刮痧疗法作用机制的研究进展
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摘要
刮痧疗法作为中医特色非药物外治技术,其临床运用广泛且疗效确切。通过回顾近年相关研究,从刮痧对新陈代谢、免疫抗炎、神经调节、内分泌、皮肤组织血管等的影响来综述刮痧的疗效机制。结果显示刮痧疗法可促进机体新陈代谢,调节免疫抗炎系统及激素水平,改善经络循行处的血液微循环。认为今后对刮痧疗法应加强其疗法的规范化,着眼于高水平的应用型研究;应采用分子生物学、基因组学等现代科学技术来研究刮痧的疗效机制。
As a specific non-drug external therapy in the field of traditional Chinese medicine,scraping therapy has been widely used in clinic and exerts certain therapeutic effect. The recent reports of therapeutic mechanism of scraping therapy were reviewed in this study. The results indicated that scraping therapy has an effect on metabolism,immunoregulation and anti-inflammation,neuromodulation,endocrinology,and skin tissue blood vessels, which was shown as promoting metabolism, regulating immune and inflammatory factors as well as hormone level, and promoting micro-circulation of blood vessels along the meridians. It is suggested that the standardization of scraping and high-level applied research should be needed for the study of scraping therapy,and research on therapeutic mechanism of scraping therapy should be carried out by adopting the modern technology of molecular biology and genomics.
As a specific non-drug external therapy in the field of traditional Chinese medicine,scraping therapy has been widely used in clinic and exerts certain therapeutic effect. The recent reports of therapeutic mechanism of scraping therapy were reviewed in this study. The results indicated that scraping therapy has an effect on metabolism,immunoregulation and anti-inflammation,neuromodulation,endocrinology,and skin tissue blood vessels, which was shown as promoting metabolism, regulating immune and inflammatory factors as well as hormone level, and promoting micro-circulation of blood vessels along the meridians. It is suggested that the standardization of scraping and high-level applied research should be needed for the study of scraping therapy,and research on therapeutic mechanism of scraping therapy should be carried out by adopting the modern technology of molecular biology and genomics.
引文
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[12]夏婉,屠文展,程瑞动,等.刮痧联合放血对热射病大鼠下丘脑HSP-70 mRNA及蛋白的影响[J].中国中医急症,2015,24(11):1902.
[13]胡倩,王秋琴,段培蓓,等.刮痧联合宣肺止嗽汤治疗感染后咳嗽风寒恋肺证临床观察[J].中国针灸,2016,36(12):1257.
[14]姜荣荣,徐桂华,陈华,等.从文献计量学角度探讨刮痧治疗的优势病种[J].中医学报,2014,29(5):756.
[15]张鸿嫣,杨敏,岳容兆,等.刮痧对腰椎间盘突出症模型大鼠背根神经节炎性细胞因子和血清疼痛物质的影响[J].时珍国医国药,2017,28(2):500.
[16] Spohn D,Musial F,Rolke R. Naturopathic reflex therapies for the treatment of chronic pain—Part 2:quantitative sensory testing as a translational tool[J]. Forsche Komplementmed,2013,20(3):225.
[17]朱晓平,李鼎,杨斌.刮痧、走罐、电针3种疗法治疗感冒头痛的即时效应比较[J].时珍国医国药,2010,21(7):1827.
[18]邢松丽,罗小光,刘凯.刮痧及中药对乳腺增生病大鼠血清性激素研究的影响[J].中华中医药杂志,2012,27(7):1950.
[19]孟方,段培蓓,胡倩,等.刮痧联合清心滋肾汤治疗围绝经期综合征阴虚火旺证临床观察[J].中国针灸,2016,36(8):821.
[20]沈爱玲,丁优,罗小光.通络刮痧法对肝郁血瘀型乳腺增生大鼠乳房微循环及血管生成的影响[J].中华中医药杂志,2015,30(7):2521.
[21]田宇瑛,王莹莹,罗明富,等.刮痧对家兔皮肤血流灌注量及组织形态学影响的比较研究[J].中医外治杂志,2009,18(6):8.
