Tremor areas are classified as secondary areas . Normally it takes several months or even as much as one to two years for this treatment to be effective. Ischemic stroke is divided into thrombosis stroke, embolic stroke, systemic hypoperfusion, and venous thrombosis. Isosorbide mononitrate is used to prevent chest pain ( angina) in patients with a certain heart condition ( coronary artery disease ). 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 symptoms of brain injury depend on the area of the brain affected. In addition to the paralysis on the right side, his tongue was purple with teeth marks and a thin, white coating. 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. 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. Her breathing was less labored when she was active, and friends noticed major improvement in her speech during phone conversations. 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. 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. Patients may find it helpful to change their diet or hold their heads or necks in a certain way when they eat. There is a high demand for a book that can provide teachers and students with useful knowledge and offer proper references to experienced practitioners. A therapeutic course consists of 10 treatments. Find a doctor near you, schedule an appointment, or call 800-TEMPLE-MED (800-836-7536). 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. For treating motor dysfunction, place the needles and rotate them at least 200 revolutions per minute for 13 minutes every 10 minutes for a total of 3060 minutes. It helps the blood circulation and keeps muscles active, accelerating the results from ongoing acupuncture treatments. Furthermore, there have been few reports or articles published on treatment by scalp acupuncture. In 100 BCE, the first Chinese acupuncture text, Huang Di Nei Jing (The Yellow Emperor's Classic of Internal Medicine) described the relationship between the brain and the body in physiology, pathology, and treatment as it was understood at that time, and citations of acupuncture treatments on the head can be found throughout classical Chinese literature. Stimulate this needle with vigorous thrusting, lifting, and twirling. Major complications of the condition include chronic loss of taste (ageusia), chronic facial spasm, and corneal infections. Common symptoms and signs include progressive weakness, muscle wasting, muscle fasciculations, spasticity or stiffness in the arms and legs, and overactive tendon reflexes. Her initial symptoms were an onset of numbness in the right arm followed by subsequent numbness descending down both her legs. 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 signs and symptoms of dysphagia include difficulty controlling food in the mouth, inability to control food or saliva in the mouth, difficulty initiating a swallow, coughing, choking, frequent pneumonia, unexplained weight loss, gurgly or wet voice after swallowing, nasal regurgitation, and swallowing difficulty. For the benefit of the seminar audience, Barbara demonstrated many different kinds of movement of her four extremities such as jumping, running, and easily raising her arms, which brought audience applause. New research suggests that normal brain cells are highly adaptable. Dysphagia may lead to malnutrition and dehydration and at the most severe stages can cause choking, aspiration, and airway obstruction. This case illustrates that scalp acupuncture could be the primary approach to manage swallowing disorder. 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. Scalp acupuncture: chorea-tremor area The chorea-tremor area is one of the most commonly used scalp acupuncture areas for treating PD. Your therapist will stimulate them manually using heat, pressure, electrical currents or laser light. Liu Jian-hao and colleagues reported on the treatment of 60 cases of paralysis due to stroke using scalp acupuncture in 2010. Her tongue showed a red tip, only a thin, white coating, and a peeling coating at the front. Chinese scalp acupuncture is a contemporary acupuncture technique integrating traditional Chinese needling methods with Western medical knowledge of representative areas of the cerebral cortex. Location: parallel with and 1.5 cm to chorea and tremor control area. For body acupuncture, Qu Chi (LI 11), Wai Guan (TB 5), and He Gu (LI 4) on the right upper limb and Zu San Li (St 36), Kun Lun (Bl 60), and Jie Xi (St 41) on the right lower limb were needled. We feel confident that this book will meet these requirements. Because sensation is usually impaired in affected areas, this can manifest as numbness, reduced sensation, or burning sensation and pain. Paralysis can be localized, generalized, or it may follow a certain pattern. The patient should get treatment as soon as possible as the earlier the treatment, the better the prognosis. The upper 1/5 Motor Area and Speech I Area were still considered primary according to her condition. He refused to try drinking a little bit of water to test his swallowing function and said he was afraid that it could induce severe coughing and choking and cause aspiration. Sometimes those points were stimulated with electrical acupuncture. Though the scalp is uniquely innervated and highly vascularized there is no risk of heavy bleeding. According to Chinese medicine, trauma to the head (or anywhere else in the body) causes the blood to extravasate outside its normal vessels, obstructing the flow of fresh new blood to the area. Dysphagia is classified into two major types, oropharyngeal dysphagia and esophageal dysphagia. sharing sensitive information, make sure youre on a federal 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. 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. 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. Julia had incontinence of urine and was experiencing muscle spasms throughout her entire body. Although each part of the cerebral cortex has its own functions, some variation is possible. First, focused ultrasound is nonsurgical, which means no holes are made in the skull and no hardware, like a pacemaker, is needed. 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. Examination showed that the tremor as well as teeth marks in her tongue were less, the thick, white coating was less, and it was peeled more on the front part of her tongue. Fred started to eat more solid food and add more kinds of food gradually. He was able to raise his left eyebrow, reveal his upper teeth, and puff out his left cheek after only six visits. Compared to other patients, in general depressed patients should receive fewer needles, milder stimulation, and a shorter time of needle retention. official website and that any information you provide is encrypted Although she felt nervous and was assisted by two people, she stood up. Her walking appeared almost normal, and she was again able to run, at least slowly. After the third treatment, the deviation and drooped corner of his mouth showed remarkable improvement, especially after more needles were inserted into his face, hands, and feet. Scalp acupuncture is a micro-system acupuncture technique which stimulate the points or areas on the scalp to treating brain related diseases, neurological and psychological conditions, et al. There are forms of periodic paralysis, including sleep paralysis, which are caused by other factors. In complementary and alternative medicine, it contributes new understanding to both theory and practice. In these case descriptions, we explain in practical detail how to apply the needling techniques in order to obtain optimal results. 