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Pan-Canadian Exam TCM > Modalities > Flashcards

Modalities Flashcards

1
Q

Considerations for tui na

A

-Patient’s posture
-Patient’s tolerance level (light or hard)
-Pressure layer (superficial or deep)
-Time (suggest 30 minutes for first treatment)
-Be careful with emotional patient
-No treatment right after meal

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2
Q

8 primary tui na groups?

A
  1. Pressing (An Ya)
  2. Linear – Moving (Tui)
  3. Rubbing (Rou)
  4. Pushing – Rolling (Tui- Gun)
    5, Pinching – Grasping (Na-Nie)
    6, Vibrating (Zheng)
  5. Tapping – Knocking (Pai- Kou)
  6. Articular movement
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3
Q

Cautions for tui na

A
  • Gentle or no tui na for acute injuries
    -Light with xu
    -Strong with excess
    -Never over open wounds
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4
Q

Elbow horizontal pushing

A

Good for high tolerance patients and locations of hip and back

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5
Q

Major linear pushing

A

Good for treating soft tissue injury, swollen, and chronic pain in 4 limbs.

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6
Q

Plucking

A

Good for separating the tears of muscle, relaxing muscle

Tennis elbow, frozen shoulder, stiff neck

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7
Q

Sweeping

A

Good for treating headaches, dizziness, HBP.

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8
Q

Tweezering

A

Good for treating trigger fingers, arthritis of joints, hand and joints pain, etc.

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9
Q

Rubbing

A

Mild stimulation and good to work on chest, abdomen, and hypochondria areas.

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10
Q

Kneading

A

1, Finger Kneading: Infant massage…
2, Palm Kneading: Big flat muscular areas, abdomen, hypochondria, and back…
3, Major Thenar Kneading: face, chest, small joints…

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11
Q

Pinching

A

1, Mostly for infants and children.
2, Work on UB lines, which are bilateral of spine.
3, From Du 1 to Du 14.
4, More focus on tonification.

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12
Q

Grasping

A

Good for neck, upper back and four extremities.
3, It has functions of opening blocked meridians, relaxing muscles, relieving pain

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13
Q

Vibrating

A

Indications：
Regulate endocrine, (adrenal cortex hormone),
Regulate digestive system function Bidirectional.
Abdominal tension or pain;
Digestive issues;
Qi sinking; etc.
400—600 times/ minute
Practical method:
“Cloudy Hands”

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14
Q

Knocking

A

Good for muscle rich area, shoulder, back, buttocks and thigh.
Release muscles, open channels
Sciatica, lumbar hip soft tissue strain, lower limb weakness and numbness and headache, vertigo.

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15
Q

Swing

A

Swing method is to make the passive rotation around the joints;
Functional movement technique;
Be used as warming up of some complex technique;

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16
Q

Treatment duration

Tonifying/reducing

A

tonifying: short (less than 20 mins)

Reducing: Long (more than 20 mins)

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17
Q

Twirling and thrusting

Tonifying/reducing

A

Tonifying: 9x (setting mountain on fire)

Reducing: 6x (penetrating heavenly closeness)

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18
Q

Rotating needles

Tonify/reduce

A

Tonifying: Counter clockwise/Thumb forward forcefully and backwards gently

Reducing: Clockwise/ thumb backwards forcefully, forwards gently

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19
Q

Needle Direction
Tonify/reduce

A

Tonifying: With the meridian

Reducing: Against the meridian

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20
Q

Respiration/Needle insertion
Tonify/readuce

A

Tonifying: Exhale on insertion/inhale on removal

Reducing: Inhale on insertion/exhale on removal

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21
Q

Insertion/removal of the needle
Tonify/Reduce

A

Tonifying: Slow insertion, quick withdrawal + cover with a cotton ball

Reducing: Quick insertion, slow withdrawal =do not cover

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22
Q

Lifting and thrusting
Tonfy/Reduce

A

Tonifying: Forceful thrusting, gentle lifting

Reducing: Gentle thrusting, forceful lifting

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23
Q

Amplitude
Tonify/reduce

A

Tonifying: Small amplitude

Reducing: Large amplitude

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24
Q

Setting the mountain on fire

A

Tonify

Life and thrust 9X at the first 1/3, repeat for the middle and bottom thirds. repeat entire process 9x.

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25
Q

Penetrating heavenly coolness

A

Reducing

Lift and thrust 6x at the bottom 1/3, repeat for the middle and superficial thirds. repeat entire process 6x.

26
Q

5 types of moxibustion

A
  1. Direct moxa (sometimes scarring)
  2. Insulated moxa
  3. Indirect moxa
  4. Heater or warm needle
  5. Moxa box
27
Q

What is direct moxa?

A

Cone placed directly on the skin, when its too hot it is removed.
Rice grain or cone. In china scarring moxa for chronic conditions.

28
Q

What is insulated moxa?

A

A moxa cone is put on ginger, garlic, fuzi, clay, or salt, instead of directly on the skin.

29
Q

What is indirect moxa with moxa stick?

A

A moxa stick is held over specific acupuncture points without coming into contact with the skin. Types include:

Stick heled at fixed levels
rotating moxa above small area
Pecking or sparrow method

30
Q

What is warming or heated needle technique

A

Moxa is place on a needle and a shield is placed underneath to protect the patients skin.

31
Q

What is moxa box

A

A moxa box is placed on lower abdomen or back.

