Select the finest gauge needles that you can insert into the scalp for the initial treatments. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. During our lectures around the world, we are often asked why, if it is so effective in treating disorders of the central nervous system, has scalp acupuncture not spread to the whole world and been applied widely in practice? There are many different acupuncture techniques to treat paralysis. Her gait was wide-based and unsteady and she had to hold on to someone to walk in order to maintain her balance. These headaches may gradually become less severe as you continue to use nitroglycerin. Although his aphasia gradually improved, his speech was not clear. 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. 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. Her hand, legs, and feet were completely paralyzed, which meant that muscular tones were 0 out of 5. An ongoing relationship with your primary care doctor is strongly encouraged. You'll find KI-3 at the depression between the inner side of the ankle and the tendon, just behind the anklebone. Therefore it is imperative to deal with the dangers of dysphagia through dietary management once acupuncture has been instituted. At a workshop conducted at Tri-State Acupuncture College in New York City in 1998, a patient named Tom volunteered for scalp acupuncture. Several doctors thought she suffered from a motor neuron disorder or ALS. To be able to cook again brought her such tremendous joy and gratitude that she laughed and cried at the same time. To treat loss of taste, the lower 2/5 Sensory Area in the scalp should be stimulated. It may lead to the discovery of new effective treatments and hopefully to a cure for this disease in the future. Paralysis may affect an individual muscle but it usually affects an entire body region. Patients may find it helpful to change their diet or hold their heads or necks in a certain way when they eat. 3.3 Chorea-Tremor Control Area (CTCA) Location: Parallel to and 1.5 cm anterior to Motor Area (see Figs. However, those who don't have such sensations could still have immediate effects. At the second treatment, Denise reported that the incontinence of urine had improved remarkably after the first treatment and the numbness, spasms, and weakness of both legs showed some improvement as well. At another scalp acupuncture seminar in Phoenix, Arizona, later the same year, the audience was waiting to see Barbara, whom we had treated several months before. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. 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. Four months prior to the first visit, this patient was injured in a car accident. 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. Fig. While interviewing Tom, we were shocked to find that his right arm and hand had actually been paralyzed for 11 years. The symptoms of brain injury depend on the area of the brain affected. In very serious cases, patients may need feeding tubes. The practitioner has a wide amount of discretion on the use of points and techniques. The most common symptom of esophageal dysphagia is the inability to swallow solid food, which the patient often describes as becoming stuck or held up before it either passes into the stomach or is regurgitated. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. The tremor zone based on scalp acupuncture is indicated for patients who experience body tremors. At this point his weight increased and his stamina was markedly improved. The types of paralysis are classified by region. 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. First, up to now there has been no authoritative and practical text for scalp acupuncture in English. 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. It is very helpful to play or chat with young patients as if they are friends or family members before the treatment. Also hernias or bulges of intervertebral discs may cause spinal cord compression. Although more yang ming points are used for paralysis, points from yin channels, especially tai yin and jue yin channels should not be ignored. A dysphagia diet uses foods that stimulate swallowing and minimize mucus build-up around the larynx. 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. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. 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. The patient thrived on this program. When locating the chorea-tremor area, it is necessary to first define two positioning lines: the anterior-posterior midline and the eyebrow-occipital line. Examination showed she was unable to stand and walk straight by herself. 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. Quadriplegia means paralysis of all four limbs or of the entire body below the neck. Jimmy had a very good response to his first scalp acupuncture treatment. 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. The more general acupuncture therapy is often called body acupuncture. Functional causes include achalasia, myasthenia gravis, and bulbar or pseudobulbar palsy. Common MNDs include amyotrophic lateral sclerosis (ALS), primary lateral sclerosis, progressive muscular atrophy, and poliomyelitis. With long-term conditions expectations need to be realistic, although occasionally a patient will surprise practitioners. With children, select the thinnest needles that you can insert into the scalp. For scalp acupuncture, the Chorea and Tremor Area replaced the Foot Motor and Sensory Area in this second treatment. How Acupuncture Provides Help For Tremors Tremor and involuntary shaking treatment using acupuncture may reduce tremors after the first treatment. There are considerable clinical studies and experimental research showing the excellent results obtained from scalp acupuncture on paralysis due to stroke. Scalp acupuncture is a well-researched natural science and incorporates extensive knowledge of both the past and present. The patients were randomly divided into a body acupuncture group and a scalp acupuncture group, 30 in each group. Hence the common name for stroke in Chinese medicine is wind stroke. At that time her leg and arm muscles were so much stronger that she was able to write and make phone calls. A waitress who noticed that he was paralyzed told him that he should come to our clinic, which specialized in treating that affliction. