Always put one needle in the ear point Shen Men to help nervous patients relax and reduce the sensitivity of needle insertion and stimulation of the scalp. His aphasia, dysphasia, and paralysis on the right side had shown no further improvement for the past two weeks. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. She had little hope that our treatment would help her condition. The .gov means its official. Commonly used points are Feng Chi (GB 20), Yu Zhen (Bl 9), Nao Kong (GB 19), Huan Tiao (GB 30), Yang Ling Quan (GB 34), Tai Chong (Liv 3), and Tai Xi (Ki 3) for lower limbs, and Qu Chi (LI 11), He Gu (LI 4), and Wai Guan (TB 5) for upper limbs.19 Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation more than 200 times per minute. It has been proven to be a most effective technique for treating acute and chronic central nervous system disorders. Jimmy, a 52-year-old male, came to our clinic in Santa Fe, NM, in 2000. Ren Our studies showed that 87% of patients had instant improvement after only one treatment. She could pick up pennies on a table with either hand during the treatment. It is a kidney meridian acupoint located on foot. This is often due to a traumatic birth that causes irreparable damage to the facial nerve resulting in acute facial nerve paralysis. It usually relieves symptoms immediately and may take only a few minutes to achieve significant improvement. Upon examination, it was found that she had paralysis of all four extremities. A few minutes later he was able to move his paralyzed arm and hand, amazed as he raised it over his head. The practitioner should consider scalp acupuncture as the primary approach rather than as a complementary approach for the patient with multiple sclerosis. 8600 Rockville Pike The role of acupuncture is to unblock the channels. She no longer had that urgent feeling in her bladder and was able to hold her urine for two hours. For additional effect, thread a long needle from Yang Ling Quan (GB 34) through to Yin Ling Quan (Sp 9) and from Kun Lun (Bl 60) through to Tai Xi (Ki 3). During each treatment, however, her right foot was getting stronger and she could pick it up more easily. At the end of her final treatment she was both laughing and crying. Although acupuncture and moxibustion have been used to prevent and treat disease in China for thousands of years, scalp acupuncture is a modern technique with a short history. Mechanical causes usually comprise peptic esophagitis, carcinoma of the esophagus or gastric cardia, candida esophagitis, and pharyngeal pouch. However, he still could not squeeze his left eye completely closed and his smile was a little crooked. Tell the child that those are normal and are a good sign for improving more quickly. She was able to count from one to 20 without breathing. However, to treat dysphagia patients who have depression is very challenging because patients are not always willing to participate in the treatment. Myelin allows for the smooth, high-speed transmission of electrochemical messages between the brain, the spinal cord, and the rest of the body. It is important to instruct patients to move their affected limbs actively and passively, if possible. He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. The site is secure. The actual site of obstruction is always at or below the level at which patients perceive the obstruction. Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is a disorder that generally involves either the lower or upper motor systems of the body. However, those who don't have such sensations could still experience immediate and positive effects. Because he was feeling very frustrated with his condition, David took the advice of the waitress and made an appointment at our clinic for a free consultation the same day. 5.3. Paralyzed muscles may be flaccid, flabby, and without appreciable tone, or may be spastic, tight, and with abnormally high tone that increases when the muscle is moved. Studying its results in clinical practice can also add clarity to ambiguities found in the practice of neurophysiology and pathology. The nasogastric tube was removed and he had no problem with talking or depression after his sixth treatment. She counted the numbers from one to 20 with a slow, slurred, weak voice. We put two needles in the Foot Motor and Sensory Area and two needles in the Reproductive Area. In Sherry's case, the hemiplegia was caused by a motor neuron disorder. Stroke is an acute neurological disease in which the blood supply to the brain is interrupted causing brain cells to die or be seriously damaged, thus impairing brain functions. For a child who is extremely sensitive to needles, stimulation by twirling should be avoided during the first one or two visits. Fred was very negative and showed no interest in treatment by scalp acupuncture at the initial visit. Secondary symptoms can be addressed after patients have significant improvements in their major complaints. Scalp acupuncture often produces remarkable results with just a few needles and usually brings about immediate improvement, sometimes taking only several seconds to a minute. This method is based on elementary functional neuroanatomy, and has nothing to do with traditional Chinese medicine. Paralysis may affect an individual muscle but it usually affects an entire body region. Some people present with silent aspiration and do not cough or show outward signs of aspiration. Retain the needles in place for 2030 minutes and request the patient to exercise the affected side of his facial muscles during scalp acupuncture treatments, especially if there are no needles in his face. When evaluating a patient with paralysis, the practitioner should