国家自然科学基金“十一五”期间针灸学项目情况报告和分析

本文对国家自然科学基金"十一五"期间立项资助和结题的针灸研究项目进行了报告和分析。立项的194个项目包括6个方面:经络研究、腧穴理论研究、针刺镇痛研究、针灸治病机制研究、针灸临床研究、灸法研究。其中腧穴的研究成为新的热点,针灸治病机制的研究资助项目仍然最多。针灸临床研究项目较少。结题项目共119项,主要集中在经络理论研究、腧穴理论研究、针灸治病机制研究和针刺手法的研究。对结题项目进行分析得出以下结论:①以神经生物学的方法研究经络仍然是比较公认的研究方法。②腧穴的研究已经从穴位局部解剖特征到感受器传入特征的研究,尤其是侧重穴位病理状态下的特征研究、穴位效应的研究。③针灸治病的机制研究仍然集中在针刺对脑缺血后的脑保护作用机制的研究,并且引入了较新的方法。在其它疾病的研究方面也有展开,但是对于针灸理论的揭示还远远不够。④引入了现代医学新方法和新技术,在这一时期较为热门的技术fMRI、正电子发射体层摄影、基因组学、蛋白组学、分子生物学、干细胞等方法获得的资助较多。⑤针灸的临床研究缺乏,只有两个有关临床的研究项目结题。在对资助项目结果报告的同时也对目前资助项目存在的问题进行了分析。

Analysis on Research Projects for Acupuncture and Moxibustion Supported by NSFC During the 11th 5-year-plan

In the present paper,the authors introduce the approved and finished research projects for acupuncture and moxibustion therapies supported by the National Natural Science Foundation of China(NSFC) during the 11th 5-year-plan.A total of 194 research projects were subsidized by NSFC from 2006 to 2010.These projects include 6 aspects: meridian-collaterals,acupoint theory,acupuncture analgesia,mechanisms underlying improvement of different clinical problems,clinical trials,and moxibustion therapy.The research on acupoints has been becoming a new hotspot in recent years.Majority of the research projects focus on the mechanism of acu-moxibustion underlying improvement of different clinical problems,while fewer projects on clinical trials.During the 11th 5-year-plan,119 projects were completed;most of them involved meridian-collateral theory,acupoint theory,mechanism of acu-moxibustion underlying improvement of clinical problems and acupuncture manipulations.Following analysis of the finished research projects,we find that 1) many neurobiological methods and techniques are commonly used in the research on meridian-collateral theory;2) the research on acupoint theory is changing from observing the local morphological structure to identifying characteristics of the regional activated receptors,particularly under the circumstances of visceral pathological conditions and efficacies of acupoints;3) researches on the underlying mechanism of acu-moxibusiton for improving clinical disorders mainly focused on its cerebral protective effects against cerebral ischemia,in addition,researches about other diseases on clinical conditions have been also carried out,but the related mechanisms are far from understanding;4) In many research projects,various new methods and techniques,such as fMRI,position emission tomography,genomics,proteomics,molecular biology,nerve stem cell,etc.were widely used;5) Randomized controlled multi-center clinical trials are definitely insufficient.Only two clinical projects were finished during the 11th 5-year-plan.Moreover,it should be noted that in the subject of acu-moxibustion,independent innovation researches are fewer;the foundation of competitive ability is relatively weaker;the supporting conditions for finishing the research projects are poorer in some institutes or districts;and the interrelations among the theoretical,experimental and clinical researches are not intimately close,leading to relative lag in the subject development.