Ye Zhen, Zhu Li, Li Xiao-Jia, Gao He-Yuan, Wang Jie, Wu Sheng-Bing, Wu Zi-Jian, Gao He-Ren
School of Acupuncture and Tuina, Anhui University of Chinese Medicine, Hefei, 230038, China.
Research Institute of Acupuncture and Meridian, Anhui Academy of Chinese Medicine, Anhui University of Chinese Medicine, Hefei, 230038, China.
Heliyon. 2023 Apr 5;9(4):e15291. doi: 10.1016/j.heliyon.2023.e15291. eCollection 2023 Apr.
Stress can trigger cardiovascular disease. Both imbalance of autonomic nervous activity and increase of neurohormonal output are core aspects of stress responses and can lead to cardiovascular disease. PC6 as a very important acupoint is used to prevent and treat cardiovascular disease and to improve stress-related activities. We examined the influence of electroacupuncture (EA) at PC6 on stress-induced imbalance of autonomic nervous activity and increase of neurohormonal output. EA at PC6 relieved increased cardiac sympathetic nervous activity and decreased cardiac vagal nervous activity induced by immobilization stress. Also, EA at PC6 reduced immobilization stress-induced increases of plasma norepinephrine (NE) and adrenaline (E) released from sympatho-adrenal-medullary axis. Finally, EA at PC6 reduced immobilization stress-induced increases of corticotropin-releasing hormone (CRH) in paraventricular hypothalamic nucleus and plasma cortisol (CORT) released from hypothalamic-pituitary-adrenal axis. However, EA at tail had no significant effect on the stress-induced autonomic and neuroendocrine responses. The results demonstrate the role of EA at PC6 regulating the autonomic and neuroendocrine responses induced by stress and provide insight into the prevention and treatment of EA at PC6 for stress-induced cardiovascular disease by targeting autonomic and neuroendocrine systems.
压力可引发心血管疾病。自主神经活动失衡和神经激素分泌增加均为应激反应的核心方面,且可导致心血管疾病。内关穴作为一个非常重要的穴位,被用于预防和治疗心血管疾病以及改善与应激相关的活动。我们研究了针刺内关穴对压力诱导的自主神经活动失衡和神经激素分泌增加的影响。针刺内关穴可缓解因束缚应激引起的心脏交感神经活动增强和心脏迷走神经活动减弱。此外,针刺内关穴可降低束缚应激诱导的交感 - 肾上腺髓质轴释放的血浆去甲肾上腺素(NE)和肾上腺素(E)的增加。最后,针刺内关穴可降低束缚应激诱导的下丘脑室旁核促肾上腺皮质激素释放激素(CRH)的增加以及下丘脑 - 垂体 - 肾上腺轴释放的血浆皮质醇(CORT)的增加。然而,针刺尾部对压力诱导的自主神经和神经内分泌反应无显著影响。这些结果证明了针刺内关穴在调节压力诱导的自主神经和神经内分泌反应中的作用,并为通过针对自主神经和神经内分泌系统,利用针刺内关穴预防和治疗压力诱导的心血管疾病提供了见解。