Western Medicine Versus Eastern Medicine: Do Both Have a Common Root, Scientific Background, and Worldwide Recognition?

This review is designed to initiate a discussion we believe is necessary for the biomedical community, because of some recent evidences for existing of a new body anatomical system, or the primo vascular system (PVS), which could be the missing link in the scientific explanation of the unknown mechanism of action of acupuncture. Some important questions for the medical society, (eg, "What is the main source of the mistrust of Western medicine toward traditional Oriental medicine and could it be overcome?" or "Is the PVS a real one and what is its distribution, formation, and function?" or "Are there scientific proofs for intimate relationships of the PVS with meridian system and whether the PVS would be the physical basis of meridians?") are deeply studied and appropriately answered. Various pieces of knowledge are now combined to achieve a better understanding and to provide an acceptable explanation about the functions of such new system and to explain the functional path used by traditional Eastern medicine to cure diseases. Some possibilities to use this PVS for development of some innovative therapies to treat some diseases are also discussed (eg, pharmacopuncture as a new innovative drug delivery method that combines acupuncture therapy with medication by injecting pharmacological substances into target acupoints).

Distribution of Mast Cells and Locations, Depths, and Sizes of the Putative Acupoints CV 8 and KI 16.

The anatomical locations and sizes of acupuncture points (APs) are identified in traditional Chinese medicine by using the cun measurement method. More precise knowledge of those locations and sizes to submillimeter precision, along with their cytological characterizations, would provide significant contributions both to scientific investigations and to precise control of the practice of acupuncture. Over recent decades, researchers have come to realize that APs in the skin of rats and humans have more mast cells (MCs) than neighboring nonacupoints. In this work, the distribution of MCs in the ventral skin of mice was studied so that it could be used to infer the locations, depths from the epidermis, and sizes of three putative APs. The umbilicus was taken as the reference point, and a transversal cross section through it was studied. The harvested skins from 8-week-old mice were stained with toluidine blue, and the MCs were recognized by their red-purple stains and their metachromatic granules. The three putative APs, CV 8 and the left and the right KI 16 APs, were identified based on their high densities of MCs. These findings also imply that acupuncture may stimulate, through MCs, an immune response to allergic inflammation.

Temporal Change of Alcian Blue-Stained Primo Vascular System in Lymph Vessels of Rats.

This study aims to investigate the temporal change of a vascular system now known as the primo vascular system (PVS). We used Alcian blue (AB) dye for imaging the distribution of the PVS in lymphatic vessels. The target lymph vessels were chosen as they are easily accessible from the skin, and long-term observation is possible with intact physiological conditions due to a minimal surgical procedure. AB solution was injected into the inguinal lymph node and the target lymph vessels were located along the superficial epigastric vessels. The imaging system allowed processing for extraction of images showing changes in the AB intensity of the visualized PVS components. This newly developed procedure can be used for further study on various dynamic processes of PVS in lymph vessels.

Partially Automated Method for Localizing Standardized Acupuncture Points on the Heads of Digital Human Models.

Having modernized imaging tools for precise positioning of acupuncture points over the human body where the traditional therapeutic method is applied is essential. For that reason, we suggest a more systematic positioning method that uses X-ray computer tomographic images to precisely position acupoints. Digital Korean human data were obtained to construct three-dimensional head-skin and skull surface models of six individuals. Depending on the method used to pinpoint the positions of the acupoints, every acupoint was classified into one of three types: anatomical points, proportional points, and morphological points. A computational algorithm and procedure were developed for partial automation of the positioning. The anatomical points were selected by using the structural characteristics of the skin surface and skull. The proportional points were calculated from the positions of the anatomical points. The morphological points were also calculated by using some control points related to the connections between the source and the target models. All the acupoints on the heads of the six individual were displayed on three-dimensional computer graphical image models. This method may be helpful for developing more accurate experimental designs and for providing more quantitative volumetric methods for performing analyses in acupuncture-related research.

Tracing Mercox Injected at Acupuncture Points Under the Protocol of Partial Body Macerations in Mice.

