General Rules Of Acupuncture

Question 1

What are the six basics treatments

Answer 1

1. Tonifying (reinforcing)
2. Reducing (sedation)
3. Warming
4. Cooling (clearing)
5. Ascending
6. Descending

Question 2

What is tonifying

Answer 2

• increase/reinforce/enhance physiological action
  >tonify Qi, tonify Yang
  -increase the quantity
  >tonify blood
  >tonify Yin

Question 3

When is tonifying indicated?

Answer 3

In a deficiency pattern

Question 4

What are examples of excess?

Answer 4

Inflammation, fever, pain/stagnation
Acute onset, phlegm, acute injury/trauma, lump/nodule

(Wind, cold, heat, damp, simmer heat, dryness, stagnation, phlegm

Question 5

What are examples of deficiency

Answer 5

Chronic course, geriatric, fatigue, exercise intolerance, weakness, immunodeficiency

(Qi deficiency, blood deficiency, Yin deficiency, Yang deficiency)

Question 6

What are the four essential substances?

Answer 6

Qi
Yang
Yin
Blood

Question 7

Special points for tonifying Qi deficiency?

Answer 7

ST-36
LI-10

Question 8

Special points for tonifying blood deficiency?

Answer 8

BL-17
SP-10

Question 9

Special point for tonifying Yin deficiency?

Answer 9

KID-3
SP-6

Question 10

Special points for tonifying Yang deficiency?

Answer 10

GV-3
GV-4

Question 11

What is reducing?

Answer 11

Sedating or inhibiting a physiologic action

Question 12

When is reducing indicated?

Answer 12

Inflammation, infection, pain, high fever, stagnation of food phlegm or blood.

Question 13

Special point for reducing “wind” (itch or seizures)

Answer 13

GB-20

Question 14

Special points for reducing heat

Answer 14

LI-4
LI-11
GV-14

Question 15

Special point for food stasis?

Answer 15

ST-36 (master point for GI tract

Question 16

Special point for constipation

Answer 16

ST-37

Question 17

Special point for phlegm/mass/blood stagnation?

Answer 17

ST-40

Question 18

Special points for pain?

Answer 18

LI-4
LIV-3 (4 gate points)

Question 19

What are the tonic and sedate techniques?

Answer 19

• twisting/rotating the needle
• lifting/inserting
• insertion/withdrawal of the needle
• open/close of the point
• breath of the patient
• 9-6 method (not used)
• the direction of channels
• double H: half tonic and half sedate

Question 20

How do you use rotation to tonify or sedate the point?

Answer 20

Mild vs Strong
Tonic: milder twist, slower, shorter
Sedate: stronger twist, faster, longer

Left vs Right (opposite in female?)
Tonic: left twisting (counter-clockwise)
Sedate: right twisting (clockwise)

Question 21

How to use insertion-withdrawal to tonify or sedate

Answer 21

Tonic
- insert needle slowly and withdraw quickly

Sedate
- insert needle quickly and withdraw slowly

Question 22

How to open and close acupoints for tonifying and sedating?

Answer 22

Tonic: press the point immediately after needle withdrawal; close the point to prevent Qi from escaping

Sedate: shake the needle while withdrawing to enlarge the hole of the point; open the points to allow pathogenic factors to leave

Question 23

How to use the direction of the channel to tonify or sedate?

Answer 23

Tonic: insert the needle chip toward the direction of a channel

Sedate: insert the needle tip against the direction of a channel

Question 24

How to use the double H (half tonic and half sedate

Answer 24

Twist (left and right) lift-thrust (up-down) the needles evenly and gently at a moderate speed

can use for any type of condition and is the most commonly used technique in vet med

Question 25

When is warming indicated?

Answer 25

- Hip dysplasia, IVDD, weakness in back/limbs - arthritis, bi syndromes - chronic diarrhea, cold pattern, Yang deficiency

Question 26

Points for warming

Answer 26

GV-3 (Yang tonic point) GV-4 (Yang tonic point and life-gate Fire) Bai-hui calming and tonic point ST-36 CV-6/CV-4: tonic point

Question 27

Describe the depths of an acupoint

Answer 27

Heaven (superficial) Human (medium) Earth (deep)

Question 28

What is clearing?

Answer 28

Cooling it removing heat

Question 29

When is clearing indicated?

Answer 29

- higher fever - pain, red/dry tongue - inflammation, infection

Question 30

Special points for clearing

Answer 30

GV-14 LI-11 LI-4 Zang-fu heat: jing-well or jing-spring point of channel Heat stroke: GV-26 (12 Jing-well points) Pain: local points using hemoglobin-acupuncture TH-1 for laminitis

Question 31

Special technique for clearing

Answer 31

Reducing principle, hemo-acupuncture, tou-tian-liang

Question 32

What is ascending?

Answer 32

Prolapse/sinking

Question 33

What is descending?

Answer 33

Rebellious Qi

Question 34

When is ascending indicated?

Answer 34

- dizziness, vertigo due to Yang collapse - prolapse if rectum or uterus due to Qi deficiency - chronic diarrhea

Question 35

What points are used for ascending?

Answer 35

Bai-hui CV-4 CV-6 ST-36

Question 36

What technique is indicated for ascending?

