最新刊期
1987年第3期
- 摘要：经络学说是中医基本理论的一个重要组成部分,经络的实质是涉及人体机能调节机理的一个重大理论问题,多年都受到国内外学者的深切关注。建国以来,经络研究也一直就是我国医学研究工作中的一个重要课题。七十年代初,在针刺麻醉研究的推动下,经络研究又出现了新的高潮。1971年,中国人民解放军309医院等单位首先开展了对循经感传现象的调查。1972年循经感传现象的调查和研究相继在全国各地广泛开展,我国的经络研究工作进入了一个以探讨经络现象,特别是循经感传现象为中心的新阶段。经过15年的努力,取得了许多重要的进展,使我国的经络研究工作达到了一个新的高度。现根据个人在实际工作中的经验和认识,将十五年来我国经络研究的一些主要成就和经验简要概述如下。1282|0|0更新时间：2023-08-11
- 摘要：我院自1986年应用针麻行颈椎椎板手术已100余例,隋着针麻效果的提高,手术范围逐渐扩大,为深入研究针麻临床效果,进行术中呼吸、循环功能监测76例,其中椎板切除30例、椎管成型术36例、椎管扩大术10例,成功率达80.4%。708|0|0更新时间：2023-08-11
- 摘要：慢性结肠炎是一种原因不明的消化系疾病,在治疗上无特效药物,病情反复发作,患者苦不能言。因此,寻找或筛选有效的治疗方法实属重要,我们于1985年8月～1986年7月采用激光针灸治疗61例,取得较好的疗效。867|0|0更新时间：2023-08-11
- 摘要：自1970年以来,针麻作为我院剖腹产术的常规麻醉。十余年的临床实践证明针麻不仅不影响新生儿呼吸,还具有兴奋呼吸,减弱药物对呼吸抑制的作用。因而制订了针麻剖腹产术前辅助杜冷丁的常规方法。为进一步阐明这个问题,探讨针刺对新生儿的呼吸效应,进行了本题研究。659|0|0更新时间：2023-08-11
- 摘要：针刺镇痛原理研究证实了针刺的信息是通过神经递质和活性物质的传递而产生镇痛效果。在这些递质中有些有利于针刺镇痛,有些不利于针刺镇痛,而同一递质在中枢可能被认为是镇痛物质,在外周则为一致痛物质,其相互间在含量和功能上的平衡是产生针刺镇痛作用的重要条件。为了探讨剖腹产术中的针刺效应与这些物质在外周血中的变化规律,进行了本题研究,总结如下:The purpose of this study is to investigate the relationship between the effect of acupuncture anesthesia and changes of plasma cortisol,5-hydro- xytryptamine(5-HT),histamine and prostaglandin(PGF).Serial measure- ments of those substances were made at the time of pre-anesthesia,after induction,delivery of newborns and 6 hrs after operation,9 of 18 cases studied were suffered cesarean section under acupunctuue anesthesia and the rest under epidural anesthesia. (1)The basical value of plasma 5-HT and cortisol in patients with acupuncture anesthesia were higher than that of values in epidural anesthesia. However the values of histamine and PGF2α were higher in patients with epidural anestehesia. (2)After inductiod,of acupuncture anesthesia,the average values of 5-HT and PGF2α revealed a slight increase,while the values of histamine were slight decrease.In epidural anesthesia group the level of plasma histamine increased and the others were unchanged. (3)The average of PGF2α was markedly reduced in acupuncture anesthesiu group at the time of delivery of newborn. While in epidural anesthesia group,it was increased. The changes of cortisol in two groups were slight. The average value of cortisol in epidural group vas markedly lover, especially at the time of delivery of nevborn. (4)There vere no significant differents in values of 5-HT,histami e and PGF2α between patients with grade I effectiveness of acupuncture anest- hesia and patients with epidural anesthesia.However,the value of cortisol was significant higher in acupuncture group at all measurements. (5)The comparison between grade Ⅰ and Ⅱ,Ⅲ indicated that there were a significant difference with the value of plasma 5-HT,cortisol,PGF2α at pre-operation,after induction and delivery of newborn.In cases of grade Ⅰ,the value of 5-HT was markedly lower than grade Ⅱ and Ⅲ,while the value of cortisol,PGF2α weere much higher in grade Ⅰ. The results mentioned above suggest that ahere is closed relationship be- tween the values of 5-HT,cortisol,histamine and PGF2α and the effective- ness of acupuncture anesthesia.And also shows a parallel relationship with it.These measurements are able to be objective indices for evaluation and prediction on effectiveness of acupuncture anesthesia and analgesia.1020|0|0更新时间：2023-08-11
- 摘要：以往的工作证明:视前区是针刺镇痛过程中发挥作用的中枢结构之一。它对导水管周围灰质神经元伤害性反应有着整合作用。潘建粹的工作表明下丘脑弓状核和导水管周围灰质腹侧的阿片系统参与下丘脑腹内侧核微注去甲肾上腺素增强电针镇痛作用。Conrad 等人指出:视前区与下丘脑腹内侧核有着直接的纤维联系。那么,视前区是否会通过其结构上联系影响着下丘脑腹内侧核元的痛觉作用?本实验的目的,通过胞外记录技术,探讨视前区对下丘脑腹内侧核痛相关神经元的影响。857|0|0更新时间：2023-08-11
