II

Case Reports

Critical Zone Acupuncture forArthritic Pain add Stiffness

Faruk tahin

A 65 -yea r -o ld l ady had su f {e red f rom pa in andstif fness in her back, shoulder and hip joints forthree years. Over the last year she had been unableto walk, si i or turn to her side.The ranSes of movement of her shoulder, knee ancl

h ip j o in t s were pa in fu l and res t r i c ted . Rou t ineb lood , u r i ne and rheumato log i ca l ana lys i s werew i th in no rma l l im i t s ; l umbosac ra l , sac ro i l i ac andh i p x - r a y s w e r e a l s o n o r m a l . A d i a g n o s i s o ff ibromyosit is with irr i tat ion of sensory nerve endingsin the hip and shoulder girdle was made.I applied electroacupuncture at the crit ical zones

(as desc r ibed by Dr Lo i s Moss ) o f t he h ip andshoulder girdle (/); I used addit ional remote points.Stainless steel needles were used, 3cm long needlesto the shou lde r g i rd le and 5cm to the h ip g i rd le .Daily 20min sessions were given for the f irst week,then twice a week to a total of 15 sessions.The fol lowing acupuncture points were used for

the shouider girdle. Crit ical Zone points: S1.10, 11,1 2 a n d 1 3 , T E . 1 3 , 1 4 a n d 1 6 , L 1 . 1 3 , 8 L . 3 7 , 3 8 , 3 9and 40. Remote points: Sl.4 and 8, 112,4 and 10,TE.4 and 6.These points were used for the hip girdle. Crit ical

Zone po in t s : C8 .27 ,28 ,29 and 30 , 8L .28 ,29 ,30 ,49 and 50. Remote points: 81.50,54 and 60, 5134,41 and 42, CB-32 and 35. The points were usedalternately (7,2).A t t he end o f t he f i r s t sess ion the musc les had

begun to loosen and the range of movement ofreiated joints had increased. By the third session thepaiient was able to walk between paral lel bars. Atthe end of the 15th session the patient was able towalk supported by a st ick and was able to use herhands- | reviewed her 3 months later; there hadoeen no retapse,

Electroacupuncturefor Back Pain

Faruk fahin

A 25 -yea r -o ld ma le tax i d r i ve r ca rne to me inOctober 1996 having suffered from low back painand l e f t s i ded sc ia t i ca fo r one yea r . H i s pa ininc reased on bend ing the l umbar sp ine and onsitt inB or standing for a IonS t ime; cold weather alsointensif ied his pain.Movement of the lumbar spine was painful and

restricted, straiBht leg raising was reduced to 30

degrees on the left side and the lumbar laudosis wasf l a t tened . The re was hypoaes thes ia ac ross thedermatome of the 5th lumbar spinal nerve; tendonreflexes and muscle strenBth were normal. The CTr, an 'hor^ed a l .rmbar di:t prolapse compre.singthe sth lumbar spinal nerve rcot. Ihe patient 'stongue was pale with a thin, moss-l ike substanceon it.

I treated him with acupuncture for 15 sessions:daily for 10 sessions, then once a week for 5 weeks.I used the fol lowing pointsr C8.34, 81.23 and 60,tr i8ser points at 8L.49, C8.27 and 30, and also theHuatuojiaj i points (3-7) at L4 and 5. Electr icalstimulation was given at the Huatuojiaji points andc B.34.Afte Lrearn_prt movpmFnl ol lhe lumbar spine was

normal, as was straight leg raising. I re-examinedhim two months later at which t ime his only painwas a f te r d r i v i ng fo r a l ong pe r iod . I suSges iedexercises and back support to reduce this.

YNSA and ECIWOAcupuncture for Hemiplega

Faruk $ahin

A 6i-year-old lady came to see me with ahemip leg ia . She had been t rea ted a t aneurology department for 20 days withcerebral thrombosis.

Ieft sidedhosp i ta lan acute

Fi7ure 1. Yanamoto new scalp acupuncturc (YNSA) poinE (10):Uppet exttemity (C) and Lawer extenity lD).

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Myodinamia of her left upper and lower cxtremit ies$,as about I point. She could not sit unaided andwas lo la l l ) , bed r idden . Her speech was no morethan a whisper and she r,r,as severel l , depressed.

I treated hinr with 3 courses cl aLnlculat (18 2A)and ECIWO f / / -7 - l ) acupunc t ! re , a t l 0 days i o r acourse. I scarched his ear Ltsing a Sl€-ia Malk pointdetectof afd foLrnd the fol ior,ving pathological points(21). LLtrrg, Sh,.nnfl-^n, lntetnal nase, Apex af theau ric I e (al I erBl, Ad ren a I, Rh i nopha ynx.I found the ECJWO lung indicatinB point by l inger

pressure at the side of the secofd r.etacarpal 122.). l twas ve fy tender . ECIWO l ! t ) g po in t s \ \ , e ree lec i i ca l l y s t imu la tec l b i l a te ra l l y i o r ' +L l m inu tes

A t t h c e n d o f t h e 3 c o u r s e s o f a u r i c u l a racLrpuncture lhe patient 's presefl inS complaints hada mos t d i sappeared : he had on l y ; r rn i l d l y f un Iynose in cold h,eather. At a 2 mofth iol low Lrp l toundh im ve ry we l l .

