心包经循行路线及其与心脏机能活动的关系的初步研究

针刺心包经的内关穴,可使心脏功能获得明显改善。但是穴不等于经,心包经作为一条经脉,究竟与心脏功能活动有何关系?为了弄清这一问题,本文以心电图和心功能为指标,观察了针刺心包经循行路线上的四个穴位,两个非穴位测试点和经线两侧旁开1.5厘米的8个对照点对心脏功能的影响。对100名冠心病患者观察的结果表明,针刺经线上测试点与针刺经线两侧旁开对照点,针后8项指标的变化,有非常显著的差异(P<0.001)。说明心包经作为一条经脉,与心脏机能活动有密切关系。也从机能分析的角度,证明心包经的循行路线是客观存在的。

EXPERIMENTAL OBSERVATION ON THE RELATION BETWEEN PERICARDIUM MERIDIAN AND CARDIAC FUNCTION

The theory of Traditional Chinese Medicine(TCM)holds that“internally, meridians connect with the visceral organs,and externally,with the joints,limbs and other superficial tissues of the body”.The resuits of the investigations on the meridian phenomena,including propagated sensation along meridians(PSM) and others,also showed that certain lines or tracks,coincident with the course of classical meridians,really existed over the body surface.In order to probe into the relation between the pericardium meridian,acting as a organic whole, and the cardiac function,100 cases of patients suffering from coronary heart disease,with or without PSM,were observed on the one and the same subject before and after acupuncture for comparison.Four acupoints,namely Neiguan (PC6),Ximen(PC4),Quze(PC3),Tianquan(PC2)and two other non-acupoint spots on the Pericerdium Meridian of the same person were acupunctured in dif- ferent days respectively.At the same time,the spots locating on the both sides of above 4 acupoints,with a distance of 1.5～2.0cm from them former,and Guangming(GB37)of Gall-Bladder Meridian were taken as controls.Electroca- rdiogram,cardiophonogram and rheocardiogram were recorded simultaneously. Taking PEP,LVET,P/L,HI,SV,CO,ST segment and T wave of ECG as indexes for analysis,the effect of acupuncture of acupoints on Pericardium Me- ridian and controls were compared.The results of 737 limes of observation de- monstrated that the 8 indexes of 4 aeupoints and other two non-acupoint spots on the Pericardium Meridian all changed conspicuously after acupuncture.Howe- ver,the changes of above indexes of the controls,including 8 spots beside Peri- cardium Meridian,were slight.The differences of the variation of every index between two groups are all highly significant(P<0.001).The results are all the same for the comparison between the acupoints of Pericardium Meridian and Guangming(GB_(37)).The above results revealed that the effects of acupuneturing various acupoints of Pericardium Meridian on cardiac function were nearly the same,and aeupuncturing the non-acupoints on Pericardium Meridian also had the similar effects.In contrast,no marked effects on cardiac function could be fo- und as the control spots beside Pericardium Meridian and the acpoint of Gall- bladder Meridian were acupunctured. It follows that Pericardium Meridian,as a organic whole,is closely related to the functional activity of the heart.From the functional aspect the above results also reveal that a particular track,coincident with Pericardium Meridian in the main,actually exists along the medical side of the arm.