TCM Health Care Training Materials (VI)

Cupping Section 1: Basic knowledge of cupping 1. Overview of cupping Using the jar as a tool, the use of combustion, suction, steam and other methods to cause negative pressure in the jar, so that the jar adsorbed in acupuncture points or certain parts of the body surface to produce benign stimulation, to adjust body function, disease prevention purposes. The efficacy of cupping is commonly used in health care, can activate blood and Qi, dredge meridians, eliminate fatigue, restore physical strength and beauty, because it is painless (or minimally painful) non-invasive, safe to use, easy to promote the application of its wide range of applications. 3. Contraindications to cupping: fasting, extreme fatigue, pregnancy, intoxication, high fever, acute infectious diseases, serious skin diseases, skin damage, or other suspicious illnesses of unknown diagnosis. 4. Cupping positions Commonly used positions include supine, lateral, prone, supine sitting, prone sitting. 5. Precautions for cupping (1) Choose a good position and instruct the cupping subject to be comfortable, locally stretchable and relaxed, do not move the position to prevent the jar from falling off. (2) The number of cupping should be small and the duration of cupping should be short for the elderly, children, the physically weak and first-time cupping recipients. Pregnant women and infants should use cupping with caution. (3) Do not pull or rotate the cupping device, otherwise it will cause pain and even damage the skin. (4) The cupping technique should be skilled, light, fast, steady and accurate. In order to avoid burns on the skin of the cupping object. (5) the number of cupping, the distance between the cans should not be too close to avoid pulling the skin to produce pain, or due to mutual extrusion and fall off. (6) cupping must pay attention to the warmth of the room, the customer should avoid the wind to prevent cold. Section II cupping equipment and auxiliary supplies 1, equipment (1) bamboo cans Bamboo cans are usually 3-5cm in diameter, 6-10cm long, 2-3mm thick bamboo tube. Its advantages are easy to take, easy to make, lightweight and inexpensive, not easy to break, the disadvantage is that it is easy to dry crack, air leakage, not much suction force. (2) pottery jars pottery jars made of clay firing, shaped like a drum. Features are suction power, but heavier, and easy to break on the ground. (3) glass jars glass jars made of heat-resistant quality hard transparent glass, mostly spherical. The advantage is that the texture is transparent, when using the jar you can see the skin stasis, bleeding and other conditions, easy to grasp the degree of cupping. Disadvantage is also easy to break. (4) pumping jar Currently the most commonly used is a transparent plastic jar with a piston mouth. The advantage of pumping cans is that you can avoid burns, and the method of operation is easy to grasp. Disadvantage is that there is no fire cans of warm stimulation. 2, auxiliary supplies In addition to the canister, you also need to prepare the fuel, choose more alcohol or high white wine. Also need to prepare sterilization supplies, ignition tools (such as tweezers, etc.), fire sources (lighters, matches, etc.), lubricating fluid. When using bamboo cans, prepare a pot for boiling the bamboo cans, etc. Section 3: Suction and cupping methods and basic techniques 1, suction and cupping method 1.1 Fire cupping method Fire cupping method is to use combustion to consume some of the oxygen in the jar, and the heat of the flame to expand the gas in the jar and exclude some of the air in the jar, so that the negative pressure in the jar, so that the jar will be sucked on the skin of the application site. The size of the suction force of the fire can method is related to the size and depth of the canister, the temperature of the fire and the way the canister is burned, the timing and speed of the canister and the amount of air re-entering the canister when the canister is buckled. If the can is deep and large, the can is hot when the fire is high, and the can is fast, the air enters the can again when the can is fast, the suction force of the can is large, and vice versa is small. 1.2 Suction method When using the suction method, first fasten the suction can to the cupping area and use the suction device to extract some of the air from the can to make it suction and cupping on the skin. Commonly used are syringe suction cans, pressure suction cans, rubber balloon suction cans and electric suction cans, etc. This method is suitable for cupping any part of the body. 2, basic techniques 2.1 single can method for small areas or pressure points, according to the size of the pressure pain range, choose the appropriate caliber of fire can. 2.2 Row cupping method (also called multiple cupping method) Row cupping method refers to sucking and cupping several cans in rows along a meridian or a muscle bundle in order of body position. 2.3 Retention method The retention method is to leave the cans on the skin for a certain period of time, so that the local skin is flushed, or even purple-black subcutaneous blood stasis before removing the cans. Retention time is generally 5 to 15 minutes, the jar of large suction force should be appropriate to reduce the retention time, summer and thin skin, the retention time should not be too long to avoid scarring damage to the skin. 2.4 Walking jar method Walking jar method is also known as the push jar method, first applied to the jar site lubricant (commonly used Vaseline, liquid paraffin or emollient cream, etc., can also be used warm water or liquid medicine), but also the jar mouth coated with grease. Suction cupping with the jar, then hold the jar with one hand, slightly force the jar along a certain route repeatedly push and pull, to go to the jar site skin purple red as degree. Push the can with even force to prevent the fire can from leaking off. Generally used for larger areas, thick muscle parts, such as the waist back, thighs and other places. 