穴位埋线疗法作用机制的研究现状

Research status of the effect mechanism on catgut-point embedding therapy

本文旨在对穴位埋线疗法的作用机制研究现状做一概述。检索中国学术期刊网络总库(CAJD),以"穴位埋线""穴位埋藏"为关键词,检索时间为从建库起至2015年12月,共检索到相关文献5 000余篇。总结分析发现,穴位埋线疗法的中医作用机制为留针及埋针效应、协调阴阳及平衡脏腑、通经活络及平调气血和补虚泻实及扶正祛邪。穴位埋线疗法的西医作用机制为恢复神经功能,调控神经反射;增强人体免疫力,改善局部循环;抑制炎性因子释放,减少细胞凋亡;调节细胞因子,改善机体代谢。发现埋线疗法作用的机制除具有普通针刺产生效应的机制外,还可通过延长刺激时间形成持续性治疗,尤其适用于多系统慢性疾病,在一定程度上可减少或替代西药的使用。然而关于埋线疗法的纵向理论研究较少,特色阐述不突出,研究缺乏对照及临床验证,需要进一步改进。

This paper aims to review the research status of the effect mechanism of catgut-embedding therapy. The literature was retrieved from China Academic Journal Network Publishing Database with the keywords as ＂catgut-point embedding＂ ＂embedding＂, dated from the database establishment to December 2015. Totally, over 5 000 papers had been collected. It was summarized that TCM effect mechanism of catgut-point embedding therapy includes the effects of needle retaining and embedding, harmonizing yin and yang, balancing zangfu organs, promoting meridian qi, regulating qi and blood, tonifying for the deficiency and reducing for the excess, strengthening the antipathogenic qi and eliminating pathogens. From the point of view of western medicine, the effect mechanism of catgut-embedding therapy refers to recovering nerve function, regulating neural reflex, increasing human immunity, improving local circulation, inhibiting the release of inflammatory factors, reducing apoptosis, regulating cellular factor and improving body metabolism. It was found that the effects of catgut-embedding therapy were not only related to the effects induced by common acupuncture,but also to the persistent treatment through prolonged stimulation duration, especially in the treatment of chronic diseases with many systems involved. This therapy reduces or complements to the use of western medicine to certain extent.However, the longitude theoretic study on the catgut-embedding therapy is limited; the specific statement is less predominant and the clinical controlled trial is insufficient at present. Hence, further studies are requested.