Neuronal stimulation is an emerging field in modern medicine to control organ function and reestablish physiological homeostasis during illness. Transdermal nerve stimulation with electroacupuncture is currently endorsed by the WHO, the NIH, and is used by millions of people to control pain and inflammation. Recent advances in electroacupuncture might allow the activation of specific neuronal networks to prevent organ damage in inflammatory and infectious disorders. Experimental studies of nerve stimulation are also providing new information on the functional organization of the nervous system to control inflammation and its clinical implications in infectious and inflammatory disorders. These studies might allow the design of novel non-invasive techniques for nerve stimulation to help control immune and organ functions.

In Traditional Chinese Medicine, acupuncture points (APs) have been emphasized as key elements that generate the therapeutic effects of acupuncture. At the spinal cord or supraspinal level, sensory neurons located in the dorsal horn receive an extensive supply of sensory information from skin and muscle receptors through peripheral afferent nerves. The stimulated skin area that influences the activity of a spinal sensory neuron is known as the peripheral receptive field (RF) of that neuron. By considering that a particular AP location involves the activation of one or various RFs, it can be assumed that several sensory central neurons are the site of convergence of the peripheral input generated by acupuncture stimulation. However, stimulation on nonacupoint sites could also activate skin areas with RFs that have been sensitized, and they could be involved in the generation of nonspecific effects of acupuncture, as seen in clinical practice. From the latter, it is suggested that effective APs, and even nonacupoints, are associated with a particular arrangement of RFs, and their study will be useful for understanding the intrinsic mechanisms of acupuncture and for the development and identification of more efficient sites and modes of acupuncture stimulation to evoke optimal therapeutic actions.

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The longitudinal distribution of the cord dorsum potentials (CDPs) produced by electroacupuncture (EA) stimulation at acupuncture points (APs) located on the hind limbs of rats was analyzed in this study. Single electrical pulses (0.05 ms, 1 Hz) applied to the bladder (BL) and the gallbladder (GB) APs produced CDPs on several spinal segments and were composed of the following four components: an afferent volley, two negative components (N1 and N2), and one positive component (P wave). The larger evoked CDPs differed in their rostrocaudal distributions depending on the stimulated AP site, with those evoked by GB32-33 (at L3) and GB36-37 (at L4) being more caudal than those generated by BL58-59 (at L5) and BL37-38 (at L6). The CDPs produced by stimulating nonacupoints (NAPs) showed similar components and rostrocaudal distributions that were smaller in amplitude than those evoked by stimulating APs. The CDPs produced by stimulating NAPs located on a meridian acupuncture area were similar in amplitude and longitudinal distribution to those produced by stimulating APs. Our results suggest that the specificity of EA stimulation for CDPs responses is mainly related to an activation of meridian pathways associated with peripheral nerve routes rather than to a restricted point specificity of APs.