Objective With the development of science of acupuncture and moxibustion, people have, in the knowledge of ＂deqi＂, developed from subjective level to the quantitative level, and discovered many factors influencing t...Objective With the development of science of acupuncture and moxibustion, people have, in the knowledge of ＂deqi＂, developed from subjective level to the quantitative level, and discovered many factors influencing the ＂deqi＂ of acupuncture. In this report, the relationship between ＂deqi＂ and these factors was explored in terms of different acupuncture methods and quantity and depth of stimulus. Methods Ancient literature about ＂deqi＂, as well as related literature for clinical and basic research on ＂deqi＂ in recent 10 years were systematically collected. Results （1） Cerebral functional imaging technology and the scale of ＂deqi＂ were the most common quantitative indexes for ＂deqi＂ in recent 10 years. （2） There were many factors influencing ＂deqi＂ in acupuncture, which involved personal physiological status, nature of disease, anatomical features under the acupoint, different acupuncture methods, quantity and depth of stimulus, etc. Different acupuncture methods, quantity and depth of stimulus would bring different influences on and mechanisms of ＂deqi＂. Conclusion （1） ＂Deqi＂ is not equal to needling sensation; （2） recessive needling sensation should be re-recognized; （3） the sensation of doctor should be paid attention; （4） The meaning of ＂deqi＂ should be re-defined and re-understood.展开更多
Objective To explore better therapies for the treatment of frozen shoulder. Methods One hundred and seventy-four cases were divided into a filiform needle group （56 cases）, an electroacupuncture group （57 cases） a...Objective To explore better therapies for the treatment of frozen shoulder. Methods One hundred and seventy-four cases were divided into a filiform needle group （56 cases）, an electroacupuncture group （57 cases） and a warming needle group （61 cases） according to the randomized, controlled and single-blind study principles. Jiānqián （肩前 Extra）, Jiānyú （肩髃 LI 15）, Jiānliáo （肩髎 TE 14）, Nàoshū （臑俞 SI 10）, Wàiguān （外关 TE 5）, Hégǔ （合谷 LI 4） were used in all three groups but treated with filiform needle, electroacupuncture and warming needle technique respectively. The needles were retained for 30 min. It was given once every other day and 5 times constituted as one course. Pain indices and activity degree of shoulders were measured and recorded before and after treatment every time. Results The total effective rate was 93.0% （53/57） in the electroacupuncture group and 95.1% （58/61） in the warming needle group, both superior to that of 78.6% （44/56） in the filiform needle group （both P〈0.01）, but there was no significant difference between electroacupuncture group and warming needle group （P〉0.05）. After one course of treatment, the decline indices of shoulder pain of electroacupuncture group （4.28±0.22） and warming needle group （3.74±0.17） were both significantly greater than that of filiform needle group （2.78±0.18）（both P〈0.01）. And the decline indices of electroacupuncture group was also greater than that of warming needle group （P〈0.05）. The improvements of shoulder activity degree of warming needle group （76.92±5.53） and electroacupuncture group （60.37±3.80） were both greater than that of filiform needle group （42.50±3.67） （both P〈0.01）. And shoulder activity degree of warming needle group was also greater than that of electroacupuncture group （P〈0.01）. After one course of treatment, improvement of shoulder activity degree and decline indices of shoulder pain in these three groups were better than that after the first time treatment （all P〈0.01）. Conclusion All these three acupuncture therapies can achieve good therapeutic effects for frozen shoulder. The therapeutic effects of electroacupuncture and warming needle groups are superior to that of filiform needle group. All these three therapies could significantly reduce patients’ pain and improve their shoulder activity degree. The analgesic effect of electroacupuncture is the best, and the shoulder activity degree improved by warming needle is the best. The improvement of clinical therapeutic effect mainly depends on the therapy and the treatment times when the same acupoints are selected and the condition of illness are similar.展开更多
