头针刺激层次影响大脑皮层功能的机制探讨  

Effect of scalp acupuncture stimulation on cerebral cortex function and related mechanism

作　　者：唐萍萍 许骞 陈栋 朱力立 吴棋辉 鲍超 TANG Ping-ping;XU Qian;CHEN Dong;ZHU Li-Hi;WU Qi-hui;BAO Chao(Department of Acupuncture-moxibustion and Rehabilitation,The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;School of Acupuncture-moxibustion and Massage,Nanjing University of Chinese Medicine,Nanjing 210023)

机构地区：[1]南京中医药大学附属医院针灸康复科,南京210029 [2]南京中医药大学针灸推拿学院,南京210023

出　　处：《针刺研究》2020年第6期504-507,共4页Acupuncture Research

基　　金：江苏省科技发展计划项目(No.BE2017769);江苏省中医院院级课题青年培育项目(No.Y18059)。

摘　　要：通过文献梳理,探讨头针通过刺激皮肤、筋膜、肌肉、骨膜进而影响大脑皮层功能的可能机制。文献研究结果显示,头针对大脑皮层功能的影响可能是通过刺激特异性的解剖结构而实现的。刺激头部皮肤、筋膜、肌肉、骨膜可以通过中脑、丘脑、脑干等激活大脑皮层功能区。此外,不同的刺激层次可以对大脑的深浅感觉、筋膜自体监控、皮层下中枢代偿、大脑皮层放电产生影响。因此,探索刺激不同解剖结构对脑功能影响的具体规律与差异是下一步头针临床与基础研究的重点。A literature review was performed to investigate the possible mechanism of scalp acupuncture in stimulating the skin,fascia,muscle,and periosteum and thus affecting cerebral cortex function.The results of literature research show that the effect of scalp acupuncture on cerebral cortex function may be achieved by the stimulation of specific anatomical structures.Stimulation of the skin,fascia,muscle and periosteum can activate the functional areas of the cerebral cortex through the midbrain,thalamus,and brainstem.In addition,different depths of stimulation may affect the deep and shallow sensation of the brain,self-monitoring of the fascia,subcortical central compensation,and cortical discharge.Therefore,exploration of the specific rules and differences in the effect of stimulating different anatomical structures on brain function is the future focus of the clinical and basic research on scalp acupuncture.

关 键 词：头针疗法 解剖层次 机制 

分 类 号：R245.32+1[医药卫生—针灸推拿学]