Kong Jian, Gollub Randy, Huang Tao, Polich Ginger, Napadow Vitaly, Hui Kathleen, Vangel Mark, Rosen Bruce, Kaptchuk Ted J
Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA 02129, USA.
J Altern Complement Med. 2007 Dec;13(10):1059-70. doi: 10.1089/acm.2007.0524.
De qi is an important traditional acupuncture term used to describe the connection between acupuncture needles and the energy pathways of the body. The concept is discussed in the earliest Chinese medical texts, but details of de qi phenomenon, which may include the acupuncturist's and/or the patient's experiences, were only fully described in the recent hundred years. In this paper, we will trace de qi historically as an evolving concept, and review the literature assessing acupuncture needle sensations, and the relationship between acupuncture-induced de qi and therapeutic effect. Thereafter, we will introduce the MGH Acupuncture Sensation Scale (MASS), a rubric designed to measure sensations evoked by acupuncture stimulation as perceived by the patient alone, and discuss some alternative statistical methods for analyzing the results of this questionnaire. We believe widespread use of this scale, or others like it, and investigations of the correlations between de qi and therapeutic effect will lead to greater precision in acupuncture research and enhance our understanding of acupuncture treatment.
得气是一个重要的传统针灸术语，用于描述针灸针与人体经络之间的联系。这一概念在最早的中医典籍中就有讨论，但得气现象的细节，可能包括针灸师和/或患者的体验，直到最近百年才得到充分描述。在本文中，我们将追溯得气这一不断演变的概念的历史，并回顾评估针刺感觉以及针刺诱导得气与治疗效果之间关系的文献。此后，我们将介绍麻省总医院针刺感觉量表（MGH Acupuncture Sensation Scale，MASS），这是一种旨在测量仅由患者感知的针刺刺激所诱发感觉的量度表，并讨论一些用于分析该问卷结果的替代统计方法。我们相信，广泛使用该量表或类似量表，并对得气与治疗效果之间的相关性进行研究，将提高针灸研究的精准度，并增进我们对针灸治疗的理解。
