Week 6 - Safety & Contraindications, Supplementing & Draining Techniques Flashcards
The most common type of organ puncture is ________.
What are the signs and symptoms?
pneumothorax
cough, chest pain, chest tightness, SOB, increased respiratory & pulse rates, sweating, subjective feeling of air hunger
The most common acupuncture point where organ puncture occurs is ______
The proper needling technique for this point is ______
GB21
oblique insertion, angle outward or backward
How are points on the chest needled?
Obliquely and shallowly
What are general signs & symptoms of organ puncture?
local pain, local bleeding, local muscle spasm
The needle angle for Ren 14, 15 is ______
oblique
The needle angle for UB 22, 23 is ______
perpendicular, watch depth
Possible sign of KD or UB organ puncture is _______
blood in urine
To reduce likelihood of UB puncture, instruct patient to ______
urinate before treatment
What are signs and symptoms of blood vessel puncture?
painful/sharp feeling, potential bruise
What are signs and symptoms of nerve puncture?
electric sensation
An overstimulated needle can lead to _________ which is _________
neuritis
up to 2 days of nerve inflammation
Points in the back of the head and neck that must be needled carefully include _______. These points must be needled __________
Du 15, Du 16, GB 20
obliquely, angled towards nose or chin
Needling into the medulla oblongata can cause _______
nausea, vomiting, convulsions
Needling into the spinal cord area can cause _______
flash of pain, loss of sensation / motor control
What are normal after effects of acupuncture treatment?
vasovagal response - relaxation reduction in pulse rate, BP, body temp feeling of lightheadedness, dizzy, spacey may be pale, sweaty may feel like needle is still in there may feel cooler/cold - reduced body temp
What points should never be needled?
ST 17, Ren 8
Why would you treat a woman as if they were pregnant, even if they weren’t?
If there is any possibility they are pregnant or if they are trying to get pregnant
PC 6 is the point for __________
nausea, vomiting, morning sickness
KD 9 is needled on a pregnant woman at the beginning of the 3rd trimester to _________
eliminate bad/ugly energy from baby - Beautiful baby point
What points are contraindicated during pregnancy? Why?
LI 4, SP 6, ST 12, GB 21, UB 60, UB 67
All have a downbearing energy
List types of high-risk patients that require special precautions
Pregnancy Immune compromised High steroid use receiving chemotherapy/radiation HBP post-stroke diabetes
The risk of treating a post-stroke patient is __________. It is best to wait ______ before treating unless specially trained to treat post-stroke patients.
causing TIA - transient ischemic attack , potentially move & break more clots
2-3 weeks
When treating diabetes patients, avoid _________ because of neuropathies - a loss of _________
burning w/ moxa or heat lamp
sensation in extremities
List the basic needle insertions/manipulations
Lift & thrust Twirling Needle Retention Following Plucking Scraping Flying Shaking Trembling
List supplementing needle techniques
slow insert, quick withdraw heavy thrust w/ light lift twirling rotation clockwise needle in direction w/ channel flow insert w/ exhalation close insertion site manipulate 9x
List draining needle techniques
quick insert, slow withdraw light thrust, heavy lift twirling rotation counter-clockwise needle in direction against channel flow insert w/ inhalation leave insertion site open manipulate 6x
