银质针温针灸在人体内的温度分布特点  

Discussion on the temperature characteristic of silver needle in the human body during the warm needling

作　　者：赵毅[1] 秦元[1] 郑娟娟[1] 安光辉[1] 程珂[1] 赵玲[1] 沈雪勇[1] 

机构地区：[1]上海中医药大学针灸推拿学院,上海201203

出　　处：《中国针灸》2012年第9期803-806,共4页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划项目:2009CB 522901;国家中医药管理局重点学科建设项目;上海市科技攻关计划项目:11DZ 1973300

摘　　要：目的:观察艾球加热条件下传统银质针在人体内针身的温度变化情况。方法:将36名健康志愿者随机分为单针组和多针组,每组18例。在两组志愿者臀部进针点(左臀部内上方,髂嵴上缘最高点下7cm,后正中线旁开7cm)刺入测温银质针(长18cm、直径1.1mm),多针组则在测温银质针进针点上下左右4个配针点(距测温银质针进针点2cm)刺入传统银质针(长18cm、直径1.1mm),针尖皆进皮下6cm,针尾均装有1.3g艾球,点燃艾球后用数字测温仪自动动态记录测温银质针针尖上方3mm、33mm、63mm处针身的最高温度。结果:单针组3个测温点的最高温度均在41℃左右,多针组3个测温点的最高温度均在43℃左右,多针组各测温点的最高温度明显高于单针组(均P<0.05),同组银质针上各测温点的最高温度差异无统计学意义(均P>0.05);单针组单个艾球燃烧时的艾球最高温度为(611.16±6.91)℃,5个艾球同时燃烧时中央的艾球最高温度为(628.94±8.99)℃,差异有统计学意义(P<0.01)。结论:银质针的导热性良好,温针灸时艾球的热量从针尾传向针尖,银质针多针针刺方式的针尖、针身各点最高温度均高于单针针刺方式,多个艾球同时燃烧时的最高温度高于单个艾球燃烧时的最高温度。Objective To observe the temperature change of traditional silver needle in the human body during the burning of moxa ball. Methods Thirty-six healthy volunteers were randomly divided into a single-needle group and a multi-needle group, 18 cases in each group. For both groups, one silver needle （18 cm in length, 1. 1 mm in diameter）, whicb was adopted in this research to measure the temperature change, was punctured in the insertion point of the volunteer （inside the top of the left buttock, 7 cm under the edge of the highest point of the iliac crest, 7 cm lateral to tile dorsomedian line）, then another four silver needles were punctured 2 cm respectively anterior, posterior and lateral to tbe insertion point in the multi-needle group, and all the silver needles were inserted with 6 cmdepth. Aftcrignitingthe 1.3 gmoxaballon the needle tail, the temperature of the measuring points that were 3 ram, 33 ram, and 63 mm above the silver needle tip were recorded separately by digital temperature measuring instrument. Results The peak temperature of the three measuring points in the single-needle group was all around 41 ℃, while those in the multi-needle group were around 43 ℃, which had significant differences （all P〈0. 05）, but no significant differences among the highest temperature of the measuring points in the same group could be found（all P〉0.05）. The highest temperature of moxa ball in the single needle group was （611.16 ± 6.91） ℃, while that of the central moxa ball in the multi-needle group was （628.94±8.99） ℃, the difference of which was significant difference （P〈0.0]）. Conclusion The temperature conductivity of the silver needle is very well, so tile beat of the moxa ball could pass from the tail of needle to the tip during the warming： treatment. The peak tem- perature on tbe body, tip of the silver needle in the multi needle group is higher than those in the single needle group. Also, the peak temperature of multi-moxa ball is higher than that of single moxa bal

关 键 词：银质针 温度 温针灸 

分 类 号：R245.3[医药卫生—针灸推拿学]