Modalities Flashcards
Considerations for tui na
-Patient’s posture
-Patient’s tolerance level (light or hard)
-Pressure layer (superficial or deep)
-Time (suggest 30 minutes for first treatment)
-Be careful with emotional patient
-No treatment right after meal
8 primary tui na groups?
- Pressing (An Ya)
- Linear – Moving (Tui)
- Rubbing (Rou)
- Pushing – Rolling (Tui- Gun)
5, Pinching – Grasping (Na-Nie)
6, Vibrating (Zheng) - Tapping – Knocking (Pai- Kou)
- Articular movement
Cautions for tui na
- Gentle or no tui na for acute injuries
-Light with xu
-Strong with excess
-Never over open wounds
Elbow horizontal pushing
Good for high tolerance patients and locations of hip and back
Major linear pushing
Good for treating soft tissue injury, swollen, and chronic pain in 4 limbs.
Plucking
Good for separating the tears of muscle, relaxing muscle
Tennis elbow, frozen shoulder, stiff neck
Sweeping
Good for treating headaches, dizziness, HBP.
Tweezering
Good for treating trigger fingers, arthritis of joints, hand and joints pain, etc.
Rubbing
Mild stimulation and good to work on chest, abdomen, and hypochondria areas.
Kneading
1, Finger Kneading: Infant massage…
2, Palm Kneading: Big flat muscular areas, abdomen, hypochondria, and back…
3, Major Thenar Kneading: face, chest, small joints…
Pinching
1, Mostly for infants and children.
2, Work on UB lines, which are bilateral of spine.
3, From Du 1 to Du 14.
4, More focus on tonification.
Grasping
Good for neck, upper back and four extremities.
3, It has functions of opening blocked meridians, relaxing muscles, relieving pain
Vibrating
Indications：
Regulate endocrine, (adrenal cortex hormone),
Regulate digestive system function Bidirectional.
Abdominal tension or pain;
Digestive issues;
Qi sinking; etc.
400—600 times/ minute
Practical method:
“Cloudy Hands”
Knocking
Good for muscle rich area, shoulder, back, buttocks and thigh.
Release muscles, open channels
Sciatica, lumbar hip soft tissue strain, lower limb weakness and numbness and headache, vertigo.
Swing
Swing method is to make the passive rotation around the joints;
Functional movement technique;
Be used as warming up of some complex technique;
Treatment duration
Tonifying/reducing
tonifying: short (less than 20 mins)
Reducing: Long (more than 20 mins)
Twirling and thrusting
Tonifying/reducing
Tonifying: 9x (setting mountain on fire)
Reducing: 6x (penetrating heavenly closeness)
Rotating needles
Tonify/reduce
Tonifying: Counter clockwise/Thumb forward forcefully and backwards gently
Reducing: Clockwise/ thumb backwards forcefully, forwards gently
Needle Direction
Tonify/reduce
Tonifying: With the meridian
Reducing: Against the meridian
Respiration/Needle insertion
Tonify/readuce
Tonifying: Exhale on insertion/inhale on removal
Reducing: Inhale on insertion/exhale on removal
Insertion/removal of the needle
Tonify/Reduce
Tonifying: Slow insertion, quick withdrawal + cover with a cotton ball
Reducing: Quick insertion, slow withdrawal =do not cover
Lifting and thrusting
Tonfy/Reduce
Tonifying: Forceful thrusting, gentle lifting
Reducing: Gentle thrusting, forceful lifting
Amplitude
Tonify/reduce
Tonifying: Small amplitude
Reducing: Large amplitude
Setting the mountain on fire
Tonify
Life and thrust 9X at the first 1/3, repeat for the middle and bottom thirds. repeat entire process 9x.
Penetrating heavenly coolness
Reducing
Lift and thrust 6x at the bottom 1/3, repeat for the middle and superficial thirds. repeat entire process 6x.
5 types of moxibustion
- Direct moxa (sometimes scarring)
- Insulated moxa
- Indirect moxa
- Heater or warm needle
- Moxa box
What is direct moxa?
Cone placed directly on the skin, when its too hot it is removed.
Rice grain or cone. In china scarring moxa for chronic conditions.
What is insulated moxa?
A moxa cone is put on ginger, garlic, fuzi, clay, or salt, instead of directly on the skin.
What is indirect moxa with moxa stick?
A moxa stick is held over specific acupuncture points without coming into contact with the skin. Types include:
Stick heled at fixed levels
rotating moxa above small area
Pecking or sparrow method
What is warming or heated needle technique
Moxa is place on a needle and a shield is placed underneath to protect the patients skin.
What is moxa box
A moxa box is placed on lower abdomen or back.
