中医特色疗法的抗衰老研究进展  

Research Progress in Characteristic Traditional Chinese Medicine Therapies for Anti-aging

作　　者：李红蓉 马静 尹玉洁 常丽萍 高美兰[1,4] 魏聪 LI Hongrong;MA Jing;YIN Yujie;CHANG Liping;GAO Meilan;WEI Cong(Hebei Institute of Integrated Traditional and Western Medicine,Shijiazhuang 050035,China;National Key Laboratory for Innovation and Transformation of Luobing Theory,Shijiazhuang 050035,China;Key Discipline of TCM Luobing of State Administration of Traditional Chinese Medicine,Hebei Yiling Hospital,Shijiazhuang 050091,China;Key Research Room of State Administration of Traditional Chinese Medicine,Institute of Hebei Yiling Medicine,Shijiazhuang 050035,China;Key Research Room of Luobing,Institute of Hebei Yiling Medicine,Shijiazhuang 050035,China)

机构地区：[1]河北省中西医结合医药研究院,石家庄050035 [2]络病理论创新转化全国重点实验室,石家庄050035 [3]河北以岭医院国家中医药管理局中医络病学重点学科,石家庄050091 [4]河北以岭医药研究院国家中医药管理局重点研究室——心脑血管络病,石家庄050035 [5]河北以岭医药研究院络病重点实验室,石家庄050035

出　　处：《世界中医药》2023年第24期3608-3615,共8页World Chinese Medicine

基　　金：中国工程院咨询研究项目(2022-XY-45);河北省中医药管理局科研计划项目(2023172);河北省自然科学基金项目(H2022106065);河北省中医药管理局研计划项目(2022216)。

摘　　要：中医药在养生抗衰、长寿延年方面积累了非常丰富的经验,“十四五”期间我国将大力发展中医药老年健康服务,培训推广中医适宜技术,提升中医药特色服务能力。现代研究发现针灸、按摩推拿、穴位埋线、拔罐、膏方等中医特色疗法都具有一定的抗衰老作用,其中针刺、艾灸的抗衰老效果主要体现在提高认知功能、提高免疫功能、改善生殖功能、提高骨密度、改善皮肤衰老等方面;穴位埋线除具有上述作用外,还可用于改善绝经后肥胖;推拿按摩可以提高免疫功能、提高骨密度、改善皮肤衰老;拔罐、膏方则主要体现在提高免疫功能和改善皮肤衰老。上述特色疗法和传统健身功法在临床应用中均可以改善老年人的衰老症状,提高生命质量。虽然相关研究较多,但大部分是药效动物实验,且存在低水平重复的问题,缺乏系统性、深入性、前沿性、创新性、针对性、多样性和权威性,高水平临床研究尤其缺乏,在方案设计、模型建立、指标选择、实验技术等方面亦有待提高,后续应加强中医特色疗法抗衰老的临床研究,完善评价指标体系,为健康中国贡献中医药力量。Traditional Chinese medicine(TCM)has accumulated very rich experience in health preservation,anti-aging and prolonging life.During the“Fourteenth Five-Year Plan”in China,there is a strong emphasis on the development of TCM services for the elderly,training and popularizing appropriate TCM technologies,and enhancing distinctive service abilities of TCM.Modern researches demonstrate that characteristic TCM therapies including acupuncture,medical massage,acupoint catgut embedding,cupping,and herbal formulations have certain anti-aging effects.The anti-aging effects of acupuncture and moxibustion are mainly reflected in improving cognitive function,enhancing immunologic function,improving reproductive function,increasing bone density and alleviating skin aging.Acupoint catgut embedding,in addition to above effects,can also be used to address postmenopausal obesity.Medical massage can enhance immunologic function and bone density as well as alleviate skin aging.Cupping and herbal formulations mainly play a role in improving immunologic function and relieving skin aging.All the above-described characteristic therapies and traditional health-preserving exercises can improve old people′s senile symptoms and enhance their life quality in clinical application.Although there are many relevant studies,most of them focused on the pharmacodynamic animal experiments,and there are problems of low-level repetition,as well as a lack of systematic,profound,cutting-edge,innovative,targeted,diverse and authoritative aspects,particularly lack of high-level clinical studies.There is room for improvement in scheme design,model establishment,index selection,experimental techniques and other aspects.In the future,it is necessary to strengthen the clinical research on characteristic TCM therapy for anti-aging,improving the evaluation index system,and contributing the strength of TCM to the goal of a healthy China.

关 键 词：中医特色疗法 针刺 艾灸 按摩推拿 穴位埋线 拔罐 抗衰老 研究进展 

分 类 号：R211[医药卫生—中医学] R245