Final Flashcards
Needling techniques can be traced back to the age of?
The application of the ‘bian stone’ was at the later stage of the Paleolithic era
What does ‘bian stone’ mean
to heal the illness by using a piece of stone
Bian stone was explained in shuo wen Jie zi. who authored?
Xu shen - han dynasty
Embryonic stage of the ‘nine needles’ (neijing) took place during which age?
Bronze - the symbol of the formation of acupuncture techniques
The general rule of acupuncture techniques is to
harmonize yin & yang
The essence (nature, constitution) of acupuncture techniques is to
open and regulate the meridians and collaterals
The natural law of acupuncture techniques is to
support the vital (even) qi to/and expel evils
the core of acupuncture techniques is to
manipulate needles in different levels (layers)
The premise of applying hand techniques
do so according to the differentiation
the basic requirement & the spirit (soul) of acupuncture techniques is to
deqi & manage the Shen
Which direction in china does bian stone come from?
East
Which direction in china do toxic herbs come from?
West
Which direction in china does warm moxibustion come from?
North
Which direction in china do the nine needles come from?
South
Which direction in chia do daoyin & massage come from
Center
How does the acupuncturist manage his own Shen?
highly concentrate on their work and connect with the universe through the whole process
How does acupuncturist manage patient’s Shen?
Calm the pt’s spirits by looking through their eyes to guide their spirits so that energy can be manipulated easily. (tranquilization enables their qi to follow their Shen and interact with doctor’s)
Connect to heaven
Beneficial conversation
How does the acupuncturist anchor the shen
Wholehearted devotion to needling
Perform Shen principle from start to end
Exercise body & cultivate moral character
Signs of qi arriving
Pt feels: distention, numbness, bundle, cool, warm, movement, shock, jumping, insects, energy flow, water dunking, involuntary movement, feels comfortable
What does quality of deqi depend upon?
Constitution of the patient Character of the disease The part receiving the treatment Season & weather Needling technique
What does deqi feel like to the practitioner
Tension & sinking or floating, like a fish taking bait.
Muscle jumps or squirms
Patient may smile or relax
What functions does needle retention have?
Waits for qi arrival
regulates qi
supports even qi and peels evil qi
assists tonification and reducing
Cautions for through/joined needling
Children, senility, pregnancy, schizophrenia
Careful not to injure internal organs/tissues
Depends upon differentiation rather than hunting for joined needling techniques
What is joined needling used for
extending coverage of point’s indications, and strengthening needling interaction by linking eternal-internal related meridians, and facilitating qi arriving at affected part
What 2 needling techniques are the basis of all other kinds of hand techniques
Lifting thrusting (push & pull), rotating (twisting)
What are the three levels that the techniques of setting mountain fire and thorough cooling heaven operate through?
Heaven, person, earth
With bufa (tonification), is the focus more on pushing or pulling, and is it with or against meridians?
Heavier push, milder pull, focus on forward rotating. Go along with meridians
With xiefa (reducing), is the focus more on pushing or pulling, and is it with or against meridians?
heavier pull, milder push, focus on backward rotating. go against meridians
With bufa, explain the breathing
Inhale by nose, exhale by mouth. Insert needle during exhalation. Withdraw needle during inhale
With xiefa, explain breathing
exhale by nose, inhale by mouth. insert during inhalation. withdraw during exhalation
With bufa, explain number of thrusts
Light ailments: 9 x 3 = 27 times, short pause after each 9
Severe: 7 x 7 = 49 times, short pause after each 7
Extreme: 9 x 9 times, pause after each 9
With xiefa, explain number of thrusts
Light ailments: 6 x 3 = 18 times, pause after each 6
Severe 8 x 8 = 64 times, pause after each 8
Extreme 6 x 6 = 36 times, pause after each 6
Compare speeds, direction of focus, and weight of thrust for bufa/xiefa
Bufa: slow heavier push, stress forward motion of thumb, quickly pull
Xiefa: quickly push, slow heavier pull, stress backwards rotation of thumb
What is the four methods of transfer the qi overflying through meridians?
