Introduction to Acupuncture Techniques Ancient Art to Modern Science.

Introduction to Acupuncture Introduction to Acupuncture TechniquesTechniques

Ancient Art to Modern Ancient Art to Modern ScienceScience

Comparison of East & WestComparison of East & West

Empirical Empirical Observations over Observations over Thousands of YearsThousands of Years

Scientific Method & Scientific Method & Case-Based Case-Based MedicineMedicine

EasEastt

WestWest

• Art of MedicineArt of Medicine• Holistic View• Circular Logic• Energetic

• Technology of Technology of MedicineMedicine

• Molecular & Organ View

• Linear Logic• Mechanistic

Science versus ArtScience versus Art

Over the last 10 Over the last 10 years, there has been years, there has been no change in mean no change in mean life expectancy in life expectancy in human beings, dog or human beings, dog or catscats

There is an increase There is an increase in incidence of in incidence of inflammatory inflammatory diseases and cancer diseases and cancer over our ability to over our ability to detect the conditionsdetect the conditions

Sun YangSun YangAlias BoleAlias BoleVeterinarian Veterinarian Qinmugong periodQinmugong period659 B.C. to 621 B.C.659 B.C. to 621 B.C.Bole ZBole Zhen-jing

Acupuncture: HistoryAcupuncture: History

Bole’s Canon of Veterinary Bole’s Canon of Veterinary AcupunctureAcupuncture

Sun YangSun Yang

659 to 621 B.C.659 to 621 B.C.

Bole ZhenjingBole Zhenjing

Acupuncture: HistoryAcupuncture: History

1608 1608 Benyuan YuBenyuan Yu Benheng YuBenheng Yu

Veterinarian Veterinarian Ming DynastyMing Dynasty 1368 to 16441368 to 1644

Yuan Heng Liao Ma JiYuan Heng Liao Ma Ji

Yuan-Heng’s Therapeutic Treatise of Horses

Basic Tenets of APBasic Tenets of AP

Based upon the AP Based upon the AP point selectedpoint selected

Based upon the Based upon the method of stimulationmethod of stimulation Dry needlesDry needles Electrical APElectrical AP AquapunctureAquapuncture HemoacupunctureHemoacupuncture

Based upon the Based upon the length of stimulationlength of stimulation

Low-rate, twisting Low-rate, twisting stimulation of GV26 leads stimulation of GV26 leads to endorphin response, to endorphin response, while high-frequency while high-frequency needling of GV26 leads to needling of GV26 leads to epinephrine responseepinephrine response

Zhen-jiuZhen-jiu

Needles Needles

MoxibustionMoxibustion

Bones needles: 3,000 years agoBones needles: 3,000 years ago

Metal needles: 2,200 years agoMetal needles: 2,200 years ago

Gold/silver needlesGold/silver needles

Bamboo needlesBamboo needles

Stone needles: 8,000 years agoStone needles: 8,000 years ago

Fine needlesFine needles

Ai-jiu (moxa): moxibustionAi-jiu (moxa): moxibustion

Alcohol (huo-jiu)Alcohol (huo-jiu)

Herbal moxibustionHerbal moxibustion

Needle + MoxaNeedle + Moxa

Fire-needlingFire-needling

New AcupunctureNew Acupuncture

Basic Acupuncture Basic Acupuncture TechniquesTechniques

Electro-acupunctureElectro-acupuncture

Embedding Embedding

Injectable APInjectable AP

Laser therapyLaser therapy

Magnetic therapyMagnetic therapy

Infrared therapy Infrared therapy (TDP)(TDP)

aquapuncture & aquapuncture & pneumo-APpneumo-AP

Arrowhead

RoundRound

Pressure

SharpSharp

Sword

Round/SharpRound/Sharp

Fine

Long

LargeLarge

Nine needles (2,200 years ago)

Arrowhead needleArrowhead needleSharp needleSharp needleSword needleSword needleRound needleRound needlesharp needlesharp needle

To drain abscessesTo drain abscessesTo bleed superficial vessels To bleed superficial vessels (TCM Surgical tools)(TCM Surgical tools)

Acupressure (Not penetrate the skin)Acupressure (Not penetrate the skin)Round needlesRound needlesPressure needlesPressure needles

Fine or FiliformFine or FiliformLong/Large needlesLong/Large needles

Penetrate the skin at known acupuncture pointsPenetrate the skin at known acupuncture points(commonly known acupuncture(commonly known acupuncture))

