痛经患者关元、十七椎穴伏安特性研究
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摘要
目的观察痛经患者月经周期关元、十七椎穴位伏安特性的变化规律,为临床选穴及穴位特异性研究提供试验证据。方法检测痛经组50例痛经患者非经期、经期、经后关元和十七椎的伏安曲线,分析痛经患者穴位伏安特性,并与对照组51例健康女性进行比较。结果痛经组非经期十七椎穴的增程伏安面积和惯性面积小于对照点(P<0.05),经期十七椎穴惯性面积小于对照点(P<0.05),经后十七椎穴增程伏安面积、惯性面积均小于对照点(P<0.05);痛经组非经期关元穴的减程伏安面积大于对照点(P<0.05)。对照组经后十七椎穴的增程伏安面积、惯性面积小于对照点(P<0.05)。非经期,痛经组关元穴增程伏安面积、减程伏安面积及惯性面积均大于对照组(P<0.05);经后,痛经组关元穴增程伏安面积、惯性面积大于对照组(P<0.05)。结论关元、十七椎穴具有明显的穴位特异性,并随人体生理病理状态的不同而有不同的表现;与健康女性比较,痛经患者关元、十七椎穴伏安特性在非经期和经后发生了显著变化。
Objective To observe the regularities in the change of the volt-ampere characteristics of Guanyuan (CV4) and Shiqizhui (EX-B8) during a menstrual cycle in dysmenorrhea patients, for providing experimental evidence for acupoint selection in clinical practice and acupoint specificity research. Method The volt-ampere curves of Guanyuan (CV4) and Shiqizhui (EX-B8) were detected during non-menstrual, menstrual and post-menstrual periods among 50 dysmenorrhea patients in the dysmenorrhea group, to analyze the volt-ampere characteristics of the points in dysmenorrhea patients. The control group of 51 healthy women was set up for comparison. Result In the dysmenorrhea group, the ascending volt-ampere and inertia area of Shiqizhui (EX-B8) were smaller than those of the control point during non-menstrual period (P<0.05), the inertia area of Shiqizhui (EX-B8) was smaller than that of the control point during menstrual period (P<0.05), the ascending volt-ampere and inertia areas of Shiqizhui (EX-B8) were smaller than those of the control point during post-menstrual period (P<0.05); in the dysmenorrhea group, the descending volt-ampere area of Guanyuan (CV4) was larger than that of the control point during non-menstrual period (P<0.05). In the control group, the ascending volt-ampere and inertia areas of Shiqizhui (EX-B8) were smaller than those of the control point during post-menstrual period (P<0.05). During non-menstrual period, the ascending and descending volt-ampere and inertia areas of Guanyuan (CV4) in the dysmenorrhea group were larger than those in the control group (P<0.05); during post-menstrual period, the ascending volt-ampere and inertia areas of Guanyuan (CV4) in the dysmenorrhea group were larger than those in the control group (P<0.05). Conclusion Guanyuan (CV4) and Shiqizhui (EX-B8) have significant acupoint specificities, which presentdifferently under different physiological and pathological conditions; compared with healthy women, the volt-ampere characteristics of Guanyuan (CV4) and Shiqizhui (EX-B8) demonstrate great differences in dysmenorrhea patients during non-menstrual period and post-menstrual period.
