Knots of Existence

“When all the knots of the heart are cut, here in this life, the mortal becomes immortal. This much is the teaching.” — Kaṭha Upaniṣad 2.3.15

Library

What has been measured, argued and handed down

The papers behind each link in the chain, the critiques, and the texts in which the traditions mapped the same ground. Papers are verified against PubMed.

A short history of knots

  1. c. 100 BCEThe Huangdi Neijing describes the sinew channels, each of which “knots” (結) at bony prominences, and the cou li — the texture between skin and flesh where wind enters.↓
  2. 7th c.Sun Simiao names the ashi points — tender spots found by pressing, named for the patient’s cry.
  3. 15th c.The Haṭha Yoga Pradīpikā counts 72,000 nāḍīs and describes the piercing of the three granthis — the knots of Brahma, Viṣṇu and Rudra.↓
  4. 1843Froriep describes “Muskelschwiele” — muscle calluses — hard, tender places in rheumatic muscle.
  5. 1904Gowers coins “fibrositis” for the tender, painful lumps of lumbago.
  6. 1919Schade proposes “myogelosis”: the hardening is muscle colloid turned to gel — a gel theory seventy years before hyaluronan.
  7. 1936Bolton, Carmichael and Stürup record that a deep inspiration constricts the skin’s vessels within seconds.↓
  8. 1938Kellgren injects hypertonic saline into muscles and maps the referred pain that follows.
  9. 1952Travell and Rinzler publish the first maps of myofascial referred-pain patterns.↓
  10. 1977Melzack and colleagues find a 71% correspondence between trigger points and acupuncture points for pain.↓
  11. 1983Travell and Simons publish The Trigger Point Manual.↓
  12. 1986Segal and Duling show that a dilation conducts along an arteriole’s wall, upstream toward its feed.↓
  13. 1987Taylor and Palmer map the angiosomes: about forty source-artery territories and an average of 374 major perforators.↓
  14. 1988Heine reports that about 80% of acupoints sit where a vessel–nerve bundle perforates the superficial fascia. Hai and Murphy model the smooth-muscle latch.↓
  15. 1990The American College of Rheumatology fixes eighteen tender points for fibromyalgia.↓
  16. 1993Hubbard and Berkoff record spontaneous needle-EMG activity at trigger points.↓
  17. 1994McNulty and colleagues: mental arithmetic turns up the activity at a trigger point but not beside it. Quintner and Cohen propose the nerve alternative.↓
  18. 2002Langevin and Yandow: 80% of acupoints lie on connective-tissue planes.↓
  19. 2005Shah’s microdialysis samples the acidic, mediator-rich milieu inside active trigger points.↓
  20. 2009Sikdar images trigger points as stiff hypoechoic nodules. Saint-Cyr names the perforasome.↓
  21. 2011Stecco proposes hyaluronan densification; Langevin measures 20% less fascial glide in chronic low back pain.↓
  22. 2015Quintner, Bove and Cohen publish a critical evaluation of the trigger-point construct.↓
  23. 2017Lindahl, Britton and colleagues catalogue meditation-related challenges, including pressure that builds and releases.↓
  24. 2018Benias and colleagues describe a body-wide, fluid-filled interstitium in the fasciae and dermis.↓
  25. 2023Michael Edward Johnson proposes vasocomputation: vascular tension as memory, latches as hyperpriors.↓
  26. 2026Knots of Existence and Vasocomputation, then Knots of Existence Hypotheses: knots as perforators held stuck, and the fascia as a second system.↓

Sources

  1. 2026

    Knots of Existence Hypotheses

    Eugene Jhong (text by Fable 5.1) · Substack, 8 September 2026

    Where this atlas began: knots as perforators held stuck, the fascia as a second system, trees of vessels, the traditions, and experiments to test it.

    essay · perforators · fascia · contemplative

  2. 2026

    Knots of Existence and Vasocomputation

    Eugene Jhong (text by Kimi and Fable) · Substack, 14 August 2026

    The original: knots as a state, not a structure — “a stale lock file” — the two-key protocol of pressure and breath, and a research programme.

    essay · vessels · contemplative

  3. 2026

    How to Unclench: a field guide to the trainable skill of unclenching

    Jonny Miller · howtounclench.com

    Practices of release. Read the cautions first.

    web · contemplative · breath

  4. 2026

    Physiological Impacts and Medical Applications of the Inspiratory Gasp Vascular Reflex

    Mayrovitz HN · Cureus 18:e105709

    The inspiratory gasp reflex reviewed: skin vessels constrict 3.6–3.8 s after a gasp, most deeply at 4.6–5.2 s, and recover over about half a minute.

    paper · breath · vessels

  5. 2026

    Arteriolar Collapse and Haemodynamic Incoherence in Shock: Rethinking Critical Closing Pressure

    Miller A, Rola P, Spiegel R et al. · J Pers Med 16

    Critical closing pressure read as a binary threshold: arterioles snap shut when smooth-muscle tension exceeds intraluminal pressure, and reopen only when tone falls, external pressure is relieved or inflow pressure rises.

    paper · vessels · models

  6. 2025

    Effectiveness of Ultrasound-Guided Hydrodissection for Atypical Anterior Cutaneous Nerve Entrapment Syndrome Presenting as Lower Back Pain Due to Retrograde Neuropathic Pain

    Yoshinaga T, Koga T, Koga H · Cureus 17:e94871

    The whole model in one case: a tender point, a pulsating perforating artery beneath it on Doppler, resolution with hydrodissection.

    paper · perforators · nerve

  7. 2024

    Antagonism of 5-HT(2) receptors attenuates self-sustained firing of human motor units

    Goodlich BI, Pearcey GEP, Del Vecchio A et al. · J Physiol 602:1759-1774

    Blocking serotonin 5-HT2 receptors shortened human motor units' self-sustained firing: units recruited by extra drive could not switch off when it was removed, and less so under the blocker.

    paper · nerve

  8. 2024

    Perforating cutaneous vessels: A key feature of acupoints - Anatomical evidence from five-Shu acupoints in the upper limbs

    Meng S, Tang Z, Zhu M et al. · Clin Anat 37:33-42

    Dissection of the five-shu points of the arm: perforating cutaneous vessels are a key feature of acupoints.

    paper · acupuncture · perforators

  9. 2024

    Vasocomputation and vascular tension

    Michael Edward Johnson · opentheory.net notes

    “A sustained thought is a pattern of vascular clenching that reduces dynamic range in nearby neurons.”

    essay · vessels · mind

  10. 2023

    The contralateral effects of foam rolling on range of motion and muscle performance

    Konrad A, Nakamura M, Warneke K et al. · Eur J Appl Physiol 123:1167-1178

    A scoping review: one bout of foam rolling on one limb increases range of motion in the other, untreated limb, most likely through reduced perception of pain. A single bout leaves the other side’s maximal strength unchanged.

    paper · fascia · mind

  11. 2023

    Principles of Vasocomputation: A Unification of Buddhist Phenomenology, Active Inference, and Physical Reflex (Part I)

    Michael Edward Johnson · opentheory.net, 12 July 2023 (updated 2025)

    Vascular smooth muscle as a computational medium: vasomotion compresses, contractions clamp, sustained contractions latch into hyperpriors; tanha as their felt signature.

    essay · vessels · mind · contemplative

  12. 2023

    Increasing pulse pressure ex vivo, mimicking acute physical exercise, induces smooth muscle cell-mediated de-stiffening of murine aortic segments

    Neutel CHG, Weyns AS, Leloup A et al. · Commun Biol 6:1137

    Aortic smooth muscle de-stiffens after bouts of high cyclic stretch and re-stiffens slowly; the muscle has to be contracted and stretched for it to happen.

