They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. Others may be left with deficits of varying degrees, and some patients have permanent damage. Scalp acupuncture treats and prevents disease through the proper insertion of needles into scalp areas. Quadriplegia, also known as tetraplegia, is paralysis with partial or total loss of use of all limbs and the torso. Several doctors thought she suffered from a motor neuron disorder or ALS. Infected by West Nile virus, she had immediately developed quadriplegia. For example, Fan Yunpeng mapped the scalp area as a prone homunculus with the head toward the forehead and the legs toward the occipital area.1 Taking a dividing line that connects the left ear to the vertex to the right ear, Tang Song-yan proposed two homunculi on the scalp, one in prone position and another in supine position.2 Zhang Ming-jiu's and Yu Zhi-shun's scalp locations are formulated by penetrating regular head points, and Zhu Ming-qing created several special therapeutic bands on the scalp.3,4. government site. Bethesda, MD 20894, Web Policies First, we were among an early group of people who studied these techniques and were very fortunate to have opportunities to learn it directly from famous scalp acupuncture specialists including Jiao Shun-fa, the brilliant founder of Chinese scalp acupuncture, Yu Zhi-shun, a well-known professor in scalp acupuncture development, and Sun Shentian, an outstanding professor in scalp acupuncture research. Her speech was clearer, she didn't feel that her tongue was thick when talking, and very little choking had occurred. While we were continuing our lecture, we heard screaming from the other room. 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. Her mental activity presented as normal and she was then in graduate school for a master's degree. Her pulses remained unchanged. She continued to get better with each additional treatment and by the sixth treatment, Denise was able to enter our clinic with a walker instead of in a wheelchair. Her tongue was red with a thin, white coating; her pulses were fine and wiry. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. 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. 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. When told that it was time for him to show off, he stood up straight with great stability and even stood on one leg for several seconds without losing his balance. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. Therefore it is imperative to deal with the dangers of dysphagia through dietary management once acupuncture has been instituted. Common symptoms include numbness, tingling or weakness in one or more limbs, partial or complete loss of vision, double or blurred vision, tremor, unsteady gait, fatigue, cognitive impairment, and dizziness. Scalp acupuncture is the best therapy for spinal cord injury. When we told Barbara that some similar patients were able to walk again, her eyes filled with tears. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weaker patients. All of these have proven to respond well to scalp acupuncture treatment. There are many different acupuncture techniques to treat paralysis. Ischemic stroke is divided into thrombosis stroke, embolic stroke, systemic hypoperfusion, and venous thrombosis. Scalp acupuncture treatment can be used as the primary approach or as a supplement to other acupuncture modalities. Her speech continued improving with less of a heavy sensation in her tongue. Hence the common name for stroke in Chinese medicine is wind stroke. He had been diagnosed with Bell's palsy two weeks prior and was suffering from cold-like symptoms. Stroke is the third leading cause of death in the United States after heart attack and cancer and it is a leading cause of adult disability. The upper 1/5 Motor Area and Speech I Area were still considered primary according to her condition. By the fifth treatment, Fred wanted to add more foods and soon could eat and drink anything like a normal person. Location: parallel with and 1.5 cm to chorea and tremor control area. Recent studies have shown that scalp acupuncture can be a very effective modality in controlling MS, often producing remarkable results after just a few needles are inserted. Barbara had very positive responses to scalp acupuncture treatment. Stroke is classified into two major categories, ischemic and hemorrhagic. This case report describes the successful, temporary treatment of essential tremor in a 74-y-old Caucasian woman, using weekly acupuncture sessions for a 10-wk period. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. 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. Chinese medical pattern discrimination: Damp heat obstructing the channels and network vessels. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. Chapter One provides a review for practitioners with a Western medical background and an adequate introduction for practitioners new to this material. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. 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. To treat facial muscle spasm the Chorea and Tremor Area and the lower 2/5 Motor Area should be stimulated. Clinical studies have demonstrated that acupuncture may be beneficial for PD . Patients with some or all of these sensations usually respond and improve more quickly. Because sensation is usually impaired in affected areas, this can manifest as numbness, reduced sensation, or burning sensation and pain. The treatment is given two to three times per week and a therapeutic course consists of 10 treatments. Tell the child that those are normal and are a good sign for improving more quickly. 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. Sherry had been to several famous hospitals but there was no clear diagnosis. 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. Disability affects about 75% of stroke survivors and it can affect patients physically, mentally, emotionally, or a combination of all three. The symptoms of brain injury depend on the area of the brain affected. 