摘要
从传统医学理论出发,将耳与脑、肝脾相联系,提出“耳脑-肝脾”相关的理论。再通过结合功能性消化不良(Functional dyspepsia,FD)的中医病因病机及对应的现代医学机制研究,认识到耳与脑、肝脾之间的密切联系是从耳治疗FD的理论基础。近年来,一种新型的迷走神经刺激疗法——耳甲电针(Auricular Concha Eletro-Acupuncture,ACEA),能通过脑神的调节,调节肝脾气血,起到疏肝解郁、健脾理气的作用,进而治疗FD。从现代医学来说,这与其中枢调节相应脑功能区活动,缓解焦虑、抑郁情绪,降低疼痛感知,增强胃肠蠕动功能以及降低中枢、外周炎症有关。在“耳脑-肝脾”相关的基础上探讨耳甲电针在FD中的应用,将更好地理解耳穴刺激在调节脑神、调节肝脾气血方面起到的独特作用,促进中医理论的传承、创新与发展。
Based on the traditional medical theory,the theory of"ear-brain-liver-spleen correlation"was proposed by linking the ear with the brain,liver and spleen.Then,by combining the Chinese medical etiology of Functional Dyspepsia(FD)and the corresponding modern medical mechanism,we realized that the close connection between the ear,brain,liver and spleen is the theoretical basis for treating FD from the ear.In recent years,a new type of vagus nerve stimulation therapy,auricular concha eletro-acupuncture(ACEA),has been developed to treat FD by regulating the liver and spleen through the regulation of the brain,relieving liver depression and strengthening spleen and qi,thus treating FD.In terms of modern medicine,this is related to its ability to reduce anxiety and depression,reduce pain perception,enhance gastrointestinal motility and reduce central and peripheral inflammation by regulating the activity of the corresponding brain functional areas.By exploring the application of auricular concha eletro-acupuncture in FD on the basis of the"ear-brain-liver-spleen correlation",we will better understand the unique role of auricular stimulation in regulating the brain and the blood of the liver and spleen,and promote the inheritance,innovation and development of TCM theory.
作者
罗屹
马跃
姜天童
谭超仁
杨永升
方继良
Luo yi;Ma Yue;Jiang Tiantong;Tan Chaoren;Yang Yongsheng;Fang Jiliang(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第10期3407-3412,共6页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
中国中医科学院科技创新工程项目(CI2021A03301):基于MRI脑成像及肠道菌群的耳电针治疗抑郁症肠道机制及疗效预测研究,负责人:方继良
国家自然科学基金委员会面上项目(82174282):基于MRI及机器学习技术的耳甲电针治疗抑郁症疗效预测研究,负责人:方继良
关键词
耳甲电针
功能性消化不良
“耳脑-肝脾”相关
情绪
消化
感知
Auricular concha eletro-acupuncture
Functional dyspepsia
"Ear brain-liver and spleen"correlation
Emotion
Digestion
Perception
作者简介
通讯作者:方继良,主任医师,博士研究生导师,主要研究方向:针刺脑功能成像机制研究。
