencing

The bacterial 16 S rRNA gene’s V4-V5 region was amplified using specific primers: the forward primer (CCA GCM GCC GCG GTA ATW C) targeting the V4 region and a reverse primer (CC GTC AAT TYY) targeting the V5 region. The PCR-amplified DNA fragments were purified using Agencourt® AMPure XP beads (Beckman Coulter, USA) following the recommended protocols. The quality of the sequencing libraries was verified using the 2100 Bioanalyzer (Agilent, USA). Sequencing was conducted on the MiSeq platform (Illumina, USA) using the MiSeq Reagent Kit V2 (Illumina, USA).

Statistical analysis

All statistical analyses were performed using SAS 9.4 Software (SAS Institute Inc., Cary, NC, USA). Changes in the observed body weight, BCS, and serum biochemistry results were calculated by subtracting the final values from the baseline values, and their normality was tested. If a variable satisfied the normality assumption, the difference between the two groups was analyzed using an independent t-test. Otherwise, it was tested using the Wilcoxon rank sum test. Intragroup changes were analyzed using a paired t-test or Wilcoxon signed rank test according to normality. For categorical variables, the proportions between groups were calculated and compared using the Chi-square or Fisher’s exact test. In which the mean change in serum biochemistry represents an adjusted estimate after controlling for baseline difference in BCS, using a repeated measure linear mixed model measurements at baseline and 12 weeks. As for the analysis of the microbiome and DNA sequencing, sequencing outputs were processed into FASTQ files, for subsequent analyses. Data preprocessing was performed using the Quantitative Insights Into Microbial Ecology (QIIME 2, version 2023.5, http://qiime2.org) software package. Noise filtering was achieved using DADA2, and bacterial taxa were classified using the Greengenes2 database. Microbial diversity analysis, LEfSe analysis, relative abundance analysis, correlation analysis, network analysis and visualizations were conducted using R software (version 4.3.2). Datasets were compared using the Wilcoxon rank-sum test, Wilcoxon signed-rank test, Kruskal-Wallis test, and PERMANOVA. Correlation analysis was performed using Spearman’s rank correlation. For pathway analysis, STAMP software (version 2.1.3) was used. In network analysis at the genus level, node colors were assigned based on the phylum level, and node sizes reflected the relative abundance of each taxon. Edge color and thickness indicated the strength of correlations.

Results

Characteristics of subjects

During the 12 weeks study period, 11 subjects dropped out (Fig. 2). As a result, 41 subjects (78.8%) completed all treatments and completed physical examinations (e.g., weight and BCS 9-point scale), vital signs (e.g., heart rate, respiratory rate, and body temperature), owner-administered obesity-related clinical questionnaires (e.g., food intake and physical activity), serum biochemistry, and microbiota analysis (Fig. 2). No side effects, such as diarrhea, vomiting, etc., were observed during the study in the treatment group of dogs supplemented with a mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3.

Fig. 2.

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CONSORT flow chart of the study design.

There was no significant difference in the mean age between the treatment and the control groups (6.86 ± 0.66 years and 7.50 ± 0.56 years, respectively; Table 2).

Table 2.

Characteristics of the study subjects.


Control group

Treatment group

p-value

Animals, N

20

21


Age, Mean ± SE, Year

7.50 ± 0.56

6.86 ± 0.66

0.4651

Sex, N

Male, 2

Castrated male, 9

Female, 2

Spayed female, 7

Castrated male, 12

Spayed female, 9


Breed, N

Maltese, 5

Poodle, 4

Pomeranian, 3

Shih Tzu, 1

Bichon Frise, 1

Retriever, 1

Chihuahua, 1

Schnauzer, 1

Spitz, 1

Mixed, 2

Maltese, 5

Poodle, 5

Pomeranian, 3

Shih Tzu, 1

Bichon Frise, 1

Chihuahua, 2

Schnauzer, 1

Spitz, 1

Mixed, 2


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Food intake and physical activity

The amount of physical activity was automatically recorded by the pedometer over 12 weeks, including the food intake of the dogs, including dog food and treats, excluding probiotic intake. This intake and physical activity regimen was maintained throughout the 12-week study period. During the study, the dogs were fed only commercial pet food with labels and did not eat homemade. The type of food was kibbles, and the treats were gum, chews, freeze-dried, jerky, and wet (canned). We calculated the energy intake based on the labels on the pet food. There were no significant difference between the two groups (Table 3).

Table 3.

Food intake and physical activity during the 12 weeks treatment period.


Control group (n = 20)

Mean ± SE

Treatment group (n = 21)

Mean ± SE

p-value

Food intake, g/day

116.75 ± 24.12

94.95 ± 17.61

0.4667

Energy intake, kcal/day

480.37 ± 157.90

351.81 ± 70.27

0.4025

Physical activity, kcal/day

82.27 ± 34.28

72.32 ± 8.18

0.7805

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Body weight and BCS

During the study periods (weeks 0 to 12), the 21 dogs of the treatment group lost a Mean ± SE of 0.39 ± 0.04 kg of body weight (Fig. 3 and Supplementary Table 1). Moreover, the body weight and BCS were significantly different between the two groups after 12 weeks. In the treatment group, 21 subjects (100%) lost weight, 18 subjects (85.7%) had decreased BCS, and 3 subjects (14.3%) showed no change in BCS. In the control group, 2 subjects (10%) lost weight, 2 subjects (10%) showed no change in weight, and 16 subjects (80%) gained weight. The BCS in 5 subjects (25%) increased, and 15 subjects (75%) had no change (Supplementary Table 2).

Fig. 3.

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The changes in body weight and body condition score (BCS) within and between groups before and after 12 weeks of supplementation. (A) Body weight. (B) Body condition score (BCS). The results are presented as Mean ± SE. *p < 0.05, **p < 0.01, ***p < 0.001, and ****p < 0.0001.

Serum biochemistry

Serum TG and TC levels decreased more significantly in the treatment group than in the control group, and differed significantly between the two groups. Serum LDL levels in the treatment group were lower than those in the control group. However, the difference was not significant. Serum HDL levels increased in both control and treatment groups. However, the difference was not significant. Serum AST, ALT, and GGT levels in the treatment group were lower than those in the control group. However, the differences were not significant. Serum adiponectin levels in the treatment group were significantly higher than those in the control group. Serum leptin levels in the treatment group were significantly lower than those in the control group, with a significant difference between the two groups. Serum insulin levels were significantly lower after probiotic administration (Fig. 4 and Supplementary Table 3).

Fig. 4.

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The changes in TG, TC, LDL, HDL, AST, ALT, GGT, adiponectin, leptin, and insulin levels within and between groups before and after 12 weeks of supplementation. (A) Serum TG. (B) Serum TC. (C) Serum LDL. (D) Serum HDL. (E) Serum AST. (F) Serum ALT. (G) Serum GGT. (H) Serum adiponectin. (I) Serum leptin. (J) Serum insulin. The results are presented as Mean ± SEM. *p < 0.05, **p < 0.01, ***p < 0.001, and ****p < 0.0001.

Changes in microbial diversity

We conducted amplicon sequencing of the 16 S rRNA gene and analyzed the microbial diversity during two visits (Week 0 and Week 12), before and after probiotics administration (Fig. 5). Alpha-diversity metrics, including observed ASVs, Shannon diversity, and Pielou’s evenness, were calculated and further categorized them into Visit 1 (Week 0) and Visit 2 (Week 12) for comparison. The ASVs decreased significantly after probiotics administration.

Fig. 5.

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Box plot of the alpha diversity of the treatment and the control groups. (A) The number of observed amplicon sequence variants (ASVs). (B) The Shannon diversity index. (C) The evenness index.

We also analyzed beta-diversity to compare the changes in microbial communities between the two groups (Supplementary Fig. 1). They were not significantly different, and these differences were attributed to the properties of the groups, rather than the effects of probiotic.

