Wu C C, Jong S B
Department of Nuclear Medicine, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1990 Dec;6(12):678-86.
During recent years, upon investigation of the meridian which is an important part of the traditional concept in Chinese medicine, we have obtained several significant findings using radionuclide: 1. By subcutaneous injection (SC) of Tc-99m pertechnetate at acupuncture points K-3 and B-60, it was found that certain acupuncture points may be closely related to the venous drainage. 2. A new technique of radionuclide venography, namely SC-RNV of the lower limbs, was established through the above study. The SC-RNV subsequently proved to be clinically available in diagnosis of DVT and calf varicose veins. By SC injection of Tc-99m pertechnetate at various acupuncture points (APP) and nonacupuncture points (non-APP) it seemed that not every APP is closely related to venous drainage, and so is not the non-APP. As for the mechanism of SC-RNV, through SC injection of T1-201 chloride and Ga-67 citrate at K-3 respectively, it was found that the Na-K pumping system may play a major role in the drainage of soft tissue fluid from the APP into th venous flow. We now continue to investigate the meridian with radionuclide and hope to understand more clearly the physiological function of the APP, especially its relationship with the veins.
近年来,在对作为中医传统概念重要组成部分的经络进行研究时,我们使用放射性核素获得了一些重要发现:1. 通过在穴位K-3和B-60皮下注射(SC)高锝[99mTc]酸盐,发现某些穴位可能与静脉引流密切相关。2. 通过上述研究建立了一种新的放射性核素静脉造影技术,即下肢SC-RNV。随后证明SC-RNV在诊断深静脉血栓形成(DVT)和小腿静脉曲张方面具有临床实用性。通过在各种穴位(APP)和非穴位(非APP)皮下注射高锝[99mTc]酸盐,似乎并非每个穴位都与静脉引流密切相关,非穴位也是如此。至于SC-RNV的机制,通过分别在K-3皮下注射氯化铊[201Tl]和枸橼酸镓[67Ga],发现钠钾泵系统可能在软组织液从穴位引流到静脉血流中起主要作用。我们现在继续用放射性核素研究经络,并希望更清楚地了解穴位的生理功能,尤其是其与静脉的关系。