However, those who do not have such sensations could still have immediate positive results. Part One of this book is designed to give practitioners fundamental knowledge of neuroanatomy, neurophysiology, and pathology in Western medicine. . The electrical stimulation usually lasts 1020 minutes. He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. Fred was able to follow instructions to practice his speech and do oral and pharyngeal exercises. Multiple sclerosis may occur either in discrete attacks or slowly over time. During treatment, some patients may have all or some of the following sensations: heat, cold, tingling, numbness, heaviness, distention, or the sensation of water or electricity moving in the affected side of the face. Keep the needles in for 2530 minutes. In Tom's case, the hemiplegia was caused by cerebral thrombosis, which has the best prognosis for recovery from stroke compared to cerebral embolism and cerebral hemorrhage. In terms of Western medicine, it contributes significantly to the treatment of central nervous system disorders. The only remaining problem was urgent, frequent urination and some incontinence of urine. The patient's wife rushed back into the lecture room saying repeatedly, He can move his arm and hand now in a loud, excited voice. 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. Scalp acupuncture is a modern acupuncture technique combining traditional needling method with western medicine knowledge of representative areas of the cerebral cortex. These acupoints were selected based on the acupuncture point selections according to TCM meridian theory to treat essential tremor. Even then, only 50% of patients have a chance of improving. The patient thrived on this program. This book will show the scope of scalp acupuncture in treating many kinds of disorders and diseases, based on years of clinical experience. The chain of nerve cells that runs from the brain through the spinal cord out to the muscles is called the motor pathway. Quadriplegia means paralysis of all four limbs or of the entire body below the neck. Regular body acupuncture, electrical acupuncture, and moxibustion as well as physical therapy and massage can be combined with scalp acupuncture to speed up recovery. Julia, a 49-year-old female in a wheelchair, was brought to our clinic in Santa Fe, NM, in 1992. Some patients may also develop muscle stiffness or spasticity, paralysis, slurred speech, dysfunction of urine or bowels, and depression. He had a red tongue with a thin, yellow coating. For children less than two years old, an effective technique is to hide each needle from their sight while inserting and stimulating. 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. 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. After two needles were inserted on the right side of his scalp, David immediately noticed tingling sensations in his right arm and hand. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. There are several clinical studies showing the excellent results obtained from scalp acupuncture and regular body acupuncture on facial paralysis. Treatment was given six times a week and 16 treatments made a course. As stated above in Chapter Four, unless the paralysis is due to the removal of damaged tissue by brain surgery, a paralyzed extremity is generally treated by choosing the opposite side of the Motor Area on the scalp. It has been proven to have very effective results in treating aphasia, loss of balance, loss of hearing, dizziness and vertigo. He had suffered from multiple sclerosis since 1982 and had received many kinds of treatments with no positive results. [4] Neurological Conditions Testimonials Her hand, legs, and feet were completely paralyzed, which meant that muscular tones were 0 out of 5. 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. Tom was instructed to do some passive exercise while the needles were in place, having his wife move his hand and raise his arm. The modern system of scalp acupuncture in China has been explored and developed since the 1950s. She had gotten married and returned to work. 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. As stated previously, however, those who do not have such sensations could still have immediate, positive results. 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. This helps to reduce fear and anxiety for both patient and parents. To treat facial muscle spasm the Chorea and Tremor Area and the lower 2/5 Motor Area should be stimulated. Third, scalp acupuncture consists of needling areas rather than points on the skull according to the brain's neuro-anatomy and neurophysiology. He had severe dysphagia and could not swallow any food or water at all, which was his primary complaint at our clinic. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. Select the Balance Area or Vertigo and Hearing Area of the scalp, respectively, depending on the symptoms. Improvement may last for hours, days, weeks, or months, but follow-up treatments will be necessary on an ongoing basis. However, those who do not have such sensations could still have immediate positive results. 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. At the end of her final treatment she was both laughing and crying. 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. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. 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. 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. 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. 