Quadriplegia can be treated after any duration, but less than three months from the date of injury or illness shows the greatest improvement. A local hospital diagnosed stroke caused by cerebral hemorrhage in his left hemisphere. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. Tom was able to move his arm, hand, and even his fingers in any way or direction that he was asked by the audience. During the second treatment, Sherry experienced a hot sensation again, more so on the left side of the body. Tremor areas are classified as secondary areas . It is not advisable to use electrical stimulation on the needles in the face because it may cause facial muscle spasm. Michael showed remarkable improvement right away. Causes of many motor neuron diseases are unknown and others have varying causes according to the specific motor neuron disease. Julia, a 49-year-old female in a wheelchair, was brought to our clinic in Santa Fe, NM, in 1992. The damp heat may become congested in the network vessels causing the sinews and muscles to further lose their nourishment. Recent studies have shown that scalp acupuncture could be a very effective form of pain relief for a variety of limb pains. 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. Scalp acupuncture alone tends to give 4 weeks of improvement. The patient thrived on this program. 8600 Rockville Pike With much excitement and audience applause, she followed our instruction and started to move: one step, then two, three, and four steps. 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. She had lost her fine motor skills. Fred was very negative and showed no interest in treatment by scalp acupuncture at the initial visit. 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. One month before, Fred had severe headache, slurred speech, and the right side of his body became paralyzed. Scalp acupuncture often produces remarkable results with just a few needles and usually brings about immediate improvement, sometimes taking only several seconds to a minute. Her pulses were fine and wiry, and were faint in both cubit (chi) positions. Isosorbide mononitrate can cause severe headaches. Other symptoms included an inability to lift his feet or wiggle his toes. A few minutes after being needled on her head, Sherry felt a whole-body hot sensation, which then moved from her hips to her feet, stronger on the left side. This helps to reduce fear and anxiety for both patient and parents. There are several clinical studies showing the excellent results obtained from scalp acupuncture and regular body acupuncture on facial paralysis. The insertion of two needles on the left side of her scalp did not seem to bother her at all. Location: parallel with and 1.5 cm to chorea and tremor control area. Modern medicine has not yet found a cure for spinal cord injury. 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. 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. The doctor should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively. We feel confident that this book will meet these requirements. 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. Two minutes after the treatment began, Lisa announced that she felt a lot of blood move to my head. After that, the child was able to lift her right arm with much more ease. Most existing textbooks either lack detailed information or only introduce some new research on the topic. Fig. 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. Most paralyses caused by nervous system damage are constant in nature. Maximum phonation duration of seven seconds indicated reduced breath support, likely resulting from vocal cord paralysis. 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. The most outstanding results are with paralysis and pain management in very difficult neurological disorders. He could neither utilize a normal gait from heel to toe nor walk backwards. 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. Your therapist will stimulate them manually using heat, pressure, electrical currents or laser light. 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. Find a doctor near you, schedule an appointment, or call 800-TEMPLE-MED (800-836-7536). Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease caused by degeneration of dopaminergic neurons in the substantia nigra. Indications: superficial edema, hypertension. Scalp acupuncture treatment for MS has had much success in reducing numbness and pain, decreasing spasms, improving weakness and paralysis of limbs, and improving balance. His tongue was a little purple with a normal coating and his pulses were bilaterally fine and wiry. 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. After treatment on the Motor Area of the scalp, 7,637 cases were cured (36.5%), 7,117 cases showed marked improvement (34%), and 5,196 cases showed some improvement (24.8%), yielding a total effective rate of 95.13%. Her fine pulses had become a little larger and stronger, were still slightly wiry, and showed more strength in the cubit (chi) positions. That results in loss or impairment of bowel and bladder control, sexual function, digestion, breathing, and other autonomic functions. Children and their parents might not be willing to participate in needling as a therapeutic method. He could move his right arm slightly with muscular tone at 2 out of 5. For the last three years and currently, she could not stand or walk by herself due to weakness in her legs and loss of balance. 