腹部透灸时温度变化的研究（英文）

Temperature variation during penetration moxibustion on abdomen

目的：通过观察腹部艾灸的时间、温度及灸后的效应三者之间的关系,探讨腹部透灸最佳的透灸时程及温度。方法：选取32例健康人为试验对象,以肚脐为中心进行腹部艾灸。在施灸开始后每分钟记录艾灸箱的温度1次,记录知热温度、知热时间、知降温度、降温时间、皮温差、透灸时程及受试者艾灸时的反应。结果：30例受试者（脱落2例）,出现潮红30例、汗出7例、花斑5例,灸时出现反应的7例;透灸的时程为（28.37±2.37）min;透灸时的知热温度为（35.79±0.85）℃,知降温度为（44.23±1.62）℃。结论：1透灸过程中温热感不仅从表皮向腹腔、腰部透达,而且向上到头部、向下到膝部透达;2潮红、汗出、花斑是透灸效果的重要指标;3透灸操作可持续28~32 min,把艾灸的温度控制在43~45℃之间。

Objective To seek safe, effective and popular penetration moxibustion therapy through exploring the optimum duration and temperature of penetration moxibustion by means of observing the relationship among the duration, temperature and effect of moxibustion on abdomen. Methods Thirty-two healthy persons were selected as subjects, and moxibustion was performed, centering on navels, on their abdomens. The temperature of moxibustion box was recorded once a minute since the beginning of moxibustion, and other items, including the temperature and time at which and when the subject felt heated, the temperature at which the subject felt reduced, temperature reduction time, temperature difference on the skin, time course of penetration moxibustion and subject＇s reaction, were also recorded. Results Among32 subjects, 2 dropped out from the study; flushing was shown on 30 subjects, sweating on 7, brindle on 5, and reaction on 7. The time course of penetration moxibustion was（28.37±2.37） min, the temperature at which the subject felt heated was（35.79±0.85） ℃, and the temperature at which the subject felt reduced was（44.23±1.62） ℃. Conclusion 1 During the course of penetration moxibustion, sense of warmth penetrate into abdominal cavity and waist from epidermis, and penetrate into head upwards and knee downwards;2 flushing, sweating and brindle are the important indices for the effect of penetration moxibustion; 3 penetration moxibustion can be lasted for 28–32 min, and the temperature should be controlled at 43–45 ℃, so as to not only reduce the impact of smoke on the indoor environment, but also make patients feel no pain.