推拿相关C类触觉传入纤维的研究进展  

Research progress of Tuina related C tactile afferent fibers

作　　者：郑宇 朱清广[1,2] 孔令军[1,2] 程艳彬[1,2] 姚重界 张帅攀 吕智祯 汤程 房敏[1,2,3] ZHENG Yu;ZHU Qing-guang;KONG Ling-jun;CHENG Yan-bin;YAO Chong-jie;ZHANG Shuai-pan;LYU Zhi-zhen;TANG Cheng;FANG Min(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Institute of Tuina,Shanghai Institute of Traditional Chinese Medicine,Shanghai 200437,China;School of Acupuncture and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市中医药研究院推拿研究所,上海200437 [3]上海中医药大学针灸推拿学院,上海201203

出　　处：《中华中医药杂志》2021年第9期5380-5383,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金重点项目(No.82030121);上海市青年科技英才扬帆计划资助(No.20YF1450900);上海市卫生计生系统优秀青年医学人才(No.2018YQ04)。

摘　　要：人体皮肤感受触觉的功能不仅依赖于有髓鞘的Aβ纤维,也与无髓鞘的C类触觉传入纤维密切相关。C类触觉传入纤维广泛分布于人体有毛皮肤,并作为一种低阈值机械感受器发挥其感受愉悦和传递疼痛的功能,其功能的发挥与机械力刺激密切相关,推拿作为一种外治疗法通过皮肤中的机械感受器产生与传递信息,从而发挥其作用。文章通过对C类触觉传入纤维的生理特性、分布特点、相关化学因素特性进行介绍,探究其与推拿手法之间的关系,以期为临床推拿治疗提供内在依据。The function of human skin to sense touch not only depends on the myelinated Aβ fibers, but also closely related to the unmyelinated C tactile afferent fibers. C tactile afferent fibers are widely distributed in the hairy skin of the human body, and serve as a low-threshold mechanoreceptor to perform the functions of feeling pleasure and transmitting pain. Its function is closely related to mechanical stimulation. Tuina is adopted as an external treatment method. The mechanoreceptors in the skin produce and transmit information, so as to play their role. This article introduces the physiological characteristics, distribution characteristics, and characteristics of related chemical factors of C tactile afferent fibers, and explores the relationship between them and Tuina to provide an internal basis for Tuina therapy.

关 键 词：C类触觉传入纤维 低阈值机械感受器 推拿 疼痛 

分 类 号：R244.1[医药卫生—针灸推拿学]