The Third Clinical College of Zhejiang Chinese Medical University, Hangzhou 310005, China.
Evid Based Complement Alternat Med. 2012;2012:895032. doi: 10.1155/2012/895032. Epub 2012 Feb 22.
Intracerebral hemorrhage (ICH) is an important public health problem with high rates of mortality, morbidity, and disability, but no clinically proven treatment strategy is available to date. Scalp acupuncture (SA) refers to a therapy for treating diseases by needling and stimulating the specific areas of the scalp. The evidence from clinical studies suggested that SA therapy may produce significant benefits for patients with acute ICH. However, the therapeutic mechanisms are yet not well addressed. Therefore, in this paper, we provide a comprehensive overview on the history and mechanisms of SA therapy on acute ICH. Although SA has been practiced for thousands of years in China and could date back to 5 BC, SA therapy for acute ICH develops only in the recent 30 years. The possible mechanisms associated with the therapeutic effects of SA on ICH include the influence on hematoma, brain edema, and blood brain barrier, the products released from haematoma, the immune and inflammatory reaction, focal perihemorrhagic hypoperfusion and hemorheology, neuroelectrophysiology, and so on. At last, the existence of instant effect of SA on acute ICH and its possible mechanisms are presented.
脑出血（ICH）是一个具有高死亡率、发病率和致残率的重要公共卫生问题，但迄今为止尚无经过临床验证的治疗策略。头皮针刺（SA）是一种通过针刺和刺激头皮特定区域来治疗疾病的疗法。临床研究证据表明，SA 疗法可能对急性 ICH 患者产生显著益处。然而，其治疗机制尚不清楚。因此，本文对 SA 疗法治疗急性 ICH 的历史和机制进行了全面综述。尽管在中国，SA 已经有几千年的历史，可以追溯到公元前 5 年，但急性 ICH 的 SA 治疗仅在最近 30 年才发展起来。SA 对 ICH 的治疗作用可能与血肿、脑水肿和血脑屏障、血肿释放的产物、免疫和炎症反应、局部出血周围低灌注和血液流变学、神经电生理学等有关。最后，本文提出了 SA 对急性 ICH 的即时效应及其可能的机制。