We used for the first time a vascular casting material to take advantage of a simple tracing procedure and to isolate the peculiar features of acupuncture point injections. The polymer Mercox was injected into the skin of a dead mouse at acupuncture points along the bladder meridian lines. After a partial maceration of the whole body with a potassium-hydroperoxide solution, we anatomized it under a stereomicroscope to trace the injected Mercox. Many organs were checked to determine whether or not they contained some Mercox tracing. Connections between the injection sites along the acupuncture points were observed. Two to three layers of Mercox in a plate shape were found under the skin at the acupuncture points, and Mercox travelled throughout the adipose tissue, the fascia, and the parietal and visceral serous membranes inside the organ's parenchyma. The casting material Mercox used with a modified partial maceration procedure is a promising method for visualizing the routes of the meridian system and the primo vascular system. The routes for Mercox are different from those of the blood and lymphatic vessels.

A study of Sa-Ahm's thoughts on the four-needle acupuncture technique with the five-element theory.

In order to study Sa-Ahm's underlying thoughts on the basis of Yin-Yang and the five-element theory, the 12 acupuncture meridian systems and eight extra meridian systems were investigated in detail. The clinical acupuncture points for Sa-Ahm's four-needle acupuncture technique were also reviewed. The forms of the combinations using the five Shu acupuncture points, which are based on the promotion and control cycles with tonification and sedation, were shown to connect to the acupuncture points, which represent the meridian system itself. However, not all of Sa-Ahm's clinical cases were fully explained by this doctrine, so the five correlations among the meridian systems and the acupuncture points that affect the clinical treatment and the occurrence of disease were determined. The mutual efficacies for Sa-Ahm's clinical cases can be analyzed and explained with correlativity diagrams that include five interrelations.

Positioning Standardized Acupuncture Points on the Whole Body Based on X-Ray Computed Tomography Images.

Objective: The goal of this research was to position all the standardized 361 acupuncture points on the entire human body based on a 3-dimensional (3D) virtual body. Materials and Methods: Digital data from a healthy Korean male with a normal body shape were obtained in the form of cross-sectional images generated by X-ray computed tomography (CT), and the 3D models for the bones and the skin's surface were created through the image-processing steps. Results: The reference points or the landmarks were positioned based on the standard descriptions of the acupoints, and the formulae for the proportionalities between the acupoints and the reference points were presented. About 37% of the 361 standardized acupoints were automatically linked with the reference points, the reference points accounted for 11% of the 361 acupoints, and the remaining acupoints (52%) were positioned point-by-point by using the OpenGL 3D graphics libraries. Based on the projective 2D descriptions of the standard acupuncture points, the volumetric 3D acupoint model was developed; it was extracted from the X-ray CT images. Conclusions: This modality for positioning acupoints may modernize acupuncture research and enable acupuncture treatments to be more personalized.

The primo vascular system as a new anatomical system.

Traditional Eastern medicine has had a successful existence for a long time and has provided functional paths for curing disease. However, some scientists do not accept acupuncture, primarily because the meridian system lacks a physical anatomical basis. To date, scientific theories have not been able to explain the functional paths used by traditional Eastern medicine to cure disease. According to Western medicine, no known anatomical foundation exists for the meridians and unknown nervous, circulatory, endocrine, and immune mechanisms mediate the effects of acupuncture. In the early 1960s, only one hypothesis was proposed to explain the anatomical basis of the meridians. By using different experimental approaches during the past 10 years, the number of scientific papers that report the discovery of different anatomical and physiological evidence confirming the existence of an anatomical basis for the meridian system has increased. Morphological science is greatly challenged to offer a new biomedical theory that explains the possible existence of new bodily systems such as the primo vascular system (PVS). The PVS is a previously unknown system that integrates the features of the cardiovascular, nervous, immune, and hormonal systems. It also provides a physical substrate for the acupuncture points and meridians. Announcements of the morphological architectonics and the function of the PVS fundamentally changed the basic understanding of biology and medicine because the PVS is involved in the development and the functions of living organisms. We propose a new vision of the anatomical basis for the PVS and the vital energy-called "Qi"-as an electromagnetic wave that is involved very closely with the DNA in the PVS. DNA provides genetic information and it functions as a store of information that can be obtained from the electromagnetic fields of the environment. The PVS is the communication system between living organisms and the environment, and it lies at the lowest level of life. The theory of the PVS could be a good basis for forming a new point of view of Darwin's evolutionary theory. Discoveries in morphological theory-such as discoveries with respect to the PVS-have not been made since the 18th century. For that reason, the PVS needs more attention.

