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Japanese Local Treatments > bloodletting > Flashcards

bloodletting Flashcards

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1
Q

shiraku

A

blood letting

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2
Q

what does bloodletting treat?

A

blood stagnation, heat

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3
Q

what is sairaku shiraku?

A

bloodletting vascular spiders

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4
Q

what is Hifu shiraku?

A

ranshi ho and mattan

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5
Q

what is mattan shiraku?

A

bloodletting extremities (jingwells, ears, nose, crown of head)

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6
Q

how do you dx jingwells

A 
dark fingertips
nails cold to the touch
nail remains white for extended time when pressing it
nail growing abnormally
cuticle abnormal
nearby joints stiff
jinwell is  pinaful when probed
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7
Q

Dosage guidelines for mattan shiraku (jingwells)

A

deficiency- 1-2 jinwells for 1-2 gtt
healthy- 4-5 jingwells for 10-15 gtt
excess- 7-10 jingwells for 15-20 gtt

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8
Q

Jingwell tx Lu11

A

tonsilitis, asthma, teething fever in infants, pharyngeal pn, thoat pn, bronchial asthma, cough, mumps,

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9
Q

jingwell tx LI1

A

lymphadenopathy in neck, bronchial asthma, lower jaw toothache, common cold

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10
Q

jingwell tx PC9 (can be radial or ulnar side)

A

radial- palpitations, median nerve pathology, chest, neck pn

ulnar - hiccups, stiff shoulder, difficulty swallowing

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11
Q

jingwell tx tw1

A

brain congestion, ha, asthma, hivers, allergic rx, eye congestion, dizziness, pharyngeal pn

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12
Q

jingwell tx h9

A

loss of conciousness, fainting or shock, ht disorders, dyspnea, SOB, palpitations, neurosis, chest pn or tightness

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13
Q

jingwel tx SI1

A

shock, fainting, ht disorders, dyspnea, rheumatism, convulsions, pharyngeal pn

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14
Q

jingwell tx sp1

A

indigestion, acute gastroenteritis, infantile seizures

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15
Q

jingwell tx Lv1

A

eye problems, convulsions, frequent urination, genital organ pathologies

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16
Q

jingwell tx st45

A

upper jaw toothache, beriberi, GI disorders

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17
Q

jingwell tx 3rd toe lateral

A

heel bone pn, eye problems, lumbago, sciatica

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18
Q

jingwell tx GB44

A

ha, flank pn, dizziness, dysmenorrhea, genital pn

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19
Q

jingwell tx Ki1 medial side (

A

urinary pathology, diabetes, kidney stones, urinary system dysfunction

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20
Q

jingwell tx bl67

A

hemorrhoids, nasal obstruction, low back pn, HA, intercostal neuralgia

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21
Q

tight dry skin indicates what? and contradindicates what?

A

indicates bloodletting, and contraindicates moxa

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22
Q

sairaku shiraku

A

spider veins

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23
Q

what do vascular spider formation represent?

A

areas where there has been a long term condition of blood stagnation. can indicate a local or distal problem.

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24
Q

causes of oketsu (blood stagnation)

A

cold, haet, spleen not holding blood, local trauma, long term qi stagnation, emotional distress

