穴位研究

摘要： Objective: To compare the risk angle and safety angle of needling Yamen (GV 15) between the atlanto-axial dislocation (AAD) patients and healthy subjects. Methods: A total of 177 AAD patients diagnosed and treated at the Center of Upper Cervical Vertebra of Beijing China-Japan Friendship Hospital between January 2010 and January 2018 were included in the AAD group. Another 207 healthy subjects were included in the normal group. There were totally 191 males and 193 females. The MRI scan was performed for the cervical vertebrae to measure the risk angle and safety angle of acupuncture at Yamen (GV 15) on the sagittal image. Results: In the AAD group, the risk angle was (13.14±3.99)° and the relative safety angle was (10.31±3.23)° for the perpendicular needling, while the oblique needling risk angle was (9.09±3.09)° for the male; the risk angle was (12.12±2.74)° and the relative safety angle was (10.56±2.09)° for the perpendicular needling, while the oblique needling risk angle was (9.70±2.95)° for the female. In the normal group, the risk angle was (7.89±1.59)° and the relative safety angle was (10.21±3.55)° for the perpendicular needling, while the oblique needling risk angle was (16.07±1.77)° for the male; the risk angle was (6.93±1.45)° and the relative safety angle was (10.70±2.94)° for the perpendicular needling, while the oblique needling risk angle was (14.89±2.18)° for the female. The perpendicular needling risk angles for the males and females in the AAD group were larger than those in the normal group, and the differences were statistically significant (bothP0.05); however, the perpendicular needling risk angle for the male was larger than the female, and the difference was statistically significant in the normal group (P0.05). For the inner-group comparison, there was no significant difference in the relative safety angle between the male and the female (P>0.05). The oblique needling risk angles for both the males and females were smaller in the AAD group than those in the normal group, and the differences were statistically significant (bothP0.05); in the normal group, the oblique needling risk angle for the male was larger than that for the female, and the difference was statistically significant (P0.05),但正常组中男性大于女性,且差异有统计学意义(P0.05);两组相对安全角度的组内比较,男性与女性均无统计学差异(均P>0.05).AAD组男性和女性的斜刺危险角度均小于正常组,且差异均有统计学意义(均P0.05);正常组中,男性的斜刺危险角度大于女性,且差异有统计学意义(P<0.01).结论:AAD状态下,哑门穴针刺危险角度和安全角度发生了明显的改变,针刺时直刺以水平方向略偏下为宜,斜刺应越过枕骨大孔向枕骨方向针刺最为安全.

摘要： 总结经穴效应特异性相关的研究文献,探讨经穴效应特异性的整体性是否存在,分析经穴效应特异性的相对性与整体性关系.电子检索2007年1月至2017年10月中国期刊全文数据库(CNKI)有关经穴效应特异性的临床和实验研究文献,结果共检索出39篇符合文献,分别从中医理论的整体观、经络学说的整体观及现代研究3个方面总结分析经穴效应特异性的整体性.经穴效应特异性不仅具有相对性,还存在整体性;经穴效应特异性的整体性与中医理论的整体观、经络学说的整体性密切相关;正是因为经穴效应特异性存在整体性,所以它才是相对的,而非绝对的.

