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Non-Insertive Techniques Overview

• Focuses on methods using needles without penetrating the skin.

Advantages of Non-Insertive Needling Techniques

• Easy to Transport: Full Root Treatment or local treatment (Shigo) can be performed anywhere.

• No Pain: Ideal for children and those afraid of needles or who are sensitive to pain.

• Foundation for Japanese Techniques: Initial development of Japanese style needling methods.

JAS Needling Technique: OSHIDE

• Oshide: Non-needling hand (usually the left) that forms a ring with the pads of the index finger and thumb.

  • Roles of Oshide:

    • Locates the Tsubo (Live acu-point).

    • Guides tool to the acu-point.

    • Receives information and creates a protective enclosure around the treatment point.

    • Gathers Qi and helps confirm the arrival of Qi.

Understanding the Tsubo

• Tsubo: 3D energetic point with size, depth, and vector on the channel; also called a 'Live Point.'

  • Can be:

    • A depression or raised area.

    • Variations in texture or temperature.

    • Sensitive or painful upon palpation.

Gathering Qi Technique

• Preparation: Qi is gathered at the Tsubo using the Oshide with techniques like palpating, brushing, and gentle pressure.

JAS Needling Technique: SASHIDE

• Sashide: The needling hand (typically the right) that administers the needle or non-insertive tool.

Posture During Treatment

• Correct Posture Importance: Promotes Qi flow in both practitioner and patient.

• Requirements:

  • Feet stable, body relaxed, and upper body upright.

  • Oshide/Sashide should be relaxed but firm enough to control the techniques.

  • Remember to breathe throughout the session.

Hifushin - Touching Needle Technique

• Hifushin: Mimics needle insertion; can use either Goshin (filiform needle) for durability or Teishin for sensitive patients.

  • Technique Execution:

    • Sashide brings the needle to Oshide at an 80-90 degree angle.

    • Contact the skin and lightly stroke the Teishin as you wait for Qi arrival.

The Arrival of Qi

• Roles of Oshide and Sashide: Both hands work together to sense the Arrival of Qi, distinct from Obtaining Qi (patient sensation).

  • Characteristics:

    • Felt at the needle or Teishin tip.

    • Resistance indicates the correct therapeutic depth; excess insertion can negate benefits.

    • May feel like pulsating or heat beneath Oshide; requires practitioner focus.

Sesshokushin Technique

• Sesshokushin: Contact needling technique to replenish Qi and clear congestion ('busy Hara').

  • Procedure:

    • Perform rhythmically, covering the point to prevent Qi leakage.

  • Areas of Focus:

    • Primarily on abdomen or back.

Abdomen and Back Treatment Boundaries for Sesshokushin

• Abdomen:

  • Upper Boundary: Subcostals; Lower Boundary: Pubic symphysis.

  • Left/Right Boundaries: Between Spleen and Gallbladder meridians.

• Back:

  • Upper Boundary: C7; Lower Boundary: Sacrum.

  • Left/Right Boundaries: Outer Bladder line.

Sesshokushin Treatment Protocol

• Start with Hifushin technique, pull Teishin away and tonify with the Oshide.

• Randomly needle from top to bottom on the abdomen or back, alternating between patient sides; repeat 2-3 times.

Sesshokushin Treatment Limitations

• Over-speed during contact needling can congest Qi, causing discomfort.

• Adjust speed to match the patient's Qi and pulse condition.

Sanshin: Scatter Needle Technique

• Sanshin: Dispersive technique, ideal for treating heat, tension, or roughness.

  • Method:

    • Quick separation of Oshide and Sashide after touching the skin without sealing the puncture.

  • Target Areas:

    • Blood stasis, damp heat conditions, or symptoms like insomnia and stiffness.