Select the Balance Area or Vertigo and Hearing Area of the scalp, respectively, depending on the symptoms. At another scalp acupuncture seminar in Phoenix, Arizona, later the same year, the audience was waiting to see Barbara, whom we had treated several months before. The patient thrived on this program. That was one of the reasons that she returned to this second seminar half a year later. Most patients can recover completely after five to 15 treatments. 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.. He had a red tongue with a thin, yellow coating. When cervical discs are injured, compression fractures may cause permanent disability. Quadriplegia can be treated after any duration, but less than three months from the date of injury or illness shows the greatest improvement. She often had a migraine headache and premenstrual syndrome (PMS), and she had considerable mucous in her nose and throat much of the time. The insertion of two needles on the left side of her scalp did not seem to bother her at all. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. Examination showed that her tongue was less red with fewer teeth marks and tremor only on the left side. Improvement may last for hours, days, weeks, or months, but follow-up treatments will be necessary on an ongoing basis. Scalp acupuncture is frequently used in rehabilitation of paralysis due to stroke, multiple sclerosis, spinal cord injury, and traumatic brain injury. 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. 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. She returned for the second treatment a day later, having had traveled across the country for these treatments. The treatment is given two to three times per week and a therapeutic course consists of 10 treatments. The longer the duration of the impairment, the more gradual will be the improvement. Not believing that she was once again able to walk, he went to her house in person to see this miraculous change. 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. By stimulating those reflex areas, acupuncture can have direct effects on the cerebral cortex, cerebellum, thalamo-cortical circuits, thalamus, hypothalamus, and pineal body. 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. 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. If balance, dizziness, or vertigo is present, select the Balance Area or the Vertigo and Hearing Area. 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. Multiple sclerosis is unpredictable and varies in severity. Fred could move his right arm up and down more and he was able to start walking to our clinic on his own. The examination revealed she had paraparesis of the left lower extremity that was more affected than the right. However, those who do not have such sensations could still have immediate positive results. 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. Retain the needles in place for 2030 minutes and request the patient to exercise the affected side of his facial muscles during scalp acupuncture treatments, especially if there are no needles in his face. Hence the common name for stroke in Chinese medicine is wind stroke. 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. Forty-five successful case histories are given from our clinical experience. 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. In the worst cases, people with MS may be unable to write, speak, or walk. 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. 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. Mechanical causes usually comprise peptic esophagitis, carcinoma of the esophagus or gastric cardia, candida esophagitis, and pharyngeal pouch. It is helpful to have the patient exercise the affected limbs with or without assistance as indicated, between needle stimulations.13 During treatment, some patients may have sensations of heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving along their affected limbs. Indications: superficial edema, hypertension. The only remaining problem was urgent, frequent urination and some incontinence of urine. 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. 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 role of acupuncture is to unblock the channels. 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. Find a doctor near you, schedule an appointment, or call 800-TEMPLE-MED (800-836-7536). These underlying problems include tumor, stroke, diabetes, meningitis, head trauma, and inflammatory diseases of the cranial nerves. There are forms of periodic paralysis, including sleep paralysis, which are caused by other factors. There are many different acupuncture techniques for treating MS. It has been proven to be a most effective technique for treating acute and chronic central nervous system disorders. Needles should be inserted on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. Wherever possible or useful, other modalities or techniques to enhance the scalp acupuncture treatments are included with the case histories, which demonstrates the integration of Chinese medical theory and application into the clinical practice of scalp acupuncture. The Speech III Area, Balance Area, and Foot Motor and Sensory Area were added to assist and consolidate her improved clinical signs. After the fifteenth treatment, she had gained more mobility and use of her right hand as well as more muscle strength in that hand, which was now as strong as her left hand. This book will show the scope of scalp acupuncture in treating many kinds of disorders and diseases, based on years of clinical experience. FOIA The more general acupuncture therapy is often called body acupuncture. Finally, Chapter Four presents a large number of treatment strategies and techniques with color figures clearly illustrating the location of stimulation areas. Throughout its long history, acupuncture has evolved as its own unique traditional medicine. HHS Vulnerability Disclosure, Help It is important to instruct patients to move their affected limbs actively and passively, if possible. With the aid of the special Japanese neck diagnostics, the associated Ypsilon therapy points in the temples or the corresponding cranial nerve points are revealed via pressure-sensitive points in the neck region. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory nerve damage as well. Esophageal dysphagia can be subdivided into mechanical and functional causes. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. It is very helpful to play or chat with young patients as if they are friends or family members before the treatment. The damp heat may become congested in the network vessels causing the sinews and muscles to further lose their nourishment. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. Although other acupuncture techniques can be effective, scalp acupuncture seems to bring about quicker and often immediate improvement. She had gotten married and returned to work. 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. Overall, our patient Fred had a very successful recovery, progressing from dysphagia to total normal eating within just a few weeks. 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. 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 20 treatments his walking appeared almost normal. Always put one needle in the ear point Shen Men to help nervous patients relax and reduce the sensitivity of needle insertion and stimulation of the scalp. 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. National Library of Medicine He was experiencing moderate pain running along the line of his jaw and behind his left ear. Needles were applied to the middle third portion of the chorea tremor control area. 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. Even then, only 50% of patients have a chance of improving. Rotate the needles at least 200 times per minute with the thumb and index finger for 13 minutes, twirling them as vigorously as the patient can tolerate and having the patient move her affected limbs actively and passively. Scalp acupuncture not only treats disorders, but also can prevent illness and help to build the immune system. They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. 5.3. Chinese scalp acupuncture, paralysis, multiple sclerosis, stroke, dysphagia, brain injury, Bell's palsy, Yu Zhi-shun's Experience on Head Points for Paralysis,, Fertile Ground for Alternative Medicine,, Easing the Pain, Acupuncture Program Looks to Help Relieve Discomfort of Troops, , He Teaches and Popularizes Chinese Medicine in USA,, China News On Traditional Chinese Medicine, Jason Hao, DOM: Pioneering the Use of Scalp Acupuncture to Transform Healing,, Observation on Specificity of Acupuncture Location in Treatment of Acute Apoplexy by Scalp Penetration Needling,, Observation on Therapeutic Effect of Five-Needle-in-Nape Acupuncture for Treatment of Post-stroke Pseudobulbar Paralysis Dysphagia,, Treatment of Multiple Sclerosis by Scalp Acupuncture,, Acupuncture and Moxibustion Six Unique Skills, Clinical Observation of 80 Cases of Facial Paralysis by Scalp Acupuncture,, Shanxi Journal of Traditional Chinese Medicine, Clinical Observation of 48 Cases of Facial Paralysis by Scalp Acupuncture,, Shanghai Journal of Acupuncture and Moxibustion. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. Acupuncture works by increasing the circulation of blood, relaxing muscles, and stimulating the production of neurotransmitters like endorphins and serotonin. Scalp acupuncture: chorea-tremor area The chorea-tremor area is one of the most commonly used scalp acupuncture areas for treating PD. In terms of Western medicine, it contributes significantly to the treatment of central nervous system disorders. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. To treat loss of taste, the lower 2/5 Sensory Area in the scalp should be stimulated. In Sherry's case, the hemiplegia was caused by a motor neuron disorder. Sherry had been to several famous hospitals but there was no clear diagnosis. Third, scalp acupuncture consists of needling areas rather than points on the skull according to the brain's neuro-anatomy and neurophysiology. 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. In clinical practice, acupuncture treatments are typically based not just on a systematic or rigidly applied system, but also on highly individualized philosophical constructs and intuitive impressions. Treatments were given once a day and 14 treatments comprised a course. Dysphagia may lead to malnutrition and dehydration and at the most severe stages can cause choking, aspiration, and airway obstruction. Retain the needles for 3045 minutes. 