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1. Introduction to Acupuncture Ancient Art to Modern Science
3. Science versus Art Over the last 10 years, there has been no change in mean life expectancy in human beings, dog or cats
4. Acupuncture: History
5. Sun Yang
659 to 621 B.C.
Bole Zhenjing
Bole’s Canon of Veterinary Acupuncture
6. 1608
Benyuan Yu
Benheng Yu
Veterinarian
Ming Dynasty
1368 to 1644 Acupuncture: History
7. 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 high-frequency needling of GV26 leads to epinephrine response
14. 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
15. How to needle an acupoint: preparation Needle
Sterile disposable
The tip: should be smooth
& sharp as a pine needle
size
Horse Ř: 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
16. How to needle an acupoint: preparation Needle
Small animal
generally thinner
not too thin
Dog:
Ř0.25 (#32)
13 mm (1/2’)
25 mm (1’)
50mm (2’): large dog
Cat:
Ř0.25 (#32)
13 mm (1/2’)
17. 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
18. Practitioner
Sound plan of acupuncture treatment
Considered as a surgical procedure
others
How to needle an acupoint: preparation
19. Pressing Hand
1. Thumbing
2. Pinching
How to needle an acupoint: Insertion
20. Pressing Hand
3. Holding
4. Stretching
How to needle an acupoint: Insertion
21. 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
22. Angle
Perpendicular insertion
Angular insertion
Horizontal insertion
Depth
Location
De-Qi response
Condition
Patient How to needle an acupoint: Insertion
24. How to induce De-Qi 1. Up-down thrusting
2. Left-right twisting
3. Flicking
4. Scraping
25. 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
26. Withdrawal of a needle Twirling
Pulling the needle out
Pressing the point after withdrawal
Pressing---tonification
No pressing ---sedation
27. Practice needling an acupoint Orange
a layer of paper
a ball of cotton
on self
health animal
real case
30. 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.
31. 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
33. Contraindications: 1) Weak/deficient patients
2) Heart problems
3) seizure/epilepsy
4) tumor
37. Electro-acupuncture: how to pair the points 1) Bilateral 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
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. 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
38. 5) From the top to bottoms for paralysis
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
6) Cover large areas
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
39. 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
44. 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
48. 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.
49. 9. Infrared acupuncture Its radiation: heat (moxibustion)
a 250 W infrared bulb
TDP lamps (Teding Diancipo Pu):
heat a metal plate constructed from numerous mineral substrates
Developed in Chong-qing, China in the 1980’s.
Indication
Bi syndrome
Wound
Caution: avoiding too hot.
50. 10. Auriculotherapy Origin: tip of ear
Human auriculotherapy
German
China
Diagnosis
Treatment
Canine ear points
Diagnosis
Treatment