XXVIII Congresso della societa
Italiana di Agopuntura
Milano 12 Aprile 2008
New treatment concept of the
parkinson‘s Disease
© S. Suwanda
Head physician of traditional chinese medicine
at Hospital Zollikerberg, Zürich
New treatment concept of the
parkinson‘s Disease (PD)
• TCM – Treatment
• Body – acupuncture
• scalp – acupuncture
• Herbaltreatment
• Implantat – Templantat Ear-acupuncture
• Physiotherapy combines Dao Yin
• Tuina
• Psycological Session
Ancient Literature about PD
• Huang Di Neijing – Su Wen (Inner Canon – the Essential
Questions) 100 B.C.
etiologic factor: internal wind, Liver and Marrow
• Zhang Zhi Zhun Sheng (Standards for diagnosis and
treatmant) 1602 Wang Kentang
excessive wind: Liver Yang +++
deficient wind: Liver Blood – and Kidney Yin - deficientcy
• Yi Xue Gang Mu (Outline of Medicine) 1565 Lou Ying
internal wind, Fire and Phlegm
• Zhang Shi Yi Tong (Zhang‘s comprehensive medical
knowledge) 1695 Zhang Lu
Internal wind, Fire, Phlegm amd Deficiency (Spleen Qi, Liver
Blood and kidney essenz
Modern Explain about PD
• Related Organs: Liver, spleen and kidney
• Pathologic mechanism: internal wind runs in
the extremities and disturb the meridian
functions
• Basic pathological factor:
• Deficiency of Liver Blood and kidney Yin
may cause internal wind
• Deficiency of spleen Qi may result in
Phlegm and Blood stasis
Praesynapse
Excitation
forwards
transformation
Postsynapse
Parkinson Diesase Less of
Dopamin – Transporter (DAT)
Single photon emission computer
tomographie (SPECT)
(mTC99 TRODAT)
Patient with Early Parkinson‘s Disease
Jiang XM, Huang Y, Li DJ, Tang AW, Wang SX, Zhuo Y, Li QS, Chen J, Gao YP
Effect of electro-scalp acupuncture on cerebral dopamine transporter in the
striatum area of patients of Parkinson‘s disease by means of single photon
emission computed tomography
Zhongguo Zhen Jiu. 2006 Jun;26(6):427-30
Before acupunctre treatment
after acupunctre treatment
Acupuncture
1. Dispel wind: Dü 20, Ex-P. Si Shen Cong
Dü 16, GB 20, 13, 34, TW5
2. Move Qi against Meridian blockage:
LI 4 + Liv. 3
3. Regulation of musclefunction: SI 3, BL 62,
LI 11, ST 36, GB 34, SP 9, SP 10
4. Tonification Liver, spleen, kidney
(Qi and Blood):
BL 17, 18, 20, 23, KI 3, Ren 4, 6.