- 摘要：针刺可以影响海马的自发电活动,也可以影响海马的诱发电活动。外周的伤害性刺激信号和针刺信号都可以到达海马,并且发生会聚和阻塞,提示海马可能参与针刺镇痛。针刺抑制内脏伤害性刺激反应(简称“内脏痛反应”)的作用已在多种动物模型上观察到,也为一些临Experiments were performed on 68 rabbits.Stainless steel stimulation electrode or microinjection cannula was stereotaxically implanted in the dorsal hippocampus.Silver stimulation electrode was also chronically placed on the splanchnic nerve.As short pulse train of current pulse(0.2ms,50Hz,0.5sec) was deliverede at splanchnic nerve with 0.1mA step increase every 5 seconds, the behavioral withdraw reflex(WR)and visceral somatic reflex(VSR)eli- cited was measured and taken as visceral nociceptive responses.The minimal intensity required to elicit the response was recorded as pain threshold. It was observed that hippocampal stimulation(n=13)significantly eleva- ted WR threshold from 0.53±0.04mA(M±SE)to 0.73±0.09mA.NO obvi- ous change was seen in the control experiment.Electroacupuncture on bihu- atuojiaji points(T_(10)-L_4,160Hz,6-10mA,15min.)resulted in marked enha- ncement of both WR threshold and VSR threshold(n=10)with after-effect lasting.15min.and 5min.respectively.WR threshold rose more steeply in the hippocampal stimulation+acupuncture experiment(n=8)than that of acupuncture experiment(n=8).The difference was statistically significant. NO significant difference in changes of VSR threshold was found between the two experiments.However the after-effect in the former experiment was 10min.10nger than that og the latter,Naloxone(2μg/2μl saline)microinje- cted into the dorsal hippocampus could reverse the effect of electroacupu- ncture on WR threshold but showed no such result on VSR threshold,NO reversal change was seen in the control experiment administrated with saline (2μ1).There was no any corresponding change found in another control experiment administrated with naloxone alone. The above data thus suggest that the dorsal hippocampus with endogenous opioid peptides may participate in acupuncture analgesia on visceral nocice- ption.884|0|0更新时间：2023-08-11
- 摘要：我们的实验证明,针刺狗的“人中”穴部位,可以较稳定地引起胃运动的抑制及外周5-羟色胺(5-HT)含量下降,胃窦部嗜铬细胞5-HT 含量增多。“人中”是接受面神经及眶下神经分支所支配,其神经传入都进入脑干下部并与副交感初级中枢有密切的联系。分析针刺“人中”引起胃运Contractile activity of antrum were recorded by strain gauge for obser- vating effects of stimulation of the caudal brain stem on the gastric antral motility and their roles in the inhibition of antral contraction caused by acu- puncture of acupoint“Renzhong”.The experiments demonstrated that stimulation of raphe nuclei in the medulla called increase in the antral contraction.On the contrary,stimulation of ventrolateral medulla,where noradrenergic neurons are,produced inhibition of both frequency and amplitude of antral motility. It is suggested that the ventrolateral medulla may be responsible for the inhi- bition of gastric antral motor activity elicited by acupuncture of“Renzhong”, because their lesion resulted in withdraw of its acupuncture inhibiton. Monoaminergic descending termination from the caudal brain stem in primary sympathetic and parasympathetic centers and their functions in the modulation of gastric motility have been also discussed in the present paper.962|0|0更新时间：2023-08-11
