针灸调节小肠动力及与自主神经关系的研究进展

大量的临床及实验文献表明针灸能够治疗小肠动力失调性疾病。本文综述相关文献,探讨了针灸效应与手法、刺激量、选穴、机体状态的关系及其相应的机制,结果提示:四肢部位腧穴对小肠动力的效应以兴奋为主,而腹部腧穴以抑制为主,其机制和自主神经系统密切相关。这一结论提示我们在临床中治疗小肠动力不足疾病可以优先选择四肢部腧穴,而治疗小肠运动亢进疾病优先选用腹部腧穴。小肠动力检测工具的进步将推动针灸调节小肠动力的机制研究。

Progress of Researches on Relationship between Acu-moxibustion Induced Modulation of Small Intestinal Motility and Autonomic Nervous Activity

A large body of evidence of clinical and experimental outcomes showed that acupuncture and moxibustion can effectively treat disorders of small intestinal motility.The present article collected related literatures and made an analysis on the correlation between the effect of acupuncture-moxibustion intervention and needle-manipulation techniques,stimulating quantities,acupoint recipes,and the body functional states,as well as the corresponding mechanisms.Results indicate that acupuncture stimulation of acupoints of the limbs mainly enhance the motility of the small intestine,while acupuncture stimulation of acupoints in the abdominal region predominately suppress it,which may be closely associated with its effects on activities of the autonomic nervous system.This conclusion tells us that in clinical treatment of small intestinal hypodynamia,acupoints of the limbs should be selected first while in treating intestinal hyperdynamia,those acupoints in the abdominal region should be taken preferably.In addition,at present,non-invaded detection techniques of the small intestinal motility are definitely and urgently needed and will greatly promote the progress of researches of acu-moxibustion on the mechanism underlying modulation of small intestinal motility.