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The accuracy of multimeridional refraction.

The accuracy of meridional refraction using equally spaced preselected meridians was investigated by using populations of computer-simulated patients. The number of meridians refracted, patient refractive error, and the coarseness of phoroptor steps were varied. Results indicate that the accuracy of meridional refraction is independent of the relative orientation of the axis of the patient's astigmatism and the preselected meridians, that little is to be gained by use of a phoropter with steps finer than the usual 0.25 D, and that with a sufficient number of meridians, meridional refraction can be as accurate as more conventional techniques.

Computers↗

Effect of vertical prism imbalance on fixation performance.

It is well known that induced vertical imbalance will bring about deviation from central fixation in the vertical meridian. This study seeks to determine if vertical imbalance will affect the fixation performance in the horizontal meridian as well. For this purpose, a technique previously developed for monitoring fixation eccentricity was used. The technique, which is based on the effect of fixation eccentricity on border enhancement, is unaffected by adaptive changes in perceived visual direction. The results show a rapid increase in horizontal fixation misalignment with the first increments of vertical prism difference, followed by a slower increase for additional prism differences. When horizontal forced vergence was applied in addition, fixation misalignment increased throughout the range of vertical vergences. Similarly, vertical fusion misalignment was increased by horizontal fusion stress. It was concluded that forced vergence presented in one meridian will amplify any fusion misalignment that might exist in other meridians. This calls for a reevaluation of existing methods of assessing binocular fixation performance.

Calibration↗

Meridional differences in the directional sensitivity of the human color mechanisms.

The directional sensitivity (DS) of the red (pi 5), green (pi 4), and blue (pi 1) color mechanisms was measured for both the horizontal and vertical pupil meridians, thus localizing the peak of each pi-mechanism DS function within the two-dimensional pupillary aperture. In the horizontal meridian, there were greater differences among observers in DS function peak locations than there were for any one observer. Along the vertical meridian, peak location differences within observers were similar to those found in the horizontal meridian, whereas among-observer differences were much smaller. Significant differences between horizontal and vertical DS function halfwidths were also found for at least one pi-mechanism of each observer. It is concluded that meridional variations exist in either the morphology or orientational distribution of foveal photoreceptors, and that more than one alignment mechanism is responsible for photoreceptor orientation in the human fovea.

Accommodation, Ocular↗

Measurement of astigmatism by automated infrared photoretinoscopy.

BACKGROUND: There are basically two possibilities to measure cylindrical refractive errors by eccentric photorefraction. The first is to determine the size and the tilt of the light crescent in the subject's pupil. Sphere, cylinder, and axis can be obtained from two pictures with the knife edge at two different orientations by using equations derived by Wesemann et al. In natural eyes, the procedure has limitations because undetermined factors (not considered in the theory) affect size, shape, and intensity of the light crescent. A second possibility is to perform eccentric photorefraction separately in at least three different meridians. METHODS: We have tested the power of the second possibility. The three critical parameters (sphere, cylinder, and axis) were calculated from Euler's law, which describes curvatures (or refractions) at any given angle. The procedure relied only on empirical calibration and not on a theoretical treatment of the optics. Therefore, it was not necessary to identify all factors that determine the path of light. RESULTS: The procedure compared favorably with subjective refractive (first population: students, age 26-30 years, N = 7 (14 eyes); correlations: sphere, r = 0.983; cylinder, r = 0.867; axis, r = 0.935) and with a Canon R-1 Autorefractor (second population: children, age 4-14 years, N = 48 (96 eyes); correlations: sphere, r = 0.955; cylinder, r = 0.600; axis, r = 0.846). CONCLUSIONS: Because it is fast, the technique may be suitable for screening in children. The refractions in the different meridians are performed in real time (25 to 30 Hz) and a single reading (the average from 4-6 refractions in each of the 6 meridians) is obtained in 1-2 s. It constitutes a major improvement to commercially available videorefractors which use measurements only in two meridians in conjunction with the formula by Wesemann et al., although it is still not precise enough to permit spectacle prescription.

Adolescent↗

Ocular component data in schoolchildren as a function of age and gender.

