The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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A Study of Influencing Factors in Acupuncture De Qi Sensation

득기 감각에 영향을 미치는 인자에 대한 연구

  • Shin, Kyung Min (Acupuncture, Moxibustion & Meridian Research Group, Division of Medical Research, Korea Institute of Oriental Medicine) ;
  • Jung, Dal Lim (Department of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Dongguk University) ;
  • Kim, Eun Jung (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dongguk University) ;
  • Lee, Seung Deok (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dongguk University)
  • 신경민 (한국한의학연구원 의료연구본부 침구경락연구그룹) ;
  • 정달림 (동국대학교 한의과대학 안이비인후피부과학교실) ;
  • 김은정 (동국대학교 한의과대학 침구학교실) ;
  • 이승덕 (동국대학교 한의과대학 침구학교실)
  • Received : 2012.06.25
  • Accepted : 2012.09.03
  • Published : 2013.03.31
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Abstract

Objectives: The purpose of this study was to investigate the differences in kind, intensity and depth of de Qi sensation by patients' gender, age, BMI and sensitivity. Methods: Sixty-four healthy volunteers (mean age $26.51{\pm}4.72$, range 22-39) who had been studying anatomy, meridianology, acupuncture & moxibustion for more than five years at Dongguk University, Go-yang, Korea, were invited to take part in an investigation of the sensations associated with acupuncture needling. Needling was self-administered on Hegu (LI4) in the hand and Zusanli (ST36) in the leg randomly. After obtaining de Qi, the participants were asked the kind, intensity and depth of de Qi sensation. Results: There was no statistically significant difference in the kind of de Qi sensation found by acupoints and needling methods (p>0.05). Hegu (LI4) was found to be significantly higher in the intensity (p<0.001), and the depth of de Qi sensation was significantly higher in Zusanli (ST36) than Hegu (LI4) (p<0.001). There was statistically significant difference found in the intensity of de Qi sensation by depth and sensitivity (p<0.05). In the depth of de Qi sensation, there was statistically significant difference found by sensitivity (p<0.05). In de Qi sensation of practitioners, there was statistically significant difference found by gender, BMI, the intensity of de Qi sensation (VAS) and sensitivity. Conclusions: Further study involving acupuncture de Qi sensation and the influencing factors is needed.

