Bloodletting therapy is a method to treat diseases by pricking the superficial vein of acupoints with a triangular needle, a thick needle or a small sharp knife, releasing a small amount of blood, and making the internal heat toxin leak out. It has the effects of relieving swelling and pain, expelling pathogenic wind, relieving itching, inducing resuscitation, clearing away heat, stopping vomiting and diarrhea, and dredging meridians.

1. Prepare triangular needle (or coarse needle or small sharp knife), 75% alcohol, cotton swab, gauze, adhesive tape and bending plate.

2, the operation method

(1) Punching: (also called rapid acupuncture) Medical Education Network www.med66.com

① Select the blood collaterals of acupuncture points and use alcohol for routine disinfection locally.

(2) After the operation, hold the needle in your right hand, fix the part to be pricked with your left hand, aim the needle tip at the selected blood collateral, and quickly pierce it for about 0. 1 ~ 0.3 cm, then take out the needle immediately.

③ Gently squeeze the skin around the acupoints with your fingers, squeeze out a small amount of blood, wipe it with a dry cotton swab, then squeeze 1 ~ 2 times, and then press it with a dry cotton swab to stop bleeding after releasing a proper amount of blood.

(2) Puncture: (This method is mostly used for bleeding behind the chest, back and ears)

① Select a suitable part, gently knead and squeeze the part to make it full of tiny veins.

② Routine skin disinfection.

(3) Puncture (or cut) tiny veins with a triangular needle or a small sharp knife of Xiao Shu to squeeze out a small amount of blood.

(4) Wipe off the blood drops with a dry cotton ball, then knead and squeeze out a small amount of blood, and use the dry cotton ball to stop bleeding.

(3) Slow needling: it is mostly used for bloodletting in superficial veins of elbow and popliteal fossa.

(1) Select the site, squeeze it from top to bottom by hand above the bleeding site, or tie a tourniquet to fill the vein.

② Routine disinfection of skin.

③ Pierce the superficial vein about 0.3cm with sterilized triangular needle or thick filiform needle, and then slowly pull out the needle. Www.med66.com Medical Education Network

(4) Wipe off the released blood with a dry cotton ball, loosen the tourniquet, and then press the cotton ball to stop bleeding.

(4) Peripuncture: (also known as scattered puncture) used for pricking and bleeding around skin diseases and other diseases.

① Routine disinfection of puncture site.

② Puncture bleeding with sterile triangular needle along the focus in turn.

③ Sterilize and puncture the skin with alcohol cotton ball again, and cover it with sterile dressing if necessary.

Step 3: Care

(1) Explain to patients to avoid nervousness. This method is not suitable for pregnant women and people with poor coagulation mechanism.

(2) Pay attention to the disinfection of instruments and skin to prevent infection.

(3) the technique should be steady, accurate and light, not too fierce and bleeding should not be too much.

(4) In case of needle syncope, immediately help the patient to lie on his back, drink hot water, and pay attention to observe his complexion, pulse condition and blood pressure. If the symptoms are serious, please consult a doctor.

4. Application in nursing.

(1) high fever and cooling: Dazhui and Xuan Shi points pricking blood medical education network www.med66.com

(2) Sore throat: pricking Shaoshang point for bloodletting.

(3) Headache: tingling and bleeding in the temple.

(4) Heatstroke: bloodletting at Xuan Shi point.

(5) Itching all over the body: tingling and bleeding in the posterior ear vein.

(6) Neurodermatitis, erysipelas, carbuncle and furuncle spread blood around the focus and corresponding parts.

(7) Acute gastroenteritis: slowly acupuncture Qu Ze and Weizhong points and bloodletting.