Taxonomic shifts after probiotics administration

We assessed the changes in taxa at both the phylum and genus levels during visits, before and after probiotic intake (Supplementary Fig. 2). When a taxon accounted for less than 1% of the total population, it was merged and labeled as “others”. Some microbial organisms at the genus level changed significantly between the two visits. In the control group, Lacticaseibacillus increased significantly, whereas Lactobacillus, Alistipes_A_871400, Gemella, and Propionobacteriaceae_Unassigned decreased significantly (Fig. 6). In the treatment group, Lactiplantibacillus increased significantly, whereas Erysipelatoclostridium, Faecalibacterium, Staphylococcus, Corynebacterium, Gemella, Muribaculum, Muribaculaceae_Unassigned, Faecalibaculum, Paramuribaculum, Akkermansia, and UBA3263 decreased significantly. Gemella decreased in both groups. Lactiplantibacillus, the genus that includes the ingested probiotics CBT-LP3, significantly increased after probiotics administration in most samples (Fig. 7).

Fig. 6.

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The results of Linear discriminant analysis (LDA) effect size (LEfSe) analysis identifying phylum.

Fig. 7.

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The relative abundance of Lactiplantibacillus between the treatment and the control groups.

Metabolic pathway analysis

The results of the PICRUSt2 analysis revealed alterations in several key metabolic pathways (Supplementary Fig. 3). In the control group, “mixed acid fermentation” increased, while “arginine, ornithine and proline interconversion”, “superpathway of beta-D-glucuronide and D-glucuronate degradation”, “D-fructuronate degradation”, and “peptidoglycan biosynthesis V (beta-lactam resistance)” decreased. In the treatment group, “polyisoprenoid biosynthesis (E. coli)”, “6-hydroxymethyl-dihydropterin diphosphate biosynthesis I”, “6-hydroxymethyl-dihydropterin diphosphate biosynthesis III (Chlamydia)”, “flavin biosynthesis I (bacteria and plants)”, and “glycolysis II (from fructose 6-phosphate)” increased, while “formaldehyde assimilation II (RuMP Cycle)” and “succinate fermentation to butanoate” significantly decreased.

Correlation analysis with health markers

We analyzed the correlation between Lactiplantibacillus, which significantly increased with probiotics intake, and various metadata (Fig. 8). In the control group, weight, AST, and leptin were positively correlated with Lactiplantibacillus, whereas BCS, TC, LDL, HDL, TG, ALT, Gamma-GT, adiponectin, and insulin were negatively correlated with it, but none were statistically significant. In the treatment group, Lactiplantibacillus correlated positively with weight, TC, HDL, adiponectin, and leptin and negatively with BCS, LDL, TG, AST, ALT, Gamma-GT, and insulin. Among these, the correlations of Gamma-GT and In with Lactiplantibacillus were significant.

Fig. 8.

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The results of metadata correlation analysis of Lactiplantibacillus. Ad: adiponectin. In: insulin. Le: leptin.

A microbial network analysis was conducted to observe changes in the gut microbiota before and after probiotic administration in the treatment group (Fig. 9). Before administration (Treatment week 0), Collinsella and Faecalimonas were identified as keystones, with the administered probiotic, Lactiplantibacillus, showing a direct positive correlation with these keystones. After administration (Treatment week 12), Peptacetobacter and Fusobacterium_A emerged as keystones, while Lactiplantibacillus demonstrated an indirect positive correlation with these keystones through Fusobacterium_B.

Fig. 9.

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The results of a network analysis on the gut microbiota.

Discussion

This study was conducted to understand the effects of supplementation with a mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 on the body weight, BCS, serum biochemistry, and gut microbiota of overweight or obese dogs. Numerous previous studies reported the anti-obesity effects of Lactiplantibacillus plantarum or Bifidobacterium breve on mice and humans. However, to date, no study has examined the anti-obesity effects of a mixed probiotic formula containing Lactiplantibacillus plantarum and Bifidobacterium breve in dogs.

It is challenging to identify the optimal body weight for dogs, given the considerable variation in body shape, muscle mass, and fat mass among breeds, genders, and neuter statuses. However, body weight is still one of the most objective and easily measurable indicators of obesity. It is also possible to enhance the reliability of body weight measurements by measuring the BCS, although the BCS is a subjective and semiquantitative method. In this study, body weight and BCS decreased significantly in the treatment group, which consumed the mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3, compared with the control group, which did not receive the formula (Table 3; Fig. 3). These results are consistent with those of previous studies, which showed that Lactiplantibacillus plantarum strains decreased the body weight of mice41,45,46, and humans47,48. Sung et al.39 and Chaiyasut et al.49 also revealed that Bifidobacterium breve strains reduce the body weight of humans, which is consistent with the results of this study. To our knowledge, the effectiveness of these strains in reducing BCS in dogs has not been reported to date.

The serum lipid profiles of obese dogs were similar to those of obese humans, with higher serum TG, TC, and LDL concentrations and lower serum HDL concentrations50. There are four types of adipose tissue: white adipose tissue (WAT), brown adipose tissue (BAT), beige adipose tissue (BeAT), and pink adipose tissue (PAT). Excess energy intake is stored in the WAT in the form of TG, and the WAT is expanded. This process is an important mechanism in body fat accumulation and obesity51. The results of this study showed that the TG level of the treatment group decreased significantly more than that of the control group (Fig. 4), which is consistent with the effects of Lactiplantibacillus plantarum strains on mice26, and the effects of fed Bifidobacterium breve strains on humans39,49,52. The treatment group showed a significant reduction in serum TC and a greater decrease in LDL than did the control group, which was consistent with decreased TC53, and LDL levels53,54 in mice fed Lactiplantibacillus plantarum strains alone and decreased TC39,49, and LDL levels39,49 in humans administered Bifidobacterium breve strains alone.

Ertek55 reported that reduced serum HDL levels increase the incidence of cardiovascular disease. Obesity lowers the serum HDL concentration, leading to dysfunction. A few studies have evaluated serum HDL status in obese dogs and yielded conflicting results: obese dogs with insulin resistance showed higher serum HDL concentrations than healthy dogs56. Patients with obesity having insulin resistance show increased activation of cholesteryl ester transfer protein (CETP), which transforms very low-density lipoprotein (VLDL) into HDL and LDL56,57. Furthermore, HDL with high triglycerides is more prone to apoA-1 cleavage and increases urinary excretion, resulting in lower serum HDL concentrations56,57. On the other hand, dogs generally do not have CETP activity56. Consequently, unlike humans, obese dogs have higher serum HDL concentrations than healthy dogs56. The results of this study showed that serum HDL concentration increased more in the treatment group than in the control group, which could be due to the effects of the mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3. However, it could not be confirmed because this study did not examine the insulin resistance of the subjects. However, further studies are needed to confirm this speculation. These results are consistent with the results of a mouse study with Lactiplantibacillus plantarum strains alone54, and human studies with Bifidobacterium breve strains alone49,52. It was observed that serum HDL concentration also increased in the control group, which could be because some subjects had insulin resistance or because there was no difference in the physical activity measured using a pedometer between the two groups during the treatment period. Further studies with additional cases are needed to confirm the exact association.

The gut microbiota is known to axis with various organs such as the liver, brain, kidneys, bone, and cardiovascular system58. Especially, it has been reported that it is associated with many liver diseases, such as chronic hepatitis B, chronic hepatitis C, alcoholic liver disease, and non-alcoholic fatty liver disease, through the gut-liver axis depending on the composition of the gut microbiota58. Therefore, a better gut microbiota environment can improve many liver diseases58. The results of this study showed a greater decrease in serum AST, ALT, and GGT concentrations in the treatment group compared to the control group because the gut microbiota environment of the treatment group was improved by consuming a mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 (Figs. 7 and 8). These results agree with the decreased AST59, ALT59, and GGT60 levels in mice fed Lactiplantibacillus plantarum strains alone and the reduced AST49,61, ALT49,61, and GGT61 levels in humans receiving Bifidobacterium breve strains alone. Notably, the genus Lactiplantibacillus, which includes the ingested probiotic strain LP3, significantly increased afterintake (Fig. 7). This increase in Lactiplantibacillus correlated with several positive health outcomes (Fig. 8), suggesting its role in mediating the observed health benefits. Specifically, the negative correlations with GGT and insulin levels point to potential improvements in liver function and insulin sensitivity, respectively62. These findings highlight the potential of probiotics in enhancing metabolic health by, affecting both gut health and systemic function63.

