appearance of human meridian like structure and acupoints correlation infrared imaging - yang hq.pdf

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The American Journal of Chinese Medicine, Vol. 35, No. 2, 231–240 © 2007 W orld Scientic Publi shing Company  Institute for Advanced Research in Asian Science and Medicine 231 Correspondence to: Professor Shu-Sen Xie, Institute of Laser and OptoElectronics Technology, Fujian  Normal University, Fuzhou, 350007, China. Tel: (+86) 591-8340-8080, Fax: (+86) 591-8346-5373, E-mail: [email protected] Appearance of Human Meridian-Like Structure and Acupoints and Its Time Correlation by Infrared Thermal Imaging Hong-Qin Yang, *  Shu-Sen Xie, *  Xiang-Long Hu,  Li Chen *  and Hui Li * *  Key Laborator y of OptoElect ronic Science and Technology for Medi cine of Minist ry of Education ,  Institute of Laser and OptoElectr onics T echnology , Fujian Normal University  Fuzhou 350007 , China  Fujian Institute of T raditional Chinese Medicine , Fuzhou, 350003, China Abstract: The meridians and acupoints of human bodies at natural condition are investigated among 30 healthy volunteers by infrared thermal imaging technique. The results give clear evidence of the existence of infrared radiant tracks along human meridian courses. The time dependent evolution of the infrared radiant track is observed for the rst time. The time rhythm of acupoints is also studied. Our ndings not only support the view that infrared radiant tracks along human meridian courses is a normal vital and physiological phenomenon appearing in human beings, but also offer a potential method for noninvasive diagnostic by studying the physiological function and pathological change of meridians or acupoints by means of thermography.  Keywor ds: Infrared Imaging; Acupuncture Meridian; Natural Appearance; Time Correlation; Appearance Laws. Introduction The meridian theory is an important component and the guiding principle for the clinical  practice of traditional Chinese medicine. It has achieved good results over the last two thousand years. It has also recently begun to gain wide acceptance in the W est. However, it has still failed to achieve the recognition within the mainstream medical circles because evidence for the existence of acupuncture meridians is inadequate or elusive. Many studies over the past 40 years have shown that electric conductivity on acupuncture points is lower than that of neighboring points (Johng et al ., 2002; Zhang et al ., 2004). Other attempts to visualize the course of human meridians by means of different physical-technical methods are presented (Li and Li, 2003; Wang, 1984). However, these methods are mainly    A   m  .    J  .    C    h    i   n  .    M   e    d  .    2    0    0    7  .    3    5   :    2    3    1      2    4    0  .    D   o   w   n    l   o   a    d   e    d    f   r   o   m   w   w   w  .   w   o   r    l    d   s   c    i   e   n    t    i    f    i   c  .   c   o   m    b   y    U    N    I    V    E    R    S    I    D    A    D    E    E    S    T    A    D    U    A    L    P    A    U    L    I    S    T    A    J    U    L    I    O    D    E    M    E    S    Q    U    I    T    A    F    I    L    H    O    (    U    N    E    S    P    )   o   n    0    1    /    2    1    /    1    4  .    F   o   r   p   e   r   s   o   n   a    l   u   s   e   o   n    l   y  .

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  • 5/28/2018 Appearance of Human Meridian Like structure and acupoints correlation infra...

    http:///reader/full/appearance-of-human-meridian-like-structure-and-acupoints-correl

    The American Journal of Chinese Medicine, Vol. 35, No. 2, 231240

    2007 World Scientific Publishing Company

    Institute for Advanced Research in Asian Science and Medicine

    231

    Correspondence to: Professor Shu-Sen Xie, Institute of Laser and OptoElectronics Technology, FujianNormal University, Fuzhou, 350007, China. Tel: (+86) 591-8340-8080, Fax: (+86) 591-8346-5373, E-mail:

    [email protected]

    Appearance of Human Meridian-Like

    Structure and Acupoints and Its Time

    Correlation by Infrared Thermal Imaging

    Hong-Qin Yang,*Shu-Sen Xie,*Xiang-Long Hu,Li Chen*and Hui Li*

    *Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education,

    Institute of Laser and OptoElectronics Technology,Fujian Normal University

    Fuzhou 350007,ChinaFujian Institute of Traditional Chinese Medicine,Fuzhou,350003,China

    Abstract: The meridians and acupoints of human bodies at natural condition are investigated

    among 30 healthy volunteers by infrared thermal imaging technique. The results give clear

    evidence of the existence of infrared radiant tracks along human meridian courses. The time

    dependent evolution of the infrared radiant track is observed for the first time. The time rhythm

    of acupoints is also studied. Our findings not only support the view that infrared radiant tracks

    along human meridian courses is a normal vital and physiological phenomenon appearing

    in human beings, but also offer a potential method for noninvasive diagnostic by studying

    the physiological function and pathological change of meridians or acupoints by means of

    thermography.

