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You can unsubscribe at any time. Not finding what you're looking for? We can help! There should be no talking during needle stimulus: all attention is on the needling and its effects.

The method is also easy to master, though success may depend on the qi of the practitioner when utilizing the forceful but small amplitude manipulations.

Zhu does not rely on moxa, due to the problems associated with large amounts of smoke in the group treatment setting and lack of adequate ventilation at the Neurology Center.

He does use heat lamps to provide heat to an affected body part, when it is deemed valuable. The affected part of the body is to be moved during needle stimulation.

If the person cannot make the movement on their own, then the patient will visualize moving the breath to the affected part and, when possible, an assistant will move the body part.

After the needle stimulation, the patient is encouraged to continue the movements. Zhu expressed the belief that a function of scalp acupuncture is to improve or re-establish the connections from the central nervous system to the peripheral nervous system.

The sending of signals between these two parts of the nervous system during treatment is critical. The intention of the patient to move the affected body part or the mental practice of moving the breath to the body part sends signals from the central nervous system to the periphery, while actual movements of the body part send signals back from the periphery back to the central system.

Before withdrawing the needles, Zhu recommends manipulating the needle again while the patient performs breathing exercises. When it is time to remove the needles, press the skin around the point with the thumb and index finger of the left hand, rotate the needle gently and lift slowly to the subcutaneous level.

From there, the withdrawal should be rapid, and the punctured site should be pressed for a while with a dry cotton ball to avoid bleeding.

Body points are sometimes used as an adjunct to the scalp acupuncture therapy. Zhu uses relatively few body points typically 1—3, if any , but emphasizes obtaining the qi sensation with propagation of qi sensation towards the affected part.

If a body part affected by disease or injury involves very localized pain or spasm, Dr. Zhu might use body points primarily for local treatment rather than somewhere else along a meridian affecting the area , and usually with deep needling.

Body points are sometimes selected because of failure to obtain the desired qi reaction when using scalp points.

In most cases, treatment is given every day at least 5 days per week for 1—2 weeks, then every other day for another 1—2 weeks, followed by twice per week treatment for as long as necessary.

The frequency of treatment may be adjusted according to the severity of the condition and rate of improvement. According to Lu, for best results in treating hemiplegia due to stroke, scalp acupuncture should initially be performed twice per day.

For other chronic conditions, daily treatment or every other day treatment is recommended for the initial therapeutic plan, to be followed-up by less frequent treatments once progress has been made.

It is evident that after 30 years, scalp acupuncture is still evolving in its techniques and applications.

In America, Dr. Zhu and his students have developed the techniques to suit the Western patients see Appendices 2, 3, and 4. In reviewing the Chinese literature see Appendix 5 , one can draw certain general conclusions.

Most authors suggest that utilizing scalp and body acupuncture together is a valuable method. The recommended frequency of treatment is high, from once or twice per day to once every other day, with a course of treatment typically involving 10—12 consecutive sessions, followed by a break of 2—4 days, sometimes 5—7 days.

Needle insertion, manipulation, retention, and removal are approached with differing techniques. An expressed concern is to minimize pain for the patient and also to make the procedure practical for the acupuncturist.

Thus, the frequently-mentioned method of rapid needle twirling may be replaced, in some cases, by other methods including electrical stimulation because of the potential for causing pain for the patient and fatigue and irritation for the acupuncturist.

At least one study compared the efficacy of twirling manual and machine-aided and electrical stimulation and the conclusion was that both were useful.

The twirling method with large needles remains a common practice in China. In all cases, it is considered important to obtain an appropriate needling sensation not pain ; often, this is to be accomplished by utilizing needle manipulation at least two to three times in the course of a single session for 2—3 minutes each time.

Total duration of needle retention in most cases is 20—45 minutes, though some patients are sent home with needles in place as Dr. Zhu recommends , for retention of several hours up to a maximum of 2 days.

