基于慢性前列腺炎不同经穴红外热像图的改变探讨腧穴特异性
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摘要
目的:通过观察慢性前列腺炎患者不同经穴红外热像图改变,研究病理状态下,不同腧穴的功能态属性,探讨腧穴的特异性。方法:采用高性能非致冷焦平面红外热像仪M7800 Thermal Imager(LumaSense美国)检测了54例慢性前列腺炎患者与54例正常人中极穴、巨阙穴、足三里、劳宫穴、曲泉穴红外热像图,并用分析软件得到相关温度值,将结果进行统计学分析。结果:慢性前列腺炎患者中极穴、左右曲泉穴温度值较正常人相应腧穴显著升高,两组比较差异具有统计学意义(P<0.05)。而慢性前列腺炎患者巨阙穴温度值与正常人比较,差异没有统计学意义(P>0.05);慢性前列腺炎患者双侧足三里、劳宫穴温度值与正常人相应同侧腧穴比较,差异也没有统计学意义(P>0.05)。结论:慢性前列腺炎患者巨阙穴、足三里、劳宫穴温度值与正常人相比未见明显改变,而与其病症相关腧穴—中极穴、曲泉穴温度值较正常人显著升高,提示相同经络不同腧穴及不同经络上的腧穴对脏腑疾病的反映存在一定的差异性。
Objective:To study the functional properties of different acupoints and discuss the acupoint specificity under pathological status through the observation of change in different acupoints in Infrared Thermography among the patients of chronic prostatitis. Methods:A high-sensitive Infrared Thermography M7800 Thermal Imager was used to detect the differences of temperature distribution features of Zhongji(RN3), Juque(RN14), Zusanli(ST36), Laogong(PC8) and Ququan(LR8) between the 54 patients of chronic prostatitis and 54 normal people. The image was dealt with analytical software and statistical analysis was applied to the data. Result:The skin temperature in the patients of chronic prostatitis is significantly higher in Zhongji(RN3) and Ququan(LR8)on both sides than normal people. The difference between the two groups was statistically significant(P<0.05). However, the comparison of skin temperature of Juque(RN14) in the two groups was not statistically important(P>0.05). Neither did the comparison of both sides of Zusanli and Laogong between the two groups(P>0.05). Conclusion:The skin temperature of Juque(RN14), Zusanli(ST36) andLaogong(PC8) does not show significant change between chronic prostatitis patients and normal people, while Zhongji(RN3) and Ququan(LR8),the disease related acupoints,show significant increase. This reveals that certain variance exists among the visceral diseases reflection of acupoints on different meridians.
Objective:To study the functional properties of different acupoints and discuss the acupoint specificity under pathological status through the observation of change in different acupoints in Infrared Thermography among the patients of chronic prostatitis. Methods:A high-sensitive Infrared Thermography M7800 Thermal Imager was used to detect the differences of temperature distribution features of Zhongji(RN3), Juque(RN14), Zusanli(ST36), Laogong(PC8) and Ququan(LR8) between the 54 patients of chronic prostatitis and 54 normal people. The image was dealt with analytical software and statistical analysis was applied to the data. Result:The skin temperature in the patients of chronic prostatitis is significantly higher in Zhongji(RN3) and Ququan(LR8)on both sides than normal people. The difference between the two groups was statistically significant(P<0.05). However, the comparison of skin temperature of Juque(RN14) in the two groups was not statistically important(P>0.05). Neither did the comparison of both sides of Zusanli and Laogong between the two groups(P>0.05). Conclusion:The skin temperature of Juque(RN14), Zusanli(ST36) andLaogong(PC8) does not show significant change between chronic prostatitis patients and normal people, while Zhongji(RN3) and Ququan(LR8),the disease related acupoints,show significant increase. This reveals that certain variance exists among the visceral diseases reflection of acupoints on different meridians.
引文
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[13] 吴焕淦,姚伟,周恩华,等.经穴特异性研究的思考[J].中国针灸,2007,27(1):59-62.
[14] 魏海燕,赵玲,张海蒙,等.2012年腧穴研究进展概况[J].吉林中医药,2014,34(5):536-540.