    paper · vessels · animals

  13. 2022

    Functional Role of STIM-1 and Orai1 in Human Microvascular Aging

    El Assar M, García-Rojo E, Sevilleja-Ortiz A et al. · Cells 11

    Human small arteries from donors over 65 contract more strongly to adrenergic stimulation; force is close to maximal at 90% of the circumference they would have at 100 mmHg.

    paper · vessels

  14. 2022

    Innervation of human superficial fascia

    Fede C, Petrelli L, Pirri C et al. · Front Neuroanat 16:981426

    The superficial fascia is richly innervated; about a third of its fibres are autonomic, concentrated around vessels.

    paper · fascia · nerve

  15. 2022

    Ultrasound-guided motor unit scanning electromyography

    Maitland S, Hall J, McNeill A et al. · Muscle Nerve 66:730-735

    A single motor unit's territory measured with ultrasound-guided scanning EMG in tibialis anterior: 1.5 to 14.7 mm across, 7.2 mm on average.

    paper · anatomy · imaging

  16. 2022

    Laser speckle contrast imaging and laser Doppler flowmetry reproducibly assess reflex cutaneous vasoconstriction

    Schwartz KS, Theis EN, Bunting K et al. · Microvasc Res 142:104363

    Laser speckle and laser Doppler reproducibly track the skin's reflex vasoconstriction to cooling; the shallowest sampling sees a smaller response than the deepest.

    paper · vessels · imaging

  17. 2021

    Haemodialysis and peritoneal dialysis patients have severely impaired post-occlusive skin forearm vasodilatory response assessed with laser speckle contrast imaging

    Alexandrou ME, Gkaliagkousi Ε, Loutradis C et al. · Clin Kidney J 14:1419-1427

    Reactive hyperaemia in forearm skin by laser speckle imaging: after an occlusion, flow rises 187% above baseline and peaks about 11 s after release.

    paper · vessels · imaging

  18. 2021

    [Copeman nodules, a frequent but little known cause of low back pain; case report]

    Martínez Núñez P, Ruiz Alonso ME, Pérez González M · Rehabilitacion (Madr) 55:157-160

    Copeman nodules (episacral lipomas) are common: fat herniated beneath the fascia through weakened areas of the thoracodorsal fascia, usually on both sides.

    paper · fascia · anatomy

  19. 2020

    Tutorial: Analysis of motor unit discharge characteristics from high-density surface EMG signals

    Del Vecchio A, Holobar A, Falla D et al. · J Electromyogr Kinesiol 53:102426

    A tutorial on reading motor unit discharges from high-density surface EMG.

    paper · models

  20. 2020

    Adverse events in meditation practices and meditation-based therapies: a systematic review

    Farias M, Maraldi E, Wallenkampf KC et al. · Acta Psychiatr Scand 142:374-393

    Across 83 studies, adverse events in about 8% of those who meditated — anxiety and depression most often, suicidal behaviour among them — sometimes in people with no previous mental-health problems.

    paper · contemplative · safety

  21. 2020

    Gray’s Anatomy: The Anatomical Basis of Clinical Practice, 42nd edition

    Susan Standring (ed.) · Elsevier

    For the galea, the SMAS, the superficial fascia and the fascial planes of the body.

    book · anatomy

  22. 2019

    Device-guided slow breathing reduces blood pressure and sympathetic activity in young normotensive individuals of both sexes

    Adler TE, Coovadia Y, Cirone D et al. · J Appl Physiol (1985) 127:1042-1049

    In young normotensive women and men, 15 minutes of slow breathing lowered muscle sympathetic burst incidence by 5 bursts per 100 heartbeats and blood pressure by 3 mmHg.

    paper · breath · vessels

  23. 2019

    Acupuncture Points and Perforating Cutaneous Vessels Identified Using Infrared Thermography: A Cross-Sectional Pilot Study

    Álvarez-Prats D, Carvajal-Fernández O, Valera Garrido F et al. · Evid Based Complement Alternat Med 2019:7126439

    Infrared thermography finds perforating cutaneous vessels at acupuncture points.

    paper · acupuncture · perforators

  24. 2019

    Anatomical Evidence of Acupuncture Meridians in the Human Extracellular Matrix: Results from a Macroscopic and Microscopic Interdisciplinary Multicentre Study on Human Corpses

    Maurer N, Nissel H, Egerbacher M et al. · Evid Based Complement Alternat Med 2019:6976892

    Dissection of meridians: tracks in the extracellular matrix, but vessel–nerve bundles at only a few points.

    paper · acupuncture · fascia

  25. 2019

    Immediate effects of variable durations of pressure release technique on latent myofascial trigger points of the levator scapulae: a double-blinded randomised clinical trial

    Pecos-Martin D, Ponce-Castro MJ, Jiménez-Rejano JJ et al. · Acupunct Med 37:141-150

    Pressure release held on a latent trigger point for 60 or 90 s raised its pressure-pain threshold more than 30 s did.

    paper · trigger points

  26. 2018

    Structure and Distribution of an Unrecognized Interstitium in Human Tissues

    Benias PC, Wells RG, Sackey-Aboagye B et al. · Sci Rep 8:4947

    Fluid-filled spaces supported by collagen bundles in submucosae, dermis, fasciae and perivascular tissue — a body-wide interstitium.

    paper · fascia · anatomy

  27. 2018

    Support for meditators in difficulty

    Cheetah House · cheetahhouse.org

    If a process is destabilising you, start here — and see a physician.

    web · safety · contemplative

  28. 2018

    Quantification of hyaluronan in human fasciae: variations with function and anatomical site

    Fede C, Angelini A, Stern R et al. · J Anat 233:552-556

    Hyaluronan measured in human fasciae: 6 µg/g over trapezius and deltoid, about 30–35 µg/g in fascia lata and rectus sheath, 90 µg/g in the retinacula.

    paper · fascia

  29. 2018

    Challenging the Cinderella Hypothesis: A New Model for the Role of the Motor Unit Recruitment Pattern in the Pathogenesis of Myofascial Pain Syndrome in Postural Muscles

    Minerbi A, Vulfsons S · Rambam Maimonides Med J 9

    A model of a postural muscle whose motor units take turns: more load or less strength shortens each unit's rest, a route into the energy crisis that replaces the Cinderella hypothesis.

    paper · trigger points · models

  30. 2018

    A Comparison Between Rheological Properties of Intra-articular Hyaluronic Acid Preparations and Reported Human Synovial Fluid

    Nicholls M, Manjoo A, Shaw P et al. · Adv Ther 35:523-530

    Healthy synovial fluid, far richer in hyaluronan than fascia, has a zero-shear viscosity of 1–175 Pa·s: an upper bound for any hyaluronan collar.

    paper · fascia · models

  31. 2017

    Pain and respiration: a systematic review

    Jafari H, Courtois I, Van den Bergh O et al. · Pain 158:995-1006

    Systematic review: pain raises breathing's flow, rate and volume, and paced slow breathing reduces pain in some studies, by mechanisms not yet known.

    paper · breath · mind

  32. 2017

    The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists

    Lindahl JR, Fisher NE, Cooper DJ et al. · PLoS One 12:e0176239

    The largest study of meditation-related challenges: pressure or tension that builds and releases, energy, currents, involuntary movement.

    paper · contemplative · safety

  33. 2017

    Interrater Agreement of Manual Palpation for Identification of Myofascial Trigger Points: A Systematic Review and Meta-Analysis

    Rathbone ATL, Grosman-Rimon L, Kumbhare DA · Clin J Pain 33:715-729

    Examiners agree only moderately on where trigger points are by touch (kappa 0.45); tenderness and the patient recognising the pain agree best.

