肺系疾病和穴位敏化的关系  

Correlation between pain region and sensitized acupoints in patients with lung diseases

作　　者：王健[1] 付勇[2] 王渊 章薇[4] 李笑雪 赵吉平[6] 邵晓梅[7] 徐斌 杨有为 曹乾安 鲁刚 吴媛媛[7] 徐天成[8] 高昕妍[5] 朱兵[5] WANG Jian;FU Yong;WANG Yuan;ZHANG Wei;LI Xiao-xue;ZHAO Ji-ping;SHAO Xiao-mei;XU Bin;YANG You-wei;CAO Qian-an;LU Gang;WU Yuan-yuan;XU Tian-cheng;GAO Xin-yan;ZHU Bing(Institution of Acupuncture-moxibustion and Massage,College of Acumox and Tuina,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine.Nanchang 330006,China;The Innovation Research Center for Combination of Acupuncture and Chinese Materia Medica,Shaanxi University of Chinese Medicine,Xianyang 712046,China;The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700.China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310053,China;Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]山东中医药大学针灸推拿学院,济南250355 [2]江西中医药大学附属医院,南昌330006 [3]陕西中医药大学针药结合创新研究中心,咸阳712046 [4]湖南中医药大学第一附属医院,长沙410007 [5]中国中医科学院针灸研究所,北京100700 [6]北京中医药大学东直门医院,北京100700 [7]浙江中医药大学附属第三医院,杭州310053 [8]江苏省中医院,南京210029

出　　处：《中华中医药杂志》2020年第12期6029-6032,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划项目(No.2018YFC1704600);中央公益性科研院所基本科研业务专项资金(No.ZZ10-006);国家自然科学基金项目(No.81674085)。

摘　　要：目的:系统观察肺系疾病患者牵涉痛体表分布区域及其与穴位的关系,探讨肺系疾病体表敏化的规律。方法:采用指压探查法记录来自7家医院共472例肺系疾病患者的体表压痛敏感区。结果:95.76%(452/472)的肺系疾病患者会出现体表压痛,体表压痛区域多分布在颈肩部、上胸背部和上肢,这些区域也是治疗肺系疾病腧穴的集中分布区。结论:当肺脏发生病变时,其相应节段(C5~T7)神经支配皮节区域会发生相应的敏化现象,这种体表敏感度的改变与穴位的形成密切相关。Objective: To observe the correlation between the referred pain region and acupoints in lung diseases patients and investigate the rule of regional sensitized point distribution. Methods: By means of finger pressure detection, a total of 472 patients with lung diseases from 7 hospitals were recorded. Results: In 472 patients with lung diseases, 95.76%(452/472) patients were found to have body surface tenderness, which is mainly distributed in neck, shoulder, upper chest, back and upper limbs. These areas are also the concentrated distribution areas of acupoints for treating lung diseases. Conclusion: In the case of lung lesions, a regular ‘referred sensitization’ is occurred frequently in the dermatome area innervated by the corresponding segment(C5~T7), which may be closely related to the formation of acupoints.

关 键 词：肺系疾病 牵涉痛 穴位敏化 指压探查法 

分 类 号：R259[医药卫生—中西医结合]