Welcome to Francis Academic Press

Frontiers in Medical Science Research, 2026, 8(1); doi: 10.25236/FMSR.2026.080102.

Progress in Mechanism of Acupuncture and Moxibustion for Irritable Bowel Syndrome

Author(s)

Yu Liu1,2, Delin Ren1,2, Yunbo Hao1,2, Shiqian Wen1,2, Yongrui Wang1,2, Yan Zuo1,2

Corresponding Author:
Yan Zuo
Affiliation(s)

1School of Clinical Medical, Xinjiang Hetian College, Hetian, 848000, China

2Xinjiang Key Laboratory of Hotan Characteristic Chinese Traditional Medicine Research, Xinjiang Hetian College, Hetian, 848000, China

Abstract

Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal disorder characterized by abdominal pain, bloating, and alterations in bowel habits. Its pathogenesis is multifaceted, and effective therapeutic options remain limited. Acupuncture, as a key component of traditional medicine, has in recent years demonstrated distinct advantages in the management of IBS, with growing support from evidence-based medical research. This review systematically examines four proposed mechanisms through which acupuncture exerts its therapeutic effects: modulation of brain-gut axis(also encompassing the broader microbiota‑gut‑brain axis) function, alleviation of visceral hypersensitivity and pain, regulation of gastrointestinal motility and secretion, and restoration of intestinal flora and mucosal immune homeostasis. Furthermore, based on these mechanistic insights, the article explores the theoretical foundation of acupuncture treatment for IBS from the perspective of traditional Chinese medicine.

Keywords

Acupuncture; Irritable Bowel Syndrome; Brain-Gut Axis; Visceral Hypersensitivity; Mechanism

Cite This Paper

Yu Liu, Delin Ren, Yunbo Hao, Shiqian Wen, Yongrui Wang, Yan Zuo. Progress in Mechanism of Acupuncture and Moxibustion for Irritable Bowel Syndrome. Frontiers in Medical Science Research (2026), Vol. 8, Issue 1: 17-23. https://doi.org/10.25236/FMSR.2026.080102.

References

[1] Sperber, A. D., Bangdiwala, S. I., Drossman, D. A., et al. Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders: Results of Rome Foundation Global Study [J]. Gastroenterology, 2021, 160(1): 99-114.

[2] Enck, P., Aziz, Q., Barbara, G., Farmer, A. D., et al. Irritable Bowel Syndrome [J]. Nature Reviews Disease Primers, 2016, 2: 16014.

[3] Li Junxiang, Chen Wei, Tang Xudong, et al. Consensus Opinion on Diagnosis and Treatment of Irritable Bowel Syndrome with Integrated Traditional Chinese and Western Medicine (2017) [J]. China Journal of Digestion with Integrated Traditional Chinese and Western Medicine, 2018, 26(3): 227-232. (in Chinese)

[4] He Jiahui, He Jieying, Zhang Bairong, et al. Establishment and Evaluation of Irritable Bowel Syndrome Model with Stagnation of Liver Syndrome and Constipation [J/OL]. Journal of China Laboratory Animals, [2023-12-16]: 1-10. (in Chinese)

[5] Hou L. W., Rong P. J., Wei W., et al. Application Prospect of Exploring Comorbidity of Digestive Diseases and Insomnia Based on Brain-Intestine Axis [J]. Chinese Journal of Traditional Chinese Medicine, 2020, 35(09): 4541-4544. (in Chinese)

[6] Zhu Z., Yang X. F., Yu H. M., et al. Effect of Acupuncture on the Expression of Brain-Gut Peptides and Related Inflammatory Factors in Rats with Diarrhea-Type Irritable Bowel Syndrome [J]. Acupuncture Research, 2023, 48(11): 1142-1150. (in Chinese)

[7] Zhao T., Pei L., Ning H., et al. Networks Are Associated with Acupuncture Treatment in Patients with Diarrhea-Predominant Irritable Bowel Syndrome: A Resting-State Imaging Study [J]. Front Hum Neurosci, 2021, 15: 736512.

