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MediaCenter.thieme.com plus e-content online Thieme-Verlag Sommer-Druck Feely.: WN023654/01/02 10.5.2010 FrauKurz Feuchtwangen YamamotoNewScalpAcup. TN139482 Titelei I Thieme-Verlag Sommer-Druck Feely.: WN023654/01/02 10.5.2010 FrauKurz Feuchtwangen YamamotoNewScalpAcup. TN139482 Titelei II Thieme-Verlag Sommer-Druck Feely.: WN023654/01/02 10.5.2010 FrauKurz Feuchtwangen YamamotoNewScalpAcup. TN139482 Titelei III Yamamoto New Scalp Acupuncture Principles and Practice RichardA.Feely,DO,FAAO,FCA,FAAMA AdjunctAssociateProfessor DepartmentofOsteopathicManipulativeMedicine ChicagoCollegeofOsteopathicMedicine MidwesternUniversity Downer’sGrove,IL,USA 2ndedition 90illustrations Thieme Stuttgart·NewYork Thieme-Verlag Sommer-Druck Feely.: WN023654/01/02 10.5.2010 FrauKurz Feuchtwangen YamamotoNewScalpAcup. TN139482 Titelei IV LibraryofCongressCataloging-in-PublicationData Importantnote:Medicineisanever-changingscience isavailablefromthepublisher. undergoing continual development. Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatmentanddrugtherapy.Insofarasthisbookmen- tions any dosage or application, readers may rest assuredthattheauthors,editors,andpublishershave madeeveryefforttoensurethatsuchreferencesarein accordancewiththestateofknowledgeatthetimeof productionofthebook. Nevertheless,thisdoesnotinvolve,imply,orexpress anyguaranteeorresponsibilityonthepartofthepub- lishersinrespecttoanydosageinstructionsandforms of applications stated in the book. Every user is requested to examine carefully the manufacturers’ leaflets accompanying each drug and to check, if necessaryinconsultationwithaphysicianorspecia- list,whetherthedosageschedulesmentionedtherein orthecontraindicationsstatedbythemanufacturers differfromthestatementsmadeinthepresentbook. 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TN139482 Titelei VI Foreword Dr. Feely has not only been to numerous YNSA lowers will understand the system better now seminars,includingthoseatmyhospital,buthas thatithasbeenpresentedintheirframeofrefer- also arranged for me to give seminars several ence. Whatever thethoughtor formulation, the times in Chicago. Now after he has studied the mainaimofYNSAistohelpthepatient.This,Iam subjectofYNSAthoroughly,hehasformulatedit sure,isalsoDr.Feely’smainobject. well into TCM thoughts and teachings in ways IsincerelywishDr.Feelygreatsuccesswithhis thatIhadnevereventhoughtofwhendeveloping bookaswellaswithhiswork. mymethodandworkingwithitformanyyears. The Chinese proverbs that are included sup- ToshikatsuYamamoto,MD,PhD porttheYNSAteachings.IthinkmanyTCMfol- Thieme-Verlag Sommer-Druck Feely.: WN023654/01/02 10.5.2010 FrauKurz Feuchtwangen YamamotoNewScalpAcup. TN139482 Titelei VII PrefacetotheSecondEdition Thisedition,likethefirstedition,providesacon- Currently, most of the YNSA research con- nectionforthoseknowledgeableinotherforums tinuestobecarriedoutinEuropeandAsia.Itis ofacupuncture,TCM,EightPrinciples,FivePhases, hopedthatcontrolledscientificexperimentation, andFrenchEnergeticsschoolofacupuncture,to verifying or disproving YNSA diagnostic, treat- relate to, and add YNSA to their therapeutic mentprotocols,andpointlocationwillbeunder- armamentarium. takeninUSinstitutions. The previous edition of this book was very wellreceivedbytheprofession,withmanymore Inthisedition,youwillfind: people in the English-speaking world taking up ● Newpoints YNSAasatherapeutictreatmentmethodformil- ● Improvedgraphics lions of suffering patients. Fortunately for the ● Newcasereports human race, the science of medicine and the ● Anewchapteronenergetics. knowledgeacquiredofthehumanbodycontinue to expand exponentially. We now know much Wehaveincludedthebestpartsofthefirstedi- moreaboutthebiochemistryofthebrainandthe tion, particularly the DVD, and the clinical aid neurotransmitters that are associated in the diagnostic/treatmentcard,aswellasallthepro- metaboliccascadeofpainandtheperceptionof tocolsthathavebeenproveneffective. pain. Itrustthatyouwillfindthisworkeasytoread, Someoftheprotocolshavebeenrefinedand providing excellent instruction, inspiration, and have become more specific with some new guidanceindiagnosingandtreatingyoursuffer- points.Thisneweditiongoesintogreaterdetail ingpatients. regardingtheelectromagneticfieldandphysiol- ogyofthehumanbodyanditspotential. RichardA.Feely Thieme-Verlag Sommer-Druck Feely.: WN023654/01/02 10.5.2010 FrauKurz Feuchtwangen YamamotoNewScalpAcup. TN139482 Titelei VIII