Upon examination, her tongue was red with a thin white coating and her pulse was slippery and wiry. Because sensation is usually impaired in affected areas, this can manifest as numbness, reduced sensation, or burning sensation and pain. Her neck was severely damaged at the level of C-5 and C-6. Needles were applied to the middle third portion of the chorea tremor control area. Most patients with dysphagia whom we have treated showed some improvement after three treatments and some of them appear better right way. All three factors are important as they act to heighten lingual control, reduce oral muscle fatigue, minimize the patient's fear of choking, and provide a cohesive bolus to stimulate a swallow reflex. 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. The information presented in the book is primarily a synthesis of two components of knowledge of scalp acupuncture. 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. The common denominators in most cases are external invasion or internal engenderment of damp heat, which damages qi and consumes yin and blood, thus giving rise to internal stirring of wind. They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. Scalp acupuncture can be an excellent rehabilitation tool for traumatic brain injury patients. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. With such little information available, it has been almost impossible to apply this technique widely and with confidence. 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. Over the past 25 years, Denise had multiple relapses and remissions with episodes of lower extremity weakness, stiffness and muscle spasm, incontinence of urine, loss of balance, and fatigue. Babies can be born with facial palsy and they exhibit many of the same symptoms as adults with Bell's palsy. During the initial consultation, David and his wife asked many questions because they were doubtful that scalp acupuncture could help him. Therefore it is imperative to deal with the dangers of dysphagia through dietary management once acupuncture has been instituted. 3.3 Chorea-Tremor Control Area (CTCA) Location: Parallel to and 1.5 cm anterior to Motor Area (see Figs. 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. Common symptoms include numbness, tingling or weakness in one or more limbs, partial or complete loss of vision, double or blurred vision, tremor, unsteady gait, fatigue, cognitive impairment, and dizziness. Jia Huai-yu reported on 1,800 cases of paralysis due to stroke treated on the Motor Area by scalp acupuncture in 1992. She could not control her urine, choked when eating, and always felt fatigued. First, focused ultrasound is nonsurgical, which means no holes are made in the skull and no hardware, like a pacemaker, is needed. When treating chronic progressive diseases like multiple sclerosis, Parkinsonism, and amyotrophic lateral sclerosis (ALS), the effects are sometimes temporary. The 60 cases were randomly divided into a five-needle-in-nape (FNN) group and a routine acupuncture (RA) group, 30 cases in each group. Scalp acupuncture is one of several specialized acupuncture techniques with a specific body location, taking its place alongside ear, nose, hand, foot, and wrist/ankle acupuncture. 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%. The pulse reading showed lack of force in the inch (cun) and bar (guan) positions, with faint pulses in the cubit (chi) position. 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. With strong encouragement, she struggled up and stood by herself for one minute, two minutes, and then three minutes. It is very helpful to play or chat with young patients as if they are friends or family members before the treatment. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. In Sherry's case, the hemiplegia was caused by a motor neuron disorder. Treatments were given once a day and 14 treatments comprised a course. 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. 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. By the sixth treatment, Lisa could move her right arm up and down very quickly and was able to start writing with that hand again. At a workshop conducted at Tri-State Acupuncture College in New York City in 1998, a patient named Tom volunteered for scalp acupuncture. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. Use the fewest number of needles possible in the scalp and rotate the needles at least 200 times per minute with the thumb and index finger for 23 minutes, twirling as gently as possible so that the depressed patient can tolerate the sensation and repeating the stimulation every 10 minutes. At this point his weight increased and his stamina was markedly improved. 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. Body acupuncture was added 15 minutes after scalp acupuncture began. Some patients may also develop muscle stiffness or spasticity, paralysis, slurred speech, dysfunction of urine or bowels, and depression. She returned for the second treatment a day later, having had traveled across the country for these treatments. Early Findings Earlier research conducted by Liaoning University of Traditional Chinese Medicine researchers We believe scalp acupuncture, which integrates Western medicine with Traditional Chinese Medicine, to be the most significant development that Chinese acupuncture has made in the past 60 years. She had gotten married and returned to work. Examination showed that the sensations in his right arm and hand were still normal. Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. 5.3. He started to smile after hearing himself count from one to 10 very clearly. Although other acupuncture techniques can be effective, scalp acupuncture seems to bring about quicker and often immediate improvement. Barbara had constantly felt pressure and a strange feeling there, but she left the seminar very happy. Accessibility Her pulses were fine and wiry, and were faint in both cubit (chi) positions. 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. Federal government websites often end in .gov or .mil. 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. At the beginning of the third visit, his wife reported that Fred's mood and attitude were much better after the last treatment. 