Dry Needle Acupuncture or Conventional Dry Needle Acupuncture or Conventional Needling TechniquesNeedling Techniques

Dry Needle (White Needle)- -Bai-zhenDry Needle (White Needle)- -Bai-zhen

Not intentionally bleedingNot intentionally bleeding

Most common treatment modality in veterinary and human practiceMost common treatment modality in veterinary and human practice

Filiform needles Filiform needles • Sterile needle Sterile needle

With tubeWith tube Without tubeWithout tube

Can be applied in most acupoints (GV-1, LI-4)Can be applied in most acupoints (GV-1, LI-4)

Can be used any patterns of diseaseCan be used any patterns of disease

GaugeGauge MillimetersMillimeters ApplicationApplication

4040 0.15 0.15 Hand/feet NeedleHand/feet Needle

3838 0.160.16““Baby” needleBaby” needle

3636 0.200.20

3434 0.220.22 Cats, little dogsCats, little dogs

3232 0.25 0.25 All the Small animals (dogs/cats/birds)All the Small animals (dogs/cats/birds)

3030 0.30 0.30 Horses, cattle, llamas, pigsHorses, cattle, llamas, pigs

2828 0.350.35 Large animals: horses, cattle, elephantsLarge animals: horses, cattle, elephants

Acupuncture Needle Diameters in Gauge Acupuncture Needle Diameters in Gauge and Millimetersand Millimeters

MillimetersMillimeters InchesInches ApplicationApplication

77 0.25 (Korean 0.25 (Korean Hand Needle)Hand Needle)

Dogs/cats: around eyes, nose, feet, or sensitive Dogs/cats: around eyes, nose, feet, or sensitive patientspatients

1313 0.50.5 Dogs/cats: head, feet, lower limbs, ear, tail, mu Dogs/cats: head, feet, lower limbs, ear, tail, mu ptsptsHorses: ears/eyes, feetHorses: ears/eyes, feet

2525 1.01.0 Dogs: back-shu, neck, shoulder, limbsDogs: back-shu, neck, shoulder, limbsHorses: feet, lower limbs, head, tailHorses: feet, lower limbs, head, tail

4040 1.51.5 Dogs: hip, shoulderDogs: hip, shoulderHorses: back-shu, mu points, limbsHorses: back-shu, mu points, limbs

5050 2.02.0 Dogs: hip, cervical hua-tuo-jia-ji for big dogs Dogs: hip, cervical hua-tuo-jia-ji for big dogs Horses: back-shu, limbsHorses: back-shu, limbs

7575 3.03.0 Horses: hipHorses: hip

100100 4.04.0 Horses: hipHorses: hip

Acupuncture Needle Diameters in Gauge Acupuncture Needle Diameters in Gauge and Millimetersand Millimeters

How to needle an acupointHow to needle an acupoint

PreparationPreparation NeedleNeedle AnimalAnimal PractitionerPractitioner

Insertion of a needle Insertion of a needle Pressing handPressing hand AngleAngle DepthDepth

Manipulation of a needleManipulation of a needle

Withdrawal of a needleWithdrawal of a needle

How to needle an acupoint: How to needle an acupoint: preparationpreparation

NeedleNeedle Sterile disposableSterile disposable

• The tip should be smooth & sharp as a The tip should be smooth & sharp as a pine needlepine needle

HorseHorse• SizeSize

0.30-0.40 mm (#28-#30)0.30-0.40 mm (#28-#30)

• LengthLength 13 mm (1/213 mm (1/2’’): in extremities (feet, tail, ear, ): in extremities (feet, tail, ear,

head)head) 25 mm (125 mm (1’’): in lower limbs, head): in lower limbs, head 50 mm (250 mm (2’’): in the trunk, back): in the trunk, back 75 mm (375 mm (3’’): in shoulder, hip): in shoulder, hip 100 mm (4100 mm (4’’): hip): hip

How to needle an acupoint: preparationHow to needle an acupoint: preparation

NeedleNeedle Small animalSmall animal

• generally thinnergenerally thinner• not too thinnot too thin

Dog:Dog:• SizeSize

0.25 (#32)0.25 (#32)

• LengthLength 13 mm (1/213 mm (1/2’’)) 25 mm (125 mm (1’’)) 50mm (250mm (2’’): large dog): large dog

Cat: Cat: • SizeSize

0.25 (#32)0.25 (#32)

