Identifying and treating blockages to healing new approaches to therapy resistant patients ; [according to the work of Frank Bahr, M. D. and Paul Nogier, M. D.]

268 Pages·2004·57.69 MB·English

by  Strittmatter

Identifying and Treating
S
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r Blockages to Healing
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Identifying and Treating a
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Blockages to Healing te Complementary
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New Approaches to Therapy-Resistant Patients
New Approaches to Therapy-Resistant Patients
Therapists around the world know the following problem from their daily practice: some I Beate Strittmatter, M.D.
d
patients seem to be resistant to treatment despite all diagnostic and therapeutic efforts. e
n
Whether it is a young and healthy woman with recurrent inflammation of the bladder or
t
a fit man with tormenting back pain—the symptoms have become chronic, and the key for i
f
unlocking the vicious cycle seems to be lost. Quite often the key to solving the health y
i
problem is a focus. n
g

The method of identifying a focus by means of active acupuncture points in the reflex zones a
n
of the ear is so simple and so easy to learn that it doesn’t come as a surprise that, in Germany
d
and many other European countries, focus diagnosis has now become a widely practiced
T
method of complementary medicine, especially for patients who are resistant to therapy. r
e
In many cases, where such foci were found and treated with ear acupuncture or neural a
therapy, an improvement in chronic ailments that previously resisted conventional treatments ti
n
could be seen.
g

B
This book, based on the seminal work of P. Nogier and F. Bahr, addresses the basic concepts
l
and information about this revolutionary approach to healing. Profit from the author’s years o
c
of international teaching experience and learn the basics and application of this important k
diagnostic tool to remove blockages to healing and expand your treatment possibilities. a
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e
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Beate Strittmatter, M.D., was born in 1956 and attended medical school in Frankfurt and Homburg,

Germany, and in Glasgow, Scotland. She completed her degree in 1982. This was followed by 10 years H
of clinical specialization in orthopedics, with further training in body and ear acupuncture, neural e
a
therapy, and manual medicine. In 1990, she set herself up as a general practitioner, specializing addi-
l
tionally in naturopathic medicine and sports medicine. Her main emphasis in the practice has been on i
n
pain management and acupuncture. Since 1985 she has been a lecturer at the German Academy for g
Acupuncture and Auriculomedicine in Munich, Germany, and at the Society for Therapeutic Local
Anesthesia in Cologne, Germany. For the last 10 years she has been Director of Education at the Ger-
man Academy for Acupuncture and Auriculomedicine. She has published widely (numerous articles, two textbooks for
MDs, an interactive computer-learning program) and has been instrumental in developing the methods of focus diagnosis
practiced today in the field of auriculotherapy. She is a board member of the Saarland Conference on Pain. Since 1989 she
has been Senior Editor of the auriculomedical branch of the journal Der Akupunkturarzt/Aurikulotherapeut, and was
Editor-in-Chief of this specialist journal for 4 years. She is also a board member of the ACI (Acupuncture Certification
Institute, Los Angeles) and teaches in Germany, Switzerland, at the University of Miami, Florida, and at the Mt. St. Vincent
University, Bedford, Nova Scotia, Canada.
The Americas Rest of World
ISBN 3-13-127871-4 (GTV)
ISBN 1-58890-106-8 ISBN 3-13-127871-4
ISBN 1-58890-106-8 (TNY)
,!7IB5I8-jabage! ,!7ID1D1-chihbf!
According to the Work of
www.thieme.com Frank Bahr, M.D. and Paul Nogier, M.D.
Titelei.fm Seite I Montag, 20. Dezember 2010 10:32 10
h
Titelei.fm Seite II Montag, 20. Dezember 2010 10:32 10
Titelei.fm Seite III Montag, 20. Dezember 2010 10:32 10
Identifying and Treating
Blockages to Healing
New Approaches to Therapy-Resistant Patients
Beate Strittmatter, M.D.
Elversberg
Germany
150 illustrations
Thieme
Stuttgart · New York
Titelei.fm Seite IV Montag, 20. Dezember 2010 10:32 10
IV
Library of Congress Cataloging-in-Publication Data is availa- Important note: Medicine is an ever-changing science un-
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Translator: Ursula Vielkind, PhD, CTran, Dundas, Ontario, publishers any discrepancies or inaccuracies noticed.
Canada
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Vorwort.fm Seite V Montag, 20. Dezember 2010 10:33 10
V
Foreword
Therapists around the world know the following problem from
their daily practice: some patients seem to be resistant to treatment
despite all diagnostic and therapeutic efforts. Whether it is a young
and healthy woman with recurrent inflammation of the bladder or
a fit man with tormenting back pain–the symptoms have become
chronic, and the key for unlocking the vicious cycle seems to be lost.
