臺灣博碩士論文加值系統

中醫針刺手法的學習，在傳統都以口說或古書上的內容來進行傳授，對於針刺手法沒有一個量化的指標，這不利於針灸的現代化。美國STROMATEC公司研發的Acusensor2TM，可以測量針刺人體腧穴時的針刺手法在時間軸的垂直位移(vertical displacement)、旋轉位移(rotation displacement)、垂直力(vertical force)與旋轉力(torque)。本論文探討Acusensor2TM應用在針灸教學的效果，針對龍虎交戰兩種針刺手法：捻轉法與提插法，分別設計三種學習方法，分別是：傳統紙本、教學投影片與Acusensor2TM圖譜教學，並設立了多個學習評估指標，如手法的捻轉、針刺深度或力度的標準等等，用這些指標來探討學習者的學習狀況。本論文收取六十四個對象，參加的學習者隨機分成三組進行實驗。實驗組(1)與實驗組(2)分別使用傳統紙本與教學投影片做為手法的教學，利用非成對T檢定的分析，顯示實驗組(1)與實驗組(2)兩組之間沒有差異，顯示傳統紙本與教學投影片對於學習狀況的協助不大，所以後續實驗我們將這兩組實驗組視為同一組並合併成實驗組(1+2)。更進一步，實驗組(1+2)與實驗組(3)分別在第一週與第二週使用Acusensor2TM圖譜教學做為手法的教學，我們以指標評估受試者的學習狀況，發現Acusensor2TM圖譜教學對於針刺手法的學習在統計上有明顯幫助。最後針對評估指標進行分析，將每一項評估指標當作一個獨立的事件來看，發現有三個指標會因經由Acusensor2TM圖譜教學對於受試者學習有較大的幫助，分別是(1)捻轉法的天人地三層、(2)捻轉法的捻轉與(3)提插法的垂直力大小。綜合實驗的結果，我們得知Acusensor2TM這台儀器它用於教學上的價值，可以使學習者更快速更精準的了解中醫的針灸手法，尤其是在波型的學習上有較大的幫助，經由觀看Acusensor2TM圖譜，學習者會更了解針刺手法的操作過程，進而達到改進學習的目的。

Regarding to the study of Chinese acupuncture technique, it was passed on traditionally by oral or classic texts. There is not any quantitative indicator for needling technique, which is adverse to modernization of acupuncture. Acusensor2TM, developed by American company called STROMATEC, could quantify the acupuncture techniques of vertical displacement, rotation displacement, vertical force and torque in the time domain. According to the needling information that recorded by Acusensor 2TM, we would like to determine the effect of practical teaching in the use of Acusensor 2TM for Chinese acupuncture technique “Dragon and Tiger warring” of "twisting-rotating" and "lifting and thrusting" methods. Three different ways of studying was designed, including classic texts, teaching slides, and Acusensor2TMchromatography. Furthermore, numbers of evaluation index for needling technique were set up, including, twisting, depth, strength, etc. These indexes were used to explore the status of learning. During the research, total of 64 subjects were enrolled, which were randomly divided into 3 groups.Group 1 and group 2 used the classic texts and teaching slides to learn the needling technique, respectively.Analysis the difference between experiment group 1 and group 2 with non-paired t-test, concluded there were no deference between two experiment groups. In that case, group 1 and 2 were combined as one single experiment group (group 1+2). Furthermore, the group 1+2 and group 3 use the Acusensor2TM chromatography to learn the needling technique at week 1 and week 2, respectively. According to the success rate after each test point, teaching based on Acusensor2TM chromatography was more conductive to learning needling. On the other hand, we analyze each evaluation index as an independent factor. Concluded that teaching three needling technique including, (1) three laver of "twisting-rotating" methods, (2) twisting-rotating of "twisting-rotating" methods and (3) needling sensation of "lifting and thrusting" method were more conductive to subjects of learning. As the result of the research, Acusensor2TMis a fast and accurate instrument for subjects to study Chinese acupuncture technique, which is especially helpful upon waveform of leaning pattern. Subjects will be more aware of needling process, which achieves the purpose of improvement of studying.

目錄

摘要 III
Abstract IV
壹、前言 1
貳、材料與方法 4
一、針灸手法-龍虎交戰 4
二、Acusensor2TM 4
三、Matlab讀取Acusensor2TM針刺手法波型 5
四、龍虎交戰手法教學參加者與分組 5
五、評估指標條件 7
六、MATLAB計算與繪圖 7
參、結果 9
一、實驗組的定義與收集 9
二、建立針灸手法的評估指標 10
三、不同學習方法的學習效果 11
四、不同學習背景的學習效果 13
五、單一學習成效評估指標 14
六、最終的學習成效 15
肆、討論 16
伍、圖 20
陸、表 32
柒、參考資料 37
捌、附件 38
附件一 38
附件二 39
附件三 40

1.劉堂義, 楊華元, 顧訓杰, 夏錦杉: ATP-Ⅰ型針刺手法參數測定儀的研制.
中國針灸2003(11):39-41.

2.洪菲, 胡銀娥, 楊華元: 單式針刺補瀉手法的參數分析.
上海針灸雜志2011(09):634-637.

3.Davis RT, Churchill DL, Badger GJ, Dunn J, Langevin HM
A new method for quantifying the needling component of acupuncture treatments. Acupuncture in medicine : journal of the British Medical Acupuncture Society 2012, 30(2):113-119.

4.Jung WM, Lim J, Lee IS, Park HJ,Wallraven C, Chae Y
Sensorimotor Learningof Acupuncture Needle Manipulation Using VisualFeedback. PLoS ONE 10(9)2015 : e0139340. doi:10.1371/journal.pone.0139340

5.薛宏昇, 張縉: “龍虎交戰”與“子午補瀉”針法的操作和綜合應用. 中國針灸2013, 33(9):809-813.

6.Jim, H. (2012, July 30). TDMS Reader. Retrieved October 12, 2016, from https://www.mathworks.com/matlabcentral/fileexchange/30023-tdms-reader?requestedDomain=www.mathworks.com
ISBN：9789862768686

7.苍梧. (2011, March 8 ). 机器学习中的相似性度量. Retrieved July 23, 2017, from http://www.cnblogs.com/heaad/archive/2011/03/08/1977733.html