From the conceptions and contents of needling sensation

de qi and qi arrival

the mutual relationship among them were explained. Needling sensation

which contains both sensations of doctors and patients

is a special feeling that comes after needle penetrating the skin; De qi means qi reaching at the area of needle and it also reaches the best physiological status that leads to the curative effect. De qi includes needling sensation

implicit sense of needling and no needling sensation

and it relates to the exact position of the needle. The content of qi arrival is plentiful. Qi arrival is the physiological status existing in the whole proceeding of needling

from pre-needling to post-effect. It is the condition before needling and also the symbol of the curative effect. In addition

qi arrival contains needling sensation and de qi. In the course of clinical operation

you must keep your spirits in order to achieve qi arrival. You must pay attention to the performance of needle sensation before and after reinforcing and reducing

and you must also clarify other de qi at different levels and adjust as needed.