Indications for scalp acupuncture include virtually all the usual indications for body acupuncture, but the main applications are stroke, paralysis, pain, and emergency situations Zhu has published a book regarding the latter: A Handbook for Treatment of Acute Syndromes by using Acupuncture and Moxibustion 3 , which includes scalp and other acupuncture techniques.

In a report from Harbin 18 , several aspects of scalp acupuncture for stroke patients were commented upon, which largely match the methodology and interpretation expressed by Zhu:.

The needle runs in the layer of loose connective tissue between the galea and the pericranium. Scalp points are especially effective because they are close to the part of the body that is affected, namely the brain.

Prolonged stimulation time, with rapid needling speed, gives better results. For example, constant needle twirling [the stimulation method more often used in China] for 3 minutes gave superior results to constant twirling for half a minute.

The effect of scalp needling is to stimulate the cerebral cortex; it can reverse the imposed inhibitory mechanisms on nerve function, revive cells that are not completely destroyed, and enhance the function of nerve cells that are subjected to ultra-low oxygen levels.

In general, Chinese clinical reports indicate a high degree of effectiveness; cases and situations leading to better or poorer outcome have been elucidated.

In America, there is less tendency to provide daily acupuncture, which might reduce the effectiveness. Given the general unfamiliarity with acupuncture, there is more likelihood of patients waiting to try acupuncture as a last resort rather than a first effort, so that the chances of improvement are more limited.

The scalp acupuncture technique taught by Dr. Good results were attained in cases where body acupuncture had not been sufficiently effective.

Appendix 2: Dr. Qingming Zhu opened his neurology clinic for scalp acupuncture therapy in Santa Cruz, California in October, , after offering his services for 6 years in San Francisco.

Santa Cruz is a small beach town about 85 miles south of San Francisco that supports an acupuncture college—the Five Branches Institute.

The neurology clinic shares space in the same building as the college, serving also as a training center for acupuncture students.

Another acupuncture clinic is also in the same building, staffed by several experienced Western practitioners, and provides the more standard variety of acupuncture therapy.

Although Zhu has learned English, his work is aided by a translator who can speed up and clarify the communications.

Still, many of his house calls are made without this help. The main hospital in neighboring San Jose, after initially letting him work on in-patients, has since refused to continue such permission, viewing his techniques unfavorably, despite the overwhelming support of those receiving the treatments.

Medical doctors have scoffed at his claims to be able to help quadriplegics by scalp acupuncture. His clinic is a small facility with one main room, having a dozen chairs for patients to sit on while receiving scalp acupuncture, and a pair of curtained-off segments of the room for beds so that patients can receive acupuncture while lying down.

There is a small office, which often turns into a treatment room, and one small private treatment room off the office. At this facility, about 20 patients visit each day, staying for 2—3 hours: after the needles are inserted, Zhu stimulates the needles from time to time.

The room becomes quite crowded as most of the patients come with helpers. He also teaches at the college.

His treatment technique relies almost exclusively on scalp acupuncture, sometimes using a dozen or more needles in the scalp at one time for the more severely debilitated patients.

Although the needling is sometimes painful, he has adapted the treatment so that even babies and young children accept it.

Zhu rarely prescribes herbs, but primarily relies on frequent scalp acupuncture therapy daily or every other day.

He has a few patent remedies available at his clinic and has access to crude herbs for making decoctions, or preparing topical applications, from the college pharmacy.

Zhu treats a wide range of neurological problems, including cerebral palsy, epilepsy, injury-induced paraplegia, multiple sclerosis, and post-stroke syndrome, as well as disorders that seem to fall beyond the ability of neurologists to pin them down with a name.

In a few cases of quadriplegia, Dr. Zhu is using a video camera to illustrate the extent of changes in patient capabilities.

For more information on Dr. The following protocol was developed by Dr. Edythe Vickers, based on the teachings of Dr. Mingqing Zhu, and is being used at the Institute for Traditional Medicine.

