Application

ACUSCEN”

IS A NEW DEVICE FOR ELECTRO-PULSE THERAPY
WITH BIO-FEEDBACK
 

History of Electrotherapy started many centuries ago. In the beginning of the first millennium (A.D.) doctor Scribonius Largus applied cramp-fish to treat for migraine and foot bath with electric fishes for treatment patients suffering from gout.

At the end of 18th century Italian physician Luigi Galvani demonstrated what we now understand to be the electrical basis of nerve impulses when he made frog muscles twitch by jolting them with a spark from an electrostatic machine. His study was beginning of scientific base of diagnostic and therapeutic application of electrical current. 

Galvani

Luigi Galvani (1737 - 1798) - Italian physician famous for making frogs' legs twitch
 

Transcutaneous Electro-Neuro-Stimulation (TENS) started to be popular in the middle of last century. They applied simple electrical pulses with standard form. That new method was applied for pain relief in various countries all over the world.

Later electro-pulse therapy devices with bio-feedback were developed. The main idea of them was to send electrical pulses to the skin and also to detect changes of electrical parameters of the skin. Information about body reply was used to adjust parameters of the generated pulses. The first device of that type was developed in Russia in the middle of 1970’s. It had a name of “Energy Neuro Adaptation Stimulator” (ENS).

Bio-feed-back

Mechanism of Bio-Feedback or self-adjustment
 

In the beginning of 1980’s a new generation of electro-pulse devices with bio-feedback were designed: it had name Self-Controlled-Energo-Neuro-Adaptive-Regulator or “SCENAR”. The first official training course on SCENAR therapy took place in one of the military hospital in 1992. The first scientific-applied conference on SCENAR diagnostic and SCENAR therapy took place in Sochi (Russia) in 1994. At the conference they presented many reports about high efficiency of SCENAR device in treating various diseases. A variety of normal biological responses and adaptation mechanisms were involved in the therapeutic processes during therapy. They described anti-inflammatory, anti-oedema, anti-allergic, pain-relieving effects; electo-pulse therapy could stimulate or sedate aspects of immune and endocrine system functioning, as well as normalizing microcirculation, and metabolism. Some physicians applied SCENAR as a complementary therapy but most of them as a principal non-pharmaceutical method of therapy.

SCENAR technology became popular in Europe and North America when it was learned that some models of device had been applied in secret military and space programs.

SCENAR 97.4

“SCENAR - 97.4”

New achievement of modern electronics and results of more than 10 years of SCENAR therapy application laid the groundwork for development of a new device named Adaptive Compact Universal Self-Correcting Electro Neuro-Stimulator (“ACUSCEN”). AcuScen absorbed possibilities of all present compact devices for electrotherapy and expanded menu options. AcuScen device delivers a bi-polar electrical pulse, which resembles the natural pulses of the neural cells. A practitioner can modify an amplitude, frequency, and form of the pulse. Due to the fact that device can adjust some parameters in accordance with the signal received from the skin surface, a simple version of bio-feedback or automatic self regulation takes place.

The main idea of electro-pulse therapy is that any problem inside could be reflected on the skin surface (viscera - coetaneous reflex). Correction of problems on the skin surface produces an improvement in the correlated organ inside. During clinical application of AcuScen device it was found that individual selection of skin area on the base of TCM (Traditional Chinese Medicine) frame increased efficiency of therapy and decreased therapeutic time. So, the highest therapeutic effect of AcuScen device can be obtained by trained practitioner who has a basic knowledge in TCM. Nevertheless it is also can be applied on the base of modern theories like “trigger points”, “gating control” or “endorphins production”.

AcuScen

ACUSCEN PRO+

The present models of AcuScen Pro+ devices have 5 modes: manual, auto, double variable, scan and myo-stim that is why we can claim that AcuScen Pro incorporates 5 separate devices in one. There is also a semiprofessional model named AcuScen Premium which has 3 modes: manual, auto, double variable.

The mechanism of bio-feedback plays the main role to individualize therapeutic process while you apply AUTO mode. AcuScen generates pulses, send them to the skin and also recognizes changes of the skin under electrodes and adjusts some characteristic of the pulses. When there is no more changing of skin resistance device shows it on the screen and produces a sound signal. It means that it is necessary to stop therapeutic session at the chosen skin area.

(a)

AUTO-Web-12 AUTO-web-12

Screen of AcuScen Pro device: AUTO mode: monitoring therapeutic process.

(b)

Usually the Auto mode is applied in case of local superficial pain appeared recently. In accordance with TCM theory this type of pain described as excess or deficiency of Tendino-Muscle channel. It can be a result of trauma, bites of animals or stings of insects, etc. what affects the skin surface. Duration of treatment with AUTO mode reflects condition of Tendino-Muscle channel: in case of Excess process of automatic treatment is longer than in case of Deficiency.