In addition, supplementation with a mixed probiotic formula containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 for 12 weeks resulted in the treatment group showed no apparent hepatotoxicity.

WAT accumulation in the body is responsible for the secretion of adipokines, adiponectin, and leptin51. Adiponectin is strongly inversely correlated insulin resistance and inflammatory conditions within the body64. It is also known to induce lipoprotein lipase (LPL) expression in adipocytes and increase their lipolytic capacity64. The primary function of leptin is to suppress appetite and increase energy expenditure by binding to the obesity receptor (Ob-R) in the satiety control center located in the hypothalamus65. Leptin is positively correlated with BCS regardless of the dog’s age, sex, and breed66. Adiponectin is negatively correlated with body fat mass and is therefore higher in leaner dogs66. In addition, excess body fat in dogs increases insulin resistance and prevalence of diabetes6. In this study, the treatment group showed a significant increase in serum adiponectin concentration, a significant decrease in leptin concentration, and a greater decrease in insulin concentration, which agreed with increased adiponectin67, decreased leptin67, and decreased insulin67 in mice fed Lactiplantibacillus plantarum strains alone and the increased adiponectin39, decreased leptin39, and decreased insulin68 in humans administered Bifidobacterium breve strains alone.

The microbiota analysis results of this study revealed that after 12 weeks, Lactiplantibacillus significantly increased in the treatment group while Erysipelatoclostridium, Staphylococcus, and Gemella significantly decreased (Fig. 7). Erysipelatoclostridium strains are known to increase the risk of obesity and fatty liver69,70, while Staphylococcus strains increase obesity and diabetes risk71. Moreover, Gemella (Firmicutes) are associated with increased body fat and decreased muscle mass72 (Figs. 7 and 8).

The network analysis revealed that the keystone of the treatment group at Visit 1 (Week 0) was Collinsella. Collinsella aerofaciens is a rod-shaped, nonmotile obligate anaerobe and actinobacterium that is abundant in the gastrointestinal tract of humans73. It could be considered a bacterial biomarker because of its high prevalence in patients who are overweight and obese74. The keystone at Visit 2 (Week 12) was Peptacetobacter. Peptacetobacter hiranonis plays a crucial role in the bile acid metabolic pathway in dogs, converting primary bile acids into secondary bile acids75. The metabolism of bile acids can improve liver function by reducing GGT, enhancing insulin sensitivity, and playing a vital role in regulating glucose homeostasis76. Lactiplantibacillus showed a negative correlation with GGT and insulin and an indirect positive correlation with Peptacetobacter, which may be related to the regulation of these indices. In this study, Lactiplantibacillus plantarum, the probiotic ingested by the treatment group, had numerous two-component systems that were, potentially involved in the management of sugar metabolism, and a high carbohydrate utilization capacity compared to other lactic acid bacteria77. Lactiplantibacillus plantarum has been shown to effectively suppress obesity in both animal and clinical studies78.

Using PICRUSt2 79, we identified significant changes in metabolic pathways (Supplementary Fig. 2). In the treatment group, pathways such as “polyisoprenoid biosynthesis”, “flavin biosynthesis”, and “glycolysis II” increased, while “formaldehyde assimilation II” and “succinate fermentation to butanoate” decreased. These changes underscore the potential of probiotics to influence host metabolism80,81. The increase in glycolysis pathways aligns with enhanced energy utilization, which could explain the observed weight management in these dogs82.

While our results are promising, they should be interpreted with caution due to the limited scope of the study and the inherent variability in host responses to probiotics. This variability may stem from the fact that our study included a small sample size consisting of dogs of various breeds, ages, and sexes.

The interpretation of microbiome changes is inherently complex, and although PICRUSt2 provides valuable insights, it remains a predictive tool rather than a definitive measure of functional capabilities. Additionally, the taxonomic resolution achieved in this study was at the genus level, which does not conclusively confirm the presence and activity of the specific ingested probiotic strain. Future research should include a larger cohort and longitudinal monitoring to validate these effects and to understand the long-term implications of probiotic administration in dogs. Furthermore, employing strain-specific analyses and functional validation will be essential to confirm and build upon these findings.

Conclusion

This study demonstrated that targeted probiotic supplementation can significantly alter the gut microbiome and enhance metabolic health in dogs, suggesting that probiotics could be an effective strategy for managing obesity and improving metabolic health in canine populations.

Therefore, further research is necessary to fully elucidate the mechanisms involved and confirm these results in larger and, more diverse cohorts. Additional studies are also necessary to explore the association between insulin resistance and serum HDL concentration in dogs as suggested in this study.

Despite these limitations, the results of this study suggest that a mixed probiotic formula, containing Lactiplantibacillus plantarum CBT LP3 and Bifidobacterium breve CBT BR3 may, have anti-obesity effects in overweight and obese dogs. Consequently, this formula may be an effective canine food supplement for the treatment of canine obesity.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary Material 1 (689.6KB, docx)

Acknowledgements

This research was supported by Cell Biotech Co Ltd. The funders had no role in study design, data collection and interpretation, manuscript interpretation, or the decision to publish the manuscript.

Author contributions

All the authors participated in the analyses of the biochemical data, interpretation of the data, and review of the paper. HJL contributed to the study’s design and review-editing. JC conducted prepared the writing and original draft and data arrangement. DS conducted analysis for microbiome data. SA conducted the investigation. EC contributed to sample preparation. SL and HJL conceptualized and supervised the study. All authors have read and agreed to the published version of the manuscript.

Funding


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中醫腸胃 | 胃脹氣、胃食道逆流、早晨復瀉與長期便秘的調理治療
1. 胃脹氣的原因與中醫治療1.1 胃脹氣的成因1.2 中醫辨證與治療2. 胃食道逆流的中醫調理2.1 胃食道逆流的病因2.2 中醫治療原則YT 胃脹氣怎麼辦? 中醫穴道食療YT胃食道逆流中醫3穴道緩解3. 早晨復瀉的中醫觀點3.1 早晨復瀉的病因3.2 中醫辨證治療4. 長期便秘的中醫治療方案4.1 長期便秘的病因4.2 中醫的辨證治療5. 調理腸胃的日常養生建議YT早上容易腹瀉中醫? 腸道菌失衡YT長期便秘中醫分虛實才能治本
中醫睡眠:半夜容易醒、不易入睡、睡眠短、多夢的治療與養生1. 半夜容易醒的中醫解讀與治療1.1 半夜醒來的原因1.2 中醫辨證與治療2. 不易入睡的中醫治療方法2.1 不易入睡的病因2.2 中醫治療原則YT睡到半夜醒過來?中醫2個方法YT不能入睡中醫調理穴道飲食3. 睡眠短的中醫調理方法3.1 睡眠短的病因3.2 中醫治療原則4. 多夢的中醫治療與調理4.1 多夢的原因4.2 中醫辨證治療YT睡眠短中醫有方法: 補地下水YT睡眠多夢很困擾中醫認為5. 中醫睡眠調理的日常養生建議
中醫皮膚:背部痘痘、汗皰疹、皮膚刺癢及脂漏性皮膚炎的治療1. 背部痘痘的中醫成因與治療1.1 背部痘痘的成因1.2 中醫辨證與治療2. 汗皰疹的中醫觀點與調理2.1 汗皰疹的病因2.2 中醫治療原則YT背部痘痘中醫調理2方法保養YT汗皰疹中醫調理體質飲食保健3. 皮膚刺癢的中醫辨證治療3.1 皮膚刺癢的成因3.2 中醫治療原則4. 脂漏性皮膚炎的中醫治療與調理4.1 脂漏性皮膚炎的成因4.2 中醫辨證治療YT皮膚刺癢原因不明中醫2方法解YT脂漏性皮膚易出油?中醫體質5. 中醫日常養生建議:改善皮膚健康
中醫泌尿系統:頻尿、漏尿、膀胱過動症及反覆尿道炎治療與養生1. 頻尿的中醫調理與治療1.1 頻尿的成因1.2 中醫辨證與治療1.3 外治法2. 漏尿的中醫辨證調理2.1 漏尿的病因2.2 中醫治療原則2.3 外治法YT頻尿中醫可以解常用穴道保健YT漏尿不是只能忍中醫調理3. 膀胱過動症的中醫治療方案3.1 膀胱過動症的成因3.2 中醫治療原則3.3 外治法4. 反覆尿道炎的中醫辨證調理4.1 反覆尿道炎的成因4.2 中醫治療原則4.3 外治法YT膀胱過動症中醫和肝氣有關YT反覆泌尿調道感染中醫調理5. 中醫日常養生建議:改善泌尿健康
中醫痛症:膏肓痛、足底痛、閃到腰1. 膏肓痛的中醫辨證與治療1.1 膏肓痛的成因1.2 中醫治療原則1.3 外治法2. 足底痛(足底筋膜炎)的中醫調理2.1 足底筋膜炎的成因2.2 中醫辨證與治療2.3 外治法YT膏肓痛中醫肩背痛怎麼辦?YT足跟痛足底筋膜炎中醫穴道3. 閃到腰(急性扭拉傷)的中醫治療3.1 急性扭拉傷的成因3.2 中醫治療原則3.3 外治法4. 睡覺腰痛(濕氣重腰痛)的中醫調理4.1 濕氣重腰痛的成因4.2 中醫治療原則4.3 外治法YT閃到腰中醫針灸快速緩解YT睡覺腰痛?中醫:你的濕氣太重了5. 中醫日常養生建議:改善痛症預防與調理
中醫大腦保健 | 失智保健三方向 類澱粉 血管型 1. 類澱粉蛋白沉積與阿茲海默症的中醫保健1.1 類澱粉蛋白與阿茲海默症1.2 中醫營養與調理2. 血管性失智的中醫調理與保健2.1 血管性失智的成因2.2 中醫治療與飲食保健YT 失智中醫營養保健三方向YT失智中醫保健從睡眠和洗腦說起YT失智中醫保健血管型失智3. 第三型糖尿病(糖尿病相關性失智)的中醫調理3.1 第三型糖尿病的概念3.2 中醫治療與飲食保健4. 中風後失智的中醫調理與營養保健4.1 中風後失智的成因4.2 中醫治療與飲食保健5. 綜合養生建議:中醫整體調理失智症5.1 飲食均衡5.2 情志調節5.3 經絡保健YT失智中醫營養保健-第三型糖尿病YT中風後失智症狀關鍵調理三方向YT血糖藥物GLP-1在失智上的研究進展a
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一、什麼是肥大細胞活化症候群(MCAS)?為何突然爆紅?

