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Importance of treating Painful Scars / Neural Therapy

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Hi Attilio

 

> Hi all, I've got a patient that had an operation 20 years ago around

> the diaphragm. The resulting deep scar is painful and the patient has

> to relax on it to stop the skin stretching and aggravating the pain.

> Has anyone treated a painful scar using acupuncture, gua sha, herbs,

> etc? Warm regards, Attilio D'Alberto

 

This is classical indication for " Bridging the Scar " or Neural Therapy.

See: http://users.med.auth.gr/~karanik/english/vet/myofas1.htm

http://users.med.auth.gr/~karanik/english/vet/myofas2.htm

http://users.med.auth.gr/~karanik/english/vet/myofas3.htm

and http://www.tifm.com/neural.html

 

You can use " blebbing " the most sensitive areas with 0.1% local

anaesthetic intradermally with an insulin syringe/needle, or use high-

pressure non-contact injection via Dermojet, or laser, or under-running

the scar from several different directions from the healthy periphery of

the scar. Moxa ( " smoking the scar " ) is also said to work.

 

Also see: http://users.med.auth.gr/~karanik/english/vet/taiwan1.htm

 

9. Scar therapy: " Anything that happens along or near the course of a

main Channel influences that Channel and the organ that bears its

name " (Felix Mann).

 

Many authors emphasise the role of scars as causes of referred pain,

functional disorders and (in late stages) organ disease in man

(1,5,6,7,8,9) . Scars also may cause similar problems in animals (2,3).

In Germany, scar therapy (especially scar infiltration with procaine

solution) has been used for decades to relieve pain and other disorders

triggered by the scar (4). The relationship was observed quite

independently of AP. The reaction to scar injection was often

instantaneous. Problems which had existed for months or years

disappeared in seconds, the " Sekunden Phanomen " of Huneke (4).

 

Acupuncturists have noted that injuries, bruises, or bad scars

(especially if heavily fibrosed, twisted or keloid) along the course of a

Channel may cause functional symptoms associated with the Channel

or its organ. If the scar remains untreated, the symptoms may progress

to physical (organic) pathology of the organ. Furthermore, the Channel

above and below the scarred Channel ( " mother " and " son " in the Qi

cycle: LU - LI - ST - SP - HT - SI - BL - KI - PC - TH - GB - LV - LU) may

be involved as a secondary effect. For example, I treated a man who

had a very twisted scar across the BL Channel on the right thorax. He

complained of recurrent intermittent symptoms over 8 years including:

haematuria, haemorrhagic cystitis, right sciatic area pain and lumbar

pain, right scapular and shoulder area pain in the area of BL Channel,

right headache near the BL Channel, right eye conjunctivitis, right ear

tinnitus, right arm pain/spasm in the SI Channel area and pain in the

little finger. Orthodox treatment by eye-, ear-, orthopaedic-, cardiac- and

internal disease specialists over years had only temporary effects and

symptoms continued to recur (usually singly) at intervals. All the

symptoms related to KI, BL, KI, Channels, but mainly to BL. (In the Qi

cycle, the sequence is SI->BL->KI. A block in BL would give excess in

SI and deficiency in KI, as well as excess in the upper part and

deficiency in the lower part of BL Channel). Scar therapy

(physiotherapy, massage and needling of the scar), with needling of the

BL Channel, eliminated all the symptoms and the patient remained well.

 

This is a most important concept! Bruises, injuries and scars may

cause [and maintain] disease. The blockages include: moxa

scars, surgical scars (external and internal), injury (external and

internal), cuts, local fibrosis (cicatrization due to abscess, carbuncle,

etc. Reinhold Voll taught that individual tooth sockets relate to specific

areas and that socket inflammation/scars, dental caries, etc may cause

reflex pathology in the associated Channels and organs.

 

A routine part of anamnesis should be to question the patient or client

as to the existence of any scars, bruises or injuries on the body and to

examine the location of these injuries in relation to the location of the

other symptoms and the time of occurrence of the injury in relation to

the time of onset of the symptoms.

 

Not all scars need cause problems. Longitudinal scars are not as

serious as transverse (they are less likely to cut as many nerves or

Channels). Well healed (clean) scars are not as dangerous as

thickened, twisted, keloid scars, or scars which have painful spots to

pressure.

