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针灸视域下的神经—免疫调节

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针灸作为中国传统医学体系中独具特色的诊疗技法,通过体表特定区域的物理刺激,调动神经、内分泌和免疫等多系统应答,促进机体自稳态修复.针灸对生物体机能多层次的调控特点,蕴含着其原创性的生命科学价值,有待于深入探究和阐明.本文结合"神经—免疫"交互作用的研究背景,在梳理针灸引发"躯体—自主神经"反射调节规律的基础上,总结了针灸不同穴位通过"迷走—肾上腺"轴或"交感—脾脏"轴改善系统性炎症的作用环路,明确了针灸"神经—免疫"调节的效应规律和影响因素.并指出:针灸刺激体表"纵横"位域引起相对特异的自主神经活动,是其发挥区域性或全身性免疫调控的关键.现阶段,针灸的"神经—免疫"调控虽已取得瞩目进展,但该领域的基础研究和应用推广仍处于"萌芽"阶段,倡议通过有组织、有目的的多学科交叉合作,继续完善针灸"精准"干预实现"神经—免疫"调控的系统生物学内涵,加快推进相关科研成果转化和针灸装备研发,不断拓展针灸在改善人体内脏功能和免疫—炎性反应中的应用价值.
Deciphering Neuro-immune Regulation in the View of the Acupuncture Discipline
As a unique therapeutic technique of Traditional Chinese Medicine,acupuncture evokes systematic responses of the neuro-endocrine-immune network to facilitate homeostasis via needling at specific regions on the body surface.The multi-dimensional modulatory effects of acupuncture represent its original life science value,which needs further efforts to better explore and elucidate.On the basis of current progress in"neuro-immune"interaction and"somato-autonomic"reflexes evoked by acupuncture,the present paper summarized the putative"vagal nerve-adrenal gland"and"sympathetic nerve-spleen"anti-inflammatory pathways driven by electroacupuncture at different acupoints and proposed the paradigm and determinant factors of acupuncture-induced"neuro-immune"modulation.We pointed out that acupuncture stimulation applied to"vertical-horizontal"tissue areas of the body leads to relatively specific autonomic activities,which is critical to its regional or systematic immune modulation.To date,although encouraging progress has been made in acupuncture-induced"neuro-immune"modulation,basic research and clinical practice in this field are still at a beginning state.Thus,by organized and purpose-driven multi-discipline collaborations,we propose to better define the systematic biological mechanisms of"neuro-immune"modulation by"precise acupuncture",promote related translation of basic research and acupuncture equipment development,as well as improve clinical application of acupuncture in treating visceral dysfunctions and immune-inflammatory disorders.

acupunctureautonomic nervesneuro-immunevagal nervesympathetic nerve

宿杨帅、马秋富

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中国中医科学院针灸研究所,北京 100700

西湖大学生命科学与生物医学浙江省实验室/浙江省结构生物学研究重点实验室/浙江省生长调控和转化研究重点实验室及生命科学学院,杭州 310024

浙江西湖高等研究院,杭州 310030

针灸 自主神经 神经—免疫 迷走神经 交感神经

国家重点研发计划项目课题国家自然科学基金项目

2022YFC350070282274245

2024

中国科学基金
国家自然科学基金委员会

中国科学基金

CSTPCD北大核心
影响因子:0.62
ISSN:1000-8217
年,卷(期):2024.38(3)