follow a systematic approach that includes inspection of muscle, palpation and percussion of muscle, manual muscle strength testing, and assessment of motor function. For example, Fan Yunpeng mapped the scalp area as a prone homunculus with the head toward the forehead and the legs toward the occipital area.1 Taking a dividing line that connects the left ear to the vertex to the right ear, Tang Song-yan proposed two homunculi on the scalp, one in prone position and another in supine position.2 Zhang Ming-jiu's and Yu Zhi-shun's scalp locations are formulated by penetrating regular head points, and Zhu Ming-qing created several special therapeutic bands on the scalp.3,4. In Tom's case, the hemiplegia was caused by cerebral thrombosis, which has the best prognosis for recovery from stroke compared to cerebral embolism and cerebral hemorrhage. Barbara was in a wheelchair when she was brought to our 2006 scalp acupuncture seminar in Phoenix, Arizona. Bell's palsy is a paralysis and weakness of the muscles that control expression on one side of the face. She reported that her balance was improving and her legs felt lighter during the walking exercises. Her bowel movements were a little loose and she had experienced some nausea and gas after taking the prescribed Chinese herbs. Her ataxia was even more apparent when she tried to turn and her whole body was stiff and rigid, but worse on the left side. At each session, a few needles would be inserted in her scalp and she would go out for a walk and come back later for withdrawal of the needles. However, the neurological findings are rarely restricted to the facial nerve in these conditions. In treating unilateral paralysis of the limbs, traditionally more points from yang ming channels are selected because yang corresponds to movement and agility, and foot yang ming stomach channel controls muscle functions. Primidone, a drug used to treat seizures. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. Examination showed that the tremor as well as teeth marks in her tongue were less, the thick, white coating was less, and it was peeled more on the front part of her tongue. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weak patients. Always put one needle in the ear point Shen Men to help a young patient relax and to reduce the sensitivity of needle insertion and stimulation of the scalp. For two minutes, rotate the needles at least 200 times per minute with the thumb and index finger, twirling them as gently as possible at the beginning of treatment and repeating stimulation every 10 minutes so that the patient can tolerate the sensations better. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. These underlying problems include tumor, stroke, diabetes, meningitis, head trauma, and inflammatory diseases of the cranial nerves. Multiple sclerosis is unpredictable and varies in severity. There are three new principles in this presentation of scalp acupuncture, however, which are of central importance and which depart considerably from traditional Chinese medicine. Often caused by a car or sporting accident, spinal cord injury is extremely serious. He had a weak cough and diminished throat-clearing ability. Not believing that she was once again able to walk, he went to her house in person to see this miraculous change. Acupuncture in the scalp is very safe when performed by a qualified professional. In the West, many healthcare practitioners are familiar with acupuncture for pain management, while scalp acupuncture as a main tool for rehabilitation is a relatively new concept. Scalp acupuncture treats and prevents disease through the proper insertion of needles into scalp areas. In our normal practice it often takes from several weeks to several months for stroke patients to improve and recover. Chinese medical pattern discrimination: Qi stagnation and blood stasis in the channels. Chapter Three describes in detail locations and techniques of scalp acupuncture in order to offer a wide range of useful information for teachers, experienced or new practitioners, and students. We believe scalp acupuncture, which integrates Western medicine with Traditional Chinese Medicine, to be the most significant development that Chinese acupuncture has made in the past 60 years. These are called plaques. Stroke rehabilitation therapy helps patients return to normal life as much as possible by regaining and relearning skills of everyday living such as speaking or walking. To relax contractures of the foot and ankle, thread a two-inch needle from Jie Xi (St 41) toward Qiu Xu (GB 40) and Sheng Mai (Bl 62). In Part Two of our book, we discuss in detail many common central nervous disorders. The https:// ensures that you are connecting to the The Chorea and Tremor Area should be chosen if patients have limb spasm. Best results are achieved by applying low frequency (for example, 3 hertz) with high intensity (for instance, when visible muscle contraction is observed). Needles were applied to the middle third portion of the chorea tremor control area. The first of these principles is the location of scalp acupuncture areas based on the reflex somatotopic system organized on the surface of the scalp in Western medicine. Even after showing some improvement of his aphasia and the paralyzed arm and leg, he demonstrated no excitement and simply said, I do not notice any difference about my throat and swallowing.. Because each side of the brain controls the opposite side of the body, a stroke affecting one side of the brain results in neurological symptoms on the other side of the body. The pulse reading showed lack of force in the inch (cun) and bar (guan) positions, with faint pulses in the cubit (chi) position. Other