He began to tolerate a soft/semi-solid diet and the nasogastric feeding was gradually tapered down to overnight only as his oral intake improved. She no longer had that urgent feeling in her bladder and was able to hold her urine for two hours. 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. Her walking appeared almost normal, and she was again able to run, at least slowly. Modern medicine has not yet found a cure for spinal cord injury. 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. Dysphagia is classified into two major types, oropharyngeal dysphagia and esophageal dysphagia. Patients with facial paralysis for which an underlying cause can be readily found are not generally considered to have Bell's palsy. The .gov means its official. 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. Most existing textbooks either lack detailed information or only introduce some new research on the topic. During the break, Michael went outside for a bit more exercise. This study looked at the effectiveness of scalp acupuncture and conventional acupuncture for essential tremors using 60 patients split into two groups. As well, he could not close his left eye, raise his left eyebrow, show his upper teeth, frown, or puff out his left cheek. Treatments were given once a day and 14 treatments comprised a course. He drank more and more and finished a whole cup of water without a problem. 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. She had been receiving rehabilitation treatment including physical therapy, osteopathic therapy, and speech therapy starting two weeks after her injury. After trying many kinds of therapies that brought no improvement, she became depressed. Chinese scalp acupuncture has been taught and used sparingly in the West and there are few books published on the subject. A local hospital diagnosed stroke caused by cerebral hemorrhage in his left hemisphere. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. Lisa experienced dramatic improvements of her right arm, hand, leg, and foot with every visit. Many patients have a very quick and positive response in controlling urine and bowel functions when the Foot Motor and Sensory Area is stimulated. 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. Chapter One provides a review for practitioners with a Western medical background and an adequate introduction for practitioners new to this material. And fourth, the names of stimulation areas are different from the standardized names given by the Standard International Acupuncture Nomenclature of the World Health Organization, Section 3.6 on Scalp Acupuncture, in Geneva in 1989. Her pulses were fine and wiry, and were faint in both cubit (chi) positions. Various famous physicians introduced Western neurophysiology into the field of acupuncture and explored correlations between the brain and human body. These areas may also be effectively employed for pain management, especially that caused by the central nervous system such as phantom pain, complex regional pain, and residual limb pain. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. 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. Keep the needles in for 2530 minutes. To test the strength of each muscle group and record it in a systematic fashion is important before and after scalp acupuncture treatment for paralyzed patients. When we told Barbara that some similar patients were able to walk again, her eyes filled with tears. In many cases, a flexible spending account may be used to cover acupuncture treatments. Her speech was clearer, she didn't feel that her tongue was thick when talking, and very little choking had occurred. Multiple sclerosis is unpredictable and varies in severity. Progressive muscular atrophies are a wide group of genetic disorders characterized by primary degeneration of the anterior horn cells of the spinal cord, resulting in progressive muscle weakness. These are called plaques. Michael showed remarkable improvement right away. As the above case study demonstrated, doctors should modify the treatment strategy and stimulate areas according to changes in a patient's condition. 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. She could not control her urine, choked when eating, and always felt fatigued. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. Her neck was severely damaged at the level of C-5 and C-6. However, to treat dysphagia patients who have depression is very challenging because patients are not always willing to participate in the treatment. Julia had incontinence of urine and was experiencing muscle spasms throughout her entire body. and transmitted securely. Recent studies have shown that scalp acupuncture could be a very effective form of pain relief for a variety of limb pains. and one acupoint is unilateral for a total of 7 acupuncture points. Paralysis can be localized, generalized, or it may follow a certain pattern. In an ischemic stroke, a blood vessel becomes occluded and the blood supply to part of the brain is blocked. His fatigue was so great he could only walk 23 minutes at a time. Dr. Jiao Shun-fa, a neurosurgeon in Shan Xi province, is the recognized founder of Chinese scalp acupuncture. His treatment strategy was modified to take care of depression. In addition, scalp acupuncture was also applied bilaterally to the chorea tremor control area, which is a line located between the vasomotor line and the motor line, 1.5 cm anterior to the motor line. 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. Scalp acupuncture is a well-researched natural science and incorporates extensive knowledge of both the past and present. It is important to instruct patients to move their affected limbs actively and passively, if possible. In Part Two of our book, we discuss in detail many common central nervous disorders. A therapeutic course consists of 10 treatments. Indication: tinnitus, vertigo, diminished hearing, Menier's syndrome. Her slurred speech sometimes even her mother could not understand. We put two needles in the Foot Motor and Sensory Area and two needles in the Reproductive Area. The chain of nerve cells that runs from the brain through the spinal cord out to the muscles is called the motor pathway. 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. 