电针参数与临床应用.ppt

1、电针参数与临床应用The Practice and Parameters of the Electronic Acupuncture,福建中医药大学学院针灸学院 吴强Acupuncture College of Fujian University of Traditional Chinese MedicineE-mail：,为什么用电针？WHY?,替代 Alternation取代 Substitution规范 Normalization 经济 Economical,怎样用电针？HOW?,用针的本意？Purpose of Needling? 用电的本意（主or辅）? Purpose of cur

2、rent (dominant or assisting)?,频率 Frequency 波型 Waveform 强度 Intensity 刺激时间 Duration 间隔时间 Interval 连接方式 Connection,频率 Frequency 低频 30Hz（50100Hz）HF,低频,范 围：25Hz 特 点 引起肌肉收缩 提高肌肉韧带张力 缓解止痛（痿证，各种肌肉、韧带损伤）,Low Frequency,Range: 2-5 HzFeature:Muscle ContractionRaise the tension of the muscle and ligamentRelieve

3、painSuitable for flaccidity syndrome and injuries of muscle and ligament.,高频,范 围：50100Hz特 点：降低神经应激 （止痛、镇静、缓解痉挛 、针麻）,High Frequency,Range: 50-100 HzFeatures:Reduce nerve irritabilityRelieve pain, spasm and induce sedation, acupuncture anesthesia,波型 Waveform,连续波 Continuous Wave 疏密波 Distant-Dense Wave

4、断续波 Intermittent Wave 呼吸波 Respiratory Wave,连续波,形态 特点 波型单一 感觉最舒适 易耐受功能 依频率而定,Continuous Wave,Form:Feature:Single wave formMost comfortable than othersEasily toleratedFunction:Depends on frequency,疏密波,形态 特点 疏、密波交替各1.5秒感觉跳跃不易耐受功能 促进代谢、循环，改善组织营养消除炎性水肿（止痛、肌无力等）,Distant-Dense Wave,Form:Feature:Sparse, den

5、se wave alternant each 1.5 secondsFeeling twitchingNot easily toleratedFunction:Promote metabolism, circulation, improve tissue nutritionElimination of inflammatory edema(relieve pain, gravis),断续波,形态 特点 无电流与密波各1.5秒难调节、多不适感不易耐受功能 提高肌肉组织的兴奋性（痿证、瘫痪等）,Intermittent Wave,Form:Feature:No current, dense wav

6、e alternant each 1.5 secondsHard to adjust, feeling uncomfortableNot easily toleratedFunction:Enhance the excitability of muscle (flaccidity syndrome and paralysis),呼吸波,形态 特点 6-20次/分，锯齿形波功能 提高神经肌肉兴奋性改善气血循环刺激膈神经（人工电呼吸）,Respiratory Wave,Form:Feature:6-20 times / min, and the saw-tooth waveFunction:Enh

7、ance the excitability of nerve and muscle Improve blood circulationStimulation of the phrenic nerve (simulate artificial respiration）,强度 Intensity 感觉阈-痛阈 弱-强度-强 性別 男 女 年龄 老 少 虚实 虚 实,Sensory Threshold,Pain Threshold,Intensity,Weak,Strong,Gender,Age,Deficiency/ Excess,Male,Female,Old,Young,Deficiency,

8、Excess,刺激时间 Duration,常规 Routine 10-30分钟min 局部（体表）Portion (Surface) 整体（脏腑）Holistic view( Zang-Fu organs),刺激時间（局部）Duration(portion)实证 Excess 长时间（30分钟）Long(30min) 虚证Deficiency 短时间（3-5分钟2-3次）Short(3-5min 2-3 round),刺激時间（整体）Duration(Holistic View),实证 Excess 长时间（30分钟）Long(30min) 虚证 Deficiency ？,刺激间隔时间 Int

9、erval急性期Acute stage 每天12次或隔日1次1-2 times/day or every other day 慢性期Chronic stage 每周1 次（防止耐受，舒适为度） once per week（comfort not tolerance),连接方式 Connection 常规方式 Routine 注意事项 Caution 1 防止各穴感觉差异过大Prevent large differences feeling between acupoints 2 防止短路Prevent short circuit,同侧 ipsilateral肢体病变 limbs symptom

10、s对侧 contralateral脏腑病变 organs symptoms,临床应用举隅Clinical Cases,鎮痛 Analgesia,痿证 Flaccidity syndrome 波型Form 不拘 Random 频率 Frequency 低 Low 强度 Intensity 弱 Weak 刺激时间Duration 短 Short 连接方式Connection 同侧 Ipsilateral 间隔时间Interval 稍長 a bit longer,脏腑虚证 Deficiency symptoms of Zang-Fu 波型Form 不拘 Random 频率 Frequency 低 L

11、ow 强度 Intensity 弱 Weak 刺激时间Duration 稍長 a bit longer 连接方式Connection 对侧 Contralateral 间隔时间Interval 稍長 a bit longer,脏腑实证 Excessive symptoms of Zang-Fu 波型Form 连续波 Continuous wave 频率 Frequency 高 High 强度 Intensity 强 Strong 刺激时间Duration 稍長 a bit longer 连接方式Connection 对侧 Contralateral 间隔时间Interval 稍短 a bit shorter,思考 Reflection,电针电针 用电还是用针？ Current? Needle? Which is the point?,谢 谢 ！Thanks!,