Metal Needle

Oct 23
2005

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Metal Needle

What about acupuncture needles?

The fundamental question: how to do acupuncture? needs a complicated answer, but in a pragmatic way one should always start with: using a needle. This is a straightforward statement but which leads nowhere but rather opens a can of interrogations.

Being the "king" of instruments in Chinese acupuncture, it is the object of many discussions. Each of the paragraphs below could be lengthened and detailed considerably. Let us say that a combination of history, technical evolution, practicality and adjustments, have made the basic instrument of chinese and non chinese acupuncture more civilized and less feared by western patients.

How to hold the needle, how to insert it, how deep, at what angle, and mostly, should it be manipulated to induce a bigger stimulation? Arguments are still flowing because it used to be a theoretical stronghold of traditional acupuncturists. Moreover the variety of movements of the needle that one can produce is too impressive to be realistic. What they show is most of the time not what they do.

This is one of the biggest problems one encounters when teaching acupuncture (much less in herbal medicine): there are many ritual topics that must be covered in order to enhance the value of the practitioners gesture or give apparently more meaning to his diagnosis or treatment decisions.

The needles we use these days are packed in sterilized blisters and are disposable, which means that they should be thrown away after one use. They bear the acronym ISO or CE showing that they have been approved by international or European official agencies. However in some parts of the world, for financial reasons, needles are still reused after having been properly sterilized.

Where can you find needles? In congresses, seminars, big classes of acupuncture. You can also surf on the web and find the names and addresses of many companies who sell them and will send them to you through the post.

The needles that are used at the present time are quite thin. The gauge seldom exceeds 0.32 mm; the thinnest can have a diameter of only 0.16 mm. There are even needles that are short and as thin as a hair, with a gauge of 0.10 mm, sometimes coated in gold (you can imagine the thickness of that coating!) used for facial or cosmetic acupuncture. The shaft is always made of stainless steel and often covered with a layer of silicone so that they slide better when inserted in the skin and flesh. The hardness, solidity and flexibility of the shaft or body of the needle must be balanced, so as not to break and not to bend too easily. But it is on the tip that the manufacturers have concentrated all their efforts: depending on its shape and sharpness it must glide into the skin effortlessly, and inflict as little pain as possible, if none at all. So there are many kinds of needles, and the manufacturers come from China, Japan, Korea, Germany, and I suppose other countries (I don't pretend to be an encyclopedia)

One can speculate as to the nature of the material used in the beginning for making an acupuncture needle. Bamboo, jade, bronze, copper, gold, silver, other kinds of metals. Already in the Neijing the emperor Huangdi (the Yellow Emperor) declared that he wants the stone needles to be replaced by metal ones.

During the seventies there was, in some circles, the belief that the metal in itself had a specific role to play in the action of the needles. This idea came from the acupuncturist who introduced the technique in a practical way in Europe, Georges Soulie de Morant. This self-taught sinologist, diplomat, prolific writer, published a little book called: "Precis de la Vraie acupuncture chinoise". It came out for the first time in 1934. He had decided that gold and silver needles where the best for strengthening or dispersing, needles made of nickel having a balancing and neutral effect. A few researchers experimented later with all kinds of materials, from zinc to platinum, from manganese to cobalt, from copper to cadmium or molybdenum. The results were not convincing.

Before the use of stainless steel, for centuries simple steel was the favorite metal for manufacturing needles. But iron and copper, bronze, tin, all these metals or alloys had the inconvenience of deteriorating when in contact with oxygen. Only since 1913, when stainless steel, a mixture of iron, chrome and nickel, was invented, were most acupuncture needles made of that very practical combination.

The acupuncture manuals, since the very beginning, describe "the Nine Needles of Acupuncture". Actually they reflect more the kit of a medical practitioner as some of the needles are obviously used as lancets or as bleeding or massage instruments. Modern replicas of these kits have been manufactured, I hope for decoration purposes, as the length and diameter of even the thinnest of the needles are impressive.