If the primary lesions are in the brain, insert needle in Eding Zone 1, needling along the GV line towards the face. This is intended to improve vision e.

If the primary lesions are in the neck, then insert the needle in Dingzhen Zone 1, which governs the neck. If the patient is suffering from a bladder disorder typically, there is inability to completely empty the bladder, and there may also be incontinence; many individuals rely on a catheter , then needle only within Eding Zone 4.

This latter treatment is the same as selected by Chen and Chen 4 for treatment of enuresis. Use two additional needles to complete the treatment.

For persons who have weakness, tingling sensation, or other disorders affecting the arms and hands, needle instead Dingnie Zone 2, with the needle aiming towards the face towards ST If the problem affects one side of the body, needle the opposite side of the scalp, but if it affects both sides, needle both sides of the scalp.

For persons with weakness and numbness in the legs, use Dingnie Zone 1, with the needle towards the GV Again, needle either one side or both sides, as appropriate.

Use the thrusting technique jinqi in most cases, as this will tonify the deficiency. The manipulation should be carried out until the patient notices a change in their condition.

When treating the arm or leg scalp zones, have the patient attempt movement of the body part while the needle is manipulated. For bladder disorders, have the patient breathe deeply to the lower abdomen, Dan Tian , which should focus attention on the area being treated and help to produce a warming sensation.

When treating Eding 1 for the eyes , have the patient gently rub their palms over the eyes. If an effect is not noted clarifying of vision, change in sensation or strength in affected limbs within about 3 minutes of manipulation time, check that the needling location and needle placement are correct; if correct, it may be necessary to try the lifting method chouqi instead, especially if there is pain.

Once a response is noted, the needle manipulation can be ceased. Patients with leg weakness should attempt to walk for a few minutes.

After about 15 minutes from the previous manipulation , the needles should be manipulated again. At the end of the third manipulation, the patient will be instructed to retain the needles for a period of several hours, up to two days, and then remove the needles themselves or with the aid of someone who can assist them.

The needles used for body acupuncture are removed at the end of the in-clinic treatment session. Holly Gahn, L. She described her basic treatment techniques as follows, indicating that there are a number of other procedures that she may utilize to complete the treatment:.

Treatment Course. On the first day, the patient is treated in the morning and in the evening; for the next nine days, the patient is treated once daily.

Then, treatment continues at the rate of three times per week until the condition has resolved or the patient has reached what appears to be the maximum level of improvement.

Point Selection. The motor, sensory, balance, vision, and speech areas are utilized as appropriate. For unilateral paralysis, use the contralateral side, but use bilateral treatment of the zones for bilateral paralysis.

In cases of generalized brain damage as occurs with anoxic brain damage , Zhu's Eding zone is used predominantly, along with GV and UB-3 bilaterally.

If the patient's scalp becomes sensitive to needling, as might occur with frequent needling of the same zone, it is helpful to alternate from one treatment to the next between the motor and sensory points and the Eding zone.

Needling Procedure. Needles are inserted one cun obliquely into the subaproneurotic space. Needles point downwards and are angled off towards the affected limb.

It is stimulated by small-amplitude, lift and thrust technique at rapid frequency times per minute if possible.

Body needles are also inserted, using standard procedures. Both the scalp and body acupuncture needles are retained for 20—30 minutes and stimulated every 2—3 minutes during this time.

Neuromuscular Re-education. Immediately after the basic needle treatment, the body needles are removed, but the scalp needles are retained.

The patient is taken through a series of exercises while the scalp needles are being stimulated simultaneously.

If the patient is comatose or otherwise unable to perform these, the practitioner or assistant performs the otherwise passive motions for the patient.

The patient, all the while, is encouraged to try to think about doing the exercises, to visualize it, to visually watch the movements if possible.

Verbal encouragement is even given to those who are comatose. As soon in the treatment course as the patient is able to perform the movements, they are encouraged to do so, even if the movement is slight.