 

Scar therapy can use simple needles (under the scar, or at each end),

ultrasound, physiotherapy, laser or procaine injection or B12 injection

along the scar. The concept is to restore energy flow through the

scarred area and to reduce size, thickness and adhesion in the scar.

One to three treatments are usually sufficient.

 

Seeing many scars on patients in Taiwan, I was amazed that I did not

see a single case of scar therapy. On questioning my colleagues in the

Clinics, I was told that the concept of scar therapy was not widely known

in Taiwan. Perhaps this section may awaken interest in this valuable

therapy ?

 

SCAR THERAPY REFERENCES

1) Austin, Mary (1974). AP therapy. Turnstone Books, London, 290 pp.

2) Cain, Marvin (1981,1982) Effects of superficial scars in horses.

Personal communication.

3) Gilchrist, David (1981). Manual of AP for small animals. Box 303,

Redcliffe, Queensland 4020, Australia.

4) Huneke, F. (1961). Das Sekunden Phanomen (The Instantaneous

Phenomenon) Karl F. Haug Verlag, Ulm, Donau, Germany.

5) Kajdos, V. (1974). Neural therapy: its possibilities in everyday

practice. Amer. J. Acup. 2, 113-.

6) Khoe, Willem H. (1979). Scar injection in AP: Huneke's " Sekunden "

neural therapy. Amer. J. Acup., 7, 15-.

7) Lewit, Karel (1979). The neural effect in the relief of myofascial pain.

Pain, 6,3-.

8) Mann, Felix (1973). AP cure of many diseases. William Heinemann

Medical Books, London, 123 pp.

9) Rogers, Carole (1982). AP therapy for postoperative scars. Amer. J.

Acup., 10, 201-.

 

Best regards,

 

HOME + WORK: 1 Esker Lawns, Lucan, Dublin, Ireland

Tel: (H): +353-(0) or (M): +353-(0)

<

 

 

 

" Man who says it can't be done should not interrupt man doing it " -

Chinese Proverb

 

 

 

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injection via Dermojet

>>>>>

This will be quite painful on a scar

 

 

 

 

Oakland, CA 94609

 

 

-

Chinese Medicine

Tuesday, February 14, 2006 7:56 PM

Importance of treating Painful Scars / Neural Therapy

 

 

Hi Attilio

 

> Hi all, I've got a patient that had an operation 20 years ago around

> the diaphragm. The resulting deep scar is painful and the patient has

> to relax on it to stop the skin stretching and aggravating the pain.

> Has anyone treated a painful scar using acupuncture, gua sha, herbs,

> etc? Warm regards, Attilio D'Alberto

 

This is classical indication for " Bridging the Scar " or Neural Therapy.

See: http://users.med.auth.gr/~karanik/english/vet/myofas1.htm

http://users.med.auth.gr/~karanik/english/vet/myofas2.htm

http://users.med.auth.gr/~karanik/english/vet/myofas3.htm

and http://www.tifm.com/neural.html

 

You can use " blebbing " the most sensitive areas with 0.1% local

anaesthetic intradermally with an insulin syringe/needle, or use high-

pressure non-contact injection via Dermojet, or laser, or under-running

the scar from several different directions from the healthy periphery of

the scar. Moxa ( " smoking the scar " ) is also said to work.

 

Also see: http://users.med.auth.gr/~karanik/english/vet/taiwan1.htm

 

9. Scar therapy: " Anything that happens along or near the course of a

main Channel influences that Channel and the organ that bears its

name " (Felix Mann).

 

Many authors emphasise the role of scars as causes of referred pain,

functional disorders and (in late stages) organ disease in man

(1,5,6,7,8,9) . Scars also may cause similar problems in animals (2,3).

In Germany, scar therapy (especially scar infiltration with procaine

solution) has been used for decades to relieve pain and other disorders

triggered by the scar (4). The relationship was observed quite

independently of AP. The reaction to scar injection was often

instantaneous. Problems which had existed for months or years

disappeared in seconds, the " Sekunden Phanomen " of Huneke (4).