Answer 36

Tonifying principle or double H method

Question 37

When is descending indicated?

Answer 37

Vomiting/nausea Liver Yang rising

Question 38

What points are used for descending?

Answer 38

Vomiting/nausea CV-12 PC-6 GB-34 Liver Yang rising GB-20 LIV-3

Question 39

Special veterinary techniques

Answer 39

Dry needling-HH Aqua acupuncture-HH Electro acupuncture-HH Moxibustion-warming Hemo acupuncture-cooling

Question 40

What are the top 3 local eye points and what are they used for locally?

Answer 40

GB-1 BL-1 ST-1 Used for conjunctivitis/uveitis

Question 41

What are the top 2 points for nasal congestion?

Answer 41

Long-hui LI-20

Question 42

What is the top point for cervical stiffness/pain?

Answer 42

Jing-jia-ji

Question 43

What are the local points for throat problems/laryngeal hemi plegó a?

Answer 43

CV-23 ST-9 Hou-bi, Hou-shu LI15/16/17/18 SI 17 GB-21

Question 44

What are local points for shoulder pain?

Answer 44

LI-15 TH-14 SI-9 GB-21

Question 45

What are local points for elbow pain?

Answer 45

TH-10 SI-8 LI-11

Question 46

What are local points for lumbar pain, back pain, IVDD, and renal diseases?

Answer 46

(The lumbar 7) Bai-hui Shen-peng Shen-shu Shen-jiao

Question 47

What are local points for hip-sacral pain

Answer 47

Bai-hui BL-53/54 Lu-gu

Question 48

What are local points for stifle pain?

Answer 48

GB-34 ST-35/36 BL-40

Question 49

Local point for foot/hoof pain

Answer 49

LI-3 SI-3 TH-1

Question 50

Points for treating Qi deficiency pattern

Answer 50

LI-10, ST-36 CV-17, Qi-hai-shu, BL-20, BL-24 CV-4, CV-6 (Moxibustion)

Question 51

Points for treating blood deficiency pattern?

Answer 51

BL-18, SP-10

Question 52

Points for treating Yin deficiency pattern?

Answer 52

KID-2, SP-6, BL-23

Question 53

Points for treating Yang deficiency pattern?

Answer 53

GV-3 GV-4 (moxibustion)

Question 54

Points to treat a fever or excess heat or false heat

Answer 54

GV-14 LI-11 LI-4

Question 55

Points to treat eye disorders

Answer 55

GB-37

Question 56

Points to treat behavior issue

Answer 56

An-shen

Question 57

Points to treat resuscitation

Answer 57

GV-26

Question 58

Points to treat anorexia

Answer 58

Mi-jiao-gan

Question 59

Points to treat diarrhea

Answer 59

GV-1

Question 60

What are the special points?

Answer 60

Master point Influential points Connection points Five-shu points Source (primary) points Cleft points Back-shu points (association points) Front-Mu points (alarming points) Crossing points

Question 61

What are the master points?

Answer 61

LI-4 face, mouth LU-7 head, neck PC-6 chest, cranial abdomen BL-40 back, hips ST-36 GI tract, abdomen SP-6 caudal abdomen, urogenital SI-9 forelimb BL-54 hind limb

Question 62

What is the influential point for the zang organs?

Answer 62

LIV-13

Question 63

What is the influential point for the Fu organs?

Answer 63

CV-12

Question 64

What is the influential point for the Qi?

Answer 64

CV-17

Question 65

What is the influential point for the Blood?

Answer 65

BL-17

Question 66

What is the influential point for tendon/ligament?

Answer 66

GB-34

Question 67

What is the influential point for the pulse/vessels?

Answer 67

LU-9

Question 68

What is the influential point for the bone?

Answer 68

BL-11

Question 69

What is the influential point for the marrow?

Answer 69

GB-39

Question 70

What is the influential point for the Phlegm?

Answer 70

ST-40

Question 71

What is the influential point for the Wind/Trachea?

Answer 71

BL-12

Question 72

When should you consider waiting 30 minutes prior to performing acupuncture?

Answer 72

Post-training, post-racing, after overeating

Question 73

What points are contraindicated in a pregnant mare?

Answer 73

- Points around the abdomen and lumbosacral region - BL-67

Question 74

What points are heavily cautioned in a pregnant mare?

Answer 74

LI-4 SP-6 BL-60 ST-36 LIV-4 **can use but don’t want horse to be moving excessively

Question 75

Precautions for back Shu points

Answer 75

Horse: 1 inch Big dog: ½ inch Middle dog: ⅓ inch Small dog/cat: ¼ inch

Question 76

Where should you not insert a needle?

Answer 76

Skin infections Ulcers Tumors Scar tissue

Question 77

What are specific consideration for points around feet/eyes?

Answer 77

- very sensory - use ½ inch needle - 5-15 minutes of stimulation - protect eye with hand

Question 78

Where can needles get bent or stuck in horses?

Answer 78

BL-13 to BL-21 (in back—needle too long; used 1 inch in horse) ST-34 and GB-34

Question 79

Where are needles likely to break in horses?

Answer 79

BL-17 to BL-23 **Big Issue; needs to be surgically removed** Use shorter needles, 28g, never use a needle more than once.