Neuropuncture Treatment Protocols

Chapter 8


Neuropuncture Treatment Protocols


 


Three extra Neuropuncture points


The following Neuropuncture acupoints are additional to the original set. These are either new acupuncture points altogether or traditional acupuncture points that are regularly found in research and therefore it is important to know the neuroanatomy of these points. They are also common points that I use, and I focus on the underlying network of physical structures, not necessarily an “energetic” location.


Anterior tibialis motor Neuropuncture point (ATNP)


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Figure 8.1 Anterior tibialis Neuropuncture acupoint (ST36)


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Figure 8.2 Anterior tibialis nerves


Philtrum Neuropuncture point (PhNP)


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Figure 8.3 Philtrum Neuropuncture acupoint (DU26)


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Figure 8.4 Philtrum nerves


Auricular posterior Neuropuncture point (APNP)


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Figure 8.5 Auricular posterior Neuropuncture acupoint


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Figure 8.6 Auricular posterior nerves


Before we continue, there are some additional abbreviations that you should be aware of:


Electro-Acupuncture (ea): If this appears after a point prescription, it implies that the group of acupuncture points just prior to the symbol, EA, is attached with a single lead. If using a Pantheon EA stimulator, then the specificity of the placement of the red and black leads is insignificant. I generally place my red lead on the points closer to the heart and the black lead closer to any distal points, mainly for aesthetic purposes.


Acupuncture motor point (mp): Usually you will see this just after the name of a specific large muscle, indicating that the motor point of that said muscle is to be needled.


Electro-Neuropuncture protocols


All of the following protocols are ones that I use regularly with amazing success. I firmly believe that you can trust these protocols as I consistently receive positive feedback from practitioners from all around the world. They are a combination of published research that I have reviewed, my own clinical application, and the application of the evidence-based neurophysiology of the condition to the neurophysiology of EA.


If the protocol is taken from published research, then the research was done on humans and I have read about it in several publications, not just one, though there may have been some slight alterations to the protocol. Most of this research was completed in the USA at universities or research hospitals, and concurrent research has been found in research medical journals from China, Germany, the Czech Republic, and India. Just as in any acupuncture protocol, you must look at every case individually and make any adjustments that you see fit. That is what I term the “acupuncture dosage”: the needle retention time interval, frequency of electrical wave, the current of the electrical stimulation, and any needle adjustments needed.


Adding auricular or scalp acupuncture points, or a point for pulse or tongue findings, are always encouraged. I personally use TCM tongue and TCM pulse diagnosis very regularly, though more so for my patient’s herbal prescriptions and diet recommendations.


Please keep in mind that the level of intensity of stimulation should always be appropriate to the case and patient. “Comfortably strong” is what we are looking for. It is not a pain tolerance test! I think of this as the De Qi of EA. As mentioned throughout this book, the EA De Qi should be gentle and warming, it can have distension or fullness, it can be strong at times, dull, or achy—these sensations are all fine. What we don’t want is for the EA De Qi to be burning, painful, or stabbing, or uncomfortable in any other way. Sometimes 25 Hz microcurrent is the best for a gentle stimulation to balance the nervous system and promote healing. Below I have listed the protocol using abbreviations, the placement of the leads for EA, commentary on the placement of EA leads, and small explanation. I use Pantheon machines because they are FDA approved and offer millicurrent and microcurrent. Since the waveform of the Pantheon is bi-phasic, I am not concerned with where the red or black lead goes. For aesthetics I normally place the black lead distal and the red lead closer to the heart. Just be sure that you have the lead in the correct current plug-in. Enjoy!


Note: The Neuropuncture acupoint prescription column shows exactly how I document the prescriptions in my treatment notes at work in my EHR.









































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Aug 4, 2017 | Posted by in NEUROSURGERY | Comments Off on Neuropuncture Treatment Protocols
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Table 8.1 Neuropuncture protocols for common conditions


Disease/condition


Neuropuncture acupoint prescription


EA placement explanation


Neuropuncture dosage


Commentary


Alzheimer’s/ Dementia


DU20–Yintang: EA, Si Shen Cong–Anmien: EA


For this protocol I have the patient lie prone (face down) on the treatment table for easy access to the scalp points and adjust the headrest so that Yintang is accessible.


Another position is to needle Anmien, then guide the patient down onto their back in a supine position.


Use one lead to attach Yintang to DU20 (Pai Hui), then use another lead to attach the right Si Shen Cong to the right Anmien acupoint, then the last lead to attach the left Si Shen Cong to the left Anmien acupoint.


Remember to set the dial to “mixed” frequency to 2–5 Hz millicurrent.


I combine this with the Neuropuncture Parkinson’s protocol using a separate Pantheon, to maximize the neuroprotective properties.


EA: 2–5 Hz for 30 minutes.


2 times a week for 6 weeks = 12 sessions.


3 times a week for 4 weeks = 12 sessions.


 


Research has shown that this helps to reduce beta-amyloid sheets.


 


Anxiety


NADA (Shenmen)–Tranquilizer/MO: EA


Acute and right-sided pulse is weak add: ST36(B): EA


Chronic and (L) pulse is deep and xu add: TNP: EA


Whenever I needle NADA, I use the dominant side ear. So, in this case you would needle Shenmen, from the NADA protocol on the dominant side, and then connect the opposite lead to Tranquilizer/Master Oscillator (MO) in the opposite ear.


Thread into and along the tragus to connect one needle to the Tranquilizer and MO point.


EA: 2 Hz millicurrent for 25–45 minutes.


2 times a week for 6 weeks = 12 sessions.


3 times a week for 4 weeks = 12 sessions.


I really enjoy using this protocol for opioid detox withdrawal induced anxiety. This has a powerful effect on calming the patient down and lasts for a good 24 hours. So, with opioid withdrawal anxiety I treat the patient daily for the first week.


Cerebral Vascular Accident (cva) stroke with unilateral paralysis


Opposite the paralysis Scalp Motor associated areas—Neuropuncture acupoints on affected limbs.


Here you insert several needles along, and within, the Scalp Motor area associated with the symptoms opposite the paralysis.


Then clip a few of the scalp needles together with an alligator clip and attach the other lead to the opposite side associated Neuropuncture acupoint on the affected paralyzed limb.


EA: 2 Hz millicurrent for 25 minutes.


Every other day in the beginning weeks, 1–2 times a day.


Although I do not have published research to support this protocol, the neuroanatomy application and similar protocols that I have researched support my experience that this can reduce cerebral lesions—the electrical stimulation directly traces out the pathway that is affected.


Rehab is also extremely important in helping to connect the neural pathways.


Carpal tunnel syndrome


MNPCRTNP: EA


When I insert a needle into CRTNP, I either firmly grip the patient’s wrist, as a distraction and to suppress some nerve firing, or have them cough on the count of 3. On 3, tap the needle in quickly. Then, once it is inserted, I apply a little firm pressure on the wrist as I slowly insert the needle deeper into the desired depth.


Then I attach one lead to the CRTNP and the opposite lead to the MNP.


When you increase the intensity on this protocol, you should adjust it really slowly as this area can be sensitive.


You can always add SRNP to LANP, in the same way, for a more chronic and severe case.


EA: 25 Hz microcurrent for 20 minutes.


2 times a week for 6 weeks = 12 sessions.


3 times a week for 4 weeks = 12 sessions.


 


This protocol will target the median nerve and the carpal tunnel directly. Utilizing the 25 Hz microcurrent aids in reducing inflammation and repairing soft tissue.