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下丘脑在针刺效应中的作用。

Role of Hypothalamus in Acupuncture's Effects.

作者信息

Bae Ryan, Kim Hyung Kyu, Lu Baoji, Ma Jing, Xing Juping, Kim Hee Young

机构信息

Morrissey College of Arts and Sciences, Boston College, Boston, MA 02467, USA.

Department of Physiology, College of Medicine, Yonsei University, Seoul 03722, Republic of Korea.

出版信息

Brain Sci. 2025 Jan 15;15(1):72. doi: 10.3390/brainsci15010072.

DOI:10.3390/brainsci15010072
PMID:39851439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11763592/
Abstract

The significant correlation between ancient medicinal practices and brain function marks a revolutionary frontier in the field of neuroscience. Acupuncture, a traditional oriental medicine, can affect brain regions, such as the hypothalamus, anterior cingulate, posterior cingulate, and hippocampus, and produces specific therapeutic effects, such as pain relief, suppression of hypertension, and alleviation of drug addiction. Among the brain regions, the hypothalamus, a small yet critical region in the brain, plays a pivotal role in maintaining homeostasis by regulating a wide array of physiological processes, including stress responses, energy balance, and pain modulation. Emerging evidence suggests that acupuncture may exert its therapeutic effects by modulating the activity of the hypothalamus and its associated neural circuits, particularly in relation to pain, stress, and metabolic regulation. Thus, we conducted a comprehensive review of past and current research on the role of the hypothalamus in mediating the therapeutic effects of acupuncture.

摘要

古代医学实践与脑功能之间的显著关联标志着神经科学领域的一个革命性前沿。针灸作为一种传统的东方医学,能够影响诸如下丘脑、前扣带回、后扣带回和海马体等脑区,并产生特定的治疗效果,如缓解疼痛、抑制高血压和减轻药物成瘾。在这些脑区中,下丘脑作为大脑中一个虽小但至关重要的区域,通过调节包括应激反应、能量平衡和疼痛调节在内的一系列广泛生理过程,在维持体内平衡方面发挥着关键作用。新出现的证据表明,针灸可能通过调节下丘脑及其相关神经回路的活动来发挥其治疗作用,特别是在疼痛、应激和代谢调节方面。因此,我们对过去和当前关于下丘脑在介导针灸治疗效果中作用的研究进行了全面综述。

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本文引用的文献

1
Multi-level exploration of auricular acupuncture: from traditional Chinese medicine theory to modern medical application.耳针疗法的多层次探索:从中医理论到现代医学应用
Front Neurosci. 2024 Sep 23;18:1426618. doi: 10.3389/fnins.2024.1426618. eCollection 2024.
2
Glutamatergic signaling from melanin-concentrating hormone-producing neurons: A requirement for memory regulation, but not for metabolism control.来自产生促黑素细胞激素神经元的谷氨酸能信号传导:记忆调节的必要条件,但非代谢控制的必要条件。
PNAS Nexus. 2024 Jul 20;3(7):pgae275. doi: 10.1093/pnasnexus/pgae275. eCollection 2024 Jul.
3
Effects of acupuncture on hypothalamic-pituitary-adrenal axis: Current status and future perspectives.针刺对下丘脑-垂体-肾上腺轴的影响:现状与未来展望。
J Integr Med. 2024 Jul;22(4):445-458. doi: 10.1016/j.joim.2024.06.004. Epub 2024 Jun 24.
4
Neural circuit mechanisms of acupuncture effect: where are we now?针刺效应的神经回路机制:我们目前的进展如何?
Front Neurol. 2024 Jun 13;15:1399925. doi: 10.3389/fneur.2024.1399925. eCollection 2024.
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Molecular and functional mapping of the neuroendocrine hypothalamus: a new era begins.神经内分泌下丘脑的分子和功能图谱:新纪元的开始。
J Endocrinol Invest. 2024 Nov;47(11):2627-2648. doi: 10.1007/s40618-024-02411-5. Epub 2024 Jun 15.
6
Mediation of lateral hypothalamus orexin input to lateral habenula in the inhibitory effects of mechanical stimulation on psychomotor responses induced by cocaine.外侧下丘脑食欲素输入至外侧缰核在机械刺激对可卡因诱导的精神运动反应的抑制作用中的介导作用。
Front Mol Neurosci. 2023 Jul 12;16:1195939. doi: 10.3389/fnmol.2023.1195939. eCollection 2023.
7
The paraventricular nucleus of the hypothalamus - the concertmaster of autonomic control. Focus on blood pressure regulation.下丘脑室旁核——自主控制的指挥家。关注血压调节。
Acta Neurobiol Exp (Wars). 2023;83(1):34-44. doi: 10.55782/ane-2023-004.
8
Nociceptive Stimuli Activate the Hypothalamus-Habenula Circuit to Inhibit the Mesolimbic Reward System and Cocaine-Seeking Behaviors.伤害性刺激激活下丘脑-缰核回路,抑制中脑边缘奖赏系统和可卡因觅药行为。
J Neurosci. 2022 Dec 7;42(49):9180-9192. doi: 10.1523/JNEUROSCI.0577-22.2022. Epub 2022 Oct 24.
9
Effect of acupuncture on brain regions modulation of mild cognitive impairment: A meta-analysis of functional magnetic resonance imaging studies.针刺对轻度认知障碍脑区调节的影响:功能磁共振成像研究的荟萃分析
Front Aging Neurosci. 2022 Sep 23;14:914049. doi: 10.3389/fnagi.2022.914049. eCollection 2022.
10
Electrical stimulation mapping in the medial prefrontal cortex induced auditory hallucinations of episodic memory: A case report.内侧前额叶皮质的电刺激图谱诱发情景记忆性幻听:一例报告。
Front Hum Neurosci. 2022 Jul 28;16:815232. doi: 10.3389/fnhum.2022.815232. eCollection 2022.