VII_7.2.4-2_Quiz_Extrapunkter

vii-7-2-4-2-quiz

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154. Shixuan (M-UE-1) är i första hand indikerad vid akuta sjukdomstillstånd som epilepsi, solsting och stroke. Men vilken behandlingsteknik är i första hand indikerad vid dessa akuta sjukdomstillstånd?

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EXTRA POINTS OF THE UPPER EXTREMITY SHIXUAN (M-UE-1) Ten Diffusions LOCATION On the tips of the ten fingers, approximately 0.1 cun from the fingernail. ACTIONS Opens the portals and revives consciousness, drains heat and pacifies wind. INDICATIONS Loss of consciousness, windstroke, summer-heat stroke, febrile disease, swelling and pain of the throat, throat moth, acute childhood fright wind, clonic spasm, epilepsy, mania, vomiting, diarrhoea, numbness or pain of the fingers. NEEDLING Prick to bleed. This may be followed by moxibustion. COMMENTARY The points Shixuan (M-UE-I) were first discussed in the Thousand Ducat Formulas by the great 7th Century physician Sun Si-miao. They are almost exclusively used for acute conditions such as loss of consciousness (including the acute phase of windstroke), epilepsy, heat-stroke, sunstroke etc. They are usually pricked to bleed, a procedure which may occasionally be followed by moxibustion /Deadman

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155. Sifeng (M-UE-9) är fyra punkter som ligger lokaliserade palmart i de proximala interfalanglederna på pek- lång, ring, och lillfinger. Dessa punkter används i huvudsak för en viss ålderskategori av patienter, vilken?

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EXTRA POINTS OF THE UPPER EXTREMITY SIFENG (M-UE-9) Four Seams LOCATION On the palmar surface of the hand, at the midpoints of the transverse creases of the proximal interphalangeal joints of the index, middle, ring and little fingers. LOCATION NOTE In most subjects two creases will be found at the proximal interphalangeal joints. In this case, Sifeng (M-UE-9) is located on the crease which is more prominent on flexion of these joints. NEEDLING Prick to bleed, or prick and squeeze until a yellow-white liquid appears. ACTIONS Fortifies the Spleen and dissipates accumulation. INDICATIONS Chldhood nutritional impairment, childhood accumulation disorder, cluldhood diarrhoea, whooping cough. COMMENTARY Sifeng (M-UE-9) is an important and commonly used point grouping in the treatment of a wide range of childhood digestive disorders. It is indicated for two important patterns known as chldhood nutritional impairment (shao er gan) and childhood accumulation disorder (shao er ji shi). The former refers to childhood malnutrition due to a variety of aetiologies. Its symptoms include emaciation, sallow complexion, impaired digestion, withered hair, exhaustion and enlarged abdomen. The latter, childhood accumulation disorder, more or less corresponds to the pattern of food stagnation in adults and is regarded as a major factor in such varied diseases as constipation, abdominal pain, intestinal parasites, vomiting, diarrhoea, cough and asthma. The needling method used at these points is very specific, the points being pricked and squeezed to express a few drops of clear yellow fluid. /Deadman

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156. Baxie (M-UE-22) ligger lokaliserade mellan fingrarna och behandlar i första hand lokala besvär, men är även indikerade för huvudvärk, tandvärk och malaria. Vad betyder namnet Baxie på svenska?

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EXTRA POINTS OF THE UPPER EXTREMITY BAXlE (M-UE-22) Eight Pathogens LOCATION When the hand is made into a fist, six of these points lie in the depressions between the metacarpal heads, proximal to the web margins. The remaining two points lie equidistant between the thumb and index metacarpals, proximal to the web margins. LOCATION NOTE To assist location of the first six points described above, with the hand held in a fist draw an equilateral triangle between the prominences of the metacarpal heads and the proximal end of the visible crease formed by the web space. The points lie at the centre of these triangles. NEEDLING Perpendicular insertion along the line between the shafts of the metacarpal bones, 0.5 to 1 cun. ACTIONS Clears heat and dissipates swelling. INDICATIONS Numbness, stiffness, redness, swelling, spasm and pain of the fingers and hand, painful obstruction of the fingers. Headache, toothache, pain and swelling of the throat, redness and swelling of the eyes, febrile disease. COMMENTARY These points were first discussed as far back as the Essential Questions which recommended bleeding them for the treatment of malaria. The name Baxie (Eight Pathogens), however, did not appear until the Great Compendium of Acupuncture and Moxibustion. In modern clinical practice they are almost always used for treating pain, swelling, stiffness, numbness or spasm of the fingers and the surrounding area. For disorders of the ring, middle and index fingers, the points either side of the finger are generally needled. For disorders of the little finger the point between the little and ring fingers is needled in combination with points such as Qiangu SI-2 and Houxi SI-3. For disorders of the thumb, the point between the thumb and index finger is needled in combination with points such as Lieque LU-7 and Yuji LU-10. /Deadman

