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۶٩۱۸۱ ۱۲۰۱۸۱۱] ۷
Scalp
Acupuncture
Review
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Auricular
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Anatomy &
Somatatopic
Representation
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® Modern Auriculotherapy founded by
Paul Nogier in 1950‘s France
® Also developed in 1960’s China
© Some differences in point location
but overall very similar
@ Fetal / “Upside-down man”
representation
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© Lobe: Face & sensory
® Antitragus: Cranial & brain
® Internal organs in concha:
® Thorax = Inferior (Cavum) concha
® Abdomen = Superior (Cymba) concha
© Digestive = around helix crus
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9 501۳76 0۱
Upper limb on scaphoid fossa و
© Lower limb on upper antihelix crus
© Triangular fossa = Chinese:
Reproductive & Shenmen; French:
Lower limb
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Lobe: Cranial area/face/sensory on lobe و
Internal organs in concha @
® Spine on antihelix
® Upper limb on scaphoid fossa
@ Lower limb on upper antihelix crus
©» Triangular fossa = Chinese: Reproductive
& Shenmen; French: Lower limb
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Spine
Sacral Spine
Lumbar Spine \
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Arm and Hand
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Leg and Foot.C
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NADA Protocol
6 AKA: 5-Needle Protocol, 5NP
® Most common auricular protocol
used today
® Use for addictions, trauma, pain,
etc
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NADA
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@ Shen Men: Slightly superior and anterior
to the tip of the triangular fossa.
Sympathetic-Autonomic point: Junction و
of the internal helix and the inferior
antihelix crus. It is covered by the fold of
the helix.
® Liver: Junction of the concha ridge/helix
crus with the posterior concha wall (just
anterior to antihelix). Some maps place
it slightly superior to the concha ridge.
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۲ ,قطعممء 5۵6۲10۲ ۱۲ ۱0۴۵۰ و
concha wall, directly below Shen
Men.
© Lung 2: In lower part of inferior
concha, just below deepest part of
concha (Heart point).
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TCM
‘Bladder
Kidnoy.c.,
Large intestine
Gallbladder. |
all Intestine
mach
وه 1
Liver’
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Diagnosis
© Ear probe - look for painful points
@ Electronic point finder - low skin
resistance
® Visual inspection - Discoloration
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Treatment
e@ Filiform needles
© Press tacks or intradermals
® Seeds
® Bleeding
© Ear massage
©» Electric stim
laser و
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Needling
® Disinfect skin with alcohol
و Use 15mm, 7mm or press tack
@ Filiform needle retain 20-40 minutes
® Check for bleeding on removal of
needle
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Precautions
® Do not needle if external ear is
infected or inflamed
® Contraindicated for pregnancy with
history of miscarriage; caution
otherwise
® Caution weak constitution
® Do not leave tacks or seeds more
than 1 week
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Scalp Acupuncture
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Scalp Acupuncture
© Several different systems: Jiao, Zhu,
Yamamoto (YNSA), etc
® Jiao system most common
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a jit
( 2
|]
‘Stimdation Aréss—Top View
‘Stimulation Arene—Side View
Stimdation Araas~Bak View ‘Simufation Arvae—Front iow
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Blood vessel dation
and constriction area
Chorea and tremor
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Motor Area
Location: Locate the upper point 0.5 cm
posterior to the mid-point of the anterior-
posterior midline.
Then locate the lower point at the intersection
of the eyebrow-occiput line with the anterior
temporal hairline.
The line connecting the upper and lower points
is the motor area.
This line is divided into five equal portions.
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Motor Area
© Lower limb and trunk area Location: Upper
1/5 of the motor area. Indications: Contralateral
paralysis of the lower limbs.
© Upper limb area Location: Middle 2/5 of the
motor area. Indications: Paralysis of the upper
limbs.
© Facial area Location: Lower 2/5 of the motor
area. Indications: Facial paralysis, motor
aphasia, salivation, impaired speech, and
dysphonia.
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Sensory Area
Location: The line parallel to and 1.5 cm posterior to
the motor area. Divide this line into five equal
portions.
Lower limb, head, and trunk area Location: Upper
1/5 of sensory area. Indications: Contralateral lumbar
pain, leg pain, numbness, paresthesia, occipital
headache, neck pain, tinnitus.
