Needling Techniques

Question 1

Insert needle into the earth level, then lift it to heaven, shake it to wait for qi, next push it to human. Upward and downward flying and rotating all around. First insert into deep layer, then lift it to the shallow layer, next push it to the middle layer, with lifting-thrusting and twirling-rotating, twirl it then let it fly. This can circulate meridian qi

Answer 1

Red Phoenix Spreading Wings to Fly

https://www.youtube.com/watch?v=TCkII9VrANY

Question 2

Just like ringing a bell, move back with lifting-thrusting and go forward with twirling-rotating. Meanwhile turn to the left and turn to the right, shake and vibrate

Answer 2

White Tiger Shaking Head

https://www.youtube.com/watch?v=GCSuSileUQI

Question 3

Insert the needle and push to the upper 1/3 portion of the right depth (heaven), employ the reinforcing method of lifting and thrusting or twirling and rotating after qi arrives; then insert the needle to the middle 1/3 portion (earth), employ the above-mentioned reinforcing method after qi arrives; Finally lift the needle slowly back up to the upper 1/3 potion (heaven). Repeat the above 3 times and then retain the needle at the lower 1/3 portion (earth). This process can be coordinated with the respiration reinforcing method and is adaptable for treatment of cold-wet Bi Syndrome, serious numbness and cold syndrome of deficiency type.

Answer 3

Hot-Reinforcing or Heat-Producing Needling (Shao Shan Huo)

https://www.youtube.com/watch?v=Gyak7n3Fx3g

Question 4

What is the angle of the needle for oblique insertions?

Answer 4

45 degrees

Question 5

The needle tip pointing distal into the channel (away)from the body will create ?

Answer 5

Reducing Affect

Question 6

Reinforcing - Inserting the needle when patient breaths out and withdrawing the needle when the patient breaths in. Reducing - is achieved by the opposite

Answer 6

Respiration (Hu Xi)

Question 7

Insert the needle, then twirl and rotate vigorously with the thumb forward 9 times (dragon); then twirl and rotate vigorously with the thumb backwards 6 times (tiger). This should be repeated many times; it also has been divided into 3 layers - shallow, middle, lower.

Answer 7

Fighting between the Dragon and Tiger (Long Hu Jiao Zhan Needling)

Question 8

What is an intermediate-level disinfectant that will kill most bacteria, fungi and most viruses but does not kill large numbers of bacterial spores such as Mycobacterium tuberculosis?

And how long is the exposure time?

Answer 8

70-90% alcohol

10 minutes

Question 9

Reinforcing is achieved when the patient breathes?

Answer 9

Out

Question 10

Rotating the needle forward with the thumb is ?

Answer 10

Reinforcing

Question 11

Can single use needles provide an effective mean for controlling autogenous infections?

Autogenous infections are self-produced infections that occur if an infectious agent natural to one location gets carried to another area that doesn’t have the same natural defense, causing an autogenous infection. For example, a needle can be infected by being inserted too deeply in the abdominal area, and this infection can be transferred if the needle is reused at another location on the patient’s body.

Answer 11

Yes

Question 12

The needle tip pointing in the direction of the meridian running course is known as reinforcing and the needle tip pointing against the meridian running course direction is considered reducing.

Answer 12

Directing the Needle Tip (Ying Sui)

Question 13

How long would you typically retain the needle for?

Answer 13

15-20 minutes after the arrival of qi

Question 14

Insert the needle and push to lower 1/3 of the right depth (earth), employ twisting-rotating reducing method after qi arrives; then insert the needle to the middle 1/3 portion (heaven), employ the above-mentioned reducing method after qi arrives; finally thrust the needle slowly back to the lower 1/3 portion (earth). Repeat the above 3 times then retain the needle at the upper 1/3 portion (heaven). This can be coordinated with respiration reducing method and is adaptable for the treatment of excess heat disease such as Bi Syndrome, acute carbuncle and swelling.

Answer 14

Cold-Reducing or cool-producing needling (Tou Tian Liang)

https://www.youtube.com/watch?v=h2MY2E3cal4

Question 15

Move back 1 time and then forward 3, moves inward in all directions. Insert the needle and retreat to the shallow layer, next insert with the point penetrating method in all directions,

Answer 15

Green Tortoise Seeking for Cave

https://www.youtube.com/watch?v=upIwu9lbcDA

Question 16

Forcefully lifting the needle to the superficial region is known as ?

Answer 16

Reducing

Question 17

Heavy pressing of the needle into a deep region is known as?

Answer 17

Reinforcing

Question 18

On withdrawal of the needle, shaking it to enlarge the hole will produce

Answer 18

a reducing effect

Question 19

Oblique insertion to shallow depth. With the tip pointing to the diseased place, wag the needle slowly. This can promote the circulation of meridian qi and connect meridian qi.

Answer 19

Green Dragon Wagging Tail

https://www.youtube.com/watch?v=PZnz72DkWwk

Question 20

What is the only device that can be used to sterilize?

Answer 20

Autoclave

Question 21

Rotating the needle rapidly with large amplitude is known as?

Answer 21

Reducing

Question 22

In the “Miraculous Pivot” it says

“Twirling the needle slowly is”?

Answer 22

Reinforcing

Question 23

If qi fails to arrive after manipulation and you have waited for qi by rotating and waiting again, what six auxillary manipulations could be applied?

Answer 23

1. Pressing - press along the course of the meridian
2. Plucking - pluck the handle of the needle lightly
3. Scraping - scrape needle handle with thumb finger nail
4. Shaking - shake the tail back and forth
5. Flying - Twirling the needle quickly 3 times
6. Trembling - Quick lift and thrust movements ins small amplitude

Question 24

Can sterilization be done withdomestic ovens, microwaves, boiling water, alcohol, ultraviolet sterilizer or pressure cookers?

