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Meridians > Contraindications > Flashcards

Contraindications Flashcards

1
Q

S-1

A

do not manipulate needle w/ large amplitude (CAM)

inserted slowly w/o lifting, thrusting or rotating. press firmly to prevent hematoma. (DM)

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2
Q

S-2

A

do not puncture deeply, 0.2-0.3in (CAM)

deep insertion may injure eyeball. avoid infraorbital nerve which emerges from the foramen (DM)

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3
Q

S-5

A

avoid puncturing facial a & v.

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4
Q

S-9

A

avoid puncturing common carotid artery (CAM)

index finger to define space b/w thyroid cartilage & a., needle into this space w/ other hand. (DM)

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5
Q

S-10

A

avoid carotid artery
palpate first and then hold it laterally during needling

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6
Q

S-11

A

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)

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7
Q

S-12

A

avoid puncture transverse cervical a.
deep puncture is not advisable (puncture perpendicularly 0.3-0.5 in)

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8
Q

S-17

A

acu and moxa are contraindicated.
serves as only a landmark for locating points on chest and abdomen.

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9
Q

S-42

A

avoid puncturing the dorsals pedis artery

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10
Q

G-3

A

Deep puncture is not advisable

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11
Q

G-7 & G-8

A

locate point by folding ear, but careful not to push the whole of the ear forwards

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12
Q

G-20

A

Deep needling may damage the spinal cord

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13
Q

G-21

A

contraindicated in pregnancy. perpendicular insertion, esp in thin patients, carries substantial risk of pneumothorax

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14
Q

G-25

A

perpendicular insertion 0.5-1 cun. Caution: in thin subjects, deep needling may penetrate the peritoneal cavity.

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15
Q

G-30

A

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

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16
Q

DU-15 & DU-16

A

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)

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17
Q

DU-21, DU-22, DU-23

A

Not advisable in infants whose fontanelle is not closed (metopism)

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18
Q

LI-4

A

contraindicated in pregnancy

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19
Q

LI-10

A

usually point is tender to palpate

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20
Q

LI-13

A

avoid radial a. & v.

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21
Q

LI-16

A

deep medial insertion carries a risk of causing pneumothorax, particularly in thin patients

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22
Q

LI-17 & LI-18

A

deep needling may puncture carotid artery or jugular vein (DM)

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23
Q

L-1 & L-2

A

puncture obliquely 0.5 - 0.8in toward lateral aspect of chest. Avoid injure lung (never puncture obliquely towards medial aspect)

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24
Q

L-5

A

needle w/ elbow sl flexed
avoid cubital v.

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25
Q

L-7

A

avoid cephalic v.

26
Q

L-8

A

avoid radial a.

27
Q

L-9

A

avoid radial a.

28
Q

H-1

A

Perpendicular insertion (towards GB 21) 0.5 to 1 cun, avoid axillary artery).
medial insertion toward chest may puncture the artery

29
Q

H-2

A

oblique distal or proximal insert.0.5-1
avoid brachial a.

30
Q

H-7

A

ulnar a. and n. (adjacent to point)

31
Q

SI-3

A

perpendicular insert. 0.5-2c
hand in loose fist

32
Q

SI-8

A

ulnar nerve lies deep

33
Q

SI-12

A

deep perpendicular insertion, esp in thin patients, carries a substantial risk of inducing a pneumonia-thorax

34
Q

SI-13

A

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

35
Q

SI-14

A

perpendicular insertion, esp in thin patients, carries a substantial risk of inducing a pneumothorax

36
Q

SI-15

A

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.

37
Q

P-1

A

deep puncture is not advisable. (puncture obliquely 0.2-0.4 inch)

38
Q

P-3

A

brachial a. & v. lie deep just medial to point

39
Q

P-6 & P-7

A

median n. (some electric sensation is ok)

40
Q

SJ-5 & SJ-6

A

movement of patient’s arm or hand after needling may result in bent needle

41
Q

SJ-15

A

perpendicular insertion, esp in thin patients, carries a substantial risk of inducing a pneumothorax

42
Q

SJ-17

A

If needle is directed too anteriorly or posteriorly, pain will ensue

43
Q

SJ-22

A

Avoid Superficial Temporal A. (CAM)

point is just posterior to where the artery can be palpated (DM)

44
Q

K-21

A

avoid injuring liver, deep insertion is not advisable (puncture perpendicularly 0.3-0.7 inch)

45
Q

K-22

A

avoid injuring heart, deep insertion is not advisable. (puncture obliquely 0.3-0.5 inch)

46
Q

B-1

A

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)

47
Q

B-11 - B-21

A

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

48
Q

B-22 & B-23

A

oblique or perpendicular-oblique insertion towards spine, 1 - 1.5 cun. caution: deep perpendicular needling carries a risk of injuring kidney.

49
Q

B-41 & B-42

A

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

50
Q

B-43 - B-50

A

oblique insertion 0.3-0.5 cun. Caution: deep perpendicular or deep oblique needling in medial direction carries a risk of causing pneumothorax

51
Q

B-51 & B-52

A

oblique insertion, 0.5 - 1 cun. Caution: deep perpendicular needling carries a risk of injuring kidney.

52
Q

B-60

A

DM: contraindicated in pregnancy

53
Q

B-67

A

DM: turns the fetus and facilitates labor

54
Q

SP-6

A

contraindicated in pregnant women

55
Q

SP-12

A

avoid puncturing femoral a.

56
Q

Liv-12

A

CAM: moxibustion is fine
DM: moxibustion is contraindicated due to femoral vein and pubic hair

57
Q

REN 2 - REN 13

A

great care should be taken to puncture the points from Ren 2 to Ren 13 of this meridian in pregnant women.

58
Q

REN-5

A

DM: deep needle may penetrate peritoneal cavity.

59
Q

REN-8

A

Puncture is prohibited

60
Q

REN-15

A

puncture obliquely downward 0.4-0.6 inch

61
Q

REN-22

A

(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)

Meridians (7 decks)

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