Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
권호 표지

The Relation between Deqi and Anti-itching Effect of Acupuncture Stimulation

득기와 침의 항소양 효과 간의 상관관계 분석

  • Park, Ji-Eun (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Kim, Ae-Ran (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Jung, So-Young (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Kim, Jung-Eun (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Jung, Hyun-Jung (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Kang, Kyung-Won (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Jung, Hee-Jung (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Kim, Tae-Hun (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Shin, Mi-Suk (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Park, Hyo-Ju (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Choi, Sun-Mi (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine)
  • 박지은 (한국한의학연구원 침구경락연구그룹) ;
  • 김애란 (한국한의학연구원 침구경락연구그룹) ;
  • 정소영 (한국한의학연구원 침구경락연구그룹) ;
  • 김정은 (한국한의학연구원 침구경락연구그룹) ;
  • 정현정 (한국한의학연구원 침구경락연구그룹) ;
  • 강경원 (한국한의학연구원 침구경락연구그룹) ;
  • 정희정 (한국한의학연구원 침구경락연구그룹) ;
  • 김태훈 (한국한의학연구원 침구경락연구그룹) ;
  • 신미숙 (한국한의학연구원 침구경락연구그룹) ;
  • 박효주 (한국한의학연구원 침구경락연구그룹) ;
  • 최선미 (한국한의학연구원 침구경락연구그룹)
  • Received : 2012.05.18
  • Accepted : 2012.06.07
  • Published : 2012.06.27
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Abstract

Objectives : 'Obtaining qi(deqi)' is a sensation experienced by a patient or an acupuncturist during acupuncture treatment, and it is considered to be an important factor in acupuncture treatment. However, previous studies reported conflicting results about the relationship between 'obtaining qi(deqi)' sensation and the effect of acupuncture treatment. Also, most of the previous studies investigating 'obtaining qi(deqi)' and the acupuncture effect, dealt with the analgesic effect of acupuncture. The objective of this study was to analyze the relation between the 'obtaining qi(deqi)' and the anti-itching effect of acupuncture treatment. Methods : Twenty one healthy subjects participated in this study. At the first visit, itch was induced to all subjects using intradermal injection of histamine on the lower arm. At the second visit, acupuncture treatment was applied using LI11 and 'obtaining qi(deqi)' was assessed. After acupuncture treatment, itch was induced again, and itch VAS and skin flare were assessed. Results: At the 6,8,10 minutes after histamine injection, the change of itch VAS between before and after acupuncture treatment was significant. Among 'obtaining qi(deqi)', subjects reported that 'dull ache', 'pricking', 'heavy' were most strong. Total score of 'obtaining qi(deqi)' sensation was not related to the change of itch VAS or skin flare. The 'electric shock' sensation is related to the change of itch VAS, and 'bruised' and 'heavy' sensations were related to the change of skin flare. Conclusions : Total 'obtaining qi(deqi)' is not related to the anti-itching effect of acupuncture, but several sensations showed relationship with the effect of acupuncture on itch severity and skin flare. Further researches based on various symptoms or acupuncture points, are needed.

