經絡與穴位的同位素研究

Radionuclide Study of Acupuncture Points

吳重慶(Chung-Chieng Wu) ； 鍾相彬(Shiang-Bin Jong)

《The Kaohsiung Journal of Medical Sciences》 6卷12期 (1990/12) Pp. 678-686

https://doi.org/10.6452/KJMS.199012.0678

摘要

數年來，我們以同位素（Tc-99m pertechnetate ）皮下注射的方法研究經絡與穴位，獲致下述的成果：
1．籍太谿穴與崑崙穴處皮下注射Tc -99m pertechnetat 。所拍照的影像，我們發現某些穴位和靜脈回流有密切的關係。
2．進一步，發展出一套新而方便的同位素下肢靜脈顯影術，稱為SC-RNV ( radionuclid 。venography by 。ubcutaneous injection of Tc-99m pertechnetate atK-3 andB -60 ）。可用以診斷T 肢深部靜脈血栓（DVT ）與靜脈曲張症（varicose vein 。）。
3．對於足部不同穴位的皮下注射加以比較，我們發現太谿穴與崑崙穴處注射後的靜脈顯影較為快速，而內庭穴或非穴位處注射後的靜脈吸收較慢。此方面的研究，仍繼續進行中。
4．籍Tl -201 chloride 與Ga -67 citrate 於太谿穴處皮下注射的結果來比較與分析，我們認為SC -RNV 的機轉可能與Na -K pumping system 有關o
此系列的研究仍待續進行中，相信對於穴位與經絡，會有更深入的發現與瞭解。

並列摘要

During recent years, upon investigation of the meridian which is an important part of the traditional concept in Chinese medicine, we have obtained several signigicant findings using radinuclide:
1. By subcutaneous injection (SC) of Tc¡X 99m pertechnetate at acupunctur points K¡X3 and B¡X60, it was found that certain acupuncture points maybe closely related to the venous drainage.
2. A new technique of radionuclide yenography, namely SC-RNV of the lower limbs, was established through the above study. The SC-RNV subsequently proved to be clinically available in diagnosis of DVT and calf varicose veins. By SC injection of Tc¡X99m pertechnetate at various acupuncture points (APP) and non- acupuncture points (non-APP) it seemed that not every APP is closely related to venous drainage, and so is not the non- APP. As for the mechanism of SC-RNV, through SC injection of Tl¡X201 chloride and Ga¡X67 citrate at K¡X3 respectively, it was found that the Na¡XK pumping system may play a major role in the drainage of soft tissue fluid from the APP into th venous flow.
We now continue to investigate the meridian with radionuclide and hope to understand more clearly the physiological function of the APP, especially its relationship with the veins.

並列關鍵字

radionuclide venography ； acupuncture points ； subcutaneous injection