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颊车穴治疗神志类疾病机理探析

Analysis of Mechanism of Jiache Point in Treating Mental Disorders
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摘要 颊车穴属足阳明胃经,传统主治口面部疾病,近年发现其对神志疾病具有调治作用。从中医学方面看,颊车穴位于面颊部,具有汇聚诸阳经气、疏通经络、散结止痛等功效。基于“脏腑-气血-脑神”理论,其通过调节气机运行与气血流通,既能治疗经络循行部位的局部病变,又可通过机体的整体调节作用,改善气机郁滞状态,从而对情志异常类疾病起到双向调节作用;另外,颊车穴通过足阳明胃经的经别联系心与胃,调节心与胃的功能及全身气血的运行,平衡阴阳,安神醒脑,缓解神志类疾病相关症状。从现代医学上看,颊车穴位于神经密集区,通过三叉神经-迷走神经反射影响边缘系统功能,通过调控神经传导通路、调节神经递质水平、调节神经-内分泌系统等治疗精神神志类疾病。 Jiache(ST6)point,a point of the foot-yangming stomach channel,is traditionally used for orofacial disorders but has recently shown regulatory effects on mental conditions.From a Chinese medicine perspective,located in the cheek region,Jiache point integrates yang meridian qi,unblocks channels and collaterals,and dissipates masses and relieves pain.Based on the"zangfu-qi and blood-brain and spirit"theory,it regulates qi movement and blood circulation,addressing both local meridian pathologies and systemic qi stagnation to improve the qi movement stagnation status,thereby exerting bidirectional modulation on emotional disorders.Additionally,through the foot-yangming stomach channel's internal connections with heart and stomach,Jiache point harmonizes heart-stomach functions and systemic qi-blood movement,balancing yin-yang and calming the mind.Modern studies suggest its neuroanatomical position in the trigeminal nerve-dense area may influence limbic system function via trigeminal-vagal reflexes,modulating neural pathways,neurotransmitter levels,and neuroendocrine activity to treat mental disorders.
作者 闫丽超 章奇 郭蕾 蔡杨乾 王好 李琳苹 姜伟强 孙晶 YAN Lichao;ZHANG Qi;GUO Lei;CAI Yangqian;WANG Hao;LI Linping;JIANG Weiqiang;SUN Jing(Taizhou Traditional Chinese Medicine Hospital,Taizhou Zhejiang 318000,China;Taizhou First People's Hospital,Taizhou Zhejiang 318020,China;The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310005,China)
出处 《新中医》 2025年第22期118-122,共5页 New Chinese Medicine
基金 浙江省中医药科技计划项目(2024ZL1236) 浙江中医药大学校级科研项目(2022FSYYZY48)。
关键词 颊车穴 神志病 脏腑 气血 三叉神经-迷走神经反射 治疗机制 Jiache(ST6)point Mental disorders Zangfu Qi-blood Trigeminal-vagal reflex Therapeutic mechanism
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