“…Moreover, the HPA axis, as one of the key components of stress regulation, can timely perceive pressure and quickly initiate signals in the paraventricular nucleus (PVN) of the hypothalamus, and HPA axis abnormalities may be one of the biological indicators for depression in its early stages ( Spalletta et al, 2006 ; Du and Pang, 2015 ). Moreover, there is evidence that acute ischemic stroke can act as a stressor to activate the HPA axis ( Wexler, 1970 ; Yoo et al, 2011 ). There are several basic studies showing that acupuncture can down-regulate the expression of CRH mRNA in hypothalamus, reduce plasma levels of ACTH and CORT ( Le et al, 2016 ; Zheng et al, 2019 ), which plays an antidepressant role by inhibiting the over-excitation of HPA axis ( Han X. et al, 2021 ).…”