现代中医临床2025，Vol.32Issue(6)：34-38,5.DOI:10.3969/j.issn.2095-6606.2024.06.007
尺神经深支与手掌部穴位相关性探索
Exploration of correlation between deep branch of ulnar nerve and palm acupoints
方培钢 1仇申强 1李传刚 1王增涛 1郭啸南 2束钊昱 1王林江 1王春霖 1王涛 3蔡斌 4康姊玉5
作者信息
- 1. 山东第一医科大学附属省立医院 济南 250355
- 2. 福建中医药大学针灸推拿学院
- 3. 安徽中医药大学第二附属医院
- 4. 纽约中医药学院
- 5. 山东中医药大学中医文献与文化研究院
- 折叠
摘要
Abstract
Objective To explore the relationship between acupoints in the palm and hilus of muscle,hilus of bone,and nerves by comparing the intensity of acupoint sensations in the palm before and after ulnar nerve block in vivo.Methods This study was divided into two groups:incomplete ulnar nerve block(Experiment 1)and complete ulnar nerve block(Experiment 2).Anesthesia was achieved by injecting 2%lidocaine and 1%ropivacaine into the ulnar nerve groove at the elbow.Eight acupoints in the palm,namely Erjian(LI 2),Sanjian(LI 3),Hegu(LI 4),Laogong(PC 8),Zhongzhu(SJ 3),Shaofu(HT 8),Yuji(LU 10),and Houxi(SI 3),were selected.Acupuncture was performed before and after the onset of anesthesia,and the acupoint sensations was evaluated using the Chinese version of Massachusetts General Hospital Acupuncture Sensation Scale(C-MASS).Statistical analysis was conducted on the acupoint sensations before and after anesthesia.The anesthetic effects of Experiment 1 and Experiment 2 were evaluated based on the motor and sensory functions of the ulnar nerve distribution area.Results In Experiment 1,with incomplete ulnar nerve block,the acupoint sensations at Sanjian,Hegu,Zhongzhu,Shaofu,Laogong,and Houxi decreased after anesthesia(P<0.05),with statistically significant difference,while there was no significant difference in the acupoint sensations at Erjian and Yuji compared to before anesthesia(P>0.05),with statistically significant difference.In Experiment 2,with complete ulnar nerve block,the acupoint sensations at Hegu,Zhongzhu,Houxi,and Shaofu disappeared after anesthesia,the acupoint sensations at Sanjian and Laogong decreased,and there was no significant difference in the acupoint sensations at Erjian and Yuji compared to before anesthesia(P>0.05).Conclusion The generation and conduction of acupoint sensations are closely related to nerves,which is consistent with the view that hilus of muscle and hilus of bone are the physical anatomical structures of acupoints.关键词
尺神经/穴位/麻醉/穴感/针刺/肌门骨门Key words
ulnar nerve/acupoint/anesthesia/acupoint sensations/acupuncture/hilus of muscle and hilus of bone分类
医药卫生引用本文复制引用
方培钢,仇申强,李传刚,王增涛,郭啸南,束钊昱,王林江,王春霖,王涛,蔡斌,康姊玉..尺神经深支与手掌部穴位相关性探索[J].现代中医临床,2025,32(6):34-38,5.