• LengthLength 13 mm (1/213 mm (1/2’’))

AnimalAnimal

quiet quiet

relaxed (house call benefit)relaxed (house call benefit)

Restrained if needed (nose Restrained if needed (nose twisted), but not twisted), but not sedation/tranquilizedsedation/tranquilized

The site of acupointsThe site of acupoints• nice and cleannice and clean



PractitionerPractitioner

Sound plan of Sound plan of acupuncture treatmentacupuncture treatment

Considered as a Considered as a surgical proceduresurgical procedure

othersothers

Pressing HandPressing Hand

1. Thumbing1. Thumbing

2. Pinching2. Pinching

How to needle an acupoint: How to needle an acupoint: InsertionInsertion

1

2

Pressing HandPressing Hand

3. Holding3. Holding

4. Stretching4. Stretching


3

4

How to insert a needleHow to insert a needle

Jabbing: a quick insertion (Flying technique)Jabbing: a quick insertion (Flying technique)• 0.50.5’’ (13 mm) (13 mm)

#28 to 30 for horses#28 to 30 for horses #30 to 32 for small animals#30 to 32 for small animals

tube guidingtube guiding

Twirling: a slow insertionTwirling: a slow insertion


Angle Angle Perpendicular Perpendicular

insertioninsertion Angular insertionAngular insertion Horizontal insertionHorizontal insertion

DepthDepth LocationLocation De-Qi responseDe-Qi response ConditionCondition PatientPatient


How to induce De-QiHow to induce De-Qi

1. Up-down 1. Up-down thrustingthrusting

2. Left-right twisting2. Left-right twisting 3. Flicking3. Flicking 4. Scraping4. Scraping

1

23 4

Quantity/dose of needle stimulationQuantity/dose of needle stimulation

IntensityIntensity De-Qi Response De-Qi Response IntenseIntense IntermediateIntermediate MildMild

Duration of stimulationDuration of stimulation Short: < 5 minShort: < 5 min Long: >60 minLong: >60 min Intermediate: 10 to 30 minIntermediate: 10 to 30 min

Withdrawal of a needleWithdrawal of a needle

TwirlingTwirling Pulling the needle outPulling the needle out Pressing the point after withdrawalPressing the point after withdrawal

Pressing---tonificationPressing---tonification No pressing ---sedationNo pressing ---sedation

Practice needling an acupointPractice needling an acupoint

OrangeOrange a layer of a layer of

paperpaper a ball of cottona ball of cotton on selfon self health animalhealth animal real casereal case

LI-11LI-11

Elbow, sore throat, fever, Elbow, sore throat, fever, abdominal pain, vomiting, abdominal pain, vomiting, diarrhea, hypertension, diarrhea, hypertension, seizure, conjunctivitisseizure, conjunctivitis

PC-6: over the median nervePC-6: over the median nerve• 2 cun above the wrist2 cun above the wrist

Indication: nausea, vomiting, Indication: nausea, vomiting, chest painchest pain

Dry Needle AcupunctureDry Needle Acupuncture

Manipulating needles until "De‑Qi" Manipulating needles until "De‑Qi" responseresponse

10 to 30 min, manipulated once every 3 to 10 to 30 min, manipulated once every 3 to 5 min5 min

Indication: Any diseasesIndication: Any diseases Or starting techniqueOr starting technique

Electro-acupuncture techniquesElectro-acupuncture techniques

HistoryHistory

After electro-acupuncture (EA) analgesia was found After electro-acupuncture (EA) analgesia was found effectively to perform a surgery in China in the early effectively to perform a surgery in China in the early 1970's, EA has been widely used in TCM practice. 1970's, EA has been widely used in TCM practice.

Advantage:Advantage:

1) 1) More effectiveMore effective 2) 2) Less treatmentsLess treatments 3) 3) Fewer acupointsFewer acupoints 4) 4) Save labor to manipulate the needles (Classically, the Save labor to manipulate the needles (Classically, the

needles should be manipulated every 2 to 3 minutes).needles should be manipulated every 2 to 3 minutes). 5) 5) Objective control of frequency and amplitudeObjective control of frequency and amplitude

Amplitude (intensity of stimulation): a tolerance levelAmplitude (intensity of stimulation): a tolerance level Frequency:Frequency:

• Low level: pain ----> beta endorphin mediatedLow level: pain ----> beta endorphin mediated

