Manipulation Manipulations and Arrival of Qi acupuncture

Manipulation Manipulations and Arrival of Qi acupuncture
Manipulation here refers to the methods of needling to induce need sensation.
The Arrival of Qi refers to the sensation of soreness, numbness of a distending feeling around the point when the needle is inserted to a certain depth. At the same time, the operate may feel tightness around the needle.
 
 (1)The Fundamental Manipulation Techniques

①Lifting and Thrusting
The so-called lifting and thrusting is conducted by lifting the needle to a superficial layer after the needle is inserted to a desired depth, then thrust the needle to a deep layer, which is repeatedly performed as required. Generally, lifting and thrusting in a large degree and high frequency may induce a strong stimulation, and in a small degree and low frequency lead to a weak stimulation.

 ②Twirling or Rotating http://www.tcmwell.com
After the needle is inserted to a desired depth, twirl and rotate the needle clockwise and counter-clockwise continuously. Generally, the needle is rotated with an amplitude from 180 to 360 Rotating clockwise or counter-clockwise alone may twine the muscle fibers and produce pain and difficulty in further manipulation.
 
 (2)The Supplementary Manipulation Techniques
In the process of acupuncture, no matter what manipulation it is, the arrival of Qi must be achieved. When there is no needling reaction, or the arrival of Qi is not apparent after needle is inserted, manipulations for promoting the Qi should be conducted. In clinic, following six kinds of techniques are commonly applied.
 
 ①Pressing
Slightly press the skin along the course of the meridian, the point of which is punctured without sensation, for encouraging the movement or Qi in the meridian, It is used in patients who suffer Qi stagnation or whose needling sensation is delayed.

 
 ②Flying
Twirl the needle several times, and then suddenly separate the thumb and the index finger from it (the movement of the fingers looks like the birds wing waving) until the needling sensation is strengthened.

 ③Scraping
The thumb (the index finger or the middle finger)of the right hand is placed on the tail end to keep the needle steady, scrape the handle with the nail of the index finger (the middle finger or the thumb) of the right hand upward or downward for strengthening the needing sensation and promoting the dispersion of the sensation. copyright http://www.tcmwell.com

 ④Plucking
Pluck the handle of the needle lightly, causing it to tremble for the enhancement of the stimulation. It is used for the treatment which needs restimulating slightly during retention of the needles.

 ⑤Shaking
Hold the handle of the needle and shake the needle as the movement of a scull. For the purpose of reducing, shaking is combined with lifting at the withdrawl of the needle in perpendicular insertion. For the needles obliquely or transversely inserted, shake the needle by moving the handle left and right, but the needle body inside the point is kept at the same place. It is used to push the needling sensation in certain direction. 
 
 ⑥Trembling
Hold the needle with the fingers of the right hand and apply quick lift-thrust or twirl movement in a small amplitude to cause vibration. It is for promoting the arrival of Qi or strengthening the needling sensation. 
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