艾灸不同功能态大椎穴对改善阳虚体质亚健康状态的疗效观察
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摘要
目的:通过艾灸不同功能态大椎穴,观察阳虚体质亚健康人群健康改善状况,为艾灸改善偏颇体质、亚健康状态提供临床依据。方法:纳入2016年1月—2017年4月就诊于江西中医药大学附属医院针灸科的符合阳虚体质亚健康标准的人群,根据大椎穴有无产生热敏灸感为判断标准分为敏化组和非敏化组,两组各30例。通过艾灸调理3个疗程,随访观察两组调理效果。结果:(1)艾灸调理后敏化组及非敏化组阳虚体质积分均有不同程度下降,且敏化组改善情况优于非敏化组(P<0.05);(2)艾灸调理后敏化组与非敏化组的生理、心理健康积分均有提高,敏化组改善情况优于非敏化组(P<0.05);(3)在社会健康方面,两组调理前后及两组调理后本组和组间比较均无显著差异(P>0.05)。结论:艾灸敏化态大椎穴能更有效改善阳虚体质亚健康人群的阳虚症状与生理、心理健康状况,是一种理想、简捷、有效的中医调理,值得推广。
Objective:To observe the sub-health population with yang deficiency constitution improvement in health through the moxibustion different functions of state of Dazhui acupoint and to provide clinical basis for improving the biased constitution and sub-health state by moxibustion.Methods:60 cases of accordance to the sub-health standard of yang deficiency constitution from the Acupuncture Department of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2016 to April 2017 were divided into Sensitized group and Non-sensitized group according to whether the heat sensitive happened in Dazhui acupoint and 30 cases in each group.To follow up the conditioning effect through moxibustion after 3 courses of treatment.Results:(1) The scores of both group were all decreased to different degrees after moxibustion and the sensitization group was superior to the Non-sensitized group(P<0.05).(2) The physical and mental health scores were improved in both of group and the sensitization group was better than the Non-sensitized group(P<0.05).(3) There was no significant difference before and after conditioning of both groups and comparison between groups(P<0.05).Conclusion:Moxibustion at sensitized state Dazhui acupoint may be more effective to improve yang-deficiency symptoms of Sub healthy people with yang-deficiency constitution,physiological and mental health and which is an ideal,simple and effective TCM conditioning,and is worthy of promotion.
Objective:To observe the sub-health population with yang deficiency constitution improvement in health through the moxibustion different functions of state of Dazhui acupoint and to provide clinical basis for improving the biased constitution and sub-health state by moxibustion.Methods:60 cases of accordance to the sub-health standard of yang deficiency constitution from the Acupuncture Department of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2016 to April 2017 were divided into Sensitized group and Non-sensitized group according to whether the heat sensitive happened in Dazhui acupoint and 30 cases in each group.To follow up the conditioning effect through moxibustion after 3 courses of treatment.Results:(1) The scores of both group were all decreased to different degrees after moxibustion and the sensitization group was superior to the Non-sensitized group(P<0.05).(2) The physical and mental health scores were improved in both of group and the sensitization group was better than the Non-sensitized group(P<0.05).(3) There was no significant difference before and after conditioning of both groups and comparison between groups(P<0.05).Conclusion:Moxibustion at sensitized state Dazhui acupoint may be more effective to improve yang-deficiency symptoms of Sub healthy people with yang-deficiency constitution,physiological and mental health and which is an ideal,simple and effective TCM conditioning,and is worthy of promotion.
引文
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[17]Juan W,Ming Y,Chan Z,et al.Cortical activities of heat-sensitization responses in suspended moxibustion:an EEG source analysis with s LORETA[J].Cognitive Neurodynamics,2015,9(6):581-588.
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[19]熊俊.膝骨性关节炎患者热敏态犊鼻穴的脑rf MRI研究[D].广州:广州中医药大学,2014.
[20]Chen R X,Lv Z M,Chen M R,et al.Stroke treatment in rats with tail temperature increase by 40-min moxibustion[J].Neuroscience Letters,2011,503(2):131-135.
[21]Chen R,Lv Z,Chen M,et al.Neuronal apoptosis and inflammatory reaction in rat models of focal cerebral ischemia following 40-minute suspended moxibustion[J].中国神经再生研究·英文版,2011,6(15):1 180-1 184.
[2]杨志敏,黄鹂,杨小波,等.亚健康人群的中医体质特点分析[J].广州中医药大学学报,2009,26(6):589-592.
[3]陈日新,康明非,陈明人.岐伯归来---论腧穴“敏化状态说”[J].中国针灸,2011,31(2):134-138.
[4]中华中医药学会.亚健康中医临床指南[M].北京:中国中医药出版社,2006:2-10.
[5]中华中医药学会.中医体质分类与判定[M].北京:中国中医药出版社,2009:4.
[6]陈日新,陈明人,康明非.热敏灸实用读本[M].北京:人民卫生出版社,2009:4.
[7]许军,王斌会,胡敏燕.自测健康评定量表的研制与考评[J].中华行为医学与脑科学杂志,2000,9(1):65-68.
[8]翟景慧,李晓泓,李辉,等.近年大椎穴临床研究概况[J].北京中医,2004(03):186-189.
[9]王琦,姚实林,董静,等.阳虚体质者内分泌及免疫功能变化[J].中西医结合学报,2008,6(12):1 226-1 232.
[10]任大蔚.艾灸刺激不同穴组对肾阳虚大鼠下丘脑-垂体-肾上腺轴的影响[D].沈阳:辽宁中医药大学,2014.
[11]Fukuda F,Shinbara H,Yoshimoto K,et al.Effect of moxibustion on dopaminergic and serotonergic systems of rat nucleus accumbens[J].Neurochemical Research,2005,30(12):1 607-1 613.
[12]Yano T,Kato B,Fukuda F,et al.Alterations in the Function of Cerebral Dopaminergic and Serotonergic Systems Following Electroacupuncture and Moxibustion Applications:Possible Correlates with Their Antistress and Psychosomatic Actions[J].Neurochemical Research,2004,29(1):283-293.
[13]陈日新,康明非.灸之要,气至而有效[J].中国针灸,2008,28(1):44-46.
[14]陈日新,陈明人,康明非,等.重视热敏灸感是提高灸疗疗效的关键[J].针刺研究,2010,35(4):311-314.
[15]陈日新,谢丁一.再论“腧穴敏化状态说”[J].安徽中医药大学学报,2016,35(3):50-53.
[16]宋云娥,徐放明,陈日新.热敏灸的研究概况[J].江苏中医药,2010,42(12):80-81.
[17]Juan W,Ming Y,Chan Z,et al.Cortical activities of heat-sensitization responses in suspended moxibustion:an EEG source analysis with s LORETA[J].Cognitive Neurodynamics,2015,9(6):581-588.
[18]廖斐斐,张潺,边志杰,等.慢性腰背痛患者艾灸热敏现象的脑电机制初探[J].中国疼痛医学杂志,2013,19(12):719-726.
[19]熊俊.膝骨性关节炎患者热敏态犊鼻穴的脑rf MRI研究[D].广州:广州中医药大学,2014.
[20]Chen R X,Lv Z M,Chen M R,et al.Stroke treatment in rats with tail temperature increase by 40-min moxibustion[J].Neuroscience Letters,2011,503(2):131-135.
[21]Chen R,Lv Z,Chen M,et al.Neuronal apoptosis and inflammatory reaction in rat models of focal cerebral ischemia following 40-minute suspended moxibustion[J].中国神经再生研究·英文版,2011,6(15):1 180-1 184.