Contraindications Flashcards
S-1
do not manipulate needle w/ large amplitude (CAM)
inserted slowly w/o lifting, thrusting or rotating. press firmly to prevent hematoma. (DM)
S-2
do not puncture deeply, 0.2-0.3in (CAM)
deep insertion may injure eyeball. avoid infraorbital nerve which emerges from the foramen (DM)
S-5
avoid puncturing facial a & v.
S-9
avoid puncturing common carotid artery (CAM)
index finger to define space b/w thyroid cartilage & a., needle into this space w/ other hand. (DM)
S-10
avoid carotid artery
palpate first and then hold it laterally during needling
S-11
perpendicular insertion 0.2-0.3 cun
direct needle inferiorly along posterior border of clavicle up to 0.5 cun (deep insert may penetrate subclavian vessels or lung)
S-12
avoid puncture transverse cervical a.
deep puncture is not advisable (puncture perpendicularly 0.3-0.5 in)
S-17
acu and moxa are contraindicated.
serves as only a landmark for locating points on chest and abdomen.
S-42
avoid puncturing the dorsals pedis artery
G-3
Deep puncture is not advisable
G-7 & G-8
locate point by folding ear, but careful not to push the whole of the ear forwards
G-20
Deep needling may damage the spinal cord
G-21
contraindicated in pregnancy. perpendicular insertion, esp in thin patients, carries substantial risk of pneumothorax
G-25
perpendicular insertion 0.5-1 cun. Caution: in thin subjects, deep needling may penetrate the peritoneal cavity.
G-30
perpendicular insertion, directed towards genitals, 2-3.5 cun. Note: a radiating or electric sensation may travel to foot. Since this manifestation of de qi is particularly indicated in cases of sciatica it may be more readily induced by locating GB-30 1 cun inferior to it’s normal position
DU-15 & DU-16
Needle perpendicular 0.5-0.8 in. Deep puncture is not advisable. Near medullary bulb (CAM)
Spinal canal is b/w 1.5-2 cun deep. Deep and superior oblique insertion toward the brain is contraindicated (DM)
DU-21, DU-22, DU-23
Not advisable in infants whose fontanelle is not closed (metopism)
LI-4
contraindicated in pregnancy
LI-10
usually point is tender to palpate
LI-13
avoid radial a. & v.
LI-16
deep medial insertion carries a risk of causing pneumothorax, particularly in thin patients
LI-17 & LI-18
deep needling may puncture carotid artery or jugular vein (DM)
L-1 & L-2
puncture obliquely 0.5 - 0.8in toward lateral aspect of chest. Avoid injure lung (never puncture obliquely towards medial aspect)
L-5
needle w/ elbow sl flexed
avoid cubital v.
L-7
avoid cephalic v.
L-8
avoid radial a.
L-9
avoid radial a.
H-1
Perpendicular insertion (towards GB 21) 0.5 to 1 cun, avoid axillary artery).
medial insertion toward chest may puncture the artery
H-2
oblique distal or proximal insert.0.5-1
avoid brachial a.
H-7
ulnar a. and n. (adjacent to point)
SI-3
perpendicular insert. 0.5-2c
hand in loose fist
SI-8
ulnar nerve lies deep
SI-12
deep perpendicular insertion, esp in thin patients, carries a substantial risk of inducing a pneumonia-thorax
SI-13
this point is located close to the medial border of the scapula. Too medial an insertion or deep medial-oblique needling may puncture the lungs
SI-14
perpendicular insertion, esp in thin patients, carries a substantial risk of inducing a pneumothorax
SI-15
oblique medial insertion toward the spine 0.5-1 cun. caution: deep insertion inferiorly, esp in thin patients, carries a substantial risk of inducing a pneumothorax.
P-1
deep puncture is not advisable. (puncture obliquely 0.2-0.4 inch)
P-3
brachial a. & v. lie deep just medial to point
P-6 & P-7
median n. (some electric sensation is ok)
SJ-5 & SJ-6
movement of patient’s arm or hand after needling may result in bent needle
SJ-15
perpendicular insertion, esp in thin patients, carries a substantial risk of inducing a pneumothorax
SJ-17
If needle is directed too anteriorly or posteriorly, pain will ensue
SJ-22
Avoid Superficial Temporal A. (CAM)
point is just posterior to where the artery can be palpated (DM)
K-21
avoid injuring liver, deep insertion is not advisable (puncture perpendicularly 0.3-0.7 inch)
K-22
avoid injuring heart, deep insertion is not advisable. (puncture obliquely 0.3-0.5 inch)
B-1
Don’t twist or lift and thrust needle. To avoid bleeding, press site a/f w/drawal of needle (CAM)
Ask patient to close eyes and look in direction the needle is going - Needle perpendicular to depth 0.5-1 cun (DM)
B-11 - B-21
oblique insertion towards spine, 0.5 - 1 cun or transverse-oblique insertion 1 - 1.5 cun. Caution: perpendicular needling carries a substantial risk of causing pneumothorax
B-22 & B-23
oblique or perpendicular-oblique insertion towards spine, 1 - 1.5 cun. caution: deep perpendicular needling carries a risk of injuring kidney.
B-41 & B-42
oblique insertion 0.3-0.5 cun. Caution: deep perpendicular or deep oblique needling in a medial direction carries a substantial risk of causing pneumothorax
B-43 - B-50
oblique insertion 0.3-0.5 cun. Caution: deep perpendicular or deep oblique needling in medial direction carries a risk of causing pneumothorax
B-51 & B-52
oblique insertion, 0.5 - 1 cun. Caution: deep perpendicular needling carries a risk of injuring kidney.
B-60
DM: contraindicated in pregnancy
B-67
DM: turns the fetus and facilitates labor
SP-6
contraindicated in pregnant women
SP-12
avoid puncturing femoral a.
Liv-12
CAM: moxibustion is fine
DM: moxibustion is contraindicated due to femoral vein and pubic hair
REN 2 - REN 13
great care should be taken to puncture the points from Ren 2 to Ren 13 of this meridian in pregnant women.
REN-5
DM: deep needle may penetrate peritoneal cavity.
REN-8
Puncture is prohibited
REN-15
puncture obliquely downward 0.4-0.6 inch
REN-22
(1) perpendicular 0.2 inch, (2) insert needle tip downward along posterior aspect of sternum 0.5-1.0 inch (CAM)
(1) perpendicular 0.3 cun (2) w/ neck extended (remove head pillow) needle perpendicular 0.2-0.3 cun, (3) direct needle inferior along posterior border manubrium of sternum 0.3-1 cun. (DM)
