| Background:In traditional Chinese acupuncture theory, Deqi is an important part of clinical acupuncture treatment process, the main sign of clinical curative effect is obtained.Deqi not only is the subjects and physicians in the subjective feeling of both parties, is the body under the stimulus of acupuncture, the body functional status of a response. At present, Deqi has aroused the domestic and foreign related research subject and the extensive attention of scholars, as the patient and the doctor’s response to acupuncture needling, Deqi has important research value and significance. After years of research, the correlation between Deqi and curative effect has been recognized by some, but deqi on characteristic and regularity of the effect of clinical research is still lacking. Now have to gas at home and abroad related study, patients with common will feel about acupuncture as the main basis of judging curative effect of acupuncture and acupuncture needling, and applied to gas scale to quantitative evaluation of the patient’s specific deqi. Through the early stage of the group of 73 cases of scale reliability test reliability and validity of the test data analysis, combined with the theoretical connotation and clinical practice, much deqi related concepts and analyzes the existing judgment deqi or not and the intensity of needling method on the basis of preliminary established for bilateral via a single cavity with the same needle in acupuncture treatment scale record result or not much deqi strength judgment method, now want to use this method to further explore the characteristics of the effect of acupuncture needling and regularity.Objectives:Proposed through the analysis of 96 cases of cold dampness grinds to the patients with primary dysmenorrhea clinical trial data, a preliminary exploration of needling characteristics and regularity of the influence of acupuncture analgesia effect, thus validating acupuncture clinical awareness of deqi characteristics, provides the evidence-based medicine clinical basis for the theory of deqi.Method:With the needle feeling clinical evaluation scale for deqi evaluation tools, at each point VAS difference as the evaluation index of clinical effect,96 cases of filiform needle acupuncture needling and dampness grinds to the patients with primary dysmenorrhea sanyinjiao point to analyze the clinical trial data, statistical different acupuncture method deqi intensity, duration of time, combination of deqi,deqi conduction and radiation, deqi composition and strength.Using correlation analysis, gas characteristics between groups have to gas characteristics and groups subgroup methods such as comparison, analysis of filiform needle acupuncture and dampness grinds to the three primary dysmenorrhea patients vaginal intercourse hole and characteristics of deqi and deqi characteristics of the influence of acupuncture analgesia effect.ResultrAcupuncture and dampness grinds to the three primary dysmenorrhea patients vaginal intercourse deqii features:(1) needle deep thick needle stab ShiPing filling-in much air purging gimmick intervention three vaginal intercourse hole features:more for better air, accounting for 65.1%;Have time line for needle Deqi within 1 min, accounted for 100%;Have Deqi duration with 0-20 min multiple, accounted for 62.8%; Deqi of conduction and radiation is given priority to, accounting for 74.4%;Close to the heart to spread to the direction of the hole between the knees and give priority to, far heart direction mainly to a foot;In Deqi composition rate more than 50% have bloated with feeling, warm feeling, the feeling of numbness and conduction and acid; Deqi component strength score is greater than the sum of two points on both sides has bilge feeling, sour feeling, full sense of shock, heaviness, numbness, conduction, radiation, beating and dull pain.(2) needle needle shallow thorn technique without intervention three vaginal intercourse hole features:needling with weak strength of qi is given priority to, accounting for 88%;Time line for the needle in Deqi multiple occurrence in 1 min, accounted for 60%;Have to Deqi duration is given priority to with 0-20 min, accounted for 80%;In conduction, radiation feeling slightly more Deqi, accounted for 52%;Among them, close to the heart direction is given priority to with to hole with knee, telecentric direction is given priority to with spread to a foot;In Deqi composition rate more than 50% of the bilge feeling, numbness and warm feeling;In Deqi component strength score is greater than the sum of two points on both sides has the feeling of numbness and conduction, ant line feeling, heaviness, bloated with feeling, sense of radiation, beating feeling, the feeling of cool feeling and warm.