从针刺十二经穴对健康人体表胃小肠电的影响探讨经穴与脏腑相关的特异性关系(1)
摘 要：目的：通过观察针刺十二经脉经穴对健康成人体表胃、小肠电图的影响，探讨经脉、穴位与脏腑之间的相对特异性关系。方法：应用多导生理记录仪记录30例健康成人针刺不同穴位前后的体表胃、小肠电图，比较胃、小肠电图频率、振幅变化的差异。结果：针刺足三里、养老、曲池穴能使胃、小肠电振幅上升。针刺足三里、养老、通里、内关等穴位能分别调节胃、肠运动的节律；针刺足三里、养老、阴陵泉等穴能同时调节胃、肠运动的节律，促进二者协调运动。表现出与健康人胃相关的有曲池、太冲、外关、足三里、阴陵泉、养老；表现出与健康人小肠相关的有通里、阳陵泉、阴陵泉、养老。其中阴陵泉、养老与胃、肠两脏都有关系。结论：从体表经穴观察相应脏腑的功能变化发现经脉(穴)与脏腑之间确实存在着相关性关系，其效应规律可概括为“多经司控一脏”与“一经调节多脏”。
关键词：针刺；十二经穴；健康成人；胃电图；小肠电图
中图分类号：R285.5文献标识码：A
, 百拇医药
文章编号：1673-7717(2008)11-2352-03
Discussion of Specific Regularity between Acupoints and Organs Based on Different Influence to
EGG Electrointestinogram by Acupuncture in Acupoints of Different 12 Meridians of Healthy Adults
SHEN Jing1,YAN Jie2,CHANG Xiaorong2,LIN Yaping2,WANG Chao2,LI Jiangshan2
(1.PhD Candidate in Hunan University of Chinese Medicine,Changcha 410007,Hunan,China;
, 百拇医药
2.College of Acupuncture and Massage,Hunan University of Chinese Medicine,Changsha 410007,Hunan,China)
Abstract:Objective:To observe the effect on EGG，electrointestinogram of health people by acupuncture in acupoints of different meridians and to analyze the specific regularity between meridians,acupoints and organs.
Methods:While acupuncture in acupoints of 12 different meridians to 30 health peoples，MP150 was used to record EGG，electrointestinogram.To analyze different influence to amplitude and frequency of gastric slow wave and electrointestinogram.
, http://www.100md.com
Results:Amplitude of EGG and electrointestinogram ascended after acupuncture in Zusanli,Yanglao,Quchi. The motional rhythm of stomach and intestine was regulated by acupuncture in Zuanli,Yanglao,Tongli,Neiguan,Yinlingquan. Some acupoints such as Quchi,Taichong,Waiguan,Zusanli,Yinlingquan,Yanglao,seemed correlated to stomach. Some acupoints such as Tongli,Yanglingquan,Yinlingquan,Yanglao,seemed correlated to intestine. Some acupoints such as Yinlingquan,Yanglao seemed correlated to stomach and intestine.
, http://www.100md.com
Conclusion:The specific regularity between Acupoints and Organs was that different meridians control an organ simultaneously and that one meridian control different organs simultaneously.
Key words:acupuncture;acupoints;healthy adults;EGG;electrointestinogram
“夫十二经脉者，内属于腑脏，外络于肢节”揭示了经脉(穴)与脏腑之间的相对特异性关系，这种特异性的作用规律究竟如何？本实验通过观察针刺十二经脉穴位对体表胃、小肠电图的影响，探讨经脉(穴)-脏腑的相关性。
1 方 法
, http://www.100md.com
1.1 观察对象
健康成人30例，20~50岁，体型匀称，无消化道病史，无其他疾病。近1月内无胃肠道不适症状，未服食药物。监测胃肠电图波形基本规则、有规律者。
1.2 观察仪器
MP150型16导生理记录仪(美国Biopac公司)， 28号0.5～1.5寸毫针，一次性电极片(上海同安医疗用品公司，阳光牌，批号：SPA060815)，针刺手法监测仪(上海针灸经络研究中心研制)。
1.3 观察方法
1.3.1 体表电极安放
胃体表电极：BIOPAC生理记录仪的胃体表电极3个接头中，负极接在“胃体点”，即剑突与脐连线中点上方(1.6±1.8)cm，旁开正中线左侧(4.5±1.1)cm；正极接在“胃窦点”，即剑突与脐连线中点下方(0.7±2.4)cm，旁开右侧(1.4±1.6)cm处[1]；地线接在右下肢。
, 百拇医药
小肠体表电极：BIOPAC生理记录仪的肠体表电极3个接头中，负极接在“麦氏点”即髂前上棘与脐连线中点的中外1/3处正下方3cm以内处；正极接在“麦氏点”正上方3cm以内处；地线接在右下肢。
1.3.2穴位选择
为广泛研究十二经脉与心、胃、肠三脏的关系，将十二经脉(穴)分为两类：①与心、胃、肠三脏相属、络、表里、同名经脉上的特定穴或常用穴；其他与心、胃、肠三脏功能相关经脉上的特定穴或常用穴。②与三脏不直接相关的经脉，即足少阳胆经、足太阳膀胱经经穴。穴位定位参照石学敏主编《针灸学》[2]。
手太阴肺经：太渊；手阳明大肠经：曲池；手厥阴心包经：内关；手太阳小肠经：养老；手少阴心经：通里；手少阳三焦经：外关；足太阴脾经：阴陵泉；足阳明胃经：足三里；足厥阴肝经：太冲；足太阳膀胱经：飞扬；足少阴肾经：太溪；足少阳胆经：阳陵泉。, http://www.100md.com(沈 菁 严 洁 常小荣 林亚平 王 超 李江山)
关键词：针刺；十二经穴；健康成人；胃电图；小肠电图
中图分类号：R285.5文献标识码：A
, 百拇医药
文章编号：1673-7717(2008)11-2352-03
Discussion of Specific Regularity between Acupoints and Organs Based on Different Influence to
EGG Electrointestinogram by Acupuncture in Acupoints of Different 12 Meridians of Healthy Adults
SHEN Jing1,YAN Jie2,CHANG Xiaorong2,LIN Yaping2,WANG Chao2,LI Jiangshan2
(1.PhD Candidate in Hunan University of Chinese Medicine,Changcha 410007,Hunan,China;
, 百拇医药
2.College of Acupuncture and Massage,Hunan University of Chinese Medicine,Changsha 410007,Hunan,China)
Abstract:Objective:To observe the effect on EGG，electrointestinogram of health people by acupuncture in acupoints of different meridians and to analyze the specific regularity between meridians,acupoints and organs.
