WIND STROKE

1. WIND STROKE Research and Case presentation – Dr Yoseph Feleke Presented by Rosangela Staton

2. Case report • Female, 47 yrs old • She had CVA on December,28/2012 . • Her husband brought her to the clinic for the first time on May,04/2013. • History of having right side frontal lobe – lobotomy and Jaw replacement . • On the 1st visit she presented pain on her left side ( arm ,wrist, elbow, hip , knee, ankle , foot and spasms on the tight)

3. Case report • Her tongue is short, pale with thin slight yellow coating. Her pulse was weak. • She had 21 treatments , had good response in the beginning but always returning to the initial stage and was taking Gan Mai Da Zao. • Carlos Alvarez and I started treating her on the 22nd treatment under Dr Campbell’s supervision on 10/12/2013. • DX: Wind Stroke • Treatment Plan: Expel wind and unblock channels

4. Case Analysis- Comparison

5. Case Analysis- Comparison: Western and Chinese Medicine • Stroke is medically known as a cerebrovascular accident (CVA). It happens when a blood vessel is extremely blocked or damaged that part of the brain is deprived of oxygen long enough for brain tissue to die. It is one of the most common causes of death and disability worldwide. • Chinese Medicine defines two kinds of stroke, of the head and stroke of the heart.

6. Case Analysis- Comparison: Western and Chinese Medicine • An early definition of a stroke can be found in the classic medical book named "Huang Di Nei Jing" (The Yellow Emperor's Classic of Internal Medicine), written during the Han Dynasty (approx. 200 B.C). Under this book's Suwen (The Book of Plain Questions) section, stroke is described in the following manner. "The organ's accupoints are the doors for evil winds to flow into the body. When wind flows inside the body, it will turn into internal wind-evils. If allowed to stay inside, the internal wind evils cause stroke." This book also described stroke related symptoms such as hemiplegia (paralysis on one side of the body), difficulty in speech, and facial distortion.

7. Case Analysis- Comparison: Western and Chinese Medicine • Another TCM medical classic named "Synopsis of the Golden Chamber" (300A.D.), stated that stroke was mainly caused by a lack of blood in small vessels, a lack of Qi flow, and the invasion of outside evil winds into the body. The symptoms of a stroke were described according to what part of the body the evil winds invaded. It stated "if a evil wind invades the collaterals (these are part of the meridian system and they run more on the surface of the body), the skin and muscles feel numb.

8. Case Analysis- Comparison: Western and Chinese Medicine When it invades the channels (these are also part of the meridian system and they run deep and vertical in the body), the body will become seriously ill. When it invades the hollow organs or Fu-organs which consists of the stomach, small intestine, large intestine, gall bladder and bladder, the body will become unconscious; and when it invades the solid organs or Zang-organs, which consists of the liver, heart, lungs, spleen and kidneys, speech difficulties and drooling can occur.“

9. Case Analysis- Comparison: Western and Chinese Medicine Stroke is characterized by a combination of symptoms such as a sudden fall, unconsciousness accompanied by hemiplegia (paralysis on one side of the body), an appearance of facial distortion or the presence of a speech disorder. In minor cases, individuals may not suddenly collapse or lose consciousness. Instead, they may just suffer from hemiplegia (paralysis on one side of the body) and facial distortion.

10. Main points used in the treatment SCALP ACUPUNCTURE: Primary area: Upper 1/5 and middle 2/5 of the Motor Area Secondary area: Upper 1/5 and middle 2/5 of the Sensory Area Manipulation: For treating motor dysfunction, place the needles and rotate them at least 200 revolutions per minute for 1-3 minutes every 10 minutes for a total of 30-60 minutes. The worse the symptoms or longer the duration of disease, the longer the duration of each treatment should be. Unless the paralysis is due to the removal of damaged tissue by brain surgery, a paralyzed extremity is generally treated by choosing the opposite side of the Motor Area on the scalp. The upper 1/5 region is used to treat contralateral dysfunctional movement of the lower extremity, trunk, spinal cord, and neck. The practitioner should twirl the needle as vigorously as the patient can tolerate and have the patient move the affected limb actively and passively.

11. Main points used in the treatment MUHUO Location of Point: - In the center of the 3rd finger crease of the dorsal aspect of the middle finger. Indications: - Hemiplegia.(Excellent effect was seen by needling this point in the treatment of hemiplegia of Lon Nol,the late President and Marshal of Cambodia).

