1. 应给出文献来源和链接。2. 看起来像是实验，不是治疗案例。

我认为针灸的基本原理是神经传导、大脑整合、调节自主性神经系统。下面一篇综述文献很好。其中例举了很多实验，支持针灸通过神经/大脑而起作用的假说。

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： 

• 文献来源 -一功- ♂ (319 bytes) () 09/26/2019 postreply 22:59:05

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

• 有什么实际例子说明不全是？ -欲千北- ♂ (0 bytes) () 09/27/2019 postreply 08:09:53

• 例如针刺部位没有大的神经通过啊 -ephd- ♂ (0 bytes) () 09/27/2019 postreply 09:16:22

• 觉得，1. 只有附近没有神经，才可能提供反例。2. 即使附近没有神经，只要针刺改变了组织间液，或改变了筋膜电极性，对神经 -欲千北- ♂ (279 bytes) () 09/27/2019 postreply 09:38:32

• 给你一个例子说明深度麻醉下针灸可以起到作用 -ephd- ♂ (128 bytes) () 09/27/2019 postreply 10:29:48

• 我的理解，深度昏迷与深度全身麻醉二者差别极大。深度昏迷是大脑的无意识状态，但仍旧可以有神经信号输入，对大脑有刺激。 -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

• 刚才请教了麻醉方面的一位专家，成皿医生。他说，我上面对深度全麻的理解有误，”全麻阻断的主要是中枢perception， 不是外周 -欲千北- ♂ (917 bytes) () 09/27/2019 postreply 12:48:15

• 我也没明白你在说啥 -ephd- ♂ (536 bytes) () 09/27/2019 postreply 14:07:51

• 顺便问一下 -ephd- ♂ (221 bytes) () 09/27/2019 postreply 14:10:54

• 很高兴与你这样有丰富实践经验的人讨论。 -欲千北- ♂ (3547 bytes) () 09/27/2019 postreply 15:29:14

• 这个具体情况要具体分析 -ephd- ♂ (1214 bytes) () 09/27/2019 postreply 16:40:24

• 因此，1. 局部作用，针灸解除痉挛，直接作用于筋膜/肌肉，或筋膜/肌肉延伸触及的区域；2. 神经传导、中枢整合、调节自主性神经系 -欲千北- ♂ (338 bytes) () 09/27/2019 postreply 17:21:23

• 非接触针法和你想的有点不太一样。 -ephd- ♂ (269 bytes) () 09/27/2019 postreply 17:40:48

• 确实不一样。请问治疗什么病患？有什么效果？ -欲千北- ♂ (0 bytes) () 09/27/2019 postreply 19:51:18

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

• 磁场的作用？ -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

• 建议楼主把题目中的“中医”改为“针灸”或“针刺疗法” -dudaan- ♂ (0 bytes) () 09/27/2019 postreply 06:25:22

• 针灸不属于中医吗? -一功- ♂ (0 bytes) () 09/27/2019 postreply 06:56:37

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

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