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Manipulations of Filiform Needles

Insertion of Needles

 
 
Inserting a needle aided by the pressure of the finger of the pressing hand: Press beside the point with the nail of the thumb, or the index finger of the left hand.  Hold the needle with the right hand and insert a needle into the point against the nail of the finger of the left hand.  It is suitable for puncturing with short needles.

Manipulation of Needles

Basic manipulations:

① 

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 Lifting and thrusting : Lift and thrust the needle when it gets to a certain depth.
② 

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 Twirling : Twirl the handle of the needle with the thumb, index and middle fingers of the right hand when it gets to a certain depth.

Supplementary manipulations

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Massage along a meridian :  It is a procedure to improve the effect of needling by pressing with fingers gently along the traveling course of the related part after needle insertion.

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 Scraping the handle of the needle: After inserting a needle into a point to a certain depth, when the needle is retained, stablige it by placing the thumb of the right hand gently on the top of it, then  scrap the handle of the needle with the nail of the index finger or middle finger upward from the bottom.
 

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Flicking the needle: It is an acupuncture technique by flicking the handle of the inserted needle with a fingertip to induce mild vibration of the needle to move meridian qi.

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Twisting the needle: It is a procedure to improve the effect of needling by twisting the inserted needle towards one direction with the thumb, index and middle fingers of the right hand.  It should be applied together with the lifting and thrusting technique, otherwise the needle body will easily get tangled with the muscular fibers.

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Shaking the needle: After a needle gets to a certain depth, shake the needle as if rowing with a scull.

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Vibrating the needle: When a needle gets to a certain depth, hold the needle with the right hand and do the quick lifting-thrusting movement with small amplitude and high frequency, so as to cause mild vibration of the needle.
Inserting a needle with the help of the puncturing and pressing hands: Grip the lower portion of the needle shaft with sterilized dry cotton balls held by the thumb and index finger of the left hand, and keep the needle tip on the skin surface of the point.  Hold the handle of the needle with the right hand, and insert the needle into the point with both hands.  It is suitable for puncturing with long needles

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Inserting a needle with the fingers stretching the skin: Stretch the skin where the point is located with the thumb and index finger of the left hand, hold the needle with the right hand, and insert it into the area between the two fingers.  It is suitable for puncturing points located on the regions where the skin is loose.

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Inserting a needle by pinching the skin: Pinch up the skin around the point with the thumb and index finger of the left hand.  Hold the needle with the right hand and insert it into the skin sidewise with the right hand.  It is mainly used for puncturing the points where the muscles are thin.


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