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119 Cards in this Set
- Front
- Back
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What is the purpose of Shouqi - keeping the qi?
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To hold the qi, keep it active through the entire treatment. Done through mild manipulation throughout the treatment.
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What is Cuiqi - urging the qi?
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Can be used encourage the qi.
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Driving the Qi - Xing Qi - means what?
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Using vibrating, scraping, pulling, or tapping techniques to direct the qi.
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What is one reason you may have to use Houqi (Waiting for the Qi)?
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Deficiency. Insert needle, check in a while to see if the qi arrives.
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What is Bianqi - distinguishing the qi?
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distinguishing between good and bad qi. Bad qi feels tight and inflexible, will have an uncomfortable feeling. Be sure the needle isn't tangled.
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What is the purpose of needling retention?
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Allows for waiting for the qi, qi regulation (if the channel is deficient, it will bring qi; if the channel is excess, it will disperse).
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What five aspects determine the quality of qi arriving?
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1. constitution of the patient
2. character of the disease (heat and excess syndrome will feel swollen, pain, electricity) 3. the area being treated (jingwell feels sharp pain with numbness; scalp feels sharp and a little pressure) 4. the season and weather 5. the needling techniques |
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overmanipulation will create what effect?
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disperse qi - tonify excess and reduce deficiency
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What is Bian Stone? (bian ci)
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special kind of stone from Shandong, eastern part of China. can be used as massage tool, guasha tool. relics from 770-221 BC (between latter stage of neolithic age and the Spring & Autumn Warring States period.
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Bian Stone (Bian shi)?
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stone to cure or treat disease
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History of acupuncture dates to...
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Paleolithic times (Wang Xuetai)
Neolithic (textbook) |
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What is the symbol of the formation of acupuncture needling techniques?
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The Nine Needles
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When did the Nine Needles develop?
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Bronze Age
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What types of materials have been made into needles?
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gold, silver, bamboo, bone
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What are the six fundamental techniques in the Neijing?
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1. lifting/thrusting
2. twisting 3. slow/fast tonifying/reducing 4. tonify/reduce according to the breath 5. direction (with/against channel) 6.open/close point |
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What is the highest principle (general rule) in acupuncture?
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Harmonize Yin and Yang
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What is the natural law of acupuncture?
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Support vital qi to expel evils
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What is the essence of acupuncture?
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Opening & regulating meridians and collaterals
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Is cupping more tonifying or reducing?
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It can be either
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What is the Core of acupuncture techniques?
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Manipulating at the different levels
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How do you tonify, in terms of needling techniques?
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Slowly go through Heaven -> Human -> Earth layers,
then remove needle quickly |
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What is bianzhengshizhi
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apply techniques according to differentiation
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What are the two most basic techniques?
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Lifting/thrusting
Rotating |
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Joined needling techniques are used for:
a. extending the effective range of acupuncture points b. linking up the external-internal related meridians to balance yin and yang c. strengthening needling interactions to facilitate the qi arrival in the affected area d. simplify an acupuncture prescription e. all of the above |
all of the above
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To avoid pneumothorax, what is the extent of the lungs (in terms of vertebrae) on the front, back and sides of the trunk?
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T6 front,
T8 side, T10 back |
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What angle is used for GB20?
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Toward the mouth
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What cun length needle should be used for Du Mai points?
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1.5 cun
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What angle should be used for Ja Jie points?
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perpendicular - no more than 85 degrees toward spinal cord
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Why select yuan source points?
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To affect the zangfu
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Why choose lower he/sea points?
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To specifically affect individual fu organ disorders
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What nerve is near GB30?
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sciatic nerve
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What nerve do you need to be aware of at PC6?
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median nerve
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What are two words that may occur in acupoint names for points usually prohibited from needling in the Lingshu?
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ling and shen
i.e. GV11 Shendao GV10 Lingtai |
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What point is always contraindicated for needling?
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CV8
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Select what cun needle for upper back shu points? How deep can you insert?
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1 cun, 0.5-.8 cun insertion
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What cun needle for lower back shu points?
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1.5 cun below ST shu (BL21)
2 cun for BL/KD shu |
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What are four points specifically prohibited from needling in pregnant patients?
