midterm

Question 1

pushing - face/head

Answer 1

1. heavenly gate method (YIN TANG towards DU23)
2. patient lies SUPINE or sits on CHAIR
3. thumbs on YIN TANG
4. push in STRAIGHT LINE upward above hairline (DU23)

• pushing should be in a straight line, AWAY from practitioner
• usually combined with wiping

Question 2

pushing - back/front

Answer 2

1. patient lies in PRONE position
2. use heel of palm to push out towards waistline (or farther down the leg)

• opposite leg, opposite hand
• for entire UB: same leg, same hand (front leg stepping first)
• for RN, ulnar blade of palms at chest line, then palm at abdomen and down

Question 3

pressing - head

Answer 3

1a. thumbs pressing on DU20

1b. thumbs pressing on TAI YANG (temple)

Question 4

pressing - back

Answer 4

1. both palms pressing along vertebrae
2. keep palms on body, following patient’s breath

*thumbs can be used to press along UB channel

Question 5

grasping - shoulder/back/abdomen

Answer 5

1. grasp area deeply
2. slowly LIFT and squeeze

*like squeezing wet towel

Question 6

vibration - back/abdomen/legs

Answer 6

1. place hand on area, and the other hand on top
2. focus and relax the shoulder and upper arm
3. begin with subtle movement, then increase

*follow breath of patient, but perform entirely through exhalation

Question 7

scrubbing - arm (PC)

Answer 7

1. free hand grabbing on wrist
2. other hand with index and middle finger
3. scrub locally near PC7 up and down
4. finish with a push towards PC3

*follow breath of patient, but perform entirely through exhalation

Question 8

scrubbing - back

Answer 8

1. patient lying PRONE
2. index and middle finger
3. scrub along HUA TUO JIA JI points
4. up and down movement

Question 9

rubbing (round rubbing) - abdomen

Answer 9

1. patient lying SUPINE
2. use entire palm of hand
3. circular motion
4. continuous circle with both hands

• CW: constipation
• CCW: diarrhea

Question 10

rubbing (round rubbing) - face/head

Answer 10

1. YIN TANG area

2. TAI YANG area

Question 11

kneading - back

Answer 11

1. use thumbs with the fingers spread out on back
2. closer to UB channel
3. downward pressure with circular motion

*do not cause friction over skin

Question 12

rolling - back/lower back

Answer 12

1. use dorsal aspect of hand, with particularly lateral side of palm and knuckles
2. keep hand attached to area
3. dorsal side of hand rolls to middle finger
4. coordinate forearm with wrist movement

*like rolling dough out with a rolling pin

Question 13

pulling - wrist

Answer 13

1. use both hands
2. stabilize/grab from thumb and little finger

*sudden elongation/extension movement

Question 14

pulling - neck

Answer 14

1. use both hands

2. stabilize one hand on occiput, one hand under chin

Question 15

traction - wrist/ankle

Answer 15

1. use both hands
   2a. wrist - grab same as pulling
   2b. ankle - grab SP3 and grab heel

• gradual elongation movement
• motion parallel to spine

Question 16

carrying - leg

Answer 16

??????

Question 17

pinching - knee/elbow/shoulder

Answer 17

1. put hands together
2. open palms

• equal and opposite pressure
• use elbows (lateral to medial)

Question 18

plucking - shoulder

Answer 18

1. patient in PRONE position

2. initially grasp, then PLUCK

Question 19

patting - back/arms/legs

Answer 19

1. make a cup with hand
2. stabilize with one hand
3. pat down the channel

Question 20

beating - back/leg

Answer 20

1. patient in PRONE position
2. make a loose fist, use ulnar side of the fist
3. continuous motion down and up the channel

Question 21

shaking - arm/leg

Answer 21

1. hands on same position as pulling/traction
2. traction out
3. gently shake up and down like a whip/rope

Question 22

wiping - shoulder

Answer 22

1. sitting position or supine position
2. start from the high point of the trapezius
3. wipe down towards shoulder

*wiping is always away from practitioner

Question 23

wiping - chest/abdomen

Answer 23

1. put palms together, at the chest and come down
2. at the end of the rib, separate palms and push slightly superiorly
3. wipe down the rib line
4. repeat again, but wipe lower below the rib line
5. repeat again and end lower

*wiping is always away from practitioner

Question 24

wiping - face

Answer 24

1. patient supine
2. start from YIN TANG, move down eyebrow
3. wipe off at zygomatic arch

Question 25

foulage - upper arm

Answer 25

1. grab wrist with outside hand
2. use forearm to move up and down patient’s upper arm, and roll down towards lower extremities
3. use the outside hand to roll CW and CCW to aid in foulage movement

Question 26

foulage - lower arm

Answer 26

1. stabilize distal to wrist with knees/upper legs

2. use both ulnar sides of the forearms to foulage the lower arm

Question 27

foulage - back

Answer 27

1. free hand leads the foulage down the back

2. use other forearm to move across back, downwards

Question 28

rotation - wrist/ankle

Answer 28

1. traction out

2. rotate CW or CCW while holding on to the two holding areas

Question 29

rotation - shoulder

Answer 29

1. free hand grabs onto the shoulder joint
2. other hand grabs on to wrist
3. gradually increase range of motion

Question 30

rotation - knee

Answer 30

1. stabilize free hand under knee

2. use other hand to use knee as the pivot point for rotation

Question 31

rotation - spine

Answer 31

1. patient prone position
2. free hand stabilizing lower back
3. other arm supporting from above knee
   3a. can be one leg or both legs
4. rotate legs gradually and increase range of motion