Bamboo cupping therapy is one of the traditional rehabilitation medical methods in China-extubation therapy, which is the secret recipe in Sui and Tang medical books. Volume 40 "Drawing with Bamboo Cans" is described in detail. This method has been used for thousands of years and belongs to one of the external treatment methods of traditional Chinese medicine. It is made of 1 ~ 2-year-old thick thin bamboo (Phyllostachys pubescens) nodes, which are specially selected, stripped of their skins (green), and semi-machined to make bamboo cans (bamboo tubes) with different specifications, one end sealed and the other end open. After boiling, the expanded hot gas remains in the tank, and the gas generates negative pressure when it is cooled. Atmospheric pressure makes the mouth of the jar adsorbed on different parts of the human body (acupoints), which has the effects of warming meridians, dispelling cold, promoting blood circulation, dredging collaterals, eliminating pathogenic factors, relieving pain, removing blood stasis and expelling toxins. It is often used to feel joint pain in different parts of limbs caused by wind, cold, dampness, trauma and strain, as well as cold, cough, abdominal pain, vomiting, diarrhea and so on. It can be used because of its small mouth. Combining traditional Chinese medicine in treatment can further improve the curative effect. Song Zhe, Department of Rehabilitation, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine
Operation:
Select a certain number of bamboo pots according to different conditions and different disease locations (after secondary processing, the pot wall should be uniform and suitable, and the pot mouth should be smooth and blunt) 10 or so. Put it in boiling water (before treatment, put the gauze bag with Chinese herbal medicines with the functions of dispelling cold, promoting blood circulation and relieving pain in water to a certain concentration, and then put it in a bamboo pot for decoction, which is better for routine use) 1 minute. When the pot is full of hot air, open the pot cover, take out the bamboo pot upside down with long pliers (the mouth of the pot is downward to remove hot water), and immediately use several layers of towels to upside down the bamboo pot on the other hand, and grasp it with your hands.
"Three" dosage and course of treatment:
Use about 10 cans each time, with different specifications. The time of leaving the jar depends on the degree of the lesion, the patient's physique and the skin tolerance of the affected area. Generally, 10 minutes, once a day or every other day, 10 times is a course of treatment.
Indications:
Furuncle at various stages caused by joint pain, cervical spondylosis, lumbago, scapulohumeral periarthritis, cold and cough, asthma, pneumonia, stomach pain, vomiting, acid swallowing, constipation, exogenous wind, cold and dampness, and traumatic strain. (stagnant toxic gas can be sucked out before suppuration, so that qi and blood can be unblocked and blood stasis can be dissipated, and it can also be used to relieve symptoms when suppuration occurs.)
4 Precautions:
4. 1 Patients with acute infectious diseases (especially acute infectious dermatoses), systemic dermatoses, febrile convulsions, extreme exhaustion, hemorrhagic diseases, active tuberculosis, acute abdomen and severe heart disease. During menstruation and pregnancy, women are forbidden to treat skin allergies, ulcers, edema, burns, frostbite and tumors.
There are large blood vessels under the skin of the treatment department, which are skinny, with large scars, nipples and more hair on the upper part. The subcutaneous muscle fat is obviously less, the skin is thin or dry, and the elasticity is poor. Some elderly people are weak after a long illness, some patients with cardiovascular and cerebrovascular diseases, diabetics, children and poor physical tolerance, and those with a history of "needle dizziness" should use it with caution. For this kind of patients, it is advisable to choose a comfortable and relaxed position (mostly lying position) before operation, and do a good job of explanation. You can appropriately extend the stay time of the jar in the air (the towel always covers the jar mouth strictly) and reduce the stay time of the jar mouth, so as to reduce the stimulation intensity of the jar mouth on the body skin (especially for people who are receiving treatment for the first time), pay attention to observation during the treatment, and lift the jar immediately if there is any abnormality.
4.3 Before extubation, a tank with appropriate position, position and size should be selected. People who receive this treatment for the first time or who are weak should take a prone position.
4.4 Bamboo cans should be standard, the walls should be suitable and uniform, and the mouth should be smooth and blunt.
4.5 Before extubation, clean the residual hot water in the tank.
4.5 Try to shorten the stay time in the air after the bamboo pot is taken out of the pot (towel tightly wraps the mouth of the pot) and before the mouth of the pot absorbs the skin.
