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Japanese Local Treatments > bloodletting > Flashcards

bloodletting Flashcards

1
Q

shiraku

A

blood letting

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2
Q

what does bloodletting treat?

A

blood stagnation, heat

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3
Q

what is sairaku shiraku?

A

bloodletting vascular spiders

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4
Q

what is Hifu shiraku?

A

ranshi ho and mattan

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5
Q

what is mattan shiraku?

A

bloodletting extremities (jingwells, ears, nose, crown of head)

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6
Q

how do you dx jingwells

A 
dark fingertips
nails cold to the touch
nail remains white for extended time when pressing it
nail growing abnormally
cuticle abnormal
nearby joints stiff
jinwell is  pinaful when probed
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7
Q

Dosage guidelines for mattan shiraku (jingwells)

A

deficiency- 1-2 jinwells for 1-2 gtt
healthy- 4-5 jingwells for 10-15 gtt
excess- 7-10 jingwells for 15-20 gtt

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8
Q

Jingwell tx Lu11

A

tonsilitis, asthma, teething fever in infants, pharyngeal pn, thoat pn, bronchial asthma, cough, mumps,

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9
Q

jingwell tx LI1

A

lymphadenopathy in neck, bronchial asthma, lower jaw toothache, common cold

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10
Q

jingwell tx PC9 (can be radial or ulnar side)

A

radial- palpitations, median nerve pathology, chest, neck pn

ulnar - hiccups, stiff shoulder, difficulty swallowing

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11
Q

jingwell tx tw1

A

brain congestion, ha, asthma, hivers, allergic rx, eye congestion, dizziness, pharyngeal pn

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12
Q

jingwell tx h9

A

loss of conciousness, fainting or shock, ht disorders, dyspnea, SOB, palpitations, neurosis, chest pn or tightness

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13
Q

jingwel tx SI1

A

shock, fainting, ht disorders, dyspnea, rheumatism, convulsions, pharyngeal pn

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14
Q

jingwell tx sp1

A

indigestion, acute gastroenteritis, infantile seizures

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15
Q

jingwell tx Lv1

A

eye problems, convulsions, frequent urination, genital organ pathologies

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16
Q

jingwell tx st45

A

upper jaw toothache, beriberi, GI disorders

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17
Q

jingwell tx 3rd toe lateral

A

heel bone pn, eye problems, lumbago, sciatica

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18
Q

jingwell tx GB44

A

ha, flank pn, dizziness, dysmenorrhea, genital pn

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19
Q

jingwell tx Ki1 medial side (

A

urinary pathology, diabetes, kidney stones, urinary system dysfunction

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20
Q

jingwell tx bl67

A

hemorrhoids, nasal obstruction, low back pn, HA, intercostal neuralgia

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21
Q

tight dry skin indicates what? and contradindicates what?

A

indicates bloodletting, and contraindicates moxa

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22
Q

sairaku shiraku

A

spider veins

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23
Q

what do vascular spider formation represent?

A

areas where there has been a long term condition of blood stagnation. can indicate a local or distal problem.

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24
Q

causes of oketsu (blood stagnation)

A

cold, haet, spleen not holding blood, local trauma, long term qi stagnation, emotional distress

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25
Q

what areas do we check for spider veins?

A

face (zygomatic arch, ala nasi, tip of nose, under eyes
occipital area
back (mid scapular area sacrum, hips
front (pec major area, subcostal area
legs (IT band, lateral leg, popliteal fossa, ankles and feet)

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26
Q

dosage for sairaku shiraku

A

deficient- 2-3 spiders no cupping
healthy- 5-7 spiders medium cupping
excess 7-10 spiders, strong cupping

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27
Q

contraindications of bloodletting jingwells (mattan shiraku)

A

pregnant pts, peripheral neuropathy, hemophelia, TB, carcinoma, extremely weak pt

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28
Q

depth of lancet for sairaku shiraku

A

1-2 mm

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29
Q

siaraku shiraku tx on the head (vertex, occipital and mastoid process)

A

vertex- neurosis, insomnia, dream disturbed sleep, hypertension, HA, stroke, ana prolapse, hemorrhoids
occipital- stiff neck, stiff shoulders, HA eent problems
mastoid process- tinnitus, ha, hypertension, minieres, eent problems bells palsy tmj, trigeminal neuralgia

30
Q

siaraku shiraku tx for face (forehead, nose, sublingual veins)

A

forehead- ha, nosebleed, abnormal bp
nose- ha, nasal problems, hypertension, roaseac, intestinal pathology
sublinguals- speech pathology due to stroke, abnormal bp

31
Q

siaraku shiraku treatments on scapula ( inferior fossa, acromion)

A

inferior fossa- mastitis, insufficient lactation, stiffness in shoulder, rheumatism in upper extremity
acromion- stiff shoulders, arm paralysis, skin dz

32
Q

siaraku shiraku treatments on arm

A

medial elbow- asthma, pneumonia

jian qian- rotator cuff injury shoulder problems

33
Q

siaraku shiraku treatments on leg (head of fibula, popliteal fossa)

A

head of fibula- gyn, sciatica, hemorrhoids, stomach ulcers

popliteal fossa- low back pn, hypertension, knee problems, fatigued legs, ha, dizziness, stiff shoulders, skin rash

34
Q

lumbrosacral area

A

low back pn, gyn problems invollving oketsu

35
Q

what is ranchi ho

A

bloodletting areas that show oketsu by pricking several times and cupping to express blood.

