Skip to main content

Table 10 Relations of acupuncture sensations to functions of afferent nerve fibers

From: Characterization of the "deqi" response in acupuncture

Afferent Nerve Fibers

Diameter

Velocity

Functions *

Acupuncture Sensations (humans)

Group

(μm)

(m/s)

  

β II myelinated

8 – 13

40 ~ 70

touch, vibration

numbness

Aγ III "

4 – 8

15 ~ 40

touch, pressure

heaviness, pressure, fullness

Aδ III "

1 – 4

5 ~ 15

pain, warmth, cold, pressure

soreness, pressure, pain, warmth, cold

C IV unmyelinated

0.2 – 1

0.2 ~ 2

pain, warmth, cold, pressure autonomic postsynaptic, olfactory

pain, soreness, warmth, cold, pressure

  1. *[4,14]
  2. ** [3–6, 9]
  3. The complex pattern of sensations in the deqi response suggests involvement of a wide spectrum of myelinated and unmyelinated nerve fibers, particularly the slower conducting fibers in the tendinomuscular layers. The majority of the deqi sensations, such as aching, soreness, dull pain, and warmth involve the slower conducting Aδ and C fibers. Pressure may not be a good discriminator because it involves several nerve fiber types. Numbness and tingling, relatively common in acupuncture, involve the Aβ fibers, but they are not as specific for acupuncture as aching, soreness and dull pain that involve the Aδ and C fibers (See Table 2).