Clase dos y tres

Question 0

visualization

Answer 0

muscles, tendons, blood vessels, and bones

• concentric rings/droplet of water on ocean going to deepest part of the body
• send to main concerns of pt.

Question 1

concentration is critical

Answer 1

in all aspects of shakuju

practitioner should direct consciousness from tx point to all directions and depths of the body

Question 2

when should you check reference points

Answer 2

every 10 to 20 seconds while needling to see if there are changes in the body’s cond’n
-awareness should be BOTH the practitioner and patient

Question 3

pulse rate

Answer 3

fast or slow

normal= 60-90 BPM

Question 4

causes of dz

Answer 4

internal/external/neither

Question 5

external

Answer 5

environmental wind, cold, etc

Question 6

internal

Answer 6

emotional- grief, fear, anger etc.

Question 7

neither

Answer 7

automobile accidents, trauma, medication

Question 8

4 factors of dz

Answer 8

Internal factors  (ST ulcers from stress)
External factors w/ underlying internal factor (cold from AC and body is weak d/t anxiety)
neither- anorexia/bulimia
internal factors leading to death (depression to suicide)

Question 9

what is the cause of dz

Answer 9

condition of the body

Question 10

Health is?

Answer 10

not an absence of pathogenic factors, but resilience of the body and its ability to respond to challenges from pathogenic influences

Question 11

abnormalities of qi

Answer 11

actual manifestations of cold (hie) in the body

Question 12

what is the purpose of the needle? moxibustion?

Answer 12

needle= gather qi

moxibustion- supply energy in the form of heat when the qi is insufficient

Question 13

cold

Answer 13

all conditions in which there is a decline in vital activity

Question 14

Manifestations of cold

Answer 14

1. subjective and objective cold sensations- feeling cold by pt. or practitioner
2. decreased sensitivity of the skin- dullness/numbness in skin/mm, when moving, lack of mm tone, slackness or coarseness of the skin
3. increased sensitivity of the skin (pain)- pain caused by movement; knee, LB, HA, sharp sensations on palpation
4. fragility of skin, mm, or body as whole- depression in skin, body is swollen, “pitting”
5. pale color of skin or feces- pale complexion
6. sluggish movm’t- sluggishness in speaking, eating, and walking
7. medical dx (ex. LBP)- findings of hypofunction of LBP

Question 15

Tai ji

Answer 15

origin of all things, the great source and foundation of all manifestation. who that contains everything. all encompassing existence of qi w/ yin and yang aspect

Question 16

Manifestations of heat

Answer 16

1. subjective and objective sensations of heat- felt by pt. or felt by practitioner: fevers, flushing or other heat sensations
2. increased sensitivity of skin and mucous membranes- itching, ticklishness, prickling sensations, inflammation of mucous membrnes, pain, inflammation of joints
3. Hypertonic cond’n of the skin, mm, body as a whole- spasms of mm and tendond, abdominal distention and eczema
4. dark color of skin or excrement- yellow, red, or black, jaundice, occult blood in stool

Question 17

vacuity of jing qi

Answer 17

all dz results from pathogenic cold
primary characteristic of the pathological state is that the body cools down. improving the body’s condition by warming using acupuncture and moxibustion

Question 18

manifestations of heat

Answer 18

-caused by underlying cold

Question 19

all dz states belong two types

Answer 19

conditions w/ only cold and conditions in which heat can no longer be regulated

Question 20

Inquiry

Answer 20

ask about MC. onset, symptoms, course of dz, tx already received, relationship to etiological factors, congenital, environmental, injuries accidents
diet, alcohol/tobacco, meds, sleep, energy, BM, urine, menses, dental
western examination, height, weight, BP

Question 21

Listening

Answer 21

tone and timber of the voice, speaking, coughing, stammering, odor, tongue, nose, oral cavity, voice
listening+smelling

Question 22

Visual examination

Answer 22

gait in and out of the room, getting up, lying down, eyes, mouth, hands and feet, pathological reflexes

Question 23

Palpation Examination

Answer 23

pulse, abdominal palpation, palpate areas not directly related to main complaint

Question 24

rationale for SJT

Answer 24

attack pathogenic microbes but to create an internal environment incompatible w/ their survival or propogation. tx should correct deviations of the qi flow and cold as much as possible -correcting cond'n of cold or qi flow will improve pt.'s complain

Question 25

reference points

Answer 25

indurations, temperature, texture differences, and pressure/pain, moisture, color, luster, difference between L and R -these can show the degree or presence of cold in the body

Question 26

contact needling- sesshokushin

Answer 26

1st step in tx. move qi at very surface, move ju or superficial accumulation of qi and blood - reinforcing methods, replenishes the depleted, jing qi - maneuver qi at the surface and changes the deep, yin qi - will change the pulse, abdomen and reference points

Question 27

teshin

Answer 27

infants, sensitive people, chronic condn's

Question 28

Goshin

Answer 28

Koboyashi filiform needle, rounded/blunt tip, silver, #3, 40mm

Question 29

oshide

Answer 29

receiving hand; pads of the thumb and forefinger at the tx point - locates the point, guides the needle and securely holds its - important in SJT because their is no tube

Question 30

sashide

Answer 30

treating hand, contact skin at 80-90 degrees, pinky and ring finger should be in contact with the skin -should apply pressure by taking advantage of needle's flexibility

Question 31

when do you stop sesshokushin?

Answer 31

when there is a change in reference points -checkpoint of reference of great importance is perspiration (moisture) through the skin. Best to stop when the perspiration has subsided