Fainting reaction
Fainting is the most common type of adverse reaction acupuncture . ” Fainting ” word Hayami ” Lily Fu “: ” his or fainting , God also …… qi .” However, the symptoms appear after fainting causes and fainting , describing handling, the first seen in seventeen hundred years ago, ” Acupuncture and B by .” Such as ” Acupuncture and B by blood contact • CHAPTER 14 odd evil ,” says: ” Bloodletting network and the servant who , why …… said: ? , Pulse and blood deficiency and fit , then stabbed the degassing , degassing the servant ; …… . ” Clear that the ” fainting ” phenomenon occurs due to deficiency of it . In dealing with the halo of the needle, ” Acupuncture and B by collaterals • twelve meridians do not support the first chapter,” pointed out: ” …… its small and shorter , less gas , diarrhea worse is stuffy , boring and even the servant can not words , it is urgent to sit bored of it. ”
In general , fainting , mostly mild , but there are also severe symptoms . In particular, some patients with delayed fainting , should attract attention. Another Halo cans, halo moxibustion , halo on Bloodletting , ear and dizzy at point injection , in addition to different therapeutic apparatus to be used outside , its clinical manifestations, prevention and treatment of the law is substantially similar to fainting , so do not go into details . In addition, the clinic also found fainting a disease mostly occurs in young adults, more common in women than in men fainting . May react with sensitive acupuncture stimulation intensity corresponding enhancement.
Fainting on the mechanism , it has been to be confused with shock. In fact , fainting is a vascular inhibitory syncope ( also known as vascular decompression syncope ) , within the scope of reflex syncope . It is due to the strong thorn moxibustion stimulation by vagal reflex , causing vascular bed ( especially around the muscles ) expansion, reduce peripheral vascular resistance , thy blood less , thus reducing cardiac output , blood pressure, leading to a temporary , breadth of cerebral blood flow reduction , and hair as syncope.
After fainting should belong to the adverse reactions , it is worth noting that it was mentioned in many articles fainting ( or halo cans ) , patients can often original symptoms disappear , some have focused fainting observed 31 cases of patients and found that 10 cases, the efficacy is rapidly increasing, it may help to think of fainting symptoms , especially pain relief disease. We believe that the relationship between the needle and the halo effect of exactly how remains to be more practical to confirm that the mechanism is also worthy of further exploration , but what is a halo pin to patients suffering adverse reactions in clinical studies should focus on prevention .
[ Reason ] injury
About the causes of fainting , “Standard secluded Fu” who says: ” cowardly fear hollow upright side and multi- halo .” The common person are the following .
First, the constitution is one of the main reasons for the incentives. Is a common clinical physical weakness , hunger , fatigue, are prone to fainting . In addition, the “via” set: ” No thorn drunk ,” ” Do not stab already drunk ,” drink acupuncture cause fainting have been reported , such as a 53 -year-old male patient with left shoulder pain 3 more than a month prior to treatment with acupuncture . After initial treatment, symptoms gradually ease. Noon when the patient referral that drinking too much , that is to persuade them to temporarily break the needle . But patients adhere to , but unfortunately subjected to acupuncture . Shortly after the needle . That sense of dizziness patients , palpitation , shortness of breath , abdominal discomfort , nausea Yu Tu . The amount of cold sweats , pale , pulse gas breakdown [ 1 ] .
Followed by allergies , blood vessels and nerves function unstable person . Many fainting for no apparent reason who can often be found in the reasons from the constitution . Patients had encountered a case of strong physique , stiff neck due to the requirements of acupuncture treatment . When he first entered the needle neck Ashi , has not made the way , the patient suddenly whole body shiver , throwing himself on the ground, a wry smile , then surface , such as ashes , loss of consciousness . Give sniffing ammonia, heavy pinch people moderate invalid. Injection in the arm and moxibustion Baihui , sleeping about ten minutes later , before returning to normal. Ask the patient , there is no hunger , fatigue , etc., but the first time the Department of acupuncture patients , there was the sight of blood history of syncope .
Second, the psychological reason is also the main reason. Acupuncture is more common in first person , due to lack of experience, and fear , fear of pain, nervousness and other emotions . There are those who carry on the fainting personality characteristics measured and found abnormal personality accounts for about half . In abnormal personality in patients with depressive personality mass fainting by most. Introverted personality melancholy qualitative character, emotional distress , the case of stimulating both easily excited and easily inhibited prone to regulate autonomic dysfunction . Factors that may be prone to fainting . Of course, this remains to be seen .
Third, pathology who usually have autonomic dysfunction , especially with history or orthostatic hypotension were more prone to neurosis history of fainting .
Fourth, to stimulate acupuncture points to stimulate the reason is too strong , can cause fainting . The so-called too strong , because each situation is different , it is difficult metric to compare. Generally applied in the sensitive point needles, or the use of special techniques, such as gas and other tactics to be able to induce the disease . On the type of stimulus , in addition to needles, cupping, moxibustion , the auricular acupuncture point injection and may also cause fainting . Various stimuli seems to be no significant difference in the severity of symptoms of fainting impact . If one case of male patients with gallstones , OK ear pressure pill therapy. When ( when rotated to the left ear ) treatment to the 2nd , when pressed ear lend strong stimulation , the patient feels palpitation, shortness of breath , abdominal pain, nausea Yu Tu , accompanied by fatigue , hypotension induced a state of shock . Immediately given atropine sulfate 1mg, pethidine 50mg intramuscular injection, intramuscular injection and then rose veins scattered 4ml, 1个多hours after improved to normal . When the night , the patient pressed again to stimulate these acupuncture points are also the same thing happened , remission after repeated use over treatment [ 2 ] .
