徐林新 种茵 许潇颖 潘嘉欣 李兰竹 张晓阳

摘要 目的：分析失眠伴焦慮状态患者的经穴在低电阻抗性与电阻双侧平衡性上的病理变化特点，探讨失眠伴焦虑状态与脏腑经络的相关性。方法：选取2019年12月至2020年11月三亚市中医院治未病中心同期接受中医JK-02-B型经络检测仪检测的39例失眠伴焦虑状态患者作为观察组，40例健康体检者作为对照组，比较2组受试者十二正经原穴的电能量值和五大健康指标。结果：对照组双侧电能量值差异无统计学意义（P>0.05），观察组差异有统计学意义（P<0.01）;2组单侧心经、心包经、脾经、胃经和双侧肝经、胆经、肾经、膀胱经的电能量值差异均有统计学意义（均P<0.05），且对照组数值均高于观察组;2组体能状态、心肾状态、自主神经分布比较差异有统计学意义（P<0.05），且对照组三者分布倾向于正常水平，观察组心肾状态、自主神经分布倾向于偏高水平。结论：失眠伴焦虑状态时，人体经穴导电量呈现双侧失衡现象，使经穴电阻抗显著增高，与心、心包、肝、胆、脾、胃、肾、膀胱的脏腑经络及体能状态、心肾状态、自主神经存在相关性。

关键词 失眠伴焦虑;中医经络检测;电能量值;经穴电学特性;低电阻抗性;双侧平衡性;脏腑经络;健康指标

Abstract Objective：To analyze the pathological changes of the electrical characteristics of low electrical impedance and bilateral balance of meridian acupoints in patients with insomnia and anxiety，and to explore the correlation between insomnia with anxiety and Zang-fu and meridians.Methods：We selected the initial examination results of 39 patients with insomnia and anxiety in the experimental group and 40 healthy participation in the control group，who have been tested by the JK-02-B meridian tester of the Chinese Medicine Center for Treatment of Diseases during the same period，and statistically compared the 12 electric energy value of Yuan acupoint，and 5 major health indicators.Results：There was no statistical difference in bilateral electric energy value in healthy group（P>0.05）.The difference between the diseased groups was extremely significant（P<0.01）; the comparison value of the electrical energy values between the 2 groups was statistically different：unilateral heart meridian，pericardium meridian，spleen meridian，stomach meridian and bilateral liver meridian，gall bladder meridian，kidney meridian，bladder meridian（P<0.05），and the values of the healthy group were higher than those of the diseased group; the differences in physical performance，heart and kidney status，and autonomic nerves between the 2 groups were statistically significant（P<0.05），and the distribution tends of the three in the healthy group tends to be at a normal level，while the heart and kidney status and autonomic nerve distribution in the diseased group tend to be at a higher level.Conclusion：Insomnia accompanied by anxiety makes the human body′s meridian and acupoint conductances appear bilaterally unbalanced，and the meridian electrical resistance is significantly increased.It is related to the heart，pericardium，liver，gallbladder，spleen，stomach，kidney，bladder，viscera and collaterals，physical status，and heart and kidney status，and autonomic presence.

Keywords Insomnia with anxiety; Detection of meridian in traditional Chinese medicine; Electric energy value; Electrical characteristics of meridian acupoints; Low electrical impedance; Bilateral balance; Zang-fu organs and meridians; Health indexes

中图分类号：R256.23;R245.2;R749.2文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.19.025

现有研究表明，生理状态下经穴的电学特性主要呈低电阻抗性、双侧平衡性、阻容混联性、伏安特性等[1-6]。经穴电学特性可反映人体生理病理改变，在经穴定位、健康评估、脏腑疾患及经络虚实诊断方面具有临床研究价值。……