    Keywords: Infrared Imaging; Acupuncture Meridian; Natural Appearance; Time Correlation;

    Appearance Laws.

    Introduction

    The meridian theory is an important component and the guiding principle for the clinical

    practice of traditional Chinese medicine. It has achieved good results over the last two

    thousand years. It has also recently begun to gain wide acceptance in the West. However,

    it has still failed to achieve the recognition within the mainstream medical circles because

    evidence for the existence of acupuncture meridians is inadequate or elusive. Many studies

    over the past 40 years have shown that electric conductivity on acupuncture points is lower

    than that of neighboring points (Johng et al., 2002; Zhang et al., 2004). Other attempts

    to visualize the course of human meridians by means of different physical-technical

    methods are presented (Li and Li, 2003; Wang, 1984). However, these methods are mainly

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    H.-Q. YANG et al.232

    invasive and inconvenient. According to traditional Chinese medicine, the vital energy

    flows through a system of channels connecting the surface with internal organs which

    are called meridians. Infrared imaging technique is particularly suitable for studying themeridians from the view of energy or function point, and has drawn wide attention in

    recent years. However, to the best of our knowledge, most of the researchers mainly focus

    on the temperature measurement of the acupoints and its application in thermal disease

    diagnose or evaluation, but not the meridian structure (Lo, 2002; Ovechkin et al., 2001 and

    2003). Schlebusch et al.(2005) recently reported the meridian structure of the body after

    moxibustion. We have examined the infrared radiant characteristics of the meridian-like

    channels and acupuncture points by thermal imaging technology since 1993, and reported

    some preliminary results (Hu et al., 1996 and 2001). However, no further studies have

    been reported and the hypothesis of the meridian and acupoints requires more experimental

    supports with more advanced techniques.

    The new infrared imaging technique (Yang et al., 2005) has provided a good way to

    explore the existence of the meridian and acupoints. However, there are no detailed and

    direct studies on the physiological function of the meridians and acupoints by the infrared

    imaging technique. In this study, we apply the infrared imaging technique to study the

    meridians and acupoints on human body. Our results are compared to previous studies and

    new findings are reported.

    Participants and Methods

    Participants

    Thirty healthy volunteers (18 males, 12 females) were recruited from different departments

    of Fujian Normal University (mean age SD, 24.0 3.0 years). The subjects had no history

    of chronic diseases and were healthy at the time of enrolment. The experimental protocol

    was approved of by the Key Laboratory of Optoelectronic Science and Technology for

    Medicine of the Ministry of Education, Fujian Normal University and Fujian Normal

    University Hospital. All subjects agreed to participate in the study and provided written

    informed consent.

    Experimental Devices

    The infrared thermal imaging device used in this study (Bioyear Group INC. Beijing)

    consists of two parts, the data obtaining and analyzing system put in one room and the

    infrared sensor detecting system put in the dark room, as shown in Fig. 1. The device

    operates at a wavelength ranging from 812 m and temperature ranging from 10C

    to 50C, which has the temperature sensitivity of 0.05C and the spatial resolution of

    1.0 mrad at temperature 30.0C. The device is ready for use within 30 sec and the heat

    radiation from human body can be recorded and analyzed online. The temperature of the

    examination dark room is 27.0 1.0C. A black body device (HFY-15, Beijing) was used

    to calibrate the device before making measurements on subjects.

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    MERIDIAN AND ACUPOINTS BY INFRARED THERMAL IMAGING 233

    Experimental Procedures

    In order to maintain thermal equilibrium, each subject must stay alone in the examination

    dark room undressed around 30 min before taking the thermograms. Investigations were

    conducted without any heat source disturbance from outside, namely the under natural

    condition, at the Key Laboratory of OptoElectronic Science and Technology for Medicine

    of Ministry of Education, Fujian Normal University. The operator guides the subject to start

    the experiment and make some specific postures for studying via a special-line talkback.

    Results

    Some typical natural appearances along meridians drawn in an acupuncture textbook

    (Cheng, 1999) were displayed by use of infrared thermal imaging technique, as shown

    from Fig. 2 to Fig. 9. In these pictures, the color code is white for the hottest, followed byred, yellow, green and blue, with black representing the coldest temperature.

