眩晕作为临床上常见的神经系统疾病,迄今西医尚无有效手段控制其发生发展。针刺作为一种独特的治疗手段,有着调和气血,疏经通络、安神定志的作用,任何原因引起的眩晕在临床中均可应用针灸进行治疗,且疗效显著。但其机制有待探究。本文通过查阅近年相关文献,分析针刺治疗眩晕的临床研究和实验研究,发现针刺可通过缓解脑血管痉挛、降低血管内皮损伤、降低血液粘稠度、改善脑底动脉血流速度、调控炎性反应、调节细胞凋亡、调控胶质细胞分化等多种相关机制,改善眩晕症状。现对多种相关机制进行归纳总结,为深入探究针刺治疗眩晕的机制研究提供可靠支持。Vertigo is as a common clinical neurological disease, so far Western medicine has no effective means to control its development. As a unique treatment method, acupuncture has the effect of harmonizing qi and blood, dredging meridians and collaterals, and tranquilizing the spirit of the mind. Vertigo caused by any reason can be treated with acupuncture and moxibustion in clinical practice, and the therapeutic effect is remarkable. However, its mechanism needs to be explored. By reviewing the relevant literature in recent years and analyzing the clinical studies and experimental studies on acupuncture for the treatment of vertigo, this paper finds that acupuncture can improve vertigo symptoms through various mechanisms, including relieving cerebral vasospasm, reducing endothelial damage, lowering blood viscosity, improving blood flow velocity in the basilar artery, modulating inflammatory responses, regulating apoptosis, and modulating glial cell differentiation. This paper summarizes a variety of related mechanisms to provide reliable support for in-depth investigation of the mechanism study of acupuncture for vertigo.
