Midterm Flashcards
1
Q
What are important organs to consider taking precaution with when needling?
A
Lung, Heart, Bladder, Brain
2
Q
What could happen if you needle into the lung
A
Qi Leaking, Cough, Panting, Up baring
3
Q
What happens within a day if you need the heart?
A
Die
4
Q
What could happen if you needle into the Bladder?
A
Urine Leaking and Fullness in the lower abdomen
5
Q
What could happen if you needle into the occipital foramen
A
needle into the brain die immediately
6
Q
What size needle do you use when needling in the Sp/Kd chest points
A
Less than 2 cun
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
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
9
Q
What points on the upper back should not be needled deeply?
A
Bl 12/13/14/15
10
Q
Where do the lungs extend from?
A
T6 on front, T8 on side, T10 on back
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
12
Q
What size needle and angle do you use with GB 20?
A
1.5 cun
Angle toward the mouth or eyes
13
Q
What size needle and angle do you use with GB 16
A
1 cun
Angle toward mouth to prevent spinal cord damage?
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.
15
Q
What size needle do you use with GB 16
A
1 cun
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.
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
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
19
Q
What point do you need to use caution due to the Ulnar nerve being there?
A
SI8
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
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)
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)
23
Q
Why would the New Jing, Ling Shu prohibit points
A
If they were indicated to access the spirit
24
Q
What size needle should you use with St 1
A
0.5 cun
have the patient look up
25
What size needle should you use when needling CV 17
1.5 cun dt lungs
26
What acupoints should not be needled deep?
St 12
lu 2
Gb 21
Gb3
27
Why would you use St 12, What needle size and angle?
<1 Cun toward the shoulder
Used for upper limb paralysis
28
What size needle do you use with Lu 2
1.5 cun
29
Why would you use Gb 21? What needle size and angle?
Only go in 1 cun.
Oblique insertion with slight perpendicular to hit the qi
30
What Points Should you Avoid Bleeding?
Ki 2
St 42
Ki 7
Tb 19
31
What points are forbidden to needle in pregnant women
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)
32
What are considerations when needling a pregnant patient?
Do not needle abdominal points deeply
Do not do heavy reducing at acupoints of lumbar region and back area
33
What type of people is it contraindicated to needle?
Drunk
Angry-causes qi counterflow
Exhausted-damage qi and blood
Overfull-causes qi stagnation
Starving- Qi is lower and could e damaged
Severe thirst
34
What is best to do for Cv 9?
Use moxa
35
What type of people are contraindicated to needling due to bad prognosis?
Cases of severe deficiency of Qi Blood and physique
Where there is discrepancies between pulse and syndrome (5)
near death cases
36
What is the first exhaustion of cases which have discrepancies between the pulse and the syndrome?
Heat syndrome with quiet pulse due to excessive evil qi and weak even qi
37
What is the second exhaustion of cases which have discrepancies between the pulse and the syndrome
Diarrhea with grand surging pulse (evil qi is very strong)
this is a heat syndrome
38
What is the third exhaustion of cases which have discrepancies between the pulse and the syndrome
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)
39
What is Wei syndrome?
atrophy/muscular atrophy
40
What is Zhuo?
Damp heat, damp phlegm (adhesive-hardly move)
41
What is Tong Bi caused by?
cold
42
What is Wanding Sing Bi syndrome?
Wandering pain caused by wind
43
What is the fourth exhaustion of cases which have discrepancies between the pulse and the syndrome
exhaustion of kidney essence due to over sexual lust but with heat anybody and urinary bleeding?
44
What is the fifth exhaustion of cases which have discrepancies between the pulse and the syndrome
Alternately shiver and fever, physique deform but with excessive hard pulse.
45
What are two tricks to take care of needling hole?
Using salt to cover the point
After treating edema when fluid comes out apply sesame oil to seal the point
46
What should patients avoid after an acupuncture treatment
Physical work to avoid damage to qi and blood
over-indulging in the 5 emotions
sexual over-indulgence
47
What does drinking do after acupuncture?
drive Qi and blood to much and then cause exhaustion of yang and wei
48
What does an over full stomach do after acupuncture?
damages meridians and sinews
49
What does vinegar rich food do after acupuncture?
closes the channels
50
What does greasy food do after acupuncture?
cold
51
What are three tricks to removing a difficult to withdraw needle?
Massage along meridian or use moxa to relax
insert needle along the meridian or somewhere close
moxa the jing well point of related meridian
52
What are three tricks to alleviate soreness from withdrawing the needle if it lasts more than 3 days
moxa local pos or needle around the area, moxa the jing well, use herbal formulas
53
What are some tricks if the patient faints from needling?
Moxa baihui, Kd 1 or press neiguan
54
What is needle fainting most often due to?
hunger, weak constitution, fear, exhaustion of Qi and blood, to heavy of a technique, improper positions so the patient isn't relaxed, pi blockage
55
What is the treatment if someone faints from needles?
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
```
56
What points are particularly risky for Pnumothorax?
Kd points on the chest (use a cup)
Bl 11-18 (use 1 cun needle)
57
What points are most at risk for heart injury?
