1 GENERAL OBJECTIVE
– Osteoarthritis is a disease of the joints and spine with chronic pain, without the manifestation of inflammation. The basic damage of the disease is the degeneration of articular cartilage and spinal discs, changes in the subchondral bone and synovial membrane.
The main cause of the disease is the aging process and the overload and prolonged stress of the articular cartilage.
2 SMALL INDICATIONS
- Pain and degeneration of all joints.
3 CONTRAINDICATIONS
– Observe the general contraindications of acupuncture.
The patient has a prolonged fever, dehydration, and blood loss.
- The patient is in an emergency situation
- Patients with heart failure, arrhythmia.
4 PREPARATION
4.1. Executors: Doctors, physicians and herbalists 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
- Patient position sitting, prone, supine or supine.
5 PREVENTION STEPS
5.1. Diagram of acupoints
* Realization
– describe the acupoints
– neck – shoulder area
+ C1 – C7 + Enlightenment + Bach Hoi
+ Kien Trung Du + Kien overseas + Great characters
+ Perseverance + Perseverance + Perseverance
+ Perseverance + Thien Tong + Khuc Tri
+ Tam Ly + Foreign Affairs + Hop Coc
+ Eight evils
– back, waist, hip area
+ Grade + Armor L2 – S1
+ College du + Elementary school + Love Duong Quan
+ Discord + complete dance + Thu Lieu
+ Can Du + Dom Du + Pi Du
+ The way to travel + The way to travel + The way to travel
- leg area
+ Poison + All Eyes + Blood Sea
+ Central Committee + Duong Lang Tuyen + Salary
- ankle area
+ Solve Khe + Pulse Duong + Le Doai
+ Bat Phong + Kunlun + Thai pulse
* Destructive evidence
- In addition to describing acupuncture points as evidence, acupuncture points the following points
– If the Can is damaged
+ Thai pulse + three tones intersection
- If kidney failure
+ Thai Khe + Shen Yu + Guan Yuan
– Bad Pisces
+ Thai Bach + 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 10 to 15 times of electroacupuncture.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Follow up: Full Status
6.2 Handling 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.
