so when it comes to acute injuries or trauma injury we have um let's say a sprained ankle or you strain your wrist right something happened you went skiing or you fell off a bike or for some of us you just don't look where you're going and you fell off on the sidewalk that can happen too we've all done that so if there's an acute injury as in the ligament tendons and joint injury right so the first thing is there is pain that is local and it's stabbing acute pain let's say it's a sprained ankle right so if i sprain my ankle it is going to be stabbing acute pain so stabbing acute pain in tcm is blood stasis it's like purple in the area it's really bruised you sprained your ankle it is stabbing pain so when there is stabbing acute pain that usually most of the time turn purple pretty quick that is blood stasis the second thing is most of the time when you do an acute injury there is swelling right it's going to swell in that area so here we go swelling is usually dampness right that's the second thing that we're going to have is we're going to have deafness because it's going to swell the third thing is there's massive inflammation right that's the body's response to the acute injury so this inflammation which feels usually hot to the touch right so inflammation and hot to the touch is gonna be excess heat right so this is excess heat in there so there is definitely those three that are coming up blood stasis for the pain deadness for the swelling and heat for the inflammation and the and and the hot the hot to the touch now this is why in conventional medicine they're gonna say let's put some ice on it to bring the inflammation down because of the heat right in tcm perspective we usually don't like to put ice anywhere right because it blocks circulation so it's a very different approach but at the same time you do what you feel is best for you i'm just telling you that's a tcm approach right because we're talking tcm right now so the first thing we want to do is we want to move blood because there's blood circulation issue so move blood we want to do li4 which we had said no matter what we have to put that point because it is a point for pain it relieves pain right so it has to be there but i always also sorry i would also put liver three because liver three moves cheap and she moves blood so to open the gate get the flow going right get all the flow going then you want to remove the dampness so usually one of the best points to remove the dampness will be split nine right we would put spin nine to decrease the swelling and then we wanna get rid of the excess heat or you want to bring the heat down so basic point to bring the heat down would be ally 11. then of course if it's affecting the tendons the ligament the joints which it could be if you have like rotator cuff injury if you have sprain of your wrist or strain of your ankle so you have to put that influential point of all the sinews tendons ligaments joints which is gallbladder 34. so now you have to put this so if someone comes home and they have a patient just sprained their ankle this is very simple so you want to do local point and this door point right so to help out you want to do stomach 36 to help the healing process go faster right so we have the local we have the distal and we have stomach 36 for healing perspective so if you do this the to the injury time the faster the recovery the closest to the injury time the faster the recovery if you just have the patient that sprained your ankle today or yesterday the healing is gonna go so fast if you do acupuncture right away on it if it's a week later it might take a little bit longer depending on the person's basic pattern if they're very weak very deficient um you know the essence is low or they're older or they have really really a weakness as in they're very deficient it might take a long time to heal right so it depends on a lot of factors but in general the closers to the injury the faster to the heel so that's for your acute injury basic stuff right that's really easy we don't have to do a lot that makes it easy hopefully that makes sense again do not go point unless the person doesn't want you to touch them on the area because it's so painful do a distal point we leave the patterns and then add up gallbladder 34 and stomach 36 to it easy good okay