Volume 45 Issue 6
Jun.  2024
Turn off MathJax
Article Contents
JI Heng, TAN Weikang, WU Tongyu, SHU Wenya, WU Xiao, YA Xiaoxu, JI Changchun, WANG Xinjun, HAN Yulong. The Mechanics Basis of Acupuncture Therapy[J]. Applied Mathematics and Mechanics, 2024, 45(6): 803-822. doi: 10.21656/1000-0887.450132
Citation: JI Heng, TAN Weikang, WU Tongyu, SHU Wenya, WU Xiao, YA Xiaoxu, JI Changchun, WANG Xinjun, HAN Yulong. The Mechanics Basis of Acupuncture Therapy[J]. Applied Mathematics and Mechanics, 2024, 45(6): 803-822. doi: 10.21656/1000-0887.450132

The Mechanics Basis of Acupuncture Therapy

doi: 10.21656/1000-0887.450132
  • Received Date: 2024-05-10
  • Rev Recd Date: 2024-06-13
  • Publish Date: 2024-06-01
  • The effectiveness of acupuncture therapy has been confirmed by numerous studies and incorporated into healthcare systems in many countries. However, the acupuncture therapy still faces some challenges, such as insufficient quantification of the acupuncture process, difficulties in inheriting acupuncture techniques, and inadequate accuracy in acupoint positioning. With the development of interdisciplinary integration in recent years, particularly the integration of engineering and medicine, new perspectives and methods have been proposed to address these challenges in acupuncture techniques. The historical development process of the core mechanical elements in acupuncture techniques was reviewed, including the mechanical stimulation tools (needles), the mechanical stimulation stages (insertion and manipulation stages), and the mechanical stimulation targets (acupoints). Through a comprehensive analysis of these 3 mechanical elements, their quantification and impacts on the acupuncture process and therapeutic effects were summarized. Meanwhile, relevant mechanical experiments and models conducted in quantitative acupuncture research were comprehensively recommended, to deepen the understanding of the acupuncture process. Then the cutting-edge research achievements in acupuncture robots were summed up, aimed to enhance the inheritance of acupuncture techniques and promote its international standardization process. Finally, this article outlines the future research direction of acupuncture mechanics.

  • (Contributed by HAN Yulong, M.AMM Youth Editorial Board)
  • loading
  • [1]
    WHO benchmarks for the practice of acupuncture: CC BY-NC-SA 3.0 IGO[R]. Geneva: World Health Organization, 2020.
    [2]
    刘保延. 以疗效为导向, 以结局管理为抓手, "说明白、讲清楚"中医针灸的疗效[J]. 中国针灸, 2022, 42(1): 1. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE202201001.htm

    LIU Baoyan. Take curative effect as the guide, take outcome management as the starting point, and "explain clearly and clearly"[J]. Chinese Acupuncture and Moxibustion, 2022, 42(1): 1. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE202201001.htm
    [3]
    杨宇洋, 沈志祥, 吴中朝, 等. 针灸学科"一带一路"发展的战略规划[J]. 中国针灸, 2017, 37(4): 343-348. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201704001.htm

    YANG Yuyang, SHEN Zhixiang, WU Zhongchao, et al. Strategy programming for acupuncture development along One-Belt-One-Road countries[J]. Chinese Acupuncture and Moxibustion, 2017, 37(4): 343-348. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201704001.htm
    [4]
    ZHANG Y Q, JING X, GUYATT G. Improving acupuncture research: progress, guidance, and future directions[J]. BMJ, 2022, 376: o487.
    [5]
    王永宝. 试议中医针灸学中的力学现象[J]. 医用生物力学, 1996, 11(2): 129. https://www.cnki.com.cn/Article/CJFDTOTAL-YISX602.013.htm

    WANG Yongbao. Discussion on mechanical phenomena in acupuncture and moxibustion of traditional Chinese medicine[J]. Medical Biomechanics, 1996, 11(2): 129. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YISX602.013.htm
    [6]
    胡浩婷, 郝新鸿. 道医鲍姑在科学史中的矛盾形象研究[J]. 科技传播, 2023, 15(3): 27-33. https://www.cnki.com.cn/Article/CJFDTOTAL-KJCB202303002.htm

    HU Haoting, HAO Xinhong. Research on the contradictory image of Taoist doctor BaoGu in the history of science[J]. China Academic Journal Electronic Publishing House, 2023, 15(3): 27-33. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-KJCB202303002.htm
    [7]
    刘正才. 道家针灸特殊手法及应用[J]. 浙江中医杂志, 1998, 33(3): 99-101. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZZ199803000.htm

    LIU Zhengcai. Taoist acupuncture and moxibustion special manipulation and its application[J]. Zhejiang Journal of Traditional Chinese Medicine, 1998, 33(3): 99-101. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZZ199803000.htm
    [8]
    彭增福, 许能贵, 卞兆祥, 等. 论干针疗法是针灸学的一部分[J]. 中国针灸, 2017, 37(6): 663-667. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201706039.htm

