Modalities Flashcards

1
Q

What are the functions of Gua sha?

A
  1. move qi and blood
  2. release the XT
  3. disseminate fluids
  4. to brig the sha to the surface (dots that are red, purple, black, etc.)
  5. Gua sha is indicated any time there is pain or constriction, acute or chronic (presence of sha indicated by palpation)
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2
Q

What is the best way to combine acupuncture and Gua sha?

A

Do acu first and gua sha 2nd.

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3
Q

How do you test for the presence of sha?

A

press several fingers to the skin and pull away. this blanches the skin and displaces the blood. If the blood takes long to return this means that there is an obstruction.

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4
Q

what should you test for gua sha?

A

where the pain is anywhere

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5
Q

The term “sha” is applied to? “gua”is?

A

sha= skin rash; gua=scrape

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6
Q

when can you apply gua sha to the same area?

A

When the petechia has diappeared

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7
Q

if no sha, what color would show up?

A

just a pink blush

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8
Q

if sha is dark…

A

indicated chronic stuck blood. if light in color recent condition; sha should disappear in 2-3 days; if before, qi and blood circulation is good; if some areas take longer there may be a lack of circulation to that area; the area should stay covered from wind and sun 24 hrs. after tx.
-if sha is soon after you begin, could be weak wei qi or excess alcohol use

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9
Q

C.I.s of gua sha

A
  1. abdomen of pregnant women
  2. new injury
  3. pimples, moles, open/weepy skin
  4. extreme care to deficient pts.
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10
Q

gua sha? pak sha? tsien sha? ken sha?

A

gua=scraping; pak= slapping; tsien= pinching; ken is not a method to discolor skin it means to bite

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11
Q

besides gua sha, how else can sha be released?

A

by provoking fever and sweating

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12
Q

how long should gua sha be performed?

A

until there is no more change in color, when the pt. says stop if too painful; do not move on to another area unless you have finished one area.

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13
Q

instruments for gua sha

A

gua sha tool, soup spoon, metal lid, coin (at a 30 degree angle, going from superior to inferior)

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14
Q

what may indicate deficient blood when doing gua sha

A

gua sha resolves pain but soon returns. If excess response, sha is deep in color red, purple, or black; deficient if sha in no abundant and is thin looking can be dark or light

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15
Q

Sha syndrome is?

A

blockage of meridians, exposure to wind, cold, dampness, symptoms of chilliness, fever, vomiting, pain, diarrhea, or rigidity and numbness of limbs.

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16
Q

for painful syndromes Chinese medicine recommends avoiding…

A

cold and sour foods

  • cold contracts, makes pain worse
  • sour is the flavor of the LV- nerves
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17
Q

where do sha appear?

A

at the site of pain

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18
Q

Purpose of Gua sha…

A

to release the XT; 1st treat XT then the INT; mimics the effects of sweat stabilizes the pores and stops further penetration of wind, cold, damp, or heat; preventing progression of illness chronic cough, diarrhea, sinusitis, fatigue

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19
Q

what do you need to do w/ pt. before cupping?

A
  1. sign a consent form
  2. explain reason and risks
  3. apply oil (if doing sliding cups)
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20
Q

how many txs for full benefit of cupping?

A

5-10 txs; younger people needed less normally

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21
Q

type of cupping for hot or painful bi w/ red painful mm areas; knee and elbow pain w/ excess heat?

A
  • medium to strong cupping over joints; weak to medium over muscle areas; retain cup over needle 10-15 mins; avoid needle cupping on back shu points; so the cup doesn’t push needles deeper; needle cupping not recommended for children of any age
  • needle cupping is a draining technique; light and medium- tonifying, light moving=even
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22
Q

cupping to drain lymph

A

moving cupping; 5 minuted toward lymph glands on affected limb and 10 mins on healthy limb; 10 mins on both for cellulitis.

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23
Q

cupping to treat sudden high blood pressure, fever, blood stasis, hot blood, or stagnant blood

A

DU14- only 100ml of blood at one time and use gloves on both hands wen removing cup

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24
Q

hot needle cupping

A

for cold conditions; moxa warms and tonifies point, acupuncture moves the channel

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25
Q

cupping should not be applied…

A

on full ST or empty ST; they should not eat rich or greasy foods; eat a light meal prior to cupping

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26
Q

cupping: C.I.

A
  1. upper and low abdomen of pregnant women (sacrum can have cupping until the 6th month w/ light or medium cupping)
  2. sun burn, skin rash
  3. open wound
  4. allergic skin reactions
  5. high fever and convulsions
  6. edema
  7. should not be used on pts. w/ petechia
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27
Q

after sports injury

A

after 24 hours

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28
Q

cupping for tiredness

A

empty cupping along the BL channel on the back

29
Q

empty or “flash” cupping is named so because?

