CAJ | 학술논문

目的：探讨捻转补泻手法与具体捻转方向的关系。方法：将80只Wistar大鼠随机分为7组：空白组（ A组）、模型组（ B组）、留针组（C组）、右手前捻组（D组）、右手后捻组（E组）、左手前捻组（F组）、左手后捻组（G组）。采用放血加限食法制备血虚证模型。隔日针刺1次，共10次。检测大鼠红细胞计数（RBC）、血红蛋白（Hb）、幼稚网织红细胞比率（IRF）。结果：治疗前1 d，与A组相比，其余各组RBC、Hb显著降低（P＜0.01），IRF显著升高（P＜0.01）；治疗第7 d，各组RBC、Hb比较，B组含量最低（P＜0.05），C、D、F 3组差异不明显（P＞0.05），A、E、G 3组差异无统计学意义（P＞0.05），但前3组含量高于后3组（P＜0.05），IRF组间差异不明显（P＞0.05）；治疗第14、21 d，各治疗组RBC、Hb、IRF组间差异均不明显（P＞0.05）。结论：捻转补泻手法与左、右捻转方向无关，无论何手持针，均拇指前捻用力为“补”，拇指后捻用力为“泻”。
목적：탐토념전보사수법여구체념전방향적관계。방법：장80지Wistar대서수궤분위7조：공백조（ A조）、모형조（ B조）、류침조（C조）、우수전념조（D조）、우수후념조（E조）、좌수전념조（F조）、좌수후념조（G조）。채용방혈가한식법제비혈허증모형。격일침자1차，공10차。검측대서홍세포계수（RBC）、혈홍단백（Hb）、유치망직홍세포비솔（IRF）。결과：치료전1 d，여A조상비，기여각조RBC、Hb현저강저（P＜0.01），IRF현저승고（P＜0.01）；치료제7 d，각조RBC、Hb비교，B조함량최저（P＜0.05），C、D、F 3조차이불명현（P＞0.05），A、E、G 3조차이무통계학의의（P＞0.05），단전3조함량고우후3조（P＜0.05），IRF조간차이불명현（P＞0.05）；치료제14、21 d，각치료조RBC、Hb、IRF조간차이균불명현（P＞0.05）。결론：념전보사수법여좌、우념전방향무관，무론하수지침，균무지전념용력위“보”，무지후념용력위“사”。
Objective:To explore the relations between the twisting-twirling reinforcing-reducing manipulation of acupuncture and the twisting-twirling direction.Methods:Eighty Wistar rats were randomly divided into 7 groups, including a blank group (group A), model group (group B), acupuncture group (group C), right-hand-forward twisting group (group D), right-hand-backward twisting group (group E), left-hand-forward twisting group (group F) and left-hand-backward twisting group (group G).All the rats were made into blood-deficiency models by tail-bleeding and food restriction .Acupuncture was given every other day with 10 sessions totally, and the levels of red blood cell (RBC), hemoglobin (Hb), immature reticulocyte fraction(IRF) were measured at different time periods.Re-sults:One day before the treatment, the RBC and Hb of all the groups, except the blank group (A group), decreased significantly (P<0.01), while the IRF increased obviously (P<0.01).On the 7th day of the treatment, the RBC and Hb of each group were measured and compared respectively, and the results were as follows:(a) group B was the lowest (P<0.05);(b) no statistical differences (P>0.05) were found among the group C, group D and group F;(c) no statistical differences (P>0.05) were observed among the group A, group E and group G;( d) The RBC and Hb of the first three groups were obviously higher than those of the latter three groups ( P<0.05).Besides no significant IRF differences (P>0.05) were found among all the treatment groups .No statistical differences (P>0.05) were observed among all the groups on the 14th and 21th day of treatments.Conclusion:There exists no essential relation between the twisting-twirling reinforcing-reducing manipulation and the right or left twisting-twirling direction.Moreover, thumb forward twisting is “reinforcing method”, while thumb backward twisting is “reducing method”, no matter using the right or the left hand .