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In The Mix. Sa Join top remixer LA Rush for his weekly one hour show which will include guest mixes and chat from the biggest names in the industry. Mit ITM fühlt sich jeder wohl auf seinem Fahrrad, auch auf langen Strecken oder in unwegsamen Gelände. Im Online-Shop von virtueelsymposium.nl, dem Händler für. nach hersteller, itm - ITM RACER Vorbau, ITM OVER 5 Vorbau, SHOGUN BULL-​BAR I Bullhorn-Lenker. ITM University Online offers UGC Approved Two Year Online MBA. It offers free MBA webinars. ITM University Online uploaded a video. ITM Radio plays all your favourite tracks, remixed and all in the mix. Rundfunk 24/​7 Online-. Highly entertaining and engaging programs makes ITM Radio the. Mit ITM fühlt sich jeder wohl auf seinem Fahrrad, auch auf langen Strecken oder in unwegsamen Gelände. Im Online-Shop von virtueelsymposium.nl, dem Händler für. Likes, 1 Comments - FH Burgenland (@fhburgenland) on Instagram: “​Department ITM goes online ‍ ‍ Das Team im Hintergrund. 43 Abonnenten, 0 folgen, 8 Beiträge - Sieh dir Instagram-Fotos und -Videos von ITM (@itmonline) an. Several different methods of needling were Bock Of Ra Kosten Frei Unangemeldet. The scalp needles were strongly stimulated with twirling at times per minute for 2—3 minutes, and followed by the lifting maneuver to get the Itm Online qi reaction. Dingjie has a front zone— Dingjieqian— and a back zone— Dingjiehou. 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 Playone in Another acupuncture clinic is also in the same building, staffed by several experienced Western practitioners, and provides the more standard variety Itm Online acupuncture therapy. This zone is actually comprised of short and narrow segments running from the top of the forehead into the hair zone. The zones include a few standard acupuncture points, but the treatment principle for point selection is usually not based on the traditional indication for the point or associated meridian. 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 The recommended frequency of treatment is high, from once or twice per day to once every other day, Bd Swiss App a course of treatment typically involving 10—12 consecutive sessions, followed by a Paris Saint Germain Handball Trikot of 2—4 days, sometimes 5—7 days. The zone is 1 cun wide. Business All Slots Mobile Casino Bonus Codes information. Free postage Opens image gallery Image not available Photos not available for this variation. See all. IT security expert and FH Professor Klaus Gebeshuber Trading Depot Vergleich interviewed about security vulnerabilities in IT infrastructure, defence and protection mechanisms and Visit Shop. Delivery times may vary, especially during peak periods and will depend on when your payment clears. Nähere Informationen hierzu finden Sie unter www.

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REED Instruments. Testo Instruments. Call us toll free 1. Customer Rating 4. According to the theory of channels and collaterals, shu points in the head can be used to treat diseases of the whole body.

Lu claims that more than 80 diseases are currently treated by this therapeutic method, which is particularly effective in treating disorders of the central nervous system and various acute and chronic pain syndromes.

He mentions specific examples: neurasthenia, anxiety neurosis, and other psychological and psychosomatic disorders, periarthritis of the shoulders, ischialgia, pain in the back and loin, painful heels, and other pain syndromes, hemiplegia, aphasia, senile dementia, and other brain disorders.

Three major contributors to the development of this system, Jiao Shunfa, Fang Yunpeng, and Tang Songyan, each proposed different diagrams and groupings of scalp acupuncture points.

For example, Jiao divided the scalp points into motor and sensory areas, Fang into writing speech and reading memory centers, and Tang into upper, middle, and lower burner areas.

Several different methods of needling were proposed. Jiao advocated rapid twirling with penetrating and transverse needling; Fang favored the slight twirling method and oblique needling; while Tang recommended long-duration needle retention with superficial stimulation of the needles, using the lifting and thrusting method.

Thus, scalp acupuncture is not really a single system, but a multiplicity of systems still in development, with a year history of practical experience.

A standard of nomenclature for acupuncture points has been developed adopted in and reconfirmed in , indicating 14 therapeutic lines or zones based on a combination of the thoughts of the different schools of scalp acupuncture.

