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针刺足三里穴的抗炎作用:动物研究文献综述。

Anti-Inflammatory Effects of Acupuncture at ST36 Point: A Literature Review in Animal Studies.

机构信息

College of Korean Medicine, Dongguk University, Goyang, South Korea.

出版信息

Front Immunol. 2022 Jan 12;12:813748. doi: 10.3389/fimmu.2021.813748. eCollection 2021.


DOI:10.3389/fimmu.2021.813748
PMID:35095910
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8790576/
Abstract

So far, a number of acupuncture studies have shown anti-inflammatory effects of acupuncture treatment, mostly known at specific point ST36. However, there is no literature that oversaw the inflammation-regulatory effects of acupuncture in each tissue. Therefore, we investigated how acupuncture at specific acupoint ST36 regulates inflammation and its underlying mechanisms. We searched literatures on PubMed until July 2021 using the keywords "animal, acupuncture, ST36, inflammation, immune," and 292 literatures were searched. We ultimately selected 69 studies to determine the anti-inflammatory actions of acupuncture at ST36 and classified the changes of inflammatory mediators according to target regions. Forty-three studies were included in body fluids, 27 studies in the digestive system, 17 studies in the nervous system, and 30 studies in other tissues or organs. In this review, we found that acupuncture at ST36 has clinical benefits in relieving inflammation through several mechanisms such as vagus nerve activation, toll-like receptor 4 (TLR4)/NF-κB signaling, macrophage polarization, mitogen-activated protein kinase (MAPK) signaling pathway, and cholinergic anti-inflammatory pathway. We expect that these data will inform further studies related to ST36 acupuncture on inflammation.

摘要

到目前为止,许多针灸研究已经表明针灸治疗具有抗炎作用,主要在特定穴位 ST36 上得到证实。然而,没有文献综述过针灸在每个组织中对炎症的调节作用。因此,我们研究了 ST36 特定穴位的针灸如何调节炎症及其潜在机制。我们使用关键词“动物、针灸、ST36、炎症、免疫”在 PubMed 上搜索了截至 2021 年 7 月的文献,共检索到 292 篇文献。我们最终选择了 69 项研究来确定 ST36 针灸的抗炎作用,并根据靶区对炎症介质的变化进行分类。43 项研究涉及体液,27 项研究涉及消化系统,17 项研究涉及神经系统,30 项研究涉及其他组织或器官。在这篇综述中,我们发现 ST36 针灸通过激活迷走神经、Toll 样受体 4(TLR4)/NF-κB 信号通路、巨噬细胞极化、丝裂原激活蛋白激酶(MAPK)信号通路和胆碱能抗炎通路等几种机制在缓解炎症方面具有临床益处。我们期望这些数据将为进一步研究 ST36 针灸对炎症的作用提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd1/8790576/2e2282fbb52d/fimmu-12-813748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd1/8790576/2e2282fbb52d/fimmu-12-813748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd1/8790576/2e2282fbb52d/fimmu-12-813748-g001.jpg

相似文献

[1]
Anti-Inflammatory Effects of Acupuncture at ST36 Point: A Literature Review in Animal Studies.

Front Immunol. 2021

[2]
Electro-acupuncture Pretreatment at Zusanli (ST36) Acupoint Attenuates Lipopolysaccharide-Induced Inflammation in Rats by Inhibiting Ca Influx Associated with Cannabinoid CB2 Receptors.

Inflammation. 2019-2

[3]
Electro-acupuncture at Acupoint ST36 Ameliorates Inflammation and Regulates Th1/Th2 Balance in Delayed-Type Hypersensitivity.

Inflammation. 2017-4

[4]
Anti-inflammatory effects of acupuncture in the treatment of chronic obstructive pulmonary disease.

J Integr Med. 2023-11

[5]
Electro-Acupuncture at Zusanli Acupoint (ST36) Suppresses Inflammation in Allergic Contact Dermatitis Via Triggering Local IL-10 Production and Inhibiting p38 MAPK Activation.

Inflammation. 2017-8

[6]
Anti-inflammatory effect of laser acupuncture in ST36 (Zusanli) acupoint in mouse paw edema.

Lasers Med Sci. 2016-2

[7]
Abundant expression and functional participation of TRPV1 at Zusanli acupoint (ST36) in mice: mechanosensitive TRPV1 as an "acupuncture-responding channel".