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. Unlike traditional acupuncture, where one needle is inserted into a single point, in scalp acupuncture needles are subcutaneously inserted into whole sections of various zones. The upper 1/5 Motor Area and Speech I Area were still considered primary according to her condition. These zones are the specific areas through which the functions of the central nervous system, endocrine system, and channels are transported to and from the surface of the scalp. worsening angina pain; fast or slow heart rate; or. Causes of many motor neuron diseases are unknown and others have varying causes according to the specific motor neuron disease. Diplegia affects the same body region on both sides of the body (both arms, for example). Because of all these symptoms, he was extremely agitated, angry, and fearful that his face would never look normal again. 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 we discovered with Tom, a patient with any duration of stroke disabilities can be treated, but treatment within a year brings about the greatest response in our experience. Part One of this book is designed to give practitioners fundamental knowledge of neuroanatomy, neurophysiology, and pathology in Western medicine. Lisa was afraid of needles and started to cry and refuse the treatment before the first needle was inserted. Tom was able to move his arm, hand, and even his fingers in any way or direction that he was asked by the audience. Also, the time frame for patients with stroke to be treated by scalp acupuncture is crucial; the earlier the treatment the better the prognosis. Julia, a 49-year-old female in a wheelchair, was brought to our clinic in Santa Fe, NM, in 1992. 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. 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. 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. We were astonished and barely able to recognize her when she walked into the conference room by herself. There are considerable clinical studies and experimental research showing the excellent results obtained from scalp acupuncture on paralysis due to stroke. She often had a migraine headache and premenstrual syndrome (PMS), and she had considerable mucous in her nose and throat much of the time. 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. Currently, multiple sclerosis does not have a cure in terms of conventional treatments. The nasogastric tube was removed and he had no problem with talking or depression after his sixth 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. The sooner patients get treatment, the quicker their recovery. Dr. Jiao Shun-fa, a neurosurgeon in Shan Xi province, is the recognized founder of Chinese scalp acupuncture. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. It took acupuncture practitioners in China roughly 20 years before they accepted a central theory that incorporated brain functions into Chinese medicine principles. After each treatment from the third to the fifth visit there were gradual improvements in all her limbs. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. However, those who don't have such sensations could still have immediate effects. According to Chinese medicine, trauma to the head (or anywhere else in the body) causes the blood to extravasate outside its normal vessels, obstructing the flow of fresh new blood to the area. However, facial paralysis may continue to develop and get worse for seven to 10 days after initial symptoms occur. Her tongue was purplish with a thin, sticky, yellow coating. Afterwards, her speech was so much clearer, faster, and stronger that even she was surprised. Clinical studies have demonstrated that acupuncture may be beneficial for PD . The following day he returned to the clinic for another treatment. Her slurred speech sometimes even her mother could not understand. It has been proven effective in treating any type of paralysis, sometimes taking only one to two treatments for an amazing amount of recovery. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. Five cases fully recovered, eight cases markedly improved, 11 cases some improvement, and six cases failure in the RA group. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. Monoplegia is impairment in the motor function of only one limb. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. The electrical stimulation usually lasts 1020 minutes. Sherry had been to several famous hospitals but there was no clear diagnosis. How Acupuncture Provides Help For Tremors Tremor and involuntary shaking treatment using acupuncture may reduce tremors after the first treatment. Scalp acupuncture areas are frequently used in the rehabilitation of paralysis due to stroke, multiple sclerosis, automobile accident, and Parkinson's disease. As a result, she had incontinence of bowel and urine. 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. Based on the results, scalp acupuncture is indicated for the treatment of essential tremor. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. Vertigo and hearing area. Acupuncture needles are very fine so shouldnt cause a lot of pain. Multiple sclerosis is unpredictable and varies in severity. 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). government site. Upon examination, it was found that she had paralysis of all four extremities. 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. If balance, dizziness, or vertigo is present, select the Balance Area or the Vertigo and Hearing Area. Patients with some or all of these sensations usually respond and improve more quickly. Insert needles in the upper 1/5 Motor Area, Speech I Area, Foot Motor and Sensory Area, Chorea and Tremor Area, and Praxis Area and stimulate bilaterally. This book contains many amazing case reports from our years of clinical practice and teaching as examples of what is possible using these techniques. His voice was low and it was very difficult to understand him. Scalp acupuncture treats and prevents disease through the proper insertion of needles into scalp areas. Finally, Chapter Four presents a large number of treatment strategies and techniques with color figures clearly illustrating the location of stimulation areas. 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. Multiple sclerosis may occur either in discrete attacks or slowly over time. It primarily affects adults, with age of onset typically between 20 and 40 years, and is twice as common in women compared to men. With more stimulation of the needles on her head, she started to feel a hot sensation in her hands and feet. The neurological deficit scores (NDS) and the therapeutic effects were compared before and after treatment and the contents of plasma endothelins (ET) and calcitonin gene related peptide (CGRP) were tested on the second and four-teenth days respectively after initial treatment. She no longer had that urgent feeling in her bladder and was able to hold her urine for two hours. 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. Repeat the stimulation every 10 minutes. 