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100 Cards in this Set
- Front
- Back
What is Ci Jiu Fa?
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Science of techniques of acupuncture and moxa
-researches and applies different techniques of acupuncture/moxa their concrete methods the indications and their principles |
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What are the goals of studying ci jiu fa?
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1. BRIDGE the gap b/t ccm theory and clincial practice of acupuncture
2. understand that applying the theory properly or not has direct influence on clinical EFFECT. |
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Bian stone is what?
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relics that were original form of needling practice, good for massage, removing abcess/carbuncle, treating infections
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The bian stone can be traced back to?
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WANG xuetai: THE LATE STAGE OF PALEOLITHIC AGE
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Paleolithic age designates teh cultural period beginning with what type of tools?
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EARLIEST CHIPPED STONE TOOLS
about 750,000 years ago until the beginning of Mesolithic age |
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The embryonic stage of the 9 needles took place in?
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the bronze age
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Bian shi is
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the stone that is used to cure or treat diseases
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What types of needles have been used dating back to paleolithic times?
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gold, silver, bamboo, and bone
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What is the significance of the 9 needles?
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they are a symbol of the formation of acupuncture needling techniques.
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Xu feng is the author of?
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The Verse of the Golden Needle
Ming dynasty book on acupuncture techniques |
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What are 3 different types of needling in nei jing? What is it for?
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9 needling, 5 needling, 12 needling
Different types of tissues, not different types of needles |
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In 5, 12, and 9 needling techniques you need what to reach different types of tissues?
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Different lengths of needles, but not necessarily different needles (?)
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Name the 6 fundamental techniques in needling? Which are the most basic?
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1. lifting/ thrusting
2. twisting 3. slow-speedy tonification/reducing 4. breathing tonification/reducing 5. direction against or w/ meridians 6. open/close pt first 2 most common |
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What is the highest/basic principle of acupuncture techniques?
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harmonizing yin/yang
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Define yin/yang laymen's terms.
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yin/yang are the general nature of the universe
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If you regulate what 3 things a patient will be healthy?
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yin/yang
essence qi |
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yin qi is on what side? yang qi on what side?
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yin right
yang left |
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If dz is on yin side what type of points might you choose? Why?
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yang
B/c lots of energy to work w/ to open blockage on sick side |
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What are 6 basic principles to harmonize yin/yang?
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1. Treat yin/yang by treating the yin side if yang is sick or yang side if yin is sick
2. In the THUMB movement of needle, forward is yang, back is yin 3. Ying & Wei: to tonify: insert slowly to push surface qi in, withdraw quickly and don't let energy out. Reduce: go in quickly and out slowly. 4. In severe or mild syndrome, PAIN is yin, ITCH is yang. For pain insert needle deeper retain longer. For Itching stay relatively superficial, and retain shorter. 5. Constitution: strong people needle deeper and longer, weak people shallow and shorter 6. yang excess and yin xu: tonify yin first reduce yang 2nd. Yang xu: tonify yang first reduce yin 2nd. In emergency may want to reduce 1st tonify 2nd. |
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What needling technique can you use with sides of the body treatment to harmonize yin/yang?
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Treat yin/yang by treating the yin side if yang is sick or yang side if yin is sick
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What needling technique can you use with the thumb to harmonize yin/yang?
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Forward thrust is yang, back is yin
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What needling technique involving ying and wei can you use to harmonize yin/yang?
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Ying & Wei: to tonify: insert slowly to push surface qi in, withdraw quickly and don't let energy out. Reduce: go in quickly and out slowly.
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What needling technique involving pain and itching can be used to harmonize yin/yang?
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In severe or mild syndrome, PAIN is yin, ITCH is yang. For pain insert needle deeper retain longer. For Itching stay relatively superficial, and retain shorter.
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What needling technique involving constitution can be used to harmonize yin/yang?
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Constitution: strong people needle deeper and longer, weak people shallow and shorter
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What needling technique involving yin/yang excesses and deficiencies can be used to harmonize yin/yang?
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yang excess and yin xu: tonify yin first reduce yang 2nd. Yang xu: tonify yang first reduce yin 2nd. In emergency may want to reduce 1st tonify 2nd
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The inherent root of acupuncture is?