Headache Relieved byAcu punctu re

raruk gahin

A 19 year o ( l n,oman had suilered from temporalh e a d a c h e I o r 5 y e a r s ; t h e r e w a s n o v i s u a ld i s t u r b a n c e . T h e h e a d a c h e w a s w o r s e d u r i n gmenslrualiorr, and charEies i t1 weather also affectedthe pain. Medicatiof had only a temporary effect.

I trerted her with acupundLre t\r, ice a week lor alotal oi 15 sessiofs usinl i the fol lo$,ing poif ls: C8.3,ST.8, Extra I (Tai,van9, I3L.), TE.5, 81.31, CB.'11,SP6 , and t rgge f po in i s . r t CB .20 , 81 .10 , TE-15 andB t . t o / o 1 : . . \ l . r r h * . . \ F \ . n n p r . | | \ ^ . . .i n tens i f i ed , bu t a i t e r t he 3 fd the pa in began toclecfease tcmporari ly. By the end of lhe 15th sessiofheadache pa in r l , as ve ry s l j gh t . A l rev ie \ , , ' a f t e r3 mon ths hc r headache du r ing rne fs t r l r a t i o f was

Dr Faruk $ahinEski Kuyun)cul.1t Mah, Mekik Sokak

Katamaq Ap, B Block, Balikesil Turkay

Lf Mos L 119r2) ,l.upurrtti.e and yau: tigeer spats and thetntical zonas P.r tlek Bools, London 8J a,

2 r l ( .hro L Ki tz n8ef E, Ni5sel H 1198j l .A lupunkr , r ruf n?/rkntge!-h ntt ilc : kitetien det pu rktuahl. Kat F H a !g Vei lnjl,H-" idelbe sr89 !3

L Cheng X ed 11987) a}trcs. a.lpu'.rurc and naxihustit ).[orc]gn LaiBt . rBes P,ess, Eei i inE:2:1,1 l

.1 . Lec JF l l . r78r C! i , -nL acupLtn. tLtp thet , ipr : mu\culaJ(c/cta/ ./ne;se5 rrledi.a Book Plbl (it oi,s, HonE Kong:291 2

5. Klbiena C, lefg A Ll9!l,lr l)ie N.atn ExtnpunkLe in delChinesischen Akupor. tut : pat . l re f tcbra le punktc n. thHlr / ro. Ver l rsWi lhc lm Mi !d11. r , V ienna zt l

6. K lzlnger E (r982),ll!ponktut in let .fthopadic lutnbalpie.Kar lF Haug Ve1aE, Heidc lb.16: I l6-2: l

7 . Kapt .h! .k l1 ( r99.11 D.s.qr .se bLt .h (1ei ch inat is .hernr.r/r.tre. Orro Wi/helnr tlarth VcrlaS

8. \ 'anramoto T ( l989t New sca p ac!p!ncture ALupun. turcin Me.li.inc. 6(2):11 I

I t f ea tcd he r us i f g Yan ta rno to ne rv sca lp. r cupunc tu rc (YNSA) and ECIWO acupunc tu re i ncomb ina t i on 18 /6 ) - l used the Yamarno to l es (D )and Upper Extrenity lC) points on lhe scalp (F8ufe 7Jand ECIWO Head and Kidney points at the side oithe secofd m-.tacarpal bonc fFlgure 2); these wereelectr ical ly st imulated ior 40 nrinutes daily. Therapy$,as givef over 3 courses of l0 days eirch. By theend of the last session the myodinarnia of left upperand low-.r extrernit ies was about '1 points and thcpatient \^,ns able to walk lvith a st ick. I reviewed hero n e m o n t h l a t e r a t w h i c h t i m e s h e w a s f u l l yindependent and able to manage normal daily l i feactivi l ies.

Ear and

liBute 2. ECll\/O acLtpLtn.t]rc pains at the sidc ai th-a secontlr )eL,)Qtpal banc I I I ) .

forECIWO AcupunctureAllergic Rhiiit is

Faruk Sahin

A 42 ycar old male doctor r,vorking in an insurancehospilal had suffered from aller8ic rhinit is for 20years. He complained ol a cofstant runn), nose withl i ts of sneezing sevefal t intes a day. He had twiceundergone nasa l po l ypcc ton ry , bu t w i thou t l ongtcrm benefit . He had tr icd a variety of antj al lergicdrugs over the years and sti l l took these every day-Accordin:l to tradit iofal Chinese medical diagnosish e h a s a m a i n l y L u n B a n d L a r g e i n t e s l i n econsli tut ional type f /7).

