Zhong Zhi-Ping, Wu Shan-Shan, Chen Zhi-Guang, Bo Liu
Radiology Department, Guangdong Provincial Hospital of TCM, Guangzhou 510120, China.
Zhongguo Zhen Jiu. 2011 Feb;31(2):139-43.
To approach the central nervous mechanism of abdominal acupuncture by using resting-state functional magnetic resonance imaging (fMRI).
Twelve old healthy volunteers were treated by standardized abdominal acupuncture with invigorating the kidney and nourishing marrow method and Zhongwan (CV 12), Xiawan (CV 10), Qihai (CV 6), Guanyuan (CV 4), Qixue (KI 13), Shangqu (KI 17) and Huaroumen (ST 24) were selected. They were examined by using resting-state fMRI before and after treatment of abdominal acupuncture and the brain functional connectivities were analyzed based on bilateral hippocampus chosen as seed points.
(1) Before acupuncture, functional connectivities were found in the bilateral middle frontal gyrus, bilateral superior temporal gyrus, bilateral middle temporal gyrus, bilateral thalamus, bilateral subiculum hippocampi, bilateral insula, the cupula and declivis of right cerebellum, left superior frontal gyrus, left head of caudate nucleus, left posterior cingulate gyrus and left inferior parietal lobule (all P < 0.05). (2) After acupuncture, functional connectivities were found in the bilateral superior frontal gyrus, bilateral superior temporal gyrus, bilateral middle temporal gyrus, bilateral thalamus, bilateral insula, bilateral subiculum hippocampi, bilateral inferior parietal lobule, bilateral postcentral gyrus, bilateral cingulate gyrus, right head of caudate nucleus, right middle occipital gyrus and right posterior cingulate gyrus (all P < 0.05). (3) After acupuncture, there were intensity functional connectivities greater than before acupuncture in the bilateral superior frontal gyrus, bilateral middle frontal gyrus, bilateral superior temporal gyrus, bilateral superior parietal lobule, right inferior frontal gyrus, right anterior cingulate gyrus, right fusiform gyrus, right precuneus and right postcentral gyrus, while the intensity of functional connectivities of left middle temporal gyrus, right lingual gyrus, left cuneus/precuneus and left inferior parietal lobule were attenuated.
Abdominal acupuncture with invigorating the kidney and nourishing marrow method can improve the allomeric function of the brain cognition network of central nervous system.
采用静息态功能磁共振成像(fMRI)探讨腹针的中枢神经机制。
选取12名健康老年志愿者,采用补肾填髓法进行标准化腹针治疗,选取中脘(CV 12)、下脘(CV 10)、气海(CV 6)、关元(CV 4)、气穴(KI 13)、商曲(KI 17)和滑肉门(ST 24)。在腹针治疗前后采用静息态fMRI进行检查,并以双侧海马为种子点分析脑功能连接。
(1)针刺前,在双侧额中回、双侧颞上回、双侧颞中回、双侧丘脑、双侧海马旁回、双侧脑岛、右侧小脑山顶和山坡、左侧额上回、左侧尾状核头部、左侧后扣带回和左侧顶下小叶发现功能连接(均P < 0.05)。(2)针刺后,在双侧额上回、双侧颞上回、双侧颞中回、双侧丘脑、双侧脑岛、双侧海马旁回、双侧顶下小叶、双侧中央后回、双侧扣带回、右侧尾状核头部、右侧枕中回和右侧后扣带回发现功能连接(均P < 0.05)。(3)针刺后,双侧额上回、双侧额中回、双侧颞上回、双侧顶叶上部、右侧额下回、右侧前扣带回、右侧梭状回、右侧楔前叶和右侧中央后回的功能连接强度大于针刺前,而左侧颞中回、右侧舌回、左侧楔叶/楔前叶和左侧顶下小叶的功能连接强度减弱。
补肾填髓法腹针可改善中枢神经系统脑认知网络的异质功能。