Laboratory of Computational Simulation and Modelling in Rehabilitation, Postgraduate Program of Rehabilitation Science, Centro Universitário Augusto Motta, Praça das Nações 34, 3º andar , Bonsucesso, Rio de Janeiro, Brazil.
School of Acupuncture, Centro Universitário Augusto Motta, Rio de Janeiro, Brazil.
Chin Med. 2013 Dec 17;8:24. doi: 10.1186/1749-8546-8-24. eCollection 2013.
Analysis of the relationship between the nervous system anatomy and the therapeutic characteristics of all acupuncture points in the channel network may provide new insights on the physiological mechanisms underlying acupuncture stimulation for prevention, treatment, and rehabilitation purposes. This study investigates the association between the similarity of acupoints' dermatomes, traditional actions, and contemporary indications.
CHANNEL ACUPOINTS HAD THEIR CHARACTERISTICS ANNOTATED FROM A LITERATURE REVIEW OF FOUR TOPOGRAPHIC ATLASES OF CHINESE MEDICINE AND ONE ATLAS OF HUMAN ANATOMY: initials of the channel's name (n = 14), sequential number in the channel (n = 67), acupoint's name (n = 361), dermatomes related to perpendicular needle insertion (n = 31), traditional actions (n = 848), and contemporary indications (n = 1143). Jaccard's similarity coefficient quantified the similarities between dual acupoints. All dual acupoints were evaluated to generate similarity matrices for each nominal variable. Cross-tables were generated by simultaneous classification of variables into levels of similarity with respect to: dermatomes versus traditional actions, dermatomes versus contemporary indications, and traditional actions versus contemporary indications. Goodman-Kruskal γ and Rousson γ*(2) were calculated based on cross-tables, bootstrap and permutated samples to evaluate the association and determination coefficient between variables, respectively.
Significant associations were observed between levels of similarities of dermatomes and traditional actions (γ = 0.542; P < 0.001), dermatomes and contemporary indications (γ = 0.657; P < 0.001), and traditional actions and contemporary indications (γ = 0.716; P < 0.001). Similarities of dermatomes explained 16% of the variance of traditional actions and 25% of contemporary indications. Traditional actions explained 30% of the variance of contemporary indications. The association between traditional actions and contemporary indications was the highest one (γ = 0.716, 95% confidence interval (95% CI) = [0.715; 0.719]), followed by the association between dermatomes and contemporary indications (γ = 0.622, 95% CI = [0.621; 0.623]), and between dermatomes and traditional actions (γ = 0.446, 95% CI = [0.444; 0.447]), all with P < 0.001.
The similarity of dermatomes between dual acupoints partially determined the similarity of traditional actions and contemporary indications, therefore dermatomes partially determine the therapeutic efficacy of acupuncture.
分析神经系统解剖与经络网络中所有穴位的治疗特性之间的关系，可能为针灸刺激的生理机制提供新的见解，用于预防、治疗和康复目的。本研究调查了穴位皮区、传统作用和现代适应证相似性之间的关联。
从四本中医解剖图谱和一本人体解剖图谱的文献综述中对穴位特征进行标注：经络名称的缩写（n=14）、经络中的顺序编号（n=67）、穴位名称（n=361）、与垂直针刺相关的皮区（n=31）、传统作用（n=848）和现代适应证（n=1143）。雅卡尔相似系数量化了双穴位之间的相似性。对所有双穴位进行评估，为每个名义变量生成相似矩阵。通过同时将变量分类为皮区与传统作用、皮区与现代适应证以及传统作用与现代适应证的相似性水平，生成交叉表。基于交叉表，使用 bootstrap 和 permutated 样本计算 Goodman-Kruskal γ 和 Rousson γ*（2），以评估变量之间的关联和决定系数。
皮区与传统作用（γ=0.542；P<0.001）、皮区与现代适应证（γ=0.657；P<0.001）以及传统作用与现代适应证（γ=0.716；P<0.001）之间存在显著关联。皮区的相似性解释了传统作用的 16%和现代适应证的 25%的变异性。传统作用解释了现代适应证的 30%的变异性。传统作用与现代适应证之间的关联最高（γ=0.716，95%置信区间（95%CI）=[0.715；0.719]），其次是皮区与现代适应证之间的关联（γ=0.622，95%CI=[0.621；0.623]）和皮区与传统作用之间的关联（γ=0.446，95%CI=[0.444；0.447]），均 P<0.001。
双穴位皮区的相似性部分决定了传统作用和现代适应证的相似性，因此皮区部分决定了针灸的治疗效果。
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