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. He could neither utilize a normal gait from heel to toe nor walk backwards. During the third treatment she was able to stand on her feet with someone holding her knees and could lift her arms much higher. Scalp acupuncture, sometimes also called head acupuncture, is a modern innovation and development. Dysphagia is classified into two major types, oropharyngeal dysphagia and esophageal dysphagia. Vertigo and hearing area (ni) Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. He was treated by combined scalp acupuncture and body acupuncture. Scalp acupuncture areas are frequently used in the rehabilitation of paralysis due to stroke, multiple sclerosis, automobile accident, and Parkinson's disease. Commonly used points are Chi Ze (Lu 5) and Nei Guan (Per 6) for upper limbs and San Yin Jiao (Sp 6), Yin Ling Quan (Sp 9), Xue Hai (Sp 10), and Qu Quan (Liv 8) for lower limbs. 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. 8600 Rockville Pike Paralysis can be localized, generalized, or it may follow a certain pattern. The needles were inserted into the muscle layer, especially at Baihui. Her fatigue and bladder control were improved but she still had a lot of mucous and leg tremor. With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. The chain of nerve cells that runs from the brain through the spinal cord out to the muscles is called the motor pathway. Scalp acupuncture is a micro-system acupuncture technique which stimulate the points or areas on the scalp to treating brain related diseases, neurological and psychological conditions, et al. At his last visit, Fred said, Thank you very much for giving me back my normal life.. 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. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. It can repair damaged nerves and restore full use and strength to injured areas. Use the fewest number of needles possible in the scalp and rotate the needles at least 200 times per minute with the thumb and index finger for 23 minutes, twirling as gently as possible so that the depressed patient can tolerate the sensation and repeating the stimulation every 10 minutes. At this point his weight increased and his stamina was markedly improved. Needles were applied to the middle third portion of the chorea tremor control area. In some patients it is a mild disease but it can lead to permanent disability in others. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. Scalp acupuncture: chorea-tremor area The chorea-tremor area is one of the most commonly used scalp acupuncture areas for treating PD. 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). The damp heat may become congested in the network vessels causing the sinews and muscles to further lose their nourishment. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. Hence the common name for stroke in Chinese medicine is wind stroke. Hand or foot paralysis is relatively difficult to recover and often requires a longer process, especially for a contracted hand and foot. Chapter One provides a review for practitioners with a Western medical background and an adequate introduction for practitioners new to this material. The more general acupuncture therapy is often called body acupuncture. 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. The common denominators in most cases are external invasion or internal engenderment of damp heat, which damages qi and consumes yin and blood, thus giving rise to internal stirring of wind. Find a doctor near you, schedule an appointment, or call 800-TEMPLE-MED (800-836-7536). Insert needles in the upper 1/5 Motor Area, Speech I Area, Foot Motor and Sensory Area, Chorea and Tremor Area, and Praxis Area and stimulate bilaterally. Though she continued to improve with each treatment, the most dramatic changes occurred in the twentieth treatment. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. You'll find KI-3 at the depression between the inner side of the ankle and the tendon, just behind the anklebone. The motor neuron diseases (MNDs) refer to a group of progressive neurological disorders that affect motor neurons associated with controlling voluntary muscle activity including speaking, walking, breathing, swallowing, and general movement of the body. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. 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. His pulses were wiry and fine. After nine scalp acupuncture treatments, he regained all functions of expression in his face and was very pleased with the outcome. 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. Her tongue was purplish with a thin, sticky, yellow coating. First, focused ultrasound is nonsurgical, which means no holes are made in the skull and no hardware, like a pacemaker, is needed. Multiple sclerosis (MS) is a progressive disease of the central nervous system in which communication between the brain and other parts of the body is disrupted. Lisa was afraid of needles and started to cry and refuse the treatment before the first needle was inserted. It has been proven to have very effective results in treating aphasia, loss of balance, loss of hearing, dizziness and vertigo. Fred, a 62-year-old male in a wheelchair, was brought to our clinic in Santa Fe, NM. This book supplies all the needed information to practice scalp acupuncture. She was very surprised to find that she had regained the ability to control her legs again. The role of acupuncture is to unblock the channels. In our practice, the combination of scalp acupuncture and regular body acupuncture ensures the best results, especially for the further recovery of paralyzed fingers and toes. 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. For example, if stroke occurs in the motor area of the right side of the brain, the left side of the body may show weakness or paralysis. Examination showed she was unable to stand and walk straight by herself. 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. The numbness and tingling in her limbs did not bother her as much, she had more energy, and had not experienced incontinence of urine for several weeks. a Editor's note: The references in this article have been renumbered for continuity. She could not control her urine, choked when eating, and always felt fatigued. Retain the needles in place for 3045 minutes. The techniques introduced in this book can be easily mastered and performed even by people with minimal acupuncture experience. Patients who experience some or all of these sensations usually respond and improve more quickly. When stroke patients pass the acute stage they should start rehabilitation as soon as possible. One may also choose the Chorea and Tremor Area or Foot Motor and Sensory Area accordingly if the patient has muscular spasms there. Second, we have been teaching, practicing, and researching it for 29 years, both in China and in the US and Europe, and have accumulated extensive and valuable experience, which has given us insight into the needs and questions of acupuncture practitioners in Western clinical settings. Her tongue was purple with a thin white coating. The results showed Bell's palsy fully resolved in 72 cases (90%) and markedly improved in 8 cases (10%) with zero failure, yielding an effective rate of 100%. 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. Abboud H, Ahmed A, Fernandez HH. Those symptoms are warning signs and a large proportion of patients with TIA may develop full strokes in the future. The duration of the ailment was from four days to two years. Throughout its long history, acupuncture has evolved as its own unique traditional medicine. Chinese medical pattern discrimination: Qi stagnation and blood stasis in the channels. 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. 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. 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. 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. 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. In our normal practice it often takes from several weeks to several months for stroke patients to improve and recover. When we told Barbara that some similar patients were able to walk again, her eyes filled with tears. 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. Approximately 300,000 people in the US and 2.5 million people worldwide suffer from MS. 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. 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