Motor system disorders

- Tremor or trembling in hands, arms, legs, jaw, and face;
- Rigidity or stiffness of the limbs and trunk;
- Bradykinesia - gradual loss of spontaneous movement
- Postural instability or impaired balance and coordination

Etiology

Loss of dopamine causes the nerve cells of the striatum to fire out of control, leaving patients unable to direct or control their movements in a normal manner

Oxidation is thought to cause damage to tissues, including neurons

External or an internal toxin selectively destroys dopaminergic neurons

The Role of Eopamine

Dopamine is a catecholamine that functions as neurotransmiter involved in arousal level and motor activity. During sleep, dopamine levels decrease.

Mechanisms

- Oxidative damage
- Environmental toxins
- Genetic predisposition
- Accelerated aging

Major Symptoms

- Tremor - pill rolling
- Rigidity - cogwheel
- Bradykinesia- slowing down
- Postural instability

Other Symptoms

- Depression/Emotional changes
- Memory loss
- Difficulty in swallowing and chewing
- Urinary problems or constipation
- Skin problem
- Sleep problem

TCM Approach

- Acupuncture:
- Electrical Acupuncture
- Auricular Acupuncture
- Scalp Acupuncture
- Herbal Prescription
- Tui Na/ Acupressure
- Moxabustion
- Qi Gong Therapy

Acupuncture Treatment

- Acupuncture treatment based on stimulating the central nerve system to restore the medi-brain function.
- Promote thalamas and hypothalamas to release domamine.
- Influence of motor and sensory nerve transmitter to increase its function.

Auricular Acupuncture

- Stimulation of specific points in the car exerts therapeutic effects on those pars of the body with which   they are correspond
- Examination of the ear will find sensitive points where associated body parts malfunction.
- It used in either diagnosis and treatment

Scalp Acupuncture

- MOTOR AREA
- SENSOR ATEA
- SPEECH AREA
- BALANCE AREA
- LIMB AREA
- TREMOR CONTROL AREA

Special Techniques to treating certain central nervous disease by stimulating the representative areas of the cerebral cortex.

Herbal supplement for Parkinson's Disease

Muscle relaxants:

1.  Magnolia
2.  Pueraria
3.  Peony

Herbal Combinations:

1.  Pinelia and Magnolia Combination
2.  Pueratia Combination
3.  Peony and licorice Combination

Pinellia and Magnolia Combination-Plus Qi regulated

- Pinellia 9gm
- Magnolia 9gm
- Paria Cocos 12gm
- Zingiberis 15gm
- Perilla Leaf 6gm
- Recommend to:
- Anxiety
- Depression
- Insomnia
- Dizziness
- Heavy sensation in the head
- Palpitation
- Obstruction in the throat
- "Sloshing" sound in the gastric area.

Pueraria Combination

- Pueratia 12g
- Ephedrae 9g
- Cinnamomi 6g
- Paeoniae 6g
- Zingiberis 9g
- Zizyphi 12pc
- Glycyrrhizae 6g
- Recommend to:
- Stiff neck and shoulder
- Body and joints achy
- Numbness of muscle and tendons
- Lack of perspitation

Peony and Licorice Combination

- Peoniae 12g
- Glycyrrhizae 12g
- Spasmodic pain of the arm and leg muscles
- Spasms in the rectal and abdominal muscles
- Abdominal pain
- Dysuria

Self-care Techniques

- Diet
- Nutrition Exercises
- Emotional Support

Diet

- Well-balanced, nutritious diet
- High protein diet may limit effectiveness

Food recommendation based on individual conditions

Nurtition

- Vitamin B6
- Vitamin E
- Vitamin C

Anti-oxidant and deprenylslow the early symptomatic progression of the disease and delay the need for levodopa.

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