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. Scalp acupuncture is a well-researched natural science and incorporates extensive knowledge of both the past and present. It helps the blood circulation and keeps muscles active, accelerating the results from ongoing acupuncture treatments. 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 patients with dysphagia whom we have treated showed some improvement after three treatments and some of them appear better right way. Lisa experienced dramatic improvements of her right arm, hand, leg, and foot with every visit. Insert needles in the Motor Area, Sensory Area, and Foot Motor and Sensory Area and stimulate unilaterally or bilaterally according to the patient's symptoms. Her bowel movements were a little loose and she had experienced some nausea and gas after taking the prescribed Chinese herbs. His pulses were wiry and fine. This results in relaxation and pain . Body acupuncture was added 15 minutes after scalp acupuncture began. Functional causes include achalasia, myasthenia gravis, and bulbar or pseudobulbar palsy. 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. The audience reported that he was taking much larger steps, was lifting up his legs rather than dragging them, and was turning around without hesitation. 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. Always put one needle in the ear point Shen Men to help a young patient relax and to reduce the sensitivity of needle insertion and stimulation of the scalp. 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. The incontinence of urine also showed some improvement. Treatments were given once a day and 14 treatments comprised a course. Her legs had severe tremors when she put her toes on the ground and she could not stand on one leg. The electrical stimulation usually lasts 10 to 20 minutes. She also experienced a sensation like electricity shooting downward through her spine, radiating to her feet. It is not surprising for a Western physician to claim that it is a coincidence if a patient recovers from paralysis after acupuncture. The following day he returned to the clinic for another treatment. Normally it takes several months or even as much as one to two years for this treatment to be effective. This may be the mechanism by which scalp acupuncture is successful in treating dysphagia. Several doctors thought she suffered from a motor neuron disorder or ALS. In Part Two of our book, we discuss in detail many common central nervous disorders. 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. It is not advisable to use electrical stimulation on the needles in the face because it may cause facial muscle spasm. Years of clinical experience have contributed to its recent discoveries and developments, but treatment of disorders by needling the scalp can also be traced back to early civilizations. The techniques introduced in this book can be easily mastered and performed even by people with minimal acupuncture experience. 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. Often caused by a car or sporting accident, spinal cord injury is extremely serious. The thick, white coating was less. Upon examination, it was found that she had paralysis of all four extremities. Lisa, a 10-year-old girl in a wheelchair, was brought by her mother to our clinic in Santa Fe, New Mexico, in 1993. 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. Common symptoms and signs include progressive weakness, muscle wasting, muscle fasciculations, spasticity or stiffness in the arms and legs, and overactive tendon reflexes. Not believing that she was once again able to walk, he went to her house in person to see this miraculous change. 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.. In a recent investigation, scalp acupuncture was applied to 16 patients with multiple sclerosis at our National Healthcare Center in Albuquerque, NM. It has been proven effective in treating any type of paralysis, sometimes taking only one to two treatments for an amazing amount of recovery. HHS Vulnerability Disclosure, Help 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. He systematically undertook the scientific exploration and charting of scalp correspondences starting in 1971. 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 requires the doctor to have very good techniques of insertion and manipulation of needles as well as good communication skills. Scalp acupuncture is one of several specialized acupuncture techniques with a specific body location, taking its place alongside ear, nose, hand, foot, and wrist/ankle acupuncture. It took acupuncture practitioners in China roughly 20 years before they accepted a central theory that incorporated brain functions into Chinese medicine principles. This was a signal that she could possibly stand and walk. Accessibility Michael showed remarkable improvement right away. It not only benefits MS patients, but also significantly helps us to better understand the mechanisms that cause the condition. 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. 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. Secondary symptoms can be addressed after patients have significant improvements in their major complaints. Location: parallel with and 1.5 cm to chorea and tremor control area. The needles were inserted into the muscle layer, especially at Baihui. The disorders covered in this book are commonly found in Western clinics. Afterwards, her speech was so much clearer, faster, and stronger that even she was surprised. Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. She watched and listened to herself on the video screen while she walked and talked like a normal person. However, those who don't have such sensations could still have immediate effects. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. Bethesda, MD 20894, Web Policies Second, there is a very limited number of highly experienced teachers. Active and passive exercise during scalp acupuncture treatment is very important for improvement. 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. 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 repeating the stimulation every 10 minutes. Her neck was severely damaged at the level of C-5 and C-6. Just like any new technology and science, the discovery, development, and clinical application of scalp acupuncture has undergone a period of challenge because it falls outside some fundamental theories of Chinese medicine as well as being a new concept in the Western world. After the eighth treatment she was able to walk with the assistance of a walker, experienced much more mobility in her hand movements, and her body spasms were almost entirely gone. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. Jimmy, a 52-year-old male, came to our clinic in Santa Fe, NM, in 2000. Although there is no cure for stroke, most stroke patients now have a good chance for survival and recovery. During treatment, some patients may have all or some of the following sensations: increasing tingling or numbness, heat, cold, heaviness, distention, or the sensation of water or electricity moving along their spine, legs or arms. Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease caused by degeneration of dopaminergic neurons in the substantia nigra. The signs and symptoms of dysphagia include difficulty controlling food in the mouth, inability to control food or saliva in the mouth, difficulty initiating a swallow, coughing, choking, frequent pneumonia, unexplained weight loss, gurgly or wet voice after swallowing, nasal regurgitation, and swallowing difficulty. Having proven effective through clinical results recorded over the last 35 years, it can effectively stimulate the paralyzed area in order to restore the body's energy flow to a normal state so that the body can heal itself. 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. Oropharyngeal dysphagia is often caused by stroke, multiple sclerosis, myasthenia gravis, Parkinson's disease, amyotrophic lateral sclerosis, and Bell's palsy. She responded immediately after the needles were inserted, her voice sounding much clearer and stronger. The duration of the ailment was from four days to two years. Unlike traditional acupuncture, where one needle is inserted into a single point, in scalp acupuncture needles are subcutaneously inserted into whole sections of various zones. 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 very helpful to play or chat with young patients as if they are friends or family members before the treatment. He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. Tell the child that those are normal and are a good sign for improving more quickly. Some scientists believe the needles act to stimulate muscles and nerves, which is what causes the effects. 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. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. This book supplies all the needed information to practice scalp acupuncture. 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. Her pulses were wiry and fine overall, with especially weak pulses in the cubit (chi) positions bilaterally. Hand or foot paralysis is relatively difficult to recover and often requires a longer process, especially for a contracted hand and foot. These are called plaques. Scalp acupuncture areas are frequently used in the rehabilitation of paralysis due to stroke, multiple sclerosis, automobile accident, and Parkinson's disease. Indications: superficial edema, hypertension. 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. 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. By stimulating those reflex areas, acupuncture can have direct effects on the cerebral cortex, cerebellum, thalamo-cortical circuits, thalamus, hypothalamus, and pineal body. In another body of work examined in the meta-analysis, Huang Na et al. 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. When myelin is damaged, neurological transmission of messages may be slowed or blocked completely resulting in some body functions being diminished or lost. Many patients have a very quick and positive response in controlling urine and bowel functions when the Foot Motor and Sensory Area is stimulated. 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. When PD, MS, or ET is responsible for internal tremors, doctors will aim to treat the underlying condition. and transmitted securely. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. Fig. Results showed seven cases fully recovered, 13 cases markedly improved, eight cases some improvement and two cases failure in FNN group. Many studies on scalp acupuncture have shown positive results in treating various disorders of the central nervous system. Third, manual manipulation is very difficult to learn and master without detailed description and demonstration. Vertigo and hearing area. Based on the results, scalp acupuncture is indicated for the treatment of essential tremor. 