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生物物理学论文:艾灸的生物物理特性_英文_ World Journal of Acupuncture-Moxibustion (WJAM),Vol.20,No.2,30th Jun.2010 ・27・ Thoughts and Methods Biophysical characteristics of moxibustion 艾灸的生物物理特性* YANG Hua-yuan (杨华元) HU Zhui-cheng (胡追成) College of Acupuncture-moxibustion and Tuina Massage, Shan...

生物物理学论文:艾灸的生物物理特性_英文_
World Journal of Acupuncture-Moxibustion (WJAM),Vol.20,No.2,30th Jun.2010 ・27・ Thoughts and Methods Biophysical characteristics of moxibustion 艾灸的生物物理特性* YANG Hua-yuan (杨华元) HU Zhui-cheng (胡追成) College of Acupuncture-moxibustion and Tuina Massage, Shanghai University of TCM, Shanghai 201203, China (上海中医大学针灸推拿学院,上海 201203, 中国) ABSTRACT In recent years, new progresses have been achieved on biophysical characteristics of moxibustion. Researches aimed at elucidating the mechanism of moxibustion therapy from the view of biophysics showed that the effectiveness of moxibustion is not only the result of thermal effect, but also the joint function of spectral radiation, bio-thermal effect and non-thermal bio-effect. Currently, multi- discipline techniques are applied on the related researches which have aroused extensive concern. It may explore new ideas and methods for further expounding of mechanism of moxibustion therapy. And it is also expected to provide experimental evidence for enhancing the therapeutic effect in clinic as well as designing moxibustion-like instruments. Therefore, the article has a comprehensive statement on subjects such as moxibustion and local body temperature, infrared spectrum characteristics of moxibustion, bio-thermal effect and energy conversion of moxibustion, bio-heat transfer of moxibustion and microcirculation. KEY WORDS Moxibustion; Moxa Cone Moxibustion; Indirect Moxibustion; Biophysics [摘 要] 近年来,艾灸的生物物理特性研究取得了一些新的进展,从生物物理学的角度探讨灸疗的作 用机制研究发现,艾灸的治疗作用并不单纯是温热效应,而是光谱辐射、生物热效应及非热生物效应等 综合作用的结果。目前艾灸的生物物理特性研究已被广泛关注,并应用多学科交叉手段开展研究,为进 一步阐明艾灸疗法的作用机制提供了思路和 方法 快递客服问题件处理详细方法山木方法pdf计算方法pdf华与华方法下载八字理论方法下载 ,同时也为提高临床疗效和仿灸治疗仪的研制提供了实 验依据。为此,本文就艾灸对机体局部温度变化与特点、艾灸红外光谱特性、艾灸生物热效应与能量转 化、艾灸生物热传递与微循环等方面的研究工作作一述评。 [关键词] 灸法 艾炷灸 间接灸 生物物理学 The therapy of moxibustion is an important component of the study of acupuncture-moxibustion. It is effective for various diseases and has functions of warming up meridians and collaterals, eliminating cold, removing stagnation from the meridian system, activating blood circulation for relieving pain, tonifying the deficient, reinforcing yang and preventing diseases for health care. Lingshu: Guanneng (《灵枢·官能》 Miraculous Pivot: Each According to His Ability) says, “To the diseases which are not suitable for acupuncture, apply moxibustion”, which has approved that moxibustion is widely applied in clinic. In 1980’s, modern physiological techniques was adopted to study the characteristics of biophysics. Experimental observation and analysis were done on the biological effect of moxibustion as well. Research[1] proved that the effectiveness of moxibustion is not only the result of thermal effect, but also the joint function of spectral radiation, bio-thermal effect and non-thermal bio- effect. Stimulation on acupoints results in a series of ——­——­——­——­———— *Supported by National Basic Research Program of China (973 Program): 2005 CB 523306; Knowledge Innovation Project of Shanghai Colleges and Universities: 2008 GJ 2653 First author: YANG Hua-yuan (1952- ), male, professor. Research field: clinical application of modern acupuncture techniques on diagnosis and treatment. E-mail:yhyabcd@sina.com This paper was firstly published in Zhongguo Zhenjiu (Chin Acup-Mox,Chin) in Chinese ,2009,11 World Journal of Acupuncture-Moxibustion (WJAM),Vol.20,No.2,30th Jun.2010・28・ changes on physiology, biochemistry, immunity and so on. In this way, the function of body can be regulated and diseases prevented and cured. CHARACTERISTICS AND CHANGES OF LOCAL BODY TEMPERATURE OF MOXIBUSTION Thermal effect is one of the major effects of moxibustion. Thermal stimulation of moxibustion not only reaches the cuticular layer, but also the subcutaneous region and muscle layer. In the process of moxibustion treatment, temperature is one of the major biophysical factors. Heat produced by combustion of moxa can transmit into the body through acupoints. And it has the function of activating qi and blood circulation in meridians and collaterals, tonifying the deficient, reinforcing yang, warming up meridians and collaterals as well as eliminating cold. For these reasons, moxibustion serves as a role in preventing and treating diseases. Changes of local body temperature during moxibustion vary in different conditions. Therefore, it has great significance to study the variation curve of local temperature during moxibustion. It has been found[1] that the temperature curve of direct moxibustion is in a pattern of sharp wave. Though the temperature of combustion is high, the heat penetrated into the subcutaneous region is comparatively less. And the depth of the heat reached