C/CI - Head/Neck/Face Flashcards
1
Q
S1
A
- CAM - It is not advisable to manipulate the needle with large amplitude
- Deadman - The needle should be inserted slowly without lifting, thrustiing or rotating. Immediately on withdrawal of the needle, press firmly with a cotton wool ball for about a minute to prevent hematoma. This needling method should not be attempted by those who have not had appropriate clinical supervision
2
Q
S2
A
- CAM - It is not advisable to puncture deeply (.2 - .3 in)
- Deadman - Deep insertion along the foramen may injure the eyeball; ii. manipulation by lifting and thrusting is contraindicated due to the risk of damaging the infraorbital nerve which emerges from the foramen
3
Q
S5
A
- CAM - Avoid puncturing the artery (facial a.)
- Deadman - Vigorous manipulation is contraindicated to avoid the risk of damaging the faical artery and vein
4
Q
S9
A
- CAM - Avoid puncturing the common carotid a
- Deadman - Care should be taken to avoid puncturing the carotid artery which must be palpated and then held laterlally during needling. Use the index finger of one hand to define and enlarge the space between the lateral border of the thyroid cartilage and the artery and needle into this space with the other hand. This needling method should not be attempted by those who have not had appropriate clinical supervison.
5
Q
S10 (Deadman Only)
A
- Care should be taken to avoid puncturing the carotid artery which must be palpated and then held laterally during needling. Use the index finger of one hand to define and enlarge the space between the alteral border of the thyroid cartilage and the artery and needle into this space with the other hand. THis needling method should not be attempted by those who have not had appropriate clinical supervison.
6
Q
S11 (Deadman Only)
A
- (1) Perpendicular insertion .2 to .3 cun or (2), The needle may then be directed inferiorly along the posterior border of the clavicle, up to .5 cun Caution: this second method should not be attempted by those who have not had appropriate clinical supervision; deep insertion may penetrate the subclavian vessels or puncture the lung
7
Q
S12 (Deadman Only)
A
- Perpendicular insertion .3 to .5 cun along the posterior border of the clavicle.
Note: according to the Systemica CLassic of Acupuncture and Moxibustion and the Illustrated Supplement to the Classic of Categories this point is contraindicated in pregnancy
8
Q
REN22
A
- CAM - 1st puncture perpendicularly .2 in, and then insert the needle tip downward along the posterior aspect of the sternum .5 - 1 in.
- Deadman - (1) Perpendicular insertion .3 cun. (2) With the neck extended (remove head pillow), needle first perpendicularly .2 to .3 cun, then direct the needle inferiorly along the posterior border of the manubrium of the sternum .5 to 1 cun
Caution: this second method should. not be attempted by practicioners without clinical experience under supervison
9
Q
G3
A
- CAM - Deep puncture is not advisable
- Deadman - Caution: it is traditionally emphasized that deep needling should be avoided at this point
10
Q
G7 & G8 (Deadman Only)
A
- When locating the point by folding the ear, take care not to push the whole of the ear forwards
11
Q
G20 (Deadman Only)
A
- Caution: deeper needling may damage the spinal cord
12
Q
B1
A
- CAM - It is not advisable to twist or lift and thrust the needle vigorously. To avoid bleeding, press the site for a few second after withdrawal of the needle. (Ask patient to close eyes when pushing gently the eyeball to the lateral side)
- Deadman - The following needling method should not be attempted by those who have not had appropriate clinical supervision: ask the patient to close their eyes and to direct the eyes as far as possible towards the side being needled, i.e. when needling lift Jingming BL-1, the patient should look to the left and vice-versa. With the forefinger of one hand, gently push the eyeball to the lateral side and hold it firmly. Insert the needly slowly perpendicularly with the other hand, without lifting, thrusting or rotating to a depth of 0.5 to 1 cun. Immediately on withdrawal of the needle, press firmly with a cotton wool ball for about a minute to prevent haematoma
13
Q
SJ17 (Deadman Only)
A
- If the needle is directed too anteriorly or posteriorly, pain will ensue and may cause discomfort on opening and closing the mouth for some while after treatment
14
Q
SJ22
A
- CAM - Avoid puncturing the artery (Superficial Temporal A.)
- Deadman - This point lies just posterior to where the superficial temporal artery can be palpated
15
Q
DU15 & DU16
A
- CAM DU15 - Puncture perpendicularly 0.5 – 0.8 inch. Neither upward obliquely nor deep puncture is advisable. It is near the medullary bulb in the deep layer, and the depth and angle should be paid strict attention to
- CAM DU16 - Puncture perpendicularly 0.5 – 0.8 inch. Deep puncture is not advisable. Medullary bulb is in the deep layer, special attention should be paid in acupuncture
- Deadman - Caution: the spinal canal lies between 1.5 and 2 cun deep to the skin surface, varying according to body build. Deep perpendicular insertion is therefore strictly contraindicated, as is superior oblique insertion towards the brain.
