痰湿体质人群腹部“三经一穴”红外热图特征研究

发布时间：2018-03-04 05:27

本文选题：痰湿体质　切入点：经络　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本研究通过观察痰湿体质人群腹部区域上的足太阴脾经、足阳明胃经、任脉以及中脘穴的红外热图特征,与平和体质人群作对比,以寻求其中的规律,探讨红外热图是否能作为中医痰湿体质辨识的评价工具,并为临床治疗带来一些思路。方法：对《中医体质分类与判定》中《中医体质量表》测定的痰湿体质人群的主因子及次因子进行统计学分析,寻找体表定位区域和效应特性。采用随机对照设计,抽取平和体质及痰湿体质各30例。选取腹部区域上的足太阴脾经、足阳明胃经、任脉循经线及中脘穴为痰湿体质红外热图观察区域。应用医用红外热成像系统,采集红外热图。通过医用红外专用分析软件,对比相应温度数据。通过SPSS17.0统计软件分析,总结出痰湿质人群在腹部经穴上红外热图的特征性表现。结果：1、组间对照痰湿质组与平和质组的腹部区域脾经段红外热图At值,左侧：P=0.000(P0.01),有统计学意义；右侧：P=0.000(P0.01),有统计学意义；痰湿质组与平和质组腹部区域的脾经温度具有显著差异。2、组间对照痰湿质组与平和质组腹部区域胃经红外热图的At值,两组比较,左侧：P=0.000(P0.01),有统计学意义；右侧：P=0.001(P0.01),有统计学意义；痰湿质组和平和质组腹部区域的胃经温度具有显著差异。3、组间对照痰湿质组和平和质组腹部区域任脉红外热图的At值,两组比较：P=0.006(P0.01),有统计学意义；痰湿质组和平和质组腹部区域任脉温度具有显著差异。4、组内对照平和质组左侧腹部区域三条经络△t值：P=0.212,(P0.05),无统计学意义,三条经络温度无显著差异；平和质组右侧腹部区域三条经络对比：P=0.089,(P0.05),无统计学意义,三条经络温度无显著差异。5、组内对照痰湿组腹部左侧三条经络,P=0.032(P0.05),有统计学意义,其中脾经与胃经、任脉比较：P=0.000, (P0.01),有显著差异；胃经与任脉比较：P=0.948,(P0.05),无统计学意义。痰湿组腹部右侧三条经络对比：P=0.000,(P0.01),三条经有显著差异,其中脾经与胃经、任脉比较：P=0.000,P0.01,有显著差异；胃经与任脉比较：P=0.480,(P0.05),无统计学意义。6、对比两组中脘穴与胃脘部分的△t值,P=0.000,(P0.01),有统计学意义,差异具有显著性。结论：1、痰湿质组腹部区域脾经温度高于平和质组,胃经、任脉的温度低于平和质组；痰湿体质人群腹部区域脾经温度远高于胃经、任脉,胃经、任脉温度均偏低,无显著差异。2、痰湿体质人群中脘穴温度高于胃脘区域温度。3、腹部区域经络的温度对比以及中脘穴温度的高低,对痰湿体质的判定有一定的参考价值。4、红外线热图对体质判定有一定的参考价值。
[Abstract]:Objective: to observe the characteristics of infrared heat map of foot Taiyin spleen Meridian, foot Yangming stomach Meridian, Renmai and Zhongwan points in the abdominal region of the people with phlegm and dampness constitution, and to find out the rules among them. To explore whether infrared thermogram can be used as an evaluation tool for the identification of phlegm and dampness constitution of traditional Chinese medicine. Methods: the main factors and secondary factors of phlegm and dampness were measured in TCM physique scale. A randomized controlled design was used to select 30 cases of mild physique and 30 cases of phlegm dampness constitution. The abdominal area of foot Taiyin spleen Meridian and foot Yangming stomach Meridian were selected. The observation area of phlegm-dampness constitution infrared thermal map is the points along the meridian of the meridian of the meridian and Zhongwan. The infrared thermogram is collected by using the medical infrared thermal imaging system. The corresponding temperature data are compared by the special analysis software of medical infrared, and analyzed by the SPSS17.0 statistical software. The characteristics of infrared thermogram on abdominal meridian of phlegm-dampness group were summarized. Results: there was statistical significance in infrared thermogram of spleen of abdominal region between control group and peaceful group, the value of infrared thermogram of splenic segment in the left side of the phlegm dampness group and the control group was significantly higher than that of the control group, and there was significant difference between the two groups, and there was a significant difference between the two groups, and there was a significant difference between the two groups, and there was a significant difference between the two groups. There was significant difference in spleen meridian temperature between phlegm-dampness group and calming group. There was significant difference between the two groups in the infrared thermogram of stomach meridian of phlegm dampness group and peaceful substance group, there was significant difference between the two groups, there was significant difference between the two groups, and there was significant difference between the two groups, the right side was 0.001% P0. 01, and the right side was 0. 001% P0. 01, there was significant difference between the two groups. There was significant difference in temperature of stomach meridian between the two groups. There was significant difference in the temperature of stomach meridian between the two groups. There was statistical significance between the control group and the group of phlegm dampness substance group and the group of phlegm wet substance group and the control group, the infrared thermogram of the abdominal region of the phlegm dampness group was compared with that of the control group. There was significant difference between the phlegm dampness group and the group of phlegm dampness. 4. There was no significant difference in the temperature of the three meridians in the left abdominal region of the control group. There was no significant difference in the temperature of the three meridians between the two groups. There was no significant difference in the temperature of the three meridians in the right abdominal region of the control group. There was no significant difference in the temperature of the three meridians. 5. In the control group, the left side of the three meridians of phlegm dampness group had three meridians in the left side of the abdomen, which had statistical significance, among which, the spleen meridian and the stomach meridian. There was significant difference between the two groups, and there was no statistical significance between the two groups. In the phlegm-dampness group, there were significant differences in the three channels of the right side of the abdomen. There were significant differences among the three meridians, among which the spleen meridian was significantly different from the stomach meridian, and the Renmai meridian was significantly different from the control P0. 000 P0. 01. the phlegm dampness group had a significant difference in the right side of the abdomen compared with the three meridians of the stomach meridian, the spleen meridian and the stomach meridian. There was no significant difference in the stomach meridian between the two groups (P < 0. 080, P 0. 05, P 0. 05). There was a significant difference between the two groups. Conclusion the temperature of spleen meridian in the abdominal region of the phlegm dampness group is higher than that in the mild group, and the stomach meridian is higher in the phlegm dampness group than in the mild group, and there is a significant difference between the two groups in terms of t value (P = 0. 000) and stomach meridian. The temperature of the spleen meridian in the abdominal region of the group with phlegm-dampness constitution was much higher than that in the stomach meridian, and the temperature of the spleen meridian was lower than that of the stomach meridian. There was no significant difference. 2. The temperature of Zhongwan point was higher than that of epigastric area in the group of phlegm dampness constitution, and the temperature of the abdominal meridian and the temperature of Zhongwan acupoint was higher than that of the stomach area. It has certain reference value for judging phlegm and dampness constitution.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246

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