(a)

TMC-SI-TH-web
TMC-TH-web

(b)

There is an example of the “local” pain at the shoulder area (a);
Tendino-Muscle Channels of Small Intestine and Triple Heater (b).


Clinical Case # 1:
A female patient (28 years old) hurt a back of her right wrist. At the place of trauma one could see edema and redness. Palpation of the skin was painful, but pain did not aggravate when she bent her fingers.
I touched the painful area with AcuScen device but that touch was very painful. So, I started treatment around painful area. In the beginning it was necessary to adjust “Energy” until she had first feelings of electricity. In this case it was 35 units. I decreased Energy till 30 and touched the skin close to the painful area. After 30 seconds all windows on the screen were filled up and a sound signal rang out. I moved device to another location around the painful area. Finally I touched a central part of the painful area but it wasn’t as painful as before. The duration of treatment at this area was the longest and amounted to 1 minute and a half. After treatment edema disappeared and palpation of the damaged area became less painful. After the second treatment on the next day pain was cured completely. This example demonstrated the simplest way of treatment of the acute superficial pain. This technique can be applied even by non-trained person for self-help.

AUTO mode also can be applied for general therapy when device is put on the all alarm points in turn or both side along the vertebra, etc.

(a)

Alarm-points Back_Shu

(b)

There are Alarm-Mu (a) and Back-Shu (b) points, that can be applied for therapy with AcuScen device.

MANUAL mode was designed to apply individual setting [see table].
You can adjust not only Energy, but also frequency of the blocks of the pulses (10−383 Hz), separate pulses within each block (1−8), modulation, when working regime alternates with the pause, etc.
In AcuScen device we applied 77 Hz as a standard frequency. The reason of this choice has a scientific base: it had been shown in experimental and clinical study that highest level of endorphins in the brain was produced by the frequencies which were close to 77 Hz.

MODE

S (select)

Parameters

MANUAL

Energy («unit»):
Frequency (Hz):
Damping («unit»)
Modulation (sec.):
Depth («unit»):

 1…99                             
 10…30…77…120...383 or Var (10 ↔ 120),   
 1, 2, 3, OFF                         
 1:1, 1:2, 2:1, 1:3, 3:1, 1:4, 4:1, 1:5, 5:1, OFF 
 1, 2, 3, 4, 5, 6, 7, 8, Var (1↔8), Auto (2 ↔ 4)

Manual MODE is usually applied when the painful problem is deeper than superficial level. The pain may be not changed while touching damaged area, but it can be aggravated or released by bending or extending fingers, rising or rotating the hand, bending forward or back, etc. In accordance with TCM theory this type of pain described as Excess or Deficiency of Luo-channels (Collaterals). Simple explanation of this phenomenon is that in case of Excess Collateral is becoming longer, but in case of Deficiency Collateral is becoming shorter.

They recommend treatment directly above and surrounding the Luo-point area and also move device along the channels crossing the sick area. For definition of a direction of the movement required for treatment, it is necessary to estimate the sensations arising at movement from above - downwards and from below - upwards, from the left to the right and from the right to the left. That direction at which expressiveness of the symptoms or stickiness decreases or comfortable sensations appear is used.

Model-web

Various direction of AcuScen device movement:
Moveable technique is applied for treating disorders of the Luo-channels (Collaterals).
 

Clinical Case # 2:
Male patient (54 yeas old) came into the room: his right leg was bent a little in the hip, knee and ankle joints. He stood his right foot on the tiptoes. He was suffering from the low back pain. This pain irradiated along his right leg till the heel. I asked him to stand on the heels and then on the tiptoes. He felt dramatically difference between these two positions. Looking at his walk and taking into account this test it was obvious that right branch of the Bladder channel was shorter than left branch, so it was Deficiency of the Bladder collateral on the right side.

The treatment was started from the right shin. First of all Energy was adjusted at the shin area. It was 26 units. Because of the fact that it would be necessary to move device the adjusted energy was increased till 30 units. Then I moved device several times down and then several times up. When I moved it up, there was stickiness which prevented from moving up. At the same time patient had feeling of aggravation of the pain. There was no stickiness and pain aggravation while I moved device down from knee to the heel. After 10 movements down I again tried to move device up one time and found that stickiness became less than before. The treatment was continued: 10 movements down and one up for checking results of treatment. Every 5 minutes patient tried to move his sick leg and compare present pain with the previous testing. After 15 minutes of treatment there was almost no difference between movements up and down. At the same time the pain along the right leg has almost gone. He also felt improvement at his low back area. But, there was a reddish spot about 2 cm at the place of Luo point of Bladder channel [Bl-58 (Fei Yang) – in the depression seven inches above the outer anklebone]. At that area slight stickiness still insisted. After 2 minutes application of Double Variable regime at the place of stickiness it was removed completely and patient recognized further improvement at of his low back pain.

