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Mecanismos moduladores neuroinmunológicos de la acupuntura en el tratamiento de ortodoncia 针灸在正畸治疗中的神经免疫调节机制
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100286
Daniel Cuauhtémoc Gómez-Jiménez , Samhara Gisell Escudero-Rodríguez , Ilka Berenice Boscó-Gárate , Mario Alberto Bautista-Hernández

The main objectives of the orthodontic treatment are to generate correct occlusion and adequate dental alignment, which is reflected in the health of the orofacial tissues. During this treatment, dental movements are required to correct bite arches. These movements result from remodeling the periodontal ligament and alveolar bone in response to a mechanical load that generates local inflammation. This local inflammation can generate side effects that promote treatment abandonment if not adequately modulated. On the other hand, acupuncture through psychoneuroimmunological control mechanisms modulates inflammatory responses. Therefore, this review aims to analyze the acupuncture mechanisms of modulation of the immune system, give an overview of the possible applications of this medical specialty as a complement to orthodontic treatment to improve its efficiency, and open new questions that promote the generation of new lines of research.

正畸治疗的主要目的是产生正确的咬合和适当的牙齿排列,这反映在口面部组织的健康上。在治疗过程中,牙齿需要移动以矫正咬合弓。这些移动是牙周韧带和牙槽骨在机械负荷下重塑的结果,而机械负荷会产生局部炎症。如果不对这种局部炎症进行适当的调节,就会产生副作用,导致放弃治疗。另一方面,针灸通过精神神经免疫控制机制调节炎症反应。因此,本综述旨在分析针灸调节免疫系统的机制,概述这一医学专科作为正畸治疗的补充可能的应用,以提高正畸治疗的效率,并提出新的问题,促进新的研究方向的产生。
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引用次数: 0
Auricle reflex system: A practical approach to diagnosis and treatment 耳廓反射系统:诊断和治疗的实用方法
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100287
Jorge Magalhães Rodrigues , Kalina Simões , Olga Moreira , Gisela Cruz , Patrícia Bernardo Soares , Jorge Pereira Machado

Auriculotherapy and auricular acupuncture are techniques that involve stimulating specific points on the ear to treat a variety of physical and psychological conditions. This technique is based on the principle that the ear is a microsystem of the body, with each point corresponding to a specific organ or system. The history of conditions being treated through the auricle can be traced back to ancient civilizations, with evidence of its use found in Chinese, Egyptian, Greek, and Roman cultures. However, it was not until the 20th century that modern auriculotherapy was developed. Since then, auriculotherapy has been the subject of extensive research, and there is now a growing body of evidence to support its effectiveness. In this article, we discuss the historical context, possible mechanisms, clinical implications for treatment and diagnosis, and conclude by presenting a simple observation case.

The use of the auricle reflex system for treatment and diagnosis seems to be a promising complementary method with potential value for healthcare providers. It may provide a wider understanding of a patient's health and guide the selection of appropriate treatment options. It may also provide a cost-effective preventive diagnosis assessment tool that can be employed in areas without access to top-of-the-line healthcare technologies. More research is needed to fully understand the mechanisms of action of the auricle microsystem and to further validate its effectiveness.

耳穴疗法和耳针是通过刺激耳朵上的特定穴位来治疗各种生理和心理疾病的技术。这种技术的原理是,耳朵是人体的一个微系统,每个穴位对应一个特定的器官或系统。通过耳廓治疗疾病的历史可以追溯到古代文明,在中国、埃及、希腊和罗马文化中都有使用耳廓的证据。然而,直到 20 世纪,现代耳穴疗法才得以发展。从那时起,耳穴疗法一直是广泛研究的主题,现在有越来越多的证据支持其有效性。在本文中,我们将讨论耳廓反射疗法的历史背景、可能的机制、对治疗和诊断的临床意义,并以一个简单的观察病例作为总结。它可以更广泛地了解病人的健康状况,并指导选择适当的治疗方案。它还可以提供一种具有成本效益的预防诊断评估工具,适用于无法获得顶级医疗保健技术的地区。要充分了解耳廓微系统的作用机制并进一步验证其有效性,还需要进行更多的研究。
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引用次数: 0
Contralateral acupuncture, a technique to be explored. Considerations on its neurophysiological mechanism 对侧针灸,一种有待探索的技术。对其神经生理机制的思考
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100285
Ana Cristina Campana , Jordi Tomas Aliberas , Leticia Alejandra Blanco , Martin Vargas Aragon , Maria Begonia Garcia Cenador

