Acupuncture de qi, from qualitative history to quantitative measurement

Acupuncture de qi, from qualitative history to quantitative measurement
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DOI:
10.1089/acm.2007.0524
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发表时间:
2007-12-01
影响因子:
2.6
通讯作者:
Kaptchuk, Ted J.
Kaptchuk, Ted J.
中科院分区:
医学4区
文献类型:
--
作者:
Kong, Jian;Gollub, Randy;Kaptchuk, Ted J.

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德气是一个重要的传统针灸术语,用来描述针刺与人体能量通路之间的联系。这一概念在最早的中国医学文献中有讨论,但关于德气现象的细节,可能包括针灸医生和/或患者的经历,直到最近一百年才得到全面描述。在本文中,我们将追溯德气作为一个演变的概念,并回顾评估针灸的针刺感觉的文献,以及针刺诱导的德气与疗效的关系。之后,我们将介绍MGH针刺感觉量表(MASS),这是一个旨在测量患者单独感受到的针刺刺激引起的感觉的量表,并讨论了一些分析此问卷结果的替代统计方法。我们相信,该量表或其他类似量表的广泛使用,以及德气与疗效相关性的研究,将使针灸研究更加精确,并加深我们对针灸治疗的理解。
De qi is an important traditional acupuncture term used to describe the connection between acupuncture needles and the energy pathways of the body. The concept is discussed in the earliest Chinese medical texts, but details of de qi phenomenon, which may include the acupuncturist's and/or the patient's experiences, were only fully described in the recent hundred years. In this paper, we will trace de qi historically as an evolving concept, and review the literature assessing acupuncture needle sensations, and the relationship between acupuncture-induced de qi and therapeutic effect. Thereafter, we will introduce the MGH Acupuncture Sensation Scale ( MASS), a rubric designed to measure sensations evoked by acupuncture stimulation as perceived by the patient alone, and discuss some alternative statistical methods for analyzing the results of this questionnaire. We believe widespread use of this scale, or others like it, and investigations of the correlations between de qi and therapeutic effect will lead to greater precision in acupuncture research and enhance our understanding of acupuncture treatment.