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Posts Tagged ‘meige syndrome’

Case 1. from New Jersey State,Mom’s e-mail: d….M……i@aol.com

The patient- C…… is a 10 year old girl with Dystonia in her right leg and foot.  The (LiuJunSan Capsule) pills seem to improve tics that are related (facial and neck, arms). Not too much improved for her leg dystonia yet.

She only used two bottles of capsule (dose: 2 capsule, 3 time a day), did not use acupuncture and Chinese herbal tea.
Case 2. From California,
Before using our Chinese herbal tea and LiuJunSan Capsule, patient had one month treatment in local. Used acupuncture and Chinese herbal tea from local doctors, he felt not so satisfactory.
Use two month Chinese herbal tea we provided, he feels much better.
Case 3. From Washington State.
He has got “better”, but both patient or any healthcare provider could not assess the effectiveness because he has used almost all therapies in same time, included in Chinese herbal tea we provided(did not use very seriously), LiuJunSan capsule we provided, two “western” medications, Botox injections, massage, acupuncture(3 times a week), and work less hours. He seems too anxious, and try to cure it very soon.
Case.4 From Virginia State,
Patient see me and use acupuncture and Chinese herbal tea with the LiuJunSan capsule, yesterday was the second visit, her neck movement ranges have been improved.

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Read Detail online at

http://www.jstage.jst.go.jp/article/jkpt/6/0/103/_pdf

 
ONLINE ISSN : 1349-9572
PRINT ISSN : 1346-9606
Journal of Kansai Physical Therapy
Vol. 6 (2006) 103-107
[PDF (410K)] [References

 

Influence of Acupuncture Stimulus of Left L14 (Goukoku) on Reaction Time of the Left Sternocleidomastoid
Hidenori SAKAI1)3), Makiko TANI2), Etsuko NISHIMURA3), Ai UEDA3), Ayako FUKUSHIMA3), Hironori INOUE3), Aya TAKADA3) and Toshiaki SUZUKI2)
1) Department of Rehabilitation, Kiba Hospital
2) Research Center of Neurological Diseases, Kansai College of Oriental Medicine
3) Trainee Acupuncturist, Outpatient Clinic, Kansai College of Oriental Medicine

(Received: 2006/10/13)
(Accepted for publication: 2006/11/17)

 

Abstract
According to acupuncture therapy for dystonia patients practised at the Outpatient Clinic, Kansai College of Oriental Medicine, there is a report that remote acupuncture therapy by the meridian concept is effective. It was reported that dystonia is sensory defect rather than dyskinesia, and we report acupuncture therapy of soft stimulus to normalize the upper central nervous system for stimulated sensory nerve. Based on the meridian theory, we investigated the influence of acupuncture stimulus to the sternocleidomastoid muscle (L14) through which the large intestine meridian (L1) passes on the hand, on the central nervous system and muscles by comparison of surface EMGS among 3 groups: no stimulus, 5 min stimulus, 20 min stimulus. After 20 min stimulus, both PMT and MT were significantly shortened compared with before stimulus. However, in the no stimulus and 5 min stimulus groups there were no differences in PMT and MT compared with before stimulus. This suggests that to excite the central nervous system and muscle function via the sternocleidomastoid muscle, 20 min acupucture is needed.

Key words: L14 (Goukoku), sternocleidomastoid muscle, acupuncture stimuius, reaction time

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See detail, click the link:

http://www.youtube.com/watch?v=cOE19MfFStY

www.ChineseMedicineDoctor.US

For more Videos, please click:

http://www.youtube.com/my_videos?feature=mhw5

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Dr. Fan was a neurologist for 10 years, an internist for 16 years in Nanjing, China before he moved to Washington DC area. He had treated over 240 Tourette’s syndrome (tics) patients in China, mainly using Chinese herbology, i.e. individualized herbal tea, or prepared herbal pills/extracts.  Most of Tourette’s syndrome patients were Children. One of his formulas is registered in the China FDA Jiangsu Provincial branch as an herbal medicine (hospital use) for Tourette’s syndrome.

In the USA, because his special background in both Chinese Medicine and Neurology, some Tourette’s syndrome patients also come to see him. Using acupuncture, mainly scalp acupuncture, sometime combining herbal medicine, he has treated over 20 patients, most of them are adults. Most of patients feel very good, at least such a CAM (complementary and alternative medicine) modality help them minimizing the tics and also diminishing the anxiety, most important, almost no adverse effect.

Dr. Fan has been invited by a local Chinese medicine association, called Association of Chinese Medicine Doctors from China Mainland in the Greater Washington DC, to discuss the treatments and efficacy in Tourette’s syndrome on April 11, 2010 in Rockville, Maryland.

