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艾灸诱导的心经与肺经之间热传递效应的红外热成像研究

The Moxibustion-Induced Thermal Transport Effect Between the Heart and Lung Meridians With Infrared Thermography.

作者信息

Li Xiaoyu, Jiang Yongliang, Hu Hantong, Lou Jiali, Zhang Yajun, He Xiaofen, Wu Yuanyuan, Fang Junfan, Shao Xiaomei, Fang Jianqiao

机构信息

Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.

The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Front Cardiovasc Med. 2022 May 13;9:817901. doi: 10.3389/fcvm.2022.817901. eCollection 2022.

Abstract

OBJECTIVES

By comparing the differences in the thermal transport effect between the heart and lung meridians induced by moxibustion, this study aimed to investigate the specificity of site-to-site associations on the body surface between different meridians.

METHODS

Eighty healthy participants were divided into the heart meridian intervention group and the lung meridian intervention group; moxibustion was performed at these two meridians, respectively. Baseline temperature and its change magnitude from baseline induced by moxibustion in 6 measuring sites of the heart and lung meridians were assessed by infrared thermography (IRT). Measuring sites included: Site 1 (Chize, LU5), Site 2 (midpoint of LU9 and LU5), Site 3 (Taiyuan, LU9), Site 4 (Shaohai, HT3), Site 5 (midpoint of HT7 and HT3), and Site 6 (Shenmen, HT7).

RESULTS

Forty participants (20 male and 20 female, 27.90 ± 0.52 years) were assigned to the heart meridian intervention group, and 40 participants (20 male and 20 female, 28.08 ± 0.54 years) were assigned to the lung meridian intervention group. In the lung meridian intervention group (moxibustion over LU5), the temperature of the distal sites in the lung meridian increased significantly at 5, 10, and 15 min compared with pre-moxibustion ( < 0.001). The temperature of Site 4 in the heart meridian, which was nearest to the moxibustion site, increased significantly compared with pre-moxibustion ( < 0.05), while the temperature in the distal sites of the heart meridian did not differ significantly during moxibustion. Regarding the comparison of temperature change magnitude from baseline (ΔT) between the two meridians, the ΔT of Site 2 in the lung meridian was significantly higher than Site 4 in the heart meridian at 5 and 10 min after moxibustion ( < 0.05), despite that Site 2 was more distal from the moxibustion site than Site 4. Similarly, the ΔT of Site 3 in the lung meridian was significantly higher than Site 5 and Site 6 in the heart meridian at 5, 10, and 15 min after moxibustion ( < 0.05). In the heart meridian invervention group, similar thermal transport effect between the two meridians was observed. The thermal transport effect of the distal sites along the heart meridian was more significant than that of the site closer to the moxibustion site but located in the lung meridian. Taken together, aforementioned results indicated that the moxibustion-induced thermal transport effect between the heart and lung meridians is generally more significant in the distal sites along the corresponding meridian than that in the closer sites of the other meridian.

CONCLUSIONS

In the heart and lung meridians, the moxibustion-induced thermal transport effect is closely related to meridian routes, not just related to the absolute distance from the moxibustion site, thereby confirming the relative specificity of "site-to-site" associations on the body surface in these two meridians.

SYSTEMATIC REVIEW REGISTRATION

https://clinicaltrials.gov/ct2/show/NCT05330403, identifier NCT05330403.

摘要

目的

通过比较艾灸引起的心经和肺经热传递效应的差异,本研究旨在探讨不同经络在体表的位点与位点关联特异性。

方法

80名健康参与者被分为心经干预组和肺经干预组;分别在这两条经络上进行艾灸。采用红外热成像(IRT)评估心经和肺经6个测量位点的基线温度及其艾灸引起的相对于基线的变化幅度。测量位点包括:位点1(尺泽,LU5)、位点2(LU9和LU5中点)、位点3(太渊,LU9)、位点4(少海,HT3)、位点5(HT7和HT3中点)和位点6(神门,HT7)。

结果

40名参与者(20名男性和20名女性,27.90±0.52岁)被分配到心经干预组,40名参与者(20名男性和20名女性,28.08±0.54岁)被分配到肺经干预组。在肺经干预组(艾灸LU5)中,与艾灸前相比,肺经远端位点的温度在5、10和15分钟时显著升高(<0.001)。心经中最接近艾灸位点的位点4的温度与艾灸前相比显著升高(<0.05),而心经远端位点的温度在艾灸期间无显著差异。关于两条经络相对于基线的温度变化幅度(ΔT)的比较,艾灸后5分钟和10分钟时,肺经位点2的ΔT显著高于心经位点4(<0.05),尽管位点2比位点4离艾灸位点更远。同样,艾灸后5、10和15分钟时,肺经位点3的ΔT显著高于心经位点5和位点6(<0.05)。在心经干预组中,观察到两条经络之间类似的热传递效应。心经远端位点的热传递效应比更接近艾灸位点但位于肺经的位点更显著。综上所述,上述结果表明艾灸引起的心经和肺经之间的热传递效应通常在相应经络的远端位点比在另一条经络的更近位点更显著。

结论

在心经和肺经中,艾灸引起的热传递效应与经络路线密切相关,而不仅仅与离艾灸位点的绝对距离有关,从而证实了这两条经络在体表“位点与位点”关联的相对特异性。

系统评价注册

https://clinicaltrials.gov/ct2/show/NCT05330403,标识符NCT05330403

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0275/9136163/fac3f09168a7/fcvm-09-817901-g0001.jpg

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