    paper · trigger points · critique

  34. 2017

    The Varieties of Contemplative Experience

    Willoughby Britton and colleagues · Brown University

    The research programme on meditation-related difficulties.

    web · contemplative · safety

  35. 2016

    The Best-Laid Plans of "Back Mice" and Men: A Case Report and Literature Review of Episacroiliac Lipoma

    Bicket MC, Simmons C, Zheng Y · Pain Physician 19:181-8

    "Back mice": firm, rubbery, mobile nodules in the low back that may be fat herniated through the fascial layers; tender ones mimic myofascial pain.

    paper · fascia · anatomy

  36. 2016

    Preferential distribution of nociceptive input to motoneurons with muscle units in the cranial portion of the upper trapezius muscle

    Dideriksen JL, Holobar A, Falla D · J Neurophysiol 116:611-8

    Motor units of the upper trapezius recorded from the skin with high-density EMG: pain reaches the units of its upper part first.

    paper · trigger points

  37. 2016

    Rainbow Body and Resurrection: Spiritual Attainment, the Dissolution of the Material Body, and the Case of Khenpo A Chö

    Francis V. Tiso · North Atlantic Books

    An investigation of the rainbow body (’ja’ lus) — the tradition’s most extreme claim about the body at the end.

    book · traditions · contemplative

  38. 2016

    Specific and cross-over effects of foam rolling on ankle dorsiflexion range of motion

    Kelly S, Beardsley C · Int J Sports Phys Ther 11:544-551

    Foam rolling the calf of one leg increased ankle range of motion in that leg for at least 20 minutes, and in the other, untouched leg for up to 10 — a cross-over effect, perhaps through greater stretch tolerance.

    paper · fascia · mind

  39. 2016

    Multi-channel intramuscular and surface EMG decomposition by convolutive blind source separation

    Negro F, Muceli S, Castronovo AM et al. · J Neural Eng 13:026027

    High-density surface EMG decomposed into single motor units by blind source separation: the method that could see a unit fall silent at a release.

    paper · models

  40. 2016

    Perforator-Guided Drug Injection in the Treatment of Abdominal Wall Pain

    Weum S, de Weerd L · Pain Med 17:1229-32

    In cutaneous nerve entrapment of the abdominal wall, the point of maximal pain lies where perforating vessels exit through the rectus fascia.

    paper · nerve · perforators

  41. 2015

    Does smooth muscle in an intact airway undergo length adaptation during a sustained change in transmural pressure?

    Ansell TK, McFawn PK, McLaughlin RA et al. · J Appl Physiol (1985) 118:533-43

    A caution: whole airways held inflated or deflated for about 50 minutes showed no length adaptation within physiological ranges.

    paper · breath · animals

  42. 2015

    Viscoelastic Properties of Hyaluronan in Physiological Conditions

    Cowman MK, Schmidt TA, Raghavan P et al. · F1000Res 4:622

    Hyaluronan's viscosity in the body: crowding and immobility raise it, warmth lowers it gradually (two- to threefold from 25 to 65 °C), and in inflammation it can bind proteins into aggregates.

    paper · fascia

  43. 2015

    Architecture of Human Living Fascia: The Extracellular Matrix and Cells Revealed Through Endoscopy

    Jean-Claude Guimberteau, Colin Armstrong · Handspring Publishing

    Living fascia filmed under the skin: a multimicrovacuolar web of fibrils that slides, stretches and recovers.

    book · fascia · anatomy

  44. 2015

    A critical evaluation of the trigger point phenomenon

    Quintner JL, Bove GM, Cohen ML · Rheumatology (Oxford) 54:392-9

    A sceptical review of the trigger-point construct and its circularity.

    paper · critique · trigger points

  45. 2015

    Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective

    Shah JP, Thaker N, Heimur J et al. · PM R 7:746-761

    Trigger points then and now: a history from 19th-century “nodules” to microdialysis.

    paper · trigger points · history

  46. 2015

    Novel Use of Ultrasound Elastography to Quantify Muscle Tissue Changes After Dry Needling of Myofascial Trigger Points in Patients With Chronic Myofascial Pain

    Turo D, Otto P, Hossain M et al. · J Ultrasound Med 34:2149-61

    Ultrasound elastography measured the stiffer share of the trapezius around trigger points falling as they responded to dry needling.

    paper · trigger points · imaging

  47. 2014

    Ultrasonography in myofascial neck pain: randomized clinical trial for diagnosis and follow-up

    Stecco A, Meneghini A, Stern R et al. · Surg Radiol Anat 36:243-53

    The loose-connective-tissue sublayers of neck fascia are thicker in chronic neck pain and thin with treatment.

    paper · fascia · imaging

  48. 2014

    Integrative modeling of small artery structure and function uncovers critical parameters for diameter regulation

    VanBavel E, Tuna BG · PLoS One 9:e86901

    A model of small arteries regulated by four adaptive processes (tone, smooth-muscle length adaptation, matrix rearrangement, growth): leave any one out and regulation fails, in some cases with unstable structure.

    paper · vessels · models

  49. 2013

    Pain modulation induced by respiration: phase and frequency effects

    Arsenault M, Ladouceur A, Lehmann A et al. · Neuroscience 252:501-11

    Pain from brief shocks was rated lower near the end of the in-breath than of the out-breath, and the effect was small: the breath's phase is not what makes relaxation analgesic.

    paper · breath · mind

  50. 2013

    Randomized clinical trial of trigger point infiltration with lidocaine to diagnose anterior cutaneous nerve entrapment syndrome

    Boelens OB, Scheltinga MR, Houterman S et al. · Br J Surg 100:217-21

    In abdominal wall pain from entrapped cutaneous nerves, lidocaine injected at the point of maximal pain relieved it in 13 of 24 patients, saline in 4 of 24.

    paper · nerve

  51. 2013

    Stress-induced allodynia--evidence of increased pain sensitivity in healthy humans and patients with chronic pain after experimentally induced psychosocial stress

    Crettaz B, Marziniak M, Willeke P et al. · PLoS One 8:e69460

    A standardised social stressor raised sensitivity to heat pain in healthy people, and to pressure pain as well in fibromyalgia.

    paper · mind

  52. 2013

    Changes in blood flow and cellular metabolism at a myofascial trigger point with trigger point release (ischemic compression): a proof-of-principle pilot study

    Moraska AF, Hickner RC, Kohrt WM et al. · Arch Phys Med Rehabil 94:196-200

    Microdialysis inside an active trigger point: ischaemic compression brings a transient rise in local blood flow.

    paper · trigger points · vessels

  53. 2012

    The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing--an experimental study

    Busch V, Magerl W, Kern U et al. · Pain Med 13:215-28

    Deep, slow breathing with relaxation raised pain thresholds and lowered sympathetic arousal; the same breathing done with effortful attention did neither.

    paper · breath · mind

  54. 2012

    The influence of dry needling of the trapezius muscle on muscle blood flow and oxygenation

    Cagnie B, Barbe T, De Ridder E et al. · J Manipulative Physiol Ther 35:685-91

    A single dry-needling stimulus raises local blood flow and oxygenation in the trapezius for fifteen minutes.

    paper · trigger points · vessels

  55. 2012

    Fascia: The Tensional Network of the Human Body

    Robert Schleip, Thomas W. Findley, Leon Chaitow, Peter A. Huijing (eds.) · Churchill Livingstone Elsevier

    The reference text of modern fascia research.

    book · fascia

  56. 2012

    Strain hardening of fascia: static stretching of dense fibrous connective tissues can induce a temporary stiffness increase accompanied by enhanced matrix hydration

