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Acu-Moxa Points 4 > Midterm > Flashcards

Midterm Flashcards

1
Q

What are important organs to consider taking precaution with when needling?

A

Lung, Heart, Bladder, Brain

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2
Q

What could happen if you needle into the lung

A

Qi Leaking, Cough, Panting, Up baring

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3
Q

What happens within a day if you need the heart?

A

Die

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4
Q

What could happen if you needle into the Bladder?

A

Urine Leaking and Fullness in the lower abdomen

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5
Q

What could happen if you needle into the occipital foramen

A

needle into the brain die immediately

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6
Q

What size needle do you use when needling in the Sp/Kd chest points

A

Less than 2 cun

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7
Q

What size needle do you use when needling ithe st and intestine chest points

A

1-1.5 depending on thickness of the abdomen

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8
Q

Can you needle into the Kd points in the intercostal region?

What is recommended?

A

With a 1 cun needle

Use moxa or cup

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9
Q

What points on the upper back should not be needled deeply?

A

Bl 12/13/14/15

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10
Q

Where do the lungs extend from?

A

T6 on front, T8 on side, T10 on back

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11
Q

What points do you need to be careful of needling the brain and spinal cord on the GB and GV channels?

A

GB 20
GV 15
GV16

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12
Q

What size needle and angle do you use with GB 20?

A

1.5 cun

Angle toward the mouth or eyes

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13
Q

What size needle and angle do you use with GB 16

A

1 cun

Angle toward mouth to prevent spinal cord damage?

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14
Q

For Du Mai Points before Du 14, what size needle do you use and why?

A

1-1.5 Cun because spins processes are over that.

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15
Q

What size needle do you use with GB 16

A

1 cun

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16
Q

Can Jaji Points damage the spinal cord? Why and how do you prevent this?

A

If needled to obliquely can damage spinal cord.

Needle perpendicular with _1cun needle.

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17
Q

What point do you need to use caution due to the median nerve being there?

What size needle do you use?

A

C6

1-1.5 Cun Needle

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18
Q

What point do you need to use caution due to the Radial nerve being there?

What size needle do you use?

A

Li 11, Lu 5 but most are safe

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19
Q

What point do you need to use caution due to the Ulnar nerve being there?

A

SI8

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20
Q

What point do you need to use caution due to the Sciatic nerve being there?

What size needle do you use?

A

GB 30

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21
Q

What are the acupuncture points forbidden in kids

A

Gv17 (<12 mo)

GV 22(frontanel)

Bl 9(bones)

Bl 8

GV24 (not forbidden but because <3 yo due to frontal)

Tb20 (<12mo)

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22
Q

Historically what points are contraindicated?’

A

Gb18 (relatively safe)

TB 20 (use .5-.8cun)

St1 ( .5 cun)

Gv 11 (ok today)

GV 10 ( ok today)

Ht2 (ok today)

Cv 8 (sterile site first)

St 30

Sp 11
Bl 56

Cv 9 (moxa for edema)

Cv1 (not forbidden)

St 17 (moxa)

Tb8

Lr12

St 32 (restless leg)

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23
Q

Why would the New Jing, Ling Shu prohibit points

A

If they were indicated to access the spirit

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24
Q

What size needle should you use with St 1

A

0.5 cun

have the patient look up

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25
Q

What size needle should you use when needling CV 17

A

1.5 cun dt lungs

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26
Q

What acupoints should not be needled deep?

A

St 12

lu 2

Gb 21

Gb3

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27
Q

Why would you use St 12, What needle size and angle?

A

<1 Cun toward the shoulder

Used for upper limb paralysis

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28
Q

What size needle do you use with Lu 2

A

1.5 cun

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29
Q

Why would you use Gb 21? What needle size and angle?

A

Only go in 1 cun.

Oblique insertion with slight perpendicular to hit the qi

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30
Q

What Points Should you Avoid Bleeding?

A

Ki 2

St 42

Ki 7

Tb 19

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31
Q

What points are forbidden to needle in pregnant women

A

Li 4

Sp 6

Bl 67

Gb 21

St 12

Lv3 (helps with delivery)

Ub 23/24

Kd 6

St 36

Lower abdomen (Cv1-8)

Lower Back (Bl 31-34)

Cv 5 (causes infertility)

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32
Q

What are considerations when needling a pregnant patient?

A

Do not needle abdominal points deeply

Do not do heavy reducing at acupoints of lumbar region and back area

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33
Q

What type of people is it contraindicated to needle?

