Meridian Effect Research Articles

Harmonic effects of sham acupuncture at Tsu San Li (St-36) in the radial pulse wave.

Acupuncture has been criticized as a theatrical placebo for the sham effect. Unfortunately, sham tests used in control groups in acupuncture studies have always ignored the underlying biophysical factors, including resonance involved in acupuncture points and meridians. In this study, the effects of sham acupuncture at Tsu San Li (St-36) were examined by analyzing noninvasive 30-sec. recordings of the radial arterial pulses for 3 groups of patients treated with different probes (blunt, sharp, and patch) on the superficial skin of the acupuncture point. The 3 groups were then treated with the sharp probe for 3 different periods (16, 30, and 50s). Then we compared the harmonics of the radial arterial pulse after Fourier transformation before and after the treatment. Our results indicated that different probes have effects similar to needle insertion at Tsu San Li. Meanwhile, the harmonic effect of the sharp probe strengthened as time increased. This study revealed that the meridian effect of sham testing from mechanical stimulation, even from simple touch, on an acupuncture point, should not be overlooked. Thus, even simple touch can be added to electrical or laser acupuncture.

Comparison of the Effects of Myofascial Meridian Stretching Exercises and Acupuncture in Patients with Low Back Pain.

Acupuncture and myofascial meridians show great anatomical and clinical compatibility. We aimed to compare the effects of myofascial meridian stretching exercises and acupuncture in patients with low back pain. We randomized 81 subjects with acute/subacute low back pain into three groups: an acupuncture (A) group, a myofascial meridian stretching (MMS) group, and a control (C) group. We recorded the Numerical Rating Scale (NRS) and Roland- Morris Disability Questionnaire (RMQ) scores at baseline and weeks two and six. We evaluated posterior pelvic tilt and transversus abdominis muscle strenghth with a pressure biofeedback unit, back extensor muscle strength by the Sorenson test, and lumbar range of motion (ROM) with an inclinometer. Group A received acupuncture (BL 57 and BL 62 acupoints) and stretching exercises according to the posterior superficial line were applied to the MMS group. Improvements in the NRS score were more prominent in group A than in group C (p = 0.004). The RMQ score improvement between baseline and weeks two and six was more prominent in groups A and MMS (p < 0.001, p = 0.001, respectively). The Sorenson test showed significant improvement between the baseline and week two in groups A and MMS (p = 0.004, p < 0.001, respectively). The increase in lumbar ROM measurement in the MMS group between baseline and week two was significantly higher than in groups A and C (p = 0.009, p < 0.001, respectively). Stretching exercises according to the myofascial meridian system and acupuncture contributed to improved symptoms in the first two weeks in patients with acute/subacute low-back pain.

Ziziphus jujuba Mill., a plant used as medicinal food: a review of its phytochemistry, pharmacology, quality control and future research

Jujubae Fructus (ZJF) [called Dazao (大枣) in Chinese], the fruit of Ziziphus jujuba Mill. (ZJ), is utilized as a food and traditional medicine in China. In TCM use, ZJF is traditionally used to treat and nourish the stomach, tonify the spleen, and nourish the blood, as well as for overall nourishing and strength. According to the available literature from 1974 to March 2019, more than 278 compounds have been isolated and identified from ZJ. Local books, papers and dissertations were also searched. The aim of this review was to examine this plant’s traditional uses, botany, phytochemistry, pharmacological effects, toxicity, pharmacokinetics, quality control and economically important uses. In vivo and in vitro scientific investigations have initially confirmed its pharmacological potential by showing anti-inflammatory, antioxidant, antimicrobial, gastrointestinal protective, cardiovascular, neuroprotective, anticancer, anti-HIV, sedative-hypnotic and anxiolytic effects. Bioactive metabolites belonging to different classes are responsible for these activities, including triterpenoid acids, saponins, cyclopeptide alkaloids, flavonoids and neo-lignans, which are considered the characteristic and active components of ZJ. The TCM use of ZJF, including tonifying and replenishing the middle Qi and nourishing the blood to tranquilize, is based on its gastrointestinal protective, cardiovascular, neuroprotective, sedative-hypnotic and anxiolytic properties. Its detoxification effects are attributed to its anti-inflammatory, antiviral, anticancer and antibacterial activities. Moreover, the TCM characteristics of ZJF (sweet flavour; warm nature; and spleen, stomach, and heart meridian effects) support its traditional uses and pharmacological effects. We encourage more studies to further clarify the relationship between modern applications and traditional uses in the future. Furthermore, no one has studied ZJ blossoms, and researchers should allocate more time to the study of ZJ blossoms. Additionally, unsolved problems include the scientific principle of the Chinese material medica processing [CMMP (中药炮制) in Chinese] of ZJF, the molecular mechanisms of the biological activity of ZJ and its other medicinal parts, the overall pharmacokinetics rather than single molecule pharmacokinetics, the efficacy and the toxicology. All of the unsolved problems noted above require further study.

