首页|穴位给药作用评价及应用情况研究进展

穴位给药作用评价及应用情况研究进展

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穴位给药是一种传统的中医外治法,以中医经络学说理论为指导,将药物贴敷于穴位皮肤上,通过刺激经穴与经络传导,发挥穴位与药物的双重治疗作用。穴位给药在临床实践中广泛应用,与传统口服与注射给药不同,其通过皮肤途径吸收药物,有效规避药物经肝脏首过效应及注射引起的不良反应。穴位与药物透皮吸收情况是影响穴位给药疗效的主要因素,而近年来对于穴位贴敷的研究主要侧重于临床疗效的评价,缺乏经穴、药效因素等方面的系统研究。该文通过对穴位贴敷给药的机制、作用评价及应用情况进行综述,结合中医理论与现代医学探讨穴位给药的作用机制,并评价其临床应用疗效、体内外经皮渗透情况,分析穴位贴敷给药的应用现状,包括穴位选择、贴敷剂型、贴敷时间以及经穴吸收等,以期为穴位给药产品的研发与临床应用提供思路与参考。
Research progress on effect evaluation and application status of acupoint drug delivery
Acupoint drug delivery is a traditional external therapy of traditional Chinese medicine(TCM).Guided by the meridian and collateral theory in TCM,it applies medications to the skin at acupoints,exerting a dual therapeutic effect by stimulating the acu-points and the conduction of meridians.Acupoint drug delivery is widely used in clinical practice.Different from traditional oral admi-nistration and injection,it absorbs medications through the skin,effectively avoiding the first-pass effect of drugs and the toxic side effects caused by injection.Acupoint selection and transdermal drug absorption are pivotal factors affecting the efficacy of acupoint drug delivery.Recent research on acupoint drug delivery mainly focuses on the evaluation of clinical efficacy,yet the systematic investiga-tions on acupoint selection and pharmacodynamic factors are scarce.This study reviews the mechanism,efficacy evaluation and appli-cation status of acupoint drug delivery.It integrates the theory of TCM with modern medicine to explore the mechanism of acupoint drug delivery,evaluate its clinical efficacy,and assess the transdermal penetration in vivo and in vitro.The application status of acupoint drug delivery is also summarized,including the selection of acupoints,application dosage form,application time and the absorption of acupoints.This review aims to offer insights and references for the research,development and clinical application of acupoint drug de-livery products.

acupoint applicationtransdermal deliveryeffect evaluationapplication statusmechanism research

郑俊侨、张俏菊、吴欣颖、禹佳惠、刘志挺、雷凯君、时军

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广东药科大学中药学院,广东广州 510006

佛山市中医院药学部,广东佛山 528000

广东省局部精准递药制剂工程技术研究中心,广东广州 510006

穴位贴敷 透皮给药 作用评价 应用现状 机制研究

国家自然科学基金项目广东省自然科学基金项目

821739822022A1515011382

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(14)