消化系统疾病患者在督脉背段的压痛反应规律

目的:探讨消化系统疾病患者在督脉背段T3—L4的压痛反应规律,为消化系统疾病诊断提供参考依据。方法:分别以按诊的方式观察近期经胃镜或肠镜检查确诊为消化系统疾病患者(30例)和具有消化道症状但未行胃镜或肠镜检查患者(16例)的督脉背段,范围从督脉的至阳穴到腰阳关穴(包含经上非穴),以所按压的棘突间隙出现明显疼痛或酸胀的感觉为压痛阳性反应。结果:30例镜检患者和16例未镜检患者的压痛点阳性率均为100.0%,压痛反应阳性点主要集中在T6—T10的5个胸椎节段的相关穴位和经上非穴,压痛反应点的数量大多为5～9个。结论:从督脉灵台穴到中枢穴(T6—T10节段水平)循行区域的压痛反应与消化系统疾病密切相关,可以作为消化系统功能状态的判断和辅助诊断的重要参考。

Regular pattern of pain reaction by pressing along the Governor Vessel on the back in patients with digestive system disease

Objective To find out the regular pattern of pain reaction by pressing along the Governor Vessel at the levels of T3 to L4 on the back in patients with digestive system disease,so as to provide references for diagnosis of the disease.Methods Thirty patients diagnosed with digestive system disease by gastroscopy and colonoscopy as well as 16 patients with digestive symptoms without accurate diagnosis by endoscopy checks were observed.Pressing was applied from Zhiyang(GV 9) to Yaoyangguan(GV 3),including non-acupoints along the Governor Vessel.Positive reaction was recognized since pain,soreness or distension sensation appeared in the space between the spinous process.Results The positive ratios of 30 patients with endoscopy checks and 16 without the check accounted for 100.0%.The tender spots,usually 5 to 9 in number,were mainly focused on the relative acupoints and non-acupoints along the Governor Vessel from T6 to T10.Conclusion The pain reaction from Lingtai(GV 10) to Zhongshu(GV 7),which are at the level of T6 to T10,along the Governor Vessel is closely related with digestive system disease.And it can be regarded as function criterion of the digestive system and important reference of auxiliary diagnosis.