Transcript One Medicine - Dog2Doc.com

Introduction to Acupuncture
Ancient Art to
Modern Science
Comparison of East & West
East
• Empirical
Observations over
Thousands of
Years
• Art of Medicine
• Holistic View
• Circular Logic
• Energetic
West
• Scientific Method
& Case-Based
Medicine
• Technology of
Medicine
• Molecular & Organ
View
• Linear Logic
• Mechanistic
Science versus Art
• Over the last 10 •
years, there has
been no change in
mean life
expectancy in
human beings, dog
or cats
There is an increase
in incidence of
inflammatory
diseases and cancer
over our ability to
detect the
conditions
Acupuncture: History
Sun Yang
Alias Bole
Veterinarian
Qinmugong period
659 B.C. to 621 B.C.
Bole Zhen-jing
Bole’s Canon of Veterinary
Acupuncture
• Sun Yang
• 659 to 621 B.C.
• Bole Zhenjing
Acupuncture: History
Yuan-Heng’s Therapeutic Treatise of Horses
Yuan Heng Liao Ma Ji
– 1608
– Benyuan Yu
– Benheng Yu
• Veterinarian
• Ming Dynasty
• 1368 to 1644
Basic Tenets of AP
• Based upon the AP
point selected
• Based upon the
method of
stimulation
–
–
–
–
Dry needles
Electrical AP
Aquapuncture
Hemoacupuncture
• Based upon the
length of
stimulation
• Low-rate, twisting
stimulation of GV26
leads to endorphin
response, while highfrequency needling of
GV26 leads to
epinephrine response
Basic Acupuncture Techniques
Stone needles 8,000 years ago
Bones needles: 3,000 years ago
Needles
Metal needles: 2,200 years ago
Gold/silver needles
Bamboo needles
Fine needles
Zhen-jiu
Moxibustion
New Acupuncture
Ai-jiu (moxa): moxibustion
Alcohol (huo-jiu):
Herbal moxibustion
Needle + Moxa
Fire-needling
Electro-acupuncture
Embedding
Injectable
acupuncture
(aquapuncture and
pneumoacupuncture),
Laser therapy
Magnetic therapy
Infrared therapy (TDP)
Long
Nine needles (2,200 years ago)
Sword
Fine
Pressure
Arrowhead
Round
Sharp
Round/Sharp
Large
Arrowhead needle
Sharp needle
Sword needle
Round needle
sharp needle
To drain abscesses
To bleed superficial vessels
(TCM Surgical tools)
Round needles
Pressure needles
Acupressure (Not penetrate the skin)
Fine or Filiform
Long
Large needles
Penetrate the skin at known acupuncture points
(commonly known acupuncture)
1. Dry Needle Acupuncture or Conventional Needling Techniques
Dry Needle is also called (White Needle)—Bai-zhen
. Not intentionally bleeding
the most common treatment modality in veterinary and human practice
is done with filiform needles
. Sterile needle
. With tube
. Without tube
Can be applied in most acupoints (GV-1, LI-4)
Can be used any patterns of disease
Acupuncture Needle Diameters in Gauge and Millimeters
Gauge
40
Millimeters
0.15
Application
Hand/feet Needle
38
0.16
“Baby” needle
36
0.20
34
0.22
Cats, little dogs
32
0.25
All the Small animals (dogs/cats/birds)
30
0.30
Horses, cattle, llamas, pigs
28
0.35
Large animals: horses, cattle, elephants
Acupuncture Needle Lengths in Millimeters and Inches
Millimeters
Inches
Application
7
0.25 (Korean
Hand Needle)
Dogs/cats: around eyes, nose, feet, or sensitive
patients
13
0.5
Dogs/cats: head, feet, lower limbs, ear, tail, mu pts
Horses: ears/eyes, feet
25
1.0
Dogs: back-shu, neck, shoulder, limbs
Horses: feet, lower limbs, head, tail
40
1.5
Dogs: hip, shoulder
Horses: back-shu, mu points, limbs
50
2.0
Dogs: hip, cervical hua-tuo-jia-ji for big dogs
Horses: back-shu, limbs
75
3.0
Horses: hip
100
4.0
Horses: hip
How to needle an acupoint