- 摘要：迷走神经与中枢的联系一直是针灸针麻原理研究所观注的重要课题。一些研究表明迷走神经参与内脏牵扯性痛的传导。迷走神经还对消化、呼吸、循环等系统起着重要的调节作用。虽然以往对迷走神经有过很多研究和报道,但仍存在着一些有争议的问The efferent neurons of the cervical vagal nerve were moved in the ipsil- ateral dorsal motor nuclei of vagas,intermediate zone and ambiguous nuclei and their distribution and size have also been observed.These nuclei may extend into the medullae end and the supra-cervical cord.In pars paraepen- cymalis,pars nuelis intercalatus,retroambiguous nuclei and pars funicularis lateralis,the labelled cell were also found,the distribution of shape of vagal afferent neurons is very similar to that of sympathetic preganglia neurons in the lateral cornner of theraco-lumbalis cord.This distribution of vagal efferent neurons has not been reported before.By HRP transganglia labell,The labe- lled terminals were found in the nucleus of soliterally,with ipsilateral predo- minance.The solitary ipsilateral of the injective side was also labelled and could be traced as C1-C2 Segments.In this study we also observed the sepa- ration of sensory and motor fibers of the vagus nerve roots in the upper part of the medulla.715|0|0更新时间：2023-08-11
- 摘要：临床和动物实验资料表明,针刺对胃溃疡有一定的治疗效果。但是针刺能否有预防胃溃疡发生的作用呢?目前尚未见报道。本实验以大鼠应激性胃溃疡和由外源性消炎痛引起胃粘膜损伤的模型,观察针刺对大鼠胃粘膜损伤的保护作用,并初步探讨其可能的机理。948|0|0更新时间：2023-08-11
- 摘要：作者在1977年曾提出经络实质的二重反射假说。认为针刺效应一方面通过相应的中枢机制,可称之为长反射;另一面有可能通过外周神经末梢间的某种联系进行信息传递。一根神经的传入冲动通过侧支传出,可称之为局部短反射。这种传出冲动为能通过某种机制兴奋另一根传入神经。便可出现With regard to the nature of chennels,the authors presented the hypothesis of dual reflex in 1977.This meant that acupuncture can invoke some effects not only through CNS(long reflex),but through the connection of peripheral nerve terminals to transmit messages(short reflex).In this experiment,30 rats were anesthetized by urethane.The superficial peroneal nerve(SPN) and the deep peroneal nerve(DPN)were found out and cut off in order to break off their connection to CNS.The sympathetic nerve which supplies to the inferior limb was found out also.The results showed that:1.With elec- trical stimulation of SPN,the action potential(AP)on the DPN was recorded at the same time.AP was induced only in a few cases(7.14%),and with electrical stimulation of DPN,AP on SPN was none.2.With electroacu- puncture was reapplied to Zusanli aeupoint,DPN and SPN were induced,AP was recorded on DPN in 77.42% cases and on SPN in 67.74% cases respecti- vely.3.After electroacupuncture was reapplied for 30 min,we stimulated SPN with electricity.On DPN AP was recorded in 44.44% cases,while SPN was stimulated.On SPN AP was recorded in 39.29% cases(P<0.005).4.After cut off the sympathetic nerve and stimulating SPN,AP was recorded in 51.72% cases on DPN While stimulating DPN AP was recorded in 72.41% cases(P< 0.005).5.Stimulating the sympathetic nerve at the same time with stimulation of SPN,AP was induced in 25.92% cases on SPN.It suggests that impulses be transmitted between nerve terminals under certain condition and that sympathetic nerve inhibit this transmition.This might be the esseece of propagated sensation along the channels.835|0|0更新时间：2023-08-11
- 摘要：在针刺镇痛的研究中发现,针刺效果与脑内的脑啡肽等物质及鸦片受体有关。我们曾观察到,电针镇痛时,外源性配体(3H-etorphine)与鸦片受体的结合明显减少,提示电针时内源性脑啡肽大量增加并占据了鸦片受体,因而推论鸦片受体与脑啡肽的结合,是针刺镇痛的重要环节之一。现已有报道,电针耐受时脑内脑啡肽的含量仍处于高水平而镇痛效果却明显下降。为了解此时鸦片受体与配体结合的变化进行了以下实验。691|0|0更新时间：2023-08-11
- 摘要：蛋氨酸是广泛存在于体内的一种必需氨基酸,实验观察表明,脑组织对(35)S-蛋氨酸有一定的摄取能力,参与脑组织中的物质代谢过程。但这种氨基酸是否与中枢的兴奋、抑制功能有关,尤其是在针刺镇痛时会引起什么变化,有待探讨阐明。本研究工作的目的是要用宏观放射自显影和微观放射自显影同时观察机体在头面部电针镇痛时,脑内不同部位的(35)S-蛋氨酸有一定的摄取能力,参与脑组织中的物质代谢过程。但这种氨基酸是否与中枢的兴奋、抑制功能有关,尤其是在针刺镇痛时会引起什么变化,有待探讨阐明。本研究工作的目的是要用宏观放射自显影和微观放射自显影同时观察机体在头面部电针镇痛时,脑内不同部位的(35)S-蛋氨酸的含量定位变化。The purpose of the present study is to ascertain the changes in localization of (35)S-蛋氨酸的含量定位变化。751|0|0更新时间：2023-08-11
