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穴位特异性。

Acupuncture point specificity.

机构信息

Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

Int Rev Neurobiol. 2013;111:49-65. doi: 10.1016/B978-0-12-411545-3.00003-1.

Abstract

Acupuncture, as a modality treatment, has gained increasing popularity and acceptance between public and health-care professionals worldwide. Recently, there has been intensive debate about the efficacy of acupuncture therapy due to the conflicting outcome of clinical trials. Acupoint specificity was regarded as one of the core scientific issues with respect to acupuncture practice at the Society for Acupuncture Research international symposium held in 2007. In this chapter, we reviewed the recent development in basic science and clinical studies on the role of acupoint specificity. The evidence cumulated from brain imaging and many biological studies showed that the point specificity in acupuncture does exist, although acupoint specificity-related issues such as sham acupoint and placebo phenomenon need to be seriously considered. How to optimize the efficacy of acupoint and minimize the impact of sham acupuncture is an urgent issue faced by acupuncture community, and more studies are warranted on the subjects.

摘要

针灸作为一种治疗方法,在世界范围内得到了公众和医疗保健专业人员的日益关注和认可。最近,由于临床试验结果相互矛盾,针灸疗法的疗效引起了激烈的争论。2007 年在针灸研究学会国际研讨会上,穴位特异性被认为是与针灸实践相关的核心科学问题之一。在本章中,我们回顾了穴位特异性的基础科学和临床研究的最新进展。从脑成像和许多生物学研究中积累的证据表明,针灸穴位确实具有特异性,尽管需要认真考虑与穴位特异性相关的问题,如假穴位和安慰剂现象。如何优化穴位的疗效,最大限度地减少假针灸的影响,是针灸界面临的一个紧迫问题,需要对此进行更多的研究。

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