TCM Acupuncture and Massage

Chapter 32 Common Acupuncture and Moxibustion Methods (3)
([-]) Looper

The body of the looper needle forms a curve within the patient.

1. It shows that the direction and angle of the needle handle have changed, making it difficult to lift, insert, twist, and withdraw the needle, and the patient feels pain at the needle site.

2. The reason is that the doctor is unskilled in inserting the needle, and the force is too strong; or the needle touches a hard tissue; or the patient moves when the needle is retained; or the needle handle is impacted by external force; or due to improper handling of the needle, This causes the muscle to contract violently, pulling the needle body and forming a curved needle.

3. After dealing with a bent needle, no lifting, inserting, twisting and other techniques are allowed.If the needle body is slightly bent, the needle should be pulled out slowly; if the bending angle is large, the needle should be withdrawn along the direction of the bend; Due to the patient's moving position, the patient should be slowly returned to the original position, and then the needle should be pulled out slowly.Do not pull out the needle forcibly to prevent the needle from breaking.

4. Preventive physicians should be proficient in technique and light in finger force to avoid excessive force and speed of needle insertion.The patient's position should be comfortable, and the position should not be moved when the needle is retained.Pay attention to protect the acupuncture site and the needle handle from being pressed by foreign objects.

([-]) Broken needle

A broken needle means that the body is broken inside the body, also known as a broken needle.

1. The needle body is found to be broken when the needle is being inserted or withdrawn, and the broken end part of the needle body is exposed on the skin, or the broken end is completely submerged under the skin.

2. The reason is that the quality of the needle is not good, the needle body or the needle root is damaged, rusted, cracked, the needle is not inspected before the needle, and the needle body is completely inserted during acupuncture; Contraction; the patient shifted when the needle was retained, or the needle handle was impacted by external force; the stuck or bent needle was not treated in time, or was handled improperly.

3. The attitude of the treating doctor must be calm, and the patient should not panic, keep the original position, and prevent the stump from sinking into the deep layer.If the stump part of the needle body is exposed outside the skin, use tweezers to take out the needle; if the broken end is level with the skin or slightly lower and visible, you can use the thumb and index finger of your left hand to squeeze beside the needle to expose the broken end and take it out; If the broken part is completely submerged in the skin and cannot be taken out by the above method, it must be located under X-ray and taken out by surgery.

4. The needles must be carefully checked before the vaccination, and those who do not meet the requirements should be rejected; avoid excessive force and force; ask the patient not to move the body when retaining the needle, and protect the needle handle from external force collision; the needle body should be left behind during operation. 2 to 3 points are outside the skin, do not penetrate all of them, and pay attention to leaving room when selecting needles; deal with stuck and bent needles in time, and do not forcibly pull them out.

([-]) Hematoma

Hematoma refers to swelling and pain caused by bleeding under the skin at the puncture site.

1. There is bleeding from the pinhole after the needle, local bruising, swelling and pain.

2. The reason is that the needle tip is bent with a hook, which damages the skin or stabs blood vessels; the subcutaneous blood vessels at the acupuncture site are rich, and the acupuncture technique is too heavy, and even the needle is pounded; some patients are caused by the coagulation mechanism disorder.

3. For pinhole bleeding, use sterilized dry cotton balls to stop the bleeding, and if the compression does not stop, use cold compresses to stop the bleeding; if the bleeding volume is small but the local bruising and swelling are not large, generally no treatment is needed, and it can subside on its own; if the bleeding volume is large, the local bruising area is large, When the swelling and pain are severe and affect the function of activities, you can apply cold compresses to stop bleeding first, and then apply hot compresses after 24 hours to promote local blood stasis to dissipate and absorb.

4. Preventive needles should be inspected frequently to eliminate needle tip hooking; be familiar with the local anatomy of acupoints and avoid blood vessel acupuncture; For hematoma, hematological examination should be done. Acupuncture should not be used for hematological diseases; when the needle is removed, immediately press the needle hole with a sterile dry cotton ball.

