Principle and operation of Jing-well point temperatures' test

Li-Hao Chen

Hunan University of Traditional Chinese Medicine,Hunan,China.

Abstract

Key words:Jing-well point temperatures' test,Traditional Chinese medicine diagnosis,Principle,Operation steps

Background

Meridian theory is the core content of the basic theory of traditional Chinese medicine."Jingwell point temperatures' test" is a method to diagnose and treat diseases by measuring and comparing the symmetrical Jing-well point temperature of twelve meridians and collaterals of human body.The use of Jing-well point as an observation index for the diagnosis of diseases can be traced back to the middle of the last century [1].

This method is a characteristic meridian diagnosis method,which has the advantages of objective data,reliable diagnosis and strong repeatability.It can be widely used in various traditional Chinese medicine fields of gynaecological,paediatrics,internal medicine and surgery.It uses temperature instead of heat perception as the observation index,the measurement value is relatively objective,the operation is simple,and there is no disadvantage of burning limbs,which can effectively avoid the injury of meridian detection test.On the other hand,because the thermometer is noncontact and reproducible,it is more convenient for experimental research and data acquisition.The author now introduces this method as follows.

The basic principle of Jing-well point temperatures' test

Jing-well point are closely related to channels and collaterals and zang-fu viscera.

Connection is universal and objective,and it is the logical starting point of materialist dialectics [2],which is very important.From the point of view of philosophical connection,to look at and analyze the relationship between the temperature change of Jing-well point and the deficiency and reality of qi and blood in meridians and viscera:the twelve meridians and collaterals of human body can communicate inside and outside,connecting up and down,running qi and blood,connecting Zang-fu viscera [3].It means a lot,"Lingshu Nine Needles Twelve original" records:"The meridians and collaterals out of the Jingwell point",the Jing-well point is the hole out of the meridian gas,located at the end of the hand and foot,is compared to the source of water [4],it can be seen that the Jing-well point can accurately reflect the rise and fall of the meridians and collaterals of the human body.There is a close internal relationship between Jing-well point,meridians and viscera.

Basic principles of traditional Chinese Medicine diagnosis

Observing the appearance and speculating the internal situation is one of the basic principles of traditional Chinese medicine (TCM) diagnosis [5].It is recorded that "knowing the inside from the outside",that is,by observing the external objective environment or a certain phenomenon to speculate its internal essence,"Danxi Xinfa":"if you want to know what is inside it,you should look at it from the outside." If you are diagnosed outside,you will know what is inside."covered with the inside and outside" shows the importance and rationality of internal speculation,and similar records are also found in "Lingshu Ben Zang" and so on.This principle is not only reflected in the diagnosis of traditional Chinese medicine,the diagnosis of western medicine also believes that:"phenomenon refers to the clinical manifestations of patients,the essence is the pathological changes of the disease [6],the" black box theory "in western cybernetics is also roughly the same.

Thus it can be seen that this principle is universal in many fields."Jing-well point temperatures' test" through observing the difference of symmetrical Jing-well point temperature,to speculate the deficiency and reality of meridians and viscera in the body,which is in accordance with the basic principle of traditional Chinese medicine.In addition,the Jing-well point temperature difference as a local small change can reflect the overall situation,reflecting another basic theory in traditional Chinese medicine,"see the subtle change and will know the whole situation".

Meridian has the effect of balance

The human body has symmetry,such as limbs,face are symmetrical.The temperature of meridians and collaterals in healthy condition is also symmetrical,which is called the balance effect of meridians and collaterals.Only by understanding the balance effect of meridians and collaterals,can we "measure the changes through normal",find out the pathogenic meridians and collaterals,and make the corresponding treatment.Under normal circumstances,the temperature difference of symmetrical acupoints in human body is very small,but in the state of disease,the temperature of symmetrical meridian acupoints will be significantly different.For example,Feng Cong and others studied patients with chronic low back pain and non-low back pain [7].The results showed that the temperature difference of meridians and collaterals in patients with low back pain was greater than or equal to 0.5 ℃,while that in patients with non-low back pain was less than 0.5 ℃.It shows that low back pain can react to the temperature of meridians and collaterals,and the difference of acupoint temperature becomes larger.

