Download filiform needle

Manipulation Methods Part 1
Colin Chan
Manipulation Methods
Acupuncture, is a procedure by which diseases can be treated and prevented through
proper insertion of needles into points with different manipulations.
The filiform needle is the most common type of needle used in acupuncture therapy.
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The filiform needle 毫针 is made of stainless steel and has 5 parts.
It varies in length and diameter. The common type and size of needle used:
1.
SHEALTH 管针.
2.
UNSHEALTH 排针.
The Structure of a Filiform Needle
Tail
Handle
Root
Body
Tip
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The structure of a Filiform Needle
Common Size (body length):
•
0.5 cun (13mm), 1.0 cun (25mm). 1.5 cun (40mm),
2 cun (50mm) and 3 cun (75mm).
Common guage (diameter of needle body):
•
0.25 mm and 0.3 mm.
Body
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The needle practice
Finger strength is needed for insertion and manipulation to…
•
Minimize pain.
•
Raise the therapeutic effects.
Practice
•
Sheets of paper.
•
Cotton Cushion.
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Practicing needling skills (manipulation)
Practicing common manipulation
•
Quick Puncture.
•
Twirling-Rotating Manipulation.
•
Lifting-Thrusting Manipulation.
Self-Needling
•
Practice on your own body.
•
Practice on each other.
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The posture of patient
Appropriate posture is important for :
•
Correct location of acupoints.
•
Insertion and manipulation.
•
Retention of needle.
•
Prevention of possible accidents.
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The common posture of patient
1.
Supine for :
•
head.
•
face.
•
chest.
•
abdomen.
•
4 limbs.
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The common posture of patient
2.
Lateral Recumbent for :
•
lateral aspect of the body.
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The common posture of patient
3.
Prone for :
•
head.
•
neck.
•
back.
•
lumbar.
•
buttock.
•
posterior aspect of the lower leg.
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The common posture of patient
4.
Sitting with back leaning against the chair for :
•
head.
•
face.
•
neck.
•
chest.
•
4 Limbs.
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The common posture of patient
5.
Sitting in flexion for :
•
head.
•
neck.
•
back.
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The common posture of patient
6.
Sitting in lateral flexion for :
•
head.
•
temporal.
•
auricle.
•
cheek.
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The methods of holding the needle
1.
two fingers method.
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The methods of holding the needle
2.
three fingers method.
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The methods of holding the needle
1.
four fingers method.
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Inserting the needle
In general :
•
The thumb and index finger of the right hand hold the
handle of the needle and the belly of the middle finger of
the same hand against the body of the needle.
•
The tip of the needle is punctured rapidly into the point
with finger force.
•
The right hand is called the “ puncturing hand 刺手 ”.
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Inserting the needle
In general :
•
In the process of inserting a short needle, the left hand is used
to press around the point to be punctured to fix the skin so that
the needle can be punctured at the right spot.
•
Or in the case of inserting a long needle, the left hand is used
to keep the body of the needle stable.
•
Proper manipulation of the left hand can help to minimize pain.
•
The left hand is called the “ pressing hand 压手 ”.
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The insertion methods of the needle
One Hand technique 单手进针法
Usually the right hand is used
•
hold the handle of the needle with the thumb and index finger.
•
the belly and tip of the middle finger touches the skin close to the
acupoint and also supports the lower portion of the needle.
•
insert the needle into the acupoint quickly by exerting finger force
from the thumb and index finger and meanwhile bending the middle
finger simultaneously.
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The insertion methods of the needle
Two hands technique 双手进针法
1.
Nail insertion technique 指切进针法.
•
Inserting the needle aided by the finger (nail) of the pressing hand.
Excecute:
•
Disinfection procedure.
•
Press beside the acupoint using the nail of the thumb or the index
finger of the left hand (pressing hand).
•
Hold the needle with the right hand (puncturing hand) and keep the
tip of the needle closely against the nail.
•
Insert the needle into the acupoint.
Indication:
This method is suitable for short needles.
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The insertion methods of the needle
Two hands technique 双手进针法
2.
Holding insertion/Gripping insertion technique 夹持进针法.
•
Inserting the needle aided by the puncturing and the pressing hand.
Excecute:
•
Disinfection procedure.
•
Use a dry cotton swab, hold the lower portion of the body of the needle with the
thumb and index finger of the left hand and expose the tip of the needle.
•
Keep the tip of the needle on the skin surface of the acupoint.
•
Keep the body of the needle straight by holding the handle of the needle with the
right hand.
•
With the combination of the fingers of the R hand and the thumb and index
fingers of the L hand, execute a downward pushing maneuver and insert the
needle into the skin.
Indication:
This method is suitable for long needles.
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The insertion methods of the needle
Two hands technique 双手进针法
3.
Relaxed/Stretching insertion technique 舒张进针法.
•
Inserting the needle with the fingers stretching the skin.
Excecute:
•
Disinfection procedure.
•
Stretch and tighten the skin where the acupoint is located with the thumb and
index finger using the left hand.
•
Insert the needle into the acupoint between the two fingers with the right hand.
Indication:
This method is suitable for acupoints that are located on areas with loose skin.
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The insertion methods of the needle
Two hands technique 双手进针法
4.
Lifting/Pinching insertion technique 提捏进针法.
•
Inserting the needle by pinching the skin.
Excecute:
•
Disinfection procedure.
•
Pinch the skin up around the acupoint using the thumb and the index finger of the
left hand.
•
Insert the needle into the acupoint the right hand.
Indication:
This method is suitable for acupoints that are located on areas where the muscles
are flabby and thin.
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END OF PART 1
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