• Medium level: segmental ----> dynorphin mediatedMedium level: segmental ----> dynorphin mediated

• High level: internal medicine----> serotonin mediatedHigh level: internal medicine----> serotonin mediated

Dynorphins

Acupuncture Points: 6 to 10 pointsAcupuncture Points: 6 to 10 pointsFrequency: Frequency: 20 Hz,20 Hz, 80 to 120 Hz or 200 Hz80 to 120 Hz or 200 HzElectrical intensity: gradually goes to the point Electrical intensity: gradually goes to the point the patient can toleratethe patient can tolerate

MethodsMethods::

1)1) Pain managementPain management a) Bi syndromes (arthritis)a) Bi syndromes (arthritis)

b) Soft tissue injuriesb) Soft tissue injuriesc) Disc problemsc) Disc problemsd) colic/abdominal paind) colic/abdominal pain

2) Peripheral nerve paralysis2) Peripheral nerve paralysisa) faciala) facialb) radialb) radialc) othersc) others

3) Gastrointestinal conditions: vomiting, 3) Gastrointestinal conditions: vomiting, diarrhea, constipation, indigestiondiarrhea, constipation, indigestion

4) Muscle atrophy4) Muscle atrophy

Indications:Indications:

Contraindications:Contraindications:

1) Weak/deficient patients1) Weak/deficient patients 2) Heart problems2) Heart problems 3) Seizure/epilepsy3) Seizure/epilepsy 4) Tumor4) Tumor

How to Use the Electronic How to Use the Electronic AcupunctoscopeAcupunctoscope

Dial the AMPLITUDE and FREQUENCY to zeroDial the AMPLITUDE and FREQUENCY to zero

Plug the wire leads into sockets 1 to 7 and fasten the clips Plug the wire leads into sockets 1 to 7 and fasten the clips to the handles of needlesto the handles of needles

Set the desirable frequencies and wave formsSet the desirable frequencies and wave forms low frequency F1 = 20-30 Hzlow frequency F1 = 20-30 Hz

• Indication: pain conditionsIndication: pain conditions

• Endorphin releaseEndorphin release• C fiber is sensitive to less than 10 Hz of electrical stimulationsC fiber is sensitive to less than 10 Hz of electrical stimulations• 20 to 120 Hz stimulates A α and A β20 to 120 Hz stimulates A α and A β

moderate frequency F1 = 80-120 Hzmoderate frequency F1 = 80-120 Hz• Enkalphalin releaseEnkalphalin release• Indications: internal medical conditions (diarrhea etc)Indications: internal medical conditions (diarrhea etc)


Wave FormWave Form: depends on how F1 and : depends on how F1 and F2 is set upF2 is set up

Continuing Wave: F1=20-200 and F2=0Continuing Wave: F1=20-200 and F2=0• Indications: pain conditionsIndications: pain conditions

Intermittent wave: F1=0 and F2=>0Intermittent wave: F1=0 and F2=>0• Indications: muscular atrophyIndications: muscular atrophy

Dense and Disperse (DD) wave: F1=80 and Dense and Disperse (DD) wave: F1=80 and F2 =120F2 =120

• Indications: nerve paralysis and internal Indications: nerve paralysis and internal medical conditionsmedical conditions


Turn on the power Turn on the power 33

Gradually increase Gradually increase AMPLITUDE buttons until the AMPLITUDE buttons until the patient can toleratepatient can tolerate

Can increase amplitude a little bit Can increase amplitude a little bit every 5 minutes.every 5 minutes.

Turn off power to terminate the Turn off power to terminate the acupuncture treatmentacupuncture treatment


The output socket The output socket between 4 and 5 is only used for the between 4 and 5 is only used for the needleless technique, which acupuncture points are needleless technique, which acupuncture points are stimulated using the needleless electrode. Fill the cup of stimulated using the needleless electrode. Fill the cup of electrode with absorbent cotton soaked with saline. Tape electrode with absorbent cotton soaked with saline. Tape the electrode onto the acupuncture points. the electrode onto the acupuncture points.

