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. Acupuncture care does not replace the need for a primary care physician. 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. It can help increase energy, preserve youth, and promote longevity. Her mental activity presented as normal and she was then in graduate school for a master's degree. Second, focused ultrasound makes a lesion on the brain, which means the treatment should last long term. 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. It is also the most useful technique for the patient to improve quickly in the initial visits. She was able to eat better because of less choking. Two days later, Sherry arrived for her fourth session and reported very positive reactions to the last treatment. Whether you are treating a child or adult with depression, it is important to observe the response and reaction while inserting, stimulating, or withdrawing needles, and adjust the techniques accordingly. 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). Scalp acupuncture: chorea-tremor area The chorea-tremor area is one of the most commonly used scalp acupuncture areas for treating PD. This ability would last for several days after treatment, so Denise liked to get a tune-up treatment every other week. 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. She received more aggressive treatment that day because it was her last treatment for this trip. He sought treatment from us during a conference in Phoenix, Arizona, in 2006. Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. He refused to try drinking a little bit of water to test his swallowing function and said he was afraid that it could induce severe coughing and choking and cause aspiration. Two minutes after the treatment began, Lisa announced that she felt a lot of blood move to my head. After that, the child was able to lift her right arm with much more ease. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. Compared to other patients, in general depressed patients should receive fewer needles, milder stimulation, and a shorter time of needle retention. Electrical acupuncture is very helpful for speeding up recovery. This book will show the scope of scalp acupuncture in treating many kinds of disorders and diseases, based on years of clinical experience. Jiao Shun-fa, the founder of scalp acupuncture, collected and analyzed 20,923 cases of paralysis caused by stroke from 1970 to 1992. Location: parallel with and 1.5 cm to chorea and 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. Other patterns based on the patient's constitutional tendencies may also present or arise as the disease progresses. A swallowing disorder can occur in people of all age groups but it is more likely in the elderly, patients who have had strokes, and in patients who are admitted to acute care hospitals or chronic care facilities. 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. 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. He talked a little more and was easier to understand. Chinese scalp acupuncture has been taught and used sparingly in the West and there are few books published on the subject. However, those who don't have such sensations could still have immediate effects. She had lost her fine motor skills. The information presented in the book is primarily a synthesis of two components of knowledge of scalp acupuncture. The types of paralysis are classified by region. Causes of many motor neuron diseases are unknown and others have varying causes according to the specific motor neuron disease. Her hand, legs, and feet were completely paralyzed, which meant that muscular tones were 0 out of 5. To test the strength of each muscle group and record it in a systematic fashion is important before and after scalp acupuncture treatment for paralyzed patients. Acupuncture, a therapeutic technique of Oriental Medicine, can be traced back more than 2500 years. Scalp acupuncture successfully integrates the essence of ancient Chinese needling techniques with the essence of neurology in Western medicine. We need to emphasize that this patient received only three scalp acupuncture treatments and had recovered completely. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. We feel confident that this book will meet these requirements. Patients who experience some or all of these sensations usually respond and improve more quickly. However, those who do not have such sensations could still have immediate positive results. Five years before, his medical team had noted his condition has been slowly going downhill. Because his legs were very stiff and weak, Michael had to drag both legs in a shuffling manner when he walked. 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. Michael, a 52-year-old patient referred by his primary care physician, walked with the aid of a cane. In addition to more than 29 years of clinical practice of scalp acupuncture, we have taught scores of seminars for both practitioners of Chinese medicine and Western physicians practicing acupuncture in the USA and Europe, including eight years of seminars sponsored by UCLA and Stanford University. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. During each treatment, however, her right foot was getting stronger and she could pick it up more easily. 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. These drugs can have side effects. Indications: superficial edema, hypertension. 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. The next chapter is a review of essential theories of Chinese medicine related to scalp acupuncture including the Four Seas theory and the Four Qi Street theory that provide readers with a systematic explanation of function and indication based on Chinese medicine. Acupuncture was applied with a 0.3 45-mm stainless-steel needle (Hansol Medical Co., Korea). Sometimes it is necessary to treat the depression first and then address the difficulty in swallowing. 8600 Rockville Pike He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. 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. government site. Its effects can range from relatively benign in most cases, to somewhat disabling, to devastating for some people. In the West, many healthcare practitioners are familiar with acupuncture for pain management, while scalp acupuncture as a main tool for rehabilitation is a relatively new concept. Stroke survivors usually have some degree of sequelae of symptoms depending primarily on the location in the brain involved and the amount of brain tissue damaged. 