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what are the manipulation and arrival of Qi?
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When this reaction of meridian Qi is produced, the practitioner will feel tenseness and/or a dragging sensation around the needle; the patient will feel soreness, numbness, distention or heaviness around the point, or a sensation traveling up and down the meridian.
If there is no arrival of Qi or reaction of meridian Qi, the practitioner should feel emptiness around the needle; the patient will not feel a sore, or numb sensation or feeling of distention or heaviness around the point.
Whether arrival of Qi is achieved or not, the quick or slow arrival of Qi are not only directly related to the therapeutic effect of acupuncture, but also can be used to deduce the prognosis of the disease. Clinically, generally, the quicker the arrival of Qi, the better the effect will be; the slower arrival of Qi, the worse the effect. If there is no arrival of Qi, the therapeutic effect is not possible.
So clinically, if there is no arrival of Qi during the treatment, as reasons, inaccurate location of the point, improper manipulation of the needle, incorrect angle or depth of the needle should be considered. Generally, the arrival of Qi should be achieved when the following methods are adopted. Either relocation to the correct point, readjustment of angle or depth of the needle, or readjustment of proper manipulation to the needle.
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