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Tuina 2 > Tuina 2 Final Exam Prep > Flashcards

Tuina 2 Final Exam Prep Flashcards

1
Q

OLD CHARTS stands for…

remember it’s slightly different than Hudson

A 
Onset
Location
Duration
CHaracter (sharp, dull, etc) 
Alleviating/Aggravating factors 
Radiation
Temporal pattern (every morning, all day, etc) Symptoms associated
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2
Q

Contraindications

A 
Serious diseases of HT, Lungs, Brain
Infectious diseases (TB, Hepatitis)
Inflammatory disease
Malignant tumors
Circulatory conditions 
Fracture site
Skin conditions
Pregnancy- timing, positioning, pressure
Menstruation- lighter pressure
Weak or frail patients
Intoxication
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3
Q

The hamstrings and PSOAS muscles should be checked just in case they are pulling on the pelvis and tipping to stretch the _________

A

lower back muscles

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4
Q

Three possible causes of Lumbar pain

A

Chronic overstrain
KD deficiency
Invasion of Wind, Cold and Dampness

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5
Q

Pattern of Lumbar pain

A 
Obstruction in channels and collaterals
Qi Stagnation and Blood Stasis
Pain d/t obstruction
Chronic Lumbago
Chronic Lumbar strain
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6
Q

Lower Back Pain TX

A

Relax sinews
Activate Blood
Warm Channels
Dredge Collaterals

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7
Q

Lower Back Pain

TX Protocol

A
  1. Utilize the following until the back is warm
    a. Palm Pushing: from upper back to BL37
    b. Pressing and kneading the erector muscles of lumbar region
  2. Plucking on erector muscles of lumbar region
  3. Pressing, Kneading, Vibration: BL23, BL25, BL26, BL54, GB30, BL40 – 30 sec each
  4. Scrubbing Lumbar region until hot
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8
Q

Lower Back Pain Precautions

A

Address patient’s posture.
Strengthen lower back & ab muscles.
Improve ergonomics of workplace.
Balance work and rest.

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9
Q

Piriformis Syndrome TX Protocol

A
  1. Basic back treatment
  2. Press the points 1/3 and 2/3 on line from greater trochanter to hiatus of the sacrum
  3. Dredge GB channel (dredge down IT band)
  4. Rolling, kneeding, and pressing at the attachments of piriformis muscle & gluteus medius
  5. Scrubbing transversely on lumbrosacral region
  6. Pointing or pressing on BL40, BL57, GB34, BL57, GB39, GB40, GB41, GB30, BL54
  7. Stretch place hand on hip and press knee across to opposite side
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10
Q

Basic Upper Back TX Protocol

A
  1. Pressing down on spine with cupped hand (timed w/ pt. exhalation)
  2. Light compression on BL channel of thoracic
  3. Palm pushing down BL to warm channel
  4. Pressing, vibration on Hua Tuo Jia Ji points and outside BL channel of thoracic
  5. Use thumb and 2nd & 3rd fingers to stretch out individual vertebrae (thumb and finger in opp dir)
  6. Kneading on areas of blood stagnation
  7. Grasping upper trapezius muscles
  8. Pressing on SI11 and SI12
  9. Scrubbing next to spine
  10. Rocking thoracic spine
  11. (Supine) Compression and stretching on pectorals
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11
Q

Upper Back Stretches

A

Straight Arm Rows
Door Frame Stretches
Angel arms against wall - keep shoulders against wall

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12
Q

What is Thoracic Outlet Syndrome?

A

Compression of space between clavicle and first rib

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13
Q

Thoracic Outlet Syndrome can show the same symptoms as ______ because the Median nerve is pinched.

A

Carpal Tunnel Syndrome

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14
Q

Causes of Thoracic Outlet Syndrome

A

Excessive muscle contraction of the scalenes Misaligned 1st rib & clavicle
Qi and blood stagnation

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15
Q

General TX for Stiff Neck (seated)

A
  1. Loosen nape of neck below occiput: Grasping, Gentle Plucking and/or kneading
  2. Grasp posterior neck one side at a time
  3. Grasp trapezius: bilaterally or unilateral alternation
  4. Forearm push trapezius while holding head (important not to press the head, just support)
  5. Hypothenar Striking of trapezius
  6. Round Rub from base of neck from GB21 thru to LI16
  7. Gentle Plucking of trapezius
  8. Press/Knead: GB20, DU16, SI11
  9. Foulage of shoulder and upper arm
  10. Shaking of arm
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16
Q

General TX for Stiff Neck (supine)