This example demonstrated treatment of deeper problem which belong to the level of Luo-channels. Local treatment of the pain in those cases usually is less effective.

Clinical case # 3.
A lady (43 years old) suffered from the right frozen shoulder. During almost 3 last years she could not raise her right hand ahead and aside. She even could not comb her hair by right hand. Every time when she tried to raise her hand pain aggravated and prevented her to continue that movement.

In accordance with the TCM theory it looked like the problem of the Yang Hand Luo-channels because of their Excess. I asked her to bend forefinger and raise her hand, than to bend in turn middle finger, fourth finger and small fingers and to raise her hand again and again. When she bent her forefinger she could raise her hand high enough and higher than if to compare with bending other fingers. It meant that she had Excess of Large Intestine Luo-channel mainly. There was no stickiness when I moved AcuScen along her shoulder down towards the elbow and further towards fingers. But stickiness appeared if to move device up along back (Yang) surface of the hand and shoulder. After every 2-3 minutes the patient tried to move her sore hand again. It was becoming better and better.

Finally, after 20 minutes of treatment she had only one painful point on the shoulder joint which was correlated to the acupoints LI-15 (Jian Yu) [in the depression between the sinew and bone at the end of the humerus where it meets the shoulder bone]. It meant the problem of the Divergent channel of Large Intestine. In this case I had to make needling the point LI-1 (Shang Yang) [on the side of the index finger, near to the corner of the nail] on the opposite (left) side with bleeding. During bleeding patient had to move her right hand to release her shoulder joint completely.

DVar

In Double Variable mode the frequency is automatically changing
from 10 to 960 Hz and then from 960 to 10 Hz (up and down).


Double Variable (DVar) mode is a unique option which is not presented at any other electro-pulse devices with bio-feedback. It was added to AcuScen device for treatment problems which had deep location and also for acting on acupoints. The main idea of this mode was to change and vary automatically the depth of pulse penetration. As it is well known our skin looks like a multilayer capacitor. So, it is necessary to apply various frequencies to penetrate at various depth of skin.

In mode DVar frequency of blocks varies from 10 up to 120 Hz and amount of separate pulses in one block varies from 1 to 8. Total variation of separate electrical pulses is from 10 till 960 Hz. The changing of frequency is taking place automatically from 10 up to 960 and then from 960 down till 10 Hz and again up and down.

As it was described at the clinical case # 2 Double Variable mode was applied at the place of Luo-point [Bladder-58 (Fei Yang)] where the most steady stickiness was found and after 2 minutes presented stickiness was removed completely. 

Clinical case # 4. Female patient (34 yeas old) had a low back pain, which was more intensive on the left side. This pain appeared 3 days ago after lifting heavy stuff. She could not bend forward and back. It was more difficult to bend to the left side than to the right side.

In accordance with the TCM theory this disease is connected to the Chong Mai Extra Channel: its back branch was passing via inter-vertebral disks.

Pathways of Extra channels are deep inside the body. But each of these channels has opening or regulating point. For acting on the points it is necessary to apply special electrode which provides local (punctuated) acting. I took Sp-4 (Gong Sun) [one inch behind the base of the great toe] on the left side to open Qi movement along Chong Mai channel and remove a blockage there. Energy was adjusted (23 units) and than decreased till 20. DVar mode was applied to act on the acupoints. After several minutes patient had feelings like vibration in her lumbar area and also slight irritation of the pain. Then his pain was releasing gradually. After 15 minutes all irritation disappeared and we stopped treatment. Now patient could bend forward and back, but slight difference in bending right and left sides insisted. After 3 sessions pain was gone completely.

Chong Maiy

Chong May Extra channel and its secondary vessels.


SCAN mode can be named as a “Diagnostic” mode but our meaning of this term is quite different from the modern sense. AcuScen cannot define or differentiate diagnosis of diseases. We have no possibility to verify high blood pressure or peptic ulcer or diabetes mellitus, etc. We can only detect the difference of electrical parameters between various skin areas. This difference is easier to explain on the base of TCM theory and terms of skin resistance / conductivity. 

As we mentioned above any problems inside are accompanied by changes of electrical parameters of the skin in generally or at exact location. There are examples of general changes of skin conductivity & resistance. If patient has a fever and perspiration conductivity of his skin will increase and resistance will decrease. If somebody is going to the mountain his/her skin conductivity is decreasing and resistance is increasing.

General increasing of skin resistance can be more common during night time if compared with the day time. [During night time Wei Qi circulates inside the body that is why resistance of the skin increases].