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157. Yaotongxue (N-UE-19) är två punkter som ligger lokaliserad dorsalt på handen. Vad är de i huvudsak indikerade för?

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EXTRA POINTS OF THE UPPER EXTREMITY YAOTONCXUE (N-UE-19) Lumbar Pain Point LOCATION On the dorsum of the hand, two points located between the second and third and the fourth and fifth metacarpal bones, in the depressions lying immediately distal to the bases of the metacarpals. LOCATION NOTE Slide a finger proximally along the back of the hand towards the wrist, in the groove between the metacarpal bones until it reaches the tender depression just proximal to the junction of the metacarpals. NEEDLING Perpendicular insertion 0.5 to 1 cun. ACTIONS Invigorates qi and blood in the lumbar region. INDICATIONS Acute lumbar sprain. COMMENTARY Yaotongxue (N-UE-19) is a commonly used point for acute lumbar sprain. It is usually selected when the pain is on either side of the midline and the paints on the affected side are manipulated whilst the patient is asked to twist, turn and bend. Note that this point is also known as Yaotongdian (Lumbar Pain Spot). /Deadman

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158. Luozhen (M-UE-24) är en punkt som ligger lokaliserade dorsalt på handen. Vad är den i huvudsak indikerad för?

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EXTRA POINTS OF THE UPPER EXTREMITY LUOZHEN (M-UE-24) Stiff Neck LOCATION On the dorsum of the hand, in the depression just proximal to the second and third metacarpo-phalangeal joints. LOCATION NOTE i. Luozhen (M-UE-24) is usually located and needled with the hand resting in a loose fist; ii. This point may be located at the apex of an equilateral triangle formed by this point and the prominences of the metacarpo-phalangeal joints of the index and middle fingers; iii. The point is also defined as lying on the dorsum.of the hand opposite Laogong P-8. NEEDLING Perpendicular or oblique insertion directed proximally, 0.5 to 1 cun. ACTIONS Invigorates qi and blood in the neck region. INDICATIONS Stiffness and pain of the neck, inability to turn the head, headache, pain of the shoulder and arm. Pain of the epigastrium, diarrhoea, acute and chronic childhood fright wind. COMMENTARY Luozhen (M-UE-24) is commonly selected for acute pain and stiffness of the neck. The point on the affected side is manipulated whilst the patient is asked to flex, extend and rotate the neck. /Deadman

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159. Erbai (M-UE-29) är två punkter på underarmen som är indikerade vid hemorrojder. Men var ligger de lokaliserade?

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EXTRA POINTS OF THE UPPER EXTREMITY ERBAl (M-UE-29) Two Whites LOCATION On the flexor aspect of the forearm, 4 cun proximal to Daling P-7, either side of the tendon of flexor carpi radialis. LOCATION NOTE i. There are two points; one lies on the ulnar side of the tendon of flexor carpi radialis, and between this tendon and the tendon of palmaris longus if this is present, whilst the other lies on the radial side of the tendon of flexor carpi radialis; ii. Divide the distance between the cubital crease and Daling P-7 into thirds and locate this point at the junction of the proximal two thirds and the distal third. NEEDLING Perpendicular insertion, 0.5 to 1 cun or oblique proximal insertion 1 to 1.5 cun. ACTIONS Treats prolapse of the rectum and haemorrhoids. INDICATIONS Haemorrhoids, prolapse of the rectum, itching of the anus, blood in the stool, tenesmus. COMMENTARY This point first appeared in the Classic of the Jade Dragon and has long been used for the treatment of haemorrhoids and rectal prolapse. COMBINATIONS Chronic haemorrhoids: Erbai (M-UE-29), Chengshan BL-57 and Changqiang DU-1 (Great Compendium). Prolapse of the rectum and haemorrhoids: Erbai (M-UE-29), Baihui DU-20, Zhishi BL-52 and Changqiang DU-1 (Great Compendium). /Deadman