[22]徐青燕,杨金生,杨莉,等.委中穴区刮痧对本经同侧经脉线上皮肤微循环血流灌注量的影响[J].针刺研究,2013,38(1):52.
[2]杨亚,陈华.中医刮痧疗法机制及临床应用研究进展[J].全科护理,2011,9(24):79.
[3]刘荣花,马亚妮,熊正英.经络刮痧对耐力训练大鼠肝组织抗氧化能力及运动能力的影响[J].陕西师范大学学报(自然科学版),2010,38(5):105.
[4]吕杭州,李莉芬,秦羽璠,等.刮痧疗法对慢性疲劳大鼠行为学变化的影响[J].现代中西医结合杂志,2012,21(33):3673.
[5] Kwong K K,Kloetzer L,Wong K K,et al. Bioluminescence imaging of heme oxygenase-1 upregulation in the Gua Sha procedure[J]. J Vis Exp,2009,2009(30):e1385.
[6]梁虹.背俞功能带刮痧治疗慢性疲劳综合征的临床观察[J].中医药导报,2017,23(23):119.
[7]王丽娜,梁瑞丽,杨继军.刮痧疗法治疗肺系疾病研究近况[J].中国中医药现代远程教育,2018,16(6):152.
[8]陈华,徐桂华,姜荣荣,等.刮痧对腰椎间盘突出症大鼠血清IgG及椎间盘组织病理改变的影响[J].南京中医药大学学报,2014,30(5):450.
[9]苏荣华,刘颖,王光义,等.通阳刮痧疗法对佐剂性关节炎大鼠TNF-α及T淋巴细胞亚群的影响[J].贵阳医学院学报,2015,40(9):919.
[10]曾进,吕明庄,凌香力.刮痧疗法对慢性疲劳大鼠免疫功能的影响[J].中医药临床杂志,2013,25(2):162
[11]王珂,蒋燕,张秋菊,等.刮痧前后大鼠胆红素、SOD、IL-1、IL-6、白细胞的变化[J].北京中医药大学学报,2009,32(9):618.
[12]夏婉,屠文展,程瑞动,等.刮痧联合放血对热射病大鼠下丘脑HSP-70 mRNA及蛋白的影响[J].中国中医急症,2015,24(11):1902.
[13]胡倩,王秋琴,段培蓓,等.刮痧联合宣肺止嗽汤治疗感染后咳嗽风寒恋肺证临床观察[J].中国针灸,2016,36(12):1257.
[14]姜荣荣,徐桂华,陈华,等.从文献计量学角度探讨刮痧治疗的优势病种[J].中医学报,2014,29(5):756.
[15]张鸿嫣,杨敏,岳容兆,等.刮痧对腰椎间盘突出症模型大鼠背根神经节炎性细胞因子和血清疼痛物质的影响[J].时珍国医国药,2017,28(2):500.
[16] Spohn D,Musial F,Rolke R. Naturopathic reflex therapies for the treatment of chronic pain—Part 2:quantitative sensory testing as a translational tool[J]. Forsche Komplementmed,2013,20(3):225.
[17]朱晓平,李鼎,杨斌.刮痧、走罐、电针3种疗法治疗感冒头痛的即时效应比较[J].时珍国医国药,2010,21(7):1827.
[18]邢松丽,罗小光,刘凯.刮痧及中药对乳腺增生病大鼠血清性激素研究的影响[J].中华中医药杂志,2012,27(7):1950.
[19]孟方,段培蓓,胡倩,等.刮痧联合清心滋肾汤治疗围绝经期综合征阴虚火旺证临床观察[J].中国针灸,2016,36(8):821.
[20]沈爱玲,丁优,罗小光.通络刮痧法对肝郁血瘀型乳腺增生大鼠乳房微循环及血管生成的影响[J].中华中医药杂志,2015,30(7):2521.
[21]田宇瑛,王莹莹,罗明富,等.刮痧对家兔皮肤血流灌注量及组织形态学影响的比较研究[J].中医外治杂志,2009,18(6):8.
[22]徐青燕,杨金生,杨莉,等.委中穴区刮痧对本经同侧经脉线上皮肤微循环血流灌注量的影响[J].针刺研究,2013,38(1):52.