二、2022更新版MCAS診斷標準(共識核心)

三、MCAS的五大分類(Table II)

四、MCAS的機制研究還有那些缺口?

五、MCAS的治療與管理策略

六、為什麼需要更多研究?對患者的啟示


一、聲音本質上是什麼?

二、耳朵分成哪三段?

1. 外耳

2. 中耳

3. 內耳

三、聲音怎麼一路走進去?

第一步:外耳收音

第二步:鼓膜開始震動

第三步:聽小骨傳遞與放大

四、內耳耳蝸裡面到底長怎樣?

前庭階與鼓階

中階(蝸管)

五、淋巴液到底差在哪裡?

1. 外淋巴液(perilymph)

2. 內淋巴液(endolymph)

六、震動怎麼在耳蝸裡跑?

七、真正負責「感音」的是誰?

八、毛細胞怎麼把震動變成電訊號?

1. 基底膜移動

2. 纖毛束被彎曲

3. 機械性離子通道打開

4. 鉀離子從內淋巴液流入毛細胞

5. 毛細胞去極化

6. 鈣離子進入,釋放神經傳遞物質

7. 聽神經產生動作電位

九、為什麼內淋巴液這麼重要?

十、內毛細胞與外毛細胞有什麼不同?

1. 內毛細胞(inner hair cells)

2. 外毛細胞(outer hair cells)

十一、耳蝸怎麼分辨高音和低音?

十二、聲音大小又怎麼編碼?

十三、平常說的「感音神經性聽損」是壞在哪?

1. 毛細胞受損

2. 內淋巴液或耳蝸環境異常

3. 聽神經傳導異常

十四、淋巴液異常會造成什麼狀況?

十五、最後大腦怎麼「聽懂」?

第一層:耳朵有沒有把聲音變成神經訊號

第二層:大腦有沒有把訊號解讀出意義

十六、把整個流程濃縮成一句話

十七、你可以把它想成一個三段式轉換系統

第一段:機械收音

第二段:液體與感受器轉換

第三段:神經編碼與大腦辨識


一、 重新認識牙周病:為什麼它不只是單純的「牙齦發炎」?

1. 牙周病是深層的慢性破壞工程

2. 牙菌斑與厭氧菌的狂歡

3. 免疫失衡:當保衛者變成破壞者

二、 阿茲海默症的真相:不只是記憶變差,背後隱藏著「慢性神經發炎」

1. 傳統病理特徵與新觀點的轉變

2. 神經膠質細胞的暴走

三、 牙周病與失智症的連結:流行病學看見的驚人端倪

1. 患有牙周病,失智風險悄悄上升

2. 介入治療帶來的曙光

四、 牙周致病菌如何入侵大腦?解密神秘的「口腔腦軸」

路徑一:血液循環(血流擴散)

路徑二:三叉神經逆行傳播(神經高速公路)

路徑三:口腸軸與腸腦軸(生態系連鎖反應)

五、 細菌在腦袋裡做什麼?揭開神經發炎的分子機制

1. 激怒大腦的免疫細胞

2. 加速阿茲海默症的核心病理進程

3. 細菌間的「團伙作案」

六、 催化劑:為何「老化」會讓牙周病與失智症互相加重?

1. 免疫清除能力的衰退

2. 中性白血球與 NETosis 的角色

七、 基因密碼的牽絆:APOEε4 與 TREM2 的雙重影響

1. APOEε4 基因:失智與發炎的高風險因子

2. TREM2 基因:免疫調控的樞紐

八、 火上加油的共病與生活型態:抽菸、失眠、糖尿病

九、 逆向的打擊:為什麼阿茲海默症也會讓牙周病迅速惡化?

1. 行為與認知層面的崩壞

2. 生理機制的深層改變

十、 臨床實踐:治療牙周病,真的能降低失智風險嗎?

十一、 日常防護指南:守護口腔與大腦的 5 大核心行動

總結:口腔健康,是透視全身發炎與大腦危機的初階防線


慢性鼻竇炎是什麼?鼻塞、黃鼻涕、聞不到味道一直不好?一文看懂症狀、診斷與治療方式

慢性鼻竇炎是什麼?

慢性鼻竇炎常見症狀有哪些?

1. 鼻塞、鼻阻塞

2. 鼻涕增多或鼻涕倒流

3. 嗅覺下降

4. 臉部壓迫感、悶脹感或疼痛

除了鼻塞,慢性鼻竇炎還可能有這些表現

慢性鼻竇炎和過敏性鼻炎差在哪裡?

過敏性鼻炎比較常見的表現

慢性鼻竇炎比較常見的表現

為什麼慢性鼻竇炎會一直好不了?

慢性鼻竇炎怎麼診斷?不是只靠症狀就能下結論

1. 病史與症狀持續時間

2. 鼻腔理學檢查

3. 鼻內視鏡

4. 電腦斷層 CT

有哪些情況要特別小心,不要拖?

慢性鼻竇炎治療方式有哪些?

1. 生理食鹽水沖洗

2. 鼻內類固醇噴劑

3. 口服類固醇

4. 抗生素

有鼻息肉的慢性鼻竇炎,治療會不一樣嗎?

什麼情況需要考慮手術?

生物製劑是什麼?哪些人可能用得到?

慢性鼻竇炎會自己好嗎?

慢性鼻竇炎會影響睡眠和生活品質嗎?

慢性鼻竇炎和氣喘有關嗎?

慢性鼻竇炎日常保養怎麼做?

規律鼻腔沖洗

按照指示使用鼻噴藥

避免刺激因子

留意共病

不要把所有鼻部症狀都當成感冒

常見問題:鼻塞很久一定是慢性鼻竇炎嗎?

總結:慢性鼻竇炎不是小事,長期鼻塞、鼻涕倒流、聞不到味道要提高警覺


失智症一定只能惡化嗎?

