She often had a migraine headache and premenstrual syndrome (PMS), and she had considerable mucous in her nose and throat much of the time. Before As soon as we inserted two needles in her scalp at the Chorea and Tremor Area, the tightness in all four limbs loosened up and the spasms were gone. 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. We put two needles in the Foot Motor and Sensory Area and two needles in the Reproductive Area. A local hospital diagnosed stroke caused by cerebral hemorrhage in his left hemisphere. Scalp acupuncture, also known as head acupuncture, is a combined treatment based on traditional acupuncture and neurology. 8600 Rockville Pike government site. Diseases such as progressive muscular atrophy, poliomyelitis, and ALS are categorized as wei zheng () or wilting conditions in Chinese medicine. Tell the child that those are normal and are a good sign for improving more quickly. For children less than two years old, an effective technique is to hide each needle from their sight while inserting and stimulating. 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. The severity of quadriplegia depends on both the level at which the spinal cord is injured and the extent of the injury. Location: parallel with and 1.5 cm to chorea and tremor control area. A therapeutic course consists of 10 treatments. Normally it takes several months or even as much as one to two years for this treatment to be effective. 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. Those areas should be stimulated unilaterally or bilaterally, according to the patient's manifestations. Her speech was clearer, she didn't feel that her tongue was thick when talking, and very little choking had occurred. However, he still could not squeeze his left eye completely closed and his smile was a little crooked. He had suffered from multiple sclerosis since 1982 and had received many kinds of treatments with no positive results. By directly stimulating affected areas of the central nervous system, scalp acupuncture has shown more effective results compared to other acupuncture techniques. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. Patients may present dragging foot, unilateral muscle wasting in one or the other hand, or slurred speech. During the initial consultation, David and his wife asked many questions because they were doubtful that scalp acupuncture could help him. It primarily affects adults, with age of onset typically between 20 and 40 years, and is twice as common in women compared to men. He was reluctant to do any active exercise when being instructed. After only one treatment per patient, eight of the 16 patients instantly showed significant improvement, six patients showed some improvement, and only two patients showed no improvement, thus yielding a total effective rate of 87%. 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. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. 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. With children, select the thinnest needles that you can insert into the scalp. 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. Second, because the technological innovation and invention of scalp acupuncture is fairly new, positive results can only reasonably be achieved by practitioners who have studied it; even an established doctor in China cannot perform it without at least seeing a demonstration of it. . When choosing Hua Tou Jia Ji points, the pair of points for stimulation should be one above and one below the site of injury level. By the fifth treatment, Fred wanted to add more foods and soon could eat and drink anything like a normal person. Examination showed she was unable to stand and walk straight by herself. 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. She was able to count from one to 20 without breathing. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. I am so overjoyed with these unexpected wonderful results. Although the most obvious symptom is impairment to the limbs, function is also impaired in the torso. Results showed seven cases fully recovered, 13 cases markedly improved, eight cases some improvement and two cases failure in FNN group. 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. 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. In A Practical Dictionary of Chinese Medicine, Wiseman and Feng translate this pulse image as the string-like pulse, but wiry is the more common usage. Throughout its long history, acupuncture has evolved as its own unique traditional medicine. She watched and listened to herself on the video screen while she walked and talked like a normal person. The only remaining problem was urgent, frequent urination and some incontinence of urine. However, while treating children with body acupuncture can be challenging, it can be even harder with scalp acupuncture. 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). With more stimulation of the needles on her head, she started to feel a hot sensation in her hands and feet. 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). Two days later, Sherry arrived for her fourth session and reported very positive reactions to the last treatment. The site is secure. FOIA Select the finest gauge needles that you can insert into the scalp for the initial treatments. The symptoms of stroke depend on the type of stroke and the area of the brain affected. To test the strength of each muscle group and record it in a systematic fashion is important before and after scalp acupuncture treatment for paralyzed patients. 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. 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. For patients such as Sherry who present with multiple symptoms and signs, it is, in our experience, more effective to treat major complaints first with a few needles. Your therapist will stimulate them manually using heat, pressure, electrical currents or laser light. Sherry's fine motor movement showed some improvement such as turning on a light switch. Though the scalp is uniquely innervated and highly vascularized there is no risk of heavy bleeding. She felt so excited about these improvements that she began to cry. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. Scalp acupuncture, sometimes also called head acupuncture, is a modern innovation and development. Finally, Chapter Four presents a large number of treatment strategies and techniques with color figures clearly illustrating the location of stimulation areas. Acupuncture was applied with a 0.3 45-mm stainless-steel needle (Hansol Medical Co., Korea). In addition, scalp acupuncture was also applied bilaterally to the chorea tremor control area, which is a line located between the vasomotor line and the motor line, 1.5 cm anterior to the motor line. It may lead to the discovery of new effective treatments and hopefully to a cure for this disease in the future. To treat loss of taste, the lower 2/5 Sensory Area in the scalp should be stimulated. Those patients usually respond and show improvement quickly. This case illustrates that scalp acupuncture could be the primary approach to manage swallowing disorder. With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. 