AN EXPERIMENTAL EVALUATION OF AURICULAR DIAGNOSIS - THE SOMATOTOPIC MAPPING OF MUSCULOSKELETAL PAIN AT EAR ACUPUNCTURE POINTS

AN EXPERIMENTAL EVALUATION OF AURICULAR DIAGNOSIS - THE SOMATOTOPIC MAPPING OF MUSCULOSKELETAL PAIN AT EAR ACUPUNCTURE POINTS
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DOI:
10.1016/0304-3959(88)90009-7
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发表时间:
1980-01-01
期刊:
影响因子:
7.4
通讯作者:
BRESLER, DE
BRESLER, DE
中科院分区:
医学1区
文献类型:
--
作者:
OLESON, TD;KROENING, RJ;BRESLER, DE

文献摘要

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一项研究旨在通过实验来评估法国和中国针灸师的说法,即身体的躯体位置映射表现在外耳上。根据这一诊断系统,耳廓上电导率增加和触摸压痛增加的区域对应于身体上存在某种病理状况的特定区域。不同身体区域的假想地图在外耳上显示为倒置的胎儿,头部朝向下小叶,手和脚位于耳廓的最上部,身体位于两者之间。对患者[40]进行医学检查,以确定他们身体的肌肉骨骼疼痛区域。然后,每个病人都用床单覆盖,以掩盖任何可见的身体问题。进行耳部诊断的医生事先并不了解患者的医疗状况,只是简单地检查了患者耳部皮肤导电性升高或压痛的区域。临床诊断与耳诊诊断符合率为75.2%。两个量化读数的电流和主观评级或皮肤压痛在达到准确的诊断统计学显着。显然,在人类的耳廓上有一种躯体定位的组织。
A study was designed to experimentally evaluate the claims by French and Chinese acupuncturists that a somatotopic mapping of the body is represented upon the external ear. According to this system of diagnosis, areas of the auricle where there is increased electrical conductivity and heightened tenderness to touch correspond to specific areas of the body where there is some pathological condition. The hypothetical map of different bodily regions appears on the external ear as an inverted fetus, with the head represented towards the lower lobule, the hands and feet represented at the uppermost portion of the auricle, and the body in between. Patients [40] were medically examined to determine areas of their body where there was musculoskeletal pain. Each patient was then draped with a sheet to conceal any visible physical problems. The physician conducting the auricular diagnosis had no prior knowledge of the patient''s medical condition, but simply examined the patient''s ear for areas of elevated skin conductivity or tenderness. The concordance between the established medical diagnosis and the auricular diagnoses was 75.2%. Both quantified readings of electrical current flow and subjective ratings or dermal tenderness were statistically significant in arriving at accurate diagnoses. There is apparently a somatotopic organization of the body represented upon the human auricle.