基于脑肠轴探讨和胃安神法针刺治疗广泛性焦虑障碍  

Exploration of Hewei Anshen Acupuncture in Treatment of Generalized Anxiety Disorder Based on Brain-Gut Axis

作　　者：郭鑫宇 高珊 蒋凤霞 王晓燕[1] GUO Xinyu;GAO Shan;JIANG Fengxia;WANG Xiaoyan(School of Acupuncture-Moxibustion and Tuina,Shandong University of Traditional Chinese Medicine,Jinan 250013,China)

机构地区：[1]山东中医药大学针灸推拿学院,山东济南250013

出　　处：《针灸临床杂志》2024年第10期101-105,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：山东省自然科学基金面上项目,编号:ZR2022MH149;齐鲁医派中医学术流派传承项目,编号:2022-02-038。

摘　　要：广泛性焦虑障碍(GAD)是一种以焦虑、抑郁为主要表现的精神类疾病。近年来在现代快节奏生活的压力下,本病的发病率逐年升高。现代医学提出的脑肠轴理论认为与脑、肠相关,《灵枢》言:“大肠小肠皆属于胃”,故将二者相结合运用和胃安神法治疗GAD。本研究分别从脏腑和经络两方面讨论和胃安神法针刺治疗GAD的理论依据,并探讨针刺对中枢神经系统、肠神经系统、脑肠肽以及下丘脑-垂体-肾上腺轴的影响。Generalized anxiety disorder(GAD)is a mental illness with anxiety and depression as the main manifestations.In recent years,under the pressure of modern fast-paced life,the incidence of this disease has increased year by year.The brain-gut axis theory proposed by modern medicine believes that the brain and intestine are related,and the Miraculous Pivot has a saying,‘Both Large Intestine and Small Intestine belong to Stomach’,so the combination of the two is proposed to treat GAD with the Hewei Anshen(harmonize Stomach and calm Shen)method.This study discusses the theoretical basis for treating GAD by Hewei Anshen acupuncture from the perspectives of both the internal organs and meridians.It also explores the influence of acupuncture to the central nervous system,the enteric nervous system,brain-gut peptides,and the hypothalamic-pituitary-adrenal axis.

关 键 词：广泛性焦虑障碍 脑肠轴 和胃安神 针刺 

分 类 号：R246.6[医药卫生—针灸推拿学]