臺灣博碩士論文加值系統

中國傳統醫學之經絡系統理論中記載著每一經絡都有它們專屬的皮部。近年來許多學者應用了各種的方法學想來證實它們的特異性，如經絡感傳、經絡電學等等，但至今仍存在著許多無法解開的謎題。所以本研究的目的為進一步證實經絡系統中其所屬皮部之專屬性以及同一經絡中指端與肘端皮部之差異性。
本研究對象是十六名成年健康的醫學生，他們都是自願者。我們使用雷射都卜勒血流測定儀來測量皮部微循環，以血流量、移動性血球濃度、血流速率和血流動能為指標。每位受試者分別施行以下所述的四組實驗：A)不施行任何刺激，僅記錄安靜狀態下之變化；B)使用2Hz的電針刺激合谷穴；C)使用2Hz的電針刺激合谷穴旁開三公分之非經穴。它們同側的商陽穴和曲池穴皮部循環同時被測量；D)使用2Hz的電針刺激合谷穴，同時測量同側的曲池穴和尺澤穴皮部微循環。每一組試驗分為三期：針刺前期、針刺期和針刺後期，每期各二十分鐘，每一組試驗至少間隔三天。結果：在安靜狀態下，商陽穴比曲池穴有較高的血流量、移動性血球濃度和血流動能。刺激合谷穴和其旁的非經穴兩者都可引發商陽穴和曲池穴之皮部循環的變化，但兩者間的效應不同。刺激合谷穴對曲池穴和尺澤穴皮部微循環的效應也不相同。
我們的結論是指端之商陽穴比肘端之曲池穴有更大的皮部微循環，可能與指端有更多的動靜脈吻合有關。刺激經穴與鄰近非經穴導致皮部微循環變化之差異，以及刺激穴位對本經和它經有不同的效應，說明了穴位特異性之存在和皮部之經絡專屬性。

According to the concepts of meridian theory in traditional Chinese medicine, we were noted that each channel had it''s own cutaneous territory. For proving the specificity of the individual channel, lots of scholars have applied kinds of methodology such as observing propagation phenomenon or measuring electrical properties on the associated studies in recent decades, but yet left many unresolved puzzles in this field till now.
The purpose of this study is for discussing the belonging of cutaneous microcirculation to the meridian system and the differences of cutaneous microcirculation between finger pulp and elbow portion in the same meridian system. We selected 16 healthy male medical students; all were volunteers, as our samples. We used Laser Doppler flowmetry to measure the cutaneous microcirculation, and the blood perfusion, concentration of the moving blood cells, velocity as well as the energy index to be the parameters in our study. Everybody accepted the following three groups of tests at first: 1) no stimulation was performed, 2) stimulation on the Hoku acupoint by 2Hz electroacupuncture, 3) stimulation on the point 3cm lateral to Hoku acupoint by 2Hz electroacupuncture. In group 1,2, and 3, we measured the cutaneous microcirculation of collateral acupoints on LI-1 and LI-11 in large-intestine meridian. Then we designed the fourth group: stimulation on the Hoku acupoint by 2Hz electroacupuncture, followed by measuring the cutaneous microcirculation of LI-11 and Lu-5 belonging respectively to different channels on the same side. Each group, at least 3 days apart, was subdivided by 20 minutes interval into 3 periods: pre-acupuncture, acupuncture and post-acupuncture.
Our results revealed that: in the resting state, the perfusion, concentration of moving blood cells and kinetic energy measured in the cutaneous portion of LI-1 were more than those measured in the cutaneous portion of LI-11. Moreover, changes of cutaneous microcirculations in both LI-1 and LI-11 acupoints could be induced by stimulating either Hoku acupoint or non-acupoint nearby, but the patterns of changes between them were not similar. Likewise, the patterns of stimulation-induced microcirculatory effects were different between LI-11 and Lu-5 while stimulating on the same Hoku acupoint.
Our conclusions are: 1) the fact that more perfusion, concentration of moving blood cells and kinetic energy being found in the microcirculations of LI-1 than those of LI-11 in resting state might be the result of the existence of AVAs on the finger pulp. 2) the different patterns of cutaneous microcirculations changes in LI-1 and LI-11 induced by the stimulation on both Hoku acupoint and non-acupoint nearby, and the different ones between LI-11 and LI-1 under the same stimulation both represented the specificity of the effect of acupoint stimulation and the belonging of cutaneous microcirculations to the associated meridian system.