阳虚质人群三焦及任督经穴热图特征对照研究

发布时间：2018-06-19 12:08

  本文选题：阳虚质 + 红外热图　； 参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：本研究通过观察中医阳虚质人群红外热图,以三焦及任督经穴的红外热图为主,与平和质人群对比,寻找中医阳虚质人群红外热图客观化特征,为中医阳虚质判定提供一定参考。方法：以中医脏腑、经络理论为基础,首先采用文献研究方法,对中国知网数库据进行检索,人工统计中医阳虚质人群寒热属性的体表特异性部位及经穴；其次采用回顾性调查研究方法,对138例阳虚质人群的《中医体质量表》结果进行统计分析,寻找阳虚质人群寒热属性与部位的相关性；最后采用实验研究方法,以《中医体质分类与判定》(ZYYXH/T157-2009)为标准,随机选取平和质和阳虚质健康人各30例,分为平和质组和阳虚质组,进行对照试验。采集红外热图,运用TMI-W-6.0系统测量三焦及任、督经穴等区域红外热图平均温度,进行数据分析(SPSS17.0),总结阳虚质人群红外热图特征表现。结果：1、文献及调查研究结果表明：阳虚质主观感知以“寒”为主,阳虚质主因子出现怕冷症状者占97.8%,“寒”性特征集中分布在中焦(胃脘)(占95.7%)、手足(古97.8%)等部位。2、阳虚质组△T上焦比平和质组△T上焦高,具有显著性差异(P0.01)；阳虚质组△T中焦、△T下焦比平和质组低,差异有统计学意义(P0.05)。3、阳虚质组三焦温度分布：AT上焦△T中焦△T下焦,上焦温度高于躯干温度,表现为“热”的属性,中焦、下焦温度低于躯干温度,表现为“寒”的属性,两两!匕较具有显著差异(P0.01),三焦温度依次递减,呈“上热下寒”现象。4、阳虚质组△T督脉比平和质组高,具有显著差异(P0.01)；两组△T任脉比较,差异无统计学意义(P0.05)。阳虚质组督脉：△T B区温度低于AT A区、△T C区温度,B区温度高于D区温度,其中AT B区与△T C区具有显著差异(P0.01)5、阳虚质组△T关元比平和质组低,具有显著性差异(P0.01)；阳虚质组△T命门、AT胃俞(双侧)、AT肾俞(双侧)高于平和质组对应穴位,差异均有有统计学意义(P0.05)结论：1、阳虚质人群红外热图上、中、下三焦区域温度分布依次递减,呈“上热下寒”现象,与传统中医“阳虚则寒”的认知存在一定差异。2、阳虚质人群督脉红外热图可能存在“阻断”现象,在关元、命门、肾俞、胃俞等穴位可能有一定特异性表现。
[Abstract]:Objective: by observing the infrared thermogram of yang deficiency group in TCM, the infrared thermogram of Sanjiao and Ren du meridian was mainly used, and compared with the peaceful and qualitative crowd, the objective characteristics of infrared heat map of yang deficiency group in traditional Chinese medicine were found. To provide a certain reference for the judgment of deficiency of Yang in TCM. Methods: based on the theory of zang-fu organs and meridians of traditional Chinese medicine (TCM), firstly, by using the method of literature research, we searched the database of the number of knowledge networks in China, and artificially counted the specific parts of body surface and the acupoints of the cold and heat attribute of Yang deficiency people in traditional Chinese medicine. Secondly, the results of TCM physique scale of 138 cases of Yang deficiency were statistically analyzed by retrospective investigation to find out the correlation between the cold and heat properties of Yang deficiency people and their parts. Taking ZYYXH / T 157-2009 as the standard, 30 healthy persons with mild and Yang deficiency were randomly selected and divided into two groups: peaceful group and Yang deficiency group, and the control experiment was carried out. The infrared thermal maps were collected and the average temperature of infrared thermal maps of Sanjiao and Ren and du channels were measured by TMI-W-6.0 system. The data were analyzed by SPSS 17.00.The characteristics of infrared thermograms of Yang deficiency people were summarized. Results: 1. The results of literature and investigation show that the subjective perception of Yang deficiency is mainly "cold". The main factor of Yang deficiency was chilling, and the "cold" characteristic was mainly distributed in the middle Jiao (95. 7%), the palms and feet (ancient 97. 8%) and so on, while in the yang deficiency group, the coke on T was higher than that in the mild group (P 0. 01, P < 0. 01), and there was no significant difference between the two groups (P < 0. 01). In Yang deficiency group, T middle coke and T lower coke were lower than those in calmness group, the difference was statistically significant (P0.05N. 3). The temperature distribution of three coke in Yang deficiency group was: 1 / AT upper coke T middle coke T lower coke, the upper coke temperature was higher than the trunk temperature, which showed the attribute of "heat", middle coke. The lower focal temperature is lower than the torso temperature, showing the "cold" attribute, pairwise! There was a significant difference between the two groups (P 0.01), and the temperature of the three coke decreased in turn, showing the phenomenon of "upper heat and lower cold". The T du pulse of Yang deficiency group was higher than that of gentle group (P 0.01), and the difference between the two groups was not statistically significant (P 0.05). In Yang deficiency group, the temperature in T B area was lower than that in AT A area, and the temperature in T C area was higher than that in D area. Conclusion: the temperature distribution in the upper, middle and lower three Jiao areas of the Yang deficiency group was decreased in turn, and the temperature distribution was significantly higher in the Yang deficiency group than at the corresponding acupoints in both sides, and the difference was statistically significant (P0.05, P < 0.05) conclusion: the temperature distribution in the upper, middle and lower three Jiao regions in the Yang deficiency group was decreased in turn, and the temperature distribution in the upper, middle and lower three Jiao area was decreased in turn. The phenomenon of "upper heat and lower cold" is different from the traditional Chinese medicine's cognition of "Yang deficiency is cold". The infrared heat map of Yang deficiency crowd may exist "blocking" phenomenon, in Guanyuan, Shengmen, Shen Yu, Weishu and other acupoints may have a certain specific performance.
【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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本文编号：2039830