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1. 中国中医科学院针灸研究所
2. 中国中医科学院针灸研究所,北京,100700
3. ,北京,100700
纸质出版日期:2005
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荣培晶, 朱兵. 心经经脉与心脏相关联系的电生理学研究[J]. 针刺研究, 2005,(4):238-242.
RONG Pei-jing, ZHU Bing. Electrophysiological Study on the Relationship between Heart Meridian and Heart[J]. Acupuncture research, 2005, (4): 238-242.
目的:探讨心源性牵涉痛区(沿上肢内侧面分布)和心经与心相关的神经科学机制。方法:采用电生理学方法
观察刺激心经和肺经穴位对心交感神经诱发反应及刺激大鼠心交感神经
在心经的“青灵”“少海”和肺经的“侠白”“尺泽”穴位上记录的反射性肌电反应。结果:左心经穴位刺激诱发心交感神经发放的阈值低于右侧心经引起心交感神经反应的阈值
且有统计学差异(P<0.05)。用相同强度的串脉冲分别刺激心经和肺经穴位
可诱发心交感神经不同强度的激活反应。在左侧和右侧心经穴位上刺激诱发心交感神经放电高于同样强度刺激肺经穴位上诱发的心交感神经放电(P<0.05)。刺激心交感神经引起同侧心经反射性肌电反应的阈值低于引起肺经反射性肌电的阈值(P<0.02)。刺激左心交感神经
不同强度的刺激可引起心经穴位明显的肌电反应
而肺经穴位的诱发肌电反应则很弱。随着刺激强度的增加
两经穴位肌电活动都呈上升趋势。结论:和肺经穴位相比
相同强度的电针刺激心经穴位可引起更大的心交感神经兴奋;反之
心交感神经刺激可引起心经穴位最大的肌电反应。
Objective: To investigate the functional carrelation between cardiogenic referred pain and Heart Meridian of Traditional Chinese Medicine.Methods: Eighteen SD rats anesthetized with 10% urethane(1 g/kg) were used in this study.For observing somato-sympathetic reflex activity
the cardiac sympathetic nerve(CSN) was isolated and its electrical activities were recorded by using a bipolar platinum electrode;and bipolar stimulating electrodes were separately inserted into "Qingling" (HT 2)
"Shaohai"(HT 3) of the Heart Meridian
and "Xiabai"(LU 4) and "Chize" (LU 5) of the Lung Meridian on the forearm.For observing sympathosomatic reflex
the recording electrode hooking CSN was used as the stimulating electrode
and reflex myoelectric activity of "Qingling"(HT 2)
"Shaohai"(HT 3)
"Xiabai"(LU 4) and "Chize"(LU 5) were recorded respectively by using a pair of stainless steel electrodes.Results: The excitement threshold of CSN activity upon electrical stimulation of HT 2 and HT 3 on the left side was significantly lower than that of stimulation of LU 4 and LU 5 on the same side(P<0.05);correspondingly
the CSN firing rates responding to electrical stimulation(4 mA) of HT 2 and HT 3 were significantly higher than those responding to electrical stimulation(4 mA) of LU 4 and LU 5 on the same side.It indicated that the response sensitivity of CSN to stimulation of the Heart Meridian was evidently stronger than that of electrical stimulation of the Lung Meridian.Following electrical stimulation(2-6 mA) of CSN
the reflex muscular electric activity of HT 2 and HT 3 was also stronger than that of electrical stimulation(same one strength) of LU 4 and LU 5 on the same side(P<0.01).Furthermore
the response threshold of myoelectrical activity of HT 2 and HT 3 upon electrical stimulation of CSN was significantly lower than that of LU 4 and LU 5(P<0.01).Conclusion: These findings showed that acupoints of the Heart Meridian have a closer correlation with CSN on the same side compared with those of Lung Meridian
which may be one of the causes that acupoints of the Heart Meridian are often used to treat cardiac disorders in clinical practice and cardiogenic referred pain often appears in the running course of Heart Meridian on the forearm.
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