Chinese medical pattern discrimination: Spleen qi and kidney essence deficiency, liver depression with depressive heat leading to the internal stirring of liver wind, While needles were being inserted in Michael's scalp the audience was quiet, waiting to see how he would respond to his first treatment. Babies can be born with facial palsy and they exhibit many of the same symptoms as adults with Bell's palsy. Quadriplegia, also known as tetraplegia, is paralysis with partial or total loss of use of all limbs and the torso. Children and their parents might not be willing to participate in needling as a therapeutic method. 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. Based on Liu Fang-shi's report of research done in 1994, 48 cases of facial paralysis were treated by scalp acupuncture on the Motor Area. Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease caused by degeneration of dopaminergic neurons in the substantia nigra. While interviewing Tom, we were shocked to find that his right arm and hand had actually been paralyzed for 11 years. 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. A therapeutic course consists of 10 treatments. With more stimulation of the needles on her head, she started to feel a hot sensation in her hands and feet. She had little hope that our treatment would help her condition. Her initial symptoms were an onset of numbness in the right arm followed by subsequent numbness descending down both her legs. 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. Over the past 25 years, Denise had multiple relapses and remissions with episodes of lower extremity weakness, stiffness and muscle spasm, incontinence of urine, loss of balance, and fatigue. She felt so excited about these improvements that she began to cry. Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. This book contains many amazing case reports from our years of clinical practice and teaching as examples of what is possible using these techniques. It may lead to the discovery of new effective treatments and hopefully to a cure for this disease in the future. Select the Chorea and Tremor Area or Foot Motor and Sensory Area according to whether the patient has muscular spasms or other abnormal sensations such as pain or burning. Fred started to eat more solid food and add more kinds of food gradually. Upon examination, it was found that she had paralysis of all four extremities. Some people present with silent aspiration and do not cough or show outward signs of aspiration. Commonly used points are Chi Ze (Lu 5) and Nei Guan (Per 6) for upper limbs and San Yin Jiao (Sp 6), Yin Ling Quan (Sp 9), Xue Hai (Sp 10), and Qu Quan (Liv 8) for lower limbs. The results showed Bell's palsy fully resolved in 72 cases (90%) and markedly improved in 8 cases (10%) with zero failure, yielding an effective rate of 100%. A therapeutic course consists of 10 treatments. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. During the 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 clinical practice, acupuncture treatments are typically based not just on a systematic or rigidly applied system, but also on highly individualized philosophical constructs and intuitive impressions. 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. He talked a little more and was easier to understand. This results in relaxation and pain . Other patterns based on the patient's constitutional tendencies may also present or arise as the disease progresses. Wu Jian-min reported on treating 80 cases of facial paralysis using scalp acupuncture in 1989. There are several different acupuncture techniques to treat paralysis. Until recently, in most cases its cause was unknown. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory nerve damage as well. Retain the needles for 3045 minutes and treat two or three times a week. 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. It is useful to pair the testing of each muscle group immediately with the testing of its contra-lateral counterpart to enhance detection of any asymmetries and record detailed information of any changes. All three factors are important as they act to heighten lingual control, reduce oral muscle fatigue, minimize the patient's fear of choking, and provide a cohesive bolus to stimulate a swallow reflex. During the first treatment, Julia experienced immediate relief from the muscle spasms. However, while treating children with body acupuncture can be challenging, it can be even harder with scalp acupuncture. The .gov means its official. The common denominators in most cases are external invasion or internal engenderment of damp heat, which damages qi and consumes yin and blood, thus giving rise to internal stirring of wind. He did not like to perform speech, swallowing, and body exercises. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. Retain the needles in place for 1020 minutes. Most patients with dysphagia whom we have treated showed some improvement after three treatments and some of them appear better right way. While Julia was starting to wiggle her paralyzed toes, we told her that her responses were a good prognosis for significant improvement in the near future. 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. Select the Balance Area or Vertigo and Hearing Area of the scalp, respectively, depending on the symptoms. 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. The patient thrived on this program. However, those who do not have such sensations could still have immediate positive results. Existing pharmaceutical treatments offer alleviation of symptoms but cannot delay disease progression and are often associated with significant side effects. She also had more energy and started to do some housework again. When the speech and motor areas are damaged, body dysfunctions appear such as aphasia and paralysis. Primidone, a drug used to treat seizures. Retain the needles for 2530 minutes. She counted the numbers from one to 20 with a slow, slurred, weak voice. 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, also known as head acupuncture, is a combined treatment based on traditional acupuncture and neurology. The FNN group was treated with needling Ya Men (GV 15), Tian Zhu (Bl 10), and Zhi Qiang Xue (new extra point). These cases demonstrate practical application of the principles of scalp acupuncture. "Essential tremor: choosing the right management plan for your patient." Cleveland Clinic Journal of Medicine, December 2011; 78(12):821-8. Her mental activity presented as normal and she was then in graduate school for a master's degree. 