刺血疗法起源可追溯至针灸的诞生,因其具有简便验廉的特点,在临床上受到广泛应用。然而,因时代变迁导致的医学体系传承混乱,造成了刺血疗法所属的外治法体系与药物内治法体系间的杂糅,从而使得刺血疗法本来的诊疗意义被曲解。本文旨在...刺血疗法起源可追溯至针灸的诞生,因其具有简便验廉的特点,在临床上受到广泛应用。然而,因时代变迁导致的医学体系传承混乱,造成了刺血疗法所属的外治法体系与药物内治法体系间的杂糅,从而使得刺血疗法本来的诊疗意义被曲解。本文旨在以身形医学体系与中国古典针灸学理论为基点,将刺络、刺筋法与丘疹脓疱型痤疮治疗中的刺血疗法进行比较,来理清刺血疗法在丘疹脓疱型痤疮治疗中的意义。The origin of bloodletting therapy can be traced back to the birth of acupuncture. Because of its characteristics of simplicity, convenience, effectiveness, and low cost, it is widely used in clinical practice. However, the confusion in the inheritance of the medical system caused by the changes of the times has resulted in the mixture of the external treatment system to which bloodletting therapy belongs and the internal drug treatment system, thus distorting the original diagnostic and therapeutic significance of bloodletting therapy. This article aims to use the body shape medical system and the theory of Classical Chinese Acupuncture and Moxibustion as the basis to compare bloodletting therapy in the treatment of papulopustular acne among collaterals bloodletting, tendon bloodletting, and to clarify the significance of bloodletting therapy in the treatment of papulopustular acne.展开更多
De Qi refers to a series of sensations experienced when acupuncture is performed at acupoints. De Qi comprises needling sensations felt by the patient, and the sensations perceived by the acupuncturist. Classical Trad...De Qi refers to a series of sensations experienced when acupuncture is performed at acupoints. De Qi comprises needling sensations felt by the patient, and the sensations perceived by the acupuncturist. Classical Traditional Chinese Medicine theory states that De Qi is closely related to curative effect.In modern studies, the main index that researchers have used to evaluate De Qi was the needling sensation reported by the patient. Between 1 st Aug and 31 st Oct 2014, we conducted an electronic database search of all fields in Chinese and English to select literature assessing acupuncture needle sensations. We then reviewed the methods used within these studies to evaluate De Qi. The methods included simple evaluation, and the use of a De Qi scale/questionnaire. The simple evaluation, a qualitative evaluation, was judged by typical sensations felt by the patient after needling at acupoints, such as soreness, numbness, fullness, and heaviness.This method was easy and practicable, and had been adopted widely by Chinese researchers. In contrast, the De Qi scale/questionnaire, a quantitative evaluation, had multiple compiling methods available for evaluating the intensity of De Qi. The standardization and objectification of the De Qi scale/questionnaire effectively improved the quality of studies on De Qi, thereby these scales/questionnaires have been acknowledged and applied by most researchers. The present review analyzed and compared the scales/questionnaires used to evaluate De Qi; furthermore, we provided suggestions for the development and improvement of these questionnaires through integration with classical De Qi theory.展开更多
文摘刺血疗法起源可追溯至针灸的诞生,因其具有简便验廉的特点,在临床上受到广泛应用。然而,因时代变迁导致的医学体系传承混乱,造成了刺血疗法所属的外治法体系与药物内治法体系间的杂糅,从而使得刺血疗法本来的诊疗意义被曲解。本文旨在以身形医学体系与中国古典针灸学理论为基点,将刺络、刺筋法与丘疹脓疱型痤疮治疗中的刺血疗法进行比较,来理清刺血疗法在丘疹脓疱型痤疮治疗中的意义。The origin of bloodletting therapy can be traced back to the birth of acupuncture. Because of its characteristics of simplicity, convenience, effectiveness, and low cost, it is widely used in clinical practice. However, the confusion in the inheritance of the medical system caused by the changes of the times has resulted in the mixture of the external treatment system to which bloodletting therapy belongs and the internal drug treatment system, thus distorting the original diagnostic and therapeutic significance of bloodletting therapy. This article aims to use the body shape medical system and the theory of Classical Chinese Acupuncture and Moxibustion as the basis to compare bloodletting therapy in the treatment of papulopustular acne among collaterals bloodletting, tendon bloodletting, and to clarify the significance of bloodletting therapy in the treatment of papulopustular acne.
基金Supported by the National Basic Research Program of China(973 Program)-The Effect of De Qi on Acupoint Specific Effect Based on Meridians and its Characteristics and Molecular Response Mechanisms(No.2012CB518506)Research on Acupoint Specificity in Regulating Uterus(No.2006CB504503)Research on Laws of Acupoint Effects(No.2005CB523308)
文摘De Qi refers to a series of sensations experienced when acupuncture is performed at acupoints. De Qi comprises needling sensations felt by the patient, and the sensations perceived by the acupuncturist. Classical Traditional Chinese Medicine theory states that De Qi is closely related to curative effect.In modern studies, the main index that researchers have used to evaluate De Qi was the needling sensation reported by the patient. Between 1 st Aug and 31 st Oct 2014, we conducted an electronic database search of all fields in Chinese and English to select literature assessing acupuncture needle sensations. We then reviewed the methods used within these studies to evaluate De Qi. The methods included simple evaluation, and the use of a De Qi scale/questionnaire. The simple evaluation, a qualitative evaluation, was judged by typical sensations felt by the patient after needling at acupoints, such as soreness, numbness, fullness, and heaviness.This method was easy and practicable, and had been adopted widely by Chinese researchers. In contrast, the De Qi scale/questionnaire, a quantitative evaluation, had multiple compiling methods available for evaluating the intensity of De Qi. The standardization and objectification of the De Qi scale/questionnaire effectively improved the quality of studies on De Qi, thereby these scales/questionnaires have been acknowledged and applied by most researchers. The present review analyzed and compared the scales/questionnaires used to evaluate De Qi; furthermore, we provided suggestions for the development and improvement of these questionnaires through integration with classical De Qi theory.
