摘要
AIM: To investigate the effect and mechanism of acupuncture at heterotopic acupoints on jejunal motility, particularly in pathological conditions.
AIM:To investigate the effect and mechanism of acupuncture at heterotopic acupoints on jejunal motility,particularly in pathological conditions.METHODS:Jejunal motility was assessed using a manometric balloon placed in the jejunum approximately18-20 cm downstream from the pylorus and filled with approximately 0.1 m L warm water in anesthetized normal rats or rats with diarrhea or constipation.The heterotopic acupoints including LI11(Quchi),ST37(Shangjuxu),BL25(Dachangshu),and the homotopic acupoint ST25(Tianshu),and were stimulated for 60 s by rotating acupuncture needles right and left at a frequency of 2 Hz.To determine the type of afferent fibers mediating the regulation of jejunal motility by manual acupuncture,the ipsilateral sciatic A or C fibers of ST37 were inactivated by local application of the A-fiber selective demyelination agent cobra venom or the C fiber blocker capsaicin.Methoctramine,a selective M2 receptor antagonist,was injected intravenously to identify a specific role for M2 receptors in mediating the effect of acupuncture on jejunal motility.RESULTS:Acupuncture at heterotopic acupoints,such as LI11 and ST37,increased jejunal motility not only in normal rats,but also in rats with constipation or diarrhea.In normal rats,manual acupuncture at LI11 or ST37 enhanced jejunal pressure from 7.34±0.19 cmH2O to 7.93±0.20 cm H2O,an increase of 9.05%±0.82%(P<0.05),and from 6.95±0.14 cm H2O to 8.97±0.22cm H2O,a significant increase of 27.44%±1.96%(P<0.01),respectively.In constipated rats,manual acupuncture at LI11 or ST37 increased intrajejunal pressure from8.17±0.31 cm H2O to 9.86±0.36 cm H2O,an increase of 20.69%±2.10%(P<0.05),and from 8.82±0.28cm H2O to 10.83±0.28 cm H2O,an increase of 22.81%±1.46%(P<0.05),respectively.In rats with diarrhea,MA at LI11 or ST37 increased intrajejunal pressure from 11.95±0.35 cm H2O to 13.96±0.39 cm H2O,an increase of 16.82%±2.35%(P<0.05),and tended to increase intrajejunal pressure(from 12.42±0.38 cm H2O to 13.05±0.38 cm H2O,an increase of 5.07%±1.08%,P
基金
Supported by National Basic Research Program of China grant(to Zhu B),No.2011CB505201
National Natural Science Foundation of China No.81130063 and No.81173345(to Zhu B and Gao X)
