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针刺感传气至病所的“活血化瘀”作用研究

Study on the Role of Qi(气)Reaching to Affected Area by Acupuncture in "Promoting Blood Circulation to Remove Blood Stasis"

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【作者】 程连瑚; 郄增旺; 吴开基; 王宗凡; 王琦; 程凤宽; 高大运;

【Author】 Cheng Lianhu Wu Kaiji Qie Zengwang Baoding District Hospital of TCM.Baoding (071000)

【机构】 河北省保定地区中医院; 保定市第二医院; 保定地区医院; 河北省保定地区中医院 河北071000; 河北071000;

【摘要】 以针刺激发循经感传促使气至病所的治疗手段,对具有瘀血证的75例慢性肝炎,58例慢性阻塞性肺病,45例血栓闭塞性脉管炎,65例冠心病患者,以生物电阻抗测定技术的21项指标分别进行了针刺前后的实验观察。结果显示:气至病所能降低患病肝脏的门静脉压力,增加肝脏血液灌注量;能增加慢性阻塞性肺病的右心输出量,改善肺循环:能降低血栓闭塞性脉管炎患肢血管紧张度和阻塞程度;能提高冠心患者心肌收缩力,增强心脏血管舒缩活动。在观察的246例中,气至病所组(95例)有明显的活血化瘀作用,有感传组(84例)亦有一定的作用,局感组(67例)的作用则不明显。

【Abstract】 In the present work,an experimental observation was carried out with the determination method of bioelectric impedance in 78 cases of chronic hepatitis,58 cases of chronic obstructive pulmonary disease,45 of obstructive thromboendarteritis and 65 of coronary heart disease,who were diagnosed definitely and possessed the symptoms and signs of blood stasis and produced change in hemodynamics. Yanglingquan(G.B.34)and Zhangmen(Liv.13)acupoints on right side were needled and four indices of liver blood circulation were determined for chronic hepatitis.Bilateral Kongzui(Lu.6) acupoints were needled and seven indices of lung blood circulation were detected for chronic obstructive pulmonary disease.Acupoint along the pathway of channel were needled and six indices of blood circulation in the extremities were examined for obstructive thromboendarteritis.Bilateral Neiguan(P.6)acupoints were needled and four indices of the cardiovascular function were detected for coronary heart disease.Results showed 95 cases of the above four diseases having Qi reaching to afffected area.84 cases had propagated sensation along the channel.67 cases had local sensation. Experimental results indicated that Qi reacing affected area produced obvious effects of dredging the meridian passage,and promoting blood circulation to remove blood stasis.

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