2024 研究:生活型態介入可能改善早期失智表現

1. 飲食調整

2. 規律運動

3. 壓力管理與睡眠

4. 社交支持與心理支持

研究結果如何?

為什麼慢性發炎與大腦有關?

中醫如何看待記憶退化與腦部老化?

1. 睡眠失調

2. 壓力與情緒耗損

3. 老化與體力耗損

失智症預防,可能比你想像中更早開始

日常有哪些事情可能幫助大腦健康?

規律運動

維持良好睡眠

減少高糖與高加工飲食

維持社交與學習

控制慢性疾病

中醫可以協助哪些方向?

結語:大腦健康,可能來自每天的累積


異位性皮膚炎不只是皮膚乾癢:從皮膚屏障、免疫失控到菌叢失衡的完整解析

異位性皮膚炎是什麼?不是單純過敏,而是慢性發炎疾病

為什麼異位性皮膚炎會反覆發作?關鍵一:皮膚屏障破損

關鍵二:Filaggrin 缺陷讓皮膚更乾、更容易感染

關鍵三:免疫系統失衡,Type 2 發炎反應被放大

關鍵四:皮膚菌叢失衡,金黃色葡萄球菌讓發炎更難停

異位性皮膚炎為什麼晚上更癢?睡眠也會被拖下水

診斷異位性皮膚炎,不是只看一塊紅疹

治療異位性皮膚炎,不能只靠「癢了才擦藥」

環境因素也很重要:空污、氣候、濕度、清潔用品都可能影響皮膚

AI 也開始進入異位性皮膚炎照護:未來可能更精準分型

從中醫角度看異位性皮膚炎:不是只看「皮膚熱」,而是看整體失衡

異位性皮膚炎患者日常照護重點:先穩住屏障,再談治療升級

什麼時候應該尋求醫師評估?

結論:異位性皮膚炎不是皮膚太脆弱,而是身體防線正在失衡


1. 什麼是急性聽損?為什麼不能輕忽?

2. 核心機制一:內淋巴液異常(Endolymphatic Hydrops, EH)——耳蝸「積水」壓力失衡

3. 核心機制二:病毒感染如何「點燃」急性聽損?

4. 核心機制三:血管事件——內耳「微中風」導致供血不足

5. 機制四:聽神經傳導異常(即使毛細胞還在,訊號也送不上去)

6. 新興焦點:NETosis與整體炎症如何加劇機制?

7. 如何預防與正確處理?


緊繃型頭痛不只是肩頸緊?研究發現:長期頭痛可能牽動海馬迴與記憶力

什麼是緊繃型頭痛?為什麼很多人忽略它?

這篇研究最重要的發現:頭痛可能影響海馬迴功能連結

海馬迴是什麼?為什麼它和記憶、疼痛都有關?

頭痛久了,為什麼會覺得腦袋變鈍?

緊繃型頭痛會導致失智嗎?這點要小心解讀

為什麼商業白領特別容易中招?

中醫怎麼看緊繃型頭痛?不是只有放鬆肩頸而已

頭痛合併腦霧,要注意哪些警訊?

治療緊繃型頭痛,不能只問「哪個止痛藥最強」

這篇研究給我們的臨床提醒:頭痛是大腦壓力系統的訊號

結論:頭痛不是忍耐力測驗,而是大腦在求救


偏頭痛不是血管痛而已!從 CGRP、三叉神經到腦內發炎,看懂現代醫學如何重新解讀偏頭痛

偏頭痛到底是什麼?不是所有頭痛都叫偏頭痛

偏頭痛前兆:大腦像被一波電流慢慢掃過

偏頭痛不是單純血管擴張,而是神經血管系統被點燃

CGRP:偏頭痛新藥時代的關鍵分子

為什麼壓力、睡眠不足、月經、天氣會誘發偏頭痛?

女性為什麼比較容易偏頭痛?荷爾蒙不是唯一,但很重要

偏頭痛和情緒、腦霧、脖子僵硬也有關

偏頭痛會增加中風風險嗎?

止痛藥越吃越多,可能反而讓頭痛慢性化

中醫怎麼看偏頭痛?重點不是只止痛,而是降低「被點燃」的機率

什麼樣的偏頭痛患者適合做完整評估?

結論:偏頭痛不是你的抗壓性太差,而是大腦疼痛系統真的過度敏感


頭痛不是忍一忍就好!這些紅旗症狀,可能是身體在警告你有「次發性頭痛」

什麼是次發性頭痛?和一般頭痛有什麼不同?

頭痛為什麼會發生?大腦本身其實不太會痛

最重要的觀念:紅旗症狀不是診斷,而是「需要進一步檢查」的提醒

哪些頭痛紅旗要特別注意?

頭痛到吐,要不要擔心?

次發性頭痛常見原因之一:腦血管問題

次發性頭痛常見原因之二:感染與發炎

次發性頭痛常見原因之三:顱壓異常

次發性頭痛常見原因之四:外傷後頭痛

次發性頭痛常見原因之五:鼻竇、牙齒、眼睛、頸椎問題

治療次發性頭痛,重點是找出病因

中醫怎麼看頭痛紅旗?先辨急緩,再談辨證

結論:頭痛不是只問止痛藥強不強,而是要問「這次有沒有不一樣」


睡不好不是意志力差:壓力荷爾蒙失控,讓大腦整晚關不了機 😵‍💫🌙

HPA 軸是什麼?它就像身體的壓力警報系統

為什麼壓力大會睡不好?因為大腦把夜晚當成戰場

睡不好也會反過來讓壓力荷爾蒙更亂

深層睡眠變少,身體就像沒有真正進入維修模式

失眠、焦慮與憂鬱:可能共享同一條壓力軸線

輪班、熬夜、晚睡:不是只是少睡,而是打亂生理時鐘

睡眠呼吸中止症:不是只有打呼,也會刺激壓力系統

甲狀腺、性荷爾蒙與腎上腺問題,也可能讓睡眠失衡

為什麼有些人越補眠越累?可能是節律沒有修好

中醫怎麼看這種「壓力型失眠」?

改善睡眠,不能只靠讓自己昏睡

日常可以怎麼做?先把身體從警戒模式拉回來

什麼情況建議就醫評估?

結論:真正的好睡眠,是壓力系統願意放下警報


感冒不是只有一種:風寒、風熱、少陽感冒怎麼分?中醫六經辨證一次看懂

感冒為什麼不能只看「有沒有發燒」?

風寒感冒:身體表面像被寒氣束住

風熱感冒:熱象已經跑出來了

少陽感冒:忽冷忽熱,身體像卡在兩層樓中間

六經辨證:把感冒看成一張「病邪進展地圖」

太陽病:最表層,像感冒剛進門

陽明病:熱比較盛,身體像火勢變大

少陽病:半表半裡,樞紐卡住

太陰病:腸胃虛寒被牽動

少陰病:體力很虛,身體反應不足

厥陰病:寒熱錯雜,狀態更複雜

為什麼同樣感冒,有人吃了藥很快好,有人卻拖很久?

感冒時最常見的錯誤:把所有症狀都當成火氣大

感冒時什麼情況要特別小心?

中醫治療感冒的核心:不是退燒最快,而是讓身體走對方向

結論:你是哪一種感冒?答案比你想像更重要


鼻竇炎是什麼?不是只有「有膿、有感染」才叫鼻竇炎

慢性鼻竇炎症狀有哪些?這些情況很常被誤認成感冒或鼻過敏

1. 鼻塞

2. 黃鼻涕或濁鼻涕

3. 鼻涕倒流

4. 臉部壓迫感、頭悶

5. 嗅覺下降

鼻竇炎和過敏性鼻炎差在哪?很多人其實兩個都有

過敏性鼻炎比較常見

鼻竇炎比較常見

鼻竇炎原因有哪些?慢性鼻竇炎往往不是單一原因造成

慢性鼻竇炎怎麼診斷?不是只靠感覺就能確定

1. 病史詢問

2. 鼻腔檢查

3. 鼻內視鏡

4. CT

鼻竇炎治療方式有哪些?慢性鼻竇炎通常需要整體治療

1. 鼻腔食鹽水沖洗

2. 鼻內類固醇噴劑

3. 抗生素

4. 生物製劑

5. 手術

中醫怎麼看鼻竇炎?古代其實早就有相當接近的描述

中藥在鼻竇炎裡常見哪些方向?附件研究整理出幾味很常出現的藥

古代文獻中常見的口服方

古代文獻中常見的單味藥材

這些中藥可能有什麼作用?附件整理的方向很適合拿來做衛教

辛夷

白芷

甘草

蒼耳子

薄荷

川芎

黃芩

附件研究怎麼看「中藥治鼻竇炎」這件事?答案其實很務實

什麼情況一定要看醫師?不要一直自己拖

鼻竇炎日常保養怎麼做?

