He talked a little more and was easier to understand. These drugs can have side effects. The treatment strategy was modified. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. Because of all these symptoms, he was extremely agitated, angry, and fearful that his face would never look normal again. 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. Instead, she did intensive exercise as we had instructed seven months before and had recovered completely. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. She responded immediately after the needles were inserted, her voice sounding much clearer and stronger. She lost control of her body below the neck and had paralysis of all four limbs. 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. It is very helpful to play or chat with young patients as if they are friends or family members before the treatment. It usually relieves symptoms immediately and may take only a few minutes to achieve significant improvement. 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. 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.. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. During the first treatment, Julia experienced immediate relief from the muscle spasms. Improvement may last for hours, days, weeks, or months, but follow-up treatments will be necessary on an ongoing basis. Sherry had been to several famous hospitals but there was no clear diagnosis. Myelin allows for the smooth, high-speed transmission of electrochemical messages between the brain, the spinal cord, and the rest of the body. 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. Indications: superficial edema, hypertension. 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. absence of or decrease in body movement arm, back, or jaw pain black, tarry stools bladder pain bleeding after defecation bleeding gums blood in the urine or stools blurred vision body aches or pain burning while urinating burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings chest pain or discomfort 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. Retain the needles for 3045 minutes. 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 nasogastric tube was removed and he had no problem with talking or depression after his sixth treatment. She had little hope that our treatment would help her condition. When asked where the food is getting stuck, patients will often point to the cervical region. Various famous physicians introduced Western neurophysiology into the field of acupuncture and explored correlations between the brain and human body. We were astonished and barely able to recognize her when she walked into the conference room by herself. She had been receiving rehabilitation treatment including physical therapy, osteopathic therapy, and speech therapy starting two weeks after her injury. In Part Two of our book, we discuss in detail many common central nervous disorders. Over the past 25 years, Denise had multiple relapses and remissions with episodes of lower extremity weakness, stiffness and muscle spasm, incontinence of urine, loss of balance, and fatigue. Denise, a 79-year-old female in a wheelchair, was brought to our clinic in Santa Fe, New Mexico, in 1994. Her tongue was purplish with a thin, sticky, yellow coating. At the time, scalp acupuncture was primarily used to treat paralysis and aphasia due to stroke. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. Its effects can range from relatively benign in most cases, to somewhat disabling, to devastating for some people. 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. Wu Jian-min reported on treating 80 cases of facial paralysis using scalp acupuncture in 1989. We need to emphasize that this patient received only three scalp acupuncture treatments and had recovered completely. Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. Jiao Shun-fa, the founder of scalp acupuncture, collected and analyzed 20,923 cases of paralysis caused by stroke from 1970 to 1992. . That is highly unusual and by no means the norm. 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. 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. During our lectures around the world, we are often asked why, if it is so effective in treating disorders of the central nervous system, has scalp acupuncture not spread to the whole world and been applied widely in practice? She also had more energy and started to do some housework again. She received more aggressive treatment that day because it was her last treatment for this trip. The patient should get treatment as soon as possible as the earlier the treatment, the better the prognosis. Examination showed that the sensations in his right arm and hand were still normal. Five cases fully recovered, eight cases markedly improved, 11 cases some improvement, and six cases failure in the RA group. Symptoms of Bell's palsy usually appear suddenly and reach their peak within 48 hours. Afterwards, her speech was so much clearer, faster, and stronger that even she was surprised. When stroke patients pass the acute stage they should start rehabilitation as soon as possible. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. When treating chronic progressive diseases like multiple sclerosis, Parkinsonism, and amyotrophic lateral sclerosis (ALS), the effects are sometimes temporary. However, the neurological findings are rarely restricted to the facial nerve in these conditions. The symptoms of stroke depend on the type of stroke and the area of the brain affected. It is now our opinion that a patient with paralysis should be treated no matter how long ago a stroke has occurred as long as the limb shows no muscular atrophy. Sherry, a 38-year-old female, came to our clinic in 2007. 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. It may lead to the discovery of new effective treatments and hopefully to a cure for this disease in the future. Dysphagia may lead to malnutrition and dehydration and at the most severe stages can cause choking, aspiration, and airway obstruction. There are forms of periodic paralysis, including sleep paralysis, which are caused by other factors. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. Location: parallel with and 1.5 cm to chorea and tremor control area. Common MNDs include amyotrophic lateral sclerosis (ALS), primary lateral sclerosis, progressive muscular atrophy, and poliomyelitis. Because each side of the brain controls the opposite side of the body, a stroke affecting one side of the brain results in neurological symptoms on the other side of the body. Her left ovary hurt and the pain was worse during menses. The https:// ensures that you are connecting to the 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. Children and their parents might not be willing to participate in needling as a therapeutic method. With continued encouragement Fred finally agreed to try. 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. The electrical stimulation usually lasts 10 to 20 minutes. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. By stimulating those reflex areas, acupuncture can have direct effects on the cerebral cortex, cerebellum, thalamo-cortical circuits, thalamus, hypothalamus, and pineal body. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. Always put one needle in the ear point Shen Men to help the patient relax and reduce sensitivity to needle insertion and stimulation of the scalp. The longer the duration of impairment, the more gradual the improvement occurs. Third, scalp acupuncture consists of needling areas rather than points on the skull according to the brain's neuro-anatomy and neurophysiology. One month before, Fred had severe headache, slurred speech, and the right side of his body became paralyzed. 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. 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. Paralysis due to stroke, multiple sclerosis, and traumatic injury of the brain or spinal cord are the most commonly seen problems in our practice. TCM body style acupuncture has been shown to benefit Parkinson's disease patients. 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. This study looked at the effectiveness of scalp acupuncture and conventional acupuncture for essential tremors using 60 patients split into two groups. As stated previously, however, those who do not have such sensations could still have immediate, positive results. Scalp acupuncture is a modern acupuncture technique combining traditional needling method with western medicine knowledge of representative areas of the cerebral cortex. 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. Dr. Jiao Shun-fa, a neurosurgeon in Shan Xi province, is the recognized founder of Chinese scalp acupuncture. The examination revealed she had paraparesis of the left lower extremity that was more affected than the right. In the worst cases, people with MS may be unable to write, speak, or walk. She was very surprised to find that she had regained the ability to control her legs again. For two minutes, rotate the needles at least 200 times per minute with the thumb and index finger, twirling them as gently as possible at the beginning of treatment and repeating stimulation every 10 minutes so that the patient can tolerate the sensations better. It is not advisable to use electrical stimulation on the needles in the face because it may cause facial muscle spasm. Select the finest gauge needles that you can insert into the scalp for the initial treatments. 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. A therapeutic course consists of 10 treatments. The manipulation and retaining of needles remained the same. In our normal practice it often takes from several weeks to several months for stroke patients to improve and recover. 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. 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. 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). 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. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. As a result, she had incontinence of bowel and urine. 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. A few minutes later he was able to move his paralyzed arm and hand, amazed as he raised it over his head. Finally, Chapter Four presents a large number of treatment strategies and techniques with color figures clearly illustrating the location of stimulation areas. The relapse rate of the scalp acupuncture group was 13.81% Scalp acupuncture offers great rehabilitation tools for dysphagia. Electrical stimulation is very helpful if the practitioner has difficulty performing needle rotation of more than 200 times per minute. 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. Treatment may include acupuncture, physical therapy, occupational therapy, speech and language therapy, and massage. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. Though she continued to improve with each treatment, the most dramatic changes occurred in the twentieth treatment. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. Speech #2. Most patients can recover completely after five to 15 treatments. Treatments were given once a day and 14 treatments comprised a course. In treating unilateral paralysis of the limbs, traditionally more points from yang ming channels are selected because yang corresponds to movement and agility, and foot yang ming stomach channel controls muscle functions. She had lost her fine motor skills. Scalp acupuncture often produces remarkable results with just a few needles and usually brings about immediate improvement, sometimes taking only several seconds to a minute. Examination showed she was unable to stand and walk straight by herself. 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. Scalp acupuncture is the best therapy for spinal cord injury. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. Her tongue was purple with a thin white coating. It is not surprising for a Western physician to claim that it is a coincidence if a patient recovers from paralysis after acupuncture. Compared to adult patients, generally speaking, young patients should receive fewer needles, milder stimulation, and shorter time of needle retention. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. 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