Acupuncture works by increasing the circulation of blood, relaxing muscles, and stimulating the production of neurotransmitters like endorphins and serotonin. In these case descriptions, we explain in practical detail how to apply the needling techniques in order to obtain optimal results. Her breathing was less labored when she was active, and friends noticed major improvement in her speech during phone conversations. She felt so excited about these improvements that she began to cry. Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. To be able to cook again brought her such tremendous joy and gratitude that she laughed and cried at the same time. With long-term conditions expectations need to be realistic, although some patients will occasionally surprise practitioners. The following is an excerpt from Chinese Scalp Acupuncture, by Jason Jishun Hao, DOM, MTCM, MBA, and Linda Lingzhi Hao, CA, PhD. It usually relieves symptoms immediately and may take only a few minutes to achieve significant improvement. However, those who do not have such sensations could still have immediate, positive results. This is often due to a traumatic birth that causes irreparable damage to the facial nerve resulting in acute facial nerve paralysis. Although the most obvious symptom is impairment to the limbs, function is also impaired in the torso. The ear points Heart, Liver, and Shen Men along with the Head Area and Chest Area on the scalp were needled. They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. Patients may present dragging foot, unilateral muscle wasting in one or the other hand, or slurred speech. 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. Vertigo and hearing area. It likely occurs as a result of some combination of environmental and genetic factors. 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. 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. When treating a hemorrhagic stroke, however, scalp acupuncture should not be performed until the patient's condition is stable, probably one month after a stroke. Monoplegia is impairment in the motor function of only one limb. Even then, only 50% of patients have a chance of improving. A therapeutic course consists of 10 treatments. Select the Speech I Area or some local points in the neck accordingly if the patient has aphasia or difficulty swallowing. 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. In very serious cases, patients may need feeding tubes. If this was not enough, the corner of his mouth on the affected side drooped and his mouth deviated to the right side, which was aggravated when he smiled. With children, select the thinnest needles that you can insert into the scalp. It is not surprising for a Western physician to claim that it is a coincidence if a patient recovers from paralysis after acupuncture. However, facial paralysis may continue to develop and get worse for seven to 10 days after initial symptoms occur. That results in loss or impairment of bowel and bladder control, sexual function, digestion, breathing, and other autonomic functions. She couldn't believe it when we encouraged her to start walking. Keep the needles in for 2530 minutes. Sherry reported without her mother's help that her body was less stiff and that she could walk and move better. 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. All three factors are important as they act to heighten lingual control, reduce oral muscle fatigue, minimize the patient's fear of choking, and provide a cohesive bolus to stimulate a swallow reflex. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. 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. 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 principle of scalp acupuncture is very straightforward; the aim is to stimulate the diseased area of the brain in order to facilitate a return of function in that area. Scalp acupuncture distinguishes a yin somatotope at the front of the scalp and a yang somatotope at the back of the scalp. Regular body acupuncture, electrical acupuncture, and moxibustion as well as physical therapy and massage can be combined with scalp acupuncture to speed up recovery. He was reluctant to do any active exercise when being instructed. Scalp acupuncture not only treats disorders, but also can prevent illness and help to build the immune system. This may be the mechanism by which scalp acupuncture is successful in treating dysphagia. 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. Common acupuncture points include Qu Chi (LI 11), He Gu (LI 4), Jian Yu (LI 15), and Wai Guan (TB 5) for upper limb paralysis and Yang Ling Quan (GB 34), Huan Tiao (GB 30), Feng Shi (GB 31), Zu San Li (St 36), and Kun Lun (Bl 60) for lower limb paralysis. Her initial symptoms were an onset of numbness in the right arm followed by subsequent numbness descending down both her legs. 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. Patients may find it helpful to change their diet or hold their heads or necks in a certain way when they eat. Scalp acupuncture is frequently used in rehabilitation of paralysis due to stroke, multiple sclerosis, spinal cord injury, and traumatic brain injury. worsening angina pain; fast or slow heart rate; or. 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. 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. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. I can walk solidly from heel to toe and walk backwards with no difficulty.. 