It is reprinted here with permission from Blue Poppy Press, Boulder, Colorado. Although scalp acupuncture has the fastest track record for improving symptoms, other techniques are also necessary for further improvement. With children, select the thinnest needles that you can insert into the scalp. Tremor areas are classified as secondary areas . Yin corresponds to nourishing muscles and tendons and points from yin channels have positive results for pronounced stiffness and contraction of the limbs. As mentioned previously, those patients with some or all of these sensations usually respond and improve more quickly. 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. It is suggested that only one to two pairs of the scalp needles be stimulated at any one session or the brain can become too confused to respond. Select the Chorea and Tremor Area or Foot Motor and Sensory Area according to whether the patient has muscular spasms or other abnormal sensations such as pain or burning. Even after showing some improvement of his aphasia and the paralyzed arm and leg, he demonstrated no excitement and simply said, I do not notice any difference about my throat and swallowing.. Tear-like eyedrops or eye ointments may be recommended, especially in cases of complete paralysis. Although his aphasia gradually improved, his speech was not clear. When myelin is damaged, neurological transmission of messages may be slowed or blocked completely resulting in some body functions being diminished or lost. Through acupuncture treatment, some patients can be cured and many others witness a variety of significant improvements. For a child who is extremely sensitive to needles, stimulation by twirling should be avoided during the first one or two visits. Vertigo and hearing area. Telling the patient that those are normal and that people who experience some or all of these sensations usually respond and improve more quickly encourages them to come back for additional treatments. Denise, a 79-year-old female in a wheelchair, was brought to our clinic in Santa Fe, New Mexico, in 1994. The actual site of obstruction is always at or below the level at which patients perceive the obstruction. Find a doctor near you, schedule an appointment, or call 800-TEMPLE-MED (800-836-7536). During treatment, some patients feel heat, cold, tingling, numbness, heaviness, distention, and/or the sensation of water or electricity moving along their spine, legs, or arms. Scalp acupuncture alone tends to give 4 weeks of improvement. 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. Sometimes it is necessary to treat the depression first and then address the difficulty in swallowing. Muscle strength is often rated at six levels on a scale of 0 out of 5 to 5 out of 5.6,a The level of 0 out of 5 shows no muscular contraction, which means complete paralysis; the level of 1 out of 5 shows some muscular contraction, but no limb or body movement; the level of 2 out of 5 shows limb movement is possible but not against gravity, which means the limb can only move in its horizontal plane; the level of 3 out of 5 shows limb movement is possible against gravity but not against resistance by the examiner; the level of 4 out of 5 shows limb movement is possible against some resistance by the examiner but it is still weak compared to a normal limb; and the level of 5 out of 5 shows normal muscular strength, which means complete recovery from paralysis. demonstrated that scalp acupuncture benefitted patients and significant reductions of insomnia were achieved. Needles were applied to the middle third portion of the chorea tremor control area. 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. Scalp acupuncture for MS is accessible, less expensive, safer, more effective, and causes fewer side effects than Western medical treatments. The symptoms of brain injury depend on the area of the brain affected. He was reluctant to do any active exercise when being instructed. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. 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. First, focused ultrasound is nonsurgical, which means no holes are made in the skull and no hardware, like a pacemaker, is needed. Four months prior to the first visit, this patient was injured in a car accident. Although the most obvious symptom is impairment to the limbs, function is also impaired in the torso. This ability would last for several days after treatment, so Denise liked to get a tune-up treatment every other week. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. 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. 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. Her pulses remained unchanged. patients treated for essential tremors before and after acupuncture show the total effective rate of the scalp acupuncture treatment group was 96.7% and the conventional acupuncture group was 73.3% (P<0.05). For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. To treat facial muscle spasm the Chorea and Tremor Area and the lower 2/5 Motor Area should be stimulated. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. 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. This study looked at the effectiveness of scalp acupuncture and conventional acupuncture for essential tremors using 60 patients split into two groups. Esophageal dysphagia can be subdivided into mechanical and functional causes. The longer the duration of the impairment, the more gradual will be the improvement. Careers, Unable to load your collection due to an error. She had less mucous in her nose and throat and no nausea since the last visit. After two needles were inserted on the right side of his scalp, David immediately noticed tingling sensations in his right arm and hand. Such damage may be due to stroke, trauma with nerve injury, poliomyelitis, amyotrophic lateral sclerosis, botulism, spinal bifida, and multiple sclerosis. However, those who don't have such sensations could still have immediate effects. Tom was able to move his arm, hand, and even his fingers in any way or direction that he was asked by the audience. To relax contractures of the hand, thread a two-inch needle from He Gu (LI 4) under the palm toward Lao Gong (Per 8) and Hou Xi (SI 3). During the treatment, some patients may experience sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving along their spine, legs, or arms. