ACUPUNCTURE IN SMALL ANIMAL PRACTICE

Part 5
Philip A.M. Rogers MRCVS
e-mail : progers@grange.teagasc.ie
Updated 1991, 1993, 1996
Postgraduate Course in Veterinary AP, Dublin, 1996

QUESTIONS

Channel codes used in these questions are: LU, LI, ST, SP, HT, SI, BL, KI, PC, TH, GB, LV, CV, GV.

 

1. One of the following statements is not correct. Indicate the incorrect statement:

(a) The Chinese described hundreds of AP points with diagnostic and therapeutic properties in humans at least 2000 years ago.

(b) The AP points occur on the head, neck, trunk and limbs.

(c) The classical Channel points have connections with each other and with specific internal organs and functions via the Channel network.

(d) There are 12 bilaterally symmetrical pairs of main Channels and 2 central Channels (dorsal and ventral)

(e) The main AP points are located deep in the body, on the deep (internal) path of the Channels.

 

2. One of the following statements is not correct. Indicate the incorrect statement:

(a) Each of the main symmetrical Channels connects with one "upstream" and one "downstream" in the daily energy (Qi) circuit.

(b) Each of the main symmetrical Channels controls both superficial and deep functions.

(c) Traditionally, the energy (Qi) in three Channels flows from thorax to fingers (LU, PC, HT); in three from fingers to face (LI, TH, SI); in three from face to foot (ST, BL, GB) and in three from foot to chest (SP, KI, LV).

(d) Energy circulation follows a 24-hour rhythm, peaking in LU about mid-day.

(e) In disease, certain points along the Channel become sensitive to palpation, heat and electric current. Stimuli applied to the sensitive points can normalise the energy flow, helping the adaptive responses to restore balance.

 

3. One of the following statements is not correct. Indicate the incorrect statement:

(a) The BL Channel begins at the inner canthus of the eye and ends at 5th toe.

(b) BL67 can influence the eye and BL01 can influence the 5th toe.

(c) All BL points can influence ST function.

(d) BL13,14,15 (region T3, T4, T5) influence the lungs, pericardium and heart.

(e) CV03,12,17 influence the bladder, stomach and heart respectively.

 

4. One of the following statements is not correct. Indicate the incorrect statement:

(a) The Conception Vessel (CV) is in the dorsal midline and the Governing Vessel (GV) is in the ventral midline

(b) The CV and GV Channels are said to be reservoirs of Qi and contain many important AP points.

(c) AP has DIAGNOSTIC aspects as well as therapeutic aspects. The organs influence the points.

(d) Diagnostic reflex points include the paravertebral (Shu) and the abdominal/thoracic (Mu) points.

(e) In appendicitis (large intestine, LI), ST25 (Mu, McBurney's point) and BL25 (Shu, paravertebral point between L4-L5) may be tender.

 

5. One of the following statements is not correct. Indicate the incorrect statement:

(a) AP points have a two-way relationship with the organs. Organ pathology alters point sensitivity (diagnostic) and stimulation of the sensitive point has therapeutic effects on the affected organ.

(b) When the organ or its function becomes normal, disturbed AP point sensitivity returns to baseline.

(c) Some AP effects can be explained by supraspinal reflexes.

(d) Many useful AP points lie outside of the classical Channels.

(e) Trigger Points (TPs) have no diagnostic value in AP.

 

6. One of the following statements is not correct. Indicate the incorrect statement:

(a) TPs are seen in pain syndromes, especially in myofascial syndromes.

(b) TPs have no fixed location but may appear in the musculature, where they may be palpated as "nodules" or areas of localised spasm.

(c) Heavy pressure on (or needling of) the TP causes severe pain but only in the local area around the TP.

(d) Scar tissue frequently triggers muscle- or organ- pain or dysfunction elsewhere.

(e) TPs occasionally arise near the Golgi apparatus of tendons and at motor points (where the motor nerve enters the muscle).

 

7. One of the following statements is not correct. Indicate the incorrect statement:

(a) In clinical human cases which present no TPs, beginners who use TP therapy only can get good results by needling the area of subjective pain.

(b) The quickest and easiest way to convince sceptics of the benefits of AP therapy is to persuade them to experiment with TP therapy. It can give 55-65% success in suitable cases.

(c) TP therapy needs no knowledge of AP points or of the detailed laws of AP.

(d) The classic text on TP therapy is by Travell & Simons.

(e) Janssens, Belgium (1984) documented TP locations in dogs.

 

8. One of the following statements is not correct. Indicate the incorrect statement:

(a) In emergencies (severe shock, apnoea, coma) the following points are useful: GV26, KI01, Tip of Tail, terminal points on digits.

(b) GV26 has a marked sympathicomimetic effect and it improves cerebral circulation.

(c) In emergencies with coincidental cardiac arrest, points with cardiac effects should be added (PC06, BL15, CV14 etc). If these are added, needling for 5-15 seconds gives excellent results.

(d) PC06 is the most often used point for cardiac conditions.

(e) AP is excellent in treating myofascial pain; pain and stiffness in arthropathy; hip dysplasia; spinal pain (root "disc" syndromes); acute traumatic pain; pain from smooth muscle spasm (various types of colic and bronchospasm etc).

 

9. In examining dogs for TPs, one of the following statements is not correct. Indicate the incorrect statement:

(a) Muscle pain in the left neck is often associated with some tenderness in the right lumbosacral area and vice-versa.

(b) Normal dogs show no aversive reaction to manipulation of the neck or limb muscles.

(c) The paravertebral area is checked by running the thumbs down along the muscles on 2 or 3 lines (1, 2 and 3" from the mid-line), applying firm pressure, first left, then right, from the first thoracic to the base of the tail.

(d) Nervous dogs may give occasional "false positive" reactions to finger pressure but a recheck differentiates the true from the false reaction.

(e) Palpation of the true TP usually elicits a strong yelp but the dog rarely attempts to bite the examiner.

 

10. Only one of the following statements is CORRECT. Indicate the CORRECT statement:

(a) In hip dysplasia, gold bead implants around the acetabulum give less than 30% clinical success.

(b) In disc disease and arthrosis of large joints, AP gives less than 30% clinical success.

(c) Successful AP therapy is often seen in spite of positive X-ray lesions.

(d) AP treatment of vertebral arthrosis is different to that in disc disease.

(e) Neurological examination is not important before AP treatment of spinal disc syndromes.

Answers