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EFFECT OF NEEDLING SENSATION REACHING THE SITE OF DISEASE ON THE RESULTS OF ACUPUNCTURE TREATMENT OF BRONCHIAL ASTHMA 被引量:1
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作者 盛玲玲 杨红英 +2 位作者 秦亮甫 钱黛华 王丹华 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1989年第2期140-143,共4页
Effective treatment of bronchial asthmawith various methods of acupuncture has beenreported in the literature.The present articlediscusses the results of the treatment of bron-chial asthma(BA)and chronic senile bronch... Effective treatment of bronchial asthmawith various methods of acupuncture has beenreported in the literature.The present articlediscusses the results of the treatment of bron-chial asthma(BA)and chronic senile bronchitis(CSB)according to the phenomenon of needlingsensation reaching the site of disease during acu-puncture. 展开更多
关键词 acupuncture SENILE asthma BRONCHIAL BRONCHITIS sensation MINUTE markedly treating needle
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PRELIMNARY STUDY ON THE EFFECT OF SUBSTANCE P IN THE PROCESS OF FORMATION OF NEEDLING SENSATION
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作者 徐国龙 沈德凯 刘向国 《World Journal of Acupuncture-Moxibustion》 2001年第4期27-30,共4页
Object: To study the effect of SP in the process of formation of needling sensation in the rat. Methods: The pain threshold was determined by inducing rat’s tail swing reaction when the electrical stimulation was gra... Object: To study the effect of SP in the process of formation of needling sensation in the rat. Methods: The pain threshold was determined by inducing rat’s tail swing reaction when the electrical stimulation was gradually increased to a certain extent via two electrodes inserted in the bilateral sides of the tail. Right Zusanli (ST 36) was stimulated electrically for 30 min by setting the stimulating parameters as continuous waves, frequency of 20 Hz and a suitable strength (just generating slight muscular tremor). The relative SP contents of the spinal cord and the small intestine were displayed by using immunohistochemical method and evaluated using gray density value. The effect of "Zusanli" injection of SP on pain threshold was observed by injecting 25 μL of SP (5 nm) into the bilateral ST 36. In control group, normal saline (25 μL) was injected into the bilateral ST 36. Results: ① After elctroacupuncture (EA) of ST 36, both the pain threshold and SP content of the spinal dorsal horn on the EA side increased significantly (P< 0.05); and ② Both EA and injection of SP could raise the pain threshold remarkably. Conclusion: SP may play an important role in the process of formation of needling sensation in the primary nerve center. 展开更多
关键词 SP needling sensation EA of 'Zusanli' (ST36)
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3-DIRECTIONAL PENETRATION NEEDLING FOR THE TREATMENT OF PARALYSIS
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作者 施能云 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1996年第1期37-40,共4页
