本文選題：痰濕體質(zhì)　切入點(diǎn)：經(jīng)絡(luò)　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：本研究通過(guò)觀察痰濕體質(zhì)人群腹部區(qū)域上的足太陰脾經(jīng)、足陽(yáng)明胃經(jīng)、任脈以及中脘穴的紅外熱圖特征,與平和體質(zhì)人群作對(duì)比,以尋求其中的規(guī)律,探討紅外熱圖是否能作為中醫(yī)痰濕體質(zhì)辨識(shí)的評(píng)價(jià)工具,并為臨床治療帶來(lái)一些思路。方法：對(duì)《中醫(yī)體質(zhì)分類與判定》中《中醫(yī)體質(zhì)量表》測(cè)定的痰濕體質(zhì)人群的主因子及次因子進(jìn)行統(tǒng)計(jì)學(xué)分析,尋找體表定位區(qū)域和效應(yīng)特性。采用隨機(jī)對(duì)照設(shè)計(jì),抽取平和體質(zhì)及痰濕體質(zhì)各30例。選取腹部區(qū)域上的足太陰脾經(jīng)、足陽(yáng)明胃經(jīng)、任脈循經(jīng)線及中脘穴為痰濕體質(zhì)紅外熱圖觀察區(qū)域。應(yīng)用醫(yī)用紅外熱成像系統(tǒng),采集紅外熱圖。通過(guò)醫(yī)用紅外專用分析軟件,對(duì)比相應(yīng)溫度數(shù)據(jù)。通過(guò)SPSS17.0統(tǒng)計(jì)軟件分析,總結(jié)出痰濕質(zhì)人群在腹部經(jīng)穴上紅外熱圖的特征性表現(xiàn)。結(jié)果：1、組間對(duì)照痰濕質(zhì)組與平和質(zhì)組的腹部區(qū)域脾經(jīng)段紅外熱圖At值,左側(cè)：P=0.000(P0.01),有統(tǒng)計(jì)學(xué)意義；右側(cè)：P=0.000(P0.01),有統(tǒng)計(jì)學(xué)意義；痰濕質(zhì)組與平和質(zhì)組腹部區(qū)域的脾經(jīng)溫度具有顯著差異。2、組間對(duì)照痰濕質(zhì)組與平和質(zhì)組腹部區(qū)域胃經(jīng)紅外熱圖的At值,兩組比較,左側(cè)：P=0.000(P0.01),有統(tǒng)計(jì)學(xué)意義；右側(cè)：P=0.001(P0.01),有統(tǒng)計(jì)學(xué)意義；痰濕質(zhì)組和平和質(zhì)組腹部區(qū)域的胃經(jīng)溫度具有顯著差異。3、組間對(duì)照痰濕質(zhì)組和平和質(zhì)組腹部區(qū)域任脈紅外熱圖的At值,兩組比較：P=0.006(P0.01),有統(tǒng)計(jì)學(xué)意義；痰濕質(zhì)組和平和質(zhì)組腹部區(qū)域任脈溫度具有顯著差異。4、組內(nèi)對(duì)照平和質(zhì)組左側(cè)腹部區(qū)域三條經(jīng)絡(luò)△t值：P=0.212,(P0.05),無(wú)統(tǒng)計(jì)學(xué)意義,三條經(jīng)絡(luò)溫度無(wú)顯著差異；平和質(zhì)組右側(cè)腹部區(qū)域三條經(jīng)絡(luò)對(duì)比：P=0.089,(P0.05),無(wú)統(tǒng)計(jì)學(xué)意義,三條經(jīng)絡(luò)溫度無(wú)顯著差異。5、組內(nèi)對(duì)照痰濕組腹部左側(cè)三條經(jīng)絡(luò),P=0.032(P0.05),有統(tǒng)計(jì)學(xué)意義,其中脾經(jīng)與胃經(jīng)、任脈比較：P=0.000, (P0.01),有顯著差異；胃經(jīng)與任脈比較：P=0.948,(P0.05),無(wú)統(tǒng)計(jì)學(xué)意義。痰濕組腹部右側(cè)三條經(jīng)絡(luò)對(duì)比：P=0.000,(P0.01),三條經(jīng)有顯著差異,其中脾經(jīng)與胃經(jīng)、任脈比較：P=0.000,P0.01,有顯著差異；胃經(jīng)與任脈比較：P=0.480,(P0.05),無(wú)統(tǒng)計(jì)學(xué)意義。6、對(duì)比兩組中脘穴與胃脘部分的△t值,P=0.000,(P0.01),有統(tǒng)計(jì)學(xué)意義,差異具有顯著性。結(jié)論：1、痰濕質(zhì)組腹部區(qū)域脾經(jīng)溫度高于平和質(zhì)組,胃經(jīng)、任脈的溫度低于平和質(zhì)組；痰濕體質(zhì)人群腹部區(qū)域脾經(jīng)溫度遠(yuǎn)高于胃經(jīng)、任脈,胃經(jīng)、任脈溫度均偏低,無(wú)顯著差異。2、痰濕體質(zhì)人群中脘穴溫度高于胃脘區(qū)域溫度。3、腹部區(qū)域經(jīng)絡(luò)的溫度對(duì)比以及中脘穴溫度的高低,對(duì)痰濕體質(zhì)的判定有一定的參考價(jià)值。4、紅外線熱圖對(duì)體質(zhì)判定有一定的參考價(jià)值。
[Abstract]:Objective: to observe the characteristics of infrared heat map of foot Taiyin spleen Meridian, foot Yangming stomach Meridian, Renmai and Zhongwan points in the abdominal region of the people with phlegm and dampness constitution, and to find out the rules among them. To explore whether infrared thermogram can be used as an evaluation tool for the identification of phlegm and dampness constitution of traditional Chinese medicine. Methods: the main factors and secondary factors of phlegm and dampness were measured in TCM physique scale. A randomized controlled design was used to select 30 cases of mild physique and 30 cases of phlegm dampness constitution. The abdominal area of foot Taiyin spleen Meridian and foot Yangming stomach Meridian were selected. The observation area of phlegm-dampness constitution infrared thermal map is the points along the meridian of the meridian of the meridian and Zhongwan. The infrared thermogram is collected by using the medical infrared thermal imaging system. The corresponding temperature data are compared by the special analysis software of medical infrared, and analyzed by the SPSS17.0 statistical software. The characteristics of infrared thermogram on abdominal meridian of phlegm-dampness group were summarized. Results: there was statistical significance in infrared thermogram of spleen of abdominal region between control group and peaceful group, the value of infrared thermogram of splenic segment in the left side of the phlegm dampness group and the control group was significantly higher than that of the control group, and there was significant difference between the two groups, and there was a significant difference between the two