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۱-۷-6
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My acupuncture training is mostly
European and Canadian. I am here to
share with you acupuncture
principles which may not be familiar
to you .
In particular, I am giving you a tool
to treat many patients who previously
have been unable to be treated - thus
helping alleviate human suffering
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This AMD treatment is the first
situation I know of where
acupuncture treatment can do
something with quantifiable
endpoints that other medical
modalities cannot. That means
credibility in conventional Western
Medical eyes
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Significance
*Millions of persons afflicted
with AMD can now have help.
*This can help legitimize
acupuncture because the
condition is quantifiable - and
conventional medicine cannot
help.
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Presentation outline
*AMD background
Current conventional treatment
-Description of the Santa Fe Eye
Protocol
*Results of the Santa Fe Eye
Protocol
*Statistical significance
*Historic and Suggested Treatment
*Technical Details
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Prevalence : up to 9 million cases in
US
Cause: Unknown
Risk factors:
٠ Northern and Western European
ات ولت
٠ Ultraviolet exposure
9 Smoking
٠ Family history
٠ Most significantly, growing older
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Two varieties
*Dry AMD represents 90 % of cases
- usual course is a slow decline in
vision.
*Treatment is limited to
hypertension control, avoiding UV
exposure, quitting smoking, and
AREDS vitamins and lutein.
*Wet or Neovascular is 10% of
cases - but the more likely to lead ©
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Ophthalmologists are now able to
stop bleeding by various techniques.
*Thermal laser started 20 years
ago - with 3 line vision loss an
immediate consequence.
*Photodynamic Therapy - IV
Verteporfin
with cold laser - could treat 40 %
of wet AMD cases without the laser
3 line loss.
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eAnti Vascular Epithelial Growth
Factor: intraocular injections of:
Macugen, Lucentis, and off label
نأك ة تلط
"1116131111 326 5126
reports 20+% of these patients
regain lost vision - BUT most
likely the vision gain is the body
reabsorbing blood after leak stops
-NOT the action of the drug
itself.
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Today’s Report on My Work
Since 2001 more than 1500 persons
ناتلا لعأوعا عمط عتحتهط 75
of the same protocol involving
several different acupuncture
modalities.
Overall, 85% of patients had an
overall improvement in visual
acuity.
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Basic Definitions
AMD = Age-Related Macular
Degeneration
OS = left eye OD = right eye
ETDRS charts (Early Treatment of
Diabetic Retinopathy Study)
٠ 5 letters each line
* Logarithmic -3 lines =
doubling vision
¢ Validated by National Eye
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The Santa Fe Eye Protocol works on
related retinal conditions - but only half
و2 ۰
In Asians, Myopic Degeneration is the
most common type of retinopathy.
In Caucasians it is Retinitis
Pigmentosa, Stargardts, and Best’s
Disease plus many other rare
congenital conditions.
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Reporting
Convention
Most of my patients were not
local and came for a week for
daily treatments and were tested
on Monday, Wednesday and
Friday before treatment. Thus
reports were standardized to
reflect 4 treatments
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385/351
77.4 years
44-102 years
20.75 (Snellen
20/96)
24.06 (Snellen
20/84)
Previously
= 1
# individuals
Male/Female
Average age
Age range
Initial Acuity ETDRS Near
Initial Acuity ETDRS Far
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n=710
OD Far
Overall Results
OSNear ODNear OS Far
Letters
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Methods
At intake:
* Measure visual acuity using ETDRS eye charts
for both near and distant vision.
* VF-14 subjective measures
* Color screen using HRR isochromic color chart
* Pelli-Robson Contrast Sensitivity measurement
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Inclusion Criteria
*Must have ophthalmologist
diagnosed AMD
Must have ophthalmologist exam
saying no bleed:
* Within 3 months if Wet AMD
٠ Within 12 months if Dry AMD
+ If any significant vision loss
*Must not be demented
*No seizure history
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ETDRS Visual Acuity Chart
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4 2 1 00 ۲
‘ye
3 ٩
ETDRS Near Chart
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۱! ۳ ۶ 5 0
SCN * ۲
9
Pelli-Robson Contrast Sensitivity
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Santa Fe Eye Protocol
Components
*German Ear Acupuncture
*Canadian Neuroanatomic Acupuncture
*Classic Chinese Scalp Acupuncture
“Yamamoto Scalp Acupuncture
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Indirect stimulation of
specific parts of brain
تتوة طوتامصسطا Coly el nar bay
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XMHN # 1, Yamamoto CN needles.
Visual cortex over lambdoid suture is
being re-investigated
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| oe
area
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Dry AMD Gains after 4 Tx
n=367
tae ود
۳ تال
or
OS Near ODNear OSFar OD Far
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Wet AMD Gains after 4 TX
6 n=159
n=159
| ۱ | |
۱ 1 1 1 1
05 ۱۲۶2۲ . 0 ۵۲ OD Far
Letter
=
aS”
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Overall Gain vs Intake Acuity
n= 280 n=412
6
5 n=405 4p =74]
Z 4
8 ; | n=70
۱ ۳1
0 1
ی
00 s
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Vision Gains By Tx Date
9232
Pre Nov Nov 07 - Apr 08 - Nov 08 - Sep 09 -
07 Apr08 Oct08 Sep09 Mar 10
20 1
125
19
18.5 3
187
17.5 7
17 +
20.5
Sum of letters OS and OD, both
Near and F
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Hard to Quantify Gains
*Distortions lessen.
*Scotomas diminish or
disappear.
