美国SPARC计划对中医针灸研究的挑战与启发

分析西方医学研究的先进性和优势,对比西方医学体表神经刺激与传统中医针灸的差异,以期对我国针灸科学研究有所启发。检索国内外相关文献并系统归纳美国刺激外周神经减轻症状(stimulating peripheral activity to relieve condition,SPARC)计划的前期研究基础、研究内容及成果,从理论体系、刺激部位、刺激方式、作用机制等角度比较西方外周神经刺激与中医针灸的异同点。通过对比分析发现,SPARC计划"高分辨率神经环路图谱"的系统构建,本质上正是我国传统经络腧穴分布图的升级版,与中医针灸研究在神经系统起源、刺激部位方面存在相似点。在其他国家"中医本土化"的冲击下,借鉴国际先进研究技术、汇聚顶尖人才、鼓励开放与创新将是中国医者提升针灸科研质量、掌握知识主动权的必经之路。

Challenges and enlightenments of SPARC program on acupuncture and moxibustion researches in China

The advantages of western medical research were analyzed and the differences between skin nerve stimulation in western medicine and acupuncture-moxibustion in TCM were compared,so as to inspire the scientific researches of acupuncture and moxibustion in China.The related literature was searched and the research basis,content and achievements of the American stimulating peripheral activity to relief condition(SPARC)program were systematically summarized.From the perspectives of theoretical system,stimulation site,stimulation method and mechanism of action,the similarities and differences between skin nerve stimulation in western medicine and acupuncture-moxibustion in TCM were compared.Through comparative analysis,it is found that the systematic construction of SPARC"high-resolution neural circuit map"is essentially the upgraded version of the traditional distribution map of meridians and acupoints in China,which is similar to the research on origin of nervous system and stimulation site of acupuncture-moxibustion of TCM.Under the impact of"localization of traditional Chinese medicine"in other countries,learning from the international advanced research technology,gathering top-level talents,and encouraging openness and innovation will be the necessary pathway to improve the quality of acupuncture-moxibustion research and master the power of knowledge initiative.