0:05 so in acupuncture we tend to adapt the
0:07 treatment according to the pattern of
0:09 the patients so this can be an excess
0:12 pattern or a deficiency pattern and
0:14 we'll need to adapt the way we are using
0:17 needles to address really these problems
0:20 of deficiency or excess um so what we'll
0:23 do is we're going to use reinforcement
0:25 techniques to address deficiency and
0:28 we're going to use reduction techniques
0:31 to address excess so there are different
0:33 ways of achieving this reinforcements
0:37 reduction which includes using insertion
0:39 and removal techniques there are some
0:41 breathing techniques uh there are
0:42 techniques about the direction of the
0:45 needle uh there are lifting and
0:46 thrusting techniques and they are also
0:48 twirling techniques so we're going to
0:58 today so I'm going to insert the needle
1:02 in the tissues very deep very
1:05 slowly so this would
1:09 be a reinforcement technique slow
1:11 movements gives an emphasis on the
1:13 action that's why slow insertion
1:16 emphasizes on bringing CH inside and
1:18 ultimately achieves
1:20 reinforcement due to the same reason the
1:23 needle is removed quickly and the point
1:25 is closed directed with a cotton ball so
1:29 we going to show that so this would be
1:32 um reinforcement technique I'm closing
1:34 directly the point so the t is not coming
1:36 coming
1:39 out on the opposite if you want to achieve
1:41 achieve
1:50 quickly so remember we always penetrate
1:53 the needle quickly but then the movement
1:56 when I'm going deeper I will do it very
2:00 quick so this movement very quick but
2:02 because I want to bring the te out we
2:05 are doing reduction now so I'm going to
2:07 remove the needle at the end of the
2:09 session of course I'm going to remove
2:12 the needle very slowly and I can even do
2:14 some small rotation like this to make
2:16 the hole even
2:19 larger and then when it's out I don't
2:22 close the hole directly I wait a little
2:24 bit if there is some bleeding I can wait
2:26 for a few seconds and I press with a cotton
2:28 cotton
2:31 ball we're now going to talk about the
2:34 breathing um reinforcement and reduction
2:37 techniques so I will insert the needle
2:40 when the patient is breathing out and
2:42 remove the needle when the patient is
2:45 breathing in and this will achieve
2:49 reinforcement so C can I ask you to
2:52 breathe out
2:57 now good okay so and then we're doing
3:01 the whole acupuncture session and let's
3:04 say it's been 20 minutes 25 minutes it's
3:06 time to remove the needle and I would
3:09 ask you to breathe in
3:12 now okay and I remove the needle which
3:15 is breathing in if we want to do the
3:17 reduction technique we'll do exactly the
3:20 opposite so inserting the needle when
3:22 the patient is breathing in and removing
3:31 out so can you you to breathe in
3:36 now that's good and
3:40 now let's imagine it's been 20 minutes
3:47 here okay so let's imagine it's been 25
3:50 minutes now and I will remove the needle
3:52 and I ask the patient to breathe out Co
3:54 Sam can you breathe out for me okay
3:56 that's good and I remov it need don't
4:00 now um we're going now to see
4:02 um a third type of reinforcement and
4:05 reduction technique it will be the
4:07 direction of the
4:09 insertion so for the direction of the
4:13 insertion we can still penetrate the
4:17 skin in a perpendicular fashion and then
4:20 once we have penetrated the skin if we
4:22 needle in the direction of the channel
4:28 which is um from from the hand to the
4:32 face in this case we will achieve
4:34 reinforcement so this is reinforcement
4:37 of the hand Ying Channel which is going
4:41 this way if I want to do reduction I
4:42 will do exactly the
4:47 opposite so I will needle in the
4:50 direction opposite of the channel this
4:56 direction okay so this is the
4:58 reinforcement and reduction techniques
5:00 using the direction direction of the
5:02 needle now we have a more common one
5:04 which is the lifting and thrusting
5:07 reinforcement reduction techniques which
5:09 is the same as the stimulation
5:10 techniques we have seen before in the
5:14 last video um but this time we're going
5:18 to emphasize on One Direction or another
5:21 so when we are doing
5:23 reinforcement we are doing an emphasize
5:26 on the thrusting movement and where we
5:28 are doing reduction we having an
5:31 emphasis on the lifting movements so
5:35 when we talk about emphasis it's really
5:39 about doing the movement slowly and
5:42 strongly so of course you will do back
5:48 down so now we're doing reinforcement so
5:51 I will emphasize on the thrusting
5:54 movements and I'll go back
5:58 quickly I emphasize on the resting and I
6:00 lift quickly
6:03 emphasize thrusting go back quickly this
6:05 is reinforcement reduction will be the
6:08 exact opposite so I have an emphasiz on
6:11 the lifting movement and I go back
6:14 quickly emphasize on the lifting
6:16 movement and then go
6:19 back empe on the lifting movement and
6:21 then I go back so this is will be the
6:24 reduction technique then we have another
6:26 one which is very common this is the
6:29 twirling methods the twirling methods of
6:31 course you have to go both clockwise and
6:34 anticlockwise and again you
6:37 emphasize um in One Direction or another
6:40 uh because this is a very complex method
6:42 and the direction clockwise or
6:45 anticlockwise depend on many factors
6:47 such as the side of the body the gender
6:49 of the patient and even the time of the
6:52 day in general we don't use that
6:54 technique in the clinic but what you can
6:57 do is using the range and the frequency
7:00 of the delling as our reduction and
7:02 reforment technique and this is much less
7:03 less
7:06 contentious so basically this is simple
7:09 um if we are doing a very slow movement
7:12 with a narrow range of tring this is our
7:15 reduction this is a sorry reinforcement
7:19 technique if we're using a wide range of
7:22 twirling and a rapid movement so a
7:23 stronger simulation this will be a
7:35 additionally if you retain the needle a
7:37 little bit longer this will achieve
7:40 reinforcement and if we retain the Lal a
7:42 bit shorter this will achieve
7:45 reduction finally the strength of the
7:46 simulation will also achieve
7:49 reinforcement reduction with a strong
7:52 manipulation achieving reduction and a
7:59 reinforcement I hope you enjoy this video
7:59 video
8:02 my name is Yan Burling clinician
8:04 lecturer and researcher this video was
8:06 produced by Sydney Institute of
8:08 traditional Chinese medicine please
8:11 check our tutorials and more information
8:13 on the school in the description below
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