"金氏烧山火"手法对寒湿痹证患者皮肤表面温度的影响  

Clinical study on the skin temperature of patients with cold and dampness syndrome by using"Mountain Burning Manipulation by Jin-Shi"method

作　　者：赵新雨[1] 李靖[1] 张鹏翔[1] 郭伟双 秦丽玲[1] 张振华[1] Zhao Xinyu;Li Jing;Zhang Pengxiang;Guo Weishuang;Qin Liling;Zhang Zhenhua(Departments of Acupuncture,Beijing Chaoyang District Chinese Medicine Hospital,Beijing 100020,China)

机构地区：[1]北京市朝阳区中医医院针灸科,100020

出　　处：《国际中医中药杂志》2020年第1期26-30,共5页International Journal of Traditional Chinese Medicine

基　　金：北京市中医药科技项目(JJ2015-02)。

摘　　要：目的:观察"金氏烧山火"手法对寒湿痹证患者的局部及循经远端穴位皮肤表面温度的影响。方法:选择2015年11月-2017年10月符合入选标准的60例寒湿痹证患者,在固定室温条件下,行"金氏烧山火"针刺治疗,分别于针刺前、针刺即刻、留针15 min、留针30 min后采用非接触式红外线人体测温仪、红外线热成像技术观察曲池与合谷穴,足三里与冲阳穴局部皮肤表面温度变化。结果:行"金氏烧山火"针刺手法后,上下肢穴位局部皮肤表面温度均不同程度升高,且留针15 min时皮肤表面温度最高。①上肢:曲池针刺即刻、留针15 min、留针30 min时皮肤表面温度分别高于针刺前(P<0.05),合谷留针15 min、留针30 min时皮肤表面温度分别高于针刺前、针刺即刻(P<0.05);曲池针刺即刻皮肤表面温度高于合谷穴(t=3.793,P=0.034)。②下肢:足三里针刺即刻、留针15 min、留针30 min时皮肤表面温度分别高于针刺前(P<0.05),冲阳留针15 min、留针30 min时皮肤表面温度分别高于针刺前、针刺即刻(P<0.05);足三里针刺即刻皮肤表面温度高于冲阳穴(t=3.794,P=0.034)。结论:"金氏烧山火"手法可升高寒湿痹证患者局部及循经远端穴位的皮肤表面温度,具有明确的临床热效应。Objective To observe the temperature changes of skin on patients with cold and dampness syndrome by using the non-contact infrared human body thermometer and infrared thermal imager to treat the patients with cold and dampness syndrome by Jin-Bohua national famous Chinese medicine practitioners using the"Mountain Burning Manipulation by Jin-Shi"method to clarify the clinical thermal effects of the"Heat-producing Needling"method.Methods This study included sixty patients with cold and dampness syndrome who met the enrollment conditionsfrom November 2015 to October 2017.In a room with fixed temperature,the patients were treated by"Heat-producing Needling"method.By using a non-contact infrared human body thermometer and infrared thermal imaging technology,this study observed the skin temperature changes in Quchi and Hegu,Zusanli and Chongyang before needling,immediately afterneedling,15 minutes after needling,and 30 minutes after needling.Results After the"Mountain Burning Manipulation by Jin-Shi"treatment,the temperature of local skin surface at acupoints of upper and lower limbs increased with different degrees and the skin temperature reached the highest level when the needle was kept for 15 minutes.The upper limbs'result indicated that skin temperature increased with significant differences in acupuncture of Quchi point for immediately,15 minutes and 30 minutes as compared with that before acupuncture.It was found that the skin temperature at Hegu point for 15 minutes have a significant increase than before and immediately after acupuncture.The skin temperature of Hegu point lasted 30 minutes,which was significantly higher than before and immediately after acupuncture.Compared with Hegu point,Quchi point has higher skin temperature immediately after acupuncture(t=3.793,P=0.034).The lower limbss'results indicated that skin temperature at Zusanli point increased with significant differences in Zusanli point for immediately needling,15 minutes and 30 minutes as compared respectively with that beforeneedling.It was

关 键 词：烧山火 寒湿痹证 热感 穴 曲池 穴 合谷 穴 足三里 穴 冲阳 

分 类 号：R246[医药卫生—针灸推拿学]