[-]. Precautions for acupuncture
1. Patients should not perform acupuncture immediately when they are too hungry, fatigued, or mentally over-stressed; for patients who are thin, qi-deficiency and blood-deficient, the acupuncture technique should not be too strong, and the lying position should be used as much as possible.

2. Acupuncture is not suitable for skin infections, ulcers, scars or tumors.

3. Acupuncture at the acupoints on the top of the head should not be performed when the fontanelles of children are not closed.

4. Pregnant women should not prick the lower abdomen, lumbosacral acupoints, as well as Hegu, Sanyinjiao, Kunlun, Zhiyin and other meridian and blood circulation acupoints.During menstruation, if it is not for regulating menstruation, acupuncture should be used with caution.

5. Acupuncture is not suitable for patients who often have spontaneous bleeding or bleeding after injury.

6. For patients with urinary retention, etc., when needling the acupoints in the lower abdomen, one should master the appropriate needling direction, angle, depth, etc., so as not to accidentally injure the bladder and other organs and cause accidents.

Moxibustion
Moxibustion means burning.Moxibustion is mainly a method of using the heat of moxibustion fire to provide warm stimulation to the human body, and through the action of meridians and acupoints, it is a method to achieve the purpose of preventing and curing diseases. "Introduction to Medicine Acupuncture and Moxibustion" contains: "If the medicine is not enough, the needles are not enough, and moxibustion is necessary."It shows that moxibustion has its unique curative effect.

[-]. Materials for moxibustion
There are many raw materials for moxibustion, but mugwort leaves are used as the main moxibustion material.Artemisia argyi is a perennial herb of the Asteraceae family, which grows all over my country, and the one produced in Qizhou is the best, so it is called "Qi Artemisia".Artemisia argyi leaves are fragrant, pungent and bitter, easy to burn, and have mild firepower, so they are good materials for moxibustion. "Bielu of Famous Doctors" contains: "Moxa is bitter in taste, slightly warm, non-toxic, and mainly moxibustion for all kinds of diseases."Select dried mugwort leaves, pound them to remove impurities, and then make pure and soft mugwort, dry and store them for use. "Mencius Li Lou Pian" has the saying: "If you are sick for seven years, ask for three years of moxa".In addition, white mustard seeds, buttercups, rushes, etc. are used as moxibustion materials.

[-]. The effect of moxibustion
([-]) Warming meridian and dispelling cold

The gentle heat of moxibustion fire has the function of directly warming the meridians and dispelling cold pathogens. This is the specific application of warming the cold. "Suwen·Different Methods and Prescriptions" says: "In the north, it is a region closed by heaven and earth. It lives in high hills, and the wind is cold and icy....Tibetan cold is full of diseases, and its treatment should be moxibustion." It can be seen. Moxibustion has the function of warming the meridian and dispelling cold.Clinically, it can treat cold-damp arthralgia and cold-induced epigastric pain, abdominal pain, diarrhea, dysentery and other diseases.

([-]) Fuyang Gutuo

The heat of moxibustion fire has the functions of supporting yang qi, lifting traps and solidifying, and can treat visceral sagging caused by yang qi subsidence and cold syndrome, Jue syndrome, and detachment syndrome caused by yang qi collapse. "Su Wen Qi Tong Tian Lun Pian" said: "For those with Yang Qi, if the sky and the sun lose their place, their lifespan will be shortened." This explains the importance of Yang Qi.If yang is weak, yin will be strong, if yin is strong, it will be cold and faint, and if it is even worse, you will want to get rid of it. At this time, you can use moxa sticks to warm up and help the yang qi that is exhausted. Therefore, "Bian Que Xin Shu" said: "True If qi is deficient, people will get sick, if true qi is lost, people will die, and the way to save life is to burn moxa first." "Treatise on Febrile Diseases" also said: "If you have lower benefits, cold hands and feet, and no pulse, use moxibustion."It can be seen that the yang qi is sinking or the danger syndrome is about to be released, all of which can be moxibustion.Clinically, it is commonly used for enuresis, prolapse of the anus, prolapse of the genitals, uterine bleeding, leukorrhea and other diseases caused by various deficiency-cold syndromes, cold-jue syndromes, collapse syndromes, and deficiency of middle-qi and sag of yang-qi.

