双向调节作用理论与临床研究进展

Theory and clinical research progress of dual-direction regulation

中药或针刺等中医传统疗法在机体不同状态下和/或以不同的方式应用时,可以发挥出趋向相反的作用,这种趋向相反的作用称之为"双向调节作用"。双向调节作用的产生与中医阴阳思想密切相关。它的表现形式复杂多样,主要包括兴奋抑制、活血止血、升降、补泻等十个方面。目前认为,影响中药或针刺等中医传统疗法发挥双向调节作用的因素包括受者的个人体质和中药或针刺疗法本身所具有的一些特点。近年来,这种双向调节作用得到了临床医家越来越多的重视,进行了广泛的现代临床研究和实验研究。本文针对双向调节作用的理论依据、表现形式、影响因素以及现代临床及实验研究等方面内容进行综述。

Traditional Chinese medicine （TCM）, such as Chinese herbology or acupuncture in the body under different conditions and/or in different ways, can play roles in the opposite direction, which tend to be the opposite of the role of the ＂dual-direction regulation. The dual-direction regulation is generated from the theory of Yin and Yang. Its forms are complex and diverse, including excited/inhibitory, activating /stopping bleeding, reinforcing/reducing, et al. The factors that impact of mainly determined Chinese herbology or acupuncture therapy play dual-direction regulating mainly determined by individual constitution and Chinese herbology or acupuncture therapy itself. In recent years, the bi-directional regulation rising/falling has been highlighted. More and more clinical doctors conducted a wide range of modern clinical research and experimental research. In this paper, the theoretical basis, forms of expression, influencing factors and modern clinical and experimental research on the effect of dual- direction regulation are reviewed.