varies. The curve of warming needling increases and decreases by degrees with more heat penetrated, which enables stronger stimulation. The curve of indirect moxibustion grows slower than that of the direct one, and even slower when it drops, which is in a mild waveform of slow growth and dropping. Similar curve can be found for indirect moxibustion with salt, monkshood cake and ginger. When insulations with the same size are adopted for indirect moxibustion, the curves show that salt have the quickest heat penetration and high peak temperature. Monkshood cake takes the second place. While ginger is the slowest with the lowest temperature among the three. Generally speaking, indirect moxibustion which hot soon will also cold soon. And those which hot slowly will also cold slowly. It relates with the thermal conductivity of different insulations. To body temperatures on acupoints during moxibustion, thermal curves of direct moxibustion and indirect moxibustion with ginger are similar, both of which are in patterns of unimodal curve. Curves of suspending moxibustion and light concentrating moxibustion are also similar. Their curves are both in flat form since their latent periods and rise periods are both short, and the periods after the peak continue a certain time. Time phase transitions in different kinds of moxibustion manifest in the lenth of time intervals of different periods. Changes of body temperatures in all kinds of moxibustion mentioned above vary significantly in different time intervals. Meanwhile, similarity has also been found in results of temperature changes on human or animal tissues when different types of moxibustion are applied. Weight and amount of moxa cone may have influence on local temperature. Druing moxibustion, temperature of epidermis and corium increase when the weight of moxa cone increases. The duration, recovery time and temperature changes prolong with the weight increasing of the moxa cone. Temperature change of epidermis is much more obvious than that under corium. It is worth to note that the influence of different types and various quantities of moxibustion on local temperature do not only refer to skin surface, but also subcutaneous region and muscle layer. At present, further researches are still in need since it is still lack of studies on relation between types of moxibustion, quantity, specificity, local temperature changes and therapeutic effect of moxibustion. Additionally, in the process of heat transmission and radiation, the quantity of heat produced varies since qualities of moxa are different. Local temperatures are then influenced. Hence, it is also necessary to establish criteria on moxa floss and its related products and concentrate monitoring efforts on the quality of moxa. It is not only beneficial to the credibility and repeatability of scientific research on moxibustion, but also to the clinical effect. World Journal of Acupuncture-Moxibustion (WJAM),Vol.20,No.2,30th Jun.2010 ・29・ MOXIBUSTION AND INFRARED SPEC- TRUM Moxibustion does not only produce thermal radiation and optical radiation, but also bio-thermal effect and non-thermal bio-effect. Therefore, only from the views of optical radiation and heat stimulation is far from enough for studying the biophysical mechanism of moxibustion. Parameters and characteristics of infrared spectrum Combustion of moxa does not only produce infrared spectrum, but also thermal radiation and optical radiation as well as bio-thermal effect produced by far-infrared and non-thermal bio-effect by near- infrared. Study[2] showed that the radiation spectrum in combustion of moxa floss is between 0.8-5.6 μm with the peak around 1.5 μm, which belongs to the wave band of near-infrared. It indicates that the radiation spectrum of moxa combustion is not only far-infrared spectrum with thermal radiation, but also near-infrared spectrum with optical radiation. However, the results are not unified since the test methods and experimental conditions are different. Currently, results of researches vary from 2.4 μm, 2.8 μm and 3.5 μm[3-4]. While, far- infrared radiation wavelengths are all close to 7.5 μm[5]. Infrared spectrum of moxa combustion has various biological effects and therapeutic effects. To photobiomodulation, the wavelength of near-infrared radiation is shorter than the far-infrared. But it has more energy and stronger power of penetration which can go into the epidermis, connective tissues, blood vessels as well as the nerve system. Furthermore, it can be absorbed by tissues so as to play the role in treating diseases. However, difficulties often present on further studies of biophysical effect of moxibustion and studies of its therapeutic effects since the test methods and experimental conditions are different, which lead to inconformity of experimental results. Therefore, it suggests to establishing a platform for sharing of experimental results on optical techniques of moxibustion. Thus, parameters of infrared spectrum can be