Primo vascular system as a new morphofunctional integrated system.

The purpose of this review is to describe the methodology, instruments, and subject animals used until now for studies of the meridian (Kyungrak) system and the primo vascular system (PVS). The PVS is observed as an anatomical system distributed in cavities, organs, and tissues throughout the body. We analyzed the most important points of the PVS based on the results obtained until the present. Our main effort has been directed to describing the main thesis relating to the morphological structures and their topography, the functional mechanisms of the PVS, and possible roles of the PVS in pathological processes. The substance of the PVS in all its aspects is as a system covering the whole body and regulating and coordinating the biological processes that are the basis for life. In conclusion, we suggest that the finding of the PVS represents the discovery of a new integrated morphological-functional system.

Analysis on postmortem tissues at acupuncture points in the image datasets of Visible Human Project.

OBJECTIVES: The objective of this study is to search for distinct features in the color of human tissues under acupuncture points. METHODS: The data for computerized tomography and anatomical images of human males were downloaded with permission from the Visible Human Project initiated by the National Library of Medicine. The colors of digitalized anatomical cryosection images were represented by red-green-blue (RGB) values at every point of the body with 1-mm spatial precision. The computerized tomography data were used for positioning the acupuncture points in the three-dimensional frame by following the proportional method and the skeleton metric method. The anterior and posterior aspects of the trunk, which included the abdomen and the lower part of the thorax, were the regions of interest. RESULTS: The acupuncture points under consideration were aligned on the conception vessel, the kidney meridian, the stomach meridian for the front of the trunk, and the governor vessel and the bladder meridians for the back of the trunk. A total of 83 acupuncture points were located on the skin surface of the body in three-dimensional space. We obtained RGB color variations with depth under the skin of the body at fixed acupuncture points and analyzed them by the types of meridians. Color localization at the acupuncture points and directional patterns along the meridians were found at specific depths under the skin. CONCLUSIONS: This study is shown to be a unique method for understanding the anatomy of acupuncture points and meridians in three-dimension space, and it is suggested that color may be a useful characteristic when searching for a physical basis of the system.

A descriptive statistical approach to the Korean pharmacopuncture therapy.

This paper reviews trends in research related to Korean pharmacopuncture therapy. Specifically, basic and clinical research in pharmacopuncture within the last decade is summarized by introducing categorical variables for classification. These variables are also analyzed for association. This literature review is based on articles published from February 1997 to December 2008 in a Korean journal, the Journal of the Korean Institute of Herbal Acupuncture, which was renamed the Journal of the Korean Pharmacopuncture Institute in 2007. Among the total of 379 papers published in the journal during this period, 164 papers were selected for their direct relevance to pharmacopuncture research and were categorized according to three variables: medicinal materials, acupuncture points and disease. The most frequently studied medicinal materials were bee-venom pharmacopuncture (42%), followed by meridian-field pharmacopuncture (24%), single-compound pharmacopuncture (24%), and eight-principle pharmacopuncture (10%). The frequency distributions of the acupuncture points and meridians for the injection of medicinal materials are presented. The most frequently used meridian and acupuncture point was the Bladder meridian and ST36, respectively. Contingency tables are also displayed to analyze the relationship between the categorized variables. Chi-squared analysis showed a significant association between the type of pharmacopuncture and disease. The trend in research reports on Korean pharmacopuncture therapy was reviewed and analyzed using a descriptive statistical approach to evaluate the therapeutic value of this technique for future research.

Magneto-acupuncture stimuli effects on ultraweak photon emission from hands of healthy persons.

We investigated ultraweak photon emissions from the hands of 45 healthy persons before and after magneto-acupuncture stimuli. Photon emissions were measured by using two photomultiplier tubes in the spectral range of UV and visible. Several statistical quantities such as the average intensity, the standard deviation, the delta-value, and the degree of asymmetry were calculated from the measurements of photon emissions before and after the magneto-acupuncture stimuli. The distributions of the quantities from the measurements with the magneto-acupuncture stimuli were more differentiable than those of the groups without any stimuli and with the sham magnets. We also analyzed the magneto-acupuncture stimuli effects on the photon emissions through a year-long measurement for two subjects. The individualities of the subjects increased the differences of photon emissions compared to the above group study before and after magnetic stimuli. The changes on the ultraweak photon emission rates of hand for the magnet group were detected conclusively in the quantities of the averages and standard deviations.

