-
under 3 months pregnant
no points on lower abdomen or lumbosacral
-
after 3 months pregnant
- No lower abdomen\ lumbosacral or on
- LI 4
- SP 6
- UB 60
- UB 67
- GB 21
-
contraindication on infants
- du 22 ( if fontanel still open)
- do not retain needles
-
remedies for stuck needle
- leave needle alone for a few minutes
- needle or massage around point
- needle same point on opposite side
- untwist it (in direction of least resistance)
- return patient to original position
- apply moxa or hot pack
- NEVER force a stuck needle
-
bent needle causes
- too forceful manipulation
- excessive muscular contraction
- patient changed position
- tip of needle hits a hard surface
-
remedies for bent needle
- withdraw needle following course of bend
- restore person to original position
- insert needle near it
- do not twirl!
- do not force needle out!
-
broken needle causes
- poor needle quality
- imperfect needles
- strong muscle contraction
- too forceful manipulation
- withdrawing a bent needle
- use of moxa on a needle
-
broken needle remedies
- -if needle above skin, grasp with forceps or tweezers
- -if needle level with skin or just below gently press skin and pull out with forceps or tweezers
- -insert needle near it
- -if needle below skin: take to MD
-
injury to lung causes
- -needling too deeply
- -needling wrong angle
- - lifting\thrusting over upper back\chest\superior aspect of shoulders (GB 21_
- -needling Liver 13
-
signs and symptoms of pneumothorax
- -may be delayed several hours
- -chest pain
- -dyspnoea
- -feeling of fullness\oppression in chest
- -cyanosis
- -profuse sweating
- -shock
- -lowered blood pressure
- -chest percussion is dull
- -tracheal movement toward unpunctured side
- -changes in breathing
-
remedy to lung injury
- -carefully remove needle, have patient lie calmly
- -call 911
- -if symptoms after leave office-instruct patient to go to emergency room, call 911
-
injury to brain and spinal cord causes
- -needling too deeply
- -needling at wrong angle
- -lifting\thrusting over upper cervical and under occiput
- (DU 15, DU 16, GB 20, UB 10)
-
signs and symptoms of brain or spinal cord injury
- convulsions
- paralysis
- coma
- severe bleeding
- headache
- nausea\vomiting
- disorientation
- *electric 'flash' pain felt in extremities
-
remedy to spinal cord or brain injury
- -if convulsions , clear area of items near patient
- -call 911
-
injury to heart, liver, spleen, kidney causes
- -ignorance of anatomy
- -failure to do proper physical exam or palpation to check for organ size
- -needling too deeply
-
injury to liver spleen signs or symptoms
- local pain radiates toward back
- abdominal muscles will contract
- possible bleeding
-
signs and symptoms injury to kidney
- pain around waist
- blood might be in urine
- blood pressure may drop
- shock may ensue
-
remedy to injury to heart, liver, spleen, kid
- if damage is minor, organ will heal with rest
- if bleeding
- -apply cold compress
- -monitor BP
- -call 911
-
fainting causes
- excessive nervousness
- fatigue
- weakness
- hunger
- dehydration
- oversensitive nature
- weak constitution
- patient or needle overstimulated
-
fainting signs and symptoms
- vertigo\dizziness
- pallor
- nausea
- palpitations
- uneasy feeling
- cold sweat
- white face
- shivering
- cold limbs
-
remedy for fainting
- -stop needling, remove all needles
- -pt lie flat, legs may be slighly elevated
- -for loss of conciousness
- dig fingernail into du 26, pc 6
- press, moxa, needle, st 36 if needling in upper body press LI 4 if needling done in lower body
- -use smelling salts, amonia
- -one consiousness resumes
- loosen clothing
- offer warm drink
- rest
- (most respond, if not call 911)
-
fainting prevention
- -explain treatment ahead of time
- -inquire about fears
- -use easy small points first
- -manipulate needle easily
- -make sure patient is not
- hungry, thirsty, overly excited
-
hematoma causes
- puncturing capillaries
- improper needle manipulation
- imperfection on the needle
-
hematoma signs and symptoms
- often nothing
- a drop or two of blood
- soreness
- skin discoloration
- lump under skin
-
hematoma remedy
- often no exceptional measures need to be taken
- cold pack to stop bleeding
- compress area
- massage
- moxa
- tell the person
-
pricking a vein signs and symptoms
- very painful (not de qi)
- burning sensation locally
-
precaution points for arteries
- lu 8, lu 9
- LI 13
- th 19, th 22
- st 1
- sp 12
- st 5, st 9 st 12, st 42
-
pricking a vein remedy
- remove needle immediately
- do not manipulate needle
- if bruise develops, treat accordingly
-
signs and symtpoms of pricking a nerve
- intense "flashing" pain, following peripheral nerve pathway (know your nerves)
- Not de qi
- Can cause neuritis:
- pain, tingling, numbness along nerve pathway
-
pricking a nerve remedy
- stop manipulating the needle
- withdraw needle
- moxa, then withdraw
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