Professor WU Zhong-chao's clinical experiences of "syndrome differentiation and Chinese herbal plaster application" based on meridian and zangfu theories

Focusing on the limits of the plaster application of Chinese herbal medicine in clinical practice, i.e. limit in the region exerted, inadequate meridian effect, more attention to the exterior rather than the interior and limit in the application of zangfu differentiation, professor WU Zhong-chao proposes his clinical experiences in the plaster application of Chinese herbal medicine based on meridian and zangfu differentiation, including: The Chinese herbal plaster application alone meridian course guided by meridian differentiation. Multidimensional plaster application on the base of the meridian differentiation of muscle region. Split-field plaster application by taking collateral differentiation as principle. Selective plaster application in association with disease differentiation. Specific plaster application rooted on zangfu differentiation.

Preparation of saccade sequences and eye programming affect endogenous covert attention.

Endogenous attention can be allocated in parallel to at least two saccade target locations of a planned sequence, but attentional resources are larger in the location of the first than the second saccade. The meridian effect that is observed in endogenous attention can be explained by eye programming, but it is not known how eye-movement preparation and eye programming can together affect endogenous attention during sequential saccades. We used a double-task paradigm to investigate this issue. In two experiments, we confirmed the relation between the preparation of sequential saccades and attentional selection and also showed that eye programming could eliminate deterioration of attentional resources in the second saccade location. The finding of the meridian effect in both the saccadic task and the target discrimination task additionally indicates the important role of eye programming in endogenous attention. The results were discussed in terms of the Premotor Theory of Attention.

Effects of simulated anisometropia and aniseikonia on stereopsis.

Stereopsis depends on horizontally disparate retinal images but otherwise concordance between eyes. Here we investigate the effect of spherical and meridional simulated anisometropia and aniseikonia on stereopsis thresholds. The aims were to determine effects of meridian, magnitude and the relative effects of the two conditions. Ten participants with normal binocular vision viewed McGill modified random dot stereograms through synchronised shutter glasses. Stereoacuities were determined using a four-alternative forced-choice procedure. To induce anisometropia, trial lenses of varying power and axes were placed in front of right eyes. Seventeen combinations were used: zero (no lens) and both positive and negative, 1 and 2 D powers, at 45, 90 and 180 axes; spherical lenses were also tested. To induce aniseikonia 17 magnification power and axis combinations were used. This included zero (no lens), and 3%, 6%, 9% and 12% at axes 45, 90 and 180; overall magnifications were also tested. For induced anisometropia, stereopsis loss increased as cylindrical axis rotated from 180° to 90°, at which the loss was similar to that for spherical blur. For example, for 2 D meridional anisometropia threshold increased from 1.53 log sec arc (i.e. 34sec arc) for x 180 to 1.89 log sec arc (78sec arc) for x 90. Anisometropia induced with either positive or negative lenses had similar detrimental effects on stereopsis. Unlike anisometropia, the stereopsis loss with induced meridional aniseikonia was not affected by axis and was about 64% of that for overall aniseikonia of the same amount. Approximately, each 1 D of induced anisometropia had the same effect on threshold as did each 6% of induced aniseikonia. The axes of meridional anisometropia but not aniseikonia affected stereopsis. This suggests differences in the way that monocular blur (anisometropia) and interocular shape differences (aniseikonia) are processed during the production of stereopsis.