tested with standard and unified criteria, which can provide more accurate statistics for experiments on moxibustion. Characteristics of infrared spectrum of moxibustion and apparatus With the comprehensive understanding on physical and biological characters of infrared, various infrared apparatus for the proper of treatment are invented and applied in clinic in recent years. Good curative effects are also possessed. Currently, the moxibustion-like apparatus and the frequency spectrum apparatus are all developed on the base of the features of near-infrared spectrum. Near-infrared spectrum has the function of activating qi and blood circulation, relieving pain by removing stagnation according to Chinese medicine since it can penetrate the skin to the deeper tissues and increase the average kinetic energy of various molecules at local areas according to biomedicine[6]. Electromagnetic Therapeutic Apparatus (TDP) and far-infrared moxibustion apparatus are all invented on the base of thermal effect of far-infrared of moxibustion. Although infrared moxibustion apparatus has similar functions with moxibustion, shortages still exist. For instance, it can not imitate the change of physical properties during moxibustion. So, only when different studies on therapeutic effects of infrared spectrum are carried out, new ideas and experimental evidences can be provided for the development of new infrared moxibustion apparatus. NON-THERMAL BIO-EFFECT AND ENER- GY TRANSMISSION OF MOXIBUSTION Vital activity is a process of inter-transformation, coordination and unification of bio-energy, material and information. The joint motion and coordinate inter-transformation of the above three are the basis of vitality of all lives. Human and all other lives absorb large amount of materials, energy and information constantly from the environment so as to maintain their vital activities. Therefore, therapeutic effects of moxibustion can not only be attributed to heat stimulation. More importantly, non-thermal bio- effect should be considered since transportation and transmission of bio-energy and information are the World Journal of Acupuncture-Moxibustion (WJAM),Vol.20,No.2,30th Jun.2010・30・ most basic and the major process of vital activities. Any other transportation of biological information is accompanied by transmission of bio-energy. Non-thermal bio-effect of moxibustion Bio-thermal effect caused by far-infrared radiation is not the only effect of moxibustion. Non-thermal bio- effect of near-infrared radiation can also be observed. To a certain extent, the near-infrared features of moxibustion are of even more significance. Biological effect of infrared on human mainly comes from the non-thermal bio-effect of infrared electromagnetic wave. Infrared which is absorbed can induce quantum oscillatory of the amide linkage in protein molecule. Thus, bio-energy can be transmitted from one place to another successfully and normal state of the vital body maintained[7]. According to biophysics, far-infrared acts directly on superficial part of human body, and spreads heat through transmission. Near-infrared has stronger power which can directly go into the deeper tissues, and extend to larger area through capillaries. The wavelength of near-infrared radiation is shorter than far-infrared radiation, but with stronger power which can reach 10 mm, 10 times of far-infrared, deep of the body. Its photon energy can reach the blood vessels, lymph-vessels, nerve ending and subcutaneous tissues and be absorbed by these tissues. Obvious photoelectric action and optical biochemical action are produced so that acupoints are stimulated with the appearance of needling sensation. Non-thermal bio-effect of the near-infrared radiation wave has the function of regulating the immunity, endocrine and autonomic nerve which has good therapeutic effect to systematic diseases. Infrared spectrum of moxibustion and energy transmission Energy produced in moxibustion is absorbed by human body and leads to a series of biological effects. Transporter associated with antigen processing (ATP) might be the essential substance for energy transmission. It is reported[8] that the energy system of acupoints is composed by cells with more ATP. Acupoints at 2-2.5 μm has an obvious peak of infrared radiation. And it is the result of energy emission in transmission process of ATP molecule to adenosine diphosphate (ADP). The numerical value at acupoints is much higher than their lateral regions, which indicates that the energy metabolism at acupoint is higher than its surrounding area[8]. ATP is the most important energy substance for cell activities of human. Inter-transformation between ATP and ADP can emit or absorb energy. Chemical energy provided by ATP is necessary for composition of sugar, fat, protein and nuclein of cells, activity of sodium pump on cell membrane, phagocytosis of cells, transmission of nerve impulses and regulation of body fluid and internal secretion. Under the