NSFC中医针灸代码下资助项目概况及学科热点疾病分析

Overview of NSFC Funded Projects under TCM Acupuncture Code and Analysis of Hot Diseases

目的回顾过去20年国家自然科学基金H2718中医针灸代码的资助情况,分析中医针灸学科领域的发展趋势,为针灸学科申报国家自然基金及后续相关政策制定提供一定的依据。方法基于国自然基金委员会提供的数据库,采用资助项目、文献研究相结合的方法,筛选并总结分析2000-2019年中医针灸H2178代码下面上项目及青年科学基金资助概况。并进一步对资助项目概况分析(A:针刺治疗具体疾病的科学研究;B:针灸疗法机理机制的科学研究;C:不可划入A、B两大类的其他科学研究)。为了解资助项目的热点系统及疾病,对A类研究疾病进行亚组划分,最后对A-神经系统疾病再次细分疾病类型及研究干预措施。结果国家资助力度(项目数、金额)处于持续波动上升趋势,神经系统疾病一直是研究热点,主要集中在发作性和阵发性疾患、神经系统变性疾病、锥体束外和运动疾患,干预措施主要为针刺及电针。随着生活水平提高,饮食结构改变,青年人压力增高,消化系统、循环系统、精神科疾病亦是关注重点。结论针灸基础研究不再局限于传统优势神经系统疾病,随着生活方式结构改变,基础研究将会涉及多系统、多科别。未来针灸学科的发展离不开基础研究支持,提出三点建议:基于传统中医基础理论,加强对针灸本身机理机制研究;以神经系统疾病为主导,同时拓展针灸疗法其他优势病种的筛选;突出针刺手法量效关系,深入钻研针灸治疗神经系统疾病。

Objective To review the funding of H2718 acupuncture and moxibustion code of NSFC in the past 20 years,and analyze the development trend of acupuncture and moxibustion discipline, to provide certain basis for theapplication of acupuncture and moxibustion discipline to NSFC and subsequent relevant policy formulation. MethodsBased on the NSFC database, the projects under H2178 code of TCM acupuncture and moxibustion from 2000 to 2019 and the general situation of NSFC funded projects were screened and analyzed, and for further analysis of the fundedprojects(A represents scientific research on acupuncture treatment of specific diseases;B represents scientific researchon Mechanism of acupuncture therapy;C represents scientific research that cannot be classified into A and B). In orderto understand the hot systems and diseases of the funded projects, the A-diseases were divided into subgroups. Finally,the nervous system diseases were subdivided into disease types and intervention measures.Results The state funding(project number, amount) was in the rising trend of continuous fluctuations. The nervous system diseases have alwaysbeen a research hotspot. The study mainly concentrated in paroxysmal and paroxysmal diseases, neurodegenerativediseases, extrapyramidal and motor disorders. And the intervention measures were mainly acupuncture andelectroacupuncture. With the improvement of living standards, change of diet and increase of work pressure, the studygradually focuses on digestive system, circulatory system and psychiatric diseases.Conclusion The basic research onacupuncture is no longer limited to the traditional dominant nervous system diseases. With the change of lifestylestructure, basic research will involve multiple systems and disciplines. In the future, the development of acupunctureand moxibustion is inseparable from the support of basic research, and three suggestions are put forward:(1) Based onthe theory of TCM, strengthen the research on the mechanism of acupuncture itself;(2) Take nervous system diseases asthe leading factor, and expand the screening of other dominant diseases of acupuncture therapy;(3) Highlight the dose-effect relationship of acupuncture manipulation and deeply study acupuncture treatment of nervous system diseases inthe future.