胃脘痛肝郁脾虚证相关穴皮肤微循环流量变化

本研究采用激光多普勒微循环流量计对７３例胃脘痛肝郁脾虚证患者通过相关穴位测定其皮肤微循环流量改变，近取脾、胃经募穴、背俞穴；远取脾、胃经输穴、合穴。结果表明，胃脘痛肝郁脾虚证Ⅰ、Ⅱ型相关各穴皮肤微循环流量值均非常明显低于正常对照组，提示该病证病理机制之一在于微循环流量改变方面。其中，足三里穴具有相对特异性：１．该病证足三里穴流量值明显低于正常对照组；２．脾虚为主的Ⅱ型比肝郁为主的Ⅰ型该穴流量值明显减低；３．Ⅱ型组内各穴流量值以该穴为最低。可见该穴在微循环流量改变方面最为敏感，并为针灸治疗该病证优选穴位提供客观依据。

On the correlative point skin microcirculation flow changing of epigastralgia with stagnation of the liver and deficiency of the spleen syndrome

The changes of the skin micro 73 cases of stomachache of liver-energy stagnation and spleen asthenia were measured by Laser Doppler Flowmeter PF2.Front-Mu Points and Back-Shu Points of foot yangming meridian and foot taiyin meridian were selected as the prominal points,while Shu Points and Ho Points of foot yangming meridian and foot taiyin meridian as the distal points.The results showed that the skin micro-circulatory perfusion of the relative acupoints of both stomachache of liver-energy stagnation and spleen asthenia type Ⅰ guoup and type Ⅱ group were significantly lower than that of the control group,which suggested that one of the pathological mechanism of the disease lied in the changes of the miceo-circulatory perfusion.Furthermore Tsusanli had the specificity:1.The skin micro-circulatory perfusion of Tsusanli of the disease group was significantly lower than that of the control group.2.The skin micro-circulatory perfusion of type Ⅰ group was significantly lower than that of type Ⅱ group.3.The skin micro-circulatory perfusion of Tsusanli was lower than that of any other points of type Ⅱ group.It could be concluded that Tsusanli was most sensitive at the aspect of the alteration of micro-circulatory perfusion,according to which the point was selected for curing the disease with acupuncture and moxibustion.