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. Existing pharmaceutical treatments offer alleviation of symptoms but cannot delay disease progression and are often associated with significant side effects. Retain the needles for 2530 minutes. Patients who experience some or all of these sensations usually respond and improve more quickly. When told that it was time for him to show off, he stood up straight with great stability and even stood on one leg for several seconds without losing his balance. 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. This book contains many amazing case reports from our years of clinical practice and teaching as examples of what is possible using these techniques. The types of paralysis are classified by region. Keep the needles in for 2530 minutes. Sometimes it is necessary to treat the depression first and then address the difficulty in swallowing. Early Findings Earlier research conducted by Liaoning University of Traditional Chinese Medicine researchers He started to smile after hearing himself count from one to 10 very clearly. 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 repeat the stimulation every 10 minutes. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. Therefore it is imperative to deal with the dangers of dysphagia through dietary management once acupuncture has been instituted. These headaches may gradually become less severe as you continue to use nitroglycerin. When myelin is damaged, neurological transmission of messages may be slowed or blocked completely resulting in some body functions being diminished or lost. She received more aggressive treatment that day because it was her last treatment for this trip. Patients with some or all of these sensations usually respond and improve more quickly. Retain the needles for 2530 minutes. Also hernias or bulges of intervertebral discs may cause spinal cord compression. 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. The FNN group was treated with needling Ya Men (GV 15), Tian Zhu (Bl 10), and Zhi Qiang Xue (new extra point). Tom was instructed to do some passive exercise while the needles were in place, having his wife move his hand and raise his arm. After trying many kinds of therapies that brought no improvement, she became depressed. There were almost no teeth marks remaining. Location: parallel with and 1.5 cm to chorea and tremor control area. Eating was easier because she could swallow without choking and had less mucous in the throat. She could not control her urine, choked when eating, and always felt fatigued. He had severe dysphagia and could not swallow any food or water at all, which was his primary complaint at our clinic. Compared to other patients, in general depressed patients should receive fewer needles, milder stimulation, and a shorter time of needle retention. 5.3, 5.23 and 5.24). 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. His tongue was red and slightly purple with a thick, white coating and his pulses were wiry and slippery. Sometimes it is necessary to show a patient how tiny the needles are or demonstrate the insertion of a needle in the practitioner's own body. Propranolol may cause fatigue, stuffy nose, or slow heartbeat, and it may make asthma worse. 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. Although the most obvious symptom is impairment to the limbs, function is also impaired in the torso. During the first treatment, Julia experienced immediate relief from the muscle spasms. Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination. and transmitted securely. For the last three years and currently, she could not stand or walk by herself due to weakness in her legs and loss of balance. The signs and symptoms of dysphagia include difficulty controlling food in the mouth, inability to control food or saliva in the mouth, difficulty initiating a swallow, coughing, choking, frequent pneumonia, unexplained weight loss, gurgly or wet voice after swallowing, nasal regurgitation, and swallowing difficulty. He was treated by combined scalp acupuncture and body acupuncture. To his astonishment he did not choke at all when he took a first sip of water. Primidone, a drug used to treat seizures. Scalp acupuncture for MS is accessible, less expensive, safer, more effective, and causes fewer side effects than Western medical treatments. In 100 BCE, the first Chinese acupuncture text, Huang Di Nei Jing (The Yellow Emperor's Classic of Internal Medicine) described the relationship between the brain and the body in physiology, pathology, and treatment as it was understood at that time, and citations of acupuncture treatments on the head can be found throughout classical Chinese literature. She was able to count from one to 20 without breathing. Progressive muscular atrophies are a wide group of genetic disorders characterized by primary degeneration of the anterior horn cells of the spinal cord, resulting in progressive muscle weakness. Denise, a 79-year-old female in a wheelchair, was brought to our clinic in Santa Fe, New Mexico, in 1994. pounding heartbeats or fluttering in your chest. Other patterns based on the patient's constitutional tendencies may also present or arise as the disease progresses. Treating quadriplegia by acupuncture is very challenging. According to the individual's condition, regular body acupuncture, electrical acupuncture, and moxibustion, as well as physical therapy and massage can combine with scalp acupuncture to speed up the time of recovery. When one area is impaired, this area can recover to a certain extent or can be compensated somewhat by other areas with proper scalp stimulation. As stated previously, however, those who do not have such sensations could still have immediate, positive results. Accessibility He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. It has been proven to be a most effective technique for treating acute and chronic central nervous system disorders. Damage at any level often interrupts the brain's ability to control muscle movements resulting in paralysis. Needles should be inserted in the upper 1/5 Motor Area and the middle 2/5 Motor Area on the unaffected side of the scalp for patients who develop paralysis from brain surgery. This ability would last for several days after treatment, so Denise liked to get a tune-up treatment every other week. Hand or foot paralysis is relatively difficult to recover and often requires a longer process, especially for a contracted hand and foot. While interviewing Tom, we were shocked to find that his right arm and hand had actually been paralyzed for 11 years. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. Thread a second needle from Jie Xi (St 41) toward Zhong Feng (Liv 4) and Zhao Hai (Ki 6). Any tissue of the body requires nourishment by blood to perform its proper function. Common symptoms of spinal injuries include arm and leg paralysis or weakness, difficulty breathing, tingling, numbness, or pain in affected limbs, and incontinence of both bowel and urine. However, the neurological findings are rarely restricted to the facial nerve in these conditions. There are many different acupuncture techniques for treating MS. To relax contractures of the hand, thread a two-inch needle from He Gu (LI 4) under the palm toward Lao Gong (Per 8) and Hou Xi (SI 3). She responded immediately after the needles were inserted, her voice sounding much clearer and stronger. She had lost her fine motor skills. Do not stop taking this medicine to avoid headaches. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weak patients. Scalp acupuncture offers great rehabilitation tools for dysphagia. Dysphagia may lead to malnutrition and dehydration and at the most severe stages can cause choking, aspiration, and airway obstruction. Furthermore, there have been few reports or articles published on treatment by scalp acupuncture. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. Through acupuncture treatment, some patients can be cured and many others witness a variety of significant improvements. It is necessary to point out, however, how unusual it is that a patient gets only one scalp acupuncture treatment and recovers completely. 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. 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. 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. The incontinence of urine also showed some improvement. After the fifteenth treatment, she had gained more mobility and use of her right hand as well as more muscle strength in that hand, which was now as strong as her left hand. He was reluctant to do any active exercise when being instructed. Scalp acupuncture distinguishes a yin somatotope at the front of the scalp and a yang somatotope at the back of the scalp. He felt depressed, irritable, angry, and severely fatigued. 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. The following day he returned to the clinic for another treatment. Ren Abboud H, Ahmed A, Fernandez HH. 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. Since scalp acupuncture is a modern technique with just 39 years of history, much more research needs to be done so that its potential can be fully explored and utilized and more paralyzed patients helped to regain a normal life. 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. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. Symptoms range in severity from mild weakness to total paralysis of the face, and Bell's palsy can often cause significant facial distortion. As soon as we inserted two needles in her scalp at the Chorea and Tremor Area, the tightness in all four limbs loosened up and the spasms were gone. Patients may find it helpful to change their diet or hold their heads or necks in a certain way when they eat. Examination showed she was unable to stand and walk straight by herself. He could neither utilize a normal gait from heel to toe nor walk backwards. 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). Quadriplegics are often vulnerable to pressure sores, osteoporosis and fractures, frozen joints, spasticity, respiratory complications and infections, poor autonomic reflexes, deep vein thrombosis, and cardiovascular disease because of depressed functioning and immobility. Yin corresponds to nourishing muscles and tendons and points from yin channels have positive results for pronounced stiffness and contraction of the limbs. Quadriplegia, also known as tetraplegia, is paralysis with partial or total loss of use of all limbs and the torso. Paralysis may affect an individual muscle but it usually affects an entire body region. The https:// ensures that you are connecting to the Wu Jian-min reported on treating 80 cases of facial paralysis using scalp acupuncture in 1989. Scalp acupuncture alone tends to give 4 weeks of improvement. Her speech was clearer, she didn't feel that her tongue was thick when talking, and very little choking had occurred. The electrical stimulation usually lasts 1020 minutes. Select either the Chorea and Tremor Area or the Foot Motor and Sensory Area, depending whether the patient has muscular spasms or other abnormal sensations such as pain or burning. Hence the common name for stroke in Chinese medicine is wind stroke. However, to treat dysphagia patients who have depression is very challenging because patients are not always willing to participate in the treatment. Indications: superficial edema, hypertension. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. Her primary doctor recommended that she try acupuncture treatment. The man had developed paralysis in the right arm and hand after an operation on the left side of his brain to remove a tumor. Those patients usually respond and show improvement quickly. Fred started to eat more solid food and add more kinds of food gradually. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. 