|Posted on Wednesday, November 22, 2006 - 17:56: |
A client of mine (I'm a massage therapist) is experiencing numbness along the underside of the right arm down to the thumb and first two fingers. How is numbness classified in Chinese medcine?
What points would be good to stimulate with the chopsticks? Li-11, Li-4, Li-15? would distal well points be better than proximal?
Thank you in advance Dr. Halevi
|Posted on Wednesday, November 22, 2006 - 18:35: |
sorry that's the yang side of the arm, the area along the Si, and Sj mai's
|Posted on Wednesday, November 22, 2006 - 21:15: |
Numbness along the course of the Tai Yang meridian usually involves some problem in the cervical vertebrae and/or the muscle tissues from the occipital region to the deltoid. In many instances, it is merely a case of "entrapped nerve", i.e., a contracted muscle that puts pressure on a nerve trunk that traverses it on its way to the extremity.
You should first look for Ahshi points along the route of either the numbness or the meridian that you suspect to be involved, as well as the closest points to the cervical vertebrae from C-7 proximally.
Use the Longstick to apply strong pressure on these points and quickly release the pressure as if to let the skin "jump back" to its normal location. If you can not find Ahshi points, just use the Longstick on the major points located along the route of the meridian involved. Pay more attention to the proximal points than to the distal ones. A good idea will be to apply heavy cupping, in case you are familiar with this technique, after stimulating the points by the Chopsticks technique.
|Posted on Monday, August 23, 2010 - 10:52: |
Dear DR Halevi, i am a general practitioner practising acupuncture. I have a male patient, 60 years old with numbness at his sole of the foot for 1 year. He doesn't have diabetes, but has mild hypertension (150/90). I've already acupunctured him at K-1,Sp-3,St-44 and ashi point. I need your advice about the points that i should use to that patient. Are the points i used enough to treat him? Thank you in advance, DR Halevi.
|Posted on Monday, August 23, 2010 - 16:17: |
I just readthis post and thought of a quick response. My experience is that one needs to get Qi dull and heavy and make it spread out. Maybe he just put them in and walked away.
It also depends where abouts on the sole of the foot
Get him to check his dermatomes.
If its medial foot, use Sp 9 and 6 maybe Ki3/Ki4 and move qi to the sole.
Suggest checking the Psoas to see if there is any tightness (Femoral N at L2 is a good place to start)
If its lateral foot, needle St 36 Gb 34 to Gb41ish) and get the qi to go down the leg to St 44
Also I would do all the "devil" points between the toes and get Qi to radiate to the sole of the foot.
Also I would needle the Bl points over the 1 and 2 Sacral foramen and get them just to go dull. Dermatomes for the sole of the foot come from there
|Posted on Tuesday, August 24, 2010 - 18:27: |
Phil's comments sound quite right. It is imperative to propagate the Qi sensation to the sole of the foot, especially from those points closer to the sole. Points close to the foot that are usually used for this are:
B-60 and K-3, and as Phil said, you need to check where this numbness is more pronounced and use the local points accordingly. Recommended distant points are:
B-40/ B-23 and G-30. All of them should be made to radiate distally as far as possible, to the tolerance of your patient.
|Posted on Saturday, August 28, 2010 - 20:05: |
Dear DR Halevi and Phil, thank you for the quick answer. Until today, the patient has came to therapy for 4 times, i have used the points both of you mention above after examining that the numbness involving both side of the foot. Now he can feel pain sensation on his feet which he can't do before therapy. I plan to have the needles stimulated by electrostimulator, do you think that electrostimulation in this case can give more improvement on the numbness? If so, how long can we do electrostimulation on each therapy? Thank you again.
|Posted on Monday, August 30, 2010 - 16:35: |
You can apply Electro-needling for 10 minutes using a very mild stimulation. Do this only after you have assured that there is deqi on the selected point.