论针刺、得气与疗效关系

On the Relationship between Needling,Deqi and Curative Effect

根据《灵枢》等古代文献的记载,得气是充分发挥针刺疗效的重要前提,这一观点也被后世的针灸从业者所继承。另一方面,近年来也涌现出了一批不追求出现得气感的针刺方法,如腕踝针等。该文通过查阅文献并结合自身临床经验,说明了得气对于发挥针刺疗效确有重要作用,一些临床研究的结果也支持了这一结论。该文还列举了影响得气的几个主要因素,即取穴、刺法和刺激量,并提出"反应量"的观点,以作为从患者的角度对针刺量学的补充。又探讨了针刺得气对患者心理可能产生的影响,说明了针刺疗法身心二元调节的作用。

According to ancient literature like the miraculous pivot,Deqi plays an important role in obtaining curative effect,and this opinion is inherited by acupuncturists later. On the other hand,some needling therapies that do not require needling sensation appear,such as wrist- ankle acupuncture. In this article we conclude that needle sensation significantly influence needling effect,by comparing literature,clinic trails and our own experience. We also illustrate some elemental factors that affect Deqi obviously,as point location,needling methods and quantity of stimulation. Furthermore,we come up with a concept quantity of reaction to compensate needling quantization study and help promote curative effect. Then we discussed the probable psychology mechanism during needling process,and show the regulating effect of needling in both body and mind.