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Patient’s e-mail:

-On Sunday, October 24, 2010 1:30 PM

From:”L. M.” <l…..@hotmail.com>
Dr Fan,
Thank you for checking on us.  My daughter’s condition, after 6 months taking Liu Jun San & herbal tea, has been stable. She seems to have better balance, and her dystonia has been really mild. I’d like to see if she can maintain this condition without the help of medication.

I’d like to thank you for helping my daughter getting such a great improvement! I’ll keep you in touch.

Best regards,
L.

-On April 23, 2010

 RE: J….. 9 yrs old with dystonia

Friday, April 23, 2010 6:30 PM

From:”L. M.” l….@hotmail.com
To:
Dr. Fan,
 
My daughter has been taking Liu Jun San capsules and herbal tea for almost two months by now, and she’s got a really big improvement. Her facial tics (eyes and mouth) is like 99% gone. The dystonia on her foot is getting milder. Her foot is not stiff and turn in anymore. She now walks way better and faster. Teachers at her school also notice this big improvement because before walking was really hard for her, they even discussed about getting my daughter on wheelchair to help her go around the school.  But now we don’t think she needs one.
Some teachers were amazed with the result, they asked what I’ve given to my daughter and I gave them your name and your website.  
 
Thank you so much for bringing back my daughter’s confidence. Now she enjoys walking again, and she doesn’t come home from school in tears anymore because walking is so much easier for her now. 
 
I would like to order one course treatment again. I will fax my new credit card to you, please kindly let me know once you receive the fax.  Once again thank you!!
 
Sincerely,
L.

Patient’s e-mail:
— On Tue, 3/23/10, L M wrote:

From: L.M.
Subject: RE: J……, 9 yrs old with dystonia
To: “Arthur Fan”
Date: Tuesday, March 23, 2010, 12:39 PM

Hi Dr Fan,

J…. has been taking the capsules & herbal tea since March 02, 2010. Her facial tics (eyes & mouth) getting much lesser, and she does not complain a lot of headache anymore. As far as the foot there’s a little bit improvement, but I believe there will be so much more improvement as she continue taking the medicine. We are so grateful to find you, because not many people understand dystonia well, even doctors, acupuncturist. I feel so thankful that I could give my daughter natural treatment everyday. And I will still be making effort to take her to your clinic to get acupuncture.

Her neurologist thinks she may be a DTY1 dystonia (something genetic although none in our family has dystonia). In your experience, will it make harder to treat?

Also I will start to use Automatic Medicine Cooker. Will the cooking method and measurement be the same as the one on the paper? Please let me know.

Dr Fan, thank you. May God bless you more and more everyday, so people with dystonia like my daughter always have a hope- to be clinically cured.

I will be contacting you later to order more treatment.

Sincerely,
L.

Dr.Fan’s reply e-mail on 03/23/2010, at 21:00:

Dear L…..,

I am very happy to get your e-mail, and know your daughter has some improvements.

Just keep using the herbs. When she almost finish the herbs, you could let me know, see if we need some adjustments for her.

For automatic cooker, it will save your effort. Not necessary to follow the rule in our instruction. Just putting herbs, adding proper amount of water, turning on electricity, the setting Quick or slow cooking option, after one hour or so, it is done. It will keep warm until you turning off it or automatically turning off at about 3 hours.

For DTY1, or other type of dystonia, we did not have experience to compare the effectiveness, so I could not say anything about that.

Have a good day!

Arthur Yin Fan, PhD,CMD,LAc
McLean Center for Complementary and Alternative Medicine, PLC
8214 Old Courthouse Road, Tysons Square Office Park,
Vienna, VA 22182.
Phone:(703)499-4428; Fax:(703)547-8197
Web: http://www.ChineseMedicineDoctor.US
Blogs: http://www.arthuryinfan.wordpress.com

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02/24/2010

Dr. Fan has recently been busy treating patients with different forms of dystonia from the United States, China and India.

One patient from North Carolina (NC) drove 7.5 hours and is living in a hotel near our office for a short-term for acupuncture treatment.  http://www.youtube.com/watch?v=zJjFopYP

ONE Patient S.P., 72 years old, has had dystonia for 13 years, initially it was cervical dystonia (Spasmodic torticollis), but 3.5 years ago it improved and became Spasmodic Dysphonia (abductor type). Her voice is strained, strangled, choked like, sound hoarse, breathless, anxious or groaning. Also, she has difficult in chewing, but no problem at swallowing.

She had Botox injections for 2 years (each helped about 3 months to some extent). Currently she is using some medications. However, she still finds it very hard to speak. Most of her words could not be understood. So her sister helps her as an interpreter.

To date she has had 3 acupuncture sessions in our office. Both she and her sister feel there has been a great deal of improvement, although she still has a spasmodic voice, her words are basically understandable. We took a second video today and her the difference between initial visit and today. She is very happy with the result.

She plans to treatment for two more days. She plans to come back in near future (after going home to assess the results).

