Transcript WIND STROKE Research and Case presentation – Dr Yoseph Feleke Presented by Rosangela Staton.

WIND STROKE
Research and Case presentation –
Dr Yoseph Feleke
Presented by Rosangela Staton
Case report
• Female, 47 yrs old
• She had CVA on December,28/2012 .
• Her husband brought her to the clinic for the
first time on May,04/2013.
• History of having right side frontal lobe –
lobotomy and Jaw replacement .
• On the 1st visit she presented pain on her left
side ( arm ,wrist, elbow, hip , knee, ankle ,
foot and spasms on the tight)
Case report
• Her tongue is short, pale with thin slight
yellow coating. Her pulse was weak.
• She had 21 treatments , had good response in
the beginning but always returning to the
initial stage and was taking Gan Mai Da Zao.
• Carlos Alvarez and I started treating her on the
22nd treatment under Dr Campbell’s
supervision on 10/12/2013.
• DX: Wind Stroke
• Treatment Plan: Expel wind and unblock
channels
Case Analysis- Comparison
Case Analysis- Comparison:
Western and Chinese Medicine
• Stroke is medically known as a cerebrovascular
accident (CVA). It happens when a blood vessel is
extremely blocked or damaged that part of the brain is
deprived of oxygen long enough for brain tissue to die.
It is one of the most common causes of death and
disability worldwide.
• Chinese Medicine defines two kinds of stroke, of the
head and stroke of the heart.
Case Analysis- Comparison:
Western and Chinese Medicine
• An early definition of a stroke can be found in the classic
medical book named "Huang Di Nei Jing" (The Yellow
Emperor's Classic of Internal Medicine), written during
the Han Dynasty (approx. 200 B.C). Under this book's
Suwen (The Book of Plain Questions) section, stroke is
described in the following manner. "The organ's
accupoints are the doors for evil winds to flow into the
body. When wind flows inside the body, it will turn into
internal wind-evils. If allowed to stay inside, the internal
wind evils cause stroke." This book also described stroke
related symptoms such as hemiplegia (paralysis on one
side of the body), difficulty in speech, and facial distortion.
Case Analysis- Comparison:
Western and Chinese Medicine
• Another TCM medical classic named "Synopsis of the
Golden Chamber" (300A.D.), stated that stroke was
mainly caused by a lack of blood in small vessels, a
lack of Qi flow, and the invasion of outside evil winds
into the body. The symptoms of a stroke were
described according to what part of the body the evil
winds invaded. It stated "if a evil wind invades the
collaterals (these are part of the meridian system and
they run more on the surface of the body), the skin
and muscles feel numb.
Case Analysis- Comparison:
Western and Chinese Medicine
When it invades the channels (these are also part of the
meridian system and they run deep and vertical in the
body), the body will become seriously ill. When it invades
the hollow organs or Fu-organs which consists of the
stomach, small intestine, large intestine, gall bladder and
bladder, the body will become unconscious; and when it
invades the solid organs or Zang-organs, which consists of
the liver, heart, lungs, spleen and kidneys, speech
difficulties and drooling can occur.“
Case Analysis- Comparison:
Western and Chinese Medicine
Stroke is characterized by a combination of
symptoms such as a sudden fall, unconsciousness
accompanied by hemiplegia (paralysis on one side of
the body), an appearance of facial distortion or the
presence of a speech disorder. In minor cases,
individuals may not suddenly collapse or lose
consciousness. Instead, they may just suffer from
hemiplegia (paralysis on one side of the body) and
facial distortion.
Main points used in the treatment
SCALP ACUPUNCTURE:
Primary area: Upper 1/5 and middle 2/5 of the Motor
Area Secondary area: Upper 1/5 and middle 2/5 of the Sensory Area
Manipulation:
For treating motor dysfunction, place the needles and rotate them
at least 200 revolutions per minute for 1-3 minutes every 10
minutes for a total of 30-60 minutes. The worse the symptoms
or longer the duration of disease, the longer the duration of
each treatment should be. Unless the paralysis is due to the
removal of damaged tissue by brain surgery, a paralyzed
extremity is generally treated by choosing the opposite side of
the Motor Area on the scalp.
The upper 1/5 region is used to treat contralateral dysfunctional
movement of the lower extremity, trunk, spinal cord, and neck.
The practitioner should twirl the needle as vigorously as the
patient can tolerate and have the patient move the affected limb
actively and passively.
Main points used in the treatment
MUHUO
Location of Point:
- In the center of the 3rd finger crease of the dorsal aspect of the
middle finger.
