1 GENERAL OBJECTIVE
– According to Modern Medicine, the upper extremity is caused by many causes, depending on the location, the degree of damage to the nervous system, the patient has a sign of loss or reduction of movement in the upper limb with or without muscle atrophy.
– According to traditional medicine, the disease in the range of nudity, Ma Moc host extremities when spleen damage qi and blood stagnation cause disease.
2 SMALL INDICATIONS
- degenerative cervical spondylosis
- Stroke
– Polyneuritis, polyneuropathy, postherpetic shingles
– After brachial plexus injury
- Diabetic neuropathy
3 CONTRAINDICATIONS
- Paralysis of the upper extremities due to pathology with indications for surgical treatment of spinal cord compression, brain tumors, myeloma, spinal canals...
- Acute stage neuropathy is progressing
Specific infections (leprosy, tuberculosis, syphilis, HIV)
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
- Acupuncture needles are sterile, 5 - 10 cm long, for individual use
– Two-frequency magnifying machine, description.
– Enamel tray, cotton, alcohol 70 degrees, clip with clip.
4.3. Patient
- To be examined and make medical records according to regulations
- Position of the patient sitting or lying on the side of the paralyzed side up
5 PROCESSING STEPS
5.1. Diagram of acupoints
– describe the acupoints
– Perseverance – defense of the three principles – Perseverance – Dai Chu
– Khuc tri – Hop Coc – Kien province – Kien Trung du
– Foreign Quan – Eight evil – Armor C4 – C7
– Acupuncture: Tam Yin Giao
5.2. Tips
– Step 1. Identify and disinfect the skin of the acupoint
– Step 2. Insert the needle into the acupoint according to the following tenses
– Then 1. The left hand uses the thumb and index finger to press and stretch the skin of the acupoint; The right hand inserts the needle quickly through the skin of the acupoint.
– Then 2. Push the needle slowly to the acupoint, stimulate the needle until it reaches “Dac qi” (the patient has a feeling of tension, ie, moderate weight, no pain in the acupuncture point just inserted, the doctor feels the needle. suck tightly at the acupoint).
– Step 3. Stimulating acupoints by electroacupuncture Connect the pair of wires of the electroacupuncture machine with the needle inserted into the acupoint according to the complementary frequency of the electroacupuncture machine.
– Frequency (set frequency fixed) Description frequency from 5 to 10Hz, Tuning frequency from 1 to 3Hz.
– The intensity gradually increases from 0 to 150 microAmpere (depending on the patient's tolerance level).
+ Time of 20 - 30 minutes for an electrocautery.
– Step 4. Withdraw the needle, disinfect the skin of the acupuncture point just inserted.
5.3. Treatment course
– Electrostimulation once a day
– A course of treatment from 20 to 30 times of electroacupuncture.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Follow up: Full Status
6.2.Treatment of accidents
– Vocabulary
Symptoms: The patient is dizzy, dizzy, sweating, rapid pulse, pale face.
– Treatment: Turn off the electrocautery, remove the needle immediately, wipe the sweat, keep warm, drink hot sugar tea, rest in place. Day acupressure points Taiyang, Neiguan. Monitor pulse and blood pressure.
– Bleeding when withdrawing the needle: Use sterile dry cotton to press on the spot, do not rub.