Objective To observe the regularities in the change of the volt-ampere characteristics of Guanyuan (CV4) and Shiqizhui (EX-B8) during a menstrual cycle in dysmenorrhea patients, for providing experimental evidence for acupoint selection in clinical practice and acupoint specificity research. Method The volt-ampere curves of Guanyuan (CV4) and Shiqizhui (EX-B8) were detected during non-menstrual, menstrual and post-menstrual periods among 50 dysmenorrhea patients in the dysmenorrhea group, to analyze the volt-ampere characteristics of the points in dysmenorrhea patients. The control group of 51 healthy women was set up for comparison. Result In the dysmenorrhea group, the ascending volt-ampere and inertia area of Shiqizhui (EX-B8) were smaller than those of the control point during non-menstrual period (P<0.05), the inertia area of Shiqizhui (EX-B8) was smaller than that of the control point during menstrual period (P<0.05), the ascending volt-ampere and inertia areas of Shiqizhui (EX-B8) were smaller than those of the control point during post-menstrual period (P<0.05); in the dysmenorrhea group, the descending volt-ampere area of Guanyuan (CV4) was larger than that of the control point during non-menstrual period (P<0.05). In the control group, the ascending volt-ampere and inertia areas of Shiqizhui (EX-B8) were smaller than those of the control point during post-menstrual period (P<0.05). During non-menstrual period, the ascending and descending volt-ampere and inertia areas of Guanyuan (CV4) in the dysmenorrhea group were larger than those in the control group (P<0.05); during post-menstrual period, the ascending volt-ampere and inertia areas of Guanyuan (CV4) in the dysmenorrhea group were larger than those in the control group (P<0.05). Conclusion Guanyuan (CV4) and Shiqizhui (EX-B8) have significant acupoint specificities, which presentdifferently under different physiological and pathological conditions; compared with healthy women, the volt-ampere characteristics of Guanyuan (CV4) and Shiqizhui (EX-B8) demonstrate great differences in dysmenorrhea patients during non-menstrual period and post-menstrual period.
引文
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[8]张璐,毛慧娟,魏建子,等.健康女性三阴交穴伏安特性与血流灌注量研究[J].上海针灸杂志,2017,36(10):1263-1266.
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[12]沈雪勇,魏建子,黄奏琴,等.不同生命状态内关穴红外温度变化过程中穴位特异性的显现[J].上海针灸杂志,2012,31(2):71-73.
[13]张璐,魏建子.针灸治疗原发性痛经的选穴用穴现状分析[J].医药与保健,2015,23(10):6-7.
[14]杜帅,陈少宗.针灸治疗痛经的取穴组方规律与经验分析[J].针灸临床杂志,2012,28(8):52-54.
[15]姜劲峰,余芝,徐斌,等.腧穴敏化内涵探析[J].中医杂志,2012,53(20):1714-1716.
[16]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.
[17]魏建子,周钰,沈雪勇,等.伏安特性与穴位功能特异性[J].上海针灸杂志,2003,22(9):18-20.
[18]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.
[19]Wei J,Mao H,Zhou Y,et al.Research on nonlinear feature of electrical resistance of acupuncture points[J].Evid Based Complement Alternat Med,2012:179657.
[20]张璐,毛慧娟,魏建子,等.健康女性三阴交穴伏安特性与血流灌注量研究[J].上海针灸杂志,2017,36(10):1263-1266.
[21]秦王燕,常洪晶,杨玉英.痛经的临床因素分析[J].中国妇幼保健,2006,21(23):3238-3239.
[22]李霞,邓佳宜,金李,等.重庆地区女大学生原发性痛经与运气、体质及生活习惯的关联分析[J].中国中医药现代远程教育,2018,16(22):51-54.
[23]刘颖华,王昕.640例寒凝血瘀证原发性痛经患者生存质量及相关因素分析[J].辽宁中医杂志,2018,45(11):2355-2357.
[24]Proctor ML,Farquhar CM.Dysmenorrhoea[J].BMJ Clin Evid,2007:813.
[25]赵京生.“以痛为输”与“阿是穴”:概念术语考辨[J].针刺研究,2010,35(5):388-390.
[26]张磊,钟新娜,傅瑞阳,等.“以痛为腧”按压足三里治疗脓毒血症大鼠效果评价[J].世界最新医学信息文摘,2018,18(79):3-5.
[27]赵婧宇,张莉君,纪昌春.基于“以痛为腧”关刺法治疗腰三横突综合征疗效观察[J].现代中医药,2018,38(5):54-57.
[28]沈淑蓉,吴林峰.穴位埋线配合以痛为腧针刺法治疗癌性疼痛的效果分析[J].中国高等医学教育,2018,(8):134,145.
[29]张磊,李征宇,俞仲毅,等.“以痛为腧”推拿按压法对神经痛大鼠脑内镇痛回路GABA与GABA_(AR)的影响[J].上海中医药大学学报,2014,28(3):50-53.
[30]李征宇,陈培青,龚利,等.“以痛为腧”按揉法对腰椎间盘突出症的镇痛作用及机理研究[J].长春中医药大学学报,2012,28(4):750.
