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Neural mechanism of acupuncture-modulated gastric motility

World Journal of Gastroenterology 2007年第5期13卷 709-716页

作者： Yu-Qing Li Bing Zhu Pei-Jing Rong Hui Ben Yan-Hua Li Institute of Acupuncture-Moxibustion China Academy of Chinese Medical Sciences 16 Nanxiaojie of Dongzhimennei Beijing 100700 China Faculty of Acupuncture Hubei College of Traditional Chinese Medicine Wuhan 430061 Hubei Province China

AIM: To investigate the acupuncture-modulated gastric motility and its underlying neural ***: Intragastric pressure and/or waves of gastric contraction in rats were recorded by intrapyloric balloon and changes of gastric motility induced by acupuncture stimulation were compared with the background activity before any stimulation. Gastro-vagal or splanchnic-sympathetic nerves were recorded or cut respectively for investigating the involvement of autonomic nerve pathways. Spinalization experiment was also ***: Acupuncture-stimulation by exciting Aδ and/or C afferent fibers, could only modulate gastric motility. Acupuncture-stimulation on fore- and hind-limbs evoked a moderate gastric motility followed by increased vagus discharges with unchanged sympathetic activity, while the same stimulus to the acupoints in abdomen resulted in reversed effects on gastric motility and autonomic nervous activities. The inhibitory gastric response was completely abolished by splanchnic denervation, but the facilitative gastric response to stimulation of acupoints in limbs was not influenced, which was opposite to the effect when vagotomy was performed. The similar depressive effects were produced by the stimulation at the acupoints homo-segmental to the gastric innervation in the animals with or without spinalization. However, the facilitation induced by the stimulation at the acupoints hetero-segmental to the gastric innervation was not observed in the spinalized ***: Facilitative effects of stimulating hetero-segmental acupoints are involved in the intact preparation of vagal nerves and spinal cord, while the inhibitory response induced by stimulating homo-segmental acupoints is involved in the intact preparation of sympathetic nerves. Only the acupuncture-stimulation with intensity over the threshold of Aδ and/or C afferent fibers can markedly modulate gastrointestinal motility.

关键词： Gastric motility Acupuncture-stimulation Intensity of acupuncture stimulation aδ-fiber C-fiber Autonomic nervous system Supraspinal circuit

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