Five reasons to postural orthostatic fainting occurs and is sitting were more common , but there are also recumbent fainting . Statistics show that 28% supine fainting . To observe the clinical symptoms of fainting supine multi heavier, longer duration .
Six environmental causes environmental and climatic factors may also induce fainting , such as low pressure in the hot season, the clinic in the air quality and noise Xuanza so on.
Clinical manifestations
Threatened variety of head discomfort , abdominal or general malaise, blurred vision, tinnitus , palpitations , nausea , pale , cold sweats, yawning and so on. This period is very short , some patients may be without aura phase .
Attack of light dizziness , chest tightness , nausea, vomit, weak limbs cool , Shambles , or with an instant loss of consciousness. Severe sudden loss of consciousness , faint flutter to the ground, lips a bruising , sweating, pale gray , the eyes turn , stool incontinence . Rapid drop in blood pressure , pulse rate slows, slow to every 40 to 50 minutes . Minorities may be associated with seizures .
Late recovery after timely treatment , the patient may have significant fatigue , pale, addicted to spit and sweat . Mild is only mild discomfort.
The above is a typical attack process, but only a mild aura may occur in the later period that directly without exacerbation .
Halo needle acupuncture usually occurs in the process, but there are a few patients in a few minutes after taking the needle starts with more time to onset of symptoms . Fainting is called delayed noteworthy . Just fainting timely treatment , and can be quickly regained consciousness , often without serious consequences.
[ Prevention ]
Early in the ” Classic” , with a lot of space on the prevention of fainting mentioned : “no thorns drunk , so popular chaos ; without thorns furious , so there is inverse gas ; big labor unarmed people , unarmed people new full , unarmed people big hunger , no thirst thorn big man , unarmed big amazing ” ( ” Q ban on gill ” ) . Ming Yang Jizhou put it more clearly : ” When the needle must make suffering people of Mozambique , as the Department of the needle to cut its heavy hand Zhao Jia hole , sitting or lying down , without suffering too stuffy faint ” ( ” Acupuncture Dacheng • Volume II ” ) . Prevention from the modern major psychological and physiological .
First, there is the psychological prevention mainly for suspicion, fear person , or acupuncture while laughing and crying , screaming, trembled , escape , muscle cramps, accompanied by pupils , blood pressure, respiration , heart rate, skin temperature , pale , sweating and other autonomic system and the endocrine function changer . Available for pre- psychological prevention , to avoid fainting and other adverse reactions. Consists of three methods :
( A ) , the language induction : Before the needle , the first patient to explain the specific methods of acupuncture to patients , indicating that acupuncture may be feeling , extent and pathways to obtain the patient’s trust and cooperation.
( Two ) , relaxation training : The quiet, depression, attention is focused on ease of patient introverted , make it gaze of an object , let it completely into self- meditation ( meditation ) state, began advancing needle.
( Three ) , to divert attention : for impatience, hyperactivity , distractibility , outgoing patients , so that patients can make some simple quick mental arithmetic , or some minor issues put to him , with its visual, auditory function and mental activity etc. , to shift its focus to promote local tissue relaxation. Some 420 cases of patients with this method were compared and found that the prevention of fainting and other adverse reactions are better role.
Second, the prevention of patient physiological hunger , the needle should be appropriately before eating ; fatigue , should make it basic physical rest to recover . Especially for those who have a history of fainting and initial acupuncture , it is best to take a lateral position , simplify points , reducing the amount of stimulation .
Third, other prophylaxis
( A ) , the pressure eye prevention method : applying a foreign law anticorona eye pressure by domestic trial in the unit , does have a certain effect. The method is: Let the patient eyes looking down, eyes closed , hands thumb fingertip surgeon to the patient eyes were Xuan upper eyelid , the other four fingers were placed before the patient support duplicitous ear , eye and then gently press with your thumb , note the direction of the force from the top of the cornea underneath the oblique , thumb tip should be placed eye firmly , avoid direct compression of the cornea fingertips , lift your finger pressed about 5s after about 5s, and then press the lift on the law for about 30s, again acupuncture . Note : glaucoma, high myopia with caution.
( Two ) , hot -dip Prevention Act : fainting for a particular patient allergies , it was argued , would instruct patient first hands immersed in hot water , about 5 ~ 10min , then to gently needle piercing two Neiguan about about 1min, other diseases need to start acupuncture points thorns . Clinical reference for readers .
In the acupuncture process, once the patient has threatened fainting symptoms, should be dealt with immediately. After acupuncture and cupping , so that patients in the clinic after 5 ~ 10min break before they can leave , to prevent delays fainting .
[ Approach ]
A mild fainting should quickly pulled out all the needles or cans, or stop moxibustion , will help the patient to lie down air circulation . Raise the legs , head lowered ( no pillow ) , lying still for a moment , you can. If the patient is still feeling unwell , give warm water or hot tea Beverage .
Second, severe fainting to the needle immediately after supine , as in the case of emergency , you can make it Woyu directly on the floor. According to our many years of experience, such patients may be at Baihui moxibustion has a good effect , is to use commercially available drugs moxa , lit meeting for a hundred bird pecking moxibustion , not too close from the scalp to avoid burns until the perceived recovery , the symptoms subside. When , if necessary , can be used with artificial resuscitation , cardiac massage , acupuncture injection in the arm and ditches , springs and other measures.