CM SD Index - Differential Diagnosis

**The Most Important Scalp Points and Treatment Plans for Stroke Patients** **Main Acupuncture Points** 1. *Baihui* (GV 20), needle anteriorly 2. *Qianding* (GV 21), needle posteriorly to treat calf dysfunction 3. Sagittal Suture Sensory Area (Scalp-KT8) 矢縫感觉区 4. Sagittal Suture Motor Area (Scalp-KT9) 矢縫运动区 5. Coronal Suture Upper Limb Area (Scalp-KT16) 冠縫上肢區 6. Lambdoid Suture Lower Limb Area (Scalp-KT21) 人字縫下肢區 **Secondary Acupuncture Points** Jin’s Brain Three Needles 靳氏脑三针 which include *Naohu* (GV 17) and bilateral *Yuzhen* (BL 9) or *Naokong* (GB 19) are excellent for stroke involving the brain stem. These three points are often used for Parkinson’s disease, Tourette syndrome, mania, epilepsy, vertigo, paralysis, leg and back pain and numbness, dizziness, vomiting and nasal obstruction. Needle inferiorly 1-1.5 cun Jin’s Squamous Three Needles 靳氏颞三针 which includes three needles inserted downwardly, crossing the Squamous suture above the ears in the approximate area of *Shuaigu* (GB 8) and *Tianchong* (GB 9). For treating ear dysfunction and dizziness on the same side, needle the affected side. When treating paralysis, needle the opposite side. **TREATMENT PLAN #1** This treatment strategy is suitable for most stroke patients. Points: 1. *Baihui* (GV 20), needle towards the front 2. *Qianding* (GV 21), needle towards the back to treat calf dysfunction/paralysis 3. Sagittal Suture Motor Area (Scalp-KT9) 矢縫运动区, needle the healthy side 4. Sagittal Suture Sensory Area (Scalp-KT8) 矢縫感觉区 , needle the healthy side **TREATMENT PLAN #2** This is the best treatment plan for paralysis patients who can’t lift the arm(s). Points: 1. *Baihui* (GV 20) 2. *****Qianding* (GV 21) 3. Sagittal Suture Motor Area (Scalp-KT9) 矢縫运动区 4. Sagittal Suture Sensory Area (Scalp-KT8) 矢縫感觉区 5. Coronal Suture Upper Limb Area (Scalp-KT16) 冠縫上肢區 6. *Muchuang* (GB 16) **TREATMENT PLAN #3** This is the best treatment for patients who have numbness and pain of the extremities. **Points:** 1. Tai’s Sensory Si Shen Needles戴氏感覺四神針 2. Sagittal Suture Motor Area (Scalp-KT9) 矢縫运动区 3. Sagittal Suture Sensory Area (Scalp-KT8) 矢縫感觉区 4. 冠狀縫區CORONAL SUTURE AREA 5. *Muchuang* (GB 16) **Supplementary Points:** 1. **Impaired upper body movement**: Needle the Coronal Suture (If the left body is paralyzed, the needle the right side of the the head.), *Muchuang* (GB 16), *Jianyu* (LI 15), *Jianliao* (TH 14), *Jianzhen* (SI 9), *Quchi* (LI 11), *Yanglao* (SI 6), *Linggu* (T 22.05), *Hegu* (LI 4), thread *Zusanli* (ST 36) to *Tiaokou* (ST 38) 2. **Impaired lower body movement**: Needle the Lambdoid Suture (If the left body is paralyzed, the needle the right side of the Lambdoid Suture) , *Zusanli* (ST 36), *Tiaokou* (ST 38), *Heding*, *Dubi* (ST 35), *Yanglingquan* (GB 34), *Xuanzhong* (GB 39), *Xiajuxu* (ST 39) 3. **Lower limb deformity, pronated foot**: add the point 1 cun lateral to *Chengshan* (BL 57) 4. **Lower limb deformity, supinated foot**: add the point 1 cun medial to *Chengshan* (BL 57) 5. **Inability to extend or straighten the fingers**: add *Linggu* (T 22.05), *Baxie*, Wrist 4,5,6 points (three points approximately 2 cun above the wrist, spread evenly across on the dorsal side, needled distally towards the hand), Tai’s Sensory Si Shen Needles戴氏感覺四神針 6. **Inability to make a fist or grip**: add *Quchi* (LI 11), *Quze* (PC 3), Wrist 1,2,3 points (three points approximately 2 cun above the wrist, spread evenly across on the ventral side, needle distally towards the hand), Tai’s Sensory Si Shen Needles戴氏感覺四神針 7. **Swollen palm**: *Baxie*, Tai’s Sensory Si Shen Needles戴氏感覺四神針 8. **Swollen foot**: *Bafeng*, Tai’s Sensory Si Shen Needles戴氏感覺四神針 9. **Inability to do toe extension**: add *Xiajuxu* (ST 39), Extra Point Naoqing which is located 1.5 cun above *Jiexi* (ST 41). 10. **Inability to straighten the toes**: add *Bafeng* 11. **Heel pain**: add *Tianzhu* (BL 10), *Daling* (PC 7）, *Taixi* (KI 3), Tai’s Sensory Si Shen Needles戴氏感覺四神針 12. **Hand numbness**: add Tai’s Sensory Si Shen Needles戴氏感覺四神針, CORONAL SUTURE AREA 冠狀縫區, *Muchuang* (GB 16), *Tianzhu* (BL 10) 13. **Foot numbness**: add Tai’s Sensory Si Shen Needles戴氏感覺四神針, LAMBDOID SUTURE AREA 人字縫區, *Tianzhu* (BL 10), *Jianzhongshu* (SI 15) 14. **Deviated eyes or mouth**: add bilateral *Dicang* (ST 4), Coronal Sphenoid Speech Face Area (Scalp-KT17) 冠蝶言語顏面區 , *Xiaguan* (ST 7), *Jiache* (ST 6), *Yingxiang* (LI 20), *Chengjiang* (CV 24) 15. **Swallowing difficulty**: add *Shenting* (GV 24) (strongly stimulate with the right hand while massaging the throat using the left hand). 16. **Drooling**: add *Dicang* (ST 4), Auricular Sympathetic point, *Zhixian* (T 11.25) 17. **Inability to close the eyes:** *Zanzhu* (BL 2), *Zhiyin* (BL 67) on the healthy side, Coronal Sphenoid Speech Face Area (Scalp-KT17) 冠蝶言語顏面區 18. **Facial Prolapse, inability to open the eyes:** on the affected side, add *Xuehai* (SP 10), *Taibai* (SP 3), *Taichong* (LR 3), *Yangbai* (GB 14) Parkinson's 1. Sishencong (Ex-HN1) 2. Jin’s Cognitive Three Needles 靳氏智三針 3. Occipital Balance Area (Scalp-KT24) 枕旁平衡區 4. Tai’s Sensory Si Shen Needles 戴氏感覺四神針