    Figure 2 shows the infrared radiant track along the Lung Meridian of Hand-Taiyin and

    the Heart Meridian of Hand-Shaoyin and the Liver Meridians of Foot-Jueyin on a 19-year-

    old healthy man.

    Figure 3 gives the infrared radiant track along the Spleen Meridians of Foot-Taiyin on

    a 21-year-old healthy man. Furthermore, from Fig. 3, the Conception Vessel can also be

    visualized.

    Figure 4 shows the infrared radiant track along the Conception Vessel and the Stomach

    Meridians on a 26-year-old healthy man.

    Figure 5 displays the infrared radiant track with low temperature along the Governor

    Vessel on a 25-year-old healthy woman.

    Figure 1. The infrared thermal imaging system.

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    Figure 2. Infrared radiant track along the Lung Meridian of Hand-Taiyin, the Heart Meridian of Hand-Shaoyin

    and the Liver Meridians of Foot-Jueyin on a 19-year-old healthy man.

    Figure 3. Infrared radiant track along the Spleen Meridians of Foot-Taiyin on a 21-year-old healthy man.

    Figure 4. Infrared radiant track along the Conception Vessel and the Stomach Meridians on a 26-year-old man.

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    MERIDIAN AND ACUPOINTS BY INFRARED THERMAL IMAGING 235

    Figure 6 to Fig. 9 show the infrared radiant tracks change versus time and the

    reproducibility of the appearance of meridian. Figure 6 and Fig. 7 were obtained from

    a 26-year-old man (a master student), while Figure 8 and Figure 9 were obtained from a

    22-year-old man (a senior student). Figure 6 and Fig. 8 show the Governor Vessels of the

    two persons at four different time in the daytime respectively. Figure 7 and Fig. 9 give

    the reproducibility of the appearance of infrared radiant track along the Large Intestine

    Meridian acupoints on these two persons respectively (the former from 29 March to 28

    April 2006; the latter from 23 May to 28 June 2006).

    Figure 5. Infrared radiant track with low temperature along the Governor Vessel on a 25-year-old healthy

    woman.

    Figure 6. Infrared radiant track along the Governor Vessel changes versus time in the daytime on a 26-year-old

    healthy man.

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    H.-Q. YANG et al.236

    Figure 7. The reproducibility of the appearance of infrared radiant track along the Large Intestine Meridian of

    Hand-Yangming acupoints in one month on a 26-year-old healthy man.

    Figure 8. Infrared radiant track along the Governor Vessel changes versus time in the daytime on a 22-year-old

    healthy man.

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    MERIDIAN AND ACUPOINTS BY INFRARED THERMAL IMAGING 237

    Figure 9. The reproducibility of the appearance of infrared radiant track along the Large Intestine Meridian of

    Hand-Yangming acupoints in one month on a 22-year-old healthy man.

    9:30 11:30 14:30 17:00 19:30 22:00

    33.4

    33.6

    33.8

    34.0

    34.2

    34.4

    34.6

    34.8

    35.0

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    35.4

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    Temperature

    Time

    A

    B

    C

    D

    Figure 10. The time rhythm of the temperature fields of acupoints and non-acupoints on one subject in the

    daytime.

    The time correlation of the temperature fields of acupoints in one meridian channel

    and different meridian channel and non-acupoint in the daytime is also studied. Figure 10

    gives the time rhythm of the temperature of the Jianyu point, (LI15, black line B), Binaopoint, (LI14, red line C) on the Large Intestine Meridian of Hand-Yangming (LI), the

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    H.-Q. YANG et al.238

    Shenque (RN8, blue line A) on the Conception Vessel (RN) and the non-acupoint outside

    the meridians (green line D) respectively.

    Discussion

    A commonly raised argument over the meridians is whether the mechanism of acupuncture

    and moxibustion lies in the nervous system. However, the nervous system cannot be used

    to the objective existence of the famous phenomena of generating-sensation along the

    meridian (Zhu et al., 2002), especially the blocking characteristic of generating-sensation

    by the external pressure or local cooling. Furthermore, meridians and acupoints, being

    the earliest evolved and also the most fundamental system, will definitely utilize the later

    evolved systems, such as the nervous system, immune system, etc., to accomplish the task

    of coordinating the whole body. If we focus only on one system, such as the nervous

    system, the body would be difficult to coordinate parts that do not have nerves. Therefore,

    we believe that the effect of acupuncture is based on the meridian theory.