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160. Jianqian (M-UE-48) är en punkt som är indikerad för axelproblem, men var på axeln befinner sig i huvudsak dessa problem?

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EXTRA POINTS OF THE UPPER EXTREMITY JIANQIAN (M-UE-48) Front of the Shoulder. LOCATION On the anterior aspect of the shoulder joint, midway between the anterior axillary crease and Jianyu L.1.-15. LOCATION NOTE This point is usually found to be tender on palpation. NEEDLING i. Perpendicular insertion 1 to 1.5 cun; ii. Oblique or oblique-transverse insertion distally towards the elbow, 2 to 3 cun. ACTIONS Activates qi and blood and benefits the shoulder joint INDICATIONS Stiffness and pain of the anterior aspect of the shoulder, numbness, paralysis and immobility of the shoulder joint. COMMENTARY Jianqian (M-UE-48) also known as Jianneiling (Inner Mound of the Shoulder) is frequently palpated, and needled if tender, for pain in the front portion of the shoulder joint. In clinical practice it is commonly combined with other important points for treating the shoulder such as Jianyu L.1.-15, Juliao L.1.-16, Jianliao SJ-14 and Naoshu SI-10. /Deadman

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161. Baichongwou (M-LE-34) är indikerad vid svår klåda, men var ligger den lokaliserad?

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EXTRA POINTS OF THE LOWER EXTREMITY BAICHONCWO (M-LE-34) Hundred Insect Burrow LOCATION 3 cun proximal to the superior border of the patella, in a tender depression on the bulge of the vastus medialis muscle. LOCATION NOTE This point lies 1 cun proximal to Xuehai SP-10. NEEDLING Perpendicular or oblique insertion 1 to 1.5 cun. ACTIONS Clears heat from the blood. Eliminates wind and drains dampness. INDICATIONS Sores of the lower region, wind rash, itching of the skin. COMMENTARY This point was first discussed in the Great Compendium of Acupuncture and Moxibustion. Lying close to Xuehai SP-10, an important point for the treatment of skin diseases, Baichongwo (M-LE-34) is considered to have a special action on alleviating severe itching. /Deadman

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162. Heding (M-LE-27) är en extrapunkt för knäleden. Men var ligger den lokaliserad i förhållande till patella?

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EXTRA POINTS OF THE LOWER EXTREMITY HEDING (M-LE-27) Crane's Summit LOCATION In the depression at the midpoint of the superior border of the patella. NEEDLING Perpendicular insertion 0.5 to 1 cun. ACTIONS Activates qi and blood and benefits the knee joint. INDICATIONS Crane's knee wind, swelling and pain of the knee, leg qi, weakness of the knee and leg. COMMENTARY Heding (M-LE-27) is a valuable secondary point in the treatment of disorders of the knee joint, and is often selected in combination with such points as Xiyan (MN-LE-16), Xuehai SP-10, Liangqiu ST-34, Yanglingquan GB-34 and Yinlingquan SP-9. /Deadman

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163. Xiyan (MN-LE-16) är två punkter som ligger lokaliserade i hålrummet vid sidan av patellarsenan, nedanför patella. En av dessa extrapunkter sammanfaller med en punkt på magens meridian, vilken?

