Precautions Contraindications And Management Of Acupuncture Treatment

lower abdomen and lumbosacral region are contraindicated for pregnant women

The statement is true because when needling, it is important to avoid blood vessels to prevent bleeding. Additionally, the points on the chest and back should be carefully needled to prevent any injury to vital organs.

The statement suggests that fainting is often caused by various factors such as nervous tension, delicate constitution, hunger, fatigue, improper position, or forceful manipulation.

Needling should avoid the blood vessels to prevent bleeding and nerves. This is because puncturing a blood vessel can lead to excessive bleeding, while puncturing a nerve can cause pain, numbness, or other neurological complications. Therefore, it is important for practitioners to have a thorough understanding of anatomy and to carefully select the appropriate needle insertion points to avoid these structures.

If a needle is inserted too deep in the chest in any of the mentioned acupuncture points, it can cause pneumothorax. Pneumothorax is a condition where air accumulates in the space between the lungs and the chest wall, leading to a collapsed lung. This can result in symptoms such as difficulty breathing, chest pain, and decreased oxygen levels. It is a potentially serious complication that requires immediate medical attention.

A bent needle can occur due to unskillful manipulation or excessive force applied during manipulation. This means that if someone is not skilled enough in handling a needle or applies too much force while manipulating it, the needle can become bent. Therefore, the statement is true.

One must be careful when needling HT-1 because it is close to the axillary artery. This means that if the needle is not inserted correctly, it could potentially puncture or damage the axillary artery, leading to severe bleeding and other complications. Therefore, caution must be exercised when needling in this area to avoid any harm to the nearby artery.

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The statement is true because children who do not cooperate with the practitioner may move or jerk suddenly during a medical procedure, which increases the risk of injury if a needle is retained in their body. Therefore, it is important to ensure that needles are not left inside children who are uncooperative to prevent any potential harm or complications.

If points in the upper back such as UB-11, UB-21, UB-41, and UB-50SI-14, SI-15, SJ-15, and GB-21 are needled too deep, it may result in pneumothorax. Pneumothorax is a condition where air accumulates in the space between the lungs and the chest wall, causing the lung to collapse. This can be a serious and potentially life-threatening condition that requires immediate medical attention.

The statement suggests that a stuck needle is caused by the changing position of the patient. Therefore, to resolve this issue, the original posture of the patient should be resumed and then the needles should be withdrawn. This implies that the answer is true.

The correct answer is LI-4, SP-6, GB-21, UB-60, UB-67. These points are considered sensitive points during pregnancy because they are located close to vital organs or large vessels. The historic medical literature of the past contraindicates puncturing these points due to the potential risks involved.

Should not be needled if fontanel is not closed

Pressing the vein immediately for 30 seconds to a minute helps to prevent hematoma formation. By applying pressure to the vein, it helps to stop any bleeding and allows for the blood to clot, reducing the risk of a hematoma. This step is important in preventing complications and ensuring the patient's safety during the procedure.

The correct answer is femoral artery. One must be careful when needling SP-11 and SP-12 because they are close to the femoral artery. This suggests that if the needle is not inserted correctly or if there is excessive force applied, it could potentially damage the femoral artery, leading to complications such as bleeding or hematoma formation. Therefore, caution is necessary when needling these points to avoid any harm to the femoral artery.

Needling points in the midback such as UB-22, UB-23, UB-51, and UB-52 too deep may cause injury to the kidney. The kidney is located in the midback region, and needling these points too deep can potentially puncture or damage the kidney. It is important to be cautious and precise when needling these points to avoid any harm to the kidney.

The correct answer is ST-17, REN-8. These two points should not be needled because ST-17 is located on the chest and REN-8 is located on the abdomen. Needling these points can be potentially dangerous and may cause harm to the patient. It is important to be cautious and avoid needling these particular points.

