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中国中医科学院针灸研究所
纸质出版日期:2019
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王晓宇, 于清泉, 何伟, 等. 从“分子药”到“电子药”:SPARC计划和针刺研究[J]. 针刺研究, 2019,44(3):157-160.
WANG Xiao-yu, YU Qing-quan, HE Wei, et al. From molecular pharmacy to electroceuticals:SPARC program and acupuncture research[J]. Acupuncture research, 2019, 44(3): 157-160.
王晓宇, 于清泉, 何伟, 等. 从“分子药”到“电子药”:SPARC计划和针刺研究[J]. 针刺研究, 2019,44(3):157-160. DOI: 10.13702/j.1000-0607.190043.
WANG Xiao-yu, YU Qing-quan, HE Wei, et al. From molecular pharmacy to electroceuticals:SPARC program and acupuncture research[J]. Acupuncture research, 2019, 44(3): 157-160. DOI: 10.13702/j.1000-0607.190043.
2016年10月美国国立卫生院(NIH)启动的"刺激外周神经缓解疾病症状(SPARC)"计划
目的在于开发新的神经刺激装置和刺激方案
通过对终末器官系统功能的精准神经控制来治疗疾病和病症。这一计划对国内外针灸从业者和研究者带来不小的触动。SPARC计划到底是针灸研究的推手还是挑战?本文介绍了SPARC计划
并将它和针灸作用机制的研究做了比较。SPARC重在绘制出支配内脏的神经图谱
揭示调节内脏功能的神经编码。而针刺研究也希望找到针刺刺激的神经编码和对内脏调控过程的解码
从而调节刺激参数
达到对内脏功能的精准调节。二者的科学基础在外周调控的机制上是一致的。不同之处在于针灸治疗通过寻找和刺激内脏病变的反应点(穴位)
调节内脏的功能
其间要经过多重神经环路
有多个神经反馈参与
是基于体表刺激调动机体内稳态的调节
调节效应安全却有限;SPARC直接作用于外周神经
可以达到精准高效的调节
但是没有反馈的环路调控
难免会产生机体耐受或者不良反应。因此
在触发刺激这一始动环节和靶器官效应的反馈抑制等方面
还有很多的工作要做。SPARC计划一定是揭示针灸作用机制的一个强有力的推手。
The NIH-funded"Stimulating Peripheral Activity to Relieve Conditions(SPARC)"program has been initiated in Octomber 2016
aiming at developing high resolution neural circuit maps and next generation neural modulation devices.This program has brought great stimulus to acupuncturists and acupuncture researchers both at home and abroad.Is the SPARC program a driving force or a challenge of acupuncture research?In the present study
we introduced the SPARC program and compared it with current acupuncture research.The first step of SPARC is to better map neural circuits associated with disease on the anatomical level so as to identify the best points for intervention
and to decode the neural language at these intervention points for developing a dictionary of patterns associated with health and disease states on the signaling level.Similarly
our acupuncture research also focuses on revealing the neural encoding of acupuncture stimulation and its effect on visceral function
seeking suitable stimulation parameters to regulate the abnormal visceral activity precisely.Therefore
the common point of SPARC program and acupuncture research is the scientific basis of peripheral somatic neuronal regulation
and their difference is that acupuncture regulates the visceral function through multiple neural circuits and neural feedbacks by stimulating the sensitized points or acupoints
achieving homeostasis at last.Acupuncture-induced regulation effect is limited and the therapy is safe.Whereas
"stimulating peripheral activity(SPA)"can regulate the visceral organs precisely but without neural feedback.Inevitably
SPA will produce tolerance or side effects.Therefore
there is still much work to be done in terms of the initiation of trigger stimulation and the feedback inhibition of target organ effects.The SPARC program is definitely apowerful force in revealing the mechanisms by which acupuncture works.
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