论针灸的反应与效应
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摘要
针灸作用的反应是机体对针灸这种非特异性刺激直接产生的应答反射,不仅包含局部酸、麻、重、胀等"得气"反应,还包含肢体远端的循经感传反应等;而针灸效应是针灸刺激激活或诱导机体固有调节系统从而发挥调节功能,间接使得失调、紊乱的机体生理生化过程恢复正常。针灸反应是针灸刺激后机体直接产生的,而针灸效应是通过体内固有调节系统的介导而产生的,且两者之间既有相关性,也可能没有必然性联系。正确认识针灸的反应和效应,对针灸作用原理的阐释、针灸疗效的阐明都具有重要意义。
Reaction of acupuncture is the body 's reflected response to the non-specific stimulation of acupuncture directly,not only containing partial acid,numbness,heavy,bulging and other "getting qi " reaction,also including reaction propagated sensation along meridian distal etc. Effect of acupuncture is acupuncture stimulation to activate or induce inherent regulation system and thus play a regulatory function,indirectly making the disorder of physiological and biochemical processes of the body back to normal. The reaction is the body's response to the stimulation directly,while the effect is mediated through the body's inherent regulation system. They have some correlation but not being inevitability of contact. It is highly significant to interpretate the principles and clarify the efficacy on the basis of understanding of reaction and effect of acupuncture and moxibustion correctly.
Reaction of acupuncture is the body 's reflected response to the non-specific stimulation of acupuncture directly,not only containing partial acid,numbness,heavy,bulging and other "getting qi " reaction,also including reaction propagated sensation along meridian distal etc. Effect of acupuncture is acupuncture stimulation to activate or induce inherent regulation system and thus play a regulatory function,indirectly making the disorder of physiological and biochemical processes of the body back to normal. The reaction is the body's response to the stimulation directly,while the effect is mediated through the body's inherent regulation system. They have some correlation but not being inevitability of contact. It is highly significant to interpretate the principles and clarify the efficacy on the basis of understanding of reaction and effect of acupuncture and moxibustion correctly.
引文
[1]张栋,付卫星,王淑友,等.不同针灸方法诱发循经高温线现象的比较[J].中国针灸,2000(6):349-353.
[2]王先菊,曾常春,刘汉平,等.激光针灸对穴位组织温度和血流灌注率的影响[J].激光生物学报,2005,14(4):260-264.
[3]Kubo K,Yajima H,Takayama M,et al.Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo[J].Eur J Appl Physiol,2010,109(3):545-550.
[4]周丹,潘萍,郭义,等.针刺引起的炎性反应是针效产生始动环节之一[J].中国针灸,2009,29(1):32-34.
[5]白杨,郭义.针刺效应/信号调节网络初探[J].针刺研究,2013(4):330-333.
[6]郭义,张艳军,苗文方,等.钙离子是经络活动的关键因素之一[J].中国中医基础医学杂志,1998,4(7):49-51.
[7]曲丽芳,宫斌,张再良,等.环核苷酸在正常大鼠神阙、肾俞穴位组织内的分布及针刺后的变化[J].上海针灸杂志,1999,18(4):36-37.
[8]赵晏,孙启新,张世红,等.多种神经递质参与外周跨节段信息传递[J].针刺研究,2002,27(4):298-302.
[9]朱海宁,张迪,黄猛,等.肥大细胞对针灸治疗过程中的物理刺激的敏感性机制研究[J].复旦学报:自然科学版,2013,52(5):681-687.
[10]陈波,李明月,赵雪,等.P物质与针灸效应的研究进展[J].上海针灸杂志,2014,33(1):82-87.
[11]高震.论经穴能量系统的本质及刺激传导机理[J].中国针灸,2001,21(3):161-163.
[12]王家有,潘三强,宿宝贵.神经-内分泌-免疫网络调节与针刺治病的关系——针刺作用途径研究进展[J].解剖学研究,2003,25(3):229-232.
