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电针在阴阳之间产生不同效应:一项利用手背和手掌皮肤血流及温度记录的研究

Electroacupuncture induces differential effects between Yin and Yang: a study using cutaneous blood flow and temperature recordings of the hand's dorsum and palm.

作者信息

Lu Chi-Chen, Jan Ya-Min, Li Tsai-Chung, Hsieh Ching-Liang

机构信息

Graduate Institute of Acupuncture Science, China Medical University, Taiwan.

出版信息

Am J Chin Med. 2009;37(4):639-45. doi: 10.1142/S0192415X09007120.

DOI:10.1142/S0192415X09007120
PMID:19655403
Abstract

The underlying theory of traditional Chinese Medicine (TCM) considers that Yin and Yang are in the opposition with each other and play different roles in physiological responses. Several studies have reported that electroacupuncture (EA) produces a greater effect than manual acupuncture (MA), and that the effect of EA is similar to transcutaneous electric nerve stimulation (TENS). Therefore, the purpose of the present study was to investigate the differences between Yin and Yang induced by acupuncture. A total of 20 healthy volunteers were studied. The cutaneous blood flow and temperature were recorded by a laser doppler perfusion and temperature monitoring system on the dorsum and palm of the right hand. Four sessions of sham acupuncture (SA), MA, 2 Hz EA, and 2 Hz TENS were bilaterally applied to Zusanli (ST36) and Shangjuxu (ST37) acupoints. Each of the subjects received four sessions in a random manner. The treatment interval was at least three days between sessions in order to prevent overlapping residual effects. Each of the four sessions was divided into pre-acupuncture period (BP), acupuncture period (AP), and post-acupuncture (PP) periods. Each treatment period was 15 min. Results indicated that the cutaneous blood flow recorded from the palm of the hand were greater than that recorded from the dorsum at the pre-acupuncture period; while the difference in the cutaneous temperature from the dorsum of the hand between AP and BP was greater in the 2 Hz EA session than in the SA and MA sessions. In conclusion, the results of the present study were consistent with the underlying theory of TCM that considers the fundamental differences between Yin and Yang.

摘要

中医的基础理论认为,阴阳相互对立,在生理反应中发挥不同作用。多项研究报告称,电针(EA)比手针(MA)产生的效果更显著,且电针的效果与经皮神经电刺激(TENS)相似。因此,本研究的目的是探讨针刺诱导的阴阳差异。共对20名健康志愿者进行了研究。通过激光多普勒血流灌注和温度监测系统记录右手背部和手掌的皮肤血流量及温度。对双侧足三里(ST36)和上巨虚(ST37)穴位进行四组假针刺(SA)、手针、2Hz电针和2Hz经皮神经电刺激。每位受试者随机接受四组治疗。为防止残留效应重叠,每组治疗间隔至少三天。四组治疗中的每组均分为针刺前(BP)、针刺期(AP)和针刺后(PP)阶段。每个治疗阶段为15分钟。结果表明,针刺前期手掌记录的皮肤血流量大于手背记录的血流量;而在2Hz电针组中,针刺期与针刺前期手背皮肤温度的差异大于假针刺组和手针组。总之,本研究结果与中医认为阴阳存在根本差异的基础理论一致。

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