His subsequent treatments were focused on his paralyzed arm and leg. 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. 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. 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. Retain the needles for 2530 minutes. Careers, Unable to load your collection due to an error. Select the Balance Area or Vertigo and Hearing Area of the scalp, respectively, depending on the symptoms. Through acupuncture treatment, some patients can be cured and many others witness a variety of significant improvements. During treatment, some patients experience sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving in the affected limbs. To be able to cook again brought her such tremendous joy and gratitude that she laughed and cried at the same time. In Sherry's case, the hemiplegia was caused by a motor neuron disorder. She reported that her balance was improving and her legs felt lighter during the walking exercises. This medication belongs to a class of drugs known as nitrates . 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. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weaker patients. We use sterile, single-use needles and always follow antiseptic protocols so there is limited risk of infection. Sherry's fine motor movement showed some improvement such as turning on a light switch. These acupoints were selected based on the acupuncture point selections according to TCM meridian theory to treat essential tremor. 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. Her walking was much more stable and she was able to lift both legs much higher. Soon after that, both of her arms began to move and lift. In addition to the paralysis on the right side, his tongue was purple with teeth marks and a thin, white coating. 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. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. Exercise is also important for the recovery of affected limbs. Disability affects about 75% of stroke survivors and it can affect patients physically, mentally, emotionally, or a combination of all three. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. Scalp acupuncture is more easily accessible, less expensive, entails less risk, can yield quicker responses, and causes fewer side effects than many Western treatments. 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. Chapter One provides a review for practitioners with a Western medical background and an adequate introduction for practitioners new to this material. 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. 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. Treatment may include acupuncture, physical therapy, occupational therapy, speech and language therapy, and massage. She returned for the second treatment a day later, having had traveled across the country for these treatments. He was experiencing moderate pain running along the line of his jaw and behind his left ear. Commonly used points are He Gu (LI 4), Wai Guan (TB 5), Qu Chi (LI 11), Bi Nao (LI 14), and Jian Yu (LI 15) for upper limb paralysis, and Kun Lun (Bl 60), Cheng Shan (Bl 57), Yang Ling Quan (GB 34), Zu San Li (St 36), and Huan Tiao (GB 30) for lower limb paralysis. 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. 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. Propranolol may cause fatigue, stuffy nose, or slow heartbeat, and it may make asthma worse. Hence the common name for stroke in Chinese medicine is wind stroke. 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. Retain the needles in place for 3045 minutes. Finally, Chapter Four presents a large number of treatment strategies and techniques with color figures clearly illustrating the location of stimulation areas. Paralysis may affect an individual muscle but it usually affects an entire body region. This case study followed the patient as his post-stroke swallowing status changed and various acupuncture decisions were made. Chinese medical pattern discrimination: Liver blood deficiency with internal stirring of liver wind, kidney qi deficiency, liver depression qi stagnation, blood stasis, Primary area: Motor Area, Sensory Area, Foot Motor and Sensory Area, Secondary area: Balance Area, Chorea and Tremor Area, and Vertigo and Hearing Area. The patient thrived on this program. Propranolol, a beta blocker. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. 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. 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. This case illustrates that scalp acupuncture could be the primary approach to manage swallowing disorder. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. 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. This helps to reduce fear and anxiety for both patient and parents. 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. In an ischemic stroke, a blood vessel becomes occluded and the blood supply to part of the brain is blocked. 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. Babies can be born with facial palsy and they exhibit many of the same symptoms as adults with Bell's palsy. Liu Jian-hao and colleagues reported on the treatment of 60 cases of paralysis due to stroke using scalp acupuncture in 2010. The Speech III Area, Balance Area, and Foot Motor and Sensory Area were added to assist and consolidate her improved clinical signs. 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. Such damage may be due to stroke, trauma with nerve injury, poliomyelitis, amyotrophic lateral sclerosis, botulism, spinal bifida, and multiple sclerosis. The patient's wife rushed back into the lecture room saying repeatedly, He can move his arm and hand now in a loud, excited voice. Overall, our patient Fred had a very successful recovery, progressing from dysphagia to total normal eating within just a few weeks. To prevent corneal infections, the eyes may be protected by covers or taped shut during sleep and for rest periods. For children less than two years old, an effective technique is to hide each needle from their sight while inserting and stimulating. Until recently, in most cases its cause was unknown. 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. He felt depressed, irritable, angry, and severely fatigued. Paraplegia is impairment in motor function of both legs and the trunk. Treatments were given once a day and 14 treatments comprised a course. He walked back into the conference room without using his cane and his face glowed with pleasure as he told the audience, I walked for about 30 minutes without any rest and without my cane except for security. They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. Regular body acupuncture, electrical acupuncture, and moxibustion as well as physical therapy and massage can be combined with scalp acupuncture to speed up recovery. Normal muscle function requires intact connections all along this motor pathway. 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. Damage at any level often interrupts the brain's ability to control muscle movements resulting in paralysis. Four months before, Lisa fell off her bicycle and hit her head on the left side, above and behind her ear. With long-term conditions expectations need to be realistic, although some patients will occasionally surprise practitioners. Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination. Quadriplegia can be treated after any duration, but less than three months from the date of injury or illness shows the greatest improvement. Also hernias or bulges of intervertebral discs may cause spinal cord compression. Scalp acupuncture is the best therapy for spinal cord injury. And fourth, the names of stimulation areas are different from the standardized names given by the Standard International Acupuncture Nomenclature of the World Health Organization, Section 3.6 on Scalp Acupuncture, in Geneva in 1989. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. The outcome measures included the patient's (1) subjective evaluation of her percentage of improvement before and after weekly treat She had been receiving rehabilitation treatment including physical therapy, osteopathic therapy, and speech therapy starting two weeks after her injury. 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. In Chinese medicine, the stroke itself is thought to involve several interpromoting disease mechanisms, possibly including qi stagnation, heat, phlegm, blood stasis and, of course, wind. The electrical stimulation usually lasts 1020 minutes. Scalp acupuncture is frequently used in rehabilitation of paralysis due to stroke, multiple sclerosis, spinal cord injury, and traumatic brain injury. Although the scalp has numerous Her breathing was less labored when she was active, and friends noticed major improvement in her speech during phone conversations. The https:// ensures that you are connecting to the 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. Federal government websites often end in .gov or .mil. 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. Tom was instructed to do some passive exercise while the needles were in place, having his wife move his hand and raise his arm. Her mental activity presented as normal and she was then in graduate school for a master's degree. 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. Electrical stimulation is very helpful if the practitioner has difficulty rotating the needle more than 200 times per minute. 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. The practitioner has a wide amount of discretion on the use of points and techniques. 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. As stated previously, however, those who do not have such sensations could still have immediate, positive results. These are called plaques. Just like any new technology and science, the discovery, development, and clinical application of scalp acupuncture has undergone a period of challenge because it falls outside some fundamental theories of Chinese medicine as well as being a new concept in the Western world. When locating the chorea-tremor area, it is necessary to first define two positioning lines: the anterior-posterior midline and the eyebrow-occipital line. Most existing textbooks either lack detailed information or only introduce some new research on the topic. He drank more and more and finished a whole cup of water without a problem. 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. 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. Her pulses were fine and wiry, and were faint in both cubit (chi) positions. Treatment with a speech-language pathologist can help. This book contains many amazing case reports from our years of clinical practice and teaching as examples of what is possible using these techniques. In terms of Western medicine, it contributes significantly to the treatment of central nervous system disorders. Fred could move his right arm up and down more and he was able to start walking to our clinic on his own. 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. Her fine pulses had become a little larger and stronger, were still slightly wiry, and showed more strength in the cubit (chi) positions. Keep the needles in for 2530 minutes. Quadriplegia, also known as tetraplegia, is paralysis with partial or total loss of use of all limbs and the torso. She also experienced a sensation like electricity shooting downward through her spine, radiating to her feet. With long-term conditions expectations need to be realistic, although occasionally a patient will surprise practitioners. She walked as much as she could, turning about every 30 steps, walking with confidence and a smile on her face. If this was not enough, the corner of his mouth on the affected side drooped and his mouth deviated to the right side, which was aggravated when he smiled. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. Although more yang ming points are used for paralysis, points from yin channels, especially tai yin and jue yin channels should not be ignored. With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. 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. Scalp acupuncture is a micro-system acupuncture technique which stimulate the points or areas on the scalp to treating brain related diseases, neurological and psychological conditions, et al. 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. Diseases such as progressive muscular atrophy, poliomyelitis, and ALS are categorized as wei zheng () or wilting conditions in Chinese medicine. National Library of Medicine She often had a migraine headache and premenstrual syndrome (PMS), and she had considerable mucous in her nose and throat much of the time. Most patients with dysphagia whom we have treated showed some improvement after three treatments and some of them appear better right way. David, a 52-year-old man, was vacationing with his wife in Santa Fe, NM, in 1993. He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. It is helpful to have the patient exercise the affected limbs with or without assistance as indicated, between needle stimulations.13 During treatment, some patients may have sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving along their affected limbs. The patients were randomly divided into a body acupuncture group and a scalp acupuncture group, 30 in each group. 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. Dysphagia is classified into two major types, oropharyngeal dysphagia and esophageal dysphagia. Chinese scalp acupuncture has been taught and used sparingly in the West and there are few books published on the subject. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. This book will show the scope of scalp acupuncture in treating many kinds of disorders and diseases, based on years of clinical experience. 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. Scalp acupuncture, on the other hand, applies more of a Western medicine approach, where patients with the same diagnosis usually receive the same or very similar treatment. Common symptoms and signs include progressive weakness, muscle wasting, muscle fasciculations, spasticity or stiffness in the arms and legs, and overactive tendon reflexes. When the speech and motor areas are damaged, body dysfunctions appear such as aphasia and paralysis. The first of these principles is the location of scalp acupuncture areas based on the reflex somatotopic system organized on the surface of the scalp in Western medicine. At the end of her final treatment she was both laughing and crying. 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. And behind her scalp acupuncture for tremors imdur patients also have reported that her Balance was improving her. Greatest improvement terms of Western medicine, it contributes significantly to the treatment of central nervous system disorders were once! 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