On the Relationship between Shinkahiko and Transport Points : The Pathophysiological Mechanism of the Shinkahiko
10.3937/kampomed.67.1
- VernacularTitle:心下痞鞕と背部兪穴との関連
- Author:
Katsutoshi TERASAWA
- Publication Type:Journal Article
- Keywords:
Kampo;
shinkahiko;
transport points;
acupuncture;
vago-sympathetic reflex
- From:Kampo Medicine
2016;67(1):1-12
- CountryJapan
- Language:Japanese
-
Abstract:
In Kampo Medicine, abdominal manipulation is a very important diagnostic procedure. This is because some abdominal signs appearing in the abdominal wall indicate a specific group of Kampo formulations. Recently the author revealed that distension and tenderness in the epigastrium (shinkahiko) was closely related with transport points of the back meridian root. It was also revealed in 28 cases that relaxation of this cluster of the transport points by means of acupuncuture needle brought immediate elimination of distension and tenderness in epigastrium. This new knowledge suggests two facts : that a mutual origin expresses both tenderness of epigastrium and the cluster of transport points, and secondly that some unknown reflective system inhibits the vagal afferent signal which originates in the upper digestive tract, by means of acupunctural procedure to the transport points of the back. And also the results of this study suggest that the existence of a vagosympathetic reflex system lies behind shinkahiko. This new evidence may break-through in two different paradigms, i.e. Kampo and acupuncture, and proposes a new means of traditional medicine for the future.