Keywords

Acknowledgement

Supported by : 보건복지부

References

  1. Hui KK, Sporko TN, Vangel MG, Li M, Fang J, Lao L. Perception of Deqi by Chinese and Ame rican acupuncturists: a pilot survey. Chinese Med icine. 2011;6:2 https://doi.org/10.1186/1749-8546-6-2
  2. Langevin. HM, Churchill. DL, Cipolla. MJ. Mec hanical signaling through connective tissue: a me chanism for the therapeutic effect of acupuncture. The FASEB Journal. 2001;15(12): 2275-2282. https://doi.org/10.1096/fj.01-0015hyp
  3. Kou W, Gareus I, Bell JD, Goebel MU, Spahn G, Pacheco-Lopez G, et al. Quantification of De Qi sensation by visual analog scales in healthy humans after immunostimulating acupuncture tre atment. The American Journal of Chinese Medici ne. 2007;35(5):753-765. https://doi.org/10.1142/S0192415X07005247
  4. Sims J. The mechanism of acupuncture analgesi a: a review. Complementary Therapies in Medici ne. 1997;5(2):102-111. https://doi.org/10.1016/S0965-2299(97)80008-8
  5. Chae YB, Lee HJ, Kim HY, Lee HJ, Park. HJ. The correlations between acupuncture sensation and analgesic effects. The Korean Journal of Mer idian & Acupoint. 2007;24(1):43-58.
  6. White P, Lewith G, Hopwood. V, Prescott P. The placebo needle, is it a valid and convincing place bo for use in acupuncture trials? A randomised, single-blind, cross-over pilot trial. Pain. 2003;10 6(3):401-409. https://doi.org/10.1016/j.pain.2003.08.013
  7. Sandberg M, Lundeberg T, Lindberg LG, Gerdle B. Effects of acupuncture on skin and muscle blo od flow in healthy subjects. European Journal of Applied Physiology. 2003;90(1):114-119. https://doi.org/10.1007/s00421-003-0825-3
  8. White P, Prescott P, Lewith G. Does needling sensation (de qi) affect treatment outcome in pai n? Analysis of data from a larger single-blind, randomised controlled trial. Acupunct Med. 2010;28(3):120-125. https://doi.org/10.1136/aim.2009.001768
  9. BM. Deqi. The Journal of Chinese Medicine. 2006;81:18-29.
  10. Park J, Park H, Lee H, Lim S, Ahn K. Deqi sensa tion between the acupuncture-experienced and th e naive: a Korean study II. The American Journal of Chinese Medicine. 2005;33(2):329-337. https://doi.org/10.1142/S0192415X0500293X
  11. Vincent C, Richardson P, Black J, Pither C. The significance of needle placement site in acupunct ure. Journal of Psychosomatic Research. 1989;33 (4):489-496. https://doi.org/10.1016/0022-3999(89)90010-X
  12. Wang KM, Yao SM, Xian YL, Hou ZA study on the receptive field of acupoints and the relatio nship between characteristics of needling sensati on and groups of afferent fibres. Scientia Sinica. 1985;28:963-971.
  13. Shanghai Academy of traditional Chinese Medici ne, Shanghai College of TCM Lunghua Hospital Dept of Trauma and Orthopedics, Shanghai 6th People's Hospital Dept of Trauma and Orthopdic s, Anesthesiology Division. Morphological correl ates of acupuncture sensations at human somatic acupoints. In: Selections from Clinical and Basic Research on Acupuncture Anesthesia. Shanghai: Shanghai Publishing House. 1977:205-209.
  14. Beijing College of Traditional Chinese Medicine, Shanghai College of Traditional Chinese Medicine, Nanjing College of Traditional Chinese Medicine, The Acupuncture Institute of the Academy of Traditional Chinese Medicine. Essentials of Chinese Acupuncture. Beijing:Foreign Language Press. 1993:419.
  15. MacPherson H, Asghar A. Acupuncture needle sensations associated with De Qi: aclassification based on experts' ratings. The Journal of Alternat ive and Complementary Medicine. 2006;12(7): 633-637. https://doi.org/10.1089/acm.2006.12.633
  16. Park. J, White A, Stevinson C, Ernst E, James M. Validating a new non-penetrating sham acupu ncture device: two randomised controlled trials. Acupunct Med. 2002;20(4):168-174. https://doi.org/10.1136/aim.20.4.168
  17. Kong J, Fufa. DT, Gerber AJ, Rosman IS, Vangel MG, Gracely RH, et al. Psychophysical outcomes from arandomized pilot study of manual, electro, and sham acupuncture treatment on experimental ly induced thermal pain. The Journal of Pain. 2005;6(1):55-64. https://doi.org/10.1016/j.jpain.2004.10.005