Electro‑acupuncture: how to pair the Electro‑acupuncture: how to pair the pointspoints

Bilateral connectionBilateral connection Pair BL-54 on left side to right BL54 for hip dysplasia;Pair BL-54 on left side to right BL54 for hip dysplasia; Hua-tuo-jia-ji on the left to right side for disk diseasesHua-tuo-jia-ji on the left to right side for disk diseases BL-21 on the left to right BL-21 for vomitingBL-21 on the left to right BL-21 for vomiting KID-1 on the left to right KID-1 for rear weaknessKID-1 on the left to right KID-1 for rear weakness

Same Channel connection.Same Channel connection. GV-14 + Bai-hui for disk disease, vestibular dxGV-14 + Bai-hui for disk disease, vestibular dx LI-10 + LI-15 on the same side for shoulder painLI-10 + LI-15 on the same side for shoulder pain Tip of tail + GV-20 for vestibular dx, disk diseaseTip of tail + GV-20 for vestibular dx, disk disease

Local connectionLocal connection TH-14 + LI-15 on the same side for shoulder painTH-14 + LI-15 on the same side for shoulder pain GB-34 + ST-35 on the same side for stifle painGB-34 + ST-35 on the same side for stifle pain

Same energetic connectionSame energetic connection ST-36 + GB-34 on the same side for vomiting, rear weaknessST-36 + GB-34 on the same side for vomiting, rear weakness ST-36 + BL-20 on the same side for SP Qi deficiencyST-36 + BL-20 on the same side for SP Qi deficiency

From the top to bottoms for paralysis From the top to bottoms for paralysis BL-54 + KID-1 for rear limb paralysisBL-54 + KID-1 for rear limb paralysis PC-8 + GV-14 for front limb paralysisPC-8 + GV-14 for front limb paralysis GB-21 + HT-3 for front limb paralysisGB-21 + HT-3 for front limb paralysis

Cover large areasCover large areas BL-20 on the left + right BL28 for T-L-S IVDDBL-20 on the left + right BL28 for T-L-S IVDD

Normal area to sick areaNormal area to sick area BL-21 to KID-1 for no deep pain caudal to BL-22BL-21 to KID-1 for no deep pain caudal to BL-22 ST-5 left to right for right facial paralysisST-5 left to right for right facial paralysis


But, we must pay attention to the following:But, we must pay attention to the following:

The wire (lead) should NOT be connected around the The wire (lead) should NOT be connected around the abdominal areas for pregnant momsabdominal areas for pregnant moms

The wire (lead) should NOT be connected through the The wire (lead) should NOT be connected through the chest if the patient has a pacemakerchest if the patient has a pacemaker

The wire (lead) should NOT be connected through the The wire (lead) should NOT be connected through the tumor masstumor mass

Caution for seizure dogs when using EACaution for seizure dogs when using EA


Aquapuncture (point injection)Aquapuncture (point injection)

History: History: Herbal medication for pigs: Herbal medication for pigs:

very challengevery challenge• Injectable herbal liquid Injectable herbal liquid

(Angelica Dang Gui)(Angelica Dang Gui) Patient own blood for Patient own blood for

chronic eye bloodchronic eye blood Fire Constitution of AnimalsFire Constitution of Animals

• Will not remain stillWill not remain still

Some of points not Some of points not available with dry-needling available with dry-needling or EAor EA

Points: Points: Acupoints: except for Acupoints: except for

hemo-acupointshemo-acupoints A‑shi PointA‑shi Point

Needle:Needle: Dogs/cats: 25-27 gaDogs/cats: 25-27 ga Horses: 20 to 22 gaHorses: 20 to 22 ga


Technique:Technique:

Insert needleInsert needle

After "De‑Qi" occurs, After "De‑Qi" occurs, the injection is giventhe injection is given

1-8 points per 1-8 points per treatmenttreatment

Once every 3-7 days, Once every 3-7 days, for 3 to 5 times tfor 3 to 5 times t

Injectable agentsInjectable agents Herbal liquidsHerbal liquids

• Angelica sinesis Angelica sinesis (Dang‑gui)(Dang‑gui)

• Carthamus tinctorius Carthamus tinctorius (Hong‑hua)(Hong‑hua)

• Coptis chinensis Coptis chinensis (Huang‑lian)(Huang‑lian)

• Andrographis paniculata Andrographis paniculata (Chuan‑xin‑lian)(Chuan‑xin‑lian)

MedicationsMedications• Sterile waterSterile water

• 5‑10% dextrose5‑10% dextrose• 0.25‑0.5% procaine0.25‑0.5% procaine• Vitamin B1, B12, or B Vitamin B1, B12, or B

complexioncomplexion• AntibioticsAntibiotics• Anesthetics, sedatives Anesthetics, sedatives

or anti‑rheumaticsor anti‑rheumatics• Biological products:Biological products:

