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上海医科大学基础医学部针刺原理研究室
纸质出版日期:1987
移动端阅览
何莲芳, 董惟强. 尾核在针刺镇痛中的作用[J]. 针刺研究, 1987,(1):33-40.
He Lianfang Dong Weiqiang. ROLE OF THE CAUDATE NUCLEUS IN ACUPUNCTURE ANALGESIA(MINIREVIEW)[J]. Acupuncture research, 1987, (1): 33-40.
在传统概念中
尾核属于锥体外系
参与机体运动的调节。然而近三十余年来对尾核的研究逐渐深入
从形态、生理、生化和药理等方面提供了不少资料
表明它与行为植物性机能以及感觉机能有关。针刺镇痛原理研究的开展
进一步积累了尾核参与痛觉调制的资料
提出了它在针刺镇痛中的主要作用。本文将作一概述。
Animal experiments have revealed that stimulation of the caudate nucleus is able to enhance acupuncture analgesia(AA)
while lesion of it attenuate AA.Electroacupancture modulates the activity of the caudate neurons sensitive to acetylcholine
serotonin
dopamine or etorphine. Evidences accumulated indicate that intracaudate opioid peptidergic
choli- nergic and serotoninergic systems facilitate AA
and dopaminergic system antagonizes it. The caudale is functionally related to brain areas related to algesia and analgesia.Caudate stimulation has been demonstrated to depress the nociceptive neuronal response recorded from the parafafasicular nucleus and the posterior nuclear group of the thalamus.These two areas
especially the parafascicular nucleus are important in the interration of pain sensation.Caudate stimulaion also depresses the nociceptive response of the cingulate gyrus and the habenular nucleus of the limibic system which playsa strategic part in the integration of pain response.It has been demonstrated that there exists a functional connection between the caudate and the periaqueductal gray-nucleus raphe magnus system
which exerts a descending pain modulating function.Caudate stimulation produced analgesia is brought about at least partly by the opioid peptidergic sysytem of the periaqueductal gray.Caudate stimulation activates neurons in the nuclens raphe magnus
and the activation is believed to be related to the peria- queductal gray. It is postulated that afferent impulses arising from the needling points
reaching the Caudate
elicites an interaction among different trans- mitter systems resulting in the inhibition of brain areas involved in the integration of pain sensation and pain response and in the activation of brain areas involved in pain modulation
thus bringing forth analgesia.
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