Evidence-Based Complementary and Alternative Medicine Deqi Sensation in Different Kinds of Acupuncture Guest Editors: Cun-Zhi Liu, Gerhard Litscher, Fan-Rong Liang, Jian Kong, Lin-Peng Wang, and Lu Wang Deqi Sensation in Different Kinds of Acupuncture Evidence-Based Complementary and Alternative Medicine Deqi Sensation in Different Kinds of Acupuncture GuestEditors:Cun-ZhiLiu,GerhardLitscher,Fan-RongLiang, Jian Kong, Lin-Peng Wang, and Lu Wang Copyright©2014HindawiPublishingCorporation.Allrightsreserved. Thisisaspecialissuepublishedin“Evidence-BasedComplementaryandAlternativeMedicine.”Allarticlesareopenaccessarticles distributedundertheCreativeCommonsAttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninany medium,providedtheoriginalworkisproperlycited. Editorial Board M.A.Abdulla,Malaysia Jen-HweyChiu,Taiwan Ching-LiangHsieh,Taiwan JonAdams,Australia W.Chi-shingCho,HongKong JingHu,China ZurainiAhmad,Malaysia JaeYoulCho,Korea Sheng-TengHuang,Taiwan U.P.Albuquerque,Brazil Seung-HunCho,RepublicofKorea BennyTanKwongHuat,Singapore GianniAllais,Italy CheeYanChoo,Malaysia RomanHuber,Germany TerjeAlraek,Norway Li-FangChou,Taiwan AngeloAntonioIzzo,Italy SoulimanAmrani,Morocco RyowonChoue,RepublicofKorea SureshJadhav,India AkshayAnand,India Shuang-EnChuang,Taiwan KanokwanJarukamjorn,Thailand ShrikantAnant,USA J.-H.Chung,RepublicofKorea YongJiang,China ManuelArroyo-Morales,Spain EdwinL.Cooper,USA ZhengL.Jiang,China SyedB.Asdaq,SaudiArabia GregoryD.Cramer,USA StefanieJoos,Germany SeddighehAsgary,Iran MengCui,China SirajudeenK.N.S.,Malaysia HyunsuBae,RepublicofKorea RobertoN.Cuman,Brazil Z.Kain,USA LijunBai,China VincenzoDeFeo,Italy OsamuKanauchi,Japan SandipK.Bandyopadhyay,India R.DelaPuertaVa´zquez,Spain DaeGillKang,RepublicofKorea SarangBani,India MartinDescarreaux,USA WenyiKang,China VassyaBankova,Bulgaria AlexandraDeters,Germany Shao-HsuanKao,Taiwan WinfriedBanzer,Germany SivaS.Durairajan,HongKong KrishnaKaphle,Nepal VernonA.Barnes,USA MohamedEddouks,Morocco KenjiKawakita,Japan SamraBashir,Pakistan ThomasEfferth,Germany JongYeolKim,RepublicofKorea JairoKenuppBastos,Brazil TobiasEsch,USA YounChulKim,RepublicofKorea SujitBasu,USA SaeedEsmaeili-Mahani,Iran Cheorl-HoKim,RepublicofKorea DavidBaxter,NewZealand NianpingFeng,China YoshiyukiKimura,Japan Andre-MichaelBeer,Germany YibinFeng,HongKong JoshuaK.Ko,China AlvinJ.Beitz,USA JosueFernandez-Carnero,Spain ToshiakiKogure,Japan YongChoolBoo,RepublicofKorea JulianoFerreira,Brazil JianKong,USA FrancescaBorrelli,Italy FabioFirenzuoli,Italy NandakumarKrishnadas,India GloriaBrusotti,Italy PeterFisher,UK YiuWaKwan,HongKong IshfaqA.Bukhari,Pakistan W.F.Fong,HongKong KuangChiLai,Taiwan ArndtBu¨ssing,Germany JoelJ.Gagnier,Canada ChingLan,Taiwan RainerW.Bussmann,USA SiewHuaGan,Malaysia AlfredLa¨ngler,Germany RaffaeleCapasso,Italy Jian-LiGao,China LixingLao,HongKong OpherCaspi,Israel GabinoGarrido,Chile ClaraBik-SanLau,HongKong HanChae,Korea M.N.Ghayur,Pakistan Jang-HernLee,RepublicofKorea Shun-WanChan,HongKong AnwarulHassanGilani,Pakistan MyeongSooLee,RepublicofKorea