1.北京中医药大学东直门医院(北京 100700)
代倩倩,女,在读硕士生,主要从事针药结合防治慢性疼痛的临床评价方法及效应机制研究
田贵华,主任医师,硕士生导师;E-mail:rosetgh@163.com
扫 描 看 全 文
代倩倩, 胡嘉元, 李心怡, 等. 从阴阳调和立论探讨针刺结合豨芍方治疗疼痛的效应机制[J]. 上海中医药大学学报, 2021,35(1):121-125.
DAI Qianqian, HU Jiayuan, LI Xinyi, et al. Discussion on the effect mechanisms of acupuncture combined with Xishao Decoction in the treatment of pain from the theory of yin-yang coordination[J]. Academic Journal of Shanghai University of Traditional Chinese Medicine, 2021,35(1):121-125.
代倩倩, 胡嘉元, 李心怡, 等. 从阴阳调和立论探讨针刺结合豨芍方治疗疼痛的效应机制[J]. 上海中医药大学学报, 2021,35(1):121-125. DOI: 10.16306/j.1008-861x.2021.01.015.
DAI Qianqian, HU Jiayuan, LI Xinyi, et al. Discussion on the effect mechanisms of acupuncture combined with Xishao Decoction in the treatment of pain from the theory of yin-yang coordination[J]. Academic Journal of Shanghai University of Traditional Chinese Medicine, 2021,35(1):121-125. DOI: 10.16306/j.1008-861x.2021.01.015.
阴阳学说是中医学的核心理论,阴平阳秘是维持人体正常生命活动的基础,阴阳失衡是疾病发生的主要原因。疼痛的核心病机包括阴阳偏盛或偏衰导致的不通则痛和不荣则痛。针刺和中药可以通过调和阴阳、疏通经脉、畅达气血,达到镇痛的目的。现代医学研究表明,环核苷酸是维持机体稳态的重要活性物质,可反映机体阴阳的基本特性。针刺结合豨芍方可通过调节异常表达的环核苷酸,恢复其正常状态,从而缓解疼痛。从阴阳立论,结合现代医学对阴阳相关物质基础环核苷酸的研究,阐明针刺结合豨芍方通过调和阴阳发挥镇痛作用的机制,为疼痛的中医药治疗提供新的理论依据。
The yin-yang theory is the core idea of traditional Chinese medicine(TCM), the coordination of yin-yang is the basis for maintaining the normal life activities of human body, and the imbalance of yin-yang is the main cause of disease.The core pathogenesis of pain include "obstruction leading to pain" and "innutrition leading to pain" caused by excess or deficiency of either yin or yang.Acupuncture and Chinese medicine can coordinate and harmonize yin-yang, dredge the channels and recover the normal circulation of qi and blood, so as to achieve the purpose of analgesia.Modern medical researches show that cyclic nucleotides are the important active substances to maintain the homeostasis of body, which can reflect the basic characteristics of yin-yang of body.Acupuncture combined with Xishao Decoction can relieve the pain by regulating the abnormal expressions of cyclic nucleotides to restore the normal state.From the theory of yin-yang, combined with the studies of cyclic nucleotides, which is the relevant material basis of yin-yang in modern medicine, this paper expounds the mechanisms of acupuncture combined with Xishao Decoction on analgesia by regulating yin-yang, in order to provide new theoretical basis for Chinese medical therapy of pain.
疼痛阴阳理论针刺豨芍方针药结合环核苷酸效应机制
paintheory of yin-yangacupunctureXishao Decoctioncombination of acupuncture and medicinecyclic nucleotideeffect mechanism
WILLIAMS A C,CRAIG K D. Updating the definition of pain[J]. Pain,2016,157(11):2420-2423.
KAWAI K,KAWAI A T,WOLLAN P,et al. Adverse impacts of chronic pain on health-related quality of life,work productivity,depression and anxiety in a community-based study[J].Fam Pract,2017,34(6):656-661.
SCHER C,MEADOR L,VAN CLEAVE J H,et al. Moving beyond pain as the fifth vital sign and patient satisfaction scores to improve pain care in the 21st century[J].Pain Manag Nurs,2018,19(2):125-129.
JIANG Y,BAI P,CHEN H,et al. The effect of acupuncture on the quality of life in patients with migraine:a systematic review and meta-analysis[J].Front Pharmacol,2018,9:1190.
姜青松,罗建,罗才贵.论针刺手法中的阴阳五行蕴意[J].浙江中医杂志,2018,53(1):1-3.
谷忠悦.阴阳学说在针灸临床中的应用[J].实用中医内科杂志,2007,21(2):12.
黄伯舜.《内经》“二者可调”之探讨[J].浙江中医学院学报,2002,26(2):12-13.
李鸷,张玉琴,李煌,等.豨莶草化学成分、药理活性及临床应用研究进展[J].江西中医药大学学报,2019,31(4):102-107.
叶先文,夏澜婷,任洪民,等.白芍炮制的历史沿革及化学成分、药理作用研究进展[J].中草药,2020,51(7):1951-1969.
LIU X G,ZHOU L J. Long-term potentiation at spinal C-fiber synapses:a target for pathological pain[J].Curr Pharm Des,2015,21(7):895-905.
ZHANG R X,LAO L X,REN K,et al. Mechanisms of acupuncture-electroacupuncture on persistent pain[J]. Anesthesiology,2014,120(2):482-503.