Preparation
 Needle
 Animal
 Practitioner
Insertion of a needle
 Pressing hand
 Angle
 Depth
Manipulation of a needle
Withdrawal of a needle
How to needle an acupoint:
preparation
 Needle
• Sterile disposable
• The tip: should be smooth


& sharp as a pine needle
size
• Horse Ø: 0.30-40 mm (#28-#30)





13 mm (1/2’): in extremities (feet, tail, ear,
head)
25 mm (1’): in lower limbs, head
50 mm (2’): in the trunk, back
75 mm (3’): in shoulder, hip
100 mm (4’): hip
How to needle an acupoint:
preparation
 Needle
• Small animal


generally thinner
not too thin
• Dog:




Ø0.25 (#32)
13 mm (1/2’)
25 mm (1’)
50mm (2’): large dog
• Cat:


Ø0.25 (#32)
13 mm (1/2’)
How to needle an acupoint:
preparation
 Animal




quiet
relaxed (house call benefit)
Restrained if needed (nose
twisted), but not
sedation/tranquilized
The site of acupoints
• nice and clean
How to needle an acupoint:
preparation
 Practitioner

Sound plan of acupuncture treatment

Considered as a surgical procedure

others
How to needle an acupoint: Insertion
 Pressing


Hand
1. Thumbing
2. Pinching
1
2
How to needle an acupoint: Insertion
 Pressing


Hand
3. Holding
4. Stretching
3
4
How to needle an acupoint: Insertion
 How

to insert a needle
Jabbing: a quick insertion (Flying technique)
• 0.5’ (13 mm)


#28 to 30 for horses
#30 to 32 for small animals

tube guiding

Twirling: a slow insertion
How to needle an acupoint: Insertion
 Angle



Perpendicular
insertion
Angular insertion
Horizontal insertion
 Depth




Location
De-Qi response
Condition
Patient
-Manipulating needles until "De-Qi" response
-10 to 30 min, manipulated once every 3 to 5 min
-Indication: Any diseases
-Or starting technique
How to induce De-Qi

1. Up-down
thrusting
 2. Left-right twisting
 3. Flicking
 4. Scraping
1
2
3
4
Quantity/dose of needle stimulation
 Intensity




De-Qi Response
Intense
Intermediate
Mild
 Duration



of stimulation
Short: < 5 min
Long: >60 min
Intermediate: 10 to 30 min
Withdrawal of a needle
 Twirling
 Pulling
the needle out
 Pressing the point after withdrawal


Pressing---tonification
No pressing ---sedation
Practice needling an acupoint
 Orange
a
layer of
paper
 a ball of cotton
 on self
 health animal
 real case
Elbow, sore throat, fever
Abdominal pain, vomiting, diarrhea
Hypertension, seizure, conjunctivitis
LI-11

PC-6: over the median nerve
• 2 cun above the wist
Indication: nausea, vomiting, chest pain
2. Electro-acupuncture techniques
History

After electro-acupuncture (EA) analgesia was found
effectively to perform a surgery in China in the early
1970's, EA has been widely used in TCM practice.
Advantage:





1) More effective
2) Less treatments
3) Less acupoints
4) Save labor to manipulate the needles (Classically, the
needles should be manipulated every 2 to 3 minutes).
5) Objective control of frequency and amplitude