摘要： 目的:观察不同灸量隔姜灸对脾虚证大鼠血清三叶因子1(TFF1)和粘蛋白5AC(MUC5AC)含量,以及胃黏膜表皮生长因子受体(EGFR)蛋白表达的影响,探讨隔姜灸治疗脾虚证的可能作用机制及量效特征.方法:将75只SPF级Sprague-Dawley(SD)大鼠按随机数字表法分为空白对照组(A组)、模型组(B组)、隔姜灸3壮组(C1组)、隔姜灸6壮组(C2组)和隔姜灸9壮组(C3组),每组15只.除A组外,其余各组大鼠采用200%的大黄浓缩液4°C灌胃制作脾虚证大鼠模型.造模成功后,B组大鼠不予治疗;C1、C2和C3组大鼠分别接受3壮、6壮和9壮隔姜灸足三里和中脘治疗,连续治疗8 d.观察大鼠一般症状评分,采用酶联免疫吸附法(ELISA)检测血清中TFF1和MUC5AC含量;免疫组化法检测胃黏膜EGFR蛋白表达.结果:干预结束后,与A组比较,B组大鼠脾虚症状积分增高,C1、C2和C3组大鼠血清TFF1、MUC5AC含量及胃组织EGFR蛋白表达明显升高(均P0.05).结论:隔姜灸能改善大鼠脾虚症状,促进脾虚证大鼠胃黏膜的增殖修复,其作用机制可能与提高血清TFF1和MUC5AC含量,激活EGFR蛋白的表达相关,且灸9壮和6壮的疗效优于灸3壮,但灸9壮和灸6壮的效果相当.%Objective: To observe the effects of different doses of ginger-partitioned moxibustion on serum trefoil factor 1 (TFF1) and mucin 5AC (MUC5AC) levels, as well as the expression of epidermal growth factor receptor (EGFR) in gastric mucosa of rats with spleen deficiency syndrome, therefore, to explore the possible mechanism and the dose-effect characteristics of ginger-partitioned moxibustion in spleen deficiency syndrome. Methods: Seventy-five SPF grade Sprague-Dawley (SD) rats were randomly divided into a blank control group (group A), a model group (group B), a 3 moxa-cone ginger-partitioned moxibustion group (group C1), a 6 moxa-cone ginger-partitioned moxibustion group (group C2) and a 9 moxa-cone ginger-partitioned moxibustion group (group C3) using random number table method, 15 rats in each group. Except group A, rats in the other groups received intragastric administration of 4 °C200% concentrated Da Huang (Radix et Rhizoma Rhei) to prepare spleen deficiency syndrome model. After successful modeling, rats in group B received no treatment; rats in group C1, C2 and C3 were treated with 3, 6 and 9 moxa-cone ginger-partitioned moxibustion at Zusanli (ST 36) and Zhongwan (CV 12) respectively for 8 continuous days. The general symptom score of rats was observed. The serum levels of TFF1 and MUC5AC were detected by enzyme-linked immunosorbent assay (ELISA). The expression of EGFR protein in gastric mucosa was detected by immunohistochemistry. Results: After the treatment, compared with group A, the spleen deficiency symptom score was increased in group B, the levels of serum TFF1 and MUC5AC, the EGFR protein expression in gastric tissues of group C1, C2 and C3 were significantly increased (all P0.05). The mechanism may be related to the increase of serum TFF1 and MUC5AC levels and activation of EGFR protein. Conclusion: Ginger-partitioned moxibustion can improve the symptoms, as well as promote the proliferation and repair of gastric mucosa in rats with spleen deficiency. The therapeutic efficacy of 6 or 9 moxa-cone ginger-partitioned moxibustion is better than that of 3 moxa-cone ginger-partitioned moxibustion, while the efficacies are equivalent between 6 and 9 moxa-cone ginger-partitioned moxibustion groups.

