midterm Flashcards
pushing - face/head
- heavenly gate method (YIN TANG towards DU23)
- patient lies SUPINE or sits on CHAIR
- thumbs on YIN TANG
- push in STRAIGHT LINE upward above hairline (DU23)
- pushing should be in a straight line, AWAY from practitioner
- usually combined with wiping
pushing - back/front
- patient lies in PRONE position
- 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
pressing - head
1a. thumbs pressing on DU20
1b. thumbs pressing on TAI YANG (temple)
pressing - back
- both palms pressing along vertebrae
- keep palms on body, following patient’s breath
*thumbs can be used to press along UB channel
grasping - shoulder/back/abdomen
- grasp area deeply
- slowly LIFT and squeeze
*like squeezing wet towel
vibration - back/abdomen/legs
- place hand on area, and the other hand on top
- focus and relax the shoulder and upper arm
- begin with subtle movement, then increase
*follow breath of patient, but perform entirely through exhalation
scrubbing - arm (PC)
- free hand grabbing on wrist
- other hand with index and middle finger
- scrub locally near PC7 up and down
- finish with a push towards PC3
*follow breath of patient, but perform entirely through exhalation
scrubbing - back
- patient lying PRONE
- index and middle finger
- scrub along HUA TUO JIA JI points
- up and down movement
rubbing (round rubbing) - abdomen
- patient lying SUPINE
- use entire palm of hand
- circular motion
- continuous circle with both hands
- CW: constipation
- CCW: diarrhea
rubbing (round rubbing) - face/head
- YIN TANG area
2. TAI YANG area
kneading - back
- use thumbs with the fingers spread out on back
- closer to UB channel
- downward pressure with circular motion
*do not cause friction over skin
rolling - back/lower back
- use dorsal aspect of hand, with particularly lateral side of palm and knuckles
- keep hand attached to area
- dorsal side of hand rolls to middle finger
- coordinate forearm with wrist movement
*like rolling dough out with a rolling pin
pulling - wrist
- use both hands
- stabilize/grab from thumb and little finger
*sudden elongation/extension movement
pulling - neck
- use both hands
2. stabilize one hand on occiput, one hand under chin
traction - wrist/ankle
- use both hands
2a. wrist - grab same as pulling
2b. ankle - grab SP3 and grab heel
- gradual elongation movement
- motion parallel to spine
carrying - leg
??????
pinching - knee/elbow/shoulder
- put hands together
- open palms
- equal and opposite pressure
- use elbows (lateral to medial)
plucking - shoulder
- patient in PRONE position
2. initially grasp, then PLUCK
patting - back/arms/legs
- make a cup with hand
- stabilize with one hand
- pat down the channel
beating - back/leg
- patient in PRONE position
- make a loose fist, use ulnar side of the fist
- continuous motion down and up the channel
shaking - arm/leg
- hands on same position as pulling/traction
- traction out
- gently shake up and down like a whip/rope
wiping - shoulder
- sitting position or supine position
- start from the high point of the trapezius
- wipe down towards shoulder
*wiping is always away from practitioner
wiping - chest/abdomen
- put palms together, at the chest and come down
- at the end of the rib, separate palms and push slightly superiorly
- wipe down the rib line
- repeat again, but wipe lower below the rib line
- repeat again and end lower
*wiping is always away from practitioner
wiping - face
- patient supine
- start from YIN TANG, move down eyebrow
- wipe off at zygomatic arch
foulage - upper arm
- grab wrist with outside hand
- use forearm to move up and down patient’s upper arm, and roll down towards lower extremities
- use the outside hand to roll CW and CCW to aid in foulage movement
foulage - lower arm
- stabilize distal to wrist with knees/upper legs
2. use both ulnar sides of the forearms to foulage the lower arm
foulage - back
- free hand leads the foulage down the back
2. use other forearm to move across back, downwards
rotation - wrist/ankle
- traction out
2. rotate CW or CCW while holding on to the two holding areas
rotation - shoulder
- free hand grabs onto the shoulder joint
- other hand grabs on to wrist
- gradually increase range of motion
rotation - knee
- stabilize free hand under knee
2. use other hand to use knee as the pivot point for rotation
rotation - spine
- patient prone position
- free hand stabilizing lower back
- other arm supporting from above knee
3a. can be one leg or both legs - rotate legs gradually and increase range of motion
