1.中国中医科学院西苑医院,北京市海淀区西苑操场1号院,100091
2.中国中医科学院针灸研究所
3.亚宝药业集团股份有限公司博士后工作站
4.河南中医药大学第一附属医院
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收稿:2023-02-07,
修回:2023-06-16,
纸质出版:2023-07-17
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马杭琨,王淑友,宋晓晶等.麻黄、黄芩贴敷肺俞穴对健康受试者颈胸部及背部穴位体表温度的影响[J].中医杂志,2023,64(14):1455-1461.
MA Hangkun,WANG Shuyou,SONG Xiaojing,et al.Effect of Herbal Patching of Mahuang (Herba Ephedrae) and Huangqin (Radix Scutellariae) at Feishu(BL13) on the Surface Temperature of Neck, Chest and Back Acupoints in Healthy Subjects[J].Journal of Traditional Chinese Medicine,2023,64(14):1455-1461.
马杭琨,王淑友,宋晓晶等.麻黄、黄芩贴敷肺俞穴对健康受试者颈胸部及背部穴位体表温度的影响[J].中医杂志,2023,64(14):1455-1461. DOI: 10.13288/j.11-2166/r.2023.14.009.
MA Hangkun,WANG Shuyou,SONG Xiaojing,et al.Effect of Herbal Patching of Mahuang (Herba Ephedrae) and Huangqin (Radix Scutellariae) at Feishu(BL13) on the Surface Temperature of Neck, Chest and Back Acupoints in Healthy Subjects[J].Journal of Traditional Chinese Medicine,2023,64(14):1455-1461. DOI: 10.13288/j.11-2166/r.2023.14.009.
目的
2
探究麻黄、黄芩穴位贴敷肺俞穴对健康受试者颈胸部及背部穴位体表温度影响的差异,了解穴位贴敷疗法的作用机制。
方法
2
招募10名健康受试者,每名受试者均进行3次贴敷,第一次贴敷麻黄粉0.5 g,为麻黄组;第二次贴敷黄芩粉0.5 g,为黄芩组;第三次贴敷麻黄+黄芩粉各0.5 g,为混合组。将准备好的药贴贴在受试者肺俞穴上,贴敷时间为3 h,每次贴敷间隔3天。贴敷前后应用红外热像仪对受试者双侧肺俞、双侧魄户、身柱、廉泉、天突和膻中进行热像图和体表温度信息采集。利用多元线性回归分析混杂因素(包括年龄、性别、体重、身高、体重指数以及贴敷后的体温、收缩压、舒张压、心率、血氧饱和度)对不同穴位的体表温度变化的影响。
结果
2
红外热像图直观分析显示,黄芩组和混合组贴敷后受试者背部红外热像图红色面积扩大。红外热像图定量分析显示,贴敷前组间比较,左侧肺俞和左侧魄户穴位体表温度差异有统计学意义(
P
<0.05)。黄芩组贴敷后左侧肺俞、天突及膻中体表温度下降(
P
<0.05);混合组贴敷后双侧肺俞、双侧魄户、身柱、廉泉、天突和膻中体表温度均下降(
P
<0.05或
P
<0.01)。线性回归分析结果显示,黄芩组贴敷后天突体表温度下降0.46 ℃,差异有统计学意义(
P
<0.05)。年龄、体重指数、心率、舒张压对贴敷后穴位体表温度变化有一定影响(
P
<0.05或
P
<0.01)。
结论
2
单独应用黄芩或麻黄联合黄芩贴敷于肺俞穴可能通过降低颈胸部及背部穴位体表温度的方式发挥穴位贴敷的治疗作用。
Objective
2
To explore the differences in the effects of herbal patching of Mahuang (
Herba Ephedrae
) and Huangqin (
Radix Scutellariae
) on the surface temperature of neck, chest and back acupoints in healthy subjects, to study mechanism of acupoint herbal patching therapy.
Methods
2
Ten healthy subjects were recruited. Each subject was given herbal patching for three times; for the first time, 0.5 g of Mahuang powder was used as the Mahuang group; for the second time, 0.5 g of Huangqin powder was used as the Huangqin group; for the third time, 0.5 g of Mahuang powder and 0.5 g of Huangqin powder were used as the mixed group. The herbal patch was applied at
Feishu
(BL13) acupoints, 3 hours each time, with an interval of 3 days. Infrared thermal imager was used to collect thermal images and body surface temperature regarding bilateral Feishu (BL 13), bilateral Pohu (BL 42), Shenzhu (GV 12), Lianquan (CV 23), Tiantu (CV 22) and Danzhong (CV 17) before and after herbal patching. Multivariate linear regression analysis was performed to analyze the influence of confounding factors such as age, gender, weight, height, body mass index (BMI), body temperature, systolic blood pressure, diastolic blood pressure, heart rate, and blood oxygen saturation after herbal patching on the temperature changes at different acupoints.
