Acupuncture point paste therapy practice questions

Acupuncture point paste (therapy) is a kind of external treatment method of traditional Chinese medicine for treating diseases, and the treatment of diseases is based on the meridian theory of the motherland medicine. Selection of certain acupoints to apply certain drugs, play acupuncture point stimulation and specific drugs in specific parts of the absorption, play an obvious pharmacological effect. It is an extension of moxibustion. The drug formula is mostly selected raw fierce and dry, with stimulating and aromatic drugs, such as "asthma cream" and other preparations, with "moxibustion", "foaming therapy" characteristics. It is commonly used in cough and asthma, paralysis, diarrhea, throat raspy, mouth sores, pediatric enuresis and other diseases.

Basic operation method

Diagnosis and selection of points and medication

Acupoint selection and compounding:

Select from the lesion of local organs, the nearest, the most direct corresponding acupoints. Local selection of acupuncture points, such as, kidney failure external dressing formula, take kidney Yu, Guanyuan point.

Selecting the A Yes point to apply medicine A Yes point is the reflection of the pathology of the local or internal organs on the surface of the body, also known as the pathological reaction points.

Selecting Traditional Effective Meridian Points in Acupuncture These traditional effective meridian points are those that have been found and verified to be effective by previous generations in practice. For example, Lung Yu, Fengmen, Diaphragm Yu and other points treat cough and asthma; Shenque and Shusanli treat enteritis, dysentery, abdominal distension and abdominal pain.

The drug external application of acupuncture points, the same as acupuncture point method, need to identify the selection, flexibility, because of its slightly larger range of drugs, the selected point is a piece rather than a point, even if the selection of points is not very accurate, but also conducive to the absorption of drugs.

The distal point is taken according to the principle of up and down, the upper disease is taken below, the lower disease is taken on, such as epistaxis, mouth sores take Yongquan, prolapse of the anus take Hundred Clubs point.

Pressing and applying the law of drug selection (drug composition):

(1) the smell of thick selection of drug characteristics

More than the selection of the smell of thick products, one is easy to penetrate into the skin to play the effect of the outside of the inside; the second is the smell of thick products percutaneous penetration of the local acupuncture acupuncture points to play a stimulating effect; and third is the aroma contained in the substance that can promote the absorption of medicines transdermally, which is to play the role of skin penetration facilitator. The role of skin permeation promoter. Some people have done research, with isolated skin experiments show that aromatic drugs in the local, can make corticosteroids transdermal ability to increase 8-10 times. The "Li boiling parallel text" in the ointment prescription, almost every party with ginger, onions, leeks, garlic, acacia branches, willow branches, mulberry branches, peach branches, wind fairy, calamus, wood turtle, mountain armor, castor, soap horn and other odors are thick products, containing the above drugs accounted for more than 97% of the prescriptions.

(2) multi-effective combination of the characteristics of the formula - broad strategy to win

Pressing the medicine is often more than just a medicine to go a meridian to cure a symptom, with more than one flavor of the drug convergence and set of a paste to rule a variety of illnesses, although there are a variety of diseases, and the disease is not outside the stagnation of the blood and yin cold and dampness, yang dry and hot, the key to grasp the key, and grasp the key. The key is to grasp the key, and grasp the key to the method, can be summarized in a "through" word, "reason through the rule from the pass".

(3)The characteristics of the acupoint medication

The external acupoint therapy was introduced in the form of external treatment with a single prescription, but then the principle of evidence-based treatment gradually penetrated into this treatment, and this treatment is endowed with the idea of evidence-based treatment of drug selection, so as to make its therapeutic effect more certain. In clinical application, often need to identify and treat, three factors, and in the clinical flexibility to join the grits medicine, generally require the addition of medicine and paste corresponding to the cream, paste rule and add drugs specializing in the treatment of serious illnesses can also be added to the robbery of medicines, such as croton, etc., plus grits drugs in principle, choose to treat the disease of the main medicine or choose the effectiveness of experimental and unilateral based on the main to improve the efficacy of the treatment. Such as the treatment of hot secret in addition to paste paste, often in the paste on the grits to the manna, rhubarb, etc., and then paste in the umbilical abdomen.

(B) the method of application

1. paste method: will have made a good drug directly on the pressure in the acupoints, and then wrapped in adhesive tape paste; or first put the drug in the middle of the adhesive surface of the adhesive tape, and then aligned with the acu-points for the paste. Babbling agent and hard paste can be directly put on the center of babbling agent or hard paste to align the acupoints. It is suitable for plasters, babbling agents, pills, cakes and magnetic tablets to be applied to the acupoints.

2. Compress method: the prepared drugs, directly on the acupoints, outside the compound plastic film, and gauze, medical tape can be fixed. Applicable to bulk, paste, mud, dip paste of the acupoints.

The person who is allergic to the adhesive tape, can choose hypoallergenic tape or use a bandage to fix the plastered drugs.

(C) time

According to the type of disease, the characteristics of the drug and physical condition and determine the time of application. In general, the elderly, children, light disease, physical weakness of the paste time should be short, skin allergies such as itching, pain should be removed immediately.

The less irritating drugs are applied for 4-8 hours each time, and can be applied every 1-3 days.

Irritating drugs, such as garlic, white mustard, etc., depending on the patient's reaction and the degree of foaming to determine the duration of the paste, about a few minutes to a few hours ranging (mostly in 1-3 hours); if you need to re-press, you should wait until the local skin basically return to normal before applying the medicine, or change to other effective acupoints alternately applied.

Compressing the umbilical cord therapy The time of each compress can be in 3-24 hours, every other day, the selected drugs should not be irritating and foaming products.

Winter disease and summer treatment acupoints paste from the beginning to the end of the summer each year, generally every 7-10 days paste 1 time, each paste 3-6 hours, three consecutive years for a course of treatment.