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福建中医药大学针灸学院
纸质出版日期:2019
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刘芸, 胡丹阳, 高玲, 等. 变应性鼻炎患者的痛敏穴和热敏穴分布规律研究[J]. 针刺研究, 2019,44(11):826-831.
LIU Yun, HU Dan-yang, GAO Ling, et al. Analysis on the distribution of pressure-and heat-sensitive acupoints in patients with allergic rhinitis[J]. Acupuncture research, 2019, 44(11): 826-831.
刘芸, 胡丹阳, 高玲, 等. 变应性鼻炎患者的痛敏穴和热敏穴分布规律研究[J]. 针刺研究, 2019,44(11):826-831. DOI: 10.13702/j.1000-0607.190116.
LIU Yun, HU Dan-yang, GAO Ling, et al. Analysis on the distribution of pressure-and heat-sensitive acupoints in patients with allergic rhinitis[J]. Acupuncture research, 2019, 44(11): 826-831. DOI: 10.13702/j.1000-0607.190116.
目的:观察痛敏穴、热敏穴在变应性鼻炎患者中的分布规律
分析二者在肘膝关节以下手足阳明经、手太阴经上的分布与变应性鼻炎之间存在的关联。方法:征集在校大学生变应性鼻炎患者(30例)和健康人(30例)。参照反应点诊察方法探查变应性鼻炎患者和健康对照者的反应点
并按骨度分寸折算记录反应点;按照热敏灸操作方法探查反应点的热敏反应;利用手持式疼痛阈值测试仪器探查反应点的痛敏反应并测量机械痛阈值;比对痛敏穴与热敏穴出现频次及重合率。结果:30例变应性鼻炎患者中发现热敏穴10处
分别为孔最、尺泽、合谷、手三里、曲池、足三里、上巨虚、丰隆、下巨虚及肺经非穴反应点
其中孔最、手三里、上巨虚、丰隆及下巨虚出现热敏现象时间比健康人显著缩短(P<0. 01
P<0. 05)。出现的热敏化形式以传热、透热及局部感觉为主。与健康人比较
除下巨虚、尺泽外
变应性鼻炎患者上、下肢痛敏穴痛阈值有不同程度的下降(P<0. 05)。变应性鼻炎患者痛敏穴与热敏穴分布规律基本一致。变应性鼻炎患者痛敏穴痛阈值总体上存在左侧上肢低、右侧下肢低的状态。结论:变应性鼻炎患者四肢肘膝关节以下手足阳明经、手太阴经上的热敏穴与痛敏穴区重叠率高
且有一定规律可循;患者阳明经、手太阴经上下肢末端存在左右失衡现象
但尚需进一步验证其分布规律。
Objective To explore the distribution of pressure-and heat-sensitive acupoints of the Large Intestine of Hand-Yangming
Stomach Meridian of Foot-Yangming and the Lung Meridian of Hand-Taiyin below the elbow and knee joints in patients with allergic rhinitis
so as to explore the positive reaction points at the body surface of allergic rhinitis.MethodsThirty variant rhinitis volunteer subjects and 30 healthy subjects were recruited in the present study.The subcutaneous induration
reaction points of emptiness-like feeling or pressing pain below the elbow-and knee-joints along the Large Intestine Meridian
Stomach Meridian and the Lung Meridian were inspected first
then re-examined by using heat-sensitized moxibustion method and a hand-held pain threshold tester(mechanical pressure)
respectively. The frequency and coincidence rate of pressing-pain sensitive and heat-sensitive points were analyzed.ResultsIn the 30 patients with allergic rhinitis
10 positive reaction points as Kongzui(LU6)
Chize(LU5)
Hegu(LI4)
Quchi(LI11)
Shousanl(iLI10)
Zusanli(ST36)
Shangjuxu(ST37)
Fenglong(ST40)
Xiajuxu(ST39)
and non-acupoint of the Lung Meridian were found. Among them
the duration of heat-sensitive reaction in the LU6
LI10
ST37
ST40
and ST39 regions was obviously shorter in patients than in healthy subjects(P<0. 01
P<0. 005). The heat-sensitive forms of the positive reaction points were mainly heat transmission
heat-penetration and local reaction. The mechanical pain thresholds of the positive reaction points(LI4
LU6
LI10
LI11 and non-acupoint of the Lung Meridian)at the upper limbs and those(ST36
ST37 and ST40)at the lower limbs were evidently lower in patients than in healthy volunteer subjects(P<0. 05). The pressure-and heat-sensitive acupoints were basically coincide in the patients
but being higher in patients than in healthy subjects in the frequency of occurrence. The mechanical pain threshold of the pressure-sensitive acupoints in patients was remarkably lower on the left side than on the right side of the upper limb
and obviously higher on the left side than on the right side of the lower limb(P<0. 05). No significant differences were found between the right and left sides in the pain threshold in healthy subjects(P>0. 05).ConclusionThere is a high overlap in the distribution of pressure-and heat-sensitive acupoints of the Lung
Large Intestine and Stomach meridians below the elbow and knee joints in patients with allergic rhinitis
and there is an imbalance between the left and right limbs in the mechanical pain threshold of the pressure-and heat-sensitive acupoints
but needing being further confirmed.
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