PURPOSE: To describe the refractive error and ocular components of a large group of school-aged children as a function of age and gender. METHODS: In this report, we describe the refractive error and ocular components of 2583 school-aged children (49.3% girls, overall mean [+/-SD] age 10.0 +/- 2.3). Measurement methods included cycloplegic autorefraction, autokeratometry, videophakometry, and A-scan ultrasonography. For statistical comparisons across gender and age, a critical point of alpha = 0.005 was used to assess significance because of the large sample size and the large number of comparisons made. RESULTS: Of these 2583 children, 10.1% were myopic (-0.75 D or more myopia in both meridians), and 8.6% were hyperopic (+1.25 D or more hyperopia in both meridians). As would be expected, there was a significant effect of age on refractive error (spherical equivalent, p < 0.0001), toward less hyperopia/more myopia. There was no significant difference in the average refractive error between girls and boys (p = 0.0192). Girls had steeper corneas than boys (0.74 D steeper in the vertical meridian and 0.63 D steeper in the horizontal meridian, p < 0.0001). There were no significant differences in corneal power with age (p = 0.16). Both older age and male gender were significantly associated with deeper anterior chambers (p < 0.0001 for both). The crystalline lens showed significant thinning with age (p < 0.0001), however, there was no significant difference in the lens thickness between girls and boys (p = 0.66). Both Gullstrand lens power and calculated lens power showed significant effects of age and gender (p < 0.0001 for both). Girls, on average, had Gullstrand lens powers that were 0.28 D steeper and calculated lens powers that were 0.80 D more powerful than boys. Axial length also showed significant effects of age and gender (p < 0.0001 for both). Girls' eyes were, on average, 0.32 mm shorter than those of boys. CONCLUSIONS: These cross-sectional data show a general pattern of ocular growth, no change in corneal power, and crystalline lens thinning and flattening between the ages of 6 and 14 years. Girls tended to have steeper corneas, stronger crystalline lenses, and shorter eyes compared with boys.

Adolescent↗

Comparison of aniseikonia as measured by the aniseikonia inspector and the space eikonometer.

PURPOSE: The purpose of this study was to compare the new, computerized Aniseikonia Inspector with the Space Eikonometer for the measurement of aniseikonia. METHODS: Eighteen subjects, ages 21 to 61 years, with normal binocular vision and normal visual acuity had aniseikonia measured with both the Aniseikonia Inspector Version I and the Space Eikonometer. Aniseikonia was measured first with the subjects' habitual refractive correction and then with afocal size lenses of 1%, 2%, and 3.5% added in random order before the right and left eyes. Measurements were taken initially with the Aniseikonia Inspector and on a subsequent day with the Space Eikonometer. RESULTS: For the Space Eikonometer, the slopes of the lines for the relationship between the measured aniseikonia and the induced magnification differences in the vertical and horizontal meridians are not significantly different from 1.0. For the Aniseikonia Inspector, the slopes of the lines in the vertical and the horizontal meridians are less than and significantly different from 1.0. On average, the Aniseikonia Inspector underestimates the magnitude of induced aniseikonia, predicting only 68% and 61% of the overall size lens magnification in the vertical and horizontal meridians, respectively. The corresponding values of the Space Eikonometer in the vertical and horizontal meridians are 99% and 93%. Variability is greater with the Space Eikonometer than the Aniseikonia Inspector. CONCLUSION: The Space Eikonometer appears to be measuring the induced aniseikonia appropriately, whereas the Aniseikonia Inspector underestimates the amount of aniseikonia. However, the Space Eikonometer shows greater measurement variability. Modification of the Aniseikonia Inspector or the testing conditions should be pursued in future studies.

Adult↗

Representation of dioptric power in Euclidean 3-space.

Every dioptric power of the usual form sphere/cylinder x axis may be represented by means of a point in three-dimensional space. Graphical representation of data in this manner is important for statistical analysis. In particular, graphical representation may be used to display confidence regions about a mean power, for example. A disadvantage of these representations, however, is that simply changing the reference meridian for cylinder axes changes distances in the space and, therefore, changes the shapes of the confidence regions. Because the shapes define the nature of the variation and give, in particular, the principal components of variation, a researcher who happens to measure the orientation of cylinder axes from the 20 degree meridian, for example, instead of the conventional horizontal meridian, could be led to different statistical conclusions. The implication is that such conclusions are unlikely to have much physical meaning. A representation is described here in which distances and shapes do not depend on the meridian that happens to be chosen as reference. Each dioptric power is represented by a point in Euclidean 3-space. Several examples of graphical representation are given. The spherical powers occupy a particular line in the space, the Jackson crossed cylinders occupy a plane, the cylindrical powers occupy a cone, and so on, for all types of conventional dioptric power. These lines and surfaces are illustrated. The statistical implications are discussed briefly. The representation satisfies the requirements of the statistics and is proposed as the standard one for future use.