    PENG Zengfu, XU Nenggui, BIAN Zhaoxiang, et al. Discussion on "dry needling" being part of acupuncture[J]. Chinese Acupuncture and Moxibustion, 2017, 37(6): 663-667. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201706039.htm
    [9]
    王诚尧, 周燕, 朱洁妤, 等. 针具变革推动下针刺技术体系的创新与发展[J]. 中医杂志, 2021, 62(5): 375-380. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202105003.htm

    WANG Chengyao, ZHOU Yan, ZHU Jieyu, et al. Innovation and development of acupuncture techniques driven by needling instruments changes[J]. Journal of Traditional Chinese Medicine, 2021, 62(5): 375-380. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202105003.htm
    [10]
    叶又新. 早期锥形砭石: 砭石形制试探之二[J]. 山东中医学院学报, 1986, 10(1): 48-55. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYX198601018.htm

    YE Youxin. Early cone-shaped belittling stone[J]. Journal of Shandong College of Traditional Chinese Medicine, 1986, 10(1): 48-55. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SDYX198601018.htm
    [11]
    魏稼. 黄石屏的针灸学说[J]. 中医药通报, 2006, 5(2): 14-16. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYTB200602004.htm

    WEI Jia. HUANG Shiping's acupuncture and moxibustion theory[J]. Traditional Chinese Medicine Bulletin, 2006, 5(2): 14-16. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYTB200602004.htm
    [12]
    郑则宝, 郭义, 陈泽林, 等. 三棱针疗法的历史沿革考[J]. 针灸临床杂志, 2007, 23(2): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC200702001.htm

    ZHENG Zebao, GUO Yi, CHEN Zelin, et al. History and successive changes of therapy of triangle-edged needle[J]. Clinical Journal of Acupuncture and Moxibustion, 2007, 23(2): 1-3. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC200702001.htm
    [13]
    刘宝华, 孟宪典, 孙廷宝. 蟒针的临床应用与研讨[J]. 中医外治杂志, 1996(2): 44-46. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYWZ602.052.htm

    LIU Baohua, MENG Xiandian, SUN Tingbao. Clinical application and discussion of python needles[J]. Journal of Traditional Chinese Medicine External Treatment, 1996(2): 44-46. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYWZ602.052.htm
    [14]
    丁光宏, 沈雪勇, 陶岳辉, 等. 针刺手法与针体受力参数的对比研究[J]. 中国生物医学工程学报, 2004, 23(4): 334-341. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSWY200404008.htm

    DING Guanghong, SHEN Xueyan, TAO Yuehui, et al. The contrast research between acupuncture manipulations and the parameters of force acting on needle[J]. Chinese Journal of Biomedical Engineering, 2004, 23(4): 334-341. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSWY200404008.htm
    [15]
    杜祥民, 张永寿. 达芬奇手术机器人系统介绍及应用进展[J]. 中国医学装备, 2011, 8(5): 60-63. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB201105027.htm

    DU Xiangmin, ZHANG Yongshou. Introduction and application progress of Da Vinci surgical robot system[J]. China Medical Equipment, 2011, 8(5): 60-63. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB201105027.htm
    [16]
    LI C, ZHANG T, WANG H, et al. Advanced surgical tool: progress in the clinical application of intelligent surgical robot[J]. Smart Medicine, 2022, 1(1): e20220021.
    [17]
    郭太品, 任玉兰, 刘沂潍, 等. 古代冶炼工艺技术与毫针的形质及手法演变[J]. 中医杂志, 2014, 55(19): 1626-1629. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201419003.htm

    GUO Taiping, REN Yulan, LIU Yiwei, et al. Technics of ancient time metallurgical and the evolution of shapes and manipulation of filiform needles[J]. Journal of Traditional Chinese Medicine, 2014, 55(19): 1626-1629. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201419003.htm
    [18]
    田海林, 王勇. 银质针疗法在教学中的应用[J]. 现代医药卫生, 2006, 22(18): 2909-2910. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS200618156.htm

    TIAN Hailin, WANG Yong. The application of silver needle therapy in teaching[J]. Modern Medicine and Health, 2006, 22(18): 2909-2910. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS200618156.htm
    [19]
    秦晨阳, 卓碧芳, 张梦龙, 等. 针刺手法量学研究进展[J]. 中医药学报, 2022, 50(5): 115-119. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB202205024.htm

    QIN Chenyang, ZHUO Bifang, ZHANG Menglong, et al. Research progresses on acupuncture manipulation quantitative science[J]. Acta Chinese Medicine and Pharmacology, 2022, 50(5): 115-119. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB202205024.htm
    [20]
    董兰. 古代度量衡语词研究[D]. 西宁: 青海师范大学, 2013.

