隔物灸温度-时间曲线分析

Analysis of the Temperature-time Curve of Indirect Moxibustion

目的观察隔物灸温度-时间曲线特性,探讨其临床意义。方法测量临床常用的隔附子饼灸、隔生姜灸在施灸过程中温度变化曲线,并以临床基本不用的隔黄芩饼灸为对照。结果隔黄芩饼灸温度最大值明显大于隔附子饼灸和隔生姜灸,其温度-时间变化曲线也有较大差异;隔附子饼灸、隔生姜灸温度最大值基本相同,但隔生姜灸温度上升段比隔附子饼灸陡峭。结论虽然隔附子饼灸、隔生姜灸温度最大值基本相同,但隔生姜灸时患者更易觉得疼痛;从温度-时间曲线特性看,隔黄芩饼灸不宜用于临床。

Objective To investigate the quality of the temperature-time curve of indirect moxibustion and explore its clinical significance. Methods A curve of temperature change was recorded when clinically commonly used Aconite cake-separated or gingerseparated moxibustion was performed. The curve was compared with that recorded when clinically seldom used Scutellariae cake-separated moxibustion was performed. Results The maximum value of temperature was significantly higher during Scutellariae cake-separated moxibustion than during Aconite cake-separated moxibustion and during ginger-separated moxibustion. There was also a larger difference in temperature-time curve. The maximum value of temperature was basically the same during Aconite cake-separated moxibustion as during ginger-separated moxibustion, but the rising segment of temperature was steeper than during ginger-separated moxibustion. Conclusion Although the maximum temperature values of Aconite cake-separated moxibustion and ginger-separated moxibustion are basically the same, patients feel a pain more easily during ginger-separated moxibustion. Scuteliariae cake-separated moxibustion is not suitable for clinical application from its quality of temperature-time curve.