In our discussion it is most important to detect and differentiate local changes of skin resistance. For example, if patient had a recent trauma with edema he also had hypersensitivity and hyperthermia of the skin at the place of trauma. This area can be detected by infrared imagine system as a hot (red) spot. At the same place because of edema and increasing distance between cells conductivity will increase also and resistance will decrease. As a rule if patient has any kind of acute disease one may detect increase of conductivity at the correlated skin area. In case of chronic disease the correlated skin area on the contrary will have low conductivity. According to the study of electrical features provided in TCM field if conductivity was high it correlated to the high level of Qi (syndrome of Excess). If conductivity was low it was correlated to low level of Qi (syndrome of Deficiency).

(a)

(b)

(c)

Skin-web

Different condition of the skin that can be detected by SCAN mode of AcuScen device:
(a) acute inflammation, (b) norm condition, (c) atrophy or degeneration of the skin.


AcuScen device generates bipolar electrical pulses which has exact form and duration. When you touch the skin the form of pulse will be changed and it depends on the fact how the patient’s body is involved into collaboration with the device. If there is no changes of the pulse form it means that selected skin area is not good for the treatment. If pulse has changed substantially it points on the good selection of therapeutic zone of skin. The described pulse changes are explained by different values of capacity at the different skin areas.  

In short words we can describe diagnostic possibility of AcuScen device as following. When you touch the skin AcuScen device detects initial skin resistance under electrode area. If initial reading (on LCD screen) is high it means high conductivity or excess of Qi at diagnosed skin area. If reading is low it means low conductivity and deficiency of Qi. If to touch the skin and hold device at the same place we also can define changes of resistance or condition of Qi by the 2nd readings which reflect deeper layers of skin. When we look at the 3rd and 4th readings we can receive information whether the selected skin area is good for therapy or it is better to choose another. Finally, device can show you velocity of electrical conductivity changes and you can suggest how long it takes to have improvement in that particular case.

Clinical case # 5. Male patient (54 years old) with duodenal ulcer. We scanned the upper middle part of the abdomen with AcuScen device and found a spot about 4 x 5 cm with the readings which were almost twice higher (23-26 units) than at surrounding area (13-15 units). At the same skin area the 3rd readings were around 2-3 that indicated on the possibility to apply this area for treatment. Velocity at this area also was high enough (6-7). Therapeutic protocol includes both local treatment at the detected area and distance acupoints on the Stomach and Spleen channels.

Clinical case # 6. Female patient (37 years old) had a problem to bend her fingers on the left hand. She complained on the pain near to the wrist area. We scanned a front surface of the left hand with SCAN mode AcuScen device. We started from the elbow area and moved to the palm. There was no difference between first readings along this entire pathway. It meant that the problem was deeper than Tendino-Muscular channel. We scanned the same pathway with the second readings which reflects deeper level and response of the patient’s body but we did not find any difference between the points of this entire pathway again. The 3rd readings were high also. It meant that problem was deep enough and we could not detect it from the skin surface. We recommended providing diagnostic based on Ryodoraku technology. 

Clinical case # 7. Male patient (74 years old) had a pain in the back at the level of 3-6 thorax vertebras. We scanned the back both side along the spine. At the level of the 3rd thorax vertebra patient had drop of readings what pointed on deficiency of the Lung channel. After therapy his condition was improved and new scanning found increase of readings at the painful area.

When you apply AcuScen device electrical current is going via the skin between 2 electrodes on the distance around 3-4 mm only. The penetration inside depends on the conductivity of the skin and settings of the device. Reaction of the whole body is based on the response of nervous, endocrine, vessels and other regulatory systems. Also, there are some cases when patient needs stimulations of the muscles via trigger or motor points. For those particular cases MYO STIM mode was included into the AcuScen Pro+ device additionally. One end of the cable is plugged into the socket on AcuScen device and other ends of the cable are connected to reusable or disposable electrodes which are fixed at the trigger or motor points. In this mode AcuScen Pro+ works like classic myostimulation device.

MYO STIM mode usually is applied for muscle stimulation in case of muscles or nervous disorders (paresis or paralysis), for pain relief in case of sciatica and also for weight reduction in case of obesity. MYO STIM mode also can be used with conductive slippers for foot reflexology.

AcuScen device can be applied as a separate unit as well as in combination with the wide assortment of accessories. Among them there is pencil like electrode for acupuncture, electrodes for non-surgical face lifting, ball shape electrode for electro-massage, comb electrode, conductive slippers, socks and gloves.

Myo-Stim-shoulder-web Myo-Stim-TENS-web

Application of MYO−STIM Mode.


AcuScen is the only one device from electro-pulse therapy devices with bio-feed back that has been regulated with Health Canada.

AcuScen Pro+ model having 5 modes and many accessories is turned into multifunctional device with very powerful and useful possibilities, so every health practitioner will increase their business and results with an AcuScen Pro+. Every home will benefit greatly with an AcuScen Premium.

AcuScenPremium

AcuScen Premium

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