QUESTIONS ON TRADITIONAL VERSUS MODERN ACUPUNCTURE

from the Webpages of Philip AM Rogers MRCVS, Dublin


BEFORE you take this test, READ the following:

| Notes| Exam Questions| Ready to Send?|

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. The diagnostic, therapeutic and preventative value of AP depends totally on a knowledge of the AP points, the Channels and their functional and anatomical relationships with each other

b. AP points are of two main types: (a) Ahshi points and (b) codified AP points

c. Most codified AP points are reactive electro-permeable points (REPP) relative to nearby skin areas

d. Hyper-reactive AP points, whether Ahshi or codified, are hyper-sensitive to pressure-palpation, electric current or heat

e. Ahshi points are abnormally tender to palpation pressure. Human patients are usually aware of their presence even if they are not pressed



2. ONE Statement is WRONG.

a. When Ahshi points are pressed, the human patient usually grunts, groans, swears or jerks

b. Ahshi = Ah! Yes !, or "Ouch!"

c. Ahshi points are never Trigger Points (TPs)

d. Some Ahshi points are just painful locally, corresponding with "fibrositic nodules", "motor points" and other irritable foci in muscle and fasciae.

e. In animals, pressure on Ahshi points elicits definite defensive or aversive behaviour



3. ONE Statement is WRONG.

a. Up to 70% of Ahshi points occur at codified AP points

b. Shu (paravertebral reflex) and Mu (front alarm) points can not be Ahshi points

c. Ahshi points are usually present in myofascial syndromes

d. Ahshi points are useful in diagnosis and prognosis: in the absence of signs of other pathology, they confirm that muscular spasm is the main problem and that the prognosis is very good if they can be eliminated successfully

e. In heart/pericardial disease, pressure along T4,5,6 (BL14,15,16) or from under the xiphoid cartilage to a point between the nipples (CV14-17) may be painful



4. ONE Statement is WRONG.

a. AP therapy usually includes Ahshi points

b. Point tenderness always occurs in clinical disease

c. There are over 1000 codified AP points in humans

d. Non-Channel points include "New", "Strange", "Hand", "Ear", "Foot", "Scalp", "Face", "Nose", "Red Doctor Zone" points etc

e. The average TSUN ("Body Inch") in humans is the width of the joint of phalanx 1-2 of the patientindex finger. However, the length of the TSUN varies slightly with the part of the body 's being searched



5. ONE Statement is WRONG.

a. AP points influence: the organ and associated functions of the Channel; the Channel and areas anatomically close to it; local tissue and functions

b. Thoracic and abdominal AP points, including paravertebral points, influence organs anatomically close to them

c. Point GB34 influences GB function and disorders (cholecystitis, cholelithiasis etc); pain and dysfunction along the course of the Channel from eye, to lateral headache, to neck/shoulder area pain, to lateral thoracic/abdominal pain, to hip, lateral thigh, knee, lateral leg, ankle, to 4th toe pain/sprain/paralysis

d. All AP points on a Channel are equally powerful as regards local and distant effects. For example GB30 is as good as GB34 in stifle/femoro-tibial pain and cholecystitis

e. MASTER POINTS include Shu and Mu points; Five Phase Points; Luo (Passage) Points; Yuan (Source), Xi (Cleft), Tonification, Sedation, Hour Points etc



6. ONE Statement is WRONG.

a. Because of overlap in the spinal nerve supply to the organs, the Shu and Mu points are not as organ-specific as classical theory states

b. Shu and Mu point sensitivity is a guide but not a definitive indication as to the organ affected

c. The Five Phase Points transfer Qi between the Channels in the Five Phase Cycle

d. Luo (Passage) Points transfer Qi between the Husband and Wife Channel within each Yin-Yang pair within each Phase

e. The Chinese term Xin (HT) relates to the Fire Phase. It controls the heart, tongue and psyche. Disturbed Heart Fire function can manifest in neurasthenia, restlessness, insomnia, excitability, rapid speech, angina pectoris, red complexion, dislike of summer weather or heat etc . In that case, the diagnosis usually can be confirmed by western methods: abnormal ECG and elevated heart muscle enzymes in serum



7. ONE Statement is WRONG.

a. TCM has Eight Principles for defining disease Syndromes, based on the clinical signs: it combines one type from each of 4 categories (Yin or Yang; Hot or Cold; Shi or Xu; External or Internal)

b. Many translations of Chinese medical AP texts ignore or pay little attention to the classical Pulse types. Recent studies (doppler ultrasonography or use of pressure transducers to measure pulse characteristics) cast doubt on the objective validity of Classical Pulse Diagnosis.

c. According to TCM, the pulse in the right radial artery reflects the Qi (Energy) status of the SI, GB and BL Channels on superficial palpation and the HT, LV, KI Channels on deep palpation.

d. A disease of Yang, Hot , Shi, External type has a good prognosis

e. A disease of Yin , Cold, Xu , Internal type has a poor prognosis



8. ONE Statement is WRONG.

a. In TCM therapy, AP is more important than herbal medicine

b. All methods of TCM aim to correct imbalances of Qi. Where the cause is bad lifestyle (XS eating; XS work; insufficient food or sleep; XS alcohol etc) steps are taken to advise on moderating this

c. The patient is advised on environmental, behaviourial or dietary changes etc which may be necessary to alleviate or remove the cause

d. To restore the normal balance of Qi (resistance), many methods are used alone or in combination: herbal medicine; physiotherapy; AP and moxibustion; Taichi; psychotherapy (Qi Kung); mental/emotional exercises to balance the emotions

e. The most common needle used in human AP is about 35 mm long and 30 gauge



9. ONE Statement is WRONG.

a. DeQi ("the arrival of Qi") is regarded as crucial to AP success: paraesthesia, tingling, numbness, heaviness, "sour feeling" etc in the vicinity of the point

b. In humans, DeQi is indicated by verbal feedback from the patient. In animals, the main signs of DeQi are: sudden change in behaviour; respiration may be temporarily inhibited or accelerated. Local muscle spasms or twitches may be seen

c. DeQi is more often obvious when the point is directly over a peripheral nerve or directly over motor points

d. It is very difficult to obtain DeQi at LI04; PC06; TH05; LI11; ST36; GB34; BL40

e. Acute conditions require only short periods of needling and chronic conditions require 20 minutes or more



10. ONE Statement is WRONG.

a. One must use at least 12 needles in most AP sessions

b. IR thermography, Voll-Akabane-Ryodoraku values of altered sensitivity at peripheral points etc confirm that organs project information of their dis-ease to the periphery via the autonomic nervous system

c. Clinical detection of the altered sensitivity aids in diagnosis

d. Any method (including AP) which speeds up the return to normal point sensitivity is a good therapeutic method and monitoring the speed of return to normal sensitivity has prognostic value

e. COOKBOOKS, based on frequency-ranking of point use in specific conditions aid in the selection of AP points for therapy. The most AP common prescription is a combination of Ahshi points and local points and distant points on the affected Channel


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