艾灸防治运动性疲劳的研究进展

Progress of Researches on Prevention and Treatment of Sports Fatigue with Moxibustion Therapy

运动性疲劳属于中医"虚损"的范畴。艾灸对运动性疲劳的防治历史悠久,疗效确切。笔者查阅了近5年来艾灸防治运动性疲劳的相关文献后对其作用机制进行综述,认为艾灸可以通过清除自由基、抗氧化损伤、增加肌肉神经组织的能源供应、纠正运动性内分泌失调、减少体内代谢产物的堆积,达到防治疲劳的效果。在此基础上,进一步讨论艾灸保护心肌细胞的作用机制,认为艾灸可以在一定程度上抑制心肌细胞凋亡,起到防治疲劳的作用。但要发挥其优越性,今后仍要重视灸法的文献研究,在循证医学指导下进行大样本的随机对照临床研究,以及灸疗规范等问题。

Sports fatigue belongs to the category of functional deficiency-syndrome according to the theory of traditional Chinese medicine. The moxibustion therapy has a long history and possesses a definite therapeutic effect in the prevention and treatment of sports fatigue. In the present paper, the authors reviewed development of researches on the effects of moxibustion in- tervention in the prevention and treatment of sports fatigue in recent 5 years. Results of researches showed that moxibustion inter- vention can 1 ） eliminate free radicals and reduce oxidative damage; 2） increase energy （glycogen） supply to delay the production of fatigue; 3） raise serum testosterone level （relieve exercise-induced neuroendocrine disorder） and reduce post-sports fatigue; 4） raise the anaerobic exercise ability, reduce the accumulation of metabolic products in the body and strengthen the endurance capacity of the skeletal muscle; and 5） improve ischemic cardiac function, and suppress cardiomyocyte apopotosis, etc. Howev- er, we should further strengthen our investigations on the moxibustion therapy in the ancient classical literature and sum up aca- demic thoughts of different academic schools in the successive dynasties, put emphasis on the large sample randomized controlled clinical trails, establish united treatment standards, etc., and provide much evidence for effectively treating sports fatigue in the future.