1.福建中医药大学针灸学院,福建省福州市闽侯县上街镇邱阳路1号,350122
2.福建中医药大学附属第二人民医院
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收稿:2022-02-28,
修回:2022-06-28,
纸质出版:2022-09-17
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靖媛,胡炜圣,惠倩倩等.基于营卫理论探讨自噬及替代自噬与皮肤衰老的相关性[J].中医杂志,2022,63(18):1706-1711.
JING Yuan,HU Weisheng,HUI Qianqian,et al.Discussion on the Correlation between Autophagy, Alternative Autophagy and Skin Aging Based on the Ying-wei (营卫) Theory[J].Journal of Traditional Chinese Medicine,2022,63(18):1706-1711.
靖媛,胡炜圣,惠倩倩等.基于营卫理论探讨自噬及替代自噬与皮肤衰老的相关性[J].中医杂志,2022,63(18):1706-1711. DOI: 10.13288/j.11-2166/r.2022.18.002.
JING Yuan,HU Weisheng,HUI Qianqian,et al.Discussion on the Correlation between Autophagy, Alternative Autophagy and Skin Aging Based on the Ying-wei (营卫) Theory[J].Journal of Traditional Chinese Medicine,2022,63(18):1706-1711. DOI: 10.13288/j.11-2166/r.2022.18.002.
自噬及替代自噬作为细胞自身物质更新代谢的重要机制,在皮肤衰老进程中起着重要作用。营气行于脉中而濡养肌肤,卫气行于脉外而抵抗外邪、护卫肌表,营卫之间互相协调方能维持皮肤正常的生理功能,营卫功能紊乱则导致皮肤衰老。基于营卫理论,从营卫失调阐释细胞自噬及替代自噬紊乱诱发皮肤衰老的机制,认为营卫协调运行固护濡养皮肤、消除内外邪毒、自我防御的过程与自噬及替代自噬维持皮肤稳态、防止皮肤衰老的过程存在相关性,进而提出“调和营卫”激活皮肤自噬及替代自噬以延缓皮肤衰老的治则,丰富了皮肤衰老发病机制的理论内涵。
Autophagy and alternative autophagy, as an important mechanism of substance renewal and metabolism of cells, is critical in the process of skin aging.
Ying qi
(营气) travels in the veins to nourish skin, while
Wei qi
(卫气) travels outside the veins to resist external pathogens and protect the skin surface. The coordination between the two can maintain the normal physiological function of skin, while the dysfunction of
Ying
and
Wei
leads to skin aging. Based on the
Ying
-
Wei
theory, this paper explains the mechanism of skin aging induced by the disorder of autophagy and alternative autophagy from “disharmony between
Ying qi
and
Wei qi
”, and believes that
Wei qi
is related to autophagy and alternative autophagy in skin barrier maintenance, while
Ying qi
is associated with removing damaged cellular components and promoting skin renewal. Autophagy and alternative autophagy in maintaining skin homeostasis and preventing skin aging is similar to the coordination between
Ying qi
and
Wei qi
to protect and nourish the skin, eliminate internal and external invasion, and self-defense. Furthermore, the therapeutic principle of activating skin autophagy and alternative autophagy to delay skin aging by “harmonizing
Ying
and W
ei
levels” is proposed, which enriches the theoretical connotation of the pathogenesis of skin aging.
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