Auricular acupuncture and vagal regulation.
Auricular acupuncture and vagal regulation.
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DOI：
10.1155/2012/786839
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Zhu B
中科院分区：
文献类型：
--
作者：
He W;Wang X;Shi H;Shang H;Li L;Jing X;Zhu B
耳针用于治疗疾病已有数千年的历史。 Paul Nogier 博士首先提出了外耳倒置胎儿图的概念。在本研究中，对耳针与迷走神经调节之间的关系进行了综述。研究表明，耳针对心血管、呼吸和胃肠系统自主神经功能的迷走神经活动发挥作用。机制研究表明，特别是迷走神经耳支（ABVN）到孤束核（NTS）的传入投射构成了耳针迷走神经调节的解剖学基础。因此，我们提出了“耳迷走神经传入通路”（AVAP）：通过从ABVN到NTS的投射，耳廓迷走神经刺激可以改变自主神经系统和中枢神经系统。耳针还被提议通过迷走神经调节来预防神经退行性疾病。耳穴治疗疾病的特异性和功效存在争议。应进一步开展更多耳针临床随机对照试验以及耳针作用机制的实验研究。
Auricular acupuncture has been utilized in the treatment of diseases for thousands of years. Dr. Paul Nogier firstly originated the concept of an inverted fetus map on the external ear. In the present study, the relationship between the auricular acupuncture and the vagal regulation has been reviewed. It has been shown that auricular acupuncture plays a role in vagal activity of autonomic functions of cardiovascular, respiratory, and gastrointestinal systems. Mechanism studies suggested that afferent projections from especially the auricular branch of the vagus nerve (ABVN) to the nucleus of the solitary tract (NTS) form the anatomical basis for the vagal regulation of auricular acupuncture. Therefore, we proposed the “auriculovagal afferent pathway” (AVAP): both the autonomic and the central nervous system could be modified by auricular vagal stimulation via projections from the ABVN to the NTS. Auricular acupuncture is also proposed to prevent neurodegenerative diseases via vagal regulation. There is a controversy on the specificity and the efficacy of auricular acupoints for treating diseases. More clinical RCT trials on auricular acupuncture and experimental studies on the mechanism of auricular acupuncture should be further investigated.
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DOI：
10.1093/ecam/nem106
发表时间：
2007-09
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
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DOI：
10.1515/bmt.2008.022
发表时间：
2008-01-01
期刊：
BIOMEDIZINISCHE TECHNIK
影响因子：
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