In the first book on acupuncture of which we have a copy (printed nearly one thousand years after the original), called the Neijing, the Classic of the Interior, when the authors recommend needling a point, they usually mention only one or two of them, no more. The reason lies probably in the fact that the needles made in those days were certainly much thicker, and the point not so sharp, making the insertion quite painful.

When Chinese archeologists unearth a needle, or several of them, or simply a fairly thin and pointed instrument in a site they are prospecting, they often declare that they have found an acupuncture instrument, usually because they were put together with other medical instruments or medicines. The sites often go back to the Neolithic period, making the assumption rather dubious because it is unlikely that acupuncture existed already as a coherent and sophisticated technique.

Often the question comes up as to what is acupuncture. All civilizations have been using pointed and sharpened instruments for rudimentary medical purposes like piercing an abscess. But only in China, and much later than Neolithic times, have needles been associated with a complex technique supposed to manage the flows of energy in the body.

So many questions rise around the main instrument of Chinese acupuncture: material, sizes, numbers, qualities, manufacturing, hygiene, techniques of insertion, intrinsic properties, adaptation to times and countries. If one searches for all the texts where the topic is mentioned in a not too repetitive way it would be possible to write hundreds of pages, and I feel frustrated not to be able to give here everything I know, including anecdotes and stories, of which I have many. On the other hand many claims and statements are questionable. It is necessary to keep our feet on the ground and be as pragmatic as possible.

About the Author

Traditional Chinese Medicine Practices

Holistic Medicine

"Think of Western medicine as looking at the tree and Eastern medicine as looking at the whole forest." Practitioners of traditional Chinese medicine often cite this analogy to describe their alternative medicines and practices. The practices do not contradict each other, but rather take two different approaches - while Western medicine looks at nerve endings linking to muscles and organs, Eastern medicine looks at the lack or excess of energy.

Holistic Medicine

Many Americans don't realize that traditional Chinese medicines date back nearly 5,000 years, passed down by oral tradition until about 3,000 years ago when people began writing down their findings in ancient texts like "Basic Questions of Internal Medicine" and "A Treatise On Cold Damage." In the 1930s, the Nationalist government forbade doctors from practicing what was then called classic Chinese medicine because they feared missing out on scientific progress. Mao Zedong chose ten respected doctors to generate the standardized practice called Traditional Chinese Medicine thirty years later. Chinese schools today teach TCM and around the world schools are opening in England, Russia and the US.

TCM's basic principles of "Yin" and "Yang," come from Taoist ideas." The term is used by the school of Chinese medicine to describe a series of opposites; for example, hot and cold, dark and light or moving and still. As day turns into night, the body goes through its own cycles. If the cycle of equilibrium is disrupted and there's an excess of something or deficiency of something, then the body naturally breaks down.

The Zang Fu Theory of traditional Chinese medicine describes the functions and interrelation of various organs within the body. For instance, a Yin organ like the lungs is required to disperse Qi (energy) throughout the body. The lungs govern skin, hair and thwarting external illnesses. If the lung is weakened by dryness or emotional grief, then the sufferer may show signs of eczema, coughing or may be prone to the flu.

Traditional Chinese medicine has several more "scientific" procedures. After all, it's not all breathing and thinking! Chinese acupuncture is one of these procedures. People suffering from fibromyalgia, sciatica, tendonitis, headaches, carpal tunnel or other pains can be treated. While having a long needle stuck into certain acupuncture points may not sound desirable, patients say that it doesn't physically hurt more than the usual ache. The more balanced you get over time, the less you feel the needles at all, in fact!

Homeopathy

What is a good yarn and needle size to use for a beginner?

right now I am using a medium worsted yarn and my needles is metal, and about a medium size I would say. Im not so sure this is the best choice? Should I use wooden needles? Thanks.

I would use the metal ones . Look on the tip (not the point) on the needle and you will see a number, that is the size of your needle. I am not sure what you are makeing but your patterns usually tell you what kind of yarn to use and give you the # of the needle. The majority of the patterns ask for a size 6 or 8. Wooden needles can bend depending on the amount of weight you put on them and snap.

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