Scalp – Acupuncture II
Dingnie Qianxiexian (MS 6), Dingpangxian I (MS 8)
and Dingpangxian II (MS 9)
Zheng Ying Gb 17
Tong Tian UB 7
Han Yan Gb 4
Shuai Gu Gb 8
Xuan Li Gb 6
Qu Bin Gb 7
MS 6
MS 8 and MS 9
Scalp – Acupuncture II
Epangxian III (MS 4) und Zhenxia Pangxian (MS 14)
Ben Shen Gb 13
Yü Zhen UB 9
MS 4
MS 14
Chinese Herbaltreament for PD
• nourish Yin / Blood
Pin Yin
Pharmaceutical Name
Gram
Bei Sha Shen
Glehniae, Radix
10.0 – 15.0
Mai Men Dong
Ophiopogonis Japonici, Tuber
10.0 - 15.0
Sheng Di Huang
Rehmanniae recens seu Viridis,Radix
10.0 - 15.0
Dang Gui
Angelicae Sinensis, Radix
5.0 - 15.0
Gou Qi Zi
Lycii Chinensis, Fructus
10.0 - 15.0
Nü Zhen Zi
Ligustri Lucidi, Fructus
10.0 - 15.0
Han Lian Cao
Ecliptae Prostatae, Herba
10.0 - 15.0
Bai Shao Yao
Paeoniae Lactiflorae, Radix
10.0 - 30.0
Shan Yu Rou
Corni, Fructus
5.0 - 30.0
Shu Di Huang
Rehmanniae, Radix praeparata
10.0 - 60.0
He Shou Wu
Polygoni multiflori, Radix praeparata
10.0 - 30.0
Gui Ban
Testudinis, Carapax et Plastrum
10.0 - 30.0
calm the Liver and calm the
hyperactivity Yang Liver
Pin Yin
Pharmaceutical Name
Gram
Zhen Zhu Mu Margaritiferae Ustae,
Concha
Mu Li
Ostreae, Concha
15.0 – 30.0
Shi Jue Ming
Haliotidis, Concha
15.0 – 30.0
Zhe Shi
Ocherum Rubrum
10.0 - 30
Ji Li
Tribuli, Fructus
6.0 – 15.0
10.0 – 30.0
Smooth the internal wind against
Tremor, Rigor and Akinesie
Pin Yin
Pharmaceutical Name Gram
Quan Xie
Buthus Martensi
2.0 – 5.0
Wu Gong
Scolopendrae Subspinipes
1.0 – 3.0
Di Long
Lumbricus
5.0 – 15.0
Bai Jiang Can
Bombyx Batryticatus
3.0 - 10.0
Tian Ma
Gastrodiae, Rhizoma
3.0 – 10.0
Gou Teng
Uncariae, Ramulus cum Uncis
10.0 – 15.0
Ling Yang Jiao
Saigae tataricae Cornu
1.0 – 3.0
Tranforming the Phlegm / Humid,
tonifying spleen
Pin Yin
Pharmaceutical Name Gram
Dang Shen
Codonopsitis Pilosulae, Radix
10.0 – 30.0
Huang Qi
Astragali, Radix
10.0 – 60.0
Bai Zhu
Atractylodis Macrocephalae,
Rhizoma
10.0 – 15.0
Ban Xia
Pinelliae Ternatae, Rhizoma
3.0 – 10.0
Chen Pi
Citri Reticulatae, Periciarpium
3.0 – 10.0
Fu Ling
Poriae Cocos, Sclerotium
10.0 – 15.0
Dan Nan Xing
Arisaematis, Rhizoma
praeparata cum bile
3.0 – 6.0
Ju Hong
Citri Exocarpium, Rubrum
3.0 – 9.0
Tian Zhu Huang
Concretio Silicea Bambusae
3.0 – 6.0
Zhi Gan Cao
Glycyrrhizae Tosta, Radix
3.0 – 10.0
Historie of Ear - Implantat
• Nogier: goldneedle Inplantat
• China: cat gut Implantat
• Kothbauer: Goldneedle Implantat for animal
Titan – Ear implantat 2002
Titan – Ear implantat 2002
Temporary Ear implantat
(Templantat)
• Ploymere materials:
87%: L – Lactide
13%: Glycolide
• Boehringer, Germany
0,3 mm х 2,8 mm
Original Templant
Implantat vs. Templantat
acupuncture – the difference
Implantat acupuncture
• material: titanium neadle
• Complete incorporation
• Stimulation for lifetime
• Intervention to remove the
neadle
Templantat acupuncture
• material: resorbable
glycoside
neadle *
• Complete incorporation
• Stimulation for 15-20
month
• No intervention because
of resorption
* Poly (L-lactide-co-glycolide)
The instrument
applicator
datas of the neadle
length: 2.3 mm
diameter: 0,8 mm
The goal of Implantat
acupuncture
• Relief of the typical symptoms
- akinesis, tremor, rigor
• Relief of additional symptoms
- depression, digestive trouble,..
• Relief of medicamental side effects or even reduce drugs
• Improvement of the common energetic level
• We can`t heal the disease, but we can ease the symptoms
and improve quality of life !
The ear: Zones of interest