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[健康志愿者小腿胃经或胆经与其邻近组织细胞外液和细胞内液分布的比较]

[Comparison of Extracellular and Intracellular Fluid Distribution Between Stomach Meridian or Gallbladder Meridian and Their Neighboring Tissues of Lower Leg in Healthy Volunteers].

作者信息

Gu Fei-Fei, Wang Yan-Ping, Wang Guang-Jun, Zhao Peng-Na, Li Chao-Zheng, Wei Yu-Long, Zhang Wei-Bo

机构信息

ENNova Health Science and Technology Co., Ltd., ENN Group, Langfang 065001, Hebei Province, China.

School of Acupuncture-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029.

出版信息

Zhen Ci Yan Jiu. 2018 Nov 25;43(11):718-21. doi: 10.13702/j.1000-0607.170990.

Abstract

OBJECTIVE

To compare differences of extracellular fluid impedance (Re) and intracellular fluid impedance (Ri) between the Stomach(ST) Meridian or Gallbladder(GB) Meridian and their neighboring non-meridian sites of the left lower leg at the same level, so as to explore the distribution characteristics of body fluid in the meridian.

METHODS

Sixteen healthy volunteers were enrolled in the present study. The Re and Ri were detected by using Ag/AgCl electrodes and a digital lock-in amplifier. The measuring electrodes (at an interval of about 3 cm) were separately fixed to the skin sites covering the running courses of the ST Meridian (in the lateral interspace of the anterior tibial muscle)and the GB Meridian (in the interspace of the anterior edge of the fibula), and the excitation electrodes (at an interval of about 9 cm) respectively fixed to the skin sites covering the anterior tibial muscle and the interspace between the anterior tibial muscle and the tibia (about 2 cm and 5 cm lateral to the ST and GB meridians, and about 3-4 cm and 6-8 cm lateral to the ST and GB meridians, respectively). A 100 µA constant current with frequencies from 1 kHz to 100 kHz delivered via an excitation electrode was applied to the site (control spots of the ST Meridian), and signals of the voltage amplitude and phase difference of the tissues fed to the lock-in amplifier via the measuring electrode were collected, followed by measuring those of the GB Meridian and control sites. The circumference of the lower leg around the two excitation and measuring electrodes was measured. Then the cole-cole curve fitting was performed to calculate the Ri and Re, as well as the intracellular fluid resistivity (ρi) and extracellular fluid resistivity (ρe) of the ST and GB meridians, the related muscles and interspace lateral to ST or GB (ST/GB) meridians at the same level.

RESULTS

The Ri and Re (Ω) values of the ST, GB, the muscle lateral to ST/GB and the interspace lateral to ST/GB were 19.1±1.3 and 28.3±1.4, 15.8±1.9 and 25.7±2.0, 19.6±1.3 and 31.3±1.6, and 19.4±1.2 and 32.4±1.6, respectively. The Re values were significantly lower at the ST and GB meridians than at the muscle lateral to and the interspace lateral to both meridians (<0.05). The ρi and ρe values (Ω•cm) of the ST, GB, the muscle lateral to and the interspace lateral to ST/GB were 658.9±78.5 and 953.8±75.3, 528.0±90.1 and 833.9±101.7, 669.9±71.8 and 1 059.8±86.0, 655.9±64.8 and 1 099.3±93.3, respectively. The ρi and ρe values were significantly lower at the GB Meridian Than at the other three locntions, and the ρe value of ST Meridian was significantly lower than those of the muscle lateral to and the interspace lateral to ST/GB meridians (<0.01)..

CONCLUSION

The Ri, Re, ρi and ρe values of the ST and GB meridians are significantly lower than those of their neighboring tissues at the same levels of the lower leg, suggesting a more extracellular fluid in the meridian running course and providing evidence for our speculation that the meridian is a hydraulic resistance channel.

摘要

目的

比较胃经或胆经与左小腿同一水平相邻非经部位的细胞外液阻抗(Re)和细胞内液阻抗(Ri)差异,以探讨经络中体液的分布特征。

方法

本研究纳入16名健康志愿者。使用Ag/AgCl电极和数字锁相放大器检测Re和Ri。测量电极(间隔约3 cm)分别固定在覆盖胃经(胫骨前肌外侧间隙)和胆经(腓骨前缘间隙)走行的皮肤部位,激励电极(间隔约9 cm)分别固定在覆盖胫骨前肌以及胫骨前肌与胫骨之间间隙(分别位于胃经和胆经外侧约2 cm和5 cm处,以及胃经和胆经外侧约3-4 cm和6-8 cm处)的皮肤部位。通过激励电极施加频率为1 kHz至100 kHz的100 μA恒定电流至该部位(胃经对照点),收集经测量电极馈入锁相放大器的组织电压幅值和相位差信号,随后测量胆经和对照部位的信号。测量围绕两个激励电极和测量电极的小腿周长。然后进行柯尔-柯尔曲线拟合以计算胃经和胆经、相关肌肉以及胃经或胆经同一水平外侧间隙(胃经/胆经)的Ri、Re、细胞内液电阻率(ρi)和细胞外液电阻率(ρe)。

结果

胃经、胆经、胃经/胆经外侧肌肉和胃经/胆经外侧间隙的Ri和Re(Ω)值分别为19.1±1.3和28.3±1.4、15.8±1.9和25.7±2.0、19.6±1.3和31.3±1.6、19.4±1.2和32.4±1.6。胃经和胆经处的Re值显著低于两经外侧的肌肉和间隙处(<0.05)。胃经、胆经、胃经/胆经外侧肌肉和胃经/胆经外侧间隙的ρi和ρe(Ω•cm)值分别为658.9±78.5和953.8±75.3、528.0±90.1和833.9±101.7、669.9±71.8和1 059.8±86.0、655.9±64.8和1 099.3±93.3。胆经处的ρi和ρe值显著低于其他三个部位,胃经的ρe值显著低于胃经/胆经外侧的肌肉和间隙处(<0.01)。

结论

胃经和胆经的Ri、Re、ρi和ρe值显著低于小腿同一水平的相邻组织,表明经络走行过程中细胞外液较多,为经络是液压阻力通道的推测提供了证据。

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