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Acupuncture at Shenting acupoint for cognitive impairment: Central effects revealed by rs-fMRI and future perspectives
HOU Yu  WANG Yang  PENG Cailiang  ZHAO Bin  LI Xiaoling 

Cite this article as: HOU Y, WANG Y, PENG C L, et al. Acupuncture at Shenting acupoint for cognitive impairment: Central effects revealed by rs-fMRI and future perspectives[J]. Chin J Magn Reson Imaging, 2026, 17(9): 175-182. DOI:10.12015/issn.1674-8034.2026.09.023.


[Abstract] Acupuncture at the Shenting acupoint (GV24) has demonstrated beneficial effects in improving various types of cognitive impairment, including vascular cognitive impairment, Alzheimer's disease, and secondary cognitive impairment; however, its underlying mechanisms have not yet been fully elucidated. Resting-state functional magnetic resonance imaging (rs-fMRI), which requires no externally imposed task stimulation, can objectively reflect spontaneous neural activity and therefore serves as a non-invasive imaging tool for investigating central mechanisms. Various rs-fMRI analytical methods, including amplitude of low-frequency fluctuation, regional homogeneity, and functional connectivity (FC), can reveal how acupuncture at GV24 may modulate local functional activity in specific brain regions and alters connectivity within and between brain networks. This review summarizes recent rs-fMRI studies on acupuncture at GV24 for the treatment of cognitive impairment (CI) and identifies associated functional changes in specific brain regions and networks, including the hippocampus, prefrontal cortex, cingulate gyrus, default mode network, frontoparietal network, and limbic system. Current evidence suggests that acupuncture may exert integrative regulatory and remodeling effects on brain functional states by enhancing FC between the default mode network, frontoparietal network, and limbic system. The authors also note several limitations in existing studies, including small sample sizes, substantial heterogeneity in intervention protocols, and insufficient mechanistic interpretation. Future research should therefore expand sample size, promote multicenter collaboration, standardize acupuncture-fMRI research protocols, and conduct longitudinal follow-up studies. This review aims to provide new perspectives on the central mechanisms underlying acupuncture treatment for CI and to clarify potential directions for optimizing clinical diagnosis and treatment.
[Keywords] acupuncture；Shenting acupoint (GV24)；cognitive impairment；central mechanism；resting-state functional magnetic resonance imaging；vascular cognitive impairment；Alzheimer's disease；secondary cognitive impairment

HOU Yu1, 2   WANG Yang3   PENG Cailiang4   ZHAO Bin5*   LI Xiaoling3*  

1 Department of Gynecology, Harbin Traditional Chinese Medicine Hospital, Harbin 150010, China

2 Graduate School, Heilongjiang University of Chinese Medicine, Harbin 150040, China

3 Department of CT/MRI, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin 150040, China

4 Third Department of Cardiology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin 150040, China

5 Rehabilitation Center, Second Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin 150001, China

Corresponding author: ZHAO B, E-mail: 521zhaobin@163.com LI X L, E-mail: lixiaoling1525@163.com

Conflicts of interest   None.

Received  2026-04-30
Accepted  2026-09-10
DOI: 10.12015/issn.1674-8034.2026.09.023
Cite this article as: HOU Y, WANG Y, PENG C L, et al. Acupuncture at Shenting acupoint for cognitive impairment: Central effects revealed by rs-fMRI and future perspectives[J]. Chin J Magn Reson Imaging, 2026, 17(9): 175-182. DOI:10.12015/issn.1674-8034.2026.09.023.

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