Acu Points III
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Moxa herbs is...
- Bitter --> dry damp
- Pungent --> regulate qi & blood, expel cold
- Causes heat sensation --> yang activating
Information on Moxa:
- Restore primary yang from collapse
- Help regulate 12 primary meridians
- Warm uterus to stop bleeding
- Help ST/SP
- Regulate menstruation
- Treat & prevent diseases
- Eases the fetus
Four functions of Moxa are...
- Warm meridians & expel cold
- Induce smooth flow of qi & blood
- Strengthen yang & prevent collapse
- Prevents disease & keep healthy
What are the sizes of cone moxa?
- Small --> size of grain of wheat
- Medium (usually used) --> size of 1/2 date seed
- Large (back/stomach area) --> size upper part of thumb
- Each cone is a unit
What does direct cone moxa entail?
- Scaring type --> festering type for chronic dx, 5-10 units
- Non-scaring type --> chronic dx, def or cold conditions
What are the types of indirect moxa?
- Ginger --> SP/ST
- Garlic --> scrofula, insect bites, TB, early stage of skin ulcer w/boils (5-8 units)
- Salt --> on umbilicus + place moxa cone on salt (5-8 units) to restore yang from collapse, vomiting/diarrhea, abdominal P!, prolonged dissentary
- Acnite powder --> premature ejaculation, decreased menming fire
- White pepper + flour = cake --> local P!, numbness & arthritis P!
- End of needle --> warm needle type moxa
How to moxa?
- 5-10 minutes of moxa or until area is red (don't burn patient).
- Go up/down or circular motions
- Do YANG body parts first = Top first, then bottom. Extremities first, then center of body.
Contraindications of Moxa?
- Vomiting blood
- Febrile/thready pulse
- Excess heat
- Scarying moxa on face, head, large blood vessles
- Moxa on UB1, ST1, ST2, ST 9, ST8, abdomen or lumbar region on pregnant women
Cupping is good for?
- Bi syndrome, dampness (moving cupping), GI disorders, LU dx, diarrhea
- +blood letting = tx acute sprains
Benefits of cupping?
- Promotes free flow of qi and blood in meridians
- Decreases swelling and P!
Cupping procedure when the patient is side line?
Fire throwing method --> dip cotton ball in 95% alcohol, light it on fire, throw it in the cup and place the cup against the skin
What is the max amount of time for stationary cupping?
10 minutes or until the skin turns violet purple
How do you do moving cupping?
- Put lotion on the patient first (make sure they're not allergic to the lotion).
- Place cups on UB channel.
- Move the cups up and down until the skin turns red/purple
Precautions for cupping:
- Bony regions
- Hairy regions
- NEVER on skin ulcers
- Might see little blisters forming, remove the cup. Puncture the blister if big. If small, leave it alone.
Contraindications for cupping:
Skin ulcers, edema, high fever, tendency for patient to bleed or on blood thinners, convulsions, big arteries, lower abdomen or lumbar region for pregnant women
Caution of acupuncture:
Famished, over-fatigued or weak patient (used LESS needles)
Contraindications for acupuncture:
- Lower abdomen and lumbosacral region of women in 1st trimester
- Upper & lower abdomen and lumbosacral region of women after 1st trimester
- Pregnancy: LI 4, SP 6, UB 67, UB 60, ST 12, GB 21
- Don't needle vertex of infants
- Deep needling is prohibited: ST 1, Ren 15, SP 11, next to femoral artery
What to do if patient faints during needling?
- Possibly due to nerves, or are too weak
- Remove all needles, elevate legs to heart level, place thumb nail on Du 26 (upper 1/3 of upper lip), ST 36 or Du 25 (tip of nose) and give warm/sweet drink
What should you do if a needle gets stuck?
- 1st = tap around it
- 2nd = flick it
- 3rd = turn counter-clockwise
- 4th = insert another needle right next to the stuck needle
What do you do about a bent needle? How do you remove it?
Pull out along the direction the needle has been bent
What are the causes of a bent needle?
Muscle spasm, strong stimulation, patient moves (make sure the patient is confortable for 20 minutes)
What if the needle broke, got stuck in the skin and you feel the needle. What should you do?
Pull it out (tweezers or finger)
What if the needle broke, got stuck in the skin and you don't feel or see the needle. What should you do?
Take the patient to the ER (you drive the patient)
What should you do to help severe hematoma?
What should you do to help mild hematoma?
massage a little bit and keep warm
What should you do before you puncture to prevent hematoma?
Press the acu point with your thumb, then puncture.This will help prevent bleeding when withdrawl.
A 3-edged needle is good to?
expel pus, soothe qi/blood flow, eliminate heat and get rid of blood stasis
What type of needle is used for collateral pricking?
You use a 3-edge needle on what part of the body?
Blood vessles (excess) like vein behind vein
Bleeding UB 40 is good for?
Chronic back problems
Bleeding LU 11 is good for?
Bleeding PC 3 and UB 40 is good for?
Bleeding taiyang or apex of ear is good for?
Contraindications to bleeding:
Pregnant women, weak patients, patients who are susceptible to bleeding or on blood thinners
- Very superficial. Don't go deep.
- Not on large arteries or veins.
- Not too much blood (just a few drops).
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