慢性非萎缩性胃炎患者力敏腧穴分布的临床研究
|
摘要
目的:比较慢性非萎缩性胃炎(CNAG)患者与健康受试者体表部位的力敏腧穴分布差异,分析CNAG患者力敏腧穴分布规律。方法:对60例CNAG患者和60例健康受试者进行力敏腧穴探查,将探查的力敏腧穴标注到人体神经皮节图上,对力敏腧穴进行计数统计,比较力敏腧穴分布与经脉、神经节段的位置关系。结果:(1)CNAG患者力敏腧穴探查出现率为86.7%,健康受试者力敏腧穴探查出现率为15.0%,CNAG患者力敏腧穴出现率明显高于健康受试者(P<0.01)。(2)CNAG患者力敏腧穴频次居前3位的经络为任脉、足太阴脾经、足阳明胃经,力敏腧穴在血海、中脘、中庭穴区出现率较高。(3)CNAG患者力敏腧穴多在胸(T)7—T10、腰(L)3—L5分布。结论:力敏腧穴与机体状态密切相关,疾病状态下力敏腧穴分布与相关经脉、神经节段位置密切相关。
Objective To compare the distribution regularity of the pressure-sensitive acupoints in patients with chronic non-atrophic gastritis(CNAG)and healthy subjects,so as to provide suitable acupoint combinations for clinical treatment.Methods A total of 120 volunteer subjects including 60 CNAG patients(29 men and 31 women,(40.7±10.3)years at the average age)and 60 healthy subjects(28 men and 32 women,and(40.8±10.2)years at the average age)were enrolled in the present study.The pressure-sensitive acupoints were checked by a fixed operator using his finger pulp along the body trunk and the four limbs and marked on a prepared human dermatome graph.The number of pressing sensitive acupoints were counted,and the relationship between the distribution of the detected sensitive acupoints and the position of meridians and nerve segments was analyzed.Results The incidence of pressure-sensitive acupoint in CNAG patients and healthy subjects were 86.7% and15.0%,respectively.In 60 CNAG patients,the most frequently met sensitive acupoints were Xuehai(SP10),Zhongwan(CV13),and Zhongting(CV17)in sequence,mainly covering the Conception Vessel,Spleen Meridian of Foot-Taiyin(SP),and the Stomach Meridian of Foot-Yangming(ST).The sensitive acupoints presented a nerve-segmental distribution within T7—T10 and L3—L5.Conclusion The pressure-sensitive acupoints present a nerve-segmental distribution and have a higher corresponding rate with some meridians related to the stomach,especially under diseased conditions.
Objective To compare the distribution regularity of the pressure-sensitive acupoints in patients with chronic non-atrophic gastritis(CNAG)and healthy subjects,so as to provide suitable acupoint combinations for clinical treatment.Methods A total of 120 volunteer subjects including 60 CNAG patients(29 men and 31 women,(40.7±10.3)years at the average age)and 60 healthy subjects(28 men and 32 women,and(40.8±10.2)years at the average age)were enrolled in the present study.The pressure-sensitive acupoints were checked by a fixed operator using his finger pulp along the body trunk and the four limbs and marked on a prepared human dermatome graph.The number of pressing sensitive acupoints were counted,and the relationship between the distribution of the detected sensitive acupoints and the position of meridians and nerve segments was analyzed.Results The incidence of pressure-sensitive acupoint in CNAG patients and healthy subjects were 86.7% and15.0%,respectively.In 60 CNAG patients,the most frequently met sensitive acupoints were Xuehai(SP10),Zhongwan(CV13),and Zhongting(CV17)in sequence,mainly covering the Conception Vessel,Spleen Meridian of Foot-Taiyin(SP),and the Stomach Meridian of Foot-Yangming(ST).The sensitive acupoints presented a nerve-segmental distribution within T7—T10 and L3—L5.Conclusion The pressure-sensitive acupoints present a nerve-segmental distribution and have a higher corresponding rate with some meridians related to the stomach,especially under diseased conditions.