Il-MooChang,RepublicofKorea MichaelGoldstein,USA TatleangLee,Singapore RajnishChaturvedi,India MahabirP.Gupta,Panama ChristianLehmann,Canada ChunTaoChe,USA SveinHaavik,Norway MarcoLeonti,Italy Tzeng-JiChen,Taiwan AbidHamid,India LawrenceLeung,Canada KevinChen,USA N.Hanazaki,Brazil KwokNamLeung,HongKong Jian-GuoChen,China K.B.Harikumar,India Ping-ChungLeung,HongKong HubiaoChen,HongKong CoryS.Harris,Canada ChunGuangLi,Australia YunfeiChen,China ThierryHennebelle,France Xiu-MinLi,USA Juei-TangCheng,Taiwan Seung-HeonHong,Korea PingLi,China EvanPaulCherniack,USA MarkusHorneber,Germany ShaoLi,China ManLi,China BeritSmestadPaulsen,Norway MayankThakur,Germany MinLi,China AndreaPieroni,Italy MenakaC.Thounaojam,India YongHongLiao,China RichardPietras,USA MeiTian,China SabinaLim,Korea WarisQidwai,Pakistan EvelinTiralongo,Australia Bi-FongLin,Taiwan XianqinQu,Australia StephanieTjen-A-Looi,USA WenChuanLin,China CassandraL.Quave,USA MichaThlTomczyk,Poland ChristopherG.Lis,USA RojaRahimi,Iran YaoTong,HongKong GerhardLitscher,Austria KhalidRahman,UK KarlWah-KeungTsim,HongKong I-MinLiu,Taiwan CheppailRamachandran,USA VolkanTugcu,Turkey KeLiu,China GamalRamadan,Egypt Yew-MinTzeng,Taiwan YijunLiu,USA KeRen,USA DawnM.Upchurch,USA Cun-ZhiLiu,China ManHeeRhee,RepublicofKorea MarynaVandeVenter,SouthAfrica GaofengLiu,China Mee-RaRhyu,RepublicofKorea SandyvanVuuren,SouthAfrica GailB.Mahady,USA Jose´LuisR´ıos,Spain AlfredoVannacci,Italy JurajMajtan,Slovakia PaoloRobertidiSarsina,Italy ManiVasudevan,Malaysia SubhashC.Mandal,India BasharSaad,PalestinianAuthority CarloVentura,Italy JeanineL.Marnewick,SouthAfrica SumairaSahreen,Pakistan WagnerVilegas,Brazil VirginiaS.Martino,Argentina OmarSaid,Israel PradeepVisen,Canada JamesH.McAuley,Australia LuisA.Salazar-Olivo,Mexico AristoVojdani,USA KarinMeissner,Germany Mohd.ZakiSalleh,Malaysia Shu-MingWang,USA AndreasMichalsen,Germany AndreasSandner-Kiesling,Austria Chong-ZhiWang,USA DavidMischoulon,USA AdairSantos,Brazil ChenchenWang,USA SyamMohan,SaudiArabia G.Schmeda-Hirschmann,Chile Y.Wang,USA J.Molnar,Hungary AndrewScholey,Australia KenjiWatanabe,Japan Vale´rioMonteiro-Neto,Brazil VeroniqueSeidel,UK JintanapornWattanathorn,Thailand Hyung-InMoon,RepublicofKorea SenthamilR.Selvan,USA JennyM.Wilkinson,Australia AlbertMoraska,USA TuhinadriSen,India DarrenR.Williams,RepublicofKorea MarkMoss,UK HongcaiShang,China HarukiYamada,Japan YoshiharuMotoo,Japan RonaldSherman,USA NobuoYamaguchi,Japan FraukeMusial,Germany KarenJ.Sherman,USA JunqingYang,China MinKyunNa,RepublicofKorea KuniyoshiShimizu,Japan Yong-QingYang,China RichardL.Nahin,USA KanShimpo,Japan EunJinYang,RepublicofKorea VitalyNapadow,USA Byung-CheulShin,Korea LingYang,China F.R.F.Nascimento,Brazil YukihiroShoyama,Japan XiufenYang,China S.Nayak,TrinidadAndTobago Chang-GueSon,Korea KenYasukawa,Japan RolandNdipNdip,SouthAfrica RachidSoulimani,France MinYe,China IsabellaNeri,Italy DidierStien,France M.Yoon,RepublicofKorea T.B.Nguelefack,Cameroon Shan-YuSu,Taiwan JieYu,China MartinOffenbaecher,Germany