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Opening
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How can you regulate and open meridians and channels? (6)
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1.use the meeting points of qi and blood
2.be aware of ying and sui (tonify/reduce broad sense) in narrow sense means going against or along meridian 3. by controlling direction of qi flow: turn needle fwd if qi goes up, turn needle back if qi goes down 4. Ziwuliuzhu needling: Chrono acupuncture: needle according to the organ clock. Eg 3-5am tx LU, if shi reduce at LU time, if xu tonify after LU time when organ is empty. 5. fenci/guanci etc 6. leopard spot puncture w/ pottery for ashi pt |
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How can qi and blood be used to regulate and open meridians and channels?
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use the meeting points
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How can ying and sui be sued to regulate and open meridians and channels?
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broad sense tonify/reduce
narrow sense go against of along meridian |
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How can direction of qi flow be used to regulate and open meridians and channels?
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turn needle forward qi goes up
turn needle backward qi goes down |
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How can Ziwuliuzhu needling be used to regulate and open meridians and channels?
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Chrono acupuncture
needle according to the organ clock. Eg 3-5am tx LU if shi reduce at LU time, if xu tonify after LU time when organ is empty. |
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What is the natural law of acupuncture in reference to the philosophical foundation of acupuncture techniques?
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To support vital qi to expel the evils
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To support vital qi and expel the evils what methods can be utilized and do they reduce/tonify? (6)
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1. moxa is more in favor of tonifying
2. needling is more in favor of reducing 3. bleeding is more in favor of reducing 4. cupping can be both 5. tuina can be both 6. never tonify evil qi |
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The core of acupuncture techniques is?
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Manipulating in the different levels
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In manipulating at different levels, how many layers are there?
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3 heaven/man/earth all have qi that can be grabbed except winter maybe when qi is deep
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To tonify in manipulation at different levels, what is done?
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heaven, man, then earth, then remove needle quickly, the repeat.
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**What are the three punctures and *what acupuncture technique are they associated with? (test)
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1. penetrate skin: get rid of yang evil
2. go slightly deeper: reach the muscles, expel yin evil 3. even deeper: gain the grain qi manipulating in different levels |
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Why do we needle the different layers?
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1. physiological reason: the hierarchy of qi distribution (skin, vessel, muscle, tendon, bone)
2. tissues correlated with internal organs 3. spring-summer vs. fall-winter |
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What are the 3 basic requirements of applying acupuncture techniques?
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1. Deqi: qi grabbin, effect happen immediately
2. Zhishe, sheng management, the soul/sprit 3. Bianzhengshizhi: apply treatment according to differentiation |
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What are teh 5 steps of applying techniques according to differentiation?
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1. theory
2. diagnosis 3. prescription (incl points) 4. herbs (techniques) 5. modification |
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What are the 8 guidelines of bainzhengshizhi? (eg making differentiation according to 8 parameters)
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(1. Yin syndrome)
(2. yang syndrome) 3. Surface syndrome 4. Internal syndrome 5. cold 6. heat 7. excess 8. xu 9. qi 10. blood |
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In the 8 guidelines of bianzhengshizhi what is yin syndrome? How to tx?
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Yin excessive, eventually will damage yang. Strengthen the yang and reduce the yin. Needle deeper and retain longer. Can use moxa.
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In the 8 guidelines of bianzhengshizhi what is yang syndrome? How to tx?
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yang excessive, needle shallow and retain shorter. Can use bleeding and cupping.
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In the 8 guidelines of bianzhengshizhi what is surface syndrome and how to tx?
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choose correct points. GB20, GV16, LI11, LI4, BL12. Needle shallow and retain shorter.
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In the 8 guidelines of bianzhengshizhi what are cold and heat similar to?
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cold yin
heat yang |
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In the 8 guidelines of bianzhengshizhi how do you treat shi/xu?
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excess: reduce
deficiency: tonify |
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In the 8 guidelines of bianzhengshizhi how do you treat internal syndrome?
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yuan source point, needle deeper retain longer
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In the 8 guidelines of bianzhengshizhi what are two things you can employ to tonify deficient types?
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zang fu differentiation
different constitutions of people |
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In the 8 guidelines of bianzhengshizhi we treat qi instead of? and Blood instead of?
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yin
yang |
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Understanding classification is important because?
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It helps us understand needling techniques and content
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What are the 4 classifications of needling?
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1. basic
2. adjunct 3. tonify/reduce 4. even |
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What is the basic technique of needling?
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hold needles
lift, thrust, twist, manage depth, retain, withdraw |
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What is the adjunct methods of needling?