Results
2
The visual analysis of infrared thermogram showed that the red area of the infrared thermogram on the back of the subject expanded in the Huangqin group and mixed group. Quantitative analysis of infrared thermogram showed that there was a statistically significant difference in body surface temperature at the left Feishu (BL 13) and left Pohu (BL 42) before herbal patching among the groups (
P
<0.05).
After herbal patching, the body surface temperature at left Feishu (BL 13), Tiantu (CV 22) and Danzhong (CV 17) in the Huangqin group decreased (
P
<0.05); the temperature at bilateral Feishu, bilateral Pohu, Shenzhu, Lianquan, Tiantu and Danzhong decreased in the mixed group
(
P
<0.05 or
P
<0.01). The linear regression analysis showed that the changes in temperature at Tiantu in the Huangqin group was decreased by 0.46 ℃ and statistically significant (
P
<0.05). Changes in age, BMI, heart rate, and diastolic blood pressure had a certain impact on the temperature change at the acupoints after herbal patching (
P
<0.05 or
P
<0.01).
Conclusion
2
Herbal patching of Huangqin alone or in combination with Mahuang at Feishu may play its role by affecting the surface temperature of acupoints.
刘静 , 吴耀持 . 中药穴位贴敷的临床应用现状及机制探讨 [J]. 上海医药 , 2018 , 39 ( 24 ): 3 - 5 .
栗蕊 , 李庆娜 , 李辰飞 , 等 . 中医贴敷治疗咳嗽的有效性及有效人群贴敷处方特点分析 [J]. 中华中医药杂志 , 2022 , 37 ( 8 ): 4761 - 4766 .
孙晓刚 , 李云红 . 红外热像仪测温技术发展综述 [J]. 激光与红外 , 2008 , 38 ( 2 ): 101 - 104 .
莫朝霞 , 陈沅江 . 我国红外热像检测技术的研究及发展展望 [J]. 激光与红外 , 2014 , 44 ( 12 ): 1300 - 1305 .
胡翔龙 , 汪培清 , 许金森 , 等 . 人体体表循经红外辐射轨迹的主要特征和显现规律研究 [J]. 红外与毫米波学报 , 2001 , 20 ( 5 ): 325 - 328 .
张栋 , 付卫星 , 王淑友 , 等 . 不同针灸方法诱发循经高温线现象的比较 [J]. 中国针灸 , 2000 , 20 ( 6 ): 349 - 353 .
陈璐佳 , 江丹娜 , 邓艳华 , 等 . 基于红外热像技术观察穴位贴敷对阳虚质人群督脉皮温影响 [J]. 上海针灸杂志 , 2022 , 41 ( 1 ): 90 - 94 .
武晓冬 , 黄龙祥 , 赵京生 . 《经穴名称与定位》(GB/T 12346-2021)标准解读 [J]. 中国针灸 , 2022 , 42 ( 5 ): 579 - 582,584 .
邹佳 , 余俊英 , 管咏梅 , 等 . 中药穴位贴敷的研究现状及问题分析 [J]. 中华中医药杂志 , 2022 , 37 ( 9 ): 5471 - 5475 .
刘丛颖 , 丛竹凤 , 贺梦媛 , 等 . 麻黄治疗呼吸系统疾病的研究进展及质量标志物预测分析 [J]. 中华中医药学刊 , 2022 , 40 ( 10 ): 175 - 181,277 .
梁爽 . 芩百清肺浓缩丸及其活性成分黄芩苷对咳嗽因子TRPA1等表达影响研究 [D]. 哈尔滨 : 黑龙江省中医药科学院 , 2022 .
王晓颖 , 叶梦屏 . 3种促透剂对钩藤体外透皮吸收的影响 [J]. 中国现代应用药学 , 2010 , 27 ( 7 ): 623 - 625 .
方优妮 , 汪兰芳 , 韩建伟 , 等 . 麻杏急支膏贴与咳喘膏中盐酸麻黄碱和黄芩苷的离体透皮率比较 [J]. 湖北中医药大学学报 , 2011 , 13 ( 2 ): 42 - 44 .
吴兆利 , 张庆荣 . 肺俞穴的古今研究 [J]. 辽宁中医杂志 , 2007 , 34 ( 4 ): 504 - 505 .
朱永政 . 基于数据挖掘技术的穴位贴敷治疗呼吸系统优势病症选穴用药规律和哮喘网络药理学研究 [D]. 济南 : 山东中医药大学 , 2021 .
潘雪飞 . 健康人与心相关穴位体表特征的量化评定及其影响因素分析 [D]. 成都 : 成都中医药大学 , 2021 .
李毓萍 , 于晓红 , 卜凡 , 等 . 成都地区不同BMI健康男性的能量代谢研究 [J]. 现代预防医学 , 2022 , 49 ( 9 ): 1582 - 1589 .
戴健 . 心肌处于不同状态对相关经穴与非相关经穴反映的影响及其机制研究 [D]. 北京 : 北京中医药大学 , 2017 .
王星 . 基于红外热成像技术探讨胆经五输穴及原穴皮肤温度与血压及高血压的关系 [D]. 南京 : 南京中医药大学 , 2020 .
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