本文關(guān)鍵詞：針刺太沖穴對(duì)左手關(guān)部脈圖參數(shù)的影響，，由筆耕文化傳播整理發(fā)布。

針刺太沖穴對(duì)左手關(guān)部脈圖參數(shù)的影響

針刺太沖穴對(duì)左手關(guān)部脈圖參數(shù)的影響

研究目的:“寸口診法”是中醫(yī)最主要的脈診法。歷代醫(yī)家遵《內(nèi)經(jīng)》之旨,認(rèn)為寸關(guān)尺分候一定的臟腑,因而在病理?xiàng)l件下就可以在相應(yīng)的部位表現(xiàn)出異常脈象,因而能為疾病的診斷提供依據(jù)。本實(shí)驗(yàn)通過針刺60例正常人肝經(jīng)原穴太沖穴,觀察并對(duì)比研究針刺前后脈象圖(包括主要參數(shù)、脈位、脈力、脈勢、脈形、脈率、節(jié)律等)參數(shù)的變化,以期闡明中醫(yī)脈診“左關(guān)候肝”的寸關(guān)尺分候臟腑理論是否有其存在的客觀依據(jù),為中醫(yī)脈診的客觀化研究提供依據(jù)。研究策略:60名正常人全部來自北京中醫(yī)藥大學(xué)在校學(xué)生,采用隨機(jī)數(shù)字表法簡單隨機(jī)分為2組,即針刺太沖組(實(shí)驗(yàn)組)和針刺闌尾組(對(duì)照組)。所有受試者針刺前后分別采用ZM-III型智能脈象儀采集病人左手關(guān)脈脈象圖形,由脈象淺析淺析軟件得出脈圖各種參數(shù)信息,并將收集的資料存檔;然后采用統(tǒng)計(jì)軟件檢驗(yàn)相關(guān)實(shí)驗(yàn)數(shù)據(jù);對(duì)比研究針刺前后及實(shí)驗(yàn)組和對(duì)照組脈象的有關(guān)資料,嘗試用脈診理論和寸關(guān)尺臟腑分候理論進(jìn)行驗(yàn)證和解釋。實(shí)驗(yàn)結(jié)果:1太沖組針刺前后受試者脈圖參數(shù)h1、h3、t變化顯著,闌尾組針刺前后受試者脈圖參數(shù)h3、t發(fā)生顯著變化;對(duì)比太沖組和闌尾組針刺前后脈圖參數(shù)的變化值△h1、△h3、△h1/△h3差異均無統(tǒng)計(jì)學(xué)意 義(P≥0.05);脈圖參數(shù)的變化值△t有極顯著性差異(P≤0.01)。2太沖組針刺前后脈象名稱,脈位、脈數(shù)、脈形、脈勢的變化:(1)脈位:6例轉(zhuǎn)變,占總數(shù)的33.3%,其它均未有轉(zhuǎn)變。其中,3例浮-中,6例中-浮,1例沉-中。脈位轉(zhuǎn)變趨勢為脈位變淺。(2)脈力:6例轉(zhuǎn)變占總數(shù)的20%,其它均未有轉(zhuǎn)變。其中,2例無力-中,2例有力-中,1例無力-有力,1例中-中滑。脈力轉(zhuǎn)變趨勢為脈力增強(qiáng)。(3)脈勢:2例低平虛-正常,1例低平虛-正常,共3例有轉(zhuǎn)變,占總數(shù)的10%,其它均未有轉(zhuǎn)變。(4)脈形:16例有轉(zhuǎn)變,占總數(shù)的53.3%,其它均未有轉(zhuǎn)變。其中,6例abc-ac,4例abc-ab,6例ac-abc。(5)脈名:20例有轉(zhuǎn)變,占總數(shù)的66.7%,其它均未有轉(zhuǎn)變。其中,2例浮脈-平脈,1浮脈-弦脈,1例弦脈-平滑脈,1例平脈-平弦脈,1例滑脈-平滑脈,1例平脈-浮脈,1例滑脈-平脈,1例弦脈-緩脈,1例平弦脈-平滑脈,1例平弦脈-弦脈,1例平弦脈-浮脈,1例浮脈-平滑脈,1例虛類脈-滑脈,1平脈-弦脈,1例平脈-滑脈,1例平滑脈-滑脈,1例平滑脈-平脈。3闌尾組針刺前后脈象名稱,脈位、脈數(shù)、脈形、脈勢的變化:(1)脈位:4例浮-中,占總數(shù)的13.3%,其它均未有轉(zhuǎn)變。(2)脈力:4例無力-中,占總數(shù)的13.3%,其它均未有轉(zhuǎn)變。(3)脈勢:4例低平虛-正常,1例正常-有力,共5例有轉(zhuǎn)變,占總數(shù)的16.7%,其它均未有轉(zhuǎn)變。(4)脈形:8例有轉(zhuǎn)變,占總數(shù)的26.7%,其它均未有轉(zhuǎn)變。其中,2例abc-ac,2例abc-ab,2例ac-abc,2例ab-abc。(5)脈名:15例有轉(zhuǎn)變,占總數(shù)的50%,其它均未有轉(zhuǎn)變。其中,3例平脈-弦脈,2例浮脈-弦脈,1例浮脈-結(jié)代脈,1例平脈-平弦脈,1例虛類脈-弦脈,1例平滑脈-浮脈,1例浮脈-平滑脈,1例弦脈-虛類脈,1例平脈-結(jié)代脈,1例弦脈-平弦脈,1例平滑脈-平脈,1例平脈-平滑脈。實(shí)驗(yàn)結(jié)論:針刺太沖穴主要引起了左手關(guān)部脈圖參數(shù)h1、h3、t的顯著升高,對(duì)脈位、脈力、脈勢、脈名的影響都有良性的趨中性的特點(diǎn),說明針刺肝經(jīng)原穴太沖穴對(duì)左手關(guān)脈確有調(diào)整作用,而且這種調(diào)整作用主要是緩和作用或趨中性作用,在一定程度上驗(yàn)證了針刺太沖穴有柔肝緩急的作用,體現(xiàn)了太沖穴的功能特異性。但由于針刺太沖穴和針刺闌尾穴二者對(duì)脈圖參數(shù)的影響無明顯區(qū)別,說明“左關(guān)候肝理論”在本實(shí)驗(yàn)中不能找到確切的實(shí)驗(yàn)依據(jù)。

