8/19/2019 Manipulating Methods

1/38

03/21/16 1

8/19/2019 Manipulating Methods

2/38

03/21/16 2

 

The structure, specifcationsThe structure, specifcations

and storgeand storge

tip  the sharp point of the

needle

handle  the part behind the body,of which the hand catches hold

Tail the part at the end o the handle

 body  the part between the handleand the tip

 root the connecting part between

the body and the handle

Structure

8/19/2019 Manipulating Methods

3/38

03/21/16 3

8/19/2019 Manipulating Methods

4/38

03/21/16 4

8/19/2019 Manipulating Methods

5/38

03/21/16 5

Length

Gauge

cun 1 1.5 2 2.5 3 4 5

mm 25 40 50 65 75 100 125

No 26 27 28 29 30 31 32

Dia(mm0.45 0.42 0.38 0.34 0.32 0.30 0.28

specifications

8/19/2019 Manipulating Methods

6/38

03/21/16 6

Preparations prior to AcuPreparations prior to Acu

treatmenttreatment  !election o" in#t$ument#

 The needles are selected according to the

 patient’s constitution, age, od! t!pe, thelocation of diseases, thic"ness and thinness ofthe regions to e punctured#

8/19/2019 Manipulating Methods

7/38

03/21/16 $

!election o" patient%# po#tu$e

 %rinciples& correct location of points,

'anipulation for acupuncture and'o(iustion, prolonged retaining of the

needles#

8/19/2019 Manipulating Methods

8/38

03/21/16 )

The commonly –usedpostures

!upine po#tu$e&

'o$ the point# on the head and "ace che#t and

abdominal the medial #ide o" the uppe$ limb# the

ante$io$ #ide o" the lo)e$ limb# and the hand# and

"eet.

8/19/2019 Manipulating Methods

9/38

03/21/16 *

*$one po#tu$e

For the points on the

posterior of head and neck, back,lumbar and buttock regions, andthe posterior part of the lowerlimbs.

8/19/2019 Manipulating Methods

10/38

03/21/16 10

+ate$al $ecumbent

  For the points on the hindhead, neck and back.

8/19/2019 Manipulating Methods

11/38

03/21/16 11

!ittin, )ith bac- and head

on a lay bac-&  For the pointson the forhead,face, neck and the

upper portion ofthe chest.

8/19/2019 Manipulating Methods

12/38

03/21/16 12

!ittin, in "le/ion&

  For the pointson the vertex,hind head, hindneck, shoulder and

back.

8/19/2019 Manipulating Methods

13/38

03/21/16 13

!ittin, )ith one #ide o" the

"ace $e#tin, on a table&'o$ the point# on the late$al

#ide o" the head chee- and

"o$ #ome point# a$ound ea$#.

 

8/19/2019 Manipulating Methods

14/38

03/21/16 14

Sterili+ation&

Sterili+ation of doctor’s fingers

Sterili+ation of needles and other instru'ents

Sterili+ation of the area on hich acupuncture is

applied

8/19/2019 Manipulating Methods

15/38

03/21/16 15

 he puncturing hand:

the hand hold the

needle

The pressing hand:the hand press theneeding area orsupporting the needlebody 

NeedlingNeedling

methodsmethods

8/19/2019 Manipulating Methods

16/38

03/21/16 16

Single-handedneedle method

 

8/19/2019 Manipulating Methods

17/38

03/21/16 1$

'in,e$nail p$e##in, in#e$tion

8/19/2019 Manipulating Methods

18/38

03/21/16 1)

*inch needle in#e$tion

8/19/2019 Manipulating Methods

19/38

03/21/16 1*

!t$etch #-in in#e$tion

8/19/2019 Manipulating Methods

20/38

03/21/16 20

*inch #-in in#e$tion

8/19/2019 Manipulating Methods

21/38

03/21/16 21

-ngle and depth of insertion

 n,le o" in#e$tion

%erpendicular oli.ue

ori+ontal

8/19/2019 Manipulating Methods

22/38

03/21/16 22

Depth o" needle in#e$tion

  The con#titution and condition# o"

the patient# , age, etc

+ocation o" the acupoint

8/19/2019 Manipulating Methods

23/38

03/21/16 23

  Manipulation: several

manipulations of theacupuncture needle to assistsensation of the arrival of qi.