Amplitude (intensity of stimulation): a tolerance level
Frequency:
• Low level: pain ----> beta endorphin mediated
• High level: internal medicine > serotonin mediated
Methods: Acupuncture Points: 6 to 10 points
Frequency: 20 Hz Or 80 to 120 Hz
Electrical intensity: gradually goes to the
points the patient can tolerate.
Indications:
1) Pain management
a) Bi syndromes (arthritis)
b) Soft tissue injuries
c) Disc problems
d) colic/abdominal pain
2) Peripheral nerve paralysis
a) facial
b) radial
c) others
3) Gastrointestinal conditions: vomiting,
diarrhea, constipation, indigestion
4) Muscle atrophy
Contraindications:
 1)
Weak/deficient patients
 2) Heart problems
 3) seizure/epilepsy
 4) tumor
How to Use the Electronic Acupunctoscope
1) Dial the AMPLITUDE and FREQUENCY to zero;
2) Plug the wire leads into sockets 1 to 7 and fasten the clips to the
handles of needles;
3) Set the desirable frequencies and wave forms
A. Frequency:
A) low frequency F1 = 20-30 Hz
Indication: pain conditions---Endorphin release
* C fiber is sensitive to less than 10 Hz of electrical stimulations
*: 20 to 120 Hz stimulates A α and A β
B) high frequency 80 to 120 Hz
Indications: internal medical conditions (diarrhea etc)
Serotonin release
How to Use the Electronic Acupunctoscope
A. Frequency:
1) low frequency F1 = 20-40 Hz
Indication: pain conditions---Endorphin release
2) high frequency 80 to 120 Hz
Indications: internal medical conditions (diarrhea etc)
Serotonin release
B. Wave Form: depends on how F1 and F2 is set up
1) Intermittent wave:
F1=0; F2=40
Indications: muscular atrophy
2) Dense and Disperse (DD) wave: F2=120 and F1 =80
Indications: nerve paralysis and internal medical conditions
3) Continuing Wave: F1=20-40 and F2=0
Indications: pain conditions
How to Use the Electronic Acupunctoscope
4) Turn on the power 3
5) Gradually increase AMPLITUDE bottons until the patient can tolerate.
Can increase amplitude a little bit every 5 minutes.
6) The duration of a treatment session: 10 to 30 minutes.
7) The output socket  between 4 and 5 is only used for the needleless
technique, which acupuncture points are stimulated using the needleless
electrode. Fill the cup of electrode with absorbent cotton soaked with
saline. Tape the electrode onto the acupuncture points. Set Hi - Lo to
Hi position.
8) Turn off power to terminate the acupuncture treatment.
Electro-acupuncture: how to pair the points
The general rules: The same lead to pair 2 points

1) Bilateral connection






2) Same Channel connection.




a. GV-14 + Bai-hui for disk disease, vestibular dx
b. LI-10 + LI-15 on the same side for shoulder pain
c. Tip of tail + GV-20 for vestibular dx, disk disease
3) Local connection



a. Pair BL-54 on left side to right BL54 for hip dysplasia;
b. Hua-tuo-jia-ji on the left to right side for disk diseases
c. BL-21 on the left to right BL-21 for vomiting
d. KID-1 on the left to right KID-1 for rear weakness
e. Left Ding-chuan + right Ding-chuan for cough
a. TH-14 + LI-15 on the same side for shoulder pain
b. GB-34 + ST-35 on the same side for stifle pain
4) Same energetic connection


ST-36 + GB-34 on the same side for vomiting, rear weakness
ST-36 + BL-20 on the same side for SP Qi deficiency
Electro-acupuncture: how to pair the points

5) From the top to bottoms for paralysis




6) Cover large areas


a. BL-54 + KID-1 for rear limb paralysis
b. PC-8 + GV-14 for front limb paralysis
c. GB-21 + HT-3 for front limb paralysis
a. BL-20 on the left + right BL28 for T-L-S IVDD
7) Normal area to sick area


a. BL-21 to KID-1 for no deep pain caudal to BL-22
b. ST-5 left to right for right facial paralysis
Electro-acupuncture: how to pair the points
 But,




