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[艾灸调节小肠运动与自主神经活动关系的研究进展]

[Progress of Researches on Relationship between Acu-moxibustion Induced Modulation of Small Intestinal Motility and Autonomic Nervous Activity ].

作者信息

Zhang Na, Yu Zhi, Xu Bin

出版信息

Zhen Ci Yan Jiu. 2014 Dec;39(6):508-11.

Abstract

A large body of evidence of clinical and experimental outcomes showed that acupuncture and moxibustion can effectively treat disorders of small intestinal motility. The present articJe collected related literatures and made an analysis on the correlation between the effect of acupuncture-moxibustion intervention and needle-manipulation techniques, stimulating quantities, acupoint recipes, and the body functional states, as well as the corresponding mechanisms. Results indicate that acupuncture stimulation of acupoints of the limbs mainly enhance the motility of the small intestine, while acupuncture stimulation of acupoints in the abdominal region predominately suppress it, which may be closely associated with its effects on activities of the autonomic nervous system. This conclusion tells us that in clinical treatment of small intestinal hypodynamia, acupoints of the limbs should be selected first while in treating intestinal hyperdynamia, those acupoints in the abdominal region should be taken preferably. In ad- dition, at present, non-invaded detection techniques of the small intestinal motility are definitely and urgently needed and will greatly promote the progress of researches of acu-moxibustion on the mechanism underlying modulation of small intestinal motility.

摘要

大量临床和实验结果的证据表明,针灸能有效治疗小肠运动障碍。本文收集了相关文献,分析了针灸干预效果与针刺手法、刺激量、穴位配方、机体功能状态之间的相关性及其相应机制。结果表明,针刺四肢穴位主要增强小肠蠕动,而针刺腹部穴位则主要抑制小肠蠕动,这可能与其对自主神经系统活动的影响密切相关。这一结论告诉我们,在临床治疗小肠动力不足时,应首选四肢穴位;而在治疗小肠动力亢进时,最好选取腹部穴位。此外,目前迫切需要可靠的小肠动力非侵入性检测技术,这将极大地推动针灸对小肠运动调节机制的研究进展。

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