- 摘要：我们以往的工作证明电针“足三里”穴的信息在中枢神经内是循躯体感觉通路而传递的;恶心、呕吐反射的传入冲动主要由迷走神经的传入纤维传至延髓的孤束核下段—连合核,然后上行至脑桥上部的结合臂旁核。电针“足三里”穴可以在连合核和The experiments were performed by 3H-2-deoxyglucose autoradiography to investigate the effects of naloxone on the trasmission of acupuncture messages involved in the inhibitory action upon the visceral traction reactions by pulling stomach.In 8 rats,after the naloxone(125μg/0.2mL,iv)was administrated, The results showed:(1) The optical density of the left dorsal horn of lower lumbar spinal cord distinctly increased due to acupuncture at ipsilateral “Zusanli”acupoint(n=8).(2)When the raise of the optical density of ipsilateral nucleus gracilis as a result of acupuncture was depressed by nalo- xone(n=5),the optical density of commissural nucleus was elevated by pulling stomach.(3)On the contrary,when the raise of the optical density of nucleus gracilis was not depressed(n=3),the optical density of the later nucleus was not elevated by pulling stomach.(4)The naloxone also depressed the raise of the optical density of contralateral posterolateral ventral nucleus of thalamus induced by acupuncture at“Zusanli”acupoint(n=8)and the raise of the optical density of parabrachial nucleus induced by pulling stomach (n=7). It suggested:(1)The transmission of acupuncture messages from“Zusanli” acupoint to dorsal horn was not influenced,but it from dorsal horn to nucleus gracilis gracilis was blocked by naloxone.It means that the messages of acupuncture at“Zusanli”acupoint via non-enkephanergic primay sensory neurons transmit to dorsal horn of spinal cord.Then,they go up to the nucleus graciliso,In this transmitting process,the enkephaline seem to be main participant.(2)The contrary changes of the optical density between commi- sural nucleus and nucleus gracilis illustrated that the acupuncture messages which transmit from dorsal horn to nucleus gracilis might play an important role in the inhibitory effect of acupuncture on the visceral traction reactions. (3)The enkephaline might also participate in the transmission of acupuncture messages from nucleus gracilis to contralateral posterolateral ventral nucleus of thalamus,and in the transmission of the inflow of the visceral traction reactions induced by pulling stomach from commisural nucleus to parabrachial nucleus.911|0|0更新时间：2023-08-11
- 摘要：本实验室以往研究表明,下丘脑弓状核参与各种镇痛)并认为可能与胞体密集于下丘脑弓状核内的β-内啡肽(β-EP)能神经元活动有关。本实验对新生大鼠腹腔注射谷氨酸钠(Monosodium Glu-tamate,MSG)破坏弓状核神经元,并采用免疫细胞化学技术对β-EP 细胞进行By lesioning the neurons in hypothalamic arcuate nucleus (HAN) With monosodium glutamate (MSG) administration to neonatal male rats and using immunocytochemical technique to count the β-endorphin(β-EP)-containing neurons in the arcuate nucleus,the relationship of β-EP-containing neurons in the arcuate nucleus with acupuncture analgesia was studied.The expe- riments were performed on MSG-treated adult rats.It is found that when electroacupuncture was performed on“Renzhong”and“Chengjiang”acupoints for 30 min,the analgesic effect of acupuncture in the MSG-treated group was significantly lower than those of the control group(p<0.01).In the meantime,the β-EP-immunor(?)active neurons in HAN in MSG-treated group reduced by 59.3%.The results suggest that relationship might exist between the acupuncture analgesia and β-EP-containing neurons in the rat HAN.1083|0|0更新时间：2023-08-11
