傳統中醫拔罐造成灼傷之研究

余哲仰

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传统中医拔罐造成灼伤之研究

The Investigation of Burn Injury in Cupping Therapy of Traditional Chinese Medicine

余哲仰 , 硕士　　导师：陈俊勳　　

繁体中文

灼伤；拔罐法；热传递； Burn injury ； Cupping therapy ； Heat transfer

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摘要 │ 参考文献 (62) │ 国际计量

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In the ancient heritage around the world, traditional medicine is an indispensable part of treatment. Using heat source to cure diseases and nursing our body are the essence of Traditional Chinese medicine. For a long time, people grasping and using of heat source technology have been quite mature, so it being applied to the medicinal technique has also been skillful. Moreover, the cupping of Traditional Chinese medicine utilizes heat source fully. When the temperature inside of the cup is higher than body, the body will begin to transfer heat by conduction, convection or radiation. As a result, when the temperature of biological tissues rises, it will cause to increase the blood flow volume of treatment site due to blood vessel dilatation. Indeed, it also can speed up body metabolism. It has many advantages but poses a risk of burning the patient if not carefully executed.
The essence of traditional cupping therapy consist in utilizing heat power to promote blood circulation and regulate bodily functions. But, grasping heating temperature and time is lacking support by theoretical validation. The plans aim to discuss the heat burns analysis of the traditional cupping method. The research methods employ the ANSYS software to numerical calculations and analysis the heat transfer situations inside of the cup by coating color display. With this result, we can further discuss the influence of hot air inside of cup to skin damage by cupping therapy.
At adiabatic conditions, the roof and the tank central temperature were higher than 37℃after 1200 seconds. Only initial temperature of 75℃, the air in tank and skin reach thermal equilibrium. The temperature of skin rise from bottom of the tank and slowly expand to both sides. There are vortex generated in tank and show multi-ringed shape. They gradually become short and thin. The distribution of velocity gather at the top of the tank. The range is between 0.1 and 0.3 m/s. At no adiabatic conditions, the temperature in the tank is less than 40℃ at 65 seconds. The biggest difference of different materials jar is in the layers of the skin. The larger physical properties of the material become more concave at surface of the skin and also thinner in the deep position.
The result of heat transfer to the skin depth, it is 30 millimeter at adiabatic conditions and 25 millimeter at no adiabatic conditions. In the comparison of different materials, bamboo has better insulation and skin temperature is slightly higher. Finally, the result of burn injury, since starting temperature is high, all condition will cause burn injury. Only initial temperature of 75℃ will cause minor burn injury, others can cause even more serious damage.
Nowadays, it is still quite rare to quantitatively analyze the heat in traditional Chinese medicine. It can offer Chinese medicine to be a consultation and enhance the efficacy of treatment. Ultimately, the plan will propose specific improvement for easily burn missing of cupping method and take a positive benefit.

参考文献 ( 62 ) 〈TOP〉

[1] Khaled A.-R.A. and Vafai K., The role of porous media in modeling flow and heat transfer in biological tissues, International Journal of Heat and Mass Transfer, 46(26): 4989-5003, 2003.
连结：
[2] Okajima J., Maruyama S., Takeda H., and Komiya A., Dimensionless solutions and general characteristics of bioheat transfer during thermal therapy, Journal of Thermal Biology, 34: 377-384, 2009.
连结：
[3] Shen X., Ding G., Wei J., Zhao L., Zhou Y., Deng H., and Lao L., An infrared radiation study of the biophysical characteristics of traditional moxibustion, Complementary Therapies in Medicine,14: 213-219, 2006.
连结：
[4] Brix G., Seebass M., Hellwig G., and Griebel J., Estimation of heat transfer and temperature rise in partial-body regions during MR procedures: An analytical approach with respect to safety considerations, Journal of Magnetic Resonance Imaging, 20: 65-76, 2002.
连结：
[5] Thiebaut C., and Lemonnier D., Three-dimensional modeling and optimisation of thermal fields induced in a human body during hyperthermia, International Journal of Thermal Sciences, 41: 500-508, 2002.
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。