A

Drunk
Angry-causes qi counterflow

Exhausted-damage qi and blood

Overfull-causes qi stagnation

Starving- Qi is lower and could e damaged

Severe thirst

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34
Q

What is best to do for Cv 9?

A

Use moxa

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35
Q

What type of people are contraindicated to needling due to bad prognosis?

A

Cases of severe deficiency of Qi Blood and physique

Where there is discrepancies between pulse and syndrome (5)

near death cases

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36
Q

What is the first exhaustion of cases which have discrepancies between the pulse and the syndrome?

A

Heat syndrome with quiet pulse due to excessive evil qi and weak even qi

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37
Q

What is the second exhaustion of cases which have discrepancies between the pulse and the syndrome

A

Diarrhea with grand surging pulse (evil qi is very strong)

this is a heat syndrome

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38
Q

What is the third exhaustion of cases which have discrepancies between the pulse and the syndrome

A

Zhuo(adhesive) Bi Syndrome (excessive damp) with exhaustion of muscles but heat body and exhausted weak pulse (exhaustion of the Qi of the spleen and Stomach change into heat and become wei syndrome)

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39
Q

What is Wei syndrome?

A

atrophy/muscular atrophy

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40
Q

What is Zhuo?

A

Damp heat, damp phlegm (adhesive-hardly move)

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41
Q

What is Tong Bi caused by?

A

cold

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42
Q

What is Wanding Sing Bi syndrome?

A

Wandering pain caused by wind

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43
Q

What is the fourth exhaustion of cases which have discrepancies between the pulse and the syndrome

A

exhaustion of kidney essence due to over sexual lust but with heat anybody and urinary bleeding?

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44
Q

What is the fifth exhaustion of cases which have discrepancies between the pulse and the syndrome

A

Alternately shiver and fever, physique deform but with excessive hard pulse.

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45
Q

What are two tricks to take care of needling hole?

A

Using salt to cover the point

After treating edema when fluid comes out apply sesame oil to seal the point

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46
Q

What should patients avoid after an acupuncture treatment

A

Physical work to avoid damage to qi and blood

over-indulging in the 5 emotions

sexual over-indulgence

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47
Q

What does drinking do after acupuncture?

A

drive Qi and blood to much and then cause exhaustion of yang and wei

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48
Q

What does an over full stomach do after acupuncture?

A

damages meridians and sinews

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49
Q

What does vinegar rich food do after acupuncture?

A

closes the channels

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50
Q

What does greasy food do after acupuncture?

A

cold

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51
Q

What are three tricks to removing a difficult to withdraw needle?

A

Massage along meridian or use moxa to relax

insert needle along the meridian or somewhere close

moxa the jing well point of related meridian

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52
Q

What are three tricks to alleviate soreness from withdrawing the needle if it lasts more than 3 days

A

moxa local pos or needle around the area, moxa the jing well, use herbal formulas

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53
Q

What are some tricks if the patient faints from needling?

A

Moxa baihui, Kd 1 or press neiguan

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54
Q

What is needle fainting most often due to?

A

hunger, weak constitution, fear, exhaustion of Qi and blood, to heavy of a technique, improper positions so the patient isn’t relaxed, pi blockage

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55
Q

What is the treatment if someone faints from needles?

A
  1. Take out the needles
  2. Use Gv-26 w/ needle or pressure, angle going up(transverse) beneath the nose 1-1.5 cun
  3. Can also use Li-4
4. Do moxa after they have regained consciousness or if you have a helper on:
     Bai Hui
     Kd 1
     CV 8
    Pc 6
    St 36
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56
Q

What points are particularly risky for Pnumothorax?

A

Kd points on the chest (use a cup)

Bl 11-18 (use 1 cun needle)

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57
Q

What points are most at risk for heart injury?

A

Cv 14, 15 ( use .5 cun needle downward)

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58
Q

What points are most at risk for liver injury?

A

Lv 14 ( needle at 30-40 degrees and shallow with 1-1.5 cun)

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59
Q

What points are most at risk for Kindney injury?

What sx suggests this happened?

A

T12-L2
Do not use longer than 1.5-2 cun needle

Blood in the urine is the key symptom

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60
Q

What points are most at risk for abdominal injury?

A

Usually due to dirty needles

use 1 cun needles for thin people and 1.5 for regular

upper belly points angle down

lower belly points angle up

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61
Q

What points have the most risk of damaging the spinal cord?

A

Gv14,16, 2 and bl 10 use 1 cun needles and are the highest risks

gv 14
gv 16
gv20
jaji

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62
Q

What is the hypodermis?

