The FNN group was treated with needling Ya Men (GV 15), Tian Zhu (Bl 10), and Zhi Qiang Xue (new extra point). In complementary and alternative medicine, it contributes new understanding to both theory and practice. She was able to eat better because of less choking. Denise also complained of numbness, tingling, and spasms in her legs accompanied by incontinence of urine and severe fatigue. However, those who do not have such sensations could still have immediate, positive results. These areas may also be effectively employed for pain management, especially that caused by the central nervous system such as phantom pain, complex regional pain, and residual limb pain. Oropharyngeal dysphagia is often caused by stroke, multiple sclerosis, myasthenia gravis, Parkinson's disease, amyotrophic lateral sclerosis, and Bell's palsy. 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. When treating paralysis, whether from stroke or trauma, improvements in movement are often permanent. Early Findings Earlier research conducted by Liaoning University of Traditional Chinese Medicine researchers An official website of the United States government. During treatment, some patients experience sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving in the affected limbs. She no longer had that urgent feeling in her bladder and was able to hold her urine for two hours. Third, scalp acupuncture consists of needling areas rather than points on the skull according to the brain's neuro-anatomy and neurophysiology. Symptoms range in severity from mild weakness to total paralysis of the face, and Bell's palsy can often cause significant facial distortion. [4] Neurological Conditions Testimonials Scalp acupuncture is a micro-system acupuncture technique which stimulate the points or areas on the scalp to treating brain related diseases, neurological and psychological conditions, et al. One student at this class offered the conclusion, It's never too late to treat a paralyzed patient with scalp acupuncture.. Since the patient's attitude was relatively more positive toward acupuncture therapy, we were able to perform stronger stimulation after inserting needles at the same locations as for the initial treatment. Signs and symptoms of Bell's palsy may include sudden onset of weakness or paralysis on one side of the face making it difficult to smile or close the eye on the affected side, and deviation and droop of the corner of the mouth making facial expressions difficult. As we discovered with Tom, a patient with any duration of stroke disabilities can be treated, but treatment within a year brings about the greatest response in our experience. Such results warrant continued research into other possible uses for scalp acupuncture to alleviate human suffering. By the fifteenth treatment, Denise reported that she was able to walk around her home by herself and walk much longer distances. Compared to adult patients, generally speaking, young patients should receive fewer needles, milder stimulation, and shorter time of needle retention. David appeared to be very tired because, he said, Everyone at the hotel came to our room for hours to shake my recovering hand. By the end of his fifth treatment David had full use of his right hand and arm and the edema in his hand was completely gone. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated on the opposite side of the paralyzed limbs. Scalp acupuncture is more easily accessible, less expensive, entails less risk, can yield quicker responses, and causes fewer side effects than many Western treatments. Medicines can help some people, while others may need surgery. Retain the needles in place for 3045 minutes. Treating quadriplegia by acupuncture is very challenging. Michael, a 52-year-old patient referred by his primary care physician, walked with the aid of a cane. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. The entire Motor Area should be needled and stimulated on the opposite side of the paralyzed limbs. Insert needles in the Motor Area, Sensory Area, and Foot Motor and Sensory Area and stimulate unilaterally or bilaterally according to the patient's symptoms. During the third treatment she was able to stand on her feet with someone holding her knees and could lift her arms much higher. Her left ovary hurt and the pain was worse during menses. His tongue was red and slightly purple with a thick, white coating and his pulses were wiry and slippery. Her pulses were wiry and fine overall, with especially weak pulses in the cubit (chi) positions bilaterally. Wherever possible or useful, other modalities or techniques to enhance the scalp acupuncture treatments are included with the case histories, which demonstrates the integration of Chinese medical theory and application into the clinical practice of scalp acupuncture. Scalp acupuncture, sometimes also called head acupuncture, is a modern innovation and development. 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. She had gotten married and returned to work. Although scalp acupuncture has the best and fastest response, other techniques are necessary for a fuller recovery. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. Part One of this book is designed to give practitioners fundamental knowledge of neuroanatomy, neurophysiology, and pathology in Western medicine. She walked as much as she could, turning about every 30 steps, walking with confidence and a smile on her face. Many patients have a very quick and positive response in controlling urine and bowel functions when the Foot Motor and Sensory Area is stimulated. Tom was instructed to do some passive exercise while the needles were in place, having his wife move his hand and raise his arm. 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. Julia had incontinence of urine and was experiencing muscle spasms throughout her entire body. We need to emphasize that this patient received only three scalp acupuncture treatments and had recovered completely. It primarily affects adults, with age of onset typically between 20 and 40 years, and is twice as common in women compared to men. The longer the duration of the impairment, the more gradual will be the improvement. Best results are achieved by applying low frequency (for example, 3 hertz) with high intensity (for instance, when visible muscle contraction is observed). Brain damage is often related to quick acceleration and deceleration of the brain, which results in injury to the area of impact and its opposite area. When we told Barbara that some similar patients were able to walk again, her eyes filled with tears. A local hospital diagnosed stroke caused by cerebral hemorrhage in his left hemisphere. Functional causes include achalasia, myasthenia gravis, and bulbar or pseudobulbar palsy. Find a doctor near you, schedule an appointment, or call 800-TEMPLE-MED (800-836-7536). 