lecture 3 acupoint and treatment of myoscial pain

Question 1

acupoints

Answer 1

sites through which the Qi of the zang-fu organs and meridians is transported to the body surface

Question 2

classification of acupoints

Answer 2

1. regular- acupoints of the 14 meridians 2. extra- extraordinary points 3. ashi points-tenderness spot

Question 3

regular meridan points

Answer 3

-regular names -regular locations -pertain to definite meridians -major part of acupoints -361 of them

Question 4

extra points

Answer 4

-regular names -regular locations -does not pertain to specific meridans -especially effective in treating certain diseases

Question 5

usage of acupressure- western perspective

Answer 5

-release muscular tension -promote circulation of blood -modulate funcitons of the nervous system -regulate immunological functions -regulate functions of endocrine system

Question 6

usage of acupressure- TCM perspective

Answer 6

-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

Question 7

special acupoint

Answer 7

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

Question 8

acupoint location methods

Answer 8

-anatomical landmarks -finger measurement -simple location methods

Question 9

body landmarks

Answer 9

-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)

Question 10

body cun of upper body

Answer 10

Question 11

what is deqi

Answer 11

extra sensations attributed to pressure on correct acupoint

composite of sensations the patient feels

Question 12

what are the components of Deqi

Answer 12

1. how does the patient feel-dull, achy, full, etc
2. what does the therapist feel-firm pressure, light area, etc
   - tells about patient (firm=good health, empty=bad/weak)
3. patient sensation transmission

Question 13

why do we care about Deqi

Answer 13

fundamental premise for therapeutic effectiveness

-says whether works or not

Question 14

acupressure for myofascial pain

Answer 14

trigger points: hyperirritable sponts in skeletal muscle that are painful on deep palpation and give rise to referred pain and motor dysfunction

Question 15

myofascial pain syndrome

Answer 15

a tender tight cord, nodule, or band which may be accompanied with radiating pain and localizsed muscle twitches

Question 16

pathophysiology of myofascial pain

Answer 16

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)

Question 17

treatment of myofascial pain

Answer 17

manual myofascial release techniques and other therapeutic exercies

-acupressure: locate ashi points, apply kneading technique to 1-2 minutes to dissolve nodules

Question 18

gate theory

Answer 18

modulation of sensory nerve impulses by inhibitory mechanisms in the central nervous system

Question 19

Zhubin

Answer 19

‘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

Question 20

zusanli (ST 36)

Answer 20

• 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

Question 21

neiguan (PC6)

Answer 21

• 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

Question 22

acupuncture points to avoid during pregnancy

Answer 22

1. point on the lower abdomen-risk of needling to deep
2. point of low back-avoid deep needling
3. sanyinjiao(SP6)-located three fingers above the medial maleolus. causes contractions
4. hegu (LI4)-located on top of hand in the fleshy area between the thumb and index finger. can cause contractions
5. jianjin (GB21)- located at the middle point of the line connecting the neck and shoulder joint. can cause contractions
6. points of the sacrum-can cause contractions
7. Zhiyin (BL67)-located on the lateral tip of the little toe. can cause movement of the fetus