Denise also complained of numbness, tingling, and spasms in her legs accompanied by incontinence of urine and severe fatigue. His subsequent treatments were focused on his paralyzed arm and leg. Denise, a 79-year-old female in a wheelchair, was brought to our clinic in Santa Fe, New Mexico, in 1994. Finally, Chapter Four presents a large number of treatment strategies and techniques with color figures clearly illustrating the location of stimulation areas. Scalp acupuncture is more easily accessible, less expensive, entails less risk, can yield quicker responses, and causes fewer side effects than many Western treatments. Accessibility Treatments were given once a day and 14 treatments comprised a course. From their teachers and textbooks, students can learn only general information about scalp acupuncture and its locations and clinical applications. It is accompanied by special manipulations to regulate and harmonize the functional activities of the brain and body, as well as to restore and strengthen the functions of the body, organs, and tissues. Most scientists believe that a viral infection causes the disorder and that the facial nerve swells and becomes inflamed in reaction to the infection. In an ischemic stroke, a blood vessel becomes occluded and the blood supply to part of the brain is blocked. Many of these same patterns will be present in cases involving post-stroke symptomology discussed in this book such as paralysis, dysphagia, and aphasia. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. In the worst cases, people with MS may be unable to write, speak, or walk. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. Others may be left with deficits of varying degrees, and some patients have permanent damage. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. Mechanical causes usually comprise peptic esophagitis, carcinoma of the esophagus or gastric cardia, candida esophagitis, and pharyngeal pouch. Findings in these two studies are very similar. Liu Jian-hao and colleagues reported on the treatment of 60 cases of paralysis due to stroke using scalp acupuncture in 2010. 8600 Rockville Pike This study looked at the effectiveness of scalp acupuncture and conventional acupuncture for essential tremors using 60 patients split into two groups. 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. He had a red tongue with a thin, yellow coating. Early Findings Earlier research conducted by Liaoning University of Traditional Chinese Medicine researchers These acupoints were selected based on the acupuncture point selections according to TCM meridian theory to treat essential tremor. He could neither utilize a normal gait from heel to toe nor walk backwards. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. Stroke is classified into two major categories, ischemic and hemorrhagic. Some scientists believe the needles act to stimulate muscles and nerves, which is what causes the effects. The relapse rate of the scalp acupuncture group was 13.81% and was 45.5% for the conventional acupuncture group (P<0.05). Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. 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. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. They asked, How quickly could he notice any improvement? David decided to try the treatment but was still skeptical after being told that some patients had immediate improvement and others did not. Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination. She also experienced a sensation like electricity shooting downward through her spine, radiating to her feet. Bethesda, MD 20894, Web Policies 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. 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. Fred was able to follow instructions to practice his speech and do oral and pharyngeal exercises. The chain of nerve cells that runs from the brain through the spinal cord out to the muscles is called the motor pathway. 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. She no longer had that urgent feeling in her bladder and was able to hold her urine for two hours. It requires very good needle technique as well as good communication skills. Those patients usually respond and show improvement quickly. The effective rate was 93.3% in the FNN group, better than that of 80.8% in RA group (. First, up to now there has been no authoritative and practical text for scalp acupuncture in English. 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. Her tongue was purplish with a thin, sticky, yellow coating. 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. After treatment on the Motor Area of the scalp, 7,637 cases were cured (36.5%), 7,117 cases showed marked improvement (34%), and 5,196 cases showed some improvement (24.8%), yielding a total effective rate of 95.13%. Fred started to eat more solid food and add more kinds of food gradually. With long-term conditions expectations need to be realistic, although occasionally a patient will surprise practitioners. Symptoms and signs of multiple sclerosis vary widely depending on the location of affected myelin sheaths. Location: parallel with and 1.5 cm to chorea and tremor control area. 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. These do not relate to the theory of channels in Chinese medicine and are an essentially new type of conception. 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. While we were continuing our lecture, we heard screaming from the other room. Although she felt nervous and was assisted by two people, she stood up. When PD, MS, or ET is responsible for internal tremors, doctors will aim to treat the underlying condition. In addition to more than 29 years of clinical practice of scalp acupuncture, we have taught scores of seminars for both practitioners of Chinese medicine and Western physicians practicing acupuncture in the USA and Europe, including eight years of seminars sponsored by UCLA and Stanford University. 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. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. His voice was low and it was very difficult to understand him. Sherry, a 38-year-old female, came to our clinic in 2007. Needles should be inserted on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. Retain the needles for 3045 minutes. He had suffered from multiple sclerosis since 1982 and had received many kinds of treatments with no positive results. Thread a third needle from Tai Chong (Liv 3) through the foot to Yong Quan (Ki 1) on the sole of the foot. Examination showed that her tongue was less red with fewer teeth marks and tremor only on the left side. Infected by West Nile virus, she had immediately developed quadriplegia. She was very surprised to find that she had regained the ability to control her legs again. During the initial consultation, David and his wife asked many questions because they were doubtful that scalp acupuncture could help him. Her tongue had a red tip, a peeled coating on the right side, was purple in the center, had major teeth marks along the sides, a severe tremor, and a thick, white coating. Hemiplegia, affects one side of the body. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. Symptoms range in severity from mild weakness to total paralysis of the face, and Bell's palsy can often cause significant facial distortion. Chinese scalp acupuncture has been taught and used sparingly in the West and there are few books published on the subject. Quadriplegia means paralysis of all four limbs or of the entire body below the neck. Upon examination, her tongue was red with a thin white coating and her pulse was slippery and wiry. It is necessary to point out, however, how unusual it is that a patient gets only one scalp acupuncture treatment and recovers completely. She lost control of her body below the neck and had paralysis of all four limbs. Treatments for internal tremors can include: reducing anxiety and stress avoiding. Otherwise, patients may conclude that acupuncture made their symptoms worse. Initially, treatment should be two to three times a week until major improvements are achieved, then once weekly, then every two weeks, and then spaced out as indicated by the patient's condition. Paralysis is also divided into four types in neurological practice, namely upper motor neuron paralysis, lower motor neuron paralysis, paralysis due to neuromuscular transmission diseases, and the paralysis caused by muscular diseases. Since scalp acupuncture is a modern technique with just 39 years of history, much more research needs to be done so that its potential can be fully explored and utilized and more paralyzed patients helped to regain a normal life. 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. Common symptoms of spinal injuries include arm and leg paralysis or weakness, difficulty breathing, tingling, numbness, or pain in affected limbs, and incontinence of both bowel and urine. Upon examination he looked very tired and depressed, his tongue was red with a dry, thick, yellow coating, and his pulses were wiry and slippery.b, Chinese medical pattern discrimination: Liver depression qi stagnation, spleen qi deficiency, blood stasis in the channels, liver-gallbladder damp heat, Primary area: Upper 1/5, middle 2/5 and lower 2/5 Motor Area, Secondary area: Speech I Area (same as lower 2/5 Motor Area), Neck point, (a new extra point for dysphagia, located at 1 inch below Feng Chi (GB 20). She had little hope that our treatment would help her condition. Chinese medical pattern discrimination: Qi stagnation and blood stasis in the channels and network vessels, Primary area: Upper 1/5 and middle 2/5 of the Motor Area Secondary area: Upper 1/5 and middle 2/5 of the Sensory Area. It took acupuncture practitioners in China roughly 20 years before they accepted a central theory that incorporated brain functions into Chinese medicine principles. There are many different acupuncture techniques for treating MS. To her surprise he reminded her what time he had the acupuncture appointment that day. The majority of treatments available in Western medicine involve drugs or surgery and are often ineffective. Multiple sclerosis may occur either in discrete attacks or slowly over time. Yin corresponds to nourishing muscles and tendons and points from yin channels have positive results for pronounced stiffness and contraction of the limbs. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. 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. Scalp acupuncture areas are frequently used in the rehabilitation of paralysis due to stroke, multiple sclerosis, automobile accident, and Parkinson's disease. Sometimes those points were stimulated with electrical acupuncture. Scalp acupuncture successfully integrates the essence of ancient Chinese needling techniques with the essence of neurology in Western medicine. 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. Her initial symptoms were an onset of numbness in the right arm followed by subsequent numbness descending down both her legs. Stroke rehabilitation therapy helps patients return to normal life as much as possible by regaining and relearning skills of everyday living such as speaking or walking. If balance, dizziness, or vertigo is present, select the Balance Area or the Vertigo and Hearing Area. With more stimulation of the needles on her head, she started to feel a hot sensation in her hands and feet. Fred was very negative and showed no interest in treatment by scalp acupuncture at the initial visit. 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. Paraplegia is impairment in motor function of both legs and the trunk. In Tom's case, the hemiplegia was caused by cerebral thrombosis, which has the best prognosis for recovery from stroke compared to cerebral embolism and cerebral hemorrhage. Select the finest gauge needles that you can insert into the scalp for the initial treatments. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. Normal muscle function requires intact connections all along this motor pathway. The disorders covered in this book are commonly found in Western clinics. By embracing newly developed knowledge and technology, the profession continues to create additional methods of treatment. The tremor zone based on scalp acupuncture is indicated for patients who experience body tremors. 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. 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. An official website of the United States government. HHS Vulnerability Disclosure, Help Her walking also showed some improvement as she was able to lift her right leg more easily. During the third treatment she was able to stand on her feet with someone holding her knees and could lift her arms much higher. The longer the duration of impairment, the more gradual the improvement occurs. After nine scalp acupuncture treatments, he regained all functions of expression in his face and was very pleased with the outcome. Based on the results, scalp acupuncture is indicated for the treatment of essential tremor. 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. Stimulate all needles with vigorous thrusting, lifting, and twirling. Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is a disorder that generally involves either the lower or upper motor systems of the body. He did not like to perform speech, swallowing, and body exercises. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. 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