Zheng Si-Yi, Wang Xiao-Ying, Lin Li-Nan, Liu Shan, Huang Xiao-Xiao, Liu Yi-Yue, Yu Xiao-Shuai, Pan Wei, Fang Jian-Qiao, Liang Yi
The Third School of Clinical Medicine (School of Rehabilitation Medicine), Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.
Center of Clinical Evaluation, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou 310060, Zhejiang Province, China.
J Integr Med. 2025 Mar;23(2):145-151. doi: 10.1016/j.joim.2025.01.004. Epub 2025 Jan 16.
There is a gap in understanding the effects of different acupoints and treatment methods (acupuncture and moxibustion) on microcirculatory changes in the lumbar region.
This study aimed to assess the thermal effects of acupuncture at Weizhong (BL40), with acupuncture at Chize (LU5) and moxibustion at both acupoints as control interventions.
DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: In this randomized controlled trial, 140 healthy participants were equally divided into four groups: acupuncture at BL40 (Acu-BL40), acupuncture at LU5 (Acu-LU5), moxibustion at BL40 (Mox-BL40) and moxibustion at LU5 (Mox-LU5). Participants underwent a 30-minute session of their assigned treatment. Infrared thermal imaging was used to collect temperature data on the areas of interest for analysis.
The primary measure was the change in average temperature of the observed area after the intervention. The secondary measures included periodic temperature changes every 5 min and the temperature changes of the Governor Vessel and Bladder Meridian in the observed area after the intervention.
Significant interactions were observed between treatments and acupoints affecting temperature (P < 0.001). The Acu-BL40 group showed a notably higher increase in mean temperature after 30 min compared to the Acu-LU5 and Mox-BL40 groups, with increases of 0.29 (95% confidence interval [CI] = 0.17 to 0.41) and 0.24 (95% CI = 0.08 to 0.41) °C, respectively.
Acupuncture at BL40 acupoint can significantly increase the mean temperature in the observed area, highlighting the specific thermal effect of acupuncture compared to moxibustion in the lumbar area. This suggests a potential therapeutic benefit of acupuncture at BL40 for managing lumbar conditions.
ClinicalTrials.gov (NCT05665426). Please cite this article as: Zheng SY, Wang XY, Lin LN, Liu S, Huang XX, Liu YY, Yu XS, Pan W, Fang JQ, Liang Y. Lumbar temperature change after acupuncture or moxibustion at Weizhong (BL40) or Chize (LU5) in healthy adults: A randomized controlled trial. J Integr Med. 2025; 23(2): 145-151.
在理解不同穴位及治疗方法（针刺与艾灸）对腰部微循环变化的影响方面存在差距。
本研究旨在评估委中穴（BL40）针刺的温热效应，以尺泽穴（LU5）针刺及两穴位艾灸作为对照干预措施。
设计、场所、参与者与干预措施：在这项随机对照试验中，140名健康参与者被平均分为四组：委中穴针刺组（Acu - BL40）、尺泽穴针刺组（Acu - LU5）、委中穴艾灸组（Mox - BL40）和尺泽穴艾灸组（Mox - LU5）。参与者接受30分钟的指定治疗。使用红外热成像收集感兴趣区域的温度数据进行分析。
主要指标为干预后观察区域平均温度的变化。次要指标包括每隔5分钟的周期性温度变化以及干预后观察区域督脉和膀胱经的温度变化。
观察到治疗与穴位之间存在影响温度的显著交互作用（P < 0.001）。与Acu - LU5组和Mox - BL40组相比，Acu - BL40组在30分钟后平均温度升高更为显著，分别升高了0.29（95%置信区间[CI] = 0.17至0.41）和摄氏度0.24（95% CI = 0.08至0.41）。
委中穴针刺可显著提高观察区域的平均温度，凸显了针刺与艾灸相比在腰部区域的特定温热效应。这表明委中穴针刺在治疗腰部疾病方面具有潜在的治疗益处。
ClinicalTrials.gov（NCT05665426）。请引用本文：郑SY，王XY，林LN，刘S，黄XX，刘YY，余XS，潘W，方JQ，梁Y。健康成年人委中穴（BL40）或尺泽穴（LU5）针刺或艾灸后的腰部温度变化：一项随机对照试验。《整合医学杂志》。2025；23（2）：145 - 151。
