Module 5 Gua Sha, Cupping, Bloodletting, Ear Seeds

Question 1

Cupping intentionally creates…?

Answer 1

Therapeutic petechiae and ecchymosis that appear in round or “nummular” areas.

Question 2

What is that three types of cupping?

Answer 2

1. Fire cupping
2. Suction cupping
3. Wet cupping

Question 3

‘’ …Cupping therapy has been applied as a formal modality in hospitals throughout China and elsewhere in the world”

Answer 3

Since 1950

Question 4

How do inserted needles with the cupping?

Answer 4

Should be applied with caution and with needles inserted at an oblique angle.

Question 5

How many adverse events have a cupping treatment?

Answer 5

1. Skin reaction ( swelling, petechiae, ecchymosis, and persistent hyperpigmentation, these reactions resolve in a few days to 2 weeks)
2. Cardiovascular ( iron deficiency anemia, enlarged heart, hemophilia, vasovagal syncope, stroke)
3. Infections ( cervical epidural abscess, herpes simplex virus, staphylococcus)

Question 6

What is called that bullae and hemorrhagic bullae?

Answer 6

After cupping results fluid blisters called Bullae. If these contain blood called Hemorrhagic bullae.

Question 7

Which diseases occurs that vasovagal syncope in AEs of cupping?

Answer 7

May increase the risk of syncope Diabetes, Renal disease, Seizure disorders, fasting or low blood sugar.

Question 8

What is that safety guidelines for Wet cupping?

Answer 8

Must wear gloves and protective eyewear.

Question 9

Cupping disinfected based on the CDC level of…..?

Answer 9

“ Semi-critical reusable medical device and must be cleaned and disinfected using a High Level Disinfection HLD solution”.

Question 10

What is that Food Drug Administration FDA ?

Answer 10

A number of chemicals cleared by the FDA are dependable high level disinfectants for medical devices.

Question 11

If cupping is performed on intact skin only, how do disinfection for cups?

Answer 11

1. Non-critical reusable medical devices
2. Cleaned with soap and water
3. Disinfected intermediate-level disinfectant
4. Cups should be rinsed and dried with clean towels
5. Placed in a clean, closed container

Question 12

Cupping used for non-intact skin, how do disinfected for cups?

Answer 12

1. Semi-critical reusable devices
2. Cleaned to soap and water, to remove lubricant and biological material
3. Disinfecting with high level disinfectant accordance with label instructions
4. Should rinsed with sterile, distilled or filtered water
5. After rinsing, dry in store in manner that prevents recontamination.

Question 13

Cupping skin lesions, take careful patient history to:

Answer 13

Keloid scarring, Köebner phenomenon ( history of psoriasis )

Question 14

Cupping should not be applied ….?

Answer 14

48 hours before or 24 hours after chemotherapy treatment.

Question 15

What is the Bloodletting ?

Answer 15

MeSH term: Puncture of vein to draw blood for therapeutic purpose, “ pricking, bleeding or the use of the three edge-needle”.

Question 16

According to the CDC about lancing devices?

Answer 16

“Finger-stick devices, also called lancing devices, should never be shared, even with close family and friends”.

Question 17

After guasha, how many days after resolve the petechiae?

Answer 17

2-4 days

Question 18

Gua-sha tools have included…?

Answer 18

Chinese soup spoons, edge-worn coins, various bone devices, pieces of honed jade, various stainless steel devices, simple and round, smooth-edged metal caps.

Question 19

Gua sha has been shown to increase…?

Answer 19

Surface micro-perfusion and up regulate heme oxygenase-1(HO-1) through what is called Ferroheme metabolism.

Question 20

Gua sha is not contraindicated for …?

Answer 20

Patients with stable INR who are taking anticoagulant medication, NSAIDS, Vitamin E, fish oils or for those who have bleeding disorders should be limited to those practitioners with the necessary background to evaluate the subcutaneous bleeding and tissue response.

Question 21

Why do not use gua sha for chemotherapy after and before?

Answer 21

Because the intended therapeutic goal of chemotherapy for cancer is apoptosis, and because gua sha’s up-regulation of HO-1is anti-apoptotic, it’s recommended to avoid applying gua sha (or cupping) for 48 hours before and 24 hours after chemotherapy.

Question 22

Do not gua sha …. What conditions?

Answer 22

Over swelling or recent trauma, including over burns or sunburns.

Question 23

Any application of gua sha for children …..?

Answer 23

Should be done in the presence of a parent or assigned guardian.

Question 24

Gua sha used on intact skin, how to do that disinfected?

Answer 24

1. Non-critical reusable medical devices
2. Cleaned of lubricants and biological material with soap and water
3. Disinfected intermediate level disinfected
4. Should be rinsed and dried with clean towels, placed in a clean, closed container

Question 25

Gua sha used on non-intact skin, how to do that disinfection?

Answer 25

1. Semi-critical reusable devices
2. Cleaned and scrubbed with soap and water to remove lubricant and biological material
3. Disinfecting with high level disinfectant in accordance with the label instruction (FDA solution)
4. Rinsed with sterile, distilled, or filtered water
5. After rinsing, dry and store in a manner that prevents recontamination

Question 26

What disease contraindications for auricular therapy?

Answer 26

Chemotherapy-induced nausea and vomiting in cancer patients

Question 27

Immunocompromised or immunosuppressed patients, consider the use of …?

Answer 27

Ear seeds or magnets instead of press tacks or intradermal needles for auricular therapy.

Question 28

Inspect the patient’s skin again for reaction to the gua sha treatment, remind him or her….?

Answer 28

To keep the area covered and warm.