Chuang Chin-Min, Hsieh Ching-Liang, Li Tsai-Chung, Lin Jaung-Geng
Graduate Institute of Chinese Medical Science, College of Chinese Medicine, China Medical University, Taichung, Taiwan.
Am J Chin Med. 2007;35(5):779-91. doi: 10.1142/S0192415X07005260.
The Baihui acupoint has three Yang and five convergences; it is needled in order to activate spirit and resuscitate the brain in traditional Chinese medicine. Therefore, the purpose of the present study is to investigate the effect of acupuncture stimulation at the Baihui acupoint on cerebral infarct and dopamine levels. A chronic cerebral hypoperfusion animal model was established by permanent ligation of both common carotid arteries; a cerebral infarct animal model was established by blocking the blood flow of both common carotid arteries and the right middle cerebral artery for 90 min followed by reperfusion in Sprague-Dawly (SD) rats. The Baihui acupoint was stimulated for 20 min 3 days per week for 4 weeks. The cognitive and memory functions were evaluated by measuring the successful rates for rats to negotiate an 8-arm radial maze test; the test was performed after operation once a week for 4 weeks. Finally, the rats were sacrificed and their brains were removed; the dopamine levels in brain tissue were measured and the percentage of right to left hemisphere area was calculated. The results indicated that acupuncture stimulation (AS) did not increase the success rate of performing the 8-arm radial maze in chronic cerebral hypoperfusion and cerebral ischemia-reperfusion injured rat models. AS increased dopamine levels in the right cerebral cortex and hippocampus in the chronic cerebral hypoperfusion rats, and increased dopamine levels of the cerebral cortex in the cerebral ischemia-reperfusion injured rat's models. The neurological deficit score was similar between control and AS groups 24 hours after reperfusion, whereas the AS group comprised of ischemia-reperfusion injured rats had a greater percentage of right to left hemisphere area than the control group. In conclusion, AS at the Baihui acupoint for 4 weeks increased dopamine levels in the brain tissue of chronic cerebral hypoperfusion rats and of cerebral ischemia-reperfusion injured rats. The AS also reduced brain atrophy after cerebral infarct, suggesting that AS at the Baihui acupoint acts as neuroprotector. However, regular stimulation at the Baihui acupoint enhances cognition and memory functions need further study.
百会穴有三阳五会之称;在中医中针刺该穴位可醒脑开窍。因此,本研究旨在探讨针刺百会穴对脑梗死及多巴胺水平的影响。通过永久性结扎双侧颈总动脉建立慢性脑灌注不足动物模型;通过阻断双侧颈总动脉及右侧大脑中动脉血流90分钟后再灌注,在Sprague-Dawly(SD)大鼠中建立脑梗死动物模型。每周3天,每次刺激百会穴20分钟,共刺激4周。通过测量大鼠在八臂放射状迷宫试验中的成功率来评估认知和记忆功能;术后每周进行一次该试验,共进行4周。最后,处死大鼠并取出大脑;测量脑组织中的多巴胺水平,并计算右半球与左半球面积的百分比。结果表明,针刺刺激(AS)在慢性脑灌注不足和脑缺血再灌注损伤大鼠模型中并未提高八臂放射状迷宫试验的成功率。AS可提高慢性脑灌注不足大鼠右侧大脑皮质和海马中的多巴胺水平,并提高脑缺血再灌注损伤大鼠模型中大脑皮质的多巴胺水平。再灌注24小时后,对照组和AS组的神经功能缺损评分相似,而缺血再灌注损伤大鼠的AS组右半球与左半球面积的百分比高于对照组。总之,针刺百会穴4周可提高慢性脑灌注不足大鼠和脑缺血再灌注损伤大鼠脑组织中的多巴胺水平。AS还可减轻脑梗死后的脑萎缩,提示针刺百会穴具有神经保护作用。然而,针刺百会穴是否能增强认知和记忆功能仍需进一步研究。