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
What is ascending?
Prolapse/sinking
What is descending?
Rebellious Qi
When is ascending indicated?
- dizziness, vertigo due to Yang collapse
- prolapse if rectum or uterus due to Qi deficiency
- chronic diarrhea
What points are used for ascending?
Bai-hui
CV-4
CV-6
ST-36
What technique is indicated for ascending?
Tonifying principle or double H method
When is descending indicated?
Vomiting/nausea
Liver Yang rising
What points are used for descending?
Vomiting/nausea
CV-12
PC-6
GB-34
Liver Yang rising
GB-20
LIV-3
Special veterinary techniques
Dry needling-HH
Aqua acupuncture-HH
Electro acupuncture-HH
Moxibustion-warming
Hemo acupuncture-cooling
What are the top 3 local eye points and what are they used for locally?
GB-1
BL-1
ST-1
Used for conjunctivitis/uveitis
What are the top 2 points for nasal congestion?
Long-hui
LI-20
What is the top point for cervical stiffness/pain?
Jing-jia-ji
What are the local points for throat problems/laryngeal hemi plegó a?
CV-23
ST-9
Hou-bi, Hou-shu
LI15/16/17/18
SI 17
GB-21
What are local points for shoulder pain?
LI-15
TH-14
SI-9
GB-21
What are local points for elbow pain?
TH-10
SI-8
LI-11
What are local points for lumbar pain, back pain, IVDD, and renal diseases?
(The lumbar 7)
Bai-hui
Shen-peng
Shen-shu
Shen-jiao
What are local points for hip-sacral pain
Bai-hui
BL-53/54
Lu-gu
What are local points for stifle pain?
GB-34
ST-35/36
BL-40
Local point for foot/hoof pain
LI-3
SI-3
TH-1
Points for treating Qi deficiency pattern
LI-10, ST-36
CV-17, Qi-hai-shu, BL-20, BL-24
CV-4, CV-6 (Moxibustion)
Points for treating blood deficiency pattern?
BL-18, SP-10
Points for treating Yin deficiency pattern?
KID-2, SP-6, BL-23
Points for treating Yang deficiency pattern?
GV-3
GV-4 (moxibustion)
Points to treat a fever or excess heat or false heat
GV-14
LI-11
LI-4
Points to treat eye disorders
GB-37
Points to treat behavior issue
An-shen
Points to treat resuscitation
GV-26
Points to treat anorexia
Mi-jiao-gan
Points to treat diarrhea
GV-1
What are the special points?
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
What are the master points?
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
What is the influential point for the zang organs?
LIV-13
What is the influential point for the Fu organs?
CV-12
What is the influential point for the Qi?
CV-17
What is the influential point for the Blood?
BL-17
What is the influential point for tendon/ligament?
GB-34
What is the influential point for the pulse/vessels?
LU-9
What is the influential point for the bone?
BL-11
What is the influential point for the marrow?
GB-39
What is the influential point for the Phlegm?
ST-40
What is the influential point for the Wind/Trachea?
BL-12
When should you consider waiting 30 minutes prior to performing acupuncture?
Post-training, post-racing, after overeating
What points are contraindicated in a pregnant mare?
- Points around the abdomen and lumbosacral region
- BL-67
What points are heavily cautioned in a pregnant mare?
LI-4
SP-6
BL-60
ST-36
LIV-4
**can use but don’t want horse to be moving excessively
Precautions for back Shu points
Horse: 1 inch
Big dog: ½ inch
Middle dog: ⅓ inch
Small dog/cat: ¼ inch
Where should you not insert a needle?
Skin infections
Ulcers
Tumors
Scar tissue
What are specific consideration for points around feet/eyes?
- very sensory
- use ½ inch needle
- 5-15 minutes of stimulation
- protect eye with hand
Where can needles get bent or stuck in horses?
BL-13 to BL-21 (in back—needle too long; used 1 inch in horse)
ST-34 and GB-34
Where are needles likely to break in horses?
BL-17 to BL-23
Big Issue; needs to be surgically removed
Use shorter needles, 28g, never use a needle more than once.