针刺清醒狗“足三里”对血中儿茶酚胺含量及痛反应的影响

<正> 关于针刺穴位对交感-肾上腺系统活动的影响问题,国内曾有过一些报道,结果颇不一致.一方面电镜观察及生物测定的结果表明,针刺穴位可促使家兔肾上腺髓质释放儿茶酚胺(CA)增多,麻醉猫及清醒大自鼠血中CA水平升高。另一方面针麻临床研究表明,针刺穴位对交感神经系统具有相对抑制作用。鉴于血中CA水平可以反映机体交感-肾上腺系统的活动状态,我们特建立了下腔静脉内埋藏导管以采集肾上腺静脉血、     

伤害性刺激对躯体感觉皮层单位放电的影响及电针效应

<正> 大脑皮层在针刺镇痛中的作用是研究针刺镇痛原理的课题之一,以往我们曾在正常人、颅脑手术病人以及实验动物上,用大脑皮层诱发电为指标研究机体对痛刺激(或伤害性刺激)时的大脑皮层诱发电位,并观察某些镇痛药及针刺的影响。     

针刺对异常短潜伏期体感诱发电位的调整作用

<正> 研究资料证明,针刺的作用可以调整中枢神经系统的异常功能,功能增高者可使之减低,功能减低者可使之增高;针刺的调整作用,一方面决定于针刺作用的强度和时间,另一方面也决定于机体的功能状态。近年来由于电子计算机技术的发展,有时能利用平均技术无伤地从体表记录到体感诱发电位(SEPs)。     

针刺手法对感受器发放的影响

本工作利用在猫的脊神经背根分离神经纤维细束的方法记录单位型关节深部感受器的传入发放,试验了提插并捻转、单纯提插及单纯捻转这三种基本的传统针刺手法对19个感受器的作用。每次运针所引发的感受器放电平均数分别是6.98个,4.60个和1.83个。前两者之间无明显差异。而前两者与后者相比则显著高于后者。提示针刺手法和传入信息量之间有着明显的相互关系。从发放的瞬间频率图初步分析了针刺引起的传入信息编码形式。提示了不同针刺手法产生不同临床效果的初级机理。     

电针“足三里”穴对体感皮层慢痛反应的影响

<正> 过去,在痛觉和针刺镇痛的研究中,多以强电脉冲刺激传入神经模拟伤害性刺激,并以此引起的反应作为疼痛的指标。但强电刺激常引起多种神经纤维包括与痛觉无关的Aαβ纤维、传导“快痛”的 Aδ纤维以及传导慢痛的 C 类纤维同时兴奋。当多种神经纤维的传入冲动同时进入神经中枢时,又常常发生相互影响,往往是传导速度快的 A 类纤维传入抑制了传导较慢的 C 类纤维传入。因此,以前所用的痛反应指标不反映慢痛。     

针刺双侧通天和前神聪透悬厘对中风偏瘫甲皱微循环的影响

<正> 自从1973年开始我们应用头部腧穴治疗中风偏瘫,收得了满意的效果,并初步证明百会透双侧曲鬓及前顶透悬颅对中风偏瘫的治疗无明显的特异性。为了进一步研究头部腧穴治疗偏瘫的机理以及头部其它腧穴间是否存在有特异性,本文观察了针刺双侧通天穴和前神聪透悬厘穴后对甲皱微循环的影响,现将结果报告如下:临床资料病例选择:选用在观察期间入院的60例脑血栓形成病人。其中男性50例,女性10例,     

三阴交所经经脉及针刺得气定量的研究

<正> 三阴交是临床治疗中的常用穴之一,《甲乙经》云:“三阴交在内踝上三寸,骨下陷者中,足太阴、厥阴、少阴之会。”我们为了客观验证祖国医学有关三阴交与足三阴经交会的理论,为针灸临床提供可靠依据,并探索观察针刺得气的客观指标。现对14例受试者,针刺三阴交得气前后脾、肝、肾及非经部位的冷光信息作了69人次观察比较,结果如下: 方法一、仪器:详见前文,要点如下: 选用高灵敏度的光电倍增管做探测器,接收经穴不断发放的超微弱冷光信息,再经一系列的放大甄别,由记录仪自动描其发光     

EFFECT OF ACUPUNCTURE ON IMMUNE FUNCTION OF PATIENTS TREATED WITH RADIOTHERAPY AND CHEMOTHERAPY

In comparison with the normal people group, values of blood CD_2~+ and CD_4~+ in pa-tients with mallgnant tumors treated with radiotherapy and chemotherapy were significantly lower andthe ratio of CD_助~+ and CD_8~+ decreased obviously (all P<0.001); CD_8~+ had no apparent change (P>0.05). Following acupunctural treatment, values of CD_2~+,CD_4~+ and the ratio of CD_4~+ to CD_8~+ increasedobviously (all P<0.001); while those of the medicinal control group had no significant change aftertreatment(P>0. 05). Values of IgG, IgA and IgM in patients' serum presented an abnormal de-creasing or increasing tendency, and C_3 in minority of patients were raised. Results indicated thatthere was a biphasic regulatory effect of acupuncture on the disturbance of humoral immunity andcould correct the deviation of C_3 level; and its effect was better than or similar to that of the medicinecontrol group. It demonstrates that acupuncture can enhance and regulate. the immune function of pa-tients treated with radiotherapy a     