摘要： Objective:By applying moxibustion to the eight confluent points in different periods of time,to observe the changes in thermal pain threshold latency of acupoints based on Fei Teng Ba Fa.Methods:A total of 468 healthy college student volunteers received moxibustion at the eight confluent points in three different periods of time,i.e.Chen (7:00-9:00),Wu (11:00-13:00) and Xu (19:00-21:00).The thermal pain threshold latency was adopted to measure the changes in pain threshold of the eight confluent points under different conditions (different periods of time,different genders,different acupoints and different states of the acupoints) based on Fei Teng Ba Fa.Results:Finally,thirty subjects dropped out and 438 subjects were included.The comparison of thermal pain threshold latencies of the eight confluent points in the same opening or closing state based on Fei Teng Ba Fa:latencies of the closing points and adjunct points were significantly different in different periods of time (P＜0.05);the latencies of the males were significantly longer than those of the females (P＜0.05);there was no significant difference in the latency between the left and right sides (P＞0.05);in the female group,there was a significant difference in the latency between the lower-limb points and the upper-limb points (P＜0.05).The comparison of thermal point threshold latencies of the eight confluent points in different opening or closing state:in the period of Wu (11:00-13:00),the latencies of the opening points were significantly longer than those of the closing points and adjunct points (P＜0.05);for men,their opening and closing points had significantly longer thermal pain threshold latencies than their adjunct points (P＜0.05);despite the gender,the latencies of the upper limb opening and closing points were significantly longer than the latency of the adjunct points (P＜0.05);in the female group,the latencies of the lower-limb opening points were significantly shorter than those of the lower-limb closing and adjunct points (P＜0.05).Conclusion:Based on Fei Teng Ba Fa,the pain thresholds of the eight confluent points vary in different periods of time,gender,acupoint location and opening/closing state,which can be taken as the evidence of making time-based acupuncture-moxibustion prescriptions.%目的:通过不同时辰艾灸八脉交会穴,探析飞腾八法取穴时人体腧穴感热痛阈时间的变化.方法:共468名健康大学生志愿者,分别于辰时(7:00-9:00点)、午时(11:00-13:00点)和戌时(19:00-21:00点)艾灸八脉交会穴,采用感热痛阈时间评定在不同时辰、不同性别、不同腧穴部位和不同腧穴状态下飞腾八法按时取穴时八脉交会穴的痛阈变化.结果:脱落、剔除30人,最终纳入研究者438人.飞腾八法按时取穴时,八脉交会穴在相同开阖状态下感热痛阈时间比较:不同时辰的闭穴、配穴存在统计学差异(P＜0.05);男性痛阈时间显著长于女性(P＜0.05);左侧与右侧无统计学差异(P＞0.05);女性的下肢穴位与上肢穴位有统计学差异(P＜0.05).八脉交会穴不同开阖状态下感热痛阈时间比较:午时开穴的痛阈时间显著长于闭穴和配穴(P＜0.05);男性的开穴、闭穴痛阈时间显著长于配穴(P＜0.05);男女上肢的开穴、闭穴痛阈时间均显著长于配穴(P＜0.05);女性下肢开穴的痛阈时间显著短于闭穴和配穴(P＜0.05).结论:飞腾八法取穴时,八脉交会穴的痛阈因时辰、性别、腧穴部位和腧穴开阖状态而异,可作为按时针灸处方的实验依据.

摘要： 历代医家针刺以治神为首务,《腧穴学》中共有九个含“神”字的腧穴,本文从穴位的穴义和穴性两个方面浅略分析“神”字穴.

摘要： 审视耳廓发育过程的照片后发现,耳廓大部分来自耳丘底下的隆起.纠正了教科书所认为的耳廓是由第一鳃沟周围的6个小丘样结节形成的这一结论.此发现,为按耳廓发育过程进行耳穴定位标准化的考虑提供了依据,并阐释了耳穴在耳廓上的分布恰似一个倒置的身体,头朝下、脚朝上这一现象的原因.%From the pictures presenting the development of auricle, it's found that the auricle is substantially derived from the protrusion beneath auricular hillocks, which has corrected the conclusion in textbook holding that the auricle develops from the six hillocks around the first branchial cleft fistula. This finding provides evidence for the standardization of auricular points locations based on the development of auricle, and also explains why the distribution of auricular points on the auricle is like a reverse human body.

