[PDF]Techniques of insertion
1.The needling hand and pressing hand
The right hand of the acupuncturist that holds the needle is called needling hand while the left hand that presses on the acupoint is called pressing hand (Fig. 1 -20). This shows that the needling hand is mainly for holding the filiform needle. In the insertion of needle the strength of the arm, wrist and finger is concentrated on the needling hand so as to enable the point of the needle to swiftly puncture through the skin and to ensure proper manipulation of the needle. The pressing hand mainly fixates the skin over the acupoint to ensure accurate insertion of the needle and to prevent the swaying and bending of the body of the needle. In the insertion of the needle, proper cooperation of the needling hand and pressing hand can reduce pain and ensure smooth insertion as well as regulate and reinforce the acu-esthesia and improve the curative effect.
2. Inserting techniques
The inserting techniques, the techniques used by the needling hand and the pressing hand in harmonious cooperation to insert the needle into the skin, are the basic techniques for the practice of the filiform needle. In the insertion of needles, the strength of wrist and fingers must be cooperative to ensure painless insertion.The inserting techniques for the filiform needle are various according to the needling speed and techniques used by the needling hand, posture of the pressing hand, and the inserting instruments used. Commonly-used modern techniques are described in the following.
(1) Division according to the speed of insertion
1) Quick insertion
The point of the needle is put against the skin over the acupoint and inserted into the skin quickly with the strength of the fingers (Fig. 1 -21).
Applicable to the needling of the acupoints on the limbs and ears.
2) Slow insertion
The point of the needle is put against the skin and slowly inserted into the skin (Fig. 1 -22).
Applicable to the needling of the acupoints on the head and body.
(2) Division according to the posture of the needling and pressing hands
l) Insertion with single hand
The thumb and index finger of the needling hand hold the needle, the middle finger touches the acupoint and the belly of the middle finger leans against the lower part of body of the needle, when the thumb and index finger press the needle, the middle finger bends to insert the needle perpendicularly into the skin, till the depth required ( Fig. 1 - 23).
Applicable to the insertion of short filiform needles.
Clinically the needle also can be inserted by one hand holding the needle body or one hand gripping the needle tip to puncture the acupoint perpendicularly ( Fig. 1 - 24).
2) Nailing insertion: also known as finger nailing insertion, most commonly used in clinic practice.
The thumb or index finger of the left hand nails on the acupoint, the right hand holds the needle and insert it into the skin closely near the margin of the nail ( Fig. 1 - 25 ).
Applicable to the insertion of short filiform needles.
3) Gripping insertion
The thumb and index finger of the left hand grip the sharp part of the needle with a sterilized cotton ball and the point of the needle is exposed. The thumb and index finger of the right hand hold the handle of the needle. The point of the needle points to the acupoint. When the point of the needle gets close to the skin, both hands manipulate in cooperation and insert the needle into the skin by thrusting or swirling to the depth required (Fig. 1 -26).
This method is used to insert long needles.
4) Stretching insertion
The fingers of the left hand stretch out flatly with the index and middle fingers or the thumb and index finger forked over the acupoints. The right hand holds the needle and insert it into the skin through the space between the index and middle fingers or the thumb and index finger (Fig. 1 -27 ).
This method is used to needle the acupoints located on the abdomen.
5) Lifting and pinching insertion
The thumb and index finger of the left hand pinch the skin over the acupoint, the right hand holds the needle and inserts from the upper part of the skin pinched ( Fig. 1 - 28 ).
This method is used to needle the acupoints with thin muscles, especially the acupoints located on the face.
(3) Division according to the inserting device used
1) Insertion with the tube
The tube made of metal, plastics or polymethyl methacrylate is used as the pressing hand. The plain-handled or tube-handled needles of proper length are selected. The tail of the needle is exposed to the upper opening of the tube and the lower opening of the tube is put on the acupoint. The tail of the needle is patted or pressed to puncture the point of the needle into the skin over the acupoint. Then the tube is removed (Fig. 1 -29, Fig. 1 -30).
It can be used to needle various parts of the body and reduce pain.
2)Insertion with inserting device
The proper plain-handled or tube-handled filiform needle is put into a ball-pen-shaped or a pistol-shaped device, the lower opening of which is put on the skin over the acupoint.
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