Emergency treatment of several acupuncture accidents 1, stabbing the nostril bleeding person, it is estimated that the stabbing deep, immediately make the patient lie down, stabbing on the star can immediately solve the bleeding. 2, stabbing Fengchi induced epileptic seizures, sudden confusion, left and right look, urgent needle removal, make him lie down, stabbing Shen pulse can be solved. 3, some limb acupuncture points after stabbing caused hematoma, no need to panic, so that the patient cold compress treatment, meet some needles after the pain increased, can refer to Dong’s qi points of the solution point processing. 4, met after the needle flushed face, dizziness and vomiting, consider the increase in blood pressure, blood pressure measurement to confirm the increase in blood pressure, can be sublingual cardiac pain Ding treatment. 5, stabbing the chest, back points appear pneumothorax, scrambling to send to the emergency department; 6, some upper cervical points, not familiar with the anatomy, do not be mangled. 7, once found critical, can not deal with their own, early transfer to the emergency department to deal with, not delay, cover up, and the earlier the treatment, the smaller the loss, the better the effect, do not hold a fluke, hope that the patient self-solution, after all, life for anyone only once. Acupuncture treatment abnormalities and treatment 1, dizziness needle dizziness is in the process of acupuncture patient fainting phenomenon. It is avoidable and the practitioner should pay attention to prevent it. Causes The patient is weak, nervous, or after fatigue, hunger, sweating, diarrhea, hemorrhage, or improper body position, or the doctor in the acupuncture technique is too heavy, resulting in acupuncture or retention of needles in the process of this syndrome. Symptoms: The patient suddenly appears mentally tired, dizzy, pale, nausea and vomiting, sweating, panic, chills in the extremities, blood pressure drops, pulse is sunken, or is in a coma, falls to the ground, lips and nails are blue and purple, incontinence, and pulse is weak and dying. Treatment Immediately stop acupuncture, remove all needles. Make the patient lie down, pay attention to warmth, the lighter lying on his back for a few moments, after giving warm water or sugar water, can return to normal. In severe cases, on the basis of the above treatment, you can stab Renzhong, Su, Neiguan, Feosanli, moxibustion Baihui, Guangyuan, Qihai and other points to recover. If the person is still unconscious, breathing is weak, and the pulse is weak, other treatments or first aid measures can be considered. Prevention Prevention of acupuncture fainting should be emphasized. If you are receiving acupuncture treatment for the first time or are overly nervous and weak, you should first explain well, eliminate concerns about acupuncture, and choose a comfortable and durable position, preferably in the recumbent position, with fewer points selected and lighter techniques. If hunger, fatigue, great thirst, should be made to eat, rest, drink water before acupuncture, the doctor in the process of acupuncture treatment, to concentrate on the spirit, always pay attention to observe the patient’s complexion, ask the patient’s feelings, once there is discomfort and other aura of dizziness, can take early measures to deal with the problem before it happens. 2, stagnant needles stagnant needles is when the needles in the line or stay after the doctor feel the needle under the astringent stagnant, twisting, lifting and inserting, out of the needle are feeling difficult and the patient is feeling painful, known as stagnant needles. Causes Patient nervousness, when the needle into the acupuncture point, the patient’s local muscles contracted strongly; or improper needle technique, twisting the needle too much in a single direction, so that muscle tissue wrapped around the needle body and stagnant needle. If the needle is left for too long, sometimes also can appear stagnant needle. Phenomenon needle in the body, twisting does not move, lifting and inserting, out of the needle are feeling difficult, if barely twisting, lifting and inserting, the patient pain unbearable. Treatment If the patient is nervous, local muscle over-contraction, can slightly extend the needle retention time, or in the vicinity of the stagnant acupuncture point, to follow the press or with knocking and playing the needle handle, or in the vicinity of another needle, in order to promote the dissemination of qi and blood, and relieve muscle tension. If the needle is not properly performed, or twisted in one direction, the needle can be twisted back in the opposite direction, and the shank scraping, shank bouncing method, so that the winding muscle fibers back to release, you can eliminate the stagnant needles. Prevention For people who are nervous, they should first do a good job of explaining and eliminating unnecessary concerns of the patient. Pay attention to the operation of the needle and avoid one-way twisting, if the rubbing method, should pay attention to the cooperation with the lifting and inserting method, then you can avoid muscle fibers winding the needle body and prevent the occurrence of stagnant needles. 3, bending needle bending needle refers to the needle into the needle or the needle into the acupuncture point, the needle body in the body to form a bend, called bending needle. Causes Doctors into the needle technique is not skilled, too violent, too fast, so that the needle tip touches hard tissue organs or patients in the needle or needle when moving position, or because the needle handle by some external pressure, touch, etc., can cause bending needles. Phenomenon The needle handle changes the direction and angle of the needle or stabbing into the needle, lifting and inserting, twisting and out of the needle are difficult, and the patient feels pain. Treatment After the appearance of bent needles, that is, no longer carry out the insertion, twisting and other techniques. If the needle is slightly bent, the needle should be slowly lifted out. If the bending angle is too large, the needle should be lifted out in the direction of the bending. If the patient moves position caused by, should make the patient slowly restore the original position, local muscle relaxation, and then the needle slowly out, do not forcibly pull out the needle, so as not to break the needle into the body. Prevention The doctor into the needle technique should be skilled, finger force to be uniform, and to avoid the needle into the speed, too violent. Choose the appropriate position, in the process of needle retention, the patient is asked not to change the position at will, pay attention to the protection of the needle site, the needle handle shall not be subject to foreign collision and compression. 