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“针感”是针刺治疗与针刺研究时不容忽视的一部分。国内外对针感的研究众多,“针感量表”是测量针感的重要工具。但限于对针刺作用原理或中医理论理解的不全面,针感量表的设计均有一定不足,阻碍了针刺的深入研究。结合以往研究,探索适用于针刺研究的最佳量表设计思路,使之应用于针刺临床研究或有助于针刺的推广。 相似文献
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笔者运用针感传导的针刺方法治疗脑血管意外后遗症 10 0例 ,并用单纯针刺的手法治疗 50例作为对照组 ,经临床比较发现 ,针感传导的针刺方法较单纯针刺方法效果为佳。现介绍如下 :1 一般资料 (见表 1)表 1治疗组与对照组资料组 别性别年龄段 (岁 )病程 (月 )小计 男女 小计≥ 4 0<50≥ 50<60≥ 60<70 ≥ 70 小计 <1≥ 1<3≥ 3<6 ≥ 6治疗组 10 0 6 2 3815 2 844 13 5 2 171912对照组 5 0 2 92 1816 2 3 3 2 810 752 治疗方法治疗组取穴 :以阳明经穴为主 ,辅以太阳、少阳经穴。所用穴位分为两组 ,交替使用。①组 :人中、大迎、地仓、下关、… 相似文献
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目的:观察朱琏指针点按疗法治疗中风偏瘫是否产生与针刺治疗同样的循经感传效应。方法:选择2014年1月—2016年2月本院针灸康复病区、内科病区治疗的中风偏瘫患者100例,随机分为观察组和对照组,每组50例。观察组在病房常规康复护理的基础上给予朱琏指针点按疗法,对照组给予常规康复护理。结果:观察组多存在针感,针感明显,有传导,针感持续时间较长,对照组针感出现较少,循经感传现象也极少,两组循经感传比较,差异有统计学意义(P0.01)。结论:朱琏指针点按疗法治疗中风偏瘫能产生与针刺治疗同样的效应,可操作性强。 相似文献
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针刺疗法萌芽于砭刺 ,我们的祖先在漫长的生产生活中 ,从实践到理论 ,又从理论到实践 ,在针刺疗法中积累了系统丰富的经验 ,留下了许多经典著作。 “得气” ,亦称针感 ,在针刺疗法中具有关键性作用。古代医家均有精辟的记述 ,笔者就学习和临床实践中的一点体会 ,浅谈一下有关“得气”的几个问题 ,以供参考。1 “得气”的临床意义 所谓“得气” ,又称针感 ,就是指进针后施行一定的行针手法 ,使针刺部位产生的经气感应 ,从针刺治疗和针刺麻醉以及经络感应的研究证明 ,是否“得气”或“得气”的强弱 ,直接关系到治疗的效果。因此古代医… 相似文献
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《世界针灸杂志》2015,25(1):28-34
ObjectiveWith 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.MethodsAncient 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”.Conclusions(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. 相似文献
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提高头针治疗中风偏瘫疗效的关键 总被引:7,自引:1,他引:7
讨论提高头针治疗中风偏瘫疗效需注意的5个方面。一是得气:得气是针刺取效的重要因素,头针针感应以医者指下有"如鱼吞钩"般的吸针感为主;二是针刺手法:手法的选择宜以找到适宜的针感、传导方向及强度为准则;三是有效刺激量:只有当腧穴的刺激量强度与患者体内的感应状态相匹配时,才能发生能量共振,出现最佳治疗效果;四是治疗时机:中风偏瘫康复水平的提高有赖于早期使用头针治疗;五是康复训练:头针治疗中风偏瘫需要与康复训练结合起来,两者结合起了正相干性效应。临证中注意这5方面问题,可以巩固和提高头针治疗中风偏瘫的疗效。 相似文献
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《针刺研究》2016,(6)
目的:观察不同中医体质人群足三里穴针刺得气现象的规律,探讨中医体质学说和针灸临床的关系。方法:采用问卷调查的方式,以王琦教授的《中医体质分类与判定表》为标准,对527例健康大学生进行体质分析及中医体质分型,并观察受试者左侧足三里穴的针刺感觉,对各体质间的针感性质及强度差异进行比较。结果:针刺感觉以酸、麻、重、胀、钝痛和循经感传等为主,受试者感受最多的是"胀"感,占90.3%,其次是"酸"感,占45.9%;除循经感传外,其他5种针感在各体质人群中出现率差异均无统计学意义(P0.05);循经感传在平和质人群中的出现率比气虚质、阳虚质、血瘀质及气郁质出现率高(P0.05)。在平和质人群中体会到的"酸"感强度较气虚质、阳虚质、阴虚质、痰湿质、湿热质、气郁质人群更大(P0.05),而"胀"感强度仅在平和质和阳虚质人群中差异有统计学意义(P0.05)。结论:除循经感传外,酸、麻、重、胀、钝痛5种针感在9种不同中医体质人群中出现的频次没有差异性和特异性。受试者感受到的酸感强度可能是针刺时产生镇痛的原因,提示针刺效应与体质有一定相关性,针刺时需因人施术、因人施治。 相似文献
