Acu-Moxa Techniques Ppt 3

Front 1

What is Ci Jiu Fa?

Back 1

Science of techniques of acupuncture and moxa
-researches and applies different techniques of
acupuncture/moxa
their concrete methods
the indications and their principles

Front 2

What are the goals of studying ci jiu fa?

Back 2

1. BRIDGE the gap b/t ccm theory and clincial practice of acupuncture
2. understand that applying the theory properly or not has direct influence on clinical EFFECT.

Front 3

Bian stone is what?

Back 3

relics that were original form of needling practice, good for massage, removing abcess/carbuncle, treating infections

Front 4

The bian stone can be traced back to?

Back 4

WANG xuetai: THE LATE STAGE OF PALEOLITHIC AGE

Front 5

Paleolithic age designates teh cultural period beginning with what type of tools?

Back 5

EARLIEST CHIPPED STONE TOOLS
about 750,000 years ago until the beginning of Mesolithic age

Front 6

The embryonic stage of the 9 needles took place in?

Back 6

the bronze age

Front 7

Bian shi is

Back 7

the stone that is used to cure or treat diseases

Front 8

What types of needles have been used dating back to paleolithic times?

Back 8

gold, silver, bamboo, and bone

Front 9

What is the significance of the 9 needles?

Back 9

they are a symbol of the formation of acupuncture needling techniques.

Front 10

Xu feng is the author of?

Back 10

The Verse of the Golden Needle
Ming dynasty book on acupuncture techniques

Front 11

What are 3 different types of needling in nei jing? What is it for?

Back 11

9 needling, 5 needling, 12 needling
Different types of tissues, not different types of needles

Front 12

In 5, 12, and 9 needling techniques you need what to reach different types of tissues?

Back 12

Different lengths of needles, but not necessarily different needles (?)

Front 13

Name the 6 fundamental techniques in needling? Which are the most basic?

Back 13

1. lifting/ thrusting
2. twisting
3. slow-speedy tonification/reducing
4. breathing tonification/reducing
5. direction against or w/ meridians
6. open/close pt

first 2 most common

Front 14

What is the highest/basic principle of acupuncture techniques?

Back 14

harmonizing yin/yang

Front 15

Define yin/yang laymen's terms.

Back 15

yin/yang are the general nature of the universe

Front 16

If you regulate what 3 things a patient will be healthy?

Back 16

yin/yang
essence
qi

Front 17

yin qi is on what side? yang qi on what side?

Back 17

yin right
yang left

Front 18

If dz is on yin side what type of points might you choose? Why?

Back 18

yang
B/c lots of energy to work w/ to open blockage on sick side

Front 19

What are 6 basic principles to harmonize yin/yang?

Back 19

1. Treat yin/yang by treating the yin side if yang is sick or yang side if yin is sick
2. In the THUMB movement of needle, forward is yang, back is yin
3. Ying & Wei: to tonify: insert slowly to push surface qi in, withdraw quickly and don't let energy out. Reduce: go in quickly and out slowly.
4. In severe or mild syndrome, PAIN is yin, ITCH is yang. For pain insert needle deeper retain longer. For Itching stay relatively superficial, and retain shorter.
5. Constitution: strong people needle deeper and longer, weak people shallow and shorter
6. yang excess and yin xu: tonify yin first reduce yang 2nd. Yang xu: tonify yang first reduce yin 2nd. In emergency may want to reduce 1st tonify 2nd.

Front 20

What needling technique can you use with sides of the body treatment to harmonize yin/yang?

Back 20

Treat yin/yang by treating the yin side if yang is sick or yang side if yin is sick

Front 21

What needling technique can you use with the thumb to harmonize yin/yang?

Back 21

Forward thrust is yang, back is yin

Front 22

What needling technique involving ying and wei can you use to harmonize yin/yang?

Back 22

Ying & Wei: to tonify: insert slowly to push surface qi in, withdraw quickly and don't let energy out. Reduce: go in quickly and out slowly.