[8] Geng Hao, Weng Shengjie, Zhao Tingting, et al. Study on Central Regulatory Mechanism of Acupuncture Therapy for Irritable Bowel Syndrome of Diarrhea Type Based on Seed Point Correlation Analysis [J]. Acupuncture Research, 2021, 46(4): 318-325. (in Chinese)

[9] Tang Heyong. Study on the Brain-Gut Mechanism of Acupuncture Regulating Diarrhea-Predominant Irritable Bowel Syndrome with Anxiety from Intestinal Microecology and Resting State Functional Brain Network [D]. Hefei: Anhui University of Traditional Chinese Medicine, 2023. (in Chinese)

[10] Liu, P., Zhou, G., Zhang, Y., Dong, M., et al. Acupuncture Modulating Brain-Gut Axis in Patients with Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis [J]. Evidence-Based Complementary and Alternative Medicine, 2020, 2020: 8891189.

[11] Zhao Y., Jiang H. L., Shi Y., et al. Electroacupuncture Alleviates Visceral Hypersensitivity in IBS-D Rats by Inhibiting EGCs Activity through Regulating BDNF/TrkB Signaling Pathway [J]. Evid Based Complement Alternat Med, 2022, 2022: 2497430.

[12] Weng L., Xiong J., Zou J. K., et al. Study on the Autophagy Equilibrium Mechanism of P2X7-ICC in Rats with Diarrhea-Type Irritable Bowel Syndrome Reduced by Electroacupuncture [J]. Shi Zhen Traditional Chinese Medicine, 2024, 35(10): 2478-2485. (in Chinese)

[13] Yu Yanbo. Study on Molecular Mechanism of Abnormal Neural Regulation in Irritable Bowel Syndrome [D]. Jinan: Shandong University, 2011. (in Chinese)

[14] Wen Xing. Characteristics of Central Response to Acupuncture Treatment of Diarrhea-Predominant Irritable Bowel Syndrome Based on fMRI Technique [D]. Chengdu: Chengdu University of Traditional Chinese Medicine, 2022. (in Chinese)

[15] Wauters L., Dickman R., Drug V., et al. United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) Consensus on Functional Dyspepsia [J]. United European Gastroenterol J, 2021, 9(3): 307-331.

[16] Tian, S. L., Wang, X. Y., & Ding, G. H. Acupuncture for Visceral Pain: Neural Substrates and Potential Mechanisms [J]. Evidence-Based Complementary and Alternative Medicine, 2018, 2018: 2737458.

[17] Guo Kuikui, Deng Duoxi, Zhang Hong, et al. Effect of HeMu Point Acupuncture on PAR-2, TRVP1 and Related Sensitizing Cytokines Expression in Dorsal Root Ganglia of Spinal Cord in Rats with Irritable Bowel Syndrome [J]. Journal of Hunan University of Traditional Chinese Medicine, 2018, 38(1): 59-64. (in Chinese)

[18] Aguilera-Lizarraga J., Hussein H., Boeckxstaens G. E. Immune Activation in Irritable Bowel Syndrome: What is the Evidence? [J]. Nature Reviews Immunology, 2022, 22(11): 674-686.

[19] Wallrapp A., Chiu I. M. Neuroimmune Interactions in the Intestine [J]. Annual Review of Immunology, 2024, 42(1): 489-519.

[20] Lv Y. X., Wen J., Fang Y. Y., et al. Corticotropin-Releasing Factor Receptor 1 (CRF-R1) Antagonists: Promising Agents to Prevent Visceral Hypersensitivity in Irritable Bowel Syndrome [J]. Peptides, 2022, 147: 170705.

[21] Hou Y. J., Wang K., Jiang H. L., et al. Mechanism of Electroacupuncture Regulating Mast Cell Activation and Repairing Intestinal Barrier in Rats with Diarrhea-Type Irritable Bowel Syndrome [J]. Acupuncture Research, 2023, 48(3): 281-286. (in Chinese)

[22] DuPont A. W., Jiang Z. D., Harold S. A., et al. Motility Abnormalities in Irritable Bowel Syndrome [J]. Digestion, 2014, 89(2): 119-123.

[23] Fassov J., Lundby L., Worsoe J., et al. A Randomised, Controlled Study of Small Intestinal Motility in Patients Treated with Sacral Nerve Stimulation for Irritable Bowel Syndrome [J]. BMC Gastroenterol, 2014, 14: 111.