5.3, 5.23 and 5.24). Dysphagia may lead to malnutrition and dehydration and at the most severe stages can cause choking, aspiration, and airway obstruction. There is no cure or standard treatment for motor neuron diseases and treatment focuses on reducing the symptoms of muscle spasm and pain while maintaining the highest practical level of overall health. This medication belongs to a class of drugs known as nitrates . When the airway is unprotected and foreign material is aspirated into the lungs, the person is at risk for development of pulmonary infection and aspiration pneumonia. 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. His wife gave a brief medical history because of his aphasia. Although more yang ming points are used for paralysis, points from yin channels, especially tai yin and jue yin channels should not be ignored. The disorders covered in this book are commonly found in Western clinics. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. References 1. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. 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. His tongue was a little purple with a normal coating and his pulses were bilaterally fine and wiry. Michael showed remarkable improvement right away. Some people present with silent aspiration and do not cough or show outward signs of aspiration. For the benefit of the seminar audience, Barbara demonstrated many different kinds of movement of her four extremities such as jumping, running, and easily raising her arms, which brought audience applause. Through this book, we hope to contribute this knowledge and experience to current and future students, practitioners, and teachers, and that it will serve as a stepping stone for further teaching, practice, research, and development of Chinese scalp acupuncture. Chinese medical pattern discrimination: Damp heat obstructing the channels and network vessels. Common acupuncture points include Qu Chi (LI 11), He Gu (LI 4), Jian Yu (LI 15), and Wai Guan (TB 5) for upper limb paralysis and Yang Ling Quan (GB 34), Huan Tiao (GB 30), Feng Shi (GB 31), Zu San Li (St 36), and Kun Lun (Bl 60) for lower limb paralysis. 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. government site. Acupuncture needles are very fine so shouldnt cause a lot of pain. A therapeutic course consists of 10 treatments. He could neither utilize a normal gait from heel to toe nor walk backwards. The sooner patients get treatment, the quicker their recovery. It is also the most useful technique for the patient to improve quickly in the initial visits. A dysphagia diet uses foods that stimulate swallowing and minimize mucus build-up around the larynx. Tom was able to move his arm, hand, and even his fingers in any way or direction that he was asked by the audience. Her tongue was purple with a thin white coating. If the symptoms disappear within several minutes up to a maximum of 24 hours, the diagnosis is transient ischemic attack (TIA), which is a mini or brief stroke. His fatigue was so great he could only walk 23 minutes at a time. Stimulate this needle with vigorous thrusting, lifting, and twirling. Most existing textbooks either lack detailed information or only introduce some new research on the topic. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. To relax the upper arm and shoulder, thread a needle from Jian Yu (LI 15) to Bi Nao (LI 14) and stimulate vigorously. By the fifth treatment, Fred wanted to add more foods and soon could eat and drink anything like a normal person. Scalp Acupuncture: Measuring Lateral Surface STORYTELLER PRODUCTIONS 596 subscribers Subscribe Like Share Save 25K views 10 years ago Video tutorial on how to measure the lateral surface points. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. Scalp acupuncture, discovered by Dr. Jiao Shunfa in 1971, is a modern acupuncture technique combining traditional needling methods with Western medical knowledge of representative areas of the cerebral cortex, including anatomy, physiology, pathology and neurology. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. In these early years of its development, there were several hypotheses for mapping stimulation areas. The distribution of weakness is an important clue to locate the level of nerve damage that caused the paralysis. Paraplegia is impairment in motor function of both legs and the trunk. He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. 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. Retain the needles in place for 1020 minutes. b Publisher's note: We are choosing to use the authors' translation for the xian mai (). At the beginning of the third visit, his wife reported that Fred's mood and attitude were much better after the last treatment. The NDS of both groups were statistically decreased (, Li Min and colleagues reported the treatment of 60 cases of dysphagia due to stroke using scalp acupuncture in 2009. He was experiencing moderate pain running along the line of his jaw and behind his left ear. She responded immediately after the needles were inserted, her voice sounding much clearer and stronger. A therapeutic course consists of 10 treatments. However, those who don't have such sensations could still experience immediate and positive effects. Thread another needle deeply from Wai Guan (TB 5) toward Nei Guan (Per 6) and stimulate in a similar fashion. There was a little twitching in the muscles of his arm but no movement at all in his right arm or hand and the hand appeared puffy and swollen. He talked a little more and was easier to understand. Her walking appeared almost normal, and she was again able to run, at least slowly. Location: parallel with and 1.5 cm to chorea and tremor control area. Vertigo and hearing area (ni) Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. The most outstanding results are with paralysis and pain management in very difficult neurological