摘要： 通过总结近10年来相关文献,对针刺足三里中枢作用机制的相关内容进行整理,发现:针刺足三里与其他经穴、假穴的对比研究中,多数研究显示足三里存在相对特异性的大脑功能响应特征;足三里中枢作用机制的研究主要集中于脑卒中后遗症、疼痛、胃肠道疾病、减肥与药物成瘾戒断等方面;针刺手法、刺激方式、个体差异、刺激量、刺激持续时间等都能引起不同的脑功能响应;针刺足三里具有针刺后效应即长期效应,可重复性不佳.建议今后研究设计及研究内容可以偏向于影响临床疗效及实验结果的相关因素、穴位的配伍效应、研究结果的可重复性、研究的样本量、针灸治疗方式、长期效应及疾病病种等方面.%The contents about the central action mechanisms of needling Zusanli (ST 36) were sorted by summarizing the relevant literatures published in the past 10 years, and it was found that: by comparing acupuncture at Zusanli (ST 36), other acupoints or sham points, most studies showed that Zusanli (ST 36) had relatively specific characteristics in the brain function response; studies on the central action mechanisms of Zusanli (ST 36) were mainly focused on sequelae of cerebral apoplexy, pain, gastrointestinal diseases, weight loss and drug addiction withdrawal and so on; acupuncture manipulations, stimulation methods, individual differences, stimulation quantity, and stimulation duration, etc. could also induce different brain function responses; acupuncture at Zusanli (ST 36) had an after-working effect, also called long-term effect, but with poor repeatability. So, it was suggested that the future studies should focus on the factors that affect the clinical efficacies and experimental results, including the compatibility effects of the acupoints, reproducibility of research results, sample size, acupuncture methods, long-term effects and disease entities.

摘要： 方法与目的:在相关知识的支撑下,通过对相关现象和相关研究结果等资讯进行客观细致的分析、合乎逻辑的推理和创造性的整合,探讨出穴位和经络的秘密.结果:通过探讨,形成了以穴位本质说、穴位结构特征说、经络本质说、经络结构特征说、气感活动机制说和感传活动机制说为主要内容的现代经络学基础理论体系,即李氏穴位经络说体系.结论:真正的穴位是因有差异的神经性或神经副属性结构的分布而具有了高敏感性或高兴奋性的躯体位点；真正的经络是指针刺直接引起的传递性反应活动所运行的线路,可被看成是一功能体(系)；气感是针刺反应活动感；感传是传递的反应活动感；李氏穴位经络说的客观性无需置疑.

摘要： 方法与目的:在相关知识的支撑下,通过对相关现象和相关研究结果等资讯进行客观细致的分析、合乎逻辑的推理和创造性的整合,探讨出穴位和经络的秘密.结果:通过探讨,形成了以穴位本质说、穴位结构特征说、经络本质说、经络结构特征说、气感活动机制说和感传活动机制说为主要内容的现代经络学基础理论体系,即李氏穴位经络说体系.结论:真正的穴位是因有差异的神经性或神经副属性结构的分布而具有了高敏感性或高兴奋性的躯体位点；真正的经络是指针刺直接引起的传递性反应活动所运行的线路,可被看成是一功能体(系)；气感是针刺反应活动感；感传是传递的反应活动感；李氏穴位经络说的客观性无需置疑.

摘要： 方法与目的:在相关知识的支撑下,通过对相关现象和相关研究结果等资讯进行客观细致的分析、合乎逻辑的推理和创造性的整合,探讨出穴位和经络的秘密.结果:通过探讨,形成了以穴位本质说、穴位结构特征说、经络本质说、经络结构特征说、气感活动机制说和感传活动机制说为主要内容的现代经络学基础理论体系,即李氏穴位经络说体系.结论:真正的穴位是因有差异的神经性或神经副属性结构的分布而具有了高敏感性或高兴奋性的躯体位点；真正的经络是指针刺直接引起的传递性反应活动所运行的线路,可被看成是一功能体(系)；气感是针刺反应活动感；感传是传递的反应活动感；李氏穴位经络说的客观性无需置疑.

摘要： 方法与目的:在相关知识的支撑下,通过对相关现象和相关研究结果等资讯进行客观细致的分析、合乎逻辑的推理和创造性的整合,探讨出穴位和经络的秘密.结果:通过探讨,形成了以穴位本质说、穴位结构特征说、经络本质说、经络结构特征说、气感活动机制说和感传活动机制说为主要内容的现代经络学基础理论体系,即李氏穴位经络说体系.结论:真正的穴位是因有差异的神经性或神经副属性结构的分布而具有了高敏感性或高兴奋性的躯体位点；真正的经络是指针刺直接引起的传递性反应活动所运行的线路,可被看成是一功能体(系)；气感是针刺反应活动感；感传是传递的反应活动感；李氏穴位经络说的客观性无需置疑.