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. Approximately 300,000 people in the US and 2.5 million people worldwide suffer from MS. The examination revealed she had paraparesis of the left lower extremity that was more affected than the right. Jimmy, a 52-year-old male, came to our clinic in Santa Fe, NM, in 2000. Paraplegia is impairment in motor function of both legs and the trunk. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. He was reluctant to do any active exercise when being instructed. Dr. Jiao's discovery was investigated, acknowledged, and formally recognized by the acupuncture profession in a national acupuncture textbook, Acupuncture and Moxibustion, in 1977.5 Ten years later, at the First International Acupuncture and Moxibustion Conference held in Beijing, China, scalp acupuncture began to gain international recognition. The effective rate was 93.3% in the FNN group, better than that of 80.8% in RA group (. Accessibility 5.3, 5.23 and 5.24). Fred was able to follow instructions to practice his speech and do oral and pharyngeal exercises. His tongue was red and slightly purple with a thick, white coating and his pulses were wiry and slippery. The audience reported that he was taking much larger steps, was lifting up his legs rather than dragging them, and was turning around without hesitation. The RA group was treated with needling at Lian Quan (CV 23), Tong Li (Ht 5) and Zhao Hai (Ki 6). It not only benefits MS patients, but also significantly helps us to better understand the mechanisms that cause the condition. When stroke patients pass the acute stage they should start rehabilitation as soon as possible. He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. Sherry had been to several famous hospitals but there was no clear diagnosis. The only remaining problem was urgent, frequent urination and some incontinence of urine. During the break, Michael went outside for a bit more exercise. The longer the duration of impairment, the more gradual the improvement occurs. Diseases such as progressive muscular atrophy, poliomyelitis, and ALS are categorized as wei zheng () or wilting conditions in Chinese medicine. The .gov means its official. Improvement may last for hours, days, weeks, or months, but follow-up treatments will be necessary on an ongoing basis. Other symptoms include pain behind or in front of the ear on the affected side, sounds that seem louder on the affected side, and changes in the amount of tears and saliva the body produces. 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. 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. There are several different acupuncture techniques to treat paralysis. She also experienced a sensation like electricity shooting downward through her spine, radiating to her feet. His voice was low and it was very difficult to understand him. Retain the needles for 2530 minutes. The disorder results from damage or trauma to one of a pair of facial nerves (Cranial Nerve VII) that controls the muscles of the face. 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. Paralysis due to stroke, multiple sclerosis, and traumatic injury of the brain or spinal cord are the most commonly seen problems in our practice. Federal government websites often end in .gov or .mil. 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. Two days later, Sherry arrived for her fourth session and reported very positive reactions to the last treatment. As an additional source of concern, we had only a few hours earlier told the students that any patient with paralysis enduring for more than three years was unlikely to respond to scalp acupuncture therapy. "Essential tremor: choosing the right management plan for your patient." Cleveland Clinic Journal of Medicine, December 2011; 78(12):821-8. There are many different acupuncture techniques for treating MS. We were astonished and barely able to recognize her when she walked into the conference room by herself. The principle of scalp acupuncture is very straightforward; the aim is to stimulate the diseased area of the brain in order to facilitate a return of function in that area. We put two needles in the Foot Motor and Sensory Area and two needles in the Reproductive Area. Propranolol, a beta blocker. However, those who do not have such sensations could still have immediate positive results. 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). Five years ago she had a dramatic neurological decline during which she was unable to stand up and lost strength and sensation in her lower extremities. We feel confident that this book will meet these requirements. Michael, a 52-year-old patient referred by his primary care physician, walked with the aid of a cane. 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. After only one treatment per patient, three of the seven veterans instantly felt no further phantom pain, three others reported having very little pain, and only one patient showed no improvement. 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. In addition to the paralysis on the right side, his tongue was purple with teeth marks and a thin, white coating. 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. 