PrefacetotheFirstEdition Whenonehasbeenonajourneyfortwodecades, thatonemeeting,mylifeandmypatients’lives itisnotuncommontowonderhowitallstarted. havebeenchanged,aswetogetherexperienced Forme,itbeganinKirksville,Missouri,whereas thepain-relieving,life-changingenergyofanee- an undergraduate I became exposed to osteo- dleproperlyplacedinthescalp. pathicmedicine,aholisticphilosophicalapproach Here is one of those life-changing stories. It tomedicine,anddiscoveredthatosteopathywas was Wednesday afternoon as I walked into the alsomypersonalphilosophy.Osteopathy,philoso- middletreatmentroomofmydowntownChicago phically,statesthatthebodyisaunitwherestruc- high-rise office to find my next patient, Mary, ture and function are reciprocally interrelated, curledupinthefetalpositionwiththelightsoff andthatthebodyhashomeostaticmechanisms andherhusband,Jim,quietlysittinginthechair thatawisephysicianusesandreliesuponinpro- nexttoher.Jimspokeup,“She’sstillhavingher moting health. This form of medicine, which headaches, migraines thatshehas had continu- looks for and promotes health and not disease, ously for five years.” After failing with two madethemostsensetome.Therefore,Ibecamea famous,world-classheadachecentersandmany DoctorofOsteopathy(D.O.). otherdoctorsbetweenAlbuquerqueandChicago, Aftercompletingapre-doctoralfellowshipin JimandMaryhadcomefromNewMexicotosee osteopathic theory and methods, specifically ifIcouldhelpherwithmyuniquecombinationof manipulation, and post-doctoral training, I techniques.Theyweredesperateforamiraclebut embarkedonthepracticeofosteopathy.Oneday discouraged and armed for further disappoint- I had metatarsalgia and went to a colleague, a ment. After a complete history, physical, and well-trainedosteopathicphysicianspecializingin osteopathic structural examination, I confirmed manipulation,whoproceededtosuggestthathe the diagnosis of recurrent classical migraines treatthispainwithacupuncture.Heplacedafew withconcomitantmuscletensioncephalgiaalong needles in my foot, leg, and arm, and the pain withsomaticdysfunctionofthehead;thecervi- abated.Intriguedwiththisresponse,Idecidedto cal,thoracic,andlumbarspine;thesacrum;and pursue the acquisition of knowledge to deter- the pelvis. I recommended that we begin treat- minetheflowofenergy(qi)usingacupunctureas mentwithcranialosteopathicmanipulationfol- ameansofbalancingandharmonizingthebody, lowed by YNSA. After her cranial osteopathic similar to my treatment goal in utilizing osteo- treatment,shestatedshewas60%better.Shehad pathicmanipulativetechniques. lesspainandshewasabletoopenhereyeswith Asacranialosteopath,Iwastrainedindiagno- thelightson.Ithenplacedsixneedlesinherscalp sis andtreatment from a Westernperspective— as the Yamamoto neck diagnosis protocol indi- anatomy, physiology, and pathology—but with catedandshesaid,“Icansee!Ifeelgood!Thisis theaddedknowledge,skill,andabilityofpalpat- the first time in five years I don’t have a head- ingtheprimaryrespiratorymechanism/craniosa- ache!Whoa!” cralmechanism,thus,perceivingthelifeenergy, In 1994, I traveled to Miyazaki, Japan, from asexpressedintheneuromusculoskeletalsystem. Chicago to spend time with this unique man, Cranialosteopathslearnhowtomovethefascia, Toshikatsu Yamamoto, M.D., Ph.D., whom I had body fluids, ligaments, and qi with their hands metpreviouslyinArizonaatthenationalmeeting throughtherestrictedareasofthebody,bringing of the American Academy of Medical Acupunc- lifetodiseasedanddysfunctionaltissues. ture. I was amazed at what I saw and learned. Myinterestpeakedwiththatpersonalexperi- ThereIsawthisslight,Japanesephysicianplace ence and I subsequently enrolled in the UCLA four tofiveneedlesinthescalpofahemiplegic MedicalAcupunctureCourseforPhysiciansbyDr. patientandimmediatelythepatientwasableto JosephHelms.Icontinuedtoparticipateinmany movetheirparalyzedlimb! other professional acupuncture educational With such dramatic physical changes using activities.OnonesuchoccasioninArizona,Imet only a few needles, I was intrigued, to say the ToshikatsuYamamoto,M.D.,Ph.D.,thefounderof least.Atmynextopportunity,Iwastofindmyself YamamotoNewScalpAcupuncture(YNSA).With inJapanatDr.Yamamoto’shospitalontheneuro- Thieme-Verlag Sommer-Druck Feely.: WN023654/01/02 10.5.2010 FrauKurz Feuchtwangen YamamotoNewScalpAcup. TN139482 Titelei PrefacetotheFirstEdition IX logical wards. One after another, post-stroke improvement if treatedwithin thefirst 30 days (CVA)patientswouldgettheirusualfourtoeight followingCVA.Iftreatedwithinthefirst6months