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83 Cards in this Set
- Front
- Back
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How is an acupuncture needle held?
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firmly,3 finger hold, by handle only
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Goal of initial insertion is.....
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No pain!!!!
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Describe free-hand insertion,
needling hand |
Insert needle quickly, gently while twisting back & forth -small range.
Finger strength and focus of shen are required. De Qi. |
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Describe free-hand insertion, pressing hand.
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Nailing w/thumb or index fingernail near site to distract & to disperse Qi.
Stretching w/thumb &index or index &middle finger in needling areas w/loose skin. Pinching site in areas w/thin muscle layer. Holding shaft of needle near tip if needle is greater than 3" |
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Describe needling using a guide tube.
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Pressing hand holds tube firmly w/3 finger hold while pressing site to disperse Qi. Needling hand inserts needle with a quick tap or bounce off tail of needle.
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Name the 7 single reinforcing/reducing techniques.
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Lifting and thrusting
twisting slow/quick open/close against/along breathing 9 or 6 |
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Describe lifting/thrusting.
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Reinforcing-quick, heavy thrust, slow, gentle lift -less than 5mm
Reducing- quick,heavy lift, slow, gentle thrust-greater than 5mm |
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Describe twisting.
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Reinforcing- thumb moves forward, heavy- less than 360
reducing thumb moves backwards, heavy-more than 360 |
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Describe slow/quick.
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Reinforcing- de qi shallow. slowly insert to deep level, quickly withdraw to shallow.
Reducing- de qi at deep level. withdraw slowly to shallow, insert quickly to deep. |
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Describe open or close method.
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Reinforcing-close-quickly press site w/cottonball after withdraw.
Reducing-open -do not cover site after withdraw or shake needle to make hole larger when withdrawing |
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Describe against or along.
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Reinforcing- along- needle tip along channel pathway.
Reducing- against- needle tip against channel pathway. |
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Describe breathing method.
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Reinforcing-insert during patients exhale, w/d during inhale.
Reducing-insert during patient inhale, w/d during exhale |
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Describe 9 or 6 method.
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reinforcing- do manipulations 9 times.
reducing- do manipulations 6 times |
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Describe the guiding qi (dao qi) technique.
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De qi
slowly insert needle slowly withdraw needle |
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What is the purpose of dao qi and what are the indications?
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To guide qi in the channel back to its normal state.
Indicated when there is a counterflow of qi or disorder of qi |
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What are supplementary manipulation techniques and when are they used?
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They are used to obtain and increase qi sensation. Rubbing,scraping,flicking,shaking, trembling, flying
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What are the 4 moving Qi techniques?
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Qing long bai wei- Green dragon wags tail.
Bai hu yao tou- White tiger shakes head Cang gui tan xue-Dark green turtle probes hole Chi feng ying yun- Red phoenix meets source |
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What are the actions and indications of these techniques?
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Moves qi to reach disease area.
Used for qi stagnation or congestion in the channels |
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Describe green dragon manipulation procedure.
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insert needle obliq w/tip pointed towards disease area.
de qi slowly shake handle lft and rt -9x or for stronger effect 27x |
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When is green dragon used?
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It is used for points where perpend. and deep insertion is prohibited.
It is used for tonification. |
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Describe white tiger.
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insert needle perpend.by twisting
de qi quickly shake needle lft and rt at eh same time lift needle. use pressing hand to press channel on one side of site so qi may run in the opposite direction towards disease. repeat |
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When is white tiger used?
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Used on 4 limbs w/thick muscles.
Quick shaking is reducing and is used for excess such as heat. manipulation should be done 6x or 18x. |
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Describe dark green turtle.
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Insert needle perpend.
de qi w/d to SUBQ insert needle obliq in 4 directions at each direction 3 sec in and 1 sec out- slow/quick method |
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When is dark green turtle used?
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To stimulate a large area.
used for pts w/thick muscles helps look for de qi makes qi go deep and expand indicated for all types of pain, esp. local Tonifying- slow/quick method |
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Describe red phoenix.
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Devide pt into 3 levels- shallow, mid, deep.
insert to deep level w/d to shallow level wait for de qi insert to mid level apply lift/thrust/twisting manip at mid level move needle handle in circular motion or fly needle |
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When is red phoenix used?
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Emphasizes de qi at shallow level.
Expands qi sensation to the greatest extent. Circling makes hole bigger- reducing |
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What is comprehensive reinforcing/reducing?
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When two or more single reinforcing/reducing techniques are combined
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According to the ode of the Golden Needle there are 8 methods of treating diseases. What are the first 4?
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Burning mountain fire
Penetrating sky coolness Yin hidden within Yang Yang hidden within Yin |
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Describe the manipulation procedure used in Burning mountain fire.