What does ginger treat with moxa?
-Spleen/ stomach xu
-yang xu (abdominal pain/painful joints)
What does garlic treat with moxa?
-Scrofula, tb, early stage skin ulcer, boils, insect bites, masses in the abdomen.
What does Fuzi(monkshood) treat with moxa?
Warms yang, expels cold, yin cold syndromes such as impotence and premature ejaculation, warms kidney.
What does clay treat with moxa?
Skin disorders
What does salt treat with moxa?
(usually on the umbilicus)
Abdominal pain, vomiting, extreme coldness of the extremities and general xu, restores yang collapse.
What are the 4 actions of cupping?
- Warming (fire cupping only)
- Promotes free flow of Qi
- Dispels cold/damp
- Reduces swelling and pain
What are the 4 indications of cupping?
- Bi syndrome due to wind damp
- GI disorders
- Lung disease
- Cupping for bleeding with acute sprains with blood stasis
What are the 6 methods of cupping
1.Retention cupping
2. Multiple cupping method
3. Flash cupping
4. Sliding cupping
5. Cupping over needle
6. Wet cupping
What is retention cupping?
When a cup is left in place for 5-15 mins.
What is multiples cupping method?
Several cups are places and retained at once for muscular or Qi stagnation issues.
What is flash cupping?
The cup is applied and pulled off repeatedly.
What is sliding cupping?
A cup that is lubricated with oil is applied and moved along flat surfaces of the body. This is done until the skin has reddened.
What is cupping over a needle?
A cup is placed over a needle, ensuring the needle is not pushed further into the skin.
What is wet cupping?
A practitioner wears gloves, pricks a point or spot with a lancet, wipes with a alcohol swab and then places a disposable cup over. Caution do not use if patient is xu or has any bleeding disorders.
Cupping colours and what they mean
Red purple bruise-
Bright red-
Dark purple-
Black purple-
Light purple-
Pale-
Green-
Red purple bruise- normal, should dissipate in a few days or a week
Bright red- Fresh injury or acute heat.
Dark purple- Blood stasis
Black purple- Extreme blood stasis
Light purple- Blood stasis from xu
Pale- Xu
Green- Liver pathology
What is a TDP lamp and what does TDP stand for?
Pinyin teding diancibo Pu
“special electromagnetic spectrum”
Emits special band of electromagnetic waves ranging from 2-22 microns and 25 mw
What are the 4 benefits of a TDP lamp?
- Warms
- Increases blood circulation
- Reduces swelling
- Decreases joint stiffness and muscle pain
What are the 3 indications for a TDP lamp?
- Pain in the joints and muscles
- Swelling or edema
- Muscle spasms
What is the closest distance for a TDP lamp?
12” or 30cm
What is the lowest angle you should tilt a TDP lamp to prevent heat build up?
45 degress
what is the maximum time to use a TDP lamp?
50-60 mins for an adult and 30 ins for a child
What are the indications for gua sha?
- Wind heat or cold
- Old EPI that has gone in further
- brings heat, qi, and epi up and out
Gua sha steps
- gua sha from up to down
- Use front edge of spoon to push firmly
- Do 5-10 minutes on each side until there is sha
- Apply soothing lotion and cover patient so they don’t lose heat
Cautions for gua sha
Deficient or weak patient
Bloodletting indications
-drain heat or fire
-Dispel blood stasis and activate Qi and blood
-Relieve local stagnation: to promote the smooth flow of Qi and blood in the meridians and tissues
-Conventional medicine: hematoma, low back pain, fever, tonsilitis, acute gi inflammation, heat stroke, neurodermatitis, allergic dermatitis, acute sprain, febrile disease, headaches, like all the things.
Pricking method
- Apply local pressure @ acu point of small veins
- Clean point
- Swiftly prick the point shallowly 0.005-.1 cun
Clumping method
- Many tiny punctures are made in a tender or injured area
2.use for injuries, reddened or swollen skin, neurodermatitis, allergic dermatitis.
Dispersing method
- a wide area of skin surface is pricked to induce bleeding
Indications: Neurodermatitis, allergic dermatitis.
Cautions and contraindications of bleeding
Get informed consent! And explain the procedure thoroughly.
Do not perform: general weakness, pregnancy, post-partum patients, anemia, hemophilia, low blood pressure, vascular tumors.
Electro acupuncture indications
-Trigeminal neuralgia
- Sciatica
- Pain of the greater occipital nerve
-Migraine
-Periarthritis of the shoulder
-Knee injury
-abdominal pain
-TMJ
-dysmenorrhea
-facial paralysis
What level hertz tonify/reduce?
tonify: 1-2-4
harmonizing: around 8
reduce: higher than 8
