halo needle
Introduction
Introduction Halo: In the process of acupuncture, the patient suddenly has dizziness, dizziness, palpitation, nausea, and even syncope. The fainting needle is often caused by weak constitution and nervousness; or after hunger, sweating, diarrhea, major bleeding, or improper position, or the doctor is overweight when acupuncture, so that this occurs when acupuncture or needle retention. When a fainting occurs, the needle should be stopped immediately and all the needles should be taken out. Help the patient to lie flat, lower the head, loosen the belt, and keep warm. The lighter can be recovered by lying on the back for a while and giving warm tea or sugar water. The heavy one can stab people in the middle, prime, Neiguan, Zusanli, moxibustion Baihui, Guanyuan, Qihai. If the condition is critical, other rescue measures should be used.
Cause
Cause
Regarding the cause of the fainting needle, "Standard Fu" Zeng Yun: "Hollow-hearted phobia, erect side and more halo." The common ones are the following.
First, physical reasons: one of the most important incentives. More common in clinical practice is physical weakness, hunger, fatigue, prone to fainting. In addition, "Nei Jing" contains: "no thorns and drunkenness", "has been drunk and not thorn", acupuncture caused by acupuncture has also been reported, such as a 53-year-old male patient, due to left front shoulder pain for more than 3 months with acupuncture treatment . Symptoms gradually resolved after the first treatment. During the follow-up visit, I learned that the patient had too much alcohol at noon that day, that is, he was advised to temporarily take the needle. However, the patient insisted that there was no need to apply acupuncture. Shortly after the needle. The patient was dizzy, flustered, short of abdominal pain, and nausea. Cold sweats, pale, and fine pulse [1].
Followed by allergic constitution, vascular nerve function instability. Many people with fainting needles without obvious causes can often find reasons from their physique. The author has encountered a patient with strong physique, requiring acupuncture treatment for the stiff neck. Just entering the neck of the needle is a point, not yet done, the patient suddenly trembled, fell to the ground, smiled bitterly, then face like a gray, loss of consciousness. Give olfactory ammonia water, heavy sputum is moderately ineffective. Injection of cardiotonic and moxibustion Baihui, after about 10 minutes of fainting, began to return to normal. Asked the patient, there is no hunger, fatigue, etc., but the patient is the first acupuncture, there has been a history of blood syncope.
Second, psychological reasons: also the main reason. More common in first-time acupuncturists, due to lack of experience, they produce emotions such as fear, fear, and nervousness. The personality characteristics of the patients with fainting were measured, and it was found that the abnormal personality accounted for about one-half. In the abnormal personality, the patients with depressive personality have the most fainting. The melancholy personality is introverted, emotionally depressed, and is easily excited and easily inhibited when stimulated. It is prone to autonomic dysfunction. May be a factor that is prone to fainting. Of course, this remains to be seen.
Third, the pathological reasons: usually have autonomic dysfunction, especially those with a history of orthostatic hypotension or neurosis, prone to fainting.
Fourth, the cause of stimulation: Acupoint stimulation is too strong, can cause fainting. The so-called too strong, because each person's situation is different, it is difficult to measure comparison. Usually applied at sensitive points, or using special techniques, such as gas to the disease, can be induced. In the type of stimulation, in addition to acupuncture, cupping, moxibustion, acupoint injection and auricular acupuncture can also cause fainting. There was no significant difference in the effects of various stimuli on the severity of fainting symptoms. Such as a case of male gallstone disease, auricular acupoint treatment. When the treatment is to the second time (when rotated to the left ear), when the ear acupoint is applied to give a strong stimulation, the patient feels flustered, shortness of breath, upper abdominal pain, nausea and vomiting, accompanied by fatigue, and blood pressure is lowered to cause a shock state. Immediately, 1 mg of atropine sulfate and 50 mg of dulantin were intramuscularly injected, and then intramuscularly injected with 4 ml of Shengmai powder. After more than 1 hour, it was better to be normal. In the evening, when the patient pressed again to stimulate the above acupuncture points, the same situation occurred, and the relief was obtained after repeated use of the above treatment methods.
V. Reasons for position: It is more common in patients with fainting in standing position and sitting position, but there are also fainting needles in the lying position. Statistics show that the position of the fainting needle accounts for about 28%. Clinically, the symptoms of supine position fainting are more severe and the duration is longer.