AntitetanolysinAntitetanolysin VaccineVaccine

• Homeopathic remedies Homeopathic remedies • Patient’s own blood Patient’s own blood


1 - 15 ml each point for large animals1 - 15 ml each point for large animals0.1 - 1 ml each point in small animals0.1 - 1 ml each point in small animals

Acupuncture point embedding Acupuncture point embedding (Implantation)(Implantation)

Point injection of a solid Point injection of a solid substancessubstances

Thread/catgut/sutureThread/catgut/suture Magnetic beads or pelletsMagnetic beads or pellets Gold bead/wireGold bead/wire Biodegradable plasticsBiodegradable plastics

UsesUses Diarrhea in young animalsDiarrhea in young animals Hip dysplasiaHip dysplasia EpilepsyEpilepsy LamenessLameness Eye infectionEye infection

HemoacupunctureHemoacupuncture

Also called Red NeedleAlso called Red Needle Intentionally puncture a blood vessel to draw bloodIntentionally puncture a blood vessel to draw blood

Needle: Needle: a sharp traditional needle (three edged needle, or wide needle)a sharp traditional needle (three edged needle, or wide needle) hypodermic needlehypodermic needle

• #27, 25 for small animals#27, 25 for small animals

• #25, 23, 20 for large animals#25, 23, 20 for large animals

Only used for specific points that have a history of Only used for specific points that have a history of hemoacupuncture in TCVM such as hemoacupuncture in TCVM such as Er-jian,Er-jian, Wei-jian, Wei-jian, Tai-yang, Xiong-tangTai-yang, Xiong-tang

HemoacupunctureHemoacupuncture Indications: Indications:

Blood StagnationBlood Stagnation Blood HeatBlood Heat Excess HeatExcess Heat

Contraindications and cautions: Contraindications and cautions: Weak and debilitated animalsWeak and debilitated animals QiQi or/and Blood Deficiency or/and Blood Deficiency Dehydrated or severely Dehydrated or severely YinYin-deficient patients-deficient patients Pregnant animals Pregnant animals Patients with potentially zoonotic blood-borne pathogensPatients with potentially zoonotic blood-borne pathogens

Hemoacupuncture can not repeat the same point for a Hemoacupuncture can not repeat the same point for a weekweek

Pneumo-acupuncturePneumo-acupuncture

Inject fresh air into an acupointInject fresh air into an acupoint Subcutaneous tissuesSubcutaneous tissues Local ash Point (the worst atrophied spot)Local ash Point (the worst atrophied spot) Equine: Gong-zi for shoulder atrophyEquine: Gong-zi for shoulder atrophy Canine: 5 to 50 cc of airCanine: 5 to 50 cc of air IndicationIndication

Shoulder atrophyShoulder atrophy Hip atrophyHip atrophy

Avoid the headAvoid the head

MoxibustionMoxibustion Using burning herbs to stimulate acupoinUsing burning herbs to stimulate acupoints ts

Originates from the Japanese "mogusa“Originates from the Japanese "mogusa“• ““moxa" or "moxibustion“moxa" or "moxibustion“

Crushed dried leaves of Artemisia argyi (Ai-ye)Crushed dried leaves of Artemisia argyi (Ai-ye)

Therapeutic effects:Therapeutic effects: dredging meridiansdredging meridians dispelling cold and winddispelling cold and wind reviving Yang for resuscitationreviving Yang for resuscitation promoting functional activitiespromoting functional activities

Moxa sticks: 20 cm in length and 1.5 cm in diameterMoxa sticks: 20 cm in length and 1.5 cm in diameter

MoxibustionMoxibustion Mild moxibustion: Mild moxibustion:

1 to 2 cm distance against the acupoint1 to 2 cm distance against the acupoint 5 to 10 min. for each point5 to 10 min. for each point

Circling moxibustion: Circling moxibustion: With a circulating motionWith a circulating motion For larger area of rheumatismFor larger area of rheumatism

•

Pecking moxibustion: Pecking moxibustion: With a pecking motionWith a pecking motion touches the skintouches the skin 2 to 5 min2 to 5 min For chronic diseases which need stronger stimulationFor chronic diseases which need stronger stimulation

MoxibustionMoxibustion

Moxa cone Moxibustion Moxa cone Moxibustion

Direct MoxibustionDirect Moxibustion• up to 5 zhuangsup to 5 zhuangs

Indirect Moxibustion Indirect Moxibustion • a slice of ginger or garlic a slice of ginger or garlic

placed b/w the burning placed b/w the burning cone and the acupoint. cone and the acupoint.

