Manipulation Methods of Ear Acupuncture

Different methods have been developed on the basis of filiform needling, such as embedding needles and needling with electrical stimulation. However, Filiform needling remains the most widely used. The technique is performed as follows :

Probing the sensitive spot and aseptic procedure After diagnosis and point prescription detect the sensitive spots by probing or by an electric acupoint detector. When tenderness or low electrical resistance areas are found, then mark the spot for needling. Auricular points should be swabbed with 75% alcohol or 20% iodine as routine asepsis.

Method of needle insertion Stabilize the auricle with the left hand. Hold the filiform needle of 0.5 or 1 cun with the right hand and insert swiftly and perpendicularly into the point avoiding penetration through the ear. Generally, a sensation of pain, and occasionally heat, distension, soreness, or heaviness are felt. Patients experiencing these sensations usually obtain satisfactory therapeutic results. If acupuncture sensation does not appear, then the direction of needling should be adjusted to obtain sensation.

Retention and removal of needles Needles are usually retained for 25 to 30 minutes, but in cases with severe pain or chronic seizures, needles may be retained for a longer period, or needle embedding may be applied. After the needle is removed, press the puncture hole with a dry cotton ball to avoid bleeding, swab with iodine at once to avoid infection.