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. Quadriplegia can be treated after any duration, but less than three months from the date of injury or illness shows the greatest improvement. Stroke rehabilitation therapy helps patients return to normal life as much as possible by regaining and relearning skills of everyday living such as speaking or walking. With children, select the thinnest needles that you can insert into the scalp. Sherry reported without her mother's help that her body was less stiff and that she could walk and move better. 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. There is a high demand for a book that can provide teachers and students with useful knowledge and offer proper references to experienced practitioners. Her fatigue and bladder control were improved but she still had a lot of mucous and leg tremor. After only one treatment per patient, three of the seven veterans instantly felt no further phantom pain, three others reported having very little pain, and only one patient showed no improvement. sharing sensitive information, make sure youre on a federal Second, because the technological innovation and invention of scalp acupuncture is fairly new, positive results can only reasonably be achieved by practitioners who have studied it; even an established doctor in China cannot perform it without at least seeing a demonstration of it. Although multiple sclerosis (MS) remains an incurable disease of the central nervous system, scalp acupuncture provides an important complementary/alternative treatment approach for improving many symptoms and the patient's quality of life by slowing or reversing the progression of physical disability and reducing the number of relapses. After inserting four more needles in her scalp, we encouraged Barbara to stand up. Common points are Si Bai (St 2) threaded toward Di Cang (St 4), Di Cang (St 4) threaded toward Jia Che (St 6), Yu Yao (extra point) threaded toward Tai Yang (extra point), Yang Bai (GB 14) threaded toward Yu Yao (extra point), and Xia Guan (St 7), He Gu (LI 4), and Tai Chong (Liv 3). Acupuncture works by increasing the circulation of blood, relaxing muscles, and stimulating the production of neurotransmitters like endorphins and serotonin. 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. The entire Motor Area should be needled and stimulated on the opposite side of the paralyzed limbs. We were astonished and barely able to recognize her when she walked into the conference room by herself. When treating chronic progressive diseases like multiple sclerosis, Parkinsonism, and amyotrophic lateral sclerosis (ALS), the effects are sometimes temporary. Examination showed she was unable to stand and walk straight by herself. A nasogastric tube was inserted to provide non-oral feeding. However, he still could not squeeze his left eye completely closed and his smile was a little crooked. Julia had incontinence of urine and was experiencing muscle spasms throughout her entire body. She felt that her legs were not as heavy when walking. 5.3, 5.23 and 5.24). The treatment strategy was modified. 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 most common symptom of esophageal dysphagia is the inability to swallow solid food, which the patient often describes as becoming stuck or held up before it either passes into the stomach or is regurgitated. Communicate with children and their parents more often than with adult patients in order to reduce their fear and anxiety. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. 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. Acupuncture care does not replace the need for a primary care physician. Her fine pulses had become a little larger and stronger, were still slightly wiry, and showed more strength in the cubit (chi) positions. Acupoint KI-3 or Taixi, as it is called in Chinese, is one of the effective acupressure points for hand tremors. "Essential tremor: choosing the right management plan for your patient." Cleveland Clinic Journal of Medicine, December 2011; 78(12):821-8. The insertion of two needles on the left side of her scalp did not seem to bother her at all. Thanks to advanced stroke research and brain imaging technology, doctors are continuing to gain new understanding of how the brain can adapt after stroke in order to regain its ability to function. Such damage may be due to stroke, trauma with nerve injury, poliomyelitis, amyotrophic lateral sclerosis, botulism, spinal bifida, and multiple sclerosis. Scalp acupuncture is frequently used in rehabilitation of paralysis due to stroke, multiple sclerosis, spinal cord injury, and traumatic brain injury. Findings in these two studies are very similar. When the airway is unprotected and foreign material is aspirated into the lungs, the person is at risk for development of pulmonary infection and aspiration pneumonia. A waitress who noticed that he was paralyzed told him that he should come to our clinic, which specialized in treating that affliction. The results showed that the effective rate was 86.7% (26/30) in the body acupuncture group and 80.0% (24/30) in the scalp acupuncture group. Unfortunately, that morning she had lost her balance and fallen backward, but with no severe injury. 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. Propranolol, a beta blocker. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. Wu Jian-min reported on treating 80 cases of facial paralysis using scalp acupuncture in 1989. 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. That it is not advisable to use electrical stimulation on the video screen she. That cause the condition 's palsy two weeks prior and was experiencing muscle spasms throughout her entire below. 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