From over 30 years’clinical experience,the author designed an acupuncture methodcalled 3—directional penetration needling,which was found useful for the treatment ofparalysis due to epilepsy,infantilepoliomyelitis,e... From over 30 years’clinical experience,the author designed an acupuncture methodcalled 3—directional penetration needling,which was found useful for the treatment ofparalysis due to epilepsy,infantilepoliomyelitis,encephalitis or encephalo-myelitis.Method of Manipulation The 3—directional penetration needlingis a combination of inserting needles instraightforward,upward and downward di- 展开更多
关键词 acupuncture EPILEPSY encephalo directional MYELITIS PARALYSIS penetration needlE ACUPOINT sensation
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患者针感与医生手下感之间相关性:一项随机对照试验的二次分析
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作者 林驰 郭婉清 +4 位作者 萨喆燕 罗彩云 钟晓玲 徐沙丽 翁劲松 《上海针灸杂志》 CSCD 2024年第9期1034-1039,共6页
目的分析同为针刺得气指征的患者针感与医生手下感的相关性。方法将一项随机对照试验原始数据进行二次分析,62例原发性痛经寒湿凝滞证患者随机分为A组32例和B组30例。两组均针刺双侧三阴交穴,A组采用促使得气方法(深刺、粗针、行手法)干... 目的分析同为针刺得气指征的患者针感与医生手下感的相关性。方法将一项随机对照试验原始数据进行二次分析,62例原发性痛经寒湿凝滞证患者随机分为A组32例和B组30例。两组均针刺双侧三阴交穴,A组采用促使得气方法(深刺、粗针、行手法)干预,B组采用避免得气方法(浅刺、细针、不行手法)干预。二次分析聚焦A组数据,采用《受试者针感临床评价量表》评估患者主观感受(针感强度、时间和成分),采用自制量表评估医生手下感强度,分析两者之间相关性。结果患者主观感受的3个指标之间呈两两正向直线相关(P<0.05)。12种常见得气感成分中有7种与针感持续总时间明显正向直线相关(P<0.05)。不属于得气感之刺痛与患者针感强度具有正向直线相关(P<0.05)。单次行针后患者针感持续时间同该次行针时医生手下感强度具有正向直线相关(P<0.05)。医生手下感总强度与患者针感强度、得气感成分总强度未见明显线性相关(P>0.05),却与患者麻感强度正向直线相关(P<0.05)。结论三阴交单穴针刺时,患者针感强度易受非得气之刺痛感的干扰,其与医生手下感强度表现为不会线性同步增加,但该穴处患者针感持续时间和单一得气感成分麻感不受刺痛感干扰,与医生手下感强度表现出同步增加。故科研中应重视得气感时间指标和医生手下感的记载。 展开更多
关键词 针刺 三阴交 得气 针感
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Effects of Three Needling Manipulations of Zusanli(ST 36) on Deqi Sensations and Surface Myoelectricity in Healthy Participants 被引量:4
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作者 LU Feng-yan GAO Jun-hong +8 位作者 WANG Yuan-yuan LIU Qun XIN Juan-juan BAI Wan-zhu ZHAO Yu-xue ZHOU Chen CHEN An-li ZHANG Wen-xi YU Xiao-chun 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2021年第2期91-97,共7页
Objective:To investigate the effects of different acupuncture manipulations on Deqi sensations and surface myoelectricity,and explore the correlation between Deqi sensations and needling manipulations.Methods:Forty-fi... Objective:To investigate the effects of different acupuncture manipulations on Deqi sensations and surface myoelectricity,and explore the correlation between Deqi sensations and needling manipulations.Methods:Forty-five healthy participants accepted twirling,lifting-thrusting,and twirling plus lifting-thrusting manipulanions at right Zusanli(ST 36),respectively.The acupuncturist’s and participants’Deqi sensations were collected by MGH Acupuncture Sensation Scale(MASS).The intensity and occurrence rate of soreness,dull pain,pressure,heaviness,fullness,numbness,sharp pain,warmth,coolness,and throbbing feelings of participants,and tightness,smooth,and tangle feelings of acupuncturist were measured.The correlation between the acupuncturist’s and participant’s Deqi sensations was analyzed.Surface electromyogram(EMG)was recorded before,during and after needling in 30 participants.The integrated EMG(iEMG),mean power frequency(MPF)and media frequency(MF)were analyzed.Result:Both fullness and soreness of participants and tightness of acupuncturist were the most frequently occurred ones.A