A. Lt pLDi c I u rc i n lrled i. t nc | 1 Novenbc] tt)97 Val t5 Na.2

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9. Yamamoto T (1991) Yananoto Neve SchAtdelakupunktut.Chun Lo Ver lag, Fre iburg: 217

l0.U.n lauf R (1995) Exper ience of modi f ied Yamamoto scalpacupunct!re wl(h rimultaneous rehabilitation and soft lasertherapy in children wilh cefebral pals\. Acupuncture inMedicine. 13(2): a5 7

11. Schje lderup V (1992) ECIWO bio losy and b io-holosraphicacupuncture. Acuponcture in Medicine. 1O(1): 29 31

l2.Schje derup V (199s) ECIWO bio lo8y and the future ofnedicine. Acupuncture in Medicine. 1 3(1 ): 22-5

13.Zhan9 \ 11987) ECtwO bioloey and medicine: a new theoryof conquerinE cancer and a completely new acupuncturctheory. Neimenggu People's Pres, Chjna: 109 58

l4.Zhang Y (l9921 A new view af the oryanism: the ECIWOtheary and its solution of some challen\in\ prohlems in thefrcntiets c,r nedlcine and bialo1y Peace Eook Company:17,54

15.Wanren R 11992) A rcport on the applicatlon of ECIWOacupuncture: tteatmeDt of 62 cases at' cerebrovascutardkease: ECIWO theory in nedicine. Proceedinss of 2ndinternational cang.e$ af ECIWO biolo8f. Higher EducationPress, Bei j ins:134-42

l6.Ylegin Y (1996) ECTWO therapy in tteating 462 cases ofcerebravascular diseases. Proceedin+s af 3rd intemationalcon7ress of ECIWO biolasy- Qin8dao Publishing Ho!se:347,9

lT.Nissel H, Schiner E (1 l991) Akupunktur : e ine regula l ionst erapie. Ludwig Boltzman Institut f0f Akupunktur, Vienna:41-62

l 8 . B r o ! g h a m P ( 1 9 9 2 ) S h o r t r o t e s o n e a r a c ! p u n c ( ! r e .Acupunctore in Med icine. 1 A(t ) : 32-s

1l9. Lan8e C (1987) Akupunktut der Ohrnuschel Diagnoniku n d t h e t a p i e . W B V E i o l o E i s c h m e d i z i n i s c h ever lagesel lschaf tMBH CO KC Schorndo : 139 4 l

20. Helmut K (1l976) SyJtematic der Oh.akupunktu Kat) F HauAVerlag, Heidelber€: 83-8

21l . Bucek R \1994) Lehrbuch det ohrakupunktu.untettDchunssbchik. Karl F Haus Vefla8, Heide bers: 127-t0

22.Zhan1 Y (1991) ECIWO aDd its application ta medi.ine:new discaveries of the unity anong the differcnt sttuctunluni\ of an organism and the physiological or pathalagicalcot.elation in a hunan bady. Peace Book Company: 21 32

23. Bischko J (1978) An intraduction to acupunctu.e. Ka FHaug Ver a8, HeidelbeG:49-s2

24. Kubiena C, Mens A ( r 991) Handbuch der acupunktut .Vedag Orac im Verlag Kremayr and Scheriav Vlennar 341-l

25. Stux G, Stiller, Pothmann R, Jayas!riya A (1985) A/<upunkturLehrbuch and atlas. SptinAer Verlag, Berlin: 194 5

Headache treated withmaqnets on the peroneal zone'

of the'legsTimo liiys?i

lntrcduclionI have repofted (in enthusiastic terms) details of thefirst 9 patients in my series of migraine or one-sidedheadache treated with magnets to the legs f/,2).I have now increased the number in the series thatI have treated, or given advice for self-treatment, to13 successive patients and am able to report theoveral l success from I994 to date.

The maSnets, diameter 5mm, thickness 2.5mm,700-800 Causs, from Pip-Fujimoto, Osaka, Japan,were usually applied by the patient for 1-2 weeks,w i th the no r th po le aga ins t t he sk in , ove r t he

Novenber 1997 Vol 15 No.2

acupoint C8.34 (yangllngquan) on the peroneal areaof the leg. Patients had one or more courses.

FailureSeven patients dropped out:

Patients 2 ancl B, both women aBed 49-55common migraine, Sained l i t t le benefit .

Pa t i en t 7 , a ma le aged 79 w i th b i - t empora lheadache and visual aura, found that magnets to thelateral side of his legs seemed to provoke occipitalheadache.

