基于脑-肠-肌轴探讨脑卒中弛缓期功能障碍针刺治疗OA
Acupuncture Treatment for Dysfunction in the Flaccid Phase of Stroke Based on the Brain-Gut-Muscle Axis
文章基于脑-肠轴与肠-肌轴现有研究,创新性地提出脑-肠-肌轴概念,将中枢神经系统、胃肠道与骨骼肌整合为一个相互依存的功能轴系.结合中医整体观与现代解剖生理机制,分析脑-肠-肌轴对脑卒中弛缓期(FPSS)的影响,并依据脾虚腑浊、髓空肌萎的病机特点,提出"调脾通腑益智"的治疗原则.针刺治疗以足三里、三阴交、天枢调脾通腑促动,百会、风府益智填髓,同时结合辨证取穴与多疗法协同,达到整体康复目的.以脑-肠-肌轴理论为切入点,探讨针刺有效改善FPSS功能障碍的思路,为临床治疗提供理论依据.
Based on existing research regarding the brain-gut axis and gut-muscle axis,this study innovatively proposes the concept of the brain-gut-muscle axis,integrating the central nervous system,gastrointestinal tract,and skeletal muscles into an interdependent functional network.Integrating the holistic concept of Traditional Chinese Medicine(TCM)with modern anatomical and physiological mechanisms,this study analyzes the impact of the brain-gut-muscle axis on flaccid post-stroke stage(FPSS).In accordance with the pathogenesis characterized by"spleen deficiency with turbid viscera"and"marrow deficiency with muscle atrophy",the therapeutic principle of"spleen-regulating,viscera-dredging and intelligence-enhancing"is proposed.Acupuncture treatment employs Zusanli(ST36),Sanyinjiao(SP6),and Tianshu(ST25)to regulate the spleen and dredge viscera to promote motility while Baihui(GV20)and Fengfu(GV16)are employed to nourish marrow and enhance cognitive function.Combined with syndrome-differentiated acupoint selection and multi-modal synergistic therapies,this approach aims to achieve holistic rehabilitation.Taking the brain-gut-muscle axis theory as the entry point,this paper explores acupuncture-based therapeutic strategies for effectively ameliorating FPSS dysfunction,providing theoretical foundations and practical guidance for clinical rehabilitation.
王涵;张儒奇;王盛春
山东中医药大学针灸推拿学院,山东济南 250014山东中医药大学针灸推拿学院,山东济南 250014山东第一医科大学附属省立医院针灸理疗康复科,山东济南 250021
医药卫生
脑-肠-肌轴脑卒中弛缓期功能障碍针刺肠道菌群
brain-gut-muscle axisflaccid post-stroke stagedysfunctionacupuncturegut microbiota
《山东中医杂志》 2026 (6)
591-596,6
山东省卫生健康委员会齐鲁医派中医学术流派传承项目(批文号:鲁卫函[2020]132号)山东省卫生健康委员会齐鲁卫生与健康领军人才培育工程项目(批文号:鲁卫人字[2020]3号)
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