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Benchmark Review. Acupuncture Techniques, CNT, and Herb Basics March 16, 2013. Acupucture Techniques. 15 questions. Identifying correct location. Review your point location information covered last week. Look at: Anatomical landmarks – bony prominences, hairlines, etc.
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Benchmark Review Acupuncture Techniques, CNT, and Herb Basics March 16, 2013
Acupucture Techniques 15 questions
Identifying correct location • Review your point location information covered last week. Look at: • Anatomical landmarks – bony prominences, hairlines, etc. • Proportional measurements guides • Hand guidelines • How to count the vertebra and ribs • Etc.
Positioning your patient • Supine • Prone • Lateral recumbent • Sitting • Etc.
Anatomy and needling considerations This is a little bit of a repeat from Point Locations and Deadman. • Depth • PrecautionsChildren, elderly, people on blood thinners, hemophiliacs, etc. • Contraindications (Ren 8, St 17, Du 25, etc.)
Precautions related to treatment • http://catstcmnotes.com/downloads/Acupuncture%20Techniques/Acupuncture%20Techniques%201/Acu%20Tech%20I%20-%20Class%209%20handout.pdf
Insertion techniques • Guide tube insertions • Two handed and one handed • Pressing with non-dominant hand. • Stretching the skin • Pinching the skin
Angles Angles • Transverse/horizontal – 15-25 degrees • Thin areas • Over organs • Next to mouth • Between the fingers • Oblique – 45 degrees • hinner areas such as the chest, abdomen, intercostal muscle spaces, into the back muscles in the thoracic areas or anywhere there is a danger of hitting an organ or nerve. This is especially important in thinner patients. • Perpendicular insert
Depth of insertion • AgeShallower for kids, elderly • ConstitutionDeeper for large (either muscley or fat)Shallower for small folks • Area of the body you are needling • Disease conditionsShallow for skin problems, close to the bone for bone problems, deeply for steaming bone, somewhat deeper for blood and deficiency problems, shallower for external invasions. • SeasonsShallower in spring/summer due to greater yang, deeper in winter/fall when Qi hides and goes deeper, deeper on rainy days/shallower on sunny . • Sensitivity of the patientDepends on how quickly your patient feels the qi.
Direction of insertion • Back – 1st and 2nd bladder lines • Upper back • Lower back • Chest – intercostal spaces • Head • Abdomen • Limbs
Manipulation and arrival of Qi • Normal needling reactions/patient sensations Soreness, aching, numbness, heaviness, distention, radiating sensations, etc. • Not-so-normal reactions • Electrical zaps • Pain when hitting a blood vessel – sharp and doesn’t recede • Hitting a bone can result in sharp pain or dull ache also • Getting Da Qi
Reinforcing/Reducing • Reinforce for deficiencies, reduce for excesses. • Lift/thrust • Rotating methods • Pressing (pressing around the needle to call qi) • Plucking • Scraping • Shaking • Flying • Trembling • Rotate + lift/thrust
Cupping techniques and application See Dr. Qiu’sCupping lecture
Moxa and application Dr. Qiu’sMoxibustion lecture notes
Four Needle Technique…again Been there, done that last week.
Clean Needle Technique • 5 questions
Emergency situations • Fainting • Broken Needles • Stuck Needles • Organ Punctures • Burns • Bleeding • Cardiac arrest • Other
Precautions and contraindications • Pregnant patients • Upper back and chest points • OSHA requirements
Herbs • 8 questions
The basics • Dosages • Tastes • Properties • Safety
