General Rules Of Acupuncture Flashcards
What are the six basics treatments
- Tonifying (reinforcing)
- Reducing (sedation)
- Warming
- Cooling (clearing)
- Ascending
- Descending
What is tonifying
- increase/reinforce/enhance physiological action
>tonify Qi, tonify Yang
-increase the quantity
>tonify blood
>tonify Yin
When is tonifying indicated?
In a deficiency pattern
What are examples of excess?
Inflammation, fever, pain/stagnation
Acute onset, phlegm, acute injury/trauma, lump/nodule
(Wind, cold, heat, damp, simmer heat, dryness, stagnation, phlegm
What are examples of deficiency
Chronic course, geriatric, fatigue, exercise intolerance, weakness, immunodeficiency
(Qi deficiency, blood deficiency, Yin deficiency, Yang deficiency)
What are the four essential substances?
Qi
Yang
Yin
Blood
Special points for tonifying Qi deficiency?
ST-36
LI-10
Special points for tonifying blood deficiency?
BL-17
SP-10
Special point for tonifying Yin deficiency?
KID-3
SP-6
Special points for tonifying Yang deficiency?
GV-3
GV-4
What is reducing?
Sedating or inhibiting a physiologic action
When is reducing indicated?
Inflammation, infection, pain, high fever, stagnation of food phlegm or blood.
Special point for reducing “wind” (itch or seizures)
GB-20
Special points for reducing heat
LI-4
LI-11
GV-14
Special point for food stasis?
ST-36 (master point for GI tract
Special point for constipation
ST-37
Special point for phlegm/mass/blood stagnation?
ST-40
Special points for pain?
LI-4
LIV-3 (4 gate points)
What are the tonic and sedate techniques?
- 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
How do you use rotation to tonify or sedate the point?
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)
How to use insertion-withdrawal to tonify or sedate
Tonic
- insert needle slowly and withdraw quickly
Sedate
- insert needle quickly and withdraw slowly
How to open and close acupoints for tonifying and sedating?
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
How to use the direction of the channel to tonify or sedate?
Tonic: insert the needle chip toward the direction of a channel
Sedate: insert the needle tip against the direction of a channel
How to use the double H (half tonic and half sedate
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
When is warming indicated?
- Hip dysplasia, IVDD, weakness in back/limbs
- arthritis, bi syndromes
- chronic diarrhea, cold pattern, Yang deficiency
Points for warming
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
Describe the depths of an acupoint
Heaven (superficial)
Human (medium)
Earth (deep)
What is clearing?
Cooling it removing heat
When is clearing indicated?
- higher fever
- pain, red/dry tongue
- inflammation, infection
Special points for clearing
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
Special technique for clearing
Reducing principle, hemo-acupuncture, tou-tian-liang