Acupuncture Dependence：Clinical Characteristics，Formation Mechanisms，and Prevention and Treatment Strategies

DING Ruiqing

doi:10.13288/j.11-2166/r.2026.12.006

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Acupuncture Dependence：Clinical Characteristics，Formation Mechanisms，and Prevention and Treatment Strategies

更新时间：2026-06-12

- Acupuncture Dependence：Clinical Characteristics，Formation Mechanisms，and Prevention and Treatment Strategies
- Journal of Traditional Chinese Medicine Vol. 67, Issue 12, Pages: 1272-1276(2026)
- 作者机构：
  
  北京医院/国家老年医学中心，北京市东城区东单大华路1号，100730
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.12.006
  CLC：
- Received：25 December 2025，
  
  Revised：2026-03-28，
  
  Accepted：23 March 2026，
  
  Published：17 June 2026
- 稿件说明：
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丁瑞庆.针灸依赖的临床特征、形成机制与防治策略[J].中医杂志,2026,67(12):1272-1276.

DING Ruiqing.Acupuncture Dependence：Clinical Characteristics，Formation Mechanisms，and Prevention and Treatment Strategies[J].Journal of Traditional Chinese Medicine,2026,67(12):1272-1276.
丁瑞庆.针灸依赖的临床特征、形成机制与防治策略[J].中医杂志,2026,67(12):1272-1276. DOI： 10.13288/j.11-2166/r.2026.12.006.

DING Ruiqing.Acupuncture Dependence：Clinical Characteristics，Formation Mechanisms，and Prevention and Treatment Strategies[J].Journal of Traditional Chinese Medicine,2026,67(12):1272-1276. DOI： 10.13288/j.11-2166/r.2026.12.006.

摘要

针灸依赖即个别患者反复接受针灸治疗后，因内源性奖赏系统过度激活与条件反射强化，形成对治疗行为本身的心理依赖。通过阐述针灸依赖的临床特征、神经生物学机制及心理学习原理，并与躯体症状障碍进行鉴别，认为针灸依赖为“治疗奖赏驱动的过度使用”，人格障碍或躯体化倾向患者因情绪调节能力不足，依赖风险显著增高。临床管理应从预防、识别、干预三个方面入手，采用渐退疗法与认知行为治疗，帮助患者恢复理性就医行为，避免过度医疗。

Abstract

Following repeated acupuncture treatments， some patients may develop a psychological dependence on the treatment behavior itself， referred to as "acupuncture dependence"， resulting from overactivation of the endogenous reward system and reinforcement of conditioned reflexes. This paper elucidates the clinical characteristics， neurobiological mechanisms， and psychological learning principles of this phenomenon， and differentiates it from somatic symptom disorder. The essence of acupuncture dependence is "treatment reward-driven overuse". Patients with personality disorders or somatization tendencies face a significantly higher risk of dependence due to deficits in emotion regulation. Clinical management should focus on three aspects including prevention， identification and intervention. Adopting tapering therapy and cognitive behavioral therapy can help patients restore rational medical-seeking behavior and avoid over-treatment.

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references

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