MohdRoslanSulaiman,Malaysia ZunjianZhang,China Ki-WanOh,RepublicofKorea VenilN.Sumantran,India HongQ.Zhang,HongKong YoshijiOhta,Japan JohnR.S.Tabuti,Uganda Wei-BoZhang,China OlumayokunA.Olajide,UK TokuTakahashi,USA Jin-LanZhang,China ThomasOstermann,Germany RabihTalhouk,Lebanon BoliZhang,China StaceyA.Page,Canada Wen-FuTang,China RuixinZhang,USA Tai-LongPan,Taiwan YupingTang,China HongZhang,China BhushanPatwardhan,India LayKekTeh,Malaysia HaiboZhu,China Contents DeqiSensationinDifferentKindsofAcupuncture,Cun-ZhiLiu,GerhardLitscher,Fan-RongLiang, JianKong,Lin-PengWang,andLuWang Volume2014,ArticleID121573,1page LocalAnesthesiaatST36toRevealRespondingBrainAreastodeqi,Ling-minJin,Cai-juanQin,LeiLan, Jin-boSun,FangZeng,Yuan-qiangZhu,Shu-guangYu,Hai-yanYin,andYongTang Volume2014,ArticleID987365,6pages AnExploratorySurveyofDeqiSensationfromtheViewsandExperiencesofChinesePatientsand Acupuncturists,Hong-WenYuan,Liang-XiaoMa,PengZhang,ChiLin,Dan-DanQi,JingLi,Si-YuanXin, Ni-JuanHu,Chun-HuaLi,Yu-QiLiu,JieHao,Jie-PingXie,HaiCui,andJiangZhu Volume2013,ArticleID430851,8pages AppraisaloftheDeqiConceptamongContemporaryChineseAcupuncturists,ShengChen, ShengnanGuo,FedericoMarmori,YanpingWang,QiZhao,BaokaiWang,EunhaeHa,YanhuanMiao, LiXiang,MingwenZhao,YuweiHuo,YinanNan,Li-anLiu,andJipingZhao Volume2013,ArticleID538476,7pages PeripheralandSpinalMechanismsofAcupointSensitizationPhenomenon,Pei-JingRong,ShaoyuanLi, HuiBen,LiangLi,Ling-LingYu,Chang-XiangCui,XiaLi,andBingZhu Volume2013,ArticleID742195,6pages EfficacyofAcupunctureforPrimaryInsomnia:ARandomizedControlledClinicalTrial,JingGuo, Lin-PengWang,Cun-ZhiLiu,JieZhang,Gui-LingWang,Jing-HongYi,andJin-LianCheng Volume2013,ArticleID163850,10pages InvestigatingtheEffectsofThreeNeedlingParameters(Manipulation,RetentionTime,andInsertion Site)onNeedlingSensationandPainProfiles:AStudyofEightDeepNeedlingInterventions, BertrandY.K.LoyeungandDeirdreM.Cobbin Volume2013,ArticleID136763,12pages TheCharacterizationofDeqiduringMoxibustioninStrokeRats,ZhimaiLv,ZhongyongLiu, DandanHuang,RixinChen,andDingyiXie Volume2013,ArticleID140581,4pages AcupunctureDe-qi:FromCharacterizationtoUnderlyingMechanism,Shi-PengZhu,LiLuo, LingZhang,Song-XiShen,Xiao-XuanRen,Meng-WeiGuo,Jia-MinYang,Xiao-YuShen,Yong-SiXu,BoJi, JiangZhu,Xiao-HongLi,andLu-FenZhang Volume2013,ArticleID518784,7pages TheObservationoftheChangeofTCECausedbyDifferentAcupunctureStimulation, TaoHuangandXinnongCheng Volume2013,ArticleID856905,6pages ComparativeEffectivenessoftheDeqiSensationandNon-DeqibyMoxibustionStimulation:A MulticenterProspectiveCohortStudyintheTreatmentofKneeOsteoarthritis,RixinChen, MingrenChen,JunXiong,TongshengSu,MeiqiZhou,JianhuaSun,ZhenhaiChi,BoZhang,andDingyiXie Volume2013,ArticleID906947,7pages IsDeqianIndicatorofClinicalEfficacyofAcupuncture?ASystematicReview,ShuoZhang,WeiMu, LuXiao,Wen-KeZheng,Chun-XiangLiu,LiZhang,andHong-CaiShang Volume2013,ArticleID750140,15pages DeqiSensationinPlaceboAcupuncture:ACrossoverStudyonChineseMedicineStudents, Zhao-huiLiang,Chang-caiXie,Zi-pingLi,Xiao-pingZhu,Ai-pingLu,andWen-binFu