ACR-517-Handout-13 - Acupuncture Massage College

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Auricular & Scalp
Acupuncture
Review
ACR class 13
Auricular
Anatomy &
Somatatopic
Representation
• 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
• Lobe: Face & sensory
• Antitragus: Cranial & brain
• Internal organs in concha:
• Thorax = Inferior (Cavum) concha
• Abdomen = Superior (Cymba) concha
• Digestive = around helix crus
• Spine on antihelix
• Upper limb on scaphoid fossa
• Lower limb on upper antihelix crus
• Triangular fossa = Chinese:
Reproductive & Shenmen; French:
Lower limb
• Lobe: Cranial area/face/sensory on lobe
• 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
NADA Protocol
• AKA: 5-Needle Protocol, 5NP
• Most common auricular protocol used
today
• Use for addictions, trauma, pain, etc
• 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.
• 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).
Diagnosis
• Ear probe - look for painful points
• Electronic point finder - low skin
resistance
• Visual inspection - Discoloration
Treatment
• Filiform needles
• Press tacks or intradermals
• Seeds
• Bleeding
• Ear massage
• Electric stim
• Cold laser
Needling
• Disinfect skin with alcohol
• Use 15mm, 7mm or press tack
• Filiform needle retain 20-40 minutes
• Check for bleeding on removal of needle
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
Scalp Acupuncture
Scalp Acupuncture
• Several different systems: Jiao, Zhu,
Yamamoto (YNSA), etc
• Jiao system most common
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.
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.
•
•
•
•
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.
•
•
•
•
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.
•
•
•
•
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.
•
•
•
•
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.
Foot Motor and Sensory 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.
•
•
•
•
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.
•
•
•
•
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.
•
•
Reproduction area
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.
•
•
•
•
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.
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)
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
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