Pain management through acupuncture

Dr. Pradeep. M.K .Nair
B.N.Y.S, MSc.(Clin.Res)
E.Mail:drpradeep18bnys@gmail.com
PAIN MANAGEMENT THROUGH
ACUPUNCTURE
NIN,PUNE

PAIN
 Pain is the leading cause for visiting the hospital or clinic.
 Pain is an unpleasant feeling which can be caused by intense
or damaging stimuli.
 For eg:- Burning a finger, a cut in the hand, food poisoning
etc.
 Pain control is critical for healing, satisfaction and a sense of
well being.
 Pain management is a process of assessing and treating the
pain using pharmacological and non-pharmacological
interventions.
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Description of pain
 Duration
 Location
 Etiology
 Intensity
 Quality
 Temporal pattern
 Associated characteristics
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Types of Pain
 Acute-short/severe
 Ex-Injured
 Chronic- mild to severe –present for long periods
of time and the result of a disease that may require
ongoing treatment.
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What alternative therapies can close
the gate?
 Music
 Distraction of any sort
 Ice and heat therapies
 Deep breathing
 Massage
 Physiotherapy
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Pain management through medication.
 Oral analgesia
 Analgesic sprays
 IV analgesics
Side effects
 Constipation
 Itching
 Nausea and vomiting
 Respiratory ailments
 ulcers
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ACUPUNCTURE
 LATIN WORD :-
ACUS- NEEDLES
PUNGUE- PRICKING
 Pricking needles on specific points.
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HISTORY OF ACUPUNCTURE
 Developed as a part of traditional
Chinese medicine 5000 years back.
 349 Points were discovered by
300A.D
 600-900AD- Started spreading to
Korea, Japan and India.
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CONCEPT OF “QI"
 It is a vital motivating force.
 In YOGA it is termed as „PRANA‟ OR
„Prana Vayu‟.
 It is a invisible force responsible for all
the movements of life.
 YIN & YANG are the two aspects „QI‟.
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YIN & YANG
Good health is a state of energy
balance between the two..
Any imbalance between the two
causes disease.
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MERIDIANS
 Path through which „QI‟ travels around
the body.
 It is named after the organs.
 Stimulation of the points on the
meridian has an effect on the flow of
„QI‟.
 6 paired meridian & 2 unpaired
meridian.
 There are 361 points and Extra
points(36).
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Lung
Meridian
Associated with
element metal and its
interior – exterior
relationship with the
Large Intestine.
Originate from Middle
Warmer
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Large Intestine
Associated
with
element
metal and
lung
It originates
from the
corner of
nail of
Index
finger.
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Spleen
Associated
with
element
earth and
stomach
Originates
from the
medial side
of the great
toeNIN,PUNE

Small Intestine
Associated
with the
element fire
and heart
It originates
from the
corner of the
nail of little
finger
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Urinary Bladder
Associate
d with the
element
water and
kidney
It
originates
from the
medial
canthus of
eyeNIN,PUNE

Gall Bladder
Associated
with the
element
wood and
Liver
It originates
from the
lateral
canthus of
eyeNIN,PUNE

TYPES OF NEEDLES
 FILLIFORM
 TRIANGULAR
 SEVEN STAR
 PRESS NEEDLE
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METHODS OF NEEDLING
 STRAIGHT
 SLANTING
 HORIZONTAL
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ACUPUNCTURE POINTS
 MERIDIAN POINTS: Points on the
meridian.
 EXTRA MERIDIAN POINTS: Exists on
EAR, HAND, NOSE & HEAD.
 FLOATING POINTS: No specific
location.
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Dangerous Points
 These are in close vicinity of vital
organs.
 Eg: UB-1
 Location: On the margin of the orbit 0.1
t-sun above the medial canthus.
 Needling: 0.2 to 0.3 t-sun into anterior
border of the orbit.
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Sedation Points
 It brings sedation of the meridian when
stimulated.
 Eg: Liv 5
 Location: On the medial aspect of the leg,
along the posterior border of the tibia, 5 t-sun
above the medial malleous.
 Needling: 0.5 to 1 t-sun, straight.
 When stimulated it brings the sedation of the
liver meridian.
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Effects of Acupuncture
 SUBJECTIVE EFFECTS:
 Pain
 Numbness
 Soreness
 Heaviness
 Distension
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Cont….
 OBJECTIVE EFFECTS:-
 Analgesia
 Sedation
 Immunity Improvement
 Homeostasis
 Motor Recovery
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HOW ACUPUCTURE IS GIVEN.?
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 DURATION
 NO OF SITTINGS
 PRICKING STYLE
 NO OF POINTS PRICKED

Stimulation In Acupuncture
 Manual Stimulation – Using hands.
 Heat Stimulation (Moxibustion) – Using moxa
wools.
 Electroacupuncture – Using electricity.
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MOXIBUSTION
 The dry powder of the leaf “Artemisia
Vulgaris” also know as “moxa” is used.
 Types: Direct
Indirect
 Indirect method is commonly used.
 It can be given with Ginger, Garlic, Salt,
Cup.
 The purpose is the normalise the flow
of”Qi” and relieve pain.
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Major diseases in which acupuncture
helps….
MIGRAINE
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Multiple joint pain
•
OSTEOARTHRITI
S
•RHEUMATOID
ARTHRITIS
•ANKYLOSING
SPONDYLITIS
•FROZEN
SHOULDER
•TENNIS ELBOW
•CALCANEAL
PAIN
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Acupuncture for frozen shoulder
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NEUROLOGICAL PAIN
• SCIATICA
•CARPEL
TUNNEL
SYNDROME
•CERVICAL
SPONDYLITIS
•LUMBAR
SPONDYLITIS
•TRIGEMINAL
NEURALGIA
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MOTOR NEURON DISEASES
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INFERTILITY AND
REPRODUCTIVE HEALTH
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COMPLICATIONS
 Needle Dystocia
 Bent Needle
 Broken Needle
 Fainting
 Bleeding
 Forgotten Needles
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CONTRAINDICATIONS
 RELATIVE CONTRAINDICATIONS
 Patients who are unwilling or afraid.
 Bleeding disorders, anticoagulants drugs.
 Skin infections at site of needling .
 Skin disorders such as psoriasis or eczema .
 Metal allergy
 Valvular heart disease (for indwelling needles)
 ABSOLUTE CONTRAINDICATION
 Pacemaker (electro-acupuncture)
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NIN,PUNE
DR. PRADEEP. M.K.NAIR,
NATIONAL INSTITUTE OF NATUROPATHY,
PUNE.
09823262179.
drpradeep18bnys@gmail.com

Pain management through acupuncture

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