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利用桡动脉张力测量法确定耳廓中胃活性点的存在。

Establishing the existence of the active stomach point in the auricle utilizing radial artery tonometry.

作者信息

Ikezono Etsutaro, Ikezono Tetsuo, Ackerman John

机构信息

New Obesity Research, 3-7-3, Shimizu, Suginamiku, Tokyo 167-0033, Japan.

出版信息

Am J Chin Med. 2003;31(2):285-94. doi: 10.1142/S0192415X03000928.

Abstract

One component of Oriental medicine diagnosis utilizes the palpation of the radial pulse both for internal medicine and also to help clinicians accurately choose body acupuncture treatment points. In the mid-1980s, an attempt was made to capture diagnostic information with three pressure transducers positioned bilaterally over the radial arteries in such a fashion as to simulate classical Chinese pulse diagnosis (Yoon and Ikezono, 1986 and 1987). The results of this pilot study were subsequently difficult to replicate. In the early 1950s, Paul Nogier in Lyon, France introduced a different pulse diagnostic technique (Nogier, 1976). By touching an acupuncture needle on an active auricular acupuncture point, the radial artery wall over the styloid process changes in tone more prominently than when inactive points on the acuricle are touched. This dermal/cardiovascular reflex of pulse diagnostic technique helps, then to localize salient auricular points to treat regarding a patient's illness. Objective digitalized measurements of the Nogier radial arterial pulse wave were performed by computerized tonometry. This demonstrated that when an active stomach point in the auricle (n = 11) was detected utilizing an imperceptible electric current, the initial upstroke of the pressure wave, the pulse pressure and the peak-to-peak interval of the radial artery pulse wave all increased significantly compared to placebo point electronic detection. Thus, the existence of an active auricular point on the auricle was verified by radial artery tonometry.

摘要

东方医学诊断的一个组成部分是通过触诊桡动脉来进行内科诊断,并帮助临床医生准确选择身体上的针灸治疗穴位。在20世纪80年代中期,有人尝试用三个压力传感器双侧放置在桡动脉上,以模拟中医传统脉诊的方式来获取诊断信息(尹和池野,1986年和1987年)。这项初步研究的结果后来难以重复。在20世纪50年代初,法国里昂的保罗·诺吉尔引入了一种不同的脉诊技术(诺吉尔,1976年)。通过将针灸针触碰耳穴上的活跃穴位,茎突上方的桡动脉壁张力变化比触碰耳穴上的非活跃穴位时更为显著。这种脉诊技术的皮肤/心血管反射有助于确定针对患者疾病进行治疗的显著耳穴。通过计算机眼压测量法对诺吉尔桡动脉脉搏波进行客观数字化测量。结果表明,当利用微弱电流检测到耳穴上的活跃胃点(n = 11)时,与安慰剂点电子检测相比,压力波的初始上升、脉压以及桡动脉脉搏波的峰峰值间隔均显著增加。因此,通过桡动脉眼压测量法证实了耳穴上活跃耳穴的存在。

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