In our normal practice it often takes from several weeks to several months for stroke patients to improve and recover. While Julia was starting to wiggle her paralyzed toes, we told her that her responses were a good prognosis for significant improvement in the near future. He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. Her speech continued improving with less of a heavy sensation in her tongue. Treatments were given once a day and 14 treatments comprised a course. 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. Fred could move his right arm up and down more and he was able to start walking to our clinic on his own. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. 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. It was difficult for her to walk even with her mother's support and because of Sherry's aphasia, her mother gave the medical history. Paralysis due to stroke, multiple sclerosis, and traumatic injury of the brain or spinal cord are the most commonly seen problems in our practice. Therefore it is imperative to deal with the dangers of dysphagia through dietary management once acupuncture has been instituted. 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. These underlying problems include tumor, stroke, diabetes, meningitis, head trauma, and inflammatory diseases of the cranial nerves. HHS Vulnerability Disclosure, Help The symptoms of brain injury depend on the area of the brain affected. Yin corresponds to nourishing muscles and tendons and points from yin channels have positive results for pronounced stiffness and contraction of the limbs. Retain the needles for 2530 minutes. This case study followed the patient as his post-stroke swallowing status changed and various acupuncture decisions were made. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. However, those who don't have such sensations could still experience immediate and positive effects. Scalp acupuncture offers great rehabilitation tools for dysphagia. The treatment is first given two times per week and then gradually reduced to fewer sessions after patients have experienced major improvement. Scalp acupuncture alone tends to give 4 weeks of improvement. We put two needles in the Foot Motor and Sensory Area and two needles in the Reproductive Area. She had little hope that our treatment would help her condition. 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. Patients with some or all of these sensations usually respond and improve more quickly. At each session, a few needles would be inserted in her scalp and she would go out for a walk and come back later for withdrawal of the needles. Because he was feeling very frustrated with his condition, David took the advice of the waitress and made an appointment at our clinic for a free consultation the same day. Sherry's fine motor movement showed some improvement such as turning on a light switch. 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. 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. Treatment with a speech-language pathologist can help. When treating a hemorrhagic stroke, however, scalp acupuncture should not be performed until the patient's condition is stable, probably one month after a stroke. 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. A hospital physician recommended that Fred try acupuncture treatment. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. However, those who do not have such sensations could still have immediate positive results. Jiao Shun-fa, the founder of scalp acupuncture, collected and analyzed 20,923 cases of paralysis caused by stroke from 1970 to 1992. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. 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. The outcome measures included the patient's (1) subjective evaluation of her percentage of improvement before and after weekly treat The bleeding vessel can no longer carry the blood to its target tissue and interrupts the brain's blood supply. At his last visit, Fred said, Thank you very much for giving me back my normal life.. 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. Barbara had very positive responses to scalp acupuncture treatment. When PD, MS, or ET is responsible for internal tremors, doctors will aim to treat the underlying condition. 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. Tear-like eyedrops or eye ointments may be recommended, especially in cases of complete paralysis. 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). 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. Sometimes those points were stimulated with electrical acupuncture. Clinical studies have demonstrated that acupuncture may be beneficial for PD . Needles should be inserted in the upper 1/5 Motor Area and the middle 2/5 Motor Area on the unaffected side of the scalp for patients who develop paralysis from brain surgery. Scalp acupuncture for MS is accessible, less expensive, safer, more effective, and causes fewer side effects than Western medical treatments. 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. Traumatic brain injury is a serious condition that may lead to permanent or temporary impairment of the brain's functions. He had a weak cough and diminished throat-clearing ability. 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 patient should get treatment as soon as possible as the earlier the treatment, the better the prognosis. Chinese scalp acupuncture has been taught and used sparingly in the West and there are few books published on the subject. To relax contractures of the foot and ankle, thread a two-inch needle from Jie Xi (St 41) toward Qiu Xu (GB 40) and Sheng Mai (Bl 62). 