disorders. Scalp acupuncture has been found to have very good effects on the sequelae of stroke including hemiplegia, aphasia, and abnormal sensations in the limbs. With long-term conditions expectations need to be realistic, although occasionally a patient will surprise practitioners. Her aphasia gradually improved and she was able to drag her right leg while walking and move her right arm slightly but the paralysis had shown no further improvement for the past eight weeks. Primary lateral sclerosis is a rare motor neuron disease that resembles ALS but there is no evidence of the degeneration of spinal motor neurons or muscle wasting that occurs in ALS. The symptoms of stroke depend on the type of stroke and the area of the brain affected. Below the level of injury on the neck there was minimal contraction and movement of arm muscles, which indicated that the muscular tone of her arm was a 2 out of 5. Others may be left with deficits of varying degrees, and some patients have permanent damage. The treatment strategy was modified. Electrical acupuncture is very helpful for speeding up recovery and can be applied on the above points as well as at the Hua Tou Jia Ji points on the back. Her speech was clearer, she didn't feel that her tongue was thick when talking, and very little choking had occurred. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. Jia Huai-yu reported on 1,800 cases of paralysis due to stroke treated on the Motor Area by scalp acupuncture in 1992. The motor neuron diseases (MNDs) refer to a group of progressive neurological disorders that affect motor neurons associated with controlling voluntary muscle activity including speaking, walking, breathing, swallowing, and general movement of the body. Scalp acupuncture is the best therapy for spinal cord injury. The treatment is first given two times per week and then gradually reduced to fewer sessions after patients have experienced major improvement. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. Sherry had been to several famous hospitals but there was no clear diagnosis. 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. Her fatigue and bladder control were improved but she still had a lot of mucous and leg tremor. While the same scalp areas of upper 1/5 Motor Area and Speech I Area were still used, the Praxis Area and Chorea and Tremor Area were added to address her secondary complaints. Propranolol, a beta blocker. Scalp acupuncture is an effective treatment for Bell's palsy. demonstrated that scalp acupuncture benefitted patients and significant reductions of insomnia were achieved. Barbara had very positive responses to scalp acupuncture treatment. During the sixth treatment, Julia was able to kick her legs with some strength and she could bend her legs at the knee and hold this position for a few minutes. Her initial symptoms were an onset of numbness in the right arm followed by subsequent numbness descending down both her legs. The thick, white coating was less. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. Stroke survivors usually have some degree of sequelae of symptoms depending primarily on the location in the brain involved and the amount of brain tissue damaged. Unsure how to proceed, we considered simply demonstrating the location and technique of scalp acupuncture on this patient and not immediately showing the results to the students. This is often due to a traumatic birth that causes irreparable damage to the facial nerve resulting in acute facial nerve paralysis. Although scalp acupuncture has the best and fastest response, other techniques are necessary for a more complete recovery. Modern medicine has not yet found a cure for spinal cord injury. 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. Most patients can recover completely after five to 15 treatments. Clinical studies have demonstrated that acupuncture may be beneficial for PD . Isosorbide mononitrate is used to prevent chest pain ( angina) in patients with a certain heart condition ( coronary artery disease ). Scalp acupuncture is one of several specialized acupuncture techniques with a specific body location, taking its place alongside ear, nose, hand, foot, and wrist/ankle acupuncture. Scalp acupuncture is a modern acupuncture technique combining traditional needling method with western medicine knowledge of representative areas of the cerebral cortex. They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. Although she was nervous when the doctor asked her to stand up, her family was thrilled to see her not only stand up with improved stability, but also start to walk a few steps. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated bilaterally. These acupoints were selected based on the acupuncture point selections according to TCM meridian theory to treat essential tremor. Those patients usually respond and show improvement quickly. Examination showed that the sensations in his right arm and hand were still normal. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. She felt so excited about these improvements that she began to cry. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated bilaterally. From their teachers and textbooks, students can learn only general information about scalp acupuncture and its locations and clinical applications. The chain of nerve cells that runs from the brain through the spinal cord out to the muscles is called the motor pathway. In Part Two of our book, we discuss in detail many common central nervous disorders. 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). Further examination showed that he could not stand with stability due to losing his balance when standing on both legs, and it was impossible for him to stand on one leg. The information presented in the book is primarily a synthesis of two components of knowledge of scalp acupuncture. Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. The relapse rate of the scalp acupuncture group was 13.81% 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. Sometimes those points were stimulated with electrical acupuncture. Wu Jian-min reported on treating 80 cases of facial paralysis using scalp acupuncture in 1989. The duration of the ailment was from four days to two years. Active and passive exercise during scalp acupuncture treatment is very important for improvement. 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