躯体传入神经-内脏神经环路在针灸调节胃肠功能中的作用
Effect of somatic afferent nerve-visceral nerve circuit in the regulation of the gastrointestinal function with acupuncture and moxibustion
陈碧玮 1张丽丽 2陈少宗2
作者信息
- 1. 山东中医药大学针灸推拿学院,济南250355
- 2. 山东中医药大学针灸研究院,济南250355;山东中医药大学系统中医学研究所,济南250355
- 折叠
摘要
针灸治疗胃肠病常用穴位的分布符合躯体传入神经-内脏神经环路在脊髓水平的节段同源性规律.针灸对胃肠功能的调节是通过神经-内分泌-免疫系统实现的,并特别有赖于神经系统结构与功能的完整性,而躯体传入神经-内脏神经环路在针灸疗法调节胃肠功能的过程中发挥着重要作用.涉及3个不同的层次:①发生在外周层面的躯体传入神经-内脏神经环路,包括以背根神经节(DRG)为中心的躯体传入神经-内脏传入神经环路、以交感神经节为中心的躯体传入神经-内脏传出神经环路;②发生在脊髓层面的躯体传入神经-内脏神经环路;③发生在脊髓上水平的躯体传入神经-内脏神经环路,主要是孤束核参与的各种反射环路.脊髓及其以下水平的躯体传入神经-内脏神经环路决定了针灸调节胃肠功能的节段性作用,脊髓上水平的躯体传入神经-内脏神经环路决定了针灸调节胃肠的超节段性作用.针灸调节胃肠功能的神经生理学机制是多环路、多靶点的.
Abstract
The distribution of the common acupoints of acupuncture-moxibustion for gastrointestinal diseases conforms to the rule of the segmental homology of somatic afferent nerve-visceral nerve circuit at the spinal cord level.Acupuncture-moxibustion regulates the gastrointestinal function through the nerve-endocrine-immune system,and especially depending on the integrity of the structure and function of nervous system.The somatic afferent nerve-visceral nerve circuit plays an important role in the process of acupuncture and moxibustion for regulating the gastrointestinal function.There are three dimensions.① The somatic afferent nerve-visceral nerve circuit at the peripheral level,including the somatic afferent nerve-visceral afferent nerve circuit centered on the dorsal root ganglion,and the somatic afferent nerve-visceral efferent nerve circuit centered on the sympathetic ganglia;② that at the spinal cord level;③ that at the supra-spinal cord level,focusing on the various reflex circuits with the solitary nucleus involved.The somatic afferent nerve-visceral nerve circuit at the spinal level and inferior to it determines the segmental regulation of acupuncture-moxibustion in the gastrointestinal system,while that at the level superior to the spinal cord determines the supersegmental action of acupuncture-moxibustion in regulating the gastrointestinal system.The neurophysiological mechanism of acupuncture-moxibustion is multi-circuits and multi-targets in regulating gastrointestinal function.
关键词
针灸/胃肠功能/躯体传入神经-内脏神经环路/机制Key words
acupuncture-moxibustion/gastrointestinal function/somatic afferent nerve-visceral nerve circuit/mechanism引用本文复制引用
出版年
2025
国家科技期刊平台
NSTL
万方数据