Baseline retinal OCT measurements in normal female beagles: The effects of eccentricity, meridian, and age on retinal layer thickness.

Our aim was to generate baseline optical coherence tomography (OCT) measurements of retinal thickness in female Beagles and to determine how these are affected by meridian, eccentricity, and age. Twenty-three female Beagles, including six puppies (<6months old), six mature (1.8-8.2years old), and 11 elderly dogs (>11years old) were studied. Both retinas of each dog were scanned (in 4 principal meridians) using the Heidelberg Spectralis following ophthalmic examination, refraction, and sedation. In each eye and each meridian, total retinal, outer retinal, and nerve fiber layer (NFL) thickness were measured from the disc rim up to 6mm peripherally. The canine retina is thickest dorsally and thinnest ventrally. Total retinal, outer retinal, and NFL thickness decrease progressively and significantly as a function of eccentricity. The greatest eccentricity-dependent thinning occurs dorsally. This thinning is due mostly to NFL tapering, while the eccentricity-dependent change in outer retinal thickness is more moderate, especially in the lateral meridian, possibly due to the presence of the visual streak. The retina is thickest in puppies, but there were no significant differences between mature and elderly dogs. Our results provide normative values for total, outer, and inner retinal thickness in female dogs and may facilitate OCT use in the diagnosis of canine glaucoma and inherited retinopathies.

Distribution of cone density, spacing and arrangement in adult healthy retinas with adaptive optics flood illumination.

The aim of this article is to analyse cone density, spacing and arrangement using an adaptive optics flood illumination retina camera (rtx1™) on a healthy population. Cone density, cone spacing and packing arrangements were measured on the right retinas of 109 subjects at 2°, 3°, 4°, 5° and 6° of eccentricity along 4 meridians. The effects of eccentricity, meridian, axial length, spherical equivalent, gender and age were evaluated. Cone density decreased on average from 28 884 ± 3 692 cones/mm2, at 2° of eccentricity, to 15 843 ± 1 598 cones/mm2 at 6°. A strong inter-individual variation, especially at 2°, was observed. No important difference of cone density was observed between the nasal and temporal meridians or between the superior and inferior meridians. However, the horizontal and vertical meridians differed by around 14% (T-test, p<0.0001). Cone density, expressed in units of area, decreased as a function of axial length (r2 = 0.60), but remained constant (r2 = 0.05) when cone density is expressed in terms of visual angle supporting the hypothesis that the retina is stretched during the elongation of the eyeball. Gender did not modify the cone distribution. Cone density was slightly modified by age but only at 2°. The older group showed a smaller density (7%). Cone spacing increased from 6,49 ± 0,42 μm to 8,72 ± 0,45 μm respectively between 2° and 6° of eccentricity. The mosaic of the retina is mainly triangularly arranged (i.e. cells with 5 to 7 neighbors) from 2° to 6°. Around half of the cells had 6 neighbors.

Target-object integration, attention distribution, and object orientation interactively modulate object-based selection.

The representational basis of attentional selection can be object-based. Various studies have suggested, however, that object-based selection is less robust than spatial selection across experimental paradigms. We sought to examine the manner by which the following factors might explain this variation: Target-Object Integration (targets 'on' vs. part 'of' an object), Attention Distribution (narrow vs. wide), and Object Orientation (horizontal vs. vertical). In Experiment 1, participants discriminated between two targets presented 'on' an object in one session, or presented as a change 'of' an object in another session. There was no spatial cue-thus, attention was initially focused widely-and the objects were horizontal or vertical. We found evidence of object-based selection only when targets constituted a change 'of' an object. Additionally, object orientation modulated the sign of object-based selection: We observed a same-object advantage for horizontal objects, but a same-object cost for vertical objects. In Experiment 2, an informative cue preceded a single target presented 'on' an object or as a change 'of' an object (thus, attention was initially focused narrowly). Unlike in Experiment 1, we found evidence of object-based selection independent of target-object integration. We again found that the sign of selection was modulated by the objects' orientation. This result may reflect a meridian effect, which emerged due to anisotropies in the cortical representations when attention is oriented endogenously. Experiment 3 revealed that object orientation did not modulate object-based selection when attention was oriented exogenously. Our findings suggest that target-object integration, attention distribution, and object orientation modulate object-based selection, but only in combination.