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. Dr. Jiao's discovery was investigated, acknowledged, and formally recognized by the acupuncture profession in a national acupuncture textbook, Acupuncture and Moxibustion, in 1977.5 Ten years later, at the First International Acupuncture and Moxibustion Conference held in Beijing, China, scalp acupuncture began to gain international recognition. His aphasia, dysphasia, and paralysis on the right side had shown no further improvement for the past two weeks. The insertion of two needles on the left side of her scalp did not seem to bother her at all. Five cases fully recovered, eight cases markedly improved, 11 cases some improvement, and six cases failure in the RA group. With continued encouragement Fred finally agreed to try. 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. 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. He could not elevate the hyoid bone, indicating a probable swallow reflex problem. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. She was very surprised to find that she had regained the ability to control her legs again. 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. Some patients may also develop muscle stiffness or spasticity, paralysis, slurred speech, dysfunction of urine or bowels, and depression. Eating was easier because she could swallow without choking and had less mucous in the throat. Sometimes it is necessary to show a patient how tiny the needles are or demonstrate the insertion of a needle in the practitioner's own body. 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. Sherry's fine motor movement showed some improvement such as turning on a light switch. 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. In Part Two of our book, we discuss in detail many common central nervous disorders. Secondary symptoms can be addressed after patients have significant improvements in their major complaints. When the speech and motor areas are damaged, body dysfunctions appear such as aphasia and paralysis. To his astonishment he did not choke at all when he took a first sip of water. Quadriplegia means paralysis of all four limbs or of the entire body below the neck. 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. Jimmy had a very good response to his first scalp acupuncture treatment. When PD, MS, or ET is responsible for internal tremors, doctors will aim to treat the underlying condition. Early Findings Earlier research conducted by Liaoning University of Traditional Chinese Medicine researchers 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. Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. Scalp acupuncture not only treats disorders, but also can prevent illness and help to build the immune system. This study looked at the effectiveness of scalp acupuncture and conventional acupuncture for essential tremors using 60 patients split into two groups. Select the finest gauge needles that you can insert into the scalp for the initial treatments. demonstrated that scalp acupuncture benefitted patients and significant reductions of insomnia were achieved. pounding heartbeats or fluttering in your chest. He initially was totally paralyzed on the right side and had lost his speech. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. This book will show the scope of scalp acupuncture in treating many kinds of disorders and diseases, based on years of clinical experience. 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. New research suggests that normal brain cells are highly adaptable. Multiple sclerosis is unpredictable and varies in severity. 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. The Chorea and Tremor Area should be chosen if patients have limb spasm. Examination showed she was unable to stand and walk straight by herself. Oropharyngeal dysphagia is often caused by stroke, multiple sclerosis, myasthenia gravis, Parkinson's disease, amyotrophic lateral sclerosis, and Bell's palsy. 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. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. After the sixteenth treatment he had gained more mobility and use of his right hand and gained more muscular strength in that hand. Best results are achieved by applying low frequency (for example, 3 hertz) with high intensity (for instance, when visible muscle contraction is observed). Scalp acupuncture is a well-researched natural science and incorporates extensive knowledge of both the past and present. Improvement may last for hours, days, weeks, or months, but follow-up treatments will be necessary on an ongoing basis. At the beginning of the third visit, his wife reported that Fred's mood and attitude were much better after the last treatment. patients treated for essential tremors before and after acupuncture show the total effective rate of the scalp acupuncture treatment group was 96.7% and the conventional acupuncture group was 73.3% (P<0.05). There is a high demand for a book that can provide teachers and students with useful knowledge and offer proper references to experienced practitioners. 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. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. One month before, Fred had severe headache, slurred speech, and the right side of his body became paralyzed. Speech #2. Unfortunately, that morning she had lost her balance and fallen backward, but with no severe injury. He felt depressed, irritable, angry, and severely fatigued. Paraplegia is impairment in motor function of both legs and the trunk. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. Sometimes those points were stimulated with electrical acupuncture. Although each part of the cerebral cortex has its own functions, some variation is possible. 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. There is no cure or specific treatment for Bell's palsy, although three in four patients' symptoms may subside on their own within two to three weeks. It requires the doctor to have very good techniques of insertion and manipulation of needles as well as good communication skills. Regular body acupuncture, electrical acupuncture, and moxibustion as well as physical therapy and massage can be combined with scalp acupuncture to speed up recovery. However, those who do not have such sensations could still have immediate positive results. During an MS attack, inflammation occurs in areas of the white matter of the central nervous system in random patches. