DOI QR코드

DOI QR Code

The Clinical Study about Qualitative and Quantitative Characteristics of Acupuncture Sensation According to the Body Parts

인체 부위별 경혈에 따른 득기감의 질적, 양적 특성에 관한 연구

  • Oh, Hyun Jin (School of Oriental Medicine, College of Oriental Medicine, Dongguk University) ;
  • Lee, Eun Sol (Department of Acupuncture & Moxibustion, Dongguk University, Bundang Oriental Hospital) ;
  • Lee, Yoon Joo (School of Oriental Medicine, College of Oriental Medicine, Dongguk University) ;
  • Lee, Seung Deok (Department of Acupuncture & Moxibustion, Dongguk University, Ilsan Oriental Hospital) ;
  • Kim, Kap Sung (Department of Acupuncture & Moxibustion, Dongguk University, Ilsan Oriental Hospital) ;
  • Kim, Eun Jung (Department of Acupuncture & Moxibustion, Dongguk University, Bundang Oriental Hospital)
  • 오현진 (동국대학교 한의과대학 한의학과) ;
  • 이은솔 (동국대학교 부속분당한방병원 침구의학교실) ;
  • 이윤주 (동국대학교 한의과대학 한의학과) ;
  • 이승덕 (동국대학교 부속일산불교한방병원 침구의학교실) ;
  • 김갑성 (동국대학교 부속일산불교한방병원 침구의학교실) ;
  • 김은정 (동국대학교 부속분당한방병원 침구의학교실)
  • Received : 2013.11.11
  • Accepted : 2013.12.09
  • Published : 2013.12.20

Abstract

Objectives : This study was designed to find out the differences of the acupuncture sensation by body parts. Methods : Sixty-three subjects got acupuncture at five acupoints which represent five different body parts ; head($GV_{20}$), abdomen($ST_{25}$), back($BL_{24}$), upper extremity($LU_9$), lower extremity($GB_{40}$). All subjests were asked to complete questionnaire rating the intensity of 13 kinds of acupuncture sensation(acupuncture sensation scale, ASS). We compared the subjective acupuncture sensation between the body parts. Results : Intensity of acupuncture sensation of $GV_{20}$ was significantly lower than $LU_9$(p=0.001) and $GB_{40}$(p=0.000). Sum of acupuncture sensation of $GV_{20}$ was also significantly lower than $BL_{24}$(p=0.011), $LU_9$(p=0.004) and $GB_{40}$(p=0.033). Among the 13 types of acupuncture sensation scale, tingling and aching were well sensed at $GV_{20}$ and $ST_{25}$, aching, tingling and sharp pain were well sensed at $LU_9$, $GB_{40}$, dull pain, deep pressure and heaviness were well sensed at $BL_{24}$. Conclusions : Head showed significantly lower intensity of acupuncture sensation than upper extremity and lower extremity. Among the acupuncture sensation scales, tingling and aching were well sensed at head and abdomen, aching, tingling and sharp pain were well sensed at upper extremity and lower extremity, dull pain, deep pressure and heaviness were well sensed at back.