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Facilitate qi arriving: guiding, flicking, scraping, waving, vibrating
walking qi overflowing channels qi relay method |
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Tonify and reduce methods of needling can be simple/complex?
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both
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Even techniques example?
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dao qi
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2 types of classically useful insertion?
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1. insert during cough or during inhale (reduce) exhale (tonify)
2. insert the needle by rotating to drive into skin |
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In basic techniques of needling, how would you needle a patient with good constitution, weak constitution, or older persons?
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good constituion: can go deep
weak: shallow older: more shallow |
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How should you apply depth of needling according to the seasons?
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spring: shallow
summer: deep as blood vessels Long summer: muscles fall: tendons winter: deep as tendons and bones |
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In general how should one apply needling depth?
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go through all 3 layers, yang/yin then grain (SP)
heaven/human/earth |
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*The Nei Jing says people who () should be needled deeper and people who () should be needled shallower.
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wear cloth (eg laborers)
are intellectuals |
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*Nei jing says excessive () needle deeper, deficient () shallow to protect teh essence and qi. Only let evil qi out.
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pulse
pulse |
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* What types of syndromes are associated with which needle depths and techniques?
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heat syndromes: shallow and quick (like touching hot soup w/ hand)
cold syndromes: deeper and slower (as if a person dislikes walking) |
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In the introduction of the school of golden needle in plum-blossom poem, it states: It is reasonable to look up to *() deep needling and down on shallow. Why?
Shallow points dislike? Deep dislike? |
praise
Guqi lives deeper where it is the source of healing chronic ills. Shallow points dislike long needles and deep vice versa |
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3 methods of needle retention?
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1. w/o manipulation (means after you grab qi)
2. manipulate the needle during retention 3. life-retaining (subcutaneous) |
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Why do we retain needles?
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1. waiting for the qi to arrive (if cant grab in initial stage)
2. regulating qi (eg heat/cold, shu/shi, open channels) 3. to support even/expel evil qi |
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Needle retention cautions (2)?
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not for baby and skinny people
according to differentiation |
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When withdrawing the needle...
fast does what? slow does what? apply tonify/reduce when? |
fast one-tonifying, seals qi in *but don't go too fast!
slow one-reducing, brings qi out applying tonification or reducing during/after withdrawing |
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Adjunct techniques: give examples of points at which the following techniques are used:
a. separating b. turning c. rolling-waving d. ascending-descending |
a. pc6, lu7, st36 (roll thumb/finger left right to separate tendons)
b. si6 c. SJ4, LI15 (fwd then backward) d. ST41, LI15 |
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Name 6 adjunct techniques of needling?
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1. guiding (massage)
2. flicking 3. sraping 4. waving 5. flying (alternate manipulate/open) 6. trembling |
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In tonify/reduce techniques *ticha define and it means?
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twisting - concerns teh speed and amplitude of the angle
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In tonify/reduce techniques *nianzhuan define and it mmeans?
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lifting-thrusting concerns speed, strength, and range or amplitude
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In tonify reduce techniques *yingsui means and define?
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along-against - the flow of meridians in a general sense
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In tonify/reduce techniques *huxi means and define?
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respiration - of the patients or docs
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In tonify/reduce techniques *xuji means and define?
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speed controlling - of insertion or withdraw
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In tonify/reduce techniques *kaihe means?
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open/close - in needling of holes
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In tonify/reduce methods *jiuliu means and define?
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according to numbers - 9 and 6
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In tonify/reduce methods *yingwei define:
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according to blood and qi (depth)
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In complex hand-techniques needling, setting the fire on the mountain is to produce/tonify (). Letting the needle become warm is () the qi, feeding the qi, helping the yang overcome the yin. When push in, focus on ().
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yang qi
tonify pushing needle forward |
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In complex hand-techniques needling, setting fire on the mountain:
during patients exhale? and push into what layer? |
Insert the needle and push it into Heaven layer (the upper 1/3 of the point) assisted by nail press of left hand (is better)
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In setting fire on the mountain needle technique, what do you do with the numbers?
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perform 9x (yang #) with heavier push and lighter pull while rotating fwd
if needle gets blocked withdraw 1-2/10th & slightly backward to relieve Ok if needle tangles |
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In setting fire on the mountain needle technique what do you do after the heaven layer?
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human layer repeat 9x fwd thrust
earth layer repeat |
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One round in setting fire to the mountain needle technique?
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process from heaven to earth
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How to withdraw in fire on the mountain needle techniques?
