ACUPUNCTURE – CLINICAL PRACTICE, PARTICULAR TECHNIQUES AND SPECIAL ISSUES Edited by Marcelo Saad Acupuncture – Clinical Practice, Particular Techniques and Special Issues Edited by Marcelo Saad Published by InTech Janeza Trdine 9, 51000 Rijeka, Croatia Copyright © 2011 InTech All chapters are Open Access articles distributed under the Creative Commons Non Commercial Share Alike Attribution 3.0 license, which permits to copy, distribute, transmit, and adapt the work in any medium, so long as the original work is properly cited. After this work has been published by InTech, authors have the right to republish it, in whole or part, in any publication of which they are the author, and to make other personal use of the work. Any republication, referencing or personal use of the work must explicitly identify the original source. Statements and opinions expressed in the chapters are these of the individual contributors and not necessarily those of the editors or publisher. No responsibility is accepted for the accuracy of information contained in the published articles. The publisher assumes no responsibility for any damage or injury to persons or property arising out of the use of any materials, instructions, methods or ideas contained in the book. Publishing Process Manager Dragana Manestar Technical Editor Teodora Smiljanic Cover Designer Jan Hyrat Image Copyright Yanik Chauvin, 2010. Used under license from Shutterstock.com First published August, 2011 Printed in Croatia A free online edition of this book is available at www.intechopen.com Additional hard copies can be obtained from orders@intechweb.org Acupuncture – Clinical Practice, Particular Techniques and Special Issues, Edited by Marcelo Saad p. cm. ISBN 978-953-307-630-0 free online editions of InTech Books and Journals can be found at www.intechopen.com Contents Preface IX Part 1 Clinical Practice 1 Chapter 1 Acupuncture for Disorders of Consciousness - A Case Series and Review 3 Wen-Long Hu, Yu-Chiang Hung and Chih-Hao Chang Chapter 2 Use of Acupuncture for the Chronic Neck Pain: Application to Adults as Part of Primary Health Care 29 Camila da Silva Gonçalo, Jorge Vas and Antonio Carlos Pereira Chapter 3 Molecular Evidence: EA May Inhibit the Muscle Atrophy 43 Yutaka Takaoka, Mika Ohta and Aki Sugano Chapter 4 The Treatment of Vascular Dementia in Acupuncture Based on Syndromes Differentiation 59 Liangdeng Zhang, Jie Wang, Kuiwu Yao and Ji Zhang Chapter 5 An Evidence-Based Review of Acupuncture in Osteoporosis and Fracture-Related Pain 69 Jenson Mak and Louise Mak Part 2 Particular Techniques 81 Chapter 6 Yamamoto New Scalp Acupuncture (YNSA): Development, Principles, Safety, Effectiveness and Clinical Applications 83 Thomas Schockert Chapter 7 Toyohari Meridian Therapy: A Form of Acupuncture that Challenges our Assumptions while Opening New Vistas for Explorations of Acupuncture 99 Kylie O’Brien and Stephen Birch VI Contents Part 3 Special Issues 113 Chapter 8 Acupuncture for Inpatients in General Hospitals – Special Features of this Service 115 Marcelo Saad, Mario Sergio Rossi Vieira, Liliana Lourenço Jorge and Roberta de Medeiros Chapter 9 Acupuncture Transmitted Infections 123 Patrick CY Woo, Ada WC Lin and Susanna KP Lau Preface Acupuncture is growing in popularity world-wide. Since it started to be scientifically studied in the 1970’s decade, acupuncture is conquering position as an efficient and safe therapeutic method. The amount of cumulated scientific evidence is already enough to guarantee a highly detached status for acupuncture among other complementary therapies. In many countries, acupuncture is well integrated into the conventional health system. Therefore, the value of acupuncture has been well consolidated. However, there are several factors that affect the perception of acupuncture. The mechanisms of action of acupuncture are not entirely clear. Although we have many pieces of this puzzle, it is not still complete neither entirely mounted. Another debilitating element is the absence of a convincing model of sham acupuncture for a control group in clinical trials. All this facts, allied to inappropriate prejudice and unfamiliarity, reinforce the false notion that acupuncture works mainly due to placebo effect. Therefore, there is still the issue of the absence of a universal consensus about the degree in which acupuncture can be independent to the traditional chinese medicine. However, acupuncture can also be sustained by itself. Currently, it is practiced in more than 160 countries and regions. The UNESCO (United Nations Education, Scientific and Cultural Organization) inscribed acupuncture on its List of the Intangible Cultural Heritage of Humanity in 2010. There cannot be larger acclamation than these. Acupuncture and related techniques are useful tools for treating a spectrum of diseases. But there are still many areas of controversy. We hope this book can contribute to guide the advance of this ancient medical art. In this book, the reader will find texts wrote by authors from different parts of the world. The chapters cover strategic areas to collaborate with the consolidation of the knowledge in acupuncture. The book doesn’t intend to solve all the questions involved in this issue. The main objective is to share elements to make acupuncture more and better offered at health systems worldwide. X Preface The book contents information about Acupuncture Clinical Practice, Particular Technics and Special Issues. I believe reading of this edition will be useful and pleasant. With Best Regards Marcelo Saad, MD, PhD Physiatrist and Acupuncturist at Rehabilitation Center, Hospital Albert Einstein, Brazil [...]