The meridian effect on the cortical magnification factor for visual word form identification

The meridian effect on the cortical magnification factor for visual word form identification

Exogenous and endogenous spatial attention effects on visuospatial working memory

In this study, we investigate how exogenous and endogenous orienting of spatial attention affect visuospatial working memory (VSWM). Specifically, we focused on two attentional effects and their consequences on storage in VSWM, when exogenous (Experiment 1) or endogenous (Experiment 2) orienting cues were used. The first effect, known as the meridian effect, is given by a decrement in behavioural performance when spatial cues and targets are presented in locations separated by vertical and/or horizontal meridians. The second effect, known as the distance effect, is given by a decrement in the orienting effects as a function of the spatial distance between cues and targets. Our results revealed a dissociation between exogenous and endogenous orienting mechanisms in terms of both meridian and distance effects. We found that meridian crossing affects performance only when endogenous cues were used. Specifically, VSWM performance with endogenous cueing depended more on the number of meridian crossings than on distance between cue and target. By contrast, a U-shaped distance dependency was observed using exogenous cues. Our findings therefore suggest that exogenous and endogenous orienting mechanisms lead to different forms of attentional bias for storage in VSWM.

A Neurovascular Transmission Model for Acupuncture-induced Nitric Oxide

Acupuncture is the practice of inserting needles into the body to reduce pain or induce anesthesia. More broadly, acupuncture is a family of procedures involving the stimulation of anatomical locations on or in the skin by a variety of techniques. Employing acupuncture to treat human disease or maintain bodily condition has been practiced for thousands of years. However, the mechanism(s) of action of acupuncture at the various meridians are poorly understood. Most studies have indicated that acupuncture is able to increase blood flow. The acupuncture points have high electrical conductance and a relationship of the acupuncture points and meridians with the connective tissue planes and the perivascular space has also been suggested. Several studies employing the human and animal models have shown that acupuncture enhances the generation of nitric oxide (NO) and increases local circulation. Specifically, electroacupuncture (EA) seems to prevent the reduction in NO production from endothelial NO synthetase (eNOS) and neuronal NO synthase (nNOS) that is associated with hypertension and this process involves a stomach-meridian organ but not a non-stomach-meridian organ such as the liver. How can we explain the phenomena of EA and meridian effect? Here, we proposed a neurovascular transmission model for acupuncture induced NO. In this proposed model, the acupuncture stimulus is able to influence connective tissue via mechanical force transfer to the extracellular matrix (ECM). Through the ECM, the mechanotransduction stimulus can be translated or travel from the acupuncture points, which involve local tissue and cells. Cells in the local tissue that have received mechanotransduction induce different types of NO production that can induce changes in blood flow and local circulation. The local mechanical stress produced is coupled to a cyclic strain of the blood vessels and this could then change the frequency of resonance. According to the resonance theory, an oscillatory pattern of NO formation might occur in that specific organ. Therefore, the artery tree would then change the blood distribution and microcirculation of various organs and as a result further affect the production of NO.