Upper limb area Location: Middle 2/5 of the sensory
area. Indications: Upper limb pain, numbness,
paresthesia.
Facial area Location: Lower 2/5 of the sensory area.
Indications: Facial numbness, migraine, trigeminal
neural- gia, toothache, temporomandibular arthritis.
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Chorea & Tremor Control Area
Location: Parallel and 1.5 cm anterior to the
motor area. Indications: Chorea, Parkinson's
disease.
Blood vessel dilation and constriction area
Location: Parallel and 1.5 cm anterior to the
chorea and tremor control area. Indications:
Superficial edema, hypertension.
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Vertigo and hearing area
Location: A horizontal line 1.5 cm above the ear
apex; 2 cm anterior and 2 cm posterior (total
4.0 cm length). Indications: Tinnitus, vertigo,
diminished hearing, Meniere’s syndrome.
Speech 3
Location: A horizontal line starting at the
midpoint of the Vertigo and Hearing Area and
running posteriorly 4.0 cm in length.
Indications: Sensory aphasia.
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Speech 2
Location: A vertical line 2.0 cm posterior and
inferior to the parietal tubercle 3.0 cm in length.
Indications: Nominal aphasia.
Voluntary Movement / Usage area
Location: At the parietal tubercle origin, three
lines run inferiorly, anteriorly, and posteriorly
3.0 cm each with a 40° angle between each of
the lines. Indications: Apraxia.
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Foot Motor and ۷
Area
@ Location: Two lines 1.0 cm lateral to the
midpoint of the anterior-posterior midline 3.0
cm in length posterior and parallel to the
midline.
@ Indications: Contralateral lower limb pain,
numbness, paralysis, acute lumbar sprain,
nocturia, and uterine prolapse.
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Vision area
Location: Two lines 1.0 cm lateral to the midpoint of
the external occipital protuberance, parallel to the
anterior-posterior midline, 4.0 cm in length
extending superiorly. Indications: Visual
disturbances, cortical blindness.
Balance area
Location: Two lines 3.5 cm lateral to the midpoint of
the external occipital protuberance, parallel to the
anterior-posterior midline, 4.0 cm in length
extending inferiorly. Indications: Loss of balance
due to cerebellar disorders, dizziness.
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Anterior-posterior
of midline
‘Thoracic cavity
‘Stomach area
Reproduction area
Intestine area
Liver and gall
bladder area
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Stomach area
Location: Beginning at the hairline directly superior to
the pupil of the eye, parallel with the anterior-
posterior midline, 2.0 cm in length bilaterally
extending posteriorly. Indications: Stomach /
epigastric pain.
Thoracic cavity
Location: Beginning 2.0 cm below the hairline,
midway between and parallel to the stomach area
and the anterior- posterior midline, 4.0 cm in length
bilaterally extending superiorly. Indications: Chest
pain, palpitations, coronary heart disease, asthma,
and hiccups.
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Reproduction area وه
@ Location: Beginning at the hairline, a line 2.0
cm in length from the frontal angle extending
posteriorly and parallel to the anterior-posterior
midline. Indications: Functional uterine
bleeding, pelvic inflammation, leukorrhea, and
uterine prolapse.
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Liver and Gallbladder Area
Location: Beginning at the hairline, a line 2.0
cm in length from the stomach area extending
inferiorly. Indications: Upper right quadrant
abdominal pain, chronic hepatitis, abdominal
pain due to liver and gallbladder disease.
Intestine Area
Location: Beginning at the hairline, a line 2.0
cm in length from the reproduction area
extending inferiorly. Indications: Lower
abdominal pain.
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Needle Technique
® Clean insertion site with alcohol
®@ Use 1-2 cun filiform needles, 28-32 gauge
® Insert 30° angle, thread into aponeurosis
® Twirling manipulation, up to 200x/minute
©» Manipulate 2-3 minutes, rest 5-10 minutes
and repeat 2-3 times; or use high frequency
e-stim (200-300 hz)
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Precautions
® Seated or lying position; watch for
fainting
® Not advisable for weak patients, high
fever, local inflammation, heart failure
® Contraindicated if open head wounds
or intracranial bleeding; wait until
bleeding has stopped and patient is
stable
