【摘要】：目的:通過針刺曲池穴,利用紅外熱成像技術觀察燒山火、透天涼手法產(chǎn)生的針刺效應,初步探析針刺手法與針刺效應的關系及一定量化的針刺手法對健康人穴位皮膚表面溫度的影響。方法:60名健康志愿者,年齡18~27歲。根據(jù)學號末位的奇偶性隨機分配針刺手法,分為燒山火組30名和透天涼組30名。采集圖像時志愿者仰臥于距紅外設備2m的治療床上,暴露雙側上肢部位的皮膚,自然屈肘,采集針刺前、行手法后即刻、留針5min、10min、15min時的紅外熱圖像,分析針刺穴及觀察點的皮溫及熱像圖。結果:1.行燒山火手法及透天涼手法后曲池穴行手法后即刻、留針5min、10min、15min與針前比較有統(tǒng)計學差異(P㩳0.05)。觀察點合谷穴留針5min、10min、15min與針前比較有統(tǒng)計學差異(P㩳0.05)。觀察點手三里穴及臂佈穴留針5min與針前比較有統(tǒng)計學差異(P㩳0.05)。其中行透天涼手法后曲池穴留針5min、10min、15min與針刺前比較有顯著統(tǒng)計學差異(P㩳0.01)。2.行燒山火手法后皮溫普遍較高于透天涼手法。與燒山火手法相比,曲池穴行透天涼手法時留針5min、10min、15min有統(tǒng)計學差異(P㩳0.05)。結論:1.針刺曲池穴行燒山火、透天涼手法后,合谷穴、曲池穴是熱或涼效應最佳反映點,為臨床選穴提供一定的依據(jù)。2.針刺曲池穴時,燒山火、透天涼手法產(chǎn)生的熱或涼效應大致沿著上肢手陽明大腸經(jīng)的循行路線進行傳導。說明針刺效應具有循經(jīng)傳導性。
[Abstract]:Objective: to observe the acupuncture effect of burning mountain fire and diaphanous cooling by using infrared thermal imaging technique by acupuncture on Quchi point. The relationship between acupuncture manipulation and acupuncture effect and the effect of acupuncture manipulation on the skin surface temperature of healthy people were analyzed. Methods: 60 healthy volunteers aged 1827 years. According to the odd and even acupuncture manipulation at the end of school number, 30 cases were divided into burning mountain fire group (30 cases) and diaphora group (30 cases). When the images were collected, the volunteers lay on their backs on a therapeutic bed 2m from the infrared equipment, exposed the skin of the upper limbs on both sides, and naturally bent their elbows. The infrared thermal images were collected immediately before the acupuncture, immediately after the manipulation, and at the time of keeping the needle for 5 minutes or 10 minutes or 15 minutes. The skin temperature and thermogram of acupuncture point and observation point were analyzed. Results: 1. There was statistical difference between burning mountain fire and penetrating Tianliang after operation of acupoint Quchi, keeping needle for 5 minutes, 10 minutes and 15 minutes compared with before needle (P0. 05). There was statistical difference between the observation point Hegu point and the pre-acupuncture point (P0. 05). There was significant difference in 5min between observation point and arm cloth acupoint (P0. 05). Among them, there was a significant difference between before acupuncture and 5 min, 10 min and 15 min after trapping through Tianliang manipulation (P0. 01). 2. The skin temperature after burning mountain fire was generally higher than that of cool through sky. Compared with burning mountain fire, there was a statistical difference in retention of needle for 5 min and 10 min to 15 min (P0. 05) when the Kuchi acupoint was treated with diaphanous technique (P0. 05). Conclusion: 1. Acupuncture on Qunchi point is the best reflection point of heat or cooling effect after burning mountain fire through days and cool technique, which provides certain basis for clinical acupoint selection. 2. The heat or cooling effect caused by burning mountain fire and passing through the sky is conducted along the meridian route of Yangming large intestine of upper limb and hand. It shows that the acupuncture effect is conductive along the meridian.
【學位授予單位】：湖南中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246

【參考文獻】

相關期刊論文 前10條

1 賀思;趙曉峰;文妍;鄧士哲;黃靈慧;孟智宏;;不同針刺手法治療后循環(huán)缺血性眩暈患者120例隨機雙盲對照試驗[J];中醫(yī)雜志;2015年06期

2 鄒偉;王瓏;于學平;孫曉偉;;淺談張縉教授燒山火手法操作術式及其精髓[J];針灸臨床雜志;2014年09期

3 宋杰;王軍龍;徐琳;韓煜;董寶強;;基于紅外熱成像技術評價針刺循經(jīng)筋阿是穴治療膝骨性關節(jié)炎的臨床療效[J];世界中西醫(yī)結合雜志;2014年09期

4 李靜;劉玉祁;李春華;苑鴻雯;張鵬;林馳;辛思源;郭崢嶸;馬良宵;朱江;;關于機體相關因素對針刺得氣影響的探討[J];中國針灸;2013年04期

5 彭冬青;高旭;金伯華;;金伯華應用《金針賦》針刺手法經(jīng)驗總結[J];北京中醫(yī)藥;2013年03期

6 劉志丹;趙宇平;;紅外熱像技術在研究針灸治療面癱中的應用[J];遼寧中醫(yī)藥大學學報;2012年11期

7 于文靜;余芝;徐斌;;針刺雙向調節(jié)效應影響因素的研究進展[J];上海針灸雜志;2012年10期

8 邵百軍;邢啟洪;;“燒山火、透天涼”手法操作技術關鍵及相關問題分析[J];長春中醫(yī)藥大學學報;2012年04期

9 潘曉華;許金森;鄭淑霞;蘭彩蓮;;基于紅外技術的人體經(jīng)脈熱傳輸特性探討[J];中華中醫(yī)藥雜志;2012年07期

10 李鐵;劉成禹;嚴興科;董國娟;高穎;徐曉紅;李健睿;林祥軍;王富春;;不同頻率捻轉手法針刺足三里穴對胃體表溫度影響的研究[J];針灸臨床雜志;2011年03期

，

本文編號：2396193