same temperature, radiator can both radiate and absorb infrared. According to the theory of matched absorption, when the wavelength of infrared and the absorbing wavelength of the radiation exposed substance are correspondent with each other, the molecule generates resonance absorption. Near- infrared of moxibustion can induce harmonic motion of ATP. And the ATP energy can further activate other enzymes and produce more energy which has chain reaction along the running course of meridians and collaterals. In this way, sodion and potassium ion can shuttle in and out of cells, producing depolarization, repolarization and nerve conduction. Thus, provide essential energy for metabolism of cell and activation energy for sick cells which are inadequate of energy. Meanwhile, with the assistance of negative feedback control mechanism, energy metabolism disorder under pathological condition can be corrected, and immunity regulated. All in all, when moxibustion is applied on acupoints, ATP, the energy substance, of acupoints can be activated and induce chain reaction along the running course of meridians and collaterals. Thus, qi can be activated and functions of meridians and collaterals regulated so that qi and blood can be better circulated and the general regulation of yin-yang fulfilled. BIO-THERMAL TRANSFER OF MOXIBUS- TION AND MICROCIRCULATION Generally speaking, radiation and conduction of heat in biological tissues are in accordance with World Journal of Acupuncture-Moxibustion (WJAM),Vol.20,No.2,30th Jun.2010 ・31・ heat conductivity and convection caused by fluid circulation. In the same way, heat of moxibustion also transmits through radiation, conduction and circulation of fluid in biological tissues. Therefore, stable temperature of tissue can be maintained, which is considered as an important factor to the local blood circulation. Moxibustion can improve microcirculation of human body. It can cause resonance and cracking of the aged large micellae. Consequently, smaller clusters are reset. In this way, the activity and surface tension of cells are enhanced. Research[9] showed that obvious and specific temperature transmission features can be found when moxibustion is applied on acupoints at the running course of meridians and collaterals. Radiation and conduction produced in moxibustion can increase the local temperature at acupoints, and leads to thermal transmission in blood. Therefore, thermal effect of moxibustion is a major factor which can influence the blood circulation at the local area of acupoints. It reflects the condition of microcirculation in a certain extent. Moreover, after direct moxibustion, excitement of receptor causes axon reflex dilation of blood vessel. For this reason, blood flow close to the stimulated area increases. This phenomenon is in accordance with the presupposition proposed by Fujita Rokuro[10] of Janpan on relation between meridians and fluid which flows out of the vessels. Moxibustion results in enhancement of permeability of capillaries which take histamine as the media. It can prompt the skin that there are histamine and P substance released when telangiectasia happens. And at the same time, moxibustion is also an important factor which forms specificity microenvironment in subcutaneous region. At present, although progresses have been achie- ved according to the deepening study on biophysical characteristics of moxibustion, study of its physiological characteristics are still in the primary stage. Therefore, multi-discipline techniques such as physics, physical chemistry and biophysics should be further utilized to carry out studies on therapeutic effect and mechanism of thermal effect and non-thermal bio-effect of moxibustion. REFERENCES [1] Yang HY, Liu TY. Preliminary study on biophysics mechanisms of moxibustion therapy.Chin Acup- Mox(Chin) 1996;16(4):10-11. 杨华元, 刘堂义.艾灸疗法的生物物理机制初探[J].中国 针灸, 1996, 16(4):10-11. [2] Yang HY, Xiao YC, Liu TY, Gu XJ,Xia JS. Determination of spectrum characteristic of near infrared radiated by indirect moxibustion.Shanghai J Acup-Mox(Chin) 2005;3(6):55-57. 杨华元,肖元春,刘堂义,顾训杰,夏锦杉.隔物灸的近红外 光谱辐射特性测定[J].上海针灸杂志, 2005,3(6):55-57. [3] Zhang HL, Chen ST, Liu YP. Analysis of Chinese moxibustion in visible and infrared spectra in process of clinical application. Spectro Spect Analy(Chin) 1999;19 (3):344-346. 张红良,陈世途,刘玉萍.药灸条在施治过程中的可见 和红外光谱 分析 定性数据统计分析pdf销售业绩分析模板建筑结构震害分析销售进度分析表京东商城竞争战略分析 [J] .光谱学与光谱分析,1999,19(3): 344-346. [4] Hong WX, Cai JH, Jing J. A research on heat radiation spectrum characteristics of moxibustion therapy. J Applied Optics(Chin) 2004;25(4):1-3. 洪文学,蔡建红,景军.艾灸的热辐射光谱特性研究[J].应 用光学,2004,25(4):1-3. [5] Shen X, Ding G, Wei J, Zhao L, Zhou Y, Deng H, Lao L. An infrared radiation study of the biophysical characteristics of traditional moxibustion.Compl Ther Med 2006; 14(3):213-219. [6] Yang HY. Acupuncture apparatus and modern technology. J Clin Acup Mox (Chin), 1994;10(4):55-56. 杨 华 元 . 针 灸 器
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