A
  1. Grasp and Knead SCM (gently)
  2. Pressing into occiput with fingertips of both hands
  3. Pulling Stretching Neck – cervical traction
  4. Press-Kneading: tender points of the neck
17
Q

Causes of pain (Exogenous Factors) - Headache/Migraine (pain in upper half of cranium)

A

Wind-Cold
Wind Heat
Wind-Damp

18
Q

Causes of pain (Endogenous Factors) - Headache/Migraine (pain in upper half of cranium)

A

LV: Emotional, LV Qi Stag
SP: Improper Diet, Weakness d/t prolonged diseases
KD: Congenital, Excessive sexual activities
Blood Stasis: Trauma, Prolonged diseases

19
Q

Headache/Migraine - Location can be

A 
Frontal
Occipital
Vertex
Temporal
Whole head
20
Q

Headache/Migraine - Characteristics can be

A 
pounding
stabbing
distending
dizzying
dull
21
Q

Headache/Migraine - General TX Protocol

A
  1. Grasp & Lift nape of neck several times
  2. Grasp & Lift GB21 bilaterally several times
  3. Pressing: GB20, DU16, BL10
  4. Wiping (Mopping)- each 3-4 times
    4a. Wipe fr Yin Tang to Tai Yang along eyebrow
    4b. Wipe fr LI20 outward
    4c. Wipe fr DU26 outward
    4d. Wipe fr Ren 24 out/up to ST7 area
  5. Rub Temples
  6. Grasp-Rub head fr forehead to post hairline sev times
  7. Scrub from hairline to occiput & mastoid proc
  8. Press Push from GB20-GB21
  9. Gently Pluck SCM
  10. Grasp traps, delts, upper arms & forearms
  11. Shake upper limbs, foulage arms
22
Q

TX Protocol - Wind Cold HA

A

WIND COLD HEADACHE

  1. Pressing-Kneading: UB13, UB12, UB11
  2. Scrub BL channel of back until warm
23
Q

TX Protocol - Wind Heat HA

A

WIND HEAT HEADACHE

  1. Pressing-Kneading DU14 for 1 minute
  2. Pat and Strike BL Channel of back until red
24
Q

TX Protocol - Summer Damp HA

A

SUMMER DAMP HEADACHE

1. Similar to Wind Heat Headache: add pinching of Yin Tang and Nape of neck until red

25
Q

TX Protocol - LV Yang HA

A

LIVER YANG HEADACHE

  1. Scattering along GB channel of head – repeat 10 times
  2. Press-Knead: BL18, GB34, LV3
26
Q

TX Protocol - Turbid Phlegm HA

A

TURBID PHLEGM HEADACHE

1. Rub abdomen clockwise (Focus on RN12 & ST25) 2. Press-Knead: BL20, BL21, ST36, ST40

27
Q

TX Protocol - Bood Deficiency HA

A
  1. Scrubbing: left side of back and DU Mai until warm
  2. Press-Kneading : BL15, 17, ST36, SP6 until mildly sore and distended
  3. Rubbing: REN 4, 6, 12 – long duration 6-8 min
28
Q

TX Protocol - KD Deficiency HA

A

KIDNEY DEFICIENCY HEADACHE

  1. Scrubbing: back, DU Mai
  2. Flat Push Lumbo-sacral area (option: transverse scrubbing) until warm
29
Q

TX Protocol - Blood Stasis HA

A

BLOOD STASIS HEADACHE

  1. Scrubbing forehead and Tai Yang until warm
  2. Press-Knead: Tai Yang, BL2, forehead and GB Channel of head
30
Q

Wind-Cold SX

A

Severe chills, slight fever, no sweat, H/A, body ache, cough, stuffy nose, clear nasal discharge, aversion to wind and/or cold, can also have stiff neck and/or back (severe = body aches)
T: pale with thin white coat
P: floating, tense

31
Q

Wind-Heat SX

A

Fever, slight aversion to wind or chills, sore and swollen throat, dry mouth, cough, thick sputum that is hard to expectorate,
T: reddened tongue with yellow coat
P: floating rapid

32
Q

Basic TX Protocol - Shoulder

A
  1. Hypothenar Striking Trapezius
  2. Knead fr base of neck along med border of scapula
  3. Lightly Pluck the pec major and lat dorsi
  4. Grasp posterior deltoid and pull anteriorly
  5. Grasp anterior deltoid and pull posteriorly
  6. Grasp biceps and triceps
  7. Rotate and move the arm while Rolling or Fingertip Kneading

Tuina 2 (1 decks)

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