Guest guest Posted January 15, 2007 Report Share Posted January 15, 2007 Hi all, For some weeks, I have been treating a boy with paraplegic spasms . His lesion at the level of the fourth thoracic vertebra was caused by a car accident about 8 years ago. He is now 14 yrs old, and due to the fact that his legs are growing faster his leg tendons have become increasingly spastic especially the hip adductors. His pulse is fast, large and slippery, and his tongue has swollen sides, is constantly moving, has distended sublingual veins and is wet. He is also extremely fatigued and needs to sleep 12hrs per day. My diagnosis is channel qi vacuity with formation of internal wind, and phlegm and blood stasis. The spasms are a little better now, but I was wondering if there were people on the list that have good experiences in treating this kind of spasm (that is actually caused by the vertebraic lesion). What about MS stiffness and spasms? Do you get good results? How do you achieve local reduction of spasms? I tried LIV3, GB34, SP10, GB20, GV20 and Huatuojiaji at the level of his lesion, plus the points on the Liver channel close to the origin of the hip adductors. Thank you, Tom. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2007 Report Share Posted January 15, 2007 Tom, Have you considered using St 12 or Gb 21 to encourage the downward movement of qi. I have found that pulses of a couple of paraplegics that I treated got much better. I think of it as a blockage causing a stagnation in the upper part of the body. Hope this helps. Mike W. Bowser, L Ac : tom.verhaeghe: Mon, 15 Jan 2007 19:38:54 +0100TCM - paraplegic spasms Hi all, For some weeks, I have been treating a boy with paraplegic spasms . Hislesion at the level of the fourth thoracic vertebra was caused by a caraccident about 8 years ago. He is now 14 yrs old, and due to the fact thathis legs are growing faster his leg tendons have become increasingly spasticespecially the hip adductors. His pulse is fast, large and slippery, and his tongue has swollen sides, isconstantly moving, has distended sublingual veins and is wet. He is alsoextremely fatigued and needs to sleep 12hrs per day. My diagnosis is channel qi vacuity with formation of internal wind, andphlegm and blood stasis. The spasms are a little better now, but I was wondering if there were peopleon the list that have good experiences in treating this kind of spasm (thatis actually caused by the vertebraic lesion). What about MS stiffness andspasms? Do you get good results? How do you achieve local reduction ofspasms? I tried LIV3, GB34, SP10, GB20, GV20 and Huatuojiaji at the level of hislesion, plus the points on the Liver channel close to the origin of the hipadductors. Thank you, Tom. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2007 Report Share Posted January 15, 2007 tom, I would consider using a sinew meridian treatment; so you use the upper meeting points- Si 18, st 8 or Gb 13 then needle the affected channels, usually with wiind you needle the point then remove the needle, and you move from the end point of the spasm back to the origin; you can also use 'wind'points, such as GB 31- paralysis is jue yin- the last needle is the jing well of the affected channel- you might also consider using Du Mai and sinew releases, also doing moxa on the JW- does he have any movement? Are herbs out of the question? You might also consider gua sha or the neck, paravertebrals, St12 area. David Appleton LAc --- mike Bowser <naturaldoc1 wrote: > Tom, > > Have you considered using St 12 or Gb 21 to > encourage the downward movement of qi. I have found > that pulses of a couple of paraplegics that I > treated got much better. I think of it as a > blockage causing a stagnation in the upper part of > the body. Hope this helps. Mike W. Bowser, L Ac > > > To: > Chinese Medicine: > tom.verhaeghe: Mon, 15 Jan 2007 > 19:38:54 +0100paraplegic spasms > > > > > Hi all, For some weeks, I have been treating a boy > with paraplegic spasms . Hislesion at the level of > the fourth thoracic vertebra was caused by a > caraccident about 8 years ago. He is now 14 yrs old, > and due to the fact thathis legs are growing faster > his leg tendons have become increasingly > spasticespecially the hip adductors. His pulse is > fast, large and slippery, and his tongue has swollen > sides, isconstantly moving, has distended