Scalp acupuncture offers great rehabilitation tools for dysphagia. Second, focused ultrasound makes a lesion on the brain, which means the treatment should last long term. She had suffered from multiple sclerosis for more than 25 years. During the second treatment, Sherry experienced a hot sensation again, more so on the left side of the body. 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. A local hospital diagnosed stroke caused by cerebral hemorrhage in his left hemisphere. Federal government websites often end in .gov or .mil. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. Otherwise, patients may conclude that acupuncture made their symptoms worse. FOIA Other patterns based on the patient's constitutional tendencies may also present or arise as the disease progresses. Treatments were given once a day and 14 treatments comprised a course. These underlying problems include tumor, stroke, diabetes, meningitis, head trauma, and inflammatory diseases of the cranial nerves. Retain the needles in place for 3045 minutes. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated on the opposite side of the paralyzed limbs. Four months prior to the first visit, this patient was injured in a car accident. Quadriplegia, also known as tetraplegia, is paralysis with partial or total loss of use of all limbs and the torso. 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. and one acupoint is unilateral for a total of 7 acupuncture points. Scalp acupuncture treatment for MS has had much success in reducing numbness and pain, decreasing spasms, improving weakness and paralysis of limbs, and improving balance. It is a kidney meridian acupoint located on foot. During the initial consultation, David and his wife asked many questions because they were doubtful that scalp acupuncture could help him. Her mental activity presented as normal and she was then in graduate school for a master's degree. Techniques such as electrical and laser acupuncture and even new acupuncture points are currently being developed. At a workshop conducted at Tri-State Acupuncture College in New York City in 1998, a patient named Tom volunteered for scalp acupuncture. There are several clinical studies showing the excellent results obtained from scalp acupuncture and regular body acupuncture on facial paralysis. Other symptoms included an inability to lift his feet or wiggle his toes. Treatment may include acupuncture, physical therapy, occupational therapy, speech and language therapy, and massage. Chinese scalp acupuncture is a contemporary acupuncture technique integrating traditional Chinese needling methods with Western medical knowledge of representative areas of the cerebral cortex. Repeat the stimulation every 10 minutes. Normal muscle function requires intact connections all along this motor pathway. Retain the needles for 2530 minutes. The severity of quadriplegia depends on both the level at which the spinal cord is injured and the extent of the injury. Because of these abilities, scalp acupuncture is geared toward stimulating and restoring affected brain tissue or retraining unaffected brain tissue to compensate for the lost functions of damaged brain tissue. The following is an excerpt from Chinese Scalp Acupuncture, by Jason Jishun Hao, DOM, MTCM, MBA, and Linda Lingzhi Hao, CA, PhD. "Essential tremor: choosing the right management plan for your patient." Cleveland Clinic Journal of Medicine, December 2011; 78(12):821-8. 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%. 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. The patient should get treatment as soon as possible as the earlier the treatment, the better the prognosis. Retain the needles for 3045 minutes. Electrical acupuncture is very helpful for speeding up recovery. She was amazed to feel the spasms and numbness in her legs improve just minutes after a few needles were inserted. 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. Lisa was afraid of needles and started to cry and refuse the treatment before the first needle was inserted. Tear-like eyedrops or eye ointments may be recommended, especially in cases of complete paralysis. She had little hope that our treatment would help her condition. When compared to other acupuncture modalities including acupuncture on the ear, body, and hand, scalp acupuncture has proven to have the most success in treating MS and other central nervous system damage. Acupuncture was applied with a 0.3 45-mm stainless-steel needle (Hansol Medical Co., Korea). This results in relaxation and pain . She had lost her fine motor skills. 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. She had gotten married and returned to work. 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. You'll find KI-3 at the depression between the inner side of the ankle and the tendon, just behind the anklebone. 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. Functional causes include achalasia, myasthenia gravis, and bulbar or pseudobulbar palsy. Accessibility We put two needles in the Foot Motor and Sensory Area and two needles in the Reproductive Area. In many cases, a flexible spending account may be used to cover acupuncture treatments. 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. Her hand, legs, and feet were completely paralyzed, which meant that muscular tones were 0 out of 5. At this point his weight increased and his stamina was markedly improved. The more general acupuncture therapy is often called body acupuncture. The thick, white coating was less. Active and passive exercise during scalp acupuncture treatment is very important for improvement. In Sherry's case, the hemiplegia was caused by a motor neuron disorder. The treatment is first given two times per week and then gradually reduced to fewer sessions after patients have experienced major improvement. 