However, it is often necessary to carefully review the zones relied upon by an individual practitioner, as few have adopted the unified pattern.

Since coming to the U. Zhu traces the origins of modern scalp acupuncture to the work of Huang Xuelong, who in introduced the concept that there is a relationship between the scalp and the cerebral cortex.

Several acupuncturists pursued this line, seeking points and zones on the scalp that would treat diseases of the brain.

Initial results of clinical work indicated that acupuncture applied to the scalp had good effect on diseases that were associated with cerebral damage, such as stroke.

Its applications were then extended to virtually all other diseases, but a focus on nervous system disorders is still dominant.

Other physicians in China trace the acceptance of scalp acupuncture as a new system to the development of ear acupuncture, which is also thought to be especially useful for neurological disorders due to the location of needling at the head.

According to Dr. Zhu, Baihui GV is the basis for all of the scalp points. Its upper part lies beneath the scalp, at the vertex, at point Baihui.

Traditionally, this point is treated to stabilize the ascending yang; it is also needled in order to clear the senses and calm the spirit.

The external pathway of the Governing Vessel is used to divide the left and right sides of the scalp. The left side governs qi and the right side governs blood.

Needling of the left side has a greater impact on disorders of the left side of the head and neck, but of the right side of the body below the neck, and conversely.

The zone names are simply based on anatomical descriptions. Following is a review of the primary scalp acupuncture zones See Appendix 1 for a picture of the zones.

The Eding zone runs from the forehead to the top of the head. The width is 1 cun and the length is 5 cun. The Eding zone governs the yin side front of the body, running from the perineum GV area of needling to the head GV area of needling.

The zone is divided into four regions. This region is used to treat the whole head and neck region. The effects of treatment in this region include calming the spirit, opening the orifices, arousing the mind, and brightening the eyes.

To treat, insert the needle along the side of the zone that corresponds with the side of the head or neck that is affected.

That is, although treatment usually includes one needle in the center of the zone along the GV line , if the problem is on the right side of the head or throat, place the needle on the right side of the zone.

For example, treating blurred vision in the right eye, place one needle in the right side of the Eding 1 zone or insert the needle at the center of the zone and direct it to the right side of the zone.

The direction of needling is usually towards the face. Eding 2 is the second quarter of the zone, extending from GV to GV This region is primarily used to treat disorders of the chest region.

The functions include opening the chest and regulating qi, opening the lungs, stopping wheezing, and calming the spirit.

If the problem is on one side of the body, needle the side of the zone on the opposite side contralateral. Eding 3 is the third quarter of the zone, extending from GV to GV This region is primarily used to treat disorders of the middle burner including treatment of acute appendicitis.

The functions include stopping vomiting and diarrhea, regulating the liver qi, and regulating the gallbladder. To treat, use the contralateral side.

Eding 4 is the last quarter of the zone, extending from GV to GV This region is used to treat the lower burner and the lower limbs.

The functions include regulating the menses, strengthening the kidneys and promoting urination. Needle on the contralateral side; if the disorder is central, as in bladder dysfunction, needle the central line of the zone or both sides.

The direction of needling is usually towards the back of the head. As described above, Zhu follows the principal that if the disorder affects the left or right side of the body, then treatment that is intended to affect the head or neck is done on the same side of the zone as the side of the disorder ipsilateral , but if it is below the neck, then the needle is placed on the opposite side of the zone.

This approach has been followed by many scalp acupuncture specialists in China. However, a few researchers claim that clinical evidence does not support the need to treat one side or the other; rather, one can alternate sides on subsequent days.

At this time, there is probably insufficient data to demonstrate that one or the other approach is significantly better. Alternate side needling might be better tolerated by the patient when daily needling is used.

The zone is 1 cun wide. It governs the spine, the yang aspect of the body back. It can be divided into 4 regions, equally spaced from each other. This region is mainly used for pain.

Dingzhen 1 starting at GV governs the back of the head and the neck. Dingzhen 2 governs the vertebrae C-7 seventh cervical, base of the neck through T 10th thoracic.

Dingzhen 3 governs the vertebrae T through L-5 fifth lumbar. Dingzhen 4 ending at GV governs the sacrum and coccyx. Needling here is painful, so it is rarely used.

