本文選題：陽虛質(zhì) + 紅外熱圖��； 參考：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：本研究通過觀察中醫(yī)陽虛質(zhì)人群紅外熱圖,以三焦及任督經(jīng)穴的紅外熱圖為主,與平和質(zhì)人群對比,尋找中醫(yī)陽虛質(zhì)人群紅外熱圖客觀化特征,為中醫(yī)陽虛質(zhì)判定提供一定參考。方法：以中醫(yī)臟腑、經(jīng)絡(luò)理論為基礎(chǔ),首先采用文獻(xiàn)研究方法,對中國知網(wǎng)數(shù)庫據(jù)進(jìn)行檢索,人工統(tǒng)計(jì)中醫(yī)陽虛質(zhì)人群寒熱屬性的體表特異性部位及經(jīng)穴；其次采用回顧性調(diào)查研究方法,對138例陽虛質(zhì)人群的《中醫(yī)體質(zhì)量表》結(jié)果進(jìn)行統(tǒng)計(jì)分析,尋找陽虛質(zhì)人群寒熱屬性與部位的相關(guān)性；最后采用實(shí)驗(yàn)研究方法,以《中醫(yī)體質(zhì)分類與判定》(ZYYXH/T157-2009)為標(biāo)準(zhǔn),隨機(jī)選取平和質(zhì)和陽虛質(zhì)健康人各30例,分為平和質(zhì)組和陽虛質(zhì)組,進(jìn)行對照試驗(yàn)。采集紅外熱圖,運(yùn)用TMI-W-6.0系統(tǒng)測量三焦及任、督經(jīng)穴等區(qū)域紅外熱圖平均溫度,進(jìn)行數(shù)據(jù)分析(SPSS17.0),總結(jié)陽虛質(zhì)人群紅外熱圖特征表現(xiàn)。結(jié)果：1、文獻(xiàn)及調(diào)查研究結(jié)果表明：陽虛質(zhì)主觀感知以“寒”為主,陽虛質(zhì)主因子出現(xiàn)怕冷癥狀者占97.8%,“寒”性特征集中分布在中焦(胃脘)(占95.7%)、手足(古97.8%)等部位。2、陽虛質(zhì)組△T上焦比平和質(zhì)組△T上焦高,具有顯著性差異(P0.01)；陽虛質(zhì)組△T中焦、△T下焦比平和質(zhì)組低,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3、陽虛質(zhì)組三焦溫度分布：AT上焦△T中焦△T下焦,上焦溫度高于軀干溫度,表現(xiàn)為“熱”的屬性,中焦、下焦溫度低于軀干溫度,表現(xiàn)為“寒”的屬性,兩兩!匕較具有顯著差異(P0.01),三焦溫度依次遞減,呈“上熱下寒”現(xiàn)象。4、陽虛質(zhì)組△T督脈比平和質(zhì)組高,具有顯著差異(P0.01)；兩組△T任脈比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。陽虛質(zhì)組督脈：△T B區(qū)溫度低于AT A區(qū)、△T C區(qū)溫度,B區(qū)溫度高于D區(qū)溫度,其中AT B區(qū)與△T C區(qū)具有顯著差異(P0.01)5、陽虛質(zhì)組△T關(guān)元比平和質(zhì)組低,具有顯著性差異(P0.01)；陽虛質(zhì)組△T命門、AT胃俞(雙側(cè))、AT腎俞(雙側(cè))高于平和質(zhì)組對應(yīng)穴位,差異均有有統(tǒng)計(jì)學(xué)意義(P0.05)結(jié)論：1、陽虛質(zhì)人群紅外熱圖上、中、下三焦區(qū)域溫度分布依次遞減,呈“上熱下寒”現(xiàn)象,與傳統(tǒng)中醫(yī)“陽虛則寒”的認(rèn)知存在一定差異。2、陽虛質(zhì)人群督脈紅外熱圖可能存在“阻斷”現(xiàn)象,在關(guān)元、命門、腎俞、胃俞等穴位可能有一定特異性表現(xiàn)。
[Abstract]:Objective: by observing the infrared thermogram of yang deficiency group in TCM, the infrared thermogram of Sanjiao and Ren du meridian was mainly used, and compared with the peaceful and qualitative crowd, the objective characteristics of infrared heat map of yang deficiency group in traditional Chinese medicine were found. To provide a certain reference for the judgment of deficiency of Yang in TCM. Methods: based on the theory of zang-fu organs and meridians of traditional Chinese medicine (TCM), firstly, by using the method of literature research, we searched the database of the number of knowledge networks in China, and artificially counted the specific parts of body surface and the acupoints of the cold and heat attribute of Yang deficiency people in traditional Chinese medicine. Secondly, the results of TCM physique scale of 138 cases of Yang deficiency were statistically analyzed by retrospective investigation to find out the correlation between the cold and heat properties of Yang deficiency people and their parts. Taking ZYYXH / T 157-2009 as the standard, 30 healthy persons with mild and Yang deficiency were randomly selected and divided into two groups: peaceful group and Yang deficiency group, and the control experiment was carried out. The infrared thermal maps were collected and the average temperature of infrared thermal maps of Sanjiao and Ren and du channels were measured by TMI-W-6.0 system. The data were analyzed by SPSS 17.00.The characteristics of infrared thermograms of Yang deficiency people were summarized. Results: 1. The results of literature and investigation show that the subjective perception of Yang deficiency is mainly "cold". The main factor of Yang deficiency was chilling, and the "cold" characteristic was mainly distributed in the middle Jiao (95. 7%), the palms and feet (ancient 97. 8%) and so on, while in the yang deficiency group, the coke on T was higher than that in the mild group (P 0. 01, P < 0. 01), and there was no significant difference between the two groups (P < 0. 01). In Yang deficiency group, T middle coke and T lower coke were lower than those in calmness group, the difference was statistically significant (P0.05N. 3). The temperature distribution of three coke in Yang deficiency group was: 1 / AT upper coke T middle coke T lower coke, the upper coke temperature was higher than the trunk temperature, which showed the attribute of "heat", middle coke. The lower focal temperature is lower than the torso temperature, showing the "cold" attribute, pairwise! There was a significant difference between the two groups (P 0.01), and the temperature of the three coke decreased in turn, showing the phenomenon of "upper heat and lower cold". The T du pulse of Yang deficiency group was higher than that of gentle group (P 0.01), and the difference between the two groups was not statistically significant (P 0.05). In Yang deficiency group, the temperature in T B area was lower than that in AT A area, and the temperature in T C area was higher than that in D area. Conclusion: the temperature distribution in the upper, middle and lower three Jiao areas of the Yang deficiency group was decreased in turn, and the temperature distribution was significantly higher in the Yang deficiency group than at the corresponding acupoints in both sides, and the difference was statistically significant (P0.05, P < 0.05) conclusion: the temperature distribution in the upper, middle and lower three Jiao regions in the Yang deficiency group was decreased in turn, and the temperature distribution in the upper, middle and lower three Jiao area was decreased in turn. The phenomenon of "upper heat and lower cold" is different from the traditional Chinese medicine's cognition of "Yang deficiency is cold". The infrared heat map of Yang deficiency crowd may exist "blocking" phenomenon, in Guanyuan, Shengmen, Shen Yu, Weishu and other acupoints may have a certain specific performance.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246

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