针刺治疗双相抑郁障碍的心境稳定作用研究.ppt

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 Especially anterior cervical region is very complicated. The Topography（局解） of Neck 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 0.3-0.8 cun. Attention: To keep away from the common carotid artery. We can not manipulate the needle with large amplitude. back Points in chest Top of the lung locate