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SP6
LI4 GB21 BL67 |
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What are some times when you should not needle a patient due to their temporary state?
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exhaustion, overfullness, drunkenness, anger, starving, or extreme thirst
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What are three techniques to use when a needle is stuck?
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1. massage or use moxa the area to relax
2. insert another needle along the same meridian or locally 3. moxa the jingwell point of the meridian |
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How can you treat a point that has soreness and distention after three days (due to possible nerve damage)?
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Moxa or needle local points or on the meridian. Also moxa jingwell points.
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How can you address soreness and distention in a point after needling?
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Massage and/or moxa
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In cases of summerheat with high fever, headache, and possible separation of yin and yang, what treatment can you give to restore yinyang circulation?
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Prick the tips of ten fingers.
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What are the seven forms of acupuncture prescriptions?
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big, small, moderate, emergency, odd (acute), even (chronic), complex
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What technique is this?
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Thoroughly cooling heaven.
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What technique is this?
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Dragon wags its tail
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What technique is this?
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Setting fire on the mountain
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What technique is this and what's missing from this picture?
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Red Phoeonix spreads its wings; missing is the rapid release (wings spreading) of fingers from the needle at the human layer
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What technique is this?
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Turtle explores the cave
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What technique is this?
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Yang hidden within yin
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What technique is this?
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Yin hidden within Yang
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What technique is this?
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White Tiger Shakes Its Head
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For the ST, KD & SP meridians, what cun needle should you use on the abdomen?
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1.5
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Over the kidney and spleen anatomical organs, what cun needle should you use?
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1.5, no more than 2 cun
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For KD22-KD27, what cun needle should you use?
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0.5 cun needle. or use moxa/cupping.
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T or F: a patient will feel pain if organs are punctured.
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F, although there may be pain if the brain is punctured
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What channels are near the radial nerve?
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Lung and Large Intestine
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What channels are near the ulnar nerve?
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Small Intestine & Heart
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For the purpose of board exams, what angle should you needle on the upper back shu points?
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obliquely toward the spine
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T or F: it is contraindicated to heavily manipulate points on the lumbar region during pregnancy
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True
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Moxa on the following points would be an example of a treatment for what severely deficient condition?
Du20, UB43, CV6, CV4 and ST36 |
Cachexia
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What are three post-needling instructions for patients?
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1. avoid overwork
2. avoid overindulgence in the emotions 3. avoid sexual overindulgence |
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After needling, why should one not overeat?
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Because the stomach qi is full and moving from treatment
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What are three causes of a stuck needle?
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1. body tension
2. tangling of the needle 3. bent needle |
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How do you treat a hematoma from needling?
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After two hours, put on a hot pack. If necessary, use ice for short amounts of time.
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How do you avoid a hematoma?
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Press on the point after withdrawing the needle
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What do you do if a needle breaks?
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Calm the patient, withdraw with tweezers
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How can you treat needle fainting?
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remove needles, acupressure/needle at GV26, needle or moxa at LI4, moxa GV20, KD1, CV8, CV6, CV4, PC6 and ST36
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What are four symptoms of pneumothorax?
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sweating, stuffy chest (feeling of not being able to get it enough air), hyper-resonance over the lung, cyanosis.
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What should you do if you suspect pneumothorax?
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Do not have patient lie down. Send them to the emergency room.
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What cun needle should be used in the region of the lungs (T6 in front, T8 on sides, T10 on the back)?
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1 cun
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CV14, CV15 - How can you prevent puncturing the heart?
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Have the patient raise an arm behind the head
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At LR14, to avoid needling the liver, what angle should you use?
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30 degrees laterally, only shallow insertion
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What is a symptom that could suggest a kidney has been punctured? Will there be any sensation?
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Blood in the urine; there may be aching or warmth in the kidney region
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What is the greatest danger if an organ is punctured?
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Infection
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UB10, Gv14, 16 & 20 - What cun needle?
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1 cun
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what is the premise of applying hand techniques?
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according to differentiation
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the basic requirement and the spirit of acupuncture techniques is to
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achieve deqi and manage the shen
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which direction does the bian stone come from?
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the east (shandong province)
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toxic herbs come from which direction?
