1 / 43

Auricular & Scalp Acupuncture Review

Auricular & Scalp Acupuncture Review. ACR class 13. Auricular. Anatomy & Somatatopic Representation. Modern Auriculotherapy founded by Paul Nogier in 1950‘s France Also developed in 1960’s China Some differences in point location but overall very similar

reia
Download Presentation

Auricular & Scalp Acupuncture Review

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Auricular & Scalp Acupuncture Review • ACR class 13

  2. Auricular

  3. Anatomy & Somatatopic Representation

  4. Modern Auriculotherapy founded by Paul Nogier in 1950‘s France • Also developed in 1960’s China • Some differences in point location but overall very similar • Fetal / “Upside-down man” representation

  5. Lobe: Face & sensory • Antitragus: Cranial & brain • Internal organs in concha: • Thorax = Inferior (Cavum) concha • Abdomen = Superior (Cymba) concha • Digestive = around helix crus

  6. Spine on antihelix • Upper limb on scaphoid fossa • Lower limb on upper antihelix crus • Triangular fossa = Chinese: Reproductive & Shenmen; French: Lower limb

  7. Lobe: Cranial area/face/sensory on lobe • Internal organs in concha • Spine on antihelix • Upper limb on scaphoid fossa • Lower limb on upper antihelix crus • Triangular fossa = Chinese: Reproductive & Shenmen; French: Lower limb

  8. NADA Protocol • AKA: 5-Needle Protocol, 5NP • Most common auricular protocol used today • Use for addictions, trauma, pain, etc

  9. Shen Men: Slightly superior and anterior to the tip of the triangular fossa. • Sympathetic-Autonomic point: Junction of the internal helix and the inferior antihelix crus. It is covered by the fold of the helix. • Liver: Junction of the concha ridge/helix crus with the posterior concha wall (just anterior to antihelix). Some maps place it slightly superior to the concha ridge.

  10. Kidney: In superior concha, near concha wall, directly below Shen Men. • Lung 2: In lower part of inferior concha, just below deepest part of concha (Heart point).

  11. Diagnosis • Ear probe - look for painful points • Electronic point finder - low skin resistance • Visual inspection - Discoloration

  12. Treatment • Filiform needles • Press tacks or intradermals • Seeds • Bleeding • Ear massage • Electric stim • Cold laser

  13. Needling • Disinfect skin with alcohol • Use 15mm, 7mm or press tack • Filiform needle retain 20-40 minutes • Check for bleeding on removal of needle

  14. Precautions • Do not needle if external ear is infected or inflamed • Contraindicated for pregnancy with history of miscarriage; caution otherwise • Caution weak constitution • Do not leave tacks or seeds more than 1 week

  15. Scalp Acupuncture

  16. Scalp Acupuncture • Several different systems: Jiao, Zhu, Yamamoto (YNSA), etc • Jiao system most common

  17. Motor Area • Location: Locate the upper point 0.5 cm posterior to the mid-point of the anterior-posterior midline. • Then locate the lower point at the intersection of the eyebrow-occiput line with the anterior temporal hairline. • The line connecting the upper and lower points is the motor area. • This line is divided into five equal portions.

  18. Motor Area • Lower limb and trunk areaLocation: Upper 1/5 of the motor area. Indications: Contralateral paralysis of the lower limbs. • Upper limb areaLocation: Middle 2/5 of the motor area. Indications: Paralysis of the upper limbs. • Facial areaLocation: Lower 2/5 of the motor area. Indications: Facial paralysis, motor aphasia, salivation, impaired speech, and dysphonia.

  19. Sensory Area • Location: The line parallel to and 1.5 cm posterior to the motor area. Divide this line into five equal portions. • Lower limb, head, and trunk areaLocation: Upper 1/5 of sensory area. Indications: Contralateral lumbar pain, leg pain, numbness, paresthesia, occipital headache, neck pain, tinnitus. • Upper limb areaLocation: Middle 2/5 of the sensory area. Indications: Upper limb pain, numbness, paresthesia. • Facial areaLocation: Lower 2/5 of the sensory area. Indications: Facial numbness, migraine, trigeminal neural- gia, toothache, temporomandibular arthritis.