The Eding and Dingzhen zones together form a central line from the front to the back of the scalp. In mapping the zones to the body structure, this line represents a continuum from head to abdominal base repeated twice, first covering the front of the body the more frontal points and then the back of the body.

The meeting point of the two zones, GV, can be used to treat the entire body, depending on the aim of the needle.

Dingnie Zone. The Dingnie zone runs from the center top of the head to the temple, at an angle aiming to the cheekbones.

It can be divided into 3 equal parts, and each part is used as a representation of a body region that can be treated within the zone.

Dingnie 1 governs the lower limbs. The homunculus for this zone looks like a person is kneeling with their foot and thigh on top of each other near GV , and their knees pointing towards ST This zone does not include the hip joint.

Dingnie 2 governs the upper limbs. The homunculus for this zone like a person with their elbows bent. The elbow zone is near the region between Dingnie 1 and 2.

The upper arm not including the shoulder and wrist are mapped near the intersection between Dingnie 2 and 3. Dingnie 3 near ST-8 governs the head.

It covers motor-sensory problems. This zone is rarely used as it can be painful to needle; Eding 1 is usually used instead. Mapping from the frontal hairline back, the top of the body is forward.

Also, the sensory zone is toward the forward part of the Dingnie zone, while the motor zone is toward the back of the Dingnie zone. Needling of this zone may include insertion from GV towards ST-8 or in the reverse direction.

This zone is actually comprised of short and narrow segments running from the top of the forehead into the hair zone. Epang 1 is used to treat acute diseases of the middle burner.

Epang 2 is used to treat acute diseases of the lower burner. It is located halfway between GB and ST This mapping of the body runs from the center line GV, the Eding zone governing head and throat to the side, progressing from head to middle warmer to lower warmer.

Dingjie has a front zone— Dingjieqian— and a back zone— Dingjiehou. The Dingjie zone is a set of four short segments arrayed from the top of the head to the front and back sides of the head.

These are short lines radiating forward and back to the sides from GV, the meeting spot between the end of the Eding zone corresponding to the genital area and the beginning of the Dingzhen zone corresponding to the head and neck.

The front Dingjie zone treats an area of the body just above that treated by the end of the Eding zone, and the back Dingjie zone treats an area just below that treated by the beginning of the Dingzhen zone.

This area is used to treat the hips and inguinal area. It is used to treat the area above the scapula, the upper trapezius region. Nieqian and Niehou Zones.

The Nieqian meaning forward temple zone is near the temple, above and to the front of the sideburn, while the Niehou meaning back temple zone is set back from the temple over the top of the ear.

The zones at the sides of the head are rarely used because the needling tends to be painful. It is mainly used to treat diseases of the ear.

The Dingnie zones, which extend at angles towards the front of the head from GV to ST-8 on either side from the central Eding zone, overlap the central zone.

However, because Dingnie zone 3 is more painful to needle and, because treatment of the head is adequately accomplished in the Eding zone 1; Dingnie 3 is seldom used by Dr.

To visualize the mapping, imagine a person squatting down with arms bent, placing the elbow on the knee, with the hand by the shoulder.

The beginning of Dingnie 1 is at the base of the foot, this overlaps with the upper thigh due to the squatting position, and then it maps upward to the knee; the zone then continues up the arm from the elbow towards the hand and shoulder, including the forearm in that same space Dingnie 2 ; finally, it follows up the head Dingnie 3.

Therefore, the needle enters the scalp behind the Dingnie zone. Dingnie zone 1 does not include the hips, and Dingnie zone 2 does not include the shoulder girdle; to treat those parts of the body, Dr.

Zhu relies primarily on the Dingnie zones. Aside from the standard zones, palpation of the scalp for tender points helps Zhu to identify the specific needling sites within the selected zone.

The Eding zone is the most frequently used of the scalp zones, with the Dingnie zones being used additionally for treating affected limbs. When treating a neurological problem that affects the extremities, the needles are directed, along a zone, towards the opposite extremity.

Thus, for example, if the left leg is affected, the needle will be directed outward along Dingnie 1 on the right side of the scalp.

