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Ques t i onst oSeni orAc upunc t ur i s t s : Wh eni si t T o oMu c hofaGo odTh i n g?
byTom I ngegno
Af t erabouts i xy ear sofbei ngl i c ens ed,myr es ul t shav ei mpr ov eds i nc efi r s ts t a outandIam f eel i ngc omf or t abl ewi t hmyt r eat ments t y l e.If eelt hatt hi si sac r s t age,asIa ms t ar t i ngt ode v el opper s ona lpr ef er enc es ,butatt hes amet i m don’ twi s ht ogetc aughtupi nmyownegoorl i mi t ede xper i enc e.
Att hi sl ev el ,Ihav ef oundt hatatt heendofat r eat ment ,man yofmypat i ent s r epor t i ngagoodr es ul t ,butt hei rc ondi t i oni snotal way sc ompl et el yal l ev i at ed.
e xpl ai nt ot hem t hatac upunc t ur ei sapr oc es sandnotamagi cbul l et ,butIfi n har dt ofi ghtt heur get oendt het r eat mentatt hi ss t age.I not herwor ds ,e v enw
Igetagoodr es ul t–s a yt hepat i entr epor t s7 595per c enti mpr o v eme nt–I Master your semester with Scribd Read Free For 30 Days Sign tot vote on this t empt edt ot r yt ogetal i t t l emor ef ort hepat i ent . Soup m e i m es I d otitle r es t r ai n my s e & The New York Times Useful Not useful k no wi ngt ha ti fIpus hi tIr unt her i s kofov ert r eat i ng andc aus i ngt hepat i entt o Special offer for students: Only $4.99/month.
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wor s et empor ar i l y .I nmanyAmer i c ans chool si ti st aughtt hatt hi si sagoodt h
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T o mI n ge gn oM. S. ,L . Ac . Bal t i mor e,MD
Thi sques t i on wass ubmi t t ed t os eni ora cu punc t ur i s t s .The f ol l o wi ngsar et r es pondent si nal phabet i c al or der : Re s p on de ntNo .1 :I k e d ama s a k a z u
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Asp r a c t i t i o ne r s ,wea r ea l wa y sc o nc e r n eda bo utho w muc hn ee dl es t i mu l at i o n appl yi nourt r eat ment s .Iwi l l s har emyc l i ni c al ex per i enc eont hats ubj ec ther e. You're Reading a Preview Unlock full access with ao free trial. Wi t hChi nes eneedl es ,i ti ss ui t abl et ous e ab ut fi v eneedl est os t i mul at epo
mo s t l yo nt hear msa ndl e gs .Wi t hJ a pa ne s en eed l e s ,es p ec i a l l yi fy o uu s e Download With Free Trial
c o nt a c t n ee dl et e c hn i q uea sId o,f o urn ee dl esone ac ha r ma ndl e ga nda bo u
need l esont hepat i ent ’ sbac kanda bdome nar eadequat e.I ti si mp or t ant ,ho we v e
t oo bs er v et h efl o wo fQian d Bl o odi nt heme r i d i a nswh en ev e ry o ui n s er tn ee d Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title i nt ot h eb od y .On eme t ho df o rc h ec k i n gc h an ge si nt h efl o wo fQia ndBl o o di n & The New York Times Useful Not useful Cancel anytime.
mer i di ans$4.99/month. i spul s et ak i n g.Ano t herme t hod i si ns pec t i on.You c an as c er t ai n Special offer for students: Only c hangei nQi fl owbyobs er v i ngt hepat i ent ’ sf ac i al c ompl ex i ondur i ngt het r eat m
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I fy o uh av es e l e c t e dt h ec o r r e c ta c up un c t u r ep oi n t so nt h ea r msa ndl e gsa nd needl emani pul at i on( r ei nf or c i ngandr educ i ng)i sappr opr i at e,t hepat i ent ’ spul s e moder at e( t hes oc al l edr oo tt r eat ment ) .Thi si ndi c at est heSt omac hQii sbr i m o v erwi t hv i t a l i t y .Wh eny o us e et h i sc h an ge ,y o uc a nc o nc l u det h ata na de q momentofs t i mul at i onhasbeengi v enandnof ur t hers t i mul at i oni sr equi r ed.I f , c ompl e t i ngt hewhol et r eat ment ,t hepat i ent ’ spul s ehasbec omet ens eorf as t , i ndi c at est haty ouma yha v eo v er s t i mul at edy ourp at i ent .I nt hi sc as e,y ounee mas s aget heTr i pl eWar mermer i di ant ot oni f yYangQi andcor r ec ty ourmi s t ak e.
