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Board of Physical Therapy
 
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Regulations Governing the Practice of Physical Therapy [18 VAC 112 ‑ 20]
Action Practice of dry needling
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Comment Period Ends 7/26/2019
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7/21/19  4:56 pm
Commenter: Harry Zou. ANIAS

Dry needing is Acupuncture! part two
 

Dry needling is Acupuncture!

Dry needling is Acupuncture!

Dry needling is one kind piercing of Acupuncture!

Second: Local muscle twitching is just one type of “De-qi (energy arrival)” of reacting during acupuncture, Chinese medical doctors started to use it 2,500 years ago.

De qi is an important traditional acupuncture term used to describe the connection between acupuncture needles and the energy pathways of the body. De qi” is the traditional acupuncture term used to describe the connection between acupuncture needles and the energy pathways of the body. It is a central concept in Traditional Chinese Acupuncture. Traditionally, de qi refers to the excitation of qi through the acupuncture channels/meridians by means of needle stimulation. According to Traditional Chinese Medicine (TCM), both the administering acupuncturist and the patient may be able to detect signs of de qi. Typically, the acupuncturist would perceive de qi as heaviness or tenseness about the needle he or she is stimulating, and in response to being punctured, the patient would perceive de qi as soreness, numbness, heaviness, and distention at the site of needle placement, though these sensations may spread to other parts of the body as well.

   De qi’s fundamental role in TCM acupuncture cannot be overstated. Its significance was first mentioned circa 100 B.C., in the Neijing (The Yellow Emperor’s Classic of Internal Medicine). (This ancient text is recognized as the first major compilation of Chinese Medicine and continues to serve as the canonical acupuncture text to the present time. The Neijing is divided into two books: Su wen (Plain Questions), which mainly describes Chinese medical theory and 

Ling Shu (Spiritual Pivot), which focuses on acupuncture more specifically). Much can be revealed about the historical roots of acupuncture and de qi by consulting this text. or example, in Ling Shu (chapter 9) it is advised that: “The acupuncturist should devote all his/her concentration to the needle, keep the needle on the surface and move it gently until the qi has arrived (qizhi).” A more famous saying from this text Ling Shu (chapter 1) reads, “For acupuncture to be successful, the qi must arrive (qizhi). Acupuncture’s effects come about like the clouds blown away by the wind.” Ling Shu (chapter 3) states, “The acupuncturist must obtain the qi (de qi). If qi has arrived, fastidiously hold it 

and do not lose it.” As indicated by the above excerpts, the earliest sources clearly viewed de qi as fundamental to acupuncture treatment. 

During the Ming dynasty (1368–1644), in the famous acupuncture poem, Jin Zhen Fu (Ode to the Golden Needle), recorded in  Zhen Jiu Da Cheng (Great Compendium of Acupuncture and Moxibustion), it is written: “If the qi comes quickly, the effect will be quick. If the qi comes slowly, the effect will be slow. If it does not arrive at all—it is a fatal sign, for sure.” Here, de qi signified not only effective treatment but also indicated the speed of and potential for recovery. Most contemporary TCM doctors still seek de qi and regard it as a sign of efficacy. 

At different points, the Neijing seems to indicate that the acupuncturist, patient, or both are to feel the de-qi sensations. Suwen (chapter 25) states, “During acupuncture, [the acupuncturist] should concentrate on the changes of qi and blood after the needle is inserted. Usually, the changes are too subtle to be felt, and sometimes [for the acupuncturist], the arrival of qi may feel like a bird flying.  

 

One important depiction of the acupuncturist’s perception of de qi comes from the Biao You Fu (Ode to Clear Obscurity) recorded in Great Compendium of Acupuncture and Moxibustion (Zhen Jiu Da Cheng), which was originally written in the Yuan Dynasty (1271–1368). This text states, “The acupuncturist may feel as though the needle is being firmly grabbed and moving roughly when qi arrives, but only loosely grasped and moving smoothly if qi does not arrive. Qi arrival feels like a fish biting a hook and bobbing in the water.

Another way to judge the arrival of the qi is explained by Li Yan in Medial Abecedarium (Yi Xue Ru Men), which was composed during the Ming Dynasty (1368–1644). Here it is written: “When the acupuncturist feels the needles getting heavy and full, there is de qi. . . . When the acupuncturist 

feels the needles getting hollow and loose, there is the absence of de qi.” These texts describe the experience of de qi from the perspective of the acupuncturist and depict the sensations as tense, heavy, tight, and full.

 

   Above Reference from THE JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE Volume 13, Number 9, 2007, pp. 000–000 © Mary Ann Liebert, Inc. DOI: 10.1089/acm.2007.0524.

“Acupuncture De Qi, from Qualitative History to Quantitative Measurement” by JIAN KONG, M.D., M.S., RANDY GOLLUB, M.D., Ph.D., TAO HUANG, M.D., Ph.D., GINGER POLICH, B.A., VITALY NAPADOW, Ph.D., KATHLEEN HUI, M.D., MARK VANGEL, Ph.D., BRUCE ROSEN, M.D., Ph.D.,and TED J. KAPTCHUK.

 

  In addition, write came from the book of "Nanjing" which not later than the period of the Eastern Han dynasty. Write about “When stabbing, press the point of the needle with your left hand first, flick and push it, claw and drop it, hen its qi comes, such as artery The shape,..”. that all talking about “Local muscle twitching”.

  "The father of contemporary acupuncture research in China", professor of Gansu University of traditional Chinese medicine. Zheng kuishan (1918-2010)?said that when “Deqi” impulses coming that can cause muscles to jump, we call “Zatiao”.

  Now, 80 percent of acupuncturists in China has mastered the technique of “Zatiao(LMT)”; Ninety percent of Chinese acupuncturists in the United States has mastered the technique of “Zatiao(LMT)”, that very thanks to the promotion of master Zheng Kuishan and his disciple doctor Lu Biao.

 

This Submit essay collated and organize by Harry Zou. Lac., O.M.D., from ANIAS.

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