General Rules Of Acupuncture Flashcards

1
Q

What are the six basics treatments

A
  1. Tonifying (reinforcing)
  2. Reducing (sedation)
  3. Warming
  4. Cooling (clearing)
  5. Ascending
  6. Descending
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2
Q

What is tonifying

A
  • increase/reinforce/enhance physiological action
    >tonify Qi, tonify Yang
    -increase the quantity
    >tonify blood
    >tonify Yin
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3
Q

When is tonifying indicated?

A

In a deficiency pattern

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4
Q

What are examples of excess?

A

Inflammation, fever, pain/stagnation
Acute onset, phlegm, acute injury/trauma, lump/nodule

(Wind, cold, heat, damp, simmer heat, dryness, stagnation, phlegm

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5
Q

What are examples of deficiency

A

Chronic course, geriatric, fatigue, exercise intolerance, weakness, immunodeficiency

(Qi deficiency, blood deficiency, Yin deficiency, Yang deficiency)

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6
Q

What are the four essential substances?

A

Qi
Yang
Yin
Blood

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7
Q

Special points for tonifying Qi deficiency?

A

ST-36
LI-10

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8
Q

Special points for tonifying blood deficiency?

A

BL-17
SP-10

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9
Q

Special point for tonifying Yin deficiency?

A

KID-3
SP-6

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10
Q

Special points for tonifying Yang deficiency?

A

GV-3
GV-4

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11
Q

What is reducing?

A

Sedating or inhibiting a physiologic action

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12
Q

When is reducing indicated?

A

Inflammation, infection, pain, high fever, stagnation of food phlegm or blood.

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13
Q

Special point for reducing “wind” (itch or seizures)

A

GB-20

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14
Q

Special points for reducing heat

A

LI-4
LI-11
GV-14

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15
Q

Special point for food stasis?

A

ST-36 (master point for GI tract

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16
Q

Special point for constipation

A

ST-37

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17
Q

Special point for phlegm/mass/blood stagnation?

A

ST-40

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18
Q

Special points for pain?

A

LI-4
LIV-3 (4 gate points)

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19
Q

What are the tonic and sedate techniques?

A
  • twisting/rotating the needle
  • lifting/inserting
  • insertion/withdrawal of the needle
  • open/close of the point
  • breath of the patient
  • 9-6 method (not used)
  • the direction of channels
  • double H: half tonic and half sedate
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20
Q

How do you use rotation to tonify or sedate the point?

A

Mild vs Strong
Tonic: milder twist, slower, shorter
Sedate: stronger twist, faster, longer

Left vs Right (opposite in female?)
Tonic: left twisting (counter-clockwise)
Sedate: right twisting (clockwise)

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21
Q

How to use insertion-withdrawal to tonify or sedate

A

Tonic
- insert needle slowly and withdraw quickly

Sedate
- insert needle quickly and withdraw slowly

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22
Q

How to open and close acupoints for tonifying and sedating?

A

Tonic: press the point immediately after needle withdrawal; close the point to prevent Qi from escaping

Sedate: shake the needle while withdrawing to enlarge the hole of the point; open the points to allow pathogenic factors to leave

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23
Q

How to use the direction of the channel to tonify or sedate?

A

Tonic: insert the needle chip toward the direction of a channel

Sedate: insert the needle tip against the direction of a channel

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24
Q

How to use the double H (half tonic and half sedate

A

Twist (left and right) lift-thrust (up-down) the needles evenly and gently at a moderate speed

can use for any type of condition and is the most commonly used technique in vet med

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25
Q

When is warming indicated?

A
  • Hip dysplasia, IVDD, weakness in back/limbs
  • arthritis, bi syndromes
  • chronic diarrhea, cold pattern, Yang deficiency
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26
Q

Points for warming

A

GV-3 (Yang tonic point)
GV-4 (Yang tonic point and life-gate Fire)
Bai-hui calming and tonic point
ST-36
CV-6/CV-4: tonic point

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27
Q

Describe the depths of an acupoint

A

Heaven (superficial)
Human (medium)
Earth (deep)

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28
Q

What is clearing?

A

Cooling it removing heat

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29
Q

When is clearing indicated?

A
  • higher fever
  • pain, red/dry tongue
  • inflammation, infection
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30
Q

Special points for clearing

A

GV-14
LI-11
LI-4
Zang-fu heat: jing-well or jing-spring point of channel
Heat stroke: GV-26 (12 Jing-well points)
Pain: local points using hemoglobin-acupuncture TH-1 for laminitis

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31
Q

Special technique for clearing

A

Reducing principle, hemo-acupuncture, tou-tian-liang

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32
Q

What is ascending?

A

Prolapse/sinking

33
Q

What is descending?

A

Rebellious Qi

34
Q

When is ascending indicated?

A
  • dizziness, vertigo due to Yang collapse
  • prolapse if rectum or uterus due to Qi deficiency
  • chronic diarrhea
35
Q

What points are used for ascending?

