最新刊期
1987年第S1期
- 摘要：循经感传的形成机理是当前我国经络研究工作的一个重要方面。目前,对循经感传的形成机理有各种不同的看法。这些看法大体上可以概括为两种观点,即“中枢兴奋扩散”的观点和“外周动因激发”的观点。对循经感传形成机理的不同理解必然会导致对经络实质的不同看法,二者密切相关。在一定意义上说,探讨循经感传的形成机理也就是解决经络实质的第一步。866|0|0更新时间：2023-08-10
- 摘要：经络循行路线的客观检测是当前经络研究工作中急待解决的一个问题,皮肤阻抗则是人们一直在研究的一个指标。但多年来用于研究穴位者多,研究经络路线者少。在已经报道的一些工作中,虽然也有人观察到了一些皮肤低阻点循经分布的表现,但由于实The observation was performed on 45 subjects and the skin impedance was measured with a set of apparatus assembled by ourself.The pressure of the cxploring electrode and the duration of switching on were kept unchanged during cvery measurement.The area of control measurements expanded to the whole space between the channels.The preliminary results of observation showed: (1)the spots of low skin impedance distributing along the channel course could be found in some of the subjects under observation,(2)according to the results from the observations on the Pericardium,Lung,Large Intestine, Stomach,Gall-Bladder and Sanjao Channels,the low skin impedanae spots generally arranged in a row along the channel,deviating bilaterally from it over 0.5cm only in occasional case,and could scarcely be found in the control area between the two channels,(3)the difference of skin impedance between LSI spots and controls was statistically significant(P<0.001),(4) LSI spots,with the diameter less than 0.5mm,arranged point by point in a row,but did not connect as a solid line,(5)the results could be repeated in the same or different days.Judging from the results,it many be seen that the channel course is surely characterized by its low skin impedance. After the methods of measurement and proccssing of the data have beenfurther improved,skin impedance may all be used as an index for plotting out the course of channels.1037|0|0更新时间：2023-08-10
- 摘要：可阻滞性是循经感传的一个重要特征,对于探讨循经感传的形成机理有重要的意义,但产生这一现象的原因尚不清楚。目前,存在着“中枢干扰”和“外周阻断”两种不同的看法。为了弄清这个问题,我们决定依次从大脑皮层,脊髓和外周三个水平加以分析探讨。1984年,我们已经报道In this work we further obsesved the influence of mechanical pressuse and tactile stimulation on the activities of the first order of relay nuclei of somatosensory system.The former had no obvious influence on the spinal somatosensosy evoked potential(SSEP),but the latter decreased its amplitude markedly.Furthermore,there was a significant positive correlation between the changes of CSEP and SSEP under the influence of tactile stimulation (r=0.856,P<0.01).Judging by the results obtained it is clear that during acupuncture the somatic afferent activities was primarily interfered by tactile stimulation in the spinal cord,and the changes of the functional activities of SI was secondry.Having clarify this point,we can further infer the exact site where PSC was blocked by mechanical pressure.In view of the fact that mechanical pressure had no obvious influence on the somatic afferent activities either in SI or spinal cord,we have to explore the answer of the question from the site outside CNS in next step.In other words,PSC may probably be blocked at the“periphery”.However,the final conclusion can be made only after the direl evidences have been obtained.925|0|0更新时间：2023-08-10
- 摘要：可阻滞性是循经感传的重要特征之一,我们曾观察到局部冷冻降温对循经感传有明显的阻滞作用,冷冻降温阻滞感传的特点与机械压迫阻滞有所不同,弄清楚局部冷冻降温阻滞感传的原因,将从另一个侧面为探讨循经感传形成的机理提供依据。因此,我们进一步观察了冷冻降温阻滞感传时皮层体觉诱发电位和与针刺穴位相关的感觉神经的动作电位的变化,以便对这个问题作出正确的判断。807|0|0更新时间：2023-08-10
- 摘要：可阻滞性是循经感传的一个重要特征。过去的工作已经证明,在感传显著的受试者,压迫阻滞感传可使针刺效应显著减弱甚至消失,感传被阻滞,为什么针效即随之减弱甚而消失?这是一个十分值得注意的问题。为了分析引起这一现象的原因,本文进一步观察了在经络循行路线上施加压迫,对无感传的受试者的针效的影响。为了便于比较,实验是在有感传和无感传的两组受试者同时进行,现将初步结果报道如下:It has been reported that there was a close relation between the extent of distinctness of PSC and the effect of acupuncture on STI and cardiac ou- tput as Neiguan was punctured.In the patients with marked PSC the acupu- ncture effects decreased markedly,or even completely disappeared as PSC was blocked.In order to get an insight into the mechanism underlying the blocki- ng of PSC,an attempt was made in this work to compare the influence of m- echanica| pressure applied on the channel course upon the acupuncture effect in the subjects with or without PSC. Of 102 patients suffering from chronic coronary heart disease under observation,61 were males and 41 females,aged 30-74 years.Stimulating le- ft Neiguan,PSC appeared in 53 of the 102 patients,but not in the remaining 49.Mechanical pressure was applied on Ximen for blocking.The cardiac fu- nction and ECG were selected as indicators of acupuncture effect and followig indices were measured:cardiac systolic time Interval(PEPI,LVETI,P/LI), Heather index(HI),stroke volume(SV),cardiac output(CO),S-T segmet and T wave of ECG.The experiment was carried out on 3 successive days in each patient.On the first day Neiguan was punctured for a period of 15 minutes alone,to ascertain the variation of cardiac function elicited by acu- punclure.On the second and third days,mechanical pressure was applied on Ximen and the control point 2cm beside Ximen respectively,as Neiguan was punctured.The results showed;(1)The regulation of cardiac function was markedly influenced by puncturing Neiguan in both the patients with and wi- thout PSC,but it is more obvious in the former than in the latter.