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. Although scalp acupuncture has the best and fastest response, other techniques are necessary for a more complete recovery. Infected by West Nile virus, she had immediately developed quadriplegia. Tom was able to move his arm, hand, and even his fingers in any way or direction that he was asked by the audience. At the end of her final treatment she was both laughing and crying. Denise had a very positive response to her initial scalp acupuncture treatment. 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. This book supplies all the needed information to practice scalp acupuncture. 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. The patient should get treatment as soon as possible as the earlier the treatment, the better the prognosis. With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. Following the surgery, the left front side of his head no longer contained any scalp and there was a depression where the tumor and surrounding tissue had been removed. worsening angina pain; fast or slow heart rate; or. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. 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. Scalp acupuncture areas are frequently used in the rehabilitation of paralysis due to stroke, multiple sclerosis, automobile accident, and Parkinson's disease. Needles should be inserted on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. A therapeutic course consists of 10 treatments. From their teachers and textbooks, students can learn only general information about scalp acupuncture and its locations and clinical applications. Common symptoms and signs include progressive weakness, muscle wasting, muscle fasciculations, spasticity or stiffness in the arms and legs, and overactive tendon reflexes. Treatments for internal tremors can include: reducing anxiety and stress avoiding. The duration of the ailment was from four days to two years. For example, Fan Yunpeng mapped the scalp area as a prone homunculus with the head toward the forehead and the legs toward the occipital area.1 Taking a dividing line that connects the left ear to the vertex to the right ear, Tang Song-yan proposed two homunculi on the scalp, one in prone position and another in supine position.2 Zhang Ming-jiu's and Yu Zhi-shun's scalp locations are formulated by penetrating regular head points, and Zhu Ming-qing created several special therapeutic bands on the scalp.3,4. Based on the results, scalp acupuncture is indicated for the treatment of essential tremor. 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. Upon examination, her tongue was red with a thin white coating and her pulse was slippery and wiry. Her mental activity presented as normal and she was then in graduate school for a master's degree. The duration of the paralysis was from one day to 14 days. 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. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weaker patients. 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. He had a red tongue with a thin, yellow coating. Until recently, in most cases its cause was unknown. Former heaven or prenatal natural endowment insufficiency may also play a role. In advanced stages, both regions of the body are affected. 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. Those patients usually respond and improve more quickly. We use sterile, single-use needles and always follow antiseptic protocols so there is limited risk of infection. She could not control her urine, choked when eating, and always felt fatigued. He systematically undertook the scientific exploration and charting of scalp correspondences starting in 1971. 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. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. Her walking also showed some improvement as she was able to lift her right leg more easily. Such results warrant continued research into other possible uses for scalp acupuncture to alleviate human suffering. During the initial consultation, David and his wife asked many questions because they were doubtful that scalp acupuncture could help him. Unfortunately, that morning she had lost her balance and fallen backward, but with no severe injury. The FNN group was treated with needling Ya Men (GV 15), Tian Zhu (Bl 10), and Zhi Qiang Xue (new extra point). First, focused ultrasound is nonsurgical, which means no holes are made in the skull and no hardware, like a pacemaker, is needed. 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. 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. 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. Scalp acupuncture can be an excellent rehabilitation tool for traumatic brain injury patients. The actual site of obstruction is always at or below the level at which patients perceive the obstruction. One may also choose the Chorea and Tremor Area or Foot Motor and Sensory Area accordingly if the patient has muscular spasms there. The next chapter is a review of essential theories of Chinese medicine related to scalp acupuncture including the Four Seas theory and the Four Qi Street theory that provide readers with a systematic explanation of function and indication based on Chinese medicine. Indications: superficial edema, hypertension. She agreed to allow the needle insertion only after her mother told her that she might ride a bike again if these treatments worked. Vertigo and hearing area (ni) Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. Electrical acupuncture is very helpful for speeding up recovery. By the fifth treatment, Fred wanted to add more foods and soon could eat and drink anything like a normal person. Damage at any level often interrupts the brain's ability to control muscle movements resulting in paralysis. After resting for a while, she stood up again and started to walk, managing 20 halting steps before needing to sit down, exhausted. As mentioned previously, those patients with some or all of these sensations usually respond and improve more quickly. 