    Schleip R, Duerselen L, Vleeming A et al. · J Bodyw Mov Ther 16:94-100

    Stretch squeezes water out of dense fascia; at rest it returns, past where it was, and the tissue stiffens: fascia's stiffness follows its water.

    paper · fascia

  57. 2012

    Smooth muscle biomechanics and plasticity: relevance for vascular calibre and remodelling

    Tuna BG, Bakker EN, VanBavel E · Basic Clin Pharmacol Toxicol 110:35-41

    Review: vascular smooth muscle adapts its length like airway and bladder muscle; under strong constriction this may prevent immediate full dilation and lead to inward remodelling.

    paper · vessels · models

  58. 2012

    The thoracolumbar fascia: anatomy, function and clinical considerations

    Willard FH, Vleeming A, Schuenke MD et al. · J Anat 221:507-36

    The thoracolumbar fascia: anatomy, function and clinical considerations.

    paper · fascia · anatomy

  59. 2011

    Active tension adaptation at a shortened arterial muscle length: inhibition by cytochalasin-D

    Bednarek ML, Speich JE, Miner AS et al. · Am J Physiol Heart Circ Physiol 300:H1166-73

    Arterial smooth muscle shortened by a fifth regains force over three contractions, by adding actin filaments; released from 1.25 to 0.75 of its optimal length, its sustained force rises by half.

    paper · vessels · animals

  60. 2011

    Reduced thoracolumbar fascia shear strain in human chronic low back pain

    Langevin HM, Fox JR, Koptiuch C et al. · BMC Musculoskelet Disord 12:203

    About 20% less shear glide between thoracolumbar fascia layers in chronic low back pain.

    paper · fascia · imaging

  61. 2011

    Hyaluronan within fascia in the etiology of myofascial pain

    Stecco C, Stern R, Porzionato A et al. · Surg Radiol Anat 33:891-6

    Hyaluronan-rich loose tissue between fascial layers, and its densification as a substrate of myofascial pain.

    paper · fascia

  62. 2011

    The anatomical (angiosome) and clinical territories of cutaneous perforating arteries: development of the concept and designing safe flaps

    Taylor GI, Corlett RJ, Dhar SC et al. · Plast Reconstr Surg 127:1447-1459

    The anatomical territory of one cutaneous perforator, bounded by the anastomoses that link it to its neighbours.

    paper · perforators · anatomy

  63. 2011

    Awakening the Sacred Body: Tibetan Yogas of Breath and Movement

    Tenzin Wangyal Rinpoche · Hay House

    The three channels, the five winds, and the tsa lung movements that open them.

    book · traditions · breath · contemplative

  64. 2011

    Sensory innervation of the thoracolumbar fascia in rats and humans

    Tesarz J, Hoheisel U, Wiedenhöfer B et al. · Neuroscience 194:302-8

    The thoracolumbar fascia is densely innervated, including nociceptors.

    paper · fascia · nerve

  65. 2011

    Central sensitization: implications for the diagnosis and treatment of pain

    Woolf CJ · Pain 152:S2-S15

    Central sensitisation: the central amplifier of chronic pain.

    paper · nerve · critique

  66. 2010

    'Pain inhibits pain' mechanisms: Is pain modulation simply due to distraction?

    Moont R, Pud D, Sprecher E et al. · Pain 150:113-120

    Pain inhibits pain: a painful stimulus on one hand lessens pain elsewhere (conditioned pain modulation), independently of distraction.

    paper · mind

  67. 2010

    The anatomic basis of perforator flaps

    Morris SF, Tang M, Almutari K et al. · Clin Plast Surg 37:553-70, xi

    A modern synthesis of perforator anatomy region by region.

    paper · perforators · anatomy

  68. 2010

    Sympathetic nerve activity is decreased during device-guided slow breathing

    Oneda B, Ortega KC, Gusmão JL et al. · Hypertens Res 33:708-12

    Fifteen minutes of device-guided slow breathing (about 5.5 breaths a minute) lowered muscle sympathetic nerve activity by 8 bursts a minute; calm music lowered blood pressure but not sympathetic activity.

    paper · breath · vessels

  69. 2010

    Excellent reproducibility of laser speckle contrast imaging to assess skin microvascular reactivity

    Roustit M, Millet C, Blaise S et al. · Microvasc Res 80:505-11

    Laser speckle contrast imaging of forearm skin is reproducible from week to week: 8% for the peak of reactive hyperaemia, 15% for the plateau of local heating.

    paper · vessels · imaging

  70. 2010

    The effects of slow breathing on affective responses to pain stimuli: an experimental study

    Zautra AJ, Fasman R, Davis MC et al. · Pain 149:12-18

    Breathing at half the normal rate lowered the intensity and unpleasantness of moderate heat pain, less reliably in fibromyalgia.

    paper · breath · mind

  71. 2009

    Myofascial referred-pain data provide physiologic evidence of acupuncture meridians

    Dorsher PT · J Pain 10:723-31

    Trigger-point referred-pain patterns track the acupuncture meridians.

    paper · acupuncture · trigger points

  72. 2009

    Comparison of instruments for investigation of microcirculatory blood flow and red blood cell concentration

    O'Doherty J, McNamara P, Clancy NT et al. · J Biomed Opt 14:034025

    Laser speckle perfusion imaging is sensitive to the skin's superficial, nutritional supply; a laser Doppler line scanner to deeper vessels.

    paper · vessels · imaging

  73. 2009

    The perforasome theory: vascular anatomy and clinical implications

    Saint-Cyr M, Wong C, Schaverien M et al. · Plast Reconstr Surg 124:1529-1544

    Each perforator supplies its own territory — a perforasome — linked to its neighbours by direct and indirect vessels.

    paper · perforators · anatomy

  74. 2009

    Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue

    Sikdar S, Shah JP, Gebreab T et al. · Arch Phys Med Rehabil 90:1829-38

    Trigger points imaged: discrete hypoechoic nodules, stiffer than surroundings, with abnormal flow.

    paper · trigger points · imaging

  75. 2009

    Three-dimensional analysis of perforators of the posterior leg

    Tang M, Mao Y, Almutairi K et al. · Plast Reconstr Surg 123:1729-1738

    Thirteen perforators of at least 0.5 mm in the back of each leg, each supplying about 38 cm²; lower down, septocutaneous perforators arranged lengthwise in one or two parallel chains.

    paper · perforators · anatomy

  76. 2008

    Effect of electrode array position and subcutaneous tissue thickness on conduction velocity estimation in upper trapezius muscle

    Cescon C, Rebecchi P, Merletti R · J Electromyogr Kinesiol 18:628-36

    Over the upper trapezius the fat beneath the skin measured 3 to 18 mm by ultrasound, and the muscle's innervation zone lay mid-way between C7 and the acromion.

    paper · anatomy · imaging

  77. 2008

    Mastering the Core Teachings of the Buddha

    Daniel M. Ingram · Aeon Books (2nd ed. 2018; free online)

    A practitioner’s map, including the difficult territory of intensive practice.

    book · contemplative · safety

  78. 2008

    Resolution of inflammation-induced axonal mechanical sensitivity and conduction slowing in C-fiber nociceptors

    Dilley A, Bove GM · J Pain 9:185-92

    The mechanical sensitivity an inflamed nerve's fibres develop is there at one week and at four, and has virtually gone by eight.

    paper · nerve · animals

  79. 2008

    Persistent inward currents in spinal motoneurons and their influence on human motoneuron firing patterns