    In spite of the successful application of the infrared thermal imaging technique

    in acupuncture meridian research to a certain extent, some people still believe that the

    infrared radiant track with high temperature along meridian courses over human body

    surface may be the thermal image of blood vessel, including superficial vein or the artery

    (Wang, 1984), which, as a matter of fact, can be distinguished by many ways, such as by

    Chinese acupuncture charts, observing the thermogram changing with time, and changing

    the postures for imaging etc. Our study demonstrated that the infrared radiant track hadlittle to do with the thermal images of blood vessels based on the following facts. Firstly,

    the thermal images of blood vessels look regular and continuous, while the radiant tracks

    along meridians may change with time. Secondly, it is well-known that there are no any

    vertical blood vessel on the body back and around the abdomen areas, where several

    infrared radiant tracks along meridian courses can be observed, as shown in Figs. 3 and

    4. Furthermore, in our study, we found that the infrared radiant track sometimes takes on

    a lower temperature strip, as shown in Fig. 5, which cannot be explained in terms of the

    physiology of blood vessels. Finally, the thermal image of blood vessel will change little

    in time.

    The temperature over the meridian lines or acupuncture points compared to thesurrounding areas can be hyperthermic, hypothermic or isothermic (Ovechkin et al., 2001).

    It is up to the temperature gradient between the meridian lines or the acupoints and its

    surrounding skin areas. If it is isothermic, it cannot be observed in thermogram. As shown

    in Fig. 10, the time rhythm of the temperature field of the acupoints and non-acupoint is

    similar to the time rhythm of the body. However, the change pace of the temperature varies

    from different acupoints and meridians. In addition, the change extent of nonacupoint is

    greater than that of the acupoint, and this is the reason that the meridians or acupoints can

    be visualized at some time, but not at some other time.

    From the above analysis, we may come to the conclusions of the laws of the appearance

    of human meridians, as follows:

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    MERIDIAN AND ACUPOINTS BY INFRARED THERMAL IMAGING 239

    1. The Governor Vessel, the Large Intestine Meridian and the Three Yin Meridians of

    Hand show higher appearance rates of all the main fourteen meridians under natural

    condition. The appearance rate of the Governor Vessel, in particular, is about 71.12%in our study.

    2. Even for the same meridian or acupuncture point, the appearance of meridian-like

    or acupoints varies from individuals. Some can have one meridian course over skin

    surface, others can have two or more meridian courses in one thermogram, or others

    may have no obvious meridian courses sometimes. Also the length of the infrared

    radiant tracks varies from person to person, and it can change in time as well, which

    may be attributed to the body function status of the individual.

    3. Under natural condition, the observation of the meridian-like structure and the

    acupoints by infrared radiant track depends on the subjects, the time, the specifications

    of the thermal imaging system and the surrounding conditions, and so on.

    4. The temperature distribution over the acupuncture points or meridian lines cannot

    remain constant, it changes with time. For the same subject, it can be reproducible.

    In conclusion, we have found that some parts of human meridian-like structure and

    acupoints can be visualized or displayed by means of the advanced and sensitive infrared

    thermal imaging technique under natural condition. The infrared radiant track indicates time

    correlation, which suggests that the infrared radiant track along human meridian courses is

    a normal vital and physiological phenomenon appearing in human being. Compared with

    other researchers works (Lo, 2002; Schlebusch et al., 2005; Hu et al., 1996 and 2001), the

    results in this study are unique, reliable and reproducible. In short, this study for the first

    time gives the direct evidence of the existence of the meridians and acupoints structure

    from the body physiological function, and may be a reliable basis for further clarifying the

    physical nature of the merdians and acupoints.

    Acknowledgments

    This work was supported by the National Natural Science Foundation of China under grant

    No. 60578056 and No. 30572309, the Science Research Foundation of Ministry of Health

    & United Fujian Provincial Health and Education Project for Tackling the Key Research ofChina under grant No. WKJ2005-2-004.

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    3. H Liu, Zhong LiuThermal Texture Mapping 1-24. [CrossRef]

    4. Jun Jia, Yan Yu, Jia-Hui Deng, Nicola Robinson, Mark Bovey, Yun-Hua Cui, Hui-Rong Liu, WeiDing, Huan-Gan Wu, Xiao-Min Wang. 2012. A review of Omics research in acupuncture: Therelevance and future prospects for understanding the nature of meridians and acupoints. Journal ofEthnopharmacology140:3, 594-603. [CrossRef]

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