2. Loc al St i mul at i on Whent hepul s emoder at esaf t ert her oott r eat ment ,butt hepat i ents t i l lc omp ofal oc alpai n,y ous houl dappl yneedl esi nt hek not t edr egi on.Thegr eat er You're Reading a Preview
pat i ent ’ spai n,t heweak er ,s of t era ndmor es uper fi c i alt hes t i mul at i ons houl d Unlock full access with a free trial.
Thec ont ac tneedl et ec hni quei sv er ysui t abl ef ort hi ssi t uat i on.I nt r eat i ngak no Download Free Trial ar ea,i ti ss uffic i entt oi ns er tt h eneedl eWith j us tt ot he poi ntoft ouc hi ngt hek not .I f
pi er c et hek no t ,t hes y mpt om ma ywor s en.Whe nl oc als t i mul at i oni sadequat e
s y mpt o ms o me ho wr e s ol v e s .Ho we v er ,i ft hep at i e nte x pe r i e nc esar e c ur r e nc e
Master your semester with Scribd t hes y mpt om,y o urr oo tt r eat menti si nc or r ec t .Be c aus e y o u d i d n o t k no wy o ur Read Free For 30this Days Sign up to vote on title & The New York Times Useful Not useful t r ea t ment( di agnos i s )wasi nc or r ec t ,y ouappl i e dt o omuc hl oc a ls t i mul at i on Special offer for students: Only $4.99/month.
e nd edu pwo r s e n i n gt h es y mp t o ms .
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t o wor r yabouto v ers t i mul at i ng t he pat i ent .I ti smi s gui ded t o us e ac upunc t poi nt sl i k ewes t er ndr ugs .I fy ouwoul dl i k es eeat r ueneedl et ec hni que,pl eas e mys emi n ar[ h el da nn ual l yi nSa c r a me nt oo rSa nFr a nc i s c o .
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doest heamountofs t i mul at i onbec omee x ces s i v e?”I ti sav er ydi ffic ul tques t i o Download With Free Trial
ans wer .Butt heap pr opr i at ea mountofs t i mul at i oni nac upunc t ur ei ss ome t h my s el fha v eal wa y sbeenc onc er nedabout .Idec i dedt owr i t eaboutt hi sbec au
mi g ht b eag oo do pp o r t u ni t yScribd t od r a wu ps o meo fmyc onc l u s i ono nt hi sma t e r . Master your semester with t Read Free Foron 30this Days Sign up to vote title t hi ngs wr i t t en i nt he c l as s i c s and t he t hi ngst aughtb yo urp r edec es s o r sd o & The New York Times Useful Not useful Cancel anytime.
