灸法补泻理论的热力学机制探讨

Discussion on the Thermodynamical Mechanism of Reinforcing and Reducing in Moxibustion

1.
School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, 250014, China
2.
The First Department of Acupuncture and Moxibustion, Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan, 250012, China

摘要: 介绍了文献中灸法补泻的具体方法，并从热力学的角度对灸法补泻的机制进行探讨，认为艾灸补法是使艾绒阴燃，使其热传递速率大于燃烧区的空气流动速率，从而对机体进行一个热量的输入；泻法则是尽量使艾绒产生快速的燃烧，加速燃烧区空气的流动，使燃烧区的空气流动速率远大于热传递的速率，从而使艾灸皮肤表面温度低于上部温度，利用空气流动向上的力度将体内邪气引出。
- 热效应 /
- 快速燃烧 /
- 热传递 /
- 灸法补泻
Abstract: The paper elaborated the specific methods of reinforcing and reducing in moxibustion recorded in the literature and probed its mechanism from the perspective of thermodynamics. It holds that reinforcing in moxibustion is to enable the heat transfer rate of smoldering moxa faster than the airflow rate of the combustion zone so as to allow the heat of penetrate into human body. On the contrary， reducing in moxibustion is to enable the airflow rate of the combustion zone faster than the heat transfer rate of rapid burning moxa. As a result， the temperature of the skin surface is lower than that of the upper moxa. Therefore， pathogen could be drained with the intensity of upwards airflow.
- heat effect /
- rapid burning /
- heat transfer /
- reinforcing and reducing in moxibustion

[1]	灵枢经[M].田代华，刘更生，整理.北京:人民卫生出版社，2005:107-108，1-9.
[2]	杨继洲.针灸大成[M].黄龙祥，整理.北京:人民卫生出版社，2006:420.
[3]	杨上善.黄帝内经太素[M].北京:人民卫生出版社，1965:187-188.
[4]	朱震亨.丹溪心法[M].北京:人民军医出版社，2007:355.
[5]	朱橚.普济方[M].北京:人民卫生出版社，1983:52.
[6]	邓春雷.灸法补泻作用的发生机理和控制[J].陕西中医学院学报，1988，11(1):10-12.
[7]	李梃.医学入门[M].北京:中国中医药出版社，1995:119.