Zhang et al [8] of the second Hospital of Beijing selected 26 patients with coronary heart disease.After acupuncture,it was found that the temperature difference of symmetrical Jing-well points in the disease group decreased significantly,and the symptoms of the patients were also improved.It is proved that the therapeutic effect of the disease is closely related to the temperature difference of the Jingwell point,and it is suggested that reducing the temperature difference of the symmetrical Jingwell point will be beneficial to the treatment of the disease.

Introduction to the operation of Jing-well point temperature measurement

Tool:The output of FLUKE laser thermometer is less than 1mW wavelength 630-670mm.The instrument measures the value to 0.1.

Object:It could be included whose fingers and toes of the subjects were sound,the skin of the Jing-well point was intact and there was no obvious skin disease,and the subjects who could not cooperate with the test should be excluded.

Position:24 Jing-well points with both hands and feet.

Distance:Distance from Jing-well point 3-10cm.Order of measurement:Follow the principle of first hand and back foot,first left and then right,and measure in turn.According to left and right of LU11,LI1,PC9,TE1,HT9,SI1,SP1,LR1,KI1,ST45,GB44,BL67 were measured in turn.Steps:1.The subjects sat side by side,exposed their hands and feet to the appropriate temperature environment,avoided strenuous exercise and maintained emotional stability before the test.2.According to the order of acupoints,the doctor measured the temperature of Jing-well points in turn.3.The symmetrical two Jing-well points with the same name are regarded as group 1,and the values of the group are recorded immediately after the measurement.4.Summarize and sort out,calculate the difference,analyze the data and find out the pathogenic meridians and collaterals (one or more meridians with the greatest temperature difference in symmetrical Jing-well points).Treatment:The principle is to replenish deficiency and relieve excess;treatment means or acupuncture or moxibustion,Tuina can also,not stick to one kind;

Objective:To reduce the temperature difference of symmetrical well points of pathogenic meridians and collaterals,so that this or more meridians and collaterals can be restored to equilibrium state,and finally promote the transformation of human body from disease state to health state.

Acupuncture tonifying and purging is the corresponding countermeasures against the deficiency and reality of the disease.HuangDi Neijing says:"tonifying is solid,purging is deficiency,although pain does not follow acupuncture,the disease will decline",Meng et al [9] also discussed the necessity of reinforcing and reducing acupuncture.In the treatment of acupuncture and moxibustion,we think that the meridians and collaterals on one side of the Jing-well point with low temperature should be filled with deficiency,and the side with high temperature on the Jing-well point with high temperature should be purged,so that the balance of meridians and collaterals can be achieved."Meridian pass,main treatment",in the pathogenic meridians and collaterals to select appropriate acupoints for acupuncture should be able to achieve better results.When we apply "Jing-well point temperatures' test",the treatment focuses on the main pathogenic meridians and collaterals,taking into account the secondary pathogenic meridians and collaterals,in order to simplify.

An example of checking a case

Insomnia

Patient Chen,male,22 years old.Getting insomnia and dreaminess more than a month.Before 1 month ago,there was no obvious inducement to fall asleep difficult,dreaminess,there was no special treatment.Present frontal symptom:slightly difficult to fall asleep;dreamy at night,up to 3 to 4 times,tired after waking up;dry mouth in the morning.The tongue and pulse are not detected.The measurement of hole temperature is shown in Tab.1.

Table 1 Insomnia well temperature measurement table

Insomnia is the most common sleep disorder [10] Traditional Chinese medicine calls it "insomnia".Acupuncture is effective in the treatment of insomnia.However,at present,experience is still the main choice of acupoints.Pan Liwen believes that the etiology and pathogenesis of insomnia are diverse and should be treated by adjusting deficiency and excess cold and heat [11].

