亚健康状态经络穴位电阻特征的临床研究  

Clinical study of the meridian and acupoint resistance characteristics in the subhealth state

作　　者：杨月嫦 周嘉 周扬 倪俊磊 邓逸辰 吴勇 韩燕[1] 史默怡 刘玉 YANG Yuechang;ZHOU Jia;ZHOU Yang;NI Junlei;DENG Yichen;WU Yong;HAN Yan;SHI Moyi;LIU Yu(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《上海针灸杂志》2023年第10期1120-1124,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市中医药传承创新发展三年行动计划项目[ZY(2021-2023)-0104-01];上海中医药大学附属岳阳中西医结合医院院级自然基金面上项目(2021jjym06)。

摘　　要：目的通过回顾性研究,比较亚健康和健康受试者的经络穴位电阻值,观察亚健康状态下经络穴位电阻特性及其临床意义。方法调取上海中医药大学附属岳阳中西医结合医院体检中心数据库中的数据资料,选择88例亚健康状态受试者为亚健康组,88例健康受试者为健康组。通过经络检测仪检测十二经脉特定五输穴的电阻值,计算电阻值的平均值(mean,M)、所有阴经与阳经的比值(阴阳比值,Yin-Yang ratio,Yi/Ya)、手经与足经的比值(上下比值,up-down ratio,U/D)以及左侧经脉与右侧经脉的比值(左右比值,left-right ratio,L/R),比较两组上述各数值的差异。结果亚健康组M值明显低于健康组(P<0.05),Yi/Ya值明显高于健康组(P<0.05)。两组Yi/Ya值分层比较,差异具有统计学意义(P<0.05)。两组各经络异常均以实证为主,且肝经实证占比最高;但各经络虚实占比组间比较,差异无统计学意义(P>0.05)。结论亚健康状态下经络穴位电阻值低于健康状态,且存在阴阳失衡的情况,并可反映经络虚实情况。经络穴位电阻检测有望为亚健康人群的临床辨证论治提供相关客观依据。Objective To observe the meridian and acupoint resistance characteristics and clinical significance by comparing the meridian and acupoint resistance values between subhealthy and healthy participants.Method Data were retrieved from the physical examination center database of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine.Eighty-eight people in a subhealthy state were recruited as the subhealthy group,and 88 healthy volunteers were recruited as the healthy group.A meridian detector was used to determine the resistance values of the specific five-Shu points of the twelve meridians.The mean(M),the ratio between Yin meridians and Yang meridians(Yin-Yang ratio,Yi/Ya),the ratio between hand meridians and foot meridians(up-down ratio,U/D),and the ratio between left side meridians and right side meridians(left-right ratio,L/R)were calculated and compared between the two groups.Result The subhealthy group had a significantly smaller M value than the healthy group(P<0.05),and the Yi/Ya was higher in the subhealthy group than in the healthy group(P<0.05).The stratified comparison revealed statistical significance in comparing the Yi/Ya between the two groups(P<0.05).The meridian abnormalities were mainly excess patterns in both groups,and the excess pattern of the Liver Meridian shared the largest part;however,there were no significant differences in comparing the ratio of excess or deficiency patterns of each meridian between the two groups(P>0.05).Conclusion The meridian and acupoint resistance value is smaller in the subhealthy state than the healthy state,demonstrating a Yin-Yang imbalance and reflecting the excess or deficiency of meridians.The detection of the meridian and acupoint resistance holds the potential to provide pertinent objective evidence for the clinical treatment of subhealthy people based on pattern identification.

关 键 词：针灸学 经络腧穴 电阻 亚健康 治未病 辨证论治 

分 类 号：R245[医药卫生—针灸推拿学]