Download - Manipulating Methods
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The structure, specifcationsThe structure, specifcations
and storgeand storge
tip the sharp point of the
needle
handle the part behind the body,of which the hand catches hold
Tail the part at the end o the handle
body the part between the handleand the tip
root the connecting part between
the body and the handle
Structure
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Length
Gauge
cun 1 1.5 2 2.5 3 4 5
mm 25 40 50 65 75 100 125
No 26 27 28 29 30 31 32
Dia(mm0.45 0.42 0.38 0.34 0.32 0.30 0.28
specifications
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Preparations prior to AcuPreparations prior to Acu
treatmenttreatment !election o" in#t$ument#
The needles are selected according to the
patient’s constitution, age, od! t!pe, thelocation of diseases, thic"ness and thinness ofthe regions to e punctured#
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!election o" patient%# po#tu$e
%rinciples& correct location of points,
'anipulation for acupuncture and'o(iustion, prolonged retaining of the
needles#
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The commonly –usedpostures
!upine po#tu$e&
'o$ the point# on the head and "ace che#t and
abdominal the medial #ide o" the uppe$ limb# the
ante$io$ #ide o" the lo)e$ limb# and the hand# and
"eet.
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*$one po#tu$e
For the points on the
posterior of head and neck, back,lumbar and buttock regions, andthe posterior part of the lowerlimbs.
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+ate$al $ecumbent
For the points on the hindhead, neck and back.
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!ittin, )ith bac- and head
on a lay bac-& For the pointson the forhead,face, neck and the
upper portion ofthe chest.
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!ittin, in "le/ion&
For the pointson the vertex,hind head, hindneck, shoulder and
back.
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!ittin, )ith one #ide o" the
"ace $e#tin, on a table&'o$ the point# on the late$al
#ide o" the head chee- and
"o$ #ome point# a$ound ea$#.
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Sterili+ation&
Sterili+ation of doctor’s fingers
Sterili+ation of needles and other instru'ents
Sterili+ation of the area on hich acupuncture is
applied
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he puncturing hand:
the hand hold the
needle
The pressing hand:the hand press theneeding area orsupporting the needlebody
NeedlingNeedling
methodsmethods
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Single-handedneedle method
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'in,e$nail p$e##in, in#e$tion
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*inch needle in#e$tion
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!t$etch #-in in#e$tion
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*inch #-in in#e$tion
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-ngle and depth of insertion
n,le o" in#e$tion
%erpendicular oli.ue
ori+ontal
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Depth o" needle in#e$tion
The con#titution and condition# o"
the patient# , age, etc
+ocation o" the acupoint
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Manipulation: several
manipulations of theacupuncture needle to assistsensation of the arrival of qi.
Manipulation and arrival oManipulation and arrival o
qiqi
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Arrival of Qi Arrival of Qi
%atient’s sensation& the reaction of .i such
as soreness, aching, nu'ness, heainess or
distention een coldness, ar'ness,itching, antcraling feeling etc# after the
needle is inserted#
octor’s sensation& tenseness and draggingsensation around the acupoint#
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asic manipulating! "iting and thrusting
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asic manipulating# T$irling and %otating
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&econdary manipulating! pressing
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&econdary manipulating# 'ic(ing
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&econdary
manipulating) scraping
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&econdarymanipulating
* sha(ing
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&econdarymanipulating+ trembling
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%etaining and%etaining and
ithdra$ing theithdra$ing the
needlesneedles
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Possible accidents inPossible accidents in
acupunctureacupuncture
treatmenttreatment
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-ainting-ainting
Maniestations:Diine## pallo$ palpation che#t di#tention omitin,
#)eatin, cold limb# een uncon#ciou#ne## deep
and th$eady pul#e.ana,ement&
ithd$a) all the needle# immediately ma-e the
patient lie lo) ta-e candy o$ )a$m )ate$ and p$e##the acupoint $enhon, nei,uan etc.
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&tuc( needle&tuc( needle
Maniestations:"te$ the in#e$tion it i# di""icult to li"t o$ th$u#tt)i$l o$ $otate the needle# )hile the patient "eel#
pain"ul.
ana,ement&
om"o$t the patient to $ela/ #li,ht ma##a,e i#
applied to the local $e,ion to $ela/ the mu#cle
#pa#m. " the #tuc- needle i# due to e/ce##ie$otation in one di$ection the needle )ill be t)i$led
in the oppo#ite di$ection to loo#e the bound mu#cle
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Maniestations:&$elling, distention and pain,
bruising o s(in o the needling
areas.ana,ement&
pply a cold comp$e## in 24h and a )a$m
comp$e## in the late$ 24h o$ local p$e##in, o$#li,ht ma##a,e.
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/ematoma/ematoma
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ro(en needlero(en needle
Maniestations:The needle i# b$o-en a"te$ in#e$tion.
ana,ement&
The po#tu$e o" the patient #hould be -ept.
" the b$o-en pa$t p$ot$ude# oe$ the #-in it
may be $emoed )ith "o$cep#.
" it i# #un-en into the #-in #u$,ical ope$ation
#hould be $e#o$ted to.
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ent needleent needle
Maniestations:The direction and angle o the
needle is changed.
ana,ement&The needle may be $emoed #lo)ly.
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