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针灸治疗慢性疼痛机制的生理和心理学解释。

Physiological and psychological explanations for the mechanism of acupuncture as a treatment for chronic pain.

作者信息

Lewith G T, Kenyon J N

出版信息

Soc Sci Med. 1984;19(12):1367-78. doi: 10.1016/0277-9536(84)90026-1.

DOI:10.1016/0277-9536(84)90026-1
PMID:6085191
Abstract

Many suggestions have been made about the possible mechanism of acupuncture as an analgesic therapy. This review provides a comprehensive account of the neurological, neurohumoral and psychologically-based hypotheses put forward. Although the exact mechanism of this treatment remains unclear, it is apparent that reproducible neurological and chemical changes occur in response to acupuncture, and that these changes almost certainly modify the response to, and perception, of pain. The mechanism of chronic pain is completely understood, but within this framework we understand acupuncture as completely as most other types of analgesic treatment.

摘要

关于针灸作为一种镇痛疗法的可能机制,人们已经提出了许多建议。本综述全面介绍了所提出的基于神经学、神经体液学和心理学的假说。尽管这种治疗的确切机制尚不清楚,但很明显,针刺会引起可重复的神经学和化学变化,而且这些变化几乎肯定会改变对疼痛的反应和感知。慢性疼痛的机制尚未完全明了,但在此框架内,我们对针灸的了解程度与大多数其他类型的镇痛治疗相当。

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Physiological and psychological explanations for the mechanism of acupuncture as a treatment for chronic pain.针灸治疗慢性疼痛机制的生理和心理学解释。
Soc Sci Med. 1984;19(12):1367-78. doi: 10.1016/0277-9536(84)90026-1.
2
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引用本文的文献

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Acupuncture for Psychological Disorders Caused by Chronic Pain: A Review and Future Directions.针刺治疗慢性疼痛所致心理障碍:综述与未来方向
Front Neurosci. 2021 Jan 27;14:626497. doi: 10.3389/fnins.2020.626497. eCollection 2020.
2
Acupuncture for hip osteoarthritis.针灸治疗髋骨关节炎
Cochrane Database Syst Rev. 2018 May 5;5(5):CD013010. doi: 10.1002/14651858.CD013010.
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Autonomic activation in insomnia: the case for acupuncture.失眠的自主神经激活:针灸的案例。
J Clin Sleep Med. 2011 Feb 15;7(1):95-102.
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Acupuncture for peripheral joint osteoarthritis.针刺治疗周围关节骨关节炎
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Concept of true and perceived placebo effects.真实和感知到的安慰剂效应的概念。
BMJ. 1995 Aug 26;311(7004):551-3. doi: 10.1136/bmj.311.7004.551.
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A false phoenix.一只假凤凰。
Br Med J (Clin Res Ed). 1986 Jan 18;292(6514):204-5. doi: 10.1136/bmj.292.6514.204-b.