In this article, a selective and critical study of the contralateral acupuncture technique was conducted. Integrating essential information from a perspective of scientific evidence, which proposes an understanding of the neurophysiological mechanism of its action. Contralateral acupuncture proposes to puncture the side opposite to the diseased side of the patient.

In our review of the literature, the articles showed that the technique is able to stimulate brain regions involved in the pain process, such as the cingulate cortex and the cerebellum. Decrease the pattern of pain and provide an increase in the range of motion of the affected region.

In addition, an important observation is that there are no scientific studies that relate this technique to orofacial pain or to Temporomandibular Disorder (TMD), except for one dissertation work.

As a conclusion, it was possible to observe that this therapeutic tool has the capacity to act at a distance from the affected area, it is possible to puncture the healthy side of the individual and obtain therapeutic results on the affected side. Avoiding the spread of a possible infection and reassuring the patient that they do not have to endure being punctured in an already painful region. A useful technique that requires more dissemination and research.

本文对对侧针灸技术进行了选择性和批判性研究。从科学证据的角度整合基本信息,提出了对其作用的神经生理机制的理解。在我们的文献综述中,文章显示该技术能够刺激参与疼痛过程的大脑区域,如扣带回皮层和小脑。此外,一个重要的观察结果是,除了一篇论文之外,还没有任何科学研究将这种技术与口面部疼痛或颞下颌关节紊乱症(TMD)联系起来。作为结论,我们可以观察到,这种治疗工具能够在远离受影响区域的地方发挥作用,它可以穿刺个人健康的一侧,并在受影响的一侧获得治疗效果。这样既避免了可能的感染扩散,又能让患者放心,不必忍受在已经疼痛的部位进行穿刺。这项有用的技术需要更多的推广和研究。
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引用次数: 0
Eficacia de la auriculoterapia en el asma: reporte de un caso 耳廓治疗哮喘的疗效:一例报告
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100266
Yadira Quetzali Bueno García, Abel Cristian Patiño Coyuca, Daniel García Lara, Rebeca Alejandra Avendaño Espina, Dimitrio Naranjo Reynosa

Asthma is a chronic respiratory disease of the airways that presents clinical manifestations such as wheezing, respiratory distress, chest tightness and cough, while an asthmatic crisis is the variable limitation of expiratory airflow.

This pathology is increasing in the world and represents a global health problem with few studies on auriculotherapy. The World Health Organization estimates that 80% of deaths are from this cause. We present the case of a 33-year-old woman, with asthma detected at 6 years of age of six years, receiving basic treatment; oral salbutamol, aerosol 100–200 μg dose more than 8 times a day, presenting asthmatic attacks at least twice a month. After a treatment of auriculotherapy in the Shenmen, Lung, Bronchi, Asthma and Diaphragm points with 10 sessions, asthmatic symptoms and recurrence of asthmatic crises improved.

哮喘是一种慢性呼吸道疾病,临床表现为喘息、呼吸窘迫、胸闷、咳嗽等,而哮喘危象是呼气气流的变异性限制。这种病理在世界范围内不断增加,代表了一个全球性的健康问题,很少有研究的耳科治疗。世界卫生组织估计,80%的死亡是由这个原因造成的。我们报告一例33岁女性,6岁时发现哮喘 ,接受基本治疗;口服沙丁胺醇,气雾剂100-200 μg,每日8次以上,每月至少出现2次哮喘发作。经神门、肺、支气管、喘、膈穴听诊10次后,哮喘症状及哮喘危象复发均有改善。
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引用次数: 0
Complementary/combined treatment of depression in rats: Aloe Vera, fluoxetine, acupuncture. An experimental study 补充/联合治疗大鼠抑郁症:芦荟、氟西汀、针灸。实验研究
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100267
Noor Hadi Farhan , H.M. Abo Almaali , Marwah Ali Zghair

