特色水药罐热敷药量的观察  

Observations on Characteristic Decoction Cup Hot Compress Dose

作　　者：蔡俊[1] 李建萍[1] 张慧[1] 杨建梅[1] 徐新春[1] 牛燕霞[1] 

机构地区：[1]上海市徐汇区中心医院,上海200031

出　　处：《上海针灸杂志》2015年第6期579-581,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的根据室温不同,怎样用较少药量,发挥特色水药罐的药物热敷作用,以期能节约药物成本。方法将20个受试者,根据室温不同,分4组,每组5例,每位受试者拔不同药量的10个药罐,拔罐前罐内药物均为45℃,起罐后再测试罐内药物温度,取相同室温下相同药物量启罐后的温度平均值,然后根据室温,绘制不同药物量起罐后的平均罐内温度曲线图,最终得到不同室温下药罐内药物有热敷作用所需最小药量。结果特色水药罐有热敷的作用,室温10℃~14℃时,药罐内药物必须大于55 m L;室温15℃~19℃时药物必须大于45 m L,室温20℃~24℃,药罐内药物大于25 m L就可,而室温25℃以上时所需药水仅20 m L。结论根据春夏秋冬室温的变化,在临床中灵活选取药量,这样既可有热敷的作用,又可节约药量。Objective To administer a lower dose according to different indoor temperatures to give play to the effect of characteristic decoction cup hot compress and be able to save the cost of medicine. Method Twenty subjects were allocated, according to different indoor temperatures, to four groups, 5 cases each. Each subject received 10 sessions of decoction cupping with different doses. The decoction in all the cups was 45 ℃ before cupping. The temperature of decoction in the cups was measured after cupping. The average value of temperatures of the same doses at the same indoor temperature was calculated after cupping. The graph of average temperature curve of decoction in the cups was produced according to the indoor temperature after cupping with different doses. Finally obtained were the lowest doses of decoction with hot compress effect in the cup required at different indoor temperatures. Result To produce the effect of characteristic decoction cup hot compress, the decoction in the cup must be more than 55 mL in a indoor temperature of 10℃ ~ 14℃, more than 45 mL in a indoor temperature of 15 ℃ ~ 19℃ and more than 25 mL in a indoor temperature of 20℃~24℃. Only 20 mL of decoction was needed in indoor temperatures above 25℃. Conclusion A dose of decoction is flexibly selected according to a seasonal change in indoor temperature. That can not only have the effect of hot compress but also save the dosage.

关 键 词：拔罐 药罐 热敷 药量 

分 类 号：R245[医药卫生—针灸推拿学]