Quite often the key to solving the health problem is a focus.
Ever since Ferdinand Huneke made his first observations about fo-
cal disturbances more than 60 years ago, foci have been investigat-
ed from various angles over the last decades by committed medical
doctors and scientists. In cases of chronic diseases or resistance to
therapy, the many disciplines of complementary medicine–but
also conventional medicine–have been paying special attention to
the diagnosis and therapy of foci that maintain or promote a dis-
ease. Unfortunately, many foci (such as minimal chronic inflamma-
tion, scars, devitalized teeth) are still inaccessible to diagnosis by
means of imaging procedures or laboratory tests. However, identi-
fication of the focus is the key to treating any focal disturbance.
The method of identifying a focus by means of active acupuncture
points in the reflex zones of the ear is simple and easy to learn; thus
it comes as no surprise that, in Germany and many other European
countries, focus diagnosis has now become a widely practiced
method of complementary medicine, especially for patients who
are resistant to therapy.
The present book is a practical guide to the identification and treat-
ment of foci. It is exemplary in didactic and systematic terms, simple
and precise in its writing, and set up with many instructive illustra-
tions. The author never loses sight of the reader, who will directly
profit from the many years of the author’s experience in research
and teaching as well as in applying the method in her own practice.
During many years of teaching at the University of Nanjing and at
the Institute of Applied Chemistry of the Chinese Academy of Sci-
ences in Beijing, I experienced that the phenomenon of focal dis-
turbances has no limits in terms of geography or methodology. The
traditional schools of acupuncture have accepted with enthusiasm
the methods of focus diagnosis that have been developed by Nogi-
er, myself, and our co-workers.
In European countries, the German edition of the present book is
already part of the standard literature of many therapists. I would
like to see this book become an effective guide to focus diagnosis
and therapy in the English-speaking world as well, for application
is the first step to experience, and only experience can provide ev-
idence. I hope it will be of help to numerous patients who have not
yet found relief by even the best evidence-based methods or to
those who are already taking good care of their health by preven-
tion.
Frank Bahr, M.D., Prof. mult. h.c./China
Vorwort.fm Seite VI Montag, 20. Dezember 2010 10:33 10
VI
Preface
During almost 20 years of intense teaching activities, I have been
repeatedly approached by course participants with requests for a
specific book dealing with the diagnosis of focal disturbances.
The testing for focal disturbances is an integral part of the ear and
body acupuncture training offered by the German Academy for Ac-
upuncture and Auriculomedicine, Munich, and its affiliated socie-
ties in Switzerland, Austria, and The Netherlands. Until recently,
however, only those of my medical colleagues who where willing
to get involved with training in acupuncture, both in terms of time
and content, were able to get to know our practical and compara-
tively less costly procedure of diagnosing focal disturbances. I al-
ways regretted this.
In the present book, I have attempted to explain the concept of fo-
cus diagnosis in a way that is not only practice-oriented but also
easy to understand for the non-acupuncturist. For this purpose, I
have selected only focus-related methods of the standard curricu-
lum on ear acupuncture and have presented them here in detail.
They can be used on their own for the sole purpose of focus diagno-
sis in the medical practice.
The result is a book that can be used as a guide for study, review,
and reference even by the experienced ear or body acupuncturist.
I dedicate this book to my mentor, Frank Bahr, M.D., to whom I owe
my knowledge of these methods (most of which are his) and the
passion for acupuncture in general. He has been urging me for
years to write this book.
I wish to thank my family – without their patience and understand-
ing this book would never have been completed.
The success of any book ultimately depends on the quality of the
editing and translation process. My special thanks go to Andrea
Wülker, M.D., Offenburg, Germany, for editing the 1st German edi-
tion, Liane Platt-Rohloff, Ph.D. and Melissa von Rohr, Editors at
George Thieme Verlag, Stuttgart, and Thieme New York, respec-
tively, for handling the translation project, and Ursula Vielkind,
Ph.D., C.Tran., Dundas, Ontario, Canada, for translating the book.
They not only showed a perfect command of the tools of their
trades but have also acquired great competence for the topic dur-
ing years of collaboration.
