Basic Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China.
Acupuncture College, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China.
Neural Plast. 2020 Nov 2;2020:8834573. doi: 10.1155/2020/8834573. eCollection 2020.
The electric shock has been proposed as one of the new needling sensations in recent years. In acupuncture sensation scales, the electric shock is included by ASS and SNQS, but not SASS, MASS, and C-MMASS. Some scholars argue that the electric shock is a normal needling sensation, but some researchers do not agree with this view. This problem has not been resolved due to a lack of evidence from basic research. Literature and research point out that the electric shock is caused by inserting a needle into the nerve directly. A question of considerable scientific and practical interest is whether the electric shock should be a normal needling sensation. In this article, we review the historical documentation of the needling sensation and the process of formulating and improving acupuncture sensation scales to suggest that the electric shock may not be a normal needling sensation. Secondly, we collected and analyzed cases of nerve injury caused by acupuncture accompanied by the electric shock and why acupuncture caused the electric shock without nerve injury. It suggests that there may be a correlation between the electric shock and peripheral nerve injury, and acupuncture manipulation is an essential factor in adverse acupuncture events. Finally, we put forward that the electric shock during acupuncture is a warning sign that the peripheral nerve may be injured, rather than a normal needling sensation. In the future, we hope to have experimental studies on the mechanism of the electric shock or observational studies on the correlation between the electric shock and peripheral nerve injury to verify.
电击感近年来被提出为一种新的针刺感觉。在针刺感觉量表中，ASS 和 SNQS 包括电击感，但 SASS、MASS 和 C-MMASS 则不包括。一些学者认为电击感是一种正常的针刺感觉，但也有一些研究人员不同意这种观点。由于基础研究缺乏证据，这个问题尚未得到解决。文献和研究指出，电击感是由于将针刺入神经直接引起的。一个具有相当科学和实际意义的问题是，电击感是否应该是一种正常的针刺感觉。在本文中，我们回顾了针刺感觉的历史文献和制定及完善针刺感觉量表的过程，提出电击感可能不是一种正常的针刺感觉。其次，我们收集和分析了伴有电击感的针刺引起神经损伤的案例以及为什么在没有神经损伤的情况下针刺会引起电击感。这表明电击感和周围神经损伤之间可能存在相关性，针刺操作是不良针刺事件的一个重要因素。最后，我们提出针刺时的电击感是外周神经可能受损的警告信号，而不是一种正常的针刺感觉。未来，我们希望对电击感的机制进行实验研究或对电击感与周围神经损伤之间的相关性进行观察性研究，以验证这一观点。
