摘要
目的:观察电热砭石和抽气罐干预合穴对同经原穴血流灌注量(blood perfusion,BP)的影响,探索精确测量和调节经络气血平衡的"精准针灸学"途径。方法:使用激光多普勒线扫描仪(LDLS)对31名健康受试者的心包经、三焦经、胆经及肝经的(厥阴–少阳小循环)左右原穴的BP进行测量,计算其偏离标准值的血流偏离率(bias ratio of blood perfusion,BPBR)。使用电热砭石和抽气罐对BPBR较大原穴所属经脉的合穴进行干预,BPBR低于–30%使用电热砭石,高于30%使用抽气罐,干预前重复测量两次血流量,干预后即刻及干预后20 min各测1次,计算干预前后的BP均值及干预前、干预后即刻和干预后20 min的血流量变化率(change ratio of blood perfusion,BPCR)。结果:(1)使用电热砭石后,BP均值由(103.51±41.21)PU升高至(121.97±56.22)PU(P<0.05);干预前、干预后即刻、干预后20 min的BPCR分别为(–0.58±16.18)%、(23.58±48.85)%、(25.62±65.89)%,干预后即刻比干预前显著增高(P<0.01),干预后20 min与干预前比较差异无统计学意义(P>0.05),但仍维持较高的变化率。(2)使用抽气罐后,BP均值由(194.83±81.14)PU降至(173.88±88.26)PU(P<0.01);干预前、干预后即刻、干预后20 min的BPCR分别为(7.62±30.49)%、(–12.12±18.20)%、(–14.35±21.25)%,干预后即刻和干预后20 min与干预前比较差异均有统计学意义(均P<0.01)。结论:电热砭石作用于合穴可使本经原穴的血流量升高,而抽气罐有相反的作用。
Objective To observe the impacts of the intervention with electric thermal bian stone and air suction cup on blood perfusion（BP）at meridian points and explore the approach of accurate measurement and regulation of meridian qi and blood balance in＂precise acupuncture＂.Methods The laser Doppler line scanner（LDLS）was used to measure BP at bilateral yuan-primary points at the pericardium meridian,the triple energizer meridian,the gallbladder meridian and the liver meridian（small cycle of jueyin to shaoyang meridians）at 31 healthy receptors.The bias ratio of blood perfusion（BPBR）deviated to the reference value was calculated.The electric thermal bian stone and air suction cup were used in the intervention at the he-sea points of the affected meridians in which BPBR was relatively higher at the yuan-primary points.The electric thermal bian stone therapy was used when BPBR was less than–30%and the air suction cupping therapy was used when BPBR was higher than 30%.BP was measured twice before intervention and it was measured separately at the moment after intervention and in 20 min after intervention.The means of BP before and after intervention and the change ratio of blood perfusion（BPCR）before intervention,at the moment after intervention and 20 min after intervention were calculated.Results 1.After the intervention of electric thermal bian stone,BP mean was increased from（103.51±41.21）PU to（121.97±56.22）PU（P0.05）.Before intervention,at the moment after intervention and 20 min after intervention,separately,BRCR were（–0.58±16.18）%,（23.58±48.85）%and（25.62±65.89）%.BPCR at the moment after treatment was increased significantly as compared with that before intervention（P0.01）.The difference was not significant in 20 min after intervention and before intervention（P0.05）,but the change ratio was highly remained.2.After intervention with air suction cup,BP mean was reduced from（194.83±81.14）PU to（173.88±88.26）PU.Before intervention,at the moment after intervention and 20 min after intervention,separately,BPCR were（7.62±30.49）%,（–12.12±18.20）%and（–14.35±21.25）%.BPCR at the moment after intervention and in 20 min after intervention were significantly different from that before intervention（both P0.01）.Conclusion The electric thermal bian stone increases the blood flow at the yuan-primary point when acting on the he-sea point of the same meridian.The influence of the air suction cup is opposite.
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第2期159-163,共5页
Chinese Acupuncture & Moxibustion
基金
国家重点基础研究发展计划("973"计划)资助项目:2015 CB 554502
新奥集团资助项目:201702
关键词
电热砭石
抽气罐
血流量
原穴
合穴
electric thermal bian stone
air suction cup
blond flow
yuan-primary point
he-sea point
