External therapies: Mixed review

Where does the effect come from in each case?

• A valve cupVacuumHeatFriction or pressure
• A stick held three centimeters awayVacuumHeatFriction or pressure
• Strokes with a blunt edge and lubricantVacuumHeatFriction or pressure
• A compressed silicone cupVacuumHeatFriction or pressure
• Rou Fa over the deep planeVacuumHeatFriction or pressure
• A cone on a slice of gingerVacuumHeatFriction or pressure

A tight upper back, intact skin, no medication. After the first series of strokes, clustered petechiae appear and the person says it does not hurt. What now?

1. Repeat the series to even out the color across the whole area
2. Go up a pressure step now that you know they tolerate it
3. Leave that area and move to the next
4. Stop the whole session and review the technique

Build the heat reference you try to sustain in moxa

Each statement with what it actually says

Put the dose ladder in order — it is the same in all four

1. Start at the minimum↑↓
2. Assess the response after the first series↑↓
3. Go up a step if the skin allows it↑↓
4. Assess again↑↓
5. Close when the expected response appears↑↓

Of everything in this unit, which finding requires a referral and not just a stop?

1. A blister after moxa
2. Extensive purpura out of proportion to the stimulus
3. Sharp pain during a maneuver
4. Redness lasting more than a day