[24] Li, H., He, T., Xu, Q., et al. Electroacupuncture Regulates Gut Motility via the Autonomic and Enteric Nervous Systems in a Rat Model of IBS [J]. Neurogastroenterology & Motility, 2019, 31(6): e13579.

[25] Liu T. T., Chen S. Z., Chao Y. Q., et al. Effect of Electroacupuncture on Colonic Function in Rats with Irritable Bowel Syndrome [J]. China Journal of Emergency Medicine, 2023, 32(4): 597-600, 605. (in Chinese)

[26] Liu Weiwei, Ding Lin, Wang Xiuyan, et al. Effects of High Frequency Electroacupuncture on Serum VIP, MTL Expression and Visceral Sensitivity in Rats with Diarrhea-Type Irritable Bowel Syndrome [J]. China Journal of Emergency Medicine, 2021, 30(08): 1361-1364. (in Chinese)

[27] Gao Y. Z., Su H. X., Zhang X. G., et al. Research Progress of Traditional Chinese Medicine and Western Medicine on Correlation of Diarrhea-Type Irritable Bowel Syndrome from the Angle of Low Inflammation [J]. Pharmacology and Clinic of Traditional Chinese Medicine, 2024, 40(9): 113-120. (in Chinese)

[28] Zhu Z., Yang X. F., Yu H. M., et al. Effect of Acupuncture on the Expression of Brain-Gut Peptides and Related Inflammatory Factors in Rats with Diarrhea-Type Irritable Bowel Syndrome [J]. Acupuncture Research, 2023, 48(11): 1142-1150. (in Chinese)

[29] Zhao Z. W., Sun J. H., Qian L. F. Acupuncture Treatment of Irritable Bowel Syndrome with Diarrhea and Its Effect on Brain-Gut Peptide Level [J]. China Modern Doctor, 2023, 61(5): 15-19. (in Chinese)

[30] Schmulson M., Pulido-London D., Rodriguez O., et al. Lower Serum IL-10 is an Independent Predictor of IBS among Volunteers in Mexico [J]. Am J Gastroenterol, 2012, 107(5): 747-753.

[31] Yang B., Zhou X., Lan C. Changes of Cytokine Levels in a Mouse Model of Post-Infectious Irritable Bowel Syndrome [J]. BMC Gastroenterol, 2015, 15: 43.

[32] Yang, J., Wang, L., Xu, J., Zhang, et al. Acupuncture for Irritable Bowel Syndrome: The Regulation of Gut Microbiota and Mucosal Immunity [J]. World Journal of Gastroenterology, 2021, 27(20): 2533-2548.

[33] Duan W. E., Zhang Q. J., Li W. Y., et al. Clinical Study on Acupuncture Therapy for Invigorating Spleen and Soothing Liver for Irritable Bowel Syndrome of Constipation Type and Its Effect on 5-HT, VIP and NPY Levels [J]. Hubei Journal of Traditional Chinese Medicine, 2024, 46(1): 36-39. (in Chinese)

[34] Xie L. L., Zhao Y. L., Huang M. G., et al. Effect of Electroacupuncture at Shenque Acupoint on Gastrointestinal Dysfunction and Intestinal Flora in Constipation Type Irritable Bowel Syndrome [J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2022, 24(11): 4605-4612. (in Chinese)

[35] Chao G. Q., Zhang S. Effectiveness of Acupuncture to Treat Irritable Bowel Syndrome: A Meta-Analysis [J]. World Journal of Gastroenterology, 2014, 20(7): 1871-1877.

[36] Shu J., Li H., Wu Z. Q. Progress in Diagnosis and Treatment of Diarrhea-Type Irritable Bowel Syndrome with Anxiety and Depression [J]. Western Journal of Traditional Chinese Medicine, 2019, 32(09): 147-150. (in Chinese)

[37] Koloski N. A., Jones M., Kalantar J., et al. The Brain-Gut Pathway in Functional Gastrointestinal Disorders is Bidirectional: A 12-Year Prospective Population-Based Study [J]. Gut, 2012, 61(9): 1284-1290.

[38] Mao Jing. Effect of Acupuncture on Heart Rate Variability and Substance P Content in Serum of IBS-D Model Rats [D]. Hubei University of Traditional Chinese Medicine, 2022. (in Chinese)