“Less light needed to see.
*Sensation of a film over eyes
decreases.
*Colors become more vibrant.
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Function vs Physical Changes
Most patients and I focus on function.
For many retinologists, the more
important issue is changes in retinal
photographs , angiograms or OCT
measurements. A few patients have
reported significant gains in those
tests, but I have not performed them.
Those studies should be performed by
an independent, academic center ina
systematic way.
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DURABILITY
*An IRB study is underway to
determine durability and also late
ains. Release of records forms have
een signed - but it is a massive
effort yet to be done.
-Anecdotally, patients have retained
vision gains upwards of 5 years.
*When there are losses, a big portion
of the time they are associated with a
CVA. Rarely is it a hemorrhage - but
that is the big concern.
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Late Gains
A significant portion of patients
report late gains - scotomas
clearing, more colors, clearer vision,
etc. Since most patients are not
local, the next stage of research is
obtaining vision records from
treating eye doctors.
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۱
To date only black eyes - which
always spontaneously resolve.
There is a concern that there
might be an increase in the
number of bleeds in persons
with wet AMD. Only 2 cases
have occurred near the time of
treatment.
Periorbital infections are rare -
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Statistical Significance
Central Limit Theorem:
Standard deviation of a group
of N independent distributions
equals the standard deviation
of an individual divided by the
square root of N.
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Typical test-to-test variation for visual
acuity is 1% lines with 95%
eae aa
ividuals standard deviation is
01 «۹۱/2 ۱
For groups the size in this
presentation, the p value < 0.001
that the improvement is from
random variation.
The results are real!!
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Conclusion
The acupuncture protocol
reported here increased visual
acuity for both dry and wet
varieties of AMD much more than
can be explained by random
chance or test variation.
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Research Questions
‘What electric frequency to use?
-Duration of each treatment?
«Interval between treatments?
*Are there observable changes in
retinal photographs/angiograms?
*Optimal needle placement?
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Santa Fe Eye Protocol
2012 Suggested Needle
Placement and Technical Details
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Method
5
At intake:
Measure visual acuity using ETDRS eye
charts for both near and distant vision
Pelli-Robson Contrast Sensitiviy
measurement
Color screen using HRR isochromic color
chart
VF-14 subjective measures
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German pineal, CN 2, pineal,
diazepam analog, interferon and
steel ASP needle behind earlobe
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German Ear
Simplified protocol:
Both ears the same: non
dominant ear
gold at named Pineal, Diazepam
Analog, Interferon, CN 2 and
Eye point with steel on mastoid
earlobe opposite CN 2.
This represents “cookbook
recipe” as opposed to
practitioners needing to know
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Be sure to add gold ASP studs
Bilaterally at eye and CN 2 points
And a steel ASP on mastoid
Earlobe to form a Bahr Forceps
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ا ا للك وفيا
mm needles oriented not to 15
fall out
As of 2012 my preferred
approach is (-) at lambdoid
suture over visual cortex, 2 cm
from midline to (+) at ipsilateral
Yamamoto CN site 1 cm lateral
to midline. This starts 2 cm
cephalad of hairline toward
forehead
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XMHN # 1, Yamamoto CN
needles, visual cortex over
lambdoid suture
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۱ 0
Stimulation of Periorbital
عوك
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Suggested Eye Needle
Rlacementyital ridge (-) to
temporal supraorbital ridge (+)
and temporal infraorbital ridge
(-) to nasal supraorbital ridge
Needles arranged such that
electric current will flow through
the whole retina - including the
2222
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Old array - no time for new slide.
Crisscross pattern (-) nasal infraorbit to
(+) temporal supraorbit, (-) tempral
infraorbit to (+) nasal supraorbit
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ENERGY
This is my historic protocol.
Going forward I will simplify my
protocol by eliminating this part
except in those persons suffering
excess fatigue. I started it
because older persons coming
from sea level to Santa Fe’s 7000
foot elevation suffered.
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SPAbandenied tEKEBGy to ST 30
oer usa tein shes? fl 2/4(+), CV 12, 17,
tack at PC 6 with return LI 11 (-) to
ST 36 (+)
This is Chong Mo expanded - to add
energy to the system, with a French
Energetics return that stimulates the
immune system. These circuits
alone are a very powerful
combination to add energy and
stimulate immune system in a very
large number of clinical situations. ~
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Precautions
*Periorbital infections MUST BE
aggressively treated with
antibiotics
*Seizures are a contraindication
*Demented persons do not
respond well and cannot validly
ع1 01:
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Helpful Pointers
- Anti-coagulation is not a
contraindication
* Black eyes are very common -
but always resolve spontaneously.
I always apply an ice pack for 5 -
10 minutes after each treatment
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Technical Details
I have no business interest with any
supplier
ETDRS and Pelli-Robson charts from
several sources. Precision Vision, La
Salle, IL is one.
Needles: Many sources. I use
Accuglide from Helio and gold ASP
semipermanent needles from Lhasa
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Stimulators: Most stimulators do NOT
deliver the frequencies indicated. Ito and
several Chinese devices are commonly off
by 50%. Pantheon Electric (Santa
Monica, CA) devices cost twice as much
but are exactly correct as tested by
oscilloscope. They also will set units at
Nogier frequencies.
Electrodes formerly from Helio, now from
Lhasa. Better ones are small wires, 3
prongs on one clip and 2 on the other.
صفحه 58:
MTV aoe mae iar ۱ ee
Full Text Posted: www.reverseAMD.com
Alston@LundgrenMD.com