辽宁中医药大学学报2026，Vol.28Issue(4)：130-134,5.DOI:10.13194/j.issn.1673-842X.2026.04.021
基于"从脾论治"理论探讨针刺公孙、太白穴改善下肢肌力的作用机制
Exploration of the Mechanism of Acupuncture at Gongsun(SP4)and Taibai(SP3)Acupoints in Improving Lower Limb Muscle Strength Based on the Theory of"Treating from the Spleen"
摘要
Abstract
Patients with diseases such as hemiplegia,peripheral neuropathy and motor neuron disease often suffer from impaired lower limb mobility and weakness,which significantly affects their quality of life.The therapeutic effects of modern medicine are not very satisfactory,while acupuncture treatment has certain advantages.Clinically,acupuncture at the Gongsun(SP4)and Taibai(SP3)acupoints has shown remarkable effects in improving lower limb muscle strength.However,the relevant mechanisms remain unclear.Lower limb motor dysfunction falls into the category of"flaccidity syndrome""stroke"in traditional Chinese medicine.This article deeply explores the mechanisms by which acupuncture at the Gongsun(SP4)and Taibai(SP3)acupoints improves lower limb muscle strength,based on the theory of"treating from the spleen"in traditional Chinese medicine.According to traditional Chinese medicine theory,these two acupoints belong to the foot Taiyin spleen meridian.They can invigorate the spleen,harmonize the stomach,and promote the generation of Qi and blood,which is in line with the theory that"the spleen governs the four limbs".Acupuncture at these two points can trigger transient limb twitching,promote the recovery of motor central function,and stimulate meridian Qi,thereby improving lower limb muscle strength,which is similar to the mechanism of the Xingnao Kaiqiao acupuncture method.The underlying mechanisms may be related to the following aspects:nourishing muscles under the theory of"spleen governing the limbs",thereby improving lower limb muscle strength;the spleen's function of ascending clear Qi regulating mitochondrial energy metabolism;the spleen's transportation and transformation promoting cell regeneration and repair;and acupuncture at the two points improving lower limb arteriosclerosis,regulating lipid metabolism,and inhibiting inflammatory responses.These multiple pathways work synergistically to enhance lower limb muscle function.Acupuncture treatment has the advantages of safety,economy,and simplicity in operation.It is expected to provide an effective treatment method for patients with decreased lower limb muscle strength.However,the current molecular mechanism is still unclear and requires further verification through animal experiments.关键词
从脾论治/公孙穴/太白穴/下肢肌力/理论探讨Key words
treating from the spleen/Gongsun(SP4)/Taibai(SP3)/lower limb muscle strength/theoretical discussion分类
医药卫生引用本文复制引用
赵月萱,索艳荣,郭仕薪,冯丽莎,孙大伟..基于"从脾论治"理论探讨针刺公孙、太白穴改善下肢肌力的作用机制[J].辽宁中医药大学学报,2026,28(4):130-134,5.基金项目
国家自然科学基金地区科学基金项目(82160828) （82160828）
天津市中医药研究院附属医院青年人才助力培养项目-"青苗"计划 （）
天津市卫生健康委中医、中西医结合科研课题-重点项目(2023041) （2023041）
河北省中医药管理局中医药类科学研究课题计划项目(T2025053) （T2025053）
