Review of Studies on Deqi of Acupuncture Mainly in Foreign Countries[J]. Acupuncture research, 2013, 38(2): 168-173.
DOI:
Review of Studies on Deqi of Acupuncture Mainly in Foreign Countries[J]. Acupuncture research, 2013, 38(2): 168-173. DOI: 10.13702/j.1000-0607.2013.02.015.
Review of Studies on Deqi of Acupuncture Mainly in Foreign Countries
摘要
传统针灸理论认为得气是针灸治疗的重要环节
与疗效密切相关。结合在Pubmed上检索到的英文文献
笔者对国外学者研究针刺得气的概况进行了归纳总结。目前
国外学者主要从得气的定性定量
得气与临床疗效的关系
以及运用功能性磁共振成像fMRI技术观察得气的脑中枢效应等方面展开研究。首先
一些学者制定出了能将得气区分和量化的量表
同时就心理因素、以往经验、文化背景对得气的影响做了研究。其次
得气与针刺临床疗效是否存在相关性尚存在争议。再次
运用fMRI技术观察针刺得气后的脑部血氧合水平依赖信号的转变
部分研究报道得气时大脑边缘叶-旁边缘叶-新皮层系统等处呈现负激活现象
岛叶和体感区皮层呈现正激活现象
并且发现效应脑区同内在的脑功能网络区域有联系。随着各种量表和fMRI技术的使用
对得气的评估更加客观
有助于进一步揭示其作用机制。
Abstract
Deqi(needle sensation)
is closely related to clinical therapeutic effect of acupuncture in the treatment of different clinical conditions.In the present paper
the authors summarized various components or concepts of Deqi mainly in the fo-reign studies collected from Pubmed database.At present
foreign researches about Deqi mainly include 1) the subjects' subjective qualitative and quantitative descriptions about Deqi
2) correlation between acupuncture stimulation induced Deqi and clinical therapeutic effects
and 3) responses of different brain regions or the connectivity of brain network shown by functional magnetic resonance imaging(fMRI) during Deqi by needling different acupoints.According to the current commonly used 6 questionnaires
aching
tingling
numbness
heaviness
dull pain
throbbing
and deep pressure sensation are the most frequently seen components of Deqi of acupuncture stimulation.The factors influencing Deqi are psychological state
personal previous experience and cultural background.Regarding the degree of Deqi and clinical effects or outcomes
the conclusions are controversial.Results of fMRI analysis shows that in spite of extensive deactivation of the limbic system has been found in many studies
and the connectivity of the intrinsic brain functional networks is increased during acupuncture-induced Deqi
the significance of activation or deactivation of some brain regions remains unclear
and the related mechanisms need to be studied further.No matter activation or dea-ctivation of different brain regions during Deqi
the most important issue is the relationship between Deqi and clinical therapeutic effects.Further studies are definitely needed.