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. Barbara had constantly felt pressure and a strange feeling there, but she left the seminar very happy. Although scalp acupuncture has the best and fastest response, other techniques are necessary for a fuller recovery. There are several different acupuncture techniques to treat paralysis. Part One of this book is designed to give practitioners fundamental knowledge of neuroanatomy, neurophysiology, and pathology in Western medicine. Throughout its long history, acupuncture has evolved as its own unique traditional medicine. 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. Her tongue was purple with a thin white coating. Hemiplegia, affects one side of the body. Ren . Electrical acupuncture is very helpful for speeding up recovery. Maximum phonation duration of seven seconds indicated reduced breath support, likely resulting from vocal cord paralysis. A few minutes after being needled on her head, Sherry felt a whole-body hot sensation, which then moved from her hips to her feet, stronger on the left side. Not believing that she was once again able to walk, he went to her house in person to see this miraculous change. 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. Sherry had been to several famous hospitals but there was no clear diagnosis. With long-term conditions expectations need to be realistic, although some patients will occasionally surprise practitioners. Babies can be born with facial palsy and they exhibit many of the same symptoms as adults with Bell's palsy. Therefore, many practitioners in both the West and the East are only mildly aware of this new technique, and few apply it in their practices. Findings in these two studies are very similar. A dysphagia diet uses foods that stimulate swallowing and minimize mucus build-up around the larynx. This helps to reduce fear and anxiety for both patient and parents. Scalp acupuncture, also known as head acupuncture, is a combined treatment based on traditional acupuncture and neurology. Patients who experience some or all of these sensations usually respond and improve more quickly. Her pulses were wiry and fine overall, with especially weak pulses in the cubit (chi) positions bilaterally. Stimulate all needles with vigorous thrusting, lifting, and twirling. Not only can it improve symptoms, the patient's quality of life, and slow the progression of physical disability, but it can also reduce the number of relapses. By stimulating those reflex areas, acupuncture can have direct effects on the cerebral cortex, cerebellum, thalamo-cortical circuits, thalamus, hypothalamus, and pineal body. Many of these same patterns will be present in cases involving post-stroke symptomology discussed in this book such as paralysis, dysphagia, and aphasia. a Editor's note: The references in this article have been renumbered for continuity. Acupuncture works by increasing the circulation of blood, relaxing muscles, and stimulating the production of neurotransmitters like endorphins and serotonin. Various famous physicians introduced Western neurophysiology into the field of acupuncture and explored correlations between the brain and human body. 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. At this point his weight increased and his stamina was markedly improved. 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. Soon after that, both of her arms began to move and lift. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. An official website of the United States government. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. 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. 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. Treatment was given six times a week and 16 treatments made a course. 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. After trying many kinds of therapies that brought no improvement, she became depressed. She responded immediately after the needles were inserted, her voice sounding much clearer and stronger. Most existing textbooks either lack detailed information or only introduce some new research on the topic. Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease caused by degeneration of dopaminergic neurons in the substantia nigra. This was a signal that she could possibly stand and walk. Chinese medical pattern discrimination: Liver blood deficiency with internal stirring of liver wind, kidney qi deficiency, liver depression qi stagnation, blood stasis, Primary area: Motor Area, Sensory Area, Foot Motor and Sensory Area, Secondary area: Balance Area, Chorea and Tremor Area, and Vertigo and Hearing Area. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. Improvement may last for hours, days, weeks, or months, but follow-up treatments will be necessary on an ongoing basis. When stroke patients pass the acute stage they should start rehabilitation as soon as possible. The following day he returned to the clinic for another treatment. In our practice, the combination of scalp acupuncture and regular body acupuncture ensures the best results, especially for the further recovery of paralyzed fingers or toes. Two days later, Sherry arrived for her fourth session and reported very positive reactions to the last treatment. With strong encouragement, she struggled up and stood by herself for one minute, two minutes, and then three minutes. Sherry reported without her mother's help that her body was less stiff and that she could walk and move better. After the third treatment, the deviation and drooped corner of his mouth showed remarkable improvement, especially after more needles were inserted into his face, hands, and feet. 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. The information presented in the book is primarily a synthesis of two components of knowledge of scalp acupuncture. However, those who do not have such sensations could still have immediate positive results. She felt so excited about these improvements that she began to cry. TCM body style acupuncture has been shown to benefit Parkinson's disease patients. Treatment with a speech-language pathologist can help. 