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Facial paralysis and Wind stroke treated by acupuncture. Central nervous system. Peripheral nervous system. Meridians and colleterals. How do TCM think of N.S. Brain &Spinal cord Nao sui &Ji sui “sui” means essence Conginital essence Acquired essence Nerve 神经( shen jing)
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Central nervous system Peripheral nervous system Meridians and colleterals
How do TCM think of N.S. • Brain &Spinal cord • Nao sui &Ji sui • “sui” means essence • Conginital essence • Acquired essence • Nerve • 神经(shen jing) • 经络(jing luo)-------------merdians and colleterals
Meridians and colleterals • Transmit Qi and blood • Obstruction of Qi and blood • Overflow of Qi and blood • Principles of acupuncture for neural diseases • Activate Qi and blood circulation • Regulate Yin and Yang
Symptoms • Eye • Increasing eyelid fissure • Inability to close eyes • Mouth • Deviation of nasolabial groove,lips • Leaking from mouth • Frontal part • Disappearence of frontal line
No possible reason • Infection • Metabolism • Tumor
DU F. taiyang F. shaoyang • Face • Foot yangming • Foot shaoyang • Foot taiyang • Hand yangming • Hand shaoyang • Hand taiyang • Du YANG H. shaoyang H. taiyag H. yangming F. yangming
TCM theories of peripheral paralysis Wind Cold DAMPNESS
Face • Foot yangming—— • Hand yangming —— • Foot shaoyang —— • Hand shaoyang —— • Foot taiyang —— • Hand taiyang—— • Du —— Regulate Blood Regulate QI Dispel wind cold Supply Yang Qi
Case sharing • 40y,male • Unknown cause • He suddenly find weakness of his face after waking up. • Go to clinic immediately
TCM diagnosis • Wind cold attacking • Measures • Warm merdians and dispel wind cold • Channels • Taiyang • Du • Yangming
Methods • Electrical acupuncture • Warm needling • moxibution
Hegu (LI 4) Location: on the dorsum of hand, between the first and second metacarpal bones, along the middle of the second metacarpal bone on the radial side.
Renzhong (DU 26) Location: at the junction of the super 1/3 and middle 1/3 of the philtrum
Cuanzu (BL 2) Location: in the depression on the media lend of the eyebow
Yingxiang (LI 20) Location: 0.5 cun lateral to the midpoint of the lateral border of ala nasi, in the nasolabial groove
WIND STROKE Middle cerebral artery Cerebral infarction Cerebral hemorrhage
Windstroke is one of four kinds of main diseases that endanger human health. Its morbidity lies in the first place in China. Companied with many sequelae, it has brought a heavy burden to both the society and families.
Wind-------风 Windstroke----------中风 Why people connect this disease with “wind”?
Main points Neiguan(PC 6,the Pericardium Meridian of Hand-Jueyin) Renzhong(DU 26,the DU Meridian) Sanjinjiao(SP 6,the Spleen Meridian of Foot-Taiyin)
SP 6 SANYINJIAO
Supplementary points • Jiquan(HT1,the Heart Meridian of Hand-shaoyin) • Weizhong(BL40,the Bladder Meridian of Foot- Taiyang) • Chize(LU5, the Lung Meridian of Hand-Taiyin)
Point Modification: For difficulty of swallowing Fengchi(GB 20),Yifeng(SJ 17) and Wangu(GB 12) are added. For failing to extend fingers with stiffness, Hegu (LI 4) is added. For slurred speech, Shanglianquan(EX-HN) is added, and Jinjin(EX-HN 12) and Yuye(EX-HN13) are used with blood-letting method. For strephenopodia, penetrating method from Qiuxu(GB 40) to Zhaohai(KI 6) is used
Fengchi(GB 20) Wangu(GB 12) Yifeng(SJ 17) Puncture Fengchi(GB 20),Wangu(GB 12) and Yifeng(SJ 17) in the direction of the laryngeal protuberance for 2-2.5 cun, with reinforcing manipulation of twirling and rotating the needle in high frequency and small amplitude for 1 minute to each acupoint.
Hegu(LI 4) to Sanjian(LI 3) Puncture Hegu(LI 4) 1-1.5 cun in depth with the needle tip toward Sanjian(LI 3), with reducing method of lifting and thrusting to make the patient’s second finger or five fingers extended freely.
Shanglianquan (EX-HN) 针向舌根1.5~2寸,用提插泻法; Puncture Shanglianquan(EX-HN) for 1.5-2 cun, with the needle tip towards the root of the tongue and reducing method of lifting and thrusting the needle.
Jinjin(EX-HN12) Yuye(EX-HN13) 用三棱针点刺放血,出血1~2毫升; Prick Jinjin(EX-HN12) and Yuye(EX-HN13) with the three-edged needle to cause bleeding for 1-2ml.
Qiuxu(GB 40) to Zhaohai(KI 6) Puncture Qiuxu (GB 40) 1.5-2 cun in depth with the needle tip toward Zhaohai(KI 6),until soreness and distension occurred locally.
Constipation:Puncture Waishuidao(EX-CA), Waiguilai(EX-CA) and Fenglong(ST 40)
Incontinence of Urine, Retention of Urine:Puncture Zhongji(RN 3),Qugu(RN 4), Sanyinjiao (SP 6), Yinlingquan(SP 9). Moxibustion is applied on the local area, while massage and hot compress are applicable too.
Double Vision:Puncture Fengchi(GB 20), Tianzhu(BL 10), Jingming(BL 1) and Qiuhou(EX-HN7)
Periarthritis of Shoulder: Puncture Jianneiling(EX-UE), Jianliao(SJ 14), Jianzhen(SI 9), Jianzhongshu(SI 15), Jianwaishu (SI 14).Apply blood letting and cupping method to the local pain point.
Vascular Dementia:Puncture Baihui (DU 20), Sishencong(EX-HN1), Sibai(ST 2) and Taichong(LR 3).
Course of Treatment Give acupuncture treatment twice a day, ten days as a course of treatment, commonly give the patients three to five courses of treatment.
The Research included: Morphology ,Biochemistry,The Central Nervous System and Molecular Biology,etc.
针刺治疗中风病是多层次、多途径、多靶点整体调整。形态学的改变是观察脑缺血损伤及针刺调节作用的最直接、最客观的证据,我们在相关研究中获得了重大发现。 Regulation of acupuncture on stroke is on multi-level, Multi-channel and Multi-target.Changes of Morphology are the most directive and The most objective evidence to observe ischemic brain injury and the function of acupuncture.We get major discovery in observations.
大脑中动脉阻断后所见大脑表面缺血区 ischemia area on brain surface after middle cerebral artery obstruction 缺血后代偿情况 the compensation status after ischemia 醒脑开窍针刺后的变化 the changes after “XNKQ” acupuncture method