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. As a . Because these were patients in a hospital, the treatment protocol was 6 days per week for about 30 days, with a follow-up check after 3 months. However, while treating children with body acupuncture can be challenging, it can be even harder with scalp acupuncture. It is accompanied by special manipulations to regulate and harmonize the functional activities of the brain and body, as well as to restore and strengthen the functions of the body, organs, and tissues. Her initial symptoms were an onset of numbness in the right arm followed by subsequent numbness descending down both her legs. 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. Upon examination, it was found that she had paralysis of all four extremities. By stimulating those reflex areas, acupuncture can have direct effects on the cerebral cortex, cerebellum, thalamo-cortical circuits, thalamus, hypothalamus, and pineal body. Although his aphasia gradually improved, his speech was not clear. 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. The duration of the condition was from 30360 days. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. 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. 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. In these case descriptions, we explain in practical detail how to apply the needling techniques in order to obtain optimal results. Treatment was given six times a week and 16 treatments made a course. These drugs can have side effects. It primarily affects adults, with age of onset typically between 20 and 40 years, and is twice as common in women compared to men. 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. He systematically undertook the scientific exploration and charting of scalp correspondences starting in 1971. 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. As stated previously, however, those who do not have such sensations could still have immediate, positive results. He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. There are forms of periodic paralysis, including sleep paralysis, which are caused by other factors. Practitioners should consider scalp acupuncture as either the primary approach or a complementary approach when treating disorders of the central nervous system and endocrine system. Paralysis refers to complete or partial loss of muscle strength and voluntary movement for one or more muscles. We put two needles in the Foot Motor and Sensory Area and two needles in the Reproductive Area. His pulses were wiry and slippery. She felt that her legs were not as heavy when walking. Myelin allows for the smooth, high-speed transmission of electrochemical messages between the brain, the spinal cord, and the rest of the body. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated bilaterally. 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). Mechanical causes usually comprise peptic esophagitis, carcinoma of the esophagus or gastric cardia, candida esophagitis, and pharyngeal pouch. The patient should get treatment as soon as possible as the earlier the treatment, the better the prognosis. Scalp acupuncture: chorea-tremor area The chorea-tremor area is one of the most commonly used scalp acupuncture areas for treating PD. For patients such as Sherry who present with multiple symptoms and signs, it is, in our experience, more effective to treat major complaints first with a few needles. 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. Not only can it improve symptoms, the patient's quality of life, and slow the progression of physical disability, but it can also reduce the number of relapses. 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. Even then, only 50% of patients have a chance of improving. Such results warrant continued research into other possible uses for scalp acupuncture to alleviate human suffering. Its effects can range from relatively benign in most cases, to somewhat disabling, to devastating for some people. These headaches may gradually become less severe as you continue to use nitroglycerin. In a recent investigation, scalp acupuncture was applied to 16 patients with multiple sclerosis at our National Healthcare Center in Albuquerque, NM. Only two of the scalp needles should be stimulated at any one session, or the brain can become too confused to respond. Acupuncture treats the patient as a whole entity and helps patients with spinal cord injury to recover function more effectively than Western medical treatment. Her slurred speech sometimes even her mother could not understand. His voice was low and it was very difficult to understand him. 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. Her left ovary hurt and the pain was worse during menses. 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. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. Common MNDs include amyotrophic lateral sclerosis (ALS), primary lateral sclerosis, progressive muscular atrophy, and poliomyelitis. She counted the numbers from one to 20 with a slow, slurred, weak voice. She was able to eat better because of less choking. Propranolol, a beta blocker. Throughout its long history, acupuncture has evolved as its own unique traditional medicine. One student at this class offered the conclusion, It's never too late to treat a paralyzed patient with scalp acupuncture.. From a Western perspective, these zones correspond to the cortical areas of the cerebrum and cerebellum responsible for central nervous system functions such as motor activity, sensory input, vision, speech, hearing, and balance. 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. Before He talked a little more and was easier to understand. For example, in a report about the scalp acupuncture treatment of seven veterans with phantom limb pain at Walter Reed Army Medical Center in 2006, the results were as follows. Vertigo and hearing area (ni) Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. This is followed by the destruction of myelin. In very serious cases, patients may need feeding tubes. 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