| 心输 [心輸] Xīnshū | Point qui répond au cœur (Nguyen Van Nghi 1971) Point correspondant au Cœur (Pan 1993) Creux du Coeur (Lade 1994) Bei shu du Cœur (Laurent 2000) |
| Běi shū 北输[北輸] (1) | Laurent 2000 |
| Xīnzhīshū 心之输[心之輸] (2) | Laurent 2000 |
| Wǔjiāo zhījiān 五焦之间[五焦之間] (3) | Laurent 2000 |
Items de localisation
Rapports anatomiques 15V, 6MC et Coeur
The peripheral nervous connections between Xinshu (BL15), Neiguan (PC6) points and the heart in the rabbit were studied by hirse raddish peroxidase (HRP) retrograde tracing and fluorescent double labelling methods. The results show that the heart and Xinshu point connect directly with each other by divergent projections of the primary sensory neurons and there may be a direct or indirect connection between the sympathetic postganglionic neurons of innervating the heart and Neiguan point, besides connections through the central nervous system. The results provide a morphological evidence for mechanisms of correlation between acupoints and viscera.
| Acupuncture | Moxibustion | Source |
|---|---|---|
| Selon Tong ren, puncturer à 0,3 distance, laisser l'aiguille le temps de 7 expirations | Selon Tong ren ne pas faire de moxa. Selon Ming tang, appliquer 3 cônes de moxa. | Zhen jiu ju ying (Guillaume 1995) |
| Puncture inclinée entre 0,5 et 0,8 distance de profondeur | Cautérisation avec 3 à 5 cônes de moxa, moxibustion pendant 5 à 15 minutes | Guillaume 1995 |
| Piqûre perpendiculaire ou oblique de 0,5 à 1 cun | Chauffer 10 mn | Laurent 2000 |
| Piqûre perpendiculaire à 0,5-1 distance Piqûre sous-cutanée du haut vers le bas à 1-2 distances | Cautériser 3-5 fois, chauffer 5-15 minutes | Roustan 1979 |
Sensation de puncture
Sécurité
| Classe d'usage | ★★ | point majeur |
|---|
| Indication | Association | Source |
|---|---|---|
| Neurasthénie | 15V + 14VC (injection *) | Roustan 1979 |
| Arythmie | 15V + 7C + 6MC + 34VB | Shanghai zhen jiu xue (Guillaume 1995) |
| Palpitations | 15V + 18V + 20V + 7C + 40E | Si ban jiao cai zhen jiu xue (Guillaume 1995). |
| Cardiopathie rhumatismale | 15V + 14V | Roustan 1979 |
| Cœur pulmonaire | 15V + 7C + 40E | Roustan 1979 |
| Hébétude | 15V + 7C | Lei jing tu yi (Guillaume 1995) |
| Insomnie | 15V + 21V + 12VC + 7C + 40E | Zhong hua zhen jiu xue (Guillaume 1995) |
| Douleur oculaire | 15V + 28VG | Zi sheng jing (Guillaume 1995) |
| Toux avec hémoptysie | 15V + 18V + 12E + 14VC + 1VG | Zi sheng jing (Guillaume 1995) |
| Spermatorrhée | 15V+ 23V | Yu Long Ge (Roustan 1979), Zhen jiu ju ying-Yu long Fu (Guillaume 1995) |
*Injection de produits divers mais souvent très dilués : novocaïne, eau distillée, sérum physiologique… ou diverses drogues plus spécifiques.
Objective To observe the efficacy of heat-producing needling at Xinshu (BL 15) and Jueyinshu (BL 14) in treating premature heart beat due to heart-yang deficiency. Methods Totally 114 patients with premature heart beat due to heart-yang deficiency were randomized into group A, group B, and group C, 38 in each group. Group A was intervened by using heat-producing needling method at Xinshu (BL 15) and Jueyinshu (BL 14); group B was by acupuncture at Neiguan (PC 6), Shenmen (HT 7), Tongli (HT 5), Juque (CV 14), Danzhong (CV 17), etc. with moderate needling manipulations; group C was by using heat-producing needling method at Xuanzhong (GB 39) and Yanglingquan (GB 34). In all 3 groups, the treatment was given once per day, 10 sessions as a treatment course. Four courses later, the dynamic electrocardiogram (ECG) result and clinical efficacies were compared. Results The total effective rate was 76.3% in group A, significantly different from 3 1.6% in group B and 23.7% in group C (P< 0.01). By Ridit analysis, the change of disease grading in group A after intervention was statistically significant (P< 0.01); there were no significant changes in disease grading after intervention between group B and group C (P > 0.05). Conclusion Heat-producing needling at Xinshu (BL 15) and Jueyinshu (BL 14) is effective in treating premature heart beat due to heart-yang deficiency.
Purpose : To observe synergetic or antagonistic effects between points of similar effects. Methods : Ventricular arrhythmia rabbit model was induced by injection of aconitine, the duration of arrhythmia. was adopted as index and the differences of therapeutic effects of single application and combined application of “Neiguan!' (PC 6), ” Shenmen” (HT 7), “Xinshu” (BL 15) were investigated. Results : Single acupuncture of (PC 6), “ Shenmen” (HT 7) and “ Xinshu” (BL 15) has obvious and similar therapeutic effect, and combination of the 3 acupoints. did not significantly increase or decrease the therapeutic effect. Conclusion : The acupoints with similar actions do not have markedly synergetic or antagonistic effects.