Keywords

References

  1. Park HJ, Park JB, Lee HS, Lee HJ. Does eqi(needle sensation) exist? The American journal of Chinese medicine. 2002 ; 30(01) : 45-50. https://doi.org/10.1142/S0192415X02000053
  2. Chiu ML, Li L. Chinese acupuncture and moxibustion. Churchill Livingstone Edinburgh etc. 1993.
  3. Andersson S, Lundeberg T. Acupuncture-from empiricism to science: Functional background to acupuncture effects in pain and disease pain and disease. Medical hypotheses. 1995 ; 45(3) : 271-81. https://doi.org/10.1016/0306-9877(95)90117-5
  4. Langevin HM, Churchill DL, Marilyn JC. Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture. The FASEB Journal. 2001 ; 15(12) : 2275-82. https://doi.org/10.1096/fj.01-0015hyp
  5. Kong J, Gollub R, Huang T et al. Acupuncture de qi, from qualitative history to quantitative measurement. Journal of alternative and complementary medicine. 2007 ; 13(10) : 1059. https://doi.org/10.1089/acm.2007.0524
  6. Choi YJ, Lee JE, Moon WK, Cho SH. Does the effect of acupuncture depend on needling sensation and manipulation?. Complementary Therapies in Medicine. 2013.
  7. Xu SB, Huang B, Zhang CY et al. Effectiveness of strengthened stimulation during acupuncture for the treatment of Bell palsy: a randomized controlled trial. Canadian Medical Association Journal. 2013 ; 185(6) : 473-8. https://doi.org/10.1503/cmaj.121108
  8. Vincent CA, Richardson PH, Black JJ et al. The significance of needle placement site in acupuncture. Journal of psychosomatic research. 1989 ; 33(4) : 489. https://doi.org/10.1016/0022-3999(89)90010-X
  9. MacPherson H, Asghar A. Acupuncture needle sensations associated with De Qi: a classification based on experts' ratings. Journal of alternative and complementary medicine. 2006 ; 12(7) : 633. https://doi.org/10.1089/acm.2006.12.633
  10. Zhang G, Qu S, Zheng Y, Chen J, Deng G, Yang C. Key regions of the cerebral network are altered after electroacupuncture at the Baihui (GV20) and Yintang acupuncture points in healthy volunteers: an analysis based on resting fcMRI. Acupuncture in Medicine. 2013 Dic ; 31(4) : 263 https://doi.org/10.1136/acupmed-2013-010443
  11. Kim YJ, Park JB, Lee HJ, Bang HJ, Park HJ. Content Validity of an Acupuncture Sensation Questionnaire. The Journal of Alternative and Complementary Medicine. 2008 ; 14(8) : 957-63. https://doi.org/10.1089/acm.2007.0565
  12. Lin JG, Wang CF, Huang CT, Chen CF. A survey of the depth for De-Qi in acupuncture therapy. Chinese Journal of Integrated Traditional and Western Medicine. 1996 ; 2(2) : 101-3.
  13. Zheng BY, Zhao K, Liang F. Neurobiology of Acupuncture. Elsevier. 2013 : 55.
  14. Zhang W. Evaluation of Therapeutic Effect and Safety of Deep Acupuncture at Tianshu(ST 25) for Treatment of Slow Transit Constipation. Journal of Traditional Chinese Medicine. 2006 ; 47 : 105-7.
  15. Zhang WB, Litscher G, Chae YB, Wu A. Effects and Mechanism of Acupuncture Based on the Principle of Meridians. Evidence-Based Complementary and Alternative Medicine. 2013.
  16. Colbert A, Yun JK, Larsen A, Edinger T, Gregory W, Thong T. Skin Impedance Measurements for Acupuncture Research: Development of a Cintinuous Recording System. Evidence-Based Complementary and Alternative Medicine. 2008 ; 5(4) : 443-50. https://doi.org/10.1093/ecam/nem060
  17. Zhang YQ. Clinical experience in acupuncture treatment of allergic rhinitis. Journal of Traditional Chinese Medicine. 2009 ; 29(3) : 186-9. https://doi.org/10.1016/S0254-6272(09)60062-5
  18. Fang JL, Krings T, Weidemann J, Meister IG, Thron A. Functional MRI in healthy subjects during acupuncture: different effects of needle rotation in real and false acupoints. Neuroradiology. 2004 ; 46(5) : 359-62. https://doi.org/10.1007/s00234-003-1125-7
  19. Greenberg S. The History of Dermatome Mapping. Archives of Neurology. 2003 ; 60(1) : 126-31 https://doi.org/10.1001/archneur.60.1.126
