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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
Intradermal technique
3mm: ears, elbows 6mm: legs, hips CI: Metal allergy patients
26
Presstacks techniques
Not on face
27
Pressballs techniques
Often in ears
28
Purpose of interdermal technique
Prolong & reinforce treatment with continuous stimulation (chronic pain condition)
29
Electro-Acupuncture
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
Effects of Electro-Acupuncture
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
Electro-Acupuncture wave patterns
Regular Continuous (continuous-slow or continuous-fast) Intermittent Dense/Disperse
32
Continuous-slow pattern
1-2 times a second: strong vibrating | TX: Muscle, joint, ligament, tendon, connective tissue problems
33
Continuous-fast pattern
30-50 times/second Body adapts quickly therefore this is less effective for pain Lower response of nerves TX: Pain & calming mind
34
Intermittent
3-5 seconds them pause - frequency & pattern are irregular | TX: Flaccid muscles & muscle pain (stroke)
35
Dense/Disperse
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
Contraindications for using Electro-Acupuncture
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
What kind of needles do you use when using electro-acupuncture?
Stainless steel needles
38
What wave pattern do you use for PAIN?
Continuous Fast or Dense Disperse
39
What wave setting do you use to promote BLOOD CIRCULATION?
Dense Disperse
40
What wave pattern do you use to absorb EDEMA?
Dense Disperse
41
What wave pattern do you use to stimulate muscles with PARALYSIS?
Continuous Slow or Intermittent
42
What wave pattern do you use with tissue weakness or injury of joint?
Continuous Slow
43
What needle do you place the black clip on?
Area that hurts or has the most pain
44
What needle do you clip the RED clip?
Distal Point on channel Tonification/dispersion techniques Follow muscle/nerve & pick a location further down
45
Which wave pattern is used for acupuncture anesthesia?
Continuous Fast
46
ST-36
3 cun inferior to St-35 1 finger-breadth lateral to the anterior tibial crest 1 to 1.5 cun
47
BL-40
Back of knee On popliteal crease In depression midway btwn the tendons of Biceps Femoris & semi-tendinosus 1 to 1.5 cun
48
SP-6
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
TW-14
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
GB-39
Above ankle joint 3 cun superior to prominence of lateral malleolus Posterior border of the Fibula
51
BL-60
Behind the ankle joint In the depression btwn the prominence of lateral malleolus & Achilles' tendon 0.5 to 1.0 cun
52
GB-34
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
LI-11
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
LU-11
On the radial border of the thumb nail | 0.1 to 0.2 cun
55
ST-45
On lateral border of 2nd toe nail | 0.1 to 0.2 cun
56
BL-23
1.5 cun lateral to BSP of L-2 | 1 to 1.5 cun
57
SP-9
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
TW-1
Ulnar side of the ring finger nail | 0.1 to 0.2 cun
59
TW-5
2 cun proximal to wrist crease In depression btwn radius & ulna (radial side) 0.5 to 1.5 (Sl. Oblique)
60
GB-21
Midway btwn CV-14 & acromion Highest point on trapezius 0.5-1.0 cun (posterior oblique)
61
LV-1
Lateral border of big toe | 0.1 to 0.2 cun
62
LU-1
6 cun lateral to AML 1 cun inferior to LU-2 0.5 to 1.0 cun (transverse-oblique)
63
LI-15
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
SP1
Dorsal Aspect of the big toe

M&M Final (1 decks)

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