*4.2.2 Body position*

Common body positions are as follows:


#### **4.3 Disinfection and needle insertion**

### *4.3.1 Disinfection*

Sterilize the local skin: Routine skin disinfection.


**29**

**Figure 4.**

*Gesture for holding inserting device.*

*Fu's Subcutaneous Needling: A Novel Therapeutic Proposal*

Sterilize the upper part of FSN inserting device: Use alcoholic cotton to clean the

After removing the plastic protection tube, place the needle into the inserting device; make sure the side with protuberance (with dots) is facing upward, and then pull the groove back to the load situation. Hold the device with middle finger at the bottom of the device, index finger on the red trigger button, and thumb on

Place the upper part of FSN inserting device on the disinfected skin of inserting point; the angle between the device and the skin should be as small as possible. With the cooperation of the left hand, the operator presses the trigger button, and then the needle penetrates quickly into the subcutaneous layer as

With the left index finger and thumb holding the needle, pull the needle out of the groove, and then the right hand withdraws the inserting device as shown

After inserting the needle, if the needle is directly inserted into the muscle, the patient will feel soreness, and the practitioner's hand that is holding the needle may also feel the resistance at the same time. In this case, the practitioner should pull the needle handle with the thumb, index finger, and middle finger slowly backward out

After confirming the needle tip is inside the subcutaneous layer, the practitioner

can put down the needle body, and then prepare for the manipulation. During which, the practitioner holds the needle with the right hand and pushes the needle forward along the subcutaneous layer. It is better to raise the needle tip slightly up when pushing so that the tip is slightly tilted, making sure the needle does not penetrate into the muscle layer. When the needle is being pushed forward, the skin is lined up. During the process, if the patient feels sudden tingling or the practitioner feels sudden resistance, it is usually because the needle tip penetrates the blood vessel wall. Therefore, the needle manipulation process should be as slow as possible. When the practitioner feels the resistance before the patient feels pains, it is better to quickly withdraw the needle slightly, and then adjust the needle direction upward

*DOI: http://dx.doi.org/10.5772/intechopen.84251*

upper part of FSN inserting device.

the top, as shown in **Figure 4**.

**4.4 Manipulation and sweeping**

of the muscle layer and back to the subcutaneous layer.

or downward to avoid causing pains to the patient.

*4.3.2 Needle insertion*

shown in **Figure 5**.

*4.4.1 Manipulation*

in **Figure 6**.

#### **Table 1.**

*The size of the FSN acupuncture needle.*

Sterilize the upper part of FSN inserting device: Use alcoholic cotton to clean the upper part of FSN inserting device.
