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方剑乔,刘元亮,莫晓明,阮继源.电针巨刺与患侧针刺镇痛的临床与实验研究[J].中国中西医结合杂志,1994,(10):579-582
电针巨刺与患侧针刺镇痛的临床与实验研究
Clinical and Experimental Studies on Analgesic Effects of Ipsilateral and Contralateral Stimulations with Electro-acupuncture
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DOI:
中文关键词:  巨刺  患侧针刺  镇痛  中脑导水管周围灰质背侧部  神经元活动
英文关键词:contralateral stimulation  ipsilateral stimulation  electroacupuncture  analgesia  pain threshold  D-PAG  neuronal activity
基金项目:浙江省中医药管理局资助
作者单位
方剑乔 浙江中医学院针灸研究室 
刘元亮 浙江中医学院针灸研究室 
莫晓明 浙江中医学院针灸研究室 
阮继源 浙江中医学院针灸研究室 
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中文摘要:
      通过对65例疼痛症的电针治疗,比较了巨刺与患侧针刺的镇痛效应,证实了同、对侧刺激有相似的止痛作用。通过检测大鼠痛阈和记录D-PAG神经元活动,观察到同、对侧电针均不能提高一侧D-PAG损毁大鼠的痛阈,同、对侧电针"足三里"时,均能在一侧D-PAG核团记录到兴奋的细胞放电。实验结果表明巨刺与患侧针刺镇痛有着相同的高位中枢传入途径。
英文摘要:
      Through the treatment of 65 cases of painful diseases with electroacupuncture, in comparing with the analgesic effect of contralateral stimulation(CS) and ipsilateral stimulation(IS), it was verified that IS and CS had the similar effect on pain-relieving, while CS was better in improving motor impairment. By testing the rat’s pain threshold and recording the neuronal activity in the D-PAG,it was found that neither IS nor CS could increase the pain threshold in the unilateral D-PAG lesioned rats, and the excited neuronal discharge was recorded in the unilateral D-PAG by stimulating rat’s Zusanli(ST 36)at each side. It indicates that IS and CS might share the same high level afferent pathway in acupuncture analgesia in CNS.
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