1 GENERAL OBJECTIVE
 – Headache is a symptom of a number of diseases (with causes, pathogenesis) in many specialties such as internal medicine, otolaryngology, otolaryngology, maxillofacial... due to physical damage such as brain tumor, pressure brain vehicle, cerebral vascular malformation, infection in the nervous system .... Or just a simple symptom in the heart failure that treated with catgut thread implantation is very effective.
 - According to traditional medicine called "head system", in the heart failure due to colds due to foreign evil or functional dysfunction of the organs.
2 SMALL INDICATIONS
 - Headache due to debilitating mental illness.
 - Headache with known cause with indications for combination with catgut implantation
3 CONTRAINDICATIONS
 – Headache due to physical injury (as described above) at stage
4 PREPARATION
4.1. Practitioners 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 PROCESSING STEPS
5.1. Regimen for Phong Tri, Suc Coc, Bach Hoi, Neiguan, Hop Coc acupoints.
 - If due to bad qi, add the point of Tuc Tam Ly.
 - If due to blood damage, add the acupuncture points Ge Du ; Can travel.
 - If due to heat, add the Khuc Tri acupoints; Dai Chui.
 – If due to low phlegm, add Feng long points; Tam Ly
 – If due to cold, wind and cold, add Phi Du points
 – If due to cold weather, add Zhongfu point
 – If due to high blood pressure, add the Qu Tri points; Tuc trilogy.
 – If due to low blood pressure, add Shen Shu points; Tuc trilogy.
5.2. Tips
 - Wash your 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. Disinfect the acupoint
 – 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. Monitor 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: hot compress, anti-edema medicine or oral antibiotics if infection is suspected
 

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