Huo Jin, Zhao Jiongqi, Yuan Yong, Wang Jingjing
Acupuncture Hospital, Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhongguo Zhen Jiu. 2017 Nov 12;37(11):1251-4. doi: 10.13703/j.0255-2930.2017.11.031.
This paper aims to review the research status of the effect mechanism of catgut-embedding therapy. The literature was retrieved from China Academic Journal Network Publishing Database with the keywords as "catgut-point embedding" "embedding", dated from the database establishment to December 2015. Totally, over 5 000 papers had been collected. It was summarized that TCM effect mechanism of catgut-point embedding therapy includes the effects of needle retaining and embedding, harmonizing and , balancing organs, promoting meridian , regulating and blood, tonifying for the deficiency and reducing for the excess, strengthening the antipathogenic and eliminating pathogens. From the point of view of western medicine, the effect mechanism of catgut-embedding therapy refers to recovering nerve function, regulating neural reflex, increasing human immunity, improving local circulation, inhibiting the release of inflammatory factors, reducing apoptosis, regulating cellular factor and improving body metabolism. It was found that the effects of catgut-embedding therapy were not only related to the effects induced by common acupuncture, but also to the persistent treatment through prolonged stimulation duration, especially in the treatment of chronic diseases with many systems involved. This therapy reduces or complements to the use of western medicine to certain extent. However, the longitude theoretic study on the catgut-embedding therapy is limited; the specific statement is less predominant and the clinical controlled trial is insufficient at present. Hence, further studies are requested.
本文旨在综述埋线疗法作用机制的研究现状。通过检索中国学术期刊网络出版总库,以“穴位埋线”“埋线”为关键词,检索时间跨度为数据库建库至2015年12月,共收集到5000余篇文献。总结得出,穴位埋线疗法的中医作用机制包括留针埋线效应、调和脏腑、平衡阴阳、疏通经络、调理气血、补虚泻实、扶正祛邪。从西医角度来看,埋线疗法的作用机制是恢复神经功能、调节神经反射、增强人体免疫力、改善局部血液循环、抑制炎症因子释放、减少细胞凋亡、调节细胞因子及改善机体代谢。研究发现,埋线疗法的效应不仅与普通针刺诱导的效应有关,还与通过延长刺激时间进行的持续性治疗有关,尤其在治疗涉及多个系统的慢性病时。该疗法在一定程度上减少或补充了西药的使用。然而,目前对埋线疗法的纵向理论研究有限;具体阐述较少且临床对照试验不足。因此,需要进一步开展研究。