腹部常用穴穴区微循环血流灌注量的差异及不同温度艾灸的影响

蒋颖; 戴文君; 姜劲峰

腹部常用穴穴区微循环血流灌注量的差异及不同温度艾灸的影响

1.
南京中医药大学第二临床医学院，江苏南京 210023
2.
无锡市中医院针灸科，江苏无锡 214071

计量
- 文章访问数: 1267
- HTML全文浏览量: 10
- PDF下载量: 1260
- 被引次数: 0
出版历程
- 收稿日期: 2017-02-02
- 修回日期: 2017-05-12
- 刊出日期: 2017-07-10

Effect of Moxibustion at Different Temperatures on the Difference of Microcirculatory Blood Perfusion at Commonly-used Abdominal Points Area

1.
The Second Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210023, China
2.
Acupuncture and Moxibustion Department, Wuxi Chinese Medicine Hospital, Wuxi, 214071, China

摘要

摘要: 目的观察正常生理状态下腹部常用穴穴区微循环的规律特点，比较不同温度艾灸对其微循环的影响差异。方法纳入52例正常青年志愿者（男18，女34），采用激光多普勒血流仪依次测量其腹部的神阙、肓俞、天枢、大横、水分、气海、关元、中脘穴穴区皮肤微循环值；随后从中选取神阙、天枢穴进行不同温度(40~43℃和＞43℃，＜44℃)艾灸干预，连续灸7次，每次2种温度各2min，观察不同温度艾灸对该两穴穴区皮肤微循环的影响。结果 ①正常生理状态下，神阙穴穴区微循环值明显高于其他所测穴位穴区的微循环值(P＜0.01)；肓俞穴微循环值高于天枢穴(P＜0.05)、大横穴(P＜0.01)；天枢穴微循环值高于大横穴(P＜0.01)。②艾灸后神阙、天枢穴微循环值均升高且神阙穴在2种温度艾灸时的微循环均值、最大值、与艾灸前的差值皆大于天枢穴（P＜0.01）；在艾灸刺激下，神阙穴微循环值较天枢穴先出现变化并且晚进入平台期；神阙穴微循环值对艾灸温度变化的反应比天枢穴敏感。结论腹部常用穴位中，神阙穴穴区的皮肤微循环值最高；腹部水平平脐的穴位整体表现出越接近脐，其皮肤微循环值越高的趋势。同等温灸条件下神阙穴穴区皮肤微循环值的升高速度、幅度和持续升高时间都优于天枢穴。初步明确神阙穴在腹部常用穴位中具有微循环的特殊性与优越性，为穴位微循环结构特异性提供有效的证据支撑。
- 神阙穴 /
- 微循环 /
- 艾灸
Abstract: OBJECTIVE To observe the rules and characteristics of microcirculatory blood perfusion at commonly-used abdominal points area under normal physiological conditions， and compare the effect of moxibustion at different temperatures on microcirculation. METHODS 52 health young volunteers were included (male， 18 cases; female， 34 cases). Laser Doppler flowmetry was applied to measure the skin microcirculation values of their abdominal points including Shenque (CV8)， Huangshu (KI16)， Tianshu (ST25)， Daheng (SP15)， Shuifen (CV9)， Qihai (CV6)， Guanyuan (CV4) and ZhongWan (CV12). Then， Shenque (CV8) and Tianshu (ST25) were selected and intervened by moxibustion at different temperatures (40~43℃ and >43℃， <44℃)， and the moxibustion was performed 7 times continuously， at 2 kinds of temperatures for 2min each time. Effects of moxibustion at different temperatures on kin microcirculation of these two points were observed. RESULTS ①Under normal physiological conditions， microcirculation value of Shenque point (CV8) was obviously higher than that of other points (P<0.01). Microcirculation value of Huangshu point (KI16) was higher than that of Tianshu point (ST25) and Daheng point (SP15). Microcirculation value of Tianshu point (ST25) was higher than that of Daheng point (SP15). ②After moxibustion， both microcirculation values of Shenque point (CV8) and Tianshu point (ST25) increased， and both the differences of mean and maximum microcirculation values of Shenque point (CV8) were higher than that of pre-moxibustion at two temperatures. Under the stimulation of moxibustion， microcirculation value of Shenque point (CV8) changed earlier and reached platform later compared with Tianshu point (ST25). The response of microcirculation value of Shenque point (CV8) was more sensitive to temperature changes than Tianshu point (ST25). CONCLUSION Among commonly-used abdominal points， skin microcirculation value of Shenque point (CV8) is the highest， skin microcirculation values of abdominal points that horizontally paralleled with umbilicus tend to be higher if it is closer to umbilicus. With the same warm moxibustion condition， increasing speed， range and duration of skin microcirculation value of Shenque point (CV8) are higher compared with Tianshu point (ST25). It is preliminary clear that among the commonly-used abdominal points， Shenque point (CV8) has particularity and superiority in microcirculation， which provides effective evidence support for the specificity of the microcirculation structure.
- Shenque point /
- microcirculation /
- moxibustion

