Midterm Study Set Flashcards
What are the four philosophical foundations of acupuncture techniques
- regulating the meridians and collaterals
- harmonize/balance yin and yang
- natural law of acupuncture is support vital qi to expel the evils
- the core of acupuncture techniques is to manipulate in different levels
If the disease on on the yin side choose _______ points.
yang
Yang is on the ____
Yin is on the _____
left
right
Is rotating the needle forward yang or yin
yang
Is rotating the needle backward yang or yin
yin reduce
Name that technique:
Insert Slow
Remove Quick
Cover Hole
Tonify
Name that technique:
Insert Quick
Remove Slow
Reduce
How would one needle a patient with pain?
Yin
Insert needle deeper, retain longer
How would one needle a patient with itching
Yang
Stay superficial and retain needle shorter
9 needles of acupuncture symbolize what?
symbol of the formation of acupuncture needling techniques
How would one needle a strong patient?
deeper
retain longer
How would one needle a weak patient?
needle shallow
retain shorter
9 needles took place during what age?
Bronze Age
What is the bian shi?
The stone tool that has been used to cure or treat diseases
What is the bian shi as a noun?
Healing tool
What is the bian shi as a verb?
Heal disease
How would one needle a weak patient with Yang excess and yin deficiency?
tonify yin first then reduce yang
Who is the author of ‘The Verse of Golden Needle?
Xu Feng
What are the 6 kinds of fundamental techniques?
- lifting/thrusting 提插
- twisting 捻转
- slow-speedy
tonification/reducing 徐疾 - breathing tonification/reducing 呼吸
- direction (against or w/ meridians) 迎随
- open/close pt. 开合
How does one open and regulate the meridians and collaterals?
- Use meeting points of Qi and Blood(proper use of points)
- Be aware of Ying and Sui (broad and narrow sense)
- Controlling the direction of Qi flow
- Ziwulizhu Needling
What does be aware of Ying and Sui (broad and narrow sense)?
- Broad sense: tonify or reduce
- Narrow sense: go against or along meridians
Turning the needle backward Qi goes?
Down
Turning the needle forward Qi goes?
up
What is Ziwulizhu Needling?
Needling according to the organ clock
Reduce during organ time
Tonify after organ time
What is the natural law of acupuncture
To Support vital Qi and Expel the Evils
Is Moxa a tonifying or reducing technique?
Tonifying
Is Needling a tonifying or reducing technique?
reducing
Is Bleeding a tonifying or reducing technique?
reducing
Is Cupping a tonifying or reducing technique?
both
Is tuina a tonifying or reducing technique?
both
What is the #1 rule of tonification
never tonify evil qi
The core of acupuncture technique is what?
Manipulating in different levels
heaven/human/earth
What does the lingshu Ch 7 say about the three punctures?
1st, penetrating the skin, get rid of Yang evil
2nd, going slightly deeper, reach the muscles, expel Yin evil
3rd, even deeper, gain the grain Qi
Why do we needle the different layers?
The hierarchy of Qi is distributed between them
Tissues correlated with internal organs
Season affect the movement of blood and Qi
What are the three basic requirements of effectively applying acupuncture techniques?
Deqi: Qi grabbing
Zhishen: Shen Management
Bianzhengshizhi: techniques applied according to the differentiation
What are the 5 steps?
theory, diagnosis, prescription (includes points), techniques, herbs, modification (Li, Fa, Fang, Xue, Shu etc)
What are the ten guidelines to carry out Bianzhengshizhi?
- yin syndrome
- Yang syndrome
- Surface Syndrome
- Internal Syndrome
- Cold
- Heat
- Excess
- Deficient (zang fu or constitutionally)
- Qi
- Xue-blood
What happens with and How does one treat Yin Syndrome?
yin excessive, eventually will damage yang.
Strengthen the yang and reduce the yin.
Needle deeper and retain longer. Can use moxa.
What happens with and How does one treat Yang Syndrome?
yang excessive
needle shallow and retain shorter.
Can use bleeding and cupping.
How does one treat Surface Syndrome?
choose correct pts.
GB20, GV16, LI11, LI4, BL12.
Needle shallow and retain shorter
How does one treat Internal Syndrome?
yuan source pt of meridian. Needle deeper and retain longer.
How does one treat Cold?
Similar to yin
Strengthen the yang and reduce the yin.
Needle deeper and retain longer. Can use moxa.
How does one treat Heat?
Similar to yang
needle shallow and retain shorter.
Can use bleeding and cupping.
What are the basic techniques of needling?
how to hold the needle:
- Lifting & Thrusting (Ticha) 提插
- Twisting (Nianzhuan) 捻转
- Depth (Shenqian) 深浅
What are the adjunct techniques to needling?