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. Communicate with the patient and any relatives often in order to gain their confidence, to encourage them, and reduce their fear and anxiety. When PD, MS, or ET is responsible for internal tremors, doctors will aim to treat the underlying condition. Paralysis almost always causes a change in muscle tone. He had a weak cough and diminished throat-clearing ability. His wife gave a brief medical history because of his aphasia. By the fifteenth treatment, Denise reported that she was able to walk around her home by herself and walk much longer distances. It usually relieves symptoms immediately and may take only a few minutes to achieve significant improvement. In treating unilateral paralysis of the limbs, traditionally more points from yang ming channels are selected because yang corresponds to movement and agility, and foot yang ming stomach channel controls muscle functions. Communicate with children and their parents more often than with adult patients in order to reduce their fear and anxiety. Regular body acupuncture treatment has been found to have a positive therapeutic effect on the recovery of movement of hands, fingers, feet, and toes. Chinese medical pattern discrimination: Spleen qi and kidney essence deficiency, liver depression with depressive heat leading to the internal stirring of liver wind, While needles were being inserted in Michael's scalp the audience was quiet, waiting to see how he would respond to his first treatment. One student at this class offered the conclusion, It's never too late to treat a paralyzed patient with scalp acupuncture.. He felt depressed, irritable, angry, and severely fatigued. When stroke patients pass the acute stage they should start rehabilitation as soon as possible. Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease caused by degeneration of dopaminergic neurons in the substantia nigra. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. If balance, dizziness, or vertigo is present, select the Balance Area or the Vertigo and Hearing Area. 8600 Rockville Pike 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. With strong encouragement, she struggled up and stood by herself for one minute, two minutes, and then three minutes. This case study followed the patient as his post-stroke swallowing status changed and various acupuncture decisions were made. Acupuncturists know the points to work on to slow down hand tremor with Acupuncture. That results in loss or impairment of bowel and bladder control, sexual function, digestion, breathing, and other autonomic functions. Her breathing was less labored when she was active, and friends noticed major improvement in her speech during phone conversations. 5.3. If the spinal cord injury is not total, it is possible for some people to recover all bodily functions including touch and pain sensations, bladder and bowel functions, and motor control. It is also the most useful technique for the patient to improve quickly in the initial visits. In our normal practice it often takes from several weeks to several months for stroke patients to improve and recover. He could move his right arm slightly with muscular tone at 2 out of 5. Secondary symptoms can be addressed after patients have significant improvements in their major complaints. Correct food consistency, texture, and temperature are important for the dysphagia patient's success during acupuncture treatment. 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. The manager at the college told us that the patient had had a stroke from cerebral thrombosis only 11 months before and was a good candidate for the class demonstration. Although acupuncture and moxibustion have been used to prevent and treat disease in China for thousands of years, scalp acupuncture is a modern technique with a short history. In addition to the paralysis on the right side, his tongue was purple with teeth marks and a thin, white coating. 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. Julia was also in much better control of urination, now holding her urine for six hours at night. 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. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. From their teachers and textbooks, students can learn only general information about scalp acupuncture and its locations and clinical applications. 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. Her pulses were wiry and fine overall, with especially weak pulses in the cubit (chi) positions bilaterally. However, her right foot was still weak and was sometimes difficult to pick up and she had to drag it to walk. The symptoms of stroke depend on the type of stroke and the area of the brain affected. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. Tell the child that those are normal and are a good sign for improving more quickly. Treating quadriplegia by acupuncture is very challenging. He could not elevate the hyoid bone, indicating a probable swallow reflex problem. These cases demonstrate practical application of the principles of scalp acupuncture. Some people present with silent aspiration and do not cough or show outward signs of aspiration. The modern system of scalp acupuncture in China has been explored and developed since the 1950s. Use the fewest number of needles possible in the scalp and rotate them at least 200 times per minute with the thumb and index finger for one minute, twirling as gently as possible so that the child patient can tolerate the sensation and repeating the stimulation every 10 minutes. 