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目的:观察针刺治疗产后尿潴留的临床疗效,探讨临床经验.方法:取关元、中极,进针后小幅捻转,出现针感并向大腿根及会阴部传导后,再刺双合谷、血海、阴陵泉,得气后留针45min.结果:一次治愈14例,2次愈3例,好转2例,失败1例.结论:针刺治疗产后尿潴留效果满意,值得推广 在行针时要有"气至病所"的针感向大腿根及会阴传导的感觉. 相似文献
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BackgroundPlacebo needles are accepted as the gold standard for the control in acupuncture research. Credibility is one of the essential factors which influence the placebo response. The needling sensations of the real and placebo needles may have a decisive influence on credibility. The aim of the study was therefore to test these sensations from a placebo needle compared to those of real acupuncture.Methods10 healthy volunteers were enrolled in this cross-over pilot study. In each period of the study 5 volunteers were treated with a placebo needle and 5 with a normal acupuncture needle. The LI 4 (Hegu) acupuncture point was selected for bilateral treatment and the needles stayed in place for 15 minutes. Placebo and real needles were manipulated for a short time by rotating the needles in both directions. The interval between the two periods of the study was one week. After each treatment session the volunteers had to guess which treatment condition they had received and filled in a questionnaire which assessed the pricking sensation (intensity), quality and spread of the deqi sensation. The extent of the different sensations was rated on a Verbal Rating Scale (1–10).ResultsThree volunteers receiving real acupuncture and two receiving placebo correctly identified the form of treatment. Four volunteers in the first session and five in the second session could not decide how they had been treated. No significant difference between placebo and real treatments was detected in any of the variables examined which were related to needle sensation (unpaired t-test, p-value > 0.05).ConclusionsBased on the findings of this trial, the tested placebo needle might be a suitable control condition for acupuncture trials.A study with a larger sample size is warrented to confirm the present findings. 相似文献
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针刺疗法治疗腰椎间盘突出症疗效观察 总被引:2,自引:0,他引:2
目的观察经行感传针刺疗法治疗腰椎间盘突出症的疗效。方法将131例腰椎间盘突出症患者随机分为治疗组65例和对照组66例。治疗组采用经行感传针刺治疗,对照组采用垂直进针治疗,进行疗效对照观察。结果治疗组总有效率为98.5%,对照组总有效率为68.2%,两组比较差异具有统计学意义(P〈0.01)。结论采用经行感传针刺治疗方法,在背俞穴和特定神经支配区穴配合选穴,对比常规针刺方法治疗腰椎间盘突出症,其治疗达到更好的临床效果。 相似文献