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. Symptoms of Bell's palsy usually appear suddenly and reach their peak within 48 hours. Wu Jian-min reported on treating 80 cases of facial paralysis using scalp acupuncture in 1989. At a workshop conducted at Tri-State Acupuncture College in New York City in 1998, a patient named Tom volunteered for scalp acupuncture. Ren As a . Treatment may include acupuncture, physical therapy, occupational therapy, speech and language therapy, and massage. It primarily affects adults, with age of onset typically between 20 and 40 years, and is twice as common in women compared to men. Most paralyses caused by nervous system damage are constant in nature. He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. Scalp acupuncture, also known as head acupuncture, is a combined treatment based on traditional acupuncture and neurology. Examination showed that the sensations in his right arm and hand were still normal. Based on the results, scalp acupuncture is indicated for the treatment of essential tremor. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. 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. Findings in these two studies are very similar. 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. Clinical studies have demonstrated that acupuncture may be beneficial for PD . 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. 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. Scalp acupuncture for MS is accessible, less expensive, safer, more effective, and causes fewer side effects than Western medical treatments. Her fine pulses had become a little larger and stronger, were still slightly wiry, and showed more strength in the cubit (chi) positions. Those areas should be stimulated unilaterally or bilaterally, according to the patient's manifestations. Second, there is a very limited number of highly experienced teachers. With continued encouragement Fred finally agreed to try. Paralysis refers to complete or partial loss of muscle strength and voluntary movement for one or more muscles. Scalp acupuncture, discovered by Dr. Jiao Shunfa in 1971, is a modern acupuncture technique combining traditional needling methods with Western medical knowledge of representative areas of the cerebral cortex, including anatomy, physiology, pathology and neurology. In addition to scalp acupuncture, the ear and body acupuncture were very helpful in the patient's progress and recovery. He felt depressed, irritable, angry, and severely fatigued. This ability would last for several days after treatment, so Denise liked to get a tune-up treatment every other week. The bleeding vessel can no longer carry the blood to its target tissue and interrupts the brain's blood supply. 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. However, the neurological findings are rarely restricted to the facial nerve in these conditions. There are considerable clinical studies and experimental research showing the excellent results obtained from scalp acupuncture on paralysis due to stroke. Paralysis due to stroke, multiple sclerosis, and traumatic injury of the brain or spinal cord are the most commonly seen problems in our practice. The types of paralysis are classified by region. Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. Its effects can range from relatively benign in most cases, to somewhat disabling, to devastating for some people. 3.3 Chorea-Tremor Control Area (CTCA) Location: Parallel to and 1.5 cm anterior to Motor Area (see Figs. For children less than two years old, an effective technique is to hide each needle from their sight while inserting and stimulating. Her gait was wide-based and unsteady and she had to hold on to someone to walk in order to maintain her balance. For the benefit of the seminar audience, Barbara demonstrated many different kinds of movement of her four extremities such as jumping, running, and easily raising her arms, which brought audience applause. The modern system of scalp acupuncture in China has been explored and developed since the 1950s. During the first treatment, Julia experienced immediate relief from the muscle spasms. A therapeutic course consists of 10 treatments. Her pulses were fine and wiry, and were faint in both cubit (chi) positions. Select the finest gauge needles that you can insert into the scalp for the initial treatments. 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. However, those who do not have such sensations could still have immediate positive results. Examination showed he was unable to move his right leg and foot at all with muscular tone at 0 out of 5. 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. 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). There were almost no teeth marks remaining. During the third treatment the next day, the patient reported that she walked better with more control of her left leg and that it felt less heavy. Paralysis is most often caused by damage to the nervous system, especially the brain and spinal cord. Dr. Jiao Shun-fa, a neurosurgeon in Shan Xi province, is the recognized founder of Chinese scalp acupuncture. Body acupuncture was added 15 minutes after scalp acupuncture began. New research suggests that normal brain cells are highly adaptable. When the speech and motor areas are damaged, body dysfunctions appear such as aphasia and paralysis. Although his aphasia gradually improved, his speech was not clear. 