Chen Bi-Wei, Chen Shao-Zong, Liu Cun-Zhi
College of Acupuncture-moxibustion and Massage, Shandong University of Traditional Chinese Medicine, Jinan 250355, China.
Academy of Acupuncture and Moxibustion, Shandong University of Traditional Chinese Medicine, Jinan 250355.
Zhen Ci Yan Jiu. 2023 Jan 25;48(1):32-6. doi: 10.13702/j.1000-0607.20220865.
The acupuncture treatment scheme contains several key elements including acupoint selection and prescription, duration of needle retention, treatment frequency, needling manipulation technique, etc. which have, in precision degree, an important influence on the clinical efficacy, and their precise determination needs the guidance of the dose-effect relationship of acupuncture stimulation. In the present article, we discuss the basic concept and content of the dose-effect relationship of acupuncture and analyze its relationship with the precise treatment scheme. The precision and standardization of clinical treatment scheme of acupuncture are definitely not the negation of rich clinical experience, but rather, they are the transcendence of rich clinical experience. The dose-effect relationship of acupuncture is the rule that the acupuncture effect changes with the quantitative change of each key element, and its main contents include: the dose-effect relationship of acupoint prescription, the dose-effect relationship of needling manipulation, and the time-effect relationship of acupuncture.
针灸治疗方案包含多个关键要素,包括穴位选择与配方、留针时间、治疗频率、针刺手法技术等,这些要素在精准程度上对临床疗效有着重要影响,而它们的精确确定需要针刺刺激量效关系的指导。在本文中,我们讨论了针灸量效关系的基本概念和内容,并分析了其与精确治疗方案的关系。针灸临床治疗方案的精准化和规范化绝非对丰富临床经验的否定,相反,它们是对丰富临床经验的超越。针灸量效关系是针刺效应随各关键要素量变而变化的规律,其主要内容包括:穴位配方的量效关系、针刺手法的量效关系以及针灸的时效关系。