After insertion, how to facilitate Qi arriving:
- guiding
- flicking
- scraping
- waving
- vibrating
What are the two classically useful insertion techniques?
- Inserting with cough during inhale/exhale
- insert needle by rotating to drive through the skin
Do you needle a patient with a good constitution deep or shallow?
Deep
Do you needle a patient with a weak constitution deep or shallow?
shallow
Needle deep points____?
deep
How should one needle in spring?
Shallow
How should one needle in Summer?
deep
muscles
How deep does one needle to needle in the fall?
tendons
How deep does one needle to needle in the winter?
tendons and bones
How should one needle an excessive pulse?
deeper
How should one needle an deficient pulse?
shallow
How should one needle an heat syndrome?
shallow and quick (as if you touched hot soup)
How should one needle cold syndrome?
deeper and slower (as if a person dislikes walking)
What are the three methods for retaining the needle?
be patient wait until sun set!
- Without any manipulation
- Manipulate the needle during retention of the needle
- Lift-retaining (subcutaneous retaining
What is the clinical usage of retaining needles?
- waiting for Qi to arrive
- Regulating Qi
- To support the even & expel the evil
- assisting the tonification and reducing
If you want to tonify then you withdraw the needle______.
Quick and seal the point
If you want to reduce then you withdraw the needle______.
slow to bring out the qi
What are the four aspects of inspections (Chuai)
- Separating (Fenbuo) (PC6, LU7, ST36)
- Turning (Xuanzhuan) (SI6)
- Rolling-waving (Gunyao) (SJ4, LI15
- Ascending-descending (Shengjiang) (ST41, LI15)
What are 7 adjunct needling techniques?
- Inspection
- Guiding
- Flicking
- Scraping
- Waving
- Flying
- Trembling
What are the 8 main townifying and reducing techniques?
Twisting (Nianzhuan, concers the speed and the amplitude of the angle)
Lifting-Trusting (Ticha, concerns the speed, strength and the range or amplitude)
Along-Against (Yingsui, the flow of meridians, in narrow sense)
Respiration (Huxi, of the patients and/or the doctors)
Speed Controlling (Xuji, of either inserting and withdrawing or manipulation)
Opening-Closing (Kaihe, of needling holes)
Nine-Six (Jiuliu, according to the numbers)
Yingwei (Yingwei, concerning Qi and Blood, or the depth)
What is the advantage of joined needling?
extend the effective range of the needle,
links up to balance the channel
internal/ex relationship, sensation,
facilitate qi grabbing
use less needles.
Da Qi:
the feeling the doctor gets when they catch the qi
Ziwuliuzhu says to treat by:
Deficiency-tonify mother
Excess- reduce child
needle according to organ clock
What are the philosophical foundations of acupuncture techniques?
- regulating the meridians and collaterals
- harmonize/balance yin and yang
- natural law of acupuncture is support vital qi to expel the evils
- the core of acupuncture techniques is to manipulate in different levels
Describe the steps of Setting the Fire of Mountain:
- During exhale push to heaven with finger press
- Preform 9 yang heavy push & forward rotating
- Exhale move needle to human and repeat 9 yang
- Exhale move needle to earth and repeat 9 yang.
- If warm sensation appears pull needle to heaven directly, then during inhale slowly remove needle and close the hole.
what are the indications for the settle fire of mountain technique?
- Kd yang def
- yuan Qi def of zang and Jing Luo.
- wind stroke, paralysis etc.
- Cold damp Bi-Syn, cold limbs, cold abdominal (impotence, hernias),
- Five am coldness.
What are good points to use for fire of mountain technique
GB30
Bl23:Kd Shu
Li4:He Gu,
Sp10:Xue Hai
St 36- Zu San Li
LI11
What are the main cautions with fire of mountain technique?
- Don’t do this on the head/face.
- If get heat/warm sensation on first heaven layer, don’t need to go further.
- If don’t get heat after 9 rounds, stop and give warming herbs.
- Don’t let whole process take too long, because it is strong stimulation…
- If you’re not grabbing Qi, you’re not really doing it!
- If pt is sensitive, can eliminate rotations and only thrust.
Describe how to preform through heavenly cooling technique:
- Inhale needle to earth w/ stretching technique
- 6 yin heavier pull and backward rotating
- pull out to person during exhale and repeat
- Pull out to heaven during exhale and repeat
- When cold is felt, withdraw quickly during exhale
What are the indications for heavenly cooling technique?
