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Oh yes, 得气 may be necessary after all…

By mchern • Jan 31st, 2008 • Category: Acupuncture

In an earlier article, I explained why you don’t need to 得气 for acupuncture to be effective.

Having just read an article proposing a theoretical explanation for how acupuncture treats pain, it now makes sense to me WHEN  得气 is necessary - assuming that the theories proposed are true.

  1. 得气 is necessary when treatment’s got to do with pain relief - this is when the sensory nerves have to be involved.
  2. 得气 is not necessary when the parasympathetic nerves are involved.

The pathomechanism of (2) has already been discussed in another article. Here we will look at the pathomechanism of (1):

  • The nervous system is triggered: sensory nerve is triggered. This causes electrical impulses to travel along spinal cord nerve to cause certain things to happen:
    • Spinal cord nerve signals other nerve cells to release endorphins, causing dulling of pain.
    • Spinal cord nerve signals brain to release neurotransmitters to block pain pathways. More specifically, the pituitary gland releases pain-killing and anti-inflammatory chemicals into brain tissue and bloodstream, causing cessation of pain.

Just a reminder here… The feeling of “qi has arrived is not the feeling of pain when the needle pricks the skin or the tissue beneath.

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