QUESTIONS ON TECHNIQUES OF STIMULATION OF THE ACUPUNCTURE POINTS

from the Webpages of Philip AM Rogers MRCVS, Dublin


BEFORE you take this test, READ the following:

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The Channel-Organ System (COS) Codes used in this Test are:
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LU-LI

ST-SP

HT-SI

BL-KI

PC-TH

GB-LV

Metal

Earth

Fire

Water

Fire

Wood

Attempt all 10 Multiple Choice Questions below


In each question, select the ONE answer that YOU think is best.
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SELECT ONE answer in EACH Question below:

1. ONE Statement is WRONG.

a. Human-type AP needles 28-32 gauge are suitable for small animals
b. Thicker (19-25) gauge needles are preferable in large animals to reduce the risk of needle-lock.
c. Standard, cheap, disposable hypodermic needles are suitable for AP in large animals.
d. In most cases, it is not necessary to attempt to sterilise the skin but each needle should be sterile
e. Standard hypodermic needles should be inserted slowly and carefully by the push-twirl method


2. ONE Statement is WRONG.

a. Depth or direction of needle insertion in animals vary between points (within species and between species) and with body size.
b. The direction and depth of needle insertion depends on the body region being needled.
c. One should never needle periosteum
d. Penetration of the human ear cartilage can cause a chronic auricular chondritis which can be very difficult to cure
e. Penetration of the thoracic or abdominal cavities is forbidden, except in specific cases, such as aspiration of fluid or releasing gas from the viscera etc.


3. ONE Statement is WRONG.

a. In large animals the needles can be inserted up to 100 mm deep in certain points, such as those over heavy muscles. However depths of 25-50 mm would be more usual.
b. In small animals heavy muscle groups would be needled to depths 10-50 mm, depending on the amount of muscle.
c. The most active AP points are never over peripheral nerves especially main nerves (trigeminal, facial, radial, median, ulnar, sciatic, spinal nerves etc).
d. When the needle is correctly placed and stimulated, a local reflex muscle spasm grips the needle tightly, "like a fish taking the bait".
e. De Qi in animals is indicated by shivering, local muscle twitch, vocalisation, lifting of a limb, attempts to escape, bending of the back, swishing the tail, lowering of the head and defensive reaction.


4. ONE Statement is WRONG.

a. Needles usually are left in position for 10-30 minutes in conditions such as rheumatism, muscle pain, arthritic lameness etc.
b. For paralysis and painful conditions (especially of the muscles) long duration of needling (up to 30 minutes) is indicated.
c. Some Chinese sources claim that if De Qi is obtained, there is no advantage to be gained from leaving the needles in situ for 10-30 minutes, except in certain chronic conditions, such as peripheral nerve damage.
d. If needles fall out after 10 minutes of treatment, they must be re-inserted immediately
e. Blood needles are used in large-animal AP in China


5. ONE Statement is WRONG.

a. In AP point injection, the choice of solution is largely a matter of personal preference
b. Intradermal point injection with 0.1-0.2 ml/point, using dental, tuberculin or Dermojet syringes is often used on scars or on Ear AP points
c. Tender areas in scars, can be injected to a depth of 2-5 mm using a dental or tuberculin syringe and a very fine (c. 25 gauge), short (2.5-10 mm) needle
d. Dermojet injection is very suitable for stimulating points on the limbs of horses and cats which would not accept needling of the same points. It is also ideal for the treatment of restrained zoo animals
e. Implantation (gold beads, orthopoedic suture wire etc) of animal AP points is not safe and is not advisable


6. ONE Statement is WRONG.

a. Moxibustion is used mainly in "Hot diseases", such as in acute cases of muscular rheumatism, arthritis; acute asthma and bronchitis; acute abdominal pain, enteritis and vomiting; acute pyometra and metritis; acute tendinitis, lymphangitis and pain.
b. Thermostatically heated probes at 80oC have been used to heat the points. They are safe if checked regularly and not applied too strongly or too long
c. Other methods of heating the points include ultraviolet rays, infrared rays and microwaves
d. Moxibustion is used in 4 ways: Non-scarring method; moxa-needle; scarringmethod; festering method. The latter two methods are not acceptable in western-style practice
e. Moxibustion by burning alcohol on the moistened skin is not acceptable in western vet practice


7. ONE Statement is WRONG.

a. Cold laser (power <50 mW/cm2) in the red visible range (He-Ne lasers and ruby laser) or in the invisible range (infra-red) can be a useful means of stimulating superficial AP points.
b. Lasers emitting <10 mW/cm2 are best to reach deep trigger points in large animals
c. Most He-Ne and I-R lasers, even those emitting <5 mW/cm2, are effective in treating superficial disorders of the skin.
d. Pulsed lasers (especially those interrupted 2000-10000 times/second (Hz) penetrate deeper than unpulsed lasers.
e. Treatment time depends on emission power. With 30-50 mW lasers, dose time is very short, 10-60 seconds per point.


8. ONE Statement is WRONG.

a. Cold laser therapy is effective in tissue trauma, wounds, ulcers, granuloma and superficial burns
b. Cold laser therapy is NOT effective in bruises, myositis, tendon sheath inflammation.
c. Muscular spasm, which frequently occurs during AP in large animals, can twist fine (26-32 gauge) needles into bizarre shapes, causing needle-lock.
d. Standard hypodermic needles have the disadvantage of causing more pain; they may also introduce dirt or skin into the tissues because they have a lumen.
e. Over muscular areas, needles usually inserted at 90o to the skin, deep into the muscle.


9. ONE Statement is WRONG.

a. Over bony areas and on Earpoints, the needle is inserted perpendicularly until the skin is penetrated and then is advanced subcutaneously.
b. Over the thorax and abdomen, needles are inserted usually at 45o to the surface.
c. Standard hypodermic needles cause more tissue damage and bleeding than AP needles.
d. Fire needles are widely used in western large-animal AP practice.
e. As in humans, a tight gripping of the needle by the tissue is a sign of animal De Qi.


10. ONE Statement is WRONG.

a. Ultrasound instruments are not effective as methods of acupoint stimulation.

b. Powerful minimagnets, superglued to a chain of acupoints for the affected area, are useful in treating chronic conditions, such as peripheral nerve paralysis, or osteoarthritis.
c. Needling time in apnoeic shock can be as short as 10-30 seconds.
d. Needling time in acute conditions, like rhinitis or conjunctivitis, can be as short as 10-60 seconds.
e. In many diseases, a quick, strong needling that induces obvious De Qi may replace the longer, more gentle method.

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