(2)The effect of puncturing Neiguan decreased or disappeared when the mechanical pressure was applied on the course of Pericardium Channel during acupunctu- re,no matter whether the patients were with or without PSC.However the pressure had to be applied on the channel course,otherwise no influence could be found.It can be seen from the facts mentioned above that PSC was only a phenomenon,which reflected a certain objective process,but not the pro- cess itself.There may be a certain substantial process advancing along the channel during acupuncture.Just because this substantial process was blocked by mechanical pressure,resulting in the decrease of acupuncture effect.These results provide further evidences for the explanation of the mechanism of the phenomenon of blocking of PSC and acupuncture effect from the angle of “blocking of the channels on periphry”.1016|0|0更新时间：2023-08-10
- 摘要：弄清循经感传过程中在大脑皮层内是否存在异常兴奋扩散的问题,对于探讨循经感传形成的机理有十分重要的意义。我们以往的工作已初步表明,循经感传显著者的脑电图是一种属于正常范围的脑电图。在循经感传行进过程中,大脑皮层第一体觉区没有出现异常兴奋扩散的迹象。但由于在处理EEG spectral analysis technique was used to clarify whether the spreading of abnormal excitation was appeared in SI during the advance of the propa- gated sensation along channels(PSC).The experimental group consisted of 10 adults and 10 youngsters with marked PSC and the same number of adults and youngsters without PSC were taken as control.The EEG were recorded from 2 scalp points corresponding to the representative areas of foot and arm contralateral to the stimulated side.The acupuncture points was“Guangmin”. The record were taken before,during and after acupuncture and each lasted 10 minutes.The EEG were processed with the aid of 7T07 signal processor and the resulted power spectrum and array were plotted on the X-Y recorder.The results are shown as follows: 1.The power spectrum in majority of the subjects under observation were characterized by a peak in a rhythm range.The frequency of the peak was stable.During acupuncture the peak frequency of α rhythm increased slightly in 7 subjects,but kept unchanged in the others 33.In adults with or without PSC,a rhythm was dominated on the spectrum.However,besides the peak of a rhythm,another two peaks of θ and δ rhythm could be seen in 4 you- ngsters with PSC and 3 without PSC.The result was in consistent with the reports indicating the active θ and δ rhythm in child EEG. 2.when the adults group was compared with the youngsters one,there was no difference in α rhythm between the two.However,when the subjects with PSC was compared with those without PSC,the result was different.The mean α rhythm of the cortical foot representative area in the adults with PSC before,during and after acupuncture were 0.41,0.64 and 0.59 Hz higher than those without PSC respectively,but statistically the difference was not signi- ficant(P>0.05).The mean α rhythm of the cortical foot representative area in the youngsters with PSC before,during and after acupuncture were 0.45, 0.59 and 0.84 Hz higher than those without PSC respectively.Similar results were obtained when the mean α rhythm of the arm representative area betwe- en the two groups mentioned above were compared. 3.There was no significant difference in the mean α and θ power between the subjects with and without PSC.The α power was influenced markedly by acupuncture,but the manifestation and the extent of the influence varied from person to person.Out of a total of 40 subjects,the a power decreased in 14,increased in 16 and kept unchanged in the remaining 10 during acupu- ncture,in comparison with that before acupuncture. The above results demonstrate that no abnormal rhythm appears on EEG power spectrtum and hence there is no signs of spreading of the abnormal excitation in SI during the advance of PSC.Now,it is safe to say PSC is not a pathological phenomenon,as sensory Jacksonian epilepsy in nature,but a reflection of the normal sensory process.983|0|0更新时间：2023-08-10