A

spongy soft loose layer where the first layer of qi is often found.

You can experience soreness, distention, heaviness, numbness and radiating if you can’t grab the qi so then go deeper

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63
Q

What does skeletal muscle feel like?

A

Spongy, heavy, resistant,

soreness, distention, heavy pain can be felt

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64
Q

What do ligaments feel like

A

Tough and tensile

bigger resistance than skeletal muscle

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65
Q

Periosteum and bone feel like what?

A

distention and soreness very hard like stone

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66
Q

What do blood vessels feel like?

A

resistance with feeling of softness and elasticity, sudden empty-spongy feeling.

can be painful

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67
Q

What do nerves feel like?

A

somatic nerves will have strong electrical feeling (nerve stem) numbness and sites ion.

68
Q

What does viscera feel like

A

sudden emptiness at the moment when needle goes through wall of body cavity

soft resistance when hit the wall of the viscus, dull distention, warmth, etc. Unclear feeling from the patient

69
Q

What is the definition of moxibustion?

A

a subjects that study and apply the different techniques of acupuncture and moxibustion, their concrete methods, the indications and their principle use.

70
Q

Bian Stone

A

Unearthed relics between 770-221 B.C. between latter stage of neolithc age and the spring-autumn war states age

71
Q

Wang xuetai:

A

late stage of paleolithic age

72
Q

When can the Bian stone be traced back to?

A

Late stage of the paleolithic age

73
Q

What does the paleolithic age designate?

A

cultural period begining with the earliest chipped stone 750,000 years ago tools until beginning of mesolithic age 15k years ago

74
Q

What age did the embryonic stage of the nine needles take place?

A

Bronze age

75
Q

What is the Bian Shi?

A

Stone tools used to cure and treat disease

76
Q

History of acupuncture dates back to when?

A

paleolithic times

77
Q

what do the 9 needles symbolize?

A

formation of acupuncture needling techniques

78
Q

When did 9 needles take place?

A

Bronze Age

79
Q

Who is the author of the verse of the golden needle?

A

Xu Feng

80
Q

The needling techniques named 9 needling, 12 needling and 5 needling are what?

A

Same type of needle with different location of insertion and length to reach different tissues

81
Q

According to the Nei Jing what are the 6 kinds of fundamental techniques?

A

Lifting thrusting

Twisting

Slow-speedy tonification/reducing

breathing tonification/reducing

direction (against or with)

open close point.

82
Q

What is the basic (highest) principle?

A

Harmonizing yin and yang

83
Q

What is a basic technique to harmonize yin and yang?

A

Yin on Right Yang on left. If disease is on yin choose yang points

84
Q

What is the thumb technique for harmonizing yin and yang?

A

thumb moving forward is yang back is yin

85
Q

What is the Yang and Wei method to tonify?

A

To tonify (yang goes in) insert needle slowly and push surface qi in, withdraw quickly and close

86
Q

What is the Yang and Wei method to reduce?

A

yin goes out so go in quick and go out slow

87
Q

Which one is yin and yang for pain and itching?

A

Pain = yin

Itching = yang

88
Q

What is the trick to treat yin pain

A

insert needle deeper, retain longer

89
Q

What is the trick to treat yang itching?

A

stay superficial and retain needle for shorter time

90
Q

What is the difference in needle style for strong patients?

A

needled deeper and needles retained longer

91
Q

What is the difference in needle style for weak patients?

A

needle more superficial for less time

92
Q

How do you treat yang excess?

A

tonify yin first then reduce yang

93
Q

How do you treat yin deficiency?

A

Tonify yang first then reduct yin

94
Q

What is the inherent root of acupuncture?

A

opening and regulating the meridians and collaterals?

95
Q

How does one open and regulate the meridians and collaterals?

A

using the meeting points of the Qi and Blood and being aware of Yang and Sui(meaning townifying or reducing)

Controlling the direction of qi flow

Ziwuliuzhu

96
Q

How do you control the direction of Qi Flow?

A

Drive the qi to the diseased area

turn needle forward qi goes up

turn needle back qi goes down

97
Q

What is Ziquliuzhu Needling?

A

chrono-acupuncture

needling according to the organ clock

98
Q

What is the natural law of acupuncture?

A

Support vital Qi to expel the evils.

99
Q

What is the core of acupuncture techniques?

A

manipulating in different levels

100
Q

What are the three punctures according to the lingshu

A

penetrating the skin, get rid of yang evil

going slightly deeper, reach the muscles, expel yin evil

even deeper, gain the grain of Qi

101
Q

why do we needle the different layers?

