Fu Yu, Ni Jin-Xia, Marmori Federico, Zhu Qi, Tan Cheng, Zhao Ji-Ping
Department of Acupuncture and Moxibustion, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Department of Rehabilitation Medicine, Guizhou Provincial People's Hospital, Guiyang, 550002, China.
Chin J Integr Med. 2016 Nov;22(11):855-860. doi: 10.1007/s11655-016-2102-4. Epub 2016 Jun 9.
By observing body surface temperature variation of the intermediate structures of the Lung (Fei) and Large Intestine (Dachang) exterior-interior relationship in asthmatic patients, to investigate the pathological response on the pathway of channels and to substantiate the objective existence of the intermediary structures.
The study included 60 subjects meeting the bronchial asthma inclusion criteria (experimental group) and 60 healthy subjects (normal control group). ATIR-M301 infrared thermal imaging device was used for detecting body surface temperature of the subjects and collecting the infrared thermal images. The temperature values of the intermediate structures of Lung and Large Intestine exterior-interior relationship [throat, Quepen, elbow, nose, Lieque (LU 7), Pianli (LI 6)], control areas (0.2 cm lateral to the above structures) and Yintang (EX-HN 3) were measured on the infrared thermal image by infrared imaging system. Then, the above temperature values were compared and analyzed within and between two groups.
There were insignificant differences between the temperature on the left and right sides of the intermediate structures (Quepen, elbow, LU 7, LI 6) in normal control group (P>0.05). Except for that of Quepen, there were insignifificant differences between the temperature of the intermediate structures and their corresponding control areas in normal control group (P>0.05). In the experimental group, the temperature on the left and right sides of the intermediate structures (Quepen, elbow, LU 7, LI 6) showed statistically signifificant differences (P<0.05 or P<0.01); the temperature difference between intermediate structure (throat, Quepen, elbow, nose, LI 6) and their respective control areas were also significant (P<0.05 or P<0.01). The temperature of the intermediate structures (throat, Quepen, elbow, LU7, LI 6) between the experimental group and normal control group showed signifificant differences (P<0.05 or P<0.01).
This study is an initial step to validate the objective existence of Lung and Large Intestine exterior-interior relationship intermediate structures, as described in the Chinese classical medical literatures, through the functional imaging angle. The intermediate structures are the pathological reaction areas of the bronchial asthmatic patients.
通过观察哮喘患者肺与大肠表里关系中间结构的体表温度变化,探讨经络循行路线上的病理反应,证实中间结构的客观存在。
选取60例符合支气管哮喘纳入标准的患者作为实验组,60名健康受试者作为正常对照组。使用ATIR-M301红外热成像仪检测受试者体表温度并采集红外热图像。通过红外成像系统,在红外热图像上测量肺与大肠表里关系中间结构[咽喉、缺盆、肘、鼻、列缺(肺经7穴)、偏历(大肠经6穴)]、对照区域(上述结构旁开0.2cm处)及印堂(经外奇穴3穴)的温度值。然后,对上述温度值在两组内及两组间进行比较分析。
正常对照组中间结构(缺盆、肘、肺经7穴、大肠经6穴)左右两侧温度差异无统计学意义(P>0.05)。正常对照组除缺盆外,中间结构与其相应对照区域温度差异无统计学意义(P>0.05)。实验组中间结构(缺盆、肘、肺经7穴、大肠经6穴)左右两侧温度差异有统计学意义(P<0.05或P<0.01);中间结构(咽喉、缺盆、肘、鼻、大肠经6穴)与其各自对照区域的温度差值也有统计学意义(P<0.05或P<0.01)。实验组与正常对照组中间结构(咽喉、缺盆、肘、肺经7穴、大肠经6穴)的温度差异有统计学意义(P<0.05或P<0.01)。
本研究从功能成像角度,初步验证了中医古典文献中所述肺与大肠表里关系中间结构的客观存在。中间结构是支气管哮喘患者的病理反应区域。