• The ginger or garlic slice is The ginger or garlic slice is about 3 mm thick with about 3 mm thick with some poressome pores

Moxa + NeedlingMoxa + Needling

Laser AcupunctureLaser Acupuncture HistoryHistory

Later 1970, Laser acupuncture for diarrhea in goats and sheep in Later 1970, Laser acupuncture for diarrhea in goats and sheep in Inner Mongolia using CO2 laser at GV-1Inner Mongolia using CO2 laser at GV-1

• CO2: no lightCO2: no light• Can be very dangerous Can be very dangerous

5-30 mW Helium-Neon (He-Ne laser): or cold laser5-30 mW Helium-Neon (He-Ne laser): or cold laser infertility, anti-inflammatory, analgesic, and promotes wound infertility, anti-inflammatory, analgesic, and promotes wound

healinghealing cannot penetrate accurately and deeply into most acupuncture cannot penetrate accurately and deeply into most acupuncture

points because the light is refracted in the first 1-15 mm of tissuepoints because the light is refracted in the first 1-15 mm of tissue Almost no effect if less than 5 mW. Almost no effect if less than 5 mW.

Treating superficial acupuncture points in areas of thin Treating superficial acupuncture points in areas of thin integumentintegument

Avian: skin is generally very thinAvian: skin is generally very thin Lie QueLie Que (Lung 7) (Lung 7) Jing-well points. Jing-well points.

Infrared AcupunctureInfrared Acupuncture Radiation heat (moxibustion)Radiation heat (moxibustion)

250 W infrared bulb250 W infrared bulb

TDP lamps (Teding Diancipo Pu):TDP lamps (Teding Diancipo Pu): Heat a metal plate constructed from numerous Heat a metal plate constructed from numerous

mineral substratesmineral substrates Developed in Chong-qing, China in the 1980Developed in Chong-qing, China in the 1980’’s. s.

IndicationIndication Bi syndromeBi syndrome WoundWound

Caution: avoiding too hot.Caution: avoiding too hot.

Origin: tip of earOrigin: tip of ear

Human auriculotherapyHuman auriculotherapy Germany 1950’sGermany 1950’s ChinaChina

• DiagnosisDiagnosis• TreatmentTreatment

Canine ear pointsCanine ear points DiagnosisDiagnosis TreatmentTreatment

AuriculotherapyAuriculotherapy

Other Acupuncture techniquesOther Acupuncture techniques

CuppingCupping

Tui-na (massage and Tui-na (massage and chiropractic) chiropractic)

Scalp acupuncture Scalp acupuncture

Microwave Microwave acupunctureacupuncture

How to Approach AP PatientHow to Approach AP Patient

Take history, do exam & Take history, do exam & make pattern diagnosismake pattern diagnosis

Start with Dry NeedlesStart with Dry Needles 10-15 needles unless 10-15 needles unless

strong or weakstrong or weak Treat 15-30 minutesTreat 15-30 minutes

Follow with B-12 Follow with B-12 aguapunctureaguapuncture

5-8 points5-8 points

How to Approach AP PatientHow to Approach AP Patient Re-assess pattern diagnosisRe-assess pattern diagnosis

Start with Dry NeedlesStart with Dry Needles 10-15 needles unless strong 10-15 needles unless strong

or weakor weak Treat 15-30 minutesTreat 15-30 minutes

EA EA 10 minutes @ 20 Hz10 minutes @ 20 Hz 10 minutes DD 80-120 Hz10 minutes DD 80-120 Hz 5-10 minutes 20 Hz5-10 minutes 20 Hz

Follow with B-12 aguapunctureFollow with B-12 aguapuncture 5-8 points5-8 points

TCM PrayerTCM Prayer

Just for today, I will let go of my anger.Just for today, I will let go of my anger.

Just for today, I will let joy in my heart.Just for today, I will let joy in my heart.

I will not worry or be sad.I will not worry or be sad.

Just for today, I will embrace life. Just for today, I will embrace life.

I will live without fear, in harmony with myself I will live without fear, in harmony with myself and the Universe.and the Universe.

Introduction to Acupuncture Techniques Ancient Art to Modern Science.

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Transcript of Introduction to Acupuncture Techniques Ancient Art to Modern Science.