12. Main points used in the treatment • Jing-well points : -Treat the most acute/urgent diseases. “When diseases are at the Zang, select Jing-well points.” Ancient people believe that loss of Shen (spirit) and consciousness indicates the diseases are at the Zang. In wind stroke, other than loss of consciousness, one’s spirit is often changed. Jing-well points are able to wake brain and open orifices, quite Shen (spirit) and clear heat, drain excess and expel evils. Jing-well points are often used at emergency such as sudden disorder of spirit and will. Jing-well points are used for acute syndromes. As they are located finger or toe tips which are with very thin muscle, they mostly are pricked with a three-edged needle and do not retain the needle.

13. Points used in the treatment DU26 – Shuigou Location of Point: - On the face, at the junction of the superior 1/3 and middle 1/3 of the philtrum Indications: - Syncope, heatstroke, coma, mental disorders, trismus. Manic psychosis, epilepsy Acute lumbar pain Gastric pain, wry mouth, swelling of the face Functions: -Resuscitates, treats acute lumbar sprain, benefits the nose. Notes: -Du 26 is used for emergency treatment.

14. Summary of treatment applied • New method was used : Dr Tan’s Balance method and Zhang Fu Bei Tong (extraordinary connections of Zang Fu organs) • Patient is showing better results after each treatment. Her voice is louder and understandable, she already can speak with us at the clinic , with her mom at home and her friends on the phone. • Her left arm, fingers and leg are more relaxed ,less rigid and very little spasm.

15. Summary of treatment applied • Her mood and sleep has changed ,according to her husband. She is sleeping better and not waking up at night with spasm and pain. • We are trying to help her to stand on her on feet. Little by little… • Her husband told us that at the time he was helping her to seat on the wheelchair, he notice that she were able to move her left leg from on position to another.

16. Summary of treatment applied • She has started doing Aquatic Therapeutic Exercise . • The treatment is not over yet, our objective is to continue to help her improvement with the help and knowledge from all the doctors from our school .

17. The progress of the treatment(under the of supervision of Dr Campbell)

18. The progress of the treatment

19. The progress of the treatment

20. Self reflection “Healing is a matter of time, but it is sometimes also a matter of opportunity.”  Hippocrates Every accomplishment starts with the decision to try…

23. Lobotomy and Jaw replacement

24. Cerebral vascular accident (CVA) A stroke, sometimes referred to as a cerebrovascular accident (CVA), is the rapid loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia (lack of blood flow) caused by blockage (thrombosis, arterial embolism), or a hemorrhage. As a result, the affected area of the brain cannot function, which might result in an inability to move one or more limbs on one side of the body, inability to understand or formulate speech, or an inability to see one side of the visual field Treatment to recover any lost function is termed stroke rehabilitation, ideally in a stroke unit and involving health professions such as speech and language therapy, physical therapy and occupational therapy. Prevention of recurrence may involve the administration of antiplatelet drugs such as aspirin and dipyridamole, control and reduction of high blood pressure, and the use of statins, Selected patients may benefit from carotid endarterectomy and the use of anticoagulants.

25. Explanation of the methods • The Balance Method TM of acupuncture was developed by Dr. Richard Tan of San Diego.  The Balance Method TM works with the sophisticated relationships of the acupuncture meridians.  Acupuncture points distal to the affected area are used: points in the elbows are used to treat knee pain, ankle points treat the wrists.  Fewer needles are used than the commonly taught methods and immediate results are seen, especially with pain treatment.  Dr. Tan has developed sophisticated point combinations to treat all manner of internal conditions including: lung (allergies, sinusitis, colds/flu), cardio-vascular, stomach and bowels, gyn and emotional problems.  Results are long lasting.  Dr. Tan continually updates and refines the system, his life work.  • One of the major characteristics of Tong’s acupuncture is that the local points are not needled. The major method is the use of contra-lateral treatment of distal points. By just using local points there is not such a cumulative therapeutic effect, and treatment will take longer. Tong’s acupuncture has longer lasting therapeutic effect. Tong’s acupuncture is based on NeiJing and I Ching. The better the theoretical background of the practitioner, the better treatment results can be achieved with Tong’s points.