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Written by Dr Helen Hanson, Movement Disorders Unit, King’s College Hospital, London and Dr K Ray Chaudhuri, Movement Disorders Unit, King’s College Hospital, London

Primary dystonias

Generalised dystonia

This is also known as primary torsion dystonia or dystonia musculorum deformans. The usual age of onset is between 5 and 16 years. Parents or teachers may notice an abnormal turning in of the foot, an awkward gait or contractions of many different muscle groups.

The involuntary dystonic movements may progress quickly to involve all the limbs and torso, but the rate of progression usually slows after adolescence.

A genetic basis for generalised dystonia has now been confirmed.

Focal dystonias

Spasmodic torticollis

Torticollis, commonly called wry neck, is the condition of spasm affecting the muscles of the neck, causing the head to assume unnatural postures or turn uncontrollably.

Spasmodic torticollis, also known as cervical dystonia, is the most common of the focal dystonias. There are thought to be 10,000 people in the UK suffering from this condition.. The average age of onset is in the early 40s and more women are affected than men.

The head may tilt (laterocollis) or twist to one side (rotational torticollis), forward (anterocollis) or backward (retrocollis). The movements may be sustained or jerky (myoclonic torticollis). Muscle spasms or pinching nerves in the neck can be very painful. The neck may eventually be held permanently in one position.

Torticollis usually develops gradually. At first, the patient may notice that the head turns during everyday activities. In about a quarter of patients the hand may also develop some tremor, especially if trying to correct the involuntary movement. The tremor is common but not usually disabling and is referred to as an enhanced physiologic tremor.

The severity of torticollis can vary and may be worse if the patient is under stress. Occasionally drinking alcohol can improve the torticollis.

Some sufferers have a history of head or neck injury, but as yet there is no evidence to support the theory that torticollis is directly related to trauma.

Most patients find the condition deteriorates over the first five years, but their symptoms then stabilise. One third of patients progress to a segmental dystonia, usually involving the arm. The symptoms of about 10 per cent may stop spontaneously, but then later recur.

Patients with torticollis often find that their daily lives are affected. Head turning can prevent a proper view of the road when driving, it may become difficult to eat, brush teeth or apply makeup. Many sufferers find embarrassment and anxiety the major handicap.

Blepharospasm

Blepharospasm means the involuntary contraction of the eyelids, leading to uncontrollable blinking and closure of the eyelids.

It affects more women than men and in the UK and it is the second most common focal dystonia with approximately 4000 people affected. In very extreme cases, sufferers are unable to prevent their eyes from clamping shut so that despite normal vision they are functionally blind.

Muscles in the face can also become affected causing facial distortions and grimacing when the patient attempts to open her eyes.

Blepharospasm usually develops gradually. The first sign a sufferer may notice is eye irritation and discomfort, light sensitivity and increased blinking. They may find that the condition worsens when they are tired, under stress or reading. Bright flickering lights, smoke or wind can all irritate the condition making symptoms worse.

Hemifacial spasm

Hemifacial spasm causes muscles on only one side of the face to contract. It affects both men and women and usually develops in middle age. More than 4000 people in the UK are thought to be affected.

Hemifacial spasm develops gradually. Initially the muscles surrounding the eye may be affected by muscle spasms, which continue to spread and affect other muscles on the same side of the face, especially the jaw and mouth. Some patients may experience a clicking sound in the ear on the affected side each time a muscle contracts.

For unknown reasons hemifacial spasm tends to affect the left side of the face more often than the right.

The cause of the spasm may be related to the irritation of the nerve that controls the muscles of facial expression called the facial nerve. This may be due to an abnormally placed blood vessel at the back of the brain, near where the facial nerve arises. So hemifacial spasm may not be truly a dystonia.

Oromandibular dystonia

In this form of dystonia the jaw muscles, lips and tongue are affected causing the jaw to be held open, clamped shut or forced to deviate to one side.

The tongue may be pulled forward, upward, backward or downward.

Sufferers experience problems eating swallowing or speaking. Occasionally, this may be drug induced. Ulceration of the tongue may also occur due to a continuation of dry mouth and tongue twisting.

Orofacial-buccal dystonia

This dystonia is also known as Meiges or Brueghels syndrome. It is a combination of blepharospasm and oromandibular dystonia.

Spasmodic dysphonia

Spasmodic dysphonia (difficulty in voice production) is slightly more common in women than in men and occurs in middle age. The muscles affected are those controlling the vocal cords. Sufferers find that their voice sounds strained and strangled, that it takes a lot of effort to speak and that their voice comes out as tremulous, weak or a breathless whisper.

There are basically two types of spasmodic dysphonia. In the adductor type, speaking causes involuntary excessive muscle contraction of the muscles that bring the vocal cords together. This causes a strained, strangled, choked voice quality, often with abrupt initiation and termination of voicing, resulting in a broken speech pattern. The patient may sound hoarse, breathless, anxious or groaning.

