1 GENERAL OBJECTIVE
– The nose and sinuses are closely related both in terms of anatomical structure and function, so in reality, sinusitis rarely occurs alone, but often spreads to the nose and other paranasal sinuses. In addition, the symptoms of sinusitis and rhinitis also have many similarities, so scientists have recommended the use of the term rhinosinusitis instead of the term sinusitis. Rhinitis is defined as an inflammation of the lining of the nose and paranasal sinuses caused by many different causes such as infections, allergies. This document only introduces the treatment of chronic rhinosinusitis with 4 main symptoms: Cloudy rhinorrhea in the anterior or posterior nose or both. Stuffy or blocked nose. Pain, swelling in the face, headache in front of the forehead. Loss of sense of smell.
2 SMALL INDICATIONS
- Chronic rhinosinusitis
3 CONTRAINDICATIONS
- Rhinitis due to other diseases
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
- Lying or sitting position, comfortable.
5 PROCESSING STEPS
- lumbar region
+ Armor L2 – L5 + Dai Long Du + Thuong Lieu Love Duong Quan
- The Commandment of the Order of the Central Committee
– Leg area
– Armor L2 – L5 Trap Bien Phong Thi An Mon
- Commissariat of the Central Committee of the Long Phong Long Prize of Khau Khau
- Duong Lang Tuyen Dia 5 Thai Cong Assembly
5.1. Diagram of acupoints
– describe the acupoints
+ Incense
+ envy
+ Authority
+ Taiyang + Ranged Armor + Xia Guan
+ Upper Star + Bach Hoi + Hop Coc
- acupuncture points
+ Inner Quan + three tones intersection
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 15 to 20 times of electroacupuncture.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Full status tracking
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.