The given symptoms, such as dizziness, oppressive feeling, loss of consciousness, nausea, pallor, cold sweating, cold extremities, weak pulse, and hypertension, do not indicate muscle spasm. Muscle spasms typically involve involuntary contractions or tightening of muscles, causing pain or discomfort. The symptoms mentioned in the question are more indicative of fainting or syncope, which can be caused by various factors such as low blood pressure, decreased blood flow to the brain, or a sudden drop in heart rate.

Trteatment must stop and needle are removed inmediately

Acupuncture is contraindicated for patients who are extremely weak, deficient, over fatigue, too hungry, very drunk, very angry, pregnant women, and children whose fontanels have not closed (1.5 to 2 years old). It is also contraindicated for areas of the body that have blood vessels and important organs, as well as certain landmarks such as ST-17 and REN-8. Therefore, the correct answer is "All of the above" because all of these conditions and situations are contraindications for acupuncture.

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When a patient changes position during a treatment, it can cause the needle to bend. This is because the needle may no longer be properly aligned with the targeted area, leading to increased resistance and potential bending. It is important for patients to remain still during treatments to avoid this issue and ensure accurate needle placement.

The correct answer is "do not apply immediate pressure at least for 30 seconds to a 1 minute". This is because applying immediate pressure after needling around the eyes can lead to complications such as bleeding, bruising, or damage to the delicate eye area. It is important to wait for a short period of time to allow the area to settle and minimize the risk of adverse effects.

Needling too deep on the points REN-13, REN-14, REN-15, KI-20, KI-21, and ST-20 can cause injury to the liver, resulting in bleeding (hematoma).

The correct answer is "don't remove needles." When a patient faints, it is important not to remove any needles that may be inserted into their body. Removing the needles abruptly can cause further harm or injury to the patient. It is best to leave the needles in place and seek medical assistance if necessary.

The rotation of the needle in one direction can cause it to get stuck. When the needle is rotated forcefully or in a single direction, it can cause it to become lodged or jammed in the tissue or material it is inserted into. This can make it difficult to remove the needle and may require additional intervention to safely extract it.

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The correct answer is "chose lying position". This means that when preventing fainting, it is advisable to lie down rather than remaining in a standing or sitting position. Lying down can help improve blood flow to the brain and prevent a sudden drop in blood pressure, which can lead to fainting.

The correct answer is "healthy patients". This means that it is recommended to apply acupuncture treatment to patients who are in good health. The other options listed in the question, such as extremely weak and deficient, over fatigue, very drunk, too hungry, too full, and very angry, are not advisable for acupuncture treatment. These conditions may require different forms of medical intervention or may not be suitable for acupuncture treatment.

Points DU-6 thru DU-14 must be needled oblique upward and not too deep or oblique downward to avoid injuring the spinal cord. The correct answer, "b and c," refers to both options mentioned in the question. Needling oblique upward and not too deep as well as needling oblique downward are both necessary to prevent harm to the spinal cord.

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The correct answer is "oblique 0.2 to 0.4." This range indicates the depth of the needling puncture for PC-1 to avoid pneumothorax. Pneumothorax is the condition where air accumulates in the pleural cavity, causing the lung to collapse. By inserting the needle obliquely at a depth of 0.2 to 0.4, the risk of puncturing the lung and causing pneumothorax is minimized.

During the management of hemorrhage, it is crucial to apply immediate direct pressure on the vein for 30 seconds to 1 minute. This helps to control the bleeding and prevent further loss of blood. Additionally, direct pressure should be applied to the arteries for up to 5 minutes. This is important as it helps to stop the bleeding from the arteries, which can be more severe and life-threatening compared to bleeding from veins.

The correct answer is "oblique 0.3 to 0.5". This indicates the angle and depth at which the needling should be done for the acupuncture points SJ-15 and GB-21. The term "oblique" suggests that the needle should be inserted at an angle rather than straight in. The range of 0.3 to 0.5 indicates the depth of insertion, which is typically measured in cun (a unit of measurement in traditional Chinese medicine). Therefore, the correct answer indicates that the needling for SJ-15 and GB-21 should be done at an oblique angle between 0.3 to 0.5 cun.