In the abductor type, there is an overcontraction of the muscles that separate the vocal cords, resulting in a choppy and breathy whispering voice pattern.

Spasmodic dysphonia may follow an infection of the respiratory tract, injury to the larynx or a period of excess voice use.

Most patients find that they are able to use their voices normally in some situations. Patients with the adductor type may be able to laugh, whisper or sing normally. Improved speech is noted during emotional or physiological states for example joy, anger or following yawning. Shouting or stress usually makes the condition worse.

Writer’s cramp

In this type of dystonia the muscles of the hand and forearm are affected. Contraction or extension of the hand and finger muscles prevents activity or causes an exaggerated posture.

The patient complains of tension and discomfort. They might start to grip the pen too tightly and the script becomes slow and untidy. After a few words the patient is forced to stop and rest. The contraction disappears on stopping writing.

Occasionally the hand dystonia may also be associated with a tremor known as dystonic tremor. Sometimes a primary writing tremor may be mistaken as writing cramp.

Patients often employ trick manoeuvres to overcome the cramp. Some support their writing hand with their opposite arm, use thick nibbed pens, alter their grip or hold the pen in a closed fist. Unfortunately the cramp may arise in the other hand. Patients also find that they begin to have problems with holding other utensils such as forks and knives. Occasionally, the dystonia may be preceded by trauma to the limb.

There are other focal dystonias that are associated with a particular activity or occupation. Examples include typist’s cramp, pianist’s cramp and golfer’s cramp.

Adult-onset primary dystonia

This is a rare subtype of focal dystonia. The symptoms remain localised to the trunk of the body, but may spread to involve the neck muscles. The dystonia does not spread to the leg. Unlike other forms of focal dystonia it is more common in men than women.

The twisting trunk movements have been likened to the Leaning Tower of Pisa, and the term Pisa syndrome is occasionally applied to these dystonias.

‘Dystonia-plus’ syndromes

Dopamine, (often called ‘dopa’ which is in fact an intermediate chemical in dopamine’s production) is a chemical messenger widely used in the nervous system in passing nerve impulses between nerve cells (neurotransmission). Dopa-responsive dystonia is an important form that can be successfully treated with drugs such as levodopa (eg Madopar, Sinemet). Typically it begins in childhood or adolescence and leads to progressive difficulty in walking and in some cases spasticity (limb stiffness). The symptoms may fluctuate during the day from relative mobility in the morning to increasingly worse disability in the afternoon, evening and after exercise.

This is an important condition to recognise as treatment can result in dramatic improvement in symptoms.

Myoclonic dystonia is a rare type combining dystonia and sudden muscular spasms (myoclonus). The onset is in adolescence or early adult life. It mainly affects the arms and body. These patients can be very sensitive to treatment with alcohol and a genetic basis has been suggested.

Secondary dystonias

Secondary dystonias are often accompanied by other neurological problems. They begin suddenly at rest and are associated with different hereditary and environmental causes. Environmental causes include head trauma, stroke, a tumour, multiple sclerosis, infections in the brain, injury to the spinal cord, or after chemotherapy, drugs or toxins that affect the basal ganglia, thalamus or brain stem.

They may be associated with other hereditary neurological syndromes. Dystonia may be the first sign in a patient with Huntington’s disease, and is secondary to many other neurological diseases. These include Parkinson’s disease, Wilson’s disease and Ataxia telangiectasia. Examples of metabolic disorders causing secondary dystonia are Lesch-Nehan syndrome, Niemann-Pick disease and Leigh’s disease. All of these causes are rare.

What drugs can cause dystonia?

Certain drugs have been implicated in causing dystonic reactions or dystonia. This form of dystonia is referred to as secondary or drug induced dystonia. Some drugs may not cause dystonia but may aggravate the pre-existing disorder. Patients should avoid these drugs.

The list of drugs causing drug induced dystonic reactions is long but includes:

In general, alcohol does not have an adverse effect on dystonia but it is rarely seen to hasten it. Alcohol may also help dystonia, particularly forms of myoclonic dystonia. People who chronically abuse alcohol can get a series of involuntary movements or tremors not related to dystonia. Excess alcohol intake is not advised.

Is dystonia hereditary?

It has long been thought that there is a genetic or hereditary link to dystonia, as relatives of patients suffering from dystonia often also have some kind of tremor or dystonia and this link has now been identified in some types of dystonia.

Childhood dystonia (early-onset primary torsion dystonia or dystonia musculorum deformans) is often inherited through one or more affected/mutated genes.

If a parent has this type of dystonia, there is a 50 per cent chance of passing the gene to their children. The gene is on chromosome 9 and known as DYT1. (This mutation has been observed mainly in Ashkenazi Jews.) However, even if the child inherits the gene, they may not necessarily develop dystonia. This is known as reduced penetrance. In the UK about 40 per cent of people with the affected gene develop dystonia.