    DONG Lan. Study on the words of weights and measures in ancient times[D]. Xining: Qinghai Normal University, 2013. (in Chinese)
    [21]
    曾武秀. 中国历代尺度概述[J]. 历史研究, 1964(3): 163-182. https://www.cnki.com.cn/Article/CJFDTOTAL-LSYJ196403007.htm

    ZENG Wuxiu. Overview of scales in Chinese history[J]. Historical Research, 1964(3): 163-182. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-LSYJ196403007.htm
    [22]
    沈龙, 樊小农, 熊俊, 等. 近10年针刺量化研究状况的分析和思考[J]. 辽宁中医杂志, 2010, 37(3): 519-521. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY201003075.htm

    SHEN Long, FAN Xiaonong, XIONG Jun, et al. Some ideas on rehabilitation of acupuncture on hemiplegia of stroke[J]. Liaoning Journal of Traditional Chinese Medicine, 2010, 37(3): 519-521. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY201003075.htm
    [23]
    BRAND R. What do tissues and cells know of mechanics?[J]. Annals of Medicine, 1997, 29(4): 267-269.
    [24]
    ZHANG D, DING G, SHEN X. Development of research on the connective tissues and acupuncture[J]. Acupuncture Research, 2004, 29(1): 77-81.
    [25]
    丁光宏, 沈雪勇, 戴建华, 等. 中医针刺过程中针体受力的动态监测系统研制[J]. 生物医学工程学杂志, 2003, 20(1): 121-124. https://www.cnki.com.cn/Article/CJFDTOTAL-SWGC200301032.htm

    DING Guanghong, SHEN Xueyong, DAI Jianhua, et al. Research and development on the dynamic system for detecting the force of acupuncture needles during the acupuncture process in the clinical practice of traditional Chinese medicine[J]. Chinese Journal of Biomedical Engineering, 2003, 20(1): 121-124. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SWGC200301032.htm
    [26]
    陆寿康, 刘清国, 杨华元. 中国针灸技术方法[M]. 北京: 人民卫生出版社, 2013.

    LU Shoukang, LIU Qingguo, YANG Huayuan. Acupuncture Techniques and Methods in China[M]. Beijing: People's Medical Publishing House, 2013. (in Chinese)
    [27]
    邱曼丽, 韩嫣, 孙开龙, 等. 短刺的历史演绎运用[J]. 针灸临床杂志, 2020, 36(11): 78-82. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC202011020.htm

    QIU Manli, HAN Yan, SUN Kailong, et al. Historical evolvement and application of short needling[J]. Clinical Journal of Acupuncture and Moxibustion, 2020, 36(11): 78-82. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC202011020.htm
    [28]
    徐向东. 运针手法的分析和归类[J]. 上海针灸杂志, 1994, 13(3): 130-131. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ199403025.htm

    XU Xiangdong. Analysis and classification of acupuncture techniques[J]. Shanghai Journal of Acupuncture and Moxibustion, 1994, 13(3): 130-131. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ199403025.htm
    [29]
    冒金锋, 张建斌, 张双双, 等. 历版《针灸学》教材中毫针行针法的演变[J]. 针刺研究, 2018, 43(6): 394-397. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201806013.htm

    MAO Jinfeng, ZHANG Jianbin, ZHANG Shuangshuang, et al. Evolvement of acupuncture needle manipulation techniques described in textbooks of Acupuncture and Moxibustion of successive editions[J]. Acupuncture Research, 2018, 43(6): 394-397. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201806013.htm
    [30]
    吴焕淦. 针灸疗效与穴位[J]. 中国中西医结合杂志, 2012, 32(11): 1452-1457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201211006.htm

    WU Huangan. Acupoint and therapeutic efficacy of acupuncture-moxibustion[J]. Chinese Journal of Integrated Traditional and Western Medicine, 2012, 32(11): 1452-1457. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201211006.htm
    [31]
    赵宁侠, 郭瑞林, 任秦有, 等. 针刺肺俞穴及非经非穴点对肺功能影响的对照研究[J]. 中国针灸, 2003, 23(8): 25-26. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE200308013.htm

    ZHAO Ningxia, GUO Ruilin, REN Qinyou, et al. Effects of acupuncture of Feishu (BL13) and nonpoint on pulmonary function[J]. Chinese Acupuncture and Moxibustion, 2003, 23(8): 25-26. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE200308013.htm
    [32]
    倪丽伟, 申鹏飞, 张智龙, 等. "醒脑开窍"与非经非穴针刺对脑梗塞急性期神经功能影响的多中心随机对照研究[J]. 中华中医药杂志, 2011, 26(5): 894-897. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201105004.htm

    NI Liwei, SHEN Pengfei, ZHANG Zhilong, et al. Effect on neural function of Xingnao Kaiqiao and non-acupoint in treating acute cerebral infarction[J]. Chinese Journal of Traditional Chinese Medicine, 2011, 26(5): 894-897. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201105004.htm
    [33]
    蔺晓源, 李西林. 读《黄帝内经》中经络腧腑表里关系[J]. 陕西中医学院学报, 2007(6): 47-48. https://www.cnki.com.cn/Article/CJFDTOTAL-SXXY200706031.htm