al way s wo r kouti npr ac t i c e.Iha v et r i edoutman yt hi ngsi nmypr ac t i c e,and Special offer for students: Only $4.99/month. ar t i c l er epr es ent swhatIha v el ear nedandwher eIs t andont hemat t er
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Ex p e r i e nc e :Th os e wh oh a v ee x p er i e nc e wi t ha c u pu nc t u r ea r ec o mp ar a t
t o l e r a nt .Wh en ne wt oa c up un c t ur e ,t h ei ni t i a la nx i e t ya nd t e ns i o nc a nc a u f at i gue. Pr ef er e nc e:Th os ewh ol i k ea c upu nc t ur et e ndt ob eh ap pyev e ni ft h et r e at m c a us e sal i t t l ef a t i g ue .Th os e wh od i s l i k ea c up un c t u r e ,n o ma t t e rho wm t r eat ment st heyhav e,t endt ot ol er at es t i mul at i onl es s. Seas on:Peop l et endt ot ol er at es t i mu l at i onl es si nt hes pr i nga nds ummer , bet t eri nt hef al l andwi nt er . Sk i nc ol or :Thos ewi t hdar k ers ki nt endt ot ol er at es t i mul at i onmor e,andt hos e l i ght ers ki nt endt ot ol er at ei tl es s . Li ps :Thos ewi t ht hi c kl i pst endt ot ol er at es t i mul at i onmor e,andt hos ewi t ht hi n t endt ot ol er at ei tl es s . Ph ys i que:Wheni tc omest oYou're f atan dt hi n,at h ef at t erp er s ont ol er at ess t i mul a Reading Preview mor e,andt het hi nnerper s onUnlock l es s. I naccess t hec as e of f atpat i ent s ,t her ear et hos e full with a free trial. ha v e al o to fmu s c l e mas s ,t h os et h atha v e al o toff at ,a nd t h os e wi t hw Trial r et ent i on.Thos ewi t hmus cl eDownload mas st ol eWith r at eFree s t i mu l at i onwel l .Thos ewi t hl ot so
ar enoti nt ol er ant ,butt her ei sat endenc yt oov ert r eatt hem bec aus ei t ’ ssoeas y i ns er tneedl es .Ev eni ft hi n,mus cul arp eopl ear et ol er at es t i mul at i onwel l .Pat i Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title l ac ki ngmus cl et onec an’ tt ak eal otofs t i mul at i on. & The New York Times Useful Not useful Wo r k :Th os ewh od ome nt a lwo r k e r st o l e r a t es t i mu l a t i o nl e s sa ndt h os ewh o Special offer for students: Only $4.99/month.
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ph y s i c alwor kc an t ak es t i mu l at i on.At hl e t es and t hos e who e x er c i s et ol e
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Pul s equal i t y :Thos ewi t hex ces s,wi r y ,t i ght ,ors unk enpul s est ol er at es t i mul a mor e.Thos ewi t hdefi ci ent ,s of t ,f ai nt ,orfl oat i ngpul s est ol er at es t i mul at i onl es s Abdomen:Thos e wi t h defi c i ent ,s o f t ,mus hy ,a nd t hi ns k i nned bel l i es t ol e s t i mul at i on l es s.Thos e wi t hex c es sbel l i est hath av e al oto fr es i l i enc et ol e s t i mul at i onwel l . Sk i nt e xt ur e:Thos e wi t hs k i nt hati st hi n,s of t ,s moot h,fi ne,damp,orwi t r es i l i enc ec an’ tt ak emuc hs t i mul at i on.Thos ewhoof t enf eelpai nwhent hene i ss t ar t e d,o rs we ata nd g etmo i s ts k i n wi t hn ee dl es e ns at i o nc a n’ tt a k em s t i mul at i on.Thos ewi t h“ f ai randdel i c at es ki n”ar ees pec i al l ysens i t i v e.Theyt en ha v eadv er s er eac t i onst oac upunc t ur e.Thos ewi t hs k i nt hati st hi c k ,r ough,bu ordr yt ol er at es t i mul at i onwel l .Thes ki ni st hemos ti mpor t antf ac t orf orj ud t ol er anc e. Pa i nt h r e s h ol d : Th os e wh oh a v el o w p ai nt h r e s h ol d sc a n ’ tt o l e r a t em You're Reading a Preview
s t i mul at i on.Thi si sac ongeni t al t endenc y .
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Reac t i on:Thos ewhoov er r eac tt os t i mul at i ondon’ tt ol er at ei twel l ,andt hos e ar ei ndi ffer entt ol er at ei twel l .Download With Free Trial Dept h:Thi si st he dept h ofi ns er t i on.I n gener als uper fi c i ali ns er t i on i s s t i mul at i on and deep i ns er t i on i ss t r on gs t i mul at i on.The c l as s i c st eac h Master your semester with Scribd Read Free For 30 Days Sign up to vote on this title need l ess houl dbei ns er t eddeepl yandr e t ai ned f or f a tp e op l e , ma nuall a o b & The New York Times Useful Not useful c hr oni cdi s eas es ,andi nt hewi nt er .Li k ewi s e,nee dl esshou l dbei ns er t eds hal l Special offer for students: Only $4.99/month.
