八卦穴是小儿推拿临床常用的穴位之一,多用于治疗脾、肺系疾病。八卦穴取穴理论来源于易学中的后天八卦学说。由于涉及八卦方位问题,临床多取左手操作。古代小儿推拿专著中对八卦穴多有记载,清代以后多取左手推之,现代应用亦多遵循此说...八卦穴是小儿推拿临床常用的穴位之一,多用于治疗脾、肺系疾病。八卦穴取穴理论来源于易学中的后天八卦学说。由于涉及八卦方位问题,临床多取左手操作。古代小儿推拿专著中对八卦穴多有记载,清代以后多取左手推之,现代应用亦多遵循此说,关于右手是否有八卦穴及右手八卦穴之方位则少有讨论。本文通过整理相关文献,厘清左右手八卦穴之定位及相关操作,认为医理不能大于易理,故左右手内外八卦方位均应与后天八卦之方位保持一致,不能随意变易。Bagua point is one of the commonly used points in Paediatric Tuina, which is mostly used to treat the diseases related to spleen and lung system. The origin of the theory of the Bagua points originated from the theory of later heaven eight trigrams in the Zhouyi Study. As it involves the direction of the eight trigrams, it is usually operated with the left hand in clinical treatment. In the ancient books of Paediatric Tuina, there are many records of the Bagua point, since the Qing Dynasty, the left hand has been the preferred choice for Paediatric Tuina, this is also the practice followed in modern times. There is limited discussion on whether there are Bagua points on the right hand and the location of the eight trigrams on the right hand. This article clarifies the location and operation of the Bagua points on the right and left hands by collating relevant literature. We regard that the theory of Chinese medicine is originated from the theory of I Ching, therefore, the level of the theory of medicine should not be higher than the theory of I Ching. Hence, the directions of the eight trigrams on the palms and backs of the hands should be consistent with the directions of the later heaven eight trigrams, and should not be changed arbitrarily.展开更多
目的探索轻中度抑郁症(mild to moderate depression,MMD)的脑功能低频振幅(amplitude of low-frequency fluctuation,ALFF)与血清炎症因子的相关性。材料与方法回顾性分析2020年1月至2021年10月在中国中医科学院广安门医院和西南医科...目的探索轻中度抑郁症(mild to moderate depression,MMD)的脑功能低频振幅(amplitude of low-frequency fluctuation,ALFF)与血清炎症因子的相关性。材料与方法回顾性分析2020年1月至2021年10月在中国中医科学院广安门医院和西南医科大学附属中医医院精神科被诊断为MDD的患者病例作为MMD组。健康者来源于广告招募,作为健康对照(healthy controls,HC)组。最终共纳入48例MMD患者病例及51例HC,且两组满足性别、年龄及受教育程度相对匹配。受试者均参加功能MRI(functional MRI,fMRI)静息态脑功能扫描,测定血清肿瘤坏死因子α(tumor necrosis factor alpha,TNF-α)、白介素6(interleukin 6,IL-6)、白介素2(interleukin 2,IL-2)、高敏C反应蛋白(high-sensitivity C-reactive protein,HsCRP)和17项汉密尔顿抑郁量表(17-items Hamilton Depression Rating Scale,HAMD-17)、14项汉密尔顿焦虑量表(14-items Hamilton Anxiety Rating Scale,HAMA-14)评分。采用DPABI软件对fMRI数据进行预处理与统计分析,获得两组差异脑区ALFF值,采用Spearman秩相关分别对ALFF值与临床量表及炎症因子值进行相关性分析。结果MMD组在HAMD-17、HAMA-14评分上显著高于健康组(P<0.05),IL-2、IL-6、TNF-α、HsCRP水平升高。与健康组相比,MMD组的ALFF值在左侧颞下回增高,右侧颞极、左侧三角部额下回、右侧背外侧额上回减低。相关分析显示:左侧颞下回与HAMD-17、HAMA-14评分、HsCRP水平呈正相关(r=0.591,P<0.001;r=0.549,P<0.001;r=0.479,P<0.001);右侧背外侧额上回与TNF-α呈负相关(r=-0.285,P=0.004),HsCRP水平与HAMD-17、HAMA-14评分呈正相关(r=0.723,P<0.001;r=0.667,P<0.001)。结论MMD患者存在免疫炎症因子异常,MMD组存在ALFF差异脑区,主要位于边缘叶、默认网络等脑网络,其中左侧颞下回、右侧背外侧额上回是外周炎症因子相关的异常脑区,这可能是MMD神经免疫病理机制更为复杂的原因。展开更多
文摘八卦穴是小儿推拿临床常用的穴位之一,多用于治疗脾、肺系疾病。八卦穴取穴理论来源于易学中的后天八卦学说。由于涉及八卦方位问题,临床多取左手操作。古代小儿推拿专著中对八卦穴多有记载,清代以后多取左手推之,现代应用亦多遵循此说,关于右手是否有八卦穴及右手八卦穴之方位则少有讨论。本文通过整理相关文献,厘清左右手八卦穴之定位及相关操作,认为医理不能大于易理,故左右手内外八卦方位均应与后天八卦之方位保持一致,不能随意变易。Bagua point is one of the commonly used points in Paediatric Tuina, which is mostly used to treat the diseases related to spleen and lung system. The origin of the theory of the Bagua points originated from the theory of later heaven eight trigrams in the Zhouyi Study. As it involves the direction of the eight trigrams, it is usually operated with the left hand in clinical treatment. In the ancient books of Paediatric Tuina, there are many records of the Bagua point, since the Qing Dynasty, the left hand has been the preferred choice for Paediatric Tuina, this is also the practice followed in modern times. There is limited discussion on whether there are Bagua points on the right hand and the location of the eight trigrams on the right hand. This article clarifies the location and operation of the Bagua points on the right and left hands by collating relevant literature. We regard that the theory of Chinese medicine is originated from the theory of I Ching, therefore, the level of the theory of medicine should not be higher than the theory of I Ching. Hence, the directions of the eight trigrams on the palms and backs of the hands should be consistent with the directions of the later heaven eight trigrams, and should not be changed arbitrarily.
