基于红外热像技术验证“后溪通督脉”理论  

"Houxi(SI 3)communicating the governor vessel"verified with the infrared thermal imaging technology

作　　者：赵旭斌 霍建忠 ZHAO Xu-bin;HUO Jian-zhong(Graduate School of Shanxi University of CM,Taiyuan 030024,China;Shanxi Changzi County Hospital of TCM,Changzhi 046600;Orthopaedic Laboratory of Taiyuan Center Hospital,Taiyuan 030009,Shanxi Province)

机构地区：[1]山西中医药大学研究生院,太原030024 [2]山西省长子县中医院,长治046600 [3]太原市中心医院骨科实验室,山西太原030009

出　　处：《中国针灸》2023年第3期305-308,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:基于红外热像技术,比较针刺后溪、大椎对面部腧穴温度的影响,验证“后溪通督脉”理论。方法:选取35例(脱落5例)健康受试者,采用自身前后对照设计,每位受试者分别进入假针刺组、后溪组、腕骨组和大椎组,分别予以假针刺左侧后溪和针刺左侧后溪、左侧腕骨、大椎,均针刺1次,每次留针30 min。分别于针刺前后30 min采集各组面部红外热成像图,比较印堂、素髎、水沟、兑端、承浆5穴体表温度。结果:针刺后,假针刺组印堂、承浆体表温度较针刺前升高(P<0.01,P<0.05);后溪组素髎体表温度较针刺前降低(P<0.05);腕骨组印堂体表温度较针刺前升高(P<0.01);大椎组兑端、承浆体表温度较针刺前升高(P<0.01,P<0.05)。针刺后,后溪组、大椎组承浆与素髎体表温度差大于针刺前(P<0.01)。与本组素髎比较,后溪组印堂、水沟、兑端、承浆针刺前后体表温度差变大(P<0.01,P<0.05);大椎组印堂、水沟、兑端、承浆针刺前后体表温度差变大(P<0.05,P<0.01);腕骨组印堂针刺前后体表温度差变大(P<0.05)。结论:针刺后溪可产生与大椎相似的热效应,调节体核温度向外扩散,达到“总督一身之阳气”的功效。Objective To compare the effect on facial acupoint temperature between acupuncture at Houxi(SI 3)and Dazhui(GV 14)so as to verify"Houxi(SI 3)communicating the governor vessel"based on the infrared thermal imaging technology.Methods Thirty-five healthy subjects(5 cases dropped off)were collected and before-after study in the same subject was adopted.The subjects were successively assigned into a sham-acupuncture group,a Houxi group,a Wangu group and a Dazhui group.Sham-acupuncture at Houxi(SI 3)on the left,acupuncture at Houxi(SI 3)on the left,Wangu(SI 4)on the left and Dazhui(GV 14)were given respectively.One intervention was given and the needles were retained for 30 min in each group.30 min before and after acupuncture,the infrared thermal images of the face were collected,and the facial temperature was compared among the following 5 acupoints,i.e.Yintang(GV 24^(+)),Suliao(GV 25),Shuigou(GV 26),Duiduan(GV 27)and Chengjiang(CV 24).Results After acupuncture,the facial temperature at Yintang(GV 24^(+))and Chengjiang(CV 24)was increased compared before acupuncture in the sham-acupuncture group(P<0.01,P<0.05).The facial temperature at Suliao(GV 25)in the Houxi group was reduced after acupuncture(P<0.05).In the Wangu group,the temperature at Yintang(GV 24^(+))was increased compared before acupuncture(P<0.01).The facial temperature was increased at Duiduan(GV 27)and Chengjiang(CV 24)compared before acupuncture in the Dazhui group(P<0.01,P<0.05).The differences of facial temperature at Chengjiang(CV 24)and Suliao(GV 25)after acupuncture were larger than before acupuncture in the Houxi group and the Dazhui group(P<0.01).In comparison with the temperature at Suliao(GV 25)of the same group,the differences of facial temperature before and after acupuncture at Yintang(GV 24^(+)),Shuigou(GV 26),Duiduan(GV 27)and Chengjiang(CV 24)were increased in the Houxi group(P<0.01,P<0.05);while,the increase was also obtained at Yintang(GV 24^(+)),Shuigou(GV 26),Duiduan(GV 27)and Chengjiang(CV 24)in the Dazhui group(P<0.05,P<0.01).The di

关 键 词：穴 后溪 督脉 八脉交会穴 红外热像 

分 类 号：R245[医药卫生—针灸推拿学]