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Chinese Journal of Acupuncture and Moxibustion(Electronic Edition) ›› 2025, Vol. 14 ›› Issue (02): 54-57. doi: 10.3877/cma.j.issn.2095-3240.2025.02.003

• Theoretical Discussion • Previous Articles     Next Articles

The theoretical basis of traditional Chinese medicine for treating post-stroke cognitive impairment with Tiaoshen Yizhi acupuncture: insights from the brain-gut axis

Wenhui Mao1,2, Jiali Song1,2, Xiaolin Chen1,2, Lili Zhang1,2,3, Shu Wang4,5,   

  1. 1. Department of Acupuncture,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China
    2. National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China
    3. Tianjin Key Laboratory of Acupuncture and Moxibustion,Tianjin 300381,China
    4. Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin 300120,China
    5. Key Laboratory of Cerebropathy Acupuncture Therapy of State Administration of Traditional Chinese Medicine,Tianjin 300381,China
  • Received:2025-01-18 Online:2025-05-15 Published:2025-05-28
  • Contact: Shu Wang

Abstract:

Post-stroke cognitive impairment(PSCI),a common complication of stroke,significantly reduces patients′quality of life. The brain-gut axis is a bidirectional communication network between the brain and the gut,mediating complex interactions through neural,endocrine,and immune pathways. From the perspective of traditional Chinese medicine (TCM),the concept of the gut-brain axis aligns closely with the Zang-fu Organs and Meridian theories. This study explores the theoretical foundation of Tiaoshen Yizhi acupuncture for PSCI by integrating insights from the brain-gut axis with TCM principles,It is proposed that Tiaoshen Yizhi acupuncture enhances cognitive function by regulating spleen and stomach functions,promoting the generation and circulation of qi and blood,tonifying the liver and kidney,and harmonizing the mind and enhancing intelligence. By addressing both neurological and gastrointestinal dysfunctions,this approach provides a novel perspective for the integrated treatment of PSCI with Chinese and western medicine.

Key words: Brain-gut axis, Acupuncture therapy, Stroke, Cognition disorders, Tiaoshen Yizhi

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