Background

Understanding the effects of natural remedies and alternative therapies on animal behavior is crucial for both scientific research and potential therapeutic applications. Aloe vera, a succulent plant known for its medicinal properties, has been widely studied for its potential benefits in various health conditions. Acupuncture, a traditional Chinese medicine practice, involves the stimulation of specific points on the body to promote healing and balance. By assessing the behavioral changes in rats exposed to Aloe vera and acupuncture, this study aims to shed light on the potential benefits and mechanisms underlying these interventions.

Aim of the study

This study aims to investigate the impact of Aloe vera and acupuncture on rat behavior using an experimental approach. The findings from this research may contribute to our understanding of alternative treatments and their potential applications in both human and veterinary medicine.

Method

In this experiment, rats were divided into eight groups: one control and seven treatment groups. The rats received drugs, Aloe vera extract, or acupuncture once daily orally for 2 weeks. Their behavior was evaluated using the Open Field Test and The Forced Swim Test on days 1, 7, and 14. Blood samples were collected from the rats' hearts and analyzed to assess kidney and liver function.

Result

The results of the study showed that Aloe Vera extract, particularly at a dose of 150 mg/kg, exhibited significant antidepressant effects. The combination of Aloe Vera extract, fluoxetine, and acupuncture therapy yielded the highest antidepressant effects compared to other groups. Additionally, the Aloe Vera extract showed positive effects on kidney and liver function.

Conclusion

the study suggests that Aloe Vera extract may have potential as an alternative or complementary treatment for depression. Its antidepressant effects were demonstrated, particularly at a dose of 150 mg/kg, and were further enhanced when combined with fluoxetine and acupuncture therapy. Further research is needed to determine the optimal dosage and understand the mechanisms behind these effects.

了解自然疗法和替代疗法对动物行为的影响对科学研究和潜在的治疗应用至关重要。芦荟是一种以其药用特性而闻名的多肉植物,因其对各种健康状况的潜在益处而被广泛研究。针灸是一种传统的中医实践,涉及刺激身体上的特定点,以促进愈合和平衡。通过评估暴露于芦荟和针灸的大鼠的行为变化,本研究旨在阐明这些干预措施的潜在益处和机制。本研究旨在通过实验研究芦荟和针刺对大鼠行为的影响。这项研究的发现可能有助于我们了解替代疗法及其在人类和兽医学中的潜在应用。方法将大鼠分为8组:1个对照组和7个治疗组。大鼠给予药物、芦荟提取物或针刺治疗,每日1次,口服2 周。在第1天、第7天和第14天,通过开放场地测试和强迫游泳测试来评估它们的行为。研究人员从大鼠的心脏采集血液样本,并对其进行分析,以评估肾脏和肝脏功能。结果芦荟提取物在150 mg/kg剂量下具有显著的抗抑郁作用。与其他组相比,芦荟提取物、氟西汀和针灸疗法的组合产生了最高的抗抑郁效果。此外,芦荟提取物对肾脏和肝脏功能有积极作用。结论芦荟提取物有可能作为抑郁症的替代或补充治疗。已证实其抗抑郁作用,特别是在150 mg/kg的剂量下,并在与氟西汀和针灸治疗联合使用时进一步增强。需要进一步的研究来确定最佳剂量并了解这些作用背后的机制。
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引用次数: 0
Acupuncture for erectile dysfunction: Insights and future research directions 针刺治疗勃起功能障碍:见解及未来研究方向
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100269
Kalina Simões , Jorge Magalhães Rodrigues

Erectile dysfunction is a condition in which men have difficulty in obtaining or maintaining a satisfactory penile erection, affecting their sexual life and quality of life. It is a common condition and its prevalence is increasing due to lifestyle changes and psychosocial factors. There are various approaches to treat erectile dysfunction, however many patients are not satisfied with conventional treatments and seek alternatives. Acupuncture is a technique that involves the insertion of needles into specific points of the body to promote the regulation of several systems and improve well-being. Regarding erectile dysfunction, acupuncture seems to positively influence the regulation of the hypothalamus, hormonal function, and local nervous function. Acupuncture is a promising therapeutic option, especially when combined with conventional therapies and by directly addressing mental health. However, the scientific evidence on the effectiveness of acupuncture for erectile dysfunction is still limited.

