Does Deqi (needle sensation) exist?
Does Deqi (needle sensation) exist?
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DOI：
10.1142/s0192415x02000053
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发表时间：
2002-01-01
影响因子：
5.7
通讯作者：
Lee, H
中科院分区：
文献类型：
--
作者：
Park, H;Park, J;Lee, H
针灸的作用机制尚不清楚，因此对于针刺的风格和感觉没有明确的共识。为了增强针灸的科学基础，针灸应该在某种程度上客观化。德气一词被理解为代表了针灸刺激的所有现象或至少是主要形式。然而，德启的特点一直是建立在对中文原文描述的翻译基础上的。为了找到发展假(安慰剂)致盲方法的线索，我们调查了哪些感觉是经常预期和经历的，以及这些预期和感觉体验在幼稚的受试者中是否相似。文森特等人研制的针灸感觉量表。(1989)被翻译成韩语。38名健康针灸天真女性志愿者(年龄25~39岁，平均29.1岁)被要求按照她们期望的针刺前感觉来完成针刺感觉量表。针刺手部左侧合谷穴，包括插入、刺激30s、取出。在针刺后，立即要求受试者根据他们所经历的完成相同的感觉量表。受试者预计会感到疼痛、刺痛、尖锐、刺痛、刺痛和刺痛，但实际上超过60%的时间会经历疼痛、扩散、辐射、刺痛和刺痛。在期望和体验的比较中，受试者期望的穿透力、刺痛感、刺痛感和灼热感比他们经历的要多，相反，他们经历的疼痛、拉扯、沉重、迟钝、触电和搏动比他们预期的要多。传统上描述的德气感觉不仅仅是韩国人普遍的疼痛层面。涉及有针灸经验的受试者或来自其他文化的受试者的进一步研究需要证实这一发现。此外，还应研究假针灸。
The mechanism, by which acupuncture works is not yet clear, therefore there is no unequivocal consensus about styles and sensations of needling. To enhance the scientific base of acupuncture, needling somehow should be objectified. The term Deqi is understood to represent all or at least the main form of phenomena to acupuncture stimulation. The characteristics of Deqi, however, have always been based on a translation of original Chinese description. Hoping to find a clue to develop sham (placebo) method for subject blinding, we investigated which sensations are frequently expected and experienced, and whether or not these expectations and experiences of sensations are similar in naive subjects. The acupuncture sensation scale developed by Vincent et al. (1989) was translated into Korean. Thirty-eight healthy acupuncture naive female volunteers (mean age 29.1, range 25-39) were asked to complete the sensation scale of acupuncture according to what they expected needling to feel like before needling. Needling was done on left Hegu (LI4) point in the hand and consisted of insertion, stimulation for 30 seconds, and removal. Directly after needling, the subjects were asked to complete the same sensation scale according to what they experienced. The subjects expected to feel hurting, penetrating, sharp, tingling, pricking and stinging, and actually experienced aching, spreading, radiating, pricking and stinging more than 60% of the time. Comparison between expectation and experience, the subjects expected more penetrating, tingling, pricking and burning than they experienced, and on the contrary experienced more aching, pulling, heavy, dull, electric and throbbing than they expected. Traditionally described sensations of Deqi are something beyond just a general pain dimension in the Korean population. Further study involving acupuncture experienced subjects or subjects from other cultures need to confirm this finding. Moreover, sham acupuncture should be studied.