positive correlation between participants’fullness and acupuncturist’s tightness was observed during the three aforementioned needling manipulations(P<0.05,OR>1).Almost all the needling sensations measured in the present study could be induced by the three needling manipulations.However,strength of Deqi sensations was exhibited as lifting-thrusting>twirling plus lifting-thrusting>twirling according to MASS index.The i EMG values were increased and MPF,MF values were decreased during needling compaired to those before needling,especially during lifting-thrusting(P<0.01).Conclusions:The intensity and occurrence rate of the different Deqi sensations induced by different needling manipulations were basically similar.The fullness and soreness were both the most frequently induced Deqi sensations.The strongest Deqi sensation could be induced by lifting-thrusting manipulation.There is a positive correlation between participants’fullness and acupuncturist’s tightness during the three needling manipulations.The myoelectricity around the acupoint is related to Deqi responses.(Registration No.AMCTR-IOR-20000314). 展开更多
关键词 needling manipulation deqi needling sensation surface myoelectricity Chinese medicine
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“针感”与临床针刺疗效的关系及其影响因素
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作者 杨欣雨 李旭豪 +3 位作者 王兴鑫 纪会敏 杨继国 刘源香 《世界中医药》 CAS 北大核心 2024年第11期1664-1666,1673,共4页
“针感”为近代提出的词汇,为“得气”的客观化表现。“针刺疗效”为针刺后产生的客观化结果。众多医家认为,只有产生“针感”才会有临床疗效;但临床发现,无“针感”的情况下也有疗效。因此,本文通过查阅相关文献归纳总结“针感”与临... “针感”为近代提出的词汇,为“得气”的客观化表现。“针刺疗效”为针刺后产生的客观化结果。众多医家认为,只有产生“针感”才会有临床疗效;但临床发现,无“针感”的情况下也有疗效。因此,本文通过查阅相关文献归纳总结“针感”与临床疗效的相关研究并发现,有无“针感”均可以产生临床疗效,但二者之间的临床疗效具有显著差异,有“针感”的临床疗效更优,然而,显性针感与隐性针感的临床疗效之间却无明显差异,并对影响针感的因素进行了总结,以期为临床提高针刺疗效提供思路。 展开更多
关键词 针感 显性针感 隐性针感 无针感 针刺 疗效 得气 影响因素
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Activated and deactivated functional brain areas in the Deqi state: A functional MRI study 被引量:4
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作者 Yong Huang Tongjun Zeng +5 位作者 Guifeng Zhang Ganlong Li Na Lu Xinsheng Lai Yangjia Lu Jiarong Chen 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第30期2362-2369,共8页
We compared the activities of functional regions of the brain in the Deqi versus non-Deqi state, as reported by physicians and subjects cludng acupuncture, Twelve healthy volunteers received sham and true needling at ... We compared the activities of functional regions of the brain in the Deqi versus non-Deqi state, as reported by physicians and subjects cludng acupuncture, Twelve healthy volunteers received sham and true needling at the Waiguan (TE5) acupoint. Real-time cerebral functional MRI showed that compared with non-sensation after sham needling, true needling activated Brodmann areas 3, 6, 8, 9, 10, 11, 13, 20, 21, 37, 39, 40, 43, and 47, the head of the caudate nucleus, the parahippocampal gyrus, thalamus and red nucleus. True needling also deactivated Brodmann areas 1,2, 3, 4, 5, 6, 7, 9. 10. 18.24.31.40 and 46. 展开更多
关键词 needling sham needling Waiguan (TE5) sham point deqi functional MRI brain region activation DEACTIVATION neural regeneration
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ELECTRIC NEEDLE THERAPY FOR PERIPHERAL FACIAL PARALYSIS 被引量:1