    LIN Xiaoyuan, LI Xilin. Reading the relationship between meridians, acupoints, and internal organs in the Yellow Emperor's Inner Canon[J]. Journal of Shaanxi College of Traditional Chinese Medicine, 2007(6): 47-48. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SXXY200706031.htm
    [34]
    刘克, 李爱辉, 王薇, 等. 穴位的外周神经密集支配及其易反射激活特性[J]. 针刺研究, 2009, 34(1): 36-42. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ200901011.htm

    LIU Ke, LI Aihui, WANG Wei, et al. Dense innervation of acupoints and its easier reflex excitatory character in rats[J]. Acupuncture Research, 2009, 34(1): 36-42. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ200901011.htm
    [35]
    LINDE K, STRENG A, JURGENS S, et al. Acupuncture for patients with migraine: a randomized controlled trial[J]. Acupuncture to Treat Migraine Headaches, 2005, 293(17): 2118-2125.
    [36]
    原林, 姚大卫, 唐雷, 等. 针灸经穴的数字解剖学研究[J]. 解剖学报, 2004, 35(4): 337-343. https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB200404000.htm

    YUAN Lin, YAO Dawei, TANG Lei, et al. A study on morphological basis of Chinese acupuncture and moxibustion from digital human body[J]. Acta Anatomica Sinica, 2004, 35(4): 337-343. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB200404000.htm
    [37]
    楼新法, 蒋松鹤, 徐向党. 穴位高密集区的解剖学研究[J]. 针灸临床杂志, 2003, 19(6): 7-8. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC200306002.htm

    LOU Xinfa, JIANG Songhe, XU Xiangdang. Anatomical study on high-density areas of acupoints[J]. Clinical Journal of Acupuncture and Moxibustion, 2003, 19(6): 7-8. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC200306002.htm
    [38]
    夏冬冬, 王湖冰, 谷禾, 等. 内关穴形态学特征及其临床意义[J]. 中国针灸, 2010, 30(12): 1003-1006. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201012016.htm

    XIA Dongdong, WANG Hubing, GU He, et al. Morphologic characteristics and clinical significance of neiguan[J]. Chinese Acupuncture and Moxibustion, 2010, 30(12): 1003-1006. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201012016.htm
    [39]
    ANDERSON P S L. Making a point: shared mechanics underlying the diversity of biological puncture[J]. Journal of Experimental Biology, 2018, 221(22): jeb187294.
    [40]
    DENNIS J, DANKELMAN J, JOHN J. Needle-tissue interaction forces: a survey of experimental data[J]. Medical Engineering and Physics, 2012, 34(6): 665-680.
    [41]
    VU B, VU-KHANH T, LARA J. Effect of friction on cut resistance of polymers[J]. Journal of Thermoplastic Composite Materials, 2005, 18(1): 23-35.
    [42]
    MONTANARI M, BRIGHENTI R, TERZANO M, et al. Puncturing of soft tissues: experimental and fracture mechanics-based study[J]. Soft Matter, 2023, 19(20): 3629-3639.
    [43]
    NGUYEN C T, VU-KHANH T. Mechanics and mechanisms of puncture of elastomer membranes[J]. Journal of Materials Science, 2004, 39(24): 7361-7364.
    [44]
    DOLEZ P, VU-KHANH T, GUERO G, et al. Influence of medical needle characteristics on the resistance to puncture of protective glove materials[J]. Journal of Advanced Materials International, 2008, 5(1): 101-364.
    [45]
    NGUYEN C T, VU-KHANH T, LARA J. A study on the puncture resistance of rubber materials used in protective clothing[J]. Journal of ASTM International, 2005, 2(4): 1-14.
    [46]
    LAKE G, YEOH O H. Effect of crack tip sharpness on the strength of vulcanized rubbers[J]. Journal of Polymer Science, Part B: Polymer Physics, 1987, 25(6): 1157-1190.
    [47]
    LAKE G J, YEOH O H. Measurement of rubber cutting resistance in the absence of friction[J]. International Journal of Fracture, 1978, 14: 509-526.
    [48]
    NGUYEN C T, VU-KHANH T. Mechanics and mechanisms of puncture by medical needles[J]. Procedia Engineering, 2009, 1(1): 139-142.
    [49]
    FAKHOURI S, HUTCHENS S B, CROSBY A J. Puncture mechanics of soft solids[J]. Soft Matter, 2015, 11(23): 4723-4730.
    [50]
    FREGONESE S. Mechanics of needle insertion and deep penetration in soft solids[D]. Vancouver: University of British Columbia, 2022.
    [51]
    BAO Y D, QU S Q, QI D B, et al. Investigation on puncture mechanical performance of tracheal tissue[J]. Journal of the Mechanical Behavior of Biomedical Materials, 2022, 125: 104958.
    [52]
    CAPEK L, HAMRIKOVA P, DZANOVA S, et al. Needle penetration forces into textile prostheses and skin: experimental study[J]. The Journal of the Textile Institute, 2021, 113(8): 1723-1730.
    [53]
    李凌鑫, 孟智宏, 石学敏. 针刺刺激量影响因素研究进展[J]. 新中医, 2012, 44(5): 121-123. https://www.cnki.com.cn/Article/CJFDTOTAL-REND201205061.htm

