final exam Flashcards

1
Q

General rule of acupuncture techniques

A

Harmonize Yin and Yang

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2
Q

Essence (nature, constitution) of acupuncture techniques

A

Open and regulate the meridians & collaterals

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3
Q

Natural law of acupuncuture techniques

A

Support the vital (even) Qi and to expel the evils

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4
Q

Core of acupuncture techniques is to

A

Manipulate needles in different levels/layers

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5
Q

Premise of applying hand techniques

A

According to the differentation

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6
Q

Basic requirement and the spirit/soul of acupuncture techniques is to

A

De qi and manage the Shen

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7
Q

Bian stone comes from ?

A

the East of China

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8
Q

toxic herbs come from?

A

the West of China

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9
Q

Warm moxibustion comes from?

A

the North

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10
Q

Nine Needles comes from?

A

the South

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11
Q

Dao yin and Massage comes from?

A

the Center

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12
Q

What is the basis of how to apply acupuncture

A

apply various teqhniques according to the differentiation

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13
Q

basic requirements for applying (2)

A

de qi and shen managment

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14
Q

Shen principle should be applied when?

A

from the beginning to the end of the treatment

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15
Q

To what does the acupuncturist connect for shen managment

A

heaven

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16
Q

The quality of de qi depends upon these 5 things:

A

1) constitution of the patient 2) character of the disease 3) the part of receiving the
treatment
4) the season and weather 5) the needling techniques

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17
Q

What 3 things indicate to the physician that the qi is arriving?

A

becomes either more tense or loose, the jumping or squirm of the muscles
3) patient starts to smile or relax
needle, it becomes tension and sinking or floating instead of loose feeling at beginning - fish takes the bait
2) muscle around the point
1) underneath the tip of the

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18
Q

what does patient feel when qi arrives?

A

all sorts of stuff

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19
Q

what 4 things does needle retention do?

A

1) waiting for the qi to arrive 2) regulating the qi
3) supporting even qi and
expelling evil qi
4) assist in tonification and
reducing

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20
Q

3 cautions for joined needling

A
carefully use for children,
senility, pregnant women,
schizophrenia and other type
of people who are out of self
control
2) pay attention to avoid the
injury of internal organs,
tendons, bones and blood
vessels
3) depends upon the
differentiation rather than
hunting for joined needling
techniques
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21
Q

what do you use joined needling/through needling techniques for?

A

1) extending the coverage of
points indications
2) strengthening needling
interaction by
a) link up external-internal related meridians
b) facilitating qi arriving at affected part

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22
Q

The pathways of _____ and _______ of the body are called______.

A

qi, blood, jing luo

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23
Q

The system of Jing Luo helps the body _______ to the ______ environment.

A

adapt; external

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24
Q

First most important therapeutic treatment principle

A

select points according to the jing luo

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25
Q

This kind of illness is when the meridian is suffering

A

shi dong

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26
Q

This kind of illness iw when the the disease is caused by a disorder of the meridian

A

suo sheng

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27
Q

What are the five functions of jing luo

A
1) connection - connects the
internal/external or tissue/
organs in order to maintain
the whole body
2) transport qi and blood;
balance the yin and yang
3) resist pathogens and induce
diseases (phenomena not
function)
4) reflect the symptoms and
syndromes as well as the
order of changes in the
disease and treatment
5) conduct and receive the
stimulation/treatment in order
to regulate xu/shi
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28
Q

The earliest available jing luo literature is:

A

Mai shu (meridian books part of silk book)

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29
Q

the abdominal area is

from medial to lateral the order of the 12 regular meridians at

A

shaoyin>yangming>taiyin>

shaoyang

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30
Q

hand-foot, yin yang and zang fu is applicable to:

a. 12 regular meridians
b. 15 collaterals
c. 12 divergent vessels
d. 8 extraordinary vessels
e. all of them

A

12 regular meridians

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31
Q

which dynasty holds most of the literature on jing luo theory

A

song

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32
Q

the naming of the 12 regular meridians includes

A

shouzu, yin-yang, zang fu NOT WuXing

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33
Q

In 12 regular meridians, yin channel connect yin channel at

A

chest

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34
Q

same name Yang meridians connect at which locations?

