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J Acupunct Res > Volume 30(5); 2013 > Article
Oh, Lee, Lee, Lee, Kim, and Kim: The Clinical Study about Qualitative and Quantitative Characteristics of Acupuncture Sensation According to the Body Parts※

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(GV20), abdomen(ST25), back(BL24), upper extremity(LU9), lower extremity(GB40). 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 GV20 was significantly lower than LU9(p=0.001) and GB40(p=0.000). Sum of acupuncture sensation of GV20 was also significantly lower than BL24(p=0.011), LU9(p=0.004) and GB40(p=0.033). Among the 13 types of acupuncture sensation scale, tingling and aching were well sensed at GV20 and ST25, aching, tingling and sharp pain were well sensed at LU9, GB40, dull pain, deep pressure and heaviness were well sensed at BL24.

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.

Fig. 1.
Intensity of acupuncture sensation by acupoints
**: significant at p<0.01.
acupunct-30-5-6-f1.tif
Fig. 2.
Differences of acupuncture sensation scale by acupoints
1 : GV20. 2 : ST25. 3 : BL24. 4 : LU9. 5 : GB40.
*: significant at p<0.05. ** : significant at p<0.01.
acupunct-30-5-6-f2.tif
Fig. 3.
Difference of intensity of acupuncture sensation of factors by acupoints
*: significant at p<0.05. ** : significant at p<0.01.
acupunct-30-5-6-f3.tif
Fig. 4.
Difference of needling depth by acupoints
**: significant at p <0.01
acupunct-30-5-6-f4.tif
Table 1.
Demographic Data of Participants(n=63)
Variable Min Max
Age(yr) 26.06 ± 4.41 22 40
BMI 21.32 ± 2.59 16.97 30.86
Height(cm) 168.92 ± 8.30 155 187
Weight(kg) 61.31 ± 11.56 43 100
Gender Male 38(60.32 %)
Female 25(39.68 %)
Psychological sensitivity Dull 8
Moderate 39
Sensitive 16

Values are mean ± SD or number(percentage).

BMI : body mass index.

Table 2.
Acupuncture Sensation by Acupoints
Acupoint Soreness Aching Deep pressure Heaviness Fullness Tingling Numbness Sharp pain Dull pain Warmth Cold Throbbing Other
GV20 0.08±0.42 0.77±1.55 0.29±1.24 0.29±0.80 0.37±1.33 1.31±2.05 0.23±0.68 0.50±1.45 0.35±0.78 0 0.07±0.37 0.20±0.80 0.00±0.01
ST25 0.37±1.33 0.79±1.79 1.17±1.86 1.01±1.84 0.61±1.32 1.40±2.29 0.15±0.65 0.60±1.70 1.28±1.94 0.20±0.80 0.03±0.20 0.35±1.11 0.00±0.03
BL24 0.37±1.47 0.92±2.08 1.48±1.96 1.37±2.17 0.88±1.66 1.12±2.31 0.03±0.20 0.74±2.03 1.56±2.04 0.04±0.35 0.00±0.00 0.20±0.91 0.03±0.26
LU9 0.54±1.70 1.85±2.57 0.89±1.78 0.47±1.53 0.51±1.50 1.68±2.38 0.13±0.90 1.42±2.46 0.49±1.34 0.18±0.85 0.03±0.18 0.90±1.92 0.01±0.11
GB40 0.52±1.44 1.77±2.51 0.94±1.99 0.56±1.18 0.38±1.32 1.56±2.38 0.06±0.44 1.30±2.31 0.75±1.50 0.04±0.34 0.08±0.41 0.35±1.40 0.00±0.00
Total 0.38±1.35 1.22±2.18 0.95±1.82 0.74±1.62 0.55±1.43 1.41±2.28 0.12±0.62 0.91±2.05 0.89±1.64 0.09±0.57 0.04±0.27 0.40±1.31 0.01±0.13
Table 3.
Presence of Acupuncture Sensation by 13 Types of Acupuncture Sensation Scale Items and Acupoints C(E)
GV20 ST25 BL24 LU9 GB40 Total/expected p-value
Soreness 2(6) 6(6) 5(6) 8(6) 9(6) 30 0.218
Aching 19(21.6) 13(21.6) 15(21.6) 31(21.6) 30(21.6) 108** 0.001
Deep pressure 6(18.6) 24(18.6) 30(18.6) 17(18.6) 16(18.6) 93** 0.000
Heaviness 9(15.2) 19(15.2) 25(15.2) 7(15.2) 16(15.2) 76** 0.001
Fullness 8(10.8) 14(10.8) 18(10.8) 8(10.8) 6(10.8) 54* 0.029
Tingling 30(26.2) 25(26.2) 18(26.2) 31(26.2) 27(26.2) 131 0.133
Numbness 10(4) 4(4) 2(4) 2(4) 2(4) 20* 0.031
Sharp pain 10(14) 9(14) 9(14) 21(14) 21(14) 70** 0.005
Dull pain 15(20.6) 26(20.6) 35(20.6) 10(20.6) 17(20.6) 103** 0.000
Warmth 0(2.2) 5(2.2) 1(2.2) 4(2.2) 1(2.2) 11 0.078
Cold 4(2.2) 2(2.2) 0(2.2) 2(2.2) 3(2.2) 11 0.387
Throbbing 6(7.8) 7(7.8) 5(7.8) 15(7.8) 6(7.8) 39 0.076
Other 1(1) 2(1) 1(1) 1(1) 1(1) 5 0.960