Only for problems of the head and neck is the needling done on the same side of the scalp as the disorder. For disorders that are not specific to a body location, such as hypertension or epilepsy, needling may be done on both sides of the zone.

If the disorder to be treated is associated with a degenerative disease involving a kidney deficiency syndrome common in elderly patients and those with chronic, degenerative diseases , then Eding zone 4 is usually needled.

A typical needling pattern is: one needle in the center of the zone, and one needle on either edge of the zone, about 0.

He selects a zone site for treatment, and inserts one needle along the zone and then inserts a second needle perpendicular to that one, going across the zone and crossing over the first needle.

As an example for right-knee pain, a needle is first directed along Dingnie 1 towards the left temple, and then a second needle is inserted across that one.

The second needle is stimulated by the draining method. In cases of quadriplegia, another crossing technique is used.

The first needle is inserted across the zone e. In some cases, a series of cross-over needles are inserted along the length of a zone this may incorporate as many as 3 pairs of needles.

The needle size often mentioned in Chinese texts for scalp acupuncture is 26, 28, or 30 gauge, which is suitable for rapid twirling techniques.

The needle must be long enough so that it is not inserted up to the handle, but short enough that there will not be any bending during insertion and manipulation.

The angle of insertion is typically 15—25 degrees. The patient should not feel pain, though there are some rarely used scalp points along the sides of the head, mentioned above, that typically produce pain.

Press besides the treatment zones with the nail of the thumb and first finger of the left hand, hold the needle with the right hand, and keep the needle tip closely against the nail.

By avoiding the hair follicle, one can minimize pain during insertion. The direction of needling is usually based on the mapping of the body within the zone being treated: the needle is aimed along the line of the zone toward that portion of the zone most closely corresponding to the area of the body that is affected by the injury or disease.

Although the distance from the skin surface to the skull is very short, there are several tissue layers: the skin, hypodermis, galea aponeurotica and occipito-frontalis muscles, subaproneurotic space, and pericranium.

The subaproneurotic space is a loose layer of connective tissue that is ideal for penetration during scalp needling: the needle slides in smoothly and does not cause pain, yet the desired needling sensation is strong.

If the angle of needling is too shallow, the needle will penetrate the skin and muscle layers and it will be difficult to get a smooth insertion.

Upon inserting the needles, stimulation is applied for 1—2 minutes see below for stimulation technique. The needles are manipulated again after intervals of 10—15 minutes, for 1—2 minutes each time, throughout the duration of the patient visit, which may be as long as 2—3 hours.

Sometimes, the interval between needle stimulation sessions is longer due to insufficient staff time when there are numerous patients, but usually within 30 minutes.

The needles should remain in the scalp for a minimum of 4 hours except for treatment of acute symptoms, in which case, 0. However, for children and weak adults, the time of retention should be shorter.

Zhu generally prefers long-term needle retention of 1—2 days; this is in contrast to the method of Jiao Shunfa, who advocated removing the needles after the basic manipulations.

At that time, new needles are inserted at different points. If several parts of the body are affected by the illness or injury, the points selected may be rotated through a cycle aimed at treating each of the different body parts.

There are two basic needling methods for manipulating the qi, designated jinqi and chouqi , that have been elucidated by Dr. Both are based on ancient techniques and involve a rapid, short distance movements.

Jinqi jin means move forward is a tonifying, thrusting method. ITM Careers. ITM Trade is widely known for its professional achievements in the development and implementation of IT projects, as well as providing all kinds of services in this field.

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Quarterly Featured Focus Check it Out! Be the first to know. The homunculus for this zone like a person with their elbows bent.

The elbow zone is near the region between Dingnie 1 and 2. The upper arm not including the shoulder and wrist are mapped near the intersection between Dingnie 2 and 3.

Dingnie 3 near ST-8 governs the head. It covers motor-sensory problems. This zone is rarely used as it can be painful to needle; Eding 1 is usually used instead.

Mapping from the frontal hairline back, the top of the body is forward. Also, the sensory zone is toward the forward part of the Dingnie zone, while the motor zone is toward the back of the Dingnie zone.

