单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,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 Medicine,E-mail,：,电针参数与临床应用The Practice and Par,为什么用电针？,WHY?,替代,Alternation,取代,Substitution,规范,Normalization,经济,Economical,为什么用电针？WHY?,怎样用电针？,HOW?,用针的本意？,Purpose of Needling?,用电的本意（主,or,辅）,?,Purpose of current(dominant or assisting)?,怎样用电针？HOW?,电针参数,Parameters,频率,Frequency,波型,W,aveform,强,度,I,ntensity,刺激,时间,Duration,间,隔,时间,Interval,连,接方式,Connection,电针参数 Parameters 频率,频率,Frequency,低频,30Hz,（,50,100Hz,）,HF,频率 Frequency,低频,范 围：,2,5Hz,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 Hz,Feature:,Muscle Contraction,Raise the tension of the muscle and ligament,Relieve pain,Suitable for flaccidity syndrome and injuries of muscle and ligament.,低频范 围：25Hz Low FrequencyRange,高频,范 围：,50,100Hz,特 点：,降低神经应激,（,止痛,、镇静、缓解痉挛、,针,麻,）,High Frequency,Range:50-100 Hz,Features:,Reduce nerve irritability,Relieve pain,spasm and induce sedation,acupuncture anesthesia,高频范 围：50100HzHigh FrequencyRa,波型,W,aveform,连续,波,Continuous Wave,疏密波,Distant-Dense,Wave,断续,波,Intermittent,Wave,呼吸波,Respiratory Wave,波型 Waveform,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 form,Most comfortable than others,Easily tolerated,Function:,Depends on frequency,连续波形态Continuous WaveForm:,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,dense wave alternant each 1.5 seconds,Feeling twitching,Not easily tolerated,Function:,Promote metabolism,circulation,improve tissue nutrition,Elimination of inflammatory edema(relieve pain,gravis),疏密波形态 Distant-Dense Wa,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 wave alternant each 1.5 seconds,Hard to adjust,feeling uncomfortable,Not easily tolerated,Function:,Enhance the excitability of muscle,(flaccidity syndrome and paralysis),断续波形态 Intermittent Wav,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 wave,Function:,Enhance the excitability of nerve,and muscle,Improve blood circulation,Stimulation of the phrenic nerve(simulate artificial respiration,）,呼吸波形态 Respiratory Wave,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,Excess,强度 Intensity,刺激时间,Duration,常,规,Routine,1,0-30,分,钟,min,局部,（,体表,）,Portion(Surface),整体（脏腑）,Holistic view(Zang-Fu organs),刺激时间 Duration 常规 Routine,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（局部）Duration(portion),刺激時间,（整体）,Duration(Holistic View),实证,Excess,长时间,（,30,分,钟,）,Long(30min),虚证,Deficiency,？,刺激時间（整体）Duration(Holistic View,刺激,间隔时间,Interval,急性期,Acute stage,每天,1,2,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),刺激间隔时间 Interval,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,连接方式 Connection,电针参数与临床应用课件,同侧,ipsilateral,肢体病变,limbs,symptoms,对侧,contralateral,脏腑病变,organs symptoms,同侧 ipsilateral肢体病变 limbs sym,临床应用举隅,Clinical Cases,临床应用举隅Clinical Cases,鎮痛,Analgesia,波型,Form,频率,Freq,强度,Intensity,时间,Duration,连接,Conn,间隔,Interval,急性期,Acute,连续,con,高频,HF,强,Strong,长,Long,同或对,ipsi/contr,2-3,次,/w,慢性期,Chron,1,次,/w,治标,Temp,连续,con,高频,HF,强,Strong,长,Long,同或对,ipsi/contr,2-3,次,/w,治本,Permt,连续,con,低频,LF,弱,Weak,短,Short,同,ipsi,鎮痛 Analgesia波型频率强度时间连接间隔急性期连续高,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,痿证 Flaccidity syndrome,脏腑虚证,Deficiency symptoms of Zang-Fu,波型,Form,不拘,Random,频,率,Frequency,低,Low,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,脏腑虚证 Deficiency symptoms of Za,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,脏腑实证 Excessive symptoms of Zan,思考,Reflection,电针电针 用电还是用针？,Current?Needle?Which is the point?,思考 Reflection,谢 谢,！,Thanks!,谢 谢 ！,