RESUMEN
BACKGROUND: The functional MRI(fMRI),a harmless research method,has brought new perspective to the understanding of ancient needling methods. The correlation between meridian points and cerebrum has been studied with fMRI in different cerebral regions.OBJECTIVE: To observe the correlation between Kuangming( Luo-Connection Point,GB37)and Taichong(Shu-Stream and Yuan-Source point,Liv3)with fMRI in different cerebral regions.DESIGN: Randomized controlled experimental study based on healthy volunteers of medical college.SETTING: Department of acupuncture in a medical university of traditional Chinese medicine,basic medical college in a medical university of traditional Chinese medicine,medical radiology center of medical college of University Freiburg in Germany.PARTICIPANTS: This study was conducted in Medical Radiology Center of Medical College of University Freiburg in Germany in June 1997. In this study,altogether 19 healthy volunteers,4 males and 15 females with normal vision,were selected. All of them were medical students without any previous acupuncture experience and history of neurology and psychosis. All healthy volunteers were randomly divided into three groups,including visual stimulation + one- sided needling group( n =7,2 males and 5 females),visual stimulation + double-sided needling group (n = 6,1 male and 5 females)and only double-sided needling group( n = 6,1 male and 5 females).METHODS: The response of visual cortex and the relative areas,and whether there comes inducing function were observed by fMRI during puncturing at kuangming and taichong. All subjects were informed about the range of possible acupuncture sensation they might experience during needle manipulation before entering the magnet field. For acupuncture,a stainless immagnet acupuncture needle(with a diameter of 0.25 mm and a length of 30 mm. Huatuo Brand. Made in Suzhou Medical Inc. ) was used. All subjects were performed by one experienced acupuncturist.MAIN OUTCOME MEASURES: The changes,extent,delayed response,and time fluctuation of the cerebral cortex hemoglobin saturation level(BOLD).Whether the cerebral visual cortex domain was activated or not.RESULTS: There were no change of BOLD in visual cortex during visual stimulation and inserting needle at Kuangming and Taichong in visual stimulation +single sided needling group and visual stimulation +double-sided needling group. There were changes of BOLD of visual cortex in all subjects of the three groups during the period of manipulating needle. Among them six cases were found to have in the insular lobe,temporo-inferior parietal lobule,superior colliculus lobe,cuneate lobe and occipital mid-gyri.CONCLUSION: Single-sided or double-sided continuous needle stimulation can change the BOLD of the related regions of the cerebrum,but the change is unrelated with the insertion method and visual stimulation.