Methods:While acupuncture in acupoints of 12 different meridians to 30 health peoples，MP150 was used to record EGG，electrointestinogram.To analyze different influence to amplitude and frequency of gastric slow wave and electrointestinogram.
, http://www.100md.com
Results:Amplitude of EGG and electrointestinogram ascended after acupuncture in Zusanli,Yanglao,Quchi. The motional rhythm of stomach and intestine was regulated by acupuncture in Zuanli,Yanglao,Tongli,Neiguan,Yinlingquan. Some acupoints such as Quchi,Taichong,Waiguan,Zusanli,Yinlingquan,Yanglao,seemed correlated to stomach. Some acupoints such as Tongli,Yanglingquan,Yinlingquan,Yanglao,seemed correlated to intestine. Some acupoints such as Yinlingquan,Yanglao seemed correlated to stomach and intestine.
, http://www.100md.com
Conclusion:The specific regularity between Acupoints and Organs was that different meridians control an organ simultaneously and that one meridian control different organs simultaneously.
Key words:acupuncture;acupoints;healthy adults;EGG;electrointestinogram
“夫十二经脉者，内属于腑脏，外络于肢节”揭示了经脉(穴)与脏腑之间的相对特异性关系，这种特异性的作用规律究竟如何？本实验通过观察针刺十二经脉穴位对体表胃、小肠电图的影响，探讨经脉(穴)-脏腑的相关性。
1 方 法
, http://www.100md.com
1.1 观察对象
健康成人30例，20~50岁，体型匀称，无消化道病史，无其他疾病。近1月内无胃肠道不适症状，未服食药物。监测胃肠电图波形基本规则、有规律者。
1.2 观察仪器
MP150型16导生理记录仪(美国Biopac公司)， 28号0.5～1.5寸毫针，一次性电极片(上海同安医疗用品公司，阳光牌，批号：SPA060815)，针刺手法监测仪(上海针灸经络研究中心研制)。
1.3 观察方法
1.3.1 体表电极安放
胃体表电极：BIOPAC生理记录仪的胃体表电极3个接头中，负极接在“胃体点”，即剑突与脐连线中点上方(1.6±1.8)cm，旁开正中线左侧(4.5±1.1)cm；正极接在“胃窦点”，即剑突与脐连线中点下方(0.7±2.4)cm，旁开右侧(1.4±1.6)cm处[1]；地线接在右下肢。
, 百拇医药
小肠体表电极：BIOPAC生理记录仪的肠体表电极3个接头中，负极接在“麦氏点”即髂前上棘与脐连线中点的中外1/3处正下方3cm以内处；正极接在“麦氏点”正上方3cm以内处；地线接在右下肢。
1.3.2穴位选择
为广泛研究十二经脉与心、胃、肠三脏的关系，将十二经脉(穴)分为两类：①与心、胃、肠三脏相属、络、表里、同名经脉上的特定穴或常用穴；其他与心、胃、肠三脏功能相关经脉上的特定穴或常用穴。②与三脏不直接相关的经脉，即足少阳胆经、足太阳膀胱经经穴。穴位定位参照石学敏主编《针灸学》[2]。
手太阴肺经：太渊；手阳明大肠经：曲池；手厥阴心包经：内关；手太阳小肠经：养老；手少阴心经：通里；手少阳三焦经：外关；足太阴脾经：阴陵泉；足阳明胃经：足三里；足厥阴肝经：太冲；足太阳膀胱经：飞扬；足少阴肾经：太溪；足少阳胆经：阳陵泉。, http://www.100md.com(沈 菁 严 洁 常小荣 林亚平 王 超 李江山)