Her pulses remained unchanged. It is suggested that no more than two of the scalp needles be stimulated at any session so the brain does not become too confused to respond. It is also a good strategy to ask the parents to talk, play with, or feed young patients during the insertion and stimulation of needles, which acts as a diversion to turn the child's attention away from the needles and makes them less sensitive to the procedure. This book contains many amazing case reports from our years of clinical practice and teaching as examples of what is possible using these techniques. In very serious cases, patients may need feeding tubes. Paralysis almost always causes a change in muscle tone. 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. The needles were inserted into the muscle layer, especially at Baihui. Scalp acupuncture for MS is accessible, less expensive, safer, more effective, and causes fewer side effects than Western medical treatments. Afterwards, her speech was so much clearer, faster, and stronger that even she was surprised. Quadriplegia can be treated after any duration, but less than three months from the date of injury or illness shows the greatest improvement. HHS Vulnerability Disclosure, Help Some scientists believe the needles act to stimulate muscles and nerves, which is what causes the effects. 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. It is a kidney meridian acupoint located on foot. Techniques such as electrical and laser acupuncture and even new acupuncture points are currently being developed. Although other acupuncture techniques can be effective, scalp acupuncture seems to bring about quicker and often immediate improvement. worsening angina pain; fast or slow heart rate; or. Regular body acupuncture treatment has been found to have a positive therapeutic effect on the recovery of movement of hands, fingers, feet, and toes. He was treated by combined scalp acupuncture and body acupuncture. This case study followed the patient as his post-stroke swallowing status changed and various acupuncture decisions were made. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory nerve damage as well. It has been proven to be a most effective technique for treating acute and chronic central nervous system disorders. Indications: superficial edema, hypertension. In complementary and alternative medicine, it contributes new understanding to both theory and practice. The actual site of obstruction is always at or below the level at which patients perceive the obstruction. Denise had a very positive response to her initial scalp acupuncture treatment. Although his aphasia gradually improved, his speech was not clear. Chinese medical pattern discrimination: Qi stagnation and blood stasis in the channels. With the increase in hand functions she was able to hold a knife with both hands and cut vegetables. Although we were not at all certain that we could help this patient, it had taken several hours for the family member to give him a ride here and we did not want to turn him away. There are considerable clinical studies and experimental research showing the excellent results obtained from scalp acupuncture on paralysis due to stroke. Diplegia affects the same body region on both sides of the body (both arms, for example). In the worst cases, people with MS may be unable to write, speak, or walk. Before As mentioned previously, those patients with some or all of these sensations usually respond and improve more quickly. With children, select the thinnest needles that you can insert into the scalp. 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. Tear-like eyedrops or eye ointments may be recommended, especially in cases of complete paralysis. During the initial consultation, David and his wife asked many questions because they were doubtful that scalp acupuncture could help him. Research on the effect of scalp acupuncture for dysphagia. Acupuncture in the scalp is very safe when performed by a qualified professional. 3.3 Chorea-Tremor Control Area (CTCA) Location: Parallel to and 1.5 cm anterior to Motor Area (see Figs. Acupuncture, a therapeutic technique of Oriental Medicine, can be traced back more than 2500 years. She agreed to allow the needle insertion only after her mother told her that she might ride a bike again if these treatments worked. 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. Isosorbide mononitrate can cause severe headaches. In an ischemic stroke, a blood vessel becomes occluded and the blood supply to part of the brain is blocked. With continued encouragement Fred finally agreed to try. He sought treatment from us during a conference in Phoenix, Arizona, in 2006. 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%. Sherry had been to several famous hospitals but there was no clear diagnosis. While interviewing Tom, we were shocked to find that his right arm and hand had actually been paralyzed for 11 years. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. We use sterile, single-use needles and always follow antiseptic protocols so there is limited risk of infection. The https:// ensures that you are connecting to the It likely occurs as a result of some combination of environmental and genetic factors. She often had a migraine headache and premenstrual syndrome (PMS), and she had considerable mucous in her nose and throat much of the time. Scalp acupuncture offers great rehabilitation tools for dysphagia. 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. A waitress who noticed that he was paralyzed told him that he should come to our clinic, which specialized in treating that affliction. Some people present with silent aspiration and do not cough or show outward signs of aspiration. As a result, she had incontinence of bowel and urine. Scalp acupuncture has been found to have very good effects on the sequelae of stroke including hemiplegia, aphasia, and abnormal sensations in the limbs. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. After demonstrating two needles in his scalp, we moved Tom to another room to rest, inserted more needles, and then continued with the lecture. Scalp acupuncture has been found to have very a significant positive impact on hemiplegic aphasia due to various central nerve disorders, even during the initial few treatments. His voice was low and it was very difficult to understand him. With long-term conditions expectations need to be realistic, although occasionally a patient will surprise practitioners. The results were 25 cases fully recovered (52%), 18 cases markedly improved (38%), and 5 cases failed to improve at all (10%), yielding a total effective rate of 90%. 