勃起功能障碍是指男性难以获得或维持满意的阴茎勃起,影响其性生活和生活质量。这是一种常见病,由于生活方式的改变和社会心理因素,其患病率正在上升。治疗勃起功能障碍的方法多种多样,但许多患者对常规治疗不满意,转而寻求其他治疗方法。针灸是一种将针插入身体特定部位以促进几个系统的调节并改善健康的技术。对于勃起功能障碍,针灸似乎对下丘脑、激素功能和局部神经功能的调节有积极的影响。针灸是一种很有前途的治疗选择,特别是当与传统疗法结合使用时,并直接解决心理健康问题。然而,关于针灸治疗勃起功能障碍的有效性的科学证据仍然有限。
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引用次数: 0
Tratamiento con electroacupuntura de los síntomas de las alteraciones digestivas y de salud mental 电针治疗消化紊乱和心理健康症状
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100261
José Luis Vique-Sánchez, Luis Alejandro Ayala Medina

Objective

Demonstrate that acupuncture has a high therapeutic potential to treat patients with symptoms of digestive system disorders and mental health (depression, anxiety and sleep quality).

Materials and methods

A electroacupuncture treatment was developed to evaluate ten patients with digestive, sleep and mental health disorders using the baihui (Du 20), shenting (Du 24), and zusanli (E 36) points, inserting the needle through the skin (between 10 and 15°) baihui and shenting (connected for electrostimulation), and 90° to the bilateral zusanli point (bilateral electrostimulation), in 8 sessions of 20 min each, two times per week.

Results

After the 8 sessions, all the patients showed improvement in the signs and symptoms of the digestive system and reduced their 17-item Hamilton depression rating scale scores.

Conclusions

In this study we evaluated the therapeutic effect of the usage of electroacupuncture in 8 session (4 weeks), using the baihui (Du 20), shenting (Du 24) and zusanli (E 36) points in patients with digestive, sleep and mental health disorders. This study demonstrates the high therapeutic potential that electroacupuncture could have to attend these disorders in the population worldwide and that its use and more clinical studies can be promoted to promote and demonstrate its effectiveness.

