1 GENERAL OBJECTIVE
 Back pain on one side or two sides of the spine is a disease caused by many causes, which can be divided into two types, acute back pain and chronic back pain.
 Acute back pain is often caused by cold causing muscle spasms in the spine, spinal ligaments are inflamed, edematous, pinched on nerves when carrying heavy loads in the wrong position, trauma to the spine.
 Chronic back pain is often caused by spondylitis, spondylolisthesis, tuberculosis, cancer, pain in the internal organs in the chest, abdomen, radiating to the back. Mechanism due to epilepsy, nervous breakdown.
2 SMALL INDICATIONS
 Back pain at any age.
 - Acute and chronic pain.
3 CONTRAINDICATIONS
 - Surgical emergencies.
 The patient has a prolonged fever, dehydration, and blood loss.
 - Patients with heart failure, arrhythmia.
 - Chronic back pain caused by tuberculosis, cancer.
 - Acute pain due to spinal cord injury.
4 PREPARATION
4.1. Executor: Doctors and medical practitioners trained in the specialty of traditional medicine shall be granted practice certificates in accordance with the law on medical examination and treatment.
4.2. Vehicle
 - Standard operating room.
 – Dissolved catgut thread, sterile lumbar puncture needle.
 – Enamel tray, clip with clip, sterile cotton gauze, iodine alcohol, adhesive tape, sterile gloves.
 - Anti-shock medicine box.
4.3. Patient
 - Be consulted, explained before entering treatment
 - To be examined and make medical records according to regulations.
 - Posture exposes the area of the point where the thread is implanted.
5 PREVENTION STEPS
5.1. Diagram of acupoints
 – For spinal pain, implant only with Giap Tich points corresponding to the pain area, in addition to acupuncture points
 + Great doctor + Phong Phu + Trung
 + Love travel + Soul travel + Small school tour
 - For shoulder pain
 + Armor (D1 – D3) + Perseverance + Perseverance
 + Kien overseas + Kien Trung du
 – For the lumbar region
 + Sorcery + Thu Luu + Party Central
 + Love Duong Quan + Armor (L4, L5)
 – Depending on the disease, choose the right implant point, usually choose from 2-4 acupoints only once.
5.2. Tips
 - Wash hands and wear sterile gloves.
 – Cut Catgut thread into pieces about 1cm. Thread the thread into the barrel of the needle.
 - Determine the exact acupoint for thread implantation. Disinfection of acupoints
 – Insert the needle quickly through the skin and push it slowly to the point.
 – Push the barrel of the needle so that the thread stays in the acupoint.
 – Gently pull out the needle.
 – Place sterile gauze on the point just implanted.
 - Secure gauze with adhesive tape.
5.3. Treatment course
 – Each transplant of Catgut only works for about 20-25 days.
 – After 20-25 days of implantation, only come back for a follow-up examination for further indications.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Monitoring: Patient's condition during each procedure
6.2. Handling accidents
 – Bleeding: Use sterile dry cotton gauze to press on the spot, do not rub.
 – Pain and swelling at the place of implantation: Apply heat, anti-edema medication or oral antibiotics if infection is suspected.
 

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