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. Location: Horizontal line 1.5 cm above and centered on the apex of ear, 4 cm in length. 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. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds. 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. The practitioner has a wide amount of discretion on the use of points and techniques. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. Keep the needles in for 2530 minutes. Until recently, in most cases its cause was unknown. She watched and listened to herself on the video screen while she walked and talked like a normal person. 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. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. Although each part of the cerebral cortex has its own functions, some variation is possible. Jimmy had a very good response to his first scalp acupuncture treatment. Repeat the stimulation every 10 minutes. 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. 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. His pulses were wiry and fine. Common symptoms of spinal injuries include arm and leg paralysis or weakness, difficulty breathing, tingling, numbness, or pain in affected limbs, and incontinence of both bowel and urine. Otherwise, patients may conclude that acupuncture made their symptoms worse. It usually relieves symptoms immediately and may take only a few minutes to achieve significant improvement. Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination. The duration of the condition was from 30360 days. Scalp acupuncture treatments were given once a day and 10 treatments made a course. Although scalp acupuncture has the best and fastest response, other techniques are necessary for a more complete recovery. The Chorea and Tremor Area should be chosen if the patient has tremor or limb spasms. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. Thread another needle deeply from Wai Guan (TB 5) toward Nei Guan (Per 6) and stimulate in a similar fashion. Examination showed he was unable to move his right leg and foot at all with muscular tone at 0 out of 5. The most outstanding results are with paralysis and pain management in very difficult neurological disorders. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. The upper 1/5 Motor Area and Speech I Area were still considered primary according to her condition. Select the Speech I Area or some local points in the neck accordingly if the patient has aphasia or difficulty swallowing. The manipulation and retaining of needles remained the same. 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. 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. Dr. Halpern: There are a few differences between MR-guided focused ultrasound and deep brain stimulation. Communicate with children and their parents more often than with adult patients in order to reduce their fear and anxiety. Paralysis is also divided into four types in neurological practice, namely upper motor neuron paralysis, lower motor neuron paralysis, paralysis due to neuromuscular transmission diseases, and the paralysis caused by muscular diseases. There are forms of periodic paralysis, including sleep paralysis, which are caused by other factors. Diseases such as progressive muscular atrophy, poliomyelitis, and ALS are categorized as wei zheng () or wilting conditions in Chinese medicine. This book will show the scope of scalp acupuncture in treating many kinds of disorders and diseases, based on years of clinical experience. At that time her leg and arm muscles were so much stronger that she was able to write and make phone calls. Sherry's fine motor movement showed some improvement such as turning on a light switch. 8600 Rockville Pike Chinese medical pattern discrimination: Qi stagnation and blood stasis in the channels, kidney qi deficiency, liver blood deficiency and liver depression qi stagnation, Primary area: Upper 1/5 and middle 2/5 of Motor Area, Secondary area: Foot Motor and Sensory Area. 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. Regular body acupuncture, electrical acupuncture, and moxibustion as well as physical therapy and massage can be combined with scalp acupuncture to speed up recovery. 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. 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. I can walk solidly from heel to toe and walk backwards with no difficulty.. The Speech III Area, Balance Area, and Foot Motor and Sensory Area were added to assist and consolidate her improved clinical signs. However, to treat dysphagia patients who have depression is very challenging because patients are not always willing to participate in the treatment. Normally it takes several months or even as much as one to two years for this treatment to be effective. 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). They commonly have distinctive differences in their origin and causation but a similar result in their outcome for the patient, which is severe muscle weakness. The following is an excerpt from Chinese Scalp Acupuncture, by Jason Jishun Hao, DOM, MTCM, MBA, and Linda Lingzhi Hao, CA, PhD. From their teachers and textbooks, students can learn only general information about scalp acupuncture and its locations and clinical applications. Needles should be inserted on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. 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. Her walking also showed some improvement as she was able to lift her right leg more easily. It may lead to the discovery of new effective treatments and hopefully to a cure for this disease in the future. Location: parallel with and 1.5 cm to chorea and tremor control area. Location: parallel with and 1.5 cm to chorea and tremor control area. Retain the needles for 3045 minutes. 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. Her tongue had a red tip, a peeled coating on the right side, was purple in the center, had major teeth marks along the sides, a severe tremor, and a thick, white coating.