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77 Cards in this Set
- Front
- Back
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Be cautious with patients that are...
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extremely deficient and weak, too fatigued, too hungry, too full, very drunk, very angry
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Acupuncture Cautions in Pregnant Women
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Points on the abdominal and lumbosacral region; points with strong descending action that induce labor (LI4, SP6, UB60, UB67, GB21)
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Acupuncture Caution in Children
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Infants whose fontanel has not closed; points on the vertex; do not retain needles in kids who do not cooperate
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Avoiding major blood vessels: What artery should you be careful of when needling Lu8 & Lu9?
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Radial artery
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Avoiding major blood vessels: What artery should you be careful of when needling St9?
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Carotid artery
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Avoiding major blood vessels: What artery should you be careful of when needling Sp11 & Sp12?
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Femoral artery
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Avoiding major blood vessels: What artery should you be careful of when needling St42?
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Dorsalispedis artery
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Avoiding major blood vessels: What artery should you be careful of when needling Ht1?
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Axillary artery
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Points at the junction of the neck and skull, be careful not to injure...
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the madula oblongata
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Points that carry the risk of injuring the madula oblongata
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Du15, Du16, UB10, GB20, GB12
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When needling points on the spinous process, be careful not to injure the...
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spinal cord
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How do you needle points that might injure the spinal cord?
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oblique superior upward
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What is the risk involved while needling points on the chest and upper back?
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pneumothorax
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What is the general needling depth and direction for points on the chest and upper back?
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oblique 0.3 - 0.5"
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What organ do you need to be careful of when needling points on the mid-back?
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Kidneys
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For points on the upper abdomen, what organ do you need to be cautious of? And what might deep insertion cause?
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Liver, needling could cause bleeding/hematoma
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What are the signs and symptoms of fainting?
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dizziness, oppression of the chest, nausea, pallor, cold sweating, cold extremities, weak pulse, hypotension, loss of consciousness
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What are the five steps in managing fainting?
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1. Remove all needles 2. Lie down with legs slightly elevated 3. Offer warm drink 4. Nail or needle certain points (Du26, LI4, ST36, PC6, or Du25, KI1, PC9) 5. Moxa on Ren 4,6 & 8
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What are the causes of a stuck needle?
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Nervousness of the patient (leading to muscle spasm); twisting the needle with too wide an amplitude; twisting the needle in one direction (latter two tangle the muscle)
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What are the causes of a bent needle?
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Insertion is too forceful, pushing when needle reaches hard tissue, patient changes position, needle is pressed by an object
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How do you manage a hematoma?
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Apply pressure to a vein for 30 sec - 1 min, for an artery for up to 5 mins
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What are the five special steps to needling points around the eyeball?
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1. Locate the point 2. Insert slowly 3. No further manipulation once you reach your depth 4. Remove needle slowly! 5. Press for approx 1 minute
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What is the most important step in needling points around the eyeball?
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To remove the needle slowly
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What is the material used for moxa? (in english and Chinese)
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Mugwort leaves, ai ye
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What are the characteristics of ai ye?
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Warm, bitter, spicy, enters the Spleen, Liver & Kidney
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What actions of moxa?
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1. warm and disperse cold 2. warm and unlock channels 3. warm and tonify yang qi 4. eliminates stasis and dissipates nodules 5. prevents disease and maintains health
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What two point examples were used to demonstrate how moxa plus point actions guide the qi and blood?
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1. Kid1 guides qi and blood downward for upper excess and lower deficiency 2. Du20 raises yang qi for qi deficient sinking
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Festering moxa is good for what kinds of conditions/diseases?
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Chronic diseases such as chronic bronchitis, asthma, chronic gastroenteritis, weak constitution, mal-development
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Non-festering moxa is also known as?
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Non-scar
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Non-festering moxa is good for treating what kind of conditions?
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Mild, deficient and cold disorders
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Ginger-partition moxa is good for which indications?
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Common cold, cough, wind-cold-damp-bi, abdominal pain, diarrhea, vomiting (disorders which are cold and/or deficient in nature)
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Garlic-partition moxa is good for which indications?
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Lung consumption (TB), abdominal masses, boils which haven't festered yet
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Salt partitioned moxa is also known as?
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Shen Que
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Salt partitioned moxa is good for which indications?
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acute abdominal pain, vomit, diarrhea, dysentery, cold limbs due to yang def and yin excess, prostration syndroms (which is digestion disorders related to yang def)
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Fuzi partition moxa is good for which indications?
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impotence, prospermia (immature ejaculation)
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For a patient with a strong constitution, please describe the moxa cone size & quantity and stick time.