Magnetic resonance imaging and acupuncture: a feasibility study on the migration of tracers after injection at acupoints of small animals.

OBJECTIVES: Acupuncture meridians in traditional Oriental medicine are known to be channels connecting specific points in the surface of the body to corresponding internal organs. We investigated the permeation and the transport of magnetic resonance imaging (MRI) contrast agent and tracer after injection at acupoints of small animals, such as rats and mice. METHODS: A geometric and systematic arrangement of acupuncture points on human skin surfaces has been depicted in traditional Oriental medicine, and the positions of the acupoints of small animals were determined by the application of a proportion on the animals corresponding to the morphological structures in humans. After injecting the materials at various acupoints, the agent migration behaviors inside the body were monitored by MRI. The distributions of the injected materials were reconstructed in 3-dimensional images for a more intuitive presentation. RESULTS: The widely-used gadolinium-compound contrast agent was not useful. Rather, a recently developed fluorine compound was effective for imaging the migration of the agent after injection into the acupoints BL18, 20, and 23. CONCLUSIONS: The final distributions of the agent from each injection point corresponded to the respective organs of the acupoints. The results suggested different migration paths and destinations for pharmacopuncture drugs.

Development of a laparoscopic system for in vivo observation of the Bonghan structure.

Bonghan structures composed of corpuscles and ducts have been observed in numerous animal experiments. The structure has been suggested to be the physical substrate for acupuncture points and meridians used in traditional Chinese medicine. The corpuscle-duct structure on the organ surface has been extensively studied. However, it was only observed after the abdomen of a rat was fully exposed. It may be desirable to observe these structures under minimally invasive conditions. Our laparoscope is specifically designed for in situ, in vivo observation of the Bonghan structure on the surface of internal organs in rats. We made a laparoscope consisting of a borescope combined with an illumination module and an imaging data acquisition part. The Bonghan structure is transparent and is hard to see, even with the borescope. Spraying a specific dye, trypan blue and washing with saline is a necessary process to visualize the structure. For this reason, we devised a staining and washing system attached in parallel with the borescope in the laparoscopic system. The system operated successfully to reveal a Bonghan structure without surgery. This tool opens a host of possible applications such as observation of flow of stained liquid or drug in the Bonghan duct flowing from the skin to internal organs, and long-term observation of the physiological changes in Bonghan corpuscles.

Measurements of spontaneous ultraweak photon emission and delayed luminescence from human cancer tissues.

OBJECTIVE: The aim of this study was to measure spontaneous photon emission (SPE) and delayed luminescence (DL) from various human cancer tissues. MATERIALS AND METHODS: A photomultiplier tube attached to a dark chamber was used for the detection of ultraweak photon emission from cancer tissues in the chamber. The samples were illuminated with a 150 W metal halide lamp for the measurement of delayed luminescence. Frozen tissues were provided by the hospitals and preserved in saline solution in a CO2 incubator for 1 hour before starting the measurement of spontaneous photon emission. We successively measured the afterglows from the samples after 30-second irradiation of the lamp. The samples were divided into two groups: tumor tissues and normal tissues around tumor tissues. We presented experimental data and interpreted their characteristic patterns of spontaneous photon emission and delayed luminescence. RESULTS: Mean values of spontaneous photon emissions from the normal tissues and the tumor tissues were measured with the standard errors of the mean as 625 +/- 419 counts/minute/cm2 (n = 6) and 982 +/- 513 counts/minute/cm2 (n = 14), respectively. Peak values of the intensity of delayed luminescence from normal and cancerous tissues were 63 +/- 20 counts/ms (n = 6) and 48 +/- 12 counts/ms (n = 14). CONCLUSIONS: The intensity of spontaneous photon emissions from cancer tissues were mostly discriminated from those of normal tissues, and their delayed luminescent properties were investigated.