逆针灸干预下心与小肠相表里关系的热力学验证初探

Preliminary Study on Thermodynamic Verification of the Exterior-Interior Relationship between Heart and Small Intestine under Reverse Acupuncture Intervention

摘要: 目的：探讨逆针灸疗法对心经、小肠经穴位刺激后，心与小肠脏腑温度及经脉温度的变化规律。方法：采用随机数表法将72例健康志愿者分为心经组和小肠经组(各36例)。心经组选取青灵、神门、少海穴进行针刺，小肠经组选取听宫、小海、腕骨穴实施干预。两组均留针10 min，运用热红外成像技术同步监测治疗前后心经、小肠经脉温度及心、小肠脏腑温度变化，采用SPSS26.0进行统计学分析。结果：针刺治疗全过程中呈现脏腑温度下降而对应经脉温度升高的双向调节特征。留针阶段数据显示：心经组与小肠脏腑区及小肠经温度的影响具有显著统计学意义(P < 0.05)，小肠组对心脏脏腑区的温度调节作用达到统计学显著水平(P < 0.05)，但未观察到对心经温度的显著影响。结论：本研究通过热红外成像技术证实：心与小肠相表里的表现形式之一是心火通过小肠及其经脉系统进行代谢排泄是“心与小肠相表里”理论的重要热力学表征。该传统医学理论具有现代生物学基础，逆针灸疗法可通过调节表里经脉–脏腑温度平衡实现机体稳态调控。

Abstract: Objective: To investigate the changes in the temperatures of the heart and small intestine viscera and the meridians after acupoint stimulation on the heart and small intestine meridians by reverse acupuncture therapy. Methods: 72 healthy volunteers were divided using a random number table into heart meridian group and small intestine meridian group (36 cases in each group). The heart meridian group selected Qingling, Shenmen and Shaohai acupoints for acupuncture, and the small intestine meridian group selected Tinggong, Xiaohai and wrist bone acupoints for intervention. The needle was retained for 10 minutes in both groups. The thermal infrared imaging technique was used to simultaneously monitor the temperature of the heart and small intestine meridians and the temperature changes of the heart and small intestine before and after treatment. SPSS26.0 was used for statistical analysis. Result: During the whole process of acupuncture treatment, there was a two-way regulation characteristic that the temperature of viscera decreased and the temperature of meridians increased. The data of the needle retention stage showed that the effect of the heart meridian group on the temperature of the small intestine visceral area and the small intestine meridian was statistically significant (P < 0.05). The small intestine group had a statistically significant effect on the temperature regulation of the heart viscera area (P < 0.05), but no significant effect on the temperature of the heart meridian was observed. Conclusion: In this study, thermal infrared imaging technology confirmed that one of the manifestations of the exterior-interior relationship between the heart and small intestine is that the metabolic excretion of heart fire through the small intestine and its meridian system is an important thermodynamic characterization of the theory of “the exterior-interior relationship between the heart and small intestine”. The traditional medical theory has the basis of modern biology. Reverse acupuncture therapy can achieve homeostatic regulation of the body by regulating the temperature balance of the exterior and interior meridians and viscera.