Research has shown that the gene DYT1 codes for a newly recognised protein called Torsin A. Its function is unknown. However, large amounts are concentrated in an area of the basal ganglia called the substantia nigra pars compacta, suggesting it has a role in dopamine neurotransmission.

Late-onset primary torsion dystonia or focal dystonia is inherited in a more complex manner than the early-onset dystonia. Genes known as DYT6 on chromosome 8 and DYT7 on chromosome 18 may be involved. These genes also have reduced penetrance so only about 12 per cent of people with the affected gene develop the dystonia. DYT6 has been found in people whose neck or head muscles are affected causing problems with neck, speech or facial muscles. DYT7 has been found in those mainly affected with myoclonic torticollis.

Dopa-responsive dystonia also has a genetic basis. Many patients have a mutation in a gene known as GCHI (GTP cyclohydroxylase) on chromosome 14. There is a 50 per cent chance of parents passing on the gene, although with reduced penetrance. However, it occurs more in women. Mutations in this gene cause abnormal production of a chemical called tetrahydrobiopterin, needed to produce the neurotransmitter dopamine. The drug levodopa is helpful in treating this form of dystonia as it increases dopamine levels in the brain.

Myoclonic dystonia also has a genetic component. A mutation in a receptor for the neurotransmitter dopamine has been found on chromosome 11 or 18.

See more, you could visit http://www.netdoctor.co.uk/diseases/facts/dystonia.htm

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Dear Dr. Fan, 

 I have seen some of your work with dystonia and Chinese Medicine on line.  My wife suffers from dystonia (mostly face and neck).  We are in Singapore presently and wonder if you could refer us to someone here in Singapore who might be able to follow your efforts and be of assistance to us.

Reply by Dr. Arthur Fan (e-mail) 

Dear Mr. A.T. 

I am sorry; I could not refer any acupuncturist or CMD I don’t know in Singapore.

If you like, the alternative way is you see a Chinese medicine doctor and give me your information, such as the history, tongue/pulse information, appetite, bowel movement information, etc.

Then I could mail you the herbs, pills, etc..

Arthur Yin Fan, PhD,CMD,LAc

Asking(e-mail)

Dear Dr. Fan, 

Thank you so much for your response.  Is there a clinic or hospital in Singapore that practices the same or similar medicine as you do that you would suggest we consider going to?  I know there are some possibilities in Chinatown in Singapore, but I don’t know if there is anyone that would have the same focus or experience that you might. 

Thanks, 

A.T.

Reply by Dr. Arthur Fan (e-mail) 

Hi, Mr. A. T.

In Chinese medicine, there are general practice and specialty practice. You may see someone who specialized in Chinese medicine neurology.

Sometime, the general practice may works also.

Arthur Yin Fan, PhD, CMD, LAc

Asking 

Dear Dr. Fan, 

Thank you for your past emails.  We appreciate them. 

My wife and I have relocated to the Delhi, India area, so we don’t have the current benefit of TCM in Singapore.  However, in a couple of days I plan to be in Kuala Lumpur, Malaysia and there want to secure a supply of Peony Root, Papaya, and Tian Ma.  I think I can obtain them. 

Can you tell us how these herbs should be used?  We don’t know anything about how to use them.  My wife is not very heavy–about 120 lbs., perhaps.  Also, she is still using some western medications (such as Amantadine, Valium (as a muscle relaxant), and I think also Pasatane) which we hope create no conflict.  (That was our concern in Singapore.) 

Also, if in Delhi we don’t have any regular access to acupuncture, can the herbs work on dystonia by themselves? 

We appreciate your advice.

Thanks.

Kind regards,

A.T.

Dr. Fan said: please don’t use herbs by yourself. Herbology is a specialty.

***NOTE: This patient came to Virginia to see me in last week.—-Dr. Fan notes.

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I have written and told dystonia patients: dystonia is only an outside manifestation (symptoms and signs) of inner side brain injury or degeneration / disorder at the basal ganglion area.  In theory, for structural brain damage, there is no way to “cure” this problem.  In conventional medicine, there are several drugs (including Botox) which could diminish the symptoms and surgery would try to injure certain normal areas to reach the balance. 

However, if you using Chinese medicine, after a long-term treatment, say more than half year, we may reach the balance and “clinically Cure” the dystonia (which means controlled very well).

We have had several cases of dystonia in China and in USA, after continuous treatments with acupuncture and Chinese herbal tea, where the patients’ dystonia symptoms are very, very occasionally obscure. You could basically could stop the acupuncture and Chinese herbology. But they do need maintenance, say acupuncture once every week or two, otherwise the symptoms returned (they should be mild treatments).

For the short-term acupuncture or Chinese herbal treatments, patients may get temporary improvements, but this may not create a stable cure.