A

head and face

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35
Q

According to the mai shu the moving character of channel qi is:
A) start from the four extremities
B) hand and foot meridians connect to each other
C) both are true
D) both are wrong

A

A

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36
Q

According to the nei jing the moving character of channel qi is:
A) start from the four extremities
B) hand and foot meridians connect to each other
C) both are true
D) both are wrong

A

B

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37
Q

Heart Liver Spleen Kidney, Stomach and Intestines can cause

bleeding. Sp/Kd use < ______ cun

A

2 cun

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38
Q

Stomach and intestines use what cun needle

A

1- 1.5 cun

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39
Q

Lungs/KD points in intercostals — how to treat?

A

very shallow, use moxa or cup (possibly 1/2 cun needle)

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40
Q

Do not needle these points deeply on the upper back

A

BL12-15

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41
Q

Lungs extend from ____ in front, _____ on side, ___ on back.

A

T6, T8, T10

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42
Q

Does patient feel pain when penetrating an organ? What is the exception?

A

No does not feel pain except for the brain.

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43
Q

Be careful around the occiput — what points in particular?

A

GV15/16 — 1 cun needle GB 20 - 1.5 cun needle

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44
Q

Du mai points — how to treat?

A

Use 1-1.5 cun. Spinous processes are over 1.5 cun.

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45
Q

GV 16 can damage what? how to treat?

A

Can damage spinal cord. Needle toward mouth.

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46
Q

JaJi points - can damage spinal cord if needle ______________; so needle __________.

A

obliquely, perpendicular, If angle toward spinal cord only angle 85 degrees.

47
Q

Nerve cautions:

a) median nerve
b) radial nerve
c) ulnar nerve,
d) sciatic nerve

A

a) PC-6
b) LI/lU
c) SI8
d) GB30 and behind thigh

48
Q

What does the patient feel if you needle an artery?

A

sharp pain

49
Q

what does it fee like if you needle a nerve

A

sharp pain

50
Q

Do not needle in cases of severe deficiency of QI, Blood, and physique;

give examples of such states

A

After severe sweating after sever diarrhea after childbirth in which the yuan qi and blood are severely damaged

51
Q

what is First exhaustion

A

heat syndrome with quiet pulse to du excessive evil qi and weak even qi

52
Q

what is Second exhaustion

A

diarrhea with grand surging pulse

53
Q

what is Third exhaustion

A

damp cold caused by bi syndrome (ex. rheumatoid arthritis) with exhaustion of muscles but heat body and exhausted weak pulse. external and internal ind cold damp

54
Q

what is Fourth exhaustion

A

exhaustion of kidney essence due to overall sexual lust but with heat body and urinary bleeding

55
Q

what is Fifth exhaustion

A

Alternately shivering and fever, physique deform lost muscle but with excessive hard pulse.

56
Q

what are the three irregular pulses

A

jie, dai, cu

57
Q

jie pulse

A

slow uneven

58
Q

dai pulse

A

regular interrupted

59
Q

cu pulse

A

fast irregular

60
Q

What can you use to cover the point

A

salt

61
Q

After treating edema, when fluid comes out when can you use to seal the point

A

salt sesame oil

62
Q

Post needling food taboos:

A
drinking alcohol
overall full stomach
avoid raw and cold food
avoid too much vinegar
avoid greasy food
avoid pasta, meat fish
avoid garlic (too pungent)
63
Q

So what do you eat after acupuncture?

A

rice and veggies

64
Q

What 3 things can you do for difficulty in withdrawing the needle?

A
1) massage the area along
meridians or use moxa heat
to relax
2) insert needle along the
meridian or somewhere close 
3) moxa the jing well pt of
related meridians
65
Q

What point can you press if a patient faints?

A

DU 26, or LI 4

66
Q

What points can you moxa after they regain consciousness from fainting? OR a helper can do while they are unconscious?

A

Bai Hui, KD 1, CV 8, PC 6, ST 36

67
Q

Before pressing on revival pts, what is the first thing you do when patient faints?