Front 23

What needling technique involving pain and itching can be used to harmonize yin/yang?

Back 23

In severe or mild syndrome, PAIN is yin, ITCH is yang. For pain insert needle deeper retain longer. For Itching stay relatively superficial, and retain shorter.

Front 24

What needling technique involving constitution can be used to harmonize yin/yang?

Back 24

Constitution: strong people needle deeper and longer, weak people shallow and shorter

Front 25

What needling technique involving yin/yang excesses and deficiencies can be used to harmonize yin/yang?

Back 25

yang excess and yin xu: tonify yin first reduce yang 2nd. Yang xu: tonify yang first reduce yin 2nd. In emergency may want to reduce 1st tonify 2nd

Front 26

The inherent root of acupuncture is?

Back 26

Opening

Front 27

How can you regulate and open meridians and channels? (6)

Back 27

1.use the meeting points of qi and blood
2.be aware of ying and sui (tonify/reduce broad sense)
in narrow sense means going against or along meridian
3. by controlling direction of qi flow: turn needle fwd if qi goes up, turn needle back if qi goes down
4. Ziwuliuzhu needling: Chrono acupuncture: needle according to the organ clock. Eg 3-5am tx LU, if shi reduce at LU time, if xu tonify after LU time when organ is empty.
5. fenci/guanci etc
6. leopard spot puncture w/ pottery for ashi pt

Front 28

How can qi and blood be used to regulate and open meridians and channels?

Back 28

use the meeting points

Front 29

How can ying and sui be sued to regulate and open meridians and channels?

Back 29

broad sense tonify/reduce
narrow sense go against of along meridian

Front 30

How can direction of qi flow be used to regulate and open meridians and channels?

Back 30

turn needle forward qi goes up
turn needle backward qi goes down

Front 31

How can Ziwuliuzhu needling be used to regulate and open meridians and channels?

Back 31

Chrono acupuncture
needle according to the organ clock. Eg 3-5am tx LU
if shi reduce at LU time, if xu tonify after LU time when organ is empty.

Front 32

What is the natural law of acupuncture in reference to the philosophical foundation of acupuncture techniques?

Back 32

To support vital qi to expel the evils

Front 33

To support vital qi and expel the evils what methods can be utilized and do they reduce/tonify? (6)

Back 33

1. moxa is more in favor of tonifying
2. needling is more in favor of reducing
3. bleeding is more in favor of reducing
4. cupping can be both
5. tuina can be both
6. never tonify evil qi

Front 34

The core of acupuncture techniques is?

Back 34

Manipulating in the different levels

Front 35

In manipulating at different levels, how many layers are there?

Back 35

3 heaven/man/earth all have qi that can be grabbed except winter maybe when qi is deep

Front 36

To tonify in manipulation at different levels, what is done?

Back 36

heaven, man, then earth, then remove needle quickly, the repeat.

Front 37

**What are the three punctures and *what acupuncture technique are they associated with? (test)

Back 37

1. penetrate skin: get rid of yang evil
2. go slightly deeper: reach the muscles, expel yin evil
3. even deeper: gain the grain qi

manipulating in different levels

Front 38

Why do we needle the different layers?

Back 38

1. physiological reason: the hierarchy of qi distribution (skin, vessel, muscle, tendon, bone)
2. tissues correlated with internal organs
3. spring-summer vs. fall-winter

Front 39

What are the 3 basic requirements of applying acupuncture techniques?

Back 39

1. Deqi: qi grabbin, effect happen immediately
2. Zhishe, sheng management, the soul/sprit
3. Bianzhengshizhi: apply treatment according to differentiation

Front 40

What are teh 5 steps of applying techniques according to differentiation?

