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针刺得气影响因素浅析
裴武博1, 吴勇箭1, 高卫芳1, 蒙小雨1, 刘阳阳1,2
1.天津中医药大学实验针灸学研究中心, 天津 301617;2.国家中医针灸临床医学研究中心, 天津 301617
摘要:
针刺得气是指在针刺过程中,医者将针具刺入患者腧穴,通过特定手法,使患者局部感到酸、麻、胀、痛等感觉,同时医者在针下亦感到沉涩、紧滞感。得气强弱及其持续时间与针刺效果密切相关,是针灸临床中不可或缺的重要环节。文章通过梳理近年来国内外针刺得气影响因素的相关文献,从医者和患者两个方面对其进行总结,为临床针刺得气的激发与调控提供参考。
关键词:  针刺  得气  针感  影响因素
DOI:10.11656/j.issn.1673-9043.2026.07.15
分类号:R245.3
基金项目:国家重点研发计划项目(2022YFB4703100)。
Analysis of factors influencing deqi in acupuncture
PEI Wubo1, WU Yongjian1, GAO Weifang1, MENG Xiaoyu1, LIU Yangyang1,2
1.Research Center of Experimental Acupuncture Science, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 301617, China
Abstract:
Deqi in acupuncture refers to the sensation experienced during needling,where the practitioner inserts the needle into the patient’s acupoint and uses specific techniques to induce feelings such as soreness,numbness, fullness,or aching at the local site. Simultaneously,the practitioner may feel a sense of heaviness,tightness,or resistance at the needle. The intensity and duration of deqi are closely related to the therapeutic effect of acupuncture and represent an indispensable aspect of clinical practice. The article reviews recent domestic and international literature on factors influencing deqi,summarizing them from both the practitioner’s and the patient’s perspectives,aiming to provide a reference for eliciting and regulating deqi in clinical acupuncture.
Key words:  acupuncture  deqi  needling sensation  influencing factor
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