应用上唇系带龈交穴诊治痔病的机制探讨

Mechanism of Diagnosis and Treatment of Hemorrhoids by Stimulating Acupoint Yinjiao at Upper-labial Frenum

回顾分析应用上唇系带龈交穴诊治痔病的文献,并应用神经元汇聚投射理论讨论了其机制。唇系带龈交穴布有三叉神经上颌神经分支,从发生的角度来看属于鳃弓神经,其传入中枢核团主要是三叉神经脊束核和孤束核;而肛垫上皮具有泄殖腔的特征,与泄殖腔源的神经支配是相同的,主要是阴部神经和盆腔神经,其传入脊髓核团是骶髓后连合核。上述两者继而又共同投射到了臂旁核,我们猜想其上下两者的二级神经传入汇聚于臂旁核发生机能整合,产生新的神经效应,这可能是通过上唇系带龈交穴诊治痔病的神经机制。

The literature of diagnosis and treatment of hemorrhoids by observing and stimulating acupoint Yinjiao at upper-labial frenum was reviewed, and the mechanism was discussed by the theories based on neuronal convergence projection and human body longitudinal symmetry. Yinjiao at upper-labial frenum was innervated by the branches of trigeminal nerve, derived from the branchial arch nerve developmentally, of which the primary afferent nerve projected to nucleus of spinal tract of trigeminal and nucleus of solitary tract, while the anal cushions, characterized by cloacal epithelium, were innervated by the pudendal nerve and pelvic nerve same as cloaca innervation, of which the primary afferent nerve projected to sacral dorsal commissural nucleus.Subsequently, both of which co-projected to the parabrachial nucleus, in which this author hypothesized that the upper and the lower secondary afferent fibers possibly converged onto, producing new neuronal effect by functional integration.