常年性变应性鼻炎患者阳明经热敏点分布初探

Distribution of Moxibustion-induced Thermosensitive Acupoints of Yangming Meridians in Patients with Perennial Allergic Rhinitis

目的:初步探查常年性变应性鼻炎(PAR)患者阳明经肘膝关节以下"热敏点",总结热敏点分布情况。方法:在27例PAR患者肘膝关节以下用点燃的艾条沿着双侧阳明经,以经上穴位为中心,1cm为半径范围内,距离皮肤3cm左右,分别施以回旋灸、雀啄灸、循经往返灸,灸至灸感消失为止,观察经穴中的热敏穴。结果:PAR患者阳明经肘膝关节以下热敏点的出现率达92.59%,热敏点与穴位重合者为曲池、手三里、合谷、三间、足三里。结论:PAR患者阳明经肘膝关节以下热敏点有一定的出现率。

Objective To examine the distribution of heat-sensitive acupoints below the elbow and knee joints of the Yangming Meridians in patients with perennial allergic rhinitis（PAR）.Methods A total of 27 PAR volunteers 16-55 years in age were recruited in the present study.In a quiet room,the patient was ordered to take a recumbent or sitting position,and the operator held an ignited moxa-stick to make a circling（about 2 min）,sparrow-pecking（2 min）and forwards-backwards moving（1 min）moxibustion perpendicularly over the skin（about 3 cm away）along the running course of the Large Intestine Meridian of Hand Yangming below the elbow joints and the Stomach Meridian of Foot Yangming below the knee joints on both sides.The procedures were repeated again and again until the moxibustion sensation disappeared.The patient was asked to carefully perceive the heat diffusion,diathermic,extending,athermal（cool and itching）feelings,at the heated loci.If one or more of the feelings appeared,it was considered as the thermosensitive phenomenon and that spot was marked as the＂thermosensitive spot＂or＂thermosensitive acupoint＂.Results In those 27 PAR patients,the thermosensitive response was found at Quchi（LI 11）,Shousanli（LI 10）,Hegu（LI 4）,Sanjian（LI 3）,and Zusanli（ST 36）,constituting 59.25%（16/27）,85.18%（23/27）,44.44%（12/27）,55.55%（15/27）,and 11.11%（3/27）,respectively,being 92.59%in total.Of the 27 patients,2,2,9,8,5 and 1 cases had0,1,2,3,4 and 5 thermosenitive acupoints appeared,accounting for 7.41%,7.41%,33.33%,29.63%,18.52% and3.70%,respectively.Conclusion There is a certain occurrence rate of the thermosensitive acupoints below the elbow and knee joints of the Yangming Meridians in PAR patients,which may provide a target-point for treating PAR.