Gao Xiyan, Chen Yan, Wang Xin, Chen Xinwang, Gao Ling, Yang Xuguang, Zhou Yanli, Ren Shan
Zhongguo Zhen Jiu. 2015 Jan;35(1):45-9.
To explore the technique of temperature control on the abdomen in penetrating moxibustion through observing moxibustion time on the abdomen, abdominal skin temperature and effect after moxibustion so as to provide the safe, effective and easily applicable method for penetrating moxibustion.
Thirty-two patients were selected in an observation group, 32 healthy persons in a control group. In the observation group, the penetrating moxibustion was applied to the corresponding acupoint locations according to different symptoms. In the control group, moxibustion was used on the abdomen around the umbilicus. The skin temperature was recorded once every minute. The skin temperature of known heat sensation, the time of known heat sensation, the known reduced temperature, the time of temperature reducing, the skin temperature difference, the duration of penetrating moxibustion and the reaction of moxibustion from participants were recorded.
The differences in the skin temperature of known heat sensation, the time of known heat sensation and the duration of penetrating moxibustion were significant statistically in comparison between the observation group and the control group (all P<0.01). The differences in the known reduced temperature, the time of temperature reducing and the skin tem- perature difference were not significant (all P>0.05). The differences were significant statistically in skin rashes and moxibustion reaction (gastrointestinal peristalsis, chills, ant climbing feeling and hunger, etc.) between the two groups (P<0.01). The differences were not significant statistically in flushing, sweating and blisters (all P>0.05).
(1) The level of temperature sensitivity in the observation group is lower than that in the control group. During penetrating moxibustion, the sensations such as gastrointestinal peristalsis, chills, ant climbing feeling and hunger appear easily, suggesting the positive self-adjustment in the body. (2) During penetrating moxibustion, the warm feeling is penetrated not just from the epidermis to the abdominal cavity and lumbar region, but also up to thehead and down to the knee. (3) The flushing, sweating and skin rashes are the important indices for the effectiveness of penetrating moxibustion. (4) The temperature control is the core technique of penetrating moxibustion. The penetrating moxibustion in 28 min to 32 min and the temperature controlled in 43 degrees C to 45 degrees C can solve the moxibustion smoky impact to the environment, but also relieve pains of the patients.
通过观察腹部艾灸时间、腹部皮肤温度及艾灸后效果,探讨透灸腹部的温控技术,为透灸提供安全、有效、易操作的方法。
选取观察组患者32例,对照组健康人32例。观察组根据不同症状在相应穴位部位进行透灸,对照组在脐周腹部进行艾灸。每分钟记录一次皮肤温度。记录受试者已知热感时的皮肤温度、已知热感时间、已知降温温度、降温时间、皮肤温差、透灸持续时间及艾灸反应。
观察组与对照组比较,已知热感时的皮肤温度、已知热感时间及透灸持续时间差异有统计学意义(均P<0.01)。已知降温温度、降温时间及皮肤温差差异无统计学意义(均P>0.05)。两组皮疹及艾灸反应(胃肠蠕动、寒战、蚁走感、饥饿感等)差异有统计学意义(P<0.01)。潮红、出汗及水疱差异无统计学意义(均P>0.05)。
(1)观察组温度敏感度低于对照组。透灸过程中,胃肠蠕动、寒战、蚁走感、饥饿感等感觉易出现,提示机体的积极自我调节。(2)透灸过程中,温热感不仅从表皮渗透至腹腔及腰部,还可上至头部、下至膝关节。(3)潮红、出汗及皮疹是透灸疗效的重要指标。(4)温控是透灸的核心技术。28分钟至32分钟的透灸及43℃至45℃的温度控制,既能解决艾灸烟雾对环境的影响,又能缓解患者疼痛。