Institute of Acupuncture & Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Evid Based Complement Alternat Med. 2013;2013:654645. doi: 10.1155/2013/654645. Epub 2013 Aug 13.
According to the classic theory of Chinese medicine, pain is due to the blockage in meridian channels, and acupuncture was invented to treat pain by "dredging" the channels. To test the theory, a hyperalgesia model was made by injecting hydrogel into low hydraulic resistance channel (LHRC) in 12 anaesthetized minipigs. Tail-flick threshold and ear-flick threshold were measured using a thermal radiation dolorimeter, and relative flick threshold (RFT) was calculated. Hydraulic resistance (HR) was measured with a biological HR measuring instrument on low HR points on LHRC and on control points with higher HR located outside LHRC; readings were recorded before, during, and after acupuncture treatment. RFT decreased after blocking the LRHC and was still significantly decreased 2 days and 4 days afterwards. No significant changes occurred when injecting saline into the same points or injecting gel into points outside the channel. Subsequent acupuncture reduced HR on LRHC along meridians but had no significant effect on sites with higher HR located outside LHRC. One of the mechanisms of action of acupuncture treatment for chronic pain may be that acupuncture affects peripheral tissue by reducing the HR in LHRC along meridians, improving the flow of interstitial fluid and removing algogenic substances and thereby relieving pain.
根据中医经典理论,疼痛是由于经络阻塞所致,而针灸是通过“疏通”经络来治疗疼痛的。为了验证这一理论,研究人员在 12 头麻醉小型猪的低液压阻力通道 (LHRC) 中注射水凝胶,建立了痛觉过敏模型。使用热辐射疼痛测定仪测量尾部闪烁阈值和耳部闪烁阈值,并计算相对闪烁阈值 (RFT)。使用生物液压阻力测量仪在 LHRC 上的低液压阻力点和位于 LHRC 之外的高液压阻力点的对照点上测量液压阻力 (HR);在针灸治疗前、治疗中和治疗后记录读数。阻塞 LRHC 后 RFT 降低,并且在 2 天和 4 天后仍然显著降低。在相同部位注射盐水或在通道外的部位注射凝胶时则没有明显变化。随后的针刺治疗沿经络降低了 LRHC 上的 HR,但对位于 LHRC 之外的高 HR 部位没有明显影响。针刺治疗慢性疼痛的作用机制之一可能是,针刺通过降低沿经络的 LHRC 中的 HR,改善细胞间液的流动并清除致痛物质,从而缓解疼痛。