As they become stronger, the practitioner adds resistance to each exercise weights can be added , thus requiring the patient to apply greater strength and, in some cases, more muscle groups to the task.

The effort put forth by the patient is of utmost importance. For Comatose Patients. The needles should be stimulated strongly manual for 10 minutes.

Then add PC-6 and SP-6 with strong stimulation before proceeding to needle the rest of the body and scalp. About needling techniques and duration.

For peripheral facial paralysis, Cui Yunmeng 7 suggests using a. The needle is twirled at a speed of times per minute. Needles are retained for 20—30 minutes, being twirled twice.

Needling is done in the facial motor area of the scalp, on the same side as the affected part. For treatment of hemiplegia, Wang, et al.

Acupuncture is given once daily for 40 minutes, with 10 days as one treatment course, and a rest of 3 days between courses.

After insertion, the needle is twisted for 5 minutes at a speed tolerable to the patient who is advised to exercise the limbs as best he can.

The common one is the rapid needle-twirling method, that is, after being inserted to the lower layer of the galea aponeurotica, the needle is tightly held by the thumb and index fingers, and rapidly twirled for about times per minute.

This manipulation requires a high frequency and continuous movement and lasts 2—3 minutes each time. Within half an hour, the manipulation should be done 2—3 times.

Owing to the fact that by this method the needle often twines the muscular fibers and causes pains, it is not well accepted by the patient. Furthermore, the metacarpophalangeal joint of the operator fatigues easily.

For this, the finger twirling is replaced by electric twirling, in which the patient is given pulse electric stimulations with dense and loose waves and a current intensity tolerable by the patient.

For the treatment of post-stroke syndrome, Pang Hong 9 reports the following method, based on the teachings of K.

For reinforcement, the filiform needle was inserted at an angle of 15—30 degrees to the scalp, slowly and forcefully to beneath the aponeurosis.

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You can unsubscribe at any time. Not finding what you're looking for? Still, many of his house calls are made without this help. The main hospital in neighboring San Jose, after initially letting him work on in-patients, has since refused to continue such permission, viewing his techniques unfavorably, despite the overwhelming support of those receiving the treatments.

Medical doctors have scoffed at his claims to be able to help quadriplegics by scalp acupuncture. His clinic is a small facility with one main room, having a dozen chairs for patients to sit on while receiving scalp acupuncture, and a pair of curtained-off segments of the room for beds so that patients can receive acupuncture while lying down.

There is a small office, which often turns into a treatment room, and one small private treatment room off the office. At this facility, about 20 patients visit each day, staying for 2—3 hours: after the needles are inserted, Zhu stimulates the needles from time to time.

The room becomes quite crowded as most of the patients come with helpers. He also teaches at the college.

His treatment technique relies almost exclusively on scalp acupuncture, sometimes using a dozen or more needles in the scalp at one time for the more severely debilitated patients.

Although the needling is sometimes painful, he has adapted the treatment so that even babies and young children accept it.

Zhu rarely prescribes herbs, but primarily relies on frequent scalp acupuncture therapy daily or every other day. He has a few patent remedies available at his clinic and has access to crude herbs for making decoctions, or preparing topical applications, from the college pharmacy.

Zhu treats a wide range of neurological problems, including cerebral palsy, epilepsy, injury-induced paraplegia, multiple sclerosis, and post-stroke syndrome, as well as disorders that seem to fall beyond the ability of neurologists to pin them down with a name.

In a few cases of quadriplegia, Dr. Zhu is using a video camera to illustrate the extent of changes in patient capabilities. For more information on Dr.

The following protocol was developed by Dr. Edythe Vickers, based on the teachings of Dr. Mingqing Zhu, and is being used at the Institute for Traditional Medicine.

If the primary lesions are in the brain, insert needle in Eding Zone 1, needling along the GV line towards the face. This is intended to improve vision e.