Lenses↗

Astigmatism, accommodation, the oblique effect and meridional amblyopia.

The variation with accommodation in the dimensions of the geometrical blur ellipse that is formed on the retina of the astigmatic eye is explored in relation to orientation dependence of the corresponding line-spread function (LSF) and modulation transfer function (MTF). It is shown that if theta is the orientation of the line or grating with respect to the more powerful meridian of an eye having C dioptres of astigmatism, the optimal accommodation response varies as 0.5 C cos2 theta. The analysis is extended to include the effects of diffraction. Even at optimal focus, the diffraction-limited MTF at 45 degrees to the principal meridians of an eye with small amounts of astigmatism is substantially degraded. For example, with a 3 mm pupil and only 0.50 DC of astigmatism, the first zero in monochromatic modulation transfer at 555 nm occurs at approximately 32 c/deg in the oblique meridian as compared with 94 c/deg in the principal meridians. The results are used as the basis of a discussion of the possible role of infant and juvenile astigmatism in the development of the oblique effect and of meridional amblyopia.

Accommodation, Ocular↗

Converting principal meridional representation of power to the coordinates of the power matrix using the matrix similarity transform.

General or local variations of the refractive elements in the eye, called irregular astigmatism, may manifest as non-orthogonal meridians when each principal meridian on the front surface of a cornea is independently aligned with the focussed mires of a keratometer. These are examples of astigmatic systems that are thick. The representation of power along the principal meridians is not suitable for quantitative work. The purpose of this research note is to convert power along principal meridians that can be non-orthogonal, to the coordinates of the power matrix that are suitable for quantitative analysis.

Astigmatism↗

Performance of cryptococcus antigen latex agglutination kits on serum and cerebrospinal fluid specimens of AIDS patients before and after pronase treatment.

Cryptococcal antigen titers in 97 serum and 42 cerebrospinal fluid (CSF) specimens from 37 AIDS patients with culture-proven cryptococcal infection were determined with the Meridian kit (Meridian Diagnostics Inc., Cincinnati, Ohio) before and after treatment with pronase. The geometric mean titers before and after pronase treatment were 1:45 and 1:588 in serum and 1:97 and 1:79 in CSF, respectively. Only on serum (but not CSF) specimens after pronase treatment were (i) titers increased by 2 to 13 dilutions on 57% of the specimens, all of which had titers of less than or equal to 1:128 before pronase treatment, (ii) false-negative reactions on 27% of specimens before pronase treatment eliminated, all of which had titers from 1:4 to 1:4,096, (iii) prozone-like reactions (titer, less than or equal to 1:256) on 9% of the specimens before pronase treatment eliminated, and (iv) agglutination reactions on all specimens stronger and easier to interpret. Antifungal agents added to serum as well as freeze-thaw cycles did not change antigen titers in serum. After two separate tests, the same titers were obtained on 94% of 35 serum specimens that were treated with pronase and on 96% of 53 CSF specimens that were not treated with pronase. A total of 26 serum specimens and 28 CSF specimens from patients with no cryptococcal disease were negative before and after pronase treatment. The IBL kit (International Biological Labs Inc., Cranbury, N.J.) was compared with the Meridian kit on 41 serum specimens and 14 CSF specimens. Results from the two kits agreed on 54 and 68% of serum specimens and 86 and 93% of CSF specimens before and after pronase treatment, respectively. The IBL kit generally produced higher titers on specimens in disagreement and produced no prozone-like reactions. Routine pronase treatment of serum is recommended with the Meridian kit in order to eliminate false-negative and unclear agglutination reactions by producing a consistent interpretation of agglutination reactions. CSF specimens do not require pronase treatment. Titer results produced by the kits from the two different manufacturers varied considerably: the kits should not be used interchangeably for determining antigen titers in serum specimens.

Acquired Immunodeficiency Syndrome↗

Comparison of commercial kits for detection of cryptococcal antigen.