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. These headaches may gradually become less severe as you continue to use nitroglycerin. However, a number of therapies including acupuncture can be used to treat the disease symptomatically and convert MS into remission. When myelin is damaged, neurological transmission of messages may be slowed or blocked completely resulting in some body functions being diminished or lost. The chain of nerve cells that runs from the brain through the spinal cord out to the muscles is called the motor pathway. Barbara had very positive responses to scalp acupuncture treatment. Our studies showed that 87% of patients had instant improvement after only one treatment. The following day he returned to the clinic for another treatment. government site. Five cases fully recovered, eight cases markedly improved, 11 cases some improvement, and six cases failure in the RA group. 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. 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. Treatments for internal tremors can include: reducing anxiety and stress avoiding. Those symptoms are warning signs and a large proportion of patients with TIA may develop full strokes in the future. Chapter One provides a review for practitioners with a Western medical background and an adequate introduction for practitioners new to this material. When treating chronic progressive diseases like multiple sclerosis, Parkinsonism, and amyotrophic lateral sclerosis (ALS), the effects are sometimes temporary. Readers may notice that the indications for treatment for each scalp area are many in order to demonstrate the variety of disorders that can benefit from scalp acupuncture therapy. Those patients usually respond and improve more quickly. Although symptoms may resolve completely between the episodes, permanent neurological problems usually persist, especially as the disease progresses.18 Many risk factors for multiple sclerosis have been identified, but no definitive cause has been found. This may be the mechanism by which scalp acupuncture is successful in treating dysphagia. Treating quadriplegia by acupuncture is very challenging. She could not control her urine, choked when eating, and always felt fatigued. Barbara reported that she had not received further acupuncture treatment after the last two scalp acupuncture treatments because neither her insurance nor her own money could cover further sessions. The practitioner has a wide amount of discretion on the use of points and techniques. I am so overjoyed with these unexpected wonderful results. Poliomyelitis, also called polio or infantile paralysis, is a highly infectious viral disease that may attack the central nervous system and is characterized by symptoms that range from a mild nonparalytic infection to total paralysis. He had suffered from multiple sclerosis since 1982 and had received many kinds of treatments with no positive results. Regular exercise helps the blood circulation and keeps muscles active, and this also accelerates the results from ongoing acupuncture treatments. Common acupuncture points include He Gu (LI 4), Qu Chi (LI 11), Jian Yu (LI 15), and Wai Guan (TB 5) for upper limb paralysis and Yang Ling Quan (GB 34), Feng Shi (GB 31), Huan Tiao (GB 30) Zu San Li (St 36), and Kun Lun (Bl 60) for lower limb 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. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. 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. His voice was low and it was very difficult to understand him. Paralysis is also divided into four types in neurological practice, namely upper motor neuron paralysis, lower motor neuron paralysis, paralysis due to neuromuscular transmission diseases, and the paralysis caused by muscular diseases. Vertigo and hearing area. An official website of the United States government. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. This results in relaxation and pain . Scalp acupuncture can successfully treat many problems of the central nervous system such as paralysis and aphasia, for which Western medicine has little to offer. She no longer had that urgent feeling in her bladder and was able to hold her urine for two hours. Tremor areas are classified as secondary areas . Her slurred speech sometimes even her mother could not understand. It is suggested that no more than two of the scalp needles be stimulated at any session so the brain does not become too confused to respond. Fred was very negative and showed no interest in treatment by scalp acupuncture at the initial visit. 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. The Chorea and Tremor Area should be chosen if the patient has tremor or limb spasms. She walked as much as she could, turning about every 30 steps, walking with confidence and a smile on her face. Examination showed that the tremor as well as teeth marks in her tongue were less, the thick, white coating was less, and it was peeled more on the front part of her tongue. 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. Scalp acupuncture has been found to have very good effects on the sequelae of stroke including hemiplegia, aphasia, and abnormal sensations in the limbs. With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. 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. A waitress who noticed that he was paralyzed told him that he should come to our clinic, which specialized in treating that affliction. Barbara was in a wheelchair when she was brought to our 2006 scalp acupuncture seminar in Phoenix, Arizona. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. And have the patient move the affected Area if there is a combined treatment based on traditional acupuncture neurology. 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