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). 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. However, those who do not have such sensations could still have immediate positive results. 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. Her left ovary hurt and the pain was worse during menses. An ongoing relationship with your primary care doctor is strongly encouraged. This is often due to a traumatic birth that causes irreparable damage to the facial nerve resulting in acute facial nerve paralysis. Oropharyngeal dysphagia is often caused by stroke, multiple sclerosis, myasthenia gravis, Parkinson's disease, amyotrophic lateral sclerosis, and Bell's palsy. 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. In terms of Western medicine, it contributes significantly to the treatment of central nervous system disorders. During treatment, some patients experience sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving in the affected limbs. It is also the most useful technique for the patient to improve quickly in the initial visits. 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. 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. Other symptoms include pain behind or in front of the ear on the affected side, sounds that seem louder on the affected side, and changes in the amount of tears and saliva the body produces. 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. These headaches may gradually become less severe as you continue to use nitroglycerin. She was amazed to feel the spasms and numbness in her legs improve just minutes after a few needles were inserted. Select either the Chorea and Tremor Area or the Foot Motor and Sensory Area, depending whether the patient has muscular spasms or other abnormal sensations such as pain or burning. Jimmy had a very good response to his first scalp acupuncture treatment. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. Acupuncturists know the points to work on to slow down hand tremor with Acupuncture. For example, Fan Yunpeng mapped the scalp area as a prone homunculus with the head toward the forehead and the legs toward the occipital area.1 Taking a dividing line that connects the left ear to the vertex to the right ear, Tang Song-yan proposed two homunculi on the scalp, one in prone position and another in supine position.2 Zhang Ming-jiu's and Yu Zhi-shun's scalp locations are formulated by penetrating regular head points, and Zhu Ming-qing created several special therapeutic bands on the scalp.3,4. Any tissue of the body requires nourishment by blood to perform its proper function. FOIA The incontinence of urine also showed some improvement. The NDS of both groups were statistically decreased (, Li Min and colleagues reported the treatment of 60 cases of dysphagia due to stroke using scalp acupuncture in 2009. There are several clinical studies showing the excellent results obtained from scalp acupuncture and regular body acupuncture on facial paralysis. Major complications of the condition include chronic loss of taste (ageusia), chronic facial spasm, and corneal infections. She called the Western medicine physician who had told her she would be paralyzed for the rest of her life and gave him the wonderful news. Those patients usually respond and show improvement quickly. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. Second, focused ultrasound makes a lesion on the brain, which means the treatment should last long term. Therefore, there is an urgent need for Chinese scalp acupuncture to be studied and perfected, and extensive research done to fully explore its potential and utility. When locating the chorea-tremor area, it is necessary to first define two positioning lines: the anterior-posterior midline and the eyebrow-occipital line. During the treatment, some patients may experience sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving along their spine, legs, or arms. Jimmy, a 52-year-old male, came to our clinic in Santa Fe, NM, in 2000. She lost control of her body below the neck and had paralysis of all four limbs. sharing sensitive information, make sure youre on a federal All of these have proven to respond well to scalp acupuncture treatment. It is not advisable to use electrical stimulation on the needles in the face because it may cause facial muscle spasm. Indications: superficial edema, hypertension. 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. In a recent investigation, scalp acupuncture was applied to 16 patients with multiple sclerosis at our National Healthcare Center in Albuquerque, NM. Myelin allows for the smooth, high-speed transmission of electrochemical messages between the brain, the spinal cord, and the rest of the body. For body acupuncture, Qu Chi (LI 11), Wai Guan (TB 5), and He Gu (LI 4) on the right upper limb and Zu San Li (St 36), Kun Lun (Bl 60), and Jie Xi (St 41) on the right lower limb were needled. b Publisher's note: We are choosing to use the authors' translation for the xian mai (). Patients with some or all of these sensations usually respond and improve more quickly. He was experiencing moderate pain running along the line of his jaw and behind his left ear. They commonly have distinctive differences in their origin and causation but a similar result in their outcome for the patient, which is severe muscle weakness. Barbara had very positive responses to scalp acupuncture treatment. She also had more energy and started to do some housework again. 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. 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. 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. When we told Barbara that some similar patients were able to walk again, her eyes filled with tears. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. Scalp acupuncture not only treats disorders, but also can prevent illness and help to build the immune system. 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. The duration of the ailment was from four days to two years. 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. Dr. Jiao combined a modern understanding of neuroanatomy and neurophysiology with traditional techniques of Chinese acupuncture to develop a radical new tool for affecting the functions of the central nervous system. 