Although kits to detect cryptococcal antigen are used widely to diagnose cryptococcal infection, the comparative performance of commercially available assays has not been evaluated in the past decade. Therefore, we compared the sensitives and specificities of five commercially available kits for detecting cryptococcal antigen (four latex agglutination test kits--Calas [Meridian Diagnostics])--Crypto-LA [International Biological Labs], Myco-Immune [MicroScan], and Immy [Immunomycologics]--and an enzyme immunoassay kit, Premier [Meridian Diagnostics]) with culture for the diagnosis of cryptococcal meningitis and fungemia. Of 182 cerebrospinal fluid (CSF) and 90 serum samples submitted for cryptococcal antigen and fungal culture, 49 (19 and 30 samples, respectively) from 20 patients had a culture positive for Cryptococcus neoformans. For CSF specimens, the sensitivities and specificities of all kits were comparable (sensitivity, 93 to 100%; specificity, 93 to 98%). There was a significant difference in sensitivities of the kits when serum samples were tested with the International Biological Labs and MicroScan kits, which do not pretreat serum with pronase. These kits were less sensitive (sensitivity, 83%) than the Immy and Meridian latex kits (sensitivity, 97%), which do pretreat with pronase. The sensitivity of the Meridian enzyme immunoassay kit was comparable to that of the pronase-containing latex kits. These kits were of equivalent specificities (93 to 100%) when testing serum. Some of the currently available kits have limitations that need to be recognized for proper interpretation of results. Specifically, the use of pronase on serum samples reduces the number of false-positive results, and a titer of < or = 1:4 can be a false-positive result when CSF samples are being tested.

Antigens, Fungal↗

Performance of three enzyme immunoassays and two direct fluorescence assays for detection of Giardia lamblia in stool specimens preserved in ECOFIX.

ECOFIX is a single-vial stool preservative that is both formalin- and mercury-free. We evaluated the abilities of three commercial Giardia lamblia-specific enzyme immunoassays (EIAs) (ProSpecT Giardia Microplate Assay [Alexon-Trend Inc.], Giardia Test [Techlab], and Premier Giardia lamblia [Meridian Diagnostics, Inc.]) and two commercial direct fluorescent-antibody (FA) assays for G. lamblia (Crypto/Giardia IF Test [Techlab] and Merifluor Cryptosporidium/Giardia [Meridian Diagnostics, Inc.]) to detect G. lamblia in 34 G. lamblia-positive and 44 G. lamblia-negative stool specimens (determined by traditional examination for ova and parasites) preserved in ECOFIX compared to their abilities to detect G. lamblia in the same specimens preserved in formalin as the "gold standard" for each assay. Of the 34 formalin-fixed positive specimens, the number detected by each assay was as follows:, Alexon EIA, 34; Meridian EIA, 27; Techlab EIA, 29; Meridian FA assay, 31; and Techlab FA assay, 28. Both FA tests and the Alexon EIA performed well with ECOFIX, but the other two EIAs detected fewer positive specimens (the difference was statistically significant with the Techlab EIA) when ECOFIX was the preservative. Use of G. lamblia cyst antigen from cultured organisms preserved in formalin and ECOFIX demonstrated that the Alexon EIA could detect smaller amounts of antigen in ECOFIX than the other two EIAs could and suggested that cyst antigen is more stable in formalin. We recommend that laboratories use an FA assay or the Alexon EIA if they plan to use ECOFIX as their stool preservative.

Animals↗

Neurons in the NTS of rat response to gastric distention stimulation and acupuncture at body surface points.

The nucleus of the solitary tract (NTS) is a primary center, not only for receiving visceral afferents, but also for somatic afferents. Previous experiments demonstrated that NTS might be a primary afferent center for connecting the Stomach Meridian (ST Medirian) and the Stomach. In this study, an extracellular recording method was used to analyze the firing neurons. The variety of NTS' neurons' responses to gastric distention (GD) and different body surface points were compared. In 52 rats, 104 firing neurons of NTS were recorded, in which there were 47 GD related neurons. For the 47 GD related neurons, there were 33 neurons responsive to acupuncture at sibai (ST 2, belonging to ST Meridian). Therefore, in the 47 GD related neurons, the response neuron occurring rate (RNOR) for acupuncture at ST 2 was 70.21%. Meanwhile in the 47 GD related neurons, when acupuncture was performed at Quanliao (SI 18, belonging to Small Intestine Meridian) and non-acupoint respectively, there were 18 and 17 firing neurons, and the RNOR were 38.30% and 36.17% respectively. The experiment demonstrated that there were some varieties in the response of NTS neurons to GD stimuli and acupuncture at different body surface points, which suggested that the ST Meridian was more intimately linked to the stomach and that the different acupoints do have some specificity.

Acupuncture↗

Visual field representation in striate and prestriate cortices of a prosimian primate (Galago garnetti).