【Abstract】 The paper consists two parts: literature review and experimental study. The firstsection reviews and introduces the experimental survey of the Chinesepulse-diagnostic history. The second section is Experimental Research as follows:Objective: To discuss and prove the old Chinese theory that left ’cun’portion (It islocated on the upper edge of the styloid process of the radios and at the radial end ofthe left wrist. ) represent certain bowels or viscera through the experiment by healthyundergraduates.Methods: All experimental objects are from healthy undergraduates. Thesepeoples are divided into two groups:LR3 Group and EX-LE7 Group(Model Group).Every group has 30 peoples and every people will accept the therapy of acupuncturewith needles. Two different Group are treated with different acu-points. People in LR3Group use LR3 point and people in Model Group use EX-LE7 point. Before and afteracupuncture every body’s pulse tracings map are measured respectively by particularsphygmograph. Then discuss the experimental data and analyze the experimentalresults.Results:(1) Before and after acupuncture, the score level of HI, H3, H3/H1 and T in LR3Group are significant differently(P<0.05). All scores were increased in LR3Group after acupuncture.(2) Before and after acupuncture, the score level of H3 and T in Model Group aresignificant differently(P<0.05).(3) Compared between the LR3 Group and model group, the score level of△hl,△h3 and△hl/△h3 (P<0.01) are in the same degree and the score level of△t aremore increased in model group.(4) There are fewer changes about the pulse name, pulse depth, pulse power,pulse rhythm and pulse position in LR3 Group and model group. The minority ofexperimental parameter are converge to middle degree.Conclusion:Acupuncturing LR3 point can promote the heart capacity and prolong the pulsecycle. Acupuncturing LR3 has the active and moderate function toward heart andvessels system. Although the LR3 point has particular action to human body, theeffects are feeble. Conclusively, the experimental data can not prove the old Chinesetheory that left ’cun’portion represent certain bowels or viscera because the two groupshas not essential difference in this acupuncturing experiment.

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  本文關(guān)鍵詞：針刺太沖穴對(duì)左手關(guān)部脈圖參數(shù)的影響，由筆耕文化傳播整理發(fā)布。