patterns based on the patient's constitutional tendencies may also present or arise as the disease progresses. Disability affects about 75% of stroke survivors and it can affect patients physically, mentally, emotionally, or a combination of all three. Her pulses were wiry and fine overall, with especially weak pulses in the cubit (chi) positions bilaterally. During the third treatment the next day, the patient reported that she walked better with more control of her left leg and that it felt less heavy. It was difficult for her to walk even with her mother's support and because of Sherry's aphasia, her mother gave the medical history. For example, in a report about the scalp acupuncture treatment of seven veterans with phantom limb pain at Walter Reed Army Medical Center in 2006, the results were as follows. Rotate the needles at least 200 times per minute with the thumb and index finger for 13 minutes, twirling them as vigorously as the patient can tolerate and repeating the stimulation every 10 minutes. During treatment, some patients may have all or some of the following sensations: heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving in the affected side of the face. Normal muscle function requires intact connections all along this motor pathway. The examination revealed she had paraparesis of the left lower extremity that was more affected than the right. A nasogastric tube was inserted to provide non-oral feeding. With more stimulation of the needles on her head, she started to feel a hot sensation in her hands and feet. Many studies on scalp acupuncture have shown positive results in treating various disorders of the central nervous system. During the first treatment, Julia experienced immediate relief from the muscle spasms. Chinese medical pattern discrimination: Liver blood deficiency with internal stirring of liver wind, kidney qi deficiency, liver depression qi stagnation, blood stasis, Primary area: Motor Area, Sensory Area, Foot Motor and Sensory Area, Secondary area: Balance Area, Chorea and Tremor Area, and Vertigo and Hearing Area. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. Julia was also in much better control of urination, now holding her urine for six hours at night. Acupuncture works by increasing the circulation of blood, relaxing muscles, and stimulating the production of neurotransmitters like endorphins and serotonin. The manager at the college told us that the patient had had a stroke from cerebral thrombosis only 11 months before and was a good candidate for the class demonstration. Babies can be born with facial palsy and they exhibit many of the same symptoms as adults with Bell's palsy. She had lost her fine motor skills. Compared to other patients, in general depressed patients should receive fewer needles, milder stimulation, and a shorter time of needle retention. The longer the duration of impairment, the more gradual the improvement occurs. Retain the needles for 2530 minutes. Modern medicine has not yet found a cure for spinal cord injury. During treatment, some patients may experience sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving along their spine, legs, or arms. In terms of Western medicine, it contributes significantly to the treatment of central nervous system disorders. Telling the patient that those are normal and that people who experience some or all of these sensations usually respond and improve more quickly encourages them to come back for additional treatments. The following is an excerpt from Chinese Scalp Acupuncture, by Jason Jishun Hao, DOM, MTCM, MBA, and Linda Lingzhi Hao, CA, PhD. She could hardly be understood when she said her home phone number. To her surprise he reminded her what time he had the acupuncture appointment that day. A local hospital diagnosed stroke caused by cerebral hemorrhage in his left hemisphere. Fred, a 62-year-old male in a wheelchair, was brought to our clinic in Santa Fe, NM. From a Western perspective, these zones correspond to the cortical areas of the cerebrum and cerebellum responsible for central nervous system functions such as motor activity, sensory input, vision, speech, hearing, and balance. This is followed by the destruction of myelin. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. Bethesda, MD 20894, Web Policies It has been proven to have very effective results in treating aphasia, loss of balance, loss of hearing, dizziness and vertigo. Stroke is classified into two major categories, ischemic and hemorrhagic. She also had more energy and started to do some housework again. She received more aggressive treatment that day because it was her last treatment for this trip. Clinical studies have demonstrated that acupuncture may be beneficial for PD . The results were 25 cases fully recovered (52%), 18 cases markedly improved (38%), and 5 cases failed to improve at all (10%), yielding a total effective rate of 90%. Barbara reported that she had not received further acupuncture treatment after the last two scalp acupuncture treatments because neither her insurance nor her own money could cover further sessions. Sherry, a 38-year-old female, came to our clinic in 2007. Part One of this book is designed to give practitioners fundamental knowledge of neuroanatomy, neurophysiology, and pathology in Western medicine. To test the strength of each muscle group and record it in a systematic fashion is important before and after scalp acupuncture treatment for paralyzed patients. Scalp acupuncture distinguishes a yin somatotope at the front of the scalp and a yang somatotope at the back of the scalp. Michael showed remarkable improvement right away. 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