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pull out directly into heaven layer, pause, withdraw slowly during inhale
press hole quick and forceful about 30 sec |
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Setting fire on the mountain:
1 round is* need to do this how many times? Usually this is too much for the point, so you do? |
3 times in and 1 time out*
9x 3 rounds, wait 10 mins, then next three etc |
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Fire on the mountain needle technique indications?
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KD yang xu
Yuan qi xu of zang and jing luo also: wind stroke, paralysis Cold damp bi cold limbs cold abdominal (impotence, hernia) 5am coldness (diarrhea usually b/c of yangqi xu) |
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Fire on the mountain technique depths?
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not for shallow points (GB30, KD shu, He gu, xue hai, zu san li, LI11) even though usually to clear heat
1.5 cun... |
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Setting fire on the mountain needling techniques cautions?
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not on head face
if get heat sensation in first layer don't go deeper if dont get heat after 9 rounds, stop and give warming herbs don't let whole proceess take too long as is strong stimulation if you don't grab qi its not working for more sensitive patients eliminate rotation and just thrust |
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In tonify/reduce needle techniques 'thoroughly cooling heaven" point is to?
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reduce the pathogenic fire that *eats the qi
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In thoroughly cooling heaven, during inhale do what?
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innsert needle slow go to the earth layer, use stretching technique of left hand instead of pressure (to let xie qi out)
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In thoroughly cooling heaven, how many rounds and what techniques?
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6 rounds, (yin #), with heavier pull and lighter push while rotating backwards, 1 time in, 3x out slowly, this is one round
-come back to human layer, grab qi and repeat what was done in earth layer |
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In thoroughly cooling heaven needle technique, how to withdraw?
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quickly during exhale, enlarge the needle hole and let it open
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In thoroughly cooling heaven needle technique, what are the indications?
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flaming heat
excessive heat ministerial fire heat syn heat excessive wind stroke (acute) summer heat high fever mania |
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Ministerial fire means?
Where does it come from? |
PC/TB - fire that left the heart
qi - stored by LR/KD, moved by GB |
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Warm tonification technique
-insert the needle with () on the point of left hand -increase the pressure (L hand) and perform ()* for ()* -then hold the reacting place (at the tip of the needle) and perform heavier push and lighter pull for ()* -then perform *() more heavier push and lighter pull, then hold the reacting place until the heavy-tight sensation change into warm sensation, then pull the needle out slowly after necessary needle retaining, and press on the point quickly. |
assistant pressure
forward twisting pushing, 5 times 10 seconds (ca 10x) 45 seconds |
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Cool reduction needle techniques:
-insert the needle with assistant pressure on the point of left hand; when deqi happens decrease the pressure (L hand) and perform ()* for ()* -pull back the needle about 1/10 of cun -hold the reacting place at the tip of the needle and perform lighter push and heavier pull for ()* keep the qi by holding the reacting place until it loosing up and change into cooling sensation |
backward twisting and pulling, 5x
10 seconds (ca 45x) |
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Tonifying reducing techniques: yin hidden within yang
describe inhale/exhale to which layer? |
nasal inhale and mouth exhale px, during exhale insert needle with help of one finger pressing tech of left hand and grab qi
-push needle rapidly to huma layer and perform heavier push, and lighter pull while rotating forwards in 9 yang number |
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In yin hidden within yang tonify/reduce techniques, what do you do after tonifying?
if the warm sensation occurs what do you do? how does breath direct further pushing? perform heavier pull and lighter push while (() |
reduce
-if the warm sensation appears now, wait a while until its gone -mouth inhale and nasal exhale, further push the needle slowly to earth layer with the help of stretching techniques of right hand -rotating backwards in a 6-yin number (6/18/36) |
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In tonify/reduce methods: yang hidden within yin:
mouth () and nasal () During () insert needle with () techniques of left hand and push it slowly to () layer |
mouth inhale, nasal exhale
inhale stretching earth |
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In tonify/reduce methods: yang hidden within yin:
perform heavier pull and lighter push while rotating () in () |
backwards
6-yin number 6/18/36 |
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In tonify/reduce methods: yang hidden within yin:
what do we do after reduce? if the cool sensation appears now nasal () and mouth (), pull the needle to () layer with help of one finger press techniques of left hand -perform heavier push and lighter pull while rotating () in () number |
tonify
wait until sensation gone inhale, exhale, human forward 9-yang number 9/27/49 |