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腹针治疗腰痛的相关机制探讨

Discussion on the Mechanism of Abdominal Acupuncture in the Treatment of Lumbago
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摘要 腹针是通过针刺腹部特定穴位,调节人体经络而治疗相关疾病的一种针灸治疗方法。本文在中西医理论的指导下,梳理腹针治疗腰痛的相关机制,提出其可能机制主要包括3点。(1)从中医理论讨论,腹针以神阙布气假说为指导,通过针刺腹部穴位起到通调任督二脉气机,实现阴平阳秘、温通经络、行气通经和散寒止痛的治疗作用。(2)腹针通过中枢镇痛机制治疗腰痛,针刺信号由穴位周围的外周神经传导依次上传到丘脑和大脑皮质,激活中枢镇痛系统起到镇痛的作用。(3)腹针通过激活腹部核心肌群收缩,从而提高脊柱的稳定性,对腰痛起治疗作用。 Abdominal acupuncture is a kind of acupuncture treatment that regulates the meridians and collaterals of the human body by acupuncture specific points in the abdomen.In this paper,under the guidance of the theory of traditional Chinese and western medicine,the relevant mechanism of abdominal acupuncture treatment of lumbago is combed,and the possible mechanism mainly includes three points.1.the discussion from the theory of traditional Chinese medicine,abdominal acupuncture under the guidance of Shenque Buqi hypothesis,through acupuncture abdominal acupoints play a role in regulating and regulating the qi mechanism of both governor and conception vessels,and realize the therapeutic effect of yin and yang in equilibrium,warming the meridians and collaterals,Qi channeling the meridian,dispelling cold and relieving pain.2.abdominal acupuncture treats lumbago through the central analgesic mechanism.Acupuncture signals are transmitted to the thalamus and cerebral cortex by peripheral nerve conduction around the acupoint,activating the central analgesic system to play the role of analgesia.3.abdominal acupuncture can improve the stability of the spine by activating the contraction of the abdominal core muscle group,which has a therapeutic effect on low back pain.
作者 税晓平 李春莹 罗萌 李秀坤 于雪萍 王晓梅 冯超 SHUI Xiaoping;LI Chunying;LUO Meng;LI Xiukun;YU Xueping;WANG Xiaomei;FENG Chao(College of Acupuncture and Massage,Sichuan College of Traditional Chinese Medicine,Mianyang,Sichuan Province,621000 China;Department of Bone Injury Rehabilitation,Mianyang Orthopaedic Hospital,Mianyang,Sichuan Province,621000 China;Department of Geriatrics,Mianyang Hospital of Traditional Chinese Medicine,Mianyang,Sichuan Province,621000 China)
出处 《中外医疗》 2022年第36期194-198,共5页 China & Foreign Medical Treatment
基金 2019年度四川中医药文化传承与研究中心科研项目(2019Z002) 绵阳市高等教育“三三工程”(市级特色专业-康复治疗技术专业建设)项目。
关键词 腹针 腰痛 运动学机制 Abdominal acupuncture Lumbago Kinematic mechanism
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