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UVOD
Many factors involved in the result of treatment
A big choice of styles and techniques of acupuncture Lack of standardization
Sensitivity of bodily surface An
important factor
Differences
can show
sistemically locally
Different patient respond differently:
Ženske ter osebe s šibko telesno zgradbo šibke Older people usually have a hyposensitivity to needling Children a lot of the time show hypersensitivity of needles With patients of middle age either hipo- or hiper-sensitivity to pain can occur Yin side more sensitive than yang
Needle-resistance (moxibustion – resistance)
An appropriate bodily position during treatment Bodily
position must be comfortable for the patient The patient must be still for the time of the treatment (20 – 40 min) We must adjust treatment to the curves of the body:
Cervical Lumbar Slight curve of the elbows
Positions:
Lying position (the most comfortable and relaxing) Side hip position Sitting position Valgus position (when treating diseases on the medial side of the arm)
Psychological factors Vključevanje
neizogibno
30
psiholoških faktorjev
% cases of chronical pain correlated to psychological factors
In
the western world the patient is not as educated about treatment, as in the Eastern
The
doctor must describe the principles of acupuncture
In
TCM the doctor has to watch out for his attitude towards the patient
The mental state of the patient Patient’s
mental state has a huge impact on the his/her treatment and it’s results:
The rutine technique not suitable for patients suffering from neurose
Ways
of comforting the patient:
Explaining the procedure of treatment The environment has to be calm and relaxing
Acupuncturist’s finger strength
The effect of treatment is connected to the acupuncturist’s finger strength Master Jiao – prior influence of acupressure on acupuncture Finger strength can be gained in multiple ways:
Through practice Needling multi-layered cushions or plastic models (for students) Enhancing hand strength
Technique of the painless needle insertion
The pain that occurs with the skin puncturing is a common cause of needle pain Needles, even the small ones, can evoke a specific level of pain Special technique
Therapeutic enviroment
Un uspecific type of intervening information If the environment is not properly organized, the treatment itself can show less results Temperature is a big factor in the reaction of the patient
If there is not airconditioning, the patient can faint from the pain A proper lighting and absence of noise are two factor which contribute greatly to the over-all result
The influence of factors can be explained in multiple ways: Competition between distracting signals or acupuncture signals
A change in patient’s pain threshold
The order of stimulations
Rarely does the treatment include a stimulation of just a single point Normally we use multiple acupuncture points during the treatment
The area of stimulation
An acupuncture point is an area and not just a point the mathematical sence of the word With ordinary perpendicular needling we cannot exceed the stimulated area When stimulating acupuncture points, we have to thinkof it as an area, and not just a single point
THE SIZE OF NEEDLES Multiple thicknesses of needles (thin, medium, thick…) Diameter correlated with stimulation strength
A needle should not be too thin
ANGLE, DEPTH AND DIRECTION OF NEEDLING Every point is unique The angle of insertion represents the angle between the needle and the
skin The direction of needle manipulation can be adjusted to the patient’s
specific needs
CONCLUSION Medicine is art
Both eastern and western medicine try to solve the unsovable
Merely puncturing the skin is not enough