Abstract

According to the classic theory of Chinese medicine, pain is due to the blockage in meridian channels, and acupuncture was invented to treat pain by “dredging” the channels. To test the theory, a hyperalgesia model was made by injecting hydrogel into low hydraulic resistance channel (LHRC) in 12 anaesthetized minipigs. Tail-flick threshold and ear-flick threshold were measured using a thermal radiation dolorimeter, and relative flick threshold (RFT) was calculated. Hydraulic resistance (HR) was measured with a biological HR measuring instrument on low HR points on LHRC and on control points with higher HR located outside LHRC; readings were recorded before, during, and after acupuncture treatment. RFT decreased after blocking the LRHC and was still significantly decreased 2 days and 4 days afterwards. No significant changes occurred when injecting saline into the same points or injecting gel into points outside the channel. Subsequent acupuncture reduced HR on LRHC along meridians but had no significant effect on sites with higher HR located outside LHRC. One of the mechanisms of action of acupuncture treatment for chronic pain may be that acupuncture affects peripheral tissue by reducing the HR in LHRC along meridians, improving the flow of interstitial fluid and removing algogenic substances and thereby relieving pain.

Highlights

  • One-way ANOVA analysis showed a significant decrease of relative flick threshold (RFT) in the Low hydraulic resistance points (LHRP) group (F[3,76] = 7.977, P = 0.000)

  • In the LHRP group, there were no significant differences between the RFT before and immediately after the injection, while the RFT significantly decreased after 2 days and 4 days compared with the RFT before and immediately after the injection

  • The results showed a slight decrease of RFT in all three groups immediately after the injection, it was not significant

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Summary

Introduction

According to The Yellow Emperor’s Inner Canon, compiled between 206 BCE and 220 CE, there are meridians and collaterals in the human body constituting a network of channels through which qi and blood flow. Diseases, such as pain, are caused by qi stagnation or blood stasis of the channels which slows down the flow of qi and blood. A recent meta-analysis showed that acupuncture can effectively relieve chronic pain [2] If such curative effects could be adequately explained by modern medical science, we would not need to consider the existence of meridian channels.

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