2.5 Flash can method Flash can method is to use the flash fire method to suck cupping cans in the cupping area, immediately remove, then suck cupping, then Ran take off, repeatedly suck cupping to local skin flushing, or the bottom of the can is hot. The action should be rapid and accurate, and if necessary, the cans can be left in place after flashing. It is suitable for customers whose muscles are loose, whose suction and cupping are not tight or who have difficulty in keeping the jar, and whose local skin is numb or decreasing in function. Section 4: Cupping procedure (1) Preparation: determine whether the cupping target is suitable for cupping; check whether there are any contraindications, check whether the cupping site is correct; check whether the apparatus is complete; check whether the mouth of the jar is smooth and whether there are any broken corners; explain the cupping process to the cupping target to relieve his fear. (2) Select the body position: select the correct body position according to the selected cupping site. (3) Selection of cans: Select the appropriate size of cans according to the size of the selected cupping area, the strength of the customer and the changes in physical condition. (4) Scrubbing and disinfection: on the selected cupping site, first wash the cupping site with a towel dipped in boiling water and dry it with dry gauze. To prevent burns, generally do not use alcohol disinfection. (5) Start cupping: The selected cupping site is revealed and the operator holds the can according to different methods of buckling. During the cupping process, it is important to master the size of the suction and extraction force. The amount of alcohol is directly proportional to the size of the suction and extraction force. The speed of cupping is directly proportional to the suction force. (6) Ask: After cupping, often ask the cupping object how it feels. If the canister suction force is too large to produce pain, a small amount of breath should be put in; if the cupping object feels weak from suction, get up and cupping again. (7) Retention time: large jars can be cupped for 5-10 minutes each time, and small jars can be cupped for 10-15 minutes each time. In addition, the cupping time should be flexible according to the age, physical condition and cupping area of the cupping subject. (8) Start cupping: press the jar with the left hand, tilt it to the left, and press the right thumb or index finger from the side of the jar opening to allow the gas to enter the jar. That is, the can can be removed. If the jar adsorption is too strong, do not pull hard to avoid bruising the skin. (9) Post-cupping treatment: After cupping is completed, the cupping object should be allowed to rest for 10-20 minutes before leaving. Section V. Cupping common parts and methods 1, dredging meridians method: (1) parts and points: chest, abdomen, waist and back of the Ren and Duoyu, back points and Hua Tuo pinch points. (2) method of operation: using the jar method, first apply lubricant to the jar area, repeatedly push and pull along the meridian route, to go to the jar area skin purple red as degree. Push the can with even force to prevent the can from leaking off. (3) Note: The Ren Vessel is the sea of Yin Vessels, and the Governor Vessel is the sea of Yang Vessels. In the Ren and Du can penetrate the Yin and Yang meridians of the whole body, so as to unblock the meridians, balance the Yin and Yang, and prevent and cure diseases in all the organs of the body. The dorsal point and the Hua Tuo Chiropractic point run through the entire neck, back and waist, where the meridians of the five viscera and six internal organs flow. Using the jar method at these two acupoints can unblock the meridian qi of the five viscera and six internal organs, adjust the coordination of qi and blood meridians throughout the body, and enhance the body’s ability to resist disease. Now the back point and Hua Tuo point jar has become the most common method of health care. (1) Site and points: abdomen Guan Yuan and Qi Hai points, waist Life Gate and Kidney Yu points. (2) method of operation: use the retention jar method. Leave the jar for about 10 minutes, so that the local skin flushing, or even subcutaneous blood stasis is purple-black before removing the jar. (3) Note: Guan Yuan and Qi Hai points are both important points of the Ren line, Qi Hai is the sea of vital energy, Guan Yuan is the Ren line and the foot three Yin meridian meeting point, two points since ancient times is the key point of health care and body. The vital gate, as the name implies, is the “gateway to life” and is the place where true qi enters and exits, while the kidney is the key point of the kidney. Regular plucking of these four points can cultivate vital energy, benefit the kidney and strengthen the essence, which can strengthen the body and prolong life. Thinking questions 1, please name a few commonly used cupping equipment? 2.What are the precautions for cupping? 3.What is the procedure of cupping?