火针治疗慢性胃炎的研究进展

Research progress of fire needling for chronic gastritis

为研究火针治疗慢性胃炎的疗效及其机制,笔者以火针、慢性胃炎作为关键词检索Pub Med、中国期刊全文数据库(CNKI)、Wan Fang Data数据库,对筛选出的有关火针治疗慢性胃炎的临床及实验研究文献进行分析,综合探讨火针治疗慢性胃炎的疗效及其作用机制。结果表明,火针疗法治疗慢性胃炎疗效优于单纯药物或毫针针刺治疗,其与口服药物、穴位注射、毫针针刺联合使用可进一步提高慢性胃炎的治疗效果。本文兼从中医、西医两个角度探讨火针疗法治疗慢性胃炎显效的机制,认为火针疗法既通亦补,契合慢性胃炎的临床证型规律,机制研究中主要认为火针疗法通过发挥中枢调节作用、改善局部血液循环、调控免疫炎性反应、调节胃肠激素而对慢性胃炎的预后产生影响。

To explore the efficacy and mechanism of fire needling for chronic gastritis, ＂fire needling＂ and ＂chronic gastritis＂ were selected as keywords to collect literature in Pub Med, CNKI database and Wan Fang database. The clinical and experiment literature regarding fire needling for chronic gastritis was analyzed to make a comprehensive discussion on the efficacy and action mechanism of fire needling for chronic gastritis. The results indicated the efficacy of fire needling for chronic gastritis was superior to that of medication or filiform needle. The combination of fire needling and medication, acupoint injection and filiform needle could further improve the therapeutic effect for chronic gastritis. From the perspectives of TCM and western medicine, the action mechanism of fire needling for chronic gastritis was explored, and it was believed the fire-needle therapy has the effects of removing and nourishing, which conformed to the clinical syndromes of chronic gastritis. The fire needle could affect the prognosis by regulating the central nerve system, improving local blood circulation, regulating immune inflammation and regulating gastrointestinal hormones.