干火法与艾灸对于阳虚型畏寒症患者皮下血循环的影响研究
首发时间:2019-04-30
摘要:【目的】研究干火法与艾灸对阳虚型畏寒症患者皮下血循环及畏寒度的影响。 【方法】以三月以上下肢畏寒的阳虚患者作为受试对象。患者右侧小腿后侧采用干火法法治疗,左侧的合阳、承山穴采用艾灸。治疗前后,使用多普勒血流仪测量皮下血流速度,使用VAS量表描述受试者的畏寒情况,比较治疗前后皮下血循环与VAS量表得分的差异。 【结果】 同治疗前相比,干火法、艾灸两组在治疗后0、3、6min在承筋穴处的平均血流速度均明显升高(P<0.05),且艾灸的平均值明显高于干火法组。两次治疗的干火法后3min与6min在承筋穴、小腿整体的血流速度平均值对比均增加,而两次艾灸治疗后3min与6min在承筋穴、小腿整体的血流速度平均值对比均降低(P<0.05)。两次治疗干火法组畏寒度分别减少了48%和56%,艾灸组畏寒度分别减少了减少40%、62%(P<0.05)。 【结论】干火法与艾灸均对畏寒症均有一定的疗效。虽然艾灸组治疗后血流速度高于干火法组,但两组的治疗后48h血流变化无统计学差异,而且干火法组有加快趋势、艾久组有减慢趋势。由于两组治疗后48h上下趋势不同,治疗后皮下血流速度差异明显,说明干火法与艾灸的起效机制并不相同。
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Research on the subcutaneous circulatory effects of dry fire treatment and moxibustion in the treatment of yang deficient cold intolerance
Abstract:[Objective] To research the subcutaneous circulatory effects and changes in degree of cold intolerance using dry fire treatment and moxibustion to treat yang deficient cold intolerance. [Methods] Subjects of the study had a history of at least 3 months of yang deficient cold intolerance in their lower limbs. Dry fire treatment was applied to the subject\'s right calf and moxibustion was applied at BL55 and BL57 on the left calf. Doppler flowmetry was used to measure the subcutaneous blood flow and VAS forms were used to assess the degree of cold intolerance before and after treatments. [Results] As compared with pretreatment levels, the average blood flow at BL57 0, 3, 6 min after treatment for both treatment methods increased significantly(P<0.05), and moxibustion showed a significantly greater increase than did dry fire treatment. The average blood flow at both BL57 and the entire calf from 3 to 6 min after dry fire treatment showed an increase, whereas after moxibustion treatment from 3 to 6 min, the blood flow decreased(P<0.05). Both treatment methods showed a significant improvement in VAS cold intolerance scores(P<0.05), with the dry fire treatment decreasing 48% and 56%,and the moxibustion treatment decreasing 40%、62% for both treatment sessions respectively. [Discussion] Dry fire treatment and moxibustion both showed significant effectiveness in treating cold intolerance. Although the immediate blood flow increase of moxibustion was greater than that of dry fire treatment, but the blood flow after 48 hours showed no significant differences. Furthermore, after 48 hours the dry treatment group showed an increasing blood flow trend, whereas the moxibustion group showed a decreasing trend. Due to this difference in blood flow trends after 48 hours as well as the significant differences immediately after treatment, we can conclude that the mechanism for these two treatment methods is not the same.
Keywords: Doppler flowmetry dry fire treatment moxibustion subcutaneous circulation thermotherapy
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干火法与艾灸对于阳虚型畏寒症患者皮下血循环的影响研究
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