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. After only one treatment per patient, eight of the 16 patients instantly showed significant improvement, six patients showed some improvement, and only two patients showed no improvement, thus yielding a total effective rate of 87%. Indications: superficial edema, hypertension. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. Though the scalp is uniquely innervated and highly vascularized there is no risk of heavy bleeding. Chapter Three describes in detail locations and techniques of scalp acupuncture in order to offer a wide range of useful information for teachers, experienced or new practitioners, and students. For the last three years and currently, she could not stand or walk by herself due to weakness in her legs and loss of balance. Her fine pulses had become a little larger and stronger, were still slightly wiry, and showed more strength in the cubit (chi) positions. 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. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. Chapter One provides a review for practitioners with a Western medical background and an adequate introduction for practitioners new to this material. 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 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. While more the exception than the rule, such cases demonstrate not only how remarkable these new techniques are, but also provide the readers with examples of real clinical practice using them. His tongue was a little purple with a normal coating and his pulses were bilaterally fine and wiry. 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 on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. He walked back into the conference room without using his cane and his face glowed with pleasure as he told the audience, I walked for about 30 minutes without any rest and without my cane except for security. At the time, scalp acupuncture was primarily used to treat paralysis and aphasia due to stroke. After inserting four more needles in her scalp, we encouraged Barbara to stand up. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. Although other acupuncture techniques can be effective, scalp acupuncture seems to bring about quicker and often immediate improvement. The duration of the paralysis was from one day to 14 days. Upon examination, it was found that she had paralysis of all four extremities. This is often due to a traumatic birth that causes irreparable damage to the facial nerve resulting in acute facial nerve paralysis. Body acupuncture was added 15 minutes after scalp acupuncture began. Her neck was severely damaged at the level of C-5 and C-6. Retain the needles for 3045 minutes. For treating motor dysfunction, place the needles and rotate them at least 200 revolutions per minute for 13 minutes every 10 minutes for a total of 3060 minutes. All of these have proven to respond well to scalp acupuncture treatment. She was amazed to feel the spasms and numbness in her legs improve just minutes after a few needles were inserted. Examination showed that all four extremities were very tight and had occasional spasms. She counted the numbers from one to 20 with a slow, slurred, weak voice. Through this book, we hope to contribute this knowledge and experience to current and future students, practitioners, and teachers, and that it will serve as a stepping stone for further teaching, practice, research, and development of Chinese scalp acupuncture. Her tongue was purple with a thin white coating. During the second treatment, Sherry experienced a hot sensation again, more so on the left side of the body. Myelin allows for the smooth, high-speed transmission of electrochemical messages between the brain, the spinal cord, and the rest of the body. She no longer had that urgent feeling in her bladder and was able to hold her urine for two hours. In A Practical Dictionary of Chinese Medicine, Wiseman and Feng translate this pulse image as the string-like pulse, but wiry is the more common usage. 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. David, a 52-year-old man, was vacationing with his wife in Santa Fe, NM, in 1993. 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. Through acupuncture treatment, some patients can be cured and many others witness a variety of significant improvements. Her slurred speech sometimes even her mother could not understand. 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. The results were 25 cases fully recovered (52%), 18 cases markedly improved (38%), and 5 cases failed to improve at all (10%), yielding a total effective rate of 90%. One student at this class offered the conclusion, It's never too late to treat a paralyzed patient with scalp acupuncture.. We were astonished and barely able to recognize her when she walked into the conference room by herself. 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%. His treatment strategy was modified to take care of depression. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. We use sterile, single-use needles and always follow antiseptic protocols so there is limited risk of infection. In complementary and alternative medicine, it contributes new understanding to both theory and practice. Although she felt nervous and was assisted by two people, she stood up. Symptoms and signs of multiple sclerosis vary widely depending on the location of affected myelin sheaths. His tongue was red and slightly purple with a thick, white coating and his pulses were wiry and slippery. 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. Since scalp acupuncture is a modern technique with just 39 years of history, much more research needs to be done so that its potential can be fully explored and utilized and more paralyzed patients helped to regain a normal life. 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. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. Because of all these symptoms, he was extremely agitated, angry, and fearful that his face would never look normal again. Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination. 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