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. If treating a patient with Bell's palsy within seven days of its onset, it is wise to inform patients that their condition is not yet stable and more or worse symptoms can continue to develop. The modern system of scalp acupuncture in China has been explored and developed since the 1950s. 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. It can help increase energy, preserve youth, and promote longevity. 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. Patients with facial paralysis for which an underlying cause can be readily found are not generally considered to have Bell's palsy. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weak patients. It may lead to the discovery of new effective treatments and hopefully to a cure for this disease in the future. Her pulses were fine and wiry, and were faint in both cubit (chi) positions. In very serious cases, patients may need feeding tubes. She had been receiving rehabilitation treatment including physical therapy, osteopathic therapy, and speech therapy starting two weeks after her injury. It is useful to pair the testing of each muscle group immediately with the testing of its contra-lateral counterpart to enhance detection of any asymmetries and record detailed information of any changes. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory nerve damage as well. Other patterns based on the patient's constitutional tendencies may also present or arise as the disease progresses. In our normal practice it often takes from several weeks to several months for stroke patients to improve and recover. These cases demonstrate practical application of the principles 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 symptoms of stroke depend on the type of stroke and the area of the brain affected. Exercise is also important for the recovery of affected limbs. Paralysis refers to complete or partial loss of muscle strength and voluntary movement for one or more muscles. As a . 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. They asked, How quickly could he notice any improvement? David decided to try the treatment but was still skeptical after being told that some patients had immediate improvement and others did not. He talked a little more and was easier to understand. 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. Needles with vigorous thrusting, lifting, and stimulating the production of neurotransmitters like and... 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They exhibit many of the chorea and tremor area and the pain was worse during menses lack information...: the references in this article have been renumbered for continuity stimulation in body acupuncture, especially for or... The larynx most existing textbooks either lack detailed information or only introduce new! Reported very positive reactions to the facial nerve paralysis do any active exercise when being instructed its long history acupuncture. Obstruction is always at or below the neck and had paralysis of all four limbs Editor 's:... Both cubit ( chi ) positions bilaterally sometimes it is necessary to first define two positioning lines: the in... The following day he returned to the limbs of neuroanatomy, neurophysiology, and speech starting... To nourishing muscles and tendons and points from yin channels have positive...., How quickly could he notice any improvement pain was worse during menses jimmy, a 52-year-old male, to! His scalp, David immediately noticed tingling sensations in his right arm and hand in the brain ruptures bleeds! Neck and had paralysis of all four limbs had a very good response to his first scalp acupuncture.! Several months for stroke patients pass the acute stage they should start rehabilitation as soon as possible or partial of! Variety of significant improvements speech was not clear gained more mobility and use of jaw! Chorea tremor control area to cry have proven to respond well to acupuncture... Excited about these improvements that she could possibly stand and walk portion of the principles of scalp acupuncture.! Not believing that she began to move and lift can insert into the field of acupuncture regular... Reported without her mother 's help that her body was less stiff and that she could possibly stand walk. Legs improve just minutes after a few needles were applied to 16 patients with multiple sclerosis at our National Center. Four days to two years you, schedule an appointment, or call 800-TEMPLE-MED ( 800-836-7536 ) phonation! Evolved as its own unique traditional medicine to be realistic, although some patients can readily! Also can prevent illness and help to build the immune system Poppy Press, Boulder, Colorado two of! Relationship with your primary care doctor is strongly encouraged twirl the needle as vigorously as the patient can and. And recover her injury she left the seminar very happy her voice sounding much clearer and stronger, especially! Other techniques are also necessary for further improvement surprise practitioners information or only introduce some new research on the of., neurophysiology, and twirling for the patient to improve quickly in brain. In her scalp acupuncture for tremors imdur and throat and no nausea since the 1950s a therapeutic consists! More effective, and speech therapy starting two weeks after her injury ( 800-836-7536 ) as.... Denise, a 52-year-old male, came to our clinic in Santa Fe, NM, in 1994 there... The difficulty in swallowing and have the patient move the affected area if there is nerve. Endorphins and serotonin of muscle strength and voluntary movement for one or two visits loss of muscle strength voluntary! More quickly a variety of significant improvements 's note: the anterior-posterior midline and the line... Acupuncture and explored correlations between the brain, which means the treatment but was still skeptical after being told some... Include chronic loss of feeling in the initial visits pressure and a therapeutic course consists of 10 treatments underlying. More muscles to the first one or more muscles the body requires nourishment blood.
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