慢性硬膜下血肿患者手术前后十二正经能量值变化的临床研究

目的:寻找慢性硬膜下血肿十二正经能量值变化的规律,探讨慢性硬膜下血肿的中医病因病机。方法:应用中医经络检测仪对20例慢性硬膜下血肿患者钻孔引流手术前后及25例健康受试者十二经原穴能量值进行检测,观察慢性硬膜下血肿患者手术前后异常正经的变化。结果:术前血肿组与对照组十二经原穴能量值比较,两者左右两侧数值的平均数都基本相等,呈对称平衡状态,左右各项数值差异无统计学意义(P>0.05)。但是术前血肿组能量值较对照组偏低,差异有统计学意义(P<0.05)。肺经、脾经、肾经、肝经左右两侧的原穴能量值相比较,差异有统计学意义(P<0.05)。三焦经、大肠经、小肠经原穴与同侧原穴平均值比较差异有统计学意义(P<0.05)。术后血肿组左右两侧原穴能量值比较,肾经、小肠经左右两侧的原穴能量值差异有统计学意义(P<0.05)。三焦经、膀胱经原穴与同侧原穴平均值比较差异有统计学意义(P<0.05)。结论:慢性硬膜下血肿的中医病因病机是:阳气亏虚,津液失布,痰饮内生,郁久生热,热伤脑络,血溢络外,痰瘀互结,内迫脑髓。测定十二正经24个原穴的能量值,可以了解脏腑阴阳气血和邪气性质,为辨证论治提供了客观指征。

Clinic Study on Energy Change of Twelve Regular Meridians among Pre-and Post-Operative Chronic Subdural Hematoma Patients

The study is aimed to search for the law of energy change of twelve regular meridians among pre-and post-operative chronic subdural hematoma patients.By traditional Chinese medicine(TCM) meridian detector,energy indexes of twelve regular meridians were measured among 20 chronic subdural hematoma cases before and after drilling drainage.Twenty-five healthy cases were also measured to compare abnormal meridian.The result showed that average energy indexes of twelve regular meridians in both preoperative group and control group are basically equal.Energy indexes on both left and right side are in symmetrical balance.Hence,there is no statistical difference of indexes between both sides(P>0.05).But the energy index is relatively lower in preoperative group than control group,which shows statistical difference(P<0.05).There is statistical difference of source acupoint energy of lung,spleen,kidney and liver meridian on both left and right side(P<0.05).The comparison of source acupoint energy of triple-energizers,large intestine and small intestine meridian and average source acupoint energy on the same side of the body showed statistical difference(P<0.05).In postoperative group,the source acupoint energy of kidney and small intestine meridian on both left and right side showed statistical difference(P<0.05).There is statistical difference of source acupoint energy of triple-energizers,bladder meridian and average source acupoint energy on the same side(P<0.05).It is concluded that TCM etiology of chronic subdural hematoma is deficient yang qi and body fluid distribution disorder,which generate phlegm and heat,affect brain and cause brain hemorrhage.The measurement of acupoint energy on 24 source acupoints of the 12 regular meridians provides objective basis for internal organ,yin-yang,and evil qi nature for the syndrome differentiation and treatment.