If the primary lesions are in the neck, then insert the needle in Dingzhen Zone 1, which governs the neck. If the patient is suffering from a bladder disorder typically, there is inability to completely empty the bladder, and there may also be incontinence; many individuals rely on a catheter , then needle only within Eding Zone 4.

This latter treatment is the same as selected by Chen and Chen 4 for treatment of enuresis. Use two additional needles to complete the treatment.

For persons who have weakness, tingling sensation, or other disorders affecting the arms and hands, needle instead Dingnie Zone 2, with the needle aiming towards the face towards ST If the problem affects one side of the body, needle the opposite side of the scalp, but if it affects both sides, needle both sides of the scalp.

For persons with weakness and numbness in the legs, use Dingnie Zone 1, with the needle towards the GV Again, needle either one side or both sides, as appropriate.

Use the thrusting technique jinqi in most cases, as this will tonify the deficiency. The manipulation should be carried out until the patient notices a change in their condition.

When treating the arm or leg scalp zones, have the patient attempt movement of the body part while the needle is manipulated.

For bladder disorders, have the patient breathe deeply to the lower abdomen, Dan Tian , which should focus attention on the area being treated and help to produce a warming sensation.

When treating Eding 1 for the eyes , have the patient gently rub their palms over the eyes. If an effect is not noted clarifying of vision, change in sensation or strength in affected limbs within about 3 minutes of manipulation time, check that the needling location and needle placement are correct; if correct, it may be necessary to try the lifting method chouqi instead, especially if there is pain.

Once a response is noted, the needle manipulation can be ceased. Patients with leg weakness should attempt to walk for a few minutes.

After about 15 minutes from the previous manipulation , the needles should be manipulated again. At the end of the third manipulation, the patient will be instructed to retain the needles for a period of several hours, up to two days, and then remove the needles themselves or with the aid of someone who can assist them.

The needles used for body acupuncture are removed at the end of the in-clinic treatment session. Holly Gahn, L.

She described her basic treatment techniques as follows, indicating that there are a number of other procedures that she may utilize to complete the treatment:.

Treatment Course. On the first day, the patient is treated in the morning and in the evening; for the next nine days, the patient is treated once daily.

Then, treatment continues at the rate of three times per week until the condition has resolved or the patient has reached what appears to be the maximum level of improvement.

Point Selection. The motor, sensory, balance, vision, and speech areas are utilized as appropriate. For unilateral paralysis, use the contralateral side, but use bilateral treatment of the zones for bilateral paralysis.

In cases of generalized brain damage as occurs with anoxic brain damage , Zhu's Eding zone is used predominantly, along with GV and UB-3 bilaterally.

If the patient's scalp becomes sensitive to needling, as might occur with frequent needling of the same zone, it is helpful to alternate from one treatment to the next between the motor and sensory points and the Eding zone.

Needling Procedure. Needles are inserted one cun obliquely into the subaproneurotic space. Needles point downwards and are angled off towards the affected limb.

It is stimulated by small-amplitude, lift and thrust technique at rapid frequency times per minute if possible. Body needles are also inserted, using standard procedures.

Both the scalp and body acupuncture needles are retained for 20—30 minutes and stimulated every 2—3 minutes during this time. Neuromuscular Re-education.

Immediately after the basic needle treatment, the body needles are removed, but the scalp needles are retained. The patient is taken through a series of exercises while the scalp needles are being stimulated simultaneously.

If the patient is comatose or otherwise unable to perform these, the practitioner or assistant performs the otherwise passive motions for the patient.

The patient, all the while, is encouraged to try to think about doing the exercises, to visualize it, to visually watch the movements if possible.

Verbal encouragement is even given to those who are comatose. As soon in the treatment course as the patient is able to perform the movements, they are encouraged to do so, even if the movement is slight.

As they become stronger, the practitioner adds resistance to each exercise weights can be added , thus requiring the patient to apply greater strength and, in some cases, more muscle groups to the task.

The effort put forth by the patient is of utmost importance. For Comatose Patients. The needles should be stimulated strongly manual for 10 minutes.

