针刺足三里穴脑fMRI研究进展  

Research Progress on Brain fMRI by Acupuncture Treatment with Point ST36

作　　者：李晓陵[1] 杨晶晶[2] 张帆[2] 李艳[2] 刘晓慧[2] 仲丽丽[1] 王丰[1] 焦明秀[1] LI Xiao - ling YANG Jing - jing ZHANG Fan LI Yan LIU Xiao - hui ZHONG Li - li WANG Feng JIAO Ming - xiu(The First Affiliated Hospital of Heilongfiang University of Chinese Medicine, Harbin 150040, China Heilongfiang University of Chinese Medicine, Harbin 150040, China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中医药学报》2017年第4期100-103,共4页Acta Chinese Medicine and Pharmacology

基　　金：国家自然科学基金面上项目(81373714);黑龙江省自然科学基金面上项目(D201214;H2016081);教育部2009年度立项"春晖计划"项目(Z2009-1-15030);哈尔滨市应用技术研究与开发(优秀学科带头人)项目(2016RAXYJ096)

摘　　要：目的:足阳明胃经的下合穴-足三里穴,具有健脾和胃、舒经活络、强身保健作用,通过整理、阅读和分析应用脑fMRI技术研究针刺足三里穴的相关文献,总结归纳经验,提出展望。方法:运用中国知网、pubmed等数据库,以"针刺and足三里and fMRI"或"针刺and足三里and功能磁共振"为检索词开始检索,筛选出所需文章,进行分析与整理。结果:通过两种数据库检索分别得到85、33篇相关文献。大量文献表明,针刺足三里穴能够引起脑内相关区域多处激活,主要包括额叶、颞叶、中央后回及扣带回、岛叶、下丘脑、海马回等边缘系统。结论:脑fMRI研究针刺足三里穴主要集中在激活脑区的分布、针刺作用机理、针刺后效应等方面;大量实验结果证实针刺足三里穴的作用机制是通过多个脑区形成复杂协调的功能网络达到治疗效果;针刺足三里穴在改善认知功能、镇痛、调节胃肠道疾病方面发挥重要作用。Objective： Lower He-sea point ST36 has the effect of strengthening the spleen and stomach,and relaxing meridians and activating collaterals,which is good for physical health. Relevant clinical literatures about acupuncture with ST36 using brain fMRI technique were collected and analyzed to expect the action mechanism of ST36. Methods：Literatures were selected by the retrieving words of acupuncture,ST36 and fMRI from the database of the CNKI and Pubmed. Results： 85 and 33 literatures were obtained in two respective databases. Plenty of literatures suggested that acupuncture with point ST36 could trigger multiple brain regions,including frontal lobe,temporal lobe,posterior central gyrus,callosal convolution,insula lobe,hypothalamus and hippocampus. Conclusion： The searches included are mainly about the activated brain areas,the mechanism of acupuncture,and after-effects of acupuncture. A mounts of experimental results confirmed that the action mechanism of acupuncture with point ST36 may form a complex coordinating function networks throughout different brain areas to achieve therapeutic effect. Also,acupuncture with ST36 plays an important role in improving cognitive function,relieving pain,and regulating gastrointestinal function.

关 键 词：针刺 足三里 FMRI 

分 类 号：R245[医药卫生—针灸推拿学]