Ⅲ型慢性前列腺炎患者足三阴经经络诊察阳性反应研究  

Study on positive reaction of foot three yin-meridians in patients with type Ⅲ chronic prostatitis based on meridian diagnosis

作　　者：钟腾辉 赵吉平[1] 秦佳欣 曾炜美 王舢泽 杨超[1] ZHONG Teng-hui;ZHAO Ji-ping;QIN Jia-xin;ZENG Wei-mei;WANG Shan-ze;YANG Chao(Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of CM,Beijing 100700,China;Department of Acupuncture and Moxibustion,Second Affiliated Hospital of Guangzhou University of CM/Guangdong Provincial Hospital of TCM)

机构地区：[1]北京中医药大学东直门医院针灸科,北京100700 [2]广州中医药大学第二附属医院/广东省中医院针灸科

出　　处：《中国针灸》2022年第10期1131-1135,共5页Chinese Acupuncture & Moxibustion

基　　金：北京中医药大学新教师启动基金项目:2019-JYB-XJSJJ-019;北京中医药大学东直门医院科技创新课题基金项目:ZMKJCX-2020-019。

摘　　要：目的:运用经络诊察法探讨Ⅲ型慢性前列腺炎与足三阴经阳性反应现象的关系。方法:应用传统经络诊察法结合压痛仪检测法,比较Ⅲ型慢性前列腺炎患者(前列腺炎组,32例)与健康受试者(健康组,30例)小腿段足三阴经经络、腧穴阳性反应率及标准腧穴定位压痛阈值。结果:前列腺炎组患者脾经阳性反应率高于肾经、肝经(P<0.001);脾经、肝经、肾经阳性反应率及足三阴经总阳性反应率均高于健康组(P<0.001)。前列腺炎组患者三阴交、阴陵泉、太溪、蠡沟、地机、曲泉、商丘、中封阳性反应率均高于健康组(P<0.001);脾经、肝经与肾经各腧穴压痛阈值均低于健康组(P<0.001)。前列腺炎组患者脾经阳性反应率与美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)疼痛评分及NIH-CPSI总评分呈正相关;肾经阳性反应率与年龄及国际前列腺症状评分(IPSS)呈正相关。结论:足三阴经尤其是脾经的阳性反应现象与Ⅲ型慢性前列腺炎病理状态密切相关,疼痛症状、排尿症状分别与脾经、肾经具有明显相关性。Objective To explore the relationship between type Ⅲ chronic prostatitis and the positive reaction of foot three yin-meridians based on meridian diagnosis. Methods Using the traditional meridian diagnosis combined with tenderness meter detection, the positive reaction rate of meridians and acupoints of crural foot three yin-meridians and tenderness pain threshold of standard acupoint location were compared in the type Ⅲ chronic prostatitis patients(prostatitis group, 32 cases) and healthy subjects(health group, 30 cases). Results The positive reaction rate of the spleen meridian was higher than those in the kidney meridian and the liver meridian in the prostatitis group(P<0.001). The positive reaction rates of the spleen meridian, the kidney meridian and the liver meridian and the total positive reaction rate of foot three yin-meridians in the prostatitis group were higher than those in the health group(P<0.001). In the prostatitis group, the positive reaction rates of Sanyinjiao(SP 6), Yinlingquan(SP 9), Taixi(KI 3), Ligou(LR 5), Diji(SP 8), Ququan(LR 8), Shangqiu(SP 5) and Zhongfeng(LR 4) were higher than those in the health group(P<0.001), the tenderness pain threshold of acupoints of crural foot three yin-meridians was lower than the health group(P<0.001). The positive reaction rate of the spleen meridian was positively correlated with the pain score and the total score of National Institute of Health chronic prostatitis symptom index(NIH-CPSI), and the positive reaction rate of the kidney meridian was positively correlated with age and international prostate symptom score(IPSS) in the prostatitis group. Conclusion The positive reactions of foot three yin-meridians, especially the spleen meridian, are closely related to the pathological state of type Ⅲ chronic prostatitis, pain and urination symptom are significantly correlated with the spleen meridian and the kidney meridian respectively.

关 键 词：Ⅲ型慢性前列腺炎 经络诊察 足三阴经 腧穴 压痛阈值 

分 类 号：R246.9[医药卫生—针灸推拿学]