Autumn 2003 Beate Strittmatter
Inhalt.fm Seite VII Montag, 20. Dezember 2010 10:33 10
VII
Contents
Other Potential Foci . . . . . . . . . . . . . . . . . . . 37
Foreword
An Example from My Practice. . . . . . 38
Part A The Basics
Test Procedures for Focal
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . 2 Disturbances . . . . . . . . . . . . . . . . . . . . . . . . . 41
The Role of Ear Acupuncture
in the Testing for Foci. . . . . . . . . . . . . . . . . . 41
The Focus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
General Remarks Regarding the Testing. 43
Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Test Procedure for Foci According
Clinical Implications . . . . . . . . . . . . . . . . . . . 6
to Bahr—An Overview . . . . . . . . . . . . . . . . . 46
An Example from My Practice . . . . . . 7
Focus Diagnosis for Beginners
Focal Activity—Some Basics. . . . . . . . . . . . . 7
(Level 1). . . . . . . . . . . . . . . . . . . . . . . . . . 46
Huneke’s Phenomenon:
More Advanced Focus Diagnosis
The Immediate Reaction. . . . . . . . . . . . . . . 11
(Level 2). . . . . . . . . . . . . . . . . . . . . . . . . . 47
Where to Start. . . . . . . . . . . . . . . . . . . . 47
Potential Foci. . . . . . . . . . . . . . . . . . . . . . . . 15
Comparison of the Various Methods
Paranasal Sinuses. . . . . . . . . . . . . . . . . 16
for Focus Diagnosis and Therapy . . . 48
Tonsils. . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Appendix . . . . . . . . . . . . . . . . . . . . . . . . 17
Part B Practical Application
Temporomandibular Joint. . . . . . . . . 17
The Teeth as Foci. . . . . . . . . . . . . . . . . . . . . . .18 Learning and Mastering Knowledge
Teeth with Inflamed or Decayed Level 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Pulp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Focus Diagnosis by Means of
Root Canal Therapy of Devitalized Ear Reflex Zones. . . . . . . . . . . . . . . . . . . . . . 54
Teeth . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Essential Requirements. . . . . . . . . . . . . . . . 54
Root Remnants in the Jaw. . . . . . . . . 21 Grounding. . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
An Example from My Practice . . . . . 21 Finding the Ear Points . . . . . . . . . . . . . . . . . 56
Displaced Teeth and Impacted Mechanical Search for Points. . . . . . . . . . . 57
Wisdom Teeth. . . . . . . . . . . . . . . . . . . . 23
Locating Points with the
Foreign Bodies. . . . . . . . . . . . . . . . . . . . 23 Stirrup Probe . . . . . . . . . . . . . . . . . . . . . 57
Cysts in the Jaw Region . . . . . . . . . . . 23 Locating Points with the
Chronic Gnathitis Following Pressure Probe. . . . . . . . . . . . . . . . . . . . 59
Tooth Extraction or Surgery . . . . . . . 24 Locating Points with an Electrical
Diseases of the Marginal Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Periodontium . . . . . . . . . . . . . . . . . . . . 25 The Basics of Locating Points
The Link to Traditional Chinese Electrically . . . . . . . . . . . . . . . . . . . . . . . 61
Medicine. . . . . . . . . . . . . . . . . . . . . . . . . 26 Procedure for Locating Points
Scars Acting as Foci . . . . . . . . . . . . . . . . . . . 26 with the Electrical Point-Finder . . . . 63
Scars Located on a Meridian. . . . . . . 28 Sources of Error during Electrical
Fresh Scars and Meridianitis. . . . . . . 30 Point Measurement . . . . . . . . . . . . . . . 66
An Example from My Practice . . . . . 31 Suitable Point-Finding Devices. . . . . 68
Intestinal Dysbiosis . . . . . . . . . . . . . . . . . . . 33 Preliminary Examination . . . . . . . . . . . . . . 69
Gastrointestinal Allergy and Locating Focus Points on the Ear. . . . . . . . 70
Migraine. . . . . . . . . . . . . . . . . . . . . . . . . 35 An Example from My Practice. . . . . . 71
Substance Intolerance. . . . . . . . . . . . . . . . . 36 The Special Case of Amalgam. . . . . . . . . . . 71
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VIII
Mental Fields of Disturbance . . . . . . . . . . . 72 Permanent Needles. . . . . . . . . . . . . . . .95
Practical Approach at Knowledge Range of Uses for
Level 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Permanent Needles. . . . . . . . . . . . . . . .96
