Auricular and Scalp Acupuncture Review
اسلاید 1: www.tabaye.ir
اسلاید 2: Auricular & Scalp Acupuncture Review
اسلاید 3: Auricular
اسلاید 4: Anatomy & Somatatopic Representation
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اسلاید 7: Modern Auriculotherapy founded by Paul Nogier in 1950‘s FranceAlso developed in 1960’s ChinaSome differences in point location but overall very similarFetal / “Upside-down man” representation
اسلاید 8: Lobe: Face & sensoryAntitragus: Cranial & brainInternal organs in concha: Thorax = Inferior (Cavum) conchaAbdomen = Superior (Cymba) conchaDigestive = around helix crus
اسلاید 9: Spine on antihelixUpper limb on scaphoid fossaLower limb on upper antihelix crusTriangular fossa = Chinese: Reproductive & Shenmen; French: Lower limb
اسلاید 10: Lobe: Cranial area/face/sensory on lobeInternal organs in conchaSpine on antihelixUpper limb on scaphoid fossaLower limb on upper antihelix crusTriangular fossa = Chinese: Reproductive & Shenmen; French: Lower limb
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اسلاید 15: NADA ProtocolAKA: 5-Needle Protocol, 5NPMost common auricular protocol used todayUse for addictions, trauma, pain, etc
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اسلاید 17: Shen Men: Slightly superior and anterior to the tip of the triangular fossa. Sympathetic-Autonomic point: Junction 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.
اسلاید 18: Kidney: In superior concha, near 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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اسلاید 20: DiagnosisEar probe - look for painful pointsElectronic point finder - low skin resistanceVisual inspection - Discoloration
اسلاید 21: TreatmentFiliform needlesPress tacks or intradermalsSeedsBleedingEar massageElectric stimCold laser
اسلاید 22: NeedlingDisinfect skin with alcoholUse 15mm, 7mm or press tackFiliform needle retain 20-40 minutesCheck for bleeding on removal of needle
اسلاید 23: PrecautionsDo not needle if external ear is infected or inflamedContraindicated for pregnancy with history of miscarriage; caution otherwiseCaution weak constitutionDo not leave tacks or seeds more than 1 week
اسلاید 24: Scalp Acupuncture
اسلاید 25: Several different systems: Jiao, Zhu, Yamamoto (YNSA), etcJiao system most commonScalp Acupuncture
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اسلاید 29: Motor AreaLocation: 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.
اسلاید 30: Motor AreaLower 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.
اسلاید 31: Sensory AreaLocation: 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.
اسلاید 32: Chorea & Tremor Control AreaLocation: Parallel and 1.5 cm anterior to the motor area. Indications: Chorea, Parkinson’s disease.Blood vessel dilation and constriction areaLocation: Parallel and 1.5 cm anterior to the chorea and tremor control area. Indications: Superficial edema, hypertension.
اسلاید 33: Vertigo and hearing areaLocation: 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 3Location: A horizontal line starting at the midpoint of the Vertigo and Hearing Area and running posteriorly 4.0 cm in length. Indications: Sensory aphasia.
اسلاید 34: Speech 2Location: A vertical line 2.0 cm posterior and inferior to the parietal tubercle 3.0 cm in length. Indications: Nominal aphasia. Voluntary Movement / Usage areaLocation: 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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اسلاید 36: Foot Motor and Sensory AreaLocation: 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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اسلاید 38: Vision areaLocation: 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 areaLocation: 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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اسلاید 40: Stomach areaLocation: 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 cavityLocation: 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.
اسلاید 41: Reproduction areaLocation: 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.
اسلاید 42: Liver and Gallbladder AreaLocation: 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 AreaLocation: Beginning at the hairline, a line 2.0 cm in length from the reproduction area extending inferiorly. Indications: Lower abdominal pain.
اسلاید 43: Needle TechniqueClean insertion site with alcoholUse 1-2 cun filiform needles, 28-32 gaugeInsert 30• angle, thread into aponeurosisTwirling manipulation, up to 200x/minuteManipulate 2-3 minutes, rest 5-10 minutes and repeat 2-3 times; or use high frequency e-stim (200-300 hz)
اسلاید 44: PrecautionsSeated or lying position; watch for faintingNot advisable for weak patients, high fever, local inflammation, heart failureContraindicated if open head wounds or intracranial bleeding; wait until bleeding has stopped and patient is stable
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