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. It requires very good needle technique as well as good communication skills. Further examination showed that he could not stand with stability due to losing his balance when standing on both legs, and it was impossible for him to stand on one leg. Signs and symptoms of Bell's palsy may include sudden onset of weakness or paralysis on one side of the face making it difficult to smile or close the eye on the affected side, and deviation and droop of the corner of the mouth making facial expressions difficult. 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. Needles should be inserted on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. Some scientists believe the needles act to stimulate muscles and nerves, which is what causes the effects. Communicate with the patient and any relatives often in order to gain their confidence, to encourage them, and reduce their fear and anxiety. At that time her leg and arm muscles were so much stronger that she was able to write and make phone calls. There are three new principles in this presentation of scalp acupuncture, however, which are of central importance and which depart considerably from traditional Chinese medicine. The following day he returned to the clinic for another treatment. Though the scalp is uniquely innervated and highly vascularized there is no risk of heavy bleeding. 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. After two needles were inserted on the right side of his scalp, David immediately noticed tingling sensations in his right arm and hand. However, to treat dysphagia patients who have depression is very challenging because patients are not always willing to participate in the treatment. 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. Regular acupuncture treatment has been found to have positive therapeutic effects on the recovery of movement in the hands, fingers, feet, and toes. 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. 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. 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. 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. There was a little twitching in the muscles of his arm but no movement at all in his right arm or hand and the hand appeared puffy and swollen. The duration of the ailment was from four days to two years. 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. 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. 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. 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. The electrical stimulation usually lasts 10 to 20 minutes. 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. It helps the blood circulation and keeps muscles active, accelerating the results from ongoing acupuncture treatments. The relapse rate of the scalp acupuncture group was 13.81% and was 45.5% for the conventional acupuncture group (P<0.05). For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. 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.. Some people present with silent aspiration and do not cough or show outward signs of aspiration. She also had more energy and started to do some housework again. 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. He started to smile after hearing himself count from one to 10 very clearly. The treatment strategy was modified. Quadriplegia, also known as tetraplegia, is paralysis with partial or total loss of use of all limbs and the torso. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weaker patients. Otherwise, patients may conclude that acupuncture made their symptoms worse. Dr. Jiao Shun-fa, a neurosurgeon in Shan Xi province, is the recognized founder of Chinese scalp acupuncture. During the break, Michael went outside for a bit more exercise. By directly stimulating affected areas of the central nervous system, scalp acupuncture has shown more effective results compared to other acupuncture techniques. 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). Through acupuncture treatment, some patients can be cured and many others witness a variety of significant improvements. It is hardest to achieve improvement for a patient with paralysis for a long time, especially if there is also muscular atrophy and rigid, inflexible joints. The Chorea and Tremor Area should be chosen if the patient has tremor or limb spasms. He was immediately able to close his left eye better and the pain around his ear and jaw significantly reduced just a few minutes after two needles were inserted. He could not elevate the hyoid bone, indicating a probable swallow reflex problem. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. However, those who don't have such sensations could still experience immediate and positive effects. She received more aggressive treatment that day because it was her last treatment for this trip. However, those who don't have such sensations could still have immediate effects. He could move his right arm slightly with muscular tone at 2 out of 5. These headaches may gradually become less severe as you continue to use nitroglycerin. The effective rate was 93.3% in the FNN group, better than that of 80.8% in RA group (. Although she felt nervous and was assisted by two people, she stood up. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. Treatment was given six times a week and 16 treatments made a course. At the end of her final treatment she was both laughing and crying. 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. We feel confident that this book will meet these requirements. A local hospital diagnosed stroke caused by cerebral hemorrhage in his left hemisphere. She returned for the second treatment a day later, having had traveled across the country for these treatments. Her walking also showed some improvement as she was able to lift her right leg more easily. 