Feng-yan LU, Jun-hong GAO, Yuan-yuan WANG, 等. Effects of Three Needling Manipulations of Zusanli (ST 36) on Deqi Sensations and Surface Myoelectricity in Healthy Participants[J]. Chinese Journal of Integrative Medicine, 2021,27(2):91-97.
Feng-yan LU, Jun-hong GAO, Yuan-yuan WANG, et al. Effects of Three Needling Manipulations of Zusanli (ST 36) on Deqi Sensations and Surface Myoelectricity in Healthy Participants[J]. Chinese Journal of Integrative Medicine, 2021,27(2):91-97.
Feng-yan LU, Jun-hong GAO, Yuan-yuan WANG, 等. Effects of Three Needling Manipulations of Zusanli (ST 36) on Deqi Sensations and Surface Myoelectricity in Healthy Participants[J]. Chinese Journal of Integrative Medicine, 2021,27(2):91-97. DOI: 10.1007/s11655-020-3198-0.
Feng-yan LU, Jun-hong GAO, Yuan-yuan WANG, et al. Effects of Three Needling Manipulations of Zusanli (ST 36) on Deqi Sensations and Surface Myoelectricity in Healthy Participants[J]. Chinese Journal of Integrative Medicine, 2021,27(2):91-97. DOI: 10.1007/s11655-020-3198-0.
Effects of Three Needling Manipulations of Zusanli (ST 36) on Deqi Sensations and Surface Myoelectricity in Healthy Participants
摘要
Abstract
Objective:
2
To investigate the effects of different acupuncture manipulations on Deqi sensations and surface myoelectricity
and explore the correlation between Deqi sensations and needling manipulations.
Methods:
2
Forty-five healthy participants accepted twirling
lifting-thrusting
and twirling plus lifting-thrusting manipulanions at right Zusanli (ST 36)
respectively. The acupuncturist's and participants' Deqi sensations were collected by MGH Acupuncture Sensation Scale (MASS). The intensity and occurrence rate of soreness
dull pain
pressure
heaviness
fullness
numbness
sharp pain
warmth
coolness
and throbbing feelings of participants
and tightness
smooth
and tangle feelings of acupuncturist were measured. The correlation between the acupuncturist's and participant's Deqi sensations was analyzed. Surface electromyogram (EMG) was recorded before
during and after needling in 30 participants. The integrated EMG (iEMG)
mean power frequency (MPF) and media frequency (MF) were analyzed.
Result:
2
Both fullness and soreness of participants and tightness of acupuncturist were the most frequently occurred ones. A positive correlation between participants' fullness and acupuncturist's tightness was observed during the three aforementioned needling manipulations (
P
<
0.05
OR
>
1). Almost all the needling sensations measured in the present study could be induced by the three needling manipulations. However
strength of Deqi sensations was exhibited as lifting-thrusting
>
twirling plus lifting-thrusting
>
twirling according to MASS index. The iEMG values were increased and MPF
MF values were decreased during needling compaired to those before needling
especially during lifting-thrusting (
P
<
0.01).
Conclusions:
2
The intensity and occurrence rate of the different Deqi sensations induced by different needling manipulations were basically similar. The fullness and soreness were both the most frequently induced Deqi sensations. The strongest Deqi sensation could be induced by lifting-thrusting manipulation. There is a positive correlation between participants' fullness and acupuncturist's tightness during the three needling manipulations. The myoelectricity around the acupoint is related to Deqi responses. (Registration No. AMCTR-IOR-20000314)
关键词
Keywords
needling manipulationDeqineedling sensationsurface myoelectricityChinese medicine
references
Xiong J, Liu F, Zhang MM, Wang W, Huang GY. De-qi, not psychological factors, determines the therapeutic efficacy of acupuncture treatment for primary dysmenorrhea. Chin J Integr Med 2012;18:7-15.
Pan QY, Ma LX, Yang Y, Zhu J. Application of data mining on the relationship between deqi and effect. Chin Acupunct Moxibust (Chin) 2017;37:668-672.
Zhao MY, Zhang P, Wang LP, Zhou W, Wang YX, She YF, et al. Influence of de qi on the immediate analgesic effect of SP6 acupuncture in patients with primary dysmenorrhea and cold and dampness stagnation: a multicenter randomized controlled trial.Acupuncture Med 2017;35:332-338.
Yu HT, Li X, Lei XY, Wang J. Modulation effect of acupuncture on functional brain networks and classification of its manipulation with EEG signals. IEEE Trans Neural Syst Rehabil Eng 2019;27:1973-1984.
Lu FY, Gao JH, Wang YY, Dai QF, Xin JJ, Zhao YX, et al.Effects of three needling manipulations of the right-side Zusanli(ST 36) on brain using functional magnetic resonance imaging.J Tradit Chin Med 2017;37:298-307.
Ren YL, Guo TP, Du HB, Zheng HB, Ma TT, Fang L, et al. A survey of the practice and perspectives of Chinese acupuncturists on Deqi. Evid Based Complement Alternat Med 2015;2015:684708.
Kim GH, Yeom M, Yin CS, Lee H, Shim I, Hong MS, et al.Acupuncture manipulation enhances anti-nociceptive effect on formalin-induced pain in rats. Neurol Res 2010;32:92-95.
Kim GH, Yeom M, Yin CS, Lee H, Shim I, Hong MS, et al.Acupuncture manipulation enhances anti-nociceptive effect on formalin-induced pain in rats. Neurol Res 2010;32:92-95.