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andr emo v edr i ghta wa yf ort hi npeopl e,ment alwor k e r s ,ac ut edi s eas es ,r o y a
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I n my c a s e,e v e nt h ou gh Iu s ev e r yt h i nn ee dl e s ,Ic a ng i v ep r e t t ys t s t i mul at i on.I ti sv er yi mpor t antt oal wa ysha v eas ens eofho w muc hs t i mul a y o urn ee dl i n ga mo un t st o.
Re s po ns e :Th i si sa bo utt h eb od y ’ sr e sp ons eaf t e rt h et r e at me nt .Ho wd oest pat i entf eelr i ghtaf t ert het r eat ment ,ort hatev eni ng,ort henex tday ?Theam
ofs t i mul at i oni sappr opr i at ei ft heyf eelr ef r es hed,t hei rbodyf eel sl i ght er ,ort
p ai nh as d ec r e as e d.I ft h er ei sf a t i g ue o ran i n c r e as ei np ai n ,t h ea mo un t s t i mul at i onhasbeenex c es s i v e. St at e ofMi nd:The amountofs t i mul at i oni sappr opr i at ei ft he pat i entb ec o mor el i ghthear t edaf t erat r eat ment .I ti si nappr opr i at ewhent hepat i ent ’ sm becomeswor se.
Conc l us i on
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Thef ol l owi ngc anbes ai d,put t i ngal l t hes ec ondi t i onst oget her : Download With Free Trial
St r ongs t i mul at i oni si ndi c at ed-Thepat i enti sf at ,mus cul ar ,doesphy si c alwor i sat hl et i c ,a ndmov ement sar er ough.Dur i ngt hewi nt er .Pul s equal i t i est hat ex c es s,wi r y ,t i ght ,et c .Abdomenst torh av er es i l i enc e.Sk i nt h Master your semester with ScribdhataretighRead Free Foron 30this Days Sign up to vote title t hi c k,r ough,ordr y .Ac ut edi s eas es . & The New York Times Useful Not useful Cancel anytime. Weaks t i mul at i oni si ndi c at ed-Thepat i enti st hi n,ha ss wel l i ng.Sk i nt hati s
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damp orl ac k i ngi nr es i l i enc eT endenc yt os weateas i l y .Thepat i entdoesme
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Ihav ec l as si fi edt ol er anc et os t i mul at i onabov e,butt hi sdoes n’ tmeani tappl i e e v e r yc as e .Th es eg ui d el i n esar ed ec i d edb yh uma nb ei n gs ,a nds o me t i me s don’ twor kwhenf ac edwi t hi ndi v i dual anduni quepat i ent s .
ForNe wPat i ent s
Wh enIs e eap at i e ntf o rt h efi r s tt i meIa mc o mp el l e dt oma k eaj u dg me nta b how muc hs t i mul at i oni sappr opr i at e.Themos ti mpor t antc ons i der at i oni st ha s t i mul at i onnotbee x ces s i v e.I ti ss ai dt hat“ t oomuc hofagoodt hi ngi sgood no t hi ng, ”buti nt hec as eofac upunc t ur eg oi ngo v er boar di sab i gmi s t ak e .Wem a voi dov er doi ngi t .80% ofmax i mum i ss uffic i ent .Thefi r s tt hi ngi st odi s c r i mi pat i ent swhoc an’ tt ol er at emuc hs t i mul at i on.Thei rmo v ement sar equi c k ,t he y notf at ,t hei rabdomeni ssof t ,oratl eas tnothar d.Thei rpul s ei snots t r ong,i t ’ s You're Reading a Preview
andal s ofl oat i ng,r oot l es s,orhar dt of eel .Thei rs k i ni st hi n,s of t ,s moot h, Unlock full access with a free trial.
bec omeswetwi t hal i t t l es t r es s.Theys weateas i l y .Gr as pi ngt hei rf or ear m,i tf Download With Free Trial s of t .The ymi ghtha v eadepr e s s edex pr es s i o n.A sar ul eoft humb,It r eatpat i
wi t ht hes ef eat ur esus i ngs uper s uper fi ci ali ns er t i on.I ns er t i ngneedl esc anl ea pr o bl e ms .I ti sg oodt ol i mi tt hen umb ero fp oi nt sus e da swe l l .Th e nu mb e
Master your semester with Scribd ne p oi n t sc a nb ei n c r e as e da st h eyb ec o meu s edt oRead a c u p u n c t u r e . l s o s o me e Free For 30A Days Sign up to vote on this title & The New York Times Useful Not useful c an bei ns e r t ed. Special offer for students: Only $4.99/month.