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. Retain the needles in place for 3045 minutes. The Speech III Area, Balance Area, and Foot Motor and Sensory Area were added to assist and consolidate her improved clinical signs. Compared to adult patients, generally speaking, young patients should receive fewer needles, milder stimulation, and shorter time of needle retention. 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. Sherry had been to several famous hospitals but there was no clear diagnosis. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated bilaterally. Retain the needles for 2530 minutes. As a . The .gov means its official. A swallowing disorder can occur in people of all age groups but it is more likely in the elderly, patients who have had strokes, and in patients who are admitted to acute care hospitals or chronic care facilities. Her aphasia gradually improved and she was able to drag her right leg while walking and move her right arm slightly but the paralysis had shown no further improvement for the past eight weeks. Not believing that she was once again able to walk, he went to her house in person to see this miraculous change. Myelin allows for the smooth, high-speed transmission of electrochemical messages between the brain, the spinal cord, and the rest of the body. Many patients also have reported that their bladder and bowel control, fatigue, and overall sense of well-being significantly improved after treatment. This is followed by the destruction of myelin. Those symptoms typically lasted a few weeks to several months. Unfortunately, that morning she had lost her balance and fallen backward, but with no severe injury. This medication belongs to a class of drugs known as nitrates . During 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. Therefore it is imperative to deal with the dangers of dysphagia through dietary management once acupuncture has been instituted. The body acupuncture group was treated with needling from Bai Hui (GV 20) penetrating to Tai Yang (extra point) and the scalp acupuncture group was treated at the Motor Area. The site is secure. a Editor's note: The references in this article have been renumbered for continuity. 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. Yin corresponds to nourishing muscles and tendons and points from yin channels have positive results for pronounced stiffness and contraction of the limbs. 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. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. Needles should be inserted in both upper 1/5 Motor Area and middle 2/5 Motor Area and stimulated on the opposite side of the paralyzed limbs. The technique of scalp acupuncture is systematic, logical, easy to understand, and easy to practice. His tongue was red and slightly purple with a thick, white coating and his pulses were wiry and slippery. Hemorrhagic stroke is commonly divided into two types, intracerebral and subarachnoid. The electrical stimulation usually lasts 1020 minutes. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. Electrical acupuncture is very helpful for speeding up recovery and can be applied on the above points as well as at the Hua Tou Jia Ji points on the back. Jia Huai-yu reported on 1,800 cases of paralysis due to stroke treated on the Motor Area by scalp acupuncture in 1992. She responded immediately after the needles were inserted, her voice sounding much clearer and stronger. This results in relaxation and pain . Major complications of the condition include chronic loss of taste (ageusia), chronic facial spasm, and corneal infections. Fig. It not only benefits MS patients, but also significantly helps us to better understand the mechanisms that cause the condition. The result were as follows: 462 cases fully recovered (25.67%), 950 cases markedly improved (52.78%), 292 cases somewhat improved (16.22%), 96 cases failure (5.33%), yielding a total effective rate of 94.67%. One may also choose the Chorea and Tremor Area or Foot Motor and Sensory Area accordingly if the patient has muscular spasms there. Hence the common name for stroke in Chinese medicine is wind stroke. and one acupoint is unilateral for a total of 7 acupuncture points. Because of these abilities, scalp acupuncture is geared toward stimulating and restoring affected brain tissue or retraining unaffected brain tissue to compensate for the lost functions of damaged brain tissue. Paralysis may affect an individual muscle but it usually affects an entire body region. Most patients with dysphagia whom we have treated showed some improvement after three treatments and some of them appear better right way. Vertigo and hearing area (ni) Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. The longer the duration of impairment, the more gradual the improvement occurs. There are forms of periodic paralysis, including sleep paralysis, which are caused by other factors. Although his aphasia gradually improved, his speech was not clear. After 48 treatments, Julia felt well enough to end treatment and start a new life in San Francisco where her son was living. 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. From their teachers and textbooks, students can learn only general information about scalp acupuncture and its locations and clinical applications. Propranolol, a beta blocker. She often had a migraine headache and premenstrual syndrome (PMS), and she had considerable mucous in her nose and throat much of the time. 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