Are vertical meridian effects due to audio-visual interference? A new confirmation with deaf subjects

Purpose. Specific increases of reaction times (RTs) were found in normal subjects, when endogenous spatial cues and targets were separated by the vertical visual meridian (VM) or by the vertical auditory (AM) meridian, when targets were either visual or auditory. The aim of this study was to assess if this effect could be attributed to longer RTs needed to shift activation between the hemispheres, or rather to different spatial maps underlying visual and auditory attention.Method. We tested the VM effect in deaf subjects. If the shifting of activation from one hemisphere to the other causes the increase in RTs, then no differences between normal and sensory disabled people should take place, as the incoming perceptual information in the residual modality uses the same neural pathways while crossing the vertical meridian. Conversely, if the vertical meridian effects are related to the spatial representation systems underlying endogenous orienting mechanisms, then the lack of the auditory perceptual system in deaf people may have determined different organization processes in the brain circuits, strongly affecting the orienting mechanisms of spatial attention.Results. Compared with a control group of hearing subjects, we found no evidence of the VM effect in deaf subjects.Conclusions. This finding, jointly with those of a previous experiment which showed no AM effect on blind subjects (Olivetti Belardinelli & Santangelo 2005) supports the idea of different spatial maps underlying visual and auditory attention, and suggests that their co-existence may induce interference effects in space processing, giving rise to the anisotropic representation of visual and auditory spaces, observed in normal subjects.

Human brain activation elicited by the localization of sounds delivering at attended or unattended positions: an fMRI/MEG study

The visual meridian effect, as a consequence of programming the necessary ocular movements for visual object localization (Rizzolatti et al. 1987), was interpreted as an evidence of a supramodal network for visual attention to space, which may be critical for reorienting the focus of attention toward stimuli appearing at unattended locations. This hypothesis was confirmed in a behavioural study also for auditory and for bimodal audio–visual stimulation (Ferlazzo et al. 2001). The present study is aimed at observing: the cerebral circuit underling the auditory meridian effect; whether this circuit is related with the network involved in reorienting the focus of attention toward stimuli appearing at an unattended location; whether a functional temporal dynamics can be defined in these areas.

Audio-visual dynamic remapping in an endogenous spatial attention task

Several studies on cross-modal attention showed that remapping processes between sensory modalities occur in the spatial orienting of attention. One hypothesis that accounts for such links is that spatial attention operates upon representations of common locations in the external space. However, convincing evidence only exists for cross-modal links in spatial orienting, leaving the dynamics of these effects unexplored. Four experiments were designed to cope with this issue by having participants being involved in an endogenous orienting task to visual and auditory target stimuli. Targets on invalid trials were embedded into two different kinds of sequences of stimuli: (1) long sequences, wherein three valid trials in one modality preceded the invalid trial in the other modality; (2) short sequences, wherein only one valid trial in one modality preceded the invalid trial in the other modality. Results revealed modality-specific meridian effects in the short sequences, and a significant decrement of the modality-specific meridian effect in the long sequences. The results of these experiments indicate that cross-modal links in visual and auditory spatial attention are based on representations of common locations in the external space across sensory modalities. Moreover, the results strongly support the hypothesis that representations of space are dynamically built and updated according to task demands.

Indications for two attentional gradients in endogenous visual-spatial attention

Four experiments were designed to investigate the meridian effect on attentional orienting (characterized by a larger cost when the cue and target fall in different visual fields relative to when they fall in the same fields) when employing an endogenous cue. In Experiment 1 a circular display of eight boxes was employed and no meridian effect was found. In Experiment 2 three displays were compared: Semicircular, vertical, and horizontal. No meridian effect was found in the semicircular display. However, in the two linear displays (vertical, horizontal) there was a significant meridian effect. Experiments 3 and 4 were designed to investigate an attentional gradient hypothesis. In all experiments a distance effect was found. Nevertheless, the distance effect was not directly related to the actual distance between the target positions. The results suggest the existence of two attentional gradients that develop simultaneously in the visual field: an excitation gradient centred at the cued location (the strongest excitation) and an inhibition gradient, centred at the fixation point (the strongest inhibition).

