基于形气神一体化理论探讨针刺效应机制  

Mechanism of Acupuncture Effects Based on the Theory of Integration of Form,Qi,and Spirit

作　　者：张亚鹏 孙霄 孙一珂 寇明智 田嘉怡 李婉君 马淑然 ZHANG Yapeng;SUN Xiao;SUN Yike;KOU Mingzhi;TIAN Jiayi;LI Wanjun;MA Shuran(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Emergency Department,Beijing Fengtai Integrated Traditional Chinese and Western Medicine Hospital,Beijing 100071,China)

机构地区：[1]北京中医药大学中医学院,北京102488 [2]北京市丰台中西医综合医院急诊科,北京100071

出　　处：《世界中医药》2025年第4期628-632,共5页World Chinese Medicine

基　　金：国家自然科学基金项目(82274385)——基于松果腺-MT-NF-κB-GATA3介导的Th1/Th2免疫漂移研究脾虚型急性湿疹季节性发病的生物学机制及湿疹清颗粒的干预机理。

摘　　要：基于中医学“形气神一体化”理论,系统探讨针刺效应的内在机制。通过分析形气神与经络、腧穴及脉诊的关联,进一步揭示形、气、神三者如何协同影响针刺疗效。结果表明,形是针刺效应的物质基础,针刺通过刺激穴位,调节形体结构;气是针刺效应的动力,针刺激发“得气”,调节气机;神是针刺效应的调控因素,针刺调整精神状态,提高疗效。形、气、神三者相辅相成,维持人体阴阳平衡,促进机体的自我修复。针刺通过调节形气神的协同状态,不仅在缓解疾病方面效果显著,而且在提升患者心理健康及整体生命质量中展现出独特优势。形气神一体化理论为针刺效应机制提供了新的理论框架,可为针灸临床实践提供有效指导,并为经典针灸文献的解读带来新视角。本研究强调,形气神的协同状态对针刺疗效至关重要。因此,未来针刺研究应重视形气神一体化理论,注重患者形体、气机和精神状态的综合调控,以提升疗效。Based on traditional Chinese medicine(TCM)theory of“integration of form,qi,and spirit”,this study systematically explores the intrinsic mechanism of acupuncture effects.By analyzing the correlations of form,qi,spirit with meridians,collaterals,acupoints,and pulse diagnosis,the study further reveals how form,qi,and spirit collaboratively influence the therapeutic effects of acupuncture.The results indicate that form serves as the material basis of acupuncture effects,with acupuncture stimulating acupoints to regulate the body′s structural form.Qi acts as the driving force of acupuncture,with the stimulation of acupoints triggering the flow of qi.Spirit serves as the regulatory factor,with acupuncture adjusting the mental state to enhance therapeutic outcomes.The integration of form,qi,and spirit complements each other,maintaining the balance of yin and yang in the body and promoting self-repair mechanisms.Acupuncture,through the regulation of the synergistic state of form,qi,and spirit,demonstrates significant efficacy not only in alleviating disease but also in enhancing patients′psychological health and overall quality of life.The“integration of form,qi,and spirit”theory provides a new theoretical framework for understanding the mechanism of acupuncture effects,offering effective guidance for clinical acupuncture practice and offering fresh perspectives for interpreting classical acupuncture literature.This study emphasizes the importance of the synergistic state of form,qi,and spirit in acupuncture efficacy.Therefore,future acupuncture research should focus on the integration of form,qi,and spirit,paying attention to the comprehensive regulation of patients′physical form,qi flow,and mental state to improve therapeutic outcomes.

关 键 词：形气神 一体化 针刺疗法 效应机制 经络腧穴 整体观 阴阳平衡 自我修复 临床应用 

分 类 号：R245[医药卫生—针灸推拿学]