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Dear Dr. Fan,                   02/18/2010

My name is L……  I have a 9.5 years old daughter who has dystonia since she was about 6 years old. The dystonia started with her right leg, and now also affect her left leg.
She also has mild dystonia on her eyes and mouth. Since the dystonia started, Josephine has been having problem with walking. Her feet turned inward and also stiff.
She walks very very slow, and her gait makes it even worse. She also gets a lot of headache.
Her neurologist prescribed her Artane for the dystonia, and she has been taking it until today.
 
I look forward to have alternative treatment such as acupuncture, and Chinese herbal medication. For right now I can not take her outside California to visit your clinic, but I am working on it to be able to take her seeing you. However, I would like her to get Chinese herbal medication and start taking it asap.
 
I am still working on having her video and sending it to you. Please respond to me about how we could get her Chinese herbal medication.  Her insurance will not cover this alternative treatment, so we will pay by ourselves. So please also let us know the cost of the medication.
 
Thank you very much for returning my call this morning. I have a very high hope after reading your website. I realize dystonia is not something that can be cured, but at least if it can be mild it will mean so much for my daughter’s life. Looking forward to hearing from you.
 
Sincerely,
 
L

The Reply from Dr. Arthur Fan 02/19/2010 9:00AM

Dear Lenny, 

That is correct. Almost all of treatments for dystonia in conventional medicine is symptom treatment (no cure). Using Chinese medicine, acupuncture plus herbs, it is also very hard to be cured in a short time. However, we do have some patients “cured”! 

That does the “cured” mean in dystonia? 

Answer: most of dystonia symptoms gone and just need mild herbal medicine or acupuncture maintenance. The treatment for that aim is at least 6 month to one year, or even more.

These treatments are not payable from your insurance in current time.  And you need patience.

Please give me her other information

Appetite, bowel movement condition, sleep condition.

Tongue color–coating (white? yellow? thin or thick) and tongue color(pink or very red),

Pulse (you could let a local acupuncturist have a look).

For more information, such as how much the fees for herbs, capsule, etc. You could read the detail online in my blog.www.arthuryinfan.wordpress.com(dystonia part)

Arthur Yin Fan, PhD,CMD,LAc

McLean Center for Complementary and Alternative Medicine, PLC
8214 Old Courthouse Road, Tysons Square Office Park,
Vienna, VA 22182.
Phone:(703)499-4428; Fax:(703)547-8197

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By invitation of the National Institute for Neurological Disorders and Stroke (NINDS) in Bethesda, MD, Dr. Arthur Fan (Fan Ying) recently lectured more than 20 medical doctors and clinical fellows on current progress, scientific studies, and clinical effectiveness evaluation in the treatment of movement disorders, especially Parkinson’s Disease, with acupuncture and traditional Chinese medicine (TCM).

As part of his Jan. 29, 2007 lecture on the National Institutes of Health (NIH) main campus, Dr. Fan showed videos demonstrating the beneficial effects of TCM on Meige’s syndrome (a dystonia) and Huntington’s disease as well as Parkinson’s. After the lecture, Dr. Fan answered questions regarding the placement of acupuncture needles in the body and scalp, the differences between manual and electric acupuncture, and the safety of using traditional Chinese herbology in neurological patients.

“In the treatment of movement disorders, which often diminish patients’ quality of life and are difficult to heal with Western medicine, TCM may dramatically improve patients’ lives by decreasing clinical symptoms in some cases,” says Dr. Fan. “For example, after acupuncture, the stiffness and shaking of extremities caused by Parkinson’s will often stop for many days. Also, TCM, including herbology and acupuncture, can improve patients’ sleeping and stabilize their emotions.”

Dr. Fan holds the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) certificate in Oriental Medicine, which comprises Acupuncture, Chinese Herbology and Asian Bodywork. This little-held certificate reflects his expertise in the use of Chinese herbs and therapeutic massage, as well as acupuncture, in the authentic practice of Chinese medicine.

Dr. Fan’s clinical practice is continually enhanced by his evidence-based research in TCM. In China he conducted research in his medical specialty areas under grants from the Chinese Nature Science Foundation. In the United States he has been an active scientific researcher in complementary and alternative medicine (CAM) under federal National Institutes of Health (NIH) grants. For the University of Maryland medical school, Dr. Fan is currently a consultant for the scientific study of TCM.

