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TCM Wellness · Unit 5: Meridians · 中醫養生 五

The Sensation of "De Qi"

Acupuncture points were covered earlier in this unit. This lesson explains the specific sensation practitioners traditionally look for once a needle is in place.
穴位在這個單元稍早已經講過了。這一課解釋的是,一旦針放好之後,執業者傳統上會找的那種特定感覺。

90

Unit 90: The Sensation of "De Qi"

An earlier lesson in this unit explained what acupuncture points actually are — locations along the meridian system rather than arbitrary marks on skin. This lesson covers what's traditionally supposed to happen once a needle reaches one: a specific sensation called "de qi," literally "obtaining qi," described as a distinct heaviness, soreness, numbness, or spreading feeling around the needle, different from the sharper, more localized sensation of the skin simply being pierced.

這個單元稍早的一課解釋過穴位到底是什麼——是經絡系統上的位置,而不是皮膚上任意的標記。這一課要講的是,一旦針到達一個穴位之後,傳統上被認為應該會發生的事:一種叫做「得氣」的特定感覺,字面意思是「取得氣」,被描述成一種明顯的沉重感、痠感、麻感,或者一種在針的周圍擴散開來的感覺,跟皮膚單純被刺穿那種比較銳利、比較局部的感覺不一樣。

This sensation is traditionally treated as a marker of a technique working correctly, not an incidental side effect to tolerate. A needle placed correctly at a point but failing to produce de qi was traditionally read as not yet having reached, or properly engaged, the qi traveling through that particular meridian — prompting an adjustment in the needle's angle or depth rather than simply proceeding regardless. In this sense, de qi functions as a kind of real-time feedback the practitioner and patient are both meant to notice together.

這種感覺傳統上被當成一種標誌,代表技術正確地運作著,而不是一種要忍受的附帶副作用。一根正確地放在穴位上、卻沒有產生得氣的針,傳統上被讀成還沒有到達、或者還沒有真正接上那個特定經絡裡流動的氣——這會促使調整針的角度或深度,而不是不管三七二十一就繼續下去。從這個角度看,得氣的功能,就像一種執業者跟病人都應該一起注意到的即時回饋。

The sensation connects directly back to a concept from this course's first unit: qi as something that moves and can be directed, not a passive background presence. De qi is, in effect, a moment where an abstract concept introduced early in this course becomes something a person can actually feel happening, a distinct spreading or heavy sensation traveling along a line rather than staying confined to the exact point of contact — which is also why the sensation is traditionally described as confirming that the meridian itself, not just the local tissue, has been reached.

這種感覺,直接連回這門課第一個單元的一個概念:氣是一種會移動、可以被引導的東西,而不是一種被動的背景存在。得氣其實是一個時刻,讓這門課早期介紹的一個抽象概念,變成一個人真的能感覺到正在發生的東西——一種沿著一條線擴散開來或沉重的感覺,而不是只停留在接觸的那個確切點上——這也是為什麼這種感覺傳統上被描述成確認了:被到達的是經絡本身,而不只是局部的組織。
Read aloud · 課文朗讀

Questions · 閱讀理解

According to the passage, what is "de qi," and how does it feel different from the needle simply piercing the skin?

A distinct heaviness, soreness, numbness, or spreading feeling around the needle, different from the sharper, more localized sensation of the skin being pierced.

According to the passage, what does it traditionally mean if a needle placed at a point fails to produce de qi?

That the needle hasn't yet reached, or properly engaged, the qi traveling through that meridian, prompting an adjustment in angle or depth.

According to the last paragraph, what concept from this course's first unit does de qi connect back to?

The concept of qi as something that moves and can be directed, not a passive background presence — de qi is a moment that concept becomes something a person can actually feel.

Words & Phrases · 生字及片語

soreness(n.)痠痛感She felt a dull soreness in her shoulder after the workout.運動之後,她的肩膀感到一種悶悶的痠痛感。numbness(n.)麻木感A strange numbness spread through his fingers in the cold.在寒冷中,一種奇怪的麻木感蔓延到他的手指。pierce(v.)刺穿The needle pierced the skin quickly and painlessly.這根針迅速且無痛地刺穿了皮膚。incidental(adj.)附帶的;偶然的The noise was just an incidental side effect of the machine running.這個噪音只是機器運轉時附帶的副作用。engage(v.)接上;使接觸The gears failed to engage properly.這些齒輪沒有正確地接上。real-time(adj.)即時的The app gave real-time updates on the delivery's location.這個應用程式提供貨物位置的即時更新。confined(adj.)受侷限的;被限制的The fire was confined to a single room.這場火被侷限在單一房間內。

Quick Check · 小測驗

1. According to the passage, what is "de qi"?

2. According to the passage, what does it mean if a needle fails to produce de qi?

3. According to the last paragraph, what does de qi connect back to?

This lesson explains a conceptual sensation associated with acupuncture, not instructions for performing it. Acupuncture should only be performed by a licensed practitioner.
這是與針灸相關的概念性感覺說明,不是操作指引;針灸應該只由合格的執業者施行。