目的证明针灸在治疗消化系统紊乱和心理健康(抑郁、焦虑和睡眠质量)患者方面具有很高的治疗潜力。材料与方法对10例消化、睡眠和精神障碍患者进行电针治疗,采用百会穴(杜20)、神庭穴(杜24)、足三里穴(E 36),将针穿过皮肤(10 ~ 15°)百会穴与神庭穴(连接电刺激),90°插入双侧足三里穴(双侧电刺激),分8次,每次20 min,每周2次。结果8次治疗后,所有患者的消化系统症状和体征均有所改善,汉密尔顿抑郁量表17项评分均有所降低。结论采用电针治疗消化、睡眠、精神障碍患者,以百会穴(杜20)、神庭穴(杜24)、足三里穴(E 36)为穴位,分8个疗程(4 周)进行疗效评价。这项研究表明,电针在治疗这些疾病方面具有很高的潜力,并且可以促进电针的使用和更多的临床研究,以促进和证明其有效性。
{"title":"Tratamiento con electroacupuntura de los síntomas de las alteraciones digestivas y de salud mental","authors":"José Luis Vique-Sánchez,&nbsp;Luis Alejandro Ayala Medina","doi":"10.1016/j.acu.2023.100261","DOIUrl":"https://doi.org/10.1016/j.acu.2023.100261","url":null,"abstract":"<div><h3>Objective</h3><p>Demonstrate that acupuncture has a high therapeutic potential to treat patients with symptoms of digestive system disorders and mental health (depression, anxiety and sleep quality).</p></div><div><h3>Materials and methods</h3><p>A electroacupuncture treatment was developed to evaluate ten patients with digestive, sleep and mental health disorders using the <em>baihui</em> (Du 20), <em>shenting</em> (Du 24), and <em>zusanli</em> (E 36) points, inserting the needle through the skin (between 10 and 15°) <em>baihui</em> and <em>shenting</em> (connected for electrostimulation), and 90° to the bilateral <em>zusanli</em> point (bilateral electrostimulation), in 8 sessions of 20 min each, two times per week.</p></div><div><h3>Results</h3><p>After the 8 sessions, all the patients showed improvement in the signs and symptoms of the digestive system and reduced their 17-item Hamilton depression rating scale scores.</p></div><div><h3>Conclusions</h3><p>In this study we evaluated the therapeutic effect of the usage of electroacupuncture in 8 session (4 weeks), using the <em>baihui</em> (Du 20), <em>shenting</em> (Du 24) and <em>zusanli</em> (E 36) points in patients with digestive, sleep and mental health disorders. This study demonstrates the high therapeutic potential that electroacupuncture could have to attend these disorders in the population worldwide and that its use and more clinical studies can be promoted to promote and demonstrate its effectiveness.</p></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"17 4","pages":"Article 100261"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92065529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Un acercamiento a la comprensión de la energía jing esencial prenatal y posnatal. Descubriendo el tesoro interno 一种理解产前和产后基本静能量的方法。发现内在宝藏
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100265
Roberto González-González , Amalia Dávila-Hernández , Jorge Arturo Santana-Portillo

The concept of jing qi function is essential in traditional Chinese medicine and its understanding is important in clinical practice to comprehend the processes of growth, development, and life maintenance. Essential jing energy is divided into two categories: prenatal and postnatal. Postnatal essential jing energy is related to the transformation of fluids and food in the spleen-stomach, and its deficiency is related to the lack of elements obtained from food. Prenatal essential jing energy is related to body formation and repair, growth factors, and regulatory processes of genomic, transcriptomic, proteomic, and metabolomic activity. Products that strengthen prenatal essential jing energy are related to the production and regulation of growth factors and stem cell therapy, reinforcing the idea of its relationship with genomic, transcriptomic, proteomic, and metabolomic regulation.

经气功能的概念在中医中是必不可少的,对经气功能的认识在临床实践中对理解生长发育和生命维持的过程具有重要意义。精气分为两类:产前和产后。出生后精气与脾胃液食转化有关,精气不足与食源性元素缺乏有关。产前必需能量与机体形成和修复、生长因子以及基因组、转录组、蛋白质组和代谢组活性的调控过程有关。增强产前必需能量的产品与生长因子和干细胞治疗的产生和调节有关,强化了其与基因组、转录组、蛋白质组和代谢组调节的关系。
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引用次数: 0
Comparative analysis of the anti-depression effects of lorazepam, acupuncture, and curcumin utilizing the forced swimming test in experimental rats models 劳拉西泮、针刺、姜黄素对大鼠抗抑郁作用的强迫游泳实验对比分析
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100268
Sarah Najem Abed , Noor Hadi Farhan , Marwah Ali Zghair , H.M. Abo Almaali

Introduction

lorazepam is one of benzodiazepine medication that is usually used for its sedative and anxiolytic effect and has anti-depressant like effects. Turmeric is a plant that contain curcumin as main active compound that exert its antidepressant action inhibit monoamine oxidase and increase levels of dopamine and serotonin in brain.

Aim

the present study investigate the depression effect of curcumin (natural selective serotonin inhibitors) in comparison with acupuncture and lorazepam.

Method

32 adult rats weighing (150 g−280 g) were divided equally into 8 groups each group contain 4 rats. The first 3 group of rats were treated with lorazepam, mixture of (curcumin, black pepper and olive oil) and pricked with insulin needle at point gb39, respectively, while second 4 groups of rats were received lorazepam and mixture, lorazepam and acupuncture, mixture and acupuncture, and lorazepam, mixture and acupuncture, separately, and the eighth group is control group don't receive any drugs. After 35 days, forced swimming test was made for all rats.

