Sairaku Shiraku Flashcards
Japanese term for blood stagnation
Oketsu
Sairaku Shiraku
Bloodletting vascular spiders
Vascular spiders form in areas where…
there is a long history of Oketsu, they can indicate a local or a distal problem
Causes of Oketsu
Cold Heat Spleen not holding Local trauma Long-term Qi stagnation
Diagnosing spiders:
Amount- more spiders= more serious of a stasis problem
Color- purple, dark red, light red (darker is more chronic, pathological)
*bright red spiders may appear in healthy patients and may not indicate a pathology
Common areas to look for spiders:
Face: zygomatic arch, ala nasi, tip of nose, under eyes
Occipital: behind ear, mastoid process, under skull
back: midscap area, Near C6-T4, scapula, shoulders, acromiom, sacrum, hips
Front: pec major area, subcostal
legs: IT band, lateral leg, popliteal fossa, medial or lateral lower legs, ankles, and feet
Dosages for Sairaku
Deficient: 2-3 spiders, no cups
Average: 5-7 spiders, medium cupping
Excess: 7-10 spiders, strong cupping
Contraindications for Sairaku
Hemophilia Patients with TB End stages of malignant tumor/cancer Extreme weakness *if bleeding spiders on legs of pregnant women, avoid SP6 and LV5
Possible side effects
lightheaded
fatigue
hematoma
elevated body temp that lasts for more than few minutes
sudden chilled hands/feet, other areas lasting for more than 5-10 minutes
Technique for lancing spiders
-spread skin to see spider
-lance where spiders are darkest or at junctions
1-2 mm is the preferred depth
-one lancet for one spider
-dispose of lancet immediately after use
-cup spider immediately
What to do if cup falls and breaks?!?!?!?
Clean blood spill then apply straight bleach on spill area
When should you empty the cup if there is a lot of blood coming out?
If the blood inside the cup reaches the height of 1 finger breath
What to do after Sariraku Shiraku?
Clean patient’s skin
Burn 1-3 chinetsukyu over treatment area
Clean out glass part of cup with soap first, then soak in 9-1 bleach solution for 20 minutes