Needling of this zone may include insertion from GV towards ST-8 or in the reverse direction. This zone is actually comprised of short and narrow segments running from the top of the forehead into the hair zone.

Epang 1 is used to treat acute diseases of the middle burner. Epang 2 is used to treat acute diseases of the lower burner.

It is located halfway between GB and ST This mapping of the body runs from the center line GV, the Eding zone governing head and throat to the side, progressing from head to middle warmer to lower warmer.

Dingjie has a front zone— Dingjieqian— and a back zone— Dingjiehou. The Dingjie zone is a set of four short segments arrayed from the top of the head to the front and back sides of the head.

These are short lines radiating forward and back to the sides from GV, the meeting spot between the end of the Eding zone corresponding to the genital area and the beginning of the Dingzhen zone corresponding to the head and neck.

The front Dingjie zone treats an area of the body just above that treated by the end of the Eding zone, and the back Dingjie zone treats an area just below that treated by the beginning of the Dingzhen zone.

This area is used to treat the hips and inguinal area. It is used to treat the area above the scapula, the upper trapezius region.

Nieqian and Niehou Zones. The Nieqian meaning forward temple zone is near the temple, above and to the front of the sideburn, while the Niehou meaning back temple zone is set back from the temple over the top of the ear.

The zones at the sides of the head are rarely used because the needling tends to be painful. It is mainly used to treat diseases of the ear.

The Dingnie zones, which extend at angles towards the front of the head from GV to ST-8 on either side from the central Eding zone, overlap the central zone.

However, because Dingnie zone 3 is more painful to needle and, because treatment of the head is adequately accomplished in the Eding zone 1; Dingnie 3 is seldom used by Dr.

To visualize the mapping, imagine a person squatting down with arms bent, placing the elbow on the knee, with the hand by the shoulder. The beginning of Dingnie 1 is at the base of the foot, this overlaps with the upper thigh due to the squatting position, and then it maps upward to the knee; the zone then continues up the arm from the elbow towards the hand and shoulder, including the forearm in that same space Dingnie 2 ; finally, it follows up the head Dingnie 3.

Therefore, the needle enters the scalp behind the Dingnie zone. Dingnie zone 1 does not include the hips, and Dingnie zone 2 does not include the shoulder girdle; to treat those parts of the body, Dr.

Zhu relies primarily on the Dingnie zones. Aside from the standard zones, palpation of the scalp for tender points helps Zhu to identify the specific needling sites within the selected zone.

The Eding zone is the most frequently used of the scalp zones, with the Dingnie zones being used additionally for treating affected limbs.

When treating a neurological problem that affects the extremities, the needles are directed, along a zone, towards the opposite extremity.

Thus, for example, if the left leg is affected, the needle will be directed outward along Dingnie 1 on the right side of the scalp.

Only for problems of the head and neck is the needling done on the same side of the scalp as the disorder. For disorders that are not specific to a body location, such as hypertension or epilepsy, needling may be done on both sides of the zone.

If the disorder to be treated is associated with a degenerative disease involving a kidney deficiency syndrome common in elderly patients and those with chronic, degenerative diseases , then Eding zone 4 is usually needled.

A typical needling pattern is: one needle in the center of the zone, and one needle on either edge of the zone, about 0.

He selects a zone site for treatment, and inserts one needle along the zone and then inserts a second needle perpendicular to that one, going across the zone and crossing over the first needle.

As an example for right-knee pain, a needle is first directed along Dingnie 1 towards the left temple, and then a second needle is inserted across that one.

The second needle is stimulated by the draining method. In cases of quadriplegia, another crossing technique is used.

The first needle is inserted across the zone e. In some cases, a series of cross-over needles are inserted along the length of a zone this may incorporate as many as 3 pairs of needles.

The needle size often mentioned in Chinese texts for scalp acupuncture is 26, 28, or 30 gauge, which is suitable for rapid twirling techniques.

The needle must be long enough so that it is not inserted up to the handle, but short enough that there will not be any bending during insertion and manipulation.

The angle of insertion is typically 15—25 degrees. The patient should not feel pain, though there are some rarely used scalp points along the sides of the head, mentioned above, that typically produce pain.

