不同方向循经走罐对皮肤血流量的影响  

Impacts on skin blood flow under moving cupping along meridians in different directions

作　　者：田宇瑛[1] 王广军[1] 黄涛[1] 贾术永[1] 张宇沁[1] 张维波[1] 

机构地区：[1]中国中医科学院针灸研究所,北京100700

出　　处：《中国针灸》2013年第3期247-251,共5页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院自主课题资助项目:ZZ 04006

摘　　要：目的:比较顺经和逆经循经走罐对皮肤血流量的影响。方法:使用JLG-2型经络罐通仪对膀胱经背部段进行顺经或逆经单方向走罐20次。拔罐器为内径44mm的砭石罐,负压范围为-0.03～-0.04MPa。使用PeriScan PIMⅡ型激光多普勒血流灌注成像仪观察走罐上下循经皮肤及对侧膀胱经同等区域的皮肤血流量变化。测量走罐前、走罐后即刻和走罐后10min的血流量。对14例健康受试者进行测试,将测量区域分为走罐区、上游区、下游区、对(侧)走罐区、对上游区和对下游区,分别计算各区域平均血流量。结果:各区的血流量均有显著性升高,走罐区升高更为明显。比较顺经和逆经的血流量变化率,仅发现上游区逆经的变化率显著高于顺经(P<0.05),其他区之间差异无统计学意义。另外,循经上、下游区域的血流量变化率比对侧膀胱经显著升高。结论:顺经走罐与逆经走罐的局部效应相似,远端效应逆经走罐高于顺经,提示治疗局部疾患可双向走罐,远端治疗以逆经走罐效果更佳。Objective To compare the impacts on skin blood flow between moving cupping following the meri- dian running direction and that against the running direction. Methods JLG-2 meridian cupping drainage instru- ment was used for moving cupping on the back along the Bladder Meridian running course in either single direction for 20 times. The cupping device was Bian stone cup, 44 mm in inner diameter, negative pressure from -0.03 to -0.04 MPa. PeriScan PIM ]I laser Doppler perfusion imager was used to observe the changes in skin blood flow on the running course of the Bladder Meridian with cup moved up and down and in the same region on the contra- lateral Bladder Meridian. Blood flow was measured before cupping, at the immediate time after cupping and 10 rain after cupping separately. Fourteen healthy volunteers received the test. The measuring region was subdivided into a moving cupping area, an upstream area, a downstream area, a contralateral moving cupping area, a contralateral upstream area and a contralateral downstream area. The mean blood flow was caiculated in each area. Results Blood flow was increased significantly in each area and was more apparently increased in the moving cupping area. In comparison of the changing rate of blood flow between cupping following the meridian running direction and that against the running direction, it was only found that the changing rate in the upstream area of moving cupping against the running direction was significantly higher than that following the running direction （P〈O. 05）. The differences were not statistically significant in comparison among the other areas. Additionally, the changing rates of blood flow in the upstream and downstream area of the Bladder Meridian were increased significantly as com- pared with the contralateral Bladder Meridian. Conclusion The local effects are similar between moving cupping following the meridian running direction and that against the running direction. The abscopal effect of moving cup- ping against the running direction i

关 键 词：走罐 经络 皮肤血流量 激光多普勒血流灌注成像仪 经络罐通仪 

分 类 号：R245.9[医药卫生—针灸推拿学]