Back 40

1. theory
2. diagnosis
3. prescription (incl points)
4. herbs (techniques)
5. modification

Front 41

What are the 8 guidelines of bainzhengshizhi? (eg making differentiation according to 8 parameters)

Back 41

(1. Yin syndrome)
(2. yang syndrome)
3. Surface syndrome
4. Internal syndrome
5. cold
6. heat
7. excess
8. xu
9. qi
10. blood

Front 42

In the 8 guidelines of bianzhengshizhi what is yin syndrome? How to tx?

Back 42

Yin excessive, eventually will damage yang. Strengthen the yang and reduce the yin. Needle deeper and retain longer. Can use moxa.

Front 43

In the 8 guidelines of bianzhengshizhi what is yang syndrome? How to tx?

Back 43

yang excessive, needle shallow and retain shorter. Can use bleeding and cupping.

Front 44

In the 8 guidelines of bianzhengshizhi what is surface syndrome and how to tx?

Back 44

choose correct points. GB20, GV16, LI11, LI4, BL12. Needle shallow and retain shorter.

Front 45

In the 8 guidelines of bianzhengshizhi what are cold and heat similar to?

Back 45

cold yin
heat yang

Front 46

In the 8 guidelines of bianzhengshizhi how do you treat shi/xu?

Back 46

excess: reduce
deficiency: tonify

Front 47

In the 8 guidelines of bianzhengshizhi how do you treat internal syndrome?

Back 47

yuan source point, needle deeper retain longer

Front 48

In the 8 guidelines of bianzhengshizhi what are two things you can employ to tonify deficient types?

Back 48

zang fu differentiation
different constitutions of people

Front 49

In the 8 guidelines of bianzhengshizhi we treat qi instead of? and Blood instead of?

Back 49

yin
yang

Front 50

Understanding classification is important because?

Back 50

It helps us understand needling techniques and content

Front 51

What are the 4 classifications of needling?

Back 51

1. basic
2. adjunct
3. tonify/reduce
4. even

Front 52

What is the basic technique of needling?

Back 52

hold needles
lift, thrust, twist, manage depth, retain, withdraw

Front 53

What is the adjunct methods of needling?

Back 53

Facilitate qi arriving: guiding, flicking, scraping, waving, vibrating
walking qi overflowing channels
qi relay method

Front 54

Tonify and reduce methods of needling can be simple/complex?

Back 54

both

Front 55

Even techniques example?

Back 55

dao qi

Front 56

2 types of classically useful insertion?

Back 56

1. insert during cough or during inhale (reduce) exhale (tonify)
2. insert the needle by rotating to drive into skin

Front 57

In basic techniques of needling, how would you needle a patient with good constitution, weak constitution, or older persons?

Back 57

good constituion: can go deep
weak: shallow
older: more shallow

Front 58

How should you apply depth of needling according to the seasons?

Back 58

spring: shallow
summer: deep as blood vessels
Long summer: muscles
fall: tendons
winter: deep as tendons and bones

Front 59

In general how should one apply needling depth?

Back 59

go through all 3 layers, yang/yin then grain (SP)
heaven/human/earth

Front 60

*The Nei Jing says people who () should be needled deeper and people who () should be needled shallower.

Back 60

wear cloth (eg laborers)
are intellectuals

Front 61

*Nei jing says excessive () needle deeper, deficient () shallow to protect teh essence and qi. Only let evil qi out.

Back 61

pulse
pulse

Front 62

* What types of syndromes are associated with which needle depths and techniques?

Back 62

heat syndromes: shallow and quick (like touching hot soup w/ hand)
cold syndromes: deeper and slower (as if a person dislikes walking)

Front 63

In the introduction of the school of golden needle in plum-blossom poem, it states: It is reasonable to look up to *() deep needling and down on shallow. Why?

Shallow points dislike? Deep dislike?

Back 63

praise
Guqi lives deeper where it is the source of healing chronic ills.
Shallow points dislike long needles and deep vice versa

Front 64

3 methods of needle retention?

Back 64

1. w/o manipulation (means after you grab qi)
2. manipulate the needle during retention
3. life-retaining (subcutaneous)

Front 65

Why do we retain needles?