Manipulation and arrival oManipulation and arrival o

qiqi

8/19/2019 Manipulating Methods

24/38

 Arrival of Qi Arrival of Qi

%atient’s sensation& the reaction of .i such

as soreness, aching, nu'ness, heainess or

distention een coldness, ar'ness,itching, antcraling feeling etc# after the

needle is inserted#

octor’s sensation& tenseness and draggingsensation around the acupoint#

03/21/16 24

8/19/2019 Manipulating Methods

25/38

03/21/16 25

asic manipulating!  "iting and thrusting

8/19/2019 Manipulating Methods

26/38

03/21/16 26

asic manipulating#  T$irling and %otating

8/19/2019 Manipulating Methods

27/38

03/21/16 2$

&econdary manipulating!  pressing

8/19/2019 Manipulating Methods

28/38

03/21/16 2)

&econdary manipulating#  'ic(ing

8/19/2019 Manipulating Methods

29/38

03/21/16 2*

  &econdary

manipulating)  scraping

8/19/2019 Manipulating Methods

30/38

03/21/16 30

&econdarymanipulating

*  sha(ing

8/19/2019 Manipulating Methods

31/38

03/21/16 31

 &econdarymanipulating+  trembling

8/19/2019 Manipulating Methods

32/38

03/21/16 32

%etaining and%etaining and

ithdra$ing theithdra$ing the

needlesneedles

8/19/2019 Manipulating Methods

33/38

03/21/16 33

Possible accidents inPossible accidents in

acupunctureacupuncture

treatmenttreatment

8/19/2019 Manipulating Methods

34/38

-ainting-ainting

Maniestations:Diine## pallo$ palpation che#t di#tention omitin,

#)eatin, cold limb# een uncon#ciou#ne## deep

and th$eady pul#e.ana,ement&

ithd$a) all the needle# immediately ma-e the

patient lie lo) ta-e candy o$ )a$m )ate$ and p$e##the acupoint $enhon, nei,uan etc.

03/21/16 34

8/19/2019 Manipulating Methods

35/38

&tuc( needle&tuc( needle

Maniestations:"te$ the in#e$tion it i# di""icult to li"t o$ th$u#tt)i$l o$ $otate the needle# )hile the patient "eel#

pain"ul.

ana,ement&

om"o$t the patient to $ela/ #li,ht ma##a,e i#

applied to the local $e,ion to $ela/ the mu#cle

#pa#m. " the #tuc- needle i# due to e/ce##ie$otation in one di$ection the needle )ill be t)i$led

in the oppo#ite di$ection to loo#e the bound mu#cle

"ibe$#.03/21/16 35

8/19/2019 Manipulating Methods

36/38

Maniestations:&$elling, distention and pain,

bruising o s(in o the needling

areas.ana,ement&

pply a cold comp$e## in 24h and a )a$m

comp$e## in the late$ 24h o$ local p$e##in, o$#li,ht ma##a,e.

03/21/16 36

/ematoma/ematoma

8/19/2019 Manipulating Methods

37/38

ro(en needlero(en needle

Maniestations:The needle i# b$o-en a"te$ in#e$tion.

ana,ement&

The po#tu$e o" the patient #hould be -ept.

" the b$o-en pa$t p$ot$ude# oe$ the #-in it

may be $emoed )ith "o$cep#.

" it i# #un-en into the #-in #u$,ical ope$ation

#hould be $e#o$ted to.

03/21/16 3$

8/19/2019 Manipulating Methods

38/38

ent needleent needle

Maniestations:The direction and angle o the

needle is changed.

ana,ement&The needle may be $emoed #lo)ly.

03/21/16 3)