Guest guest Posted December 17, 2006 Report Share Posted December 17, 2006 Would be interested in hearing treatment views on the difficult case below, particularly in relation to acupuncture and the applicability of scalp acupuncture: Lady of 44 With a diagnosis of neurohypoxic dystonia secondary to an intubation error following anaesthetic to remove wisdom teeth in 1983. She has great difficulty in closing her jaw, therefore salivating constantly, is unable to speak in any way clearly and communicates with a specialised screen. She is clearly very cognisant and intelligent. Her current symptoms are an evolving spasm that is pulling back her tongue creating apnoea and an anxiety of the potential of suffocation. She also has migraines controlled with Imigram twice a month and constipates. Strong breath sounds (stertor) are evident. She is under the care of retiring Consultant Neurologist Professor but he has no further avenues. She has gastroenteric tube feed every night. She is able to eat small quantities of soft food. Stefan Chmelik MRCHM MBAcC MATCM MBHMA DipCHM LicOHM DipAc DipCHM (Dermatology) ClinAc (Nanjing) CST I/II Physician of Chinese Traditional Medicine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2006 Report Share Posted December 18, 2006 Stefan, Luo vessel treatment might be useful for the tongue issue; bleeding Ht5 and needling trajectory of the heart luo vessel- ren 17 ren 22; also the LI luo might be involved- so bleed LI 6, and needle trajectory points of the luo vessel. If you dont want to bleed with a lancet you can use a plumblossom hammer. Treatment frequency is every other day for 11 days- you might also consider doing gua sha around the neck, clavicle, masseter, paravertebrals to release the wind- the spasm could be wind or blood stasis/deficiency- if she is deficient you can follow the bleeding with moxa on the luo point. This information is from the teaching of Jeffrey Yuen, I hope you find it useful. sincerely, David Appleton L.Ac --- Stefan Chmelik <stefan-herb wrote: > Would be interested in hearing treatment views on > the difficult case below, > particularly in relation to acupuncture and the > applicability of scalp > acupuncture: > > Lady of 44 With a diagnosis of neurohypoxic dystonia > secondary to an > intubation error following anaesthetic to remove > wisdom teeth in 1983. > > She has great difficulty in closing her jaw, > therefore salivating > constantly, is unable to speak in any way clearly > and communicates with a > specialised screen. She is clearly very cognisant > and intelligent. > > Her current symptoms are an evolving spasm that is > pulling back her tongue > creating apnoea and an anxiety of the potential of > suffocation. She also > has migraines controlled with Imigram twice a month > and constipates. Strong > breath sounds (stertor) are evident. She is under > the care of retiring > Consultant Neurologist Professor but he has no > further avenues. She has > gastroenteric tube feed every night. She is able to > eat small quantities of > soft food. > > Stefan Chmelik > MRCHM MBAcC MATCM MBHMA DipCHM LicOHM DipAc DipCHM > (Dermatology) ClinAc > (Nanjing) CST I/II > Physician of Chinese Traditional Medicine > > > > > [Non-text portions of this message have been > removed] > > Quote Link to comment Share on other sites More sharing options...
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