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M&M Final > Final > Flashcards

Final Flashcards

1
Q

What are the 3 types of Interdermals?

A

Fishtail interdermal
Presstack
Pressball

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2
Q

What is the steps for inserting Pressballs?

A

Alcohol area 1st
Peel off pressball WITH tweezers
Place on desires point

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3
Q

What is the steps for inserting Presstacks?

A

Alcohol area 1st
Peel off tack WITH tweezers
Place over desired point

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4
Q

What is the steps for inserting Interdermals?

A

Alcohol 1st
Open inter-dermal package 1/2 way
Remove by grasping head with tweezers
Insert 1/2 to 3/4 of its length at about 5% (SQ)
Cut “pillow” and place under head of needle with tweezers
Cut “blanket” and place over entire needle and pillow with tweezers

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5
Q

What should you tell patients about inter-dermal?

A

Once in place patient shouldn’t be aware of these
Pressballs CAN be pressed to stimulate the point
Presstacks and Interdermals should NOT be pressed or manipulated
Remove if itching occurs
Avoid vigorous scrubbing or washing over the area
Interdermals & pressballs stay in place: 3 days
Presstacks stay in place: 3-5 days
If any become loose of fall out do NOT reinsert (remove them)

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6
Q

Removal of Interdermals

A

Pressballs: Peel off edge of tape and remove (make sure ball is attached), roll-up and dispose of
Presstacks: Peel off tape and fold over needle tip (if needle is exposed then wrap in more tape or paper to cover needle)
Interdermals: Use tweezers & pull off tape in OPPOSITE direction of needle. Be sure interdermal is between tape, wrap in more tape or paper & dispose

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7
Q

Moxa Box

A

Cut smokey moxa pole into 2 inch sections
Light one end and place in box
Cover box with lid not fully covered
Place over desired area

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8
Q

What are the 2 types of Heat Lamps?

A

Infra-red

Ceramic plate

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9
Q

How to use heat lamps?

A

Check equipment for loose or insecure parts
Position lamp over the body at least 18 inches away from skin
Set timer & heat intensity (can get progressively hotter)
Stay with patient for a few minutes to be sure that heat isn’t too intense (feel skin for heat intensity)
Turn machine off when done using it

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10
Q

Advantages of infra-red heat lamps?

A

A substitute for indirect moxa
Can cover large area
Doesn’t produce smoke

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11
Q

Disadvantage to ceramic plate heat lamp?

A

Takes time to warm up
Can only control heat intensity by positioning arm
Can’t “see” that it is hot

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12
Q

Advantage of ceramic plate heat lamp?

A

Cheaper

Some practitioners prefer the heat it produces

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13
Q

Direct moxa

A

Same as burning a moxa cone only smaller
Can be as small as a grain of rice
Burn 2/3 of way or until patient feels heat

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14
Q

Ibuki Moxa

A

Small moxa rolled in soft tissue attached to cardboard with an adhesive on bottom of cardboard
A cross between direct & indirect moxa (heat transfer medium)

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15
Q

Advantages to using Ibuki?

A

Easily sticks on skin
Patient can move without it falling off
It sends heat directly and is stable

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16
Q

How to use Ibuki?

A

Stick to desired point
Light from top & burn all the way down
If patient say it is too hot them remove immediately
Repeat 3-7 times

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17
Q

Tiger Warmer

A

Cross between incense & moxa stick
Good for warming an area (sinus, along channel)
Good for kids
Need to keep moving or will feel to hot

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18
Q

Pre-Rolled Moxa

A

A convenience item for when you do a lot of moxa on the needle
Gets VERY hot so always use a shield
Be careful not to pierce to large a hole or it becomes unstable

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19
Q

Methods for using Moxa?

A

Direct stimulation: right on point
Distal: Point further down channel
Reflective: using moxa on Point that reflects point’s function (ST36)

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20
Q

Bloodletting materials

A

Gloves, face mask, alcohol extra cotton balls

Prismatic needles, sharps, papertowel

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21
Q

Bloodletting protocol

A

Find point to be treated
Alcohol point
Put on face mask & gloves
Apply pressure to area to be pricked to create a venous pooling
Open lancet & prick point with quick, downward motion about .05 inch (withdrawal with equal speed)
Place lancet in sharps
Grab cotton balls & squeeze out 3-5 drops, blotting each drop
After last drop is released, apply firm pressure with cotton ball until bleeding stops
Clean area with alcohol
Bloodied cotton ball in paper towel, remove glove over paper towel, remove other glove and place in biohazard wastebasket

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22
Q

Methods of bloodletting

A

Pricking for heat conditions
Clumping: for spider veins in area that hurts, area with swelling, injuries or skin disease (often used with cup to suction out blood)

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23
Q

Purpose for using blood letting?

