1. Facial paralysis and Wind stroke treated by acupuncture

2. Meridians and colleterals
Central nervous system
Peripheral nervous system

3. How do TCM think of N.S. Brain &Spinal cord Nerve Nao sui &Ji sui
“sui” means essence
Conginital essence
Acquired essence
Nerve
神经（shen jing)
经络（jing luo) merdians and colleterals

4. Meridians and colleterals
Transmit Qi and blood
Obstruction of Qi and blood
Overflow of Qi and blood
Principles of acupuncture for neural diseases
Activate Qi and blood circulation
Regulate Yin and Yang

5. Peripheral facial paralysis

6. Symptoms Eye Mouth Frontal part Increasing eyelid fissure
Inability to close eyes
Mouth
Deviation of nasolabial groove,lips
Leaking from mouth
Frontal part
Disappearence of frontal line

7. No possible reason
Infection
Metabolism
Tumor

8. YANG Face Foot yangming Foot shaoyang Foot taiyang Hand yangmingDU
F. taiyang
Face
Foot yangming
Foot shaoyang
Foot taiyang
Hand yangming
Hand shaoyang
Hand taiyang Du
F. shaoyang
YANG
H. shaoyang
H. taiyag
H. yangming
F. yangming

9. TCM theories of peripheral paralysis
Wind
Cold
DAMPNESS

10. Face Foot yangming—— Hand yangming —— Foot shaoyang ——
Hand shaoyang ——
Foot taiyang ——
Hand taiyang ——
Du ——
Regulate Blood
Regulate QI
Dispel wind cold
Supply Yang Qi

11. Case sharing 40y,male Unknown cause
He suddenly find weakness of his face after waking up.
Go to clinic immediately

12. TCM diagnosis Measures Channels Wind cold attacking
Warm merdians and dispel wind cold
Channels
Taiyang Du
Yangming

13. Methods
Electrical acupuncture
Warm needling
moxibution

14. Hegu (LI 4)
Location: on the dorsum of hand, between the first and second metacarpal bones, along the middle of the second metacarpal bone on the radial side.

15. Renzhong (DU 26)
Location: at the junction of the super 1/3 and middle 1/3 of the philtrum

16. Cuanzu (BL 2)
Location: in the depression on the media lend of the eyebow

17. Yingxiang (LI 20)
Location: 0.5 cun lateral to the midpoint of the lateral border of ala nasi, in the nasolabial groove

18. After 2 weeks

19. WIND STROKE Middle cerebral artery Cerebral infarction
Cerebral hemorrhage

20. Windstroke is one of four kinds of main diseases that endanger human health.
Its morbidity lies in the first place in China.
Companied with many sequelae, it has brought a heavy burden to both the society and families.

21. Wind 风
Windstroke 中风
Why people connect this disease with “wind”？

22. Main points Neiguan(PC 6,the Pericardium Meridian of Hand-Jueyin)
Renzhong(DU 26,the DU Meridian)
Sanjinjiao(SP 6,the Spleen Meridian of Foot-Taiyin)

23. Neiguan(PC 6)

24. RENZHONG (DU 26)

25. SP 6
SANYINJIAO

26. Supplementary points Jiquan(HT1,the Heart Meridian of Hand-shaoyin)
Weizhong(BL40,the Bladder Meridian of Foot- Taiyang)
Chize(LU5, the Lung Meridian of Hand-Taiyin)

27. HT1

28. LU5

29. BL40

30. Point Modification： For difficulty of swallowing
Fengchi(GB 20),Yifeng(SJ 17) and Wangu(GB 12) are added.
For failing to extend fingers with stiffness,
Hegu (LI 4) is added.
For slurred speech,
Shanglianquan(EX-HN) is added, and Jinjin(EX-HN 12) and Yuye(EX-HN13) are used with blood-letting method. For strephenopodia, penetrating method from Qiuxu(GB 40) to Zhaohai(KI 6) is used

31. Fengchi(GB 20)
Wangu(GB 12)
Yifeng(SJ 17)
Puncture Fengchi(GB 20),Wangu(GB 12) and Yifeng(SJ 17) in the direction of the laryngeal protuberance for cun, with reinforcing manipulation of twirling and rotating the needle in high frequency and small amplitude for 1 minute to each acupoint.

32. Hegu(LI 4) to Sanjian(LI 3)
Puncture Hegu(LI 4) cun in depth with the needle tip toward Sanjian(LI 3), with reducing method of lifting and thrusting to make the patient’s second finger or five fingers extended freely.