- flaming of the heat
- excessive heat
- ministeral fire
- heat syn
- heat excessive wind stroke (acute stage)
- summer heat
- high fever
- mania
Explain how to preform a warm townifying technique:
- Insert needle with pressing hand
- forward rotating w/ pushing 5 times
- hold the tip of needle and preform heavy push light pull for 10x
- 45 more seconds heavier push lighter pull
- wait for heavy/tight sensation to transform to warmth
- pull out needle and close hole
Explain how to preform a cool reduction technique:
- Insert needle with pressing hand
- Backward rotation 5x t
- pull back needle 1/10cun li
- light push heavy pull x45 times
- wait for cooling sensation
Explain the technique for yin hidden within yang:
- Exhale insert needle with finger press. to human
- Heavy push light pull forward rotating 9 yang-tonify
- Reduce after tonify
- exhale push to earth with stretching
- heavy pull light push backward 6 yin
- wait for cool sensation then pull needle to heaven
- withdraw quick needle, close hole
Explain the technique for yang hidden within yin:
- Inhale insert needle w/ stretching to earth
- Heavy pull light push w/ backward rotation 6 yin
- Tonify after reduce
- Exhale pull to human with finger press
- Heavy push light pull w/ forward rotation 9 yang
- wait for warmth then withdraw slow and close hole
The Bian stone is traced back to what age?
the late stage of the Paleolithic Age!
The Basic Requirement & the spirit (soul) of acupuncture techniques is to
Deqi & manage the shen
The premise of applying hand techniques is to
apply them according to the differentiation
Where does bian stone come from
east of china
where do toxic herbs come from
west
where do warm moxibustion come from
north
where do the nine needles come from
south
doyen & massage come from where
center
What is the general principle of acupuncture
harmonizing yin ang yang
what is the general essence of acupuncture?
open and regulate meridians and collaterals
What is the natural law of acupuncture
support even qi to peel the evils
What are some signs the patient may feel that indicates qi has arrived?
distention, numbness, bundle, cool, warm, moving upwards or downwards, get an electric shock, jumping, insects creeping, energy flows, water dunking, involuntary movement of the limbs or simply feels comfortable etc. which’s quality depends upon
What does the quality of Deqi depend on
1, constitution of the patient 2, the character of the disease 3, the part of receiving the treatment 4, the season & the weather 5, the needling techniques
What does Deqi feel like to the physician
1, underneath the tip of the needle, it becomes tension & sinking or floating instead of loose feeling at beginning, which feels like a fish takes the bait
2, the muscle around the point become either more tension instead of loose or looser instead of spasm, the jumping or squirm of the muscles
3, we will see the patient start to smile or have a good relaxation
What functions does retaining the needle hold?
A. Waiting for the Qi arriving
B．Regulating the Qi
C．Supporting even Qi and expelling evil Qi
D．Assisting tonification and reducing
What are the cautions of through needling?
A. carefully use for children, senility, pregnant women, schizophrenia & other type of people who are out of self-control
B. pay attention to avoid the injury of internal
organs, tendons, bones & blood vessels
C. depends upon the differentiation rather than
hunting for joined needling techniques
What are through needling techniques used for?
- Extending the coverage of point indications
2. strengthening needling interaction by linking external-internal meridians and facilitating qi arrival
Two techniques used as the basis for all other techniques
lifting-thrusting(push&pull)
rotating (twisting)
What is the chinese word for tonify
bufa
What is the chinese word for reduce
xiefa
What techniques can be used for tonifying (bufa) in yingsui buxie (reinforcing and reducing)?
heavier push & milder pull or focus on forwards rotating, during go along with meridians
What techniques can be used for reducing (xiefa) in yingsui buxie (reinforcing and reducing)?
heavier pull & milder push or focus on backwards rotating during go against meridians
What does Huxi Buxie Mean??
The patients natural breath
What are two ways to preform bufa using Huxie Buxie methods?
Insert with exhale
Withdraw with inhale
What are two ways to preform xiefa using Huxie Buxie methods?
insert with inhale
withdraw with exhale
Bufa techniques according to jiuliu buxie?
Light ailment: 9x3=37
severe ill: 7x7=49
Extreme: 9x9
Xiefa techniques according to jiuliu buxie?
Light: 6x3=18
Severe: 8x8=24
Extreme 6xx=36
Jiuliu buxie
the number 9 or 6
xuji buxie
tonify-reduce according to speed
How do you tonify according to speed
slow push
quick pull
how do you reduce according to speed?
quick push
slow pull
How do you reduce according to lifting-thrusting?
first deep then shallow
stress is on lift
(large amplitude, frequency and time)
How do you tonify according to lifting and thrusting?
first shallow then deep
stress is on thrust
(short amplitude, frequency and time)
