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遵义医学院解剖教研室
纸质出版日期:1986
移动端阅览
张书琴, 张奎启, 张万盛, 等. 三叉神经系统在颜面部针刺镇痛过程中的作用及其实验形态学的研究[J]. 针刺研究, 1986,(1):1-13.
THE EFFECT OF THE TRIGEMINAL SYSTEM IN FACIAL ACUPUNCTURE ANALGESIA AND ITS EXPERIMENTAL MORPHOLOGICAL STUDY[J]. Acupuncture research, 1986, (1): 1-13.
祖国的医学实践表明
针刺头面部穴位有明显的镇痛效应
且可用于治疗某些疾思。近年来大量的临床资料证明
针刺颜面部穴位既能产生明显的镇痛效应又能抑制内脏牵拉反应;头面部针刺麻醉还能作远隔部位的手术。神经解剖学记载:颜面部痛觉是由三叉神经传入到三叉神经脊束核的。脊束核的尾段内可记录出“痛”细胞放电
这就更加说明三叉神经及其尾侧脊束核与颜面部痛觉有关。
Adult healthy cats
rabbits and mice were used as experimental animals in this study. The effect of the trigeminal system in facial acupuncture analgesia and its morphological basis were studied. It has been worked out on the following aspects: 1. Subcutaneous ionotophoretic potassium was used for inducing pain. The motor reaction of the fore leg of the rabbit was considered to be an index for pain reaction. Following the section of the trigeminal infra- orbital branch
or after the destruction of the trigeminal spinal caudal nu- cleus
it was shown that the analgesia response was obviously decreased or disappeared in facial acupuncture (i.g."SiBai" and "Jiache").It was suggested that the facial acupuncture impulse was transmitted into the trigeminal spinal caudal nucleus by the trigeminal nerve. 2. Following a complete or partial section of the trigeminal roots
stereotactic coagulation of its spinal caudal nucleus of the rabbit
or fo- llowing a lesion of the trigeminal ganglion of the cat
the trigeminal primary afferent fibers and the fiber projections of the trigeminal spinal caudal nucleus were traced by means of Nauta and Fink-Heimer techniques. The results were as follows. The trigemlnal primary afferent fibers projected into the trigeminal sensory nuclei
posterior horn of cervical spinal cord
the reticular forma- tion of the brain stem
solitary nucleus
nucleus raphe magnus
cuneatus nucleus
vestibular nucleus
etc. The trigeminal spinal caudal nucleus gave rising fibers to the thala- mic ventral posteromedial nucleus
intralaminar nucleus (parafasciculo-cen- tromedian nuclear complex)
medial geniculate nucleus
the reticular for- mation of the brain stem
some nuclei of the cranial nerves(such as so- litary nucleus
dorsal motor nucleus of the vagus
facial nucleus)
the other nuclei unrelated with the cranial nerve(nucleus raphe magnus
cunea- tus and lateral cuneatus nucleus)and the upper cervical spinal segment In addition
after complete transection or partial transection of the spin- al cord ad cervical
thoracic and lumbar levels in young rabbits the secti- ons of the brain stem were stained with the retrograde degeneration meth- od. It was found that the reticulospinal tract took origin from the ventral medullary reticular nucleus
gigantocellular reticular nucleus and nucleus raphe magnus. The trigeminal primary fibers and the trigeminal spinal caudal nucle- us connected with the central nuclei into which the impulses conveying from the somatic and visceral origin were converged. It is preliminarily assumed that the convergence of impulses coming from the facial acupuncture and other sources mentioned above is the neu- rological basis for their interaction. The significant function of the fiber projection connexions of the tri- geminal nerve and of its caudal nucleus is discussed in facial acupuncture analgesia. 3. In the serial sections of the rabbit brain stem stained with thionin and silver impregnation the trigeminal caudal nucleus consists of the ro- stral and caudal part. The latter is divided into the subnucleus marginalis
subnuleus gelatinosus and snbnucleus magnocellularis corresponding to lamina Ⅰ
Ⅱ-Ⅲ and Ⅳ of Rexed
respectively. 4. A piece of tissue of the trigeminal spinal caudal nucleus in the rabbit or mouse was removed under binocular. The thin sections were pre- pared in routine as usual and stained with uranyl acetate and lead citrate. The ultrastrucuures of the synapses in the nucleus were examined. It was found that several types of synapses were present within the nucleus
including axo-dendritic
axo-somatic axo-axonic and dendro-dendritic syna- pses. The translucent vesicles were mostly found in the presynaptic bou- ton
but granular in a few number. It is probable that axo-axonic syapses are the morphological basis for presynaptic inhibition.
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