As can be seen from Tab.1,the maximum difference of Shaochong (HT9) acupoints in this patient is 9.8 ℃,so it is determined that the pathogenic meridians and collaterals of the patient are hand Shaoyin Heart Meridian,and it is appropriate to supplement deficiency and purge excess."the heart is the official of the monarch,the god is absent-minded",the heart meridian acupoint should be effective.Treatment:Tonify the right heart meridian,acupuncture the right heart meridian Shaofu (HT8) acupoint,twist and supplement method,it is appropriate to cause local fever,leave the needle for 20 minutes;the left side was not treated.After the needle was taken,the temperature of the acupoint was measured again,and the temperature on the left and right sides was 26.2 ℃ and 27.8 ℃ respectively,and the difference became smaller.The patient fell asleep easily and did not dream at night.The treatment continues for one week,the curative effect is stable.

Chronic pharyngitis

Patient Li Mou,female,20 years old.Foreign body feeling in the throat for two years.Two years ago,cold cough for two months,cough cured,residual throat discomfort,foreign body feeling,was diagnosed as "chronic pharyngitis",intermittent medication,no obvious effect.

Present frontal symptom:the patient gets up every morning with a foreign body feeling in her throat,phlegm is difficult to cough,pharynx itching retching,stool is normal and urination is normal,normal appetite and sleep well.Tongue and pulse unchecked.The measurement of jing acupoints temperature is shown in Tab.2.

Table 2 Chronic pharyngitis well temperature measurement table

The main clinical symptoms of chronic pharyngitis are pharyngeal foreign body feeling and discomfort,which is called "throat arthralgia" [12] in traditional Chinese medicine.The disease is located in the lung and is closely related to the kidney,heart,liver,spleen and stomach.The main treatment methods are nourishing yin and clearing heat,resolving phlegm and relieving depression [13].In addition,Chen Yingzhi and others used suspended moxibustion at Yongquan (KI1) acupoint to guiding fire to origin and treat the disease,it also achieved good results [14].

The Tab.2 shows that the maximum difference of Shaoze (SI1) acupoint in this patient is 12.6 ℃,so it is determined that the pathogenic meridians and collaterals of the patient are hand sun small intestine meridians,which should be treated with tonifying deficiency and purging excess.That is,tonifying the right intestinal meridian and purging the left intestinal meridian.Treatment:moxibustion at the acupoints of the right small intestine of the patient:Houxi (SI3),carpal bone,15 minutes,once a day,the left side was not treated.On the first day after treatment,the patient complained that he did not spit and vomit in the morning,and his throat was dry (considering moxibustion,the treatment was the same as before,and asked to eat pears and other dry products,continue to observe).The second day after treatment,the patient complained that the symptoms were significantly improved,no retching,occasional sputum in the throat,coughing up sputum will relieve it;the third day symptoms continued to improve.The patients were satisfied with the therapeutic effect."the spleen is the source of phlegm and the lung is the instrument for storing phlegm".They were advised to take care of the spleen and lung in order to improve the aftereffect.

Discussion

In recent years,accurate medicine,which is characterized by individuation and precision [15] has become more and more popular，the whole concept of traditional Chinese Medicine [16],the concept of syndrome differentiation and treatment [17] are highly consistent with its personalized characteristics.But it's not accurate and objective enough.Therefore,experts and scholars in the field of traditional Chinese medicine pay more and more attention to the objective research of diagnosis,and put forward their own academic research views one after another.Among them,microscopic holographic diagnosis is more common.For example,relevant scholars' research on auricular point diagnosis [18],Professor Peng Qinghua's research on visual diagnosis of traditional Chinese medicine [19],etc.The diagnosis of meridians and collaterals is less involved and needs to be studied.

As a new diagnosis method of meridians and collaterals,the "Jing acupoints temperature measurement method" introduced by the author is an effective supplement to the traditional four diagnoses of traditional Chinese medicine.There is a certain regularity between jing acupoints temperature and human physiology and pathology,and the objective data have certain guiding significance after being collected.Through the collection and analysis of big data of a certain disease,the cognition of meridians and collaterals of the disease can be obtained.Through the selection and comparison of the treatment methods of a certain disease,the best treatment plan can be obtained,which is helpful to the recovery of the disease.The application of jing acupoints temperature difference in TCM diagnosis can improve the accuracy of TCM diagnosis and treatment,and with the continuous improvement of measuring instruments,the efficiency of diagnosis and treatment will be improved.In a word,the method is worth popularizing.