头穴艾灸临床应用探析
Analysis on the Clinical Application of Scalp Acupoint Moxibustion

本综述探讨了头部艾灸的生理机制与临床应用。传统上，头部不宜重灸以避免瘢痕和保护浅层组织；然而，现代研究表明，在不损伤皮肤的前提下，头部艾灸对治疗头痛、失眠、脑卒中后认知障碍及血管性痴呆等疾病有显著疗效。艾灸通过艾草中的活性成分(如挥发油)发挥药理作用，包括抗菌、抗氧化等效果；物理上，艾灸的温热刺激促进血液循环，近红外线的深层组织刺激增强了治疗效果。临床研究显示，艾灸百会穴对青少年失眠症有效，头穴艾灸帽改善了脑卒中患者的认知能力和生活质量，且艾灸疗法在缓解血管性痴呆症状方面表现出色。未来研究应继续深入探索其作用机制及长期效果。
This review discusses the physiological mechanism and clinical application of scalp moxibustion. Traditionally, heavy moxibustion is not recommended for the head to avoid scarring and protect superficial tissues; however, modern studies have shown that scalp moxibustion has significant therapeutic effects on headaches, insomnia, cognitive impairment after stroke, and vascular dementia without damaging the skin. Moxibustion exerts pharmacological effects through the active ingredients in mugwort (such as volatile oils), including antibacterial and antioxidant effects; physically, the warm stimulation of moxibustion promotes blood circulation, and the deep tissue stimulation of near-infrared rays enhances the therapeutic effect. Clinical studies have shown that moxibustion at Baihui acupoint is effective for adolescent insomnia, scalp moxibustion cap improves cognitive ability and quality of life in stroke patients, and moxibustion therapy performs well in relieving the symptoms of vascular dementia. Future studies should continue to explore its mechanism of action and long-term effects.