A

remove needle

68
Q

Signs of Pneumothorax?

A

Chest pain, stuffy chest, SOB, sweating, cyanosis, hyper- resonance if percuss over lungs, decreased sounds if using stethoscope, in an x-ray you see AIR

69
Q

what do you do if there is pneumothorax?

A

calm patient, have the recline but not lay down, send them to ER

70
Q

For pneumothorax, do you have patient lay down?

A

NO, recline.

71
Q

Needling contraindications due to temporary harmful situation

A
drunk people
angry people 
exhausted people 
overfull people 
starving people (use moxa) severe thirst (not general thirst)
72
Q

Should you needle hungry people?

A

No give them a snack first or else they might faint

73
Q

If you can’t needle what do you do?

A

moxa

74
Q

FORBIDDEN points for pregnant women

A

LI-4 SP-6 BL-67 GB-21 ST-12 LV-3 (can help w/ delivery) CV 1-8 BL 31-34

75
Q

for pregnant women don’t needle the abdomen _____.

A

deeply

76
Q

For pregnant women, don’t do heavy _______ in points in the

________________ and ___________area

A

reducing/simulation; lumbar region; back

77
Q

Point selection for Heat syndromes

A

upper>yang side > ending

78
Q

Point selection for cold syndromes

A

lower > yin> trunk

79
Q

Point selection for external XS heat syndromes

A

yang > ending > upper

80
Q

Point selection for internal deficient cold

A

yin side > trunk > lower

81
Q

Point selection excessive syndromes

A

extremities > yang > upper

82
Q

Point selection for deficient syndromes

A

trunk > yin side > lower

83
Q

Yuan source effects

A

Affects the Zang and fu organs

84
Q

Lower He Sea Point

A

Affects individual Fu organ

85
Q

Dual function points

A

ST-35, PC-6, GB-39, LI-4, LV 3 and *

86
Q

Bai Hui and Da Zhui for cold wind invading use?

A

moxa

87
Q

Bai Hui and Da Zhui for heat invading use?

A

needle or bleeding

88
Q

Which is more potent, acupuncture or herbs?

A

herbs

89
Q

If needling is not enough, we can use _________

A

bleeding

90
Q

Most points have a __________ nature;

A

neutral

91
Q

What does having a neutral nature mean with regard ot acu points?

A

They can be either warmed up or cooled down

92
Q

What point separates the upper and lower part of the body

A

CV 8/ Ren 8

93
Q

What points treat XS

A

extremeties/distal points

94
Q

What point tx deficiency

A

points on the trunk/proximal points

95
Q

for HOT disease use points on?

A

upper body

96
Q

for Cold disease use points on?

A

lower body

97
Q

Where are the points of cooling heat

A

Yang/back side of the body

98
Q

Where are the point for warming up

A

Yin/front side of the body

99
Q

Sparrow pecking is heating or cooling?

A

Cooling, moves yang

100
Q

takes loner to get qi : tube or free hand?

A

tube - disadvantage

101
Q

more accurate needle location tube or free hand?

A

free hand Advantage

102
Q

better for multiple needles tube or free hand?

A

free hand

103
Q

not as clean : tube or free hand?

A

free hand

104
Q

fast: tube or free hand?

A

tube

105
Q

takes longer to develop techniques, no help : tube or free hand?

A

tube

106
Q

better energetic connection

tube or free hand?

A

free hand

107
Q

easy to use : tube or free hand?

A

tube

108
Q

easier to angle (esp Yin Tang and scalp) : tube or free hand?

A

free hand

109
Q

can start technique immediately : tube or free hand?

A

free hand

110
Q

easy to keep clean: tube or free hand?

A

tube

111
Q

less painful, easier to grab Qi, natural feeling tube or free hand?

A

free hand

112
Q

takes practice to avoid pain

: tube or free hand?

A

free hand

113
Q

can squeeze the point too deeply : tube or free hand?

A

tube

114
Q

From principle of yin/yang, diseases can be classified into what four groups.

A

excess of yang excess of yin deficiency of yang deficiency of yin