首页|期刊导航|上海中医药杂志|针灸治疗肠易激综合征的基础与临床研究进展

针灸治疗肠易激综合征的基础与临床研究进展OA

Basic and clinical research progress of acupuncture and moxibustion in treatment of irritable bowel syndrome

中文摘要英文摘要

肠易激综合征(IBS)是一种常见的功能性肠病,严重影响患者的生活质量.通过综述近年来针灸治疗IBS的机制、方法和疗效的基础和临床研究进展,旨在为进一步研究和临床规范化推广应用提供参考.针灸治疗IBS疗效确切,尤其在缓解腹泻型IBS(IBS-D)患者核心症状(腹痛、腹泻)、改善生活质量和情绪障碍(焦虑、抑郁)方面有显著优势;治疗时讲究个体化配穴,注重"辨证论治"与"规范操作";其作用机制涉及调节外周及中枢的痛觉传导、平衡脑肠肽分泌、重塑肠道微生态系统、降低内脏高敏感性等.

Irritable bowel syndrome(IBS)is a common functional bowel disease that significantly impacts patients'quality of life.This paper reviews the basic and clinical research progress on the mechanism,methods and therapeutic effects of acupuncture and moxibustion for IBS in recent years,aiming to provide references for further investigation and standardized clinical application.Acupuncture and moxibustion have demonstrated definite therapeutic effects on IBS,with significant advantages particularly in relieving core symptoms(abdominal pain and diarrhea),improving quality of life and emotional disorders(anxiety and depression)in patients with diarrhea-predominant IBS(IBS-D).The treatment emphasizes individualized acupoint selection,and focuses on"treatment based on syndrome differentiation"and"standardized operation".Its mechanisms involve regulating peripheral and central pain conduction,balancing the secretion of brain-gut peptides,remodeling the intestinal microecosystem,and reducing visceral hypersensitivity.

石虹;戴彦成;马桂芝;刘路生;张海棠;郭津生

复旦大学附属中山医院消化科(上海 200032)上海中医药大学附属上海市中西医结合医院脾胃病科(上海 200082)上海中医药大学附属上海市中西医结合医院针灸科(上海 200082)上海中医药大学附属上海市中西医结合医院针灸科(上海 200082)上海中医药大学附属上海市中西医结合医院针灸科(上海 200082)复旦大学附属中山医院消化科(上海 200032)

肠易激综合征针灸焦虑抑郁脑肠肽肠道菌群研究进展

irritable bowel syndromeacupuncture and moxibustionanxietydepressionbrain-gut peptidegut microbiotaresearch progress

《上海中医药杂志》 2026 (5)

10-16,47,8

国家自然科学基金项目(91129705)上海市科委上海市浦江人才计划项目(09PJ1402600)

10.16305/j.1007-1334.2026.z20251210001

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