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What is "bloodletting"? How to bleed?
Classification: medical and health care

Problem description:

Sometimes, I see on TV that my fingers are entangled, and I needle my fingers. Why is this? How is the effect?

Analysis:

First of all, introduction

Bloodletting therapy, also known as "acupuncture bloodletting therapy", is a method to treat diseases by puncturing or cutting specific acupoints and certain parts of the human body with a needle or knife and releasing a small amount of blood.

The emergence of this therapy can be traced back to the ancient stone age. At that time, people found in labor practice that bleeding on the affected area with a sharp stone-bian stone could treat some diseases. With the development of science, the pricking blood tool produced a metal needle, and later, according to the needs of medical practice, a "pre-needle" specially used for bloodletting treatment appeared. The earliest written records of this therapy can be found in Huangdi Neijing, such as "blood vessels pricked by pricking collaterals" and "evil blood is produced by removing the old". It is clearly pointed out that pricking collaterals and bloodletting can treat madness, headache, rage, heat asthma, epistaxis and other diseases. According to legend, bloodletting at Baihui point cured Prince Guo's "corpse syncope" and Hua Tuo treated Cao Cao's "head wind syndrome" with acupuncture bloodletting. During the Tang and Song Dynasties, this therapy has become a major principle of Chinese medicine. According to New Tang Book, Tang Gaozong's "dizziness and blindness" was cured by bloodletting on his head. By the Song Dynasty, this method had been incorporated into the rhyme of acupuncture "Jade Dragon Fu". In the Jin and Yuan Dynasties, Zhang's medical records about acupuncture in The Scholars were almost all about acupuncture and bloodletting to get the effect, and he thought that acupuncture and bloodletting was the fastest way to attack evil. From the Ming and Qing Dynasties, bloodletting was very popular and acupuncture developed rapidly. Triangular needle is divided into coarse needle and fine needle, which is more suitable for clinical application. Yang Jizhou's "Acupuncture Dacheng" recorded the medical records of acupuncture and bloodletting in detail. Ye used this therapy to cure throat diseases; Zhao Xuemin and Wu Shangxian collected many bloodletting therapies and compiled them into a series of exquisite versions and Li Long's parallel prose. In modern times, bloodletting therapy is still widely used, especially among the people. Its value is gradually recognized and accepted by people.

Second, the method:

1. Boil the needle for disinfection first, and then routinely disinfect the operator's hands and the bleeding part of the patient.

2. There are two commonly used bloodletting methods in clinic: pricking collaterals and incision bloodletting.

(1) Collateral needling: This method is divided into three needling methods: point needling, pick needling and cluster needling. Puncture has a quick puncture (aim at the bleeding place, quickly puncture 1.5 ~ 3 mm, and then quickly withdraw, releasing a small amount of blood or mucus. This method is widely used, so it should be used in most parts), slow needling (slow needling vein 1 ~ 2 mm, slowly withdrawing, releasing a small amount of blood, suitable for bloodletting in popliteal fossa, elbow fossa and head and face); Collateral puncture means that after the needle is inserted into the skin or vein, the needle body immediately tilts, pierces the skin or vein, and releases blood or mucus, which is suitable for bleeding in the chest, back and ear vein. Cluster needling is to tap a certain part with cluster needles, with a large number of needles and shallow penetration, which is suitable for sprain, contusion, hair loss, dermatosis and so on. At the same time, it is often combined with cupping therapy.

(2) Scoring method: Knife such as small eyebrow knife is commonly used, and the knife holding method is suitable for simple operation, so that the knife body is roughly perpendicular to the scoring part, and then the knife is cut. It is suitable for post-ear oral intima and venous bleeding.

3. While stabbing or cutting blood with the right hand, the other hand is used for lifting, pinching, pushing, pressing and other auxiliary actions to cooperate with bloodletting.

"contraindication"

1. Patients with thrombocytopenia, hemophilia and other bleeding-prone diseases, as well as patients with dizziness and hemangioma, are generally prohibited from using this therapy.

2. Anemia, low blood pressure, pregnancy, hunger, drunkenness and fatigue are not suitable for this therapy.

"Notes"

1. Explain to the patient first to eliminate unnecessary worries.

2. The bloodletting needle must be strictly disinfected to prevent infection.

3. It should be noted that the needle should not be too deep and the wound should not be too big to avoid damaging other tissues. When cutting blood vessels, it should be cut, but not cut.

4. Generally, the amount of bleeding is about 5 drops, and the number 1 or No.2 should be 1 time; If the blood loss is large, the blood loss shall not exceed 2 times in 1 week. 1 ~ 3 times is a course of treatment. If bleeding is not easy to stop, compression should be taken to stop bleeding.

5. If this therapy is only used for symptomatic first aid, after the remission, it should be thoroughly examined before treatment. Bleeding therapy must not be abused.

Third, tools

Triangular needle is a common bloodletting tool, which is used to puncture a certain part of human body and release a small amount of blood to achieve the purpose of treating diseases. Acupuncture and bloodletting with Sparganum has the functions of dredging meridians, inducing resuscitation, clearing away heat, harmonizing qi and blood, reducing swelling and relieving pain, and is suitable for all kinds of excess syndrome, heat syndrome, blood stasis and pain.

For those with severe headache, you can choose points such as Taiyang, Bai Yang and Zhongchong, and puncture a little bleeding with a small triangular needle.

Hypertensive headache can be treated with Shuangyang and Tang Yin. The main points of collocation are: if the forehead is swollen and painful before, add double bamboo; If the pain is especially on the top of the head, Gabriel will; Pain plus four gods; Strong neck pain, plus double wind pool; Dizziness, dizziness, tinnitus and other symptoms are prominent, and double-headed points are added. After the patient is seated and the acupoints are routinely disinfected, the acupoints are pricked with a triangular needle to a depth of about 0.2 cm, and each acupoint squeezes 5-6 drops of blood, once a day or every other day, 1 0 times as a course of treatment.

Three-edged needle pricks Taiyang (Double), Fishbone (Double) and Tang Yin points, squeezes appropriate amount of blood, and then presses the pinholes with cotton balls to treat nervous headache.