THE EFFECT OF ACUPUNCTURE ON URINARY BLADDER DYSFUNCTION OF PATIENTS WITH TRAUMATIC PARAPLEGIA

62 patients with traumatic paraplegia were treated with acupuncture(GovernorVessel electro-stimulation),according to the theories of TCM such as dredging the meridians,regu-lating vital energy and blood,improving blood circulation,reinforcing marrow and replenishing brain.The effect of acupuncture on urinary bladder disturbance was studied.The results indicated that totaleffect rate was 96.8%(Ⅰ—Ⅲ),marked effect rate was 66.1%(Ⅰ—Ⅱ).The marked effect rate incomplete paraplegia was significantly different from that in imcomplete paraplegia;it was 63.0% and87.5% respectively.Furthermore,the results suggested that the degree of spinal cord injury was veryimprotant factor that affected the effect of acupuncture therapy.     

THE EFFECT OF ACUPUNCTURE ON PREVENTION AND TREATMENT OF ISCHEMIC ARRHYTHMIA AND THE RELATION BETWEEN EFFECT OF ACUPUNCTURE AND CHOLINERGIC MUSCARINE-LIKE RECEPTORS

For investigating the effect of acupuncture on ischemic arrhythmia and its mech-anism, adult albino rats with ligated anterior descending branch of coronary artery as experimentalmodel were treated with or without acupuncture, and others with imitative operation but without bothcoronary artery ligation and acupuncture treatment were used as control. It was found in acupuncturegroup that the fibrillation-liability of ischemic myocardium was efficiently decreased, the affinity ofAch-M receptors on membranes of ischemic myocardium was markedly increased, and the tolerance ofischemic myocardium to atropine was elevated in the experiment of atropine inducing fibrillation.These results indicate that acupuncture may play a therapeutic role on ischemic arrhythmia throughactivating the activity of muscarine-like receptors of cholinergic nervous system.     

EFFECT OF ACUPUNCTURE ON BLOOD FLOW OF VERTEBRAL AND BASILAR ARTERIES IN STROKE PATIENTS

Strokeisoneofthefourmajordiseasesen dangeringhumanhealth .Itsmorbidityranksfirstinourcountryanditsmortalityisveryhigh.ByusingXingnaoKaiqiao (醒脑开窍　restoringconsciousnessbyopeningtheorifice)needlingmethodtotreatcerebrovasculardiseasewehavealreadyachievedverygoodresults[1 ] .Inthepresentstudy ,wetrytoobservetheshort termandlong termeffectsofacupunctureonbloodflowofvertebralandbasilararteriesinstrokepatients.Ourreportisasfollows:1　OBJECTSANDMETHODSFOROB SERVATION1 .1　ObjectsAt…     

针麻和硬膜外阻滞对循环动力学的影响

<正> 上腹部手术中最常见的手术是胃大部切除术,这种手术最常用的麻醉方法在国内是连续硬膜外阻滞,但施行这种麻醉方法发生低血压的机会甚多,提示硬膜外阻滞对循环动力学的影响。自针麻施行于胃大部切除     

胰岛素和氨茶碱影响针麻效果的临床观察

<正> 大量研究资料反复证明,脑内5-羟色胺(5-HT)能神经元系统在针刺镇痛中有着重要作用。激活或加强这个系统的神经传递,针刺镇痛效应得到提高;相反,破坏或减弱这个系统的神经传递,则针刺镇痛效应明显降低。我们以往的动物实验结果表明,胰岛素和氨茶碱在提高脑内5-HT含量的同时,可明显提高大白鼠的针刺镇痛效应。为了验证上述动物实验结果,并探索提高临床针麻效果的可能途径,我们用双盲法观察了胰岛素和氨茶碱对临床针麻效     

THE THERAPEUTIC EFFECT OF ACUPUNCTURE FOR TREATMENT OF JOINT PAIN OF SKELETAL FLUOROSIS

Objective: To observe the clinical therapeutic effect of acupuncture for joint pain of skeletal fluorosis.Methods: Ninety-six patients with skeletal fluorosis joint pain were randomly allocated to filiform needle group(33 cases), heat needle group(32 cases) and caltrate group(31 cases); the clinical therapeutic effects of three groups were measured by visual analogue scale(VAS) and the physical, emotional and social changes of the patients were recorded.Results: After treatment, VAS scores of the filiform needle group and the heat needle group were both lower than that of the medicine group(P0.05), and the scores of quality of life(MOS-SF 36) were both lower than that of the medicine group(P0.05).Conclusion: Acupuncture(filiform needle and heat needle) could effectively relief the joint pain of skeletal fluorosis, and reduce the negative physical, emotional and social changes of patients.The effect of heat needle was swifter than filiform needle and had better effect on intractable pain, but filiform needle had less uncomfortable sense when manipulated, so filiform needle and heat needle could be coordinated with each other when treating joint pain of skeletal fluorosis to get better effect.     

