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!,