A

physiological reason: hierarchy of qi distribution

tissue correlated with internal organs

seasons affect the movement of qi and blood

102
Q

What are the basic requirements of effectively applying acupuncture technique

A

Deqi: qi grabbing

Zhishen,Shen Management

Bianzhengshizhi: apply the techniques according to the differentiation

103
Q

What are the eight guidelines (carry out of bianzhenshizhi)

A

1: yin syndrome
2. Yang syndrome
3: surface syndrome
4. Internal Syndrome
5. cold
6. heat
7. Excess
8. deficient
9. Qi
10. Xue-blood

104
Q

What is yin syndrome?

A

yin excessive, eventually will damage yang. need to strengthen yang and reduce yin….needle deeper retain longer

105
Q

What are yang syndromes?

A

yang excess, needle shallow and retain shorter, can use bleeding or cupping

106
Q

How do you treat surface syndromes?

A

Gb20, Gv16, Li11, Li4, Bl12

Needle shallow and retain shorter.

107
Q

How do you treat Internal syndromes?

A

Use yuan source point needle deeper and retain longer

108
Q

What are Jing Luo?

A

The pathways of Qi and Blood in the body

109
Q

What is Jing

A

Jing means to pass through or longitude

  1. Connects inside to outside
  2. Links limps and joints
  3. Connect viscera and bowels
  4. Creates a web of the whole body
110
Q

Luo

A

means network, communication between

111
Q

What is Benzang?

A

moving blood/qi and regulate yin/yang…lubricate sinews and bone and benefit joints

112
Q

How many Mai (regular channels) and Divergent channels are there?

A

12 of each

113
Q

How many Luo channels are therE?

A

15

114
Q

How many extrodinary vessels are there?

A

8

115
Q

How many extraordinary organs are there and what are they?

A

6

Marrow
Bone
Brain
Uterus
Blood Vessels
Gallbladder
116
Q

What are Bioben, Qijie and Sihai

A

Specialized regional connections between : front (abdomen) & back, Head (upper) & body (lower).

117
Q

What are the functions of Jin Luo

A
  1. Resist Pathogens(wei Qi) and Induce Disease (Xie Qi)
  2. Transport Qi and Blood
  3. Connect all the channels
  4. Reflect the symptoms and syndromes as well as the order of changes in the disease and treatment.
  5. Conduct and receive stimulation/treatment in order to regulate Xu/Shi
118
Q

Bood is the mother of what

A

Blood is the mother of Qi

Qi is the commander of Blood

119
Q

How does information from the Jing Luo help us?

A

It helps us select points and treat the related Jing Luo directly

120
Q

What is Shi Dong Illness?

A

suffering/disease arising when this is stirred (moved/shaken)

121
Q

What is Sui Sheng?

A

When disease is caused by disorder of this meridian/disease arising when produced by this (meridian)/give rise to disease

122
Q

The earliest available Jing Luo literature is?

A

Mai Shu (meridian books, part of silk book)

123
Q

From Medial to lateral, order the 12 regular meridians at abdominal area.

A

F-Shaoyin–>Yang Ming–>Taiyin–>Shaoyang

124
Q

According to the Lingshu, named after ‘hand-foot, yin-yang and zang-fu’ imply (is applicable to) what?

A

12 regular meridians

125
Q

Which dynasty hold most of the literature on Jing Luo Theory?

A

Song Dynasty

126
Q

The Nomination of the 12 regular meridians includes

A

Shouzu, Yin-yang, zang-fu

127
Q

In 12 regular meridians, yin channel connects yin channels where?

A

at the chest (abdomen)

128
Q

Homonymic Yang meridians connect at which location?

A

head-face

129
Q

What are the two basic needling techniques?

A
  1. Insert the needle while a patient coughs or inhale(reduce)/exhale(tonify)
  2. Insert the needle only by rotating the needle to drive it through skin
130
Q

What is Ticha?

A

Lifting and thrusting

131
Q

What is Nianzhuan?

A

Twisting

132
Q

What is Shenqian?

A

Depth

133
Q

If someone has a deficient pulse how should you needle them?

A

shallow, deeper if excess

134
Q

How do you needle Heat Syndrome ?

A

shallow and quick (as if we touch hot soup)

135
Q

How do you needle Cold Syndrome?

A

Deeper and Slower

136
Q

If you withdraw the needle quick is it townifying or reducing?