Fontanels are soft spots on a baby's skull that allow for the growth and development of the brain. They typically close by the age of 2. In children whose fontanels are not closed, it is important to avoid needling certain points on the head to prevent potential harm or injury. The correct answer, DU-21 and DU-22, indicates that these points should not be needled in children with open fontanels.

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The correct answer is "oblique 0.3 to 0.5". This means that the needling for UB-41 and UB-50 on the upper back should be done at an angle of 0.3 to 0.5. This specific angle range is likely based on the anatomical structure and location of these acupuncture points, as well as the desired therapeutic effect. It is important to needle at the correct angle to ensure accurate and effective stimulation of the acupuncture points.

The correct answer is Perpendicular. Points DU-4 thru DU-5 must be needled perpendicular to avoid injuring the spinal cord. Needling obliquely, either upward or downward, can increase the risk of damaging the spinal cord. Subcutaneous refers to an injection or medication administered just beneath the skin, which is not relevant to the question.

Accidents during acupuncture treatment can occur due to various reasons such as fainting, needles getting stuck, needles becoming bent or broken, and the formation of a hematoma. These incidents can happen despite acupuncture being generally safe and free from side-effects.

The correct answer is "oblique 0.3 to 0.7". This suggests that the needling for SI-14 and SI-15 should be done at an oblique angle, with a range of 0.3 to 0.7. This indicates that the angle of insertion should not be too shallow (less than 0.3) or too steep (more than 0.7), but should fall within this specific range.

no pressing on the point after withdrawal of the needle

Acupuncture treatment involves the insertion of needles into specific points on the body to promote healing and balance. However, there are certain situations where it is not advisable to apply acupuncture. Patients who are extremely weak, over-fatigued, too hungry, too full, very drunk, or very angry may not be suitable candidates for acupuncture. This is because these conditions can affect the body's ability to respond to the treatment, and may even exacerbate the symptoms or cause discomfort. It is important to wait until the patient is in a more stable condition before proceeding with acupuncture.

The given answer lists various potential causes of fainting, including nervousness, tension, hunger, fatigue, extreme weakness, and being in an uncomfortable position. These factors can all contribute to a decrease in blood flow to the brain, leading to a temporary loss of consciousness. Nervousness and tension can trigger a physiological response known as the "fight or flight" response, which can cause a sudden drop in blood pressure. Hunger and fatigue can also lower blood pressure and blood sugar levels, affecting brain function. Extreme weakness and being in an uncomfortable position can restrict blood flow and oxygen to the brain, increasing the likelihood of fainting.

The correct answer is "overly forceful manipulation." When a practitioner applies excessive force during manipulation, it can lead to fainting due to excessive stimulation. This can cause the body to react negatively, resulting in a loss of consciousness.

The correct answer suggests that a stuck needle may arise from three possible causes: muscle spasm, rotation of the needle being overly wide with too large amplitude, and rotation of the needle in one direction. These factors can contribute to the needle becoming stuck, making it difficult to remove or reposition.

The given causes of a bent needle are inserting the needle too forcefully, the patient changing position during treatment, and the needle getting hit or pressed by an object. Inserting the needle forcefully can cause it to bend due to excessive pressure. If the patient moves or changes position abruptly during treatment, it can also cause the needle to bend. Additionally, if the needle gets hit or pressed by an object, it can result in bending.

The correct answer suggests that when managing hemorrhages, it is important to apply immediate pressure to the vein for a duration of 30 seconds to 1 minute. Additionally, pressure should be applied to the arteries for up to 5 minutes. This can be done through direct pressure. These steps help to control bleeding and prevent further complications.

To prevent injuring the eyes while puncturing points around them, it is important to follow certain steps. Firstly, one should locate the points accurately to ensure precision. Secondly, the insertion should be done slowly to minimize the risk of injury. Thirdly, there should be no further manipulation or movement of the puncturing instrument once it is inserted. Fourthly, the withdrawal should be done slowly and carefully. Lastly, immediate pressure should be applied to the punctured area for at least 30 seconds to 1 minute to control any bleeding or potential damage.