sublingual > veins and is wet. He is alsoextremely fatigued and > needs to sleep 12hrs per day. My diagnosis is > channel qi vacuity with formation of internal wind, > andphlegm and blood stasis. The spasms are a little > better now, but I was wondering if there were > peopleon the list that have good experiences in > treating this kind of spasm (thatis actually caused > by the vertebraic lesion). What about MS stiffness > andspasms? Do you get good results? How do you > achieve local reduction ofspasms? I tried LIV3, > GB34, SP10, GB20, GV20 and Huatuojiaji at the level > of hislesion, plus the points on the Liver channel > close to the origin of the hipadductors. Thank you, > Tom. [Non-text portions of this message have been > removed] > > > _______________ > Fixing up the home? Live Search can help. > http://imagine-windowslive.com/search/kits/default.aspx?kit=improve & locale=en-US\ & source=wlmemailtaglinenov06 > > [Non-text portions of this message have been > removed] > > ______________________________\ ____ Music Unlimited Access over 1 million songs. http://music./unlimited Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2007 Report Share Posted January 15, 2007 Hi Tom. Have you tried something like needling k1 bilaterally, and holding both needles (at least 15 minutes) and doing passive qigong (no intent, just breathing expansively)? --- Tom Verhaeghe <tom.verhaeghe wrote: > His pulse is fast, large and slippery, and his > tongue has swollen sides, is > constantly moving, has distended sublingual veins > and is wet. He is also > extremely fatigued and needs to sleep 12hrs per day. What do you think is the origin of the seeming fluid accumulation? Hugo _________ Inbox full of unwanted email? Get leading protection and 1GB storage with All New Mail. http://uk.docs./nowyoucan.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Hi Hugo. Whilst I practiced qi gong for several years, I have switched to quiet meditation for the last few years. I have found it to be more beneficial (to me and I believe, in some way, for my patients). I now believe that it is better not to consciously induce spiritual healing in another patient. That being said, what do you think happens when you breathe expansively when holding the needles? Does your qi mix with that of the patient? Cosmic qi? You brought it up : ) >>What do you think is the origin of the seeming fluid accumulation? I believe qi vacuity.. best, Tom. ---- Hugo Ramiro 15/01/2007 23:40:11 Chinese Medicine Re: paraplegic spasms Hi Tom. Have you tried something like needling k1 bilaterally, and holding both needles (at least 15 minutes) and doing passive qigong (no intent, just breathing expansively)? --- Tom Verhaeghe <tom.verhaeghe wrote: > His pulse is fast, large and slippery, and his > tongue has swollen sides, is > constantly moving, has distended sublingual veins > and is wet. He is also > extremely fatigued and needs to sleep 12hrs per day. What do you think is the origin of the seeming fluid accumulation? Hugo ________ Inbox full of unwanted email? Get leading protection and 1GB storage with All New Mail. http://uk.docs./nowyoucan.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Hi David, I might try out sinew meridian treatment. I remember studying those but hardly ever using them in practice. Do you know of a good source on this topic? I noticed Maciocia has a new book on secondary channels, anyone read it? What do you mean with Du Mai releases? he has no voluntary movement, nor any sensations below D4. His legs react to the treatment though (with jerking). He is hypersensitive above D4, where he can hardly accept any needling. He is seeing an osteopath that focuses on his digestive and urinary discomforts (infections due to catheter), and mobilises hips, diaphragma and vertebrae when there are blockages. What herbs would you suggest in a case like this? Thanks, Tom. ---- david appleton 15/01/2007 21:45:56 Chinese Medicine RE: paraplegic spasms tom, I would consider using a sinew meridian treatment; so you use the upper meeting points- Si 18, st 8 or Gb 13 then needle the affected channels, usually with wiind you needle the point then remove the needle, and you move from the end point of the spasm back to the origin; you can also use 'wind'points, such as GB 31- paralysis is jue yin- the last needle is the jing well of the affected