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作者 张学勋 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1997年第1期47-49,共3页
From 1986 to 1995, the author treated 60 cases of peripheral facial paralysis, of which 50 cases were treated with electric needles and 10 cases in the control group with filiform needles.
关键词 PARALYSIS FACIAL needlE sensation interrupted treating CURATIVE diseased stimulation RETAIN
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TREATMENT OF RHEU MATOID ARTHRITIS BY WARMING NEEDLE
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作者 孙丽琴 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1992年第1期41-44,共4页
Rheumatoid arthritis is a chronicsystemic disease with pathological changesof the joints as the main symptoms.It isclassified under the category of Bisyndrome in traditional Chinese medicine.150 cases of rheumatoid ar... Rheumatoid arthritis is a chronicsystemic disease with pathological changesof the joints as the main symptoms.It isclassified under the category of Bisyndrome in traditional Chinese medicine.150 cases of rheumatoid arthritis were treat-ed with warming needle in our departmentfrom August 1984 through August 展开更多
关键词 WARMING joints needlE category MARKED sensation accounting PAINFUL smoothly notes
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针刺得气的研究及展望 被引量:5
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作者 王春琛 石广霞 +2 位作者 李旭 袁芳 刘银霞 《世界中医药》 CAS 2023年第8期1198-1201,1205,共5页
得气作为研究经络实质和针灸理论体系的重大问题,是针灸学科发展的核心问题。得气既是针刺效果的前提,也是治疗关键因素。随中医现代科学化研究进程,未来引进分子生物学技术、力学技术与人工智能等现代科学技术与验证得气相结合,对其客... 得气作为研究经络实质和针灸理论体系的重大问题,是针灸学科发展的核心问题。得气既是针刺效果的前提,也是治疗关键因素。随中医现代科学化研究进程,未来引进分子生物学技术、力学技术与人工智能等现代科学技术与验证得气相结合,对其客观评定并与针效和临床诊疗结合,细化对得气的研究,构建现代针灸学得气这一重要内容的测评体系,共同促进针灸学发展。现从得气的概念、穴位本态、穴位敏化机制、主观客观评价、影响因素及得气与针效的量效等关系进行阐述。 展开更多
关键词 得气 针刺 穴位敏化 穴位本态 针感 量表 评价体系 量效关系
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针刺对象认知水平与得气的关系 被引量:1
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作者 赵云龙 《中国中医药现代远程教育》 2023年第2期138-140,共3页
目的研究针刺对象认知水平与得气的关系,为推进针灸教学和针灸临床提供理论依据。方法选取保山中医药高等专科学校2019级、2020级4个专业420名志愿者并给予针刺,发放、回收针刺感应问卷并进行分析。结果从未学习过针灸的学生和学习或了... 目的研究针刺对象认知水平与得气的关系,为推进针灸教学和针灸临床提供理论依据。方法选取保山中医药高等专科学校2019级、2020级4个专业420名志愿者并给予针刺,发放、回收针刺感应问卷并进行分析。结果从未学习过针灸的学生和学习或了解针灸的学生对得气的反应存在明显区别,提示在针刺教学或者在针灸临床中,操作前应该告知患者针刺的反应。结论针刺对象认知水平与得气关系密切,得气的影响因素应考虑针刺对象的认知水平。 展开更多
关键词 毫针刺法 得气 认知水平
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肌肉跳动针感及其作用探析 被引量:1
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作者 周璐 王朋 《世界中西医结合杂志》 2023年第3期605-608,630,共5页
针感是临床起效的关键,包含患者的主观感觉和医者手下的感觉,如酸麻胀重、沉紧涩等感觉。古籍多从“动”来描述得气感,针刺过程中产生的肌肉跳动现象就是一种常见的针下运动反应。肌肉跳动针感的产生是对经气的完全调动,患者能感知较强... 针感是临床起效的关键,包含患者的主观感觉和医者手下的感觉,如酸麻胀重、沉紧涩等感觉。古籍多从“动”来描述得气感,针刺过程中产生的肌肉跳动现象就是一种常见的针下运动反应。肌肉跳动针感的产生是对经气的完全调动,患者能感知较强的酸胀感,医者手下明显有沉紧感,是一种可感知、可视化的客观得气状态。肌肉跳动针感具有明显的手法特点和作用,其手法似合谷刺,能增强针感,扩大刺激面,有效激发调动卫气,达到以动治静的目的。同时,其进针部位、局部反应与西医的软组织张力、激痛点理论相似,或可解释其作用机理。临床研究进一步证明了肌肉跳动针感的获得能更好地提高疗效。 展开更多
关键词 针感 肌肉跳动 手法特点 合谷刺 卫气 软组织张力 激痛点
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Needle Sensation and Personality Factors Influence Therapeutic Effect of Acupuncture for Treating Bell's Palsy: A Secondary Analysis of a Multicenter Randomized Controlled Trial 被引量:10