Volume2013,ArticleID620671,8pages EffectsofDeqionAutonomicBalanceinAdultTinnitusPatients:StudyDesignofaRandomized ControlledTrial,Qian-QianLi,Guang-XiaShi,Xin-XingFu,Li-LiHan,Li-YingLiu,Cun-ZhiLiu, Lin-PengWang,andNaHou Volume2013,ArticleID756012,6pages InfluenceoftheDeqiSensationbySuspendedMoxibustionStimulationinLumbarDiscHerniation: StudyforaMulticenterProspectiveTwoArmsCohortStudy,RixinChen,MingrenChen,JunXiong, TongshengSu,MeiqiZhou,JianhuaSun,ZhenhaiChi,BoZhang,andDingyiXie Volume2013,ArticleID718593,6pages CharacterizingAcupunctureDeQiinMildCognitiveImpairment:RelationswithSmall-World EfficiencyofFunctionalBrainNetworks,LijunBai,MingZhang,ShangjieChen,LinAi,MaoshengXu, DanWang,FeiWang,LihuaLiu,FangWang,andLixingLao Volume2013,ArticleID304804,8pages DeqiSensationsofTranscutaneousElectricalNerveStimulationonAuricularPoints,XiaolingWang, JiliangFang,QingZhao,YangyangFan,JunLiu,YangHong,HonghongWang,YunyaoMa,ChunhuaXu, ShanShi,JianKong,andPeijingRong Volume2013,ArticleID371543,5pages ALongitudinalStudyoftheReliabilityofAcupunctureDeqiSensationsinKneeOsteoarthritis, RosaB.Spaeth,StephanieCamhi,JaveriaA.Hashmi,MarkVangel,AjayD.Wasan,RobertR.Edwards, RandyL.Gollub,andJianKong Volume2013,ArticleID204259,12pages VisualizedCharacterizationforCerebralResponseofAcupunctureDeqi:ParadoxUnderway,JieYang, Ming-XiaoYang,FangZeng,XiWu,JiaoChen,Yan-QinLiu,YueFeng,andFan-RongLiang Volume2013,ArticleID894750,9pages CharacterizationofDeqiSensationandAcupunctureEffect,Xing-YueYang,Guang-XiaShi, Qian-QianLi,Zhen-HuaZhang,QianXu,andCun-ZhiLiu Volume2013,ArticleID319734,7pages AcupunctureDeQiinStableSomatosensoryStrokePatients:RelationswithEffectiveBrainNetworkfor MotorRecovery,LijunBai,FangyuanCui,YihuaiZou,andLixingLao Volume2013,ArticleID197238,9pages FactorsContributingtoDeQiinAcupunctureRandomizedClinicalTrials,YiYang,Lin-PengWang, LeiZhang,Li-ChenWang,JiaWei,Jia-JianLi,andYi-LeSun Volume2013,ArticleID329392,5pages Yes,ThereIsDeqiSensationinLaserAcupuncture,GerhardLitscher Volume2013,ArticleID198254,4pages Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2014, Article ID 121573, 1 page http://dx.doi.org/10.1155/2014/121573 Editorial Deqi Sensation in Different Kinds of Acupuncture Cun-ZhiLiu,1GerhardLitscher,2Fan-RongLiang,3JianKong,4 Lin-PengWang,5andLuWang2 1AcupunctureandMoxibustionDepartment,BeijingHospitalofTraditionalChineseMedicineAffiliatedtoCapitalMedicalUniversity, 23MeishuguanhouStreet,Dongcheng,Beijing100010,China 2StronachResearchUnitforComplementaryandIntegrativeLaserMedicine, ResearchUnitofBiomedicalEngineeringinAnesthesiaandIntensiveCareMedicine,TCMResearchCenterGraz, MedicalUniversityofGraz,Auenbruggerplatz29,8036Graz,Austria 3CollegeofAcupunctureandMassage,ChengduUniversityofTraditionalChineseMedicine,Chengdu,Sichuan610075,China 4DepartmentofPsychiatry,MassachusettsGeneralHospital(MGH),HarvardMedicalSchool,Charlestown,Boston,MA02129,USA 5SchoolofTraditionalChineseMedicine,CapitalMedicalUniversity,10Xitoutiao,Youanmen,Beijing100069,China CorrespondenceshouldbeaddressedtoCun-ZhiLiu;[email