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. For treating motor dysfunction, place the needles and rotate them at least 200 revolutions per minute for 13 minutes every 10 minutes for a total of 3060 minutes. Treating quadriplegia by acupuncture is very challenging. She could pick up pennies on a table with either hand during the treatment. Monoplegia is impairment in the motor function of only one limb. At the end of 20 treatments his walking appeared almost normal. Such damage may be due to stroke, trauma with nerve injury, poliomyelitis, amyotrophic lateral sclerosis, botulism, spinal bifida, and multiple sclerosis. However, facial paralysis may continue to develop and get worse for seven to 10 days after initial symptoms occur. That is highly unusual and by no means the norm. In other words, scalp acupuncture is able to treat the cause and thus heal the injury. Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease caused by degeneration of dopaminergic neurons in the substantia nigra. 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. Symptoms range in severity from mild weakness to total paralysis of the face, and Bell's palsy can often cause significant facial distortion. Scalp acupuncture is a modern acupuncture technique combining traditional needling method with western medicine knowledge of representative areas of the cerebral cortex. Examination showed he was unable to move his right leg and foot at all with muscular tone at 0 out of 5. I am so overjoyed with these unexpected wonderful results. Instead, she did intensive exercise as we had instructed seven months before and had recovered completely. Stroke is classified into two major categories, ischemic and hemorrhagic. Before Location: parallel with and 1.5 cm to chorea and tremor control area. While more the exception than the rule, such cases demonstrate not only how remarkable these new techniques are, but also provide the readers with examples of real clinical practice using them. Scalp acupuncture not only treats disorders, but also can prevent illness and help to build the immune system. 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. 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. Five cases fully recovered, eight cases markedly improved, 11 cases some improvement, and six cases failure in the RA group. In addition to scalp acupuncture, the ear and body acupuncture were very helpful in the patient's progress and recovery. Yin corresponds to nourishing muscles and tendons and points from yin channels have positive results for pronounced stiffness and contraction of the limbs. She had little hope that our treatment would help her condition. Acupuncture, a therapeutic technique of Oriental Medicine, can be traced back more than 2500 years. She often had a migraine headache and premenstrual syndrome (PMS), and she had considerable mucous in her nose and throat much of the time. 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. Clinical studies have demonstrated that acupuncture may be beneficial for PD . There are forms of periodic paralysis, including sleep paralysis, which are caused by other factors. 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. Regular body acupuncture, electrical acupuncture, and moxibustion as well as physical therapy and massage can be combined with scalp acupuncture to speed up recovery. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. 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. His treatment strategy was modified to take care of depression. At the second treatment, Fred presented with severe depression and no motivation. He drank more and more and finished a whole cup of water without a problem. 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. She watched and listened to herself on the video screen while she walked and talked like a normal person. To her surprise he reminded her what time he had the acupuncture appointment that day. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. It is caused by sclerosis in the corticospinal tracts. Retain the needles for 3045 minutes and treat two or three times a week. It has been proven effective in treating any type of paralysis, sometimes taking only one to two treatments for an amazing amount of recovery. A few minutes after being needled on her head, Sherry felt a whole-body hot sensation, which then moved from her hips to her feet, stronger on the left side. Speech #2. She continued to get better with each additional treatment and by the sixth treatment, Denise was able to enter our clinic with a walker instead of in a wheelchair. After trying many kinds of therapies that brought no improvement, she became depressed. Fred started to eat more solid food and add more kinds of food gradually. The body acupuncture group was treated with needling from Bai Hui (GV 20) penetrating to Tai Yang (extra point) and the scalp acupuncture group was treated at the Motor Area. This case illustrates that scalp acupuncture could be the primary approach to manage swallowing disorder. 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. However, he still could not squeeze his left eye completely closed and his smile was a little crooked. 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. 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). 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. Tell the child that those are normal and are a good sign for improving more quickly. 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