Patient 11, a woman aged 34, had had no rel ieffrom her classical migraine with paresis after 5 daysof treatment.

Patient 12, a male a1ed 44, had had no relief fromhis cluster headache after 3-4 days of treatment.

Patient 6, a male aged 84, had headache withIacrimation and burning pain in the left eye. Hispe r iods o f pa in were on l y 5 -10 m inu tes once o rtw ice a mon th ; l i t t l e change was no ted a f te rtreatment of about 9 days.

Pa t i en t 9 , a fema le aged 30 w i th c lass i ca lmigraine, stopped because treatment provoked aprevious skin al lerBy; however she obtained goodrelie{ {or 7 months, although the effect was nearly al llost a{ter a further 3 months.

SuccessT h e r e a r e 6 p a t i e n t s r e m a i n i n gseeminSly with lonSef benefit :

t h e s e f i e s ,

Patient 1 (.male, aged 71), Patient 3 (female, aged52 ) and Patient 5 (female, aged 66), have had amean fol low-up of 27 months. Before treatmenteach o f t hem had had 2 -4 a t tacks o f c lass i ca lm ig ra ine a rnon th . Dur ing the yea r 1996 two o fthem (Patients J and 5) have been symptom-freewithout using the magnets. Patlent I has had only 4attacks of visual aura: these prodromes were treatedwith skin magnets, caffeine or self-massage and noheadache fol lowed. Patient 3 has had 17 monthssymptom free since stoppinB treatment. Recently shehas had 4 attacks of migraine in 2 months and hasbeen advised to start magnet therapy agarn.

Patient 4 lmale, aBed 89) had suffered since 19B6from headache in the riBht eye and temporal arealasting about one hour each day. Durin8 1995 heobtained some rel ief over a period of 7 months withtreatment using magnets for about 50% of the days.Then he had a left hemiparesis and became turtherdisorientated. The headaches seem milder n<rw

Pa t ien t 10 (ma le , aged 60 ) , whose c lass i ca lm i g r a i n e h a d b e e n c u r e d w i t h a c u p u n c t u r et rea tmen t ove r t he pe r iod December 1992 toFebrua ry 1994 , had 4 v i sua l p rod romes du r ing1995 97 , one o f t hem deve lop ing j n to a m i ldheadache. These were immediately treated with skinmagne ts , and the symptoms se t t l ed eve fy t imewithout further progression within 30 minutes.

Patient 13 lfemale, aged 49) had three courses ofm a g ' 1 e l l r e a r r e n l f o r r o m m o n m i g r a i n e o v e r2 mon ths du r ing 1996 , ob ta in inB re l i e f f o r morethan 3 months. Her other problems (sciatica and

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burr-oat syndrome) have proved more diff icult tot rea t t han the headache . She can con t i nue he rmaBnet treatment Iater.

DiscussionAll the patients acted as their own controls as theyhad suffered for sometimes lons periods, despiteconventional medication, before start inB magnettreatment. The patient numbering system is the samea s p u b l i s h e d i n 1 9 9 5 ( 1 , 2 ) , b L r t a f e w o f t h ediagnoses have been changed, for instance Patlerts,1 and 6 were earl ier wrongly diagnosed as clusterheadache. This method seems worthy of furthefstudy especial ly in the treatment of migraine witha u r a , f o r w h i c h t h e f e s u l t s h a v e b e e n m o r efavourable.

Timo Ti;yse MDIisalmen veljeskoti

Pohjolank. 15, SF 74120lisalmi, Finland

Tdysa T (199s) Acup,,duur MaarvAprilTOyse T (1995) The treatment of migraine by skin maSnets toacupoinrs on rhe legs. Acupuncture in Medicine- I3ll):51-3

AnERNAIVE THERAPTES

ICMART'98lnternational Acupuncture Congress

JAPANOctober 24th anct 25th l9qg

D. Yaftrmoto the recerty retrred Prcsidem ol iclltlR l, has ihepie"rsLrre to /nvrteyou to an.rcupunctlre conqress /n Mryazakr on

ryushu. the soiJthe.nmost large isl.nd of-lapaf The lrwf rs cro5eto the P.cif,c Ocear and the isl.nd r devoted rn.inly to .gri.llturenotnb y ri.e p:ddy lie ds, w l1l aftract ve ioren€d areas on the h ll5

nland A luli ioo:l :nd scieft Rc progr:rnrn€ i p anned, withinvlted sp€aker There wrll be "r rve day semimr nfter th€ m. n

meet/ng. during whrch Yrrn.rnoto New 5calp ,kupuncture lYNSAlwill be erpl./ned and cl nrcaily demonstEted lt wili be tamrliar asan eff€ctjve t e.tment ror m.ny medic. problerns to those who

have attended the introductory worlahopi g ven by Dr Yimarnoto.rt sever.r of the recent acuplncturc meetings in Eu.ope

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