Gao Xin-Yan, Zhang Shi-Ping, Zhu Bing, Zhang Hong-Qi
School of Chinese Medicine, Hong Kong Baptist University, 7 Baptist University Road, Kowloon Tong, Kowloon, Hong Kong, China.
Auton Neurosci. 2008 Feb 29;138(1-2):50-6. doi: 10.1016/j.autneu.2007.10.003.
Auricular acupuncture has been used for various autonomic disorders in clinical practice. It has been theorized that different auricular areas have distinct influence on autonomic functions. The present study aims to examine the effects of acupuncture stimulation at different auricular areas on cardiovascular and gastric responses. In male Sprague-Dawley rats anesthetized with pentobarbital sodium, five auricular areas, which were located at the apex of the helix (A(1)), the middle of the helix (A(2)), the tail of the helix (A(3)), the inferior concha (A(4)) and the middle of the antihelix (A(5)), had been selected for stimulation with manual acupuncture (MA) and different parameters of electroacupuncture (EA). A mild depressor response (6%-12% decrease from baseline) was evoked from A(1), A(3) and A(4) by MA and from all five areas by EA (100 Hz-1 mA). The biggest depressor response (-18.4+/-3.1 mmHg, p<0.001) was evoked from A(4). A small bradycardia was evoked by MA from A(4) and by EA at A(3), A(4) and A(5.) Increase in intragastric pressure (8-14 mmH(2)O) was evoked by MA from A(1), A(3) and A(4) and by EA at A(2.) These results show that similar patterns of cardiovascular and gastric responses could be evoked by stimulation of different areas of the auricle. The present results do not support the theory of a highly specific functional map in the ear. Rather, there is a similar pattern of autonomic changes in response to auricular acupuncture, with variable intensity depending on the area of stimulation.
耳针疗法在临床实践中已被用于治疗各种自主神经功能紊乱。从理论上来说,不同的耳穴对自主神经功能有不同的影响。本研究旨在探讨针刺不同耳穴对心血管和胃部反应的影响。选用戊巴比妥钠麻醉的雄性Sprague-Dawley大鼠,选取五个耳穴区域,分别位于耳轮顶端(A(1))、耳轮中部(A(2))、耳轮尾部(A(3))、耳垂(A(4))和对耳轮中部(A(5)),采用手针(MA)和不同参数的电针(EA)进行刺激。MA刺激A(1)、A(3)和A(4)时可诱发轻度降压反应(较基线下降6%-12%),EA(100Hz-1mA)刺激所有五个区域均可诱发该反应。A(4)诱发的降压反应最大(-18.4±3.1mmHg,p<0.001)。MA刺激A(4)以及EA刺激A(3)、A(4)和A(5)可诱发轻度心动过缓。MA刺激A(1)、A(3)和A(4)以及EA刺激A(2)可诱发胃内压升高(8-14mmH₂O)。这些结果表明,刺激耳廓不同区域可诱发相似的心血管和胃部反应模式。目前的结果不支持耳部存在高度特异性功能图谱的理论。相反,耳针刺激引起的自主神经变化模式相似,但其强度因刺激区域而异。