A

-the speed at which they are applied. 12 cups applied stay on less than 30 secs, remove them and they reapply 5-10xs, good for children, stress-emotional related, GI symptoms

30
Q

light, medium or strong depends on

A

the suction amount

31
Q

sodium hypochlorite=

A

bleach

32
Q

risks of cupping

A

bruising, blisters

33
Q

after intial strong tx how long can marks last

A

15-20 days; strong method to move qi and blood

34
Q

bloodletting: back pain

A

BL40

35
Q

bloodletting: CI

A

pregnancy esp. jingwells

36
Q

tx. neurodermatitis

A

plum blossom, dispersing method bleeding a wide area

37
Q

tx: non-ulcerated furuncle

A

cupping OK

38
Q

plum blossom tx

A

intercostal neuralgia

-DO NOT USE for acute abdominal disorders

39
Q

bloodletting: function

A

move qi and blood in meridians, move stagnant blood, clear heat

40
Q

bloodletting: precautions

A
  1. wear gloves
  2. clean area w/ alcohol
  3. use disposable 3 edged needle
41
Q

most widely used bloodletting technique

A

spot pricking

42
Q

bloodletting a distal point

A

keratitis tx.

43
Q

intradermal: precautions

A
  1. hot weather
  2. strenuous work
    - do not want to cause infection
44
Q

cupping is a method of treating dz by…

A

causing local congestion

45
Q

after cupping a blister is seen

A

-puncture blister, drain and apply dressing

46
Q

EA: what needle gauges are safest to use

A

Chinese 32, Japenese #5 and stainless steel. DO NOT USE silver!

47
Q

EA: continuous regular? quick and slow periods?

A
  1. pain and spasms
    (irregular frequ. drain excess, regular frequ. stregnthen deficiencies)
  2. paralysis and numbness
48
Q

EA: should not be used where?

A
  1. spinal cord/Du Mai
  2. CI pts. w/ cardiac bundle branch block
  3. no pacemakers
  4. not near metal body parts
  5. not hx. od seizure disorder
  6. pts. w/ cochlear implants
49
Q

points least sensitive to EA?

A

points on the back

50
Q

When using heat therapy be conscious of?

A
  1. burns

2. it does not cause relief in inflammatory conditions

51
Q

shortwave diathermy and microwave diathermy

A

for mm relaxation, deep heat penetration; tx: sinusitis, urinary calculi pain, pelvic infections
CI: cancer, peripheral vascular dz, hemorrhagic disorders, loss of sensation, pts. w/ pacemakers

52
Q

cold therapy should not be used

A
  1. Raynaud’s phenomenon

ex. of cold therapy: ice pack, ice bag, ethyl chloride spray

53
Q

infrared therapy should not be used in pts. w/

A
  1. TB
  2. advanced hepatic and renal insufficiency
  3. advanced HT dz
  4. peripheral vascular dz
54
Q

RICE

A

rest, ice, compression, elevation

55
Q

infrared therapy

A

-applied 20 mins/day

56
Q

NADA protocol=

A

SM, LU2, Autonomic, KD, LV

57
Q

eczema rashes-

A

KD pnt.

58
Q

shoulder

A

scapha

59
Q

asthma

A

apex of atitragus

60
Q

ear acupuncture:

  • lobule
  • scapha
  • antihelix
  • 2 crura
  • cavum and cymba comchae
A
  • head and facial region
  • upper limb
  • trunk
  • lower limb
  • internal organs
61
Q

precaution of ear acupuncture:

A
  • if pt. faints use normal procedure, in initial visits pt. should be in reclining position to avoid fainting
  • STRICT ANTISEPSIS, if inflammation, apply 2% iodine or oral admin of anti-inflammatory drugs
62
Q

C.I. ear acupuncture

A

frost-bite or inflammation on auricle

  • women during pregnancy if there is a history of miscarriage
  • aged and weak pts. w/ hypertension and arteriosclerosis should have proper rest before and after needling
63
Q

EA (electro-acu): tx time

A

10-20 mins upto 4-5 hrs.

64
Q

EA: if only one point is selected:

A

other electrode can be help in hand or taped to the side

65
Q

EA: regular freq.

A

best for tx pain and spasm, drain excess

66
Q

EA: alternate quick and slow

A

preferable in tx paralysis and numbness, strengthen deficiency

67
Q

EA: to know

A
  • guard against fainting
  • prevent bending or breaking of needles
  • adjust power very slowly
  • when opposing points differ markedly in sensation, check machine or wires
    • points below elbow, knee, or on face are more sensitive
68
Q

EA: considerations

A

some oxidation ay have occurred on the needle: from mona, gold coloration, ATTACH clip to BODY of NEEDLE

69
Q

EA: CI

A
  • pts. w/ history of heart dz, DO NOT CROSS HT

- DO NOT USE SILVER NEEDLES!