  18. Kong J, Gollub R, Huang T, Polich G, Napadow V, Hui K, et al. Acupuncture de qi, from qualitati ve history to quantitative measurement. The Journal of Alternative and Complementary Medicine. 2007;13(10):1059-1070.
  19. Salih N, Baumler PI, Simang M, Irnich D. Deqi sensations without cutaneous sensory input: results of an RCT. BMC Complement Altern Med. 2010;10(1):81. https://doi.org/10.1186/1472-6882-10-81
  20. Bae BC, trans. Huang di nei jing, Lingshu. Seong nam:Seongbosa. 1995:21.
  21. Yang J. Zhen jiu da cheng. Haenglimseowon. 1975:39-43.
  22. Bowsher D. Role of the reticular formation in response to noxious stimulation. Pain. 1976; 2:361-378. https://doi.org/10.1016/0304-3959(76)90079-8
  23. Chiang CY, Chang CT, Chu HL, Yang LF. Perip heral afferent pathway for acupuncture analgesia. Scientia Sinica. 1973;16:210-217.
  24. Bowsher D. Mechanisms of acupuncture. In: Filshie J, White A, eds. Medical acupuncture: a West ern scientific approach. London, England: Churc hill Livingstone. 1998:69-82.
  25. Kawakita K. Role of polymodal receptors in the peripheral mechanisms of acupuncture and moxi bustion stimulation. In: Manchanda S K, Selvam urthy W, Mohan Kumar V (eds) Advances in physiological sciences. New Delhi. 1991:731-739.
  26. Johnson MI, Benham AE. Acupuncture needle se nsation: the emerging evidence. Acupunct Med. 2010;28(3):111-114. https://doi.org/10.1136/aim.2010.002535
  27. Langevin HM, Churchill DL, Fox JR, Badger GJ, Garra BS, Krag MH. Biomechanical response to acupuncture needling in humans. Journal of Appl ied Physiology. 2001;91(6):2471-2478.
  28. Benham A, Phillips G, Johnson MI. An experime ntal study on the self-report of acupuncture needl e sensation during deep needling with bi-directio nalrotation. Acupunct Med. 2010;28(1):16-20. https://doi.org/10.1136/aim.2009.001651
  29. Asghar AU, Green G, Lythgoe MF, Lewith G, MacPherson H. Acupuncture needling sensation: the neural correlates of deqi using fMRI. Brain Res. 2010;1315:111-118. https://doi.org/10.1016/j.brainres.2009.12.019
  30. Baldry P. Superficial versus deep dry needling. Acupuncture in Medicine. 2002;20(2-3):78-81. https://doi.org/10.1136/aim.20.2-3.78
  31. Ceccherelli F, Rigoni MT, Gagliardi G, Ruzzante L. Comparison of superficial and deep acupuncture in the treatment of lumbar myofascial pain: A double-blind randomized controlled study. Clinical Journal of Pain. 2002;18(3):149-153. https://doi.org/10.1097/00002508-200205000-00003
  32. MacPherson H, Green G, Nevado A, Lythgoe M F, Lewith G, Devlin R, et al. Brain imaging of acupuncture: comparing superficial with deep needling. Neurosci Lett. 2008;434(1):144-149. https://doi.org/10.1016/j.neulet.2008.01.058
  33. Bahçecioglu H, Unal M, Artunay O, Rasier R, Sarici A. Posterior vitrectomy under topical anest hesia. Canadian journal of ophthalmology. 2007; 42(2):272-277. https://doi.org/10.3129/canjophthalmol.i07-004
  34. Foulkes T, Wood JN. Pain genes. PLoS genetics. 2008;4(7):e1000086. https://doi.org/10.1371/journal.pgen.1000086
  35. Malow RM, Olson RE. Changes in pain percepti on after treatment for chronic pain. Pain. 1981;11 (1):65-72. https://doi.org/10.1016/0304-3959(81)90139-1
  36. Lin JG, Wang CF, Huang CT, Chen CF. A surve y of the depth for De-Qi in acupuncture therapy. Chinese Journal of Integrative Medicine. 1996;2 (2):101-103.
  37. Langevin HM, Churchill DL, Wu J, Badger GJ, Yandow JA, Fox JR, et al. Evidence of connectiv e tissue involvement in acupuncture. The FASEB journal. 2002;16(8):872-874.
  38. Langevin HM, Yandow JA. Relationship of acup uncture points and meridians to connective tissue planes. The Anatomical Record. 2002; 269(6):257-265. https://doi.org/10.1002/ar.10185
  39. Gunn CC. Neuropathic myofascial pain syndrom es. In: Loeser JD, Butler SH, Chapman CR, et al., eds. Bonica's management of pain. Philadelph ia: Lippincott Williams & Wilkins. 2001:522-529.