channel- you might also consider using Du Mai and sinew releases, also doing moxa on the JW- does he have any movement? Are herbs out of the question? You might also consider gua sha or the neck, paravertebrals, St12 area. David Appleton LAc --- mike Bowser <naturaldoc1 wrote: > Tom, > > Have you considered using St 12 or Gb 21 to > encourage the downward movement of qi. I have found > that pulses of a couple of paraplegics that I > treated got much better. I think of it as a > blockage causing a stagnation in the upper part of > the body. Hope this helps. Mike W. Bowser, L Ac > > > To: > Chinese Medicine: > tom.verhaeghe: Mon, 15 Jan 2007 > 19:38:54 +0100paraplegic spasms > > > > > Hi all, For some weeks, I have been treating a boy > with paraplegic spasms . Hislesion at the level of > the fourth thoracic vertebra was caused by a > caraccident about 8 years ago. He is now 14 yrs old, > and due to the fact thathis legs are growing faster > his leg tendons have become increasingly > spasticespecially the hip adductors. His pulse is > fast, large and slippery, and his tongue has swollen > sides, isconstantly moving, has distended sublingual > veins and is wet. He is alsoextremely fatigued and > needs to sleep 12hrs per day. My diagnosis is > channel qi vacuity with formation of internal wind, > andphlegm and blood stasis. The spasms are a little > better now, but I was wondering if there were > peopleon the list that have good experiences in > treating this kind of spasm (thatis actually caused > by the vertebraic lesion). What about MS stiffness > andspasms? Do you get good results? How do you > achieve local reduction ofspasms? I tried LIV3, > GB34, SP10, GB20, GV20 and Huatuojiaji at the level > of hislesion, plus the points on the Liver channel > close to the origin of the hipadductors. Thank you, > Tom. [Non-text portions of this message have been > removed] > > > ________ > Fixing up the home? Live Search can help. > http://imagine-windowslive.com/search/kits/default aspx?kit=improve & locale=en-US & source=wlmemailtaglinenov06 > > [Non-text portions of this message have been > removed] > > ________ Music Unlimited Access over 1 million songs. http://music./unlimited Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Thanks Mike. ---- mike Bowser 15/01/2007 20:58:57 Chinese Traditional Medicine RE: paraplegic spasms Tom, Have you considered using St 12 or Gb 21 to encourage the downward movement of qi. I have found that pulses of a couple of paraplegics that I treated got much better. I think of it as a blockage causing a stagnation in the upper part of the body. Hope this helps. Mike W. Bowser, L Ac Recent Activity 6New Members 3New Files Visit Your Group Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Tom, You might check out Kiiko Matsumoto's text on Clinical strategies v 1 and look up treatment protocols for immune issues and how she clears these. Mike W. Bowser, L Ac : tom.verhaeghe: Tue, 16 Jan 2007 16:21:00 +0100RE: paraplegic spasms Thanks Mike. ---- mike Bowser 15/01/2007 20:58:57 Chinese Traditional Medicine RE: TCM - paraplegic spasms Tom, Have you considered using St 12 or Gb 21 to encourage the downward movementof qi. I have found that pulses of a couple of paraplegics that I treatedgot much better. I think of it as a blockage causing a stagnation in theupper part of the body. Hope this helps. Mike W. Bowser, L Ac Recent Activity 6New Members 3New Files Visit Your Group Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Hi Tom, --- Tom Verhaeghe <tom.verhaeghe wrote: > now believe that it is > better not to consciously induce spiritual healing > in another patient. I see. > That > being said, what do you think happens when you > breathe expansively You're lucky I didn't say breathe expressively! > when > holding the needles? Does your qi mix with that of > the patient? Cosmic qi? In my practice, and what I was taught by my teacher, it is impossible for there not to be a resonance / dissonance between two people, in this case a " patient " and " therapist " . While it is not a good idea to start mixing energy back and forth in many cases, it is important to allow a resonance to happen. Sometimes it is useful to passively do an attentive and receptive ( " expansive " ) type of breathing while holding needles in order to allow for this resonance to occur...and if a good resonance doesn't occur, it's posible that one shouldn't be treating this patient (that's one pov). Again, the passive qi gong might allow a therapist to tune in to the patient more effectively. Sometimes just the tuning in, without " injection " of energy through qi gong, is enough to cause a channel to open and flow. Regards, Hugo _________ The all-new Mail goes wherever you go - free your email address from your Internet provider. http://uk.docs./nowyoucan.