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. Needles should be inserted on both lower 2/5 Motor Area and lower 2/5 Sensory Area on the contralateral side. By the sixth treatment, Lisa could move her right arm up and down very quickly and was able to start writing with that hand again. After trying many kinds of therapies that brought no improvement, she became depressed. While we were continuing our lecture, we heard screaming from the other room. When the arms, legs, and torso are paralyzed, this is commonly caused by damage to the brain, injury of the cervical spinal cord, polyneuritis, myasthenia gravis, progressive myodystrophy, multiple myositis, or acute infective multiple radiculoneuritis. Until recently, in most cases its cause was unknown. "Essential tremor: choosing the right management plan for your patient." Cleveland Clinic Journal of Medicine, December 2011; 78(12):821-8. For additional effect, thread a long needle from Yang Ling Quan (GB 34) through to Yin Ling Quan (Sp 9) and from Kun Lun (Bl 60) through to Tai Xi (Ki 3). It has been proven effective in treating any type of paralysis, sometimes taking only one to two treatments for an amazing amount of recovery. Scalp acupuncture, also known as head acupuncture, is a combined treatment based on traditional acupuncture and neurology. 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. Whether you are treating a child or adult, it is important to observe responses and reactions while inserting, stimulating, or withdrawing needles, and adjust the techniques accordingly. After inserting four more needles in her scalp, we encouraged Barbara to stand up. When treating chronic progressive diseases like multiple sclerosis, Parkinsonism, and amyotrophic lateral sclerosis (ALS), the effects are sometimes temporary. Patients with some or all of these sensations usually respond and improve more quickly. Careers, Unable to load your collection due to an error. During our lectures around the world, we are often asked why, if it is so effective in treating disorders of the central nervous system, has scalp acupuncture not spread to the whole world and been applied widely in practice? There is a high demand for a book that can provide teachers and students with useful knowledge and offer proper references to experienced practitioners. 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. 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. Patients may find it helpful to change their diet or hold their heads or necks in a certain way when they eat. 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. Best results are achieved by applying low frequency (for example, 3 hertz) with high intensity (for instance, when visible muscle contraction is observed). In terms of Western medicine, it contributes significantly to the treatment of central nervous system disorders. . Treatments were given once a day and 14 treatments comprised a course. However, while treating children with body acupuncture can be challenging, it can be even harder with scalp acupuncture. 3.3 Chorea-Tremor Control Area (CTCA) Location: Parallel to and 1.5 cm anterior to Motor Area (see Figs. They can undergo changes not only in function and shape but also can take over the functions of nearby damaged cells. Treating quadriplegia by acupuncture is very challenging. Abboud H, Ahmed A, Fernandez HH. 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. Communicate with the patient and any relatives often in order to gain their confidence, to encourage them, and reduce their fear and anxiety. Select the finest gauge needles that you can insert into the scalp for the initial treatments. 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. She had had a concussion on the left side of the brain in the internal capsule and initially was totally paralyzed on her right side and lost the ability to speak. Esophageal dysphagia can be subdivided into mechanical and functional causes. When the speech and motor areas are damaged, body dysfunctions appear such as aphasia and paralysis. 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. However, to treat dysphagia patients who have depression is very challenging because patients are not always willing to participate in the treatment. The distribution of weakness is an important clue to locate the level of nerve damage that caused the paralysis. Jiao Shun-fa, the founder of scalp acupuncture, collected and analyzed 20,923 cases of paralysis caused by stroke from 1970 to 1992. In the worst cases, people with MS may be unable to write, speak, or walk. Treatment may include acupuncture, physical therapy, occupational therapy, speech and language therapy, and massage. Disability affects about 75% of stroke survivors and it can affect patients physically, mentally, emotionally, or a combination of all three. He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. 