24/07/2026
Typical Responses During "De Qi" (Needle Sensation) in Dry Needling
"De Qi" is a key indicator of effective treatment, historically referred to as "the arrival of Qi brings therapeutic effect." During De Qi, both the patient and the practitioner experience a mutual dynamic sensation:
1. The Patient's Subjective Sensations
* Soreness (Aching/Fullness): The most common sensation, usually occurring in muscular areas (such as ST36/Zusanli or LI4/Hegu). Patients feel a deep, aching heaviness within the muscle layer.
* Numbness (Tingling Sensation): Similar to a faint electric current passing through or localized numbness, often radiating along neural or myofascial pathways (referred sensation).
* Heaviness: The needle insertion site or the entire limb feels exceptionally heavy, as if weighted down.
* Distension (Fullness): A sensation of outward expansion or increased tension surrounding the point.
* Warmth/Coolness: In sensitive individuals or with specific manipulation techniques, localized warmth or a cool breeze sensation may spread at the site or along the pathway.
2. The Practitioner's Tactile Sensation
* A distinct feeling of tightness, resistance, or a "grasping" effect around the needle, traditionally described as "a fish biting the hook." This indicates that the local tissue response and neuromuscular reflexes have been successfully engaged.
