朝医四象体质的SNAP-经络腧穴特异性研究

Korean medical acupuncturology is an important part of the medicine, which is perfectly composed of Korean medicine and acupuncturology. However, there are some unclearly recognized combining points between Sasang constitutions and meridian acupoints or peripheral sensory nerve that seriously impairs clinical treatment of Korean medical acupuncture. This study group plans to examine 1000 healthy people. First, Sasang type of every person is classified by many ways, and with infra-red image-forming instrument and Portabook electromyogram evoked instrument, the temperature of twelve regular meridian and special acupoints and SNAP of upper and lower limbs are detected. with classified Sasang constitutions, meridian acupoints and electrophysiology are analyzed below：1. Connections between Sasang constitutions and twelve regular meridian acupoints temperature. 2. Conduction characteristics of Sasang peripheral sensory nerves. 3. Relative regularity between meridian acupoints and peripheral sensory nerve conduction time. 4. Conduction difference between the right and the left, dispersion difference of latent injury and meridian acupoints temperature. If characteristics of meridian acupoints and peripheral sensory nerve constitutions were systematically grasped, it could supply Korean medical acupuncture with clinical-cure standard and lay a developing foundation for Korean medical acupuncturology.

朝医针灸学是四象医学和针灸学的完美结合，是朝医学的重要组成分，但四象体质与经脉腧穴、末梢感觉神经间的关联尚不明确，严重影响朝医针灸临床治疗。本课题组拟计划以健康人1000名为对象，首先通过多种方式对每一位志愿者进行朝医辨象；然后利用ATIR-M301红外热像仪和Portabook肌电图诱发仪，检测十二经脉和特定穴的温度和上下肢的末梢感觉神经动作电位（SNAP），结合辨象结果分析经络腧穴的温度和SNAP parameter，如：①四象体质与十二经络腧穴温度分布之间的关联；②四象人的四肢末梢感觉神经传导特点；③经络腧穴与末梢感觉神经传导时间的相关规律；④左右侧间的传导差异、潜在性损伤率以及经络腧穴的温度分布差异。从而系统掌握四象人的经络腧穴-神经特征，以期制定朝医针灸临床的标准化治疗方案，为朝医针灸学的发展奠定基础。

朝医针灸学是四象医学和针灸学结合而形成的，朝医学的重要组成分。但四象体质与经脉腧穴、SNAP间的关联尚不明确，影响朝医针灸临床治疗。本项目是以健康人为对象，朝医辨象的基础上，检测经脉和特定穴的温度变化和针刺感应以及SNAP，旨在系统掌握四象人的经络腧穴-神经特征，指导朝医针灸临床的标准化治疗方案的制定。本次研究结果如下：① 腧穴温度与PNCS相关性 研究发现太阴人较少阳人和少阴人肾俞穴温度低、F波最短潜伏期延迟；少阳人较太阴人肺俞穴温度高、近端端波幅BP高、F波最短潜伏期短；右侧较左侧肺俞和太溪穴温度高，右侧较左侧太阴、少阳和少阴人Distal Latency（DL）延长，右侧较左侧太阴和少阴人MCV减慢（P<0.05）。② SEP–特定穴温度 男性左体N13-N20潜伏间期少阳人延长于太阴人；女性左体N13潜伏期少阳人延长于太阴人和少阴人，女性N20潜伏期少阳人和太阴人延长于少阴人；太阴人曲泉（右体）针刺后温度显著升高，少阴人（左体）阴陵泉针刺后温度显著升高；男性左体尺泽、阴陵泉和右体曲泉穴少阴人传导感高于少阳人（P<0.05）。③ SNAP-SEP间关联 左右侧间SNAP Distal Duration、Distal Amplitude、SCV均有差异；太阴人的中枢神经传导N13-N20存在左右侧差异，正中感觉神经存在左右侧传导差异。科学意义：太阴人的左右侧之间的N13-N20潜伏间期差异，表示颈髓中段的后索、束核或对侧内侧丘索、丘脑及大脑皮层的传导左右侧的传导差异。太阴人“血浊气涩”，好静不好动的体质特点，导致了该体质人神经传导左右体之间传导差异。暗示四象人的不同脏局因素引发神经-经络腧穴生理病理变化，而且将其变化规律应用于朝医辨象以及其辨证治疗中，开辟辨象辨证治疗的新思路。