HTML全文

参考文献(27)

[1]	穆祥，张维波.论经络与细胞物理环境[J].科技导报，2000，18(7):7-9.
[2]	MU X， ZHANG WB. On meridians and physical circumstances of cells[J]. Sci Tech Rep， 2000，18(7): 7-9.
[3]	杨伟宁，李志同，解秸萍.针灸与微循环[J].微循环学杂志，2012，22（3）:54-57.
[4]	YANG WN， LI ZT， XIE JP. Acupuncture and Microcirculation[J]. Chin J Microcircul， 2012，22（3）:54-57.
[5]	穆祥，段惠琴，陈武，等.腧穴实质与微血管相关的生理学研究[J].中国中医基础医学杂志，2001，7(12):47-52.
[6]	MU X， DUAN HQ， CHEN W， et al. Physiology research of the correlation between the essence of acupoints and the microvascular[J].Chin J Basic Med Tradit Chin Med，2001，7(12):47-52.
[7]	张蕊，王玲玲，吴中朝.艾灸对33例正常老年人甲襞微循环的影响[J].中医研究，2008，20（1）:50-51.
[8]	ZHANG R， WANG LL， WU ZC. The influence of moxibustion on NFMC of 33 normal old people[J].Tradit Chin Med Res， 2008，20（1）:50-51.
[9]	吕庆超.灸脐疗法文献研究[D].济南:山东中医药大学，2015.
[10]	LYU QC. The Literature Study on the Umbilical Mosibustion Therapy[D]. Jinan: Shandong University of Traditional Chinese Medicine，2015.
[11]	罗永芬.腧穴学[M].上海:上海科学技术出版社，2001:271.
[12]	LUO YF. Subject of Acupoints[M].Shanghai:Shanghai scientific technical publishers，2001:271.
[13]	朱江，付平，梁军，等.腧穴研究进展[J].中国针灸，2003，23(3):183-186.
[14]	ZHU J， FU P， LIANG J et al. Advances in studies onacupoints[J].Chin Acupunct Moxib， 2003，23(3):183-186.
[15]	金炳旭，赖新生，唐纯志.腧穴特异性研究进展[J].针刺研究，2008，33（2）:135-138.
[16]	JIN BX， LAI XS， TANG CZ. Progress in researches on the specificity of acupoints[J]. Acupunct Res， 2008，33(2):135-138.
[17]	许金森，潘晓华，胡翔龙.督脉循行线上及其左右两侧旁开对照点微循环血流灌注量的比较[J].针刺研究，2008，33(5):321-325.
[18]	XU JS， PAN XH， HU XL.Comparison between governor meridian and its bilateral control points in microcirculatory blood perfusion in 53 volunteer subjects[J]. Acupunct Res， 2008，33(5):321-325.
[19]	朱兵.穴位的效应特征:广谱性和特异性[J].针刺研究，2016，41(5):388.
[20]	ZHU B. Effect characteristics of acupoints: extensive adaptability and specificity[J].Acupunct Res， 2016，41（5）:388.
[21]	齐永.脐针疗法、脐全息与脐诊法[J].中国针灸，2004，24(10):70-75.
[22]	QI Y.Umbilicus needling therapy， umbilicus holographic theory and umbilicus diagnosis[J].Chin Acupunct Moxib， 2004，24(10):70-75.
[23]	高秀花，李国武，刘旭光.神阙穴古今临床应用探析[J].湖南中医杂志，2015，31(2):81-82.
[24]	GAO XH，LI GW， LIU XG. Analysis of the Clinical Application of ShenQue[J].Hunan J Tradit Chin Med， 2015，31(2):81-82.
[25]	唐晖.基于文献的艾灸疗法应用规律研究[D].广州:广州中医药大学，2011.
[26]	TANG H. Study on the Application Laws of Moxibustion Based on the Literature[D].Guangzhou:Guangzhou University of Chinese Medicine，2011.
[27]	LI J，JIANG J.Role of transient receptor potential vanilloid subetype 1 in the increase of thermal pain threshold by moxibustion[J].J Tradit Chin Med， 2015，35(5):583-7.