... strengthens the spleen and Yin blood Yanglinquan, the point of conjunction of the sinews, relaxes sinews and benefits joints The combination of three points tonifies Qi and replenishes blood, dispels wind, and 16 Acupuncture – Clinical Practice, Particular Techniques and Special Issues dredges collaterals, thus curing paralyzed lower limb (Dai, 1978) The Nao-sanzhen can provide pulp and stimulate the brain... precentral gyrus, acupuncture can directly stimulate the functions of the central motor and sensory nervous systems (Chen et al., 2009) Because Shuigou is the 18 Acupuncture – Clinical Practice, Particular Techniques and Special Issues point of intersection for Shouyangming, Zuyangming, and the Governor Vessel, it is an essential point for first aid Acupuncture on Shuigou can promote consciousness and restore... failure, congestive heart failure, atherosclerosis, and osteoporosis On April 13, 2006, the patient suffered general weakness, pain in the right 12 Acupuncture – Clinical Practice, Particular Techniques and Special Issues limbs, and dyspnea and was therefore admitted into our hospital Subsequently, she developed chest pain, which radiated into her back and was suspected to be caused by dissection of an... examination showed 15400 leukocytes, protein in the urine (+), occult blood (+), and IgE of 129 IU/ml Before the ambulance arrived, the patient had already exhibited clasped hands, trismus, and mild 14 Acupuncture – Clinical Practice, Particular Techniques and Special Issues convulsions Doctors from that hospital then gave 1 Amp of valium and 20 ml of 20% G/W by intravenous injection After the administration,... intubation, the patient was transferred to 8 Acupuncture – Clinical Practice, Particular Techniques and Special Issues an intensive care ward in the Department of Neurosurgery On May 26, she was extubated, but she remained unconscious and was additionally found to suffer from right hemiplegia In addition, brain MRI detected a contusion and edema in the left cerebral peduncle and edema in the left optic chiasm... of microcirculation, maintaining the levels of material and energy metabolism, and promoting the functional recovery of nerve cells (Hu et al., 1995) Furthermore, it also can regulate glycoside fat concentrations in the ganglion of the brain for protection and promotion of 20 Acupuncture – Clinical Practice, Particular Techniques and Special Issues nerve reconstruction, which facilitates the improvement... al., 2008) The pathology of VS is divided into three categories: large-scale damage to the cerebral cortex, injury to links (e.g., thalamus) 4 Acupuncture – Clinical Practice, Particular Techniques and Special Issues between the cerebral cortex and the brain stem, and injury to connections (e.g., corpus callosum) within the cerebral cortex The latter type of injury is also known as severe diffuse axonal... thank Mr Jui-Hsin Chen for help in manuscript preparation 6 References Bai, WJ.; Zheng, LQ & Zhang, ZQ (2010) Clinical Study on Integrated Tradition Chinese and Western Medicine Stroke Unit on Consciousness Patients with Cerebral 24 Acupuncture – Clinical Practice, Particular Techniques and Special Issues Haemorrhage Journal of Emergency in Traditional Chinese Medicine, Vol.19, No.10, (October 2010), pp... prominence of the medial malleolus (Fig 5) (WPRO, 2009) Fig 3 GV17, GB19, GB20 (WPRO, 2009) & Taijian 10 Acupuncture – Clinical Practice, Particular Techniques and Special Issues Fig 4 LI15, LI11 & LI4 (WPRO, 2009) Fig 5 ST36, GB34 & SP6 (WPRO, 2009) 3.3 Hypoxic-ischemic encephalopathy 3.3.1 History and examination A 39-year-old female with a history of hyperthyroidism had been regularly undergoing Western... and the horizontal line of the base of the fingernail (WPRO, 2009) 6 Acupuncture – Clinical Practice, Particular Techniques and Special Issues TE1: Guanchong On the ring finger, ulnar to the distal phalanx, 0.1 F-cun proximal to the ulnar corner of the fingernail, at the intersection of the vertical line of the ulnar side of the nail and the horizontal line of the base of the fingernail (WPRO, 2009) . ACUPUNCTURE – CLINICAL PRACTICE, PARTICULAR TECHNIQUES AND SPECIAL ISSUES Edited by Marcelo Saad Acupuncture – Clinical Practice, Particular Techniques and Special. injury to links (e.g., thalamus) Acupuncture – Clinical Practice, Particular Techniques and Special Issues 4 between the cerebral cortex and the brain stem, and injury to connections (e.g.,. orders@intechweb.org Acupuncture – Clinical Practice, Particular Techniques and Special Issues, Edited by Marcelo Saad p. cm. ISBN 978-953-307-630-0 free online editions of InTech Books and Journals