针刺“手足十二针”改善中风患者运动功能的神经可塑性机制探讨

Neuroplasticity Mechanism Study of "Needling Twelve Acupoints in the Hands and Feet" in Improving the Motor Function of Stroke Patients

王乐亭的"手足十二针"在改善中风患者运动功能方面疗效确切,但其机制尚不明确。中风后患者运动功能恢复的关键机制在于脑神经具有可塑性。神经系统的可塑性是目前公认的脑卒中后功能康复机制,经颅磁刺激则是观测脑可塑性变化的最佳工具。脑可塑性及半球交互抑制理论为采取双侧针刺取穴的"手足十二针"提供了理论依据。基于此,在将来的研究中,可应用经颅磁刺激技术为"手足十二针"治疗中风的临床疗效提供客观证据的同时,进一步揭示其神经病学机制。

Wang Tingle＇s ＂needling twelve acupoints in the hands and feet＂ has definite therapeutic effeets of improving the motor function of stroke patients, but its mechanism is not clear. The key mechanism of the recovery of the motor function of stroke pa- tients lies in the neuroplasticity. Neuroplasticity is the recognized rehabilitation mechanism of the stroke, and transcranial magnetic stimulation is the best tool for observing the change of the brain plasticity. The brain plasticity and the theory of hemisphere recip- rocal inhibition provide theoretical basis for ＂needling twelve acupoints in the hands and feet＂ with bilateral selection. Based on this, the future research can not only provide objective evidence for the clinical effects of ＂needling twelve acupoints in the hands and feet＂ on the stroke,but also further reveal the mechanism of neurology.