As an internationally noted TCM research scholar, he is also a CAM reviewing expert for several well-known medical publication houses including Elsevier and World Scientific. The recipient of several important awards from the Chinese government, Dr. Fan has been the subject of coverage by the international news agency Reuters Health.

www.ChineseMedicineDoctor.us

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If you are interested in reading more online about dystonia etiology, clinical features and treatments, there is a book here: http://books.google.com/books?id=bMKypn_B0tIC&pg=PA188&lpg=PA188&dq=dystonia+acupuncture&source=bl&ots=NQGwLxPXyM&sig=2r0ctp6cWWbcZgU-8TgQ6UnP0EQ&hl=en&ei=kiYDS8i8BNXVlAeendnuAQ&sa=X&oi=book_result&ct=result&resnum=10&ved=0CB8Q6AEwCTgy#v=onepage&q=dystonia%20acupuncture&f=false

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1.  Dystonia basically may be caused by a structural (mostly neuron) damage in the central nervous system (CNS), such as after a car accident or a head injury, there no way to be absolutely “cured”, most of the patients around world have to live with it; we did have “clinically cured” patients. But the treatment takes time, and not every patient could be cured–I mean, clinically. 

2. “Clinical cured” means the patient almost has no symptom and most movement is almost normal, but there may still be some that are slightly abnormal, because the CNS damage could not be fixed.  A normal MRI doesn’t mean having no neuron damage. If you are using an MRI, you may see more abnormalities. 

3. The treatment takes time, 8 session acupuncture treatments is one treatment course in our center (with or without herbal remedies). 8 sessions’ of acupuncture could never cure dystonia, I mean after 8 sessions, most of patients feel some effectiveness – some have more, some less and on rare occasions there is no effectiveness at all. 

4. In our blog before, we discussed the herbal remedy and the cost.  Herbal remedy may be very helpful in stabilizing the effectiveness. Acupuncture is quick, but herbal remedy is more stable. You could read more in www.arthuryinfan.wordpress.com dystonia part. 

5. If you feel some providers may have experience in dystonia treatment, you could see them; However, I could not predict the effectiveness. 

www.ChineseMedicineDoctor.us

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A good article from Japanese Research for acupuncture treating dystonia

http://www.jsnm.org/files/paper/anm/ams201/ANM20-1-14.pdf

Acupuncture-induced cerebral blood flow responses in dystonia

Journal Annals of Nuclear Medicine

Publisher Springer Japan

ISSN 0914-7187 (Print) 1864-6433 (Online)

Issue Volume 20, Number 1 / January, 2006

Category Case Report

DOI 10.1007/BF02985597

Pages 83-87

Subject Collection Medicine

SpringerLink Date Thursday, November 13, 2008

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Case Report

Acupuncture-induced cerebral blood flow responses in dystonia

Sang Kil Ha-Kawa1 , Tsunetaka Yoshida1, 2 , Takasi Yague2 , Makiko Tani2, 3 , Toshiaki Suzuki2, 3 and Satoshi Sawada1

(1) Department of Radiology, Kansai Medical University, 10-15, Fumizono-cho, Moriguchi, 570-0074 Osaka, Japan

(2) Department of Neuropsychiatry, Kansai Medical University, Japan

(3) Research Center of Neurological Diseases, Kansai College of Oriental Medicine, Japan

Received: 24 January 2005 Accepted: 15 August 2005

Abstract

Objective The effect of acupuncture (ACP) on regional cerebral blood flow (rCBF) is unclear. Single-photon emission computed tomography studies on three patients with dystonia were performed before and after ACP treatment to test the contention that ACP affects rCBF.

Methods Pre-ACP and post-ACP CBF study were performed on the same day;99mTc ethyl cysteinate dimer was injected for each study. rCBF images were analyzed using a three-dimensional stereotaxic ROI template (3DSRT) to objectively measure rCBF. We evaluated rCBF bilaterally in five segments related to the pathophysiology of dystonia (1, superior frontal; 2, middle and inferior frontal; 3, primary sensorimotor; 4, lenticular nucleus; and 5, thalamus). More than 10% left-right asymmetry in rCBF over three continuous slices was defined as significant laterality. Post-ACP rCBF and laterality were evaluated with the pre-ACP rCBF study acting as a control in each subject.

Results The clinical effect of ACP was remarkable in all patients and rCBF increased in most segments. PreACP rCBF exhibited significant laterality in eight segments of the three patients. Laterality reversed in seven of these segments and resolved in the remaining segment after ACP. Pre-ACP rCBF laterality was not preserved in any segment after ACP. The remaining five segments exhibited laterality only after ACP. In total, after ACP, 13 of 15 segments demonstrated a change in CBF that was greater unilaterally.

Conclusions ACP results in an increase in CBF that is greater unilaterally. We think that unilateral change in CBF may be correlated with the action of ACP on the central nervous system in patients with dystonia.

Key words dystonia – acupuncture – cerebral blood flow

Dr. Arthur Fan www.ChineseMedicineDoctor.US

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Medical Acupuncture

A Journal For Physicians By Physicians

Volume 14 / Number 1

“Aurum Nostrum Non Est Aurum Vulgi”

 

Table of Contents On-line Journal Index

Acupuncture For Blepharospasm

Mahesh R. Dave,MD

OBJECTIVE

To describe the use of needle acupuncture and microcurrent therapy for treatment of blepharospasm.