33. Shanglianqu an (EX-HN)
针向舌根1.5~2寸，用提插泻法；
Puncture Shanglianquan(EX-HN) for cun, with the needle tip towards the root of the tongue and reducing method of lifting and thrusting the needle.

34. 用三棱针点刺放血，出血1~2毫升； Jinjin(EX-HN12) Yuye(EX-HN13)
Prick Jinjin(EX-HN12) and Yuye(EX-HN13) with the three-edged needle to cause bleeding for 1-2ml.

35. Qiuxu(GB 40) to Zhaohai(KI 6)
Puncture Qiuxu (GB 40) cun in depth with the needle tip toward Zhaohai(KI 6),until soreness and distension occurred locally.

36. Treatment of Complications

37. Constipation: Puncture Waishuidao(EX-CA), Waiguilai(EX-CA) and Fenglong(ST 40)

38. Incontinence of Urine, Retention of Urine: Puncture Zhongji(RN 3),Qugu(RN 4), Sanyinjiao (SP 6), Yinlingquan(SP 9). Moxibustion is applied on the local area, while massage and hot compress are applicable too.

39. Cervical Jiaji Points(EX-B2)

40. Double Vision:Puncture Fengchi(GB 20), Tianzhu(BL 10), Jingming(BL 1) and Qiuhou(EX-HN7)

41. Epilepsy: Puncture Daling(PC 7), Jiuwei(RN 15)

42. Periarthritis of Shoulder: Puncture Jianneiling(EX-UE), Jianliao(SJ 14), Jianzhen(SI 9), Jianzhongshu(SI 15), Jianwaishu (SI 14).Apply blood letting and cupping method to the local pain point.

43. Vascular Dementia:Puncture Baihui (DU 20), Sishencong(EX-HN1), Sibai(ST 2) and Taichong(LR 3).

44. Taichong(LR 3)

45. Paradoxic Sleep: Puncture Shangxing (DU 23), Shenmen(HT 7).

46. Course of Treatment
Give acupuncture treatment twice a day, ten days as a course of treatment, commonly give the patients three to five courses of treatment.

47. EXPERIMENTAL RESEARCHES ON “XNKQ” ACUPUNCTURE THERAPY

48. The Research included：
Morphology ,Biochemistry,The Central Nervous System and Molecular Biology,etc.

49. 针刺治疗中风病是多层次、多途径、多靶点整体调 整。形态学的改变是观察脑缺血损伤及针刺调节作用的最直 接、最客观的证据，我们在相关研究中获得了重大发现。
Regulation of acupuncture on stroke is on multi-level, Multi-channel and Multi-target.Changes of Morphology are the most directive and The most objective evidence to observe ischemic brain injury and the function of acupuncture.We get major discovery in observations.

50. 大脑中动脉阻断后所见大脑表面缺血区 ischemia area on brain surface after middle cerebral artery obstruction
缺血后代偿情况
the compensation status after ischemia
醒脑开窍针刺后的变化
the changes after “XNKQ” acupuncture method

51. 采用透射电镜观察神经细胞胞浆、细胞膜和细 胞核的超微结构发现，醒脑开窍针刺后大部分神经元结 构和细胞器结构完整，随时间段的延长而不断改善，到 24小时时间段已接近正常。
Using TEM to observe cel’s ultrastructure,it can be shown that most of the lstructure of the neurons and cell are restoration after “XNKQ” acupuncture and continue to improve with the extension of the time,to 24 hours are back to normal.

52. 针刺前神经细胞溶解、破坏。
Before acupuncture, the nerve cells be dissolved and damaged

53. “醒脑开窍”针刺3小时后神经细胞结构完整，线 粒体轻度肿胀。
3 hours after “XNKQ” acupuncture, the structure of the neurons and cell are restoration

54. 针刺6小时后神经细胞结构清晰，胞浆、粗面内质网、游离核糖体完整、线粒体微肿胀。
6 hours after “XNKQ” acupuncture, the structure of nerve cells clear,cytoplasm and free ribosomes are integrity , mitochondria micro-swelling.

55. 针刺12小时后神经细胞结构正常，线粒体完整，微管 微丝出现。
12 hours after “XNKQ” acupuncture, the structure of cell are restoration, mitochondria be normal, microtubule and microfilament appear.

56. 针刺24小时后神经细胞已恢复正常。
24 hours after “XNKQ” acupuncture, nerve cells be back to normal.

57. Thanks