4.6 For the first-time operator, in order to ensure that the can does not take off, under the premise of standardized operation, it is advisable to directly press the can mouth on the corresponding acupuncture point, and appropriately rotate the can body from left to right, and then press it for a while before letting go.
4.7 When the can is just fixed, the skin under the can mouth feels warm (warmth is a normal stimulus, and burning is an abnormal stimulus), so don't move your limbs immediately (otherwise the can will easily fall off), and there will be temporary pain when lifting the can. It is common that the skin under the jar mouth is bruised, congested or has no obvious change, and there are water droplets and even bubbles, which are cold to the touch.
Mechanism and therapeutic effect of negative pressure produced by bamboo pot
5. 1 After the bamboo pot is boiled, it is taken out immediately by controlling the water edge (quickly throwing off the residual hot water), and only the hot air (steam and expanding hot air) mixed in the tube is immediately pressed on the skin of the corresponding part of the body, so that the skin at the mouth of the pot is heated by subcutaneous blood vessels, the circulation is accelerated, and the absorbed heat energy is quickly taken away by blood and lymph, and the tissue becomes soft, so that the gas at the mouth of the pot is cooled down and at atmospheric pressure.
5.2 With the extension of the exposure time of the tank in the air, the heat in the tank radiates from the tank wall, and the negative pressure of complete cooling gradually increases, thus reaching the maximum strength (manifested by the gradual increase of skin tightness at the tank mouth), and the tank gives full play to its therapeutic effect.
5.3 The water vapor in the tank also turns into liquid with the decrease of temperature (there are water drops under the tank mouth when the tank is just lifted), which also participates in the formation of negative pressure in the tank.
5.4 When the maximum negative pressure is formed in the tank (about 5 minutes after extubation), the stimulation to the body is the most obvious and the effect is the strongest. On this basis, the tank can be kept for about 5 minutes to achieve the best curative effect.
5.6 Modern medicine believes that cupping has mechanical and warm stimulation to human body. The former, the mechanical suction generated by the tank under negative pressure, first makes the local capillaries hyperemia and rupture, and the red blood cells ooze and disintegrate-subcutaneous congestion, which can produce a histamine-like substance after hemolysis of the body itself and act on different tissues and organs of the whole body with the peripheral flow of body fluids. In addition, attraction stimulates local skin receptors, regulates the excitation and inhibition process of cerebral cortex through reflection, and makes the abnormal state tend to balance. The latter accelerates local blood circulation, increases capillary permeability, accelerates metabolism, improves the nutritional status of local tissues, and enhances phagocytosis and immune function of white blood cells. Both of them work together to make the disease tend to be cured.
How to avoid cupping without burning and scalding?
(Canju standard, standardized operation, cupping in time during treatment and correct positioning are the prerequisites to avoid burns. )
6. 1 tank wall thickness, which absorbs more heat (high temperature). When the jar mouth is in contact with the skin, the human body can't emit heat exceeding the threshold of human body temperature in time, resulting in burning sensation and scalded skin lesions under the jar mouth.
6.2 During operation, the residual hot water is not kept clean, causing it to flow down the tank wall, and the above injuries will also occur after the tank mouth contacts the skin, all of which are non-therapeutic burns (blisters) and must be avoided. .
6.3 The tolerance of skin to negative pressure varies from person to person, and the time of cupping treatment is about 10 minute. Under normal circumstances, if you leave the can (if the skin has transient burning pain before leaving the can, you should take off the can in advance within the treatment time), and the time is too long (more than 2 times of the treatment time), blisters will appear on the protruding skin when lifting the can, which belongs to treatment failure blisters. It should also be avoided.
6.4 Blisters appear during treatment, which is considered by Chinese medicine to be the manifestation of pathogenic factors (mainly stasis and dampness) going out in the body (in this regard, Chinese medicine sometimes uses a small amount of Chinese herbal medicines with strong medicinal properties to stimulate skin mucosa and stick them on different acupoints to stimulate skin to blister and then burst them to induce pathogenic factors to go out, and the principle of the two is the same). For larger blisters, they should be punctured in time to induce pathogens to go out (pay attention to disinfection, and after the blisters are deflated, protect the integrity of the blisters and tear them off. You can spray Yunnan Baiyao, Yixiaosan, Purple Liquid Medicine, etc. For smaller blisters, no special treatment is needed to let them fade naturally. Both of them should pay attention to prevent infection.