Summary of Diagnostic Steps at Covering the Permanent Needle . . . .97
Knowledge Level 1. . . . . . . . . . . . . . . . . . . . . 76 Stimulation of the Permanent
Needle. . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Other Systems of Permanent
Focus Therapy Via Ear Reflex Zones . . . 77 Needles. . . . . . . . . . . . . . . . . . . . . . . . . . 98
Therapeutic Principle . . . . . . . . . . . . . . . . . . 77 Essential Equipment . . . . . . . . . . . . . . 99
Needling the Ear Reflex Zone
That Corresponds to the Focus. . . . . . 77 Learning and Mastering
Knowledge Level 2
Infiltrating the Focus with a Local
Anesthetic . . . . . . . . . . . . . . . . . . . . . . . . 77 Focus Diagnosis under
Vascular Autonomic Signal Control. . .101
Laser Treatment Using Specific
Frequencies. . . . . . . . . . . . . . . . . . . . . . . 79 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Therapeutic Procedure. . . . . . . . . . . . . . . . . 80 The Vascular Autonomic Signal
(Nogier’s Reflex) . . . . . . . . . . . . . . . . . . . . . .103
Sieve Method . . . . . . . . . . . . . . . . . . . . . 81
Discovery of the VAS. . . . . . . . . . . . . .103
Moxibustion . . . . . . . . . . . . . . . . . . . . . . 81
The Basics. . . . . . . . . . . . . . . . . . . . . . . .104
Additional Ear Points for
Focus Therapy . . . . . . . . . . . . . . . . . . . . 82 Technique of Palpating the VAS. . . .108
How to Proceed in Case of Sources of Error When
Amalgam Load . . . . . . . . . . . . . . . . . . . . 83 Palpating the VAS. . . . . . . . . . . . . . . . .112
Mental Fields of Disturbance . . . . . . . 84 The Electric Hammer
(3-Volt Hammer) . . . . . . . . . . . . . . . . .113
A Note Regarding Therapy
in a Left-handed Person. . . . . . . . . . . . 84 The Five Focus Indicator Points
According to Bahr. . . . . . . . . . . . . . . . . . . . .115
Practical Tips for Therapy . . . . . . . . . . 85
Focus Indicator Point Type 1:
Measures Supporting the Therapy . . . . . . 85
Histamine Point
Massage of Acupuncture Points
(Synonym: Allergy Point 1). . . . . . . .118
by the Patient. . . . . . . . . . . . . . . . . . . . . 86
Focus Indicator Point Type 2:
Transcutaneous Nerve
Endoxan Point
Stimulation. . . . . . . . . . . . . . . . . . . . . . . 86
(Synonym: Allergy Point 2). . . . . . . .120
Improving Muscle Balance and
Focus Indicator Point Type 3:
Stability . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Point PGE1 . . . . . . . . . . . . . . . . . . . . . . .121
Diet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Focus Indicator Point Type 4:
Problems during Therapy . . . . . . . . . . . . . . 89
Vitamin C Point. . . . . . . . . . . . . . . . . . .122
No Improvement of Symptoms. . . . . 89
Focus Indicator Point Type 5:
The Focus Cannot Be Eliminated. . . . 89 Laterality Point
Ear Inflammation Due to a (Synonym: Ginseng Point). . . . . . . . .122
Permanent Needle. . . . . . . . . . . . . . . . . 90 Locating the Focus Indicator
Condition after Otoplasty . . . . . . . . . . 90 Points. . . . . . . . . . . . . . . . . . . . . . . . . . . .124
Uncertain Handedness. . . . . . . . . . . . . 91 Assigning the Foci Belonging to the
Initial Aggravation. . . . . . . . . . . . . . . . . 91 Focus Indicator Points. . . . . . . . . . . . . . . . .125
Fear of Needles. . . . . . . . . . . . . . . . . . . . 91 Cable Method . . . . . . . . . . . . . . . . . . . .125
The Course of Therapy . . . . . . . . . . . . . . . . . 92 Other Applications of the Cable. . . .129
Summary of Therapeutic Steps The Phenomenon of Local Resonance. . .130
at Knowledge Level 1 . . . . . . . . . . . . . . . . . . 92 Grounding. . . . . . . . . . . . . . . . . . . . . . . . . . . .135
Notes Regarding Acupuncture Preliminary Examination . . . . . . . . . . . . . .135
Needles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Determining Laterality. . . . . . . . . . . .135
Disposable Needles. . . . . . . . . . . . . . . . 93 Obstacle to Diagnosis and
Reusable Needles. . . . . . . . . . . . . . . . . . 94 Therapy: Oscillation . . . . . . . . . . . . . .136
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IX
Examination for Oscillation. . . . . . . .137 Checking for Inversion on the