摘要： 本发明涉及治疗贴制备技术领域，尤其是穴位贴敷治疗贴制造方法及穴位贴敷治疗贴生产设备，由外至内依次包括外膜布层、内部凝胶贴敷层、内膜易撕层，在所述内部凝胶贴敷层内中部设有圆形药包，在所述内部凝胶贴敷层上沿所述圆形药包的外围均匀间隔设有若干个针灸环，所述针灸环的底部与所述内部凝胶贴敷层的底部平齐、顶部与所述外膜布层顶部平齐，所述针灸环的内环可供针灸针穿过实现对药包周围的患处进行针灸。在穴位贴敷治疗贴制造的过程中，本装置采用裁孔与取废料一体化操作的方式，简化操作方式，然后通过快速的安装磁环组合件即可完成主要部件的制造，最后进行敷设内膜，裁剪、包装，提高制造效率。

摘要： 本发明提供一种穴位刺激仪及穴位刺激系统，包括至少一个电极与用户穴位接触，输出3～35mA范围内任一交流电流刺激人体穴位。本发明提供的方案具有以下有益效果：对多种慢性疾病包括一些现在没有任何办法治愈的内分泌失调,炎性疾病,神经系统障碍疾病具有非常好的治疗或保健效果。采用中医辨证方法，充分考虑个体差异性状，通过客观测量用户经络数据，整体辨证施治；使用预测的最大安全电流为患者提供最有效的治疗。

摘要： 本发明提供一种穴位神经刺激仪的穴位定位仪，包括神经刺激仪，所述神经刺激仪的一侧设置有固定机构，所述固定机构的一侧固定连接有支撑杆，所述支撑杆的表面设置有调节机构，所述调节机构的表面固定安装有固定板，所述固定板的表面设置有定位机构。该穴位神经刺激仪的穴位定位仪，通过定位机构的设置，旋转螺钉从螺纹槽的内部滑出，然后推动定位块通过滑块在滑槽的内部滑动，从而能够对使用者的手臂进行限位，以便更好的对使用者的手臂穴位进行定位。

摘要： 本发明属于眼保健设备技术领域，具体涉及穴位按摩护眼仪和穴位按摩护眼部件。一种穴位按摩护眼部件，其特征在于：包括若干个按摩头；按摩头的位置对应人体眼部的攒竹穴、鱼腰穴、丝竹空穴、瞳子穴、承泣穴、球后穴、四白穴、晴明穴；按摩头上设置有眼部穴位标识文字以及马达装配位。本申请提供的穴位按摩护眼仪，由于按摩头设置在眼部穴位的对应部位，不但具有较好的眼部保健按摩功效，还可以按照科学的眼部保健程序比如眼保健操进行眼部保健护理，相比现有技术，具有使用效果更好以及使用更加方便等技术效果。

摘要： 本发明公开了一种足底穴位定位装置，包括足跟搁置板，足跟搁置板连接有控制器，足跟搁置板通过调节组件连接有足长定位件和两个足宽定位件，足跟搁置板上还设置有光源和驱动光源移动以在足底形成定位光斑的移动组件；控制器与光源和移动组件的驱动源电连接。本发明还公开了一种足底穴位定位方法。该足底穴位定位装置及足底穴位定位方法通过采集目标的足长和足宽，以确定足长比例和足宽比例，配合标准穴位在标准坐标系中的位置，调整光源位置，从而能够在不同尺寸的足底上显示穴位所对应的位置，以便护理人员快速识别并进行相关操作。