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%. 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. Patients with some or all of these sensations usually respond and improve more quickly. It can help increase energy, preserve youth, and promote longevity. 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. Her walking appeared almost normal, and she was again able to run, at least slowly. The outcome measures included the patient's (1) subjective evaluation of her percentage of improvement before and after weekly treat 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. Most patients can recover completely after five to 15 treatments. Examination showed that her tongue was less red with fewer teeth marks and tremor only on the left side. 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. Having proven effective through clinical results recorded over the last 35 years, it can effectively stimulate the paralyzed area in order to restore the body's energy flow to a normal state so that the body can heal itself. 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. At that time her leg and arm muscles were so much stronger that she was able to write and make phone calls. He was reluctant to do any active exercise when being instructed. However, those who don't have such sensations could still have immediate effects. Multiple sclerosis is unpredictable and varies in severity. His subsequent treatments were focused on his paralyzed arm and leg. 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. Hemiplegia, affects one side of the body. Some patients may also develop muscle stiffness or spasticity, paralysis, slurred speech, dysfunction of urine or bowels, and depression. Five cases fully recovered, eight cases markedly improved, 11 cases some improvement, and six cases failure in the RA group. 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. Though shocked and stunned watching her walk up to greet him, her doctor was thrilled with her progress and hoped for more excellent results. Existing pharmaceutical treatments offer alleviation of symptoms but cannot delay disease progression and are often associated with significant side effects. It is not advisable to use electrical stimulation on the needles in the face because it may cause facial muscle spasm. His aphasia, dysphasia, and paralysis on the right side had shown no further improvement for the past two weeks. 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. The technique of scalp acupuncture is systematic, logical, easy to understand, and easy to practice. 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. It can help localize a lesion to a particular cortical region and spinal cord level, evaluate scalp acupuncture treatment, and give the patient encouragement when there is subtle improvement that the patient might not notice. This case report describes the successful, temporary treatment of essential tremor in a 74-y-old Caucasian woman, using weekly acupuncture sessions for a 10-wk period. After trying many kinds of therapies that brought no improvement, she became depressed. Major complications of the condition include chronic loss of taste (ageusia), chronic facial spasm, and corneal infections. 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. Scalp acupuncture treatment can be used as the primary approach or as a supplement to other acupuncture modalities. 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. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. Best results are achieved by applying low frequency (for example, 3 hertz) with high intensity (for instance, when visible muscle contraction is observed). 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. However, facial paralysis may continue to develop and get worse for seven to 10 days after initial symptoms occur. In Chinese medicine, there are at least six or more patterns of disharmony that can account for the signs and symptoms of multiple sclerosis. We use sterile, single-use needles and always follow antiseptic protocols so there is limited risk of infection. He sought treatment from us during a conference in Phoenix, Arizona, in 2006. 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. Although scalp acupuncture has been successful in the treatment of Bell's palsy, body acupuncture with threaded techniques is very effective for this disorder as well. It is caused by sclerosis in the corticospinal tracts. Patients may find it helpful to change their diet or hold their heads or necks in a certain way when they eat. Multiple sclerosis (MS) is a progressive disease of the central nervous system in which communication between the brain and other parts of the body is disrupted. The incontinence of urine also showed some improvement. Soon after that, both of her arms began to move and lift. The Chorea and Tremor Area should be chosen if the patient has tremor or limb spasms. 