Suppression of Oscillation. . . . . . . . .139 Right Side . . . . . . . . . . . . . . . . . . . . . . . 172
Method of Detecting the Cause Checking for Inversion on the
of Oscillation. . . . . . . . . . . . . . . . . . . . .140 Left Side. . . . . . . . . . . . . . . . . . . . . . . . . 172
Procedure in Case of Inversion . . . . 173
Focus Therapy under Vascular Monitoring the Treatment for
Autonomic Signal Control . . . . . . . . . . . .144 Inversion. . . . . . . . . . . . . . . . . . . . . . . . 174
Therapeutic Principle . . . . . . . . . . . . . . . . .144 Determining Laterality. . . . . . . . . . . . . . . . 174
Needling of the Ear Reflex Zone Preliminary Examination
That Corresponds to the Focus . . . . . . . . .144 with the 9-Volt Rod . . . . . . . . . . . . . . . . . . 176
Infiltration of the Focus Examination Procedure. . . . . . . . . . . . . . . 177
With a Local Anesthetic . . . . . . . . . . . . . . .148
Dry Needling of the Affected The Laser in Focus Diagnosis
Focal Site on the Body. . . . . . . . . . . . . . . . .149 and Therapy. . . . . . . . . . . . . . . . . . . . . . . . . 178
Combination of Methods . . . . . . . . . . . . . .149 Application of the Laser. . . . . . . . . . . . . . . 181
Sieve Method. . . . . . . . . . . . . . . . . . . . . . . . .150 Finding Focus Indicator Points
Moxibustion. . . . . . . . . . . . . . . . . . . . . . . . . .150 with the Laser . . . . . . . . . . . . . . . . . . . 181
Monitoring the Therapy . . . . . . . . . . . . . . .151 Focus Diagnosis with the Laser. . . . 182
Immediate Checking. . . . . . . . . . . . . .151 Focus Therapy with the Laser . . . . . 184
Monitoring the Course of Therapy .151 Hidden Dental Foci . . . . . . . . . . . . . . . . . . . 185
Procedure in Case of Amalgam Load. . . .153 Complete Examination Procedure. 187
Additional Points for Focus Therapy . . . .154 Therapy of a Dental Focus. . . . . . . . . . . . . 187
Mental Fields of Disturbance. . . . . . . . . . .155 Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . 189
Problems during Therapy. . . . . . . . . . . . . .155
Measures Supporting the Therapy. . . . . .156 Other Applications of the
Long-Term Course of the Therapy . . . . . .156 Vascular Autonomic Signal . . . . . . . . . . 196
VAS in Orthopedics. . . . . . . . . . . . . . . . . . . 196
VAS Method: VAS in Neural Therapy. . . . . . . . . . . . . . . . 200
Case Histories from My Practice . . . . . .158 VAS in Allergy Treatment . . . . . . . . . . . . . 202
Shoulder Pain Due to a Dental Focus. . . .158 VAS in Dentistry. . . . . . . . . . . . . . . . . . . . . . 203
Chronic Back Pain Due to
Impacted Wisdom Teeth . . . . . . . . . . . . . .159 Other Applications of
“Meridianitis” . . . . . . . . . . . . . . . . . . . . . . . .160 Ear Acupuncture . . . . . . . . . . . . . . . . . . . . 204
Migraine Therapy—A 5-Year Follow-up.163 Symptomatic Therapy . . . . . . . . . . . . . . . . 204
Posttraumatic Migraine . . . . . . . . . . . . . . .164 Focus Diagnosis and Therapy. . . . . . . . . . 204
Functional or Constitutional Therapy . . 205
Optimizing the Methods. . . . . . . . . . . . . .166 Indications for Ear Acupuncture
Tools to Improve the Diagnostic Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Contraindications for Ear
The Three Tissue Layers . . . . . . . . . . . . . . .166 Acupuncture Therapy. . . . . . . . . . . . . . . . . 207
Deep Tissue Layer . . . . . . . . . . . . . . . .167
Intermediate Tissue Layer. . . . . . . . .167 Ear Acupuncture:
Superficial Tissue Layer . . . . . . . . . . .167 Case Histories From My Practice . . . . . 209
Examining the Tissue Layers. . . . . . . . . . .168 Back Pain Following Ankle Surgery . . . . 209
Examining the Deep Tissue Layer . .168 Hay Fever in a Child . . . . . . . . . . . . . . . . . . 212
Examining the Intermediate Unclear Pain in the Knee. . . . . . . . . . . . . . 213
Tissue Layer. . . . . . . . . . . . . . . . . . . . . .168
Examining the Superficial Focus-Relevant Reflex
Tissue Layer. . . . . . . . . . . . . . . . . . . . . .170 Localizations on the Auricle. . . . . . . . . . 216
Checking for Inversion . . . . . . . . . . . . . . . .171 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . 216