针刺治疗双相抑郁障碍的心境稳定作用研究课件

How to puncture safely and accurately?by Qi Jing(祈静）How to puncture safely and a11.Needling manipulation.2.Location of points.3.Body physiological situation.4.Management of possible accidents in acupuncture.1.Needling manipulation.21.Needling ManipulationThe safe needling manipulation depends on three important factors.1.The angle of needle insertion 2.The depth of needle insertion 3.The amplitude of moving needle1.Needling ManipulationThe s3Nipples.(St.17-Ruzhong)Umbilicus.(Ren8-Shenque)Points inside orbit never use moxibustion by warming needle.Points in these locations need much more attention.2.Location of PointsNipples.(St.17-Ruzhong)2.Lo41.Head 2.Edge of eye socket3.Neck4.Chest5.Back针刺治疗双相抑郁障碍的心境稳定作用研究课件5Yamen(DU 15)(哑哑门）门）Location:1 cun directly above the midpoint of the posterior hairline.Fengfu(DU 16)（风府）（风府）Location:0.5 cun directly above the midpoint of the posterior hairline.Yamen(DU 15)(哑门）6Attention: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:7Chengqi(ST.1)Jingming(BL.1)Chengqi(ST.1)Jingming(BL.1)8Jingming 睛明睛明(BL 1)Location: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.backJingming 睛明(BL 1)9Especially anterior cervical region is very complicated.The Topography（局解）（局解）of Neck The Topography（局解）of Neck 10Renying(ST 9)人人迎迎Location:1.5 cun lateral to the process of larynx,behind the common carotid artery.Shuitu 水沟水沟(ST 10)Location:1 cun below Renying.Renying(ST 9)人迎11Manipulation:To 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:12Points in chestPoints in chest13Top of the lung locate 2 or 3 cm above clavicle.Bottom of the lung locate inside 6th rib of chest.Anatomical location of the lung:Top of the lung locate 2 or 3 14Attention:Points in intercostal（肋间的）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:15The BackBladder channelThe BackBladder channel16Location: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:17Du channelDu channel18Points location:Below the spinous process of each vertebra.Manipulation:Puncture obliquely upward 0.5-1 cun.Attention:Can not too deep.backPoints location:back193.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 who 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 situa204.Management of possible accidents in acupuncture.FaintingStuck needleBent needleBroken needleHematoma（血肿）4.Management of possible 21 Fainting（晕针）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/-a mild case Renzhong(Du26),Suliao(Du25),Zusanli(St.36)Baihui(Du20),Qihai(Ren6),Guanyuan(Ren4)other emergency measures-a severe case Fainting（晕针）Reasons:weaknes22Stuck needle（滞针）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 needle（滞针）Symptoms:Diff23Hematoma（血肿）After withdrawal of the needle,a red pin-point mark may remain.-normalTo press the hole of needle when it is taken out./loose/flabby backHematoma（血肿）After withdrawal o24 THANK YOU!25