基于fMRI技术探讨电针与手针中枢机制响应差异

目前功能磁共振技术在针刺（电针与手针）中枢机制研究取得了一定进展，但不同针刺参数及形式的刺激在大脑的响应不同。本文收集了“功能磁共振与针刺”相关的国内外文献，以针刺“刺激-响应”模式为切入点，对电针刺激量及电针与手针的的中枢响应差异作一初步的论述。结果表明，在功能磁共振技术观测中，不同电针参数存在不同的中枢响应机制，并应将多个参数联合研究；其次，电针与手针在传入途径、作用机制、靶点、临床疗效等方面存在差异，也有着各自的优势病种。 

Response difference between electroacupuncture and manual acupuncture based on fMRI technology

At present, functional magnetic resonance imaging(fMRI) has made some progress in the study of the central mechanism of acupuncture(electroacupuncture and hand acupuncture), but different acupuncture parameters and forms of stimulation have different responses in the brain. This paper collects domestic and foreign literatures related to "fMRI and acupuncture". The "stimulus-response" model of acupuncture is taken as the starting point to make a preliminary discussion on the difference of the stimulation amount of electroacupuncture and the central response between electroacupuncture and manual acupuncture.The results show that there are different central response mechanisms for different electroacupuncture parameters in fMRI observation, and multiple parameters should be studied together. Secondly, there are differences between electroacupuncture and hand acupuncture in the afferent pathway, mechanism of action, target, clinical efficacy and other aspects, which also have their own dominant diseases.