基于生物传热学的艾灸疗法物理学剂量研究
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摘要
目的:利用艾灸设备进行保健灸,建立正常人体艾灸的物理学剂量,为进一步研究患者艾灸剂量范围提供依据。方法:利用自制高精度温度传感器测定手足部、胸腹部及腰背部等穴位灸前瞬时温度,最高耐受瞬时温度,并记录产生最高耐受瞬时温度所需要的时间,通过自定义公式:穴位艾灸的物理学剂量=(灸前瞬时温度+最高耐受温度)/2×产生最高耐受温度所需要的时间,拟建立不同部位穴位的艾灸物理学剂量范围,并分析艾灸不同部位的物理学剂量范围差异。结果:手阴经的穴位艾灸时所需要的物理学剂量低于足阴经、胸腹部的穴位,手阳经的穴位艾灸时所需的物理学剂量低于足阳经、背腰部穴位,提示艾灸时手部经穴所需的物理学剂量低于足部及躯干部的穴位,说明手部穴位较之足部、躯干部穴位对光热更敏感。结论:不同部位的穴位均有一定的剂量范围,进行灸疗时,只要达到穴位的剂量范围,即可取得相应的效果。
Objective: To establish the physical dosage of moxibustion in normal human body by using moxibustion equipment for health care moxibustion,so as to provide basis for further study on the dosage range of moxibustion in patients. Methods: Before moxibustion,the instantaneous temperatures of acupoints at hands,feet,thorax,abdomen,waist and back,and their maximum endurance instantaneous temperatures were measured by self-made high-precision temperature sensor. The time of each acupoint to produce the maximum endurance instantaneous temperature was recorded. The physical dose of moxibustion at each acupoint was defined as follows:( instantaneous temperature before moxibustion + maximum endurance temperature)/2 ×( the time required to produce the maximum tolerance temperature). So,the physical dose range of moxibustion at each acupoint was to be established,and the differences of the physical dosage ranges among different parts of moxibustion were analyzed. Results: The physical dosage of moxibustion at each acupoint of yin meridians of hand was lower than that at each acupoint of yin meridians of foot,thorax and abdomen. The physical dosage of moxibustion at each acupoint of yang meridians of hand was lower than that at each acupoint of yang meridians of foot,waist and back. It suggested that the physical dosage of moxibustion at the hand meridian acupoint was lower than that at the acupoint of feet and trunk,indicating that compared with foot and trunk acupoints,hand acupoints were more sensitive to light and heat. Conclusion: Acupoints of different parts have certain dosage ranges. When moxibustion is carried out,the corresponding effect can be achieved as long as the dosage range of the acupoint is reached.
Objective: To establish the physical dosage of moxibustion in normal human body by using moxibustion equipment for health care moxibustion,so as to provide basis for further study on the dosage range of moxibustion in patients. Methods: Before moxibustion,the instantaneous temperatures of acupoints at hands,feet,thorax,abdomen,waist and back,and their maximum endurance instantaneous temperatures were measured by self-made high-precision temperature sensor. The time of each acupoint to produce the maximum endurance instantaneous temperature was recorded. The physical dose of moxibustion at each acupoint was defined as follows:( instantaneous temperature before moxibustion + maximum endurance temperature)/2 ×( the time required to produce the maximum tolerance temperature). So,the physical dose range of moxibustion at each acupoint was to be established,and the differences of the physical dosage ranges among different parts of moxibustion were analyzed. Results: The physical dosage of moxibustion at each acupoint of yin meridians of hand was lower than that at each acupoint of yin meridians of foot,thorax and abdomen. The physical dosage of moxibustion at each acupoint of yang meridians of hand was lower than that at each acupoint of yang meridians of foot,waist and back. It suggested that the physical dosage of moxibustion at the hand meridian acupoint was lower than that at the acupoint of feet and trunk,indicating that compared with foot and trunk acupoints,hand acupoints were more sensitive to light and heat. Conclusion: Acupoints of different parts have certain dosage ranges. When moxibustion is carried out,the corresponding effect can be achieved as long as the dosage range of the acupoint is reached.
引文
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[2]胡丹,邓鹏,康明非,等.艾灸治疗腰椎间盘突出症单位灸时X施灸间隔多因素分析[J].中华中医药杂志,2018,33(2):733-736.
[3]李莹,孙超,邝九杰,等.艾灸过程生物组织的传热特性实验研究[J].工程热物理学报,2018,39(1):150-154.
[4]刘洋,许静,蔡荣林,等.灸法量学要素的研究进展[J].中医临床研究,2016,8(4):144-147.
[5]钟欢.艾灸与针刺对局部穴区组织免疫及代谢调节机制的对比研究[D].长沙:湖南中医药大学,2017.
[6]陆寿康.刺法灸法学[M].北京:中国中医药出版社,2003:98.
[7]Liu Qiong,Sun Tian-ai,Liang Hao,et al. Clinical observation on the correlation between moxibustion sensation and distance of moxa stick[J]. J Acupunct Tuina Sci,2017,15(4):237-241.
[8]Xu PC,Lee TL,Cui SL. Impacts on the skin temperature by the different distances of moxibustion:discussion on the safe distance of moxibusiton[J]. Chinese Acupuncture&Moxibustion,2012,36(7):611-614.
[9]Lin LM,Wang SF,Lee RP,et al. Changes in skin surface temperature at an acupuncture point with moxibustion[J]. Acupunct Med,2013,31(2):195-201.
[10]辛蕾,苏欣,李莎,等.羟基红花黄色素A对紫外线致人皮肤细胞系损伤的保护作用[J].西北药学杂志,2017,32(4):636-639.
[11]Campagne C,Ripoll L,Gilles-Marsens F,et al. AP-1/KIF13A Blocking Peptides Impair Melanosome Maturation and Melanin Synthesis[J]. Int J Mol Sci,2018,19(2):E568.
[12]黄献,资小宏. 60例正常人不同部位皮肤的温度觉差异[J].临床神经电生理学杂志,2002,11(4):224-226.