4, broken needles Broken needles or broken needles, is the body of the needle broken in the human body. If you can do a good job before the operation of the needle overhaul and give due attention to the operation, it can be avoided. Cause Needle quality is not good, the needle body or the root of the needle has damage peeling. Failure to check before entering the needle. Needle body is fully pierced into the acupuncture point when needling. Strong lifting, twisting and muscle contraction during needling. Retained needles when the patient arbitrarily change position, or bend the needle, stagnant needles failed to timely and correct treatment, etc., can cause broken needles. Phenomenon The needle body is found to be broken when the needle is in motion or after the needle is out, and the broken end of the needle is still partially exposed outside the skin, or the broken end is completely submerged under the skin Treatment The doctor’s attitude must be calm and collected, and the patient is instructed not to change the original body position to prevent the broken needle from falling into the deep muscle. If the stump is partially exposed outside the body, the needle can be lifted out with fingers or forceps. If the broken end is flat with the skin or slightly depressed in the body, the left thumb and index finger can be used to squeeze the needle hole vertically downward to expose the broken needle outside the body, and the right hand holds the forceps to remove the needle. If the broken needle completely deep into the subcutaneous or muscle deep, should be positioned under the X-ray, surgical removal. Prevention In order to prevent fracture of the needle, should be carefully and carefully check the needle, the needle that does not meet the quality requirements, should be picked out not used. Avoid overly violent, overly strong traveling needles. When performing or retaining needles, the patient should be instructed not to change position at will. Needling should not be all the needle body into the acupuncture point, should leave part of the needle body outside the body, in order to facilitate the needle root fracture when taking the needle. In the process of acupuncture, such as the discovery of bending needles, should be immediately out of the needle, do not forcibly stabbed into the needle, line needle. For stagnant needles and so on should also be timely and correct treatment, not forcibly hard pull. 5, hematoma hematoma refers to the subcutaneous bleeding at the site of the needles and pain caused by swelling, called hematoma. Cause The needle tip is bent and hooked, causing damage to the flesh or piercing the blood vessels. Phenomenon After the needle is removed, the needle site is swollen and painful, and the skin appears blue-purple when broken. Treatment If a small amount of subcutaneous bleeding and a small local bruise, generally do not need to deal with, can be self-receding. If the local swelling and pain is more intense, the bruise area is large and affects the function of the activity, you can first make cold compresses to stop the bleeding, and then do hot compresses or gently rub in the local area to promote local blood stasis dissipation and absorption. Prevention Carefully check the needle, familiar with the human anatomical parts, avoid vascular needling, and immediately use sterilized dry cotton balls to rub and compress the needle hole when the needle is released. 6.Pneumothorax Causes Acupuncture points near the chest, back and clavicle are too deep, piercing the thoracic cavity and lung tissue, and gas accumulates in the thoracic cavity and causes pneumothorax. Symptoms Patients suddenly feel chest tightness, chest pain, shortness of breath, palpitations, and in severe cases, dyspnea, cyanosis, cold sweat, irritability, fear, or even a drop in blood pressure and critical phenomena such as shock. On examination, the rib space widens and distends externally, the percussion sounds are drums, the auscultatory pulmonary breath sounds are weakened or disappear, and the trachea may be displaced to the healthy side. x-ray chest X-ray shows the phenomenon of compressed lung tissue. In some cases of mild pneumothorax with needle trauma, symptoms do not appear after the needle is started, but only after a certain period of time do they slowly feel symptoms such as chest tightness, chest pain and dyspnea. Treatment Once the pneumothorax occurs, the needle should be started immediately and the patient should be allowed to take a semi-recumbent rest position, requiring the patient to be calm and not to reverse the position due to fear. Generally, if the amount of air leakage is small, it can be absorbed naturally. The doctor should closely observe and treat symptomatically at any time, such as giving cough suppressant and anti-inflammatory drugs to prevent the lung tissue from expanding the wound due to coughing and aggravating air leakage and infection. For serious cases, timely resuscitation should be organized, such as chest venting, a small amount of slow oxygen infusion, etc. Prevention The doctor should concentrate on the mind when acupuncture, choose the appropriate body position, according to the patient’s body shape fat and thin, grasp the depth of the needle, the implementation of the amplitude of the lifting and inserting technique should not be too large. Thoracic back acupuncture points should be oblique, horizontal stabbing, should not be left for a long time needle. The thoracic spinal cord is the total hub and channel of the central nerve commanding the various body tissues around the body, and its surface is distributed with some important acupoints such as the Governor’s vein and Hua Tuo’s spinal cord, such as Feng Fu, Mute Gate, Dazhi, Feng Chi, and the acupoints between the spinous processes above the first lumbar vertebrae in the midline of the back. If the needling is too deep, or if the direction and angle of needling are improper, they can be injured, resulting in serious consequences. Symptoms If the extended brain is accidentally injured, headache, nausea, vomiting, respiratory distress, shock and mental coma may occur. If the spinal cord is injured, electroshock-like sensation may appear and radiate to the extremities, even causing temporary limb paralysis, which can sometimes be life-threatening. Treatment When the above symptoms appear, the needle should be discharged immediately. In mild cases, it is necessary to rest quietly, and after a period of time, it can recover on its own. In serious cases, timely resuscitation should be carried out in conjunction with relevant departments such as neurosurgery. All acupuncture points of the Governor’s Vessel – above the 12 thoracic vertebrae and the Huatuo Pinch Point – should be carefully mastered in terms of depth, direction and angle of needling. Such as acupuncture Fengfu, dumb door points, the direction of the needle tip should not be upward slanting, not too deep; in the line of acupuncture should only be twisting techniques, avoid lifting inserting techniques, prohibit pounding stabbing techniques.