36
Q

diagnosing areas with oketsu

A 
rough or lusterless skin
changes in pigmentation
moldes, skin tags, petechiae, birthmarks
hard stiff painful areas
masses, indurations, thickening of skin
37
Q

dosage of ranchi ho

A

weaker pt- 1 cup
average vitality- 1-3 cups
strong pt 3 or more cups

38
Q

contraindications for ranchi ho

A

pregnancy, cerebral embolism, MI, hemophilia, TB, malignancy, weak pts

39
Q

common tx areas for ranchi ho- upper shoulders

A

stomach, gyn, tootheache, HEENT,

40
Q

common tx areas for ranchi ho occipital area

A

HA, hypertension, HEENT, neck pn, gyn

41
Q

common tx areas for ranchi ho inferior border of mastoid

A

hypertension, menieres dz, HEENT, bells palsy, trigeminal neuralgia

42
Q

common tx areas for ranchi ho for sacrum

A

gyn, hypertension, pelvic problems

43
Q

what is kiyukaku

A

cupping

44
Q

what are the three types of kiyukaku

A
  1. retained cup- leave cup for 10-20 min good for musculoskeletal problmes
  2. momentary cup- cup and release repeatedly in area- good for drawing local congestion to surface, and for deficient pts
  3. moving cups- useful for treating larger areas of congestion like low back or shoulders.
45
Q

kiyukaku dosage guildeins

A

def- 2-3 cups, light suction, 20 sec - 2 min
normal- 5-7 cups, medium suction, 3-5 minutes
excess 7-10 cups, strong suction 5-10 minutes

46
Q

how would you correct overtreatment of kiyukaku?

A

chinetskyu on gv14, cv6, st36 or around naval

47
Q

contraindications and cautions for kiyukaku

A

in pregnancy no cupping abdomen, sacrum , upper shoulders, or contraindicated points.
avoid cupping over inflamed organs, inflamed skin open woulnds, throat, veings, and arteris
no cupping in patients that are anemic or extreme fatigue, or cases involving cardiac dz, aneurismms, bleeding ulcers

48
Q

cautions for kiyukaku

A

avoid after recent hot shower, sauna, strong exercise, heavy meal or with low bp

49
Q

kiyukaku tx navel tx

A

retained cup 2-3 min over navel, for skin dz anywhere on body or to tx pts with chronic miscarriages.

50
Q

kiyukaku tx for disorders of entire body

A

gv14, gv12

51
Q

kiyukaku tx for respiratory disorders

A

bl12,13,20, lu1, cv17

52
Q

kiyukaku tx for intestinal disorders

A

bl20, 22, 25, st25, cv4

53
Q

what is katate soukanhou

A

loading insertion tube with one hand.

54
Q

what is shinkan

A

name for the insertion tube

55
Q

waichi sugiyama

A

famous, father of acupuncture in japan. blind.

56
Q

what is sugiyama 18

A

sugiyama developed 18 needling techniques based on his interpretation of the classic texts

57
Q

what are three needling techinuiqes

A

sennen
chishin
jakutaku

58
Q

sennen

A

“half roation”

59
Q

chishen

A

retained needle

60
Q

jakutaku

A

bird pecking (one of the sugiyama 18)

61
Q

hifushin

A

non insertive needle technique

62
Q

what is hifushin used for?

A

root and local txs

63
Q

teishin

A

non inserting needle

64
Q

signs of patient response to hifushin

A 
changes in temperature
sweating
deepter breathing
gurgling stomach
red rx at a point
skin texture less rough or dry
decrease in tension or hardness
decrease in puffiness
pulse more consolidatedabdominal reactivity resolves
65
Q

sesshokushin

A

non insertive needling technique done on an area as opposed to a single point. it is a tonifying technique.

66
Q

what does sesshokushin treat?

A

more superfical level of pathogenic qi (ju level)

67
Q

shigo

A

technique based on circadian rythym ooo qi flow through the 12 mian channels. used to tx pain, especially musculoskeletal. they are NOT root tx.

68
Q

steps in shigo?

A

determine channel affected. then go to opposite channel on chinese clock
treat healthy side
identify reactive points
mirroring

69
Q

sanshin

A

scatter needling- a fomr of non insertive needling with treats an area superficially.

70
Q

when to do sanshin

A

do at end of tx to polish an area or to disperse any left over superficial excess.

71
Q

where to do sanshin

A

feel for signs of excress on back, abd. forearm, lower legs

Japanese Local Treatments (5 decks)

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