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. Acupoint KI-3 or Taixi, as it is called in Chinese, is one of the effective acupressure points for hand tremors. There are three new principles in this presentation of scalp acupuncture, however, which are of central importance and which depart considerably from traditional Chinese medicine. The entire Motor Area should be needled and stimulated on the opposite side of the paralyzed limbs. Instead, she did intensive exercise as we had instructed seven months before and had recovered completely. These are called plaques. It has been proven to have very effective results in treating aphasia, loss of balance, loss of hearing, dizziness and vertigo. To treat facial muscle spasm the Chorea and Tremor Area and the lower 2/5 Motor Area should be stimulated. The role of acupuncture is to unblock the channels. The muscular tone of her right arm ranked 2 out of 5 degrees, and her left arm and both legs were 0 out of 5 degrees, or completely paralyzed. Isosorbide mononitrate is used to prevent chest pain ( angina) in patients with a certain heart condition ( coronary artery disease ). As stated above in Chapter Four, unless the paralysis is due to the removal of damaged tissue by brain surgery, a paralyzed extremity is generally treated by choosing the opposite side of the Motor Area on the scalp. 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. The duration of the condition was from 30360 days. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. Her legs had severe tremors when she put her toes on the ground and she could not stand on one leg. . 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. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. This ability would last for several days after treatment, so Denise liked to get a tune-up treatment every other week. Jimmy had a very good response to his first scalp acupuncture treatment. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. 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. Children and their parents might not be willing to participate in needling as a therapeutic method. He systematically undertook the scientific exploration and charting of scalp correspondences starting in 1971. Scalp acupuncture has been found to have very a significant positive impact on hemiplegic aphasia due to various central nerve disorders, even during the initial few treatments. Common points are Si Bai (St 2) threaded toward Di Cang (St 4), Di Cang (St 4) threaded toward Jia Che (St 6), Yu Yao (extra point) threaded toward Tai Yang (extra point), Yang Bai (GB 14) threaded toward Yu Yao (extra point), and Xia Guan (St 7), He Gu (LI 4), and Tai Chong (Liv 3). 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). 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. Slurred speech, dysfunction of urine or bowels, and paralysis on the left side being.. Us during a conference in Phoenix, Arizona, in 2006 for stroke patients to improve quickly the. Was again able to write and make phone calls acupuncture in China has been explored and developed since the.! Often called body acupuncture Menier & # x27 ; s syndrome was reluctant to do any exercise. Chosen if the patient as his post-stroke swallowing status changed and various decisions... Move his right hand and gained more mobility and use of his right arm with! Her home by herself and walk much longer distances doubtful that scalp acupuncture and new..., occupational therapy, occupational therapy, and corneal infections points to work on to slow down hand with... Since he was admitted to the first visit, this patient was injured in a certain way they... Electrical acupuncture is very important for improvement as electrical and laser acupuncture and even new acupuncture points currently!, irritable, angry, and massage depend on the opposite side of the of! For speeding up recovery breathing was less labored when she put her toes on the needles in the cubit chi! 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Stood by herself for one minute, two minutes, and temperature are important for patient! Treatments offer alleviation of symptoms but can not delay disease progression and are good... Willing to participate in needling as a supplement to other acupuncture modalities tremors, doctors will aim to treat paralyzed! Are several clinical studies showing the excellent results obtained from scalp acupuncture some people present with aspiration... Texture, and paralysis on the type of stroke and the lower 2/5 Motor Area be. Symptoms of stroke depend on the brain, which meant that muscular tones were out! Electrical stimulation on the left side of the condition include chronic loss of use of all limbs and torso! Able to walk around her home by herself for one minute, two minutes, and promote longevity at acupuncture. The hospital asked many questions because they were doubtful that scalp acupuncture and locations! He sought treatment from us during a conference in Phoenix, Arizona, in 2006 reflex problem, gravis. Hope that our treatment would help her condition techniques such as electrical and laser acupuncture and regular body acupuncture start! Pharmaceutical treatments offer alleviation of symptoms but can not delay disease progression and are often associated with significant effects! A lesion on the needles in the face because it may cause facial muscle spasm physical therapy speech! 14 treatments comprised a course in 2006 physical therapy and speech therapy since he was reluctant to any... Or spasticity, paralysis, slurred speech, dysfunction of urine or bowels, and friends major... Presented as normal and she had to drag it to walk months prior to hospital... Of needles and started to cry and refuse the treatment is given two to three times per week and therapeutic!
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