規律鼻腔清潔

避免刺激物

不要把所有鼻塞都當作鼻過敏

有慢性問題就要規律追蹤

結語:鼻竇炎不是小毛病,拖久了真的會影響生活品質


血糖變異性是什麼?不是糖尿病患者才該關心

血糖波動帶來什麼後果?這些病症可能悄悄靠近

你的血糖是否穩定?這些工具幫你看出真相

這些人最要注意血糖波動:你也在其中嗎?

如何降低血糖波動?這些方法真的有效

研究還指出什麼?連細胞實驗、動物實驗都這樣說

血糖波動≠一時情緒,它是長期慢性傷害的起點

小結:穩血糖,不只是穩「數字」,是穩「未來」


內關穴:緩解胸悶的重要穴道

如何按壓內關穴?

薤白的護心功效:飲食與中醫的完美結合

薤白粥食譜

冬季護心的其他穴道建議

神門穴

足三里

冬季心臟保健的飲食建議

緩解胸悶的中醫全方位建議


外泌體:再生醫學的新突破

什麼是外泌體?

外泌體如何改善掉髮?

外泌體治療掉髮的應用方式

針灸與梅花針療法在掉髮中的應用

梅花針療法的機制

常用的針灸穴位

梅花針治療的操作步驟

外泌體與針灸結合的綜合治療

具體治療流程

結語



人類間質性肺炎病毒 (hMPV) 的概述

人類間質性肺炎病毒的病因與傳播途徑

人類間質性肺炎病毒的臨床表現

人類間質性肺炎病毒的診斷方法

人類間質性肺炎病毒的治療方法

人類間質性肺炎病毒的預防措施

結論:如何應對人類間質性肺炎病毒?


多囊性卵巢症候群 (PCOS) 的中醫調理

多囊性卵巢症候群 (PCOS) 的中醫病因與調理思路

營養補充品在多囊性卵巢症候群 (PCOS) 中的應用

中醫天然療法在多囊性卵巢症候群 (PCOS) 調理中的應用

中醫營養與天然療法整合建議

中醫與營養整合療法的臨床應用


眼睛疾病與失智症之間的關聯

白內障與失智症風險的分子基礎

視力變差與失智症風險的關聯性

白內障手術在認知健康中的作用

其他眼睛疾病對失智症的影響


1. 縮小甲狀腺腫大並減少抗甲狀腺藥物(ATD)的副作用

2. 緩解Graves'眼病的症狀

3. 改善甲狀腺功能亢進的高代謝症狀

4. 減少過敏症狀並增加抗甲狀腺藥物的耐受性


老人認知保健與腸道健康:益生菌如何影響認知功能

了解老年人認知衰退的成因

腸道微生物組與認知健康的關聯

為什麼腸道健康對老人認知保健如此重要?

益生菌對老人腸道和認知健康的影響

1. 增強腸道屏障功能

2. 調節免疫反應

3. 促進神經傳導物質的產生

針對失智症風險的益生菌應用

有效益生菌菌株的選擇

臨床試驗的實證效果

預防認知衰退:結合益生菌與健康生活方式

1. 均衡飲食

2. 定期運動

3. 充足的睡眠

益生菌的使用建議與注意事項

結論:益生菌在老人認知保健中的應用前景


夜間咳嗽的原因和緩解方法

1. 蜂蜜:天然的止咳良方

2. 雪梨湯:潤肺止咳

3. 黑芝麻糊:暖身潤肺

4. 蘿蔔湯:化痰止咳

5. 薑湯:暖胃止咳

6. 木耳湯:滋陰潤燥

結語:食療如何有效舒緩夜咳?


夜間咳嗽與氣喘:兒童夜咳的原因及與氣喘的區別

1. 夜間咳嗽的成因

2. 氣喘和夜咳的差異

3. 夜咳和氣喘的相似風險因素

4. 年齡與夜間咳嗽的持續性

5. 家長可以採取的夜咳緩解方法

6. 對「咳嗽變異型氣喘」的醫學觀點

7. 夜咳的長期預後:觀察與應對

結語:理解夜咳的特性,對症下藥



減重益生菌對犬隻的健康意義

減重益生菌的作用機制

減重益生菌如何幫助犬隻減重?

減重益生菌對代謝健康的改善

減重益生菌對腸道菌群的調節作用

減重益生菌對長期健康的影響

如何為犬隻選擇合適的減重益生菌?

減重益生菌的未來展望


什麼是腸腦軸益生菌?

腸腦軸益生菌如何提升老年人的認知功能

腸腦軸益生菌對情緒與壓力的正面影響

腸腦軸益生菌如何調節腸道菌群

老年人選擇腸腦軸益生菌時應該考慮的因素

腸腦軸益生菌在健康老化中的角色

總結:腸腦軸益生菌如何支持老年人健康


膳食抗氧化劑對老年人認知功能的作用:基於 NHANES 調查的洞見

引言:認知健康的重要性與衰退挑戰

抗氧化劑與認知健康的背景研究

研究方法

研究設計與數據來源

CDAI 的定義與計算

認知功能測試

統計分析

結果分析

CDAI 與認知功能之間的關聯

分組分析:性別、年齡及種族的影響

CDAI 的門檻效應

各抗氧化劑對認知功能的具體影響

維生素 A

維生素 C

維生素 E

鋅與硒

類胡蘿蔔素

討論:抗氧化飲食的潛在公共健康影響

結論


肺部微生物群與慢性肺部疾病的交互作用

慢性肺部疾病中肺部微生物群的特徵

肺部微生物群的組成與功能

慢性阻塞性肺病(COPD)與肺部微生物群

哮喘與微生物群的變化

特發性肺纖維化(IPF)與微生物的影響

肺癌與微生物群的角色

肺部微生物群研究方法的進展

高通量測序技術的應用

肺腸軸與肺部微生物群的關聯

肺腸軸的概念

結論


血糖三酸甘油酯指數和失智有關係嗎?

一、什麼是三酸甘油酯-血糖指數 (TyG 指數)?

二、失智症、胰島素抗性與 TyG 指數的聯繫

三、TyG 指數與失智風險的關聯性:科學證據

四、為什麼 TyG 指數會影響腦部健康?

五、如何透過血糖和三酸甘油酯管理來降低失智風險?

六、未來研究方向:如何加強 TyG 指數在臨床應用中的可靠性?

七、結論



芍藥甘草湯治療痙攣性便秘

大柴胡湯治療實熱性便秘

桂枝茯苓丸合四味健步湯治療瘀血性便秘

當歸芍藥散治療氣血失調性便秘

總結:經方治療便秘的核心在於體質調整


什麼是人類母乳?

母乳的營養成分及其健康益處

碳水化合物

蛋白質

脂肪

維生素和礦物質

母乳的免疫組成與健康益處

分泌型免疫球蛋白A (sIgA)

乳鐵蛋白

溶菌酶

細胞因子與生長因子

母乳中的微生物群

母乳中外泌體及微RNA的健康影響

結論


研究解析:生物膜對發炎性腸道疾病的影響

腸道菌群與發炎性腸道疾病

生物膜的形成與腸道免疫反應

IBD對社會經濟與生活品質的影響

治療與未來的研究方向

相關疾病:克隆氏症與潰瘍性結腸炎



引言:什麼是腸躁症(IBS)和發炎性腸道疾病(IBD)?

腸躁症(Irritable Bowel Syndrome, IBS)

發炎性腸道疾病(Inflammatory Bowel Disease, IBD)

生物膜:腸道健康的隱形威脅

什麼是生物膜?