Answer 24

No

Question 25

In the “Miraculous Pivot” it says

Inserting the needle quickly and then removing it slowly is?

Answer 25

Reducing

Question 26

After the needle has been inserted to a given depth and the needling sensation appears, reinforcing is reached by lifting the needle gently and slowly, while inserting the needle heavily and rapidly, in small amplitude and quickly. Reducing is performed by lifting the needle forcefully and rapidly while inserting it gently and slowly, in large amplitude and slowly.

Answer 26

Lifting and Thrusting (Ti Cha)

Question 27

The needle tip pointing proximal into the channel (towards the body) will create ?

Answer 27

Reinforcing

Question 28

Name the 3 angles for insertion?

Answer 28

Transverse (Horizontal) , Oblique, Perpendicular

Question 29

On withdrawal of the needle, pressing the hole quickly will produce a ?

Answer 29

Refinforcing affect

Question 30

What is this describing?

Press the skin around the point with the thumb and index finger of the pressing hand , rotate the needle gently and lift it slowly to the subcontaneous level. Thenwidraw it quickly and press the punctured point for a while to prevent bleeding.

Answer 30

Withdrawing the needle.

Question 31

After withdrawing the needle, press the needling hole quickly to close it, which reinforces; shake the needle to enlarge the hole while withdrawing it and keep the hole open for reducing

Answer 31

Open- Close Method (Kai He)

Question 32

This method involves reducing before reinforcing. This can be used for complication syndrome which is at first hot then turns to cold. Acupuncture in the deep layer with reducing - lift tightly and thrust slowly 6 times then acupuncture with reinforcing the shallow layer - thrust tightly and lift slowly 9 times.

Answer 32

Yang Within Yin or The Golden Needle Ode (Jin-zhen Fu)

Question 33

When the patient feels soreness, numbness, heaviness and distension around the point or transmission of such upward and downward along the meridians, is a sign of what?

Answer 33

Arrival of Qi

Question 34

In the “Miraculous Pivot” it says

“Twirling the needle rapidly to promote the flow of qi” is?

Answer 34

Reducing

Question 35

Rotating the needle backwards with the thumb is?

Answer 35

Reducing

Question 36

This reinforcing and reducing method is distinguished by the speed of insertion and withdrawal of the needle. During manipulations, the reinforcing method is conducted by inserting the needle to a given depth slowly with less twirling and lifting it rapidly just beneath the skin and a moment later withdrawing it. The reducing method is performed by inserting the needle rapidly to a given depth with more twirling and withdrawing it slowly.

Answer 36

Rapid and slow insertions and withdrawals. (Xu Ji)

Question 37

When the needle is inserted into a certain depth, rotating the needle gently and slowly with small amplitude is known as?

Answer 37

Reinforcing

Question 38

When the needle is inserted into the point and the needling sensation appears, lift, thrust, twirl and rotate the needle evenly, then withdraw the needle.

Answer 38

Even Method (Ping Bu Ping Xie)

Question 39

The clean needle technique includes the following basic principles

Answer 39

1. Always wash hands between patients, before needling, and after needling.
2. Always use sterile single-use needles and other instruments that may break the skin (e.g., lancets, sevenstar or plum blossom needle).
3. Always establish a clean field before performing acupuncture.
4. Always immediately and safely isolate used needles and swabs.

Question 40

What are 4 factors influencing the arrival of Qi?

Answer 40

1. Point locatioin
2. Proper depth
3. Proper manipulation
4. Clients constitution

Question 41

This method involves reinforcing before reducing. This can be used for complication syndrome which is at first cold then turns to hot. Acupuncture in shallow layer with reinforcing - thrust tightly and lift slowly 9 times, then acupuncture with reducing in the deep layer - lift tightly and thrust slowly 6 times

Answer 41

Yin Within Yang or The Golden Needle Ode (Jin-zhen Fu)

Question 42

This method combines twirling and rotating with lifting and thrusting. At first thrust tightly and lift slowly 9 times after qi arrives, then lift tightly and thrust slowly 6 times, next combine with repeated right-left twirling-rotating It can be used for such symptoms such as oedema and flatulance. The manipulation can be carried out so as to do lifting and thrusting at the same time or the practitioner can do lifting before thrusting.

Answer 42

Fighting between the Dragon and the Tiger (Long Hu Jiao Zhan Needling)

Question 43

What is the angle of the needle for perpendicular insertions

Answer 43

90 degrees

Question 44

In the “Miraculous Pivot” it says

Inserting the needle slowly and withdrawing it rapidly is ?

Answer 44

Reinforcing

Question 45

At the depth of 0.5 cun and the arrival of qi is achieved. The needle is lifted and thrusted 9 times. Then inserted into a depth of 1 cun and lifted and thrusted 9 times. Then inserted into a depthe of 1.5 cun and lifted and inserted 9 times.

This can be conducted serveral times then quickly withdrawal the needle and close the hole with finger pressure.

Answer 45

Setting the Mountain on Fire

https://www.youtube.com/watch?v=dpjGWN620Go

Question 46

At the depth of 1.5 cun and the arrival of qi is achieved, the needle is lifted quickly and thrust slowly 6 times. Then the needle is lifted to a depth of 1 cun and the operation repeated. Then the needle is lifted to 0.5 cun and the operation repeated.

This can be conducted several times until a cool feeling is produced.

Answer 46

Penetrating Heaven Coolness

Question 47

In the “Miraculous Pivot” it says

Inserting the needle to a given depth slowly during manipulations and then lifting it rapidly just beneath the skin and a moment later withdrawing it is?

Answer 47

Reinforcing