32
Q

What does ginger treat with moxa?

A

-Spleen/ stomach xu
-yang xu (abdominal pain/painful joints)

33
Q

What does garlic treat with moxa?

A

-Scrofula, tb, early stage skin ulcer, boils, insect bites, masses in the abdomen.

34
Q

What does Fuzi(monkshood) treat with moxa?

A

Warms yang, expels cold, yin cold syndromes such as impotence and premature ejaculation, warms kidney.

35
Q

What does clay treat with moxa?

A

Skin disorders

36
Q

What does salt treat with moxa?
(usually on the umbilicus)

A

Abdominal pain, vomiting, extreme coldness of the extremities and general xu, restores yang collapse.

37
Q

What are the 4 actions of cupping?

A
  1. Warming (fire cupping only)
  2. Promotes free flow of Qi
  3. Dispels cold/damp
  4. Reduces swelling and pain
38
Q

What are the 4 indications of cupping?

A
  1. Bi syndrome due to wind damp
  2. GI disorders
  3. Lung disease
  4. Cupping for bleeding with acute sprains with blood stasis
39
Q

What are the 6 methods of cupping

A

1.Retention cupping
2. Multiple cupping method
3. Flash cupping
4. Sliding cupping
5. Cupping over needle
6. Wet cupping

40
Q

What is retention cupping?

A

When a cup is left in place for 5-15 mins.

41
Q

What is multiples cupping method?

A

Several cups are places and retained at once for muscular or Qi stagnation issues.

42
Q

What is flash cupping?

A

The cup is applied and pulled off repeatedly.

43
Q

What is sliding cupping?

A

A cup that is lubricated with oil is applied and moved along flat surfaces of the body. This is done until the skin has reddened.

44
Q

What is cupping over a needle?

A

A cup is placed over a needle, ensuring the needle is not pushed further into the skin.

45
Q

What is wet cupping?

A

A practitioner wears gloves, pricks a point or spot with a lancet, wipes with a alcohol swab and then places a disposable cup over. Caution do not use if patient is xu or has any bleeding disorders.

46
Q

Cupping colours and what they mean

Red purple bruise-
Bright red-
Dark purple-
Black purple-
Light purple-
Pale-
Green-

A

Red purple bruise- normal, should dissipate in a few days or a week
Bright red- Fresh injury or acute heat.
Dark purple- Blood stasis
Black purple- Extreme blood stasis
Light purple- Blood stasis from xu
Pale- Xu
Green- Liver pathology

47
Q

What is a TDP lamp and what does TDP stand for?

A

Pinyin teding diancibo Pu
“special electromagnetic spectrum”

Emits special band of electromagnetic waves ranging from 2-22 microns and 25 mw

48
Q

What are the 4 benefits of a TDP lamp?

A
  1. Warms
  2. Increases blood circulation
  3. Reduces swelling
  4. Decreases joint stiffness and muscle pain
49
Q

What are the 3 indications for a TDP lamp?

A
  1. Pain in the joints and muscles
  2. Swelling or edema
  3. Muscle spasms
50
Q

What is the closest distance for a TDP lamp?

A

12” or 30cm

51
Q

What is the lowest angle you should tilt a TDP lamp to prevent heat build up?

A

45 degress

52
Q

what is the maximum time to use a TDP lamp?

A

50-60 mins for an adult and 30 ins for a child

53
Q

What are the indications for gua sha?

A
  1. Wind heat or cold
  2. Old EPI that has gone in further
  3. brings heat, qi, and epi up and out
54
Q

Gua sha steps

A
  1. gua sha from up to down
  2. Use front edge of spoon to push firmly
  3. Do 5-10 minutes on each side until there is sha
  4. Apply soothing lotion and cover patient so they don’t lose heat
55
Q

Cautions for gua sha

A

Deficient or weak patient

56
Q

Bloodletting indications

A

-drain heat or fire
-Dispel blood stasis and activate Qi and blood
-Relieve local stagnation: to promote the smooth flow of Qi and blood in the meridians and tissues
-Conventional medicine: hematoma, low back pain, fever, tonsilitis, acute gi inflammation, heat stroke, neurodermatitis, allergic dermatitis, acute sprain, febrile disease, headaches, like all the things.

57
Q

Pricking method

A
  1. Apply local pressure @ acu point of small veins
  2. Clean point
  3. Swiftly prick the point shallowly 0.005-.1 cun
58
Q

Clumping method

A
  1. Many tiny punctures are made in a tender or injured area
    2.use for injuries, reddened or swollen skin, neurodermatitis, allergic dermatitis.
59
Q

Dispersing method

A
  1. a wide area of skin surface is pricked to induce bleeding
    Indications: Neurodermatitis, allergic dermatitis.
60
Q

Cautions and contraindications of bleeding

A

Get informed consent! And explain the procedure thoroughly.

Do not perform: general weakness, pregnancy, post-partum patients, anemia, hemophilia, low blood pressure, vascular tumors.

61
Q

Electro acupuncture indications

A

-Trigeminal neuralgia
- Sciatica
- Pain of the greater occipital nerve
-Migraine
-Periarthritis of the shoulder
-Knee injury
-abdominal pain
-TMJ
-dysmenorrhea
-facial paralysis

62
Q

What level hertz tonify/reduce?

A

tonify: 1-2-4
harmonizing: around 8
reduce: higher than 8

Pan-Canadian Exam TCM (10 decks)

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