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3 levels
insert on exhale- de qi shallow shallow lvl -reinforc.lift/thrust 9x repeat @ middle and deep lvls. Procedure may be repeated several times- Remove needle while patient is inhaling,quick press with cotton |
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What single techniques are combined in Burning mountain fire?
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Breathing, lit/thrust, numbers, slow/quick, breathing, close.
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What are the actions and indications for Burning mountain fire?
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Actions-warms Yang, disperses cold
Indications-Deficiency disorders, cold disorders |
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What are the cautions for Burning mountain fire?
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used only for point with thick musculature.
Patient must focus shen and feel sensation carefully. best de qi is soreness or heaviness. define the 3 levels clearly. stop if patient is feeling heat or sweating. |
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Describe the Penetrating sky coolness manipulation.
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3 levels, insert on inhale, de qi at deep level. At deep level use reducing lift/thrust 6x. repeat at middle and shallow levels. series may be repeated several times.
with draw on exhale shake a/o leave open. |
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What single needle techniques make up Penetrating sky coolness?
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Breathing,lift/thrust, numbers slow/quick,breathing, open.
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What are the actions and indications or Penetrating sky coolness?
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Actions- clear heat, drain fire
Indications- excess disorders, heat disorders. |
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What are the cautions for Penetrating sky coolness?
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Only for point with thick musculature.
best de qi- distension,numbness clearly defined levels drains heat, generates coolness. cooling sensation is hard to induce, OK if not achieved |
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Describe Yin hidden within Yang manipulation.
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2 levels. de qi.
At shallow level do reinforcing lift/ thrust or twisting 9x. At deep level do reducing lift/thrust or twisting 6x.May be repeated. remove needle. |
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What are the single needle techniques combined in Yin hidden within Yang?
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lift/thrust or twisting, numbers, slow/quick, open or closed
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What are the actions and indications of Yin hidden within Yang?
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Actions- reinforcing then reducing.
Indications- first cold, then heat disorders- malaria. Deficient disorders w/some excess- Sp qi defic. w/food stagnation. |
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Describe Yang hidden within Yin manipulation technique.
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2 levels. De qi.
At deep level apply reducing technique (lift/thrust or twist) 6x. At shallow level apply reinforcing technique 9x. withdraw needle. |
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What single techniques make up Yang hidden within Yin?
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lift/thrust or twist, numbers, slow/quick, open
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What are the actions and indications of Yang hidden with in Yin?
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Actions- reduce firs , then reinforce.
Indications- First heat, then cold disorders- malaria. Excess disorders with some deficiency-constipation with stomach heat due to spleen qi deficiency |
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What are the tools used in Bloodletting and what are they used for?
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A lancet or three-edged needle. They are used to prick specific acupunc pts. or superficial veins to release blood from the body and Tx certain diseases.
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What are the actions of Bloodletting?
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1)A.CA.P.
2)Invigorate Blood and dispel stasis 3)Drain heat 4)Open the orifaces 5)Reduce swelling |
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What are the indications of Bloodletting?
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Excess disorders- congestion, pain in the channels, Blood stasis, heat disorders, acute conditions etc.
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What are the 3 manipulation procedures used in Bloodletting?
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Spot-pricking
Scattering-pricking Prying-pricking |
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What are the manipulation steps in spot-pricking?
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1)Press & push towards area to be pricked to congest blood
2)Clean area w/alcohol 3)Pinch area to be punc. with pressing hand, w/needling hand quickly insert lancet 2 - 3 mm and remove quickly |
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Spot pricking cont.
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4) Squeeze around hole to remove Blood- 3 - 5 drops
5)Press hole w/dry cotton ball to stop bleeding |
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Describe the manipulation procedure for scattering-pricking
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1) Clean area w/alcohol
2)Prick quickly and sporatically on affected area. |
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When would scattering-pricking be used?
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It is used on areas of local swelling and Blood stasis such as a sprained ankle or chronic eczema.
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Describe the manipulation for prying-pricking.
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1)fix local skin w/left hand(stretching)
2)Hold 3-edge needle in rt. hand. Insert needle transversely 2-3 mm, lift tip of needle quickly to break the skin or fibrous tissue under the skin |
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What points would prying-pricking be used on?
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Back-shu, aji, ashi,reaction points.
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What cautions are there when preforming Bloodletting?
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1)CNT must be followed to prevent infecton/cross infection. 2 layers of gloves should be used
2)Pricking should be quick and gentle. Do not bleed too much/ too little. Do not prick arteries. |
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When is Bloodletting contra-indicated.
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Deficiency disorders
Pregnancy Patients that tend to bleed |
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What is Gua Sha?
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A fold therapy in which certain areas of the body are scraped to cure disease?
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What tools and lubricants are used in Gua Sha?
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Spoons, coins, scraping boards.
Water, oil, therapeutic oils-wan hua you, qufeng you, hong hua you |
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What are the actions of Gua Sha?
