灸法治疗原发性痛经的神经影像学研究进展  

Research progress in neuroimaging studies of primary dysmenorrhea treated by moxibustion

作　　者：周星辰 叶文国 熊俊[1] 徐海燕[2] ZHOU Xing-chen;YE Wen-guo;XIONG Jun;XU Hai-yan(Department of Acupuncture and Moxibustion,Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,China;School of Acupuncture-Moxibustion and Tuina,Jiangxi University of Chinese Medicine,Nanchang 330004,China)

机构地区：[1]江西中医药大学附属医院针灸科,南昌330006 [2]江西中医药大学针灸推拿学院,南昌330004

出　　处：《中华中医药杂志》2021年第7期4148-4150,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江西省中医学一流学科专项科研基金项目(NO.JXSYLXK-ZHYI002);江西杰出青年人才资助计划(No.20171BCB23093);江西省青年科学基金重点项目(No.20192ACB21007)。

摘　　要：最新的灸法疾病谱研究显示,原发性痛经是灸法的高频运用病症,而且是临床优势病种。在具体治疗方法方面,各类灸法都得到广泛应用,如:热敏灸、雷火灸、隔物灸、铺灸。本研究在归纳不同灸法治疗原发性痛经临床证据的基础上,对设计模式、干预特点以及临床结局等方面进行分析,同时,从神经影像学角度归纳不同影像学手段其脑效应机制。研究指出左前和旁扣带回、左顶下缘角回、左缘上回可能是镇痛脑区,并从感觉、情绪、认知方面进行调控。且可推断涉及的神经回路有:额叶皮质-基底神经节(豆状核)-大脑皮质,调解动机和情绪驱动;顶叶-基底节-边缘叶-额叶,包括神经递质的运输和情绪的调节以及行为的表达。The latest spectrum of moxibustion disease shows that primary dysmenorrhea is a high frequency symptom of moxibustion,and it is the dominant clinical disease.In the specific treatment methods,all kinds of moxibustion methods have been widely used,such as:thermal moxibustion,thunder fire moxibustion,partitioned moxibustion,spreading moxibustion.In this study,on the basis of summarizing the clinical evidence of different moxibustion methods for treating primary dysmenorrhea,the design model,intervention characteristics and clinical outcomes were analyzed.Meanwhile,the brain effect mechanism of different imaging methods was summarized from the perspective of neuroimaging.It was pointed out that the left anterior cingulate gyrus,left inferior parietal angular gyrus and left superior gyrus may be the analgesic brain regions,and regulate them from the aspects of sensation,emotion and cognition.Moreover,the neural circuits involved can be inferred as follows:the frontal cortex-basal ganglia(the pea nucleus)-cerebral cortex,which mediates motivation and emotional drive.The parietal lobe-basal ganglia-limbic lobe-frontal lobe,including neurotransmitter transport and emotional regulation and behavioral expression.

关 键 词：灸法 原发性痛经 神经影像学 

分 类 号：R246.3[医药卫生—针灸推拿学]