Results

Liver parameters: - GOT increased in all group, GPT increased in rat's group that received lorazepam, mixture group and lorazepam + mixture group, This indicates the existence of problems previously with the liver of the rat used, and what remains is the high levels of GOT and GPT in the control group, while TSB is within the normal range for all groups. Kidney parameters:-blood urea levels increased in all groups and S. creatinine levels within normal range for all groups.

Conclusion

the evaluation of natural SERMs in the forced swimming test showed promising antidepressant-like effects, comparable to lorazepam and acupuncture. Further research is needed to understand the mechanisms and determine optimal dosage and safety. Natural selective serotonin inhibitors hold potential as alternative or complementary treatments for depression.

劳拉西泮是一种苯二氮卓类药物,通常用于镇静和抗焦虑作用,并具有抗抑郁作用。姜黄是一种以姜黄素为主要活性化合物的植物,其抗抑郁作用可抑制单胺氧化酶,提高大脑中多巴胺和血清素的水平。本研究探讨了姜黄素(天然选择性血清素抑制剂)与针灸和劳拉西泮的抑制作用。方法32只体重150 g ~ 280 g的成年大鼠随机分为8组,每组4只。前3组大鼠分别给予劳拉西泮、(姜黄素、黑胡椒、橄榄油)合剂治疗,并用胰岛素针在gb39点刺入,后4组大鼠分别给予劳拉西泮与合剂、劳拉西泮与针刺、合剂与针刺、劳拉西泮、合剂与针刺,第八组为对照组,不给予任何药物。35 d后,对所有大鼠进行强迫游泳试验。结果银参数:-所有组均有GOT升高,劳拉西泮组、合剂组和劳拉西泮+合剂组均有GPT升高,说明所用大鼠肝脏前期存在问题,对照组仍有较高的GOT和GPT水平,TSB均在正常范围内。肾脏参数:各组血尿素水平升高,血清肌酐水平在正常范围内。结论在强迫游泳试验中对天然SERMs的评价显示出良好的抗抑郁样作用,与劳拉西泮和针灸相当。需要进一步研究以了解其作用机制并确定最佳剂量和安全性。天然选择性血清素抑制剂作为抑郁症的替代或补充治疗具有潜力。
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引用次数: 0
Circuitos neuronales de las 五神 wu shen: fundamentos de neurociencias en las actividades espirituales 吴的神经回路五神shen:基本活动中的神经精神
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.acu.2023.100263
Amalia Dávila-Hernández , Roberto González-González

Spiritual activities are concepts from traditional Chinese medicine (TCM). According to TCM, each organ controls a spiritual function or activity. These activities are considered as the most ethereal in each of the components of organic phenomenology. Based on González's approaches in 2009, this paper proposes that spiritual activities correspond to neural pathways related to processes studied by neurosciences. In this sense, shen could corresponds to consciousness (including the level of alertness as well as the content of the thought); hun to the pathways related to the processing of the emotions and the activity of default network mode; yi to the processes involved in cognition (memory and learning); po with the oscillations that allow the renewal and maintenance of the processes, and zhi with processes could be related to motivational behaviors (yang aspect) and with the pathways of pleasure and reward (yin aspect).

精神活动是来自中医的概念。根据中医,每个器官都控制着一种精神功能或活动。在有机现象学的各个组成部分中,这些活动被认为是最空灵的。本文在2009年González方法的基础上,提出精神活动与神经科学研究的过程相关的神经通路相对应。在这个意义上,“神”可以对应于意识(包括警觉的程度和思想的内容);研究了与情绪加工相关的通路和默认网络模式的活动;易到认知过程所涉及的(记忆和学习);Po与允许过程更新和维持的振荡有关,而zhi与过程有关,可能与动机行为(阳方面)和快乐和奖励途径(阴方面)有关。
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引用次数: 0
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Revista Internacional de Acupuntura
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