Zhang Menglong, Shi Lei, Deng Shizhe, Sang Bomo, Chen Junjie, Zhuo Bifang, Qin Chenyang, Lyu Yuanhao, Liu Chaoda, Zhang Jianli, Meng Zhihong
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China.
Evid Based Complement Alternat Med. 2022 Mar 12;2022:1451342. doi: 10.1155/2022/1451342. eCollection 2022.
Pain is a kind of complex physiological and psychological symptom, which makes the person debilitated and uncomfortable. Some persistent pain is unbearable for the patients, reducing the quality of life and bringing considerable pressure to the individuals and society. Pain killers seem to be effective in analgesia for patients, but their safety and addiction are crucial issues. From the theory of traditional Chinese medicine (TCM), the blocked meridian is the main cause of pain, and effective acupuncture can play a positive analgesic effect. Acupuncture that can date back thousands of years is one of the ancient medical practices in China. Its safety and effectiveness are respected. Based on its superior safety and inferior side effects, it has been gradually recognized as a therapeutic intervention method for complementary medicine, which is also generally used to treat multiple pain diseases. It is shown by modern medical studies that neurotransmitters are the material basis for the acupuncture effect, and the effect of acupuncture analgesia is related to changes in neurotransmitters. However, the specific mechanism has not been elucidated. This review aims to comprehensively discuss the historical evolution of acupuncture analgesia, clinical research of acupuncture analgesia, comparison of acupuncture and drug therapy, the neurotransmitter mechanism of acupuncture analgesia, the effect of acupuncture manipulation on analgesia, and bibliometric analysis of acupuncture treatment for pain, to explore the superiority and related mechanism of acupuncture analgesia from different aspects, and to provide a more effective treatment for alleviating patients' pain.
疼痛是一种复杂的生理和心理症状,会使人虚弱和不适。一些持续性疼痛患者难以忍受,降低了生活质量,给个人和社会带来相当大的压力。止痛药对患者似乎有有效的镇痛作用,但其安全性和成瘾性是关键问题。从中医理论来看,经络阻滞是疼痛的主要原因,有效的针灸能起到积极的镇痛作用。针灸可追溯到数千年前,是中国古老的医学实践之一。其安全性和有效性备受认可。基于其卓越的安全性和较低的副作用,它已逐渐被公认为一种补充医学的治疗干预方法,也普遍用于治疗多种疼痛疾病。现代医学研究表明,神经递质是针刺效应的物质基础,针刺镇痛效果与神经递质的变化有关。然而,具体机制尚未阐明。本综述旨在全面探讨针刺镇痛的历史沿革、针刺镇痛的临床研究、针刺与药物治疗的比较、针刺镇痛的神经递质机制、针刺手法对镇痛的影响以及针刺治疗疼痛的文献计量分析,从不同方面探讨针刺镇痛的优势及相关机制,为缓解患者疼痛提供更有效的治疗方法。