protected] Received30December2013;Accepted30December2013;Published9February2014 Copyright©2014Cun-ZhiLiuetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Thecurrentissueisthe2013issuewhichincludes21interest- ofDeqifromaphysiologicalaspect.Threereviewsarerelated ingpapers. to the recent advances in Deqi and acupuncture effects. AcupuncturestimulationelicitsDeqi,acompositeofuni- The current evidence base is not solid enough to draw any quesensationsthatisessentialforclinicalefficacyaccording conclusion regarding the predicative value of natural Deqi totraditionalChinesemedicine.Inrecentyears,clinicaltrials forclinicalefficacyorthetherapeuticvalueofmanipulation- ofacupuncturehavepaidincreasingattentiontotheevoca- facilitatedDeqi.SixpapersfocusonDeqiinmanualacupunc- tionofDeqi.Thephysiologicalmechanismthatproducesthe ture compared with other types of acupuncture, of which effectofDeqihasalsobeenexploredinseveralstudiesbutis 4 papers introduce the influence of the Deqi sensation by notwellunderstood. suspendedmoxibustionstimulation.Twopapersadoptran- Asmentionedabove,thisspecialissuecontains21papers, domizedcontrolledclinicaltrialandmulticenterprospective of which two papers are related to the characterization of cohort design to compare the clinical effectiveness of Deqi theDeqiduringacupuncturetreatment.Deqisensationoften sensation. occurs during acupuncture treatment and is believed to be Deqishouldbetakenintoaccountinclinicaltrials,and importantforasuccessfulacupuncturetherapy.Sofarthere more researches are required to understand the underlying existnoquestionnairesforchildren.E.Andersetal.createda mechanisms,asdescribedinthisspecialissue. sentencebasedquestionnaireforchildrenonthebasisofthe SouthamptonNeedleSensationquestionnaire(SNSQ).Three Cun-ZhiLiu papers study the interaction between Deqi and acupunc- GerhardLitscher turebyneuroimagingtechnology.Theyprovideevidenceto Fan-RongLiang understandneuralmechanismunderlyingacupuncture.Four JianKong papers are related to the physiological mechanism of Deqi. Lin-PengWang These papers describe current knowledge in understanding LuWang Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2014, Article ID 987365, 6 pages http://dx.doi.org/10.1155/2014/987365 Research Article Local Anesthesia at ST36 to Reveal Responding Brain deqi Areas to Ling-minJin,1Cai-juanQin,2LeiLan,2Jin-boSun,1FangZeng,2Yuan-qiangZhu,1 Shu-guangYu,2Hai-yanYin,2andYongTang2 1LifeSciencesResearchCenter,SchoolofLifeSciencesandTechnology,XidianUniversity,Xi’an,Shaanxi710126,China 2The3rdTeachingHospital,ChengduUniversityofTraditionalChineseMedicine,Chengdu,Sichuan610075,China CorrespondenceshouldbeaddressedtoHai-yanYin;[email protected];[email protected] Received5June2013;Accepted15December2013;Published16January2014 AcademicEditor:Cun-ZhiLiu Copyright©2014Ling-minJinetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Background.Developmentofnon-deqicontrolisstillachallenge.Thisstudyaimstosetupapotentialapproachtonon-deqicontrol