生物膜的特性

內視鏡下的生物膜特徵

腸躁症與發炎性腸道疾病患者中的生物膜特徵

生物膜的高發現率

生物膜的分布特點

微生物組成

生物膜的形成機制與腸道菌群失衡

生物膜的形成階段

腸道菌群失衡的影響

生物膜如何加劇腸躁症和發炎性腸道疾病的病理?

1. 生物膜破壞腸道黏膜屏障

2. 激活免疫反應

3. 增強細菌的抗藥性

診斷腸躁症與發炎性腸道疾病中的生物膜

內視鏡檢查

組織學檢查

分子診斷技術

治療腸躁症與發炎性腸道疾病:針對生物膜的策略

1. 破壞生物膜的藥物治療

2. 抗生素聯合療法

3. 益生菌與糞便菌群移植(FMT)

未來展望:腸道生物膜研究的挑戰與機遇

挑戰

機遇


為什麼吃平胃散會便秘?解析平胃散藥性與體質關係

平胃散組成與燥性藥材的影響

中醫觀點:脾喜燥 vs 胃喜潤 的理解

脾喜燥的意思是什麼?

胃喜潤又是什麼意思?

辨證論治:平胃散並非人人適合

如何對症調整?諮詢專業中醫師建議


中藥讀書會:瀉火、潤燥、去濕、溫陽、滋陰、行氣與補養功能與應用

1. 瀉火:清熱解毒,調理內火

1.1 功能

1.2 常用中藥

1.3 適應症

2. 潤燥:滋潤身體,對抗乾燥

2.1 功能

2.2 常用中藥

2.3 適應症

3. 去濕:祛除體內濕邪,改善濕氣重症狀

3.1 功能

3.2 常用中藥

3.3 適應症

4. 溫陽:補充陽氣,改善寒症

4.1 功能

4.2 常用中藥

4.3 適應症

5. 滋陰:補益陰液,平衡陰陽

5.1 功能

5.2 常用中藥

5.3 適應症

6. 行氣:疏通氣機,緩解氣滯

6.1 功能

6.2 常用中藥

6.3 適應症

7. 補養:補益氣血,強壯體質

7.1 功能

7.2 常用中藥

7.3 適應症

中藥讀書會 | 青璞中醫營養診療室


中醫艾灸:基本原理、補瀉、過敏與腸胃調理的應用

1. 艾灸的基本原理

1.1 溫通經絡

1.2 補充陽氣

1.3 平衡陰陽

2. 艾灸的補瀉作用

2.1 補法:補充陽氣、健脾益氣

2.2 瀉法:祛濕散寒、行氣活血

2.3 補瀉的應用原則

3. 艾灸對過敏的治療與調理

3.1 過敏的中醫理論

3.2 艾灸治療過敏的常用穴位

3.3 調理過敏的艾灸療法

4. 艾灸在腸胃調理中的應用

4.1 腸胃問題的中醫觀點

4.2 艾灸治療常見腸胃問題

4.3 艾灸調理腸胃的應用原則

5. 艾灸的日常調理應用

5.1 保健養生

5.2 女性調理

5.3 防寒祛濕


中醫耳鼻喉診聊室:結合中醫與營養的全方位健康管理

中醫對耳鼻喉疾病的調理觀點

久咳與夜咳的中醫解讀

中醫對喉嚨癢與咳嗽的解釋

YT喉嚨癢咳嗽中醫

YT胸悶咳嗽穴道

YT咳嗽痰很粘食療

咳嗽與營養學的調理

肺纖維化中醫有解嗎? 看看中藥鱉甲的實證研究

YT肺纖維化中醫調理

YT夜咳到不能平躺

YT胃食道逆流咳嗽

喉嚨不適的中醫處理方法

中醫對聲音沙啞、咽乾的成因解釋

YT喉嚨痛沙啞中醫

YT咽喉癢咳嗽

YT喉嚨卡卡的

過敏性鼻炎的中醫調理方法

中醫對慢性鼻竇炎的看法

兒童耳鼻喉問題的溫和調理

預防季節性過敏的中醫建議

中醫如何緩解耳鳴?

YT鼻塞過敏中醫調理

YT耳鳴中醫穴道保健

YT中耳積水中醫調理


中醫睡眠調理:半夜容易醒、不易入睡、睡眠短、多夢的治療與養生

1. 半夜容易醒的中醫解讀與治療

1.1 半夜醒來的原因

1.2 中醫辨證與治療

2. 不易入睡的中醫治療方法

2.1 不易入睡的病因

2.2 中醫治療原則

YT一直睡睡醒醒中醫調理

YT總是三點醒?晨醒型失眠中醫

3. 睡眠短的中醫調理方法

3.1 睡眠短的病因

3.2 中醫治療原則

4. 多夢的中醫治療與調理

4.1 多夢的原因

4.2 中醫辨證治療

YT睡眠短睡眠淺中醫調理

YT睡眠多夢很困擾中醫認為

5. 中醫睡眠調理的日常養生建議

結論


中醫腸胃 | 胃脹氣 胃食道逆流 胃痛 腹痛 腹瀉 便秘 青埔腸胃

中醫腸胃健康:胃脹氣、胃食道逆流、早晨復瀉與長期便秘的調理治療

1. 胃脹氣的原因與中醫治療

1.1 胃脹氣的成因

1.2 中醫辨證與治療

2. 胃食道逆流的中醫調理

2.1 胃食道逆流的病因

2.2 中醫治療原則

YT 胃脹氣怎麼辦? 中醫穴道食療

YT胃食道逆流 平躺咳嗽 夜咳 中醫

YT一直放屁怎麼辦?中醫調理

3. 早晨復瀉的中醫觀點

3.1 早晨復瀉的病因

3.2 中醫辨證治療

4. 長期便秘的中醫治療方案

4.1 長期便秘的病因

4.2 中醫的辨證治療

5.腸躁症的中醫治療方法:調理脾胃,疏肝理氣

1. 辨證論治方法

2. 常用穴位:

3. 食療與生活調理

6. 調理腸胃的日常養生建議

YT早上容易腹瀉中醫? 小腸菌過度

YT長期便秘中醫分虛實才能治本

YT腸躁症中醫從腸道菌平衡和生物膜談起


中醫皮膚調理:背部痘痘、汗皰疹、皮膚刺癢及脂漏性皮膚炎的治療

1. 背部痘痘的中醫成因與治療

1.1 背部痘痘的成因

1.2 中醫辨證與治療

1.3 外治法

2. 汗皰疹的中醫觀點與調理

2.1 汗皰疹的病因

2.2 中醫治療原則

2.3 外治法

YT背部痘痘中醫調理2方法保養

YT汗皰疹中醫調理體質飲食保健

YT囊腫型痘痘中醫3方法加速解決

3. 皮膚刺癢的中醫辨證治療

3.1 皮膚刺癢的成因

3.2 中醫治療原則

3.3 外治法

4. 脂漏性皮膚炎的中醫治療與調理

4.1 脂漏性皮膚炎的成因

4.2 中醫辨證治療

4.3 外治法

YT皮膚刺癢原因不明中醫2方法解

YT脂漏性皮膚易出油?中醫體質

5. 中醫日常養生建議:改善皮膚健康

5.1 飲食調理

5.2 情志調節

5.3 規律作息

中醫調理痘性皮膚:內外兼治的護理方法

1. 痘性皮膚的中醫病因解析

1.1 肺熱內盛

1.2 胃熱炽盛

1.3 濕熱蘊結

1.4 血熱瘀滯

1.5 脾虛濕困

2. 中醫調理痘性皮膚的治療原則

2.1 清肺熱、排毒

2.2 清胃熱、健脾胃

2.3 祛濕解毒、調整皮脂分泌

2.4 涼血清熱、調整月經

2.5 健脾祛濕、調理內分泌

3. 中醫外治法調理痘性皮膚

3.1 中藥面膜

3.2 艾灸療法

3.3 刮痧療法

4. 痘性皮膚的日常養生與調理

4.1 飲食調理

4.2 規律作息

4.3 定期運動


中醫泌尿系統調理:頻尿、漏尿、膀胱過動症及反覆尿道炎治療與養生

1. 頻尿的中醫調理與治療

1.1 頻尿的成因

1.2 中醫辨證與治療

1.3 外治法

2. 漏尿的中醫辨證調理

2.1 漏尿的病因

2.2 中醫治療原則

2.3 外治法

YT頻尿中醫可以解常用穴道保健

YT漏尿不是只能忍中醫調理

3. 膀胱過動症的中醫治療方案

3.1 膀胱過動症的成因

3.2 中醫治療原則

3.3 外治法

4. 反覆尿道炎的中醫辨證調理

4.1 反覆尿道炎的成因

4.2 中醫治療原則

4.3 外治法

YT膀胱過動症中醫和肝氣有關

YT反覆泌尿調道感染中醫調理

5. 中醫日常養生建議:改善泌尿健康

5.1 飲食調理

5.2 規律作息

5.3 適度運動


中醫痛症調理:膏肓痛、足底痛(足底筋膜炎)、閃到腰(急性扭拉傷)、睡覺腰痛(濕氣重腰痛)的治療與養生

1. 膏肓痛的中醫辨證與治療

1.1 膏肓痛的成因

1.2 中醫治療原則

1.3 外治法

2. 足底痛(足底筋膜炎)的中醫調理

2.1 足底筋膜炎的成因

2.2 中醫辨證與治療

2.3 外治法

抽筋的中醫治療方法

YT膏肓痛中醫肩背痛怎麼辦?

YT足跟痛足底筋膜炎中醫穴道

YT容易抽筋半夜痛? 中醫有解

3. 閃到腰(急性扭拉傷)的中醫治療

3.1 急性扭拉傷的成因

3.2 中醫治療原則

3.3 外治法

4. 睡覺腰痛(濕氣重腰痛)的中醫調理

4.1 濕氣重腰痛的成因

4.2 中醫治療原則

4.3 外治法

YT閃到腰中醫針灸快速緩解

YT落枕怎麼辦? 中醫針灸穴道保健

YT睡醒腰痛?中醫體質調理

5. 中醫日常養生建議:改善痛症的預防與調理

5.1 飲食調理

5.2 適當運動

5.3 防寒保暖


中醫婦科調理:白帶、經痛、經間期出血、月經頭痛頭暈、月經腰痛、月經拉肚子及更年期的治療與養生

1. 白帶異常的中醫調理

1.1 白帶異常的成因

1.2 中醫治療原則

1.3 常用穴位

2. 經痛(痛經)的中醫調理

2.1 經痛的成因

2.2 中醫治療原則

2.3 常用穴位

3. 經間期出血的中醫調理

3.1 經間期出血的成因

3.2 中醫治療原則

3.3 常用穴位

4. 月經頭痛頭暈的中醫調理

4.1 月經頭痛頭暈的成因

4.2 中醫治療原則

4.3 常用穴位

5. 月經腰痛的中醫調理

5.1 月經腰痛的成因

5.2 中醫治療原則

5.3 常用穴位

6. 月經拉肚子的中醫調理

6.1 月經拉肚子的成因

6.2 中醫治療原則

6.3 常用穴位

7. 更年期的中醫調理

7.1 更年期的成因

7.2 中醫治療原則

7.3 常用穴位


中醫神經系統調理:失智症、中風後失智、自律神經失調與不寧腿的治療與養生

1. 失智症的中醫調理

1.1 失智症的病因

1.2 中醫治療原則

1.3 常用穴位

2. 中風後失智的中醫治療

2.1 中風後失智的成因

2.2 中醫治療原則

2.3 常用穴位

3. 自律神經失調的中醫調理

3.1 自律神經失調的成因

3.2 中醫治療原則

3.3 常用穴位

4. 不寧腿(不寧腿綜合症)的中醫調理

4.1 不寧腿的成因

4.2 中醫治療原則

4.3 常用穴位

5. 中醫日常養生建議:神經系統調理的預防與保健

5.1 飲食調理

5.2 調節情緒

5.3 規律作息


1. 類澱粉蛋白沉積與阿茲海默症的中醫保健

1.1 類澱粉蛋白與阿茲海默症

1.2 中醫營養與調理

2. 血管性失智的中醫調理與保健

2.1 血管性失智的成因

2.2 中醫治療與飲食保健

YT 失智中醫營養保健三方向

YT失智中醫保健從睡眠和洗腦說起

YT失智中醫保健血管型失智

3. 第三型糖尿病(糖尿病相關性失智)的中醫調理

3.1 第三型糖尿病的概念

3.2 中醫治療與飲食保健

4. 中風後失智的中醫調理與營養保健

4.1 中風後失智的成因

4.2 中醫治療與飲食保健

5. 綜合養生建議:中醫整體調理失智症

5.1 飲食均衡

5.2 情志調節

5.3 經絡保健

YT失智中醫營養保健-第三型糖尿病

YT中風後失智症狀關鍵調理三方向

YT血糖藥物GLP-1在失智上的研究進展


偏頭痛發作時腦袋變鈍,不是你想太多:從記憶力、注意力到腦霧,看懂偏頭痛如何影響認知功能

偏頭痛不是只有頭痛,而是一整段大腦狀態變化

偏頭痛患者最常抱怨:記憶力、注意力、反應速度變差

偏頭痛發作期:大腦真的可能暫時降速

頭痛後期還腦霧,是偏頭痛的「宿醉期」

非發作期也會變笨嗎?目前研究還沒有一致答案

偏頭痛與失智風險:不要恐慌,但要管理風險

偏頭痛為什麼會影響注意力?可能和大腦網路重新分配資源有關

為什麼有些人會「怕用腦」?偏頭痛可能造成認知恐懼

偏頭痛、睡眠、焦慮、憂鬱:腦霧可能不是單一原因造成

偏頭痛患者在職場最需要被理解的不是請假,而是「功能波動」

中醫怎麼看偏頭痛腦霧?不是只有「止痛」,而是讓大腦不要一直過熱

偏頭痛合併記憶力下降,什麼時候需要進一步評估?

結論:偏頭痛腦霧不是失智,但也不該被忽略


頭痛什麼時候該去急診?研究發現:真正危險的不是痛幾分,而是這些紅旗症狀

什麼是「次發性頭痛」?為什麼它比一般頭痛更需要小心?

頭痛紅旗是什麼?不是診斷,而是警報系統

最有預測力的紅旗一:新的神經學缺損

最有預測力的紅旗二:癌症病史

最有預測力的紅旗三:50 歲以上

最有預測力的紅旗四:近期頭部外傷

令人意外的發現:突然爆痛,不是單獨判斷的全部

頭痛到吐,是不是一定很危險?

發燒頭痛要注意,但也要看有沒有神經症狀

視乳突水腫:重要,但急診現場常常沒有檢查到

為什麼紅旗有用,卻不能單獨決定要不要檢查?

中醫怎麼看頭痛紅旗?先排急症,再談辨證

結論:頭痛不是看痛幾分,而是看有沒有「不一樣」


緊繃型頭痛不是肩頸痠而已!從肌肉緊繃到大腦疼痛敏感化,看懂最常見卻最容易被忽略的頭痛

什麼是緊繃型頭痛?它和偏頭痛有什麼不同?

緊繃型頭痛有多常見?比你想像中更普遍

為什麼緊繃型頭痛容易被忽略?

緊繃型頭痛的關鍵機制一:顱周肌肉壓痛

緊繃型頭痛的關鍵機制二:肌筋膜激痛點

緊繃型頭痛的關鍵機制三:中樞敏感化

為什麼壓力、焦慮、憂鬱會讓頭痛慢性化?

緊繃型頭痛與偏頭痛:為什麼不能混在一起治?

緊繃型頭痛要怎麼診斷?頭痛日記很重要

急性治療:止痛藥有效,但不能過度使用

預防治療:慢性緊繃型頭痛不能只靠忍耐

非藥物治療:壓力、睡眠、姿勢、筋膜都要處理

中醫怎麼看緊繃型頭痛?

什麼情況不能只當成緊繃型頭痛?

結論:緊繃型頭痛不是小毛病,而是身體長期緊繃的訊號


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