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. Electrical stimulation is very helpful if the practitioner has difficulty rotating the needle more than 200 times per minute. 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. 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. Needles were applied to the middle third portion of the chorea tremor control area. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. 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. pounding heartbeats or fluttering in your chest. 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. Communicate with the patient and any relatives often in order to gain their confidence, to encourage them, and reduce their fear and anxiety. Retain the needles for 2530 minutes. Propranolol, a beta blocker. Blood stasis must be resolved for the tissue to once again receive the nourishment of healthy blood. 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. Examination showed that the tremor as well as teeth marks in her tongue were less, the thick, white coating was less, and it was peeled more on the front part of her tongue. Abboud H, Ahmed A, Fernandez HH. Thanks to advanced stroke research and brain imaging technology, doctors are continuing to gain new understanding of how the brain can adapt after stroke in order to regain its ability to function. Primidone, a drug used to treat seizures. b Publisher's note: We are choosing to use the authors' translation for the xian mai (). She had participated in running a race and did very well. However, a number of therapies including acupuncture can be used to treat the disease symptomatically and convert MS into remission. During treatment, some patients may have all or some of the following sensations: increasing tingling or numbness, heat, cold, heaviness, distention, or the sensation of water or electricity moving along their spine, legs or arms. One may also choose the Chorea and Tremor Area or Foot Motor and Sensory Area accordingly if the patient has muscular spasms there. When treating stroke from thrombosis or embolism, scalp acupuncture treatment should begin as soon as feasible. Communicate with children and their parents more often than with adult patients in order to reduce their fear and anxiety. Sherry reported without her mother's help that her body was less stiff and that she could walk and move better. The tremor zone based on scalp acupuncture is indicated for patients who experience body tremors. 5.3, 5.23 and 5.24). Common symptoms and signs include progressive weakness, muscle wasting, muscle fasciculations, spasticity or stiffness in the arms and legs, and overactive tendon reflexes. Quadriplegics are often vulnerable to pressure sores, osteoporosis and fractures, frozen joints, spasticity, respiratory complications and infections, poor autonomic reflexes, deep vein thrombosis, and cardiovascular disease because of depressed functioning and immobility. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. 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. Fig. demonstrated that scalp acupuncture benefitted patients and significant reductions of insomnia were achieved. It is not surprising for a Western physician to claim that it is a coincidence if a patient recovers from paralysis after acupuncture. Ischemic stroke is divided into thrombosis stroke, embolic stroke, systemic hypoperfusion, and venous thrombosis. First, up to now there has been no authoritative and practical text for scalp acupuncture in English. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. Acupuncture works by increasing the circulation of blood, relaxing muscles, and stimulating the production of neurotransmitters like endorphins and serotonin. The most outstanding results are with paralysis and pain management in very difficult neurological disorders. 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. She could pick up pennies on a table with either hand during the treatment. 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. Sometimes it is necessary to show a patient how tiny the needles are or demonstrate the insertion of a needle in the practitioner's own body. Her pulses were wiry and fine overall, with especially weak pulses in the cubit (chi) positions bilaterally. His voice was low and it was very difficult to understand him. 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. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. Though shocked and stunned watching her walk up to greet him, her doctor was thrilled with her progress and hoped for more excellent results. Chinese medical pattern discrimination: Qi stagnation and blood stasis in the channels, kidney qi deficiency, liver blood deficiency and liver depression qi stagnation, Primary area: Upper 1/5 and middle 2/5 of Motor Area, Secondary area: Foot Motor and Sensory Area. 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. 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. While it is not our intention to assert that scalp acupuncture is always effective with every patient, these clinical reports make a compelling case for its wider use. It is also a good strategy to ask the parents to talk, play with, or feed young patients during the insertion and stimulation of needles, which acts as a diversion to turn the child's attention away from the needles and makes them less sensitive to the procedure. While we were continuing our lecture, we heard screaming from the other room. Treatments for internal tremors can include: reducing anxiety and stress avoiding. Denise had a very positive response to her initial scalp acupuncture treatment. 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. Her pulses remained unchanged and were still fine and wiry. Treatment was given six times a week and 16 treatments made a course. At the end of 20 treatments his walking appeared almost normal. After resting for a while, she stood up again and started to walk, managing 20 halting steps before needing to sit down, exhausted. The treatment strategy was modified. Part One of this book is designed to give practitioners fundamental knowledge of neuroanatomy, neurophysiology, and pathology in Western medicine. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. Acupuncture care does not replace the need for a primary care physician. He was treated by combined scalp acupuncture and body acupuncture. After trying many kinds of therapies that brought no improvement, she became depressed. Accessibility 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. Paralysis is most often caused by damage to the nervous system, especially the brain and spinal cord. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. 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. She had less mucous in her nose and throat and no nausea since the last visit. 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. With long-term conditions expectations need to be realistic, although some patients will occasionally surprise practitioners. Her hand, legs, and feet were completely paralyzed, which meant that muscular tones were 0 out of 5. 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