朝医四象体质的针刺感应与神经传导机能间的关联.docxVIP

第十二次中医体质年会DISHIERCIZHoNGYITlZHINIANHUI 第十二次中医体质年会 DISHIERCIZHoNGYITlZHINIANHUI 朝医四象体质的针刺感应与神经传导机能间的关联 金春玉朴海仙柳今明张雪 (延边大学中医学院延吉133002) 摘要：目的通过观察朝医四象体质的腓肠神经传导机能以及穴位针刺感应差异，探讨脏器大小与神经经络 机能之间的关联。方法健康人为对象，以填写辨象设问表以及专家研讨的方式进行朝医辨象，并检测腓肠 神经的动作电位(SNAP)以及穴位针刺感应，比较组问的神经传导参数与得气反应。结果太阴人的腓肠神经 波幅低于少阳人，且太阴人和少阳人的右侧D SCV快于左侧；其中，与D SCV)X—S神经组相比，D SCV。X—S 神经组出现了D Lat延长和D SCV减慢，太阴人的足三里穴针刺传导感低于少阳人的现象。结论太阴人中 出现腓肠神经波幅的降低(以及其左右差异)、足三里穴针刺传导感降低，暗示“肺小”、“血浊气涩，肺虚 过燥”的特有体质同时引发神经经络功能的低下。 关键词：四象医学：足三里：腓肠神经：针刺 Relation between Sensitization to Needling and Nerve Conduction Function in Korean Sasang Constitutions Jin Chun—yu，Piao Hai·xian，Liu Jin·ming，Zhang Xue (Yanbian University Traditional Chinese Medicine ofCollege，Yanji，133002，China) Abstract：Objeetive Sural conduction functions of Koman Sasang constitutions and their acupuncture point reactions needling studied thai the relation between organ size and channels function investigated．Methods With question table about Sasang discrimination filled in by healthy peopleand experts discussion，Korean Sasang constitutions discriminated，and sural action potential(SNAP)and acupuncture point reaction to needling tested and more conduction parameters and the desired sensation 1．eaction compared between groups Results Suml amplitudes of Taiyin lower than Shaoyang，and right D SCV faster than the left of Taiyin and Shaoyang；and more，comparing with the group of D SCVX·S，there appearances of prolonged D Lat and slowed D SCV and conduction of zusanli acupuncture point of Taiyin lower than Shaoyang in the group of D SCVSX—S．Conclusions Small lung and special constitutions，such turbid blood and deficient lung，in Taiyin，lead to lowered sural amplitude and conduction sensitization to needling in 417 第十二次中医体质年会DISHIERCIZHoNGYITIZHINIANHUI 第十二次中医体质年会 DISHIERCIZHoNGYITIZHINIANHUI Keywords：Sasang Medicine；Zusanli；sural nerve；needling 四象医学是有100多年发展历程的年轻的体质医学，其创始人李济马(1837—1900)先 生在《东医寿世保元·少阴人泛论》 中记载了有关针灸医案“尝见少阴人中气病，舌卷不 语，有医针