C/CI - Upper Extremities

Question 1

L8

Answer 1

• CAM/Deadman - Avoid puncturing the radial artery

Question 2

L9

Answer 2

• CAM/Deadman - Avoid puncturing the radial artery

Question 3

LI4

Answer 3

• CAM - Acupuncture and Moxibustion are contraindicated in pregnant women.
• Deadman -Contraindicated in pregnancy.

Question 4

LI13 (CAM Only)

Answer 4

• Avoid injuring the artery. (The radial collateral artery and vein.)

Question 5

H1

Answer 5

• CAM - Avoid puncturing the axillary artery.
• Deadman - Perpendicular insertion (in the direction of Jiānjǐng GB-21) 0.5 to 1 cun, avoiding the axillary artery. Caution: medial insertion towards the chest may puncture the lung

Question 6

L5 (Deadman Only)

Answer 6

• Locate and needle with the elbow slightly flexed, avoiding the cubital vein.

Question 7

LI10 (Deadman Only)

Answer 7

• This point is usually significantly tender to palpitation.

Question 8

L7 (Deadman Only)

Answer 8

• Avoid puncturing the cephalic vein.

Question 9

H2 (Deadman Only)

Answer 9

• Oblique distal or proximal insertion, 0.5 to 1 cun, avoiding the brachial artery. Note: many early classics only discuss moxibustion in relation to this point, implying that needling was contraindicated, perhaps because of the danger of damaging the brachial artery. The Introduction to Medicine specifically contraindicates needling at this point.

Question 10

H7 (Deadman Only)

Answer 10

• Caution: the ulnar artery and ulnar nerve lie adjacent to this point.

Question 11

SI3 (Deadman Only)

Answer 11

• Perpendicular insertion 0.5 to 2 cun, directed towards Sānjiān L.I.-3. Note: needle with the hand in a loose fist position, i.e. with the metacarpal bones lying in the same plane; this is especially important when needling deeply towards the opposite side of the hand.

Question 12

SI8 (Deadman Only)

Answer 12

• Caution: the ulnar nerve lies deep to this point.

Question 13

P3 (Deadman Only)

Answer 13

• Caution: the brachial artery and veins lie deeply, just medial to this point.

Question 14

P6/P7 (Deadman Only)

Answer 14

• Caution: the median nerve lies directly under this point and needling commonly induces a significant electric sensation. This is an acceptable manifestation of deqi (arrival of qi), but once elicited, further manipulation is inappropriate and may damage the nerve

Question 15

SJ5/SJ6 (Deadman Only)

Answer 15

• Caution: movement of the patient’s arm or hand after needling this point can result in a bent needle