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中国医学科学院基础医学研究所
纸质出版日期:2009
移动端阅览
刘克, 李爱辉, 王薇, 等. 穴位的外周神经密集支配及其易反射激活特性[J]. 针刺研究, 2009,34(1):36-42.
LIU Ke, LI Ai-hui, WANG Wei, et al. Dense Innervation of Acupoints and Its Easier Reflex Excitatory Character in Rats[J]. Acupuncture research, 2009, 34(1): 36-42.
目的:分析穴位与经脉的神经末梢支配特点。方法:在40只Wistar大鼠和15只SD大鼠上
通过电生理学的外周单神经传入纤维的记录、鉴定和感受野测定以及激活C类纤维并诱发感受野的伊文氏蓝血浆外渗的形态学方法
比较穴位区与非穴位区的神经末梢支配密度的差异
并比较穴位刺激诱发的反射活动与穴位和经脉的关系。结果:按解剖学的标准
在相当于传统的穴位区
神经生理学记录到的A纤维末梢密度及刺激C纤维诱发的伊文氏蓝渗出显示的传入神经末梢的密度
均远比非穴位区高
其中
重点穴位神经末梢最为密集
神经末梢密集带沿着经脉的走向分布;穴位刺激特异性地诱发同经性的反射性传出活动。结论:所谓"穴位"实质上是神经支配密集的易兴奋的皮肤/肌肉-神经复合体。
Objective To study the innervating character of tissues around the acupoints and along the meridian course and to analyze the reflex activity correlation between acupuncture points in a given meridian in the rat.Methods Forty Wistar and 15 SD rats were used in this study.Electrical activities of microfilaments of the afferent nerves(deep tibial nerve
peroneal nerve and the lateral cutaneous nerve of the leg) were observed for identifying their receptive field and the type of nerve fibers.Nerve stem-antidromic stimulation induced Evan's blue extravasation method was employed to compare the difference of the nerve ending distribution in the acupoint area and non-acupoint area.The reflex activities evoked by electric stimulation of the acupoint were used to analyze the interrelation between acupoint and meridian.Results Findings showed that a great majority of the afferent nerve endings supplying the tibialis anterior/rectus femoris muscle and the foot skin distributed in an uneven pattern in the sites being in accord with acupoints or with the orbit of meridians.Antidromic stimulation of C-fibers in the deep tibial nerve evoked extravasation of Evan's blue from the plasma into the interstitial fluid
blue foci appeared at the acupoints of the Stomach Meridian and along the orbit of the Stomach Meridian.The special distribution of the afferent nerve endings in the acupoint was also associated with the special reflex activity originating from the acupoints of the muscle group of a given meridian.ConclusionThe acupoint is an excitable muscle/skin-nerve complex with greatest concentration of nerve endings.The meridian consists of acupoints that possess a close interaction in physiological reflex activities.
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