MSM人群HIV感染者原穴红外特异性研究  

Infrared Specificity of Yuan-primary Acupoints of HIV Infected Patients in MSM Population

作　　者：刘宏[1] 白增华[1] 周歆 任路[1] 安吉尔 周向东 李欣悦 周欣 谷忠悦[1] LIU Hong;BAI Zenghua;ZHOU Xin;REN Lu;AN Ji'er;ZHOU Xiangdong;LI Xinyue;ZHOU Xin;GU Zhongyue(Acupuncture and Tuina College,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学针灸推拿学院,辽宁沈阳110847

出　　处：《中华中医药学刊》2020年第8期204-207,I0038,共5页Chinese Archives of Traditional Chinese Medicine

基　　金：辽宁省自然科学基金(2015020371);辽宁中医药大学大学生创新创业训练计划(201710162000082)。

摘　　要：目的探讨男男性行为(MSM)人群HIV感染者原穴的红外特异性,为中医治疗HIV感染提供临床依据。方法观察组为感染HIV的MSM受试者42例,健康对照组为排除HIV感染的健康志愿者25例。采用医用红外热成像仪,对受试者四肢远端的十二经原穴部位进行拍摄并提取温度数据,以穴位相对红外温度为指标,进行组间非参数检验。结果①未治疗组左侧京骨穴与双侧太溪穴相对红外温度低于健康对照组(P<0.05);健康对照组与治疗组组间对比无统计学差异性(P>0.05)。从原穴与十二经脉和五载六腑的特殊关系而言,依据足太阳经别循行"别入肛中"的经络理论和中医学"肾开窍于前后二阴"的脏腑理论,可以解释这一研究现象。②治疗组双侧太白穴相对红外温度高于未治疗组(P<0.05);其余各穴位各组间差异均无统计学意义(P>0.05)。HIV感染者的免疫系统功能低下是导致其病理改变的主要原因之一,抗病毒治疗后免疫功能会得到明显的改善。本次试验观察到的的脾经原穴抗病毒治疗后温度明显回升的现象,与目前有关中医脾的功能与人体免疫机能相关的研究成果相吻合。结论MSM人群艾滋病期患者十二原穴中,膀胱经、肾经与脾经原穴(京骨、太溪、太白)的红外温度具有反映病症的效应,这种多个脏腑经络相关原穴的联合效应,符合HIV感染者发病规律。体现了十二原穴反映病症效应及相关理论的科学性。Objective To explore the infrared specificity of the Yuan-primary acupoints of HIV-infected patients in MSM population and provide clinical basis for the treatment of HIV infection by traditional Chinese medicine.Methods The observation group was a MSM subject infected with HIV,and the control group was a healthy volunteer excluding HIV infection.Medical infrared thermal imager was used to photograph the Yuan-primary acupoints of the distal extremities of the subjects and extract temperature data.The relative infrared temperature of the acupoints was taken as an index for non-parametric test between groups.Results①The relative infrared temperature of left Jinggu acupoint(BL64)and bilateral Taixi acupoint(KI3)in the untreated group was lower than that in the healthy control group(P<0.05).There was no statistical difference between the healthy control group and the treatment group(P>0.05).In terms of the special relationship between the Yuan-primary acupoints and the twelve meridians and the five-Zang and six-Fu organs.This research phenomenon can be explained by the meridian theory of the foot-Taiyang meridian and the viscera theory of the traditional Chinese medicine that the anus and urinary meatus are the orifices corresponding to the kidney.②The relative infrared temperature of Taibai acupoint(SP3)on both sides of the treatment group was higher than that of the untreated group(P<0.05).There was no statistical difference among the other acupoints(P>0.05).Low immune system function was one of the main causes of pathological changes in HIV-infected patients.Immune function would be improved significantly after antiviral treatment.The temperature of the Yuan-primary acupoint of the spleen meridian obviously increased after antiviral treatment,which was consistent with the current research results on the function of the spleen of traditional Chinese medicine and human immune function.Conclusion The infrared temperature of bladder meridian,kidney meridian and spleen meridian[Jinggu(BL64),Taixi(KI3),Taibai(SP3)]i

关 键 词：艾滋病 人类免疫缺陷病毒 原穴 红外特异性 经穴效应 

分 类 号：R224.2[医药卫生—中医基础理论] R512.91[医药卫生—中医学]