(3) merging two filiform needle acupuncture intervention ways after Sanyinjiao Deqi characteristics of cross hole is:give priority to with weak strength of needling, accounted for 54.4%;In Deqi time is given priority to with line needle appear within 1 min, accounted for 85.3%;Have Deqi duration with 0～20 min multiple, accounted for 69.1%;Conduction and radiation is in Deqi, accounted for 66.2%;Nearly the heart direction is given priority to with to hole between the knees and, far from heart direction is given priority to with spread to a foot; Deqi composition occur in more than 50% of have bloated with feeling, warm feeling, conduction and sour feeling; Deqi component strength score is greater than the sum of two points on both sides have bloated with feeling, sense of heaviness, numbness, acid, conduction, electric shocks, radiation, beating feeling, a dull pain with ants.(4) the coarse needle stab deep lines or flat of flat technique is relatively thin needle shallow Sanyinjiao in the technique of acupuncture point to the intensity of Deqi and conduction in Deqi last longer and are more obvious, and the full sense, conduction and acid strength is stronger.2 gas characteristics and the correlation of acupuncture analgesia effect:(1) in the phase of the solid in the group, Deqi composition of heaviness and the acupuncture analgesia effect immediately have mild significantly positive correlation (r=0.316>0.03, p=0.316< 0.05);QiGan duration, numbness and after acupuncture analgesia effect with mild significantly positive correlation (r=0.314>0.03, p= 0.04<0.05 and r=0.05>0.05, p=0.027<0.05);Appear close to the heart conduction and after acupuncture analgesia effect significantly moderate positive correlation (r=0.614>0.05, p=0.614<0.05).(2) in the period shall not be take-home group, Deqi component in beating and after acupuncture analgesia effect significantly moderate positive correlation (r=0.529> 0.05, p=0.529<0.05).(3)in the total actual Deqi group, appear nearly telecentric conduction and after acupuncture analgesia effect significantly moderate positive correlation (r=0.526> 0.05, p=0.526<0.05).(3) the influence of the Deqi characteristics of acupuncture analgesia effect:(1) in the phase of the solid in the group, with or without Deqi conduction and radiation in the two groups, with and without conduction feeling after acupuncture analgesia effect comparison between the two way are different, the difference was statistically significant (P=0.042,0.027<0.05), the intensity of Deqi, get Deqi occurrence, duration, Deqi conduction radiation direction, the rest have to Deqi composition in the presence of acupuncture effect comparison between groups had no obvious difference (P>0.05). (2) in the period shall not be take-home group, the characteristics of the gas with and without acupuncture effect comparison between groups had no difference (P>0.05).(3) in the total actual Deqi group, with or without Deqi conduction and radiation group, the sense of presence of conduction way after acupuncture analgesia effect comparison between difference, the difference was statistically significant (P=0.027,0.012<0.05), the intensity of Deqi, get Deqi occurrence, duration, gas conduction direction, the remaining Deqi into acupuncture analgesia effect was no difference between groups (P>0.05).Conclusion:(1) Acupuncture and dampness grinds to the patients with primary dysmenorrhea Sanyinjiao characteristics of cross hole (all):with weak Deqi strength slightly more (54.4%), Deqi appear time is given priority to with acupuncture within 1 min (85.3%), duration of needling with 0～20 min (69.1%), is a gas conduction and radiation is (66.2%), close to the heart conduction direction is given priority to with to hole-between the knees, far heart conduction is given priority to with spread to a foot, Deqi components mainly for bilge full feeling, warm feeling, the feeling of numbness and conduction and acid;(2)To the influence of the Deqi characteristics of acupuncture analgesia effect (all):Deqi conduction and radiation can obtain better after acupuncture analgesia effect, near far heart and heart conduction direction direction transmission and jitter are associated with acupuncture analgesia effect after moderate, numbness, and Deqi duration associated with acupuncture analgesia effect after mild, heaviness is associated with acupuncture analgesia effect immediately mild;(3) Previous studies have found that the coarse needle deep stab gimmick intervention methods relatively thin needle shallow without technique are more likely to produce Deqi, the actual Deqi rate is higher.. This research shows that:the high Deqi rate (coarse needle deep stab technique) is too low Deqi rate (needle shallow thorn technique is not applied to Deqi intensity is stronger, and Deqi last longer, higher Deqi conduction and radiation frequency bilge feeling, conduction and sour feeling full strength is stronger. |
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