中医推拿一指禅推法定点风池穴下的生物力学特征  

Biomechanical Characteristics of One-Finger Zen Push Method Applied at the Fengchi Acupoint in Traditional Chinese Tuina Therapy

作　　者：石梦妮 孙武权[1] 李静先[4] 郭蕾 吴志伟[1,2,3] 房敏 朱清广 SHI Mengni;SUN Wuquan;LI Jingxian;GUO Lei;WU Zhiwei;FANG Min;ZHU Qingguang(Department of Tuina,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Institute of Tuina,Shanghai Research Institute of Traditional Chinese Medicine,Shanghai 200437,China;Biomechanics Laboratory of the National Administration of Traditional Chinese Medicine,Shanghai 200437,China;College of Health Sciences,University of Ottawa,Ottawa K1N6N5,Canada;Department of Tuina,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [2]上海中医药研究院推拿研究所,上海200437 [3]国家中医药管理局生物力学实验室,上海200437 [4]加拿大渥太华大学健康科学学院,渥太华K1N6N5 [5]上海中医药大学附属曙光医院推拿科,上海201203

出　　处：《医用生物力学》2025年第2期456-461,共6页Journal of Medical Biomechanics

基　　金：上海市卫生健康委卫生行业临床研究专项(20244Y0219);国家自然科学基金项目(82274670,82474671);国家中医药管理局高水平中医药重点学科建设项目(推拿学,zyyzdxk-2023061)。

摘　　要：目的系统研究一指禅推法在风池穴定点操作下不同施力条件下的生物力学特性,以提供精准量化数据,提升治疗效果。方法招募10名具有高级职称的推拿医师,应用德国Novel Pliance-X 32 Expert手套动态压力分布测量系统,记录推拿医师在风池穴定点执行一指禅推法时,轻、中、重3种施力强度下3 min力学参数。数据分析选取力学输出稳定的中段1 min数据,评估最大压力、平均压力、峰值压强、平均压强、压力-时间积分(force-time integral,FTI)、压强-时间积分(pressure-time integral,PTI)及操作频率等关键力学指标。结果在轻、中、重3种施力条件下,高级职称推拿医师在风池穴定点操作的一指禅推法的最大压力均值分别为6.31、9.45、18.27 N,平均压力均值分别为3.31、5.64、9.05 N;峰值压强均值为26.10、34.80、70.00 kPa,平均压强均值为11.95、21.00、26.15 kPa;FTI均值为55.65、182.10、225.21 N·s;PTI均值为167.10、489.59、795.83 kPa·s;操作频率均值分别为156.00、150.60、154.80次/min。结论10名高级职称推拿医师在轻、中、重3种手法的自我界定和客观测量力学参数之间表现出较高的一致性,反映了推拿医师在不同施力条件下对手法力度的精确掌控,验证了一指禅推法在实际应用中的可操作性与可重复性,为量化研究和制定规范化临床操作标准提供可靠依据。Objective To systematically investigate biomechanical characteristics of one-finger Zen push method 456 applied at the Fengchi acupoint under different force conditions,in order to provide precise quantitative data and enhance the treatment efficacy.Methods Ten senior Tuina practitioners were recruited.The German Novel Pliance-X 32 Expert dynamic pressure distribution system was used to record the mechanical parameters during the application of one-finger Zen push at the Fengchi acupoint under three force intensities:light,medium,and heavy,for 3 minutes.Data from the stable 1-minute segment of the mechanical output was selected for data analysis,and key biomechanical parameters such as the maximum force,average force,peak pressure,mean pressure,force-time integral(FTI),pressure-time integral(PTI),and operational frequency were evaluated.Results Under light,medium,and heavy force conditions,the mean maximum force applied by senior Tuina practitioners at the Fengchi acupoint were 6.31,9.45,and 18.27 N,respectively,while the mean force were 3.31,5.64,and 9.05 N,respectively.The mean peak pressures were 26.10,34.80,and 70.00 kPa,while the mean pressures were 11.95,21.00,and 26.15 kPa,respectively.The mean FTIs were 55.65,182.10,and 225.21 N·s,and the mean PTIs were 167.10,489.59,and 795.83 kPa·s,respectively.The mean operational frequencies were 156.00,150.60,and 154.80 times/min,respectively.Conclusions Ten senior Tuina practitioners showed a high degree of consistency between their subjective definitions of light,medium,and heavy force and the objectively measured mechanical parameters.This reflected their precise control over the applied force under different force conditions,verifying the practicality and reproducibility of the one-finger Zen push method in clinical applications.This study provides a reliable basis for quantitative research and development of standardized clinical operation guidelines.

关 键 词：推拿 一指禅推法 风池穴 中医 生物力学 

分 类 号：R318.01[医药卫生—生物医学工程]