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Bigger cone size, more cones, longer stick time
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For a patients with weak constitutions or who are female, elderly or old, please describe the moxa cone size & quantity and stick time.
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Smaller cones, fewer number of cones, shorter stick time
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Describe the cone size and quantity used on the back and abdomen
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Bigger cones and more of them
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Describe the cone size and quantity used on the head, chest, four limbs
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Smaller cones and fewer of them
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Be careful using moxa on patients with the following conditions....
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Yin deficiency with yang rising, excess heat
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Do not use direct moxa on these areas:
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face, genitals, big blood vessels
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What is the moxa contraindications with pregnant women?
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Do no use moxa on their abdomen and lumbosacral region
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What is the sequence for applying moxa?
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Yang then yin, upper then lower parts of the body, back then chest/abdomen, head and body then four extremities
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How long do you generally retain the cups during cupping?
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5-15 mins
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Under what circumstances do you retain the cups for a shorter than average amount of time?
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Big cups, summer time, areas with thin and tight skin
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What does retaining cups for less time under certain circumstances prevent?
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Blisters
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On what areas is jumping cupping used?
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Where cups won't stay long (ex: uneven skin surfaces, where skin is loose, hairy areas)
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For what disorders is jumping cupping used?
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Local sensory disturbances (pain, numbness, hypoesthesia)
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What disorder(s) is cupping with needles used for?
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Rheumatism
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Cupping is used for which actions ?
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Expels wind and eliminates dampness, invigorates blood and alleviates pain
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What indications are cupping used for?
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Soft tissue injuries, bi syndrome, respiratory disorders (common cold, asthma, cough), digestive disorders (stomachache, indigestions, diarrhea)
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What points do you apply cupping to when treating respiratory disorders?
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Ub12, UB13, Du14, Lu6
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What points do you apply cupping to when treating digestive disorders?
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Back shu points of Sp, St, SI & LI; Front mu points of Sp (Liv13), St (Ren12), LI (St25) & SI (ren4); lower he sea points of SI (St39), ST (St36) & LI (St37)
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What contraindications for cupping are there for pregnant women?
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No cupping on the abdominal and lumbosacral regions
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For what diseases is cupping contraindicated?
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Local wounds, skin allergy, high fever, convulsion, bleeding diseases (leukemia, hemophelia, thrombocytopenia, aplastic anemia), patients taking blood thiners
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Finish the sentence: Oblique or perpendicular through needling technique...
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Generates a strong needling sensation/stimulation
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What are the three steps for oblique or perpendicular through needling technique?
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1. Initial insertion 2. after de qi, do not manipulate too heavily 3. If qi is strong, do not need to reach the subcutaneous level of the ending point
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What is the through needling point combo for chronic childhood fright wind?
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Left yin tang to right UB2
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What is the through needling point combo for headache due to retention of phlegm and fluid?
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GB20 to Du16
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What is the through needling point combo for one-sided or all over headache (no specific cause)?
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LI4 to PC8
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What is the through needling point combo for deviation of the eye and mouth?
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St 4 to St 6 (or vice versa)
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What is the through needling point combo for pain of the supraorbital bone and dizziness?
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St 8 to the two angles of the forehead
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What is the through needling point combo for redness, swelling, pain and photophobia of the eyes?
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GB1 to yu yao
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What is the through needling point combo for redness, swelling and pain of the knee joint?
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SP9 to GB34 (easier to do the reverse direction)
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What is the through needling point combo for malaria?
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PC5 to SJ 6
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What is the through needling point combo for redness, swelling of the arm with pain of the wrist?
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SJ2 to SJ4
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What is the through needling point combo for cold phlegm and cough?
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Lu7 to Lu9
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Through needling from yintang to UB2 treats what condition?
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chronic childhood fright wind
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Through needling from GB20 to Du16 treats what condition?
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headache due to retention of phlegm and fluid
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Through needling from LI4 to PC8 treats what condition?
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headache
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Through needling from St4 to St6 treats what condition?
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deviation of the mouth and eye
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Through needling from St8 to the two angles of the forehead treats what condition?
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pain of the supraorbital bone and dizziness
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Through needling from GB1 to yu yao treats what condition?
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redness, swelling and pain of the eye, photophobia
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Through needling from GB34 to Sp9 treats what condition?
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redness, swelling and pain of the knee joint
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Through needling from PC5 to SJ6 treats what condition?
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malaria
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Through needling from SJ2 to SJ4 treats what condition?
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redness and swelling of the arm with pain of the wrist
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Through needling from Lu7 to Lu9 treats what condition?
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cold phlegm and cough
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