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. One may also choose the Chorea and Tremor Area or Foot Motor and Sensory Area accordingly if the patient has muscular spasms there. Bethesda, MD 20894, Web Policies 3.3 Chorea-Tremor Control Area (CTCA) Location: Parallel to and 1.5 cm anterior to Motor Area (see Figs. 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. Active and passive exercise during scalp acupuncture treatment is very important for improvement. It not only benefits MS patients, but also significantly helps us to better understand the mechanisms that cause the condition. Sherry, a 38-year-old female, came to our clinic in 2007. Tear-like eyedrops or eye ointments may be recommended, especially in cases of complete paralysis. The treatment is first given two times per week and then gradually reduced to fewer sessions after patients have experienced major improvement. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. When one area is impaired, this area can recover to a certain extent or can be compensated somewhat by other areas with proper scalp stimulation. Although other acupuncture techniques can be effective, scalp acupuncture seems to bring about quicker and often immediate improvement. Traumatic brain injury is a serious condition that may lead to permanent or temporary impairment of the brain's functions. 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. Acupuncture in the scalp is very safe when performed by a qualified professional. Treating quadriplegia by acupuncture is very challenging. In addition to scalp acupuncture, the ear and body acupuncture were very helpful in the patient's progress and recovery. Other symptoms included an inability to lift his feet or wiggle his toes. Most patients with dysphagia whom we have treated showed some improvement after three treatments and some of them appear better right way. Scalp acupuncture for MS is accessible, less expensive, safer, more effective, and causes fewer side effects than Western medical treatments. Moxibustion can enhance the therapeutic results of scalp acupuncture, especially for older or weaker patients. He had a red tongue with a thin, yellow coating. Primidone, a drug used to treat seizures. Location: parallel with and 1.5 cm to chorea and tremor control area. 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. Lisa was afraid of needles and started to cry and refuse the treatment before the first needle was inserted. Scalp acupuncture is frequently used in rehabilitation of paralysis due to stroke, multiple sclerosis, spinal cord injury, and traumatic brain injury. Her primary doctor recommended that she try acupuncture treatment. 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. During each treatment, however, her right foot was getting stronger and she could pick it up more easily. Based on the results, scalp acupuncture is indicated for the treatment of essential tremor. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. To treat loss of taste, the lower 2/5 Sensory Area in the scalp should be stimulated. For scalp acupuncture, the Chorea and Tremor Area replaced the Foot Motor and Sensory Area in this second treatment. Examination showed that all four extremities were very tight and had occasional spasms. Symptoms range in severity from mild weakness to total paralysis of the face, and Bell's palsy can often cause significant facial distortion. The patient should get treatment as soon as possible as the earlier the treatment, the better the prognosis. 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. Sherry's fine motor movement showed some improvement such as turning on a light switch. The motor neuron diseases (MNDs) refer to a group of progressive neurological disorders that affect motor neurons associated with controlling voluntary muscle activity including speaking, walking, breathing, swallowing, and general movement of the body. That was one of the reasons that she returned to this second seminar half a year later. Muscle strength is often rated at six levels on a scale of 0 out of 5 to 5 out of 5.6,a The level of 0 out of 5 shows no muscular contraction, which means complete paralysis; the level of 1 out of 5 shows some muscular contraction, but no limb or body movement; the level of 2 out of 5 shows limb movement is possible but not against gravity, which means the limb can only move in its horizontal plane; the level of 3 out of 5 shows limb movement is possible against gravity but not against resistance by the examiner; the level of 4 out of 5 shows limb movement is possible against some resistance by the examiner but it is still weak compared to a normal limb; and the level of 5 out of 5 shows normal muscular strength, which means complete recovery from paralysis. With children, select the thinnest needles that you can insert into the scalp. Treatment was given six times a week and 16 treatments made a course. The only remaining problem was urgent, frequent urination and some incontinence of urine. He talked a little more and was easier to understand. Federal government websites often end in .gov or .mil. Third, manual manipulation is very difficult to learn and master without detailed description and demonstration. 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. Select the Chorea and Tremor Area or Foot Motor and Sensory Area according to whether the patient has muscular spasms or other abnormal sensations such as pain or burning. Brain damage is often related to quick acceleration and deceleration of the brain, which results in injury to the area of impact and its opposite area. Quadriplegia means paralysis of all four limbs or of the entire body below the neck. She felt so excited about these improvements that she began to cry. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. 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. The Chorea and Tremor Area should be chosen if patients have limb spasm. Sometimes those points were stimulated with electrical acupuncture. However, the neurological findings are rarely restricted to the facial nerve in these conditions. 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. Hemiplegia, affects one side of the body. 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