摘要
目的观察不同灸序对人体气血运行状态的影响。方法将健康男性36例作为受试者,采用随机对照交叉试验方法,通过人体红外热像仪分别检测其"先上后下""先下后上"灸序的艾灸及未艾灸时的体表温度。"先上后下"灸序为先同时灸神阙、气海,后灸左、右足三里;"先下后上"灸序为先灸左、右足三里,再灸神阙、气海。均采用温和灸,每穴20 min。观察部位分别为手心、头面部、喉部、肩部、胸部、腹部、肚脐、上背部、下背部、大腿、小腿。结果艾灸对受试者各部位体表温度的影响包括直接效应和间接效应。艾灸时采用"先下后上"的次序,会引起手掌、眼、鼻、脸颊等部位升温明显(P<0.05或P<0.01);而采用"先上后下"的次序,对上述部位体表温度无明显影响(P>0.05)。结论不同灸序对人体气血运行状态有不同的影响,艾灸时采用"先上后下"的灸序可引火下行,避免热性炎上的不适。
Objective To observe the influence of moxibustion in different sequence on status of qi and blood movements in human body. Methods Thirty six healthy males were chosen as participants. Randomized controlled crossover trial was applied. Body surface temperature was detected by thermal infrared imaging when moxibustion sequences were ‘upper first＇and ‘lower first＇. ‘Upper first＇was to do moxibustion first on Shenque（ CV8）,Qihai（ CV6） simultaneously,then on Zusanli（ ST36） on both sides. ‘Lower first＇was to do moxibustion first on Zusanli（ ST36） on both sides,then on Shenque（ CV8）,Qihai（ CV6）. Mild moxibustion was applied on each acupoint for20 min. Observation regions were palms, face, throat, shoulders, chest, region between chest and abdomen,umbilicus,upper back and lower back,upper and lower legs. Results Influence of moxibustion on body surface temperature included direct effects and indirect effects. Applying ‘upper first＇method would cause increased temperature of palms,eyes,nose and cheeks（ P〈0. 05 or P〈0. 01）,while applying ‘first lower then upper＇method showed no significant influence on these regions（ P〈0. 05）. Conclusion Moxibustion in different sequence showed different influence on movement of qi and blood. Using ‘first upper＇moxibustion can lead pathogenic fire to the lower body in order to prevent the discomfort caused by pathogenic fire flaring upper body.
出处
《中医杂志》
CSCD
北大核心
2015年第1期36-39,共4页
Journal of Traditional Chinese Medicine
基金
国家重点基础研究发展计划("973"计划)(2010CB530500)
广东省中医药局建设中医药强省科研课题(20121138)
关键词
艾灸
灸序
红外热像
引火下行
随机对照交叉试验
moxibustion
moxibustion sequence
thermal infrared imaging
lead pathogenic fire to the lower part
randomized controlled crossover trial