6.5 Choose a good posture before treatment, and try to keep the altar mouth vertical or > 30. At the beginning of cupping, there was more hot air in the jar. When the angle between the altar mouth and the skin is less than 30 (especially when the altar mouth is lower than the horizontal position or even upward), the density of hot air near the altar mouth will not decrease in time. The subcutaneous blood and lymph at the mouth of the cylinder can't emit too much heat in time, which leads to burns on the skin at the mouth of the cylinder at the initial stage of leaving the cylinder. You should take the jar out for observation, pull it again or change it to something else. If the burning pain level is not very high and disappears soon, there is no need to take out the jar immediately. Take the jar to another place or take it out a few minutes earlier, when the jar has been completely pulled out. If the jar mouth is upward or the burning sensation is strong, the jar should be taken out immediately and the dose should be adjusted.
6.6 Strictly control the indications. For those who are cautious, be sure to observe at any time and master the dose.
7. Understand the skin color (can spot) in the mouth when lifting cans.
Traditional Chinese medicine believes that the pathological changes in the human body can be reflected on the body surface through meridians → collaterals → tendons → skin, and the color of the endothelium at the altar mouth reflects the types and degrees of pathological changes in the body, which is one of the manifestations of pathogenic factors going out in the body. Exogenous pathogens are mostly mixed with wind, cold and dampness, which reflect different primary and secondary diseases in specific patients and have different forms of going out.
7. 1 When wind-cold pathogen is dominant in the body, frequently-occurring diseases are acute, and the pain in the affected part is severe (blood stasis in meridians is obvious), the skin color (pot spot) at the mouth of the jar is mostly purple-black, purple-red, and the skin is dark purple with purple stripes when lifting the jar, which is generally considered as a sign of physical illness. The stimulation intensity of extubation is too high and the time is too long, especially when cupping.
7.2 When dampness is dominant, there will be local edema and water accumulation, and the body will be manifested as dampness. In the normal treatment time, "pot spot" often appears blisters of different sizes, which is one of the manifestations of dampness and evil going out.
7.3 When the course of disease is long and pain is not the main factor, the pot spot is not obvious, but clinical observation proves that the curative effect after extubation is positive, and the contrary is not only caused by purple pot spot.
7.4 In addition, even purple pot spots are common to people who are exposed to this therapy for the first time, or who have not received extubation treatment for a long time, and those who have applied this therapy several times before. The color of pot spots will not remain unchanged after continuous treatment, so the color of pot spots cannot be used as the only criterion to judge whether they are sick or not.
7.5 According to modern medicine, because each person's physique is different, the fragility of capillaries is different. Under the same external force, the former should rupture and bleed, and obvious pot spots appear, while the opposite is not obvious. However, the mechanical and warm stimulation generated by cupping has the same therapeutic effect through nerve and body fluid radiation.
8. Understanding of oral skin pain during cupping.
8. 1 After being left in the cylinder, the negative pressure in the cylinder gradually increases, and when the maximum negative pressure is formed, the fiber receptors of the pain nerve endings in the skin under the irrigation mouth are most obviously pulled, showing the contraction pain of the skin around the irrigation mouth from weak to strong (thin body, less subcutaneous muscle fat, especially in the bony process). ,
After a period of time (about 5 minutes), the brain center of the body gradually adapts to the above stimulation, and the pain gradually decreases or disappears.
8.2 When the jar is lifted, the negative pressure in the jar suddenly returns to normal, and the pulling force on the skin at the edge of the mouth suddenly disappears, which is equivalent to the stretched pain nerve endings, which is obviously stimulated again, and other tissues in the skin suddenly restore pressure, thus showing obvious transient pain in the skin.
9 how to move cans with bamboo cans
According to the characteristics that the negative pressure of cupping in bamboo pots (water tanks) is gradually formed from small to large, under the premise that the mouth of the pot is in close contact with the skin (under the action of negative pressure), the pot body is moved back and forth along the up and down, left and right, straight line or arc, along the same meridian or across meridians (mostly with the help of lubricants), and finally the pot is left at different acupoints, so as to achieve the purpose of dynamically treating (stimulating) multiple acupoints with one pot at a time, so that the body is out of balance due to illness on the basis of the original curative effect.