A. after perpendicular insert & qi arriving, pull needle from earth to heaven, then
B. put down the body of the needle with 2 or 3 fingers in order to change the direction of needling
C. needle toward each direction following order of upper, lower, left, and right
D. for each direction push needle slowly from shallow to deep (according three parts dividing), then pull directly to the heaven where you grab the pie
What are the functions & indications of the 4 methods of xfer the qi overflying meridians?
A. dredge meridians & collaterals, boost meridian qi
B. tonify deficiency using xuji tonification (three in, one out)
C. brings qi from shallow to deep and spreads
D. various pain/bi syndromes
Cautions for the 4 methods of xfer the qi overflying meridians?
A. can be applied either when qi is or isn’t grabbed
B. use over area of thicker muscle
C. Don’t use at chest, back, head, face, neck, large blood vessels or major nerves
How do you perform setting mountain fire?
Pt does nasal inhale and mouth exhale. Insert into heaven during pt exhale, with nail press of left hand.
9 yang heavier push & forward stress/lighter pull (withdrawing 1-2/10th). Then do the same 9 in person part. Then same 9 in earth part. Pull the needle to heaven, pause, then withdraw slowly during inhale and press hole quickly & forcefully
Clinical indications for setting mountain fire?
Chronic cold or yangqi xu such as declined wingmen fire or yuanqi xu of zangfu organs, meridians, collaterals.
Warm up yangqi and expel coldness to tx things like wind stroke, paralysis, cold-damp bi syndrome, cold extremities, cold ab pain, impotence, hernia, fifth-watch diarrhea, or external cold invasion by releasing the surface to create diaphoresis
Cautions for setting mountain fire?
Use over thicker muscles, not end of four extremities/head/face.
Intensity depends on tolerance.
Stop manipulation during person or heaven part if they get warm or sweat.
Stop at the end of the full cycle even if there is no warmth/sweat. If warmth doesn’t come after 3 rounds of manipulation, retain the needle for 15 min, then warm will come.
Stimulation is longer than normal but duration shouldn’t be too long.
Pt should concentrate on tx.
Manipulation is better when qi is grabbed. Limit performance to the appropriate layer.
For sensitive pt, leave out breath/rotation factor.
How do you perform thoroughly cooling heaven?
Patient mouth inhales and nasal heals. Insert needle to earth during inhale, using stretching technique of left hand.
Perform 6 yin number with heavier pull (light push) and backwards rotation. Then repeat at person layer, followed by heaven layer. Withdraw needle during exhale and enlarge needling hole and let it open.
Indications for thoroughly cooling heaven
Excessive flaming of evil fire or ministerial fire.
Wind stroke, bi syndromes, dz caused by summer heat, high fever, delirium
Cautions for thoroughly cooling heaven - are they the same as setting the mountain fire?
yes
How do you perform red phoenix spreads its wings?
Insert needle to earth to grab qi. then pull to heaven and grab qi there. Thrust to person then perform push and pull while rotating. Release fingers after each rotation or each three rotations like a phoenix opening its wings. Perform right rotating and lifting during inhale, left rotating and thrusting during exhale.
Indications for red phoenix spreads its wings
Boost & maintain qi sensation
Dredge meridians & collaterals
Reducing because xuji reducing (first deep & then shallow) is combined
Pain and bi syndromes
Red phoenix spreads its wings cautions
Must grab qi at heaven first, then push needle.
Perform flying techniques at person level in a way of ‘wrap up the needle with the qi’
Indications of tiger techniques
Promote qi mainly and used to reduce too: clear away heat & fire, expel wind & eliminate damp.
High fever and irritability, mental d/o, epilepsy, spasm, stiff neck caused by excess heat or fire or wind-phlegm
How to you perform dragon techniques
Insert needle & grab the qi
Put tip of needle toward illness by put down the body of the needle during withdrawing to heaven part.
hold handle of needle, without pushing or pulling perform shaking from left to right or forward & backward within 90 degree like the rudder of a boat.
shake for 9 or 27 times. withdraw needle slowly & press hole quickly
How to perform dragon and tiger fight alternatively
Method A: Insert needle to proper depth where qi arrives.
Perform dragon first (forward rotate 9 ties for yang tonificatin)
Then tiger (backward rotate 6 times for yin reducing)
Repeat
Method B: perform dragon wag its tail at heaven layer. Perform the techniques “tiger shake its head” at earth layer
