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NCCAOM EXAM STUDY GUIDE
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NCCAOM EXAM STUDY GUIDE
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NCCAOM EXAM STUDY GUIDEContraindications/Risks for Guasha
Extremely deficient patient or injury has bruises or abrasions
Contraindications/Risks Moxibustion
Excess syndrome and heat syndrome (including high fever caused by common cold or
heat d/t yin deficiency)
Scarring moxa: NOT to face, head & large blood vessels
Pregnant women: abdominal region & lumbro-sacral region
Contraindications/Risks Tui Na
Hemorrhagic disorders, acute infections, cancer/tumors (Massaging cancerous area
might spread cancerous cells), DVT (deep vein thrombosis red flag - over 60, smoker,
overweight, sits a lot - symptoms leg pain, leg fatigue, warm skin, visible leg veins, skin
discoloration, leg edema. Massage might loosen clot trigerring HT attack/stroke),
Warfarin d/t easy bruising, chemo/radiation therapy area, hypertension (ask doctor),
varicose veins, wounds, recent scars, contagious diseases (chicken pox, measles, flu,
shingles), osteoporosis, spine injuries, bone diseases that might lead to bone fracture.
Caution with patients with osteoporosis, medicated, serious mental diseases (manic
depression, schizophrenia). Not contraindicated: HIV patients (except later stages of
AIDS who can have infectious such as herpes zoster, skin infections). Only light,
relaxing massages for HBP patients (get permission from doctor if BP is not controlled)
Tuina is contraindicated in 1 st trimester pregnancy or IVF in vitro fertilization to avoid
miscarriage (especially with history of miscarriages). Avoid massaging abdomen of
pregnant women. Some say not contraindicated in pregnancy after 5th month on
abdomen & lower back
Contraindications/Risks Scalp
Contraindications/Risks Auricular
Contraindications/Risks Cupping
skin ulcer, edema, large blood vessels, high fever/convulsion, abdominal area & sacral
regions of pregnant women; if the patient is susceptible to spontaneous bleeding or
endless bleeding after trauma
Contraindications/Risks Estem
- contraindicated for patients with history of heart diseases.
- don't cross heart with electrical path.
-don't use silver needles.
,Contraindications/Risks Acupuncture
Contraindications/Risks Dermal/Plum blossom
- Nervous Pts, sweating pts, tired or hungry
- Area of traumatic injury, infection, ulceration, wounds, scars
-Acute infectious dx, dysfunction of blood coagulation, acute ab disorders
Plum blossom "Tapping" technique
Swab/Sterilize area to be treated
Wear Gloves
Tap skin surface vertically with flexible movement of wrist. Head of instrument should
strike @ right angle to surface vs obliquely. Distribute force equally among needles and
prevent single needle from puncturing skin
Contraindications for Intradermal Needles
Skin dx, purpura or scarring, large blood vessels on body surface, pregnant women or
those with metal allergies
Areas of Body for Interdermal Needles
thumbtack type: ear region; grain-like type: various parts
Indications for Interdermal Needles
Chronic, stubborn or painful dx which need legnthy needle retention time.
- ST Ache
- bilious colic (gallstones stuck in bile duct)
- neurasthenia (Fatigue sx)
- hypertension, ect
Indications for Scalp
Indications for Cupping
- Bi syndrome d/t wind-damp;
- GI disorders;
- Lung disease: cough/asthma;
- cupping with bloodletting for acute sprains w/ blood stasis
Indications for Gua Sha
Indications for Auricular
Indications for Moxa
asthma
arthritis
vomiting
, diarrhea
rheumatic pain
abdominal pain
Guaha and Cupping can be used for what skin condition?
cellulite
What frequency on patients that has had an epileptic episode for Estem?
moderate intensity at low frequency
The e-stim safe areas of needle placement are?
Estem most likely adverse events
broken needle, excess bruising, or heavy sensation.
Moxa with pepper should be used for
Arthritic Pain
Local Numbness and Stiffness
*White Pepper Powder mixed with flour and spread about .1" thick. Sl. hollow may be
left in center with powdered herbs (cinnamon, clove)
Moxa with Aconite/Fu Zi/Monkshood should be used for:
Def and Persist Yin Cold Sx like: impotence, premature ejac caused by Ming Men Fire
decline
Def Yang Conditions and Collapse
Skin Ulcerations that resist healing
Yin Abscesses and Carbuncles where pus will not disappear
Moxa with Salt is for
-Vomiting and diarrhea/dysentery
-Yang Collapse
- Counterflow or Rebel Qi
-XS Sweating and Cold Limbs and Undetectable Pulse: Lg. Cones may be used until
sweating stops/pulse restored/limbs warm
-Abandoned Stroke
-Pain around umbilicus, caused by hernia
*Salt Moxa is ONLY used @RN8 on umbilicus
** Place Ginger on top of salt. When removing cone be sure to remove Ginger, as
ginger can retain heat and cause burn
Moxa with Ginger
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