    Heckman CJ, Johnson M, Mottram C et al. · Neuroscientist 14:264-75

    Persistent inward currents in motor neurons amplify synaptic input up to fivefold or more, set by serotonin and noradrenaline; brief inputs can start long-lasting self-sustained firing (bistable behaviour), and turning it off usually needs inhibitory input.

    paper · nerve · models

  80. 2008

    Adaptive response of pulmonary arterial smooth muscle to length change

    Syyong H, Cheung C, Solomon D et al. · J Appl Physiol (1985) 104:1014-20

    Pulmonary arterial smooth muscle shortened to 0.6 of its length regains 73% of the force it lost, along a single exponential: the muscle adapts to the length it is held at.

    paper · vessels · animals

  81. 2008

    WHO Standard Acupuncture Point Locations in the Western Pacific Region

    World Health Organization, Western Pacific Region · WHO, Manila

    The standard for the 361 classical points and their proportional (cun) locations.

    book · traditions · acupuncture

  82. 2007

    The superior and inferior gluteal artery perforator flaps

    Ahmadzadeh R, Bergeron L, Tang M et al. · Plast Reconstr Surg 120:1551-1556

    About 5 superior and 8 inferior gluteal perforators of at least 0.5 mm on each side, along two lines across the buttock.

    paper · perforators · anatomy

  83. 2007

    Identification and quantification of myofascial taut bands with magnetic resonance elastography

    Chen Q, Bensamoun S, Basford JR et al. · Arch Phys Med Rehabil 88:1658-61

    Taut bands identified and quantified with magnetic resonance elastography.

    paper · trigger points · imaging

  84. 2007

    Human cutaneous reactive hyperaemia: role of BKCa channels and sensory nerves

    Lorenzo S, Minson CT · J Physiol 585:295-303

    The skin's reactive hyperaemia is carried largely by sensory nerves and BKCa channels, not prostanoids.

    paper · vessels · nerve

  85. 2007

    Universal physical responses to stretch in the living cell

    Trepat X, Deng L, An SS et al. · Nature 447:592-5

    After a transient stretch the living cell's cytoskeleton fluidizes, in the same way across cell types: a universal physical response.

    paper · models

  86. 2007

    Length-tension relationships of small arteries, veins, and lymphatics from the rat mesenteric microcirculation

    Zhang RZ, Gashev AA, Zawieja DC et al. · Am J Physiol Heart Circ Physiol 292:H1943-52

    Small arteries of about 240 µm develop a maximal active wall tension of 3.4 mN/mm: the strength with which a vessel can close itself.

    paper · vessels · animals

  87. 2006

    Local and systemic vasodilation following hypnotic suggestion of warm tub bathing

    Casiglia E, Rossi A, Tikhonoff V et al. · Int J Psychophysiol 62:60-5

    Under hypnosis, suggesting only the forearm was in warm water dilated that forearm (resistance -18%, flow +43%); suggesting the whole body dilated vessels everywhere.

    paper · vessels · mind

  88. 2006

    Mechanical compression elicits vasodilatation in rat skeletal muscle feed arteries

    Clifford PS, Kluess HA, Hamann JJ et al. · J Physiol 572:561-7

    Muscle feed arteries squeezed shut widen within seconds of release: by 16% after one 1 s compression, 14% after one of 5 s, and 27% after five of 1 s. Repeated compressions add up; a longer one does not.

    paper · vessels · animals

  89. 2006

    Connective tissue: a body-wide signaling network?

    Langevin HM · Med Hypotheses 66:1074-7

    Connective tissue as a body-wide signalling network.

    paper · fascia

  90. 2006

    Needle electromyographic activity of myofascial trigger points and control sites in equine cleidobrachialis muscle--an observational study

    Macgregor J, Graf von Schweinitz D · Acupunct Med 24:61-70

    Horses have trigger points too: the same spontaneous electrical activity found in humans and rabbits.

    paper · animals · trigger points

  91. 2006

    Passive muscle stiffness may be influenced by active contractility of intramuscular connective tissue

    Schleip R, Naylor IL, Ursu D et al. · Med Hypotheses 66:66-71

    Fascia can contract on its own, via myofibroblasts.

    paper · fascia

  92. 2005

    Pressure and stretch mechanosensitivity of peripheral nerve fibres following local inflammation of the nerve trunk

    Dilley A, Lynn B, Pang SJ · Pain 117:462-472

    After a local inflammation of a nerve, some of its fibres fire when the site is pressed or the nerve stretched by 3%, within the range of ordinary movement; none do in healthy nerves.

    paper · nerve · animals

  93. 2005

    Role of the pH on hyaluronan behavior in aqueous solution

    Gatej I, Popa M, Rinaudo M · Biomacromolecules 6:61-7

    Hyaluronan's flow hardly changes with pH, except near pH 2.5, where it turns gel-like, and above 12: the body's range of acidity leaves it as it is.

    paper · fascia

  94. 2005

    [Introduction to the knowledge of subcutaneous sliding system in humans]

    Guimberteau JC, Sentucq-Rigall J, Panconi B et al. · Ann Chir Plast Esthet 50:19-34

    Filmed in living people: the sliding tissue under the skin is a web of tiny fluid-filled cells, walled in collagen and filled with proteoglycans, that lets the skin, fat, fascia and vessels glide past each other.

    paper · fascia · anatomy

  95. 2005

    The latch-bridge hypothesis of smooth muscle contraction

    Murphy RA, Rembold CM · Can J Physiol Pharmacol 83:857-64

    The latch-bridge hypothesis reviewed: in sustained contractions calcium, phosphorylation and ATP use fall while force is held.

    paper · vessels · models

  96. 2005

    An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle

    Shah JP, Phillips TM, Danoff JV et al. · J Appl Physiol (1985) 99:1977-84

    The acidic, mediator-rich milieu of active trigger points, sampled by microdialysis.

    paper · trigger points

  97. 2004

    An expansion of Simons' integrated hypothesis of trigger point formation

    Gerwin RD, Dommerholt J, Shah JP · Curr Pain Headache Rep 8:468-75

    The integrated hypothesis of trigger-point formation, expanded.

    paper · trigger points

  98. 2004

    Fascial Manipulation for Musculoskeletal Pain

    Luigi Stecco · Piccin

    Centres of coordination and fusion; the clinical method behind the densification model.

    book · fascia

  99. 2004

    Acute mechanoadaptation of vascular smooth muscle cells in response to continuous arteriolar vasoconstriction: implications for functional remodeling

    Martinez-Lemus LA, Hill MA, Bolz SS et al. · FASEB J 18:708-10

    Arterioles constricted for 5 minutes relax fully when the drive is removed; after 4 hours they do not, and their muscle cells have repositioned to hold the smaller diameter.

    paper · vessels · animals

  100. 2003

    Skin blood flow in adult human thermoregulation: how it works, when it does not, and why

    Charkoudian N · Mayo Clin Proc 78:603-12

    Skin blood flow is set by sympathetic nerves and local temperature: from minimal levels under local cooling to 6–8 L/min in heat.

    paper · vessels

  101. 2003

    Delayed arteriolar relaxation after prolonged agonist exposure: functional remodeling involving tyrosine phosphorylation

    Hill MA, Potocnik SJ, Martinez-Lemus LA et al. · Am J Physiol Heart Circ Physiol 285:H849-56

    After 4 hours of constriction, arterioles relax more slowly when the drive is removed; the hold still needs calcium, and goes at once without it.

    paper · vessels · animals

  102. 2003

    Adaptation to chronic length change in explanted airway smooth muscle

    Naghshin J, Wang L, Pare PD et al. · J Appl Physiol (1985) 95:448-53; discussion 435

    Airway muscle held short for a week shifts its optimal length down by 38%, and the shift no longer fully reverses: after 3 days it still did.

