艾灸关元和神阙穴对阳虚体质者任督二脉组织血氧及温度的影响  

Effects of moxibustion at Guanyuan(RN4)and Shenque(RN8)on tissue oxygen saturation and surface temperature of Ren and Du meridians in subjects with yang deficiency constitution

作　　者：朱小香 萨喆燕 周旋 周丽莉 叶笑然 薛苑 许金森 ZHU Xiaoxiang;SA Zheyan;ZHOU Xuan;ZHOU Lili;YE Xiaoran;XUE Yuan;XU Jinsen(Fujian Academy of Chinese Medical Sciences,Fuzhou 350003,China;Key Laboratory of Propagated Sensation Along Meridian of Fujian Province,Fuzhou 350003,China;School of Acupuncture-Moxibustion and Tuina,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)

机构地区：[1]福建省中医药科学院,福州350003 [2]福建省经络感传重点实验室,福州350003 [3]福建中医药大学针灸推拿学院,福州350122

出　　处：《中华中医药杂志》2024年第12期6906-6909,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.30973720);福建省属公益类科研院所基本科研专项项目(No.2019R1003-5)。

摘　　要：目的:观察艾灸关元和神阙穴对阳虚体质者任督二脉组织血氧及温度的影响。方法:将50名阳虚质受试者随机分为对照组和艾灸组,每组25名。对照组进行健康宣教,艾灸组在健康宣教基础上进行艾灸关元和神阙穴干预,每次30 min,隔天1次,5次为1个疗程,共2个疗程;分别于干预前后评估受试者阳虚质转化分,并运用近红外光谱血氧仪检测任脉和督脉穴位的组织血氧饱和度(StO_(2))、氧合血红蛋白(Oxy-Hb)含量和体表温度。结果:干预后,艾灸组阳虚质转化分较干预前显著降低(P<0.01),且显著低于对照组(P<0.01)。艾灸组膻中、气海、大椎、至阳和命门穴StO_(2)较干预前均显著升高(P<0.01,P<0.05),且膻中和大椎穴StO_(2)也较对照组显著升高(P<0.05)。艾灸组大椎和至阳穴Oxy-Hb含量较干预前显著升高(P<0.05,P<0.01)。艾灸组膻中和命门穴组织体表温度较对照组显著升高(P<0.05)。结论:艾灸关元和神阙穴可能通过调节人体任督二脉穴位组织StO_(2)、Oxy-Hb含量及体表温度,提升经脉组织能量代谢水平,进而改善阳虚体质。Objective:To observe the effects of moxibustion at Guanyuan(RN4)and Shenque(RN8)on the tissue oxygen saturation and surface temperature of Ren and Du meridians in subjects with yang deficiency constitution.Methods:A total of 50 subjects with yang deficiency constitution were randomly divided into control group and moxibustion group,with 25 cases in each group.The control group only received health propaganda,while the moxibustion group received moxibustion intervention on the basis of health propaganda,with 30 min of moxibustion at Guanyuan(RN4)and Shenque(RN8)every time,once every other day,5 times as a course of treatment,a total of 2 courses.The scores of yang deficiency constitution,tissue oxygen saturation(StO_(2)),oxyhemoglobin(Oxy-Hb),and surface temperature of the acupoints on the Ren and Du meridians were recorded before and after the intervention.Results:After the intervention,the scores of yang deficiency constitution in the moxibustion group were significantly lower than those before the intervention(P<0.01)and significantly lower than those in the control group(P<0.01),the StO_(2) levels of Danzhong(RN17),Qihai(RN6),Dazhui(DU14),Zhiyang(DU9),and Mingmen(DU4)in the moxibustion group were significantly higher than those before the intervention(P<0.01,P<0.05),and the StO_(2) levels of Danzhong(RN17)and Dazhui(DU14)were also significantly higher than those in the control group(P<0.05).The content of Oxy-Hb in Dazhui(DU14)and Zhiyang(DU9)in the moxibustion group was significantly increased compared to before the intervention(P<0.05,P<0.01).The surface temperature at Danzhong(RN17)and Mingmen(DU4)in the moxibustion group was significantly higher than that in the control group(P<0.05).Conclusion:Moxibustion at Guanyuan(RN4)and Shenque(RN8)may increase the energy metabolism level of the meridians by regulating the StO_(2),the content of Oxy-Hb and the temperature of the Ren and Du meridians,thereby improve the yang deficiency constitution.

关 键 词：阳虚体质 艾灸 关元穴 神阙穴 任督二脉 组织血氧饱和度 氧合血红蛋白 能量代谢 体表温度 

分 类 号：R24[医药卫生—中医临床基础]