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Japanese Local Treatments > Blood Letting: Shiraku > Flashcards

Blood Letting: Shiraku Flashcards

1
Q

Bloodletting techniques are generally used for treating…

A

Blood stagnation

other uses: clearing heat

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2
Q

The Su Wen says bloodletting should be done before or after tonification and dispersion?

A

BEFORE

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3
Q

Both a cause and a result of pathology in the body…

A

Blood Stasis

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4
Q

T/F: Blood stasis always leads to pathology if left untreated

A

TRUE

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5
Q

Some long term effects of blood stasis are:

A
  • Poor function of any/all systems of the body
  • Emotional or psycho-spiritialy instability, distress
  • Pain or lack of sensation in joints, organs, muscles
  • Deficiency due to lack of nourishment (Blood and Qi)
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6
Q

Indurations and masses are called…

A

Kori’s

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7
Q

Kori’s are a sign of what?

A

Blood stasis or some other form of stasis

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8
Q

When Blood is thicker it flows more slowly, both excess ______ and too much ______ can thicken the blood.

A

Cold

Heat

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9
Q

The Speed of bleeding tells you about what?

A

Internal heat vs. cod

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10
Q

slower bleeding indicates…

A

A more serious problem with stagnation

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11
Q

T/F: Stasis can create a false impression of deficiency

A

TRUE- once the stasis, “rock” is removed the true flow can be evaluated

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12
Q

Bloodletting is called…

A

Shiraku and is very moving

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13
Q

Bloodletting is best used when…

A

you determine that there is a clear problem with chronic or significant stagnation and/or excess heat

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14
Q

Signs of poor blood flow (blood stasis) are…

A
  • fixed, stabbing pain
  • dark purple color (skin, face, tongue, nails)
  • rough, dark, dull quality to the skin
  • moles, birthmarks
  • spider veins
  • poor or slow response to treatment
  • wiry pulse
  • CHRONIC psychological and/or emotional upset or distress
  • Dark blood when you bloodlet
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15
Q

Skiraku contraindications:

A
  • Hemophilia
  • Patients with TB
  • end stages of malignant tumor/cancer
  • extreme weakness

-pregnancy: no jingwells, no bloodletting with cups, no contraindicated points
MAY bleed small spider veins on legs in some cases

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16
Q

Shiraku precautions

A

EXTREME caution with HIV, Hepatitis

-patients on blood thinning meds
-cerbral embolism: jingwells only
peripheral neuropathy: torso only
myocardial infarction: jingwells only

17
Q

Possible side effects of Shiraku

A
  • dizziness, nausea, lightheadedness
  • significant fatigue
  • hematoma (use moxa after bloodletting)
  • sudden elevated body temperature which lasts longer than a few minutes (ok if it quickly passes)
  • sudden chilled hands/feet other areas lasting 5-10 minutes after bloodletting

*If patient has cold extremities wait until they are warm to bloodless

18
Q

Always make sure to…

A
  • monitor patient’s reaction before he/she stands up
  • frequently monitor the pulse and temperature and watch for signs of poor reaction in the face
  • Have patient sit or stand slowly at the end of treatment
19
Q

Correcting over treatment..

A

Moxa on : Hara: CV12, CV6, or 4, ST25

  • ST36, GV20, CV14
  • Salt moxa, CV8, Belly Bowl
  • GV14
20
Q

2 primary shiraku techniques

A
  1. Sairaku

2. Hifu which includes: Ranshi Ho, and Mattan Shiraku

21
Q

Sairaku Shiraku

A

Bloodletting of a small, superficial vascular spider vein, cups are often used

22
Q

Hifu Shiraku: Ranshi Ho

A

Bloodletting from ares which show signs of blood stasis such as rough skin, changes in pigmentation, etc. , usually combined with cupping

23
Q

Hifu Shiraku: Mattan Skiraku

A

Bloodletting drops of extremities- Jingwells, ears, nose, crown of head

24
Q

Mattan Siraku Indications

A

EXTREMITIES

  • stagnant Blood in the channel
  • pathological heat in channel or organ system
  • chronic pathology affecting channel or organ system
25
Q

Japanese term for pathological Qi (evil Qi) is…

A

Jaki

26
Q

Diangosing Jingwells

A

JW’s often reflect the presence of pathology in the channel. Look for:

  • differences in JW color
  • Texture irregularities of nails or cuticles
  • Problems with joints of particular fingers or toes such as pain or stiffness
  • JW pain with palpation
27
Q

Signs of pathology in JW

A

fingertip is black or dark

  • nails feel cold to the touch
  • fingers look bloated or thick
  • nail is: grey, dark, purple, blackish-red
  • nail is growing abnormally,not smooth
  • cuticle is abnormal, peeled, split
  • nearby joints are stiff, painful
  • pain (press with guide tube)
28
Q

If after pressing a JW the color does not come back quickly this indicates…

A

There is a problem with poor flow

29
Q

The most important indicator of how much blood to let is…

A

the COLOR of the blood, done when blood turns bright red… only exception is if you are clearing excess heat

30
Q

Dosage Guidelines

A

Deficient: 1-2 JW ; 1-2 drops/point
Healthy/Average: 4-5 JW ; 10-15 drops/point
Excess: 7-10 JW ; 15-20 drops/point

*stop of blood becomes bright red

31
Q

Proper Depth of Bloodletting insertion

A

1-2 mm

32
Q

Proper “hands” for expressing blood from JW

A

Grasp JW with left hand and squeeze from sides and bottom, use right index finger to roll down firmly

Keep a dry cotton ball between fingers 4 and 5

33
Q

Only use cotton balls soaked in alcohol if…

A

Bleeding slows/stops and blood is still dark, mixing alcohol with blood lightens and thins it out

34
Q

How to know when you are done when clearing heat…

A

watch for bleeding to slow or stop on its own

Japanese Local Treatments (6 decks)

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