The Status and Future of Acupuncture Mechanism Research

The Status and Future of Acupuncture Mechanism Research
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DOI:
10.1089/acm.2008.sar-3
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发表时间:
2008-09-01
影响因子:
2.6
通讯作者:
Langevin, Helene M.
Langevin, Helene M.
中科院分区:
医学4区
文献类型:
--
作者:
Napadow, Vitaly;Ahn, Andrew;Langevin, Helene M.

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2007年11月8日至9日,针灸研究学会(SAR)主办了一次国际会议,以纪念具有里程碑意义的NIH [美国国立卫生研究院]针灸共识发展会议十周年。来自20个国家的300多名针灸研究人员、从业人员、学生、资助机构人员和卫生政策分析师参加了在巴尔的摩的马里兰州大学医学院举行的SAR会议。本文总结了针灸基础和转化研究领域的重要邀请讲座。具体领域包括针灸穴位和经络的科学评估,针灸心血管调节的神经机制,电针应用于持续性炎症和疼痛的机制,针灸在妇科应用的基础和转化研究,功能性神经成像在针灸研究中的应用,特别是在腕管综合征和纤维肌痛中的应用,以及结缔组织系统与针灸研究的关系。总之,已经实验研究的针灸效应的机械模型集中在针灸针刺激对神经系统、肌肉和结缔组织的影响上。这些机械模型并不相互排斥。迭代测试,扩展,也许合并这些模型将可能导致对针灸针的手动和电刺激的影响的增量理解,这是牢固植根于生理学。
On November 8-9, 2007, the Society for Acupuncture Research (SAR) hosted an international conference to mark the tenth anniversary of the landmark NIH [National Institutes of Health] Consensus Development Conference on Acupuncture. More than 300 acupuncture researchers, practitioners, students, funding agency personnel, and health policy analysts from 20 countries attended the SAR meeting held at the University of Maryland School of Medicine, Baltimore, MD. This paper summarizes important invited lectures in the area of basic and translational acupuncture research. Specific areas include the scientific assessment of acupuncture points and meridians, the neural mechanisms of cardiovascular regulation by acupuncture, mechanisms for electroacupuncture applied to persistent inflammation and pain, basic and translational research on acupuncture in gynecologic applications, the application of functional neuroimaging to acupuncture research with specific application to carpal-tunnel syndrome and fibromyalgia, and the association of the connective tissue system to acupuncture research. In summary, mechanistic models for acupuncture effects that have been investigated experimentally have focused on the effects of acupuncture needle stimulation on the nervous system, muscles, and connective tissue. These mechanistic models are not mutually exclusive. Iterative testing, expanding, and perhaps merging of such models will potentially lead to an incremental understanding of the effects of manual and electrical stimulation of acupuncture needles that is solidly rooted in physiology.