Evidence map›Paper›PMID 42818916›Full record

ArticleCureus2026

The Primo Vascular System as a Biophysical Network: A Theoretical Framework for Meridian Function and Autonomic Regulation.

Daniele Gramolelli

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Daniele GramolelliOsteopathic Medicine, Istituto Europeo per la Medicina Osteopatica, Genova, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primo vascular system (PVS) has been proposed as a distinct anatomical network composed of primo vessels and primo nodes distributed within and around blood vessels, lymphatic structures, organs, and connective tissues. Although its biological significance remains incompletely established, experimental observations have raised the possibility that the PVS may participate in forms of interstitial, cellular, or biophysical communication. This technical report presents a conceptual framework integrating the PVS with connective tissue and extracellular matrix organization, interstitial fluid dynamics, and bioelectrical phenomena. Within the proposed model, mechanical or acupuncture-related stimulation may induce local tissue deformation, ionic redistribution, fluid shifts, and changes in electrical properties. These effects could propagate preferentially through anatomically and biophysically heterogeneous tissues, while the PVS is considered as a possible, but currently unconfirmed, coupling substrate. The framework further explores the hypothesis that such preferential pathways could support oscillatory or standing-wave-like behavior and examines whether this concept may contribute to future mechanistic interpretations of meridian organization and acupuncture-point phenomena. Importantly, the model does not establish an anatomical equivalence between the PVS and traditional meridians, nor does it demonstrate that standing-wave phenomena occur within the PVS. Rather, these relationships are presented as testable hypotheses. The framework generates experimentally accessible predictions involving tissue electrical properties, impedance, interstitial dynamics, spatial signal propagation, and autonomic or neurovascular responses. This model is intended to provide a structured basis for experimental investigation of the PVS and its potential role in integrative biophysical communication.

Indexed as

acupuncture meridiansautonomic regulationbioelectric signalingbiophysical communicationconnective tissueextracellular matrixinterstitial fluidmechanotransductionprimo vascular systemtissue impedance

Identifiers

PMID42818916
PMCPMC13624426

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.