([-]) Eliminate blood stasis and dissipate stagnation
The mild heat of moxibustion fire has the effect of promoting qi and blood circulation, eliminating blood stasis and dispelling stagnation.

"Lingshu · Thorn Festival True Evil" said: "The blood in the veins coagulates and stays, and the fire is tuned, and it can be taken." If it works, so will the blood.Moxibustion can unblock the movement of qi, and make the health and health harmonious, so the blood stasis will dissipate by itself.Therefore, it is often used clinically for diseases of qi and blood stagnation, such as acute mastitis, scrofula, gall tumors and other diseases.

([-]) Disease prevention and health care

Moxibustion can stimulate the body's righteousness and enhance the body's ability to resist diseases. "Prescriptions for Emergency Prescriptions Moxibustion Cases" says: "Ordinary people in Wu and Shu often need moxibustion in three or two places on their bodies. Don't let sores heal temporarily, then miasma, plague and malaria poisonous gas will not be able to affect people, so Wu Shu Many lines of moxibustion". "Bian Que Xin Shu Must Know Fuyang" said: "When a person is not sick, he often moxibustion Guanyuan, Qihai, Mingmen, and Zhongwan. Although he does not get longevity, he can still live for more than a hundred years."As the saying goes: "If you don't stop moxibustion in three miles, all disasters and diseases will disappear", and it also says: "If you want to be safe, don't do it in three miles."This shows that moxibustion can play a role in disease prevention and health care, that is to say, moxibustion without disease can stimulate the body's righteousness, enhance the ability to resist disease, make people energetic and live a long life.

[-]. Types and application of moxibustion
There are many types of moxibustion, and the commonly used moxibustion methods are as follows.

([-]) Moxa stick moxibustion
Moxa cone moxibustion is a method of putting pure moxa velvet on a flat plate, kneading it into conical moxa cones of different sizes, placing them on the moxibustion site and igniting them to prevent and treat diseases.Commonly used moxa sticks are like wheat grains, cocklebur seeds, lotus seeds, or half olives.Every time a moxa stick is burned, it is called a strong.Moxa stick moxibustion can be divided into direct moxibustion and indirect moxibustion.

1. Direct moxibustion with moxa cones is a method in which moxa cones of suitable size are directly placed on the skin for moxibustion.In ancient times, the moxa cones were often lit with the fire lit by the sun shining in the sun tunnel. This fire was called open fire, and moxibustion performed on moxa cones with this fire was called bright moxibustion.Because the moxa sticks are directly placed on the skin surface where the acupoints are located and ignited for moxibustion, it is also called skin moxibustion and meat moxibustion.According to the degree of skin irritation after moxibustion, it can be divided into scar moxibustion and non-scar moxibustion.If the skin needs to be burned and suppurated during moxibustion, and scars are left after healing, it is called scar moxibustion; if the skin is not burned and suppurated, and no scars are left, it is called non-scar moxibustion.

