基于"从脾论治"理论探讨针刺公孙、太白穴改善下肢肌力的作用机制OA

Patients with diseases such as hemiplegia,peripheral neuropathy and motor neuron disease often suffer from impaired lower limb mobility and weakness,which significantly affects their quality of life.The therapeutic effects of modern medicine are not very satisfactory,while acupuncture treatment has certain advantages.Clinically,acupuncture at the Gongsun(SP4)and Taibai(SP3)acupoints has shown remarkable effects in improving lower limb muscle strength.However,the relevant mechanisms remain unclear.Lower limb motor dysfunction falls into the category of"flaccidity syndrome""stroke"in traditional Chinese medicine.This article deeply explores the mechanisms by which acupuncture at the Gongsun(SP4)and Taibai(SP3)acupoints improves lower limb muscle strength,based on the theory of"treating from the spleen"in traditional Chinese medicine.According to traditional Chinese medicine theory,these two acupoints belong to the foot Taiyin spleen meridian.They can invigorate the spleen,harmonize the stomach,and promote the generation of Qi and blood,which is in line with the theory that"the spleen governs the four limbs".Acupuncture at these two points can trigger transient limb twitching,promote the recovery of motor central function,and stimulate meridian Qi,thereby improving lower limb muscle strength,which is similar to the mechanism of the Xingnao Kaiqiao acupuncture method.The underlying mechanisms may be related to the following aspects:nourishing muscles under the theory of"spleen governing the limbs",thereby improving lower limb muscle strength;the spleen's function of ascending clear Qi regulating mitochondrial energy metabolism;the spleen's transportation and transformation promoting cell regeneration and repair;and acupuncture at the two points improving lower limb arteriosclerosis,regulating lipid metabolism,and inhibiting inflammatory responses.These multiple pathways work synergistically to enhance lower limb muscle function.Acupuncture treatment has the advantages of safety,economy,and simplicity in operation.It is expected to provide an effective treatment method for patients with decreased lower limb muscle strength.However,the current molecular mechanism is still unclear and requires further verification through animal experiments.