    paper · models · animals

  103. 2002

    Inward remodeling follows chronic vasoconstriction in isolated resistance arteries

    Bakker EN, van der Meulen ET, van den Berg BM et al. · J Vasc Res 39:12-20

    Resistance arteries kept actively constricted for 3 days remodel inward, their relaxed lumen 10-16% smaller; kept narrow without tone, they do not.

    paper · vessels · animals

  104. 2002

    Avalanche behavior in yield stress fluids

    Coussot P, Nguyen QD, Huynh HT et al. · Phys Rev Lett 88:175501

    Gels and other yield-stress materials show a viscosity bifurcation: below a critical stress their viscosity rises until they stop flowing; just above it, it falls and the flow accelerates, abruptly, like an avalanche.

    paper · fascia · models

  105. 2002

    Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity

    Hou CR, Tsai LC, Cheng KF et al. · Arch Phys Med Rehabil 83:1406-14

    Ischaemic compression eased trigger-point pain either at low pressure held 90 s or at higher pressure held 30 s: pressure and time trade.

    paper · trigger points

  106. 2002

    Relationship of acupuncture points and meridians to connective tissue planes

    Langevin HM, Yandow JA · Anat Rec 269:257-65

    Eighty percent of acupuncture points, and half the meridian intersections, lie on connective-tissue planes.

    paper · acupuncture · fascia

  107. 2002

    The Haṭha Yoga Pradīpikā

    Svātmārāma (15th c.); tr. Brian Dana Akers · YogaVidya.com

    Breath, the nāḍīs, and — in its fourth chapter — the piercing of the three granthis: Brahma, Viṣṇu and Rudra.

    text · traditions · breath · contemplative

  108. 2001

    Inhibitory effect of dry needling on the spontaneous electrical activity recorded from myofascial trigger spots of rabbit skeletal muscle

    Chen JT, Chung KC, Hou CR et al. · Am J Phys Med Rehabil 80:729-35

    Dry needling that elicited local twitch responses cut the spontaneous electrical activity of rabbit trigger spots to about half.

    paper · trigger points · animals

  109. 2001

    Rheology of sodium hyaluronate under physiological conditions

    Krause WE, Bellomo EG, Colby RH · Biomacromolecules 2:65-9

    Hyaluronan in physiological saline stays a Newtonian liquid over a wide range of shear rates, with no sign of gel formation without protein.

    paper · fascia · models

  110. 2001

    Nitric oxide and neurally mediated regulation of skin blood flow during local heating

    Minson CT, Berry LT, Joyner MJ · J Appl Physiol (1985) 91:1619-26

    Local heating of the skin raises its blood flow to most of its maximum, through a fast axon reflex and a slower nitric-oxide response; a nerve block does not change it.

    paper · vessels

  111. 2001

    Differential control of sympathetic outflow

    Morrison SF · Am J Physiol Regul Integr Comp Physiol 281:R683-98

    The sympathetic system is not one global switch: a review of tissue-specific output channels that can be activated or inhibited in combination.

    paper · vessels · nerve

  112. 2001

    The neurophysiology of myofascial pain syndrome

    Rivner MH · Curr Pain Headache Rep 5:432-40

    Review of trigger-point neurophysiology, including the rabbit work in which the alpha-blocker phentolamine reduces spontaneous activity.

    paper · trigger points

  113. 2001

    Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists

    Thomas W. Myers · Churchill Livingstone (4th ed. 2020)

    Continuous lines of myofascia across the body — modern “meridians”.

    book · fascia

  114. 2000

    Evaluation of glycosaminoglycans levels in normal joint fluid of the knee

    Nakayama Y, Shirai Y, Yoshihara K et al. · J Nippon Med Sch 67:92-5

    Normal knee joint fluid in healthy young adults holds 3.4 mg/ml of hyaluronan: tens to hundreds of times the fascia's.

    paper · fascia

  115. 1999

    Perturbed equilibrium of myosin binding in airway smooth muscle and its implications in bronchospasm

    Fredberg JJ, Inouye DS, Mijailovich SM et al. · Am J Respir Crit Care Med 159:959-67

    The breath keeps airway smooth muscle from freezing: tidal stretch perturbs myosin binding and biases the muscle toward lengthening; without it the muscle virtually freezes at its static length.

    paper · breath · models

  116. 1998

    Self-sustained firing of human motor units

    Gorassini MA, Bennett DJ, Yang JF · Neurosci Lett 247:13-6

    Self-sustained firing measured in people: a motor unit recruited by a brief input (tendon vibration) kept firing after the input stopped, with the common drive unchanged.

    paper · nerve · models

  117. 1998

    Pathophysiologic and electrophysiologic mechanisms of myofascial trigger points

    Hong CZ, Simons DG · Arch Phys Med Rehabil 79:863-72

    Pathophysiological and electrophysiological mechanisms of trigger points; satellites and key points.

    paper · trigger points

  118. 1998

    A Manual of Acupuncture

    Peter Deadman, Mazin Al-Khafaji, Kevin Baker · Journal of Chinese Medicine Publications

    The standard English point reference, with classical names and indications.

    book · traditions · acupuncture

  119. 1997

    Changes in subcutaneous interstitial fluid pressure, tissue oxygenation, and skin red cell flux during venous congestion plethysmography in men

    Christ F, Dellian M, Goetz AE et al. · Microcirculation 4:75-81

    Subcutaneous interstitial fluid pressure in the calf, -0.9 mmHg at rest, rose only to about 1.6 mmHg as venous congestion filled the tissue.

    paper · vessels

  120. 1997

    Convective and radiative heat transfer coefficients for individual human body segments

    de Dear RJ, Arens E, Hui Z et al. · Int J Biometeorol 40:141-56

    How fast skin loses heat: about 4.5 W/m²·K by radiation and 3.4 W/m²·K by convection in still air.

    paper · models

  121. 1997

    Differential activation of sympathetic discharge to skin and skeletal muscle in humans

    Vissing SF · Acta Physiol Scand Suppl 639:1-32

    In humans, sympathetic outflow to skin and to muscle can be activated in a highly dissociated pattern: central command drives the skin's, feedback from working muscle the muscle's.

    paper · vessels · nerve

  122. 1996

    Friction in airway smooth muscle: mechanism, latch, and implications in asthma

    Fredberg JJ, Jones KA, Nathan M et al. · J Appl Physiol (1985) 81:2703-12

    Airway smooth muscle stretched as in breathing: the latch is a low-friction contractile state, which may be why a deep breath fails to reopen the airways in asthma.

    paper · breath · models

  123. 1996

    Vasodilatory effect of pulsatile pressure on coronary resistance vessels

    Goto M, VanBavel E, Giezeman MJ et al. · Circ Res 79:1039-45

    In toned coronary arterioles, a larger pressure pulse at the same mean pressure widens the lumen: the pulse itself dilates, with or without the endothelium.

    paper · vessels · animals

  124. 1996

    Tsongkhapa’s Six Yogas of Naropa

    Tsongkhapa; tr. Glenn H. Mullin · Snow Lion

    Inner heat and the untying of the channel-knots (rtsa mdud) where the side channels coil around the central channel.

    text · traditions · contemplative

  125. 1995

    Anatomic relation between the rectus capitis posterior minor muscle and the dura mater

    Hack GD, Koritzer RT, Robinson WL et al. · Spine (Phila Pa 1976) 20:2484-6

    The myodural bridge: a band of tissue from rectus capitis posterior minor to the dura at the base of the skull.

    paper · anatomy

  126. 1995

    Cutaneous vasoconstrictor response induced by inspiratory gasp in relation to sex and age