    LI Lingxin, MENG Zhihong, SHI Xuemin. Research progress on factors influencing acupuncture stimulation volume[J]. Journal of New Chinese Medicine, 2012, 44(5): 121-123. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-REND201205061.htm
    [54]
    张赛男, 王欣君, 张建斌, 等. 捻转补泻手法要素源流梳理与分析[J]. 针刺研究, 2019, 44(6): 454-458. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201906015.htm

    ZHANG Sainan, WANG Xinjun, ZHANG Jianbin, et al. Analysis on the origin and development of elements of reinforcing and reducing needling techniques[J]. Acupuncture Research, 2019, 44(6): 454-458. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201906015.htm
    [55]
    石学敏, 张存生, 刘白雪, 等. 捻转补泻手法的应用及其量学概念[J]. 中国医药学报, 1987(5): 16-17. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY198705004.htm

    SHI Xuemin, ZHANG Cunsheng, LIU Baixue, et al. The application and quantitative concepts of twisting, turning, supplementing and reducing techniques[J]. Acta Medica Sinica, 1987(5): 16-17. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY198705004.htm
    [56]
    卞金玲, 张春红. 石学敏院士针刺手法量学的概念及核心[J]. 中国针灸, 2003, 23(5): 287-289. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE200305023.htm

    BIAN Jinling, ZHANG Chunhong. The concept and core of acupuncture techniques quantitative study by academician SHI Xuemin[J]. Chinese Acupuncture and Moxibustion, 2003, 23(5): 287-289. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE200305023.htm
    [57]
    胡银娥, 刘堂义, 唐文超, 等. 针刺手法仿真的研究及思考[J]. 生物医学工程学杂志, 2011, 28(4): 830-833. https://www.cnki.com.cn/Article/CJFDTOTAL-SWGC201104038.htm

    HU Yin'e, LIU Tangyi, TANG Wenchao, et al. Thoughts on and probes into a computer simulation of acupuncture manipulation[J]. Journal of Biomedical Engineering, 2011, 28(4): 830-833. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SWGC201104038.htm
    [58]
    高武. 针灸聚英[M]. 风车文化出版社, 1999.

    GAO Wu. Accumulation of Acupuncture[M]. Windmill Culture Press, 1999. (in Chinese)
    [59]
    侯晓菲, 王欣君, 张建斌, 等. 提插补泻手法要素源流梳理及核心技术[J]. 中国针灸, 2019, 39(7): 729-733. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201907014.htm

    HOU Xiaofei, WANG Xinjun, ZHANG Jianbin, et al. Summary and core technique on the origin and evolution of reinforcing-reducing manipulation achieved by lifting and thrusting the needle[J]. Chinese Acupuncture and Moxibustion, 2019, 39(7): 729-733. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201907014.htm
    [60]
    袁宜勤, 海月明, 顾星, 等. 针刺手法规范化的初步研究[J]. 中医药学刊, 2002, 20(2): 230-231. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS200202055.htm

    YUAN Yiqin, HAI Yueming, GUN Xing, et al. Preliminary study on the standardization of acupuncture techniques[J]. Chinese Archives of Traditional Chinese Medicine, 2002, 20(2): 230-231. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS200202055.htm
    [61]
    张龙早, 毛慧娟, 秦梦, 等. 甲状腺功能减退患者太渊穴伏安特性[J]. 上海针灸杂志, 2020, 39(6): 647-650. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ202006002.htm

    ZHANG Longzao, MAO Huijuan, QIN Meng, et al. Current-voltage characteristics of Taiyuan (LU9) in patients with hypothyroidism[J]. Shanghai Journal of Acupuncture and Moxibustion, 2020, 39(6): 647-650. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ202006002.htm
    [62]
    贺成功, 黄学勇, 龙红慧, 等. 温针灸疗法及其应用[J]. 中医学报, 2015, 30(1): 143-145. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK201501051.htm

    HE Chenggong, HUANG Xueyong, LONG Honghui, et al. Therapy and application of warm acupuncture and moxibustion[J]. China Journal of Medicine, 2015, 30(1): 143-145. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK201501051.htm
    [63]
    程珂, 丁轶文, 沈雪勇, 等. 温针灸的传热学研究[J]. 上海针灸杂志, 2007, 26(8): 32-36. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ200708021.htm