引文
[1]王岩,季奎,张学慧.经穴-脏腑相关学说的研究进展及存在问题的讨论[J].针灸临床杂志,2005,21(6):54-56.
[2]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.
[3]符翠萍,刘爱玲,杨兴霞,等.艾灸“大肠俞”对大鼠内脏痛敏及骨髓细胞瞬时感受器电位香草酸受体亚型1表达的影响[J].针刺研究,2013,38(1):14-19.
[4]曹东元,牛汉璋,杜剑青,等.穴位电刺激经大鼠初级传入反射引起内脏的神经源性炎症反应[J].针刺研究,2002,27(1):45-49.
[5]华兴邦,何志娟,朱玲英,等.电刺激穴位诱发内脏神经反射电活动的分析[J].针刺研究,1985,10(1):49-55.
[6]刘磊.有关内脏痛的问题[J].针刺研究,1976,1(Z1):125-130.
[7]陈日新,康明非.一种新类型的疾病反应点——热敏点及其临床意义[J].江西中医学院学报,2006,18(2):29-30.
[8]中华医学会消化病学分会.中国慢性胃炎共识意见[J].胃肠病学,2013,18(1):24-36.
[9]李辉.新赫尔辛基宣言(Declaration of Helsinki)[J].日本医学介绍,2005(8):381-382.
[10]荣培晶.内脏痛与体表相关性的实验研究[J].中国病理生理杂志,2004,20(3):363-366.
[11]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.
[12]何伟,吴美玲,景向红,等.穴位的本态:穴位组织细胞化学的动态变化[J].中国针灸,2015,35(11):1181-1186.
[13]苏妆.《黄帝内经》腧穴理论的发生学研究[D].沈阳:辽宁中医药大学,2013.
[14]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):183-186.
[15]庄平,耿引循,黄英.督脉治疗在砭术应用中的价值探讨[J].中国针灸,2004,24(2):127-128.
[16]张介宾(明).类经[M].北京:人民卫生出版社,1965:96.
[2]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.
[3]符翠萍,刘爱玲,杨兴霞,等.艾灸“大肠俞”对大鼠内脏痛敏及骨髓细胞瞬时感受器电位香草酸受体亚型1表达的影响[J].针刺研究,2013,38(1):14-19.
[4]曹东元,牛汉璋,杜剑青,等.穴位电刺激经大鼠初级传入反射引起内脏的神经源性炎症反应[J].针刺研究,2002,27(1):45-49.
[5]华兴邦,何志娟,朱玲英,等.电刺激穴位诱发内脏神经反射电活动的分析[J].针刺研究,1985,10(1):49-55.
[6]刘磊.有关内脏痛的问题[J].针刺研究,1976,1(Z1):125-130.
[7]陈日新,康明非.一种新类型的疾病反应点——热敏点及其临床意义[J].江西中医学院学报,2006,18(2):29-30.
[8]中华医学会消化病学分会.中国慢性胃炎共识意见[J].胃肠病学,2013,18(1):24-36.
[9]李辉.新赫尔辛基宣言(Declaration of Helsinki)[J].日本医学介绍,2005(8):381-382.
[10]荣培晶.内脏痛与体表相关性的实验研究[J].中国病理生理杂志,2004,20(3):363-366.
[11]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.
[12]何伟,吴美玲,景向红,等.穴位的本态:穴位组织细胞化学的动态变化[J].中国针灸,2015,35(11):1181-1186.
[13]苏妆.《黄帝内经》腧穴理论的发生学研究[D].沈阳:辽宁中医药大学,2013.
[14]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):183-186.
[15]庄平,耿引循,黄英.督脉治疗在砭术应用中的价值探讨[J].中国针灸,2004,24(2):127-128.
[16]张介宾(明).类经[M].北京:人民卫生出版社,1965:96.