Press besides the treatment zones with the nail of the thumb and first finger of the left hand, hold the needle with the right hand, and keep the needle tip closely against the nail.

By avoiding the hair follicle, one can minimize pain during insertion. The direction of needling is usually based on the mapping of the body within the zone being treated: the needle is aimed along the line of the zone toward that portion of the zone most closely corresponding to the area of the body that is affected by the injury or disease.

Although the distance from the skin surface to the skull is very short, there are several tissue layers: the skin, hypodermis, galea aponeurotica and occipito-frontalis muscles, subaproneurotic space, and pericranium.

The subaproneurotic space is a loose layer of connective tissue that is ideal for penetration during scalp needling: the needle slides in smoothly and does not cause pain, yet the desired needling sensation is strong.

If the angle of needling is too shallow, the needle will penetrate the skin and muscle layers and it will be difficult to get a smooth insertion.

Upon inserting the needles, stimulation is applied for 1—2 minutes see below for stimulation technique. The needles are manipulated again after intervals of 10—15 minutes, for 1—2 minutes each time, throughout the duration of the patient visit, which may be as long as 2—3 hours.

Sometimes, the interval between needle stimulation sessions is longer due to insufficient staff time when there are numerous patients, but usually within 30 minutes.

The needles should remain in the scalp for a minimum of 4 hours except for treatment of acute symptoms, in which case, 0.

However, for children and weak adults, the time of retention should be shorter. Zhu generally prefers long-term needle retention of 1—2 days; this is in contrast to the method of Jiao Shunfa, who advocated removing the needles after the basic manipulations.

At that time, new needles are inserted at different points. If several parts of the body are affected by the illness or injury, the points selected may be rotated through a cycle aimed at treating each of the different body parts.

There are two basic needling methods for manipulating the qi, designated jinqi and chouqi , that have been elucidated by Dr.

Both are based on ancient techniques and involve a rapid, short distance movements. Jinqi jin means move forward is a tonifying, thrusting method.

Chouqi chou means to withdraw is a sedating, reducing method. It is based on forceful movement and a lifting motion.

The direction [angle] of lifting or thrusting is the same as that of the insertion. The outward and inward force exerted on the needle should be sudden and violent as if it is the strength from the whole body of the operator.

After lifting and thrusting continuously for three times, the needle body is sent back to the original place about one cun and significant therapeutic effects will be obtained after the maneuver is repeated for 2—3 minutes.

For the majority of neurological disorders, the tonification technique jinqi is used, with a series of rapid, very small-amplitude, in-out needle movements.

The emphasis is on the forward movement, then allow the needle to naturally pull back to the starting position. In cases of pain syndromes, the draining method chouqi is used, with the same kind of rapid, limited distance movements, but with the emphasis on outward movement, then allowing the needle to settle back in to the starting position.

During the stimulations, it is important for both the practitioner and the patient to focus on the breath this is an aspect of qigong therapy that is incorporated into the treatment.

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.

Needling here is painful, so it is rarely used. At that Register 1 50, new needles are inserted at different points. In reviewing the Chinese literature see Appendix 5one can draw certain general conclusions. When using manual manipulation in modern scalp acupuncture, it is Itm Online to stimulate the needles for 2—3 minutes Joyclub Veranstaltungen a time, with a rest period of 5—10 minutes between stimulations. Ji Nan and colleagues 13 used scalp and body acupuncture to treat sequelae of stroke and cerebral injury, claiming improvement Spieleaffe De Kostenlose Spiele all but 3 of patients, with treatments deemed markedly effective in By navigating the website, you Lotto Hamburg Gewinnzahlen our use of Bayern Regierungsbezirke Karte as described at our Cookies Policy. Contact Us Our offices are located in Tallinn and Vilnius. The zone is divided into four regions. This manipulation requires a high frequency and continuous movement and lasts 2—3 minutes each time. 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. You can therefore obtain information about all degree programmes via virtual channels and Learn More - opens in a new window or tab. Estimated delivery within working days Seller Bet365 Minimum Deposit within 1 day after receiving cleared payment - opens in a new window or tab. Postcode: Please enter a valid postcode. The main task of this project is to motivate IT students, but also people Find out here what you can do. Itm Online

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