    CHENG Ke, DING Yiwen, SHEN Xueyong, et al. Study of heat conduction of warming acupuncture[J]. Shanghai Journal of Acupuncture and Moxibustion, 2007, 26(8): 32-36. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ200708021.htm
    [64]
    袁佳琦, 王欣君. 针刺补泻手法的作用基础和力学要素[J]. 时珍国医国药, 2023, 34(3): 662-664. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY202303044.htm

    YUAN Jiaqi, WANG Xinjun. The basis and mechanical elements of the acupuncture tonifying and reducing technique[J]. Lishizhen Medicine and Material Medica Research, 2023, 34(3): 662-664. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY202303044.htm
    [65]
    何伟, 吴美玲, 景向红, 等. 穴位的本态: 穴位组织细胞化学的动态变化[J]. 中国针灸, 2015, 35(11): 1181-1186. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201511046.htm

    HE Wei, WU Meiling, JING Xianghong, et al. Entity of acupoint: kinetic changes of acupoints in histocytochemistry[J]. Chinese Acupuncture and Moxibustion, 2015, 35(11): 1181-1186. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201511046.htm
    [66]
    施静, 王健, 王渊, 等. 心绞痛牵涉痛与穴位敏化的关系[J]. 针刺研究, 2018, 43(5): 277-284. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201805004.htm

    SHI Jing, WANG Jian, WANG Yuan, et al. Correlation between referred pain region and sensitized acupoints in patients with stable angina pectoris and distribution of sensitized spots in pats with myocardial ischemia[J]. Acupuncture Research, 2018, 43(5): 277-284. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201805004.htm
    [67]
    曹乾安, 章海凤, 李琳慧, 等. 支气管哮喘患者力敏腧穴分布特征及其规律的临床观察[J]. 中国针灸, 2020, 40(2): 169-172. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE202002019.htm

    CAO Qian'an, ZHANG Haifeng, LI Linhui, et al. Clinical observation on the distribution characteristics and rules of pressing sensitive acupoints in bronchial asthma patients[J]. Chinese Acupuncture and Moxibustion, 2020, 40(2): 169-172. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE202002019.htm
    [68]
    丁光宏, 沈雪勇, 褚君浩, 等. 中医灸与人体穴位红外辐射光谱特性研究[J]. 中国生物医学工程学报, 2002, 21(4): 356-360. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSWY200204012.htm

    DING Guanghong, SHEN Xueyong, ZHU Junhao, et al. A study on the infrared radiation spectral characteristics of traditional Chinese medicine moxibustion and human acupoints[J]. Chinese Journal of Biomedical Engineering, 2002, 21(4): 356-360. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSWY200204012.htm
    [69]
    丁光宏, 姚伟, 褚君浩, 等. 人体手臂部几个穴位与非穴位区红外辐射光谱特征[J]. 科学通报, 2000, 45(23): 2530-2535. https://www.cnki.com.cn/Article/CJFDTOTAL-KXTB200023012.htm

    DING Guanghong, YAO Wei, ZHU Junhao, et al. Infrared radiation spectral characteristics of several acupoints and nonacupoint areas on the human arm[J]. Scientific Bulletin, 2000, 45(23): 2530-2535. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-KXTB200023012.htm
    [70]
    张明健, 刘君, 林杪, 等. 对原发性痛经寒凝血瘀证患者任、督、冲三脉经穴热学特性的研究[J]. 北京中医药大学学报, 2022, 45(12): 1266-1276. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYB202212011.htm

    ZHANG Mingjian, LIU Jun, LIN Miao, et al. Thermal characteristics of conception vessel, governor vessel, and thoroughfare vessel acupoints in patients with primary dysmenorrhea with syndrome of cold coagulation and blood stasis[J]. Journal of Beijing University of Traditional Chinese Medicine, 2022, 45(12): 1266-1276. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JZYB202212011.htm
    [71]
    魏建子, 周钰, 沈雪勇, 等. 伏安特性与穴位功能特异性[J]. 上海针灸杂志, 2003, 22(9): 18-20. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ200309007.htm

    WEI Jianzi, ZHOU Yu, SHEN Xueyong, et al. Volt-ampere characteristics and functional specificity of acupoints[J]. Shanghai Journal of Acupuncture and Moxibustion, 2003, 22(9): 18-20. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ200309007.htm
    [72]
    沈雪勇, 王彩虹, 张一和, 等. 胃炎患者穴位伏安曲线的定性定量分析[J]. 上海针灸杂志, 1998, 17(4): 3-5. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ804.001.htm

    SHEN Xueyong, WANG Caihong, ZHANG Yihe, et al. Qualitative and quantitative analysis of acupoint voltammetry curves in patients with gastritis[J]. Shanghai Journal of Acupuncture and Moxibustion, 1998, 17(4): 3-5. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ804.001.htm
    [73]
    周钰, 王捷生, 沈雪勇, 等. 经穴伏安特性研究及其临床应用前景[J]. 上海针灸杂志, 2005, 24(3): 30-32. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ200503023.htm

