Neuroanatomical characteristics of deep and superficial needling using LI11 as an example.
OBJECTIVE
To compare the neuroanatomical characteristics of the deep and superficial tissues at acupuncture point LI11 using a neural tracing technique, in order to examine the neural basis of potential differences between deep and superficial needling techniques.


METHODS
In order to mimic the situations of the deep and superficial needling, the retrograde neural tracer Alexa Fluor 488 conjugate of cholera toxin subunit B (AF488-CTB) was injected into the muscle or subcutaneous tissue, respectively, at acupuncture point LI11 in eight rats (n=4 each). Three days following injection, the distribution of motor and sensory neurons labelled with AF488-CTB was examined in the spinal cord and dorsal root ganglia (DRG) under a fluorescent microscope.


RESULTS
For both types of injection, labelled motor and sensory neurons were distributed on the side ipsilateral to the injection in the spinal cord and DRG between spinal levels C5 and T1. The number of labelled motor neurons following intramuscular injection was significantly higher than subcutaneous injection. By contrast, the number of labelled sensory neurons following subcutaneous injection was significantly higher in number and extended over a greater number of spinal segments compared to intramuscular injection.


CONCLUSIONS
These data indicate that the motor and sensory innervation of muscle and subcutaneous tissue beneath LI11 differ, and suggest that acupuncture signals induced by deep and superficial needling stimulation may be transmitted through different neural pathways.
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.
Meiling
M
Wu
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.
Jingjing
J
Cui
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.
Dongsheng
D
Xu
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.
Kun
K
Zhang
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.
Xianghong
X
Jing
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.
Wanzhu
W
Bai
D026881:Acupuncture / Q000379:methods*; D015669:Acupuncture Points; D000818:Animals; D002772:Cholera Toxin / Q000378:metabolism; D008297:Male; D009046:Motor Neurons; D009132:Muscles / Q000294:innervation*; D009434:Neural Pathways; D051381:Rats; D017207:Rats, Sprague-Dawley; D011984:Sensory Receptor Cells; D040521:Subcutaneous Tissue / Q000294:innervation*
D002772:Cholera Toxin
ACUPUNCTURE