目的 对比观察单一病位的胃溃疡、胃炎患者和复合病位的消化系统疾病患者在督脉背段的特异性压痛反应定位的差异及其规律性。方法 采用指压按诊的方法观察受试者督身柱（T3）-L3各棘突下压痛反应的出现率和分布规律。结果 21例胃溃疡、13例胃炎和30例消化系统疾病患者督脉压痛点阳性率均为100%;胃溃疡与胃炎患者的脊柱各节段水平压痛反应出现率极为相似（Pearson相关系数为0.978,显著性检验为P〈0.01）,出现率90%以上的督脉穴位均为神道（T5）和灵台（T6）;消化系统疾病患者出现率90%以上的为T8和筋缩（T9）。结论 胃溃疡与胃炎在督脉背段压痛反应的特异性定位相同,但与消化系统疾病不同,提示单一病位与复合病位的疾病相应的穴位特异性定位不同。神道穴和灵台穴为针灸诊疗胃溃疡与胃炎的特异性穴位提供一定的借鉴和参考。
Objective To observe the regular pattern of pressing pain response along Governor Vessel on the back section in patients with Gastric Ulcer or Gastritis. Methods Pressing was applied by operator along Governor Vessel on the back section in patients in order to get its positive ratios and regularity distribution. Results The positive ratios of 21 patients with Gastric Ulcer, 13 Gastritis and 30 with digestive system diseases were all 100%. The pressure positive rate of Gastric ulcer and gastritis in patients with spinal segment level were very similar （Pearson correlation coefficient was 0.978, the test of significance was P〈0.01）, A rate more than 90% of the Governor Vessel acupoints were Shendao （GV5） and Lingtai （GV6）, the patients of digestive system disease were T8 and Jinsuo （GV9）. Conclusion The specific location of pressing pain response along Governor Vessel on the back section in patients with Gastric ulcer and gastritis was the same, but it was different contrasted with digestive system diseases, and it could remind that the specificity of acupoints was different according to the location of the diseases. Shendao （GV5） and Lingtai （GV6） were the specificity of acupoints about Gastric Ulcer or Gastritis for acupuncture.
Journal of Yunnan College of Traditional Chinese Medicine
pain reaction by pressing
digestive system disease