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. The treatment strategy was modified. In complementary and alternative medicine, it contributes new understanding to both theory and practice. She could stand on either leg alone and had to look down to check if it was true. Exercise is very important for the recovery of affected limbs. Treatments for internal tremors can include: reducing anxiety and stress avoiding. However, those who don't have such sensations could still experience immediate and positive effects. FOIA She watched and listened to herself on the video screen while she walked and talked like a normal person. Always put one needle in the ear point Shen Men to help the patient relax and reduce sensitivity to needle insertion and stimulation of the scalp. Lisa, a 10-year-old girl in a wheelchair, was brought by her mother to our clinic in Santa Fe, New Mexico, in 1993. Repeat the stimulation every 10 minutes. The electrical stimulation usually lasts 10 to 20 minutes. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. However, while treating children with body acupuncture can be challenging, it can be even harder with scalp acupuncture. 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. The patterns presenting in these diseases usually include a complex combination of liver blood, kidney yin, and spleen qi deficiencies along with damp heat further consuming the blood and damaging the qi, and thus depriving the limbs of strength and the flesh and muscles of nourishment. Many of these same patterns will be present in cases involving post-stroke symptomology discussed in this book such as paralysis, dysphagia, and aphasia. I can walk solidly from heel to toe and walk backwards with no difficulty.. In A Practical Dictionary of Chinese Medicine, Wiseman and Feng translate this pulse image as the string-like pulse, but wiry is the more common usage. With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. For body acupuncture, Qu Chi (LI 11), Wai Guan (TB 5), and He Gu (LI 4) on the right upper limb and Zu San Li (St 36), Kun Lun (Bl 60), and Jie Xi (St 41) on the right lower limb were needled. During each treatment, however, her right foot was getting stronger and she could pick it up more easily. 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. His pulses were wiry and slippery. A therapeutic course consists of 10 treatments. That results in loss or impairment of bowel and bladder control, sexual function, digestion, breathing, and other autonomic functions. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. When choosing Hua Tou Jia Ji points, the pair of points for stimulation should be one above and one below the site of injury level. Such results warrant continued research into other possible uses for scalp acupuncture to alleviate human suffering. Results showed seven cases fully recovered, 13 cases markedly improved, eight cases some improvement and two cases failure in FNN group. Thread another needle deeply from Wai Guan (TB 5) toward Nei Guan (Per 6) and stimulate in a similar fashion. demonstrated that scalp acupuncture benefitted patients and significant reductions of insomnia were achieved. 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. In Chinese medicine, there are at least six or more patterns of disharmony that can account for the signs and symptoms of multiple sclerosis. It is caused by sclerosis in the corticospinal tracts. Barbara had constantly felt pressure and a strange feeling there, but she left the seminar very happy. It is suggested that only one to two pairs of the scalp needles be stimulated at any one session or the brain can become too confused to respond. These cases demonstrate practical application of the principles of scalp acupuncture. When compared to other acupuncture modalities including acupuncture on the ear, body, and hand, scalp acupuncture has proven to have the most success in treating MS and other central nervous system damage. He had suffered from multiple sclerosis since 1982 and had received many kinds of treatments with no positive results. Thanks to advanced stroke research and brain imaging technology, doctors are continuing to gain new understanding of how the brain can adapt after stroke in order to regain its ability to function. Monoplegia is impairment in the motor function of only one limb. To treat loss of taste, the lower 2/5 Sensory Area in the scalp should be stimulated. A few miracle cases are presented in this book, such as the woman who was completely cured of quadriplegia after only two scalp acupuncture treatments and a man who was cured of aphasia after just five. You'll find KI-3 at the depression between the inner side of the ankle and the tendon, just behind the anklebone. The Chorea and Tremor Area should be chosen if the patient has tremor or limb spasms. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory nerve damage as well. With strong encouragement, she struggled up and stood by herself for one minute, two minutes, and then three minutes. The thick, white coating was less. For children less than two years old, an effective technique is to hide each needle from their sight while inserting and stimulating. Although the tremor in both legs was better, she still had some fine movement problems such as difficulty with buttons and writing and still had some stiffness in her legs. The sooner patients get treatment, the quicker their recovery. Dysphagia is the medical term for the symptom of difficulty in swallowing. Best results are achieved by applying low frequency (for example, 3 hertz) with high intensity (for instance, when visible muscle contraction is observed). His aphasia, dysphasia, and paralysis on the right side had shown no further improvement for the past two weeks. This patient's experience has caused us to change the information we give students about whether treatment could be successful after a specific number of years. However, those who don't have such sensations could still have immediate effects. 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. Those areas should be stimulated unilaterally or bilaterally, according to the patient's manifestations. Fig. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. 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