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the west
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warm moxibustion comes from which direction?
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the north
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the nine needles come from which direction?
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the south
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daoyin and massage come from which direction?
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the center
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the application of the bian stone started when?
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paleolithic age
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for management of shen, the acupuncturist should do what?
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carefully concentrate on work and connect with the universe
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how can the acupuncturist calm the patient's spirit?
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look into patient's eyes, in order to help manage the spirits. connect with the natural power of the universe, and have beneficial conversation with the patient
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what are three cautions for shen anchoring?
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1 - dr. must focus entirely on needling, 2. use principles of managing shen through entire time, 3. dr. must self-cultivate
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What are signs of the qi arriving?
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1 - the patient experiences sensations, 2. the physician
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What are four functions of needle retention?
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waiting for arrival of qi, regulating the qi, supporting even qi, expelling evil qi
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Why use joined needling techniques?
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1. extending coverage of points' indications, 2. strengthen needling interaction by linking externally/internally related meridians, 3. help drive qi to the affected area
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What are the two kinds of basic techniques?
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lifting/thrusting and rotating
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What is huxi buxie?
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patient's breathing
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What is Bufa?
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Tonifying technique
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What is Xiefa?
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Reducing technique
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To tonify, do you push and thrust slowly or quickly?
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insert slowly, then withdraw quickly
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To reduce, what speed do you use to insert and withdraw the needle?
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insert quickly, withdraw slowly
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During Setting Fire on the Mtn, do you insert on the patient's inhale or exhale?
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Insert during the patient's exhale
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For Thoroughly Cooling Heaven, insert on exhale or inhale?
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Insert during inhalation
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For Phoenix Spreads Its Wings, left (forward rotation) occurs on inhale or exhale?
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exhale
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To tonify, angle the needle in the direction of the channel or against it?
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In the direction of the channel
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What are 7 advantages of freehand insertion?
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1. energetic contact
2. facilitate development of techniques 3. more accurate location 4. easier to angle. 5. better for multiple needles 6. can start techniques immediately 7. easier to grab qi |
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What are 2 disadvantages of freehand insertion?
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1. harder to avoid pain
2. cleanliness |
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Advantages of tube insertion?
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1. clean
2. easy to use 3. fast |
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Disadvantages of tube insertion?
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1. not as accurate
2. less energetic contact 3. takes longer to get qi 4. easy to overcompress point |
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What are four groups of diseases according to yinyang princple?
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1. excess yang
2. deficient yang 3. excess yin 4. deficient yin (or both deficiency of both yin and yang) |
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What are four types of needling techniques to regain homeostatic dynamic balance?
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1. sparrow-pecking
2. intermittent stimulation 3. needle retention with vibration 4. simple needle retention |
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What are a few things to remember about sparrow pecking?
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Grab qi, withdraw needle by 2/3, lift/thrust seven times with heavier pull and lighter push, perform three rounds.
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When do you use sparrow pecking?
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For excessive yang conditions
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When do you use intermittent stimulation?
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For excess yin
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When should you use needle retention with vibration?
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Deficient yang
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When would you use simple retention?
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For deficient yin (or deficient yin and yang)
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How do you perform intermittent stimulation?
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Grab qi, retain for three minutes. Pull needle out by half, lift/thrust/rotate nine times, wait three minutes. Repeat again until mild sweat or pathogenic tight feeling under the needle disappears.
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What is intermittent stimulation for?
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Excessive yin syndromes. Dredging the meridians by expelling yin evil and recovering zheng qi.
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Needle retaining with vibration is performed how?
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Grab qi, retain for one minute, pull out by 1/3, perform slight vibration combined with lift/thrust/rotate for nine times, then repeat every 3-5 minutes up to three times.
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When do you use retaining the needle with vibration?
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For deficient yang. Brings about warm sensation or strengthens qi arrival.
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simple needle retention - use when?
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simple yin (or yin & yang) deficiency.
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According to the four natures, how would you select points for hot diseases?
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Mostly points on the upper body
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According to the four natures, how would you select points for cold disease?
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Mostly points on the lower body
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According to the four natures, why would select points on the yang side of the body?
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For cooling
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According to the four natures, when would you select points on the yin side of the body?
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For warming
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