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作者 Chen-Yan Zhang Sha-Bei Xu +7 位作者 Bo Huang Peng Du Gui-Bin Zhang Xiang Luo Guang-Ying Huang Min-Jie Xie Zong-Kui Zhou Wei Wang 《Chinese Medical Journal》 SCIE CAS CSCD 2016年第15期1789-1794,共6页
Background: It has not been solved what kind of needle sensation might influence outcomes of acupuncture treatment. Effects of personality factors on the therapeutic effect of acupuncture have not been investigated. ... Background: It has not been solved what kind of needle sensation might influence outcomes of acupuncture treatment. Effects of personality factors on the therapeutic effect of acupuncture have not been investigated. This study aimed to find the effects of the traits of personality on the objective outcome when different acupuncture techniques were used in treating patients with Bell's palsy. Methods: We performed a secondary analysis of a prospective multicenter randomized controlled trial of acupuncture for Bell's palsy. Patients were randomly assigned to the de qi and control groups, respectively. The primary outcome was facial nerve function at month 6. The intensity of each needle sensation was rated by a visual analog scale. Psychosocial thctors were assessed by the pretreatment mediator questionnaire: 16 Personality Factor Questionnaire (16PF) was used tbr assessing personality factors and digit cancellation test for assessing attention. Results: After 6 months, patients in the de qi group had better facial function (adjusted odds ratio [OR]: 4.16, 95% confidence interval [CI]: 2.23-7.78). Path analysis showed that intensity of needle sensation of fullness had direct effect on House-Brackmann (HB) score at month 6. In de qi group, the low HB score on day I (OR: 0.13, 95% (_7: 0.03-0.45) and the low Social Boldness score (OR: 0.63, 95% CI: 0.41-0.97) in 16PF were associated with better facial function. In control group, low HB score on day 1 (OR: 0.25, 95% CI: 0.13-0.50), low Vigilance score (OR: 0.66, 95% CI: 0.50-0.88), and high Tension score (OR: 1.41,95% CI: 1.12 1.77) in 16PF were related to better facial function. Conclusions: The needle sensation of fullness could predict better facial function and personality traits might influence outcomes of acupuncture treatment. Both of them should be considered seriously in acupuncture treatment and research. 展开更多
关键词 16 Personality Factor Questionnaire Bell's Palsy De Qi needle sensation
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针刺之得气
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作者 武双喆 黄利霞 范愈燕(指导) 《光明中医》 2023年第23期4554-4556,共3页
针刺法最早记载于《黄帝内经》,其《灵枢·邪客》曰:“持针之道……左手执骨,右手循之”。指的是针刺入穴位来治病的手法。针刺,又离不开得气。《灵枢·九针十二原》曰:“刺之要,气至而有效”。古称“气至”,即为得气,实为“针... 针刺法最早记载于《黄帝内经》,其《灵枢·邪客》曰:“持针之道……左手执骨,右手循之”。指的是针刺入穴位来治病的手法。针刺,又离不开得气。《灵枢·九针十二原》曰:“刺之要,气至而有效”。古称“气至”,即为得气,实为“针感”。此文围绕针刺得气展开论述,即从针刺得气的内涵,到针刺得气的临床表现,包括医生、患者主观感受,以及客观征象这3个方面,从而论述针刺得气的临床价值。 展开更多
关键词 针刺疗法 得气 针感
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不同的微针深度微针与外用米诺地尔联合治疗男性雄性激素脱发的临床观察 被引量:2
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作者 梁桂梅 李祥玉 吴斌华 《中国医疗美容》 2023年第7期33-36,共4页
