針刺治療雙相抑郁障礙的心境穩(wěn)定作用研究課件

1、 How to puncture safely and accurately? by Qi Jing(祈靜） How to puncture safely and a1. Needling manipulation. 2. Location of points.3. Body physiological situation. 4. Management of possible accidents in acupuncture. 1. Needling manipulation. 1. Needling ManipulationThe safe needling manipulation dep

2、ends on three important factors. 1. The angle of needle insertion 2. The depth of needle insertion 3. The amplitude of moving needle1. Needling ManipulationThe sNipples.(St.17-Ruzhong)Umbilicus.(Ren8-Shenque)Points inside orbit never use moxibustion by warming needle.Points in these locations need m

3、uch more attention.2. Location of PointsNipples.(St.17-Ruzhong)2. Lo1. Head 2. Edge of eye socket3. Neck4. Chest5. Back針刺治療雙相抑郁障礙的心境穩(wěn)定作用研究課件Yamen (DU 15)(啞門）Location : 1 cun directly above the midpoint of the posterior hairline.Fengfu (DU 16)（風(fēng)府）Location : 0.5 cun directly above the midpoint of the

4、posterior hairline.Yamen (DU 15)(啞門）Attention:Angle:puncture perpendicularly or obliquely downward .Depth:0.5-1 cunMedulla oblongata （延髓）would be damaged if inserting needle upward through occipital pore. BackAttention:Chengqi(ST.1) Jingming (BL.1)Chengqi(ST.1) Jingming (BL.1)Jingming 睛明(BL 1) Locat

5、ion: 0.1 cun superior to the inner canthus.Manipulation: To push the eyeball to the lateral side with the left thumb and puncture perpendicularly 0.1-1.0 cun along the infraorbital ridge.Attention: can not manipulate the needle with large amplitude, to spare the blood vessel from hematoma. backJingm

6、ing 睛明(BL 1) Especially anterior cervical region is very complicated. The Topography（局解） of Neck The Topography（局解） of Neck Renying(ST 9)人迎Location:1.5 cun lateral to the process of larynx, behind the common carotid artery.Shuitu 水溝(ST 10)Location: 1 cun below Renying.Renying(ST 9)人迎Manipulation: To

7、 puncture perpendicularly 0.3-0.8 cun.Attention: To keep away from the common carotid artery. We can not manipulate the needle with large amplitude. backManipulation:Points in chestPoints in chestTop of the lung locate 2 or 3 cm above clavicle. Bottom of the lung locate inside 6th rib of chest. Anat

8、omical location of the lung:Top of the lung locate 2 or 3 Attention: Points in intercostal （肋間的）spaceManipulation:-Angle: subcutaneously or obliquely.(the needle is inserted to form an angle of 15-25or 45or so with the skin surface.)-Depth:0.8-1 cun. backAttention:The BackBladder channelThe BackBlad

9、der channelLocation: One group is along the first lateral line of Bladder channel. The other group is along the second lateral line of Bladder channel parallel to the first line.Manipulation: Angle:obliquely Depth:0.5-0.8 cunLocation:Du channelDu channelPoints location: Below the spinous process of

10、each vertebra.Manipulation: Puncture obliquely upward 0.5-1 cun.Attention:Can not too deep. backPoints location: back3. Body physiological situationThere are several cases that we can not use needle:1. Person who is easy bleeding.2. Recently operation accepter.3. People whose pulse is too weak and w

11、ho is too hungry or overtired. 4. Pregnant women. To avoid abortion. points lower than umbilicus Jianjing (GB 21) Hegu(LI 4) Sanyinjiao(SP 6)3. Body physiological situa4. Management of possible accidents in acupuncture.FaintingStuck needleBent needleBroken needleHematoma（血腫）4. Management of possible

12、 Fainting（暈針）Reasons: weakness/nervous/ receiving needles for the first time/ too forceful manipulationProdromes: dizziness and vertigo/irritability/ nausea/pallor/shock/unconsciousness/hypotensionCountermeasures: to remove the needle at once/ help the patient to lie down/warm water should be given/

13、-a mild case Renzhong(Du26),Suliao(Du25),Zusanli(St.36) Baihui(Du20),Qihai(Ren6),Guanyuan(Ren4) other emergency measures-a severe case Fainting（暈針）Reasons: weaknesStuck needle（滯針）Symptoms: Difficult to manipulate or withdraw./pain/ hard to move the bodyReasons: extremely nervous/ change of the positionCountermeasures: massage the area around the needle/ another needle/adjustment of the positionStuck needl