• 《艾灸生物传热物理学特性及穴位组织中温度场传播过程仿真研究》
  • 作者:贲定严著
  • 单位:湖南中医药大学
  • 论文名称 艾灸生物传热物理学特性及穴位组织中温度场传播过程仿真研究
    作者 贲定严著
    学科 针灸推拿学. 针灸治病机理的研究
    学位授予单位 湖南中医药大学
    导师 常小荣指导
    出版年份 2018
    中文摘要 目的:1.观察艾灸过程中热量在经络穴位间的传递规律;2.探讨艾灸的物理学剂量;3.建立穴位组织中温度场传播动态模型;4.总结艾灸生物传热的物理学特性及作用特点。 方法:1.利用自制高精度温度传感器检测艾灸健康志愿者足六经下肢穴位15min足三里的温度变化,结合Origin软件绘制足三里温度变化曲线及温度变化速率曲线;2.通过自定义公式:穴位的物理学剂量=(灸前瞬时温度+最高耐受温度)/2×产生最高耐受瞬时温度所需要的时间,拟建立不同部位穴位的艾灸物理学剂量;3.利用ANSYS14.0软件仿真得出穴位组织中温度场传播动态模型。 结果: 1.艾灸足阳明胃经穴位时足三里温度变化曲线改变最大,尤以上巨虚为著。艾灸足六经下肢部不同穴位时足三里的温度变化速率曲线基本重合,且呈下降趋势。艾灸足三里水平附近的穴位和到足三里表面距离近的穴位时,足三里的温度变化曲线改变明显。 2.手足部阴经及胸腹部穴位艾灸时所需的物理学剂量低于手足部阳经及背腰部的穴位,差异有统计学意义(P<0.05),且部分手部穴位艾灸所需物理学剂量低于足部及躯干部穴位,差异有统计学意义(P<0.05)。 3.5min时穴位组织的多维温度分布云图分析可得,灸热主要沿着组织表面至内部进行传导,随着组织深度的增加灸热的影响也越来越小; 5min、10min、15min、20min内穴位组织随时间变化的三维温度模型分析可得,随着施灸时间的延长,穴位组织温度不断升高,灸热作用的深度进一步扩大。 结论: 1.艾灸过程中热量在经络穴位间传递具有循经感传性、传递速率一致性以及热量传递的区域特征、距离特征等。 2.穴位的艾灸物理学剂量存在一定的范围,不同部位穴位的艾灸物理学剂量存在差异。 3.建立了穴位组织中温度场传播动态模型,揭示了艾灸传热(从近到远)、透热(由浅入深)的作用特点。 关键词:艾灸;生物传热学;物理学特性;温度场;仿真
    英文摘要 Objective: 1. To observe the regular pattern of heat transfer between meridians and acupoints in the prosess of moxibustion; 2. To explore the physical dose of moxibustion; 3. To establish the dynamic model of propagation of temperature field in acupoint tissue; 4. To sum up the physical properties and characteristics of the biological heat transfer of moxibustion. Methods: 1. The temperature change of Zusanli was detected by self-made highprecision temperature sensor while moxibustion on lower extremities acupoints on six meridians of foot in healthy volunteers for fifteen minutes, the temperature change curve and temperature change rate curve were drawn with Origin software; 2. The physical dose of moxibustion on acupoints of different parts were established by defining the formula: the physical dose of acupoint = (instantaneous temperature before moxibustion + highest tolerable temperature) /2 * the time required to produce the highest tolerable temperature;3. A dynamic model of propagation of temperature field in acupoint tissue was simulated by ANSYS14.0 software. Results: 1.Temperature change curve of Zusanli was the biggest when moxibustion on acupoints in stomach meridian of foot yangming, especially for Shangjuxu acupoint. Temperature change rate curves of Zusanli were basically in coincidence when moxibustion on lower extremities acupoints on six meridians of foot, and it had a downward trend. The temperature curves of Zusanli were changed significantly when moxibustion on acupoints closed to Zusanli on level and surface distance. 2.Physics dose of acupoints on the yin meridian of hand and foot & chest and abdomen were fewer than that of acupoints on the yang meridian of hand and foot & dorsal and lumbar during moxibustion (P<0.05), and part of the physical dose of acupoints on the hand was lower than that of acupoints on the foot and the trunk (P<0.05). 3.The analysis of the multidimensional temperature cloud map of the acupoint tissues at 5 minutes could be obtained that the heat of moxibustion was mainly conducted along the tissue surface to the inside, and the effect of moxibustion was becoming smaller and smaller as the increase of tissue depth; The analysis of three dimensional temperature model of acupoint tissues at 5 minutes, 10 minutes, 15 minutes and 20 minutes can be obtained that the temperature of the acupoint tissue rise and the depth of moxibustion's heat increase further obviously with the increase of the time. Conclusion: 1.Heat transfer between meridians and acupoints have propagated sensation along channel, consistency of transmission rate, regional characteristics and distance characteristics in the prosess of moxibustion. 2.There is a certain range of physical dose of moxibustion on acupoints, and there are differences in the physical dose among acupoints at different parts. 3.A dynamic model of propagation of temperature field in acupoint tissue is established, which reveals the characteristics of moxibustion including heat transfer (from near to far), the effects of diathermy (from the shallower to the deeper). Key Words: Moxibustion; bio-heat transfer scie; physical properties; temperature field; simulation
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