Keywords

References

  1. Kaptchuk TJ. Acupuncture: theory, efficacy, and practice. Ann Intern Med. 2002 ; 136(5) : 374-83. https://doi.org/10.7326/0003-4819-136-5-200203050-00010
  2. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States 2002. Adv Data. 2004 ; (343) : 1-19.
  3. Johnson MI, Benham AE. Acupuncture needle sensation: the emerging evidence. Acupunct Med. 2010 ; 28(3) : 111-4. https://doi.org/10.1136/aim.2010.002535
  4. Chae YB, Kim YJ, Choe IH, Lim S, Lee SJ, Lee HJ, et al. A comparison study of acupuncture sensation scale between real acupuncture and sham needle. The Korean Journal of Meridian & Acupoint. 2006 ; 23(4) : 85-99.
  5. O'Connor J, Bensky D. Acupuncture: a comprehensive text. Eastland Press. 1992.
  6. Yang SJ, Kim HS. A literature study the "Deug qi". 대전대 부속한방병원 혜화의학. 1994 ; 1(3) : 46-59.
  7. Kong J, Fufa DT, Gerber AJ, Rosman IS, Vangel MG, Gracely RH, et al. Psychophysical outcomes from a randomized pilot study of manual, electro, and sham acupuncture treatment on experimentally induced thermal pain. J Pain. 2005 ; 6(1) : 55-64. https://doi.org/10.1016/j.jpain.2004.10.005
  8. Takeda W, Wessel J. Acupuncture for the treatment of pain of osteoarthritic knees. Arthritis Care Res. 1994 ; 7(3) : 118-22. https://doi.org/10.1002/art.1790070304
  9. Ekblom A, Fjeliner B, Hansson P. The influence of mechanical vibratory stimulation and transcutaneous electrical nerve stimulation on experimental pruritus induced by histamine. Acta Physiol Scand. 1984 ; 122(3) : 361-7. https://doi.org/10.1111/j.1748-1716.1984.tb07520.x
  10. Belgrade MJ, Solomon LM, Lichter EA. Effect of acupuncture on experimentally induced itch. Acta Derm Venereol. 1984 ; 64 : 129-33.
  11. Lundeberg T, Bondesson L, Thomas M. Effect of acupuncture on experimentally induced itch. British Journal of Dermatology. 1987 ; 117 : 771-7. https://doi.org/10.1111/j.1365-2133.1987.tb07359.x
  12. Pfab, F, Hammes M, Backer M, Huss-Marp J, Athanasiadis GI, Tolle T, et al. Prevention effect of acupuncture on histamine-induced itch: a blinded, randomized, placebo-controlled, corssover trial. J Allergy Clin Immunol. 2005 ; 116(6) : 1386-8. https://doi.org/10.1016/j.jaci.2005.08.055
  13. White P, Bishop F, Hardy H, Abdollahian S, White A, Park J, et al. Southampton needle sensation questionnaire: development and validation of a measure to gauge acupuncture needle sensation. J Altern Complement Med. 2008 ; 14(4) : 373-9. https://doi.org/10.1089/acm.2007.0714
  14. Park H, Park J, Lee H. Does deqi(needle sensation) exist? Am J Chin Med. 2002 ; 30(1) : 45-50. https://doi.org/10.1142/S0192415X02000053
  15. Park J, Park H, Lee H, Lim S, Ahn K. deqi sensation between the acupuncture-experienced and the naive: a Korean study II. Am J Chin Med. 2005 ; 33(2) : 329-37. https://doi.org/10.1142/S0192415X0500293X
  16. Chae YB, Lee HJ, Kim HY, Lee HJ, Park HJ. The correlations between acupuncture sensation and analgesic effects. The Korean Journal of Meridian & Acupoint. 2007 ; 24(1) : 43-58.
  17. Park, JJ, Akazawa M, Ahn J, Beckman-Harned S, Lin FC, Lee K, et al. Acupuncture sensation during ultrasound guided acupuncture needling. Acupunct Med. 2011 ; 29(4) : 257-65. https://doi.org/10.1136/aim.2010.003616
  18. Vincent CA, Richardson PH, Black JJ, Pither CE. The significance of needle placement site in acupuncture. J Psychosom Res. 1989 ; 33(4) : 489-96. https://doi.org/10.1016/0022-3999(89)90010-X
  19. Streitberger K, Eichenberger U, Schneider A, witte S, Greher M. Ultrasound measurements of the distance between acupuncture needle tip at P6 and the median nerve. J Altern Complement Med. 2007 ; 13(5): 585-91. https://doi.org/10.1089/acm.2007.6247
  20. Zhou K, Fang J, Wang X, Wang Y, Hong Y, Liu J, et al. Characterization of de qi with electroacupuncture at acupoints with different properties. J Altern Complement Med. 2011 ; 17(11) : 1007-13. https://doi.org/10.1089/acm.2010.0652
  21. Zhang GF, Huang Y, Tang CZ, Wang SX, Yang JJ, Shan BC. Characteristics of PET cerebral functional imaging during "deqi" of acupuncture in healthy volunteers. Zhen Ci Yan Jiu. 2011 ; 36(1) : 46-51.
  22. Yoon JS, Seo JC, Lee HS, Lim SC, Jung TY, Shin LH, et al. The clinical study on acupuncture sensation in hwangryunhaedoktang herbal acupuncture and hominis placenta herbal acupuncture. The Journal of Korean Acupuncture & Moxibustion Society. 2004 ; 21(4) : 197-206.
  23. Mao J, Farrar J, Armstrong K, Donahue A, Ngo J, Bowman M. De qi: Chinese acupuncture patients' experiences and beliefs regarding acupuncture needling sensation - an exploratory survey. Acupunct Med. 2007 ; 25(4): 158-65. https://doi.org/10.1136/aim.25.4.158
  24. Hui KK, Sporko TN, Vangel MG, Li M, Fang J, Lao L. Perception of deqi by Chinese and American acupuncturists: a pilot survey. Chin Med. 2011 ; 6(1) : 2. https://doi.org/10.1186/1749-8546-6-2