- 摘要：循经感传与针刺疗效的关系,许多单位都有报道。在痛症、小儿哮喘、青少年近视眼、面肌痉挛、胃下垂、胃穿孔等病种中都观察到感传显著程度与针刺的临床疗效有密切的关系,而且感传的方向还有重要的意义。循经感传对针刺调整左心功能的影响,虽也有人进行过一些观察,但结果还不一致。程连瑚等观察到,在23例针刺内关Investigations have been performed on 105 males and 65 females,aged 30-74 years,to evaluate the role of propagated sensation along the channel (PSC)in realization of acupuncture effect in the regulation of cardiac fu- nction.ECG,cardiophonogram,rheocardiogram were recorded simultaneously in each subject before acupuncture,to get the basal values of cardiac systolic time interval(PEPI,LVETI,P/LI),Heather index(HI),stroke volume (SV),Cardiac Output(CO),S-T segment and T wave of ECG.Another me- asurement was taken again after acupuncture of left Neiguan for 15 minutes, to get the variation of these 8 indices induced by acupuncture.The control experiments were conducted on the other days on 61 subjects with or without PSC.The subjects lay quietly for the observation period without receiving acupuncture.The results:(1)in the perceptible PSC group the cardiac functi- on remarkably improved,and the variation of all 8 indices were highly si- gnificant(P<0.01-0.001),(2)in non-perceptible PSC groupithe impro- vements of seven of the 8 indices(except S-T segment)were still significant (P<0.05-0.001),but less in degree than those with perceptible PSC, (3)except in PEPI,the difference of variation caused by acupuncture in all the other 7 indices between the perceptible and non-perceptible PSC groups were significant(P<0.05-0.001),(4)the results of control experiments sho- wed that lying quietly for the experimental period itself caused no significant change(P<0.05)in all the 8 indices,(5)in latent PSC group significant improvement in 7 of the 8 indices(except S-T segment)was caused by acu- puncture.In contrast,in the group without latent PSC marked change only appeared in LVETI and P/LI(P<0.05),but not in the remaining 6 indices. Better improvement of PEPI,P/LI,HI,SV,CO and T wave were achieved in the subjects with latent PSC than in those without latent PSC.It has been known that the increase in SV it a main indicator for improvement of ca- rdiac function.In the present study,according to the increment of SV the acupuncture effect could be graded into four degrees:excellent,good,fair and poor.The extent of distinctness of PSC could also be graded in the order of perceptible,latent and non-PSC.Using the formula of Spearman,the co- rrelation coefficient(r_s)between the degrees of PSC and that of the acupu- ncture effect,calculated from the data taken from a total of 170 subjects, is 0,893(P<0.001). The results suggest that the perceptible and latent PSC are identical in nature but different in degree.Both of them play an important role in the realization of acupuncture effect.Having,clarified the above problem,the relationship between PSC and acupuncture effect could be explained more sa- tisfactorily and a big stride forward was made in the investigation in this respect.966|0|0更新时间：2023-08-10
- 摘要：循经感传现象的客观存在已为大量的临床实践和实验资料所证实。在循经感传的研究工作中,各地都看到一些如红线、白线、皮丘带等特殊的经络现象。这些现象提示,循经感传可能件有循行部位供血状况的变化。有些单位也对循经感传线上的血流图进行过观察,看到了一些变化。但在这些工作The pnrpose of this paper is to observe whether the variations in local impedance rheogram of the skin during the advance of the propagated sensati- on along channels(PSC)are characterized by“following the channel”, subjects under observation were 10 adults with marked PSC,The control gro- up was 15 subjects without PSC.The other 18 cases lying quiet and never having been punctured were also taken as control.The pericardium Channel of right forearm was observed.The acupoint punctured was Naiguan,Rhe- ogram was recorded from two levels of forearm and 3 points were measured on each level(one on the course of PSC and the other two on the bilateral of that course).The signal was averaged with Addscope ATAC-250, The results demonstrated that the amplitude increased,the ascending time shortened and the peak angle sharpened on rheogram in the majority of the points measured on the conrse of PSC,i.e.the local blood supply was improved.There was a tendency to following the channel in the variation of rheogram during the advance of PSC.Because of the defects in present reco- rding method,the results obtained couldn’t yet meet with the criteria for an objective index able to reflect the course of PSC,It remains to be improved. Resultsn of this work also showed that in order to estimate whether the vari- ation of an index was following the channel,the selection of control points was very important,If one point measured on the course of PSC was compared with one control point or only one level was observcd,the change of some parameters mentioned above was statistically significat,that is,the significance increased as the number of control points decreased,and vice versa,Therefore,we hold that it is necessary to record from one tesed point on channel with two control points biladral to it simultaneously and to observe as more levels as possible in order to reduce the errors for achieving a reliable result.This is a porblem worthy of notice in exploring the objective indices concerning the phenomenon of PSC.1042|0|0更新时间：2023-08-10