目的研究不同深度微针联合外用米诺地尔治疗男性雄性激素脱发的效果。方法于我院雄性激素脱发的男性患者中随机抽取60例,分为对照组(30例,0.5mm微针治疗+米诺地尔)和观察组(30例,1mm微针治疗+米诺地尔),对比两组疗效。结果观察组治疗有... 目的研究不同深度微针联合外用米诺地尔治疗男性雄性激素脱发的效果。方法于我院雄性激素脱发的男性患者中随机抽取60例,分为对照组(30例,0.5mm微针治疗+米诺地尔)和观察组(30例,1mm微针治疗+米诺地尔),对比两组疗效。结果观察组治疗有效率(86.67%)和对照组(83.33%)对比无统计学意义(P>0.05)。观察组毛发直径(55.92±3.61)μm,毛发密度(40.71±2.80)根/0.457cm^(2),和对照组[毛发直径(55.73±3.54)μm,毛发密度(40.65±2.61)根/0.457cm^(2)]对比无统计学差异(P>0.05)。对照组VAS(3.62±0.58)分,满意度(90.47±3.36)分,显著优于观察组[VAS(4.27±0.65)分,满意度(87.21±4.13)分](P<0.05)。观察组明显疼痛4例(13.33%),瘙痒2例(6.67%),红斑2例(6.67%),出血4例(13.33%),合计12例(40.00%),显著多于对照组[瘙痒1例(3.33%),出血1例(3.33%),未见明显疼痛、红斑,合计2例(6.67%)](P<0.05)。结论0.5mm和1mm微针深度联合米诺地尔治疗均能达到良好的治疗效果,改善毛发直径以及毛发密度,按0.5mm微针深度疼痛感更加轻微,不容能够以出现不良反应,安全性更高,患者满意度更高。因此建议采取0.5mm微针深度和米诺地尔治疗脱发,可取得良好治疗效果。 展开更多
关键词 雄性激素脱发 米诺地尔 微针治疗 不良反应 疼痛感
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有关得气的误解:从历史回顾到实验研究 被引量:43
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作者 黄涛 孔健 +1 位作者 黄鑫 徐一慧 《中国针灸》 CAS CSCD 北大核心 2008年第2期105-109,共5页
对得气与针感的历史进行了溯源,探讨了酸麻胀痛重等作为得气代名词的误解过程,并探讨与介绍了得气的现代意义与实验室研究。虽然海内外对针刺后的酸麻胀痛重感与疗效的关系一再提出争议,但实际上这是一种以针感代得气的误解,有些针刺可... 对得气与针感的历史进行了溯源,探讨了酸麻胀痛重等作为得气代名词的误解过程,并探讨与介绍了得气的现代意义与实验室研究。虽然海内外对针刺后的酸麻胀痛重感与疗效的关系一再提出争议,但实际上这是一种以针感代得气的误解,有些针刺可能并无酸麻胀痛重感,但同样使受刺者产生舒适感,同时刺者手下可能也有感觉,这其实已经属于得气状态,而这种状态通过实验室的研究可望通过功能性核磁共振等手段进行检测,从而使得气或针感可以有指标可循。 展开更多
关键词 得气 针刺行气 针刺感应 针灸学/历史
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针刺提插和捻转手法运针频率在得气与非得气状态的差异 被引量:28
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作者 丁光宏 沈雪勇 +5 位作者 戴建华 刘辉 王彩虹 魏建子 姚伟 李信安 《中国针灸》 CAS CSCD 北大核心 2002年第10期679-681,共3页
目的 :通过实时定量检测手段和频谱分析方法得到了临床常用 6种针刺手法的运针主频率。方法 :采用笔者研制的临床针灸针体实时受力监测系统 ,分别检测了在人活体和新鲜猪肉上运用提插和捻转等 6种手法时针体的受力状况。结果 :在人体曲... 目的 :通过实时定量检测手段和频谱分析方法得到了临床常用 6种针刺手法的运针主频率。方法 :采用笔者研制的临床针灸针体实时受力监测系统 ,分别检测了在人活体和新鲜猪肉上运用提插和捻转等 6种手法时针体的受力状况。结果 :在人体曲池穴上运用这些基本针刺手法的主频率参数较为集中 ,范围为 0 6 0~ 1 80Hz ,平均值约为 1 2 0Hz。补法与泻法在主频率上有较大的差异。在人体上的主频率平均值约为 1 2 0Hz ,在猪肉上的仅为 0 5 0Hz左右 ,差异有显著性意义 (P <0 0 5 )。结论 :1 2 0Hz这个频率平均值 ,可以认为是一个有规律的得气指标和参数。 展开更多
关键词 提插 捻转 得气 剂量效应关系 针灸
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针感的溯源及其本质 被引量:5
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作者 李强 叶金甜 +3 位作者 杨柳 闵霏 梁凤霞 王华 《中华中医药学刊》 CAS 2014年第9期2109-2111,共3页
针感是临床上常见现象。多数医者认为针感与得气或气至同义,即针刺过程中出现针感说明预期治疗效果较好,无针感预示着疗效差。可目前也有学者提出相反的观点。通过查询古籍文献以及清华同方、重庆维普和PubMed上相关文献,在分析针感一... 针感是临床上常见现象。多数医者认为针感与得气或气至同义,即针刺过程中出现针感说明预期治疗效果较好,无针感预示着疗效差。可目前也有学者提出相反的观点。通过查询古籍文献以及清华同方、重庆维普和PubMed上相关文献,在分析针感一词的演化过程和现代研究的基础上对针感与得气和气至进行了辨析认为:针感一词是针刺与现代医学相结合而产生的新名词,反应的是受术者的机能状态;针感不同于得气和气至,但三者的关系密切,是进行补泻获得气至、得气状态的重要标志。 展开更多
关键词 针感 得气 气至 针刺
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交感神经敏感线与经络实质 被引量:45
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作者 刘里远 彭安 +2 位作者 潘娟 张慧 邢秀宇 《中国针灸》 CAS CSCD 北大核心 2001年第5期285-289,共5页
《内经》的经络包括运行营血的血管性经络和运行卫气的非血管性经络两类 ,后者即针刺信号沿皮肤经线的传导过程。本文从五个方面论述了皮肤中确实存在传递针刺信号的通道以及通道的实质是交感神经敏感线 :针刺信号传递或循经感传发生在... 《内经》的经络包括运行营血的血管性经络和运行卫气的非血管性经络两类 ,后者即针刺信号沿皮肤经线的传导过程。本文从五个方面论述了皮肤中确实存在传递针刺信号的通道以及通道的实质是交感神经敏感线 :针刺信号传递或循经感传发生在皮肤中 ,针刺后皮肤经线交感递质释放与阻断与经络传导相关 ,微量的α受体兴奋剂穴位注射模拟出针刺效应 ,经脉线为交感神经递质富集线 ,皮肤中存在特异的儿茶酚胺细胞。最后指出 ,血管本身是体内最典型的交感神经及递质敏感通道 ,因此 ,交感神经敏感通路是两类经络的共同核心。 展开更多
关键词 经络实质 交感神经系统 针刺感应 循经感传
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Impacts of the different tissue specificities of the acupoints on electroacupuncture sensations 被引量:3
