1. functions of cupping
    • -warms and promotes the free flow of qi and xue in the meridians
    • -draws out pathogenic factors, wind, cold and dampness
    • - diminshes swelling and pain
  2. Indications for cupping
    • arthritic pain
    • abdominal pain
    • xu stomach ache
    • indigestion
    • headache
    • hypertention
    • common cold
    • cough
    • low back pain
    • painful menstruation
    • eyes red, swollen, and painful
  3. cautions for cupping
    • patient is weak
    • patient has not eaten
    • where muscle is thin
    • on elderly
    • steroid users
    • diabetic patient
    • too many cups
    • where skin is not level because of bony angles or depressions
    • patient with very thin skin, bruises easily
    • patient is on blood thinners
  4. contraindications for cupping
    • patient during convulsions
    • allergy skin condition
    • patient with high fever
    • on open wounds, moles, scars, raised lesions, ulcerated sores
    • over swelling, edema, varicose veins, large blood vessels, malignant tumors, acute trauma
    • ren 8, st 17, over eyes, ears, nose, mouth
    • pregnant womens abdomen or lower back
    • sciatica due to pregnancy
    • on someone with hemophilia
  5. timing for cupping
    • 5-15 min supplementing
    • more time is draining (20 min)
    • Not over 30 min (blisters may form)
  6. aftercare instructions for cupping
    • no greasy foods
    • no alcohol
    • don't go in ocean
    • avoid elements, esp wind and cold
    • keep area covered
    • drink lots of water
    • eat a bland diet
    • avoid sex
    • *marks may stay 1-3 weeks
  7. cupping does what
    • -brings up pathogens or stagnation from a deeper layer to cutaneous layer so it can be released from body
    • -this is a form of releasing the exterior (which is why we have aftercare instructions so that the area is protected)
  8. cupping safety and best practices
    • have a system and follow it
    • communicate with patient
    • Be alert, focused, and on task
  9. accident procedure : patient bleeds under cup
    • -if you can, wait for blood to coagulate
    • -put gloves on
    • -wrap edges with paper towel
    • -break seal away from face, slowly
    • - take off cup, wrap in towels
    • - wipe patient's skin first with towel then with alcohol
    • -make sure bleeding stops (pressure)
    • -clean cup with utility gloves on , remove blood, then disinfect
  10. accident: cup breaks
    • -make sure patient and you are ok
    • -tend to cuts or bleeding
    • -pick up all pecies of glass hemostats, tweezers, or dustban (do not use hands or gloves)
    • -dispose of broken glass into sharps container
    • or in a cardboard box , tape it up, put into red medical waste trashcan
  11. patient gets burned by cup or cotton ball
    • apologize
    • if there are needles, remove immediately
    • remove cup\cotton ball asap
    • tend to patients burn (clean gently)
    • tell supervisor or clinic staff
    • have supervisor assess tissue damage
    • work with patient and supervisor to see if additional medical attention is needed
    • apologize
    • call patient next day
    • fill out incident report have supervisor sign it!
  12. accident: cup with blood drops on floor, splatters blood
    • -take inventory of damage
    • - manage area so no one gets hurt or makes situation worse
    • -notify supervisor
    • -clean up per osha guidelines ( spill kit in clinic)
    • - put on utility gloves
    • -if cup is broken clean it up
    • -soak up excess blood from area with paper towels
    • -clean area with soap and water, breaks up blood
    • -then soak with appropriate disinfecting solution
    • 1:10 for non porous 1:100 for porous. Soak for 2 hours or more.
  13. light cupping
    • supplementing
    • up to 20 min (less time more supp)
  14. medium cupping
    • supplementing
    • up to 20 min
  15. strong cupping
    • draining
    • 1st time 10 min, more later longer time, more draining
  16. sliding cupping
    • draining
    • patient must have strong constitution
  17. light moving cupping
  18. needle cupping
  19. moxa cupping hot needle
  20. empty (flash) cupping
  21. full (bleeding) cupping
  22. cuppingn techniques not allowed at pcom
    draining pus with cup
  23. where can you cup
    • back
    • neck
    • face (not over eyes)
    • chest (not over st 17)
    • arms
    • abdomen
    • buttocks
    • legs
    • feet
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