针刺太冲穴对左手关部脉图参数的影响

  本文关键词：针刺太冲穴对左手关部脉图参数的影响，，由笔耕文化传播整理发布。

针刺太冲穴对左手关部脉图参数的影响

针刺太冲穴对左手关部脉图参数的影响

研究目的:“寸口诊法”是中医最主要的脉诊法。历代医家遵《内经》之旨,认为寸关尺分候一定的脏腑,因而在病理条件下就可以在相应的部位表现出异常脉象,因而能为疾病的诊断提供依据。本实验通过针刺60例正常人肝经原穴太冲穴,观察并对比研究针刺前后脉象图(包括主要参数、脉位、脉力、脉势、脉形、脉率、节律等)参数的变化,以期阐明中医脉诊“左关候肝”的寸关尺分候脏腑理论是否有其存在的客观依据,为中医脉诊的客观化研究提供依据。研究策略:60名正常人全部来自北京中医药大学在校学生,采用随机数字表法简单随机分为2组,即针刺太冲组(实验组)和针刺阑尾组(对照组)。所有受试者针刺前后分别采用ZM-III型智能脉象仪采集病人左手关脉脉象图形,由脉象浅析浅析软件得出脉图各种参数信息,并将收集的资料存档;然后采用统计软件检验相关实验数据;对比研究针刺前后及实验组和对照组脉象的有关资料,尝试用脉诊理论和寸关尺脏腑分候理论进行验证和解释。实验结果:1太冲组针刺前后受试者脉图参数h1、h3、t变化显著,阑尾组针刺前后受试者脉图参数h3、t发生显著变化;对比太冲组和阑尾组针刺前后脉图参数的变化值△h1、△h3、△h1/△h3差异均无统计学意 义(P≥0.05);脉图参数的变化值△t有极显著性差异(P≤0.01)。2太冲组针刺前后脉象名称,脉位、脉数、脉形、脉势的变化:(1)脉位:6例转变,占总数的33.3%,其它均未有转变。其中,3例浮-中,6例中-浮,1例沉-中。脉位转变趋势为脉位变浅。(2)脉力:6例转变占总数的20%,其它均未有转变。其中,2例无力-中,2例有力-中,1例无力-有力,1例中-中滑。脉力转变趋势为脉力增强。(3)脉势:2例低平虚-正常,1例低平虚-正常,共3例有转变,占总数的10%,其它均未有转变。(4)脉形:16例有转变,占总数的53.3%,其它均未有转变。其中,6例abc-ac,4例abc-ab,6例ac-abc。(5)脉名:20例有转变,占总数的66.7%,其它均未有转变。其中,2例浮脉-平脉,1浮脉-弦脉,1例弦脉-平滑脉,1例平脉-平弦脉,1例滑脉-平滑脉,1例平脉-浮脉,1例滑脉-平脉,1例弦脉-缓脉,1例平弦脉-平滑脉,1例平弦脉-弦脉,1例平弦脉-浮脉,1例浮脉-平滑脉,1例虚类脉-滑脉,1平脉-弦脉,1例平脉-滑脉,1例平滑脉-滑脉,1例平滑脉-平脉。3阑尾组针刺前后脉象名称,脉位、脉数、脉形、脉势的变化:(1)脉位:4例浮-中,占总数的13.3%,其它均未有转变。(2)脉力:4例无力-中,占总数的13.3%,其它均未有转变。(3)脉势:4例低平虚-正常,1例正常-有力,共5例有转变,占总数的16.7%,其它均未有转变。(4)脉形:8例有转变,占总数的26.7%,其它均未有转变。其中,2例abc-ac,2例abc-ab,2例ac-abc,2例ab-abc。(5)脉名:15例有转变,占总数的50%,其它均未有转变。其中,3例平脉-弦脉,2例浮脉-弦脉,1例浮脉-结代脉,1例平脉-平弦脉,1例虚类脉-弦脉,1例平滑脉-浮脉,1例浮脉-平滑脉,1例弦脉-虚类脉,1例平脉-结代脉,1例弦脉-平弦脉,1例平滑脉-平脉,1例平脉-平滑脉。实验结论:针刺太冲穴主要引起了左手关部脉图参数h1、h3、t的显著升高,对脉位、脉力、脉势、脉名的影响都有良性的趋中性的特点,说明针刺肝经原穴太冲穴对左手关脉确有调整作用,而且这种调整作用主要是缓和作用或趋中性作用,在一定程度上验证了针刺太冲穴有柔肝缓急的作用,体现了太冲穴的功能特异性。但由于针刺太冲穴和针刺阑尾穴二者对脉图参数的影响无明显区别,说明“左关候肝理论”在本实验中不能找到确切的实验依据。

【Abstract】 The paper consists two parts: literature review and experimental study. The firstsection reviews and introduces the experimental survey of the Chinesepulse-diagnostic history. The second section is Experimental Research as follows:Objective: To discuss and prove the old Chinese theory that left ’cun’portion (It islocated on the upper edge of the styloid process of the radios and at the radial end ofthe left wrist. ) represent certain bowels or viscera through the experiment by healthyundergraduates.Methods: All experimental objects are from healthy undergraduates. Thesepeoples are divided into two groups:LR3 Group and EX-LE7 Group(Model Group).Every group has 30 peoples and every people will accept the therapy of acupuncturewith needles. Two different Group are treated with different acu-points. People in LR3Group use LR3 point and people in Model Group use EX-LE7 point. Before and afteracupuncture every body’s pulse tracings map are measured respectively by particularsphygmograph. Then discuss the experimental data and analyze the experimentalresults.Results:(1) Before and after acupuncture, the score level of HI, H3, H3/H1 and T in LR3Group are significant differently(P<0.05). All scores were increased in LR3Group after acupuncture.(2) Before and after acupuncture, the score level of H3 and T in Model Group aresignificant differently(P<0.05).(3) Compared between the LR3 Group and model group, the score level of△hl,△h3 and△hl/△h3 (P<0.01) are in the same degree and the score level of△t aremore increased in model group.(4) There are fewer changes about the pulse name, pulse depth, pulse power,pulse rhythm and pulse position in LR3 Group and model group. The minority ofexperimental parameter are converge to middle degree.Conclusion:Acupuncturing LR3 point can promote the heart capacity and prolong the pulsecycle. Acupuncturing LR3 has the active and moderate function toward heart andvessels system. Although the LR3 point has particular action to human body, theeffects are feeble. Conclusively, the experimental data can not prove the old Chinesetheory that left ’cun’portion represent certain bowels or viscera because the two groupshas not essential difference in this acupuncturing experiment.

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  本文关键词：针刺太冲穴对左手关部脉图参数的影响，由笔耕文化传播整理发布。