lecture 3 acupoint and treatment of myoscial pain Flashcards
acupoints
sites through which the Qi of the zang-fu organs and meridians is transported to the body surface
classification of acupoints
- regular- acupoints of the 14 meridians 2. extra- extraordinary points 3. ashi points-tenderness spot
regular meridan points
-regular names -regular locations -pertain to definite meridians -major part of acupoints -361 of them
extra points
-regular names -regular locations -does not pertain to specific meridans -especially effective in treating certain diseases
usage of acupressure- western perspective
-release muscular tension -promote circulation of blood -modulate funcitons of the nervous system -regulate immunological functions -regulate functions of endocrine system
usage of acupressure- TCM perspective
-balance yin and yang -regulate qi and blood -dredge meridian and activate collaterals -regulate functions of organs -regulate body’s life force energy to aid healing
special acupoint
refer to acupoints on the fourteen meridians with special therapeutic effects -majority of the acupoints bearing special effects and are commonly used in clinical treatment
acupoint location methods
-anatomical landmarks -finger measurement -simple location methods
body landmarks
-spinous process of C7 (line c) -spine of the scapula: T3 (line d) -inferior angle of the scapula: T7 (line e) -top of the iliac spine: L4 (line g)
body cun of upper body
what is deqi
extra sensations attributed to pressure on correct acupoint
composite of sensations the patient feels
what are the components of Deqi
- how does the patient feel-dull, achy, full, etc
- what does the therapist feel-firm pressure, light area, etc
- tells about patient (firm=good health, empty=bad/weak) - patient sensation transmission
why do we care about Deqi
fundamental premise for therapeutic effectiveness
-says whether works or not
acupressure for myofascial pain
trigger points: hyperirritable sponts in skeletal muscle that are painful on deep palpation and give rise to referred pain and motor dysfunction
myofascial pain syndrome
a tender tight cord, nodule, or band which may be accompanied with radiating pain and localizsed muscle twitches
pathophysiology of myofascial pain
myofascial pain is caused by increased tension of the affected muscles resulting in pain and dysfunction of the muscle (moder biomedical view)
blood and qi blockage (traditional chinese medicine view)
treatment of myofascial pain
manual myofascial release techniques and other therapeutic exercies
-acupressure: locate ashi points, apply kneading technique to 1-2 minutes to dissolve nodules
gate theory
modulation of sensory nerve impulses by inhibitory mechanisms in the central nervous system
Zhubin
‘beutiful baby point’-location: above the medial malleolus, right below calf muscle (5-cun)
function: calms the mind, builds or tonifies the blood
indication: good for hypertension, fear, anxiety, nightmares, and mental disorders
zusanli (ST 36)
- location: four fingers below the knee cap, on the outer edge of the tibia
- funciton: strengthens overall constitution, builds blood and Qi, resolves edema, harmonizes meridians that control digestive functions
- indication: great point for diarrhea, constipation, gastric pain and indigestion. helps iwth insomnia, edema, and increase energy level
neiguan (PC6)
- morning sickness and motion sickness point
- location: two fingers above inner wrist
- function: calms the mind, harmonizes the stomach
- calms the mind, harmonizes the stomach
- indication: this is THE point for nausea and vomiting, it is also one of the most relaxing acupuncture points and is used for both insomnia and anxiety
acupuncture points to avoid during pregnancy
- point on the lower abdomen-risk of needling to deep
- point of low back-avoid deep needling
- sanyinjiao(SP6)-located three fingers above the medial maleolus. causes contractions
- hegu (LI4)-located on top of hand in the fleshy area between the thumb and index finger. can cause contractions
- jianjin (GB21)- located at the middle point of the line connecting the neck and shoulder joint. can cause contractions
- points of the sacrum-can cause contractions
- Zhiyin (BL67)-located on the lateral tip of the little toe. can cause movement of the fetus
