Song Xiao-Dan, Pan Li-Jia, She Yan-Fen, Fan Xi-Sheng, Gao Ya-Yu, Chen Hao, Xu Yuan-Yuan, Yu Ao-Tian, Li Tian-Yu, Wang Bing-Cheng
College of Acupuncture-moxibustion and Massage, Hebei University of Chinese Medicine, Shijiazhuang 050200, China.
Emergency Department of Hebei People's Hospital, Shijiazhuang 050051.
Zhen Ci Yan Jiu. 2020 Sep 25;45(9):740-5. doi: 10.13702/j.1000-0607.190869.
To observe changes of microcirculation in the superficial regions of acupoints of the three Yin meridians of foot during the menstrual cycle in young college students, so as to provide experimental evidence for explaining the saying of traditional Chinese medicine that acupoints reflect the state of physiological and pathological activities of the internal organs.
Ninety healthy female volunteer college students were recruited in the present study. The subjects were asked to take a supine position on an examination couch to expose the Yuan-primary acupoints Taixi (KI3), Taibai (SP3) and Taichong (LR3), and Xi-cleft acupoints Shuiquan (KI5), Diji (SP8) and Zhongdu (LR6) which are related to the uterus of the three Yin meridians of foot, the crossing acupoints of the three Yin meridians of foot Sanyinjiao (SP6), non-specific acupoint of the Spleen meridian Xuehai (SP10), non-related meridian acupoint Xuanzhong (GB39) and non-meridian-non-acupoint (being at the same level of GB39, between the Stomach and Gallbladder meridians on the lateral aspect of the lower leg). The laser speckle blood flow imaging technique was used to detect the state of microcirculation (average blood perfusion volume) during menstrual, follicular, ovulatory and luteal phases.
The average blood perfusion volume (ABPV) of the right SP8 region was significantly lower in the menstrual phase than in the ovulation and luteal phases (<0.05), and in the follicular phase than in the ovulation phase (<0.05). In the left LR6 region, the ABPV was obviously lower in the menstrual period than in the follicular, ovulation and luteal phases (<0.05). In the SP8, SP6, KI3 and KI5 regions, the ABPV was significantly higher in each of the 4 phases on the left side than on the right side (<0.05). In the right GB39, the ABPV in each of the 4 phases was apparently higher on the right side than on the left side (<0.05). In the SP10 region, the ABPV was considerably higher on the left side than on the right side in the ovulation period (<0.05). The ABPV of SP3 in the menstrual phase and that of the non-acupoint in the luteal phase were significantly higher on the right side than on the left side (<0.05).
The blood perfusion of microcirculation in the superficial tissues of Xi-cleft acupoints SP8 and LR6 is obviously lower in the menstrual phase than in both of the ovulation and luteal phases in healthy young college students, which may specifically reflect the periodical activities of the uterus in the physiological state, and provide a basis of acupoint selection for menstrual healthy care.
观察青年大学生月经周期中足三阴经腧穴体表部位微循环的变化,为解释中医腧穴反映脏腑生理病理活动状态的理论提供实验依据。
选取90名健康女大学生志愿者。受试者仰卧于检查床上,暴露足三阴经与子宫相关的原穴太溪(KI3)、太白(SP3)、太冲(LR3),郄穴水泉(KI5)、地机(SP8)、中都(LR6),足三阴经交会穴三阴交(SP6),脾经非特异性腧穴血海(SP10),非相关经穴悬钟(GB39)以及非经非穴处(位于GB39同一水平,小腿外侧胃经与胆经之间)。采用激光散斑血流成像技术检测月经周期中月经期、卵泡期、排卵期、黄体期的微循环状态(平均血流灌注量)。
右侧SP8区域平均血流灌注量在月经期显著低于排卵期和黄体期(<0.05),在卵泡期低于排卵期(<0.05)。左侧LR6区域平均血流灌注量在月经期明显低于卵泡期、排卵期和黄体期(<0.05)。在SP8、SP6、KI3和KI5区域,左侧4个时期的平均血流灌注量均显著高于右侧(<0.05)。在右侧GB39区域,4个时期的平均血流灌注量右侧均明显高于左侧(<0.05)。在SP10区域,排卵期左侧平均血流灌注量显著高于右侧(<0.05)。SP3在月经期的平均血流灌注量以及非穴处在黄体期的平均血流灌注量右侧均显著高于左侧(<0.05)。
健康青年大学生月经周期中,郄穴SP8和LR6体表组织微循环血流灌注在月经期明显低于排卵期和黄体期,这可能特异性反映了子宫在生理状态下的周期性活动,为经期保健选穴提供了依据。