BMC Complement Altern Med. 2014-3-11

[8]
(ST36) Acupoint Injection for Diabetic Peripheral Neuropathy: A Systematic Review of Randomized Controlled Trials.

J Altern Complement Med. 2018-9-26

[9]
[Characteristics of acupoint effects on inflammation and neuro-immune interaction].

Zhen Ci Yan Jiu. 2024

[10]
[Effect characteristics and mechanism of acupuncture in autonomic nerve regulation].

Zhen Ci Yan Jiu. 2021-4-25

引用本文的文献

[1]
The Synergistic Effect of Heat Therapy and Electroacupuncture Treatment in Inflammatory Pain Mouse Models.

Brain Sci. 2025-7-31

[2]
A robot arm-assisted acupuncture system with motion and force monitoring: establishment and validation.

Front Bioeng Biotechnol. 2025-8-6

[3]
IL-4-JAK1-STAT6 Pathway Mediates Electroacupuncture's Effect on Microglial M2 Polarization to Treat Inflammatory Bowel Disease With Comorbid Depression.

CNS Neurosci Ther. 2025-8

[4]
The influence of post-processing methods and frequency bands on rs-fMRI: An example of electroacupuncture at Zusanli (ST36).

Neuroimage Rep. 2025-2-11

[5]
Usage, anti-inflammatory effect and safety of adjunctive acupuncture for cerebral infarction: an Apriori algorithm-based data mining and meta-analysis.

Front Neurol. 2025-5-19

[6]
Acupoint injection increases the efficacy of vitamin B12 for diabetic neuropathy: a meta-analysis and trial sequential analysis.

Eur J Clin Nutr. 2025-5-23

[7]
Acupuncture treatment of vascular cognitive impairment through peripheral nerve stimulation pathway: a scoping review.

Front Aging Neurosci. 2025-4-28

[8]
Biological effect of acupuncture on peripheral facial paralysis.

Front Neurol. 2025-4-24

[9]
Symptomatic Treatment of Acute Traveler's Diarrhea With Acupuncture at Stomach 36 (ST36) and Large Intestine 4 (LI4) Acupuncture Points.

Cureus. 2025-3-25

[10]
Acupuncture in Dentistry: A Comprehensive Review of Its Applications, Mechanisms, and Clinical Efficacy.

Cureus. 2025-3-8

本文引用的文献

[1]
A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis.

Nature. 2021-10

[2]
Involvement of microRNA-155 in the mechanism of electroacupuncture treatment effects on experimental autoimmune encephalomyelitis.

Int Immunopharmacol. 2021-8

[3]
Exosomes Derived from Non-Classic Sources for Treatment of Post-Traumatic Osteoarthritis and Cartilage Injury of the Knee: In Vivo Review.

J Clin Med. 2021-5-7

[4]
Electroacupuncture Ameliorates Acute Pancreatitis: A Role for the Vagus Nerve-Mediated Cholinergic Anti-Inflammatory Pathway.

Front Mol Biosci. 2021-5-13

[5]
Circulating nuclear factor-kappa B mediates cancer-associated inflammation in human breast and colon cancer.

J Med Biochem. 2021-3-12

[6]
Effectiveness and safety of ear acupuncture for allergic rhinitis: A protocol of randomized controlled trial.

Medicine (Baltimore). 2021-3-26

[7]
ST36 Acupuncture Alleviates the Inflammation of Adjuvant-Induced Arthritic Rats by Targeting Monocyte/Macrophage Modulation.

Evid Based Complement Alternat Med. 2021-2-27

[8]
Electroacupuncture regulates inflammatory cytokines by activating the vagus nerve to enhance antitumor immunity in mice with breast tumors.

Life Sci. 2021-5-1

[9]
Electroacupuncture at ST36 Relieves Visceral Hypersensitivity via the NGF/TrkA/TRPV1 Peripheral Afferent Pathway in a Rodent Model of Post-Inflammation Rectal Hypersensitivity.

J Inflamm Res. 2021-2-5

[10]
Effect of Electroacupuncture at Zusanli (ST36) on Sepsis Induced by Cecal Ligation Puncture and Its Relevance to Spleen.

Evid Based Complement Alternat Med. 2020-10-7

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