- 摘要：循经感传行进过程中常伴有一些特殊的机能现象。这些现象虽然少见,但颇值得重视。湖南中医学院和山东中医学院各曾报道过1例循经感传可以诱发睡眠的现象。1978年我们在针灸治疗中也观察到2例循经感传上达头面部,即可诱发睡眠的现象,并对其中1例作了比较系统的观察。进一步This paper reports a special sleep phenomenon induced by propagated sensati- on along channels(PSC)as it reached the head in two subjects and a series of experiments were performed on the one who was willing to cooperate with the observer.The auther’s attention was concentrated on the characteristics of the sleep induced by PSC and the influence of blocking of PSC on the effe- ct of acupuncture.Electroencephalogram(EEG),electromyogram(EMG)of mentalis muscles,eletronystagram(ENG)and pueumogram were taken as indi- ces.A total of 11 experimental observations were made on the Gallbladder, Stomach,Urinary Bladder,and Large Intestine Channels.The course of PSC were basically coincident with the corresponding channel course.PSC could be blocked by mechanical pressure.Puncturing Hegu,PSC could reach the head every time when Hegu was puncture,but stopped at the affected areas when the acu- points on the lower extrimities were punctured.When the needling manipulation was stopped,PSC receded to the acupoints stimulated.when PSC reached Yintang after puncturing Hegu for 3 minutes,the patient yawned,shed tears. Her upper eyelids dropped and she finally fell asleep.on the 32nd minutes after Hegu had been acupunctured,the patient couldn’t be awaked by the sonorous noise of shutting the door.After an hour,the patient was still in deep sleep and could not be awaked even by pricking her hand intensely with a sharp needle. Before acupuncture,there was predominance of the high frequency and low amplitude wave of 30 c/s and 18 c/s in EEG,During sleep,the pattern and the amplitude of EEG were similar to those before acupuncture,There was some fluctuation in density and amplitude of EMG of mentalis muscles but no nystagmus appeared.The depth and the frequeucy of respiration decreased sli- ghtly as compared with that of preacupuncture.If Shousanli was pressed by a spring compressor before the needle was inserted into Hegu,PSC was blocked completely at Shousanli and couldn’t reach the head.After manipulating the needle for 12 minutes,the needle was withdrawn and the pressure relieved.In the course of 40 minutes observation,no sighs of sleep appeared and the record showed mainly low amplitude and high frequency as before without marked difference in EEG.As a whole,the pattern of EMG,ENG,and pneumogram were similar to those before acupuncture,except for a transient increase or irregularity during the insertion and manipulation of the needle when the acupoints on the lower extrimities were punctured,PSC stopped at the loins.In this condition the patient didn’t fall asleep.No changes appeared in EEG,EMG and ENG before or after acupuncture.Besides,the variation of indices me- ntioned above was also observed during natural sleep,and the results were taken as controls.During natural sleep,a widespread theta rhythms,vertex spindle of 14 c/s,slow waves with high amplitude appeared on EEG gradually. After the patient had slept for 20 minutes,the tracing of EMG from mentalis muscle became a straight line,only a few discharges appeared on occassion nyslagmus disappeared;respiration kept regular and steady,but slower and more superficial than before.The results revealed that the sleep induced by PSC was different from the natural sleep in this patient.It was characterized by deep sleep in behaviour but awakening on EEG.There was a dissociation of behaviour of sleep from its charcteristics on EEG.It differed from both slow wave sleep and paradoxical sleep. The results mentioned above demonstrated that in the given subjects whe- ther the sleep could be brought out by acupuncture all depended on the PSC arriving at the head or not.Why did the patient’s state been transformed from“awaken”to“asleep”as PSC arrived at the head?What was the way by which such a transformation was brought about?At present,these questi- ons still can not be explained appropriately,further study is necessary.Ne- rvetheless,some useful clue to the elucidation of the mechanism of PSC mi- ght be found by the investigation of such a special phenomenon.979|0|0更新时间：2023-08-10
- 摘要：The relation between the extent of distinctness of propagated sensationalong channels (PSC) and therapeutic effect of acupuncture in the patients ofblack races,especially with the therapeutic effect of auriculo-acupuncture,hasnever heen systematically observed.From 1983 to 1984,361 cases of enuresisin the Acupuncture Department of the Sanitory Formation at Ziguinchor Cityin the Republic of Senegal had been treated by three therapeutic methods,694|14|0更新时间：2023-08-10
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