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Flashcards in Clase dos y tres Deck (32)
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concentration is critical

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

1

visualization

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.

2

when should you check reference points

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

3

pulse rate

fast or slow
normal= 60-90 BPM

4

causes of dz

internal/external/neither

5

external

environmental wind, cold, etc

6

internal

emotional- grief, fear, anger etc.

7

neither

automobile accidents, trauma, medication

8

4 factors of dz

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)

9

what is the cause of dz

condition of the body

10

Health is?

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

11

abnormalities of qi

actual manifestations of cold (hie) in the body

12

what is the purpose of the needle? moxibustion?

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

13

cold

all conditions in which there is a decline in vital activity

14

Manifestations of cold

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

15

Tai ji

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

16

Manifestations of heat

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

17

vacuity of jing qi

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

18

manifestations of heat

-caused by underlying cold

19

all dz states belong two types

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

20

Inquiry

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

21

Listening

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

22

Visual examination

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

23

Palpation Examination

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

24

rationale for SJT

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

25

reference points

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

26

contact needling- sesshokushin

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

27

teshin

infants, sensitive people, chronic condn's

28

Goshin

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

29

oshide

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

30

sashide

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

31

when do you stop sesshokushin?

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