GV01 is one of the most effective acupoints to treat diarrhea in humans and animals. The present study showed that skin on the GV01 acupoint reveals tenderness and neurogenic inflammation in colonic inflammatory states, but not in normal healthy states.Key words: colitis, GV01, neurogenic inflammation.GV01 (Changqiang, Government Vessel 1), a single acupoint in the depression ventral to the base of the tail and dorsal to the anus, is one of the most effective acupoints for treating diarrhea in humans and animals [1][2][3][4][5]. In a recent study, we investigated whether large intestinerelated 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 (LI01, LI02, LI03, LI04, LI05, LI06, and LI11), ST25, BL25, and GV01. Acupuncture at the large intestine meridian acupoints, ST25 and BL25 had no significant effects on the proximal colonic motility. Only acupuncture at GV01 depressed the proximal colonic motility by decreasing the total duration and the frequency of contractile states [6]. We also reported that acupuncture at GV01 decreased colonic motility and had anti-inflammatory effects on colitis, but not in normal rats, and suggested that the response to acupuncture at GV01 is more susceptible to colonic inflammation than normal colon [7]. According to Oriental medical theory, each acupoint communicates with one of the visceral organs and reflects the conditions of that organ [8]. Actually, when an organ is subject to pathophysiological changes, one or more of the related acupoints become tender (hypersensitive) or show other signs of abnormalities, such as altered color or hardness of the skin [9]. From these reports, we suggest the possibility that there are differences in the local conditions of GV01 acupoint between healthy and pathological subjects in the colon.Visceral pain, such as colitis and colorectal distensions, is often referred to certain somatic regions. The referred pain is well defined and localized, often with hyperalgesia (tender point) or referred cutaneous hypersensitivity characterized by an increased sensitivity to mechanical stimuli and a decreased pain threshold [10]. Moreover, in the referred area from visceral pain, neurogenic inflammation is observed, characterized by reddening (vasodilation) and edema (plasma extravasation). This leads to trophic changes, including changes in blood flow and in the texture and structure of the skin and subcutaneous tissue. Experimentally, neurogenic inflammation can be visualized in the skin by systemic injection of Evans blue dye [11].Using the mechanical von Frey test and Evans blue dye, we investigated whether skin on the GV01 acupoint is tender (hypersensitive) and shows neurogenic inflammation in colonic inflammatory states, and it was compared with normal states.
MethodsMale Sprague-Dawley rats (Sam-Yuk Experimental Centers, Korea) weighing approximately 250 g were used. They were kept i...