Microelectrode mapping techniques were used to study the visuotopic organization of the first and second visual areas (V1 and V2, respectively) in anesthetized Galago garnetti, alorisiform prosimian primate. 1) V1 occupies approximately 200 mm2 of cortex, and is pear shaped, rather than elliptical as in simian primates. Neurons in V1 form a continuous (1st-order) representation of the visual field, with the vertical meridian forming most of its perimeter. The representation of the horizontal meridian divides V1 into nearly equal sectors representing the upper quadrant ventrally, and the lower quadrant dorsally. 2) The emphasis on representation of central vision is less marked in Galago than in simian primates, both diurnal and nocturnal. The decay of cortical magnification factor with increasing eccentricity is almost exactly counterbalanced by an increase in average receptive field size, such that a point anywhere in the visual field is represented by a compartment of similar diameter in V1. 3) Although most of the cortex surrounding V1 corresponds to V2, one-quarter of the perimeter of V1 is formed by agranular cortex within the rostral calcarine sulcus, including area prostriata. Although under our recording conditions virtually every recording site in V2 yielded visually responsive cells, only a minority of those in area prostriata revealed such responses. 4) V2 forms a cortical belt of variable width, being narrowest (approximately 1 mm) in the representation of the area centralis and widest (2.5-3 mm) in the representation of the midperiphery (>20 degrees eccentricity) of the visual field. V2 forms a second-order representation of the visual field, with the area centralis being represented laterally and the visual field periphery medially, near the calcarine sulcus. Unlike in simians, the line of field discontinuity in Galago V2 does not exactly coincide with the horizontal meridian: a portion of the lower quadrant immediately adjacent to the horizontal meridian is represented at the rostral border of ventral V2, instead of in dorsal V2. Despite the absence of cytochrome oxidase stripes, the visual field map in Galago V2 resembles the ones described in simians in that the magnification factor is anisotropic. 5) Receptive field progressions in cortex rostral to dorsal V2 suggest the presence of a homologue of the dorsomedial area, including representations of both quadrants of the visual field. These results indicate that many aspects of organization of V1 and V2 in simian primates are shared with lorisiform prosimians, and are therefore likely to have been present in the last common ancestor of living primates. However, some aspects of organization of the caudal visual areas in Galago are intermediate between nonprimates and simian primates, reflecting either an intermediate stage of differentiation or adaptations to a nocturnal niche. These include the shape and the small size of V1 and V2, the modest degree of emphasis on central visual field representation, and the relatively large area prostriata.

Animals↗

Visual stimulus-dependent changes in interhemispheric EEG coherence in ferrets.

In recent years, the analysis of the coherence between signals recorded from the scalp [electroencephalographic (EEG) coherence] has been used to assess the functional properties of cortico-cortical connections, both in animal models and in humans. However, the experimental validation of this technique is still scarce. Therefore we applied it to the study of the callosal connections between the visual areas of the two hemispheres, because this particular set of cortico-cortical connections can be activated in a selective way by visual stimuli. Indeed, in primary and in low-order secondary visual areas, callosal axons interconnect selectively regions, which represent a narrow portion of the visual field straddling the vertical meridian and, within these regions, neurons that prefer the same stimulus orientation. Thus only isooriented stimuli located near the vertical meridian are expected to change interhemispheric coherence by activating callosal connections. Finally, if such changes are found and are indeed mediated by callosal connections, they should disappear after transection of the corpus callosum. We perfomed experiments on seven paralyzed and anesthetized ferrets, recording their cortical activity with epidural electrodes on areas 17/18, 19, and lateral suprasylvian, during different forms of visual stimulation. As expected, we found that bilateral iso-oriented stimuli near the vertical meridian, or extending across it, caused a significant increase in interhemispheric coherence in the EEG beta-gamma band. Stimuli with different orientations, stimuli located far from the vertical meridian, as well as unilateral stimuli failed to affect interhemispheric EEG coherence. The stimulus-induced increase in coherence disappeared after surgical transection of the corpus callosum. The results suggest that the activation of cortico-cortical connections can indeed be revealed as a change in EEG coherence. The latter can therefore be validly used to investigate the functionality of cortico-cortical connections.

Animals↗

Effects of optically imposed astigmatism on emmetropization in infant monkeys.

