【摘要】：目的驗(yàn)證經(jīng)絡(luò)檢測(cè)作為單純性肥胖循經(jīng)取穴依據(jù)的有效性,以期為單純性肥胖提供新的治療方法。方法將招募到的單純性肥胖患者隨機(jī)分為試驗(yàn)組和對(duì)照組,1)試驗(yàn)組采用JK-02B型中醫(yī)經(jīng)絡(luò)檢測(cè)儀,以12經(jīng)脈左右兩側(cè)特定穴位為采集點(diǎn)進(jìn)行經(jīng)絡(luò)檢測(cè),檢測(cè)完畢后根據(jù)其導(dǎo)出的單經(jīng)分析報(bào)告來(lái)判斷經(jīng)絡(luò)虛實(shí),即能量值在L區(qū)間內(nèi),屬虛證,能量值在H區(qū)間內(nèi),屬實(shí)證,本課題將具有虛實(shí)偏頗的經(jīng)絡(luò)均作為病變經(jīng)絡(luò),然后根據(jù)檢測(cè)結(jié)果,直接循經(jīng)取病變經(jīng)絡(luò)上的穴位進(jìn)行治療;2)對(duì)照組根據(jù)王啟才主編的《針灸治療學(xué)》中該疾病相關(guān)的辨證方法進(jìn)行辨證分型和針刺治療,以中脘、關(guān)元、水分、陰陵泉、內(nèi)庭、三陰交、豐隆、上巨虛、天樞、大橫、曲池、支溝為主穴,痰濕閉阻證加內(nèi)關(guān)、足三里;胃腸腑熱證加合谷;肝郁氣滯證加期門(mén)、太沖;脾腎陽(yáng)虛證加氣海、脾俞、腎俞、足三里。試驗(yàn)組與對(duì)照組均按局部配穴法選用相同的配穴。常規(guī)消毒后,取長(zhǎng)為40-75毫米,直徑為0.30毫米的毫針進(jìn)行針刺,連接電針儀,選用疏密波。以10次為1療程,共治療2個(gè)療程,第1療程每天連續(xù)治療,第2療程隔天治療1次。觀察比較兩組有效率的差異及治療前后體重、體質(zhì)指數(shù)(BMI)、肥胖度、脂肪百分率的變化。結(jié)果1.試驗(yàn)組臨床痊愈1人(3.45%),顯效12人(41.38%),有效11人(37.93%),無(wú)效5人(17.24%),總有效率82.76%;對(duì)照組顯效4人(14.29%),有效 13 人(46.43%),無(wú)效 11 人(39.28%),總有效率 60.72%。與對(duì)照組相比,試驗(yàn)組臨床療效具有顯著統(tǒng)計(jì)學(xué)意義(p0.01)。2.兩組各項(xiàng)指標(biāo)治療前后比較,均有統(tǒng)計(jì)學(xué)意義(p0.01),與對(duì)照組相比,脂肪百分率治療前后的差值具有明顯差異(p0.01)。結(jié)論1.在經(jīng)絡(luò)檢測(cè)的基礎(chǔ)上指導(dǎo)針刺循經(jīng)取穴治療單純性肥胖,療效優(yōu)于傳統(tǒng)辨證論治法,同時(shí)可明顯減小皮皺厚度,改善體脂分布,猜測(cè)可能與“檢測(cè)并疏通病變經(jīng)絡(luò),改善循行所過(guò)的局部壅堵,促進(jìn)局部脂肪代謝以及循經(jīng)取穴可改善本經(jīng)功能,治療該經(jīng)絡(luò)系統(tǒng)病變,針對(duì)病因治療”相關(guān)。2.運(yùn)用中醫(yī)經(jīng)絡(luò)檢測(cè)儀檢測(cè)出病變經(jīng)絡(luò),給予客觀指標(biāo),量化經(jīng)絡(luò)虛實(shí)偏頗數(shù)據(jù),從病變經(jīng)絡(luò)入手,有針對(duì)性地對(duì)疾病進(jìn)行循經(jīng)取穴,為病因病機(jī)較為復(fù)雜的疾病提供了新的臨床治療方法。
[Abstract]:Objective to verify the validity of meridian detection as a basis for simple obesity along meridian and to provide a new treatment for simple obesity. Methods the recruited simple obese patients were randomly divided into two groups: the experimental group and the control group. In the experimental group, the meridian and collaterals were detected with JK-02B type meridian detector and 12 specific acupoints on the left and right sides of meridians were used as the collection points to detect the meridians and collaterals. After the detection, we can judge the deficiency of meridians and collaterals according to the single analysis report, that is, the energy value is in L interval, which belongs to deficiency syndrome, and energy value is in H interval, which belongs to empirical evidence. In this paper, the meridians with bias of deficiency and reality are all regarded as pathological meridians. Then according to the results of the examination, the acupoints on the diseased meridians were taken directly along the meridians for treatment. 2) the control group was treated with syndrome differentiation and acupuncture treatment according to the syndrome differentiation methods related to the disease in Wang Qicai's "Acupuncture Therapeutics" edited by Wang Qicai, and was treated with Zhongwan and Guanyuan. Water, Yin Ling Spring, Chamber, Sanyinjiao, Fenglong, Shangzuxu, Tianshu, Great Transverse, Quchi, Zhigou mainly points, phlegm dampness blocking Syndrome plus Neiguan, Zusanli; Gastrointestinal Heat Syndrome plus Hegu; liver stagnation and Qi stagnation plus Gate, too Chong; Spleen-kidney yang deficiency syndrome plus air-sea, spleen-Yu, kidney-Yu, Zusanli. The experimental group and the control group selected the same points according to the method of local point matching. After routine disinfection, the needle of 40-75 mm in length and 0. 30 mm in diameter was used for acupuncture, the electroacupuncture instrument was connected, and the density wave was selected. 10 times as a course of treatment, a total of 2 courses of treatment, the first course of continuous treatment every day, the second course of treatment every other day. The difference of effective rate and the changes of body weight, body mass index (BMI),) and fat percentage before and after treatment were observed and compared between the two groups. Result 1. In the trial group, 1 patient (3.45%) was cured, 12 cases (41.38%) were significantly effective, 11 cases (37.93%) were effective, 5 cases (17.24%) were ineffective, and the total effective rate was 82.76, while in the control group, 4 cases (14.29%) were effective, 13 cases (46.43%) were effective, 11 cases (39.28%) were ineffective, and the total effective rate was 60.72 2%. Compared with the control group, the clinical efficacy of the trial group has significant statistical significance (p 0.01). 2. There was significant difference between the two groups before and after treatment (p0.01), compared with the control group, the difference of fat percentage before and after treatment had significant difference (p0.01). Conclusion 1. On the basis of meridian examination, acupuncture along meridians and acupoints are used to treat simple obesity. The curative effect is superior to that of traditional syndrome differentiation. At the same time, it can obviously reduce the thickness of skin wrinkle, improve the distribution of body fat, and guess that it may be associated with "detecting and dredging the diseased meridians." Improving the local blockage, promoting local fat metabolism and acupoints along the meridian can improve the function of the meridian, treat the pathological changes of the meridian system, and treat the etiological factors. Using the traditional Chinese medicine meridian detector to detect the pathological meridians, give objective indexes, quantify the bias data of the meridians, start with the diseased meridians, and point out the disease along the meridians. It provides a new clinical treatment for diseases with complicated etiology and pathogenesis.
【學(xué)位授予單位】：南方醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R246.1

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