健康人十二经原穴血流量失衡度的初步观察
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摘要
目的:测算健康人十二经原穴血流量及左右失衡度(IBD-LRM)、表里失衡度(IBD-EIM)、手足失衡度(IBD-HFM)的正常值范围,为经络诊断奠定基础。方法:使用激光多普勒线扫描仪(LDLS)测量31名受试者的十二经原穴血流量,计算十二经血流量的分布及IBD-LRM、IBD-EIM、IBD-HFM 3种失衡度。结果:(1)十二经原穴左右两侧血流量几乎相等,IBD-LRM总均值为(0.8±7.0)%;IBD-LRM绝对值介于(13.2±12.0)%至(22.9±15.6)%之间,最大绝对失衡度在胆经,总均值为(16.2±4.1)%。(2)6对表里经中有5对里经(阴经)血流量大于表经(阳经),IBD-EIM总均值为(-11.4±10.4)%,IBD-EIM绝对值在(16.6±12.1)%至(36.6±15.6)%之间,最大绝对失衡度为三焦-心包,总均值为(25.2±8.0)%。(3)6对手足同名经手经血流量均大于足经,IBD-HFM均值为(38.8±18.2)%,IBD-HFM绝对值在(34.4±20.9)%到(59.6±12.0)%之间,最大绝对失衡度为手足少阴经,总均值为(43.8±13.3)%。(4)3种失衡度绝对值的大小排列顺序与以往用经皮二氧化碳释放量(TCE)计算的3种失衡度相同,两指标的IBD-LRM绝对值接近,表里和手足失衡度的绝对值有一定差异。结论:健康人十二经原穴血流量的IBD-LRM较小,基本处于平衡状态,IBD-EIM和IBD-HFM较高。
Objective To lay a foundation for meridian diagnosis by measuring the blood perfusion(BP)on yuan-source points of twelve meridians and calculating the normal range of imbalance degree(IBD)of left and right meridian(IBD-LRM),IBD of exterior-interior meridian(IBD-EIM)and IBD of hand-foot of the same name meridians(IBD-HFM)in healthy subjects.Methods BP at yuan-source points of twelve meridians was measured on 31 healthy volunteers by a Laser Doppler Line Scanner(LDLS).BP distribution and IBD-LRM,IBD-EIM,IBD-HFM were calculated.Results(1)Of the twelve meridians,BP was almost equal between the left and right of the same meridian.The mean value of IBD-LRM was(0.8±7.0)%.The absolute value of IBD-LRM ranged from(13.2±12.0)%to(22.9±15.6)%,with the mean value of(16.2±4.1)%,the IBD of gallbladder meridian of foot-shaoyang was the highest.(2)Of the six pairs of exterior-interior meridians,five pairs manifested as the interior(yin)meridians being larger than the exterior(yang)meridians in BP.The mean value of IBD-EIM was(-11.4±10.4)%.The absolute value of IBD-EIM ranged from(16.6±12.1)%to(36.6±15.6)%,with the mean value of(25.2±8.0)%,the IBD between pericardium meridian of hand-jueyin and triple energizer meridian of hand-shaoyang was the highest.(3)All of the handfoot of the same name meridians were found hand meridians being larger than foot in BP.The mean value of IBD-HFM was(38.8±18.2)%.The absolute value of IBD-HFM ranged from(34.4±20.9)%to(59.6±12.0)%,with the mean value of(43.8±13.3)%,and IBD between heart meridian of hand-shaoyin and kidney meridian of foot-shaoyin was the highest.(4)The order of IBD absolute value in BP was the same as transcutaneous CO_2 emission(TCE)measured before,and their IBD-LRM absolute values were close to each other.However,the absolute values of IBD-EIM and IBD-HFM existed some differences.Conclusion The IBD-LRM of the twelve yuan-source points in BP of healthy subjects is small and in a balance state,but IBD-EIM and IBD-HFM are relatively high.