Yin CS, Chae Y, Kang OS, Kin ST, Hahm DH, Park JY, et al.Deqi is double-faced: the acupuncture practitioner's and the subject's perspective. Evid Based Complement Alternat Med 2015;2015:635089.
Tian DS, Xiong J, Pan Q, Liu F, Wang L, Xu SB, et al. Deqi, a threshold of the stimulus intensity, elicits the specific response of acupoints and intrinsic change of human brain to acupuncture.Evid Based Complement Alternat Med 2014;2014:914878.
Wang XM. Lifting-thrusting and rotating manipulations: a comparison on energy input. Chin Acupunct Moxibust 2011;31:71-74.
Su YS, Yang ZK, Xin JJ, He W, Shi H, Wang SY, et al.Somatosensory nerve fiber mediated generation of de-qi in manual acupuncture and local moxibustion-like stimuli-modulated gastric motility in rats. Evid Based Complement Alternat Med 2014;2014:673239.
Arãgao FA, Schäfer GS, de Albuguergue CE, Vituri RF, de Azevedo FM, Bertolini DR. Neuromuscular efficiency of the vastus lateralis and biceps femoris muscles in individuals with anterior cruciate ligrament injuries. Rev Bras Ortop 2015;50:180-185.
Spaeth RB, Camhi S, Hashmi JA, Vangel M, Wasan AD,Edwards RR, et al. A longitudinal study of the reliability of acupuncture deqi sensations in knee osteoarthritis. Evid Based Complement Alternat Med 2013;2013:204259.
Claunch JD, Chan ST, Nixon EE, et al. Commonality and specificity of acupuncture action at three acupoins as evidenced by FMRI. Am J Chin Med 2012;40:695-712.
Hui KK, Liu J, Marina O, Napadow V, Haselgrove C, Kwong KK,et al. The integrated response of the human cerebro-cerebellar and limbic systems to acupuncture stimulation at ST36 as evidenced by fMRI. Neuroimage 2005;27:479-496.
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;6:2.
Huang T, Zhang WB, Jia SY, Tian YY, Wang GJ, Yang LJ, et al. A transcontinental pilot study for acupuncture lifting-thrusting and twisting-rotating manipulations. Evid Based Complement Alternat Med 2012;2012:157989.
Deng LF, Zhou JF. Effect of Qi arrival produced by electroacupuncture at Zusanli on muscular contractility.Shanghai J Acu-mox (Chin) 2010;29:668-669.
Johnston V, Jull G, Souvlis T, Jimmieson NL. Neck movement and muscle activity characteristics in female office workers with neck pain. Spine 2008;33:555-563.
Yang J, Zhang J. Surface electromyography in the evaluation of damaged function induced by neuromuscular disease. Chin J Clin Rehabil (Chin) 2004;8:4580-4581.
Roman-Liu D. The influence of confounding factors on the relationship between muscle contraction level and MF and MPF values of EMG signal: a review. Int J Occup Saf Ergon 2016;22:77-91.
Molinari F, Knaflitz M, Bonato P, Actis MV. Electrical manifestations of muscle fatigue during concentric and eccentric isokinetic knee flexion-extension movements. IEEE Trans Biomed Eng 2006;53:1309-1316.
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. Pain 2005;6:55-64.
Kong J, Gollub R, Huang T, Polich G, Napadow V, Vangel M,et al. Acupuncture deqi, from qualitative history to quantitative measurement. Altern Complement Med 2007;13:1059-1070.
Wang XM, Zhang H, Zhou YJ. Stress distribution of needle body during the process of acupuncture. Chin J Tissue Engin Res (Chin) 2013;11:2040-2047.
Wang XM. Relationship between frequency and energy in acupuncture. J Clin Rehabil Tissue Engin Res (Chin)2010;14:7382-7385.
Wang XM. Lifting-thrusting and rotating manipulations: a comparison on energy input. Chin Acupunct Moxibust (Chin) 2011;31:71-74.
Zhao Y, Shi WC, Hou ZL.The effect of acupuncture manipulation to the discharges of needling sensation receptors.Acupunct Res (Chin) 1988;13:221-225.
Huang T, Huang X, Zhang W, Jia S, Cheng X, Litscher G. The influence of different acupuncture manipulations on the skin temperature of an acupoint. Evid Based Complement Alternat Med 2013;2013:905852.
Park J, White A, Stevinson C, Ernst E, James M. Validating a new non-penetrating sham acupuncture device: two randomised controlled trials. Acupunct Med 2002;20:168-174.
Chemical Composition, Pharmacological Effects and Clinical Applications of Cinobufacini
Immunomodulatory Function of Pien Tze Huang in T Cell-Mediated Anti-tumor Activity against B16-F10, MC38 and Hep1-6 Tumor Models
Safflower Yellow Inhibits Progression of Hepatocellular Carcinoma by Modulating Immunological Tolerance via FAK Pathway
Immunoregulatory and Anti-cancer Activities of Combination Treatment of Novel Four-Herb Formula and Doxorubicin in 4T1-Breast Cancer Bearing Mice
TRAIL and Celastrol Combinational Treatment Suppresses Proliferation, Migration, and Invasion of Human Glioblastoma Cells via Targeting Wnt/β-Catenin Signaling Pathway
相关作者
暂无数据
相关机构
Key Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, Shaanxi University of Chinese Medicine
State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Science, Xiamen University
Fujian Pien Tze Huang Enterprise Key Laboratory of Natural Medicine Research and Development
Department of General Surgery, First People's Hospital of Hangzhou Lin'an District
Institute of Chinese Medicine, The Chinese University of Hong Kong