From "arrival of qi produces curative effect", it is considered that arrival of qi, qi reaching and acupuncture sensation cannot contain the effect attribute, location attribute and performance attribute of acupuncture at the same time, so it is necessary to find a more suitable standard to measure the arrival of qi and clinical curative effect. Inspired by "the arrival of qi should be reaction of spirit, and reaction of spirit produces curative effect", the authors propose to use the term "reaction of spirit" to summarize the numerous external manifestations of arrival of qi, and to coordinate the attributes of arrival of qi, qi reaching and acupuncture sensation. Academician SHI Xue-min guides the clinical treatment with "reaction of spirit produces curative effect", attaches importance to the spirit treatment to improve the clinical curative effect, and evaluates whether acupuncture is successful or not with "reaction of spirit".
从“气至而有效”切入，认为得气、气至、针感都不能同时包含针刺的效应属性、部位属性、表现属性，需寻找更加合适，用以判断得气、临床疗效的标准。受“得气为神应，神应而有效”启发，笔者提出以“神应”一词统括得气众多外在表现，统筹得气、气至、针感3个概念分别具有的属性。石学敏院士以“神应而有效”指导临床，重视治神以提高临床疗效、以神应判定针刺是否成功。.
Keywords: acupuncture sensation; arrival of qi; qi reaching; reaction of spirit; stroke; treating the spirit.