CAJ | 학술논문

目的：通过观察针刺健康人双侧合谷穴前后面部腧穴代谢强度值的变化情况,为研究合谷穴与面口部之间的联系提供一定的科学依据。方法：通过医学热层析成像技术,应用Pennes生物传热理论与模型,从在校大学生中召集45名健康受试者,分别采集针刺双侧合谷穴前后面部红外热层析的图像,观察针刺前健康人面部腧穴代谢强度值的分布特征,以及针刺双侧合谷穴后健康人面部腧穴代谢强度值的变化情况。结果：针刺前,健康人面部腧穴代谢强度值最高的是攒竹,平均值为(0.71±0.23) W,代谢强度值最低的是颧髎；左右同名腧穴代谢强度差值无统计学意义。针刺双侧合谷穴后,健康人面部腧穴代谢强度值以增加为主,其中口禾髎增加最大,平均增加0.35 W；阳白穴增加最小,平均增加0.08 W。结论：健康人面部左右同名腧穴代谢强度值对称性良好；针刺双侧合谷穴后,健康人面部腧穴的代谢强度值较针刺前有所增加,其中以口唇周围增加明显,这与手阳明大肠经在头面部的走形相吻合,为合谷穴与面口部之间的联系提供了一定的科学依据。
목적：통과관찰침자건강인쌍측합곡혈전후면부수혈대사강도치적변화정황,위연구합곡혈여면구부지간적련계제공일정적과학의거。방법：통과의학열층석성상기술,응용Pennes생물전열이론여모형,종재교대학생중소집45명건강수시자,분별채집침자쌍측합곡혈전후면부홍외열층석적도상,관찰침자전건강인면부수혈대사강도치적분포특정,이급침자쌍측합곡혈후건강인면부수혈대사강도치적변화정황。결과：침자전,건강인면부수혈대사강도치최고적시찬죽,평균치위(0.71±0.23) W,대사강도치최저적시권료；좌우동명수혈대사강도차치무통계학의의。침자쌍측합곡혈후,건강인면부수혈대사강도치이증가위주,기중구화료증가최대,평균증가0.35 W；양백혈증가최소,평균증가0.08 W。결론：건강인면부좌우동명수혈대사강도치대칭성량호；침자쌍측합곡혈후,건강인면부수혈적대사강도치교침자전유소증가,기중이구진주위증가명현,저여수양명대장경재두면부적주형상문합,위합곡혈여면구부지간적련계제공료일정적과학의거。
Objective:To observe the changes of metabolic intensity value of points on the face before and after needling bilateral Hegu (LI 4) in healthy people and provide scientific basis for association between Hegu (LI 4) and face/mouth. Methods:A total of 45 healthy college students were selected in this study. Using medical thermography and Pennes bio-heat transfer model, the infrared thermograph images on the face before and after needling bilateral Hegu (LI 4) were collected to observe the distribution of metabolic intensity value on the face before acupuncture and changes in these values after needling bilateral Hegu (LI 4). Results:Before acupuncture, Cuanzhu (BL 2) had the maximal metabolic intensity value. Its mean value was (0.71±0.23) W. Quanliao (SI 18) had the minimal metabolic intensity value. There were no left-right statistical significances in metabolic intensity values. After needling bilateral Hegu (LI 4), the metabolic intensity values of most points on the face were increased. Kouheliao (LI 19) obtained the maximal increase: 0.35 W on average; and Yangbai (GB 14) obtained the minimal increase: 0.08 W on average. Conclusion:Points on both sides in healthy people have good symmetry in metabolic intensity value. After needling bilateral Hegu (LI 4), the metabolic intensity values of points on the face were increased, especially points around the lips, which accords with the pathway of the Large Intestine Meridian on the head and face. This provided some scientific foundation for the association between Hegu (LI 4) and face/mouth.