The electric shock has been proposed as one of the new needling sensations in recent years. In acupuncture sensation scales, the electric shock is included by ASS and SNQS, but not SASS, MASS, and C-MMASS. Some scholars argue that the electric shock is a normal needling sensation, but some researchers do not agree with this view. This problem has not been resolved due to a lack of evidence from basic research. Literature and research point out that the electric shock is caused by inserting a needle into the nerve directly. A question of considerable scientific and practical interest is whether the electric shock should be a normal needling sensation. In this article, we review the historical documentation of the needling sensation and the process of formulating and improving acupuncture sensation scales to suggest that the electric shock may not be a normal needling sensation. Secondly, we collected and analyzed cases of nerve injury caused by acupuncture accompanied by the electric shock and why acupuncture caused the electric shock without nerve injury. It suggests that there may be a correlation between the electric shock and peripheral nerve injury, and acupuncture manipulation is an essential factor in adverse acupuncture events. Finally, we put forward that the electric shock during acupuncture is a warning sign that the peripheral nerve may be injured, rather than a normal needling sensation. In the future, we hope to have experimental studies on the mechanism of the electric shock or observational studies on the correlation between the electric shock and peripheral nerve injury to verify.

中文翻译：

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针灸期间的电击：正常的针刺感觉或警告信号

近年来，电击被提出作为一种新的针刺感觉。在针灸感觉量表中，电击包括在 ASS 和 SNQS 中，但不包括在 SASS、MASS 和 C-MMASS 中。有学者认为电击是正常的针刺感觉，但也有研究者不同意这种观点。由于缺乏基础研究的证据，这个问题一直没有得到解决。文献和研究指出，电击是将针直接插入神经引起的。一个具有相当科学和实际意义的问题是电击是否应该是一种正常的针刺感觉。在本文中，我们回顾了针刺感觉的历史文献以及制定和改进针刺感觉量表的过程，以表明电击可能不是正常的针刺感觉。其次，我们收集分析了针刺伴电击引起神经损伤的病例，以及针刺引起电击而无神经损伤的原因。提示电击与周围神经损伤之间可能存在相关性，针刺手法是针刺不良事件发生的重要因素。最后，我们提出针灸时的电击是周围神经可能受伤的警告信号，而不是正常的针刺感。在将来，