Transcript Manipulation

How to puncture
safely and accurately?
by Qi Jing(祈静）
 1. Needling manipulation.
 2. Location of points.
 3. Body physiological situation. ★
 4. Management of possible accidents
in acupuncture. ★
1. Needling Manipulation
 The 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 needle
2. Location of Points
 Nipples.(St.17-Ruzhong)
 Umbilicus.(Ren8-Shenque)
 Points inside orbit never use
moxibustion by warming needle.
 Points in these locations need much
more attention.
1. Head
2. Edge of eye socket
3. Neck
4. Chest
5. Back
 Yamen (DU 15)(哑
门）
Location : 1 cun directly
above the midpoint of
the posterior hairline.
 Fengfu (DU 16)
（风府）
Location : 0.5 cun
directly above the
midpoint of the
posterior hairline.
 Attention:
 Angle:puncture
perpendicularly or
obliquely downward .
 Depth:0.5-1 cun
 Medulla oblongata
（延髓）would be
damaged
if inserting needle
upward through
occipital pore.
Back
Chengqi(ST.1) Jingming (BL.1)
 Jingming 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.
back
 The Topography（局解） of
Neck
 Especially
anterior cervical
region is very
complicated.
 Renying(ST 9)人
迎
 Location:1.5 cun
lateral to the
process of larynx,
behind the common
carotid artery.
 Shuitu 水沟(ST 10)
 Location: 1 cun
below Renying.
 Manipulation:
To puncture
perpendicularly 0.30.8 cun.
 Attention: To keep
away from the
common carotid
artery. We can not
manipulate the needle
with large amplitude.
back
Points in chest
 Anatomical location of the lung:
 Top of the lung
locate 2 or 3 cm
above clavicle.
 Bottom of the
lung locate inside
6th rib of chest.
 Attention:
Points in intercostal
（肋间的）space
 Manipulation:
---Angle:
subcutaneously or
obliquely.(the needle
is inserted to form an
angle of 15°-25°or
45°or so with the
skin surface.)
---Depth:0.8-1 cun.
back
The Back
Bladder channel
 Location:
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 cun
Du channel
 Points location:
Below the
spinous
process of
each vertebra.
 Manipulation:
Puncture
obliquely
upward 0.5-1
cun.
 Attention:
Can not too deep.
back
3. Body physiological situation
There 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)
4. Management of possible
accidents in acupuncture.
 Fainting
 Stuck needle
 Bent needle
 Broken needle
 Hematoma（血肿）
Fainting（晕针）
 Reasons: weakness/nervous/ receiving needles for
the first time/ too forceful manipulation
 Prodromes: dizziness and vertigo/irritability/
nausea/pallor///shock/unconsciousness/hypotension
 Countermeasures: 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
Stuck needle（滞针）
 Symptoms: Difficult to manipulate or
withdraw.///pain/ hard to move the body
 Reasons: extremely nervous/ change of the
position
 Countermeasures: massage the area around
the needle/ another needle///adjustment of
the position
Hematoma（血肿）
 After withdrawal of the needle, a red pin-
point mark may remain.----normal
 To press the hole of needle when it is taken
out.///loose/flabby
back
THANK YOU!