Lecture 15: Acupuncture

Question 1

What are the 4 modalities of TCVM

Answer 1

1. Acupuncture
2. Herbal medicine
3. Food therapy
4. Tui-na (medical manipulation)

Question 2

what is meant by yin and yang

Answer 2

no yin exists without yang, no yang exists without yin.

The properties of a given situation can depend upon the alternative

Question 3

what are some yin properties

Answer 3

Female, dim, dark, night, cooling, interior, descent, stillness, rest, posterior, tail

Question 4

what are some yang properties

Answer 4

male, bright, light, day, warming, exterior, ascent, movement, activity, anterior, head

Question 5

which elements are part of the 5 element theory And how do they interact

Answer 5

1. Wood
2. Fire
3. Earth
4. Metal
5. Water

Relationships between 5 elements describe relationship between organ systems and body and environment

Question 6

what are the 5 important Zhang (yin organ systems)

Answer 6

1.LU-lung
2. SP-spleen
3. HT-heart
4. KID- kidney
5. LIV-liver

Question 7

what element is lung organ system associated with and what element

Answer 7

metal, thoracic limb

Question 8

what parts of body is lung Zhang yin organ system associated with

Answer 8

respiratory tract, nose, skin, body hair

Question 9

how many points does lung have

Answer 9

11

Question 10

lung Zang yin organ system very sensitive to ___

Answer 10

dryness

Question 11

what element and limb is associated with spleen zang yin organ system

Answer 11

earth, pelvic limb

Question 12

what body parts are associated with spleen in zang fu organ system

Answer 12

spleen, digestion, most of GIT, lips, movement of body fluid

Question 13

how many points does spleen have

Answer 13

21

Question 14

the spleen is the __of the body, point of __, very sensitive to __

Answer 14

center, point of balance, sensitive to damp

Question 15

what element is the heart zang fu associated with and what limb

Answer 15

fire, thoracic limb

Question 16

what body parts, functions is heart zang fu organ system associated with

Answer 16

heart, CV system, house of mind/mentation

Question 17

how many points does heart have

Answer 17

9

Question 18

what is teh most important zang organ

Answer 18

heart

Question 19

what element and limb is kidney associated with in zang fu organ system

Answer 19

water, pelvic limb

Question 20

what body parts/systems is kidney in zang fu organ system associated with

Answer 20

urinary system, reproductive system, bones, teeth, marrow, spinal cord, hind limbs

Question 21

how many points does kidney have

Answer 21

27

Question 22

what element and limb is liver associated with in zang fu organ system

Answer 22

wood, pelvic limb

Question 23

what body parts/systems is liver in zang fu organ system associated with

Answer 23

liver, ligaments, tendons, feet, nails, endurance, regulates circulation

Question 24

how many points does liver have

Answer 24

14

Question 25

liver zang fu organ system very sensitive to

Answer 25

stress

Question 26

what is the gate theory

Answer 26

acupuncture activates specific receptors that block pain transmission, block C-fibers

Question 27

what is MOA of acupuncture

Answer 27

1a: activation of hagemans factor XII 2a. Activate coag and complement cascade 2b. Produces plasminogen, protein kinins prostaglandins 1b. Mast cell degranulation 2b. Release of histamine, heparin, proteases, bradykinin 3. Increased lymph and BF to area, increased immune response, relaxation of muscles and fascia

Question 28

how does acupuncture modulate pain

Answer 28

stimulates release of neuroactive molecules like B-endorphin, dynorphin, and enkephalin Increase endogenous opioids

Question 29

how does naloxone affect response to acupuncture

Answer 29

decreases, blocks opioids

Question 30

how does dexamethasone affect response to acupuncture

Answer 30

decreases, decrease B-endorphin

Question 31

how does procaine affect response to acupuncture

Answer 31

block signal transmission

Question 32

how does an adrenalectomy affect response to acupuncture

Answer 32

increase B-endorphin levels, increase AP analgesia

Question 33

how does a hypophysectomy affect response to acupuncture

Answer 33

eliminates AP analgesia

Question 34

what are some arguments against using acupuncture

Answer 34

1. Effectiveness could be real or perceived- lack of evidence 2. Placebo effect from owners 3. Poor understanding of MOA

Question 35

what are some contraindications for acupuncture

Answer 35

1. Pregnancy 2. Severe illness 3. Very old 4. Seizures- don’t use electro acupuncture 5. Heart murmur or arrhythmia

Question 36

what are some limitations of acupuncture

Answer 36

1. Can’t be used as primary tx 2. Effects are cumulative so takes a while to see results 3. Research difficult to conduct 4. Evidence to support use for internal medicine lacking

Question 37

what is hemoacupuncture and what is it good for

Answer 37

blood letting, clear stagnation, remove excess heat Recommended for heat stress, laminitis

Question 38

what is dry needling

Answer 38

insert needles into acupoints or ah shi points

Question 39

what is aquapuncture good for

Answer 39

injecting diluted vitamin B12

Question 40

what is moxibustion and what is good for

Answer 40

smoke acupuncture, beak up stagnation, clear cold, warm region or channel

Question 41

what is electroacupuncture and what is it good for

Answer 41

electrical stimulation of acupoints, low and high frequencies, stronger stimulation than dry needling Helpful for paralysis

Question 42

what are permission points

Answer 42

points for calming

Question 43

what are local points

Answer 43

Centered around specific lesion or injury