Saturday, 16 January 2010 15:19

The following is the presentation of a particular case of treatment with acupuncture applied to a child admitted in Ungureni Camin-Hospital for Severely Handicapped Children, Bacau County, Romania.

M.E., female gender, 131/2 years old, is one of the assisted children, diagnosed with sequels of Paediatric Chronic Encephalopathy, Third Degree Mental Retardation and Behavioural Disorders. The basic treatment prescribed by the neuropsychiatrist was:

-         Neuleptil (Propericiazinum) l0mg, 1 tablet every 12 hours;

-         Ninazepamum 2,5mg, 2 tablets every evening;

-         Romparkin (Trihexyphenidylum) 2mg, 1 tablet/12 hours;

-         Bromoval (Bromizovalum) 300mg, 2 tablets/day.

On February 15th 1998, the child slipped and fell and suffered a head injury (head against the wall and the cement floor), remaining unconscious for 10 minutes. Due to the bad condition of the roads, which were snowed up, she couldn't be sent to a specialised clinic and she was confined under observation. She presented distinct drowsiness and repeated vomiting. After 40 hours - when I was on duty - the following became evident: orbital oedema and ecchymosis ("spectacles" image), parieto-occipital haematoma of the superior half of the head, unsteadiness in walking; the blood pressure, pulse and temperature were all normal. She was diagnosed with Cranio-cerebral Traumatism and Skull Base Fracture.

Decision of treatment:

  1. Cold compress on the oedematous area.
  2. Usual adjuvant drug treatment
    -       Vitamin Bl (Thiaminum) - 0,100g, 1 vial/day, IM, for 10 days
    -       Vitamin B6 (Pyridoxinum) - 0,050g, 1 vial/day IM, for 10 days
    -       Vitamins with Magnesium, 2 tablets/day, for 5 days.
  3. Acupuncture:
    -   distance points:
  • ST36 (Zusanli) - tonifying of the entire organism.
  • LI4 (Hegu) - equilibration of energy in the head zone.
  • BL62 (Shenmai) - cephalgia, dizziness, improvement of the cerebral blood circulation.

    -   local points:
  • EMI (Yintang) - cephalgia, dizziness
  • GB14 (Yangbai) - cephalgia
  • GV20 (Baihui) - cephalgia.

    -   general equilibration in accordance with Ling Kwei Pa Fa method.

Treatment and evolution:

February 17th:

ST36 + LI4 + EMI + GB14 + BL62

-  Slight improvement after 3 hours.

February 18th:

-  General improvement, she eats with help =>
ST36 + LI4 - EMI + GB14 + BL62 + GV20

February 19th:

-  Important improvement of general condition: she can sit, the palpebral oedema
is diminished and she opens her eyes. =>

12,00 a.m.: TE5 + BL64 + ST36 + LI4 + EMI + GB14 + BL62 + GV20

February 20th:

-  Manifest improvement of the patient's general condition: the haematoma has
resorbed, she can eat by herself =>

10,00 a.m.: LU7 + PC7 + ST36 + LI4 + EMI - GB14 + BL62 + GV20

February 24th:

- Orbital ecchymosis have  almost  completely  disappeared (!),  normal  gait, normal appetite. She is back to her previous "normal" state.

I didn't consider the continuation of treatment necessary any longer.

This was a surprising and very rapid therapeutic success.   The patient has been clinically observed for two years and no evident sequels have been noticed.

This presentation could encourage the application of acupuncture in similar cases.

Iuliu Floares, MD
Str. V.Alecsandri nr.90
5500 Bacau, Romania.

This article was published in "Acupuncture in Medicine", (journal of the British Medical Acupuncture Society