Back 65

1. waiting for the qi to arrive (if cant grab in initial stage)
2. regulating qi (eg heat/cold, shu/shi, open channels)
3. to support even/expel evil qi

Front 66

Needle retention cautions (2)?

Back 66

not for baby and skinny people
according to differentiation

Front 67

When withdrawing the needle...
fast does what?
slow does what?
apply tonify/reduce when?

Back 67

fast one-tonifying, seals qi in *but don't go too fast!
slow one-reducing, brings qi out
applying tonification or reducing during/after withdrawing

Front 68

Adjunct techniques: give examples of points at which the following techniques are used:

a. separating
b. turning
c. rolling-waving
d. ascending-descending

Back 68

a. pc6, lu7, st36 (roll thumb/finger left right to separate tendons)
b. si6
c. SJ4, LI15 (fwd then backward)
d. ST41, LI15

Front 69

Name 6 adjunct techniques of needling?

Back 69

1. guiding (massage)
2. flicking
3. sraping
4. waving
5. flying (alternate manipulate/open)
6. trembling

Front 70

In tonify/reduce techniques *ticha define and it means?

Back 70

twisting - concerns teh speed and amplitude of the angle

Front 71

In tonify/reduce techniques *nianzhuan define and it mmeans?

Back 71

lifting-thrusting concerns speed, strength, and range or amplitude

Front 72

In tonify reduce techniques *yingsui means and define?

Back 72

along-against - the flow of meridians in a general sense

Front 73

In tonify/reduce techniques *huxi means and define?

Back 73

respiration - of the patients or docs

Front 74

In tonify/reduce techniques *xuji means and define?

Back 74

speed controlling - of insertion or withdraw

Front 75

In tonify/reduce techniques *kaihe means?

Back 75

open/close - in needling of holes

Front 76

In tonify/reduce methods *jiuliu means and define?

Back 76

according to numbers - 9 and 6

Front 77

In tonify/reduce methods *yingwei define:

Back 77

according to blood and qi (depth)

Front 78

In complex hand-techniques needling, setting the fire on the mountain is to produce/tonify (). Letting the needle become warm is () the qi, feeding the qi, helping the yang overcome the yin. When push in, focus on ().

Back 78

yang qi
tonify
pushing needle forward

Front 79

In complex hand-techniques needling, setting fire on the mountain:
during patients exhale?
and push into what layer?

Back 79

Insert the needle and push it into Heaven layer (the upper 1/3 of the point) assisted by nail press of left hand (is better)

Front 80

In setting fire on the mountain needle technique, what do you do with the numbers?

Back 80

perform 9x (yang #) with heavier push and lighter pull while rotating fwd
if needle gets blocked withdraw 1-2/10th & slightly backward to relieve
Ok if needle tangles

Front 81

In setting fire on the mountain needle technique what do you do after the heaven layer?

Back 81

human layer repeat 9x fwd thrust
earth layer repeat

Front 82

One round in setting fire to the mountain needle technique?

Back 82

process from heaven to earth

Front 83

How to withdraw in fire on the mountain needle techniques?

Back 83

pull out directly into heaven layer, pause, withdraw slowly during inhale
press hole quick and forceful about 30 sec

Front 84

Setting fire on the mountain:
1 round is*
need to do this how many times?
Usually this is too much for the point, so you do?

Back 84

3 times in and 1 time out*
9x
3 rounds, wait 10 mins, then next three etc

Front 85

Fire on the mountain needle technique indications?

Back 85

KD yang xu
Yuan qi xu of zang and jing luo
also: wind stroke, paralysis
Cold damp bi
cold limbs
cold abdominal (impotence, hernia)
5am coldness (diarrhea usually b/c of yangqi xu)

Front 86

Fire on the mountain technique depths?

Back 86

not for shallow points (GB30, KD shu, He gu, xue hai, zu san li, LI11) even though usually to clear heat
1.5 cun...

Front 87

Setting fire on the mountain needling techniques cautions?