KEY WORDS

Blepharospasm, Microcurrent Therapy, Acupuncture

INTRODUCTION

Blepharospasm is an ocular condition in which involuntary spasms or closure of the orbicularis occulimuscles may cause frequent eye blinking or even the inability to open the eye. Various treatments have been recommended, including botulinum toxin injections,1-4 myectomy,1 and drug therapy.1 Each therapy has its own success and limitations. For example, serious cases of necrotizing fasciitis5 and ptosis have been reported with botulinum toxin injections.

Blepharospasm, hemifacial spasm, Parkinson’s disease,6 and other dyskinesic-dystonic movement disorders may share pathways through basal ganglia structures. Acupuncture may offer an important avenue to approach blepharospasm7 and other movement disorders.8 A case of essential blepharospasm that did not respond to conventional ophthalmologic treatments is presented herein.

History

The patient was a 51-year-old woman who developed facial and eye twitches which gradually increased over 1 year. Gabapentin, propranolol, and cyclobenzaprine were ineffective; spasms worsened. An ophthalmologist injected botulinum toxin 4 times. Her symptoms improved mildly, but then the twitches became more significant. Her eye blinks and facial twitches worsened, and she lost peripheral vision.

Clinical Information

Findings of the physical examination were within normal limits. Results of laboratory testing were in the normal range, including com-

plete blood cell count, urinalysis, thyroid profile, and muscle enzymes. Tourette’s disorder was ruled out. The patient was not taking any preparations such as methylphenidate, amphetamines, antipsychotics, or illicit drugs (which can cause tics). The neurologic examination revealed ocular and some facial twitches. The patient’s cranial nerves were intact and Bell’s palsy was ruled out.

TREATMENT

Treatment included needle acupuncture of ST 2, 3; SI 18; TE 22; LI 3; GB 34; and Extra Meridian points (Yin-Tang, GV 20 + shishenkong). Microcurrent therapy was administered on the right side of her face at 5 and 80 Hz, working with certain groups of facial muscles. Kidney channel tonification also was performed.9,10

Outcome

Patient consent was obtained and the patient tolerated all procedures well. There were no adverse effects. Total time span of treatment was slightly less than 2 months. The patient showed >95% improvement, sustained after 3 months of no further treatments.

CONCLUSION

Acupuncture can be an effective treatment in difficult cases of blepharospasm, particularly when partial paralysis of ocular muscles due to botulinum toxins is responsible for continuation of blepharospasm. Acupuncture may offer an important avenue for the treatment of certain movement disorders. Further research is necessary and desirable into the effectiveness of acupuncture for this condition.

REFERENCES

Anderson RL, Patel BC, Holds JB, Jordan DR. Blepharospasm: past, present, and future. Ophthal Plast Reconstr Surg. 1998;14:305-317.

Carruthers A. Update on botulinum toxin. Skin Therapy Lett. 1999;4:1-2.

. Boghen DR, Lesser RL. Blepharospasm and hemifacial spasm. Curr Treat Options Neurol. 2000;2:393-400.

Mezaki T, Kaji R, Brin MF, et al. Combined use of type A and F botulinum toxins for blepharospasm: a double-blind controlled trial. Mov Disord. 1999;14:1017-1020.

Latimer PR, Hodgkins PR, Vakalis AN, Butler RE, Evans AR, Zaki GA. Necrotising fasciitis as a complication of botulinum toxin injection. Eye. 1998;

12(pt 1):51-53.

Young R. Update on Parkinson’s disease. Am Fam Physician. 1999;59:2155-2167, 2169-2170.

. Nepp J, Wenzel T, Kuchar A, Steinkogler FJ. Blepharospasm and acupuncture: initial results of a treatment trial [in German]. Wien Med Wochenschr. 1998;148:457-458.

Jayasuriya A. Clinical Acupuncture. 7th ed. New Delhi, India: B. Jain Publishers Ltd; 1998:458, 477.

Helms JM. Acupuncture Energetics: A Clinical Approach for Physicians. Berkeley, Calif: Medical Acupuncture Publishers; 1995.

Helms JM. Acupuncture for Physicians Course and Handbook. Bethesda, Md; January 1999.

AUTHOR INFORMATION

Dr Mahesh Dave specializes in Adult and Child Psychiatry, Addiction Medicine, and Forensic Psychiatry in Bryan, Texas.

Mahesh R. Dave, MD*

1201D Briarcrest Dr

Bryan, TX 77802

Phone: 979-776-5600 • Fax: 979-776-6280 • E-mail: mana@tca.net

*Address all correspondence and reprint requests regarding this article to Mahesh Dave, MD, at the address above.

Edited by Dr.Arthur Fan, www.ChineseMedicineDoctor.US

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