Yong Chen, Yongpu Liu, Sufen Ban, Yao Tang, Fujuan Qiu, Changhong Xiao
Department of Rheumatology, Integrated Hospital of Traditional Chinese Medicine Affiliated to Southern Medical University, Guangzhou 510330, China.
Department of Acupuncture and Rehabilitation, Integrated Hospital of Traditional Chinese Medicine Affiliated to Southern Medical University, Guangzhou 510330, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2020 Sep 30;40(9):1225-1229. doi: 10.12122/j.issn.1673-4254.2020.09.01.
Autologous blood acupoint injection has practiced for treatment of various diseases, but its therapeutic mechanism remains unknown. This study aimed to explore the histological changes in the acupoint area after blood injection.
Blood samples (0.1 mL) collected from donator mice was injected in the recipient mice at the acupoint of left Zusanli (ST- 36). At 0, 6, 12, 24, 48, 72 and 96 h after the injection (3 mice at each time point), peripheral blood and muscular tissue were collected from the injection site for blood cell classification and histological study with HE staining.
White blood cells and lymphocytes tended to increase but platelets tended to decrease at the acupoint after blood injection, but these changes were not statistically significant. Within 24 h after blood injection, acute inflammation occurred at the acupoint, and the injected blood components were infiltrated by neutrophils; a small number of monocytes were observed at the injection site, where red blood cells gradually disappeared. From 24 to 96 h, the injected area showed chronic inflammation with infiltration by mononuclear cells, macrophages, and lymphocytes, and the number of fibroblasts increased and neutrophils decreased gradually over time; the local muscle fibers were destroyed, and proliferation of fibrous tissue could be seen.
Blood injection at the acupoints can mimic the process of hematoma absorption in the muscular tissue, and local inflammation is initiated to engulf and clear the blood components, which may be the basis for the therapeutic effects induced by acupoint stimulation.
自体血穴位注射已用于多种疾病的治疗,但其治疗机制尚不清楚。本研究旨在探讨穴位注射血液后穴位区域的组织学变化。
从供体小鼠采集血液样本(0.1 mL),注射到受体小鼠左侧足三里穴(ST-36)。注射后0、6、12、24、48、72和96小时(每个时间点3只小鼠),从注射部位采集外周血和肌肉组织,进行血细胞分类及苏木精-伊红(HE)染色组织学研究。
穴位注射血液后,白细胞和淋巴细胞有增加趋势,血小板有减少趋势,但这些变化无统计学意义。注射血液后24小时内,穴位出现急性炎症,注射的血液成分被中性粒细胞浸润;注射部位可见少量单核细胞,红细胞逐渐消失。24至96小时,注射区域呈现慢性炎症,有单核细胞、巨噬细胞和淋巴细胞浸润,成纤维细胞数量随时间逐渐增加,中性粒细胞逐渐减少;局部肌纤维被破坏,可见纤维组织增生。
穴位注射血液可模拟肌肉组织中血肿吸收过程,引发局部炎症以吞噬和清除血液成分,这可能是穴位刺激产生治疗效果的基础。