Then add PC-6 and SP-6 with strong stimulation before proceeding to needle the rest of the body and scalp. About needling techniques and duration.

For peripheral facial paralysis, Cui Yunmeng 7 suggests using a. The needle is twirled at a speed of times per minute.

Needles are retained for 20—30 minutes, being twirled twice. Needling is done in the facial motor area of the scalp, on the same side as the affected part.

For treatment of hemiplegia, Wang, et al. Acupuncture is given once daily for 40 minutes, with 10 days as one treatment course, and a rest of 3 days between courses.

After insertion, the needle is twisted for 5 minutes at a speed tolerable to the patient who is advised to exercise the limbs as best he can.

The common one is the rapid needle-twirling method, that is, after being inserted to the lower layer of the galea aponeurotica, the needle is tightly held by the thumb and index fingers, and rapidly twirled for about times per minute.

This manipulation requires a high frequency and continuous movement and lasts 2—3 minutes each time. Within half an hour, the manipulation should be done 2—3 times.

Owing to the fact that by this method the needle often twines the muscular fibers and causes pains, it is not well accepted by the patient.

Furthermore, the metacarpophalangeal joint of the operator fatigues easily. For this, the finger twirling is replaced by electric twirling, in which the patient is given pulse electric stimulations with dense and loose waves and a current intensity tolerable by the patient.

For the treatment of post-stroke syndrome, Pang Hong 9 reports the following method, based on the teachings of K. For reinforcement, the filiform needle was inserted at an angle of 15—30 degrees to the scalp, slowly and forcefully to beneath the aponeurosis.

Pressure was applied to the point for one minute, and the needle was quickly withdrawn after a retention of 10 minutes.

For reduction, the manipulations were similar, except that after 10 minutes of retention the needle was withdrawn slowly, when the skin formed a mount around the retreating needle.

For either reinforcement or reduction, the needling took 15 minutes, including the 10 minute period of needle retention. Courses of treatment were 10 daily sessions, with efficacy appraised after three courses.

The application of reinforcing and reducing manipulations would shorten the therapeutic course, promote the therapeutic efficacy, and decrease the rate of disability.

The method of slow-rapid reinforcing-reducing in scalp acupuncture had the advantages of causing less pain and inducing proper occurrence of the needling sensation; therefore, it was well received by the patients.

First, locate the upper point of the motor area, and with the left hand fixed on it, insert the needle obliquely towards the lower point at an angle of 15 degrees with the skin surface.

Holding the needle with the right first three fingers, insert the needle quickly until it reaches the loose cellular tissue beneath the scalp.

Then turn the needle horizontally with respect to the skin surface, and push it to a depth of about 1. Twist and rotate the needle but never lift and thrust it.

Hold the needle between the medial surface of the terminal part of the right index finger and the palmar surface of the terminal part of the right thumb.

With repeated extensions and flexions of the interphalangeal joint of the index finger, one rotates the needle in one direction till it turns two rounds and then in the other direction for another two rounds.

One may rotate this way times for one minute, repeat rotating 5—10 minutes later, and retain the needle till 30 minutes after the insertion including the time of rotating.

With rotating of the head of the needle, the patient usually reports the feeling of local heat, numbness, and tics.

There may sometimes be radiation of such feelings to contralateral and homolateral limbs. In general, therapeutic effects are achieved with mere appearance of local needling feeling; nevertheless, still better results will be had if the feelings radiate to the limbs.

You may produce all the needling feelings with electrical stimulation. To do this, one inserts a 1 cun needle into the upper point of the motor area and pushes it horizontally towards the lower point, and then insert a 1.

The needle was retained for 40 minutes, with small amplitude twistings for another 0. Practice has shown that needling on the motor and sensory areas simultaneously, and on the affected side and the healthy side simultaneously produces better curative effects.

In light of the experience of Professor Shi Xuemin, the authors adopted deeper insertion of the needles both on the scalp and on the body.

