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产生针刺镇痛作用的穴位及其相连的中枢通路。

The acupuncture point and its connecting central pathway for producing acupuncture analgesia.

作者信息

Takeshige C, Oka K, Mizuno T, Hisamitsu T, Luo C P, Kobori M, Mera H, Fang T Q

机构信息

Department of Physiology, School of Medicine Showa University, Tokyo, Japan.

出版信息

Brain Res Bull. 1993;30(1-2):53-67. doi: 10.1016/0361-9230(93)90039-e.

Abstract

Characteristics of the acupuncture point in producing acupuncture analgesia (AA) were examined by the inhibition of noxious responses in the brain stem reticular formation, potentials, and neuronal activity in the dorsal periaqueductal central gray (D-PAG), and analgesia caused by low frequency stimulation of the acupuncture point. As a result, stimulation of the muscle beneath the acupuncture point was found to be effective in producing AA. AA measured by tail flick, vocalization, and writhing tests was abolished by hypophysectomy, and by antiserum of beta-endorphin administered into the 3rd ventricle. The pathway from the D-PAG to the anterior hypothalamus (AA-AH) in the AA afferent pathway from the acupuncture point to the pituitary gland was determined. The lateral hypothalamus, lateral septum, cingulate bundle, dorsal-hippocampus, and habenulo-interpeduncular tract were found, in addition to regions previously found, to belong to the AA afferent pathway. A network of divergence and convergence in their rostral and caudal relations was observed. The AA afferent pathway diverges from the D-PAG, converges to the HP, and then projects to the AA-AH.

摘要

通过抑制脑干网状结构中的伤害性反应、电位以及中脑导水管周围背侧中央灰质(D-PAG)中的神经元活动,以及低频刺激穴位所引起的镇痛作用,来研究穴位产生针刺镇痛(AA)的特征。结果发现,刺激穴位下方的肌肉对产生针刺镇痛有效。通过甩尾、发声和扭体试验测得的针刺镇痛作用,在垂体切除后以及向第三脑室注射β-内啡肽抗血清后消失。确定了从穴位到垂体的针刺镇痛传入通路中从D-PAG到下丘脑前部(AA-AH)的通路。除了先前发现的区域外,还发现外侧下丘脑、外侧隔、扣带束、背侧海马和缰核脚间束属于针刺镇痛传入通路。观察到它们在头端和尾端关系中的发散和汇聚网络。针刺镇痛传入通路从D-PAG发散,汇聚到下丘脑,然后投射到AA-AH。

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