EFFECT OF ACUPUNCTURE TREATMENT ON CELLULARHEMORHEOLOGY, CHOLESTEROL AND TRIGLYCERIDE OF SIMPLE OBESITY PATIENTS

Objective: To observe the effect of acupuncture on simple obesity and cellular hemorheology. Methods: Thirty-two cases of simple obesity patients were enrolled into this study. Acupoints of the Stomach Meridian and Spleen Meridian as Zhongwan (中脘 CV 12), Liangmen(梁门 ST 21), Tianshu (天枢 ST 25), Guanyuan(关元 CV 4), etc. were punctured, once daily in the first 5 days, and once every other day afterwards, with 10 sessions being a therapeutic course. Before treatment and after 3 courses of treatment, the body weight, waistline, weight index, serum cholesterol (CH), triglyceride and aggregation index of red blood cell (RBC) were detected. Results: After acupuncture treatment, all the indexes of body weight, waistline, weight index, serum CH, triglyceride and aggregation index of RBC decreased significantly in comparison with those of pre-treatment (P< 0.05). Conclusion: Acupuncture can apparently improve cellular hemorheology, reduce body weight, serum cholesterol and TG levels in simple obesity patien     

以大白鼠针刺镇痛模型探讨针感传入的形态学基础

<正> 我们在大白鼠皮下组织和骨骼肌等部位在阻力血管旁发现主要是由非特异胆碱酯酶反应的胆碱酯酶阳性神经及其终末分枝——各种形式的游离神经末梢以后,我们就把这一结果用来探讨与针刺传入的关系,由于临床针麻手术也常常把针刺入组织中,特别是切口旁针完全是在皮下组织中。我们首先实验了针剌相当于穴位的皮下组织,在动物提高痛阈生理指标的基础上,探讨与针刺镇痛有关的感受器和传入神经。     

针刺及某些神经介质对延脑巨细胞核神经元痛反应的影响

<正> 应用各种不同的实验方法证明:针刺镇痛过程中常伴随着中枢神经系统介质的变化,而改变中枢的介质水平可影响针刺镇痛的效果,说明神经介质在针刺镇痛过程中起着重要的作用。已知延脑网状结构巨细胞核是痛觉传递的一个驿站,并参与针刺镇痛作用。我们应用多管微电极电泳的方法,试图观察某些神经介质对这一核团神经元痛反应的影响,并与针刺的作用进行比较.     

尾核和多巴胺神经元与针刺镇痛的关系

本文共分两部分。第一部分简要地叙述了尾核的问题。(1)尾核的神经联系:最重要的多巴胺纤维系统之一——黑质纹体束的细胞体位于黑质致密部。该束由黑质通向尾核。同时,也存在纹体黑质束,致使尾核和黑质之间得以互相影响机能活动。(2)尾核各神经元间的联系:在尾核各神经元联系的通路上存在一个胆硷能的中间环节,尾核的多巴胺能神经末梢通过它影响尾核本身的及下行至黑质的 GABA 神经元的活动。控制黑质纹体束多巴胺通路的抑制性神经反馈作用,似乎包括使尾核的胆硷能中间神经元失活,从而使支配黑质多巴胺神经细胞的抑制性下行 GABA 能通路的活性增高。(3)多巴胺受体的性质:介绍了兴奋性多巴胺受体和抑制性多巴胺受体的学说。描述了多巴胺受体的组织化学、生物学、电生理学、药理学以及机能上的特点。设想兴奋性多巴胺受体可能位于突触前部位,而抑制性多巴胺受体则位于突触后部位。第二部分尾核和针刺麻醉。实验表明,尾核具有提高痛阈,加强针麻镇痛的作用。但是,尾核镇痛作用的机理尚未阐明。有些实验提示,尾核的多巴胺递质系统有对抗针刺镇痛的效应。     

EFFECT OF ACUPUNCTURE ON SERUM GLUCAGON AND IMMUNOCYTOKINE LEVELS IN TYPE II DIABETES PATIENTS

From 1980 on, under the guidance of Professor Wei Jia, a well-known acupuncturology specialist, we have been conducting clinical and experimental researches on acupuncture treat -ment of diabetes mellitus (DM) and explored its action mechanisms[1~2I, including observation on the clinical therapeutic effect of acupuncture in the treatment of complications of the heart, brain and peripheral nerve, etc. of diabetes typeii~~~' and a series of studies on acupoint tissue transplantation derived fro…     

暗示对针麻效果影响的观察

<正> 针刺麻醉的大量临床实践和实验研究已经证明,针刺具有调整和镇痛作用。可作为麻醉的手段之一。但心理因素,如其中的暗示作用,在针麻中有何意义,还存在不同看法。国外有人认为,针麻就是一种催眠暗示性的麻醉,多数人意见相反,有人进而用实验证明其机理是不同的。我国于1973年即有工作看到,暗示感受性高的人