XXVIII Congresso della societa Italiana di AgopunturaMilano 12 Aprile 2008

New treatment concept of the parkinson‘s Disease

© S. Suwanda

Head physician of traditional chinese medicine at Hospital Zollikerberg, Zürich

New treatment concept of the parkinson‘s Disease (PD)

• TCM – Treatment • Body – acupuncture • scalp – acupuncture • Herbaltreatment

• Implantat – Templantat Ear-acupuncture• Physiotherapy combines Dao Yin• Tuina• Psycological Session

Ancient Literature about PD

• Huang Di Neijing – Su Wen (Inner Canon – the Essential Questions) 100 B.C. etiologic factor: internal wind, Liver and Marrow

• Zhang Zhi Zhun Sheng (Standards for diagnosis and treatmant) 1602 Wang Kentangexcessive wind: Liver Yang +++deficient wind: Liver Blood – and Kidney Yin - deficientcy

• Yi Xue Gang Mu (Outline of Medicine) 1565 Lou Yinginternal wind, Fire and Phlegm

• Zhang Shi Yi Tong (Zhang‘s comprehensive medical knowledge) 1695 Zhang LuInternal wind, Fire, Phlegm amd Deficiency (Spleen Qi, Liver Blood and kidney essenz

Modern Explain about PD

• Related Organs: Liver, spleen and kidney

• Pathologic mechanism: internal wind runs in the extremities and disturb the meridian functions

• Basic pathological factor: • Deficiency of Liver Blood and kidney Yin may cause internal wind • Deficiency of spleen Qi may result in Phlegm and Blood stasis

Parkinson Diesase Less of Dopamin – Transporter (DAT)

Praesynapse

Postsynapse

Excitationforwardstransformation

Single photon emission computer tomographie (SPECT)

(mTC99 TRODAT)

Patient with Early Parkinson‘s Disease

Jiang XM, Huang Y, Li DJ, Tang AW, Wang SX, Zhuo Y, Li QS, Chen J, Gao YPEffect of electro-scalp acupuncture on cerebral dopamine transporter in the striatum area of patients of Parkinson‘s disease by means of single photon emission computed tomographyZhongguo Zhen Jiu. 2006 Jun;26(6):427-30

Before acupunctre treatment

after acupunctre treatment

Acupuncture

1. Dispel wind: Dü 20, Ex-P. Si Shen Cong Dü 16, GB 20, 13, 34, TW5

2. Move Qi against Meridian blockage: LI 4 + Liv. 3

3. Regulation of musclefunction: SI 3, BL 62, LI 11, ST 36, GB 34, SP 9, SP 10

4. Tonification Liver, spleen, kidney (Qi and Blood):

BL 17, 18, 20, 23, KI 3, Ren 4, 6.

Scalp – Acupuncture IIDingnie Qianxiexian (MS 6), Dingpangxian I (MS 8) and Dingpangxian II (MS 9)

MS 6 MS 8 and MS 9

Han Yan Gb 4Shuai Gu Gb 8

Tong Tian UB 7

Xuan Li Gb 6

Qu Bin Gb 7

Zheng Ying Gb 17

Scalp – Acupuncture IIEpangxian III (MS 4) und Zhenxia Pangxian (MS 14)

