Is a reflex the neurophisiologic basic of acupuncture?
Prof. Ivanichev G.A
Kazan, Russia
According to the classic physiology, any body response
evoked with the participation of the central nervous system
is called a reflex. It includes afferent, intermediate and
efferent parts. The understanding of the reflexion principle
seemed to solve the fundamental problems of the curative
effects of acupuncture. At first it seems to be explicable
and may be used to explain most of the clinical results
/functional normalization of the visceral organs and some
vegetative reactions and muscular tonus changes/. At the same
time there are some physiological phenomena, where the
reflexion interaction doesn't exist in its classic variant.
Here, first of all we must speak about antinociceptive system
activity in the first (spinal) segmental portion.
It is known that gate control machanism structurally and
functionally in the 1-4 Rexed layers has no reflexion
interaction. The gate control activity is one sensor flow
controlling /inhibition of nociceptive flow/ by another.
Another variant of the classic reflexion conception is
trigemino-corporal sensory interaction. Sensory flow from the
trigeminal complex is stated (Durinian R.A., 1976) to exert
some significant effect on the corporal sensory flow. This
interaction may result both in mutual inhibition and
enhancement of one flow by another.
In our experience this principle is widely used. Another
example of sensory interaction may be the use of auricular
points for curative purposes. Five sources of afferent
innervation of the floor of the auricle is a unique model of
interrelation of different cranial nerve sensory systems. The
reflexion responses of such interaction are significantly
limited in numbers as compared to the generating physiologic
phenomena which have no reflexion nature. Strictly speaking,
the appearance of the auricle floor active points is also
explained by sensory interaction in truncus cerebri by a
change of excitability and neurotrophic control of the
receptor groups in the ear.
It is common knowledge that auricular acupuncture points
are not very active in the norm and are not revealed as a
rule.
These important clinical and physiologic comparisons
make it possible to assume that the reflexion in phenomenon
in the clinical evidence of acupuncture is a part of more
prevalent way of physiological reactions of afferent
(sensory) interaction. The sensory interaction being the most
universal way of physiological function regulation has some
significant "advantages" before the reflexion one from the
structural and functional point of view. The reflexion
response of the body (system) is a precise result of the
varying and wide sensory interaction, the complete
justification of its biological nature!
Mechanisms of sensory interaction are universal.
Predominantly they present presynaptic inhibition and cascade
augmentation due to inlet signal multiplication.
Postsynaptic inhibition and hyperpolarization mechanisms
of the postsynaptic membrane are known to be more predominant
in the reflexion activity. Taking this into consideration the
regulated afferent flow, made by the doctor, is a basis of
acupuncture while the reflexion interaction is a part of this
interaction.