Sixth, environmental reasons: environmental and climatic factors can also promote fainting, such as the hot season of low pressure, air turbidity in the office, noise and noisy.
Examine
an examination
Related inspection
Neurological examination full physical examination
The fainting occurs for a short time, 2-4 minutes.
Pre-emptive period: patients often complain of dizziness, palpitations, nausea and vomiting, weakness of limbs. Attack: Instant fainting, unconscious or conscious, pale, cold limbs, low blood pressure, slow heart rate, weak pulse. Recovery period: conscious, self-reported systemic weakness, limbs sour, face turned from white to red, limbs turned warm, heart rate returned to normal, pulse is powerful. The symptoms of fainting can be seen in the typical episodes of stage 3, and the light can be directly entered into the recovery period.
Diagnosis
Differential diagnosis
Halo: Haloemia is also called "blood phobia", which refers to the fainting phenomenon caused by the patient's blood, mainly manifested as dizziness, nausea, dizziness, palpitations, and then pale, cold sweat, cold limbs, blood pressure Lower, weak pulse, and even sudden loss of consciousness. When you are rescued, you should first lay the patient supine, feed warm water or sugar water, rest for 10-15 minutes, generally can be restored, if necessary, medication should be given.
Halo effect: also known as "halo effect", belongs to the category of psychology. The halo effect means that people's cognitive judgments on others are first based on the individual's likes and dislikes, and then the other qualities of the cognitive objects are inferred from this judgment. The phenomenon. If the cognitive object is marked as "good", he will be enveloped by the "good" aperture and given all good qualities. If the cognitive object is marked as "bad", he will be shrouded in a "bad" aperture, and all his qualities will be considered bad. This kind of strong perception of quality or characteristics, like the halo of the moon form, diffuses and spreads around, thus concealing other qualities or characteristics, so it is called the halo effect.
Airsickness: It means that the plane feels uncomfortable shortly after taking off, such as: uncomfortable upper abdomen, nausea, cold sweat, and even vomiting. When flying, the vestibular balance receptors in the human body are stimulated by excessive exercise, and the vestibular organs produce excessive bioelectricity, which affects the nerve center and causes symptoms such as cold sweat, nausea, vomiting, and dizziness.
Motion sickness: When riding a car or a ship, it is subjected to vibration and shaking. The inner ear can not adapt and adjust the balance of the body well, so that the sympathetic nerve excitability increases the renal dysfunction, causing dizziness, vomiting and other motion sickness symptoms. . Some people in life often feel dizzy after sitting in the car. The upper abdomen is uncomfortable, disgusting, cold sweating, and even vomiting, especially when the car is suddenly braking, turning sharply or suddenly starting, and getting off for a while can be gradually relieved. Or restore. Some people with this motion sickness can last for a few days.
Motion sickness: A general term for diseases caused by motion sickness, motion sickness, seasickness, airsickness, and sway, bumps, rotation, and acceleration due to various causes. Mainly related to affecting the function of the vestibule. The capsular sac of the inner eardrum of the vestibular device and the sac of the balloon are the linear motion of the upper and lower sides and the left and right, and the three semicircular canal cells feel the rotational motion. When the plaque or hair cells are subjected to a certain amount of abnormal motor stimulation, the nerve impulses are transmitted from the vestibular nerve to the vestibular nucleus and then to the cerebellum and hypothalamus, thus causing a series of clinical manifestations with vertigo as the main symptom. . The vestibule is stimulated to affect the reticular formation, causing blood pressure drop and vomiting. The vestibular nucleus causes nystagmus through the medial longitudinal bundle fibers to the ocular muscle nucleus. The cerebellum and hypothalamus are affected by nerve impulses and cause changes in muscle tone throughout the body. Motion sickness may have a relationship with vision.
For example, people can also cause the disease when they stare at a fast moving or rotating object. Stimulation of the cerebellum may also be another mechanism of the disease. In addition, high temperature, high humidity, poor ventilation, noise, special odor, emotional stress, lack of sleep, excessive fatigue, hunger or satiety, physical weakness, inner ear disease, etc. are easy to induce the disease.
