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[针刺足阳明胃经原穴与合穴的功能磁共振成像]

[Functional magnetic resonance imaging on acupuncturing Yuan-Source and He-Sea acupoints of stomach Meridian of Foot-Yangming].

作者信息

Wang Guang-Bin, Liu Cheng, Wu Le-Bin, Yan Bin, Gao Shu-Zhong, Shao Guang-Rui, Lü Qing-Chao

机构信息

Shandong Medical Imaging Research Institute, Jinan 250021, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2009 Apr;31(2):171-6.

PMID:19507595
Abstract

OBJECTIVE

To explore the functional brain localization with magnetic resonance imaging (MRI) after acupuncturing the Yuan-Source and He-Sea acupoints of Stomach Meridian of Foot-Yangming (ST).

METHODS

The study was performed in 30 healthy volunteers who underwent acupuncture at Yuan-Source acupoint (Chongyang, ST42) and He-Sea acupoint (Zusanli, ST36) (ST group). Ten of these were also underwent acupuncture at the non-acupoints as the control group. Blood oxygenation level dependent functional MRI was performed.

RESULTS

In the ST group, signal increasing areas were demonstrated in bilateral superior temporal gyri (Broadmann 22), bilateral supramarginal gyri (Broadmann 40), bilateral cerebellar hemispheres, bilateral cingulate gyri and isthmus of cingulate gyri (Broadmann 32, 30), bilateral superior parietal lobules (Broadmann 7); signal decreasing areas were shown in bilateral orbital gyri (Broadmann 11), bilateral temporal pole (Broadmann 38), right inferior frontal gyrus (Broadmann 47) and right medial occipitotemporal gyrus (Broadmann 36). In the control group, signal increases areas were demonstrated in superior temporal gyri, precentral gyri, cingulate gyri, thalamus, insula and cerebellum. The size, signal intensity and number of increasing areas in control group are less than in ST group.

CONCLUSION

Combined acupuncture of Yuan-Source and He-Sea acupoints of ST can activate and decrease the multiple brain regions of "splanchnic brain" and thus reach a new functional balance to relieve pain.

摘要

目的

采用磁共振成像(MRI)技术探讨针刺足阳明胃经原穴和合穴后大脑功能区的定位。

方法

选取30名健康志愿者,针刺其胃经原穴(冲阳,ST42)和合穴(足三里,ST36)(ST组)。其中10名志愿者针刺非穴位作为对照组。采用血氧水平依赖性功能MRI进行检测。

结果

ST组中,双侧颞上回(布罗德曼22区)、双侧缘上回(布罗德曼40区)、双侧小脑半球、双侧扣带回及扣带峡(布罗德曼32、30区)、双侧顶上小叶(布罗德曼7区)信号增强;双侧眶回(布罗德曼11区)、双侧颞极(布罗德曼38区)、右侧额下回(布罗德曼47区)及右侧枕颞内侧回(布罗德曼36区)信号减弱。对照组中,颞上回、中央前回、扣带回、丘脑、岛叶及小脑信号增强。对照组信号增强区域的大小、信号强度及数量均少于ST组。

结论

针刺胃经原穴和合穴可激活和抑制“内脏脑”的多个脑区,从而达到新的功能平衡以缓解疼痛。

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Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2009 Apr;31(2):171-6.
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