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The ones t hatf ooly ou ar et he pat i ent s who hav e a good phy si que.W
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MyCur r ent Pr ac t i c e Bef or eIs t ar t edus i ngs uper s uper fi ci ali ns er t i on,Ius eds uper fi ci ali ns er t i on s ome t i me si n s er t e dn ee dl e sd ee pl y .Ia l s oof t e nma demi s t ak e sab ou tt hea m ofs t i mul at i on.I n mos to ft hes ec as es ,p at i ent sc ompl ai ned t hatt hey f el t
af t er war d.Thi ss ens eoff at i guegoesawa yi nada yort wo.Buti ti sami s t ak e t r eat ment .Id on ’ tmak e mi s t ak e sl i k et hi san y mor e af t erIs t ar t ed us i ng s u s uper fi ci ali ns er t i on,butr ec ent l yIhadt woort hr eec as est hatr epor t edf eel i ng t henex tda y ,orha vi ngmor epai n.WhenIpai dc l os erat t ent i onIf oundt hatI i ns er t edt heneedl eal i t t l ebi twi t houtk nowi ngi t .Af t erIpai dmor eat t ent i ont o s uper s uper fi c i ali ns er t i on t ec hni que,t hes e pat i ent shad no mor ec ompl ai nt r e al l yt a k e sav e r ys ma l la mo un tofs t i mu l a t i o ni n mo s tc a s es .Ia m r
c onc er ne dt hatt het r eat ment soft hea v er ageac upunc t ur i s tamount st oe x c es s i You're Reading a Preview
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r e s on at e .Ac u pu nc t u r ea ndmo x i b us t i o nc o ul db eu t i l i z e db yma nymo r ep eo p Wi t ht hes i t uat i oni nJ apant od ay ,Ibel i e v eat l eas thal ft hepopul at i onc oul dbe Download With Free Trial f r om ac upunc t ur e.Thi swoul di nc r eas et hequal i t yofl i f e.I fac upunc t ur i s t sr
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Heal i ngCr i s i s Now,t oconc l ude,l et ’ st hi nkaboutt heques t i onpos edbyT om I ngegno.Thefi aboutaheal i ngc r i s i s .“ Man ys c hool si nAmer i c at eac ht hati ti sdes i r eabl e s y mpt oms gett empor ar i l y wor s e.Thi si sc al l ed a “ heal i ng c r i s i s , ”or“ hea pr i nc i pl e, ”andpat i ent sar et ol dt hat“ Thi ngswi l l getwor s ebef or et heygetbet t e
I nJ a pa na l s o ,t h et e r m“ Me nk e n , ”o r“ Me ng enp he no me no n”i sus e dt oe x p l such aggr avat i on ofsympt oms.The sympt oms ar e supposed t oi mpr ove get t i ngwor s e,buti st hi sr eal l yagoodt hi ng?Iwonderi fs uc hex pl anat i onsar e bei ng used as an ex cus ef orsy mpt oms t hatbecome wor se.Ibel i ev e s y mpt omss houl dgr adua l l yr es ol v e .Ev e ni ft her ei sapl at ea ui nt hei mpr o v em i ti st hebes tbot hf ort hepr ac t i t i onerandpat i entwhenheal i nghappenswi t aggr av at i on.