*: significant at p<0.05.

** : significant at p<0.01.

C= count. E=expected.

Table 4.
Factor Loadings of Acupuncture Sensation Scale Items
Factor 1 Factor 2 Factor 3 Factor 4
Aching 0.6917
Tingling 0.7513
Sharp pain 0.8386
Deep pressure 0.7270
Fullness/distention 0.5493
Dull pain 0.6732
Heaviness 0.7301
Numbness 0.7296
Warmth 0.5565
Throbbing 0.5688
Soreness 0.5784
Cold 0.7008
Eigen value 2.11013 1.98541 1.29681 1.08159
Table 5.
Presence of Acupuncture Sensation by Factors C(E)
GV20 ST25 BL24 LU9 GB40 Total p-value
Factor 1 39(39.2) 32(39.2) 28(39.2) 51(39.2) 41(39.2) 191** 0.000
Factor 2 27(37) 46(37) 49(37) 27(37) 36(37) 185** 0.000
Factor 3 15(12.4) 13(12.4) 7(12.4) 19(12.4) 8(12.4) 62* 0.041
Factor 4 6(7.8) 8(7.8) 5(7.8) 10(7.8) 10(7.8) 39 0.555

Factor 1 : aching, tingling, sharp pain

Factor 2 : deep pressure, fullness/ distention, dull pain, heaviness

Factor 3 : numbness, warmth, throbbing

Factor 4 : soreness, cold

C : count. E : expected.

*: significant at p<0.05.

** : significant at p<0.01

VI. 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.
crossref pmid
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.
crossref pmid
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.
crossref pmid
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.
crossref pmid
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;
crossref
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.
crossref pmid pmc
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.
crossref pmid
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.
crossref pmid
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.
crossref
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.
crossref pmid
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;
crossref
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.
crossref pmid
17. Zhang YQ. Clinical experience in acupuncture treatment of allergic rhinitis. Journal of Traditional Chinese Medicine. 2009;29(3):186–9.
crossref pmid
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.
crossref pmid
19. Greenberg S. The History of Dermatome Mapping. Archives of Neurology. 2003;60(1):126–31.
crossref pmid
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.
crossref pmid
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.
crossref pmid
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.
pmid
27. Hudspith MJ, Siddall PJ, Munglani R. Physiology of pain. Edited by Hemmings HC, Hopkins PM. In: 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.
crossref
29. Ghassemi A, Prescher A, Riediger D, Axer H. Anatomy of the SMAS Revisited. Aesthetic Plastic Surgery. 2003;27(4):258–64.
crossref pmid
30. Korean Acupuncture & Moxibustion Medicine Society. The Acupuncture and Moxibustion. Jipmoondang. 2008;100–8.

31. Andreas Kopf, 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.
crossref pmid
33. Defrin R, Ronat A, Ravid A, Peretz C. Spatial summation of pressure pain: effect of body region. Pain. 2003;106(3):471–80.
crossref pmid
34. Scadden LA. Tactile pattern recognition and body loci. Perception. 1973;2(3):333–6.
crossref pmid
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.
pmid
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.
crossref
40. Fillingim R, Maixner W. Gedner differences in the responses to noxious stimuli. Pain Forum. 1995;4(4):209–21.
crossref


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