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    題名: 電針刺足三里穴對脈波頻譜之變化;Effect of Electrical Acupuncture at Tsu-San-Li (St-36) on the Pulse Spectrum
    作者: 袁家輝;Ka-Fai Yuen
    貢獻者: 中國醫藥大學:中西醫結合研究所碩士班
    關鍵詞: 脈搏頻譜;諧波;共振;足三里;pulse spectrum;harmonic wave;resonance;tsu-san-li
    日期: 2007-07-13
    上傳時間: 2009-08-06 11:02:43 (UTC+8)
    摘要: 中醫的脈學,源遠流長,它屬於非侵入性診斷系統,若能使它科學化、客觀化、穩定化,藉此探討中醫病患體內五臟六腑之陰陽虛實,實是醫學重大的貢獻。本次實驗探討電針刺足三里對脈搏頻譜之影響,記錄週期性電刺激與脈象變化間的關係,為中醫的現代研究提供一個思考方向。本次研究實驗受試者為三十位健康的志願者:受試者休息十分鐘後,測量心跳、血壓、左手寸部橈動脈,記錄脈象圖。以一寸半毫針,針刺左側足三里穴,加以電針十五分鐘後,記錄第二次脈象圖。休息十分鐘,再次記錄血壓、心跳、第三次脈象圖。實驗結果透過t檢定,對應於脾臟第三諧波值在電針後,有下降現象,但未達顯著水準,再休息十分鐘後,上升值達到顯著水準(p<0.05)。對應於膽腑第六諧波值一樣在電針後,有下降現象,但未達到顯著水準,經休息十分鐘後,上升值則達到顯著水準(p<0.05)。各諧波值與總諧波值之比值,在電針前與電針後或休息十分鐘後的變化皆未達統計上顯著水準。本實驗顯示:電針刺足三里有類似針刺的效果,能使體內能量改變,重新分配,能使脾臟與膽腑能量增加。證明了透過經絡,利用針刺穴位可以調節臟腑的能量,印證足三里調理脾胃,促進消化的功效,本實驗提供四總穴之首「肚腹三里留」的科學根據。

    Abstract
    The pulse spectrum of electrical acupuncture at Tsu-san-li (St-36) was examined through Fourier’s analysis. Based on evidence-based medicine, we recorded the relationship between cyclic electric stimulation and radial pulse spectrum. We aimed to research the mechanism of acupuncture and provided one scientific way for chinese medicine research. 32 healthy subjects with 24 females and 8 males, aged between 20-32 were involved in this experiment. Each subject was asked to sit down and rest for 10 min, left radial artery pressure pulse was recorded with a pressure transducer. Blood pressure and heart rate were also recorded. Needle (size 30, 1.5 inch) was inserted into left Tsu-san-li (St-36) and was electric stimulated with machine for 15 min. The frequency was equal to heart rate and the intensity was tuned to the tolerant level for each subject. Radial pressure, blood pressure and heart rate were recorded after stimulation and rest for 10min later.
    The harmonic proportions of 3rd (C3) and 6th (C6) harmonic waves were increased significantly (p<0.05) 10min after electrical acupuncture. The proportion of harmonic wave to total harmonic waves has no significant change neither immediately after electric acupuncture nor 10min after electrical acupuncture.
    The study solidified the organ coupling resonance theory, which successfully explaint frequency specific effects. Electrical acupuncture had similar effect of simple acupuncture. It could redistribute internal organ energy and prove abdominal treatment of Tsu-san-li via increase of C3 (spleen ) and C6 (gallbladder ).
    顯示於類別:[中西醫結合研究所] 博碩士論文

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