针刺通过调节自主神经系统抗炎的研究进展与思考

Na-Na Yang, Xin Ma, Yue-Jie Li, Jing-Wen Yang, Hong-Ping Li, Yu-Qin Zhang, Cun-Zhi Liu
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引用次数: 0

摘要

神经系统是诱发针刺疗效的必要条件。交感神经系统和迷走神经系统都广泛分布于全身,有机地连接着人体的各个系统和器官。在保持人体生理活动的协调统一方面,符合针灸的整体观和双向调节,符合“内属脏腑,外通四肢关节”的经络学说。针刺作为体表刺激疗法之一,可以通过激活交感/迷走神经介导的抗炎通路来抑制炎症反应。支配不同穴位的外周神经决定了自主神经不同的抗炎途径,不同的针刺方法(刺激形式和刺激量)是影响自主神经抗炎机制的重要因素。未来,我们应在脑神经回路水平上分析针刺调节交感神经与迷走神经的中枢整合机制,明确针刺的“多靶点”优势,为针刺的神经免疫学效应研究提供启发和借鉴。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Research progress and thinking of acupuncture in anti-inflammation by regulating autonomic nerve system].

The nervous system is the necessary condition for inducing the curative effect of acupuncture. Both the sympathetic and vagal nerve systems are widely distributed throughout the body and organically connect various systems and organs of the human body. In maintaining the coordination and unity of human physiological activities, it is in line with the holistic view and bidirectional regulation of acupuncture, and fits in with the meridian theory of "internally belonging to the Zang-fu organs and externally connecting with the limbs and joints". Acupuncture, one of the body surface stimulation therapies, can inhibit the inflammatory response via activating sympathetic/vagus nerve mediated anti-inflammatory pathways. The peripheral nerve innervating diffe-rent acupoints determines the different anti-inflammatory pathways of the autonomic nerve, and different acupuncture methods (stimulation form and stimulation amount) are important factors affecting the anti-inflammatory mechanism of the autonomic nerve. In the future, we should analyze the central integration mechanism between sympathetic nerve and vagus nerve regulated by acupuncture at the level of brain neural circuits, and clarify the "multi-target" advantage of acupuncture, so as to provide inspiration and reference for the study of neuroimmunological effects of acupuncture.

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