A

Bai-hui
CV-4
CV-6
ST-36

36
Q

What technique is indicated for ascending?

A

Tonifying principle or double H method

37
Q

When is descending indicated?

A

Vomiting/nausea

Liver Yang rising

38
Q

What points are used for descending?

A

Vomiting/nausea
CV-12
PC-6
GB-34

Liver Yang rising
GB-20
LIV-3

39
Q

Special veterinary techniques

A

Dry needling-HH
Aqua acupuncture-HH
Electro acupuncture-HH
Moxibustion-warming
Hemo acupuncture-cooling

40
Q

What are the top 3 local eye points and what are they used for locally?

A

GB-1
BL-1
ST-1
Used for conjunctivitis/uveitis

41
Q

What are the top 2 points for nasal congestion?

A

Long-hui
LI-20

42
Q

What is the top point for cervical stiffness/pain?

A

Jing-jia-ji

43
Q

What are the local points for throat problems/laryngeal hemi plegó a?

A

CV-23
ST-9
Hou-bi, Hou-shu
LI15/16/17/18
SI 17
GB-21

44
Q

What are local points for shoulder pain?

A

LI-15
TH-14
SI-9
GB-21

45
Q

What are local points for elbow pain?

A

TH-10
SI-8
LI-11

46
Q

What are local points for lumbar pain, back pain, IVDD, and renal diseases?

A

(The lumbar 7)
Bai-hui
Shen-peng
Shen-shu
Shen-jiao

47
Q

What are local points for hip-sacral pain

A

Bai-hui
BL-53/54
Lu-gu

48
Q

What are local points for stifle pain?

A

GB-34
ST-35/36
BL-40

49
Q

Local point for foot/hoof pain

A

LI-3
SI-3
TH-1

50
Q

Points for treating Qi deficiency pattern

A

LI-10, ST-36
CV-17, Qi-hai-shu, BL-20, BL-24
CV-4, CV-6 (Moxibustion)

51
Q

Points for treating blood deficiency pattern?

A

BL-18, SP-10

52
Q

Points for treating Yin deficiency pattern?

A

KID-2, SP-6, BL-23

53
Q

Points for treating Yang deficiency pattern?

A

GV-3
GV-4 (moxibustion)

54
Q

Points to treat a fever or excess heat or false heat

A

GV-14
LI-11
LI-4

55
Q

Points to treat eye disorders

A

GB-37

56
Q

Points to treat behavior issue

A

An-shen

57
Q

Points to treat resuscitation

A

GV-26

58
Q

Points to treat anorexia

A

Mi-jiao-gan

59
Q

Points to treat diarrhea

A

GV-1

60
Q

What are the special points?

A

Master point
Influential points
Connection points
Five-shu points
Source (primary) points
Cleft points
Back-shu points (association points)
Front-Mu points (alarming points)
Crossing points

61
Q

What are the master points?

A

LI-4 face, mouth
LU-7 head, neck
PC-6 chest, cranial abdomen
BL-40 back, hips
ST-36 GI tract, abdomen
SP-6 caudal abdomen, urogenital
SI-9 forelimb
BL-54 hind limb

62
Q

What is the influential point for the zang organs?

A

LIV-13

63
Q

What is the influential point for the Fu organs?

A

CV-12

64
Q

What is the influential point for the Qi?

A

CV-17

65
Q

What is the influential point for the Blood?

A

BL-17

66
Q

What is the influential point for tendon/ligament?

A

GB-34

67
Q

What is the influential point for the pulse/vessels?

A

LU-9

68
Q

What is the influential point for the bone?

A

BL-11

69
Q

What is the influential point for the marrow?

A

GB-39

70
Q

What is the influential point for the Phlegm?

A

ST-40

71
Q

What is the influential point for the Wind/Trachea?

A

BL-12

72
Q

When should you consider waiting 30 minutes prior to performing acupuncture?

A

Post-training, post-racing, after overeating

73
Q

What points are contraindicated in a pregnant mare?

A
  • Points around the abdomen and lumbosacral region
  • BL-67
74
Q

What points are heavily cautioned in a pregnant mare?

A

LI-4
SP-6
BL-60
ST-36
LIV-4

**can use but don’t want horse to be moving excessively

75
Q

Precautions for back Shu points

A

Horse: 1 inch
Big dog: ½ inch
Middle dog: ⅓ inch
Small dog/cat: ¼ inch

76
Q

Where should you not insert a needle?

A

Skin infections
Ulcers
Tumors
Scar tissue

77
Q

What are specific consideration for points around feet/eyes?

A
  • very sensory
  • use ½ inch needle
  • 5-15 minutes of stimulation
  • protect eye with hand
78
Q

Where can needles get bent or stuck in horses?

A

BL-13 to BL-21 (in back—needle too long; used 1 inch in horse)

ST-34 and GB-34

79
Q

Where are needles likely to break in horses?

A

BL-17 to BL-23

Big Issue; needs to be surgically removed
Use shorter needles, 28g, never use a needle more than once.