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1. 温州医学院附属第二医院脑科中心
2. 温州医学院附属第二医院脑科中心,温州,325027
3. ,温州,325027
纸质出版日期:2006
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郑国庆, 王艳, 王小同. 头针治疗脑出血的文献依据和临床疗效及机理研究概况[J]. 针刺研究, 2006,(3):181-184.
ZHENG Guo-qing, WANG Yan, WANG Xiao-tong. Literature Foundation of Scalp-acupuncture Treatment of Cerebral Hemorrhage and Its Recent Progress in Clinical Research[J]. Acupuncture research, 2006, (3): 181-184.
头针源于中国古代针灸头部腧穴治疗疾病的临床实践
理论奠基于《黄帝内经》。20世纪70年代
受耳针等微针疗法的启发
并结合现代神经科学及生物全息原理的研究成果
建立了头针疗法
在治疗脑源性瘫痪方面取得了明显的临床疗效。头针在20世纪80年代被用于急性脑出血的治疗
初步的8个临床试验(包括随机对照试验)结果表明有较好的临床疗效
且部分患者出现即刻效应。其机制研究主要有对病理学及血脑屏障的影响、对局部脑血流量的影响、对神经电生理的影响、对免疫功能的影响和对生化指标的影响等。
In the present paper
the authors introduce the origin and development of scalp acupuncture
the theoretical basis including literature description
“functional orientation-projection hypothesis of the cerebral cortex” and comprehensive regulation
and bio-holographic theory; and review clinical treatment and researches on scalp-acupuncture treatment of cerebral hemorrhage in recent years. Scalp acupuncture originates from clinical practice in ancient China
and its theory is based on some descriptions in book Huangdi Neijing (The Yellow Emperor's Internal Classic). In 1970's
scalp-acupuncture therapy was set up under the inspiration of micro-acupuncture therapies (as ear-acupuncture
etc) combined with the study achievements of modern neuroscience and bio-holographic principles. Scalp acupuncture has achieved definite curative effect in the treatment of brain-originated paralysis and was expanded to be applied to the treatment of acute intracerebral hemorrhage in 1980's. Initial 8 clinical trials (randomized controlled trials included) of scalp-acupuncture treatment of acute intracerebral hemorrhage showed a good curative effect
which is closely associated with its favorable regulation on patho-physiological activities and blood brain barrier
regional cerebral blood flow
neuroelectrophysiology
immune function
and biochemical parameters
etc. Therefore
it is extremely urgent and necessary to carry out randomized
controlled and multi-centre clinical and experimental studies to identify its clinical effect and to clarify the related mechanisms.
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