人体健康状态与疾病状态穴位热敏化规律的对比研究  

Comparative study on the patterns of thermal sensitization of acupoints in human hHealth status and disease status

作　　者：张碧航 宁佐伟 叶楚桥 叶雁影 田宁 ZHANG Bi-hang;NING Zuo-wei;YE Chu-qiao;YE Yan-ying;TIAN Ning(Guangzhou University of Chinese Medicine,GuangZhou 510006,China;Guangdong Hospital of Integrated Traditional Chinese and Western Medicine,Foshan 528200,China)

机构地区：[1]广州中医药大学,广东广州1510006 [2]广东省中西医结合医院,广东佛山528200

出　　处：《时珍国医国药》2025年第6期1185-1191,共7页Lishizhen Medicine and Materia Medica Research

基　　金：广东省中医药局科研项目(20191052);佛山市科技创新项目(FSOAA-KJ218-1301-0023)。

摘　　要：目的观察人体在健康状态及疾病状态下的穴位热敏化现象差异,探讨穴位热敏化规律。方法纳入受试者120例。分为健康组、疾病1组(咳嗽组)及疾病2组(落枕组),共分3组,每组40例。使用艾条悬灸方式探查计算受试者热敏穴个数、灸感类型指数、灸感强度指数、灸感积分,分别比较健康状态、疾病状态(疾病发生时)及治愈状态(达到临床治愈标准后第1天、第7天)受试者的穴位热敏化表现差异。结果疾病1组(咳嗽组)和疾病2组(落枕组)在疾病状态出现热敏穴个数、灸感类型指数、灸感强度指数均多于治愈状态(P<0.01)与健康组(P<0.01)。疾病1组(咳嗽组)达到临床治愈标准后第1天、第7天的热敏穴个数与健康状态相当(P>0.05);疾病2组(落枕组)达到临床治愈标准后第1天热敏穴个数与健康状态相当(P>0.05),达到临床治愈标准后第7天热敏穴个数较健康状态减少(P<0.05)。疾病1组(咳嗽组)和疾病2组(落枕组)达到临床治愈标准后第1天、第7天的灸感类型指数与健康状态相当(P>0.05)。疾病1组(咳嗽组)和疾病2组(落枕组)达到临床治愈标准后第1天灸感强度与健康状态相当(P>0.05),达到临床治愈标准后第7天灸感强度较健康状态降低(P<0.05)。结论人体健康状态及疾病状态下,热敏穴个数、灸感类型的丰富程度、灸感强度等热敏化现象存在明显的差异。Objective To observe the differences in thermal sensitization phenomena of acupoints between healthy and disease states in humans and explore the patterns of acupoint thermal sensitization.Methods A total of 120 participants were enrolled and divided into three groups:healthy group,Disease Group 1(cough group),and Disease Group 2(stiff neck group),with 40 participants in each group.Using suspended moxibustion with moxa sticks,the number of heat-sensitive acupoints,moxibustion sensation type index,moxibustion sensation intensity index,and moxibustion sensation integral in subjects were investigated and calculated.Differences in acupoint thermal sensitization manifestations were compared respectively among participants in healthy state,disease state(during disease onset),and cured state(on the first day and seventh day after meeting clinical cure criteria).Results Disease Group 1(cough)and Disease Group 2(stiff neck)exhibited significantly higher numbers of thermally sensitized acupoints,sensation type indices,and sensation intensity indices during the disease state compared to the cured state(P<0.01)and the healthy group(P<0.01).In Disease Group 1(cough),the number of thermally sensitized acupoints on day 1 and day 7 post-cure was comparable to the healthy state(P>0.05).In Disease Group 2(stiff neck),the number of thermally sensitized acupoints on day 1 after reaching the clinical cure standard was similar to the healthy state(P>0.05),but decreased by day 7(P<0.05).The sensation type indices for both Disease groups on days 1 and 7 post-cure were comparable to the healthy state(P>0.05).The sensation intensity indices on day 1 post-cure were similar to the healthy state(P>0.05),but decreased by day 7(P<0.05).Conclusion Significant differences in thermal-sensitive phenomena between the human body in healthy and disease states,including the number of thermal-sensitive acupoints,the diversity of moxibustion sensation types,and the intensity of moxibustion sensations.

关 键 词：穴位 热敏灸 健康状态 疾病状态 

分 类 号：R245[医药卫生—针灸推拿学]