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作者 王小玲 方继良 +8 位作者 周科华 王寅 洪洋 刘军 王雷 薛超 赵婷 刘保延 朱兵 《World Journal of Acupuncture-Moxibustion》 2012年第2期48-54,共7页
Objective To evaluate the influence of the tissue specificity of the acupoints (different meridians, tissues and nerve segments) on the frequency, intensity and current flow output in association with electroacupunc... Objective To evaluate the influence of the tissue specificity of the acupoints (different meridians, tissues and nerve segments) on the frequency, intensity and current flow output in association with electroacupuncture (EA) sensations. Methods Twenty one volunteers received EA. According to the tissue specificities of acupoints, 5 acupoint pairs were selected, named Zúsānlǐ (足三里 ST 36) vs Yánglíngquán (阳陵泉 GB 34, different meridians), Nèiguān (内关 PC 6) vs Dàlíng (大陵 PC 7, different tissues), Zúsānlǐ (足三里 ST 36) vs Shuǐdào (水道 ST 28, different nerve segments), Guānyuán (关元 CV 4) vs Zhōngwǎn (中脘 CV 12, different nerve segments), and Zúsānlǐ (足三里 ST 36) vs Guānyuán (关元 CV 4, different meridians, tissues and nerve segments). The electric frequency was 15 Hz. The electric current was under the subject’s tolerance without sharp pain induced. EA lasted 90 s with 3 discontinuities. The sensations, such as soreness, numbness, fullness/distention, heaviness, tingling, pressure, dull pain, hotness and coldness were recorded as well as the current flow output in association with the needling sensations. The differences in the frequency, intensity and current flow output relevant with the needling sensations were compared among the different acupoint pairs. Results There were no significant differences in the frequency of the needling sensations among the different acupoint pairs (all P〉0.05). Of 9 different sensations of EA, fullness/distention, numbness and soreness presented the most commonly and remarkably; heaviness, pressure and tingling were on the second top; dull pain, hotness and coldness occurred at the lower frequency. There were the differences in the intensity of some needling sensations among the acupoint pairs, in which, the intensity of soreness, fullness/distention and heaviness was stronger at Zúsānlǐ (足三里 ST 36) vs Shuǐdào (水道 ST 28) (all P〈0.05); the intensity of fullness / distention, and numbness was stronger at Zúsānlǐ (足三里 ST 36) vs Guānyuán (关元 CV 4) (P〈0.01); the intensity of fullness/distention was stronger at Guānyuán (关元 CV 4) vs Zhōngwǎn (中脘 CV 12) (P〈0.05). The current flow output of EA was similar among the acupoint pairs (all P〉0.05). Conclusion In the situation that there is no obvious difference in the current flow output associated with EA sensations, the frequency of EA sensations does not relevant apparently with the different tissues. The difference in the intensity of the needling sensations among the different acupoints is probably relevant with the nerve segments at the acupoint locations. The frequency and the intensity of the different needling sensations at the same acupoint are relatively stable at the different times of EA. 展开更多
关键词 electroacupuncture (EA) needling sensation acupoint study intensity of needling sensation
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