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    題名: 針刺三陰交穴脈波頻譜變化之研究;The study of Pulse Frequency Spectrum Affected by Acupuncture at San-yin-jiao(SP-6)
    作者: 蔡青芬
    貢獻者: 中國醫藥大學:中西醫結合研究所碩士班
    關鍵詞: 針灸;脈搏;諧波頻譜分析;三陰交;acupuncture;pulse;harmonic spectrum;San-yin-jiao
    日期: 2007-07-13
    上傳時間: 2009-08-06 11:02:42 (UTC+8)
    摘要: 脈學的發展與整個中醫學發展息息相關,脈診是我國傳統醫學最具有特色的診斷方法,而在治療方法上針灸療法也同樣具有獨特性。現代醫學家想探究穴位與經絡臟腑的關聯性,同樣也想一探脈診的奧秘。
    本研究實驗延續張修誠博士的「針刺足三里穴對脈波頻譜之影響」研究理念,以王唯工教授研發的脈搏頻譜分析之共振理論為依據,將量測到的脈搏壓力波分解為十個不同的諧波,並加以量化,來分析三陰交穴位及對照穴位在針刺前後對人體臟腑經絡能量上的變化,嘗試由血液流體動力學來看針刺對脈波頻譜變化的影響,以找出三陰交穴針刺前後的特定變化,探討針刺不同的經絡穴位所具有之調節臟腑機能之效應。
    在本次研究計畫中,我們徵求了38位中國醫藥大學大學部健康的學生,隨機分組為三陰交組或非穴位組。分別於針刺前、留針期間、出針15分鐘後三個階段,以脈搏諧波頻譜分析儀進行量測,對於每一位受試者均取得針刺前、針刺15分鐘後以及出針15分鐘後三組脈波數據;以Matlab套裝軟體執行有關頻譜的計算,將數據化的脈診資料應用t-檢定(pair t-test),α=0.05為顯著水準,執行統計分析。
    研究結果顯示,在針刺三陰交穴15分鐘後可觀察到第三諧波(脾)的能量分量、第五諧波(胃)的能量分量、第六諧波(膽)的能量分量、第七諧波(膀胱)的能量分量、第八諧波(大腸)的能量分量、第九諧波(三焦)的能量分量以及第十諧波(小腸)的能量分量均有統計學上顯著增加的情形。可見針刺可使不同頻率的能量重新加以分配,並且針刺不同的經絡穴位有不同的臟腑能量分配特性。

    Pulse diagnosis is a characteristic method in traditional Chinese medicine. Meridian theory is also a unique therapy in traditional Chinese medicine. Furthermore, pulse diagnosis is one of the important methods for traditional Chinese medicine practitioner to monitor acupuncture effect.
    A series of previous studies showed that the resonant conditions of the acupuncture point can be modulated by needling it. In this study, we investigated the acupuncture effect at San-yin-jiao (SP-6), on the spleen meridian, by calculating the Fourier components of the pulse wave based on the resonance theory.
    In this study, 38 healthy subjects were randomly divided into 2 groups: San-yin-jiao group and non-acupuncture group. The right radial artery pressure pulse was recorded. Pulse spectrum was analyzed with Fourier transform. Acupuncture effect on the San-yin-jiao group was compared with the non-acupuncture group. Pair t-test for group comparison was performed.
    The study results showed that, on the San-yin-jiao group, the harmonic proportion energy of the 3rd, 5th, 6th, 7th, 8th, 9th and 10th harmonics were increased significantly by needle-in 15 minutes. As to the results on the non-acupuncture point group, the harmonic proportion energy of all except the 2nd harmonic were not increased significantly by needle-in 15 minutes. However, this specific frequency effect was not found either on the San-yin-jiao group or on the non-acupuncture group by needle-out 15 minutes.
    According to these imperical results, we concluded that acupuncture can modulate the blood pressure spectrum and may then change blood distribution in the body. The blood distributes variably at different meridians depending on its frequencies.
    顯示於類別:[中西醫結合研究所] 博碩士論文

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