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. She was able to count from one to 20 without breathing. With children, select the thinnest needles that you can insert into the scalp. She returned for the second treatment a day later, having had traveled across the country for these treatments. She could not control her urine, choked when eating, and always felt fatigued. She also had more energy and started to do some housework again. These headaches may gradually become less severe as you continue to use nitroglycerin. In many cases, a flexible spending account may be used to cover acupuncture treatments. As mentioned previously, those patients with some or all of these sensations usually respond and improve more quickly. Her legs had severe tremors when she put her toes on the ground and she could not stand on one leg. It is not surprising for a Western physician to claim that it is a coincidence if a patient recovers from paralysis after acupuncture. The patterns presenting in these diseases usually include a complex combination of liver blood, kidney yin, and spleen qi deficiencies along with damp heat further consuming the blood and damaging the qi, and thus depriving the limbs of strength and the flesh and muscles of nourishment. Since then, the techniques and applications of this science have been expanded and standardized through further research and experience. Some people present with silent aspiration and do not cough or show outward signs of aspiration. Results showed seven cases fully recovered, 13 cases markedly improved, eight cases some improvement and two cases failure in FNN group. These zones are the specific areas through which the functions of the central nervous system, endocrine system, and channels are transported to and from the surface of the scalp. Each one reflects our experience, thought processes, strategies, and special techniques for treating patients suffering from disorders of the central nervous system. He talked a little more and was easier to understand. Paraplegia is impairment in motor function of both legs and the trunk. 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. At his last visit, Fred said, Thank you very much for giving me back my normal life.. 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. Stimulate all needles with vigorous thrusting, lifting, and twirling. Chinese medical pattern discrimination: Damp heat obstructing the channels and network vessels. Scalp acupuncture successfully integrates the essence of ancient Chinese needling techniques with the essence of neurology in Western medicine. 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. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. The following is an excerpt from Chinese Scalp Acupuncture, by Jason Jishun Hao, DOM, MTCM, MBA, and Linda Lingzhi Hao, CA, PhD. He did not like to perform speech, swallowing, and body exercises. She had participated in running a race and did very well. 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. 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. References 1. Various famous physicians introduced Western neurophysiology into the field of acupuncture and explored correlations between the brain and human body. Jimmy had a very good response to his first scalp acupuncture treatment. Major complications of the condition include chronic loss of taste (ageusia), chronic facial spasm, and corneal infections. Acupuncturists know the points to work on to slow down hand tremor with Acupuncture. Any tissue of the body requires nourishment by blood to perform its proper function. As a . It is also the most useful technique for the patient to improve quickly in the initial visits. 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. Scalp acupuncture treatments were given once a day and 10 treatments made a course. Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination. The chain of nerve cells that runs from the brain through the spinal cord out to the muscles is called the motor pathway. Overall, our patient Fred had a very successful recovery, progressing from dysphagia to total normal eating within just a few weeks. As we discovered with Tom, a patient with any duration of stroke disabilities can be treated, but treatment within a year brings about the greatest response in our experience. For electrical stimulation in body acupuncture, fewer than four needles should be stimulated in each limb. Although acupuncture and moxibustion have been used to prevent and treat disease in China for thousands of years, scalp acupuncture is a modern technique with a short history. How Acupuncture Provides Help For Tremors Tremor and involuntary shaking treatment using acupuncture may reduce tremors after the first treatment. A waitress who noticed that he was paralyzed told him that he should come to our clinic, which specialized in treating that affliction. Quadriplegia means paralysis of all four limbs or of the entire body below the neck. His treatment strategy was modified to take care of depression. It is useful to pair the testing of each muscle group immediately with the testing of its contra-lateral counterpart to enhance detection of any asymmetries and record detailed information of any changes. 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. Normal muscle function requires intact connections all along this motor pathway. Always put one needle in the ear point Shen Men to help a depressed and angry patient relax and to reduce the sensitivity of needle insertion and stimulation of the scalp. He had been receiving physical therapy and speech therapy since he was admitted to the hospital. Needles should be inserted in the upper 1/5 Motor Area and the middle 2/5 Motor Area on the unaffected side of the scalp for patients who develop paralysis from brain surgery. Although each part of the cerebral cortex has its own functions, some variation is possible. Scalp areas are frequently used in pain management, especially pain caused by the central nervous system such as phantom pain, reflex regional pain, and residual limb pain. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. She was able to eat better because of less choking. 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