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goodt obet ol dasac ov er upf orami s t ak et hati ti sa“ pr i nc i pl e. ”I ti sbes tw Download With Free Trial t her ei sno“ Mengenphen ome no n. ”I no r der t oa v oi di t ,wemus ts t r i v et omak e
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Wr i t i ngsandKos hoI gen( Medi c alSa yi ngs )s t at ed“ The( c l as s i c )t e xts ay sun t h eme di c i n ec a us esMe ng en ,t hed i s e as ewi l ln oth ea l , ”a nd“ Wh ent h eme d i seff ec t i v e ,t her ei sal wa y sMengenandpat i ent ssuff erandf eel st he yar eal m
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Sot heJ apanes eOr i ent alme di c al ommu ni t i strial. gener al l yc r i t i c aloft hev i e w Unlock fullc access with ay free Yo s hi ma s uT o doo nt h i sma t t e r .Wh atwek n ow a bo utt h i si st h atT o dod r e w Download With Free Trial t e r m Me nge nf r o mt h eCh i n es ec l a ss i cSh an gSh u,whi c hi sno tame di c a lt e x t
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t h os e wh ot ak et h i si d eaa nd u s ei tt oe x pl ai nr e ac t i o nsf r o m ac u pu nc t u r e
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pat i ent sv ar y .Whenwec ons i dert hei rfi nanc es ,t i me,andt hei reff or ti nv ol v e t r ans por t at i on,wehav et ot hi nkaboutwhat ’ sbes tf ort hepat i ent .I nc as eswhe bac ks t r ai ni s90% bet t erandt her es twi l lr es ol v enat ur al l y( asof t enhappens
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s y mpt oms i mpr o v e gr ad ual l y ,i fy o uv i e wt hei rc ond i t i on o v ers ev e r aly e ar s .
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Special offer for students: Only $4.99/month. ha v eb ec o meal ongt er m pat i e nt .Al s oy ouc oul df os t ert hei deai npat i ent s
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Ap ol o gy Iam s or r yt oha v ei g nor edt hewor dl i mi t ss etb yt heedi t orMr .T ak ahas hi , gi v i n gt heques t i ons er i ousc ons i der at i on,t hes ewor dspour edo utofme.Pl e ac c eprmys i nc er eapol ogi es .Ipr a yt hatt hes ewor dswi l l b eofs omeus e.
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ha v e. Ther ear eaf ews t andar di ndi c at or sf ort hepr operdos ageofs t i mul at i on. Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title & The New York Times Useful Not useful Special offer for students: Only $4.99/month.
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Thes ki ni st hemos ti mpor t antt i s suet oex ami ne.I ti sonl yonet ot hr eemi l l i me t hi c k.I fy oupal pat ei twi t ht oomuc hf or c e,y ouac t ual l yf eelt hemus cl esi ns t Yous hou l de x ami net hes k i nb ys t r ok i ng. I ft hes k i ni st ens ert hannor malaf t erat r eat ment ,t hi si ndi c at est hedos age i n s uffic i e nt .I ft h es k i nb ec ome sfl a bb y ,h owe v er ,t hedo s ag ewasex c e s s i v e .W t hes k i nbec omesfl abb y ,t hepat i entt endst oe x per i enc eana br uptc ol ds weat , ma yf e el s i c korn aus e ou s .
3. Abdomi n al Per c us s i on When per cuss i on makes a uni f or m and comf or t i ng sound on any par tof abdomenaf t erat r eat ment ,i ti ndi c at est hatt het r eat mentwor k edv er ywel lf o pat i ent .I ft hes oundbec omest y mpan i c ,howe er ,t hedos agewase x c es s i v e. You're Reading av Preview On es ho ul dn ota pp l ys t r o ng p er c u saccess s i o nwith t oa pa t i e ntwi t hag as t r i co rd uo d Unlock full a free trial. ul c er ,ac ut egas t r i t i s ,orapat i entex per i enc i ngagal l s t oneat t ac k . Download With Free Trial
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Wh ent h ep at i e nth asac o l ds we ata ndh i ss k i nb ec o me sfl a bb ydu et oe x c e s s i s t i mul at i on,i ti sgoodt oappl yas mal ldos eofadi ffer entt y peofs t i mul at i on.I f
ov ers t i mul at et hebodywi t hac upunc t ur e,y ouc anappl yal i t t l ebi tofmox i bus t I fy ougi v eanov er dos eofmox i bus t i on,appl yac upunc t ur el i ght l y .Thes ki nwi l ongerbefl abbyandwi l l gai nnor mal el as t i c i t y .
Idonotagr eewi t ht hec onc eptofha vi nga“ heal i ngc r i s i s . ”Thi si sobv i ous l r eac t i ont oov ers t i mul at i on.Wi t has mal l erdos eofs t i mul at i on,bot ht hepat i ent pr ac t i t i onerc ank eept hei rs mi l es .
T r ans l at edbyT ak ahas hi Hi deo ( NAJ OM Vol ume14Number 40p5p8)
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