Retention of the needles enhanced vasodilation of the cerebral vessels to increase cerebral circulation more than simple twistings of the needles for the recovery of nervous functions.

The authors therefore lengthened the needle retention to 40 minutes. Liu Chunhui and Wang Ying 11 reported on their experience of treating acute apoplexy during a medical visit to Yemen.

The patients were asked to exercise the limb during the needle manipulation. Wu Chengxun 12 reported on using three techniques of needle manipulation.

Manual twirling was done with a frequency of — times per minute and the twirling was performed every 3—5 minutes; a needle twirling machine was applied at a frequency of times per minute and applied in the same fashion; an electroacupuncture device was used with a frequency of — waves per minute, with continuous stimulation for 10 minutes.

After the stimulations were applied, needles were retained for several minutes so that the total duration of needling was 25 minutes.

The treatment was performed daily for 12 days, and then a rest period of five to seven days was allowed before resuming another course of 12 days treatment.

With a total of cases of hemiplegia so treated, it was determined that there was no significant difference in the outcome for the three methods of stimulation.

Ji Nan and colleagues 13 used scalp and body acupuncture to treat sequelae of stroke and cerebral injury, claiming improvement in all but 3 of patients, with treatments deemed markedly effective in Needles were inserted, as appropriate to the condition being treated, into zones designated motor area, sensory area, vasomotor area, and speech zones I, II, and III.

For paralysis, they used the method of treating the side opposite the affected limb. Sessions were once daily for 10 days as a course of treatment, applying 2 courses as the standard.

Zhang Naizheng 14 described treatment of tremor artuum in 35 individuals using a combination of body points and scalp acupuncture.

Using a 26 or 28 gauge, 5 cm long needle, the squeeze-holding method was used for insertion; the angle of insertion was 30 degrees, and the needle was rapidly twirled with a small scope of movement, about times per minute for 2 minutes, and then retained without twirling for 5 minutes; this procedure was repeated three times and then the needle was removed.

Zhang Mingju reported 15 on treatment of cases of hallucinations using scalp acupuncture. The method used was point-through-point needling, with the needles inserted at an angle of about 15 degrees with the scalp and running from GV to GV the Dingzhen 1, which affects the head ; auxiliary treatment locations were needled by similar method, starting at the selected point and then needling through to the next point examples: GB to GB; TB to TB Needles were twirled and agitated for 1—3 minutes.

When the needling sensation is felt is the best time to channel qi to the locality of the disease. Needles were retained for 1—3 hours.

Acupuncture was performed daily, and 10 sessions constituted on therapeutic course. After the first course, acupuncture was performed every other day, with 10 sessions constituting the second therapeutic course.

If still necessary, acupuncture was performed twice weekly, with 10 sessions constituting the third therapeutic course.

Zhang Hong reported 16 on treatment of 76 cases of senile urinary incontinence. Body and scalp acupuncture was used, with scalp points picked in the leg motor and sensory area 1 cm lateral to GV, corresponds to Eding 4 and reproduction area Epang 2.

Electrical stimulation was adopted, with a frequency of about pulses per minute, with the intensity limited to the patient's tolerance.

Needles were retained for 30 minutes. Treatment was given 5 times per week, with 10 treatments constituting one course, with an interval of one week between courses.

After 1—2 courses, half the cases were cured, and 20 others markedly improved. Since the scalp is rich in nerves and blood vessels and is more painful than the limb when punctured, the needle insertion should be rapid and kept away from the hair follicles and the tip of the needle should be sharp.

After insertion, the needle body should be rapidly pushed to the lower layer of the galea aponeurotica that is the loose connective tissue to allow the needle to be manipulated freely to cause less pains.

In order to strengthen the stimulative sensations, the point-through-point method is used, that is, the needle penetrates several points at the same time.

Sometimes the method of two needles punctured to each other is used. Since , ITM Trade has been providing the development, implementation and support of both general and financial-oriented online projects.

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