A

Drain heat
Eliminate blood stagnation
Remove obstruction in meridian and reduce swelling

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24
Q

Contraindications for using bloodletting

A 
Hemophiliacs or hemorrhagic conditions
Pts on blood thinners
Very weak or anemic patients
Pts with vascular tumors
On Jingwells of pregnant women
Caution on postpartum patients (blood deficient)
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25
Q

Intradermal technique

A

3mm: ears, elbows
6mm: legs, hips
CI: Metal allergy patients

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26
Q

Presstacks techniques

A

Not on face

27
Q

Pressballs techniques

A

Often in ears

28
Q

Purpose of interdermal technique

A

Prolong & reinforce treatment with continuous stimulation (chronic pain condition)

29
Q

Electro-Acupuncture

A

Electricity stimulates the needle instead of practitioner, leaving patient to relax
Vary current/stimulation according to the point
Adjust length of time
Strength of current is based on treatment principle (what patient can tolerate)

30
Q

Effects of Electro-Acupuncture

A

To relieve pain
Release endorphins
Improve blood circulation of chosen area (vibration of muscle tissue)
Stimulating effect on muscles and nerves (injuries or paralysis - helps in recovery)

31
Q

Electro-Acupuncture wave patterns

A

Regular Continuous (continuous-slow or continuous-fast)
Intermittent
Dense/Disperse

32
Q

Continuous-slow pattern

A

1-2 times a second: strong vibrating

TX: Muscle, joint, ligament, tendon, connective tissue problems

33
Q

Continuous-fast pattern

A

30-50 times/second
Body adapts quickly therefore this is less effective for pain
Lower response of nerves
TX: Pain & calming mind

34
Q

Intermittent

A

3-5 seconds them pause - frequency & pattern are irregular

TX: Flaccid muscles & muscle pain (stroke)

35
Q

Dense/Disperse

A

Alternating application of 2 frequencies - 2 waves at irregular intervals
Increase during SOLID GREEN light
TX: Mostly for pain (lasts longer, body doesn’t adapt), arthritis, blood circulation, absorbs edema

36
Q

Contraindications for using Electro-Acupuncture

A

Never cross the heart, spine, mid-line
Never cross important organs
Do not use near or in eyes (can do Yin Tang to GB20)
Do not use during pregnancy
Do not use on a weak constitution
Not with pacemaker patients or in area of metal plates
Do not use when insertion is less then 0.5cm (toes, fingertips)

37
Q

What kind of needles do you use when using electro-acupuncture?

A

Stainless steel needles

38
Q

What wave pattern do you use for PAIN?

A

Continuous Fast or Dense Disperse

39
Q

What wave setting do you use to promote BLOOD CIRCULATION?

A

Dense Disperse

40
Q

What wave pattern do you use to absorb EDEMA?

A

Dense Disperse

41
Q

What wave pattern do you use to stimulate muscles with PARALYSIS?

A

Continuous Slow or Intermittent

42
Q

What wave pattern do you use with tissue weakness or injury of joint?

A

Continuous Slow

43
Q

What needle do you place the black clip on?

A

Area that hurts or has the most pain

44
Q

What needle do you clip the RED clip?

A

Distal Point on channel
Tonification/dispersion techniques
Follow muscle/nerve & pick a location further down

45
Q

Which wave pattern is used for acupuncture anesthesia?

A

Continuous Fast

46
Q

ST-36

A

3 cun inferior to St-35
1 finger-breadth lateral to the anterior tibial crest
1 to 1.5 cun

47
Q

BL-40

A

Back of knee
On popliteal crease
In depression midway btwn the tendons of Biceps Femoris & semi-tendinosus
1 to 1.5 cun

48
Q

SP-6

A

On the medial side of lower leg
3 cun superior to prominence of medial malleolus (close to medial crest of tibia)
1 to 1.5 cun

49
Q

TW-14

A

At the orgin of the deltoid
In a depression posterior & inferior to the lateral extremity of the acromion
1 to 1.5 cun (toward center of axilla)

50
Q

GB-39

A

Above ankle joint
3 cun superior to prominence of lateral malleolus
Posterior border of the Fibula

51
Q

BL-60

A

Behind the ankle joint
In the depression btwn the prominence of lateral malleolus & Achilles’ tendon
0.5 to 1.0 cun

52
Q

GB-34

A

Below lateral aspect of the knee
In tender depression approx. 1 cun anterior & inferior to the head of the Fibula
1 to 1.5 cun

53
Q

LI-11

A

At the elbow
Midway between LU-5 & the lateral epicondyle of Humerus
Lateral end of the transverse cubital crease
1 to 1.5 cun

54
Q

LU-11

A

On the radial border of the thumb nail

0.1 to 0.2 cun

55
Q

ST-45

A

On lateral border of 2nd toe nail

0.1 to 0.2 cun

56
Q

BL-23

A

1.5 cun lateral to BSP of L-2

1 to 1.5 cun

57
Q

SP-9

A

On medial side of lower leg
In depression in the angle formed by medial condyle & posterior border of Tibia
1 to 1.5 cun

58
Q

TW-1

A

Ulnar side of the ring finger nail

0.1 to 0.2 cun

59
Q

TW-5

A

2 cun proximal to wrist crease
In depression btwn radius & ulna (radial side)
0.5 to 1.5 (Sl. Oblique)

60
Q

GB-21

A

Midway btwn CV-14 & acromion
Highest point on trapezius
0.5-1.0 cun (posterior oblique)

61
Q

LV-1

A

Lateral border of big toe

0.1 to 0.2 cun

62
Q

LU-1

A

6 cun lateral to AML
1 cun inferior to LU-2
0.5 to 1.0 cun (transverse-oblique)

63
Q

LI-15

A

In depression anterior & inferior to acromion
At the origin of the deltoid
1 to 1.5 cun (perp. toward axilla)
1.5 to 2 cun (Trans-oblique toward elbow)

64
Q

SP1

A

Dorsal Aspect of the big toe

M&M Final (1 decks)

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