足三阴经的郄穴体表电阻反应原发性痛经的研究  

Body surface resistance of Xi-cleft points in 3 yin meridians of foot responding primary dysmenorrheal

作　　者：张凯[1] 刘君[1] 佘延芬[1,2] 张俊茶 宋佳衫 孙立虹[1] 贾春生[1] 潘丽佳[1] 张晓琪[1] 杜潇怡 

机构地区：[1]河北中医学院,河北050091 [2]北京中医药大学

出　　处：《北京中医药大学学报》2017年第3期254-258,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)项目(No.2006CB504503);国家自然科学基金项目(No.81573884);河北省自然科学基金项目(No.H2013206097)

摘　　要：目的观察与胞宫有密切关系的足太阴脾经、足少阴肾经、足厥阴肝经的郄穴体表电阻在原发性痛经中的表现,探寻足三阴经3个郄穴可否特异性地反应原发性痛经病证。方法本研究在北京中医药大学和中医药大学附属东直门医院进行,招募正常女大学生(正常组)78例,原发性痛经患者(痛经组)78例。选取足太阴脾经的地机穴,足厥阴肝经的中都穴,足少阴肾经的水泉穴,于经期第1天和月经结束后第3天的相同时点连续动态探测2组受试者的经穴体表电阻30 min,以同名穴位电阻失衡度作为结局指标。结果招募的2组受试者经过纳入、排除以及中止标准筛选,最后对正常组48例、痛经组46例进行统计分析,经过2组3个郄穴体表电阻失衡度各时点的组间、组内比较,结果显示,痛经组足太阴脾经的郄穴地机的左右两侧同名穴位电阻失衡度在经期第1天与月经结束后第3天表现出显著性差异(P=0.04),其他郄穴2组各时点组间、组内无明显差异(P>0.05)。结论初步推测脾经的郄穴地机有可能是原发性痛经病证一个反应点。Objective To explore whether or not 3 Xi-cleft points in 3 yin meridians of foot can specifically respond primary dysmenorrheal through observing body surface resistance manifestations of Xicleft points in Spleen Meridian（ SP）,Kidney Meridian（ KI） and Liver Meridian（ LR） related closely to uterus. Methods Healthy female university students（ normal group,n = 78） and those with primary dysmenorrheal（ dysmenorrheal group,n = 78） were chosen from the Beijing University of Chinese Medicine and the Dongzhimen Hospital. The acupoints-Diji（ SP8）,Zhongdu（ LR6） and Shuiquan（ KI5） were chosen for monitoring continuously and dynamically body surface resistance in 2 groups for30 min on the 1std of menstruation and 3 d after menstruation finished. The resistance imbalance degree（ RID） at the same acupoint was taken as outcome indicators. Results Finally there were 48 students in normal group and 46 in dysmenorrheal group after screening according to inclusion,exclusion and abortion criteria. The between-group and within-group comparison in RID of 3 Xi-cleft points at different time points showed that RID at Diji（ SP8） had significant difference between the 1（st）d of menstruation and 3 d after menstruation finished（ P = 0. 04） in dysmenorrheal group. The between-group and withingroup comparison in RID of Zhongdu（ LR6） and Shuiquan（ KI5） had no significant difference between 2 groups（ P 〉 0. 05） at different time points. Conclusion Diji（ SP8） is initially speculated as a possible responding acupoint for primary dysmenorrheal.

关 键 词：体表电阻 穴位电阻失衡度 经穴反应特异性 原发性痛经 郄穴 

分 类 号：R245[医药卫生—针灸推拿学]