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EXTRA POINTS OF THE LOWER EXTREMITY XlYAN (MN-LE-16) Eyes of the Knee LOCATION On the knee, in the hollows formed when the knee is flexed, immediately below the patella and both medial and lateral to the patellar ligament. LOCATION NOTE Lateral Xiyan (MN-LE-16) is identical with Dubi ST-35. NEEDLING With the knee flexed and supported by a rolled pillow, i. Perpendicular insertion, directed towards Weizhong BL-40, 1 to 2 cun; ii. Oblique insertion in a medial and superior direction, behind the patella 1 to 2 cun; iii. Through-needling between lateral and medial Xiyan (MN-LE-16), behind the patellar ligament. ACTIONS Dispels wind-damp, reduces swelling and alleviates pain. INDICATIONS Swelling and pain of the knee joint, difficulty in flexing and extending the knee, weakness of the knee joint, numbness of the knee, numbness of the lower limb, atrophy disorder of the lower limb, leg qi. COMMENTARY The Xiyan (MN-LE-16) points were first discussed in the eighth century text Necessities of a Frontier Official. Lateral Xiyan (MN-LE-16) corresponds to Dubi ST-35, whilst medial Xiyan (MN-LE-16) is a non-channel point. Used together, these are essential points in the treatment of all knee disorders, whether due to deficiency or excess, heat or cold, and form the basis of any prescription for treating disorders of the knee joint and surrounding tissues. COMBINATIONS Redness, swelling and pain of the knees with inability to walk: Xiyan (MN-LE-16) and Xiguan LIV-7 (Song of the Jade Dragon). /Deadman

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164. Lanweixue (M-LE-13) ligger lokaliserad 1 cun inferiort om Zusanli (St 36). Den är indikerad vid ett speciellt akut sjukdomstillstånd i tjocktarmen, vilket?

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EXTRA POINTS OF THE LOWER EXTREMITY LANWEIXUE (M-LE-13) Appendix Point LOCATION Approximately 2 cun distal to Zusanli ST-36 on the right leg. LOCATION NOTE The exact location of this point is determined by careful palpation to identify the point of maximum tenderness. NEEDLING Perpendicular insertion 1 to 1.5 cun. ACTIONS Activates qi and blood and clears heat and fire poison from the Large Intestine INDICATIONS Acute and chronic appendicitis, paralysis of the lower limb, drop foot, indigestion. COMMENTARY The point Lanweixue (M-LE-13) is famous for its application in the treatment of both acute and chronic appendicitis. In the majority of cases it becomes tender when the appendix is inflamed, and indeed may perform a secondary role in the diagnosis of this condition. Lanweixue (M-LE-13) is one of the few acupuncture points that only exists on one side of the body. COMBINATIONS Acute appendicitis: Lanweixue (M-LE-13), Shangjuxu ST-37 (left), Tianshu ST-25, Quchi L.1.-11. /Deadman

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165. Dannangxue (M- LE-23) är en punkt som är relaterad till både kroniska som akuta sjukdomar i gallblåsan. Var ligger den lokaliserad?

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EXTRA POINTS OF THE LOWER EXTREMITY DANNANGXUE (M-LE-23) Gallbladder Point LOCATION Between 1 and 2 cun distal to Yanglingquan GB-34 on the right leg. LOCATION NOTE i. The exact location of this point is determined by careful palpation to identify the point of maximum tenderness; ii. Yanglingquan GB-34 is located below the lateral aspect of the knee, in the tender depression approximately 1 cun anterior and inferior to the head of the fibula. NEEDLING Perpendicular insertion 1 to 1.5 cun. ACTIONS Clears heat and drains damp. INDICATIONS 0 Acute and chronic cholecystitis, acute and chronic cholelithiasis, disease of the bile duct, biliary ascariasis, distention and pain of the lateral costal region, paralysis and numbness of the lower limb. COMMENTARY The point Dannangxue (M-LE-23) is famous for its application in the treatment of both acute and chronic cholecystitis and cholelithiasis. In the majority of cases it becomes tender when the gall bladder is inflamed, and indeed may perform a secondary role in the diagnosis of these conditions. Dannangxue (M-LE-23) is one of the few acupuncture points that only exists on one side of the body. COMBINATIONS Acute pain of cholelithiasis: Dannangxue (M-LE-23), Yanglingquan GB-34 (left), Qimen LIV-14 (right), Burong ST-19 (right), Zhongwan REN-12, Hegu L.1.-4 and Taichong LIV-3. /Deadman

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166. Bafeng (M-LE-8). Precis som Baxie (M-UE-22) är lokaliserad mellan fingrarna är Bafeng lokaliserad mellan tårna. Den behandlar i första hand lokala besvär, men är även indikerad för smärtor i benen, huvudvärk, malaria och oregelbundens menstruation. Vad betyder namnet Bafeng på svenska?

