2/18/2015 1 ANCY KURIAN I MSc.(N)
2/18/2015 1ANCY KURIAN I MSc.(N)
2/18/2015 2ANCY KURIAN I MSc.(N)
2/18/2015 3ANCY KURIAN I MSc.(N)
`````
0
0.5
1
1.5
2
2.5
3
3.5
4
0 0.5 1 1.5 2 2.5 3 3.5
Y-Values
Y-Values
BY Ms. ANCY KURIAN
I MSc.(N) STUDENT
2/18/2015 4ANCY KURIAN I MSc.(N)
OVERVIEW
ACUPRESSURE
Definition & Principles
General Directions
Mechanism of Action
Acupressure points
Precautions
Side-effects
2/18/2015 5ANCY KURIAN I MSc.(N)
OVERVIEW (Contd…)ACUPUNCTURE
Definition and History
Modalities used
Acupuncture needles
Effect of Acupuncture
Legal Issues
Complications and Contraindications
Nurses’ Responsibility
Implications in Mental illness
Acupuncture in India
2/18/2015 ANCY KURIAN I MSc.(N) 6
• Definition
Acupressure involves application of manual
pressure usually with fingertips to specific
points on the body.
2/18/2015 ANCY KURIAN I MSc.(N) 7
General Directions
• Use firm pressure
• Acupressure points are very sensitive areas
• Massage until numbness is felt
• No limit in the number of exercises per day.
• Increase the massage in intensity slowly.
• During massage ,client can sit or lie down and
breathe deeply.
• Client need not massage on his own.
2/18/2015 ANCY KURIAN I MSc.(N) 8
Basic Principles
1. Chinese philosophy believes that a person is healthy
when Qi flows evenly along the merdians
2. The root cause of all diseases is a disorder in this energy
vibration
3. It defines 12 merdians connected to 12 vital organs .
4. Any factor affects the flow ILLNESS
5. Imbalances caused Blockage /Leakage of energy
in particular channel
2/18/2015 ANCY KURIAN I MSc.(N) 9
Procedure
Administered by acupuncturist
often
Pressure increased for about 30
seconds, held steadily for 30 sec –
2 min.
Repeated 3- 5 times
Acupressure & acupuncture –
same active points
2/18/2015 ANCY KURIAN I MSc.(N) 10
MECHANISM OF ACTION
• Energy flows through the various channels irrigating and nourishing the tissues
• An obstruction in movement causes diseases and ailments
• Needling unblocks the obstructions and reestablish flow through merdians
• Acupuncture helps internal organs to correct imbalances in digestion,absorption and energy production.
• Stimulation of endorphins and hormones
2/18/2015 ANCY KURIAN I MSc.(N) 11
ACUPRESSURE POINTS
Selection of points by acupuncturist
Acupressure point sections
–Chest and Abdomen points
–Head,Scalp ,Shoulder points
–Arm and hand points
–Leg and feet points
2/18/2015 ANCY KURIAN I MSc.(N) 12
ACUPRESSURE POINTS ALONG THE MERDIANS
2/18/2015 ANCY KURIAN I MSc.(N) 13
Instruments used
2/18/2015 ANCY KURIAN I MSc.(N) 14
PRECAUTIONS
• Acupressure should never be painful
• Pressure should be gentle
• AVOID Osteoporosis, Bruising ,bleeding
disorders,Circulatory problems – Diabetes & in
Anticoagulant therapy/Antiplatelet medications(Warfarin)
Else can be done under supervision of a qualified therapist.
2/18/2015 ANCY KURIAN I MSc.(N) 15
Side-effects
• RARE
• Sorenes and temporary lightheadedness
2/18/2015 ANCY KURIAN I MSc.(N) 16
2/18/2015 ANCY KURIAN I MSc.(N) 17
It is the treatment of various diseases
of the body ,carried out by inserting
very fine filiform needles or giving
heat to specific points on the body.
Latin ‘Acus’ - needle & ‘pungus’ -prick
2/18/2015 ANCY KURIAN I MSc.(N) 18
HISTORY
• Ancient Chinese medicine
about 5000 years old
• At that time – needles made
up of bones and bamboo were
used.
• Collective work - ‘Huang Di
Nei Jing ‘ – 3rd century B.C
2/18/2015 ANCY KURIAN I MSc.(N) 19
ACUPUNCTURE TREATMENT
• Detailed history
• Choosing of acupuncture points
• Usual length of treatment – 10-30 min.
• 1-2 times per week
ACUPUNCTURE POINTS 14 merdians, 360 acupuncture
points
2/18/2015 ANCY KURIAN I MSc.(N) 20
MODALITIES USED Electro-Acupuncture - Diabetes ,asthma,slip
disc,sciatica,migraine,addictions, deafness,menstrual disorders,azoospermia etc
He-Ne Laser Therapy – Children,elderly,debilitated and Hi-Fi patient
Moxibustion – Asthma,Rhinitis etc
Cupping/Fire cupping/Bekam Therapy
Catgut Embedding Therapy
Plum blossom Therapy.