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 hi tom- you can get jeffrey yuen's transcript on sinew vessels from the NESA bookstore- at NESA.org; not du mai releases- sinew releases- related to sinew treatments- like sotai, but slightly different- how much mobility does the patient have? Sinew treatments require herbs that take the formula to the sinews- notably Du zhong; herbs would be for the presenting pattern- it is difficult to say what- there is probably blockage and stagnation above T4- hence the hypersensitivity; remember sinew treatments are very superficial in needling; you are dealing with wei qi; so you might get a reaction from the treatment- what else have you tried? I dont know anything about Maciocia's new book... David --- Tom Verhaeghe <tom.verhaeghe wrote: > > Hi David, I might try out sinew meridian treatment. > I remember studying > those but hardly ever using them in practice. Do you > know of a good source > on this topic? I noticed Maciocia has a new book on > secondary channels, > anyone read it? > > What do you mean with Du Mai releases? > > he has no voluntary movement, nor any sensations > below D4. His legs react to > the treatment though (with jerking). He is > hypersensitive above D4, where he > can hardly accept any needling. > > He is seeing an osteopath that focuses on his > digestive and urinary > discomforts (infections due to catheter), and > mobilises hips, diaphragma and > vertebrae when there are blockages. > > What herbs would you suggest in a case like this? > > Thanks, > > Tom. > > ---- > > david appleton > 15/01/2007 21:45:56 > Chinese Medicine > RE: paraplegic spasms > > tom, > > I would consider using a sinew meridian treatment; > so > you use the upper meeting points- Si 18, st 8 or Gb > 13 > then needle the affected channels, usually with > wiind > you needle the point then remove the needle, and you > move from the end point of the spasm back to the > origin; you can also use 'wind'points, such as GB > 31- > paralysis is jue yin- the last needle is the jing > well > of the affected channel- you might also consider > using > Du Mai and sinew releases, also doing moxa on the > JW- > does he have any movement? Are herbs out of the > question? You might also consider gua sha or the > neck, > paravertebrals, St12 area. > > David Appleton LAc > --- mike Bowser <naturaldoc1 wrote: > > > Tom, > > > > Have you considered using St 12 or Gb 21 to > > encourage the downward movement of qi. I have > found > > that pulses of a couple of paraplegics that I > > treated got much better. I think of it as a > > blockage causing a stagnation in the upper part of > > the body. Hope this helps. Mike W. Bowser, L Ac > > > > > > To: > > Chinese Medicine: > > tom.verhaeghe: Mon, 15 Jan > 2007 > > 19:38:54 +0100paraplegic spasms > > > > > > > > > > Hi all, For some weeks, I have been treating a boy > > with paraplegic spasms . Hislesion at the level of > > the fourth thoracic vertebra was caused by a > > caraccident about 8 years ago. He is now 14 yrs > old, > > and due to the fact thathis legs are growing > faster > > his leg tendons have become increasingly > > spasticespecially the hip adductors. His pulse is > > fast, large and slippery, and his tongue has > swollen > > sides, isconstantly moving, has distended > sublingual > > veins and is wet. He is alsoextremely fatigued and > > needs to sleep 12hrs per day. My diagnosis is > > channel qi vacuity with formation of internal > wind, > > andphlegm and blood stasis. The spasms are a > little > > better now, but I was wondering if there were > > peopleon the list that have good experiences in > > treating this kind of spasm (thatis actually > caused > > by the vertebraic lesion). What about MS stiffness > > andspasms? Do you get good results? How do you > > achieve local reduction ofspasms? I tried LIV3, > > GB34, SP10, GB20, GV20 and Huatuojiaji at the > level > > of hislesion, plus