基于文献计量学的穴位电敏现象与规律研究
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摘要
目的:探讨穴位电敏现象与规律以协助临床诊断、治疗,从而提高临床疗效。方法:通过计算机检索中国生物医学文献光盘数据库(CBMdisc)、中国期刊全文数据库(CNKI)、中文科技期刊全文数据库(VIP)、万方数据资源系统、PubMed、EMBASE,并结合手工检索,收集穴位电敏相关文献,建立穴位电敏现代文献数据库,运用文献计量学分析穴位电敏现象中检测指标、穴位、经脉及疾病的关系,探讨其潜在规律。结果:穴位电敏现象常用的检测指标为电阻、惯性面积、伏安面积、导电量、电位、电流和电容。电敏穴位涉及经穴、耳穴和特定穴,其中又以特定穴最易发生电敏。结论:穴位电敏主要表现为电阻抗特性和伏安特性,穴位电敏现象与脏腑病证存在相对特异性。临床可通过探测穴位电敏现象来协助诊断、指导选穴以提高临床疗效。
Objective To explore the acupoint electrosensitivity and regularity for assisting the clinical diagnosis and treatment so as to improve the clinical therapeutic effects. Methods By means of the computer retrieval(CBMdisc, CNKI, VIP, Wan Fang, Pub Med and EMBASE) and manual retrieval, the relevant literature on acupoint electrosensitivity was reviewed and the modern literature database of acupoint electrosensitivity was established. Using bibliometric, the relations were analyzed among the detected indexes, acupoints, meridians and disorders in the conditions of acupoint electrosensitivity, and the potential regularity was explored. Results The general detection indexes of acupoint electrosensitivity were resistance, inertia area, volt-ampere area, electric conduction quantity, electric potential, electric current and capacitance. The electrosensitive points included meridian points, auricular points and extraordinary points. Among those points, the electrosensitivity easily occurred at the special points. Conclusion The acupoint electrosensitivity is mainly reflected on the electrical impedance and volt-ampere characteristics. The relative specificity exists between acupoint electrosensitivity and zangfu disorders. In clinical practice, detecting acupoint electrosensitivity may assist the diagnosis and instruct acupoint selection to improve the clinical therapeutic effects.
Objective To explore the acupoint electrosensitivity and regularity for assisting the clinical diagnosis and treatment so as to improve the clinical therapeutic effects. Methods By means of the computer retrieval(CBMdisc, CNKI, VIP, Wan Fang, Pub Med and EMBASE) and manual retrieval, the relevant literature on acupoint electrosensitivity was reviewed and the modern literature database of acupoint electrosensitivity was established. Using bibliometric, the relations were analyzed among the detected indexes, acupoints, meridians and disorders in the conditions of acupoint electrosensitivity, and the potential regularity was explored. Results The general detection indexes of acupoint electrosensitivity were resistance, inertia area, volt-ampere area, electric conduction quantity, electric potential, electric current and capacitance. The electrosensitive points included meridian points, auricular points and extraordinary points. Among those points, the electrosensitivity easily occurred at the special points. Conclusion The acupoint electrosensitivity is mainly reflected on the electrical impedance and volt-ampere characteristics. The relative specificity exists between acupoint electrosensitivity and zangfu disorders. In clinical practice, detecting acupoint electrosensitivity may assist the diagnosis and instruct acupoint selection to improve the clinical therapeutic effects.
引文
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[12]万敏,周玉梅,周洁,等.穴位敏化现象和规律探究的分析[J].针灸临床杂志,2017,33(3):74-77.
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[14]朱兵.穴位可塑性:穴位本态的重要特征[J].中国针灸,2015,35(11):1203-1208.
[15]于宏君,蒋海琳,王富春.试论腧穴的生物学特性——敏化性[J].中国中医基础医学杂志,2016,22(12):1643-1645.
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[18]刘婷婷,丁炜,魏睦新.脑卒中患者运动功能恢复和经络电流关系探讨[J].辽宁中医药大学学报,2014,16(1):100-102.
[19]朱兵,李宁生,余正,等.耳穴电信息反应早期癌病变的特异性[J].南京大学学报(自然科学版),1995,31(1):40-44,51.
[20]樊祥民.经络电阻抗测量与应用的实验研究[J].物理与工程,2008,18(3):41-42.
[21]沈雪勇,魏建子,张一和,等.人体穴位伏安特性研究[J].中国针灸,2006,26(4):267-271.
[22]沈雪勇,王彩虹,张一和,等.胃炎患者穴位伏安曲线的定性定量分析[J].上海针灸杂志,1998,17(4):3.
[23]王彩虹,沈雪勇,张海蒙,等.胃下垂患者穴位伏安曲线的定性定量分析[J].中国针灸,2000,20(7):413-415.
[24]张海蒙,魏建子,周钰,等.健康女性月经前后太白、冲阳穴伏安特性观察[J].上海中医药杂志,2005,39(5):52-54.
[25]魏建子,张爱梅,沈雪勇,等.月经前后手三阴经原穴伏安特性[J].中西医结合学报,2006,4(3):260-264.