needles in the scalp and they all would begin followingCVA,43%hadmarkedimprovement.If moving their paralyzed limbs. I couldn’t—more treatedbetween6and12monthsfollowingCVA, accurately—Iwouldnotbelieveitbecauseevery- 35%.Andiftreatedover1yearlater,14%.Stating onewasgettingbetterrightbeforemyveryeyes. it in the negative, of the 483 hemiplegic cases It was toogood tobetrue! Then Dr.Yamamoto thatweretreatedover1yearlater,noimprove- placed his usual needles in the scalp of a 70- ment was seen in 28%; and for those treated something-year-old, right hemiplegic lady and between 6 months to 1 year, no improvement nothinghappened—THEN,thatiswhenIbelieved wasseenin25%.1 Dr. Yamamoto’s technique, YNSA, was real and Inconclusion,mostoftheYNSApointsinthis notmagic,becauseinmedicinenothingisalways bookwerediscoveredbyDr.Yamamotoandafew perfect.Unfortunately,inmedicinesomepatients byme.Thesepointswereidentifiedbasedupon donotalwaysrespond,evenwhenthephysician Dr.Yamamoto’sYNSAmicrosystemtheory,TCM, doeseverythingcorrectly.Likeanyothermedical and the Five Phases principles combined with therapy, YNSA works well for many conditions individual trial and error. Currently, YNSA is butitisnotapanacea. ready for high-quality scientific scrutiny by the This book is a compilation of both Dr. Toshi- acupuncture world with controlled research katsuYamamotoʼspioneeringworkandmylatest trialstoverifyordisprovethediagnosisandtreat- diagnosticandtreatment pointsasidentifiedin mentmethodspresentedinthisbook.Thereisa over 10 years of YNSA practice. The reader will need to have controlled scientific experimenta- find new and a few different points than those tion, verifying or disproving point location. listedinDr.Yamamoto’s1998book,YNSA.Ihave Research is also needed to prove the value and started and continued with Dr. Yamamotoʼs the correctness/usefulness of terminology for nomenclature. I then expanded and refined the eachofthepointspresentedinthisbook. YNSA numbering system to provide a common This book was designed to aid the student/ languageforusewithcurrentUSmedicaldocu- practitioner in learning and reviewing his/her mentation and CMS insurance requirements for YNSA point location and to help improve the correctE/Mcodingandacupunctureprocedures understandingoftheYNSAdiagnosticandtreat- documentation(seeTable7–1,page90). ment protocols. To practice YNSA, one has to SinceYNSAisascienceofthe21stcenturyand develop a microsystem intellectual framework isneitherwidelyknownnorpracticed,veryfew andproperpsychomotorskillsinmasteryofthe researchpapersandrigidscientificstudieshave YNSAdiagnostic and treatment systems. This is beencompletedonit.Mostoftheevidenceonthe besttaughtone-on-one,withastudenttreatinga effectiveness of YNSA is from case reports and suffering patient under the guidance of a wise small studies by individual physicians in Japan, and experienced teacher. In such situations, Europe,andtheUnitedStates.InDr.Yamamoto’s results,oftendramatic,canreadilybeseen.Per- book,YNSA,helists30casereportsoftheeffects fect practice makes for accurate diagnosis and ofYNSAoncirculation,quadriplegia,aphasia,tin- trulyeffectivetreatment. nitus, facial paralysis, herniated lumbar discs, As you, the physician and/or acupuncturist kneepain,tensionheadaches,cervicalspondyli- begin your study of YNSA, may these words, tis,shoulderpain,compressionfracture,cerebel- thoughts, and charts provide you with knowl- larhemorrhage,post-CVAhemiplegia,Raynaud’s edge,perfectedinwisdom,toenableyoutodeli- disease, herpes zoster, cerebral concussion, and versuperiorhealthcaretoyoursufferingpatients. cerebralcontusionwithtetraplegia.Healsolists the results of the use of YNSA Basic points for RichardA.Feely painreliefandhemiplegia.HereportsthatYNSA consistently provided pain relief to patients, yielding 72–85% marked improvement with References BasicpointsA,B,C,D,andE(n=253,1855,2593, 1. YamamotoT,YamamotoH.YamamotoNewScalp 25844,130respectively).Healsoreportedthatof Acupuncture(YNSA).Tokyo,Japan:AxelSpringer the 483 hemiplegic patients, 55% had marked JapanPublishing,Inc.;1998:191,193.

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This user-friendly second edition provides a concise overview of Dr. Toshikatsu Yamamoto's principles of scalp acupuncture for the treatment of patients with ... Abstract: Provides an overview of Dr Toshikatsu Yamamoto's principles of scalp acupuncture for the treatment of patients with musculoskele
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