长蛇灸改善阳虚体质人群的质量评分及适宜体表温度研究  

Snake-like Moxibustion on Improving the Quality Score and Suitable Body Surface Temperature of the People with Yang Deficiency Constitution

作　　者：杨艳莎 邓陈英 YANG Yansha;DENG Chenying(Jiangxi Clinical Research Center of Acupuncture and Moxibustion Medicine/Nanchang Mayor Key Laboratory of Snake-like Moxibustion Mechanism and Specificity/Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西省针灸医学临床研究中心/南昌市长蛇灸效应机制和督脉特异性重点实验室/南昌市洪都中医院针灸科,江西南昌330006

出　　处：《中国中医药现代远程教育》2025年第1期119-121,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生健康委科技计划项目【No.202140178】。

摘　　要：目的观察长蛇灸对改善阳虚体质人群质量评分的效果,探索其干预阳虚体质的适宜体表温度。方法将90例阳虚体质患者随机分为督脉长蛇灸组、膀胱经长蛇灸组、红外线组进行治疗,观察治疗前后三组患者阳虚质量评分及临床疗效,长蛇灸组使用温度记录仪记录施灸时体表温度并分析其与疗效的相关性。结果治疗后,三组阳虚质量评分均较前降低,且督脉长蛇灸组最优(P<0.05)。督脉长蛇灸组总有效率为80.00%(24/30),高于膀胱经长蛇灸组的53.33%(16/30)、红外线组的30.00%(9/30)(P<0.05)。膀胱长蛇灸组经治疗总有效者的体表温度高于无效者(P<0.05)。督脉长蛇灸组患者体表感知的热痛温度、耐受温度明显高于膀胱经长蛇灸组(P<0.05)。结论长蛇灸可有效改善阳虚体质,以督脉长蛇灸效果最好;灸效与体表温度呈正相关,但不是温度越高疗效越好,而是在患者适宜温度与耐受温度间,有一个稍高于体温的最佳温度阈值。Objective To observe the effect of snake-like moxibustion on improving the quality score of yang deficiency and the appropriate body surface temperature of people with yang deficiency.Methods A total of 90 patients with yang deficiency constitution were randomly divided into Du meridian snake-like moxibustion group,bladder meridian snake-like moxibustion group,and infrared ray group.The score of Yang deficiency and the clinical effect of the three groups were observed before and after treatment.The temperature recorder was used to record the body surface temperature of the snake-like moxibustion group and the correlation between the temperature and the effect was analyzed.Results After treatment,the quality scores of yang deficiency in the three groups were lower than before,and the Du meridian snake-like moxibustion group was the best(P<0.05).The total effective rate of the Du meridian snake-like moxibustion group was 80.00%(24/30),which was higher than that of the bladder meridian snake-like moxibustion group(53.33%,16/30)and the infrared ray group(30.00%,9/30)(P<0.05).The body surface temperature of the patients with total effective treatment in Du meridian snake-like moxibustion group was higher than that of the patients with ineffective treatment(P<0.05).The heat pain temperature and tolerance tem-perature perceived on the body surface of the patients in the Du meridian snake-like moxibustion group were significantly higher than those in the bladder meridian snake-like moxibustion group(P<0.05).Conclusion Snake-like moxibustion can effectively improve the yang deficiency constitution,and the best effect is Du meridian snake-like moxibustion.The effect of moxibustion is positively correlated with body surface temperature,but it is not that the higher the temperature,the better the effect,but that there is an optimal temperature threshold slightly higher than the body temperature between the patient’s appropriate temperature and the tolerance temperature.

关 键 词：长蛇灸 督脉 阳虚体质 体表温度 

分 类 号：R246[医药卫生—针灸推拿学]