MS 4 MS 14

Yü Zhen UB 9

Ben Shen Gb 13

Chinese Herbaltreament for PD• nourish Yin / Blood

Pin Yin Pharmaceutical Name Gram Bei Sha Shen Glehniae, Radix 10.0 – 15.0

Mai Men Dong Ophiopogonis Japonici, Tuber 10.0 - 15.0

Sheng Di Huang Rehmanniae recens seu Viridis,Radix 10.0 - 15.0

Dang Gui Angelicae Sinensis, Radix 5.0 - 15.0

Gou Qi Zi Lycii Chinensis, Fructus 10.0 - 15.0

Nü Zhen Zi Ligustri Lucidi, Fructus 10.0 - 15.0

Han Lian Cao Ecliptae Prostatae, Herba 10.0 - 15.0

Bai Shao Yao Paeoniae Lactiflorae, Radix 10.0 - 30.0

Shan Yu Rou Corni, Fructus 5.0 - 30.0

Shu Di Huang Rehmanniae, Radix praeparata 10.0 - 60.0

He Shou Wu Polygoni multiflori, Radix praeparata 10.0 - 30.0

Gui Ban Testudinis, Carapax et Plastrum 10.0 - 30.0

calm the Liver and calm the hyperactivity Yang Liver

Pin Yin Pharmaceutical Name Gram

Zhen Zhu Mu Margaritiferae Ustae, Concha

15.0 – 30.0

Mu Li Ostreae, Concha 10.0 – 30.0

Shi Jue Ming Haliotidis, Concha 15.0 – 30.0

Zhe Shi Ocherum Rubrum 10.0 - 30

Ji Li Tribuli, Fructus 6.0 – 15.0

Smooth the internal wind against Tremor, Rigor and Akinesie

Pin Yin Pharmaceutical Name Gram

Quan Xie Buthus Martensi 2.0 – 5.0

Wu Gong Scolopendrae Subspinipes 1.0 – 3.0

Di Long Lumbricus 5.0 – 15.0

Bai Jiang Can Bombyx Batryticatus 3.0 - 10.0

Tian Ma Gastrodiae, Rhizoma 3.0 – 10.0

Gou Teng Uncariae, Ramulus cum Uncis 10.0 – 15.0

Ling Yang Jiao Saigae tataricae Cornu 1.0 – 3.0

Tranforming the Phlegm / Humid, tonifying spleen

Pin Yin Pharmaceutical Name Gram Dang Shen Codonopsitis Pilosulae, Radix 10.0 – 30.0

Huang Qi Astragali, Radix 10.0 – 60.0

Bai Zhu Atractylodis Macrocephalae, Rhizoma

10.0 – 15.0

Ban Xia Pinelliae Ternatae, Rhizoma 3.0 – 10.0

Chen Pi Citri Reticulatae, Periciarpium 3.0 – 10.0

Fu Ling Poriae Cocos, Sclerotium 10.0 – 15.0

Dan Nan Xing Arisaematis, Rhizoma praeparata cum bile

3.0 – 6.0

Ju Hong Citri Exocarpium, Rubrum 3.0 – 9.0

Tian Zhu Huang Concretio Silicea Bambusae 3.0 – 6.0

Zhi Gan Cao Glycyrrhizae Tosta, Radix 3.0 – 10.0

Historie of Ear - Implantat

• Nogier: goldneedle Inplantat

• China: cat gut Implantat

• Kothbauer: Goldneedle Implantat for animal

Titan – Ear implantat 2002

Titan – Ear implantat 2002

Temporary Ear implantat(Templantat)

• Ploymere materials: 87%: L – Lactide 13%: Glycolide

• Boehringer, Germany

0,3 mm х 2,8 mm

Original Templant

Implantat vs. Templantat acupuncture – the difference

Implantat acupuncture

• material: titanium neadle

• Complete incorporation

• Stimulation for lifetime

• Intervention to remove the neadle

Templantat acupuncture

• material: resorbable glycoside neadle

*• Complete incorporation• Stimulation for 15-20

month• No intervention because of

resorption

* Poly (L-lactide-co-glycolide)

The instrument

applicator datas of the neadle length: 2.3 mm diameter: 0,8 mm

The goal of Implantat acupuncture

• Relief of the typical symptoms - akinesis, tremor, rigor

• Relief of additional symptoms - depression, digestive trouble,..

• Relief of medicamental side effects or even reduce drugs

• Improvement of the common energetic level

• We can`t heal the disease, but we can ease the symptoms and improve quality of life !

The ear: Zones of interest