the points on the Liver channel > > close to the origin of the hipadductors. Thank > you, > > Tom. [Non-text portions of this message have been > > removed] > > > > > > > ________ > > Fixing up the home? Live Search can help. > > > http://imagine-windowslive.com/search/kits/default > aspx?kit=improve & locale=en-US & source=wlmemailtaglinenov06 > > > > [Non-text portions of this message have been > > removed] > > > > > > ________ > Music Unlimited > Access over 1 million songs. > http://music./unlimited > > > > > [Non-text portions of this message have been > removed] > > ______________________________\ ____ Need Mail bonding? Go to the Mail Q & A for great tips from Answers users. http://answers./dir/?link=list & sid=396546091 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Hi Tom, Paraplegic cases are very challenging indeed - especially in a growing child. Reducing muscular spasms can be achieved by the following ways: 1. Obviously promoting circulation through classical needling methods - a few other posters have mentioned this previously so i won't delve further into that subject. 2. Familiarise yourself with the " dermal map " - particularly that of the 4th vertebrae - being the area of the lesion, and the vertebrae directly above and below (T3 and T5 respectively. Applying the plum blossum needle along these regions will greatly increase cutaneous and peripheral circulation. Do not tap hard enough to bleed, but just enough to make the skin pink. 3. Needling at areas of intense blood flow and nerve distribution will bring about the best results. Focusing on the origin and insertion of muscles is vital. For instance, in order to create a reflex response, rapid and repetitve needling at Gb34 and St 36 regions and the KID 2 region will target the Anterior Tibialis muscles and hence, particularly if the lesion is incomplete, will create a leg lift up and to the side. In this case peripheral nerve distribution is increased and it shows, even though paralysis is still present, that a message is still able to get through the cord to the brain and back. 4. Needling, again rapid and repetitve needle insertion, at the Jing- Well and Shi Xuan points (tips of fingers and toes) will stimulate the spinal nerve endings. These are areas of dense nerve distribution, and as we know dense Qi concentration. Primarily, in my experience, focusing on Yong Quan, DaDun, YinBai will produce the most desirable results. 5. Stimulation to areas that influence the reticular formation will help rebalancing the entire body - particularly that of someone who is so exhausted and having possible problems with insomnia etc. FengChi, DaZhui, and FengFu can provide this benefit. These are just some points that may be of interest to you. I refer you to an article that myself and colleague Dr. Tai wrote in The Journal of : Number 81, June 2006, " Spinal Cord Injury: Management by Acupuncture " . This will expand on the above if it is of interest. David S. White President: Paraplegia & Hemiplegia Acupuncture Society (P.H.A.S.) Chinese Medicine , " Tom Verhaeghe " <tom.verhaeghe wrote: > > Hi all, > > For some weeks, I have been treating a boy with paraplegic spasms . His > lesion at the level of the fourth thoracic vertebra was caused by a car > accident about 8 years ago. He is now 14 yrs old, and due to the fact that > his legs are growing faster his leg tendons have become increasingly spastic > especially the hip adductors. > > His pulse is fast, large and slippery, and his tongue has swollen sides, is > constantly moving, has distended sublingual veins and is wet. He is also > extremely fatigued and needs to sleep 12hrs per day. > > My diagnosis is channel qi vacuity with formation of internal wind, and > phlegm and blood stasis. > > The spasms are a little better now, but I was wondering if there were people > on the list that have good experiences in treating this kind of spasm (that > is actually caused by the vertebraic lesion). What about MS stiffness and > spasms? Do you get good results? How do you achieve local reduction of > spasms? > > I tried LIV3, GB34, SP10, GB20, GV20 and Huatuojiaji at the level of his > lesion, plus the points on the Liver channel close to the origin of the hip > adductors. > > Thank you, > > Tom. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2007 Report Share Posted January 17, 2007 Hi David, thank you for your reply. I downloaded and studied the article you referenced. Since you seem to be experienced in the treatment of paralysis, would you allow me to ask a few more questions? In this case, with the trauma well in the past (8 years) do you think that plum blossom needling along the dermatomes is still useful? He does have hemilateral sweating, would plum blossom needling have an effect on that? Since the spasms are mainly in the hip adductors, causing jerking hip flexion with exorotation of the hip, I should focus my treatment on the inner thigh. In your experience, should I look for points (knots) in the muscle bellies, or only around origin/ insertion? Thanks, Tom. ---- sydneytcm 17/01/2007 0:24:22 Chinese Medicine Re: paraplegic spasms Hi Tom, Paraplegic cases are very challenging indeed - especially in a growing child. Reducing muscular spasms can be achieved by the following ways: 1. Obviously promoting circulation through classical needling methods - a few other posters have mentioned this previously so i won't delve further into that subject. 2. Familiarise yourself with the " dermal map " - particularly that of the 4th vertebrae - being the area of the lesion, and the vertebrae directly above and below (T3 and T5 respectively. Applying the plum blossum needle along these regions will greatly increase cutaneous and peripheral circulation. Do not tap hard enough to bleed, but just enough to make the skin pink. 3. Needling at areas of intense blood flow and nerve distribution will bring about the best results. Focusing on the origin and insertion of muscles is vital. For instance, in order to create a reflex response, rapid and repetitve needling at Gb34 and St 36 regions and the KID 2 region will target the Anterior Tibialis muscles and hence, particularly if the lesion is incomplete, will create a leg lift up and to the side. In this case peripheral nerve distribution is increased and it shows, even though paralysis is still present, that a message is still able to get through the cord to the brain and back. 4. Needling, again rapid and repetitve needle insertion, at the Jing- Well and Shi Xuan points (tips of fingers and toes) will stimulate the spinal nerve endings. These are areas of dense nerve distribution, and as we know dense Qi concentration. Primarily, in my experience, focusing on Yong Quan, DaDun, YinBai will produce the most desirable results. 5. Stimulation to areas that influence the reticular formation will help rebalancing the entire body - particularly that of someone who is so exhausted and having possible problems with insomnia etc. FengChi, DaZhui, and FengFu can provide this benefit. These are just some points that may be of interest to you. I refer you to an article that myself and colleague Dr. Tai wrote in The Journal of : Number 81, June 2006, " Spinal Cord Injury: Management by Acupuncture " . This will expand on the above if it is of interest. David S. White President: Paraplegia & Hemiplegia Acupuncture Society (P.H.A.S.) Chinese Medicine , " Tom Verhaeghe " <tom.verhaeghe wrote: > > Hi all, > > For some weeks, I have been treating a boy with paraplegic spasms . His > lesion at the level of the fourth thoracic vertebra was caused by a car > accident about 8 years ago. He is now 14 yrs old, and due to the fact that > his legs are growing faster his leg tendons have become increasingly spastic > especially the hip adductors. > > His pulse is fast, large and slippery, and his tongue has swollen sides, is > constantly moving, has distended sublingual veins and is wet. He is also > extremely fatigued and needs to sleep 12hrs per day. > > My diagnosis is channel qi vacuity with formation of internal wind, and > phlegm and blood stasis. > > The spasms are a little better now, but I was wondering if there were people > on the list that have good experiences in treating this kind of spasm (that > is actually caused by the vertebraic lesion). What about MS stiffness and > spasms? Do you get good results? How do you achieve local reduction of > spasms? > > I tried LIV3, GB34, SP10, GB20, GV20 and Huatuojiaji at the level of his > lesion, plus the points on the Liver channel close to the origin of the hip > adductors. > > Thank you, > > Tom. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2007 Report Share Posted January 17, 2007 Hi David, Are the transcripts any good? I mean are they clear enough without hearing Yuen lecture? I might have a chance hearing him talk in September 2007 when he heads to Denmark for a congress " Sexuality and Health: Gynecology, Andrology and the TCM Philosophy " . See http://www.tcm-kongres.dk/congress htm Tom. ---- david appleton 16/01/2007 19:47:04 Chinese Medicine RE: paraplegic spasms hi tom- you can get jeffrey yuen's transcript on sinew vessels from the NESA bookstore- at NESA.org; not du mai releases- sinew releases- related to sinew treatments- like sotai, but slightly different- how much mobility does the patient have? Sinew treatments require herbs that take the formula to the sinews- notably Du zhong; herbs would be for the presenting pattern- it is difficult to say what- there is probably blockage and stagnation above T4- hence the hypersensitivity; remember sinew treatments are very superficial in needling; you are dealing with wei qi; so you might get a reaction from the treatment- what else have you tried? I dont know anything about Maciocia's new book... David Recent Activity 5New Members 3New Files Visit Your Group Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2007 Report Share Posted January 17, 2007 Hi Tom, 8 years is along time. My experience and practice, in regards to Spinal Cord Injury, revolves around regaining neurological function and hence regaining the use of the paralysed legs. So most of my patients will come at least a year after the accident (including hospital discharge). 8 years is possibly too long for Plum Blossom to have any real lasting effect, however, for the hemilateral sweating i would still consider this modality. In my experience knotting in the muscles due to spasm involves musculature / tissue / bone adhesions which must be broken up. Do not disregard any aspect of treatment, focus on the origin and insertion and the belly - alternating treatments is a good idea. Needling directly into the centre of the belly muslcle and possibly more superficial into the fascia will assist this process, if - as this has been 8 years already - there is deeper adhesions needling to the periosteum might be required. Utilising the needle like a scapel to cut away the adhesion is what i recommend. Spinal cord injury is such a multi faceted disorder - and long term SCI is even harder to treat as the patients body and mind are already set in their ways. Patience by the pracitioner and patient is neccessary. David S. White President: Paraplegia & Hemiplegia Acupuncture Society (P.H.A.S.) Chinese Medicine , " Tom Verhaeghe " <tom.verhaeghe wrote: > > > Hi David, > > thank you for your reply. I downloaded and studied the article you > referenced. > > Since you seem to be experienced in the treatment of paralysis, would you > allow me to ask a few more questions? > > In this case, with the trauma well in the past (8 years) do you think that > plum blossom needling along the dermatomes is still useful? He does have > hemilateral sweating, would plum blossom needling have an effect on that? > > Since the spasms are mainly in the hip adductors, causing jerking hip > flexion with exorotation of the hip, I should focus my treatment on the > inner thigh. In your experience, should I look for points (knots) in the > muscle bellies, or only around origin/ insertion? > > Thanks, > > Tom. > > ---- > > sydneytcm > 17/01/2007 0:24:22 > Chinese Medicine > Re: paraplegic spasms > > Hi Tom, > > Paraplegic cases are very challenging indeed - especially in a > growing child. Reducing muscular spasms can be achieved by the > following ways: > > 1. Obviously promoting circulation through classical needling > methods - a few other posters have mentioned this previously so i > won't delve further into that subject. > > 2. Familiarise yourself with the " dermal map " - particularly that of > the 4th vertebrae - being the area of the lesion, and the vertebrae > directly above and below (T3 and T5 respectively. Applying the plum > blossum needle along these regions will greatly increase cutaneous > and peripheral circulation. Do not tap hard enough to bleed, but just > enough to make the skin pink. > > 3. Needling at areas of intense blood flow and nerve distribution > will bring about the best results. Focusing on the origin and > insertion of muscles is vital. For instance, in order to create a > reflex response, rapid