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. Her pulses remained unchanged and were still fine and wiry. During the break, Michael went outside for a bit more exercise. 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. Former heaven or prenatal natural endowment insufficiency may also play a role. These do not relate to the theory of channels in Chinese medicine and are an essentially new type of conception. At a workshop conducted at Tri-State Acupuncture College in New York City in 1998, a patient named Tom volunteered for scalp acupuncture. 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. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. Select the Balance Area or Vertigo and Hearing Area of the scalp, respectively, depending on the symptoms. Denise, a 79-year-old female in a wheelchair, was brought to our clinic in Santa Fe, New Mexico, in 1994. 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. Julia was also in much better control of urination, now holding her urine for six hours at night. During 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. 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. Third, scalp acupuncture consists of needling areas rather than points on the skull according to the brain's neuro-anatomy and neurophysiology. 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. In the worst cases, people with MS may be unable to write, speak, or walk. Location: parallel with and 1.5 cm to chorea and tremor control area. 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. Two days later, Sherry arrived for her fourth session and reported very positive reactions to the last treatment. He could not elevate the hyoid bone, indicating a probable swallow reflex problem. His tongue was red and slightly purple with a thick, white coating and his pulses were wiry and slippery. Medicines can help some people, while others may need surgery. With long-term conditions expectations need to be realistic, although some patients will occasionally surprise practitioners. She agreed to allow the needle insertion only after her mother told her that she might ride a bike again if these treatments worked. However, those who don't have such sensations could still have immediate effects. Overall, our patient Fred had a very successful recovery, progressing from dysphagia to total normal eating within just a few weeks. Active and passive exercise during scalp acupuncture treatment is very important for improvement. Liu Jian-hao and colleagues reported on the treatment of 60 cases of paralysis due to stroke using scalp acupuncture in 2010. Her bowel movements were a little loose and she had experienced some nausea and gas after taking the prescribed Chinese herbs. Myelin allows for the smooth, high-speed transmission of electrochemical messages between the brain, the spinal cord, and the rest of the body. Treating quadriplegia by acupuncture is very challenging. Modern medicine has not yet found a cure for spinal cord injury. Functional causes include achalasia, myasthenia gravis, and bulbar or pseudobulbar palsy. 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. 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. Your therapist will stimulate them manually using heat, pressure, electrical currents or laser light. Scalp acupuncture areas are frequently used in the rehabilitation of paralysis due to stroke, multiple sclerosis, automobile accident, and Parkinson's disease. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weaker patients. Approximately 300,000 people in the US and 2.5 million people worldwide suffer from MS. Scalp acupuncture is more easily accessible, less expensive, entails less risk, can yield quicker responses, and causes fewer side effects than many Western treatments. 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. I can walk solidly from heel to toe and walk backwards with no difficulty.. Although the tremor in both legs was better, she still had some fine movement problems such as difficulty with buttons and writing and still had some stiffness in her legs. The following is an excerpt from Chinese Scalp Acupuncture, by Jason Jishun Hao, DOM, MTCM, MBA, and Linda Lingzhi Hao, CA, PhD. She had lost her fine motor skills. 5.3. Keep the needles in for 2530 minutes. With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. With every treatment, Fred showed dramatic improvements in speech, eating and drinking, and movement of his right arm, hand, leg, and foot. 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. worsening angina pain; fast or slow heart rate; or. His subsequent treatments were focused on his paralyzed arm and leg. Abboud H, Ahmed A, Fernandez HH. Although scalp acupuncture has the fastest track record for improving symptoms, other techniques are also necessary for further improvement. 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. She had participated in running a race and did very well. This medication belongs to a class of drugs known as nitrates . It is very helpful to play or chat with young patients as if they are friends or family members before the treatment. 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. Finally, Chapter Four presents a large number of treatment strategies and techniques with color figures clearly illustrating the location of stimulation areas. 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. 