Pjones Techniques Test 2

Front 1

True or False: Practitioners should regulate their shen prior to a treatment.

Back 1

True

Front 2

Upon removing the needle, you notice the patient's muscle is still tight around the needle. Possible reasons are _______?

Back 2

1. May need to be in longer. 2. May need some manipulation.

Front 3

How to regulate patient's shen?

Back 3

Ask them to relax, observe their own body, focus on the treatment.

Front 4

Left hand is called the _______

Back 4

Pressing hand or assisting hand. When available, use it.

Front 5

Inseting the needle aided by the pressure of the finger of the pressing hand is called ___________?

Back 5

pressing

Front 6

True or false: pressing hand stays until your needle is inseted to the desired depth.

Back 6

true

Front 7

The holding method is used when you need to needle _______?

Back 7

Deep

Front 8

Inserting the needle with the fingers stretching the skin is called ___________?

Back 8

stretching

Front 9

Stretching hand will remain until ______________?

Back 9

The desired depth has been reached.

Front 10

You use stretching when?

Back 10

The muscle or skin is loose.

Front 11

True or false: When using the pinching method, you keep pinching the skin until the needle is to the desired depth?

Back 11

True

Front 12

When using pinching method, you want to pinch a big area of skin.

Back 12

True

Front 13

In pinching method, needle where loose skin and tight skin connect.

Back 13

True

Front 14

In pinching method, fingers should meet (pinch, line up) where the needle plans to enter.

Back 14

true

Front 15

In angle insertion, perpendicular insertion is perpendiculare to patients body

Back 15

true

Front 16

Needle direction: head

Back 16

horizontal

Front 17

needle direction: face

Back 17

horizontal

Front 18

needle direction: chest along midline

Back 18

horizontal downward

Front 19

needle direction: chest at the lateral side

Back 19

oblique

Front 20

when you needle the lungs you needle toward the lungs

Back 20

true

Front 21

you can needle toward the pain

Back 21

true

Front 22

Can you change the direction on all of the points depending on where you want to guide the qi?

Back 22

yes

Front 23

Depth of insertion can be dependant on_____?

Back 23

age, season, constitution, area(muscle size), level of the qi, disease condition, sensitivity of patient

Front 24

upon needle removal, be sure to _____________

Back 24

close the hole

Front 25

If tight, pull it out _______

Back 25

forcefully

Front 26

Needle insertion/removal order:

Back 26

du 20, yin tang ren 12 li 10 st36

Front 27

oblique and shallow you cannot thrust so you ________

Back 27

twist

Front 28

Pressing method

Back 28

true

Front 29

pressing goes in one direction when oblique

Back 29

true

Front 30

lifting thrusting does not change the direction of qi sensation

Back 30

true

Front 31

pressing can get qi sensation and direct the qu sensation

Back 31

true

Front 32

points that should not be needled

Back 32

1. st17, Ren 8 2. points where there is a wound , ulcer, infection, scar... 3. infants where the fontanel is not closed, points on the vertex.

Front 33

Points you should not use on pregnant women?

Back 33

1. LI4, SP6, BL60, BL67 2. points on the lower abdomen and lumbosacral region: under three months pregnancy 3. Points on the upper and lower abdomen and lumbosacral region: after three months pregnancy

Front 34

conditions in which acupuncture is contridicted?

Back 34

1. Severe deficiency (Late stages of disease) 2. After severe bleeding, sweating, diarrhea 3. Drunk, too angry/scared, too full/thirsty, too tired 4. bleeds easy 5. history of miscarriage

Front 35

weak constitution

Back 35

mild stimulation

Front 36

strong constitution

Back 36

stronger stimulation

Front 37

yang type, qi moves fast, needle sensative

Back 37

mild stimulation

Front 38

yin type, qi moves slow, needle insensitive

Back 38

stonger stimulation

Front 39

insertion method for exterior condition

Back 39

shallow insertion

Front 40

insertion method for an interior condition

Back 40

deep insertion, longer retention time

Front 41

method for deficiency

Back 41

tonifying

Front 42

method for excess

Back 42

sedating

Front 43

method for cold

Back 43

deep insertion, longer retaining time

Front 44

method for heat

Back 44

shallow insertion, short retaining time

Front 45

What can cause bent needle?

Back 45

1. unskilled manipulation or too forceful manipulation causing the needle to strike hard tissue. 2. sudden change of client's posture. 3. collision of needle from external force. 4. Improper management of stuck needle

Front 46

How to manage a bent needle?

Back 46

No manipulation (lifting and thrusting, rotating, etc) should be applied • Never try to withdraw the needle with force
• Resume the original position of the patient and remove the needle if applicable
• Following the course of the bend to remove the needle slowly and withdraw it.

Front 47

The direction and angle of needle is changed, causing difficulty of lifting, thrusting, rotating and withdrawing of the needle, and pain for the patient.

Back 47

Bent needle

Front 48

How can you prevent a bent needle?

Back 48

1. Skillful manipulation 2. Patients be placed in a comfortable position, and no change of posture during needle retaining 3. No pressure on needle handle from external force 4. Correct management for stuck needle

Front 49

Local swelling, purple and black bruise, and pain around the needling point, even limited movement

Back 49

Hematoma

Front 50

Management of hematoma?

Back 50

Local pressing with cotton ball
•Vein: 30 seconds to 1 minute
•Artery: up to 5 minutes

Front 51

Management of severe hematoma?

Back 51

Severe case: Cold compress to stop bleeding first; Then warm compress (if chronic)with local pressure. Light massage or moxibustion to help disperse and absorb the hematoma.

Front 52

Causes of hematoma?

Back 52

1. Injury of the blood vessel and subcutaneous bleeding. 2. lack of press after withdrawing the needle. 3. Patient’s blood coagulation function is poor:

Front 53

Chest tightness, chest pain, cough, shortness of breath, palpitation. Severe case: dsypnea, pallor, cyanosis, cold sweating, drop of blood pressure, coma, even death.

Back 53

Pneumothorax

Front 54

Cause of pneumothorax?

Back 54

Improper direction, angle or depth of needle on points of the chest, back or supraclavicular fossa the pleura and lungs are injured and air enters the thoracic cavity.

Front 55

rupture with bleeding abdominal pain, rigidity of the abdominal muscles, and / or rebound pain upon pressure

Back 55

Injury to the Liver and spleen

Front 56

pain in the lumbar region, tenderness and pain upon percussion around the kidney region, blood urine, even drop of blood pressure and coma in severe case

Back 56

Injury to the kidney

Front 57

severe stabbing pain, or tearing pain, shock

Back 57

injury to the heart

Front 58

How do you manage injury to an internal organ?

Back 58

Withdraw the needle immediately. If there are signs that an organ been punctured, the patient should be taken to the hospital or emergency medical help be called.

Front 59

upper and middle back

Back 59

oblique insertion

Front 60

4 limbs

Back 60

perpendicular oblique

Front 61

lower back

Back 61

perpendicular

Front 62

perpendicur

Back 62

90%

Front 63

horizontal/transverse

Back 63

15-25%

Front 64

oblique

Back 64

30-60%

Front 65

Stop needling immediately and withdraw all the needles
•
Help the patient to lie down with head lower, feet elevated, and clothes loosened
•
Offer the patient some warm or sweet water
•
Severe case:
–
acupressure or acupuncture on DU26, DU25, LI4, PC6, ST36, KD1, PC9;
–
moxibustion on DU20, Ren4, Ren6, Ren8
–
Other emergency measures

Back 65

management of fainting or shock