we must pay attention to the following:
1) The wire (lead) should NOT be connected
around the abdominal areas for pregnant moms.
2) The wire (lead) should NOT be connected
through the chest if the patient has a pacemaker.
3) The wire (lead) should NOT be connected
through the tumor mass.
4) Caution for seizure dogs when using EA
3. Aquapuncture (point injection)
History: Herbal medication for pigs: very challenge
Herbal extract: Injectable herbal liquid (Angelica Dang Gui)
Patient own blood for chronic eye blood
Fire Constitution of Animals: not remain still
Some of points not available with dry-needling or EA
Points: - Acupoints: except for hemo-acupoints
- A-shi Point
-Needle:
Dogs/cats: A 25-27 gauge hypodermic syringe needle
Horses: 20 to 22 #
- After "De-Qi" occurs, the injection is given
- 1-8 points per treatment
- Once every 3-7 days, for 3 to 5 times
Injectable agents:
. Angelica sinesis (Dang-gui)
. Carthamus tinctorius (Hong-hua)
. Coptis chinensis (Huang-lian)
. Andrographis paniculata (Chuan-xin-lian)
. Sterile water
. 5-10% dextrose
. 0.25-0.5% procaine
. vitamin B1, B12, or B complexion
. Antibiotics
. anesthetics, sedatives or anti-rheumatics
. biological products: antitetanolysin
. Vaccine
homeopathic remedies
the patient’s own blood
Dosage:
. 1 to 15 ml for each point for large animals
. 0.1 - 1 ml each point in small animals
4. Acupuncture point embedding (Implantation)
- the point injection of a solid substance
a. Thread/catgut
b. magnetic bead, or pellets
c. Gold bead/wire
- used for treatments of diarrhea in young animals
- hip dysplasia
- Epilepsy
- lameness
- eye infection
5. Hemoacupuncture
Is also called Red Needle
. intentionally puncture a blood vessel to draw blood
Needle: a sharp traditional needle (three edged needle, or wide needle)
hypodermic needle
#27, 25 for small animals
#25, 23, 20 for large animals
Only used for specific points that have a history of hemoacupuncture in TCVM
such as Er-jian, Wei-jian, Tai-yang, Xiong-tang.
Indications:
Blood Stagnation, Blood Heat
Excess Heat
Contraindications and cautions:
Weak and debilitated animals
Qi or/and Blood Deficiency
dehydrated or severely Yin-deficient patients
Pregnant animals
Patients with potentially zoonotic blood-borne pathogens
Hemo-acupuncture can not repeat the same point for a week
6. Pneumo-acupuncture






Inject fresh air into an acupoint
subcutaneous tissues
Local ash Point (the worst atrophied spot)
Equine: Gong-zi for should atrophy
Canine: 5 to 50 cc of air
Indication



Shoulder atrophy
Hip atrophy
Avoid the head
7. Moxibustion
- Using burning herbs to stimulate acupoints
originates from the Japanese "mogusa"
- "moxa" or "moxibustion"
Moxa is the crushed dried leaves of Artemisia argyi (Ai-ye)
. Therapeutic effects:
dredging meridians
dispelling cold and wind
reviving Yang for resuscitation
promoting functional activities
Moxa Stick Moxibustion
Moxa sticks: 20 cm in length and 1.5 cm in diameter
Mild moxibustion:
.1 to 2 cm distance against the acupoint
. 5 to 10 min. for each point
Circling moxibustion:
. With a circulating motion
. For larger area of rheumatism.
Pecking moxibustion:
. With a pecking motion
. touches the skin
. 2 to 5 min
. For chronic diseases which need stronger stimulation
Moxa cone Moxibustion
a). Direct Moxibustion
up to 5 zhuangs.
b). Indirect Moxibustion
- a slice of ginger or garlic placed b/w the burning
cone and the acupoint.
- The ginger or garlic slice is about 3 mm thick with
some pores
Moxa + Needling
8. Laser acupuncture

Later 1970, Laser acupuncture for diarrhea in goats and sheep in Inner
Mongolia using CO2 laser at GV-1



CO2: no light
Can be very dangerous
5-30 mW Helium-Neon (He-Ne laser): or cold laser

infertility, anti-inflammatory, analgesic, and promotes wound healing

cannot penetrate accurately and deeply into most acupuncture points
because the light is refracted in the first 1-15 mm of tissue
Almost no effect if less than 5 mW.

treating superficial acupuncture points in areas of thin integument

• Avian: skin is generally very thin
• Lie Que (Lung 7)
• Jing-well points.
9. Infrared acupuncture



Its radiation: heat (moxibustion)
a 250 W infrared bulb
TDP lamps (Teding Diancipo Pu):



Indication



heat a metal plate constructed from numerous
mineral substrates
Developed in Chong-qing, China in the 1980’s.
Bi syndrome
Wound
Caution: avoiding too hot.
10. Auriculotherapy
 Origin:
tip of ear
 Human auriculotherapy


German
China
• Diagnosis
• Treatment
 Canine


ear points
Diagnosis
Treatment
Other Acupuncture techniques
. Cupping
. Tui-na (massage and chiropractic)
. Scalp Acupuncture
. Microwave acupuncture
TCM Prayer
• Just for today, I will let go of my anger.
• Just for today, I will let joy in my
heart.
• I will not worry or be sad.
• Just for today, I will embrace life.
• I will live without fear, in harmony with
myself and the Universe.