1. 應給出文獻來源和鏈接。2. 看起來像是實驗，不是治療案例。

我認為針灸的基本原理是神經傳導、大腦整合、調節自主性神經係統。下麵一篇綜述文獻很好。其中例舉了很多實驗，支持針灸通過神經/大腦而起作用的假說。

Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update

Tiaw-Kee Lim, Yan Ma, Frederic Berger, and Gerhard Litscher

Medicines (Basel). 2018 Sep; 5(3): 63. Published online 2018 Jun 25. doi: 10.3390/medicines5030063

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164863/

Abstract

Within the last 10 years, the percentage of low back pain (LBP) prevalence increased by 18%. The management and high cost of LBP put a tremendous burden on the healthcare system. Many risk factors have been identified, such as lifestyle, trauma, degeneration, postural impairment, and occupational related factors; however, as high as 95% of the cases of LBP are non-specific. Currently, LBP is treated pharmacologically. Approximately 25 to 30% of the patients develop serious side effects, such as drowsiness and drug addiction. Spinal surgery often does not result in a massive improvement of pain relief. Therefore, complementary approaches are being integrated into the rehabilitation programs. These include chiropractic therapy, physiotherapy, massage, exercise, herbal medicine and acupuncture. Acupuncture for LBP is one of the most commonly used non-pharmacological pain-relieving techniques. This is due to its low adverse effects and cost-effectiveness. Currently, many randomized controlled trials and clinical research studies have produced promising results. In this article, the causes and incidence of LBP on global health care are reviewed. The importance of treatment by acupuncture is considered. The efforts to reveal the link between acupuncture points and anatomical features and the neurological mechanisms that lead to acupuncture-induced analgesic effect are reviewed.

 

所有跟帖： 

• 文獻來源 -一功- ♂ (319 bytes) () 09/26/2019 postreply 22:59:05

• 針灸的基本原理? -一功- ♂ (601 bytes) () 09/26/2019 postreply 23:12:21

• 有什麽實際例子說明不全是？ -欲千北- ♂ (0 bytes) () 09/27/2019 postreply 08:09:53

• 例如針刺部位沒有大的神經通過啊 -ephd- ♂ (0 bytes) () 09/27/2019 postreply 09:16:22

• 覺得，1. 隻有附近沒有神經，才可能提供反例。2. 即使附近沒有神經，隻要針刺改變了組織間液，或改變了筋膜電極性，對神經 -欲千北- ♂ (279 bytes) () 09/27/2019 postreply 09:38:32

• 給你一個例子說明深度麻醉下針灸可以起到作用 -ephd- ♂ (128 bytes) () 09/27/2019 postreply 10:29:48

• 我的理解，深度昏迷與深度全身麻醉二者差別極大。深度昏迷是大腦的無意識狀態，但仍舊可以有神經信號輸入，對大腦有刺激。 -欲千北- ♂ (557 bytes) () 09/27/2019 postreply 10:49:22

• 吃止痛片的例子很多，但是脊膜麻醉的例子很少 -ephd- ♂ (326 bytes) () 09/27/2019 postreply 12:03:34

• 剛才請教了麻醉方麵的一位專家，成皿醫生。他說，我上麵對深度全麻的理解有誤，”全麻阻斷的主要是中樞perception， 不是外周 -欲千北- ♂ (917 bytes) () 09/27/2019 postreply 12:48:15

• 我也沒明白你在說啥 -ephd- ♂ (536 bytes) () 09/27/2019 postreply 14:07:51

• 順便問一下 -ephd- ♂ (221 bytes) () 09/27/2019 postreply 14:10:54

• 很高興與你這樣有豐富實踐經驗的人討論。 -欲千北- ♂ (3547 bytes) () 09/27/2019 postreply 15:29:14

• 這個具體情況要具體分析 -ephd- ♂ (1214 bytes) () 09/27/2019 postreply 16:40:24

• 因此，1. 局部作用，針灸解除痙攣，直接作用於筋膜/肌肉，或筋膜/肌肉延伸觸及的區域；2. 神經傳導、中樞整合、調節自主性神經係 -欲千北- ♂ (338 bytes) () 09/27/2019 postreply 17:21:23

• 非接觸針法和你想的有點不太一樣。 -ephd- ♂ (269 bytes) () 09/27/2019 postreply 17:40:48

• 確實不一樣。請問治療什麽病患？有什麽效果？ -欲千北- ♂ (0 bytes) () 09/27/2019 postreply 19:51:18

• 這個病人毛病大了 -ephd- ♂ (286 bytes) () 09/28/2019 postreply 06:50:48

• 磁場的作用？ -tryyyyyy- ♂ (0 bytes) () 09/28/2019 postreply 07:09:59

• 舉例之一 -一功- ♂ (670 bytes) () 09/27/2019 postreply 21:27:35

• 建議樓主把題目中的“中醫”改為“針灸”或“針刺療法” -dudaan- ♂ (0 bytes) () 09/27/2019 postreply 06:25:22

• 針灸不屬於中醫嗎? -一功- ♂ (0 bytes) () 09/27/2019 postreply 06:56:37

• 邏輯 -dudaan- ♂ (263 bytes) () 09/27/2019 postreply 07:12:36

• +1 -fuz- ♂ (0 bytes) () 09/27/2019 postreply 15:57:33