Cv 14, 15 ( use .5 cun needle downward)
58
What points are most at risk for liver injury?
Lv 14 ( needle at 30-40 degrees and shallow with 1-1.5 cun)
59
What points are most at risk for Kindney injury?
What sx suggests this happened?
T12-L2
Do not use longer than 1.5-2 cun needle
Blood in the urine is the key symptom
60
What points are most at risk for abdominal injury?
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
61
What points have the most risk of damaging the spinal cord?
Gv14,16, 2 and bl 10 use 1 cun needles and are the highest risks
gv 14
gv 16
gv20
jaji
62
What is the hypodermis?
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
63
What does skeletal muscle feel like?
Spongy, heavy, resistant,
soreness, distention, heavy pain can be felt
64
What do ligaments feel like
Tough and tensile
bigger resistance than skeletal muscle
65
Periosteum and bone feel like what?
distention and soreness very hard like stone
66
What do blood vessels feel like?
resistance with feeling of softness and elasticity, sudden empty-spongy feeling.
can be painful
67
What do nerves feel like?
somatic nerves will have strong electrical feeling (nerve stem) numbness and sites ion.
68
What does viscera feel like
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
What is the definition of moxibustion?
a subjects that study and apply the different techniques of acupuncture and moxibustion, their concrete methods, the indications and their principle use.
70
Bian Stone
Unearthed relics between 770-221 B.C. between latter stage of neolithc age and the spring-autumn war states age
71
Wang xuetai:
late stage of paleolithic age
72
When can the Bian stone be traced back to?
Late stage of the paleolithic age
73
What does the paleolithic age designate?
cultural period begining with the earliest chipped stone 750,000 years ago tools until beginning of mesolithic age 15k years ago
74
What age did the embryonic stage of the nine needles take place?
Bronze age
75
What is the Bian Shi?
Stone tools used to cure and treat disease
76
History of acupuncture dates back to when?
paleolithic times
77
what do the 9 needles symbolize?
formation of acupuncture needling techniques
78
When did 9 needles take place?
Bronze Age
79
Who is the author of the verse of the golden needle?
Xu Feng
80
The needling techniques named 9 needling, 12 needling and 5 needling are what?
Same type of needle with different location of insertion and length to reach different tissues
81
According to the Nei Jing what are the 6 kinds of fundamental techniques?
Lifting thrusting
Twisting
Slow-speedy tonification/reducing
breathing tonification/reducing
direction (against or with)
open close point.
82
What is the basic (highest) principle?
Harmonizing yin and yang
83
What is a basic technique to harmonize yin and yang?
Yin on Right Yang on left. If disease is on yin choose yang points
84
What is the thumb technique for harmonizing yin and yang?
thumb moving forward is yang back is yin
85
What is the Yang and Wei method to tonify?
To tonify (yang goes in) insert needle slowly and push surface qi in, withdraw quickly and close
86
What is the Yang and Wei method to reduce?
yin goes out so go in quick and go out slow
87
Which one is yin and yang for pain and itching?
Pain = yin
Itching = yang
88
What is the trick to treat yin pain
insert needle deeper, retain longer
89
What is the trick to treat yang itching?
stay superficial and retain needle for shorter time
90
What is the difference in needle style for strong patients?
needled deeper and needles retained longer
91
What is the difference in needle style for weak patients?
needle more superficial for less time
92
How do you treat yang excess?
tonify yin first then reduce yang
93
How do you treat yin deficiency?
Tonify yang first then reduct yin
94
What is the inherent root of acupuncture?
opening and regulating the meridians and collaterals?
95
How does one open and regulate the meridians and collaterals?
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
How do you control the direction of Qi Flow?
Drive the qi to the diseased area
turn needle forward qi goes up
turn needle back qi goes down
97
What is Ziquliuzhu Needling?
chrono-acupuncture
needling according to the organ clock
98
What is the natural law of acupuncture?
Support vital Qi to expel the evils.
99
What is the core of acupuncture techniques?
manipulating in different levels
100
What are the three punctures according to the lingshu
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
why do we needle the different layers?
physiological reason: hierarchy of qi distribution
tissue correlated with internal organs
seasons affect the movement of qi and blood
102
What are the basic requirements of effectively applying acupuncture technique
Deqi: qi grabbing
Zhishen,Shen Management
Bianzhengshizhi: apply the techniques according to the differentiation
103
What are the eight guidelines (carry out of bianzhenshizhi)
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
What is yin syndrome?
yin excessive, eventually will damage yang. need to strengthen yang and reduce yin....needle deeper retain longer
105
What are yang syndromes?
yang excess, needle shallow and retain shorter, can use bleeding or cupping
106
How do you treat surface syndromes?
Gb20, Gv16, Li11, Li4, Bl12
Needle shallow and retain shorter.
107
How do you treat Internal syndromes?
Use yuan source point needle deeper and retain longer
108
What are Jing Luo?
The pathways of Qi and Blood in the body
109
What is Jing
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
Luo
means network, communication between
111
What is Benzang?
moving blood/qi and regulate yin/yang...lubricate sinews and bone and benefit joints
112
How many Mai (regular channels) and Divergent channels are there?