    ZHOU Yu, WANG Jiesheng, SHEN Xueyong, et al. Study on the volt-ampere property of meridional points and the prospect of its clinical application[J]. Shanghai Journal of Acupuncture and Moxibustion, 2005, 24(3): 30-32. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ200503023.htm
    [74]
    沈雪勇, 魏建子, 张一和, 等. 人体穴位伏安特性研究[J]. 中国针灸, 2006, 26(4): 267-271. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE200604016.htm

    SHEN Xuyong, WEI Jianzi, ZHANG Yihe, et al. Study on volt-ampere (V-A) characteristics of human acupoints[J]. Chinese Acupuncture and Moxibustion, 2006, 26(4): 267-271. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE200604016.htm
    [75]
    王亚盛, 许萍. 人体经络动态电阻检测电路的设计[J]. 传感器技术, 2004, 23(10): 45-47. https://www.cnki.com.cn/Article/CJFDTOTAL-CGQJ200410017.htm

    WANG Yasheng, XU Ping. Design of test circuits for human meridian dynamic resistance[J]. Journal of Transducer Technology, 2004, 23(10): 45-47. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CGQJ200410017.htm
    [76]
    MUTHUKUMAR M, BOBJI M, et al. Needle insertion-induced quasiperiodic cone cracks in hydrogel[J]. Soft Matter, 2021, 17(10): 2823-2831.
    [77]
    FREGONESE S, BACCA M. Piercing soft solids: a mechanical theory for needle insertion[J]. Journal of the Mechanics and Physics of Solids, 2021, 154: 104497.
    [78]
    KOBAYASHI Y, SATO T, FUJIE M G. Modeling of friction force based on the relative velocity between liver tissue and needle for needle insertion simulation[C]// 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Minneapolis, MN, USA, 2009: 5274-5278.
    [79]
    LIU J, JIANG Z, HU N, et al. Fluctuation of puncture force in medical needle puncture of soft solids[J]. Polymer Testing, 2023, 128: 108218.
    [80]
    SHERGOLD O A, FLECK N A. Experimental investigation into the deep penetration of soft solids by sharp and blunt punches, with application to skin piercing[J]. Journal of Biomechanical Engineering, 2005, 127(5): 838-848.
    [81]
    BARNEY C W, CHEN C, CROSBY A J. Deep indentation and puncture of a rigid cylinder inserted into a soft solid[J]. Soft Matter, 2021, 17(22): 5574-5580.
    [82]
    MAHVASH M, DUPONT P E. Fast needle insertion to minimize tissue deformation and damage[J]. IEEE International Conference on Robotics and Automation, 2009, 2009: 3097-3102.
    [83]
    OCAL S, OZCAN M U, BASDOGAN I, et al. Effect of preservation period on the viscoelastic material properties of soft tissues with implications for liver transplantation[J]. Journal of Engineering Materials and Technology, 2010, 132(10): 101007.
    [84]
    GOKGOL C, BASDOGAN C, CANADINC D. Estimation of fracture toughness of liver tissue: experiments and validation[J]. Medical Engineering and Physics, 2012, 34(7): 882-891.
    [85]
    HING J T, BROOKS A D, DESAI J P. Reality-based needle insertion simulation for haptic feedback in prostate brachytherapy[C]//Proceedings 2006 IEEE International Conference on Robotics and Automation. Orlando, FL, USA, 2006: 619-624.
    [86]
    AZAR T, HAYWARD V. Estimation of the fracture toughness of soft tissue from needle insertion[C]//Proceedings of the Biomedical Simulation: 4th International Symposium. London, UK, 2008, 5104: 166-175.
    [87]
    MISRA S, RAMESH K, OKAMURA A M. Modeling of tool-tissue interactions for computer-based surgical simulation: a literature review[J]. Presence-Virtual and Augmented Reality, 2008, 17(5): 463-491.
    [88]
    DAVIRA P W, BENJAMIN G S, JUAN L M, et al. Microneedle insertion into a visco-hyperelastic model for skin for healthcare application[C]// 2021 IEEE 71st Electronic Components and Technology Conference. San Diego, CA, USA, 2021: 1481-1489.
    [89]
    温广全, 纪小刚, 段玉顺, 等. 考虑材料参数不确定性的皮肤伤口缝合力预测模型[J]. 应用数学和力学, 2023, 44(4): 441-449. doi: 10.21656/1000-0887.430067

    WEN Guangquan, JI Xiaogang, DUAN Yushun, et al. A prediction model for skin wound suture forces with uncertain material parameters[J]. Applied Mathematics and Mechanics, 2023, 44(4): 441-449. (in Chinese) doi: 10.21656/1000-0887.430067
    [90]
    FLYNN C O, MCCORMACK B A. A three-layer model of skin and its application in simulating wrinkling[J]. Computer Methods in Biomechanics and Biomedical Engineering, 2009, 12(2): 125-134.
    [91]
    SIMONE C, OKAMURA A M. Modeling of needle insertion forces for robot-assisted percutaneous therapy[C]//Proceedings 2002 IEEE International Conference on Robotics and Automation. Washington DC, USA, 2002: 2085-2091.
    [92]
    李庆华, 李付国, 艾炳蔚. 中医针刺手法用传感针的研制[J]. 传感技术学报, 2006, 19(2): 285-288. https://www.cnki.com.cn/Article/CJFDTOTAL-CGJS200602003.htm