The head-centered meridian effect: Auditory attention orienting in conditions of impaired visuo-spatial information

This paper examines the characteristics of spatial attention orienting in situations of visual impairment. Two groups of subjects, respectively schizophrenic and blind, with different degrees of visual spatial information impairment, were tested. In Experiment 1, the schizophrenic subjects were instructed to detect an auditory target, which was preceded by a visual cue. The cue could appear in the same location as the target, separated from it respectively by the vertical visual meridian (VM), the vertical head-centered meridian (HCM) or another meridian. Similarly to normal subjects tested with the same paradigm (Ferlazzo, Couyoumdjian, Padovani, and Olivetti Belardinelli, 2002), schizophrenic subjects showed slower reactions times (RTs) when cued, and when the target locations were on the opposite sides of the HCM. This HCM effect strengthens the assumption that different auditory and visual spatial maps underlie the representation of attention orienting mechanisms. In Experiment 2, blind subjects were asked to detect an auditory target, which had been preceded by an auditory cue, while staring at an imaginary point. The point was located either to the left or to the right, in order to control for ocular movements and maintain the dissociation between the HCM and the VM. Differences between crossing and no-crossing conditions of HCM were not found. Therefore it is possible to consider the HCM effect as a consequence of the interaction between visual and auditory modalities. Related theoretical issues are also discussed.

The Effects of Abdominal Meridian Massage on Menstrual Cramps and Dysmenorrhea in Full-time Employed Women

This study was designed to examine the effects of abdominal meridian(Kyongrak) massage on menstrual cramps and dysmenorrhea. Eighty-five women (of 110 screened) enrolled in this study and were employed full-time with more than 6.0 points (in 0-10.0 VAS scale) in menstrual cramps or more than 20 points on the dysmenorrhea scale (range 13-52). The forty-two participants in the experimental group received abdominal meridian massage for 5 minutes per day during 6 days from the fifth day before menstruation to the first day of menstruation and the forty-three participants in the control group didn't receive any treatment. Data were collected from June 1st to August 30th, 2003 and analyzed using descriptive statistics, chi2-test, and t-test. Menstrual cramps and dysmenorrhea of the experimental group were significantly lower after abdominal meridian massage than those of the control group (p<.001). Abdominal meridian(Kyongrak) massage was very effective for relief of menstrual cramps and dysmenorrhea. Therefore, we suggest that abdominal Kyongrak massage can be a useful nursing intervention for women with menstrual cramps or dysmenorrhea.

Head-centred meridian effect on auditory spatial attention orienting.

Six experiments examined the issue of whether one single system or separate systems underlie visual and auditory orienting of spatial attention. When auditory targets were used, reaction times were slower on trials in which cued and target locations were at opposite sides of the vertical head-centred meridian than on trials in which cued and target locations were at opposite sides of the vertical visual meridian or were not separated by any meridian. The head-centred meridian effect for auditory stimuli was apparent when targets were cued by either visual (Experiments 2, 3, and 6) or auditory cues (Experiment 5). Also, the head-centred meridian effect was found when targets were delivered either through headphones (Experiments 2, 3, and 5) or external loud-speakers (Experiment 6). Conversely, participants showed a visual meridian effect when they were required to respond to visual targets (Experiment 4). These results strongly suggest that auditory and visual spatial attention systems are indeed separate, as far as endogenous orienting is concerned.

The thalamus interrupts top-down attentional control for permitting exploratory shiftings to sensory signals.

When attention is involuntarily drawn in a direction different to that of the target, slower motor response times are observed (i.e. the meridian effect). Previous data suggested that the thalamus might participate in the generation of visual salience. What may be the role of the thalamus in the capture by luminance transients when attentional control is in action? A single experiment was administrated in a group of ten healthy volunteers as well as in a group of three patients with unilateral thalamic infarcts. Subjects participated in a task where attentional control was interrupted by a distractor. The meridian effect was present only in the performance of the healthy volunteers and when distractors occurred in the ipsilesional (intact) hemifield of the thalamic patients. These results suggest that when an important signal appears during attentional focalization, the thalamus interrupts current focalization and permits the compilation of an attentional program in the midbrain aiming at generating an orienting response towards the source of this signal.