中醫經絡穴位針刺對肝膽道系統之生理效應研究

Study of the Physiological Effects of Chinese Medicine Meridian Acupoints on the Hepatobiliary System

廖炎智(Liao Yan-chih) ； 林慶恆(Lin Ching-heng) ； 邱創新(Chiu Chuang-Hsin) ； 李政育(Lee Cheng-Yu) ； 梅翔(Mei Hsiang) ； 簡鸞瑤(Chien Luan Yao) ； 陳維廉(Chen Wei-lian)

《中國鍼灸學雜誌》 8卷1期 (2020/12) Pp. 53-60

https://doi.org/10.6528/CAMS.202012_8(1).0004

摘要

本研究方法是以總膽管排空率（Common bile duct ejection fraction, CBDEF）和肝管迴流指數（hepatic duct reflux index, RI）作為觀察比較的指標，以中醫複方原則，選擇於臨床上經常使用，治療肝膽疾患的穴位，選取陽陵泉、膽俞、肝俞、足三里四穴，來從事本實驗。結果：藉由總膽管排空率和肝管迴流指數的測定，發現針刺刺激對肝膽道之生理效應包括興奮和抑制兩種作用。興奮作用指可促進膽囊和總膽管收縮，以利膽汁排放；抑制作用乃指可促進肝膽管或膽囊平滑肌鬆弛，舒解疼痛感。

關鍵字

針灸 ； 陽陵泉 ； 膽俞 ； 肝俞 ； 足三里 ； 肝膽道疾病

並列摘要

This study uses the common bile duct ejection fraction (CBDEF) and hepatic duct reflux index (RI) as the indicators for observation and comparison. Based on the principle of Chinese medicine compound prescriptions, we have selected the four most common clinically used acupuncture points (acupoints) in the treatment of hepatobiliary disease-Yang Ling Quan, Dan Shu, Gan Shu, and Zu San Li-for this experiment. By measuring the CBDEF and RI, we found that stimulation of acupoints have two types of physiological effects on the hepatobiliary tract: excitement and inhibition. The excitatory effect refers to promoting contraction of the gallbladder and common bile duct, which facilitates bile discharge; the inhibitory effect refers to promoting of the relaxation of the hepatic bile duct and smooth muscle of the gallbladder, which relieves pain.

並列關鍵字

acupuncture ； Yang Ling Quan ； Dan Shu ； Gan Shu ； Zu San Li ； hepatobiliary disease

參考文獻

針灸科學。黃維三著。國立編譯館出版，民國74年。

The Manual of China's Current Acupuncturetherapy 上海市針灸研究所編。商務印書館‧香港分館出版。1974。

Recent advances in acupuncture research. Edited by Frederick F Kao & John J Kao. Published by Institute for advanced research in Asia Science and medicine, Inc. 1979.

Selections from article abstracts on acupuncture and Moxibustion. Edited by China Association of Acupuncture & Moxibustion. Distributed by China International book trading Corp. Beijung. 1987。

Freeman and Johnson's Clinical radionuclide, Imaging. Edited by Leonard M Freeman. Published by Grune & Stratton, Inc. Florida, 1984。