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- Reinforcement and reduction by fast or slow closure of the point in Ling Shu – smart health with Traditional Chinese Medicine
Reinforcement and reduction by fast or slow closure of the point in Ling Shu – smart health with Traditional Chinese Medicine
Chapter 1 of Ling Shu reveals the following three very important facts about the puncture technique:
(1) "The application of the puncturing technique depends on the differentiation of the type of disease. The reinforcement technique is applied to treat cases of deficiency, the reduction technique is applied to treat cases of excess, the bleeding of superficial luo is applied to eliminate stagnation of the blood and the dispersion technique is used to treat excess pathogenic Qi ”.
This clearly indicates that the application of the technique must correspond to differentiation and that the technique reflects, embodies differentiation. Differentiation is the prerequisite and determining condition for the application of the technique.
(2) "The curative effect of toningand dispersion will be obtained by applying the puncturing techniquecorresponding. "
This clearly indicates that thestrengthening and reduction depend on the application of the correct techniqueneedle.
If acupuncturists truly understood this statement, then electro-acupuncture, laser acupuncture, etc., would not exist.
(3) The method for strengthening and reducing in Ling Shu Chapter 1 concerns the speed of insertion and withdrawal of the needle. It is one of the most commonly used techniques in clinical practice today, but applied as it stands is in contradiction with other theories documented in Huangdi Neijing!
The Ling Shu in chapter 19 says: " TheQi of the four seasons affects human Qi. The acupuncture techniqueconsists in knowing the exact depth of the points during the differentseasons. "
itclearly indicates that the depth of the acupuncture points varies with theseasons.
Chapters 16, 61, 64 of Su Wenand chapters 2, 9, 19, 21 of the Ling Shu contain discussionsdetails on the depth of acupuncture points in different seasons.
heis clear that the first step in applying the acupuncture techniqueinvolves inserting the needle at the correct depth at an acupuncture pointdepending on the season and then applying the reinforcement technique orreduction.
The speed of insertion does not matter. In addition, removing or inserting the needle quickly can potentially injure the tissue, which contravenes the basic law of acupuncture technique which requires gentle and safe practice.
When the tip of the needle has reached the correct point depth, the first step of the puncture is completed. In other words, once the needle has reached the proper depth, it's time to apply the strengthening and reduction technique.
The Su Wen in chapter 54 weexplains the process of implementing reinforcement techniques andreduction: the crucial point of this method is linked to "slow closing orfast from the point. "
For example, the "slow, then fast" method of strengthening involves withdrawing the needle slowly and then closing the hole quickly.
Thus, the speed of withdrawal of the needle is relatively slow in a case of impairment.
In the case of excess, the speed of withdrawal of the needle is relatively fast compared to that of the closing of the hole.
The Su Wen, chapter 54 also indicates that "The patient may feel a warm feeling under the needle after applying the strengthening technique to a deficient case. The feeling of warmth is due to the gathering of the correct Qi. The patient may feel a feeling of cold under the needle after applying the reduction technique to an excess. "
These sensations are subjective andtherefore not reliable in determining the result of treatment. Chapter 9 ofLing Shu offers another method to observe the result of the treatment,know the change in the pulse of Renying and Cunkou.
If the Renying or Cunkou pulse represents a deficiency, the pulse becomes stronger when you apply the reinforcement technique while "the pulse size remains as small as before".
If the strength of the Renying or Cunkou pulse represents an excess, the pulse becomes weaker after the application of the reduction technique, while "the pulse size remains the same as before. "
This method is objective and reliable. In addition, if there is no change in the strength of the pulse, even if the patient reports feeling better after the treatment, he should be punctured again, until the change in pulse occurs.
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