CHAI Q,ZENG X R. Effect of cGMP on calcium-activated potassium channels in primary cultured porcine coronary artery smooth muscle cells[J].Sheng Li Xue Bao,1998,50(1):115-119.
SIGGINS G R,HOFFER B J,BLOOM F E. Cyclic adenosine monophosphate:possible mediator for norepinephrine effects on cerebellar Purkinje cells[J]. Science,1969,165(3897):1018-1020.
GOLDBERG N D,HADDOX M K,NICOL S E,et al. Biological regulation through opposing influences of cyclic GMP and cyclic AMP:The Yin Yang hypothesis[J].Adv Cyclic Nucleotide Res,1975,5:307-330.
邝安堃,丁霆,陈家伦,等.阳虚(甲状腺功能减退)和阴虚(甲状腺功能亢进)病人血浆环核苷酸的对比[J].中医杂志,1979(7):21-24.
夏宗勤,朱玟,胡雅儿,等.中医“虚证”理论的初步探讨(阴虚和阳虚病人血浆环核苷酸含量变化的比较)[J].中医杂志,1979(11):2-10.
周雪,乐娜,王玉杰,等.阿萨伊及其醇提物对虚热及虚寒证小鼠甲状腺素及代谢水平的影响[J].世界中医药,2020,15(1):51-54,58.
汤如莹,张建军,费文婷,等.破壁灵芝孢子粉对虚热证和虚寒证小鼠环核苷酸水平及免疫功能的影响[J].环球中医药,2019,12(7):982-988.
李其松,奚桂芳,刘忠英,等.阳虚、阴虚对针刺镇痛的影响及其本质探讨[J].中国针灸,1990,20(2):23-27.
DIB-HAJJ S D,CUMMINS T R,BLACK J A,et al. Sodium channels in normal and pathological pain[J].Annu Rev Neurosci,2010,33:325-347.
GOLDMAN N,CHEN M,FUJITA T,et al. Adenosine A1 receptors mediate local anti-nociceptive effects of acupuncture[J]. Nat Neurosci,2010,13(7):883-888.
叶建红,孔庆玺,刘永莉.电针对大鼠不同脑区cAMP和cGMP含量的影响[J].浙江中医学院学报,2001,25(6):42-43.
叶建红,江建国.电针镇痛对大鼠中枢cAMP和cGMP含量的影响[J].遵义医学院学报,2001,24(6):482-484.
ZHENG J H,WALTERS E T,SONG X J. Dissociation of dorsal root ganglion neurons induces hyperexcitability that is maintained by increased responsiveness to cAMP and cGMP[J]. J Neurophysiol,2007,97(1):15-25.
LEWIN M R,WALTERS E T. Cyclic GMP pathway is critical for inducing long-term sensitization of nociceptive sensory neurons[J]. Nat Neurosci,1999,2(1):18-23.
HUANG Z J,LI H C,COWAN A A,et al. Chronic compression or acute dissociation of dorsal root ganglion induces cAMP-dependent neuronal hyperexcitability through activation of PAR2[J]. Pain,2012,153(7):1426-1437.
贺端端,郭向阳.cAMP-PKA信号通路介导大鼠骨癌痛的产生和维持[J].中国疼痛医学杂志,2015,21(1):10-14.
LI H,LIU S L,WANG Z,et al. Hydrogen sulfide attenuates diabetic neuropathic pain through NO/cGMP/PKG pathway and μ-opioid receptor[J].Exp Biol Med,2020,245(9):823-834.
HUANG Z J,LI H C,LIU S,et al. Activation of cGMP-PKG signaling pathway contributes to neuronal hyperexcitability and hyperalgesia after in vivo prolonged compression or in vitro acute dissociation of dorsal root ganglion in rats[J].Sheng Li Xue Bao,2012,64(5):563-576.
闫丽萍,钱长鑫,马骋,等.电针对神经病理性痛大鼠脊髓环磷酸腺苷、蛋白激酶A以及环磷酸腺苷反应元件结合蛋白通路的影响[J].针刺研究,2018,43(12):788-792.
闫丽萍,侯保权,李守栋,等.电针对坐骨神经分支选择性损伤大鼠脊髓L-Arg/NO/cGMP通路的影响[J].针刺研究,2019,44(12):893-897,905.
孙晶,方剑乔,沈醉,等.基于前扣带回cAMP/PKA/CREB通路比较电针与非甾体类抗炎药抗痛记忆效应[J].中国针灸,2020,40(4):397-404.
林彩美,徐春红,吴翔,等.基于NO/cGMP通路研究七氟烷对CCI大鼠模型保护作用的机制研究[J].中国药师,2020,23(6):1059-1063.
贾岚,王蕾蕾,孟靓,等.白芍对酒精性肝损伤肝阴虚证的保护功效和机制[J].北京中医药大学学报,2020,43(3):203-211.
贾岚,王蕾蕾,孟靓,等.白芍总苷对大鼠化学性肝损伤与肝阴虚证结合模型的影响和机制研究[J].中草药,2020,51(7):1885-1892.
吴丽,王丽丽,李伟,等.芍药苷和芍药内酯苷的抗抑郁作用与NO/cGMP信号转导通路的相关性[J].世界中医药,2018,13(7):1714-1717,1722.
孟倩超,金若敏,王聃,等.豨莶草抗血栓组分对血小板聚集的影响[J].上海中医药杂志,2008,42(5):89-91.
0
浏览量
356
下载量
0
CSCD
8
CNKI被引量
关联资源
相关文章
相关作者
相关机构