摘要:1. Methods of acupuncture-movement therapy were introduced. The effect of movement on acupuncture analgesia was clinically discussed. Movement speed, direction, angle and amplitude largely depend on the intensity of needling sensation. Cure rate can be raised by exercise activity combining with acupuncture manipulation. There are statiscally significant different results between experimental and control group (p<0.01). Exercise activity following acupucnture manipulation is a decisive factor which gives persistent pain-relief. 2.Experimental work about the effect of movement controlling sensory inputs were discussed. The recent researches suggested that the evident interaction between movement output and sensory input is existant in cerebral cortex. Somatosensory evoked potential (SEP) elicited by nociceptive efferent is inhibited by active or passive movement. The late elements that were affected were much greater than the elements affected early. It suggested that the interaction between voluntary movement and sensory input was existant in the unspecial element of afferent system. 3.There is a close mutual relation and interaction between the locomotive system and sensory system. This effect of movement controling sesory afferents is important clinically, and the acupuncture-movement therapy has been sucessfully used in medical practice. 4. Besides special mechanism of movement analgesia, movement analgesia can share in some common mechanisms with acupuncture analgesia. It is a special feature that movement outputs of voluntary movement can control sensory afferents, and it is another special feature that movement afferents activate the central pain inhibiting system to send out descending impulses, and to potentiate descending inhibition. 5. There are two interconnection stages in acupuncture-movement therapy. Stage I. Pain threshold and tolerable threshold are raised by acupuncture manipulation, then pain is relieved temporarily, and this effect contributes to the movement of injured part. Stage Ⅱ. On the basis of the Stage I, active or passive movement following acupuncture manipulation is a decisive factor whcih results in a persistent pain-relief. The former operates largely in spinal cord; the latter operates largely in supraspinal centres. The supraspinal centres send out descending inhibitory impulses which modulate nociceptive afferents in all levels (basal ganglia, thalamus, brain stem reticular formation and spinal cord), turning the abnormol activity model into normal activity model in central nervous system, and thus a persistent pain relief effect is obtained.
摘要:This study attempts to ascertain whether there is any relation between the plasma dopamine β hydroxylase (DβH) level and the effects of acupuncture in cases with headache. The experiments were performed on a group of 64 patients. Plasma DβH levels were measured before and 15 min after needling, using the method described by Nagatsu and Udenfriend with some modifications. Recorded at the same time were blood pressure (n=55) and pulse rate (n = 61). The CβH activity tended to decrease after needling in patients showing favorable effects, and to elevate in those showing less favorable effects, whereas both the decrease and elevation were found to be not significant statistically (p>0.05). The mean values of blood pressure and pulse rate in patients with favorable effects after needling were significantly lower than before needling. The experiments, therefore, suggest probably that the sympathetic nervous system participates to some extent in the analgesic effects of acupuncture in the headache patients.