[15] 王劲松,查安生.略论精室当为奇恒之腑[J].南京中医药大学学报1996,12(3):8-9.
[16] 李定忠,傅松涛,李秀章.经络与人体物质系统、能量信息系统的关系—关于经络理论与临床应用研究之四[J].中国针灸,2005,25(2):115-118.
[17] 李春华,徐大钊,刘玉祁,等.近10年国内经穴特异性研究进展[J].针刺研究,2013,38(4):324-328.
[18] 赵敬军,黄海龙,张祎平,等.穴位功能态“经穴-内脏-疾病”特异性联系探析[J].中国中医基础医学杂志,2015,21(12):1555-1557.
[19] Yu YP,Ma LX.Immediate effect of acupuncture at Sanyinjiao(SP 6) and Xuanzhong(GB 39) on uterine arterial blood flow of primary dysmenorrhea[J].J Altern Complement Med,2010,16(10):1073-1078.
[20] 吴子建,蔡荣林,龙迪和,等.电针“神门”“太溪”穴对急性心肌缺血家兔心交感神经电活动的影响[J].针刺研究,2010,35(1):32-36.
[2] 梁朝朝.加强我国慢性前列腺炎的流行病学研究[J].中华泌尿外科杂志,2006,27(8):509-511.
[3] Krieger JN, Riley DE, Cheah PY, et al. Epidemiology of prostatitis:new evidence for aworld-wide problem[J]. World J Urol,2003(2):70-74.
[4] 刘安国,严兴科,阚丽丽.基于红外热成像技术对慢性前列腺炎患者的临床评价研究[J].中华男科学杂志,2016,22(1):22-27.
[5] 陈胜天,张绣练.慢性前列腺炎红外热像图临床应用[J].中国医学影像学杂志,2000,8(2):150-152.
[6] Krieger JN,Nyberg LJ,Nickel JC.NIH consensus definition and classification of prostatitis[J].JAMA,1999,282(21):236.
[7] 吴在德,吴肇汉.外科学[M].北京:人民卫生出版社,2008:660-661.
[8] 沈雪勇.经络腧穴学[M].北京:中国中医药出版社,2003:78,164,204,224,228.
[9] 郑娟娟,沈雪勇,赵毅.经络腧穴红外辐射特性研究[J].中国针灸,2010,30(10):831-834.
[10] 喻晓春,朱兵,高俊虹,等.穴位动态过程的科学基础[J].中医杂志,2007,48(11):971-973.
[11] 朱兵.系统针灸学—复兴“体表医学”[M].北京:人民卫生出版社,2015:106.
[12] 喻晓春,高俊虹,付卫星.论阿是穴与穴位特异性[J].针刺研究,2005,30(3):183-187.
[13] 吴焕淦,姚伟,周恩华,等.经穴特异性研究的思考[J].中国针灸,2007,27(1):59-62.
[14] 魏海燕,赵玲,张海蒙,等.2012年腧穴研究进展概况[J].吉林中医药,2014,34(5):536-540.
[15] 王劲松,查安生.略论精室当为奇恒之腑[J].南京中医药大学学报1996,12(3):8-9.
[16] 李定忠,傅松涛,李秀章.经络与人体物质系统、能量信息系统的关系—关于经络理论与临床应用研究之四[J].中国针灸,2005,25(2):115-118.
[17] 李春华,徐大钊,刘玉祁,等.近10年国内经穴特异性研究进展[J].针刺研究,2013,38(4):324-328.
[18] 赵敬军,黄海龙,张祎平,等.穴位功能态“经穴-内脏-疾病”特异性联系探析[J].中国中医基础医学杂志,2015,21(12):1555-1557.
[19] Yu YP,Ma LX.Immediate effect of acupuncture at Sanyinjiao(SP 6) and Xuanzhong(GB 39) on uterine arterial blood flow of primary dysmenorrhea[J].J Altern Complement Med,2010,16(10):1073-1078.
[20] 吴子建,蔡荣林,龙迪和,等.电针“神门”“太溪”穴对急性心肌缺血家兔心交感神经电活动的影响[J].针刺研究,2010,35(1):32-36.