阿是穴诊疗客观化探析

The objectification of ashi point diagnosis and treatment

阿是穴在针灸临床的定位诊断、定性诊断、循经取穴及针灸补泻中具有重要指导作用。本文介绍阿是穴诊疗客观化的理论依据及现有技术方法,提出通过感觉定量测试测定阿是穴温度阈值及压痛阈值,辨别阿是穴“寒、热、虚、实”病理特性,从阿是穴疗法选择的精准化、阿是穴镇痛疗效评估的客观化及阿是穴镇痛机制研究的差异化3个方面,探讨阿是穴客观化诊疗方案的可能性,以期为中医针灸现代化提供新的研究思路。

Ashi points play a significant role in the clinical localization and qualitative diagnosis of acupuncture,as well as in selecting acupoints along the meridians and applying tonifying or reducing techniques.This paper introduces the theoretical basis and existing technical methods of objectification of ashi point diagnosis and treatment.It proposes that using sensory quantitative testing to determine the temperature and tenderness thresholds of ashi points could help to identify the pathological characteristics of"cold""heat""deficiency"or"excess"of ashi points.In addition,the possibility of objectification of ashi point diagnosis-treatment plan is explored from three perspectives,precision of selection of ashi point therapy,objectification of effect evaluation of ashi point analgesia,and differentiation of the studies on ashi point analgesic mechanism,aiming to provide new research ideas for the modernization of traditional Chinese acupuncture.