benchmark review acupuncture techniques, cnt, and herb basics march 16, 2013
TRANSCRIPT
Benchmark ReviewAcupuncture Techniques, CNT, and Herb Basics
March 16, 2013
Acupucture Techniques15 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 considerationsThis is a little bit of a repeat from Point Locations and Deadman. Depth Precautions
Children, elderly, people on blood thinners, hemophiliacs, etc.
Contraindications (Ren 8, St 17, Du 25, etc.)
Precautions related to treatment http://catstcmnotes.com/downloads/Acu
puncture%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
AnglesAngles 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 Age
Shallower for kids, elderly Constitution
Deeper for large (either muscley or fat)Shallower for small folks
Area of the body you are needling Disease conditions
Shallow 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
sensationsSoreness, 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 applicationSee Dr. Qiu’s Cupping lecture
Moxa and applicationDr. Qiu’s Moxibustion lecture notes
Four Needle Technique…againBeen there, done that last week.
Clean Needle Technique 5 questions
Equipment maintenance and safety
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
Release exterior cold
Release exterior heat
Clear heat
Drain downward
Drain damp