魏威 王覺 嚴興科



摘要:目的? 觀察“熱補針法”與普通針刺對光明穴對應穴區幼鼠體表溫度的影響。方法? 選取20只清潔級SD幼鼠隨機分為普通針刺組和熱補針法組,每組10只。均對光明穴進行針刺,普通針刺組“得氣”后留針1 min,熱補針法組“得氣”后配合手法操作留針1 min,兩組幼鼠均進行針刺8 d;應用遠紅外熱成像儀測量兩組大鼠針刺前后左、右側光明穴對應區域體表溫度,并比較針刺前后變化情況。結果? 與常規針刺組比較,熱補針法組幼鼠針刺后局部血運增強,對應表皮溫度升高。針刺后兩組幼鼠左側、右側光明穴溫度較針刺前升高,且熱補針法組高于常規針刺組,差異有統計學意義(P<0.05),且隨著針刺時間的延長(針刺2、4、6、8 d),光明穴區域體表溫度逐漸升高,且熱補針法組高于常規針刺組(P<0.05)。結論? “熱補針法”可有效提升光明穴“得氣”后血運速度與體表溫度。
關鍵詞:熱補針法;光明穴;體表溫度
中圖分類號:R245? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻標識碼:A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI:10.3969/j.issn.1006-1959.2020.13.023
文章編號:1006-1959(2020)13-0087-03
Influence of "Hot-Mending Needle Method" on the Surface Temperature
of Acupuncture Point Guangming
WEI Wei,WANG Jue,YAN Xing-ke
(Acupuncture and Tuina College,Gansu University of Traditional Chinese Medicine,Lanzhou 730000,Gansu,China)
Abstract:Objective? To observe the effect of "hot-mending needle method" and ordinary acupuncture on the surface temperature of young mice in the corresponding acupoint area.Methods? 20 clean SD rats were randomly divided into ordinary acupuncture group and hot-mending acupuncture group, 10 rats in each group.Acupuncture was performed on Guangming point, the needle was kept for 1 min after "getting qi" in the ordinary acupuncture group, and the needle was kept for 1 min after the "getting qi" in the hot-complement needle method group,Both groups of young rats were acupunctured for 8 d; the far-infrared thermal imager was used to measure the surface temperature of the left and right Guangming point of the two groups of rats before and after acupuncture, and the changes before and after acupuncture were compared.Results? Compared with the conventional acupuncture group, the local blood flow in the hot-complement acupuncture group increased after acupuncture, corresponding to an increase in epidermal temperature (P<0.05). After acupuncture, the temperature of the bright points on the left and right sides of the two groups of young rats was higher than that before the acupuncture, and the hot-mending group was higher than the conventional acupuncture group, the difference was statistically significant (P<0.05), and with the needle when the acupuncture time was prolonged (acupuncture 2, 4, 6, 8 d), the surface temperature of Guangming point area gradually increased, and the hot-mending group was higher than the conventional acupuncture group (P<0.05). Conclusion? "hot-mending needle method" can effectively increase the blood velocity and body surface temperature after "getting qi" at Guangming point.
綜上所述,“熱補針法”針刺光明穴可提高對應穴區體表溫度,且隨著針刺時間的延長(針刺2、4、6、8 d),光明穴區域體表溫度逐漸升高。本研究也有諸多不足之處,如僅對針刺穴區進行體表溫度觀測,并未對中樞、臟腑溫度進行系統分析;另外,對幼鼠的針刺療程過短,未能探明對光明穴體表溫度影響最大的時間節點,有待后續進一步研究。
參考文獻:
[1]楊宗勝,田風,應勤麗.從干針針灸之爭再論針灸之“得氣”[J].中醫臨床研究,2019,11(27):75-76,83.
[2]陸鳳燕,王圓圓,周晨,等.得氣針感與穴區不同組織結構關系的思考[J].中國針灸,2019,39(5):523-527.
[3]蘇成紅,蒲永樂,張延菊,等.鄭氏“熱補針法”的臨床和實驗研究進展[J].甘肅中醫藥大學學報,2016,33(6):84-87.
[4]閆宸,趙中亭.傳統熱補針法治療產后身痛48例[J].上海針灸雜志,2012,31(1):47-48.
[5]袁博,梁柱,王金海,等.熱補針法治療寒濕阻絡型大骨節病臨床觀察[J].中國針灸,2017,37(2):143-147.
[6]黃勁柏.鄭魁山熱補針法治療五官科疾病經驗[J].中國中醫藥信息雜志,2014,21(3):113-114.
[7]吳桂雯,張鵬,李靜,等.針刺三陰交對痛經患者關元和三陰交穴體表紅外溫度的影響[J].上海針灸雜志,2016,35(6):631-635.
[8]楊紫藝,周夢媛,汪杏,等.穴位皮膚溫度研究之述評[J].中國針灸,2017,37(1):109-114.
[9]科學技術部.關于發布《關于善待實驗動物的指導性意見》的通知[J].畜牧獸醫科技信息,2007(4):35-36.
[10]李忠仁.實驗針灸學[M].北京:中國中醫藥出版社,2008.
[11]李云慶.大鼠斷層解剖彩色圖譜[M].湖北:華中科技大學出版社,2010.
[12]袁博,王金海,方曉麗,等.熱補針法對寒證類風濕關節炎模型家兔滑膜組織代謝物譜的影響[J].中國老年學雜志,2017,37(4):800-804.
[13]黃繼升,謝小強.鄭氏“熱補針法”治療脾胃虛寒型胃痛的療效觀察[J].上海針灸雜志,2017,36(9):1038-1040.
[14]陳志偉,劉忠齊.TTM熱斷層技術在中醫領域應用概述[J].世界中醫藥,2008,3(2):104-105.
[15]陳淑惠,尹建平,吳麗芳,等.肝腎養護針刺法治療失眠療效觀察及紅外熱成像相關性研究[J].上海針灸雜志,2018,37(7):725-728.
收稿日期:2020-06-12;修回日期:2020-06-20
編輯/杜帆
基金項目:甘肅中醫藥大學科學基金項目(編號:2019CX41)
作者簡介:魏威(1990.8-),女,甘肅蘭州人,碩士研究生,主要從事針灸調節效應的生物學機制研究
通訊作者:嚴興科(1974.2-),男,甘肅武威人,博士,教授,主要從事針灸調節效應的生物學機制研究