Case report - Stroke (hemiplegia and Millard-Gubler syndrome)

In May 2000, I was called to attend M., a 43-year-old female patient who was in a rehabilitation hospital following a severe stroke with pons hemorrhage. The patient had suffered complete paralysis (hemiplegia) of the right side and facial paresis (Millard-Gubler syndrome) on the left side.

Neurosurgery to correct hydrocephalus and a year of rehabilitation using the must up-to-date multimodal treatment approach had not brought any significant improvement in M.’s condition. At the time I began treatment with YNSA in August 2001, she was still struggling with paralysis of the entire right side of her body. She described her arm as “cold and foreign”, and could not lift it off the table. The muscles of her face were slack, but felt “tight”, and her leg was “useless”. She suffered from frequent bouts of depression.

Over a period of four weeks, M. received 12 sessions of YNSA, in which I needled zones A, B, C, D and cerebrum. The zones were extremely sensitive. Acupuncture was not applied directly to the cranial surgery scar. In addition to YNSA, Chinese scalp acupuncture points were needled twice during the course of treatment. At each YNSA treatment, the patient reported a sensation of warmth in the affected extremities, especially the arm. Over the series of treatments, there was a considerable increase in the strength and mobility of the affected side, and reduced spasticity. On the other hand, there was little change, at least outwardly, in the facial paresis. However, M. reported that her face felt “lighter” and less “tight”. The feeling of improved mobility was maintained even after the 20-minute acupuncture sessions, and this was confirmed during subsequent physiotherapy and occupational therapy.

After a month (12 acupuncture sessions), M. was able to touch her hand to her nose without assistance, and hold objects such as a cup. Movement returned to her foot and leg as well. Thus she was able to lift her leg a few centimeters while sitting in the wheelchair, which made it much easier for her to move from the bed to the wheelchair, and greatly improved her quality of life. Later on, when M. requested that her rehabilitation treatment be continued, she expressly asked that acupuncture be included.

YNSA zones needled:

YNSA A zone, YNSA B zone, YNSA C zone, YNSA brain points, YNSA Ypsilon points

Chinese scalp acupuncture:

Motor and sensory zone, sensomotory foot zone

Additional therapeutic measures:

Regular rehabilitation therapy offered at the clinic


Reported by Dr. Friedrich Molsberger, Berlin