(1) Scar moxibustion: also known as suppurative moxibustion.When performing moxibustion, first apply a small amount of garlic juice to the acupoints to be moxibusted to enhance adhesion and stimulation, then place moxa cones of appropriate size on the acupoints, and light the moxa cones with fire for moxibustion.Each strong moxa stick must be burnt out, and after the ashes are removed, the moxibustion can be continued until the prescribed number of strong moxa sticks are exhausted.During moxibustion, because the moxa fire burns the skin, it can cause severe pain. At this time, you can gently pat around the moxibustion acupoints with your hands to relieve the pain.After moxibustion, apply anti-inflammatory ointment on the moxibustion points, about 1 week will form moxibustion sores, and moxibustion sores will heal in 5-6 weeks, leaving scars, so it is called "scar moxibustion".During the purulent period of moxibustion sores, it is necessary to pay attention to local cleaning and change the plaster once a day to avoid secondary infection. "Acupuncture and Moxibustion Zi Sheng Jing" said: "Where moxibustion sores are moxibustion with Ai De, the affliction will heal immediately. If it does not break out, the disease will not heal."It can be seen that the occurrence and non-occurrence of moxibustion sores are closely related to the curative effect.Therefore, patients should be told to eat more nutritious foods such as mutton and tofu to promote the penetration of moxibustion sores.As far as moxibustion sores are concerned, it is the suppurative phenomenon of local tissues after being scalded, which has produced a continuous stimulation on the local acupoints, and has the effect of curing diseases and health care.However, it is not suitable for patients who are too weak, or have diabetes or skin diseases.It is commonly used clinically to treat asthma, chronic gastrointestinal diseases, scrofula, etc. However, since this method leaves scars after moxibustion, the patient's consent and cooperation must be obtained before moxibustion.

(2) Scarless moxibustion: also known as non-suppurative moxibustion.When applying moxibustion, first apply a small amount of Vaseline on the moxibustion point to make the moxa stick easy to adhere to, and then place a suitable size moxa stick on the acupoint and light it for moxibustion. When 2/5 or 1/4 of the moxa stick is burned When the patient feels a slight burning pain, he can easily stick and moxibustion again until the prescribed strong number of moxibustion is finished.Generally, moxibustion should be applied until the local skin appears flushed without blistering.The skin will not blister after moxibustion, or moxibustion sores will not form after blistering.This method is suitable for chronic diseases of deficiency and cold, such as asthma, dizziness, chronic diarrhea, wind-cold-damp arthralgia, and skin warts.

2. Indirect moxibustion refers to the method of separating the moxa cone from the skin of the moxibustion point with medicine or other materials, so it is also called partition moxibustion.There are many medicines or materials used in indirect moxibustion. For example, those separated by ginger are called "ginger-partitioned moxibustion"; those separated by salt are called salt-partitioned moxibustion; those separated by aconite cakes are called aconite cake-partitioned moxibustion.

(1) Ginger-separated moxibustion: Cut fresh ginger into thin slices with a diameter of about 2-3 cm and a thickness of about 0.2-0.3 cm, and acupuncture a few holes in the middle, then place the ginger slices on the acupoints or affected areas that should be moxibustion, and then Moxa cones are placed on ginger slices and ignited for moxibustion.After the moxa sticks are burned out, the Yi sticks are used for moxibustion again.After moxibustion, the prescribed strong number should be measured with the skin flushed and not blistered.During the moxibustion process, if the patient feels that the burning is unbearable, the ginger piece can be lifted up, or the ginger piece can be moved slowly.This method is widely used. It is often used for vomiting, abdominal pain and wind-cold-damp arthralgia caused by cold.

(2) Garlic-separated moxibustion: use fresh garlic, cut into thin slices about 0.2-0.3cm thick, prick a few holes in the middle (mashing garlic like mud is also acceptable), place on the moxibustion acupoint or affected area, and then Put the moxa sticks on the garlic slices and ignite them for moxibustion.After the moxa sticks are burned out, the Yi sticks are moxibustion again until the prescribed number of moxibustion is completed.Because the garlic liquid is irritating to the skin, it is easy to cause foaming after moxibustion. If the foaming does not occur, the garlic slice can be lifted up, or the garlic slice can be moved slowly.This method is mostly used to treat scrofula, tuberculosis and initial swelling and ulcers, etc. It has the functions of clearing away heat, detoxifying, and killing insects.In addition, there is another moxibustion method (long snake moxibustion) in which a layer of garlic paste is spread from Dazhui point to Yaoshu point, which is used by folks to treat syndromes such as consumptive fatigue and stubborn numbness.

