Week 6 - Safety & Contraindications, Supplementing & Draining Techniques

Question 1

The most common type of organ puncture is ________.

What are the signs and symptoms?

Answer 1

pneumothorax

cough, chest pain, chest tightness, SOB, increased respiratory & pulse rates, sweating, subjective feeling of air hunger

Question 2

The most common acupuncture point where organ puncture occurs is ______
The proper needling technique for this point is ______

Answer 2

GB21

oblique insertion, angle outward or backward

Question 3

How are points on the chest needled?

Answer 3

Obliquely and shallowly

Question 4

What are general signs & symptoms of organ puncture?

Answer 4

local pain, local bleeding, local muscle spasm

Question 5

The needle angle for Ren 14, 15 is ______

Answer 5

oblique

Question 6

The needle angle for UB 22, 23 is ______

Answer 6

perpendicular, watch depth

Question 7

Possible sign of KD or UB organ puncture is _______

Answer 7

blood in urine

Question 8

To reduce likelihood of UB puncture, instruct patient to ______

Answer 8

urinate before treatment

Question 9

What are signs and symptoms of blood vessel puncture?

Answer 9

painful/sharp feeling, potential bruise

Question 10

What are signs and symptoms of nerve puncture?

Answer 10

electric sensation

Question 11

An overstimulated needle can lead to _________ which is _________

Answer 11

neuritis

up to 2 days of nerve inflammation

Question 12

Points in the back of the head and neck that must be needled carefully include _______. These points must be needled __________

Answer 12

Du 15, Du 16, GB 20

obliquely, angled towards nose or chin

Question 13

Needling into the medulla oblongata can cause _______

Answer 13

nausea, vomiting, convulsions

Question 14

Needling into the spinal cord area can cause _______

Answer 14

flash of pain, loss of sensation / motor control

Question 15

What are normal after effects of acupuncture treatment?

Answer 15

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

Question 16

What points should never be needled?

Answer 16

ST 17, Ren 8

Question 17

Why would you treat a woman as if they were pregnant, even if they weren’t?

Answer 17

If there is any possibility they are pregnant or if they are trying to get pregnant

Question 18

PC 6 is the point for __________

Answer 18

nausea, vomiting, morning sickness

Question 19

KD 9 is needled on a pregnant woman at the beginning of the 3rd trimester to _________

Answer 19

eliminate bad/ugly energy from baby - Beautiful baby point

Question 20

What points are contraindicated during pregnancy? Why?

Answer 20

LI 4, SP 6, ST 12, GB 21, UB 60, UB 67

All have a downbearing energy

Question 21

List types of high-risk patients that require special precautions

Answer 21

Pregnancy
Immune compromised
High steroid use
receiving chemotherapy/radiation
HBP
post-stroke
diabetes

Question 22

The risk of treating a post-stroke patient is __________. It is best to wait ______ before treating unless specially trained to treat post-stroke patients.

Answer 22

causing TIA - transient ischemic attack , potentially move & break more clots
2-3 weeks

Question 23

When treating diabetes patients, avoid _________ because of neuropathies - a loss of _________

Answer 23

burning w/ moxa or heat lamp

sensation in extremities

Question 24

List the basic needle insertions/manipulations

Answer 24

Lift & thrust
Twirling
Needle Retention
Following
Plucking
Scraping
Flying
Shaking
Trembling

Question 25

List supplementing needle techniques

Answer 25

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

Question 26

List draining needle techniques

Answer 26

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