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. Blood stasis must be resolved for the tissue to once again receive the nourishment of healthy blood. After nine scalp acupuncture treatments, he regained all functions of expression in his face and was very pleased with the outcome. Esophageal dysphagia can be subdivided into mechanical and functional causes. TCM body style acupuncture has been shown to benefit Parkinson's disease patients. These acupoints were selected based on the acupuncture point selections according to TCM meridian theory to treat essential tremor. 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). While we were continuing our lecture, we heard screaming from the other room. Acupuncture needles are very fine so shouldnt cause a lot of pain. The https:// ensures that you are connecting to the Paraplegia is impairment in motor function of both legs and the trunk. 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. Those symptoms typically lasted a few weeks to several months. Although the scalp has numerous Second, there is a very limited number of highly experienced teachers. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer. As soon as we inserted two needles in her scalp at the Chorea and Tremor Area, the tightness in all four limbs loosened up and the spasms were gone. 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. In advanced stages, both regions of the body are affected. He could neither utilize a normal gait from heel to toe nor walk backwards. 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. During the second treatment, Sherry experienced a hot sensation again, more so on the left side of the body. Diseases such as progressive muscular atrophy, poliomyelitis, and ALS are categorized as wei zheng () or wilting conditions in Chinese medicine. The only remaining problem was urgent, frequent urination and some incontinence of urine. You'll find KI-3 at the depression between the inner side of the ankle and the tendon, just behind the anklebone. As mentioned previously, those patients with some or all of these sensations usually respond and improve more quickly. Stroke is classified into two major categories, ischemic and hemorrhagic. 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. His treatment strategy was modified to take care of depression. Two days later, Sherry arrived for her fourth session and reported very positive reactions to the last treatment. The numbness and tingling in her limbs did not bother her as much, she had more energy, and had not experienced incontinence of urine for several weeks. In many cases, a flexible spending account may be used to cover acupuncture treatments. Multiple sclerosis is unpredictable and varies in severity. This ability would last for several days after treatment, so Denise liked to get a tune-up treatment every other week. Damage at any level often interrupts the brain's ability to control muscle movements resulting in paralysis. It is a kidney meridian acupoint located on foot. Barbara reported that she had not received further acupuncture treatment after the last two scalp acupuncture treatments because neither her insurance nor her own money could cover further sessions. She had been receiving rehabilitation treatment including physical therapy, osteopathic therapy, and speech therapy starting two weeks after her injury. This book will show the scope of scalp acupuncture in treating many kinds of disorders and diseases, based on years of clinical experience. Quadriplegia can be treated after any duration, but less than three months from the date of injury or illness shows the greatest improvement. David, a 52-year-old man, was vacationing with his wife in Santa Fe, NM, in 1993. However, he still could not squeeze his left eye completely closed and his smile was a little crooked. 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. The Speech III Area, Balance Area, and Foot Motor and Sensory Area were added to assist and consolidate her improved clinical signs. Communicate with children and their parents more often than with adult patients in order to reduce their fear and anxiety. Fred was able to follow instructions to practice his speech and do oral and pharyngeal exercises. 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. Many patients have a very quick and positive response in controlling urine and bowel functions when the Foot Motor and Sensory Area is stimulated. As stated previously, however, those who do not have such sensations could still have immediate, positive results. Chinese medical pattern discrimination: Spleen qi and kidney essence deficiency, liver depression with depressive heat leading to the internal stirring of liver wind, While needles were being inserted in Michael's scalp the audience was quiet, waiting to see how he would respond to his first treatment. According to the individual's condition, regular body acupuncture, electrical acupuncture, and moxibustion, as well as physical therapy and massage can combine with scalp acupuncture to speed up the time of recovery. 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. Treatment is given two to three times per week and a therapeutic course consists of 10 treatments. The majority of treatments available in Western medicine involve drugs or surgery and are often ineffective. 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. The damp heat may become congested in the network vessels causing the sinews and muscles to further lose their nourishment. 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. In a recent investigation, scalp acupuncture was applied to 16 patients with multiple sclerosis at our National Healthcare Center in Albuquerque, NM. The relapse rate of the scalp acupuncture group was 13.81% and was 45.5% for the conventional acupuncture group (P<0.05). Examination showed that her tongue was less red with fewer teeth marks and tremor only on the left side. The relapse rate of the scalp acupuncture group was 13.81% Below the level of injury on the neck there was minimal contraction and movement of arm muscles, which indicated that the muscular tone of her arm was a 2 out of 5. Based on Liu Fang-shi's report of research done in 1994, 48 cases of facial paralysis were treated by scalp acupuncture on the Motor Area. She received more aggressive treatment that day because it was her last treatment for this trip. 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. 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. 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. Normal muscle function requires intact connections all along this motor pathway. Retain the needles in place for 3045 minutes. He had a weak cough and diminished throat-clearing ability. Hemiplegia, affects one side 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. At the end of the twenty-second treatment her right hand was completely back to normal and all paralysis was gone. 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. 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. She had little hope that our treatment would help her condition. Sherry's fine motor movement showed some improvement such as turning on a light switch. Some stroke patients may have loss of consciousness, headache, and vomiting at the onset. 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. 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. 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