基金Supported by National key Basic Research Development Program of China(973 Program):2012 CB 518506National Key Basic Research Development Program of China:2006 CB 504503+1 种基金General Program of National Natural Science Foundation of China:30973793Ph.D.Programs Foundation of Ministry of Education:20090013110005
文摘Objective With the development of science of acupuncture and moxibustion, people have, in the knowledge of ＂deqi＂, developed from subjective level to the quantitative level, and discovered many factors influencing the ＂deqi＂ of acupuncture. In this report, the relationship between ＂deqi＂ and these factors was explored in terms of different acupuncture methods and quantity and depth of stimulus. Methods Ancient literature about ＂deqi＂, as well as related literature for clinical and basic research on ＂deqi＂ in recent 10 years were systematically collected. Results （1） Cerebral functional imaging technology and the scale of ＂deqi＂ were the most common quantitative indexes for ＂deqi＂ in recent 10 years. （2） There were many factors influencing ＂deqi＂ in acupuncture, which involved personal physiological status, nature of disease, anatomical features under the acupoint, different acupuncture methods, quantity and depth of stimulus, etc. Different acupuncture methods, quantity and depth of stimulus would bring different influences on and mechanisms of ＂deqi＂. Conclusion （1） ＂Deqi＂ is not equal to needling sensation; （2） recessive needling sensation should be re-recognized; （3） the sensation of doctor should be paid attention; （4） The meaning of ＂deqi＂ should be re-defined and re-understood.
基金Supported by key project of Zhejiang Administra on of Tradi onal Chinese Medicine: 2007 ZA 011
文摘Objective To explore better therapies for the treatment of frozen shoulder. Methods One hundred and seventy-four cases were divided into a filiform needle group （56 cases）, an electroacupuncture group （57 cases） and a warming needle group （61 cases） according to the randomized, controlled and single-blind study principles. Jiānqián （肩前 Extra）, Jiānyú （肩髃 LI 15）, Jiānliáo （肩髎 TE 14）, Nàoshū （臑俞 SI 10）, Wàiguān （外关 TE 5）, Hégǔ （合谷 LI 4） were used in all three groups but treated with filiform needle, electroacupuncture and warming needle technique respectively. The needles were retained for 30 min. It was given once every other day and 5 times constituted as one course. Pain indices and activity degree of shoulders were measured and recorded before and after treatment every time. Results The total effective rate was 93.0% （53/57） in the electroacupuncture group and 95.1% （58/61） in the warming needle group, both superior to that of 78.6% （44/56） in the filiform needle group （both P〈0.01）, but there was no significant difference between electroacupuncture group and warming needle group （P〉0.05）. After one course of treatment, the decline indices of shoulder pain of electroacupuncture group （4.28±0.22） and warming needle group （3.74±0.17） were both significantly greater than that of filiform needle group （2.78±0.18）（both P〈0.01）. And the decline indices of electroacupuncture group was also greater than that of warming needle group （P〈0.05）. The improvements of shoulder activity degree of warming needle group （76.92±5.53） and electroacupuncture group （60.37±3.80） were both greater than that of filiform needle group （42.50±3.67） （both P〈0.01）. And shoulder activity degree of warming needle group was also greater than that of electroacupuncture group （P〈0.01）. After one course of treatment, improvement of shoulder activity degree and decline indices of shoulder pain in these three groups were better than that after the first time treatment （all P〈0.01）. Conclusion All these three acupuncture therapies can achieve good therapeutic effects for frozen shoulder. The therapeutic effects of electroacupuncture and warming needle groups are superior to that of filiform needle group. All these three therapies could significantly reduce patients’ pain and improve their shoulder activity degree. The analgesic effect of electroacupuncture is the best, and the shoulder activity degree improved by warming needle is the best. The improvement of clinical therapeutic effect mainly depends on the therapy and the treatment times when the same acupoints are selected and the condition of illness are similar.
