Hou Xiao, Bai Zhen-Min, Liu Jing-Min
Department of Physical Education and Sport Kinesiology, Tsinghua University, Beijing 100084, China.
School of Sports Medicine and Physical Therapy, Beijing Sport University, Beijing 100084.
Zhen Ci Yan Jiu. 2021 Mar 25;46(3):254-8. doi: 10.13702/j.1000-0607.200334.
Cupping therapy is an important part of traditional Chinese medicine, and its efficacy has been gradually accepted and confirmed by modern clinical medicine, but its physiological mechanisms have no consensus. In the present paper, we summarized the related mechanisms from results of both domestic and international researches which include 1) blood circulation promotion theory, 2) neurological reflex theory, 3) gate theory of pain, 4) inflammation-immune reaction theory and 5) skin tension increase theory. We also reviewed progresses of clinical researches about application of cupping therapy to cardiovascular diseases, chronic musculoskeletal pain, migraine and other painful symptoms, as well as arthritis which effects involve the above mentioned blood-circulation promotion, tension-increase, gate theory and inflammation-immune reaction, respectively. We believe that the mechanisms of cupping therapy are not independent and should be explored further from different perspectives.
拔罐疗法是中医的重要组成部分,其疗效已逐渐被现代临床医学所接受和证实,但其生理机制尚无定论。在本文中,我们从国内外研究结果中总结了相关机制,包括:1)血液循环促进理论;2)神经反射理论;3)疼痛闸门理论;4)炎症-免疫反应理论;5)皮肤张力增加理论。我们还综述了拔罐疗法在心血管疾病、慢性肌肉骨骼疼痛、偏头痛及其他疼痛症状以及关节炎方面的临床研究进展,其作用分别涉及上述血液循环促进、张力增加、闸门理论和炎症-免疫反应。我们认为,拔罐疗法的机制并非相互独立,应从不同角度进一步探索。