腧穴的针刺感应敏感度与SEP之间的关联
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摘要
目的:通过腧穴之间的针刺感应传导差异、针刺感应敏感度与SEP之间的内在联系,探讨循经感传敏感体质的中枢传导时间(CCT)的特点。方法:健康人为对象,检测下肢部腧穴的针刺感应以及SEP,比较腧穴与腧穴、经脉与经脉之间得气反应特点,以及针刺感应敏感度与Onset(Onset Latency)N13与Onset N20成分的相关性。结果:阳陵泉、解溪穴的针感传导计数低于其他腧穴(P<0.05);悬钟穴的左右侧针感传导差异较大;针刺小腿部8个腧穴时的针刺感应传导率为32.6%、小腿部的胆经腧穴为26.1%、胃经腧穴为34.8%;A组(针感传导腧穴计数<6)的Onset N13左右侧差异大于B组(针感传导腧穴计数≥6)、A组Onset N20左右侧差异小于B组(P<0.05)。结论:小腿部8个腧穴的针感传导率为32.6%,针刺感应传导计数最高的是上巨虚穴,最低的是阳陵泉、解溪穴。针感传导率高的体质中,Onset N13左右差异较小、Onset N20左右侧差异较大,暗示针刺感应与经络-腧穴-体质之间的密切相关性。
Objective: Inner correlation between different conduction or sensitivities induced by acupuncture among acupoints and SEP were in study to investigate characteristics of central conduction time of sensitive constitution circulating along meridians and collaterals. Methods: Healthy human beings were as the detection objects. The acupuncture- inducing sensitivity and SEP on lower legs,precisely on stomach meridian of Foot- Yangming( ST36,ST37,ST39,ST40,ST41,ST42) and gallbladder meridian of Foot- Shaoyang( GB34 and GB39) were tested and reactive characteristics of obtaining qi among acupoints and meridians were compared to find out the correlations between acupuncture induction sensitivity and Onset N13 or Onset N20. Results: Acupuncture- inducing conduction count of GB34 and ST41 was smaller than that of other acupoints( P < 0. 05). On GB39,acupuncture- inducing conduction differences between the right and the left were relatively larger. The acupuncture- inducing conduction of 8lower legs acupoints was 32. 6%; of gallbladder meridian acupoints 26. 1% and of stomach meridian acpoints 34. 8%. On Onset N13,the difference between the right and left of A group( needle conduction acupoint number < 6) was larger than B group' s( needle conduction acupoint number≥6) and on Onset N20,A group's was smaller than B group's( P < 0. 05). Conclusion: On acupuncture- inducing conduction count,ST37 is the largest and GB34 or ST41 is the smallest. In constitutions with high acupuncture inducing conduction,Onset N13 difference between the right and the left is relatively small but Onset N20 is relatively big,hinting that there is a close correlation between needling response and meridian- acupoint- constitution.
Objective: Inner correlation between different conduction or sensitivities induced by acupuncture among acupoints and SEP were in study to investigate characteristics of central conduction time of sensitive constitution circulating along meridians and collaterals. Methods: Healthy human beings were as the detection objects. The acupuncture- inducing sensitivity and SEP on lower legs,precisely on stomach meridian of Foot- Yangming( ST36,ST37,ST39,ST40,ST41,ST42) and gallbladder meridian of Foot- Shaoyang( GB34 and GB39) were tested and reactive characteristics of obtaining qi among acupoints and meridians were compared to find out the correlations between acupuncture induction sensitivity and Onset N13 or Onset N20. Results: Acupuncture- inducing conduction count of GB34 and ST41 was smaller than that of other acupoints( P < 0. 05). On GB39,acupuncture- inducing conduction differences between the right and the left were relatively larger. The acupuncture- inducing conduction of 8lower legs acupoints was 32. 6%; of gallbladder meridian acupoints 26. 1% and of stomach meridian acpoints 34. 8%. On Onset N13,the difference between the right and left of A group( needle conduction acupoint number < 6) was larger than B group' s( needle conduction acupoint number≥6) and on Onset N20,A group's was smaller than B group's( P < 0. 05). Conclusion: On acupuncture- inducing conduction count,ST37 is the largest and GB34 or ST41 is the smallest. In constitutions with high acupuncture inducing conduction,Onset N13 difference between the right and the left is relatively small but Onset N20 is relatively big,hinting that there is a close correlation between needling response and meridian- acupoint- constitution.
引文
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[10]缪奇祥,杨运宽.十二经气血常数与临床关系探讨[J].辽宁中医杂志,2015(1):55-57.
[11]周双琳.足阳明经埋线治疗面部皮肤老化的临床及实验研究[D].北京:北京中医药大学,2014.
[12]许金森,潘晓华,郑淑霞,等.循经感传和模拟循经感传时大脑皮层体觉诱发反应地形图的比较[J].福建中医学院学报,2010(3):4-6,73.
[13]李霁,董竞成,左传涛,等.针刺对脑葡萄糖代谢和功能的影响[J].上海针灸杂志,2001,19(1):3-5.
[2]侯宗濂.关于体针穴位针感感受器的研究.针灸针麻研究[M].北京:科学出版社,1986:48.
[3]郭义,胡利民,张艳军,等.针刺人体足三里上巨虚穴对胃经其他腧穴处Ca2+浓度影响的试验观察[J].天津中医药,2004(6):476-478.
[4]王琼.针刺悬钟穴治疗颈椎病患者的脑功能成像研究[D].武汉:湖北中医药大学,2013.
[5]常静玲,高颖,张华,等.电针通里、悬钟穴对1例皮质下失语症患者语言功能和f MRI改变的作用[J].中国康复医学杂志,2007(1):13-17,98.
[6]陈文,顾红卫,马维平,等.针刺足三里、悬钟对缺血性中风患者脑血管功能的影响:多中心随机对照研究[J].中国针灸,2006(12):851-853.
[7]汪林英,徐春生,朱一芳,等.针刺左、右侧合谷穴脑功能偏侧性的f MRI研究[J].中国针灸,2015,35(8):806-811.
[8]刘坤.孤束核在针刺调节大鼠血压及胃肠感觉和运动中的作用[D].北京:中国中医科学院,2012.
[9]天津科技出版社编.袖珍中医四部经典[M].天津:天津科技出版社,1991:76,345.
[10]缪奇祥,杨运宽.十二经气血常数与临床关系探讨[J].辽宁中医杂志,2015(1):55-57.
[11]周双琳.足阳明经埋线治疗面部皮肤老化的临床及实验研究[D].北京:北京中医药大学,2014.
[12]许金森,潘晓华,郑淑霞,等.循经感传和模拟循经感传时大脑皮层体觉诱发反应地形图的比较[J].福建中医学院学报,2010(3):4-6,73.
[13]李霁,董竞成,左传涛,等.针刺对脑葡萄糖代谢和功能的影响[J].上海针灸杂志,2001,19(1):3-5.