Купить СНПЧ А7 Архангельск, оперативня доставка

crosscheckdeposited

Avaliação dos Efeitos da Acupuntura no IG4 (Hégu) por Termografia de Infravermelho

DOI: http://dx.doi.org/10.18073/2358-4696/pajmt.v2n2p63-69

http://www.abraterm.com.br/revista/index.php/PAJTM/index 

downloadpdf

Fabiana C. Freire1, Marcos L. Brioschi2 & Eduardo B. Neves3

 

Resumo: A acupuntura provoca mudanças fisiológicas por meio da inserção e manipulação de finas agulhas em pontos específicos na superfície da pele ao longo do corpo. Com os avanços tecnológicos, a termografia de infravermelho permite mensurar a temperatura de cada região do corpo e registrar a atividade vasomotora da pele, evidenciando as alterações cutâneas provocadas pela acupuntura. O objetivo deste estudo foi avaliar as mudanças de temperatura cutâneas provocadas pela acupuntura usando a termografia de infravermelhos, em tempo real. As temperaturas da área do IG4 e falanges distais de doze voluntários saudáveis (M/F, 3/9; idade média ± 30 anos) foram registradas. As imagens foram adquiridas, em tempo real, durante seis minutos: antes do agulhamento (T0), primeiro (T1), segundo (T2), terceiro (T3), quarto (T4) e quinto (T5) minutos após o agulhamento do Hegu (IG4). Notou-se um aumento de 4,34% da temperatura média do momento T5 em relação ao T0 (T5-T0=1,31⁰C) da mão esquerda e 6,02% do T5-T0=1,77⁰C da mão direita, entretanto, não houve significância estatística p<0,05. Observou-se uma clara tendência de aumento da temperatura média, nos dedos indicador e médio de ambas as mãos, após o agulhamento do IG4 unilateral no tempo considerado no estudo. A acupuntura provoca efeitos simpaticolíticos da sobre a microcirculação da pele em tempo real e a termografia de infravermelho parece ser um método objetivo para avaliar esses efeitos.

Palavras-chave: Medicina tradicional chinesa (MTC), acupuntura, termografia de infravermelho, pontos de acupuntura.

 

Abstract: Acupuncture provokes physiological changes through the insertion and manipulation of thin needles in specific points on the skin surface along the body. As technological advances happened, infrared thermography allows the temperature of each region of the body to be measured and records the vasomotor activity of the skin, putting in evidence cutaneous alteration provoked by acupuncture. The objective of this study was to evaluate the capacity of thermography to measure, in real time, the chances of cutaneous temperature provoked by acupuncture. The temperatures of the IG4 area and distal phalanges of twelve healthy volunteers (M/F, 3/9; mean age ± 30 years old) were registered. The images were obtained, in real time, during six minutes: before needling (T0), then on the first (T1), second (T2), third (T3), fourth (T4) and fifth (T5) minutes after the needling of Hegu (IG4). An average increase of 4.34% in the temperature was observed from the T5 to the T0 moment (T5-T0=1,31⁰C) of the left hand and 6.02% of the T5-T0=1,77⁰C of the right hand. There was an increase tendency on the average temperature on the index and middle fingers of both hands, after the needling of the unilateral IG4 in the time considered for the study. Infrared thermography is an objective method to measure the sympatholytic effects of acupuncture on the microcirculation of the skin in real time.

Key words: Chinese traditional medicine (CTM), acupuncture, infrared thermography, acupuncture points.

 

1 Universidade Federal do Ceará
2 Universidade de São Paulo
3 Instituto de Pesquisa da Capacitação Física do Exército E-mail: fabfreire@uol.com.br

 

Literatura Citada

Weihui L, Andrew A. Effect of Acupuncture Manipulations at LI4 and LI11 Bilaterally on Blood Flow and Skin Temperature. J Acupunct Meridian Stud. 2015. Disponível em: http://www.jams-kpi.com/article/S20052901(15)00151-X/abstract.

Yamamura, ML, Yamamura Y. Guia de acupuntura. Barueri: Manole; 2015.

Hall JE, Guyton AC. Textbook of Medical Physiology. 11th ed. Philadelphia: Elsevier Saunders; 2006:890.

Zhang ZJ, Wang XM, McAlonan GM. Neural acupuncture unit: a new concept for interpreting effects and mechanisms of acupuncture. Evid Based Complement Alternat Med. 2012; https://doi.org/10.1155/2012/429412

Marcos B, Manoel JT, Daniel C. Princípios e Indicações da Termologia Médica. São Paulo: Andreoli; 2010.