Indications:
- Hemiplegia.(Excellent effect was seen by needling this point in
the treatment of hemiplegia of Lon Nol,the late President and
Marshal of Cambodia).
Main points used in the treatment
• Jing-well points :
-Treat the most acute/urgent diseases.
“When diseases are at the Zang, select Jing-well
points.” Ancient people believe that loss of Shen
(spirit) and consciousness indicates the diseases
are at the Zang.
In wind stroke, other than loss of consciousness,
one’s spirit is often changed. Jing-well points are
able to wake brain and open orifices, quite Shen
(spirit) and clear heat, drain excess and expel
evils. Jing-well points are often used at
emergency such as sudden disorder of spirit and
will. Jing-well points are used for acute
syndromes. As they are located finger or toe tips
which are with very thin muscle, they mostly are
pricked with a three-edged needle and do not
retain the needle.
Points used in the treatment
DU26 – Shuigou
Location of Point:
- On the face, at the junction of the superior 1/3 and
middle 1/3 of the philtrum
Indications:
- Syncope, heatstroke, coma, mental disorders, trismus.
Manic psychosis, epilepsy
Acute lumbar pain
Gastric pain, wry mouth, swelling of the face
Functions:
-Resuscitates, treats acute lumbar sprain, benefits the
nose.
Notes:
-Du 26 is used for emergency treatment.
Summary of treatment applied
• New method was used : Dr Tan’s Balance
method and Zhang Fu Bei Tong (extraordinary
connections of Zang Fu organs)
• Patient is showing better results after each
treatment. Her voice is louder and
understandable, she already can speak with
us at the clinic , with her mom at home and
her friends on the phone.
• Her left arm, fingers and leg are more relaxed
,less rigid and very little spasm.
Summary of treatment applied
• Her mood and sleep has changed ,according
to her husband. She is sleeping better and not
waking up at night with spasm and pain.
• We are trying to help her to stand on her on
feet. Little by little…
• Her husband told us that at the time he was
helping her to seat on the wheelchair, he
notice that she were able to move her left leg
from on position to another.
Summary of treatment applied
• She has started doing Aquatic Therapeutic
Exercise .
• The treatment is not over yet, our objective is
to continue to help her improvement with the
help and knowledge from all the doctors from
our school .
The progress of the treatment
(under the of supervision of Dr Campbell)
The progress of the treatment
The progress of the treatment
Self reflection
“Healing is a matter of time, but it is sometimes
also a matter of opportunity.” Hippocrates
Every accomplishment starts with the decision
to try…
Lobotomy and Jaw replacement
Cerebral vascular accident (CVA)
A stroke, sometimes referred to as a cerebrovascular
accident (CVA), is the rapid loss of brain function due to
disturbance in the blood supply to the brain. This can be
due to ischemia (lack of blood flow) caused by blockage
(thrombosis, arterial embolism), or a hemorrhage. As a
result, the affected area of the brain cannot function,
which might result in an inability to move one or more
limbs on one side of the body, inability to understand or
formulate speech, or an inability to see one side of the
visual field
Treatment to recover any lost function is termed stroke
rehabilitation, ideally in a stroke unit and involving
health professions such as speech and language therapy,
physical therapy and occupational therapy. Prevention of
recurrence may involve the administration of antiplatelet
drugs such as aspirin and dipyridamole, control and
reduction of high blood pressure, and the use of statins,
Selected patients may benefit from carotid
endarterectomy and the use of anticoagulants.
Explanation of the methods
•
•
The Balance Method TM of acupuncture was developed by Dr. Richard Tan of San
Diego. The Balance Method TM works with the sophisticated relationships of the
acupuncture meridians. Acupuncture points distal to the affected area are used:
points in the elbows are used to treat knee pain, ankle points treat the
wrists. Fewer needles are used than the commonly taught methods and
immediate results are seen, especially with pain treatment. Dr. Tan has developed
sophisticated point combinations to treat all manner of internal conditions
including: lung (allergies, sinusitis, colds/flu), cardio-vascular, stomach and bowels,
gyn and emotional problems. Results are long lasting. Dr. Tan continually updates
and refines the system, his life work.
One of the major characteristics of Tong’s acupuncture is that the local points are
not needled. The major method is the use of contra-lateral treatment of distal
points. By just using local points there is not such a cumulative therapeutic effect,
and treatment will take longer. Tong’s acupuncture has longer lasting therapeutic
effect. Tong’s acupuncture is based on NeiJing and I Ching. The better the
theoretical background of the practitioner, the better treatment results can be
achieved with Tong’s points.