基于红外热成像技术对生理状态下及砭贴、毫针疗法干预下的心包经相关穴区皮肤温度影响的观察  

The Skin Temperature of Pericardial Meridian Related Acupoints under Physiological State and The Effect of Bian Paste(砭贴)and Filiform Needle Therapy on Skin Temperature of Pericardial Meridian Related Acupoints Based on Infrared Thermal Imaging

作　　者：王登辉 侯中伟[1] 李晓雅 吴春花 王梦杰 闫颖洁 WANG Denghui;HOU Zhongwei;LI Xiaoya;WU Chunhua;WANG Mengjie;YAN Yingjie(School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029

出　　处：《中医药导报》2022年第7期81-85,100,共6页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家社科基金特别委托项目(14@ZH001);北京中医药大学针灸推拿学院现代砭术的开发与研究(1000062620191)。

摘　　要：目的:应用Image IR8855型红外热像仪,观察正常状态左右手心包经穴区自身温度差异和疗法干预右手内关穴后双侧穴区温度变化,分析经络生理状态和不同疗法干预下的经络效应,为经络理论探索和疗法效应机制及临床应用提供研究依据。方法:招募45名健康受试者,随机分为空白对照组、砭贴组、毫针组,标记双手手厥阴心包经大陵穴、内关穴、间使穴、郄门穴、郄门上1寸的同经非穴及其尺侧旁开1 cm的非经非穴点,并采集和分析标记穴区皮肤温度变化情况。结果:生理状态下不做任何干预的心包经左手相关穴区皮肤温度均高于右手对应穴区,差异均有统计学意义(P<0.05);空白对照组前后比较:左手大陵、内关、间使、郄门、非经非穴温度均高于观测前,差异均有统计学意义(P<0.05);3组干预后组间比较,差异均无统计学意义(P>0.05),可能和不做手法、刺激量较小有关。砭贴组左右手大陵温度高于干预前,差异均有统计学意义(P<0.05);毫针组右手大陵和左手大陵、内关、非经非穴温度高于干预前,差异均有统计学意义(P<0.05);两组相对空白对照组而言右侧温度有所上升,而左侧上升不明显。结论:人体生理状态下存在左右侧皮肤温度差异现象和人体的气血运行规律有一定相关性,经穴左侧温度高于右侧的规律可能和中医“左升右降”理论有关;长时间固定姿势下的左右温度变化趋势的相对平衡性会改变,以左升太过为主要表现;不加手法刺激下,侵入性的毫针疗法和非侵入性的砭贴疗法均可以通过刺激局部经气和以右治左的作用来调节左右温度以保持相对平衡。Objective:With Image IR8855 infrared thermal imager,the temperature difference of acupoint area of left and right hand pericardium in normal state and the temperature change of bilateral acupoint area after intervention of right hand Neiguan(PC 6)were observed to analyze the meridian physiological state and the meridian effect under the intervention of different therapies,so as to provide research basis for the exploration of meridian theory,therapeutic mechanism and clinical application.Methods:Forty-five healthy subjects were randomly divided into blank control group,Bian paste group and filiform needle group.The two-handed Jueyin pericardium passed through Daling(PC 7),Neiguan(PC 6),Jianshi(PC 5),Ximen(PC 4),non-acupoint point of the same meridian 1 inch above Ximen(PC 4),and the non-meridian and non-acupoint point of 1 cm on the ulnar side,and the changes of skin temperature in the marked point area were collected and analyzed.Results:In physiological state,the skin temperature of pericardial meridian related acupoints of left hand was higher than that of right hand without any intervention,and the difference was statistically significant(P<0.05).According to comparison between before and after intervention in Blank control group,the temperatures of Daling(PC 7),Neiguan(PC 6),Jianshi(PC 5),Ximen(PC 4)and non-meridian and non-acupoints in the left hand were all higher than those before observation,and the difference was statistically significant(P<0.05).According to comparison among three groups after the intervention,there was no statistically significant difference(P>0.05).It may be related to no manipulation and less stimulation.The temperature of left and right hand Daling(PC 7)in Bian paste group was significantly higher than that before intervention(P<0.05),and the temperature of right hand Daling(PC 7),left hand Daling(PC 7),left hand Neiguan(PC 6)and non-meridian non-acupoints in filiform needle group was significantly higher than that before intervention(P<0.05).Compared with the blank control group,t

关 键 词：红外热成像 砭贴疗法 毫针疗法 心包经 内关 穴区皮肤温度 

分 类 号：R245.2[医药卫生—针灸推拿学]