  20. Chorea & Tremor Control Area • Location: Parallel and 1.5 cm anterior to the motor area. Indications: Chorea, Parkinson’s disease. • Blood vessel dilation and constriction area • Location: Parallel and 1.5 cm anterior to the chorea and tremor control area. Indications: Superficial edema, hypertension.

  21. Vertigo and hearing area • Location: A horizontal line 1.5 cm above the ear apex; 2 cm anterior and 2 cm posterior (total 4.0 cm length). Indications: Tinnitus, vertigo, diminished hearing, Meniere’s syndrome. • Speech 3 • Location: A horizontal line starting at the midpoint of the Vertigo and Hearing Area and running posteriorly 4.0 cm in length. Indications: Sensory aphasia.

  22. Speech 2 • Location: A vertical line 2.0 cm posterior and inferior to the parietal tubercle 3.0 cm in length. Indications: Nominal aphasia. • Voluntary Movement / Usage area • Location: At the parietal tubercle origin, three lines run inferiorly, anteriorly, and posteriorly 3.0 cm each with a 40° angle between each of the lines. Indications: Apraxia.

  23. Foot Motor and Sensory Area • Location: Two lines 1.0 cm lateral to the midpoint of the anterior-posterior midline 3.0 cm in length posterior and parallel to the midline. • Indications: Contralateral lower limb pain, numbness, paralysis, acute lumbar sprain, nocturia, and uterine prolapse.

  24. Vision area • Location: Two lines 1.0 cm lateral to the midpoint of the external occipital protuberance, parallel to the anterior-posterior midline, 4.0 cm in length extending superiorly. Indications: Visual disturbances, cortical blindness. • Balance area • Location: Two lines 3.5 cm lateral to the midpoint of the external occipital protuberance, parallel to the anterior-posterior midline, 4.0 cm in length extending inferiorly. Indications: Loss of balance due to cerebellar disorders, dizziness.

  25. Stomach area • Location: Beginning at the hairline directly superior to the pupil of the eye, parallel with the anterior-posterior midline, 2.0 cm in length bilaterally extending posteriorly. Indications: Stomach / epigastric pain. • Thoracic cavity • Location: Beginning 2.0 cm below the hairline, midway between and parallel to the stomach area and the anterior- posterior midline, 4.0 cm in length bilaterally extending superiorly. Indications: Chest pain, palpitations, coronary heart disease, asthma, and hiccups.

  26. Reproduction area • Location: Beginning at the hairline, a line 2.0 cm in length from the frontal angle extending posteriorly and parallel to the anterior-posterior midline. Indications: Functional uterine bleeding, pelvic inflammation, leukorrhea, and uterine prolapse.

  27. Liver and Gallbladder Area • Location: Beginning at the hairline, a line 2.0 cm in length from the stomach area extending inferiorly. Indications: Upper right quadrant abdominal pain, chronic hepatitis, abdominal pain due to liver and gallbladder disease. • Intestine Area • Location: Beginning at the hairline, a line 2.0 cm in length from the reproduction area extending inferiorly. Indications: Lower abdominal pain.

  28. Needle Technique • Clean insertion site with alcohol • Use 1-2 cun filiform needles, 28-32 gauge • Insert 30• angle, thread into aponeurosis • Twirling manipulation, up to 200x/minute • Manipulate 2-3 minutes, rest 5-10 minutes and repeat 2-3 times; or use high frequency e-stim (200-300 hz)

  29. Precautions • Seated or lying position; watch for fainting • Not advisable for weak patients, high fever, local inflammation, heart failure • Contraindicated if open head wounds or intracranial bleeding; wait until bleeding has stopped and patient is stable

More Related