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. Its effects can range from relatively benign in most cases, to somewhat disabling, to devastating for some people. We feel confident that this book will meet these requirements. Compared to other patients, in general depressed patients should receive fewer needles, milder stimulation, and a shorter time of needle retention. As stated above in Chapter Four, unless the paralysis is due to the removal of damaged tissue by brain surgery, a paralyzed extremity is generally treated by choosing the opposite side of the Motor Area on the scalp. Afterwards, her speech was so much clearer, faster, and stronger that even she was surprised. Recent studies have shown that scalp acupuncture can be a very effective modality in controlling MS, often producing remarkable results after just a few needles are inserted. Patients with facial paralysis for which an underlying cause can be readily found are not generally considered to have Bell's palsy. They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. Acupuncture was applied with a 0.3 45-mm stainless-steel needle (Hansol Medical Co., Korea). Clinical studies have demonstrated that acupuncture may be beneficial for PD . Acupuncturists know the points to work on to slow down hand tremor with Acupuncture. Scalp acupuncture is a well-researched natural science and incorporates extensive knowledge of both the past and present. If balance, dizziness, or vertigo is present, select the Balance Area or the Vertigo and Hearing Area. The following is an excerpt from Chinese Scalp Acupuncture, by Jason Jishun Hao, DOM, MTCM, MBA, and Linda Lingzhi Hao, CA, PhD. During each treatment, however, her right foot was getting stronger and she could pick it up more easily. These underlying problems include tumor, stroke, diabetes, meningitis, head trauma, and inflammatory diseases of the cranial nerves. When treating chronic progressive diseases like multiple sclerosis, Parkinsonism, and amyotrophic lateral sclerosis (ALS), the effects are sometimes temporary. Currently, multiple sclerosis does not have a cure in terms of conventional treatments. For a child who is extremely sensitive to needles, stimulation by twirling should be avoided during the first one or two visits. This was a signal that she could possibly stand and walk. The technique of scalp acupuncture is systematic, logical, easy to understand, and easy to practice. 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. The sooner patients get treatment, the quicker their recovery. Paralysis is most often caused by damage to the nervous system, especially the brain and spinal cord. 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. Tom was instructed to do some passive exercise while the needles were in place, having his wife move his hand and raise his arm. Normal muscle function requires intact connections all along this motor pathway. Although more yang ming points are used for paralysis, points from yin channels, especially tai yin and jue yin channels should not be ignored. Ischemic stroke is divided into thrombosis stroke, embolic stroke, systemic hypoperfusion, and venous thrombosis. In very serious cases, patients may need feeding tubes. Unlike traditional acupuncture, where one needle is inserted into a single point, in scalp acupuncture needles are subcutaneously inserted into whole sections of various zones. 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. Patients with some or all of these sensations usually respond and improve more quickly. Select the finest gauge needles that you can insert into the scalp for the initial treatments. He could move his right arm slightly with muscular tone at 2 out of 5. According to Chinese medicine, trauma to the head (or anywhere else in the body) causes the blood to extravasate outside its normal vessels, obstructing the flow of fresh new blood to the area. It is not surprising for a Western physician to claim that it is a coincidence if a patient recovers from paralysis after acupuncture. Her gait was wide-based and unsteady and she had to hold on to someone to walk in order to maintain her balance. 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. Select the Speech I Area or some local points in the neck accordingly if the patient has aphasia or difficulty swallowing. Research on the effect of scalp acupuncture for dysphagia. Major complications of the condition include chronic loss of taste (ageusia), chronic facial spasm, and corneal infections. Scalp acupuncture is the best therapy for spinal cord injury. She was very surprised to find that she had regained the ability to control her legs again. 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. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. Treating quadriplegia by acupuncture is very challenging. 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. It is very helpful to play or chat with young patients as if they are friends or family members before the treatment. Her pulses were fine and wiry, and were faint in both cubit (chi) positions. Though she continued to improve with each treatment, the most dramatic changes occurred in the twentieth treatment. Third, scalp acupuncture consists of needling areas rather than points on the skull according to the brain's neuro-anatomy and neurophysiology. However, her right foot was still weak and was sometimes difficult to pick up and she had to drag it to walk. 3.3 Chorea-Tremor Control Area (CTCA) Location: Parallel to and 1.5 cm anterior to Motor Area (see Figs. Throughout its long history, acupuncture has evolved as its own unique traditional medicine. 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. Scalp acupuncture offers great rehabilitation tools for dysphagia. In Sherry's case, the hemiplegia was caused by a motor neuron disorder. Denise had a very positive response to her initial scalp acupuncture treatment. Although we were not at all certain that we could help this patient, it had taken several hours for the family member to give him a ride here and we did not want to turn him away. Common MNDs include amyotrophic lateral sclerosis (ALS), primary lateral sclerosis, progressive muscular atrophy, and poliomyelitis. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. Treatments were given once a day and 14 treatments comprised a course. Stimulate this needle with vigorous thrusting, lifting, and twirling. Although there is no cure for stroke, most stroke patients now have a good chance for survival and recovery. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. All of these have proven to respond well to scalp acupuncture treatment. Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. absence of or decrease in body movement arm, back, or jaw pain black, tarry stools bladder pain bleeding after defecation bleeding gums blood in the urine or stools blurred vision body aches or pain burning while urinating burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings chest pain or discomfort Dr. Jiao combined a modern understanding of neuroanatomy and neurophysiology with traditional techniques of Chinese acupuncture to develop a radical new tool for affecting the functions of the central nervous system. It is also the most useful technique for the patient to improve quickly in the initial visits. 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. In an ischemic stroke, a blood vessel becomes occluded and the blood supply to part of the brain is blocked. She called the Western medicine physician who had told her she would be paralyzed for the rest of her life and gave him the wonderful news. By directly stimulating affected areas of the central nervous system, scalp acupuncture has shown more effective results compared to other acupuncture techniques. Julia had incontinence of urine and was experiencing muscle spasms throughout her entire body. 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 having the patient move her affected limbs actively and passively. She had gotten married and returned to work. 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. When treating paralysis, whether from stroke or trauma, improvements in movement are often permanent. Other symptoms included an inability to lift his feet or wiggle his toes. Body acupuncture was added 15 minutes after scalp acupuncture began. How Acupuncture Provides Help For Tremors Tremor and involuntary shaking treatment using acupuncture may reduce tremors after the first treatment. After the eighth treatment she was able to walk with the assistance of a walker, experienced much more mobility in her hand movements, and her body spasms were almost entirely gone. It is a kidney meridian acupoint located on foot. 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. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. Such results warrant continued research into other possible uses for scalp acupuncture to alleviate human suffering. These zones are the specific areas through which the functions of the central nervous system, endocrine system, and channels are transported to and from the surface of the scalp. The nasogastric tube was removed and he had no problem with talking or depression after his sixth treatment. This case illustrates that scalp acupuncture could be the primary approach to manage swallowing disorder. When the arms, legs, and torso are paralyzed, this is commonly caused by damage to the brain, injury of the cervical spinal cord, polyneuritis, myasthenia gravis, progressive myodystrophy, multiple myositis, or acute infective multiple radiculoneuritis. Although the scalp has numerous Some scientists believe the needles act to stimulate muscles and nerves, which is what causes the effects. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. She also experienced a sensation like electricity shooting downward through her spine, radiating to her feet. Although scalp acupuncture has the best and fastest response, other techniques are necessary for a fuller recovery. When asked where the food is getting stuck, patients will often point to the cervical region. To prevent corneal infections, the eyes may be protected by covers or taped shut during sleep and for rest periods. Examination showed he was unable to move his right leg and foot at all with muscular tone at 0 out of 5. Her pulses remained unchanged and were still fine and wiry. Normally it takes several months or even as much as one to two years for this treatment to be effective. 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. Not believing that she was once again able to walk, he went to her house in person to see this miraculous change. Scalp areas are frequently used in pain management, especially pain caused by the central nervous system such as phantom pain, reflex regional pain, and residual limb pain. Speech #2. 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. The electrical stimulation usually lasts 1020 minutes. Techniques such as electrical and laser acupuncture and even new acupuncture points are currently being developed. During treatment, some patients may have all or some of the following sensations: increasing tingling or numbness, heat, cold, heaviness, distention, or the sensation of water or electricity moving along their spine, legs or arms. It took acupuncture practitioners in China roughly 20 years before they accepted a central theory that incorporated brain functions into Chinese medicine principles. She had had a concussion on the left side of the brain in the internal capsule and initially was totally paralyzed on her right side and lost the ability to speak. Mechanical causes usually comprise peptic esophagitis, carcinoma of the esophagus or gastric cardia, candida esophagitis, and pharyngeal pouch. Her pulses remained unchanged. She agreed to allow the needle insertion only after her mother told her that she might ride a bike again if these treatments worked. worsening angina pain; fast or slow heart rate; or. Abboud H, Ahmed A, Fernandez HH. Regular acupuncture treatment has been found to have positive therapeutic effects on the recovery of movement in the hands, fingers, feet, and toes. She was able to eat better because of less choking. Two minutes after the treatment began, Lisa announced that she felt a lot of blood move to my head. After that, the child was able to lift her right arm with much more ease. Chapter One provides a review for practitioners with a Western medical background and an adequate introduction for practitioners new to this material. In some patients it is a mild disease but it can lead to permanent disability in others. At the time, scalp acupuncture was primarily used to treat paralysis and aphasia due to stroke. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. He initially was totally paralyzed on the right side and had lost his speech. 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. Poliomyelitis, also called polio or infantile paralysis, is a highly infectious viral disease that may attack the central nervous system and is characterized by symptoms that range from a mild nonparalytic infection to total paralysis. The practitioner should consider scalp acupuncture as the primary approach rather than as a complementary approach for the patient with multiple sclerosis. Common acupuncture points include He Gu (LI 4), Qu Chi (LI 11), Jian Yu (LI 15), and Wai Guan (TB 5) for upper limb paralysis and Yang Ling Quan (GB 34), Feng Shi (GB 31), Huan Tiao (GB 30) Zu San Li (St 36), and Kun Lun (Bl 60) for lower limb paralysis. Although each part of the cerebral cortex has its own functions, some variation is possible. Also, the time frame for patients with stroke to be treated by scalp acupuncture is crucial; the earlier the treatment the better the prognosis. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. He started to smile after hearing himself count from one to 10 very clearly. Scalp acupuncture: chorea-tremor area The chorea-tremor area is one of the most commonly used scalp acupuncture areas for treating PD. Whether you are treating a child or adult, it is important to observe responses and reactions while inserting, stimulating, or withdrawing needles, and adjust the techniques accordingly. The majority of treatments available in Western medicine involve drugs or surgery and are often ineffective. His fatigue was so great he could only walk 23 minutes at a time. Fred could move his right arm up and down more and he was able to start walking to our clinic on his own. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. Electrical stimulation can be applied above and below the damaged level at Hua Tuo Jia Ji points on the back, which is another important technique for treating quadriplegia in addition to scalp acupuncture. When locating the chorea-tremor area, it is necessary to first define two positioning lines: the anterior-posterior midline and the eyebrow-occipital line. 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. Although multiple sclerosis (MS) remains an incurable disease of the central nervous system, scalp acupuncture provides an important complementary/alternative treatment approach for improving many symptoms and the patient's quality of life by slowing or reversing the progression of physical disability and reducing the number of relapses. 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. While we were continuing our lecture, we heard screaming from the other room. Bethesda, MD 20894, Web Policies The longer the duration of the impairment, the more gradual will be the improvement. It is still not easy for medical practitioners and the public to accept the reality that acupuncture can help in the recovery of paralysis, aphasia, and ataxia, while Western medical technology does not so far have effective treatments for those conditions. These drugs can have side effects. There were almost no teeth marks remaining. Common points are Si Bai (St 2) threaded toward Di Cang (St 4), Di Cang (St 4) threaded toward Jia Che (St 6), Yu Yao (extra point) threaded toward Tai Yang (extra point), Yang Bai (GB 14) threaded toward Yu Yao (extra point), and Xia Guan (St 7), He Gu (LI 4), and Tai Chong (Liv 3). She had lost her fine motor skills. Muscle strength is often rated at six levels on a scale of 0 out of 5 to 5 out of 5.6,a The level of 0 out of 5 shows no muscular contraction, which means complete paralysis; the level of 1 out of 5 shows some muscular contraction, but no limb or body movement; the level of 2 out of 5 shows limb movement is possible but not against gravity, which means the limb can only move in its horizontal plane; the level of 3 out of 5 shows limb movement is possible against gravity but not against resistance by the examiner; the level of 4 out of 5 shows limb movement is possible against some resistance by the examiner but it is still weak compared to a normal limb; and the level of 5 out of 5 shows normal muscular strength, which means complete recovery from paralysis. He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. government site. With children, select the thinnest needles that you can insert into the scalp. Fred was able to follow instructions to practice his speech and do oral and pharyngeal exercises. Barbara had constantly felt pressure and a strange feeling there, but she left the seminar very happy. Any tissue of the body requires nourishment by blood to perform its proper function. Julia, a 49-year-old female in a wheelchair, was brought to our clinic in Santa Fe, NM, in 1992. I am so overjoyed with these unexpected wonderful results. Otherwise, patients may conclude that acupuncture made their symptoms worse. Imdur Oral Side Effects by Likelihood and Severity COMMON side effects If experienced, these tend to have a Severe expression i fainting If experienced, these tend to have a Less Severe. 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. Because of all these symptoms, he was extremely agitated, angry, and fearful that his face would never look normal again. Sometimes those points were stimulated with electrical acupuncture. 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. 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 the 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. Acupuncture treats the patient as a whole entity and helps patients with spinal cord injury to recover function more effectively than Western medical treatment. He did not like to perform speech, swallowing, and a peeling coating at the,. Select the thinnest needles that you can insert into the scalp has numerous scientists... 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