A

Quick=tonifying, seals qi in

137
Q

If you withdraw the needle slow is it townifying or reducing

A

Reducing, brings qi out

138
Q

What does Inspections: Chuai refer to and where do you look?

A

Separating (pc6,lu7,st36)
Turning (si6)
Rolling-waving (sj4,li15)
Ascending-descending (st41,li5)

139
Q

What are the 7 adjunct techniques of needling

A
  1. Inspections (chi)
  2. Guiding (Xun)
  3. Flicking (Tan)
  4. Scraping (Gua)
  5. Waving (Yao)
  6. Flying (Fei)
  7. Trembling (zhenchan)
140
Q

Suwen ch 25 states what about the shen

A

The reality of needling is treating the shen at first

141
Q

What does lingshu ch8 say about the shen

A

All kinds of needling must started from shen

142
Q

Linshu ch 32 states what?

A

Shen is equal with the Jingqi from water and grain

143
Q

Shen means what according to Lingshu ch 3

A

even qi

144
Q

Blood and Qi belong to what

A

Human’s shen

145
Q

What are the methods for working with Shen?

A
  1. Concentrate on work throughout the entire process

2. Guide the patients spirit by uniting with the universe, looking through the patients eyes, through language

146
Q

What three ways can we guide the patients spirit

A
  1. By uniting with the universe
  2. By looking through the patients eyes
  3. Through language
147
Q

Why does one want to contact the eyes when managing shen?

A

To rectify their shen you want to contact the eyes to guide their shen, let the Qi follow easily

It controls the Qi to have it be under control of the shen to not allow them to disperse

148
Q

Qi always follows what

A

Shen

149
Q

When managing Shen what must you do before and after the insertion

A

Before: transmit shen of the universe by uniting yourself with the universe and heart should connect to shen so qi will follow

After: concentrate on the tip of the needle so that qi isn’t slack b/x the shen is always accompanying it.

150
Q

What must a physician do in order to have an excellent performancee of shen principle?

A

Practice Qi gong or Tai Ji

151
Q

What is the purpose of self-cultivation

A

Gather the shen to keep away the diseases and strengthen health.

152
Q

What is Shen Management

Result?

A
  1. Concentrating through the entire therapeutic Needling Process
  2. Initiate from Shen Level of practitioner
  3. The interaction among the three levels-Jing Qi and Shen b/t acupuncturist and patient.

Result: rectify the pathogenic state of patient in all three levels

153
Q

The patients shen should flow…..

the doctors shen should flow…

A

STAY INWARD passively

Flow outward to unite, actively

154
Q

What are the 5 methods for Deqi-Qi handling

A
  1. Waiting
  2. Urging
  3. Keeping
  4. Driving
  5. Distinguishing
155
Q

What is the concept in Deqi-waiting for the Qi

A

(Hoqi): after inserting the needle, didn’t grab or difficult to grab qi, wait….

156
Q

What is the concept in Deqi- for urging

A

Cuiqi: be used both before and after qi has arrived

157
Q

What is the concept in Deqi-for keeping the Qi?

A

Shouqi: manipulating needle, hold for a moment (use mind to keep the Qi carefully), then rotate..do mild manipulation

158
Q

What is the concept in Deqi-

Driving the Qi

A

Xingqi: esp vibrating or pulling needle down, toward the skin not into the skin

159
Q

Distinguishing the Qi:

A

Bian Qi: Distinguish between good and bad

160
Q

What does Bad Qi feel like

A

Bad Qi will feel tight and inflexible, it will have an uncomfortable feeling take sure the needle isn’t tangled

161
Q

What are the signs that Qi arrived?

A

Distension, numbness, bundling, cool, warm, moving up or down, electric shock, jumping, insects creeping, qi flowing water dunking, jerking or simple feels comfortable

162
Q

The Quality the patient will feel when Qi arrives depends on what 5 aspects.***

A
  1. Constitution of Pt.
  2. Character of the disease (heat and excess will feel swollen and painful)
  3. Part receiving the tx(j/w feel sharp with numbness)
  4. Season and weather.
  5. The needling technique
163
Q

What does the physician feel when the Qi arrives

A

tension and sinking or floating instead of loose feeling underneath the needle tip

Feels like fish takes your paint

Muscles around the point become tense instead of loose, jumping or squirming of muscle

see the patient start to smile or feel relaxed

164
Q

According to the Lingshu what does it feel like when evil qi arrives

A

Tightness and roughness

165
Q

According to the Lingshu what does it feel like when grain qi arrives

A

gentleness and peacefulness

Acu-Moxa Points 4 (1 decks)

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