0:06 selecting the appropriate needle size is
0:10 very crucial to obtain optimal efficacy
0:12 in your treatment and also to improve
0:14 the experience of your patient during
0:15 the treatment
0:18 in this video we will explain how to
0:21 select the best needle size for your
0:24 treatment and we will show you some live
0:28 examples to make you visualize what are
0:30 the differences between needles of
0:40 there are two variables related to
0:42 needle size
0:44 diameter and length
0:46 the diameter of an acupuncture needle
0:49 can range from 0.16 millimeter to 0.30
0:53 millimeter with the 0.20 and 0.22
0:57 millimeter being the most commonly used
0:59 the length of an acupuncture needle can
1:06 longer for special types of long needles
1:08 the ones we use the most commonly in the
1:16 thicker needles will produce a stronger
1:18 dirtier or needling sensation
1:20 but the insertion is more painful than
1:23 thinner needles and the after effect is
1:25 also stronger
1:27 thicker needles tend to burn less than
1:30 thinner needles which make them very
1:32 useful when using warm needles and
1:34 Electro acupuncture
1:36 thinner needles are relatively painless
1:39 but will produce a weaker dirt seal
1:41 the choice depends mainly on the
1:43 patient's sensitivity and the
1:46 preferences and score of the clinician
1:49 for example Japanese acupuncturists tend
1:52 to use thin needles while acupuncturists
1:54 from the tongue School tend to use
1:58 the length of the needle depends mainly
2:01 on the point location
2:03 millimeter needles are generally more
2:06 practical to needle the face sometimes
2:09 the fingers and the feet
2:11 30 millimeter needles are commonly used
2:13 for the arms and legs
2:16 40 and 50 millimeter needles are used
2:20 for deep needling in the lumbar area
2:22 the length of the needle will also
2:23 depend on the constitution of the patient
2:24 patient
2:26 shown needle being used for thinner
2:28 patients and long needles used for
2:30 larger patients
2:33 finally the depth of the needling can be
2:35 adjusted according to the season
2:37 for example deeper in Winter shallow in summer
2:38 summer
2:41 or the level of the disease deeper from
2:43 internal condition shallower or an
2:53 we're going now to see the influence of
2:56 needle size on the needling sensation
2:59 so for this video I will use stomach 36
3:02 which is a very common Point using acupuncture
3:03 acupuncture
3:06 and I will start with our needle which
3:09 is our 0.22 millimeter and this is a
3:12 very common size this is a medium range size
3:14 size um
3:37 yep okay can you feel the needle
3:40 so how strong is your feeling on a scale
3:42 of the euro to 10.
3:46 around four yep okay that's very good so
3:47 I'm going to remove the needle and I
3:48 will change
3:59 so I'm not going to use our Point 18
4:23 okay can you peel the needle
4:27 this is slightly lighter so I'll say
4:31 anything about two two one is ten okay awesome
4:32 awesome
4:35 um I will now try to use a larger
4:37 um slightly large larger needle which is
4:39 a 0.35
4:40 so this is
5:04 so how do you feel now coming down this
5:06 is slightly more painful um
5:08 um
5:11 and eat eight of ten yes so this is
5:14 absolutely normal because I know I just
5:16 use our larger needle so you feel a
5:18 stronger sensation it will give a
5:19 stronger stimulation
5:21 and this is absolutely normal
5:25 I'm now going to show you how we use
5:27 moxa rolls on top of the needle to do
5:30 warm needling techniques now you can
5:32 check our other video on mock Sebastian
5:34 if you want the details about this technique
5:39 um so we're going to put this mixer row
5:51 okay so you can see quite clearly here
5:53 that's on this side the large needle
5:56 0.35 millimeter it's very still it
5:58 doesn't Bend at all but we can see here
6:01 on the point 80 millimeter that's the
6:03 needle is bending and this can be quite
6:05 dangerous because the nail could come
6:08 out or the moxa will get too close to
6:11 the skin and there might be some bone so
6:12 we can see that from warm needling it's
6:15 better to have a slightly a larger
6:24 I'm going to show you now how to select
6:26 the length of the needle according to
6:28 the location of the points you are going
6:29 to use
6:32 so we are going to show you some points
6:37 on the face on the scalp on the hand on
6:41 the arms abdomen legs and feet we're
6:42 going to show you also on the lower abdomen
6:43 abdomen
6:47 so let's start with the face for the
6:49 face we generally use thin needle
6:55 um insertion if um
6:57 um
6:59 so I can show you the side of the needle here
7:08 so I will show you on in tongue points yeah
7:14 here we are
7:16 now going to show you on the scalp for
7:18 the scalp we generally use 30 millimeter
7:21 or 40 millimeter needles because we are
7:42 okay
7:44 we're now going to go to the hands the
7:47 hands we generally use 25 millimeter needles
8:12 for the arms we can use 30 millimeters
8:15 or 40 millimeters needles I'm not going
8:48 depending on the size of the patient you
8:51 might want to use 25 30 40 millimeter needles
8:53 needles
8:55 because this patient is relatively thin
8:58 we are going just to use a 25 millimeter needle
9:16 and I'm going to do the legs now
9:18 all the legs you can also choose 30 to
9:20 40 millimeters who you might you might
9:24 even want to choose larger needles if
9:46 right for the
9:50 beats we can use 25 millimeter needles
10:10 okay
10:15 so this is how we're just the you select
10:17 this length of the needle
10:25 I'm going to show you now how to adjust
10:28 the size of the needle depending on the
10:30 side of the body of the patients so we
10:33 have two models here today one is Tino
10:36 and one is a bit larger so for this
10:38 patient for example if you want to
10:40 needle the upper back I would select a
10:43 15 to 25 millimeter needle for the lower
10:45 back I would select a 30 to 40
10:47 millimeter needle and for the legs 30 or
10:50 40 millimeters as well for these
10:54 patients for the upper back I might
10:57 select a 25 or 30 millimeter needle for
11:00 the lower back I may choose a 40 or 50
11:02 millimeter needle and for the legs as
11:05 well 40 or 50 millimeter will be more appropriate
11:20 I hope you enjoyed this video my name is
11:22 Johan Berling clinician lecturer and
11:25 researcher this video was produced by
11:27 Sydney Institute of traditional Chinese
11:30 medicine please check our tutorials and
11:32 more information on the school in the
11:33 description below
11:36 you can join our community and also give
11:38 this video a thumbs up if you liked it
