基于“督脉入络脑”探讨针刺督脉经穴治疗脑病的神经传导机制  

Nerve Conduction Mechanism of Treating Encephalopathy by Acupuncturing Acupoints on Du-Meridian Based on“Governor Vessel Entering into Collateral-Brain”

作　　者：张震[1] 何腾 王旭[1] 颜靖岚 陈永君 ZHANG Zhen;HE Teng;WANG Xu;YAN Jinglan;CHEN Yongjun(Institute of Acupuncture and Moxibustion,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学针灸研究院,山东济南250355

出　　处：《山东中医杂志》2024年第8期795-803,共9页Shandong Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划资助项目(编号:2022YFC3500405);国家自然科学基金面上项目(编号:82374586)。

摘　　要：“督脉入络脑”理论阐释了督脉无论在循行还是功能上都与脑有着密切联系。基于该理论,古今医者治疗脑病首选督脉穴位。针刺督脉效应的产生依赖于穴位下的感受器将针刺刺激转换为神经信号传导至中枢各级水平,然而针刺督脉经穴治疗脑病从外周到中枢的神经传导途径尚未全面总结。从现代神经生物学角度归纳外周感觉传入神经和中枢核团的诸多研究,分析了针刺督脉体表刺激治疗脑病相关联的神经生物学基础及调控途径。The theory of“governor vessel entering into collateral-brain”explains that the governor vessel is closely related to the brain both in circulation and function.Based on this theory,the governor vessel acupoints are the first choice for the treatment of encephalopathy by ancient and modern doctors.The impact of acupuncture on the governor vessel relies on the activation of specific receptors at the acupoint,which convert the acupuncture stimulation into nerve signals transmitted to the central nervous system.However,a comprehensive summary of the neural pathways involved in treating encephalopathy with acupuncture from peripheral to central points has not yet been achieved.In this paper,a comprehensive summary of numerous studies on peripheral sensory afferent nerves and central nuclei is provided from the perspective of modern neurobiology,and an analysis of the neuro⁃biological basis and regulatory pathways related to the treatment of encephalopathy through acupunc⁃ture on the body surface along the governor vessel is conducted.

关 键 词：督脉 脑病 中枢环路 神经影像 神经传导 

分 类 号：R246.6[医药卫生—针灸推拿学]