辽宁中医药大学学报

为了了解针灸专业人员对针灸度量制的理解和临床使用情况，该研究基于问卷星平台采取线上问卷调查的形式，对针灸医生、教师及学生等几组相关人员进行问卷调查，以探讨针灸度量制标准化路径、方法和可行性。研究采用分位数法进行数据清洗，并对相关数据进行统计分析。调查最终共收集了789份有效问卷，结果显示仅有39%的教师有在课堂上讲述和57%的学生在课堂上学习古今针灸度量制的演变，34.98%的人误认为各国都使用世界针灸学会联合会的“标准化”寸来规定针具的“寸长”，93.54%的人只能接受针灸度量的误差小于10%，只有43.6%的人选择根据针的长度及留在皮肤外针体的长度来判断刺入皮肤内深度，54.88%的人认为文献及教科书的“穴位针刺深度”是指患者的同身寸，只有17.87%的人选择《内经》中的1寸=23.1 mm,38.78%的人选择七尺五寸的准确身高是173.25 cm,15.21%的人选择同身寸最早见于唐代，70.34%的调查者认为针灸度量制及针具长度需要有统一的标准。研究结果表明目前针灸医生、教师及学生对针刺安全要求、针灸度量制及针具长度建立国际标准的必要性有统一的认识，但对于针灸度量制其他问题的认知混乱。因此，有必要从针灸度量制的起源把针灸寸制厘清，将相关的概念纳入教科书、继续教育及各种国际标准中，同时恢复以汉寸为基准的标身寸，促进相关人员系统学习，积极推动针灸度量制标准化，促进行业规范化发展。

To understand the understanding and clinical application of acupuncture measurement system among acupuncture professionals,this study conducted an online questionnaire survey via the Wenjuanxing platform,targeting relevant groups including acupuncturists,teachers,and students,so as to explore the paths,methods,and feasibility of standardizing acupuncture measurement system. The study employed the quantile method for data cleaning and performed statistical analysis on the relevant data. The survey ultimately yielded 789 valid questionnaires. The results showed that only 39% of teachers taught the evolution of the ancient and modern acupuncture measurement system in class,and 57% of students learned this content in class. 34.98% of respondents mistakenly believed that all countries use the “standardized” Cun of the World Federation of Acupuncture-Moxibustion Societies(WFAS)to specify the “Cun length” of acupuncture needles. 93.54% of respondents could only accept an error of less than 10% in acupuncture measurement. Only 43.6% of respondents judged the depth of acupuncture needle insertion into the skin based on the acupuncture needle length and the length of the needle body remaining outside the skin. 54.88% of respondents believed that the “acupoint insertion depth” mentioned in literatures and textbooks refers to the patient's proportional body Cun. Only 17.87% of respondents chose 1 Cun=23.1 mm as stated in Inner Canon of the Yellow Emperor. 38.78% of respondents selected 173.25 cm as the accurate height corresponding to seven Chi and five Cun. 15.21% of respondents chose proportional body Cun that was first recorded in the Tang Dynasty. 70.34% of respondents believed that unified standards for acupuncture measurement system and acupuncture needle length are necessary. The results of this study indicated that acupuncturists,teachers,and students currently hold a unified understanding regarding the necessity of establishing international standards for acupuncture safety requirements,acupuncture measurement systems,and needle lengths. However,their perceptions of other issues related to acupuncture measurement systems remain inconsistent. Therefore,it is necessary to clarify the cun measurement of acupuncture starting from the origin of acupuncture measurement system,incorporate relevant concepts into textbooks,continuing education programs,and various international standards,and restore standard body Cun based on the Han Cun. This will promote systematic learning among relevant personnel,actively advance the standardization of acupuncture measurement system,and facilitate the standardized development of the industry.