气至、气至而有效、得气、针感的内涵与关系

Connotation and Relationship of Qi-arrival,Effective Qi-arrival,Obtaining Qi and Needling Sensation

认为"气至"之气分广义与狭义,针刺作为治疗手段时,气至多为谷气至,"气至而有效"之气即为谷气。气至是"得气"的前提,得气是针刺后谷气或正气至病所并与邪气斗争的状态,正邪相争的预后则需要脉象作为重要的评价标准,而"针感"则是气至、得气过程中产生的现象,分为显性针感与隐形针感。

The qi in qi-arrival have generalized meaning and narrow meaning. When acupuncture was regarded as a treatment,qi in qi-arrival usually refers to food essence,as in effective qi arrival. qi-arrival is the premise of obtaining qi,which refers to the struggling statement between food essences or arrival of healthy qi and pathogenic qi after needling. The prognosis of the struggling between healthy qi and pathogenic qi takes pulse manifestation as important evaluation standard,while needling sensation is a phenomenon that comes from the process of qi-arrival and obtaining qi,including dominant sensation and recessive sensation.