groups, and there was a significant difference between the two groups, and there was a significant difference between the two groups. There was significant difference in spleen meridian temperature between phlegm-dampness group and calming group. There was significant difference between the two groups in the infrared thermogram of stomach meridian of phlegm dampness group and peaceful substance group, there was significant difference between the two groups, there was significant difference between the two groups, and there was significant difference between the two groups, the right side was 0.001% P0. 01, and the right side was 0. 001% P0. 01, there was significant difference between the two groups. There was significant difference in temperature of stomach meridian between the two groups. There was significant difference in the temperature of stomach meridian between the two groups. There was statistical significance between the control group and the group of phlegm dampness substance group and the group of phlegm wet substance group and the control group, the infrared thermogram of the abdominal region of the phlegm dampness group was compared with that of the control group. There was significant difference between the phlegm dampness group and the group of phlegm dampness. 4. There was no significant difference in the temperature of the three meridians in the left abdominal region of the control group. There was no significant difference in the temperature of the three meridians between the two groups. There was no significant difference in the temperature of the three meridians in the right abdominal region of the control group. There was no significant difference in the temperature of the three meridians. 5. In the control group, the left side of the three meridians of phlegm dampness group had three meridians in the left side of the abdomen, which had statistical significance, among which, the spleen meridian and the stomach meridian. There was significant difference between the two groups, and there was no statistical significance between the two groups. In the phlegm-dampness group, there were significant differences in the three channels of the right side of the abdomen. There were significant differences among the three meridians, among which the spleen meridian was significantly different from the stomach meridian, and the Renmai meridian was significantly different from the control P0. 000 P0. 01. the phlegm dampness group had a significant difference in the right side of the abdomen compared with the three meridians of the stomach meridian, the spleen meridian and the stomach meridian. There was no significant difference in the stomach meridian between the two groups (P < 0. 080, P 0. 05, P 0. 05). There was a significant difference between the two groups. Conclusion the temperature of spleen meridian in the abdominal region of the phlegm dampness group is higher than that in the mild group, and the stomach meridian is higher in the phlegm dampness group than in the mild group, and there is a significant difference between the two groups in terms of t value (P = 0. 000) and stomach meridian. The temperature of the spleen meridian in the abdominal region of the group with phlegm-dampness constitution was much higher than that in the stomach meridian, and the temperature of the spleen meridian was lower than that of the stomach meridian. There was no significant difference. 2. The temperature of Zhongwan point was higher than that of epigastric area in the group of phlegm dampness constitution, and the temperature of the abdominal meridian and the temperature of Zhongwan acupoint was higher than that of the stomach area. It has certain reference value for judging phlegm and dampness constitution.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246

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