Effects of Three Needling Manipulations of Zusanli(ST 36) on Deqi Sensations and Surface Myoelectricity in Healthy Participants  

作　　者：LU Feng-yan GAO Jun-hong WANG Yuan-yuan LIU Qun XIN Juan-juan BAI Wan-zhu ZHAO Yu-xue ZHOU Chen CHEN An-li ZHANG Wen-xi YU Xiao-chun 

机构地区：[1]Department of Needling Manipulation,Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing(100700),China

出　　处：《Chinese Journal of Integrative Medicine》2021年第2期91-97,共7页中国结合医学杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China(No.81973758);China Academy of Chinese Medical Sciences Foundation(Nos.ZZ11-048,ZZ-ZR2017004,and ZZ08010)。

摘　　要：Objective: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: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: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 i EMG values were increased and MPF,MF values were decreased during needling compaired to those before needling,especially during lifting-thrusting(P<0.01).Conclusions: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’ful

关 键 词：needling manipulation DEQI needling sensation surface myoelectricity Chinese medicine 

分 类 号：R246[医药卫生—针灸推拿学]