OBJECTIVE: To observe the therapeutic effect of acupoint sticking of Wuzhuyu (Evodia Rutaecarpa) for treatment of bradycardia. METHODS: Sixty cases were randomly divided into an observation group and a control group, 30 cases in each group. The observation group was treated with acupoint sticking of Wuzhugu (Evodia Rutaecarpa) at Neiguan (PC 6) and Xinshu (BL 15) once each day. The control group was treated with oral administration of Xinbao pills, 3 pills each time, thrice each day. The therapeutic effects and changes of 24 hours' holter were observed after 4 weeks.RESULTS: After treatment, 24 hours' average heart rate was significantly improved in the two groups, with significant differences as compared with those before treatment (both P<0.01) and with no significant difference between the two groups (P>0.05). The total effective rate was 86.7% (26/30) in the observation group and 83.3% (25/30) in the control group, their therapeutic effect being similar.CONCLUSION: Acupoint sticking of Wuzhugu (Evodia Rutaecarpa) can significantly raise the levels of 24 hours' average heart rate in the patients of bradycardia. This therapy and Xinbao pills have similar therapeutic effect on the improvement of clinical symptom and heart rate levels.
Objective:To investigate protective action of acute myocardial ischemia in rats by electroacupuncture Neiguan, Xinshu. Methods: 50 rats were randomly divided into control group, model group, Neiguan group. Xinshu group and Guanshu group. Through the sublingual intravenous pituitrin copy rat model of acute myocardial ischemia were observed after electro-acupuncture treatment of rats in each group : standard lead-lead ECG to obtain heart rate, maximum left ventricular pressure rise rate and peak left ventricular systolic pressure, comparison of electro-acupuncture of different acupoints on acute myocardial ischemia in rat cardiac function and blood rheology. Results: After myocartlial ischemia, cardiac function of the mean. The absolute value of subscript values were significantly decreased. Electroacupuncture group, Guanshu group, Xinshu group on cardiac function and blood rheology improvement compared with the model group there were significant differences (P<0.05). There was a significant difference among Neiguan group, Xinshu group and Guanshu group (P<0.05).Conclusion: Electro-acupuncture on Xinshu and Neiguan can be significantly improved in rats with acute myocardial ischemia on cardiac function and blood rheology is also significantly affected, and the joint distribution point group Guanshu of the more obvious effects.
Objective To explore the effect of pretreatment with electroacupuncture at Xinshu (BL1 5) on serum NO and CAT in rats with myocardial ischemia-reperfusion. Method The rats were randomized into a normal control group, a model group, a control group, and an electroacupuncture pretreatment group, by comparing the pretreatment with acupuncture and ischemic precondition, to observe the contents of serum NO and CAT in the four groups. Result Pretreatment with electroacupuncture could increase the contents of NO and CAT in rat serum. Conclusion Pretreatment with electroacupuncture at Xinshu can protect the myocardium to some extent in myocardial ischemia.
Objective : To observe the synergetic protective effect of electro-acupuncturing Neiguan and Xinshu against acute myocardial ischemia in rabbits. Method : 40 rabbits were randomly divided into 5 groups, namely, control group, model group, Neiguan group treated with electro-acupuncture (EA) at Neiguan acupoint, Xinshu group treated with EA at Xinshu acupoint, Guanshu group treated with EA at both Neiguan and Xinshu acupoint. Injecting pituitrin into auricular vein simulated the rabbit acute ischemic electrocardiogram (ECG) - The changes of T wave and S-T segment of ECG were observed after treatment. Result : The improvement of T wave and S-T segment was the most in Guanshu group than that in any other group (P < 0. 05). The rehabilitation time of ischemic ECG was the shortest among 4 groups with acute ischemic ECG (P < 0. 05). Conclusion : EA at both Neiguan and Xinshu acupoint has synergetic protective effect against acute myocardial ischemia.
Objective To observe the treatment effect of moxibustion plus Western medication in treating chronic heart failure. Method Sixty patients were randomized into a control group and a treatment group, 30 in each. The control group was intervened by routine Western medication, and the treatment group was intervened by mild moxibustion at bilater Feishu (BL 13) and Xinshu (BL 15) by moxa stick in addition to the Western medication, 20 mmn for each acupoint, once a day, and 4-week moxibustion treatment was given in total. The clinical effect and the involved indexes of heart function were compared between the two groups after treatment. Result The total effective rate was 76.7% in the control group, versus 90.0% in the treatment group, and the result in the treatment group was markedly superior to that in the control group (P<0.05); both groups had obvious improvement in terms of FIR, CO and LVEF after treatment (P<0.0i), and the results of FIR, CO. and LVEF in the treatment group were significantly better than that! n the control group (P< 0.0!),and the improvement of the above terms in the treatment group was also better than that in the control group. Conclusion Compared with single Western medication treatment, combined moxibustion and Western medication obtains better treatment result in managing chronic heart failure.