Compared to other patients, in general depressed patients should receive fewer needles, milder stimulation, and a shorter time of needle retention. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. Treatment was given six times a week and 16 treatments made a course. First, up to now there has been no authoritative and practical text for scalp acupuncture in English. Approximately 300,000 people in the US and 2.5 million people worldwide suffer from MS. As a contemporary acupuncture technique, many of the specific treatments put forward in this book are also new, at least for a work that discusses Western medical concepts along with Chinese ones. This is followed by the destruction of myelin. 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. Scalp acupuncture is an effective treatment for Bell's palsy. 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. 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. I am so overjoyed with these unexpected wonderful results. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. Her tongue was purplish with a thin, sticky, yellow coating. He had severe dysphagia and could not swallow any food or water at all, which was his primary complaint at our clinic. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. A swallowing disorder can occur in people of all age groups but it is more likely in the elderly, patients who have had strokes, and in patients who are admitted to acute care hospitals or chronic care facilities. This results in relaxation and pain . 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. In an ischemic stroke, a blood vessel becomes occluded and the blood supply to part of the brain is blocked. He sought treatment from us during a conference in Phoenix, Arizona, in 2006. After nine scalp acupuncture treatments, he regained all functions of expression in his face and was very pleased with the outcome. After two needles were inserted on the right side of his scalp, David immediately noticed tingling sensations in his right arm and hand. Best results are achieved by applying low frequency (for example, 3 hertz) with high intensity (for instance, when visible muscle contraction is observed). Examination showed that her tongue was less red with fewer teeth marks and tremor only on the left side. Multiple sclerosis may occur either in discrete attacks or slowly over time. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. An official website of the United States government. Her neck was severely damaged at the level of C-5 and C-6. Although the most obvious symptom is impairment to the limbs, function is also impaired in the torso. Because these were patients in a hospital, the treatment protocol was 6 days per week for about 30 days, with a follow-up check after 3 months. Until recently, in most cases its cause was unknown. Thread another needle deeply from Wai Guan (TB 5) toward Nei Guan (Per 6) and stimulate in a similar fashion. Indications: superficial edema, hypertension. One student at this class offered the conclusion, It's never too late to treat a paralyzed patient with scalp acupuncture.. At the end of 20 treatments his walking appeared almost normal. Your therapist will stimulate them manually using heat, pressure, electrical currents or laser light. The pulse reading showed lack of force in the inch (cun) and bar (guan) positions, with faint pulses in the cubit (chi) position. Facial paralysis, according to Chinese medicine, involves both disregulation of qi and blood causing mal-nourishment of the channels in the facial region, as well as invasion by pathogenic wind-cold or phlegm. Practitioners should consider scalp acupuncture as either the primary approach or a complementary approach when treating disorders of the central nervous system and endocrine system. In some patients it is a mild disease but it can lead to permanent disability in others. Select the Balance Area or Vertigo and Hearing Area of the scalp, respectively, depending on the symptoms. 5.3. Regular acupuncture treatment has been found to have a positive therapeutic effect on the recovery of movement and reducing abnormal sensations of the hands, fingers, feet and toes. The disorders covered in this book are commonly found in Western clinics. Throughout its long history, acupuncture has evolved as its own unique traditional medicine. Sometimes those points were stimulated with electrical acupuncture. To prevent corneal infections, the eyes may be protected by covers or taped shut during sleep and for rest periods. She also experienced a sensation like electricity shooting downward through her spine, radiating to her feet. Some scientists believe the needles act to stimulate muscles and nerves, which is what causes the effects. 8600 Rockville Pike 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. To her surprise he reminded her what time he had the acupuncture appointment that day. 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. She had participated in running a race and did very well. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. After trying many kinds of therapies that brought no improvement, she became depressed. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. Sherry, a 38-year-old female, came to our clinic in 2007. Sherry reported without her mother's help that her body was less stiff and that she could walk and move better. Primidone, a drug used to treat seizures. The technique of scalp acupuncture is systematic, logical, easy to understand, and easy to practice. It is suggested that no more than two of the scalp needles be stimulated at any session so the brain does not become too confused to respond. When asked where the food is getting stuck, patients will often point to the cervical region. Chinese scalp acupuncture has been taught and used sparingly in the West and there are few books published on the subject. Five years before, his medical team had noted his condition has been slowly going downhill. Because his legs were very stiff and weak, Michael had to drag both legs in a shuffling manner when he walked. The longer the duration of impairment, the more gradual the improvement occurs. In another body of work examined in the meta-analysis, Huang Na et al. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. Chinese medical pattern discrimination: Qi stagnation and blood stasis in the channels, kidney qi deficiency, Primary area: Upper 1/5 Motor Area and middle 2/5 Motor Area, Secondary area: Foot Motor and Sensory Area, Chorea and Tremor Area. He could move his right arm slightly with muscular tone at 2 out of 5. That was one of the reasons that she returned to this second seminar half a year later. After the third treatment, the deviation and drooped corner of his mouth showed remarkable improvement, especially after more needles were inserted into his face, hands, and feet. Fred was very negative and showed no interest in treatment by scalp acupuncture at the initial visit. It requires the doctor to have very good techniques of insertion and manipulation of needles as well as good communication skills. Although symptoms may resolve completely between the episodes, permanent neurological problems usually persist, especially as the disease progresses.18 Many risk factors for multiple sclerosis have been identified, but no definitive cause has been found. Retain the needles for 3045 minutes and treat two or three times a week. 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. Recommended points are Zu San Li (St 36), San Yin Jiao (Sp 6), Guan Yuan (CV 4), Yong Quan (Ki 1) and Shen Shu (Bl 23). Always put one needle in the ear point Shen Men to help a depressed and angry patient relax and to reduce the sensitivity of needle insertion and stimulation of the scalp. Thread a third needle from Tai Chong (Liv 3) through the foot to Yong Quan (Ki 1) on the sole of the foot. In very serious cases, patients may need feeding tubes. A nasogastric tube was inserted to provide non-oral feeding. She was able to count from one to 20 without breathing. It is now our opinion that a patient with paralysis should be treated no matter how long ago a stroke has occurred as long as the limb shows no muscular atrophy. This was a signal that she could possibly stand and walk. 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. 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. Treating quadriplegia by acupuncture is very challenging. Upon examination, it was found that she had paralysis of all four extremities. There is no cure or specific treatment for Bell's palsy, although three in four patients' symptoms may subside on their own within two to three weeks. Part One of this book is designed to give practitioners fundamental knowledge of neuroanatomy, neurophysiology, and pathology in Western medicine. She could pick up pennies on a table with either hand during the treatment. If treating a patient with Bell's palsy within seven days of its onset, it is wise to inform patients that their condition is not yet stable and more or worse symptoms can continue to develop. Her tongue was red with a thin, white coating; her pulses were fine and wiry. Sometimes it is necessary to treat the depression first and then address the difficulty in swallowing. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. He began to tolerate a soft/semi-solid diet and the nasogastric feeding was gradually tapered down to overnight only as his oral intake improved. 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. His tongue was red and slightly purple with a thick, white coating and his pulses were wiry and slippery. 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. 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. 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. The nasogastric tube was removed and he had no problem with talking or depression after his sixth treatment. With continued encouragement Fred finally agreed to try. The severity of quadriplegia depends on both the level at which the spinal cord is injured and the extent of the injury. 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. 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. We need to emphasize that this patient received only three scalp acupuncture treatments and had recovered completely. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated bilaterally. 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. At a workshop conducted at Tri-State Acupuncture College in New York City in 1998, a patient named Tom volunteered for scalp acupuncture. Many studies on scalp acupuncture have shown positive results in treating various disorders of the central nervous system. The modern system of scalp acupuncture in China has been explored and developed since the 1950s. 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. Also, the time frame for patients with stroke to be treated by scalp acupuncture is crucial; the earlier the treatment the better the prognosis. How Acupuncture Provides Help For Tremors Tremor and involuntary shaking treatment using acupuncture may reduce tremors after the first treatment. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. There are considerable clinical studies and experimental research showing the excellent results obtained from scalp acupuncture on paralysis due to stroke. Eating was easier because she could swallow without choking and had less mucous in the throat. Scalp acupuncture treatments were given once a day and 10 treatments made a course. 