[13]Ding S S,Hong S H,Wang C,et al.Acupuncture modulates the neuro-endocrine-immune network[J].QJM,2014,107(5):341-345.
[14]An L X,Chen X,Ren X J,et al.Electro-Acupuncture Decreases Postoperative Pain and Improves Recovery in Patients Undergoing a Supratentorial Craniotomy[J].Am J Chin Med,2014:1-11.
[15]程坤,颜红,段可杰.针灸治疗抑郁症的临床与机理研究进展[J].中国针灸,2005,25(3):221-223.
[16]孔冬冬,张永臣,杨佃会.针灸疗法治疗偏头痛临床研究近况[J].针灸临床杂志,2014,30(6):81-83.
[17]胡莎莎,王茵萍.针灸治疗功能性消化不良的临床研究概况[J].针灸临床杂志,2013,29(7):91-94.
[18]杨付兵,杨庆林,史文慧.针灸治疗类风湿关节炎的临床研究[J].中医杂志,2010(S2):234-235.
[19]周嘉陵,朱琦.针灸治疗类风湿关节炎的临床研究[J].中华风湿病学杂志,2000,4(3):169-171.
[2]王先菊,曾常春,刘汉平,等.激光针灸对穴位组织温度和血流灌注率的影响[J].激光生物学报,2005,14(4):260-264.
[3]Kubo K,Yajima H,Takayama M,et al.Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo[J].Eur J Appl Physiol,2010,109(3):545-550.
[4]周丹,潘萍,郭义,等.针刺引起的炎性反应是针效产生始动环节之一[J].中国针灸,2009,29(1):32-34.
[5]白杨,郭义.针刺效应/信号调节网络初探[J].针刺研究,2013(4):330-333.
[6]郭义,张艳军,苗文方,等.钙离子是经络活动的关键因素之一[J].中国中医基础医学杂志,1998,4(7):49-51.
[7]曲丽芳,宫斌,张再良,等.环核苷酸在正常大鼠神阙、肾俞穴位组织内的分布及针刺后的变化[J].上海针灸杂志,1999,18(4):36-37.
[8]赵晏,孙启新,张世红,等.多种神经递质参与外周跨节段信息传递[J].针刺研究,2002,27(4):298-302.
[9]朱海宁,张迪,黄猛,等.肥大细胞对针灸治疗过程中的物理刺激的敏感性机制研究[J].复旦学报:自然科学版,2013,52(5):681-687.
[10]陈波,李明月,赵雪,等.P物质与针灸效应的研究进展[J].上海针灸杂志,2014,33(1):82-87.
[11]高震.论经穴能量系统的本质及刺激传导机理[J].中国针灸,2001,21(3):161-163.
[12]王家有,潘三强,宿宝贵.神经-内分泌-免疫网络调节与针刺治病的关系——针刺作用途径研究进展[J].解剖学研究,2003,25(3):229-232.
[13]Ding S S,Hong S H,Wang C,et al.Acupuncture modulates the neuro-endocrine-immune network[J].QJM,2014,107(5):341-345.
[14]An L X,Chen X,Ren X J,et al.Electro-Acupuncture Decreases Postoperative Pain and Improves Recovery in Patients Undergoing a Supratentorial Craniotomy[J].Am J Chin Med,2014:1-11.
[15]程坤,颜红,段可杰.针灸治疗抑郁症的临床与机理研究进展[J].中国针灸,2005,25(3):221-223.
[16]孔冬冬,张永臣,杨佃会.针灸疗法治疗偏头痛临床研究近况[J].针灸临床杂志,2014,30(6):81-83.
[17]胡莎莎,王茵萍.针灸治疗功能性消化不良的临床研究概况[J].针灸临床杂志,2013,29(7):91-94.
[18]杨付兵,杨庆林,史文慧.针灸治疗类风湿关节炎的临床研究[J].中医杂志,2010(S2):234-235.
[19]周嘉陵,朱琦.针灸治疗类风湿关节炎的临床研究[J].中华风湿病学杂志,2000,4(3):169-171.