2/18/2015 ANCY KURIAN I MSc.(N) 21
RISK RATIO• 0.05 per 10000 treatments or
• 0.55 per 10000 individual patients
• Risk of a serious adverse event is low
2/18/2015 ANCY KURIAN I MSc.(N) 22
2/18/2015 ANCY KURIAN I MSc.(N) 23
ACUPUCTURE NEEDLES
2/18/2015 24ANCY KURIAN I MSc.(N)
•Size- 0.12mm – 0.35mm in diameter
•Length - 1- 1.5 inch
• Standards for acupuncture needles
Specialised Acupuncture Needles
• Three-edged Needle
• Plum blossom needle
• Intradermal needle
• Press needles
• Ear seeds,press seeds and pellets
2/18/2015 25ANCY KURIAN I MSc.(N)
Effect of ACUPUNCTURE
• Analgesic effect
• Sedative effect
• Homeostatic effect
• Effects on CNS
• Motor recovery
• Immunity enhancing
• Effects on blood vessels and blood
• Effects on Digestive system and respiratory system
2/18/2015 ANCY KURIAN I MSc.(N) 26
Legal Issues
• Hands of an unskilled practitioner
• Indirect regulations
o Drugs & poisoning scheduling
o Skin penetration regulations
o Therapeutic Goods Administration
• Choosing a practitioner
o Associate membership
o Qualifications
2/18/2015 ANCY KURIAN I MSc.(N) 27
Complications• Needle Dystocia
• Bent Needle
• Broken Needle
• Fainting
• Injury in internal organs
• Bleeding
• Infection
• Forgotten Needle
2/18/2015 ANCY KURIAN I MSc.(N) 28
CONTrAINDICATIONS• Acute Cardiac and congestive failureger
• Malignancies
• Surgical- intestinal obstruction etc
• Drugs
• Pregnancy
• Hemorrhagic diseases
• Miscellaneous – Very old patients,
Sweating profusely,After hot bath,afterfood,hungry patients, Debilitated and dying patients.
2/18/2015 ANCY KURIAN I MSc.(N) 29
2/18/2015 ANCY KURIAN I MSc.(N) 30
IMPLICATIONS ON MENTAL ILLNESS
• DEPRESSION
• Water – Fear (Renal)
• Fire – Joy (Heart and Sleep )
• Wood –Anger (Aggression & Disappointment
• Metal – Grief (Respiratory)
• Earth – sympathy & empathy (Digestive)
2/18/2015 ANCY KURIAN I MSc.(N) 31
2/18/2015 ANCY KURIAN I MSc.(N) 32
•ANXIETY DISORDERS
• Innate deficiency of heart and kidney
energies,excess of liver Qi
• Lack of communication between heart and the
kidneys
Stillness with prominent EEG readings,deep
relaxation and degree ofunresponsiveness to pain
stimuli
2/18/2015 ANCY KURIAN I MSc.(N) 33
• Insomnia –ncreasing production of serotonin
• Addiction – Improveis immune function,increases
working memory and prevents neurological disorders.
• Smoking – Auriculopuncture & electroacupuncture
• Alzheimer’s Disease – Verbal & motor skills
,cognitive and mood functions
• Parkinson’s Disease – Alleviate muscle
stiffness,soreness and tremors
2/18/2015 ANCY KURIAN I MSc.(N) 34
• Anorexia Nervosa – Restore functioning of vital
organs and other essential bodily functions
• Nocturnal Enuresis
• Mental Retardation – IQ Developed and Social
adaptation behaviour increased.
• Insomnia
• Phobias – Increased production of Endorphins,alleviates fears,anxieties and stress
• Schizophrenia
• Obsessive Compulsive Disorder- Dampness /Phlegm entities removed
2/18/2015 ANCY KURIAN I MSc.(N) 35
NURSES RESPONSIBILITY
Adequate information
Ensure sterilized needles
Proper history collection
Infection control
Careful count of needles
Documentation
2/18/2015 ANCY KURIAN I MSc.(N) 36
2/18/2015 37ANCY KURIAN I MSc.(N)
• Acupuncture –An Alternative Therapy
• Health Issues related
2/18/2015 ANCY KURIAN I MSc.(N) 38
DIFFERENCES BETWEEN ACUPUNCTURE & ACUPRESSURE
2/18/2015 ANCY KURIAN I MSc.(N) 39
ACUPUNCTURE IN INDIA
• Acupuncture CAM therapy Institute in India
• IANM
• IGNOU – PG Diploma courses
• Indian Academy of acupuncture science,Aurangabad
• Indian Board of Alternative Medicine
• TRAINING
2/18/2015 ANCY KURIAN I MSc.(N) 40
CONCLUSION
2/18/2015 ANCY KURIAN I MSc.(N) 41
• “The future of acupuncturedoes not lie with
the west or east but with the third world
where one in three die from diseases or
poverty before the age of five ,five million
each year”. The third world cannot afford
western medicine.
2/18/2015 ANCY KURIAN I MSc.(N) 42
2/18/2015 ANCY KURIAN I MSc.(N) 43