摘要： 本发明涉及艾灸穴位定位技术领域，具体为一种艾灸穴位预定和穴位实时追随的方法，包括以下步骤：S1：穴位位置的确定；S2：穴位预定；S3：理疗方案的确立；S4：穴位实时追随。本发明，通过该穴位预定系统，可以保证穴位预定的数据信息完整齐全，同时输入亚健康人员的症状及表现后，系统可通过搜索知识库查找匹配和关联信息，更快速输出数据，亦可解决重复、繁琐的操作以及无法实现的技术盲点，使得穴位预定更快速、更全面、更标准统一、更准确，从而节约成本，并且施灸过程中穴位的实时追随可以不受由于人体位置些微变化带动穴位位置发生变化导致无法实时追随在施灸的穴位；可实现对精准的穴位进行实时追随。

摘要： 本发明涉及中医药技术领域，且公开了一种经络穴位诊疗法用静电穴位贴的中药配方，包括包括用于治疗股骨头坏死、腰椎键盘突出、膨出等腰椎病、膝关节系列病、脊髓型颈椎病、类风湿性关节炎、顽固性头疼、美尼尔综合症、前列腺基本、无精、少精、死精、不孕不育、妇科系列病、红斑狼疮、干燥综合征、牛皮癣、重症肌无力、强直性脊椎炎、全身性淋巴结肿大、过敏性紫癜、面部神经麻痹、脑卒中后遗症、儿童脑瘫、乳腺增生、耳鸣、耳聋、甲状腺系列病、各种癌症、冠心病、胃病、肠道疾病、胰腺炎、胆系列病、反复感冒发烧、咳喘病、鼻炎、腺样体肿大、癫痫等疾病的治疗药方二十组方。本发明中，可针对多种不同疾病进行治疗，具有良好的疗效。

摘要： 本发明提供了一种穴位识别方法及穴位识别网络，涉及图像识别技术领域，包括：将待识别图像输入预先训练得到的特征提取网络中，得到特征提取网络输出的多个特征图；其中，特征提取网络包括多个串联的特征图提取模型；将各特征图进行融合相加得到融合特征图；将融合特征图输入预先训练得到的预测网络中进行穴位预测，得到待识别图像中的各穴位坐标和穴位类别。本发明能够自动识别出待识别图像中的各个穴位坐标及对应的穴位类型，提升了穴位识别速度及识别准确率。

摘要： 本发明公开了一种子弹形埋线器、穴位埋线方法及穴位埋线枪，其中子弹形埋线器包括前壳、后壳、弹簧、空心针、推线筒和保护套；前壳为圆筒结构，前壳内部设置有第二周向凹槽、第三周向凹槽和若干只纵向凹槽，后壳为圆槽结构，槽底设置有导向通孔，槽体外圈套在前壳的内部，两者通过锁定销配合固定，弹簧的一端连接前壳，另一端连接后壳；所述的空心针包括后端的圆盘和前端的空心针头，针头内部预先安装有生物线；本发明提供了一种特殊定制的一次性使用的子弹形埋线器，内置人体可吸收的生物线，可有效防止使用中的感染。使用简单、操作方便，在不需要太多专门培训的条件下，一个操作者可快速完成穴位埋针程序，大大减小了病人的不适和痛苦。

摘要： 本发明提供一种基于中医经络穴位大数据的人体穴位定位仪，涉及穴位定位技术领域，包括医疗床，医疗床设置在具有升降功能的基座上；人体扫描装置，包括N形拱门和其下的摄像头，用于对人体进行扫描图像；基准定位装置，用于定位人体肚脐眼坐标；投射装置，架设在医疗床上空，用于投射人体穴位；处理器，处理器外表面设有显示器和控制界面，处理器内储存中医经络穴位大数据；医疗床的基座，人体扫描装置、基准定位装置、投射装置均与处理器相连。该基于中医经络穴位大数据的人体穴位定位仪，基于大数据，扫描人体图像与其相匹配，再通过投射装置，将所需穴位位置投射在人体上，辅助开展相应穴位理疗，解决穴位难定位的问题。