- 摘要：以往曾观察到:针刺人体某些穴位后,病人诉说有热感循着傅统的经络路径走行;提高或降低该穴位局部区域的温度,可以加速或减慢这种感传的速度。同时,针刺穴位周围的皮肤往往变红发热。这些现象提示针刺穴位可引起人体表面温度分布的变化。热象图技术(Thermography)系利用We have investigated the effects of acupuncture with thermography.Du- ring acupuncture,the surface temperature around the acupoint rises,the changes of heat distribution of body surface demonstrated by thermogram look like the traditional Chinese Channel.It seems due to the dilatation of micro- vessels of the skin.839|0|0更新时间：2023-08-11
- 摘要：针刺复合麻醉子宫切除术协作组第二次会议于1987年5月28日至29日在湖南长沙召开,参加会议的有各协作单位的代表。各协作单位汇报了过去一年的工作。重点讨论了本课题所研究的针刺复合的最佳药物、最佳剂量、最佳给药时间及最佳给药途径的有关细则。代表们认为针刺复合硬膜外麻醉组所用利多卡因的浓度为1%及1.5%,按1毫升/10公斤给药,并认为个体的用药量存在一定差异,决定首次加药量可上下浮动20%,40分钟后追加量改半量为原量。针刺复合氯胺酮757|15|0更新时间：2023-08-11
- 摘要：钾、钙离子是神经、肌肉兴奋的关键离子,也是经络传导、针灸得气中必然参与的物质,但其在整体活动过程中变化的规律,尚缺乏直观的功能研究方法。我研究室最近首创试制成功了一种对[K+]、[Ca+]、[Ca(++)]敏感的“针灸电极”,可以对活体进行快速、特异、K(++)]敏感的“针灸电极”,可以对活体进行快速、特异、K+ and Ca+ and Ca(++) are important ions in the nerve or muscle excitation,and itsmay be important too in the channel conduction and needling reaction.In this paper,a K(++) are important ions in the nerve or muscle excitation,and itsmay be important too in the channel conduction and needling reaction.In this paper,a K+ or Ca+ or Ca(++) ion sensitive and selective acupuncture electrode is prepared in our laboratory. By this means,the dynamic observation of K(++) ion sensitive and selective acupuncture electrode is prepared in our laboratory. By this means,the dynamic observation of K+ or Ca+ or Ca(+2) in the acupu- ncture point during acupuncture is realized.In these results:(1)The changes of extracellular K(+2) in the acupu- ncture point during acupuncture is realized.In these results:(1)The changes of extracellular K+ ion in“Znsanli”acupoint was increased during needling stage and after acupuncture the K+ ion in“Znsanli”acupoint was increased during needling stage and after acupuncture the K+ ion was significant decreased,(p<0.01). It showed the delayed effect of acupuncture and the mechanism may be to stimulate the sodiumpotasium pump in the acu(?)oint,which caused the extra- cellular K+ ion was significant decreased,(p<0.01). It showed the delayed effect of acupuncture and the mechanism may be to stimulate the sodiumpotasium pump in the acu(?)oint,which caused the extra- cellular K+ ion decreased.(2)It showed the similar effect on K+ ion decreased.(2)It showed the similar effect on K+ ion (see above) during acupuncture the same channel but in different aeupoint (Tiao kou),and no simillar effect showed on K+ ion (see above) during acupuncture the same channel but in different aeupoint (Tiao kou),and no simillar effect showed on K+ ion during acupuncture the pericardium channel.However,the correlation between acupoint and viscera were showed in all of these experiments.(3) The obvious change of Ca+ ion during acupuncture the pericardium channel.However,the correlation between acupoint and viscera were showed in all of these experiments.(3) The obvious change of Ca(+2) ion in different acupoints were showed but not significant and the change is not same as the K(+2) ion in different acupoints were showed but not significant and the change is not same as the K+ ion and the mechanism was further discussed.995|0|0更新时间：2023-08-11
- 摘要：读了王光群的《电针刺激时电极位置安放问题的刍议》[针刺研究(4):254,1985]后很受启发,尤其对作者关于“电针时电极的安放位置不仅应考虑对穴位的局部刺激,还要考虑对相应经络有一定的刺激作用”的观点深以为是。确实,假如连接电针仪同一对电极的两个穴位属于同一经脉,流经707|83|0更新时间：2023-08-11
- 摘要：全国经络穴位皮肤电阻抗讨论会于1987年6月19～22日在福州市召开。来自全国近六十位经络研究的科技工作者参加了会议。国家自然科学基金会生物医学部,国家中医管理局科技司,中国针灸学会的领导同志出席了会议并做了重要的讲话。会议主要以分组讨论的形式召开,代表们各抒己见,回顾和交流了三十年来经络研究的经验教训,明确了中医经络学说中的一些关键问题,对三十年来经络研究的成就和皮肤电阻抗研究的成果进行了实事求是的评估,对当前经络研究的战略目标、重点和步骤进行了认真817|91|0更新时间：2023-08-11
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