Objective To lay a foundation for meridian diagnosis by measuring the blood perfusion(BP)on yuan-source points of twelve meridians and calculating the normal range of imbalance degree(IBD)of left and right meridian(IBD-LRM),IBD of exterior-interior meridian(IBD-EIM)and IBD of hand-foot of the same name meridians(IBD-HFM)in healthy subjects.Methods BP at yuan-source points of twelve meridians was measured on 31 healthy volunteers by a Laser Doppler Line Scanner(LDLS).BP distribution and IBD-LRM,IBD-EIM,IBD-HFM were calculated.Results(1)Of the twelve meridians,BP was almost equal between the left and right of the same meridian.The mean value of IBD-LRM was(0.8±7.0)%.The absolute value of IBD-LRM ranged from(13.2±12.0)%to(22.9±15.6)%,with the mean value of(16.2±4.1)%,the IBD of gallbladder meridian of foot-shaoyang was the highest.(2)Of the six pairs of exterior-interior meridians,five pairs manifested as the interior(yin)meridians being larger than the exterior(yang)meridians in BP.The mean value of IBD-EIM was(-11.4±10.4)%.The absolute value of IBD-EIM ranged from(16.6±12.1)%to(36.6±15.6)%,with the mean value of(25.2±8.0)%,the IBD between pericardium meridian of hand-jueyin and triple energizer meridian of hand-shaoyang was the highest.(3)All of the handfoot of the same name meridians were found hand meridians being larger than foot in BP.The mean value of IBD-HFM was(38.8±18.2)%.The absolute value of IBD-HFM ranged from(34.4±20.9)%to(59.6±12.0)%,with the mean value of(43.8±13.3)%,and IBD between heart meridian of hand-shaoyin and kidney meridian of foot-shaoyin was the highest.(4)The order of IBD absolute value in BP was the same as transcutaneous CO_2 emission(TCE)measured before,and their IBD-LRM absolute values were close to each other.However,the absolute values of IBD-EIM and IBD-HFM existed some differences.Conclusion The IBD-LRM of the twelve yuan-source points in BP of healthy subjects is small and in a balance state,but IBD-EIM and IBD-HFM are relatively high.
引文
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[2]李晓梅,李岩琪,周丹,等.提插补泻对健康人足三里穴皮肤微循环血流灌注量的影响[J].针刺研究,2013,38(4):297-300.
[3]史东燕,王海泉,杨丽.经络与微循环关系研究进展[J].河南中医,2014,34(8):1604-1606.
[4]穆祥,段惠琴,陈武,等.腧穴实质与微血管相关的生理学研究[J].中国中医基础医学杂志,2001,7(12):47-52.
[5]萧友山.从皮肤通电抵抗所看到的经络形态(介绍中谷博士的“良导络”研究)[J].中医杂志,1958,4(2):121-127.
[6]周华祥,肖挹,段俊国.原穴的本经代表性[J].四川中医,1994,13(10):9-10.
[7]张维波,李宏.健康人十二经原穴经皮二氧化碳释放量失衡度的研究[J].针灸临床杂志,1997,13(2):19-22.
[8]王华,杜元灏.针灸学[M].北京:中国中医药出版社,2012.
[9]苗玉良,钟京,方唯武,等.减阻剂对急性失血性休克合并内毒素致伤大鼠微循环的作用[J].临床军医杂志,2012,40(3):511-514.
[10]COULON P,CONSTANS J,GOSSE P.Impairment of skin blood flow during post-occlusive reactive hyperhemy assessed by laser doppler flowmetry correlates with renal resistive index[J].J Hum Hypertens,2012,26(1):56-63.
[11]HALL S C,FAZALBHOY A,BIRZNIEKS I,et al.Biphasic effects of tonic stimulation of muscle nociceptors on skin sympathetic nerve activity in human subjects[J].Exp Brain Res,2012,221(1):107-114.
[12]刘蜜,李玉珍,宋丹丹,等.不同性别和年龄健康成年人足趾皮肤温度和血流灌注量的测定分析[J].微循环学杂志,2012,22(4):39-41.
[13]任丰民,李恒进,赵秀梅,等.增龄对皮肤微循环的影响[J].军医进修学院学报,2004,25(3):172-173.
[14]严智强,张旭良.人体体表发光的初步探讨[J].生物化学与生物物理进展,1979,6(2):48-52.
[15]张菱,赵玉环,严智强.人体十二井穴温度对称规律的探讨[J].北京中医,1985,35(5):43-44.