Dong Chengtong, Li Yunshan, Huang Shansheng, Zhao Singqiu, (Department of Pathophysiology, Hepei Medical College.)
Wei Chengrui, Cai Xianzhen, (260th Hospital of PLA.)
Lu Zhinan, Zheng Lanting, (Shijiazhuang School of Traditional Chinese Medicine.)
Physicians of traditional Chinese medicine have long recognized that in the course of a disease there existed manifestations of hypofunction (xu) or hyperfunction of the organism (shi). No matter what kinds of diseases, they are bound to show either the xu or the shi nature. In case of xu apply the bu (re-enforcing) method and in case of "shi" apply the "xie" (reducing) method. This is a fundamental therapeutic principle of acupuncture. In the present study, therefore, we investigated the effect of acupuncture manipulation on the functions of the organism and the relationships between bu and xie and between xu and shi. More than 800 observations were made on normal subjects and patients. Manipulations after insertion of needle used are the following: "Warm producing" (bu) and "cool producing" (xie); lifting and thrusting combined with twisting and twirling; and even movements (shi with needle remained in the point for 30 minutes). The results are summarized as follows:
1. Manipulation methods of "bu" and "xie" produce different effects.
After inserting the needle into the traditional point, manipulation of "bu" caused a warming sensation beneath the needle and at the same time, the plethysmographic curve elevated, while the pulse propagating velocity decreased, indicating that the blood vessels became dilated. On the contrary, manipulation of "xie" elicited a cooling sensation beneath the needle, the plethysmographic line descended and pulse propagating velocity increased, indicating vasoconstriction. If the acupuncture manipulation was firstly "bu" and followed by "xie" in the same case of observation, the effect of manipulation on the blood vessels was firstly dilation followed by constriction. On the other hand, if the manipulation was firstly "xie" and followed by "bu", blood vessels firstly constricted and subsequently dilated. The results show that the effect of acupuncture manipulation on the blood vessels was due to the manipulation itself, and not due to changes of temperature beneath the needle.
After inserting the needle into the point, in the majority of cases, the manipulation of "bu" ("warm producing" and even movements) produced a state of decreased subordinate motor chronaxie and optical chronaxie, it is suggested that the excitability of cortical motor analyser and optical analyser was increased. The manipulation of "xie" ("cool producing" and even movements) caused an increase in subordinate motor chronaxie and optical chronaxie, suggesting the possibility that an increase in chronaxie could reflect reduction in the excitability of the central nervous system.
2. There is a correlation between the efficacy of manipulation methods and the activity of organic function.
In patients with significant presenting symptoms and signs, the effect of "bu" and "xie" was identical with that in normal subjects and patients after recovery from symptoms and signs. We found that the patients with apparent "xu", were weakly responsive to the manipulation of "bu", or even not responsive at all. In case of "shi", the patients exhibited incompatible response; i.e., manipulation of "bu" caused weak response or unresponse, manipulation of "xie" elicited vasodilatation, or further augmented the response on the induced vasodilatation by preliminary administration of "bu".
3. The effects of acupuncture manipulation methods on the different systems and organs are different.
The effects of various manipulation methods of "bu" and "xie" on the blood vessel were similar; i.e., manipulation methods of "bu" all elicited vasodilation, manipulation methods of "xie" all caused vasoconstriction. On the contrary, various manipulation methods of "bu" and "xie" elicited contrary effects on the central nervous system. The manipulation of "warm reenforcing" and even movements ("bu") elicited an increase in the excitability of the CNS; "cold reducing" and even movements ("xie") produced a state of decreased excitability of the CNS, while another manipulation method caused reverse effects.
The effects of manipulation of "bu" and "xie" not only depend on the kinds of manipulation methods, but also on the symptoms and signs, "xu" and "shi", and the degree of "xu" and "shi".
Wei Chengrui, Cai Xianzhen, (260th Hospital of PLA.)
Lu Zhinan, Zheng Lanting, (Shijiazhuang School of Traditional Chinese Medicine.)
Physicians of traditional Chinese medicine have long recognized that in the course of a disease there existed manifestations of hypofunction (xu) or hyperfunction of the organism (shi). No matter what kinds of diseases, they are bound to show either the xu or the shi nature. In case of xu apply the bu (re-enforcing) method and in case of "shi" apply the "xie" (reducing) method. This is a fundamental therapeutic principle of acupuncture. In the present study, therefore, we investigated the effect of acupuncture manipulation on the functions of the organism and the relationships between bu and xie and between xu and shi. More than 800 observations were made on normal subjects and patients. Manipulations after insertion of needle used are the following: "Warm producing" (bu) and "cool producing" (xie); lifting and thrusting combined with twisting and twirling; and even movements (shi with needle remained in the point for 30 minutes). The results are summarized as follows:
1. Manipulation methods of "bu" and "xie" produce different effects.
After inserting the needle into the traditional point, manipulation of "bu" caused a warming sensation beneath the needle and at the same time, the plethysmographic curve elevated, while the pulse propagating velocity decreased, indicating that the blood vessels became dilated. On the contrary, manipulation of "xie" elicited a cooling sensation beneath the needle, the plethysmographic line descended and pulse propagating velocity increased, indicating vasoconstriction. If the acupuncture manipulation was firstly "bu" and followed by "xie" in the same case of observation, the effect of manipulation on the blood vessels was firstly dilation followed by constriction. On the other hand, if the manipulation was firstly "xie" and followed by "bu", blood vessels firstly constricted and subsequently dilated. The results show that the effect of acupuncture manipulation on the blood vessels was due to the manipulation itself, and not due to changes of temperature beneath the needle.
After inserting the needle into the point, in the majority of cases, the manipulation of "bu" ("warm producing" and even movements) produced a state of decreased subordinate motor chronaxie and optical chronaxie, it is suggested that the excitability of cortical motor analyser and optical analyser was increased. The manipulation of "xie" ("cool producing" and even movements) caused an increase in subordinate motor chronaxie and optical chronaxie, suggesting the possibility that an increase in chronaxie could reflect reduction in the excitability of the central nervous system.
2. There is a correlation between the efficacy of manipulation methods and the activity of organic function.
In patients with significant presenting symptoms and signs, the effect of "bu" and "xie" was identical with that in normal subjects and patients after recovery from symptoms and signs. We found that the patients with apparent "xu", were weakly responsive to the manipulation of "bu", or even not responsive at all. In case of "shi", the patients exhibited incompatible response; i.e., manipulation of "bu" caused weak response or unresponse, manipulation of "xie" elicited vasodilatation, or further augmented the response on the induced vasodilatation by preliminary administration of "bu".
3. The effects of acupuncture manipulation methods on the different systems and organs are different.
The effects of various manipulation methods of "bu" and "xie" on the blood vessel were similar; i.e., manipulation methods of "bu" all elicited vasodilation, manipulation methods of "xie" all caused vasoconstriction. On the contrary, various manipulation methods of "bu" and "xie" elicited contrary effects on the central nervous system. The manipulation of "warm reenforcing" and even movements ("bu") elicited an increase in the excitability of the CNS; "cold reducing" and even movements ("xie") produced a state of decreased excitability of the CNS, while another manipulation method caused reverse effects.
The effects of manipulation of "bu" and "xie" not only depend on the kinds of manipulation methods, but also on the symptoms and signs, "xu" and "shi", and the degree of "xu" and "shi".
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