随着针灸在全世界的广泛应用,神经科学的研究结果对部分针灸疗效机制科学意义上的肯定,逐渐形成了西方针灸的概念。西方针灸是中医针灸在西方传播过程中,面对西医的基本理论如解剖、生理、病理以及循证医学知识体系的一种适应性改造。基于扳机点理论的西方针刺疗法,其治疗肌筋膜疼痛类疾病的疗效十分明显,受到广泛的关注。然而在中医针灸传入西方的过程中,中医针灸的理论如经络、穴位特异性等由于西方临床研究的结果反而受到质疑。本文从西方针灸的起源、理论形成、刺激部位和方式、治疗病种等方面与中医针灸进行比较,并分析这种不同对中医针灸研究的启示。
With the wide application of acupuncture in the world, the research results of neurosciences have made scientific approval on some of efficacy and mechanism of acupuncture, and the concept of western medical acupuncture (WMA) is gradually developed. During the spread of Chinese acupuncture into western countries, WMA is an adaptive improvement when facing basic theories of western medicine including anatomy, physiology and pathology as well as evidence-based medicine system. WMA which is based on theory of muscle trigger point has obvious efficacy on muscular fasciae pain, which attracted wide attention. But when Chinese acupuncture spreads into western world, the theories of Chinese acupuncture such as meridian and specificity of acupoint are questioned due to the results of western clinical study. In this paper, the origin, theory development, stimulating location and method, and categories of diseases of WMA are compared with Chinese acupuncture, and the enlighten- ment of this difference on Chinese acupuncture research is analyzed.