 

Acupuncturists have noted that injuries, bruises, or bad scars

(especially if heavily fibrosed, twisted or keloid) along the course of a

Channel may cause functional symptoms associated with the Channel

or its organ. If the scar remains untreated, the symptoms may progress

to physical (organic) pathology of the organ. Furthermore, the Channel

above and below the scarred Channel ( " mother " and " son " in the Qi

cycle: LU - LI - ST - SP - HT - SI - BL - KI - PC - TH - GB - LV - LU) may

be involved as a secondary effect. For example, I treated a man who

had a very twisted scar across the BL Channel on the right thorax. He

complained of recurrent intermittent symptoms over 8 years including:

haematuria, haemorrhagic cystitis, right sciatic area pain and lumbar

pain, right scapular and shoulder area pain in the area of BL Channel,

right headache near the BL Channel, right eye conjunctivitis, right ear

tinnitus, right arm pain/spasm in the SI Channel area and pain in the

little finger. Orthodox treatment by eye-, ear-, orthopaedic-, cardiac- and

internal disease specialists over years had only temporary effects and

symptoms continued to recur (usually singly) at intervals. All the

symptoms related to KI, BL, KI, Channels, but mainly to BL. (In the Qi

cycle, the sequence is SI->BL->KI. A block in BL would give excess in

SI and deficiency in KI, as well as excess in the upper part and

deficiency in the lower part of BL Channel). Scar therapy

(physiotherapy, massage and needling of the scar), with needling of the

BL Channel, eliminated all the symptoms and the patient remained well.

 

This is a most important concept! Bruises, injuries and scars may

cause [and maintain] disease. The blockages include: moxa

scars, surgical scars (external and internal), injury (external and

internal), cuts, local fibrosis (cicatrization due to abscess, carbuncle,

etc. Reinhold Voll taught that individual tooth sockets relate to specific

areas and that socket inflammation/scars, dental caries, etc may cause

reflex pathology in the associated Channels and organs.

 

A routine part of anamnesis should be to question the patient or client

as to the existence of any scars, bruises or injuries on the body and to

examine the location of these injuries in relation to the location of the

other symptoms and the time of occurrence of the injury in relation to

the time of onset of the symptoms.

 

Not all scars need cause problems. Longitudinal scars are not as

serious as transverse (they are less likely to cut as many nerves or

Channels). Well healed (clean) scars are not as dangerous as

thickened, twisted, keloid scars, or scars which have painful spots to

pressure.

 

Scar therapy can use simple needles (under the scar, or at each end),

ultrasound, physiotherapy, laser or procaine injection or B12 injection

along the scar. The concept is to restore energy flow through the

scarred area and to reduce size, thickness and adhesion in the scar.

One to three treatments are usually sufficient.

 

Seeing many scars on patients in Taiwan, I was amazed that I did not

see a single case of scar therapy. On questioning my colleagues in the

Clinics, I was told that the concept of scar therapy was not widely known

in Taiwan. Perhaps this section may awaken interest in this valuable

therapy ?

 

SCAR THERAPY REFERENCES

1) Austin, Mary (1974). AP therapy. Turnstone Books, London, 290 pp.

2) Cain, Marvin (1981,1982) Effects of superficial scars in horses.

Personal communication.

3) Gilchrist, David (1981). Manual of AP for small animals. Box 303,

Redcliffe, Queensland 4020, Australia.

4) Huneke, F. (1961). Das Sekunden Phanomen (The Instantaneous

Phenomenon) Karl F. Haug Verlag, Ulm, Donau, Germany.

5) Kajdos, V. (1974). Neural therapy: its possibilities in everyday

practice. Amer. J. Acup. 2, 113-.

6) Khoe, Willem H. (1979). Scar injection in AP: Huneke's " Sekunden "

neural therapy. Amer. J. Acup., 7, 15-.

7) Lewit, Karel (1979). The neural effect in the relief of myofascial pain.

Pain, 6,3-.

8) Mann, Felix (1973). AP cure of many diseases. William Heinemann

Medical Books, London, 123 pp.

9) Rogers, Carole (1982). AP therapy for postoperative scars. Amer. J.

Acup., 10, 201-.

 

Best regards,

HOME + WORK: 1 Esker Lawns, Lucan, Dublin, Ireland

Tel: (H): +353-(0) or (M): +353-(0)

<

 

" Man who says it can't be done should not interrupt man doing it " -

Chinese Proverb

 

 

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