[2]王捷生,沈雪勇,魏建子,等.冲阳穴伏安特性与人体气血盛衰[J].上海针灸杂志,2001,20(6):29-31.
[3]魏建子,沈雪勇,周钰,等.气虚患者太渊、太溪穴伏安特性[J].辽宁中医杂志,2007,34(5):547-550.
[4]汪丽娜,魏建子,毛慧娟,等.阻断血行对穴位伏安特性的影响[J].中国针灸,2012,32(12):1095-1097.
[5]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.
[6]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.
[7]周钰,沈雪勇,魏建子,等.健康人月经前后太冲、太溪穴位伏安特性观察[J].陕西中医,2005,26(5):442-443.
[8]张璐,毛慧娟,魏建子,等.健康女性三阴交穴伏安特性与血流灌注量研究[J].上海针灸杂志,2017,36(10):1263-1266.
[9]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.
[10]曾芳,唐勇,刘旭光,等.论腧穴的动态性[J].四川中医,2008,26(6):103-105.
[11]高骏,刘旭光,余曙光,等.关于腧穴动态性的初步探讨[J].中国针灸,2010,30(8):643-646.
[12]沈雪勇,魏建子,黄奏琴,等.不同生命状态内关穴红外温度变化过程中穴位特异性的显现[J].上海针灸杂志,2012,31(2):71-73.
[13]张璐,魏建子.针灸治疗原发性痛经的选穴用穴现状分析[J].医药与保健,2015,23(10):6-7.
[14]杜帅,陈少宗.针灸治疗痛经的取穴组方规律与经验分析[J].针灸临床杂志,2012,28(8):52-54.
[15]姜劲峰,余芝,徐斌,等.腧穴敏化内涵探析[J].中医杂志,2012,53(20):1714-1716.
[16]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.
[17]魏建子,周钰,沈雪勇,等.伏安特性与穴位功能特异性[J].上海针灸杂志,2003,22(9):18-20.
[18]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.
[19]Wei J,Mao H,Zhou Y,et al.Research on nonlinear feature of electrical resistance of acupuncture points[J].Evid Based Complement Alternat Med,2012:179657.
[20]张璐,毛慧娟,魏建子,等.健康女性三阴交穴伏安特性与血流灌注量研究[J].上海针灸杂志,2017,36(10):1263-1266.
[21]秦王燕,常洪晶,杨玉英.痛经的临床因素分析[J].中国妇幼保健,2006,21(23):3238-3239.
[22]李霞,邓佳宜,金李,等.重庆地区女大学生原发性痛经与运气、体质及生活习惯的关联分析[J].中国中医药现代远程教育,2018,16(22):51-54.
[23]刘颖华,王昕.640例寒凝血瘀证原发性痛经患者生存质量及相关因素分析[J].辽宁中医杂志,2018,45(11):2355-2357.
[24]Proctor ML,Farquhar CM.Dysmenorrhoea[J].BMJ Clin Evid,2007:813.
[25]赵京生.“以痛为输”与“阿是穴”:概念术语考辨[J].针刺研究,2010,35(5):388-390.
[26]张磊,钟新娜,傅瑞阳,等.“以痛为腧”按压足三里治疗脓毒血症大鼠效果评价[J].世界最新医学信息文摘,2018,18(79):3-5.
[27]赵婧宇,张莉君,纪昌春.基于“以痛为腧”关刺法治疗腰三横突综合征疗效观察[J].现代中医药,2018,38(5):54-57.
[28]沈淑蓉,吴林峰.穴位埋线配合以痛为腧针刺法治疗癌性疼痛的效果分析[J].中国高等医学教育,2018,(8):134,145.
[29]张磊,李征宇,俞仲毅,等.“以痛为腧”推拿按压法对神经痛大鼠脑内镇痛回路GABA与GABA_(AR)的影响[J].上海中医药大学学报,2014,28(3):50-53.
[30]李征宇,陈培青,龚利,等.“以痛为腧”按揉法对腰椎间盘突出症的镇痛作用及机理研究[J].长春中医药大学学报,2012,28(4):750.