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those here which in chinese means obtaining the chi refers to sensations of tightness of soreness or heaviness that the patient feels at the point which was needled during an acupuncture session some patients may feel a bit surprised or even disturbed by this dirty sensation especially if they have never experienced acupuncture before so you want to make sure to make things right and prepare in advance let them know in advance they will experience dirty and make sure there is informed consent about that so please check our video on inform consent if youre interested in general dirty is also traditionally associated with clinical efficacy and there is actually even more than evidence um supporting the fact that the t is associated with clinical efficacy so most people will try to achieve some medium too strong degree of dirty during the acupuncture session in this video now were going to show you how to use simulation techniques to improve this dirty okay so were going to start with