[26]沈雪勇,丁光宏,魏建子,等.月经前后穴位伏安特性观察[J].中医药学刊,2006,24(9):1589-1591.
[27]王莉珍.耳穴不同诊法与颈椎病相关性的研究[D].济南:山东中医药大学,2012.
[28]张丽丽.耳穴诊治腰椎间盘突出症60例的临床观察[D].济南:山东中医药大学,2012.
[29]刘维洲,杨云碧,刘士佩,等.耳穴相关群现象及认识[J].安徽中医学院学报,1989,8(1):45-48.
[2]中谷义雄,叶少麟.良导络的原理及临床概要[J].浙江医学院学报,1958(2):191-197.
[3]张人骥,杨威生.低阻经络研究Ⅱ、健康人常态低阻经络的分布[J].北京大学学报(自然科学版),1978(1):135-142.
[4]Reichmanis M,Marino AA,Becker RO.Laplace plane analysis of impedance on the H meridian[J].Am J Chin Med,1979,7(2):188-193.
[5]徐瑞民,祝总骧,郝金凯,等.手三阴经皮部经脉线的生物物理学全息测定[J].中国中医基础医学杂志,1998,4(12):43.
[6]王学民,常晓剑,曹玉珍.基于生物电放大器的经络阻抗研究[J].北京生物医学工程,2007,26(4):365-368.
[7]李扬帆,荣震,练祖平,等.117例肝癌患者疼痛状态下的郄穴导电量检测[J].中医外治杂志,2012,21(2):12-13.
[8]刘莉莉,赵百孝,颉泽华,等.脑瘤患者开颅手术前后十二经原穴电学特性变化规律的观察[J].针刺研究,2010,35(1):52-55.
[9]孙立虹,李新华,葛建军,等.隔物灸对原发性痛经患者神阙穴与关元穴电阻值的影响[J].时珍国医国药,2012,23(4):1023-1024.
[10]傅晓晴,刘凯,杨永升,等.从慢性胃炎的测试谈耳穴的诊断意义[J].中国中西医结合脾胃杂志,1994,2(4):46-47.
[11]张丹平,王兴亭.穴位低电流测定对颈椎病的诊断价值[J].中国疗养医学,2001,10(4):61-62.
[12]万敏,周玉梅,周洁,等.穴位敏化现象和规律探究的分析[J].针灸临床杂志,2017,33(3):74-77.
[13]陈静霞,刘阳阳,赵雪,等.浅论腧穴敏化[J].河北中医,2011,33(7):1039-1041.
[14]朱兵.穴位可塑性:穴位本态的重要特征[J].中国针灸,2015,35(11):1203-1208.
[15]于宏君,蒋海琳,王富春.试论腧穴的生物学特性——敏化性[J].中国中医基础医学杂志,2016,22(12):1643-1645.
[16]黄碧玉,傅晓晴.巳时脾经五输穴皮肤电阻的初步研究[J].福建中医学院学报,1995,5(2):19-21.
[17]成泽东,于琪,陈以国.手三阳经井穴与合穴皮肤电流相关性研究[J].上海针灸杂志,2009,28(8):478-480.
[18]刘婷婷,丁炜,魏睦新.脑卒中患者运动功能恢复和经络电流关系探讨[J].辽宁中医药大学学报,2014,16(1):100-102.
[19]朱兵,李宁生,余正,等.耳穴电信息反应早期癌病变的特异性[J].南京大学学报(自然科学版),1995,31(1):40-44,51.
[20]樊祥民.经络电阻抗测量与应用的实验研究[J].物理与工程,2008,18(3):41-42.
[21]沈雪勇,魏建子,张一和,等.人体穴位伏安特性研究[J].中国针灸,2006,26(4):267-271.
[22]沈雪勇,王彩虹,张一和,等.胃炎患者穴位伏安曲线的定性定量分析[J].上海针灸杂志,1998,17(4):3.
[23]王彩虹,沈雪勇,张海蒙,等.胃下垂患者穴位伏安曲线的定性定量分析[J].中国针灸,2000,20(7):413-415.
[24]张海蒙,魏建子,周钰,等.健康女性月经前后太白、冲阳穴伏安特性观察[J].上海中医药杂志,2005,39(5):52-54.
[25]魏建子,张爱梅,沈雪勇,等.月经前后手三阴经原穴伏安特性[J].中西医结合学报,2006,4(3):260-264.
[26]沈雪勇,丁光宏,魏建子,等.月经前后穴位伏安特性观察[J].中医药学刊,2006,24(9):1589-1591.
[27]王莉珍.耳穴不同诊法与颈椎病相关性的研究[D].济南:山东中医药大学,2012.
[28]张丽丽.耳穴诊治腰椎间盘突出症60例的临床观察[D].济南:山东中医药大学,2012.
[29]刘维洲,杨云碧,刘士佩,等.耳穴相关群现象及认识[J].安徽中医学院学报,1989,8(1):45-48.
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