足三里穴提插补法对脾胃虚寒型患者的温度调节效应研究

【作者】 治丁铭；

【导师】 王富春；

【作者基本信息】 长春中医药大学 ， 针灸推拿学， 2011， 硕士

【摘要】 目的:通过单式提插补法针刺脾胃虚寒型青年患者双侧足三里穴,观察穴位局部和胃腑体表投影点温度改变,探讨提插补法对温度的调节效应,探究下合穴(足三里穴)和胃腑的相关性,同时为获得提插补法最佳操作频率和最佳留针时间提供实验依据。方法:1.将不同提插补法频率分为4个实验组,即:A组:针刺得气即留针,不施行任何行针手法;B组:针刺得气即行每min 50次3mm幅度重插、2mm幅度轻提的行针手法1min;C组:针刺得气即行每min 75次3mm幅度重插、2mm幅度轻提的行针手法1min;D组:针刺得气即行每min 100次3mm幅度重插、2mm幅度轻提的行针手法1min。2.针刺操作者采用指切进针法直刺受试者足三里穴,使用循法使机体得气,即按不同既定频率行3mm幅度重插、2mm幅度轻提的行针手法1min,留针30min。3.每组均用红外测温仪分别于针刺前、针刺得气即刻(5s)、针刺时1min、留针时10min、留针时20min和留针时30min,测量患者双侧足三里穴局部温度和胃体投影区、胃窦投影区温度并记录,做统计学分析。每个实验组均连续进行针刺实验5天。每次针刺实验的操作均为固定同一人。结果:针刺实验第一至四天,各实验组于各针刺时间段的温度变化:P值均>0.05,无明显差异,故无统计学意义;在针刺实验第五天时,B组受试者的体温变化明显优于其他组别,组内比较:P=0.022;在针刺实验第五天时,B组受试者在留针20min时的体温升高变化明显优于其他留针时间段:P=0.036。结论:单式提插补法对胃腑温度的改变起效缓慢;提插补法频率在50次/min时的效果最为显著,且留针20min时的提插补法效果最为显著。更多还原

【Abstract】 Purpose: Acupuncture bilateral Zusanli at type of spleen deficiency young,using Lifting-thrusting; Observation points and stomach local surface projection point temperature change; Research the Lifting-thrusting of the temperature regulation effect; Explore the correlation of the lower He-Sea acupoint (Zusanli) with the stomach; For Lifting-thrusting the best operating frequency and the best needle retention time and provide experimental evidence.Method:1. Raise the frequency of different interpolation methods are divided into four experimental groups. Namely: Group A: cupuncture needles have air that is left, no any line of needle technique; Group B: acupuncture have gas that is 50 lines per minute rate of re-inserted 3mm, 2mm range of light to mention the line needle technique 1min; Group C: Acupuncture may air that line every reintubation rate min 75 views 3mm, 2mm range of light to mention the line needle technique 1min; Group D: Acupuncture may min100 views per line gas that is re-inserted 3mm range, 2mm range of light to mention the line needle technique 1min.2. Operator by means of acupuncture needle perpendicularly cut in subjects Zusanli, use Xunfa so that the body of qi, that is established according to different frequency range re-inserted rows 8mm, 3mm range of light to mention the line needle technique 1min, 30min left needle .3. Infrared Thermometer with each group were pre-acupuncture, acupuncture may air immediately (5s), acupuncture when 1min, left needle 10min, 20min and left when the left needle needle 30min;Measurement in patients with bilateral Zusanli local temperature and the gastric body projection area, projection zone temperature and record the Antrum; To do statistical analysis. Each experimental group was 5 days consecutive acupuncture experiments. The operation of each experiment were fixed acupuncture the same person.Result: In the first four days of acupuncture experiment, Acupuncture in each experimental group at all time the temperature changes: P values were> 0.05.No significant difference, so no significant. Experimental fifth day in Acupuncture, Group B subjects body temperature changes better than other groups, group comparison: P=0.022; in the acupuncture experiment the fifth day, B group, the participants left needle 20min elevation of body temperature change when the much better than other needle retention time: P = 0.036.Conclusion: Interpolation method provided a single type of gastric Fu temperature regulation; mentioned interpolation frequency 50 / min, the effect of the most significant, and stay put when the insertion needle 20min effects of the most significant.更多还原