强化抗炎祛痛的针刺策略

Acupuncture Strategies to Relieve Pain by Strengthening the Anti-inflammatory Role

从分析疼痛与炎症的关系着手,介绍炎症反射的最新认识,提出针刺微创抗炎的理念,以及选择不同刺激靶点、刺激手段与参数、合并电针、耳针等提高针刺祛痛效应的多种抗炎对策。认为炎症反应是多数躯体疼痛的核心机制,疼痛尤其是慢性疼痛在针刺治疗后的缓解都离不开患部炎症的消除,但它被许多针灸师忽视。要提高针刺祛痛的长期疗效,必须重视针刺的抗炎机制,它主要是通过组织强化炎症自限机制(炎症反射)及其神经调节实现的。

Inflammation is the core mechanism of somatic pain.The elimination of inflammation in the affected part is contributed to the relief of such pain,especially chronic pain after acupuncture.However,this is often ignored by many acupuncturists.In order to improve the long-term effect of acupuncture analgesia,we must pay attention to the anti-inflammatory mechanism of acupuncture,which is mainly achieved through strengthening the self-limiting role of inflammation by the inflammation reflex induced by tissue microtrauma and its neuromodulation.In this paper,the relationship between pain and inflammation is analyzed,the details of inflammation reflex are reviewed,and the anti-inflammation concept by microtrauma is put forward,and various anti-inflammation measures were also proposed to improve the analgesic effect of acupuncture,such as choosing different stimulation targets,stimulation means and parameters,including electroacupuncture and auricular acupuncture.