bloodletting Flashcards
shiraku
blood letting
what does bloodletting treat?
blood stagnation, heat
what is sairaku shiraku?
bloodletting vascular spiders
what is Hifu shiraku?
ranshi ho and mattan
what is mattan shiraku?
bloodletting extremities (jingwells, ears, nose, crown of head)
how do you dx jingwells
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
Dosage guidelines for mattan shiraku (jingwells)
deficiency- 1-2 jinwells for 1-2 gtt
healthy- 4-5 jingwells for 10-15 gtt
excess- 7-10 jingwells for 15-20 gtt
Jingwell tx Lu11
tonsilitis, asthma, teething fever in infants, pharyngeal pn, thoat pn, bronchial asthma, cough, mumps,
jingwell tx LI1
lymphadenopathy in neck, bronchial asthma, lower jaw toothache, common cold
jingwell tx PC9 (can be radial or ulnar side)
radial- palpitations, median nerve pathology, chest, neck pn
ulnar - hiccups, stiff shoulder, difficulty swallowing
jingwell tx tw1
brain congestion, ha, asthma, hivers, allergic rx, eye congestion, dizziness, pharyngeal pn
jingwell tx h9
loss of conciousness, fainting or shock, ht disorders, dyspnea, SOB, palpitations, neurosis, chest pn or tightness
jingwel tx SI1
shock, fainting, ht disorders, dyspnea, rheumatism, convulsions, pharyngeal pn
jingwell tx sp1
indigestion, acute gastroenteritis, infantile seizures
jingwell tx Lv1
eye problems, convulsions, frequent urination, genital organ pathologies
jingwell tx st45
upper jaw toothache, beriberi, GI disorders
jingwell tx 3rd toe lateral
heel bone pn, eye problems, lumbago, sciatica
jingwell tx GB44
ha, flank pn, dizziness, dysmenorrhea, genital pn
jingwell tx Ki1 medial side (
urinary pathology, diabetes, kidney stones, urinary system dysfunction
jingwell tx bl67
hemorrhoids, nasal obstruction, low back pn, HA, intercostal neuralgia
tight dry skin indicates what? and contradindicates what?
indicates bloodletting, and contraindicates moxa
sairaku shiraku
spider veins
what do vascular spider formation represent?
areas where there has been a long term condition of blood stagnation. can indicate a local or distal problem.
causes of oketsu (blood stagnation)
cold, haet, spleen not holding blood, local trauma, long term qi stagnation, emotional distress
what areas do we check for spider veins?
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)
dosage for sairaku shiraku
deficient- 2-3 spiders no cupping
healthy- 5-7 spiders medium cupping
excess 7-10 spiders, strong cupping
contraindications of bloodletting jingwells (mattan shiraku)
pregnant pts, peripheral neuropathy, hemophelia, TB, carcinoma, extremely weak pt
depth of lancet for sairaku shiraku
1-2 mm
siaraku shiraku tx on the head (vertex, occipital and mastoid process)
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
siaraku shiraku tx for face (forehead, nose, sublingual veins)
forehead- ha, nosebleed, abnormal bp
nose- ha, nasal problems, hypertension, roaseac, intestinal pathology
sublinguals- speech pathology due to stroke, abnormal bp
siaraku shiraku treatments on scapula ( inferior fossa, acromion)
inferior fossa- mastitis, insufficient lactation, stiffness in shoulder, rheumatism in upper extremity
acromion- stiff shoulders, arm paralysis, skin dz
siaraku shiraku treatments on arm
medial elbow- asthma, pneumonia
jian qian- rotator cuff injury shoulder problems
siaraku shiraku treatments on leg (head of fibula, popliteal fossa)
head of fibula- gyn, sciatica, hemorrhoids, stomach ulcers
popliteal fossa- low back pn, hypertension, knee problems, fatigued legs, ha, dizziness, stiff shoulders, skin rash
lumbrosacral area
low back pn, gyn problems invollving oketsu
what is ranchi ho
bloodletting areas that show oketsu by pricking several times and cupping to express blood.
diagnosing areas with oketsu
rough or lusterless skin changes in pigmentation moldes, skin tags, petechiae, birthmarks hard stiff painful areas masses, indurations, thickening of skin
dosage of ranchi ho
weaker pt- 1 cup
average vitality- 1-3 cups
strong pt 3 or more cups
contraindications for ranchi ho
pregnancy, cerebral embolism, MI, hemophilia, TB, malignancy, weak pts
common tx areas for ranchi ho- upper shoulders
stomach, gyn, tootheache, HEENT,
common tx areas for ranchi ho occipital area
HA, hypertension, HEENT, neck pn, gyn
common tx areas for ranchi ho inferior border of mastoid
hypertension, menieres dz, HEENT, bells palsy, trigeminal neuralgia
common tx areas for ranchi ho for sacrum
gyn, hypertension, pelvic problems
what is kiyukaku
cupping
what are the three types of kiyukaku
- retained cup- leave cup for 10-20 min good for musculoskeletal problmes
- momentary cup- cup and release repeatedly in area- good for drawing local congestion to surface, and for deficient pts
- moving cups- useful for treating larger areas of congestion like low back or shoulders.
kiyukaku dosage guildeins
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
how would you correct overtreatment of kiyukaku?
chinetskyu on gv14, cv6, st36 or around naval
contraindications and cautions for kiyukaku
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
cautions for kiyukaku
avoid after recent hot shower, sauna, strong exercise, heavy meal or with low bp
kiyukaku tx navel tx
retained cup 2-3 min over navel, for skin dz anywhere on body or to tx pts with chronic miscarriages.
kiyukaku tx for disorders of entire body
gv14, gv12
kiyukaku tx for respiratory disorders
bl12,13,20, lu1, cv17
kiyukaku tx for intestinal disorders
bl20, 22, 25, st25, cv4
what is katate soukanhou
loading insertion tube with one hand.
what is shinkan
name for the insertion tube
waichi sugiyama
famous, father of acupuncture in japan. blind.
what is sugiyama 18
sugiyama developed 18 needling techniques based on his interpretation of the classic texts
what are three needling techinuiqes
sennen
chishin
jakutaku
sennen
“half roation”
chishen
retained needle
jakutaku
bird pecking (one of the sugiyama 18)
hifushin
non insertive needle technique
what is hifushin used for?
root and local txs
teishin
non inserting needle
signs of patient response to hifushin
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
sesshokushin
non insertive needling technique done on an area as opposed to a single point. it is a tonifying technique.
what does sesshokushin treat?
more superfical level of pathogenic qi (ju level)
shigo
technique based on circadian rythym ooo qi flow through the 12 mian channels. used to tx pain, especially musculoskeletal. they are NOT root tx.
steps in shigo?
determine channel affected. then go to opposite channel on chinese clock
treat healthy side
identify reactive points
mirroring
sanshin
scatter needling- a fomr of non insertive needling with treats an area superficially.
when to do sanshin
do at end of tx to polish an area or to disperse any left over superficial excess.
where to do sanshin
feel for signs of excress on back, abd. forearm, lower legs
