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中华针灸电子杂志 ›› 2026, Vol. 15 ›› Issue (02) : 111 -116. doi: 10.3877/cma.j.issn.2095-3240.2026.02.009

理论探讨

基于治神干预负性情绪的视角探析醒脑开窍针刺法改善痛证的思路
马金娜, 熊杰()   
  1. 300162 天津,武警特色医学中心中医科
  • 收稿日期:2025-12-08 出版日期:2026-05-15
  • 通信作者: 熊杰

Exploration on the mechanism of Xingnao Kaiqiao Acupuncture Method in alleviating pain disorders from the perspective of treating spirit to intervene negative emotions

Jinna Ma, Jie Xiong()   

  1. Department of Traditional Chinese Medical, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin 300162, China
  • Received:2025-12-08 Published:2026-05-15
  • Corresponding author: Jie Xiong
引用本文:

马金娜, 熊杰. 基于治神干预负性情绪的视角探析醒脑开窍针刺法改善痛证的思路[J/OL]. 中华针灸电子杂志, 2026, 15(02): 111-116.

Jinna Ma, Jie Xiong. Exploration on the mechanism of Xingnao Kaiqiao Acupuncture Method in alleviating pain disorders from the perspective of treating spirit to intervene negative emotions[J/OL]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2026, 15(02): 111-116.

基于“治神”理论分析痛证与抑郁、焦虑等负性情绪的内在联系,阐述国医大师石学敏院士创立的醒脑开窍针刺法的调神止痛理论内涵,同时探讨该针刺法发挥疗效的潜在机制。研究发现,该针刺法可能通过靶向性激活“前额叶-杏仁核-脑干”这一疼痛-情绪整合神经环路,以β-内啡肽为核心分子进行介导,协同调节单胺类神经递质平衡与下丘脑-垂体-肾上腺轴功能稳态,逆转中枢敏化,打破“疼痛-负性情绪”循环,最终实现调神与止痛的双向调节,旨为中医临床痛证治疗提供一种基于情绪调节的新思路。

Based on the traditional Chinese medicine theory of treating spirit, this paper analyzes the internal correlation between pain disorders and negative emotions such as depression and anxiety. It elaborates the theoretical connotation of spirit-regulating and analgesic effects of the Xingnao Kaiqiao Acupuncture method established by Academician Shi Xuemin, a Master of Chinese Medicine, and further explores its potential therapeutic mechanisms. The study indicates that this acupuncture protocol may target and activate the prefrontal cortex-amygdala-brainstem neural circuit integrating pain and emotions, mediated mainly by β-endorphin. It coordinately regulates the balance of monoamine neurotransmitters and the functional homeostasis of the hypothalamic-pituitary-adrenal axis, reverses central sensitization, and breaks the vicious cycle of "pain-negative emotion". Ultimately, it achieves bidirectional regulation of spirit soothing and pain relief. This study aims to provide a novel clinical strategy for the treatment of pain disorders in traditional Chinese medicine based on emotional regulation.

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