Back 87

not on head face
if get heat sensation in first layer don't go deeper
if dont get heat after 9 rounds, stop and give warming herbs
don't let whole proceess take too long as is strong stimulation
if you don't grab qi its not working
for more sensitive patients eliminate rotation and just thrust

Front 88

In tonify/reduce needle techniques 'thoroughly cooling heaven" point is to?

Back 88

reduce the pathogenic fire that *eats the qi

Front 89

In thoroughly cooling heaven, during inhale do what?

Back 89

innsert needle slow go to the earth layer, use stretching technique of left hand instead of pressure (to let xie qi out)

Front 90

In thoroughly cooling heaven, how many rounds and what techniques?

Back 90

6 rounds, (yin #), with heavier pull and lighter push while rotating backwards, 1 time in, 3x out slowly, this is one round
-come back to human layer, grab qi and repeat what was done in earth layer

Front 91

In thoroughly cooling heaven needle technique, how to withdraw?

Back 91

quickly during exhale, enlarge the needle hole and let it open

Front 92

In thoroughly cooling heaven needle technique, what are the indications?

Back 92

flaming heat
excessive heat
ministerial fire
heat syn
heat excessive wind stroke (acute)
summer heat
high fever
mania

Front 93

Ministerial fire means?
Where does it come from?

Back 93

PC/TB - fire that left the heart
qi - stored by LR/KD, moved by GB

Front 94

Warm tonification technique
-insert the needle with () on the point of left hand
-increase the pressure (L hand) and perform ()* for ()*
-then hold the reacting place (at the tip of the needle) and perform heavier push and lighter pull for ()*
-then perform *() more heavier push and lighter pull, then hold the reacting place until the heavy-tight sensation change into warm sensation, then pull the needle out slowly after necessary needle retaining, and press on the point quickly.

Back 94

assistant pressure
forward twisting pushing, 5 times
10 seconds (ca 10x)
45 seconds

Front 95

Cool reduction needle techniques:

-insert the needle with assistant pressure on the point of left hand; when deqi happens decrease the pressure (L hand) and perform ()* for ()*
-pull back the needle about 1/10 of cun
-hold the reacting place at the tip of the needle and perform lighter push and heavier pull for ()*
keep the qi by holding the reacting place until it loosing up and change into cooling sensation

Back 95

backward twisting and pulling, 5x
10 seconds (ca 45x)

Front 96

Tonifying reducing techniques: yin hidden within yang

describe inhale/exhale
to which layer?

Back 96

nasal inhale and mouth exhale px, during exhale insert needle with help of one finger pressing tech of left hand and grab qi
-push needle rapidly to huma layer and perform heavier push, and lighter pull while rotating forwards in 9 yang number

Front 97

In yin hidden within yang tonify/reduce techniques, what do you do after tonifying?
if the warm sensation occurs what do you do?
how does breath direct further pushing?
perform heavier pull and lighter push while (()

Back 97

reduce
-if the warm sensation appears now, wait a while until its gone
-mouth inhale and nasal exhale, further push the needle slowly to earth layer with the help of stretching techniques of right hand
-rotating backwards in a 6-yin number (6/18/36)

Front 98

In tonify/reduce methods: yang hidden within yin:
mouth () and nasal ()
During () insert needle with () techniques of left hand and push it slowly to () layer

Back 98

mouth inhale, nasal exhale
inhale
stretching
earth

Front 99

In tonify/reduce methods: yang hidden within yin:
perform heavier pull and lighter push while rotating () in ()

Back 99

backwards
6-yin number 6/18/36

Front 100

In tonify/reduce methods: yang hidden within yin:
what do we do after reduce?
if the cool sensation appears now
nasal () and mouth (), pull the needle to () layer with help of one finger press techniques of left hand
-perform heavier push and lighter pull while rotating () in () number

Back 100

tonify
wait until sensation gone
inhale, exhale, human
forward
9-yang number 9/27/49