PURPOSE: Although astigmatism is prevalent during early infancy, the influence of astigmatism on early refractive development is unclear. This study was undertaken to determine the effects of astigmatism on emmetropization in monkeys. METHODS: Infant rhesus monkeys (n = 39) were exposed to optically simulated astigmatism in one or both eyes from approximately 1 to 4 months of age. With-the-rule, against-the-rule, and oblique astigmatisms were optically simulated by appropriately orienting the principal meridians of the spherocylindrical treatment lenses (+1.50 -3.00 D x 90 degrees, 180 degrees, 45 degrees, or 135 degrees; i.e., +1.50 and -1.50 D powers in the two principal meridians). Refractive development was assessed every 2 to 3 weeks by cycloplegic retinoscopy, keratometry and corneal videotopography, and A-scan ultrasonography. Data from 19 control monkeys, including 3 animals that were reared with binocular plano lenses, were used for comparison purposes. RESULTS: Most of the cylinder-lens-reared monkeys, regardless of the orientation of the imposed astigmatism, showed clear signs of either hyperopic or myopic growth compared with control monkeys. The distributions of refractive error and vitreous chamber depth both showed bimodal patterns that differed from normal by amounts equivalent to the optical powers of the principal meridians of the treatment lenses. More frequently, refractive development was biased toward the eye's least-hyperopic focal plane. The refractive changes were mainly axial. After lens removal, the lens-reared monkeys recovered and as a group exhibited refractive errors and axial dimensions similar to those in control monkeys. CONCLUSIONS: In the presence of significant amounts of astigmatism, emmetropization is directed toward one of the two focal planes associated with the astigmatic principal meridians and not the circle of least confusion. These results suggest that the mechanisms responsible for emmetropization are insensitive to stimulus orientation and the global form of the retinal image. It appears that emmetropization seeks out the image plane that contains the maximum effective contrast integrated across spatial frequency and stimulus orientation.

Animals↗

Comparison of ocular component growth curves among refractive error groups in children.

PURPOSE: To compare ocular component growth curves among four refractive error groups in children. methods Cycloplegic refractive error was categorized into four groups: persistent emmetropia between -0.25 and +1.00 D (exclusive) in both the vertical and horizontal meridians on all study visits (n = 194); myopia of at least -0.75 D in both meridians on at least one visit (n = 247); persistent hyperopia of at least +1.00 D in both meridians on all visits (n = 43); and emmetropizing hyperopia of at least +1.00 D in both meridians on at least the first but not at all visits (n = 253). Subjects were seen for three visits or more between the ages of 6 and 14 years. Growth curves were modeled for the persistent emmetropes to describe the relation between age and the ocular components and were applied to the other three refractive error groups to determine significant differences. results At baseline, eyes of myopes and persistent emmetropes differed in vitreous chamber depth, anterior chamber depth, axial length, and corneal power and produced growth curves that showed differences in the same ocular components. Persistent hyperopes were significantly different from persistent emmetropes in most components at baseline, whereas growth curve shapes were not significantly different, with the exception of anterior chamber depth (slower growth in persistent hyperopes compared with emmetropes) and axial length (lesser annual growth per year in persistent hyperopes compared with emmetropes). The growth curve shape for corneal power was different between the emmetropizing hyperopes and persistent emmetropes (increasing corneal power compared with decreasing power in emmetropes). conclusions Comparisons of growth curves between persistent emmetropes and three other refractive error groups showed that there are many similarities in the growth patterns for both the emmetropizing and persistent hyperopes, whereas the differences in growth lie mainly between the emmetropes and myopes.

Adolescent↗

Effect of traditional acupuncture on proximal colonic motility in conscious dogs.

Acupoints on the Large Intestine Meridian and specific acupoints related with large intestine have been empirically used to treat large intestinal disease. However, the relationship between acupoints related with large intestine and their functions has not been investigated fully. We investigated whether large intestine-related acupoints affect colonic motility in conscious dogs implanted with electrodes at the proximal colon. Manual acupuncture was applied at the following acupoints: 7 main points on the Large Intestine Meridian (LI1, LI2, LI3, LI4, LI5, LI6, and LI11), ST25, BL25 or GV1. Acupuncture at the Large Intestine Meridian acupoints, ST25 and BL25 had no significant effects on the proximal colonic motility. However, acupuncture at GV1 depressed the proximal colonic motility by decreasing the total duration and the frequency of contractile states, which may contribute to the therapeutic effects of GV1. This study also revealed that there was no clear correlation between Large Intestine Meridian and the proximal colonic motility in conscious dogs.

Acupuncture↗