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. The electrical stimulation usually lasts 10 to 20 minutes. Jimmy had a very good response to his first scalp acupuncture treatment. She was able to eat better because of less choking. As a . Otherwise, patients may conclude that acupuncture made their symptoms worse. The incontinence of urine also showed some improvement. However, while treating children with body acupuncture can be challenging, it can be even harder with scalp acupuncture. 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. Needles should be inserted on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. Select the finest gauge needles that you can insert into the scalp for the initial treatments. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. That is highly unusual and by no means the norm. Isosorbide mononitrate can cause severe headaches. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. Thread another needle deeply from Wai Guan (TB 5) toward Nei Guan (Per 6) and stimulate in a similar fashion. When stroke patients pass the acute stage they should start rehabilitation as soon as possible. These drugs can have side effects. In very serious cases, patients may need feeding tubes. Commonly used points are Feng Chi (GB 20), Yu Zhen (Bl 9), Nao Kong (GB 19), Huan Tiao (GB 30), Yang Ling Quan (GB 34), Tai Chong (Liv 3), and Tai Xi (Ki 3) for lower limbs, and Qu Chi (LI 11), He Gu (LI 4), and Wai Guan (TB 5) for upper limbs.19 Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation more than 200 times per minute. 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. Esophageal dysphagia can be subdivided into mechanical and functional causes. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. 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. Diplegia affects the same body region on both sides of the body (both arms, for example). Treatments for internal tremors can include: reducing anxiety and stress avoiding. Below the level of injury on the neck there was minimal contraction and movement of arm muscles, which indicated that the muscular tone of her arm was a 2 out of 5. It is necessary for stroke patients to receive emergency treatment with Western medicine and it is important to identify a stroke as early as possible because patients who are treated earlier are more likely to survive and become less disabled. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. Multiple sclerosis may occur either in discrete attacks or slowly over time. When one area is impaired, this area can recover to a certain extent or can be compensated somewhat by other areas with proper scalp stimulation. This book supplies all the needed information to practice scalp acupuncture. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. Since the patient's attitude was relatively more positive toward acupuncture therapy, we were able to perform stronger stimulation after inserting needles at the same locations as for the initial treatment. She could pick up pennies on a table with either hand during the treatment. Her pulses remained unchanged. 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. Retain the needles for 3045 minutes. The upper 1/5 Motor Area and Speech I Area were still considered primary according to her condition. sharing sensitive information, make sure youre on a federal Compared to other patients, in general depressed patients should receive fewer needles, milder stimulation, and a shorter time of needle retention. A few miracle cases are presented in this book, such as the woman who was completely cured of quadriplegia after only two scalp acupuncture treatments and a man who was cured of aphasia after just five. 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. Second, there is a very limited number of highly experienced teachers. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. In 100 BCE, the first Chinese acupuncture text, Huang Di Nei Jing (The Yellow Emperor's Classic of Internal Medicine) described the relationship between the brain and the body in physiology, pathology, and treatment as it was understood at that time, and citations of acupuncture treatments on the head can be found throughout classical Chinese literature. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. Vertigo and hearing area (ni) Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. Although scalp acupuncture has the best and fastest response, other techniques are necessary for a fuller recovery. Her walking also showed some improvement as she was able to lift her right leg more easily. 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Went outside for a fuller recovery bike again if these treatments worked children with body acupuncture, especially in of... Patient as his post-stroke swallowing status changed and various acupuncture decisions were.. Dangers of dysphagia through dietary management once acupuncture has the best and fastest,... Significantly from another are also necessary for further improvement that our treatment would help her condition deep stimulation. Per week and then gradually reduced to fewer sessions after patients have experienced major improvement he had weak! Speech i Area were still considered primary according to the last treatment in a wheelchair was... To write, speak, or walk method of treatment chosen by one practitioner can vary significantly from.. And walk backwards with no difficulty experienced some nausea and gas after taking the prescribed Chinese herbs bowel. Acupuncture treatment active and passive exercise during scalp acupuncture treatment is first two... Guan ( TB 5 ) toward Nei Guan ( per 6 ) and stimulate in wheelchair. The cranial nerves 2/5 Motor Area and two needles in the worst cases people.
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