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EXTRA POINTS OF THE LOWER EXTREMITY BAFENG (M-LE-8) Eight Winds LOCATION On the dorsum of the foot, between the toes, 0.5 cun proximal to the margin of the web. LOCATION NOTE These eight points include Xingjian LIV-2, Neiting ST-44 and Xiaxi GB-43. NEEDLING Oblique insertion directed proximally, 0.5 to 1 cun. ACTIONS Clears heat and dissipates swelling. INDICATIONS Leg qi, redness, swelling and pain of the dorsum of the foot, malaria, headache, irregular menstruation. COMMENTARY The points that comprise Bafeng (M-LE-8) were first mentioned in Essential Questions1, although they were not named Bafeng (Eight Winds) until the Ming dynasty classic The Great Compendium of Acupuncture and Moxibustion. The Thousand Ducat Formulas of Sun Si-miao named them Bachong (Eight Rushing), reflecting the dynamic qi sensation induced by needling these distal points of the foot. Although indicated for malaria in the Essential Questions, and for irregular menstruation in the Compilation of Acupuncture and Moxibustion, this group of points is primarily used for disorders of the toes in the same way that the Baxie (M-UE-22) points are used for disorders of the fingers. It should be noted, however, that three of the Bafeng (M-LE-8) points do correspond to channel acupuncture points (Xiaxi GB-43, Neiting ST-44 and Xingjian LIV-2). /Deadman

VII_7.2.4-2_Quiz_Extrapunkter

Question 1 of 1

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154. Shixuan (M-UE-1) är i första hand indikerad vid akuta sjukdomstillstånd som epilepsi, solsting och stroke. Men vilken behandlingsteknik är i första hand indikerad vid dessa akuta sjukdomstillstånd?

Select the correct answer(s).

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Explanation

155. Sifeng (M-UE-9) är fyra punkter som ligger lokaliserade palmart i de proximala interfalanglederna på pek- lång, ring, och lillfinger. Dessa punkter används i huvudsak för en viss ålderskategori av patienter, vilken?

Select the correct answer(s).

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Explanation

156. Baxie (M-UE-22) ligger lokaliserade mellan fingrarna och behandlar i första hand lokala besvär, men är även indikerade för huvudvärk, tandvärk och malaria. Vad betyder namnet Baxie på svenska?

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Explanation

157. Yaotongxue (N-UE-19) är två punkter som ligger lokaliserad dorsalt på handen. Vad är de i huvudsak indikerade för?

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158. Luozhen (M-UE-24) är en punkt som ligger lokaliserade dorsalt på handen. Vad är den i huvudsak indikerad för?

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159. Erbai (M-UE-29) är två punkter på underarmen som är indikerade vid hemorrojder. Men var ligger de lokaliserade?

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160. Jianqian (M-UE-48) är en punkt som är indikerad för axelproblem, men var på axeln befinner sig i huvudsak dessa problem?

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161. Baichongwou (M-LE-34) är indikerad vid svår klåda, men var ligger den lokaliserad?

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162. Heding (M-LE-27) är en extrapunkt för knäleden. Men var ligger den lokaliserad i förhållande till patella?

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163. Xiyan (MN-LE-16) är två punkter som ligger lokaliserade i hålrummet vid sidan av patellarsenan, nedanför patella. En av dessa extrapunkter sammanfaller med en punkt på magens meridian, vilken?

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Explanation

164. Lanweixue (M-LE-13) ligger lokaliserad 1 cun inferiort om Zusanli (St 36). Den är indikerad vid ett speciellt akut sjukdomstillstånd i tjocktarmen, vilket?

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Explanation

165. Dannangxue (M- LE-23) är en punkt som är relaterad till både kroniska som akuta sjukdomar i gallblåsan. Var ligger den lokaliserad?

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