12 of each
113
How many Luo channels are therE?
15
114
How many extrodinary vessels are there?
8
115
How many extraordinary organs are there and what are they?
6
```
Marrow
Bone
Brain
Uterus
Blood Vessels
Gallbladder
```
116
What are Bioben, Qijie and Sihai
Specialized regional connections between : front (abdomen) & back, Head (upper) & body (lower).
117
What are the functions of Jin Luo
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
Bood is the mother of what
Blood is the mother of Qi
Qi is the commander of Blood
119
How does information from the Jing Luo help us?
It helps us select points and treat the related Jing Luo directly
120
What is Shi Dong Illness?
suffering/disease arising when this is stirred (moved/shaken)
121
What is Sui Sheng?
When disease is caused by disorder of this meridian/disease arising when produced by this (meridian)/give rise to disease
122
The earliest available Jing Luo literature is?
Mai Shu (meridian books, part of silk book)
123
From Medial to lateral, order the 12 regular meridians at abdominal area.
F-Shaoyin-->Yang Ming-->Taiyin-->Shaoyang
124
According to the Lingshu, named after 'hand-foot, yin-yang and zang-fu' imply (is applicable to) what?
12 regular meridians
125
Which dynasty hold most of the literature on Jing Luo Theory?
Song Dynasty
126
The Nomination of the 12 regular meridians includes
Shouzu, Yin-yang, zang-fu
127
In 12 regular meridians, yin channel connects yin channels where?
at the chest (abdomen)
128
Homonymic Yang meridians connect at which location?
head-face
129
What are the two basic needling techniques?
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
What is Ticha?
Lifting and thrusting
131
What is Nianzhuan?
Twisting
132
What is Shenqian?
Depth
133
If someone has a deficient pulse how should you needle them?
shallow, deeper if excess
134
How do you needle Heat Syndrome ?
shallow and quick (as if we touch hot soup)
135
How do you needle Cold Syndrome?
Deeper and Slower
136
If you withdraw the needle quick is it townifying or reducing?
Quick=tonifying, seals qi in
137
If you withdraw the needle slow is it townifying or reducing
Reducing, brings qi out
138
What does Inspections: Chuai refer to and where do you look?
Separating (pc6,lu7,st36)
Turning (si6)
Rolling-waving (sj4,li15)
Ascending-descending (st41,li5)
139
What are the 7 adjunct techniques of needling
1. Inspections (chi)
2. Guiding (Xun)
3. Flicking (Tan)
4. Scraping (Gua)
5. Waving (Yao)
6. Flying (Fei)
7. Trembling (zhenchan)
140
Suwen ch 25 states what about the shen
The reality of needling is treating the shen at first
141
What does lingshu ch8 say about the shen
All kinds of needling must started from shen
142
Linshu ch 32 states what?
Shen is equal with the Jingqi from water and grain
143
Shen means what according to Lingshu ch 3
even qi
144
Blood and Qi belong to what
Human's shen
145
What are the methods for working with Shen?
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
What three ways can we guide the patients spirit
1. By uniting with the universe
2. By looking through the patients eyes
3. Through language
147
Why does one want to contact the eyes when managing shen?
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
Qi always follows what
Shen
149
When managing Shen what must you do before and after the insertion
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
What must a physician do in order to have an excellent performancee of shen principle?
Practice Qi gong or Tai Ji
151
What is the purpose of self-cultivation
Gather the shen to keep away the diseases and strengthen health.
152
What is Shen Management
Result?
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
The patients shen should flow.....
the doctors shen should flow...
STAY INWARD passively
Flow outward to unite, actively
154
What are the 5 methods for Deqi-Qi handling
1. Waiting
2. Urging
3. Keeping
4. Driving
5. Distinguishing
155
What is the concept in Deqi-waiting for the Qi
(Hoqi): after inserting the needle, didn't grab or difficult to grab qi, wait....
156
What is the concept in Deqi- for urging
Cuiqi: be used both before and after qi has arrived
157
What is the concept in Deqi-for keeping the Qi?
Shouqi: manipulating needle, hold for a moment (use mind to keep the Qi carefully), then rotate..do mild manipulation
158
What is the concept in Deqi-
| Driving the Qi
Xingqi: esp vibrating or pulling needle down, toward the skin not into the skin
159
Distinguishing the Qi:
Bian Qi: Distinguish between good and bad
160
What does Bad Qi feel like
Bad Qi will feel tight and inflexible, it will have an uncomfortable feeling take sure the needle isn't tangled
161
What are the signs that Qi arrived?
Distension, numbness, bundling, cool, warm, moving up or down, electric shock, jumping, insects creeping, qi flowing water dunking, jerking or simple feels comfortable
162
The Quality the patient will feel when Qi arrives depends on what 5 aspects.***
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
What does the physician feel when the Qi arrives
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
According to the Lingshu what does it feel like when evil qi arrives
Tightness and roughness
165
According to the Lingshu what does it feel like when grain qi arrives
gentleness and peacefulness
