College of Acupuncture, Moxibustion and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
College of Acupuncture, Moxibustion and Tuina, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Chin J Integr Med. 2022 Jan;28(1):69-75. doi: 10.1007/s11655-021-3294-9. Epub 2021 Nov 24.
To observe the influence of acupuncture on microcirculation perfusion of the pericardium meridian and heart in acute myocardial ischemia (AMI) rats and evaluate whether acupuncture can simultaneously affect the meridians and corresponding viscera. Additionally, acupoints at different meridians were compared and whether they exert the same effects was discussed.
Totally 32 Sprague-Dawley rats were subjected to left anterior descending (LAD) ligation to develop an AMI model. Rats were divided into 4 groups, including AMI, acupuncture Neiguan (PC 6), Lieque (LU 7) and Qiansanli (LI 10) groups (n=8). Eight rats received only thoracotomy (sham-operated group). The rats in the acupuncture groups received manual acupuncture at PC 6, LU 7 and LI 10 acupoints for 15 min, respectively. The microcirculation perfusion of pericardium meridian and heart was monitored by laser speckle perfusion imager (LSPI) before, during and after acupuncture manipulation for 15 min. Subsequently, the perfusion unit (PU) was calculated and analyzed by PSI System.
After LAD, compared to pre-acupuncture stage, the heart microcirculation perfusion (HMP) in the AMI group decreased continuously at during-acupuncture (P>0.05) and post-acupuncture stages (P<0.05), and the pericardium meridian microcirculation perfusion (PMP) showed no significant differences at 3 stages (P>0.05). Compared to pre-acupuncture stage, the PMP and HMP in PC 6 group significantly increased during acupuncture manipulation (both P<0.05), and PMP decreased obviously after acupuncture (P<0.05). The PMP in the LU 7 and LI 10 groups were slightly elevated (both P>0.05); however, they were significantly reduced after acupuncture manipulation (both P<0.05). Additionally, HMP of LI 10 group was decreased significantly during acupuncture, especially compared to pre-acupuncture stage (P<0.05).
Acupuncture at PC 6 obviously increased the PMP and HMP in AMI rats, and the effects were superior to at LU 7 and LI 10 acupoints. It was further confirmed that acupuncture promoted qi and blood circulation, indicating that acupoint specificity exists and features a meridian-propagated effect.
观察针刺对急性心肌缺血(AMI)大鼠心包经微循环和心脏的影响,评价针刺是否能同时作用于经络及其相应内脏,并比较不同经络穴位的作用是否相同。
将 32 只 Sprague-Dawley 大鼠行左前降支结扎术制作 AMI 模型,将大鼠分为 AMI 组、针刺内关(PC6)组、列缺(LU7)组、足三里(LI10)组,每组 8 只,另设 8 只仅开胸手术(假手术组)。针刺组分别针刺 PC6、LU7、LI10 穴,各穴针刺 15min。采用激光散斑血流成像仪(LSPI)于针刺前、针刺中、针刺后 15min 监测心包经微循环和心脏的微循环灌注,采用 PSI 系统计算和分析灌注单位(PU)。
AMI 大鼠 LAD 后,与针刺前比较,AMI 组在针刺中、针刺后各阶段心脏微循环灌注(HMP)持续下降(均 P>0.05),心包经微循环灌注(PMP)各阶段差异均无统计学意义(均 P>0.05);与针刺前比较,PC6 组针刺中 PMP 和 HMP 明显升高(均 P<0.05),针刺后 PMP 明显下降(P<0.05);LU7、LI10 组 PMP 略有升高(均 P>0.05),针刺后 PMP 明显下降(均 P<0.05);LI10 组针刺中 HMP 明显下降,与针刺前比较差异有统计学意义(P<0.05)。
针刺 PC6 穴可明显提高 AMI 大鼠的 PMP 和 HMP,作用优于 LU7、LI10 穴,进一步证实了针刺具有促进气血运行的作用,说明穴位具有特异性,具有经络传递效应。