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25
what areas do we check for spider veins?
face (zygomatic arch, ala nasi, tip of nose, under eyes occipital area back (mid scapular area sacrum, hips front (pec major area, subcostal area legs (IT band, lateral leg, popliteal fossa, ankles and feet)
26
dosage for sairaku shiraku
deficient- 2-3 spiders no cupping healthy- 5-7 spiders medium cupping excess 7-10 spiders, strong cupping
27
contraindications of bloodletting jingwells (mattan shiraku)
pregnant pts, peripheral neuropathy, hemophelia, TB, carcinoma, extremely weak pt
28
depth of lancet for sairaku shiraku
1-2 mm
29
siaraku shiraku tx on the head (vertex, occipital and mastoid process)
vertex- neurosis, insomnia, dream disturbed sleep, hypertension, HA, stroke, ana prolapse, hemorrhoids occipital- stiff neck, stiff shoulders, HA eent problems mastoid process- tinnitus, ha, hypertension, minieres, eent problems bells palsy tmj, trigeminal neuralgia
30
siaraku shiraku tx for face (forehead, nose, sublingual veins)
forehead- ha, nosebleed, abnormal bp nose- ha, nasal problems, hypertension, roaseac, intestinal pathology sublinguals- speech pathology due to stroke, abnormal bp
31
siaraku shiraku treatments on scapula ( inferior fossa, acromion)
inferior fossa- mastitis, insufficient lactation, stiffness in shoulder, rheumatism in upper extremity acromion- stiff shoulders, arm paralysis, skin dz
32
siaraku shiraku treatments on arm
medial elbow- asthma, pneumonia | jian qian- rotator cuff injury shoulder problems
33
siaraku shiraku treatments on leg (head of fibula, popliteal fossa)
head of fibula- gyn, sciatica, hemorrhoids, stomach ulcers | popliteal fossa- low back pn, hypertension, knee problems, fatigued legs, ha, dizziness, stiff shoulders, skin rash
34
lumbrosacral area
low back pn, gyn problems invollving oketsu
35
what is ranchi ho
bloodletting areas that show oketsu by pricking several times and cupping to express blood.
36
diagnosing areas with oketsu
``` rough or lusterless skin changes in pigmentation moldes, skin tags, petechiae, birthmarks hard stiff painful areas masses, indurations, thickening of skin ```
37
dosage of ranchi ho
weaker pt- 1 cup average vitality- 1-3 cups strong pt 3 or more cups
38
contraindications for ranchi ho
pregnancy, cerebral embolism, MI, hemophilia, TB, malignancy, weak pts
39
common tx areas for ranchi ho- upper shoulders
stomach, gyn, tootheache, HEENT,
40
common tx areas for ranchi ho occipital area
HA, hypertension, HEENT, neck pn, gyn
41
common tx areas for ranchi ho inferior border of mastoid
hypertension, menieres dz, HEENT, bells palsy, trigeminal neuralgia
42
common tx areas for ranchi ho for sacrum
gyn, hypertension, pelvic problems
43
what is kiyukaku
cupping
44
what are the three types of kiyukaku
1. retained cup- leave cup for 10-20 min good for musculoskeletal problmes 2. momentary cup- cup and release repeatedly in area- good for drawing local congestion to surface, and for deficient pts 3. moving cups- useful for treating larger areas of congestion like low back or shoulders.
45
kiyukaku dosage guildeins
def- 2-3 cups, light suction, 20 sec - 2 min normal- 5-7 cups, medium suction, 3-5 minutes excess 7-10 cups, strong suction 5-10 minutes
46
how would you correct overtreatment of kiyukaku?
chinetskyu on gv14, cv6, st36 or around naval
47
contraindications and cautions for kiyukaku
in pregnancy no cupping abdomen, sacrum , upper shoulders, or contraindicated points. avoid cupping over inflamed organs, inflamed skin open woulnds, throat, veings, and arteris no cupping in patients that are anemic or extreme fatigue, or cases involving cardiac dz, aneurismms, bleeding ulcers
48
cautions for kiyukaku
avoid after recent hot shower, sauna, strong exercise, heavy meal or with low bp
49
kiyukaku tx navel tx
retained cup 2-3 min over navel, for skin dz anywhere on body or to tx pts with chronic miscarriages.
50
kiyukaku tx for disorders of entire body
gv14, gv12
51
kiyukaku tx for respiratory disorders
bl12,13,20, lu1, cv17
52
kiyukaku tx for intestinal disorders
bl20, 22, 25, st25, cv4
53
what is katate soukanhou
loading insertion tube with one hand.
54
what is shinkan
name for the insertion tube
55
waichi sugiyama
famous, father of acupuncture in japan. blind.
56
what is sugiyama 18
sugiyama developed 18 needling techniques based on his interpretation of the classic texts
57
what are three needling techinuiqes
sennen chishin jakutaku
58
sennen
"half roation"
59
chishen
retained needle
60
jakutaku
bird pecking (one of the sugiyama 18)
61
hifushin
non insertive needle technique
62
what is hifushin used for?
root and local txs
63
teishin
non inserting needle
64
signs of patient response to hifushin
``` changes in temperature sweating deepter breathing gurgling stomach red rx at a point skin texture less rough or dry decrease in tension or hardness decrease in puffiness pulse more consolidatedabdominal reactivity resolves ```
65
sesshokushin
non insertive needling technique done on an area as opposed to a single point. it is a tonifying technique.
66
what does sesshokushin treat?
more superfical level of pathogenic qi (ju level)
67
shigo
technique based on circadian rythym ooo qi flow through the 12 mian channels. used to tx pain, especially musculoskeletal. they are NOT root tx.
68
steps in shigo?
determine channel affected. then go to opposite channel on chinese clock treat healthy side identify reactive points mirroring
69
sanshin
scatter needling- a fomr of non insertive needling with treats an area superficially.
70
when to do sanshin
do at end of tx to polish an area or to disperse any left over superficial excess.
71
where to do sanshin
feel for signs of excress on back, abd. forearm, lower legs

Japanese Local Treatments (5 decks)

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