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1) Activate the channel
2)Regulate qi and Blood 3)Eliminate toxins and expel pathogens |
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What are the indications of Gua Sha?
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common cold, heat stroke, acute vomiting and diarrhea,indigestion, painful obstruction, dizziness, HA, stress, hypertension
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Describe the areas and manipulation for stress relief.
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Scrape the following areas 8-10 times each.
Yintang gently downwards forehead transversely taiyang downwards |
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Describe the areas and manipulation for a common cold or heat stroke.
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Dip tool in ginger water.
Taiyang dnwards 8-10x Upper back lateral to spine/UB line, dnwards 8-10x or until skin is red Cubital fossa Chest/abdo area ren17-ren12 dnwards 8-10x or until red |
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Describe the areas and manipulations procedure for treating acute vomiting and diarrhea.
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Scrape dnwards from GB20 to the upper back
Scrape taiyang Scrape yintang |
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Describe the areas and manipulation procedure for treating painful obstruction.
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Use therapeutic oil, qu feng you for early external cond. or hong hua you for injury due to trauma
Scrape upper back UB ch. -medial to lateral/ then superior to inferior Scrape painful area directly Do sequence once/ day for 5 days, repeat if necessary |
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What are the cautions when using Gus Sha?
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Manip. should be done from gentle to heavy, superior to inferior, medial to lateral, scrape until red or purple/red spots appear, do not use on skin lesions or sores, do not use if patient is too hungry or too full
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What tools are used in seven-star needling?
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Seven- star needles or Plum Blossom needles.
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How is the seven-star needle held?
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End of handle is held w/ index,middle and thumb with handle and arm inline or w/ index finger and thumb with handle and arm at 90 degrees
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What are the four techniques used in tapping the seven-star needle?
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1)relax fingers and wrist, quick/gentle movmts using the flexability of the handle.
2)needle should meet and be lifted away from the skin perpendicularly. No dragging! |
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Seven-star techniques cont.
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3)Needles should be applied w/ even speed and w/even force.
4)If tapping along course of channel, distance between each tap should be 1-1.5 cm |
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Describe the 3 intensity levels used in seven-star needling.
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Light- gentle force, skin turns reddish.
Medium- medium force, light bleeding on skin surface heavy- heavy force,clear bleeding on skin surface. |
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On what locations is seven-star needling used?
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1) Along channel pathways- UB and DU in neck and upper back area.
2)Specific acupunc. points 3) Local areas of disease, such as eczema. |
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What is the seven-star tapping sequence for the scalp?
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Net-shaped, a grid
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What is the seven-star tapping sequence for the temple?
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Fan-shaped- wide area in superior position.
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What is the seven-star tapping sequence for the nose, eyes and ears?
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tap around the sensory organ.
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Whatt is the seven-star tapping sequence for the back?
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First- inner UB line.
Second- outer UB line Third- DU vessel. |
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What are the actions of seven-star needling?
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Activates the channel, regulates qi and Blood, prevents disease and maintains health.
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What are the wide ranging indications of seven-star needling?
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Pain- One-sided HA, chest pain , pain in the LCR, Pain/numbness of the limbs,lumbar muscle strain, painful obstruction, epigastric and abdominal pain, dysmenorrhea.
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Indications cont.
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Digestive disord.- hiccups
Respir. disord.- cough, asthma Cardio. disord.-palpitat., insom. Head/ face disord- alopecia areta dizziness,deviat. of eyes and mouth,eye disord., nasal congest., turbid nasal disch. |
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What is the seven-star treatment for a one-sided HA?
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Upper nape area @ junction of head and neck. Focus on GB,UB,and DU channels.
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What is the treatment in general for HA?
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Focus on the pain area.Use on sensitive areas along course of related channels espec the shaoyang channels(GB/SJ) channels- below elbow and knee.
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What is the seven-star treatment for insomnia?
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Focus Tx on points lateral to the spinal column Anmian, UB15,UB18,UB20,UB23. Also along the heart and pericardium channels.
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What should be added to the insomnia treatment if there is also excessive dreaming and palpitations?
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GB20 and SP6.
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What is the seven-star treatment for asthma?
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Focus on points lateral to the thorascic vertebrae- dingchuan, UB12,UB13, UB43(if chronic), Ren17,Ren22, ST25(excess athma),ST40(phlegm).
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What is the seven-star technique for treating Bells Palsy?
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Focus on the Dx area- GB14, Taiyang,ST2,ST4, ST6, SJ17(facial nerve exit), LI4 and ST36 (yang ming channels on face)
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What are the cautions for seven-star needling?
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Inspec. non-disposable needles before treatment.
Sterilize skin after heavy bleeding Do not use on skin lesions or ulcers. Manipulations should be perpendicular to skin surface, even force and speed, use the flexability of the handle |