byusinglidocaineanesthesiaatST36.Methods.FortyhealthyvolunteerswererecruitedandtheyreceivedtwofMRIscans.Onewas accompaniedwithmanualacupunctureatST36(DQgroup),andanotherwasassociatedwithbothlocalanesthesiaandmanual acupunctureatthesameacupoint(LAgroup).Results.ComparingtoDQgroup,morethan90percentdeqisensationswerereduced bylocalanesthesiainLAgroup.ThemainlyactivatedregionsinDQgroupwerebilateralIFG,S1,primarymotorcortex,IPL, thalamus,insula,claustrum,cingulategyrus,putamen,superiortemporalgyrus,andcerebellum.Surprisinglyonlycerebellum showedsignificantactivationinLAgroup.Comparedtothetwogroups,bilateralS1,insula,ipsilateralIFG,IPL,claustrum,and contralateralACCwereremarkablyactivated.Conclusions.LocalanesthesiaatST36isabletoblockmostofthedeqifeelingsand inhibit brain responses to deqi, which would be developed into a potential approach for non-deqi control. Bilateral S1, insula, ipsilateralIFG,IPL,claustrum,andcontralateralACCmightbethekeybrainregionsrespondingtodeqi. 1.Introduction kindsofshamacupuncturestrategieshavebeenemployedas non-deqicontrol,whichincludeon-invasiveplacebostimula- deqi,alsocalledneedlesensation,referstothesensationsof tion(VonFrey,StreitbergerNeedle,etc.)atthesameacupunc- soreness,numbness,fullness,heaviness,andsofortharound ture point or nonacupuncture point [7, 29, 31], superficial the acupoints of patients when the needle is inserted to needlingatthesameacupuncturepointornonacupuncture a certain depth. At the same time, the operator may feel point [9, 32], or needling at the nonacupuncture point or heavinessortensionaroundtheneedle.Asoneofthemost acupointunrelatedtotheresearchpurpose[20,22,23,33]. classicandimportantconceptsoriginatedfromNeijing(The However, clinical and neuroimaging studies demon- Yellow Emperor’s Classic of Internal Medicine), deqi has stratedthatacupuncturefeelingswereunabletobecompre- drawnincreasingattentionofresearchersrecently[1–5].The hensivelyinhibitedbyshamacupuncture[33,34].Therefore, studiesondeqimainlyfocusedonfourdirections:(1)identi- development of non-deqi control is still a challenge. Giving fyingtherelationshipbetweendeqiandacupunctureefficacy thefactthatbothlocalanestheticattheacupointandgeneral [6–10];(2)quantifyingthedeqisensationsandmakingdeqi anesthesia had been applied to explore the mechanism of visualizationandobjectification[11–13];(3)investigatingthe acupuncture in previous studies [35–38], we proposed that influence factors on deqi such as insertion site, insertion local anesthesia would be a potential strategy to be used as depth,puncturemanipulationandneedleretainingtime,and anapproachofnon-deqicontrol.Basedonthisidea,weset bodyposition[14–19];(4)exploringthemechanismsofdeqi up a non-deqi control of acupuncture using local lidocaine [20–31]. anesthesia at acupoint and evaluating with the scoring of Whateverdirectionofinvestigationsondeqi,itisessential subjects’feelingsandperformedfMRIscanningtoobtainthe toestablishanappropriatenon-deqicontrol.Todate,several changedbrainareas.
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