and repetitve needling at Gb34 and St 36 > regions and the KID 2 region will target the Anterior Tibialis > muscles and hence, particularly if the lesion is incomplete, will > create a leg lift up and to the side. In this case peripheral nerve > distribution is increased and it shows, even though paralysis is > still present, that a message is still able to get through the cord > to the brain and back. > > 4. Needling, again rapid and repetitve needle insertion, at the Jing- > Well and Shi Xuan points (tips of fingers and toes) will stimulate > the spinal nerve endings. These are areas of dense nerve > distribution, and as we know dense Qi concentration. Primarily, in my > experience, focusing on Yong Quan, DaDun, YinBai will produce the > most desirable results. > > 5. Stimulation to areas that influence the reticular formation will > help rebalancing the entire body - particularly that of someone who > is so exhausted and having possible problems with insomnia etc. > FengChi, DaZhui, and FengFu can provide this benefit. > > These are just some points that may be of interest to you. I refer > you to an article that myself and colleague Dr. Tai wrote in The > Journal of : Number 81, June 2006, " Spinal Cord > Injury: Management by Acupuncture " . This will expand on the above if > it is of interest. > > David S. White > President: Paraplegia & Hemiplegia Acupuncture Society (P.H.A.S.) > > Chinese Medicine , " Tom Verhaeghe " > <tom.verhaeghe@> wrote: > > > > Hi all, > > > > For some weeks, I have been treating a boy with paraplegic spasms . > His > > lesion at the level of the fourth thoracic vertebra was caused by a > car > > accident about 8 years ago. He is now 14 yrs old, and due to the > fact that > > his legs are growing faster his leg tendons have become > increasingly spastic > > especially the hip adductors. > > > > His pulse is fast, large and slippery, and his tongue has swollen > sides, is > > constantly moving, has distended sublingual veins and is wet. He is > also > > extremely fatigued and needs to sleep 12hrs per day. > > > > My diagnosis is channel qi vacuity with formation of internal wind, > and > > phlegm and blood stasis. > > > > The spasms are a little better now, but I was wondering if there > were people > > on the list that have good experiences in treating this kind of > spasm (that > > is actually caused by the vertebraic lesion). What about MS > stiffness and > > spasms? Do you get good results? How do you achieve local reduction > of > > spasms? > > > > I tried LIV3, GB34, SP10, GB20, GV20 and Huatuojiaji at the level > of his > > lesion, plus the points on the Liver channel close to the origin of > the hip > > adductors. > > > > Thank you, > > > > Tom. > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2007 Report Share Posted January 17, 2007 Hi Tom, they are word for word transcriptions of lectures and are excellent; I hope you get the chance to hear him speak, he is very inspiring. David --- Tom Verhaeghe <tom.verhaeghe wrote: > Hi David, > > Are the transcripts any good? I mean are they clear > enough without hearing > Yuen lecture? I might have a chance hearing him > talk in September 2007 when > he heads to Denmark for a congress " Sexuality and > Health: Gynecology, > Andrology and the TCM Philosophy " . See > http://www.tcm-kongres.dk/congress > htm > > Tom. > > > ---- > > david appleton > 16/01/2007 19:47:04 > Chinese Medicine > RE: paraplegic spasms > > hi tom- you can get jeffrey yuen's transcript on > sinew > vessels from the NESA bookstore- at NESA.org; not du > mai releases- sinew releases- related to sinew > treatments- like sotai, but slightly different- how > much mobility does the patient have? Sinew > treatments > require herbs that take the formula to the sinews- > notably Du zhong; herbs would be for the presenting > pattern- it is difficult to say what- there is > probably blockage and stagnation above T4- hence the > hypersensitivity; remember sinew treatments are very > superficial in needling; you are dealing with wei > qi; > so you might get a reaction from the treatment- what > else have you tried? I dont know anything about > Maciocia's new book... > > David > Recent Activity > 5New Members > 3New Files > Visit Your Group > Quote Link to comment Share on other sites More sharing options...
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