    Lau YT, Liu CF, Tsai CC · Clin Sci (Lond) 89:233-7

    A deep inspiratory gasp cuts fingertip skin blood flow by 59–71%, graded with the depth of the breath.

    paper · breath · vessels

  127. 1995

    Plasticity in canine airway smooth muscle

    Pratusevich VR, Seow CY, Ford LE · J Gen Physiol 105:73-94

    Airway smooth muscle regains its force after a change of length over 5-6 contractions at 5-minute intervals, and its adapted force varies little over a threefold range of length.

    paper · models · animals

  128. 1995

    Progressive improvement in the structure of resistance arteries of hypertensive patients after 2 years of treatment with an angiotensin I-converting enzyme inhibitor. Comparison with effects of a beta-blocker

    Schiffrin EL, Deng LY, Larochelle P · Am J Hypertens 8:229-36

    Human subcutaneous resistance arteries: the media is 5.2% of the lumen diameter in normotensive people, 7.5-8% in untreated hypertension.

    paper · vessels

  129. 1994

    Modulation of activity in dorsal root ganglion neurons by sympathetic activation in nerve-injured rats

    Devor M, Jänig W, Michaelis M · J Neurophysiol 71:38-47

    In injured nerves, sympathetic activity changes ectopic firing after a delay of about 14 s; the change peaks 10–20 s later and fades over 20–30 s more.

    paper · nerve · animals

  130. 1994

    Psychophysiological stress and EMG activity of the trapezius muscle

    Lundberg U, Kadefors R, Melin B et al. · Int J Behav Med 1:354-70

    Mental stress raises the trapezius muscle's electrical activity, with or without a physical load.

    paper · mind

  131. 1994

    Needle electromyographic evaluation of trigger point response to a psychological stressor

    McNulty WH, Gevirtz RN, Hubbard DR et al. · Psychophysiology 31:313-6

    Mental arithmetic turned up the electrical activity at a trigger point but not at an adjacent control site — the writer has the address.

    paper · trigger points · mind

  132. 1994

    Referred pain of peripheral nerve origin: an alternative to the "myofascial pain" construct

    Quintner JL, Cohen ML · Clin J Pain 10:243-51

    The alternative: tender points as referred pain of peripheral nerve origin.

    paper · critique · nerve

  133. 1994

    Spatial heterogeneity in normal skin perfusion recorded with laser Doppler imaging and flowmetry

    Wårdell K, Braverman IM, Silverman DG et al. · Microvasc Res 48:26-38

    Normal skin has high- and low-perfusion spots a few millimetres apart; each spot's perfusion varies over time, but the relative levels between neighbouring spots persist.

    paper · vessels · imaging

  134. 1993

    Ling Shu, or The Spiritual Pivot — chapter 13, “Jing Jin” (the sinew channels)

    Anonymous (Han dynasty); tr. Wu Jing-Nuan · The Taoist Center; University of Hawai‘i Press (2002)

    The twelve sinew channels, each of which “knots” (結, jié) at bony prominences; treated with heat at the painful spot.

    text · traditions · acupuncture

  135. 1993

    Myofascial trigger points show spontaneous needle EMG activity

    Hubbard DR, Berkoff GM · Spine (Phila Pa 1976) 18:1803-7

    Spontaneous needle-EMG activity at the trigger-point nidus.

    paper · trigger points

  136. 1992

    The angiosomes of the mammals and other vertebrates

    Taylor GI, Minabe T · Plast Reconstr Surg 89:181-215

    Across mammals and in humans, the size and density of the cutaneous perforators follow the skin’s mobility: large and sparse where it is mobile, smaller and more densely grouped where it is tethered or fixed.

    paper · perforators · anatomy · animals

  137. 1992

    Arterial anatomy of the face: an analysis of vascular territories and perforating cutaneous vessels

    Whetzel TP, Mathes SJ · Plast Reconstr Surg 89:591-603

    Small, densely populated perforators supply the front of the face and the scalp; large, sparse ones in predictable places supply the sides of the face.

    paper · perforators · anatomy

  138. 1991

    Physiological mechanisms of temperature biofeedback

    Freedman RR · Biofeedback Self Regul 16:95-115

    A review: learned finger warming works through a non-neural, beta-adrenergic mechanism rather than through less sympathetic activity; learned cooling works through the sympathetic nerves.

    paper · vessels · mind

  139. 1991

    Pathophysiological mechanisms involved in genesis and spread of muscular tension in occupational muscle pain and in chronic musculoskeletal pain syndromes: a hypothesis

    Johansson H, Sojka P · Med Hypotheses 35:196-203

    A proposed loop: metabolites of static contraction drive the gamma system and the muscle spindles, raising stiffness and metabolites again, so muscle tension perpetuates itself and spreads to other muscles.

    paper · trigger points · nerve

  140. 1991

    Paraesthesiae and tetany induced by voluntary hyperventilation. Increased excitability of human cutaneous and motor axons

    Macefield G, Burke D · Brain 114 ( Pt 1B):527-40

    Overbreathing brings tingling in the hands, face and trunk once alveolar carbon dioxide has fallen by about 20 mmHg: peripheral axons grow excitable everywhere.

    paper · breath · nerve

  141. 1991

    Relaxation, [Ca2+]i, and the latch-bridge hypothesis in swine arterial smooth muscle

    Rembold CM · Am J Physiol 261:C41-50

    In arterial smooth muscle, relaxation is paced by the fall of calcium, not by latch-bridge detachment: the latch holds only while the calcium signal lasts.

    paper · vessels · models

  142. 1991

    Microvascular recruitment in hamster striated muscle: role for conducted vasodilation

    Segal SS · Am J Physiol 261:H181-9

    A dilation started at the end of a terminal arteriole with no flow was conducted more than 1 mm upstream into its parent, and blood flowed into the capillaries it fed.

    paper · vessels · animals

  143. 1990

    Structure and function of small arteries

    Mulvany MJ, Aalkjaer C · Physiol Rev 70:921-61

    Small arteries, below about 500 µm, actively regulate peripheral resistance: the size class of most perforators.

    paper · vessels

  144. 1990

    The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee

    Wolfe F, Smythe HA, Yunus MB et al. · Arthritis Rheum 33:160-72

    The eighteen tender points of the 1990 fibromyalgia criteria.

    paper · history

  145. 1989

    Effects of attention on the intensity and unpleasantness of thermal pain

    Miron D, Duncan GH, Bushnell CM · Pain 39:345-352

    Attending to a painful heat stimulus makes it more intense and more unpleasant; attending elsewhere makes it less.

    paper · mind

  146. 1989

    Propagation of vasomotor responses coordinates arteriolar resistances

    Segal SS, Damon DN, Duling BR · Am J Physiol 256:H832-7

    Dilations and constrictions started on an arteriole propagate along its wall both ways, decaying with a length constant of about 1.9 mm; those started on daughter vessels enter the parent and sum there.

    paper · vessels · animals

  147. 1988

    Nonneural beta-adrenergic vasodilating mechanism in temperature biofeedback

    Freedman RR, Sabharwal SC, Ianni P et al. · Psychosom Med 50:394-401

    Learned finger warming with temperature feedback was blocked by propranolol infused in that arm only, and not by blocking the finger's nerves.

    paper · vessels · mind

  148. 1988

    Cross-bridge phosphorylation and regulation of latch state in smooth muscle

    Hai CM, Murphy RA · Am J Physiol 254:C99-106

    The latch-bridge model: dephosphorylated cross-bridges that hold smooth-muscle tension cheaply.