Zhang WT, Jin Z, Luo F, Zhang L, Zeng YW, Han JS. Evidence from brain imaging with fMRI supporting functional specificity of acupoints in humans. Neurosci Lett. 2004; 354:50-3. https://doi.org/10.1016/j.neulet.2003.09.080

Fernández-Cuevas I, Marins JCB, Lastras JA, Carmona PMG, Cano SP, García-Concepción MA, Sillero-Quintana M. Classification of factors influencing the use of infrared thermography in humans: a review. Infrared Physics & Technology 2015; 71:28-55. https://doi.org/10.1016/j.infrared.2015.02.007

Lahiri BB, Bagavathiappan S, Jayakumar T, Philip J. Medical applications of infrared thermography: a review. Infrared Physics & Technology 2012; 55(4):221-35. https://doi.org/10.1016/j.infrared.2012.03.007

Dorsher PT. Myofascial meridians as anatomical evidence of acupuncture channels. Med. Acupunct. 2009; 21:91-7. https://doi.org/10.1089/acu.2009.0631

Focks C. Atlas de acupuntura. São Paulo: Manole; 2005.

White A, Cummings M, Filshie J. An Introduction to Western Medical Acupuncture. Edinburgh: Churchill Livingstone Elsevier; 2008.

Cheng KJ. Neurobiological Mechanisms of Acupuncture for Some Common Illnesses: A Clinician’s Perspective. J Acupunct Meridian Stud. 2014; 7(3):105-14. https://doi.org/10.1016/j.jams.2013.07.008

Carlsson C. Acupuncture mechanisms for clinically relevant long-term effectsreconsideration and a hypothesis. Acupunct Med. 2002; 20:82-99. https://doi.org/10.1136/aim.20.2-3.82

Tansey EA, Roe SM, Johnson CD. The sympathetic release test: a test used to assess thermoregulation and autonomic control of blood flow. Advances in Physiology Education Published. 2014; 38(1):87-92. Disponível em: http://advan.physiology.org/content/38/1/87

Tansey EA, Roe SM, Johnson CD. The sympathetic release test: a test used to assess thermoregulation and autonomic control of blood flow. Advances in Physiology Education Published. 2014; 38(1):87-92. https://doi.org/10.1152/advan.00095.2013

Charkoudian N. Skin blood flow in adult human thermoregulation: how it works, when it does not, and why. Mayo Clin Proc. 2003; 78:603-12. https://doi.org/10.4065/78.5.603

Li SY, Zhang D, Wang SY, Ma HM. The influence to facial temperature when acupuncturing Hegu (LI 4). Chin Acupunct Mox. 2009:57-9 [Suppl].

Huang T, Huang X, Zhang W, Jia S, Cheng X, Litscher G. The influence of different acupuncture manipulations on the skin temperature of an acupoint. Evid Based Complement Alternat Med. 2013.

Weihui L, Andrew A. Effect of Acupuncture Manipulations at LI4 and LI11 Bilaterally on Blood Flow and Skin Temperature. J Acupunct Meridian Stud. 2015. Disponível em: http://www.jams-kpi.com/article/S20052901(15)00151-X/abstract.

Litscher G, Wang L, Huang T, Zhang WB. Violet Laser Acupunctured-part 3: Pilot Study of Potential Effects on Temperature Distribution. J Acupunct Meridian Stud. 2011; 4(3):164-7. https://doi.org/10.1016/j.jams.2011.09.003

Wang L, Huang T, Zhang WB, Litscher G. Violet laser acupunctured part 2: effects on peripheral microcirculation. J Acupunct Meridian Stud. 2011; 4:24-8. https://doi.org/10.1016/S2005-2901(11)60004-6

Albrecht PJ, Hou Q, Argoff CE, Storey JR, Wymer JP, Rice FL. Excessive Peptidergic Sensory Innervation of Cutaneous ArterioleVenule Shunts (AVS) in the Palmar Glabrous Skin of Fibromyalgia Patients: Implications for Widespread Deep Tissue Pain and Fatigue. Pain Medicine. 2013. Disponível em: http://medicalxpress.com/news/2013-06fibromyalgia.html.

Wang L, Huang T, Zhang WB, Litscher G. Violet laser acupunctured part 2: effects on peripheral microcirculation. J Acupunct Meridian Stud. 2011; 4:24-8. https://doi.org/10.1016/S2005-2901(11)60004-6