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. This book contains many amazing case reports from our years of clinical practice and teaching as examples of what is possible using these techniques. Many patients have a very quick and positive response in controlling urine and bowel functions when the Foot Motor and Sensory Area is stimulated. Upon examination, her tongue was red with a thin white coating and her pulse was slippery and wiry. government site. Her pulses remained unchanged and were still fine and wiry. During treatment, some patients feel heat, cold, tingling, numbness, heaviness, distention, and/or the sensation of water or electricity moving along their spine, legs, or arms. Acupuncture, a therapeutic technique of Oriental Medicine, can be traced back more than 2500 years. Paralysis due to stroke, multiple sclerosis, and traumatic injury of the brain or spinal cord are the most commonly seen problems in our practice. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. If the spinal cord injury is not total, it is possible for some people to recover all bodily functions including touch and pain sensations, bladder and bowel functions, and motor control. 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. In our practice, the combination of scalp acupuncture and regular body acupuncture ensures the best results, especially for the further recovery of paralyzed fingers and toes. During the third treatment she was able to stand on her feet with someone holding her knees and could lift her arms much higher. 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. Chinese scalp acupuncture is a contemporary acupuncture technique integrating traditional Chinese needling methods with Western medical knowledge of representative areas of the cerebral cortex. The relapse rate of the scalp acupuncture group was 13.81% Needles were applied to the middle third portion of the chorea tremor control area. The types of paralysis are classified by region. HHS Vulnerability Disclosure, Help Paralysis is most often caused by damage to the nervous system, especially the brain and spinal cord. However, those who don't have such sensations could still experience immediate and positive effects. Retain the needles for 3045 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. These include weakness, paralysis or abnormal sensations in limbs or face, aphasia, apraxia, altered vision, problems with hearing, taste, or smell, vertigo, disequilibrium, altered coordination, difficulty swallowing, and mental and emotional changes. This helps to reduce fear and anxiety for both patient and parents. Scalp acupuncture, sometimes also called head acupuncture, is a modern innovation and development. Her pulses were wiry and fine overall, with especially weak pulses in the cubit (chi) positions bilaterally. Communicate with children and their parents more often than with adult patients in order to reduce their fear and anxiety. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. He did not like to perform speech, swallowing, and body exercises. In the worst cases, people with MS may be unable to write, speak, or walk. After 39 treatments, she had gained back all movement of her hands and arms, was able to walk with a cane, and began living without the aid of personal assistants. It is very helpful to play or chat with young patients as if they are friends or family members before the treatment. Bethesda, MD 20894, Web Policies Treatments for internal tremors can include: reducing anxiety and stress avoiding. Vertigo and hearing area (ni) Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. This ability would last for several days after treatment, so Denise liked to get a tune-up treatment every other week. In many cases, a flexible spending account may be used to cover acupuncture treatments. 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. References 1. Her initial symptoms were an onset of numbness in the right arm followed by subsequent numbness descending down both her legs. David, a 52-year-old man, was vacationing with his wife in Santa Fe, NM, in 1993. When we told Barbara that some similar patients were able to walk again, her eyes filled with tears. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. Even then, only 50% of patients have a chance of improving. Causes of many motor neuron diseases are unknown and others have varying causes according to the specific motor neuron disease. 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). The RA group was treated with needling at Lian Quan (CV 23), Tong Li (Ht 5) and Zhao Hai (Ki 6). Her pulses were fine and wiry, and were faint in both cubit (chi) positions. Scalp acupuncture not only treats disorders, but also can prevent illness and help to build the immune system. To his astonishment he did not choke at all when he took a first sip of water. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. The outcome measures included the patient's (1) subjective evaluation of her percentage of improvement before and after weekly treat It may lead to the discovery of new effective treatments and hopefully to a cure for this disease in the future. 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. 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. The following day he returned to the clinic for another treatment. Stimulate all needles with vigorous thrusting, lifting, and twirling. The electrical stimulation usually lasts 1020 minutes. It has been proven effective in treating any type of paralysis, sometimes taking only one to two treatments for an amazing amount of recovery. 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. Having proven effective through clinical results recorded over the last 35 years, it can effectively stimulate the paralyzed area in order to restore the body's energy flow to a normal state so that the body can heal itself. New research suggests that normal brain cells are highly adaptable. Examination showed that the sensations in his right arm and hand were still normal. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. She felt that her legs were not as heavy when walking. Chinese medical pattern discrimination: Liver wind stirring internally, kidney qi deficiency, Primary area: Upper 1/5 Motor Area and Speech I Area, Secondary area: Foot Motor and Sensory Area, Chorea and Tremor Area, and Praxis Area. The symptoms of brain injury depend on the area of the brain affected. Results showed seven cases fully recovered, 13 cases markedly improved, eight cases some improvement and two cases failure in FNN group. Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination. Findings in these two studies are very similar. Four months before, Lisa fell off her bicycle and hit her head on the left side, above and behind her ear. At his last visit, Fred said, Thank you very much for giving me back my normal life.. Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease caused by degeneration of dopaminergic neurons in the substantia nigra. These are called plaques. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. Julia had incontinence of urine and was experiencing muscle spasms throughout her entire body. We have treated hundreds of paralyzed patients with remarkable results in the US, China, and Europe, allowing many patients to leave their wheel-chairs, walkers, crutches, and canes behind.712. The points were Tai Chong (Liv 3), Tai Xi (Ki 3), Yang Ling Quan (GB 34), Feng Long (St 40), Wai Guan (TB 5), and Lian Quan (CV 23). patients treated for essential tremors before and after acupuncture show the total effective rate of the scalp acupuncture treatment group was 96.7% and the conventional acupuncture group was 73.3% (P<0.05). Afterwards, her speech was so much clearer, faster, and stronger that even she was surprised. 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. 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. 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. Scalp acupuncture successfully integrates the essence of ancient Chinese needling techniques with the essence of neurology in Western medicine. National Library of Medicine It can help localize a lesion to a particular cortical region and spinal cord level, evaluate scalp acupuncture treatment, and give the patient encouragement when there is subtle improvement that the patient might not notice. 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. Regular acupuncture treatment has been found to have positive therapeutic effects on the recovery of movement in the hands, fingers, feet, and toes. 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. She had gotten married and returned to work. It has been proven to have very effective results in treating aphasia, loss of balance, loss of hearing, dizziness and vertigo. Common symptoms and signs include progressive weakness, muscle wasting, muscle fasciculations, spasticity or stiffness in the arms and legs, and overactive tendon reflexes. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory nerve damage as well. Stroke is the third leading cause of death in the United States after heart attack and cancer and it is a leading cause of adult disability. Denise had a very positive response to her initial scalp acupuncture treatment. First, we were among an early group of people who studied these techniques and were very fortunate to have opportunities to learn it directly from famous scalp acupuncture specialists including Jiao Shun-fa, the brilliant founder of Chinese scalp acupuncture, Yu Zhi-shun, a well-known professor in scalp acupuncture development, and Sun Shentian, an outstanding professor in scalp acupuncture research. These do not relate to the theory of channels in Chinese medicine and are an essentially new type of conception. At that time her leg and arm muscles were so much stronger that she was able to write and make phone calls. Acupuncturists know the points to work on to slow down hand tremor with Acupuncture. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. With strong encouragement, she struggled up and stood by herself for one minute, two minutes, and then three minutes. Most existing textbooks either lack detailed information or only introduce some new research on the topic. 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. Diplegia affects the same body region on both sides of the body (both arms, for example). He systematically undertook the scientific exploration and charting of scalp correspondences starting in 1971. Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. Her bowel movements were a little loose and she had experienced some nausea and gas after taking the prescribed Chinese herbs. Dysphagia is classified into two major types, oropharyngeal dysphagia and esophageal dysphagia. 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. Secondary symptoms can be addressed after patients have significant improvements in their major complaints. 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 Chorea and Tremor Area should be chosen if patients have limb spasm. Her primary doctor recommended that she try acupuncture treatment. Her breathing was less labored when she was active, and friends noticed major improvement in her speech during phone conversations. She could hardly be understood when she said her home phone number. and one acupoint is unilateral for a total of 7 acupuncture points. These drugs can have side effects. Speech #2. Although scalp acupuncture areas may be chosen according to the patient's particular symptoms, primary areas for patients with motor problems such as paralysis, weakness of limbs, or abnormal sensations in limbs including tingling, numbness, or pain, are the Motor Area and the Sensory and Foot Motor Areas. 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