(3) Salt-separated moxibustion: Because this method is only used on the navel, it is also called Shenque moxibustion.Fill the navel with pure and dry refined salt, or put a thin piece of ginger on top of the salt, and place a large moxa cone on top for moxibustion. If the patient feels a little burning pain, replace the moxa cone.This method has the functions of recovering yang, rescuing the adversity, and strengthening the body, but it needs continuous moxibustion, regardless of the number of strong ones, in order to wait for the pulse to rise, limb temperature, and syndrome to improve.Clinically, it is often used to treat acute cold abdominal pain, vomiting and diarrhea, dysentery, dysuria, and stroke syndrome.

(4) Moxibustion separated by aconite cake: use aconite slices or aconite medicine cake as a spacer.The method of making medicine cake is to grind aconite into fine powder, mix it with rice wine, and make aconite cake with a diameter of about 3cm and a thickness of about 0.8cm. In the middle, a few holes are pricked with acupuncture, placed on moxibustion acupoints or affected areas, and moxa is placed on it. Burn the stick, ignite it and apply moxibustion until the specified number of moxibustion is completed.Because aconite is pungent, warm and hot, it has the effect of warming the kidney and nourishing yang, so it is often used to treat impotence, premature ejaculation, nocturnal emission, and sores caused by the decline of vital fire.

(5) Moxibustion with fermented soya bean cake: use fermented fermented soya bean as fine powder, sieve, measure the size of the sore, use appropriate amount of powdered medicine and human rice wine to make a cake, moderately soft and hard, about 0.6cm thick, put it around the sore, and put it on top Moxibustion with moxa sticks, don't break the skin, moxibustion once a day, the degree is to heal.Tempeh is bitter in taste, cold in nature, and has the function of relieving sweating and relieving restlessness.This method is most effective for sores and gangrene on the back, malignant sores that are swollen and hard, do not astringe, and the sores are dark, and can promote the healing of the sores.

(6) Pepper cake-partition moxibustion: Use appropriate amount of white pepper powder, add flour and water, make a round cake with a thickness of about 0.5cm and a diameter of about 2cm. etc.) fill in the inside, put moxa sticks on top, light it for moxibustion.After moxibustion, the prescribed strong number should be felt warm and comfortable.Pepper is pungent in taste and hot in nature, and has the effect of warming the middle and dispelling cold.It is mainly used to treat stomach cold and vomiting, abdominal pain and diarrhea, wind-cold-damp arthralgia and facial numbness.

(24) Moxa stick moxibustion Moxa stick moxibustion is about making moxa sticks into moxa sticks for moxibustion.The method of making moxa sticks is as follows: take 26g of pure and soft moxa, spread it on the thin grass paper with a length of 20cm and a width of 1.5cm, roll it into a cylindrical moxa roll with a diameter of about 6cm, and roll it tightly, wrap it with Soft, loose and tough mulberry paper, sealed with glue or paste.There are also moxa mixed with [-]g of fine powder of cinnamon, dried ginger, clove, yiduhuo, asarum, angelica, realgar, atractylodes, myrrh, frankincense, and Sichuan pepper, and it becomes a medicinal moxa stick.

Moxa stick moxibustion can be divided into two methods: suspension moxibustion and real pressing moxibustion. 1. Suspension moxibustion When moxibustion is performed, the moxa sticks are suspended at a certain height from the acupoints for smoking and roasting, so that the ignited end of the moxa sticks does not directly contact the skin, which is called "suspension moxibustion".Suspension moxibustion is divided into gentle moxibustion, sparrow pecking moxibustion, and whirling moxibustion according to different actual operation methods.

(End of this chapter)