    LI Qinghua, LI Fuguo, AI Bingwei. Research of detecting acupuncture needle for acupuncture manipulation[J]. Chinese Journal of Sensors and Actuators, 2006, 19(2): 285-288. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CGJS200602003.htm
    [93]
    刘堂义, 杨华元, 蒯乐, 等. 提插、捻转类针刺手法物理参数分类及其特征[J]. 针刺研究, 2010, 35(1): 61-66. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201001017.htm

    LIU Tangyi, YANG Huayuan, KUAI Le, et al. Classification and characters of physical parameters of lifting-thrusting and twirling manipulations of acupuncture[J]. Acupuncture Research, 2010, 35(1): 61-66. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201001017.htm
    [94]
    李靖, GRIERSON L, WU M X, 等. 捻转针刺手法的运动学及动力学特征研究[J]. 针刺研究, 2013, 38(5): 415-419. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201305015.htm

    LI Jing, GRIERSON L, WU M X, et al. Research on action features of acupuncturist experts' acupuncture needle twirling skills[J]. Acupuncture Research, 2013, 38(5): 415-419. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ201305015.htm
    [95]
    JUNG W M, LIM J, LEE I S, et al. Sensorimotor learning of acupuncture needle manipulation using visual feedback[J]. Public Library of Science, 2015, 10(9): 139340.
    [96]
    张竞心, 孙琦, 林祺, 等. 数字经络智能针灸机器人的研发思路探讨[J]. 中医药导报, 2018, 24(19): 66-68. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZB201819020.htm

    ZHANG Jingxin, SUN Qi, LIN Qi, et al. Research and development of digital meridian intelligent acupuncture and moxibustion robot[J]. Introduction to Traditional Chinese Medicine, 2018, 24(19): 66-68. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HNZB201819020.htm
    [97]
    XU T, XIA Y. Guidance for acupuncture robot with potentially utilizing medical robotic technologies[J]. Evidence-Based Complementary and Alternative Medicine, 2021, 2021: 8883598.
    [98]
    GODSON D R, WARDLE J L. Accuracy and precision in acupuncture point location: a critical systematic review[J]. Journal of Acupuncture Meridian Studies, 2019, 12(2): 52-66.
    [99]
    LAN K C, LITSCHER G. Robot-controlled acupuncture: an innovative step towards modernization of the ancient traditional medical treatment method[J]. Applied Sciences-Basel, 2019, 6(3): 87.
    [100]
    MAHESH M, VIKRANT K, OMKAR K. Design and implementation of acupressure therapy using pancake vibrators to trigger palm points[J]. International Journal of Advances in Science Engineering Technology, 2016, 4(4): 99-102.
    [101]
    梁繁荣, 杨洁, 任玉兰, 等. 一种治疗偏头痛的智能循证针灸诊疗仪: CN201210227536.8[P/OL]. [2024-05-10]. https://www.zhangqiaokeyan.com/patent-detail/061201142679.html.

    LIANG Fanrong, YANG Jie, REN Yulan, et al. An intelligent evidence-based acupuncture diagnosis and treatment instrument for migraine: CN201210227536.8[P/OL]. [2024-05-10]. https://www.zhangqiaokeyan.com/patent-detail/061201142679.html. (in Chinese)
    [102]
    郭杰, 姜杉, 冯文浩, 等. 基于核磁图像导航的前列腺针刺手术机器人[J]. 机器人, 2012, 34(4): 385-392. https://www.cnki.com.cn/Article/CJFDTOTAL-JQRR201204003.htm

    GUO Jie, JIANG Shan, FENG Wenhao, et al. A robot for prostate needle insertion surgery based on MRI-guidance[J]. Robot, 2012, 34(4): 385-392. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JQRR201204003.htm
    [103]
    SU J, ZHU Y, ZHU M. Hand-eye-force coordination of acupuncture robot[J]. IEEE Access, 2019, 7: 82154-82161.
    [104]
    邓斌, 马明宇, 王江, 等. 针刺手法量化机器手的设计与分析[J]. 传感器与微系统, 2018, 37(9): 57-59. https://www.cnki.com.cn/Article/CJFDTOTAL-CGQJ201809018.htm

    DENG Bin, MA Mingyu, WANG Jiang, et al. Design and analysis of quantitative robot hand for acupuncture manipulation[J]. Transducer and Microsystem Technologies, 2018, 37(9): 57-59. (in Chinese)) https://www.cnki.com.cn/Article/CJFDTOTAL-CGQJ201809018.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(8)  / Tables(1)

    Article Metrics

    Article views (221) PDF downloads(50) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return