    paper · vessels · models

  149. 1988

    Anatomical structure of acupoints

    Heine H · J Tradit Chin Med 8:207-12

    About 80% of classical acupoints coincide with perforations of the superficial fascia by a vessel–nerve bundle.

    paper · acupuncture · perforators

  150. 1987

    The vascular territories (angiosomes) of the body: experimental study and clinical applications

    Taylor GI, Palmer JH · Br J Plast Surg 40:113-41

    The arterial road map of the body: ~40 source-artery territories and an average of 374 major perforators per subject. “Arteries follow closely the connective tissue framework of the body.”

    paper · perforators · anatomy

  151. 1987

    The Art of Living: Vipassana Meditation as Taught by S. N. Goenka

    William Hart · Harper & Row

    Saṅkhāras felt as solidified sensations that dissolve under equanimous attention.

    book · traditions · contemplative

  152. 1986

    The Crystal and the Way of Light: Sutra, Tantra and Dzogchen

    Chögyal Namkhai Norbu · Routledge & Kegan Paul; Snow Lion (2000)

    Dzogchen from the inside, including the rainbow body.

    book · traditions · contemplative

  153. 1986

    Flow control among microvessels coordinated by intercellular conduction

    Segal SS, Duling BR · Science 234:868-70

    A dilation started at one point on an arteriole propagates along its wall, upstream, independently of flow.

    paper · vessels

  154. 1984

    Intramuscular fluid pressure during isometric contraction of human skeletal muscle

    Sejersted OM, Hargens AR, Kardel KR et al. · J Appl Physiol Respir Environ Exerc Physiol 56:287-95

    Pressure inside a contracting muscle rises linearly with its force, and with the distance from its fascia: it is least at the fascia.

    paper · anatomy

  155. 1983

    Myofascial Pain and Dysfunction: The Trigger Point Manual

    Janet G. Travell, David G. Simons · Williams & Wilkins (2nd ed. 1999, with Lois S. Simons)

    The atlas of trigger points and referred-pain patterns.

    book · trigger points · history

  156. 1983

    Awaken Healing Energy Through the Tao

    Mantak Chia · Aurora Press

    A modern practical manual of the microcosmic orbit.

    book · traditions · contemplative

  157. 1982

    Critical closing pressure, local perfusion pressure, and the failing skin flap

    Cutting C, Ballantyne D, Shaw W et al. · Ann Plast Surg 8:504-9

    Skin flaps show the critical closing phenomenon: blood does not flow until perfusion pressure passes a threshold set in part by vascular smooth muscle tone.

    paper · vessels · perforators

  158. 1981

    Effects of graded compression on intraneural blood blow. An in vivo study on rabbit tibial nerve

    Rydevik B, Lundborg G, Bagge U · J Hand Surg Am 6:3-12

    Pressure on a nerve slows the blood leaving it at 20–30 mmHg, the blood entering it at 40–50, and stops all flow within it at 60–80.

    paper · nerve · animals

  159. 1979

    Arteriolar closure mediated by hyperresponsiveness to norepinephrine in hypertensive rats

    Bohlen HG · Am J Physiol 236:H157-64

    Arterioles held closed by nerves: cutting them opened 22% more third-order arterioles in normal rats.

    paper · vessels · animals

  160. 1979

    The active tension-length curve of vascular smooth muscle related to its cellular components

    Mulvany MJ, Warshaw DM · J Gen Physiol 74:85-104

    Small arteries' active tension falls with shortening along a line that reaches zero at 0.38 of the optimal circumference: a nearly shut vessel's muscle pulls weakly.

    paper · vessels · animals · models

  161. 1977

    Trigger points and acupuncture points for pain: correlations and implications

    Melzack R, Stillwell DM, Fox EJ · Pain 3:3-23

    The first systematic comparison: a 71% correspondence between trigger points and acupuncture points for pain.

    paper · acupuncture · trigger points · history

  162. 1975

    Microvascular pressure distribution in skeletal muscle and the effect of vasodilation

    Fronek K, Zweifach BW · Am J Physiol 228:791-6

    Microvascular pressures measured directly: in arterioles of 70 µm and wider, pressure tracks systemic arterial pressure.

    paper · vessels · animals

  163. 1975

    Vibration-induced inhibition of vascular smooth muscle contraction

    Ljung B, Sivertsson R · Blood Vessels 12:38-52

    Rhythmic stretch of vascular smooth muscle cuts its active force at once, by an amount set by the stretch's size and rate; even the pulse may ease arterial tone.

    paper · vessels · animals

  164. 1970

    Taoist Yoga: Alchemy and Immortality

    Lu K’uan Yü (Charles Luk) · Rider

    The microcosmic orbit, and the patience it asks for.

    text · traditions · contemplative

  165. 1967

    Kundalini: The Evolutionary Energy in Man

    Gopi Krishna · Ramadhar & Hopman; Shambhala (1970)

    A first-person account of an awakening gone wrong, and its long recovery.

    book · traditions · contemplative · safety

  166. 1952

    The myofascial genesis of pain

    TRAVELL J, RINZLER SH · Postgrad Med 11:425-34

    The first maps of myofascial referred-pain patterns.

    paper · trigger points · history

  167. 1951

    On the physical equilibrium of small blood vessels

    Burton AC · Am J Physiol 164:319-29

    Why a small vessel can snap shut: with active tension in its wall, Laplace's law leaves it no stable open state below a critical pressure.

    paper · vessels · models

  168. 1951

    Fundamental instability of the small blood vessels and critical closing pressures in vascular beds

    Nichol J, Girling F, Jerrard W et al. · Am J Physiol 164:330-44

    The companion measurements: whole vascular beds stop flowing at a critical closing pressure, the instability Burton predicted.

    paper · vessels · models

  169. 1948

    Inspiratory vaso-constriction in patients after spinal injuries

    Gilliatt RW, Guttmann L, Whitteridge D · J Physiol 107:67-75

    The inspiratory vasoconstriction reflex studied after spinal injury — the pathway runs through the sympathetic outflow.

    paper · vessels · breath

  170. 1946

    Autobiography of a Yogi

    Paramahansa Yogananda · Philosophical Library

    The Kriya Yoga lineage, and its account of breath and the life-force.

    book · traditions · contemplative

  171. 1936

    Vaso-constriction following deep inspiration

    Bolton B, Carmichael EA, Stürup G · J Physiol 86:83-94

    The inspiratory gasp reflex: a deep breath constricts the skin’s vessels within seconds.

    paper · vessels · breath

  172. 1931

    The Secret of the Golden Flower: A Chinese Book of Life

    Richard Wilhelm (tr.), with a commentary by C. G. Jung · Kegan Paul (German edition 1929)

    Circulating the light: the Daoist meditation text that reached the West through Jung.

    text · traditions · contemplative

  173. 1919

    The Serpent Power: The Ṣaṭ-cakra-nirūpaṇa and Pādukā-pañcaka

    Arthur Avalon (Sir John Woodroffe) · Luzac & Co.

    The classic English source on the cakras, the nāḍīs and kuṇḍalinī’s ascent through the knots.

    text · traditions · contemplative

  174. c. 400 BCE

    Mucalinda Sutta (Udāna 2.1)

    Pāli Canon · Khuddaka Nikāya

    After the awakening, a storm; the nāga king Mucalinda coils around the seated Buddha and spreads his hood above the head.

    text · traditions · contemplative

  175. c. 400 BCE

    Sāmaññaphala Sutta (Dīgha Nikāya 2) — the fruits of the contemplative life

    Pāli Canon · Dīgha Nikāya

    The similes of the jhānas: rapture and pleasure suffusing the whole body, as water kneaded into a ball of bath powder soaks it through.

    text · traditions · contemplative

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