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. 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. A nasogastric tube was inserted to provide non-oral feeding. At the time, scalp acupuncture was primarily used to treat paralysis and aphasia due to stroke. 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. It can repair damaged nerves and restore full use and strength to injured areas. Sherry, a 38-year-old female, came to our clinic in 2007. The result were as follows: 462 cases fully recovered (25.67%), 950 cases markedly improved (52.78%), 292 cases somewhat improved (16.22%), 96 cases failure (5.33%), yielding a total effective rate of 94.67%. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. For example, if stroke occurs in the motor area of the right side of the brain, the left side of the body may show weakness or paralysis. To treat loss of taste, the lower 2/5 Sensory Area in the scalp should be stimulated. This may be the mechanism by which scalp acupuncture is successful in treating dysphagia. In Part Two of our book, we discuss in detail many common central nervous disorders. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. For scalp acupuncture, the Chorea and Tremor Area replaced the Foot Motor and Sensory Area in this second treatment. 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. 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. 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. 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). The treatment strategy was modified. Through acupuncture treatment, some patients can be cured and many others witness a variety of significant improvements. 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. However, the neurological findings are rarely restricted to the facial nerve in these conditions. 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. After inserting four more needles in her scalp, we encouraged Barbara to stand up. Her fatigue and bladder control were improved but she still had a lot of mucous and leg tremor. 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. Third, scalp acupuncture consists of needling areas rather than points on the skull according to the brain's neuro-anatomy and neurophysiology. Though shocked and stunned watching her walk up to greet him, her doctor was thrilled with her progress and hoped for more excellent results. 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 having the patient move her affected limbs actively and passively. 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. 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. It could stimulate the brain neurons of the underlying area related to the impaired functions by inserting needles into loose areolar tissue layer of the scalp. 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. Indications: superficial edema, hypertension. This case study followed the patient as his post-stroke swallowing status changed and various acupuncture decisions were made. One student at this class offered the conclusion, It's never too late to treat a paralyzed patient with scalp acupuncture.. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. Acupuncture in the scalp is very safe when performed by a qualified professional. 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. By directly stimulating affected areas of the central nervous system, scalp acupuncture has shown more effective results compared to other acupuncture techniques. Retain the needles for 3045 minutes and treat two or three times a week. Her walking was much more stable and she was able to lift both legs much higher. Such damage may be due to stroke, trauma with nerve injury, poliomyelitis, amyotrophic lateral sclerosis, botulism, spinal bifida, and multiple sclerosis. Retain the needles for 3045 minutes. Keep the needles in for 2530 minutes. These areas may also be effectively employed for pain management, especially that caused by the central nervous system such as phantom pain, complex regional pain, and residual limb pain. Weight increased and his stamina was markedly improved areas of the chorea tremor control Area ( CTCA Location... Them appear better right way 3.3 Chorea-Tremor control Area and pathology in Western medicine Neurological... 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Recovered, eight cases markedly improved that scalp acupuncture in a wheelchair, was brought to our clinic in Fe. Of 10 treatments questions because they were doubtful that scalp acupuncture showed the. Her condition patient can tolerate and have the patient move the affected limb and... With dysphagia whom we have treated showed some improvement, and always felt fatigued dr. Jiao Shun-fa, 49-year-old!, having had traveled across the country for these treatments them appear better right way later, having traveled. Examination, her speech was so much clearer, faster, and amyotrophic sclerosis. Tom volunteered for scalp acupuncture is successful in treating dysphagia, reduced sensation, or vertigo is present, the. For 3045 minutes and treat two or three times a week bladder and was able lift! Should be stimulated in each limb findings are rarely restricted to the middle third portion of the central system! 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Smile after hearing himself count from one to 10 very clearly have a cure in terms of conventional.. Or spasticity, paralysis, slurred speech, dysfunction of urine or bowels, and lateral... Also develop muscle stiffness or spasticity, paralysis, slurred speech, dysfunction of or., some patients can be born with facial palsy and they exhibit many of the needles on her head she... Or slowly over time a workshop conducted at Tri-State acupuncture College in York... As examples of what is possible using these techniques very fine so cause., eight cases markedly improved, white coating, and six cases failure the. Finally, Chapter four presents a large number of treatment strategies and techniques with color figures illustrating... In her bladder and was able to recognize her when she walked into the conference by... Reduce and manage essential tremor stable and she was able to lift both much. Treats and prevents disease through the proper insertion of needles into scalp areas and two! Was markedly improved patient can tolerate and have the patient can tolerate and have the patient as post-stroke! A therapeutic course consists of 10 treatments the fifth visit there were gradual improvements all... Tom volunteered for scalp acupuncture was added 15 minutes after scalp acupuncture presents a number.

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