  20. World Health Organization. WHO standard acupuncture point locations in the Western Pacific Region. World Health Organization. 2008.
  21. Chen Chiu Hseuh. Acupuncture: A comprehensive text, Shanghai college of traditional medicine. 1981.
  22. Beijing Zhong Yi Xue Yuan. Essentials of Chinese acupuncture. Foreign Languages Press. 1980.
  23. Kong J, Fufa DT, Gerber AJ et al. Psychophysical outcomes from a radomized pilot study of manual, electro, and sham acupuncture treatment on experimentally induced thermal pain. The Journal of Pain. 2005 ; 6(1) : 55-64. https://doi.org/10.1016/j.jpain.2004.10.005
  24. Chae YB, Kim YJ, Choe IH et al. A comparison study of acupuncture sensation scale between real acupuncture and sham needle. The Korean Journal of Meridian & Acupoint. 2006 ; 23(4) : 85-99.
  25. Mao J, Farrar J, Armstrong K, Donahue A, Ngo J, Bowman M. De qi: Chinese acupuncture patients' experiences and beliefs regarding acupuncture needling sensation - an exploratory survey. Acupuncture in Medicine. 2007 ; 25(4) : 158-65. https://doi.org/10.1136/aim.25.4.158
  26. Wang KM, Yao SM, Xian YL, Hou Z. A study on the receptive field of acupoints and the relationship between characteristics of needling sensation and groups of afferent fibres. Scientia Sinica. 1985 ; 28(9) : 963-71.
  27. Hudspith MJ, Siddall PJ, Munglani R. Physiology of pain. In : Hemmings HC, Hopkins PM, editors. Foundations of anesthesia: basic sciences for clinical practice. Philadelphia : Elsevier Health Sciences. 2006 : 267-85.
  28. Lamont LA, Tranquilli WJ, Grimm KA. Physiology of pain. Veterinary clinics of North America: Small animal practice. 2000 ; 30(4) : 703-28. https://doi.org/10.1016/S0195-5616(08)70003-2
  29. Ghassemi A, Prescher A, Riediger D, Axer H. Anatomy of the SMAS Revisited. Aesthetic Plastic Surgery. 2003 ; 27(4) : 258-64. https://doi.org/10.1007/s00266-003-3065-3
  30. Korean Acupuncture & Moxibustion Medicine Society. The Acupuncture and Moxibustion. Jipmoondang. 2008 : 100-8.
  31. Kopf Andreas and Patel NB. Guide to pain management in low-resource setting. Internatuinal Association for pain relief. 2010 : 14.
  32. Whitton JT, Everall JD. The thickness of the epidermis. Br J Dermatol. 1973 ; 89(5) : 467-76. https://doi.org/10.1111/j.1365-2133.1973.tb03007.x
  33. Defrin R, Ronat A, Ravid A, Peretz C. Spatial summation of pressure pain: effect of body region. Pain. 2003 ; 106(3) : 471-80. https://doi.org/10.1016/j.pain.2003.09.010
  34. Scadden LA. Tactile pattern recognition and body loci. Perception. 1973 ; 2(3) : 333-6. https://doi.org/10.1068/p020333
  35. Park IS. Quantitative Sensory Test: a study of acupuncture point sensitivity by sites. Dongguk University. 2013.
  36. Kosek E, Ekholm J, Nordemar R. A comparison of pressure pain thresholds in different tissues and body regions. Long-term reliability of pressure algometry in healthy volunteers. Scand J Rehabil Med. 1993 Sep ; 25(3) : 117-24.
  37. Lee BH, Kim BY, Park JY et al. A statistical study on the correlation between Bokmohyul.Baesuhyul and anatomical organs and conjecture of the orgnas of Simpo and Samcho. The journal of East-West medicine. 2009 ; 34(1) : 45-62.
  38. Wang K. Annotation version of the Yellow Emperor's Classics of Medicine. Seongbosa. 1983 : 121-223.
  39. Yin CS, Park JB, Lee JY et al. Acupuncture Perception( Deqi) Varies over Different Point and by Gender with Two Distinct Distribution Patterns of Dullness and Pain. Journal of Sensory Studies. 2009 ; 24(5) : 635-47. https://doi.org/10.1111/j.1745-459X.2009.00229.x
  40. Fillingim R, Maixner W. Gedner differences in the responses to noxious stimuli. Pain Forum. 1995 ; 4(4) : 209-21. https://doi.org/10.1016/S1082-3174(11)80022-X

Cited by

  1. Feasibility study of transfer function model on electrocardiogram change caused by acupuncture vol.17, pp.None, 2013, https://doi.org/10.1186/s12906-017-1615-5