TREATING PERIPHERAL NEUROPATHY WITH DIFFERENT

ELECTROACUPUNCTURE WAVE PATTERNS BASED ON

SYMPTOM DIFFERENTIATION

David Dehui Wang M.D. (China), Ph.D. LAc.

Clinical Assistant Professor

Ohio State University

Tel: 614-888-6888, Email: [email protected]
OUTLINES

 What is peripheral neuropathy?

 What are the causes?
 What are the clinical manifestations?
 My understanding of peripheral neuropathy from the TCM perspective
 Understanding the characteristics and therapeutic effects of different wave patterns and frequencies of electroacupuncture
 The selection of electroacupuncture wave patterns based on clinical manifestations of peripheral neuropathy
 The selection of acupuncture points for the treatment of peripheral neuropathy
 The operation and techniques of the electroacupuncture for the treatment of peripheral neuropathy
 Precautions
▪ What is peripheral neuropathy?
❑ Peripheral neuropathy can refer to any condition affecting
the peripheral nerves.
❑ Peripheral nerves are the nerves outside the brain or spinal
cord.
These nerves are responsible for transmitting signals between the central
nervous system (the brain and spinal cord) and the rest of the body, including
the muscles, skin, and internal organs.

❑ Peripheral neuropathy is common, partly because this term

refers to so many conditions. About 2.4% of people globally
have a form of peripheral neuropathy. Among people 45 and
older, that percentage rises to between 5% and 7%.
▪ The two main ways of peripheral neuropathy happens
❑ Demyelinating neuropathy:
This happens when the myelin coating on the axon deteriorates or can’t form correctly. This affects the way signals
travel through the neuron

❑ Axonal degeneration:
This is the most common pattern seen with peripheral neuropathy. This causes the axon to deteriorate and die off. The
longer a neuron, the worse the effect. That’s why axonal degeneration conditions tend to involve the legs and feet,
which are the farthest from the spinal cord and rely on connections using longer axons.
 Causes:
➢ Diabetes:
the most common cause. More than half will develop some type of neuropathy

➢ Medications:
❖ Chemotherapy drugs
Taxol, Docetaxel, Cisplatin, Oxaliplatin, Vincristine, Vinorelbine, Vindesine, Vinblastine, Mitoxantrone, Etoposide, Adriamycin
❖ Certain other medications (antibiotics, and medications that treat arrhythmia and gout)

➢ Vitamin and nutrient deficiencies:

Copper, Vitamins B1， B6, B9, B12, E and niacin. Too much vitamin B6

➢ Alcohol use disorder:

over long period time of intaking alcohol, it also causes vitamin deficiencies

➢ Autoimmune and inflammatory diseases:

RA, Sjogren syndrome, vasculitis, Guilain-Barre syndrome, chronic inflammatory demyelination polyneuropathy (CIDP)

➢ Infections:
HIV, Lyme disease, shingles, leprosy, diphtheria, etc.
 ➢ Genetic diseases:
amyloidosis, Fabry diseas, Charcot-Marie-Tooth disease

➢ Exposure to toxic substances:

such as lead, mercury, industrial chemicals, etc. The pathogenesis is complex, involving
➢ Tumors: changes in tissue and cellular structure
can grow on or press on nerves, disrupt the peripheral nervous system and functional abnormalities. Common
➢ Nerve damage: mechanisms include alterations in ion
trauma and surgery channels, peripheral sensitization,
➢ Vascular disorders: central sensitization, reduced function of
lack of blood flow—circulation-related problems
descending inhibitory systems, and
➢ Idiopathic neuropathy:
activation of glial cells.
There is still a large number of patients who can’t find the cause

 Damaged nerve:
Sensory nerves, motor nerves and autonomic nerves
 How quickly does peripheral neuropathy
develop?
❑ It depends on the causes:
➢ Injuries: could develop instantaneously, or within minutes or hours
➢ Toxic and inflammation-based forms: may develop rapidly over days or weeks
➢ Most other conditions: takes months, years or even decades to develop
 Clinical manifestations:
❑ The symptoms depend on which type of nerves are affected
The sensory nerves are affected:
1. Tingling and numbness: on both feet and hands, or feet only or hand only, which can spread upward into
the legs and arms, it could be:
➢ Tingling only
➢ Numbness only
➢ Tingling and numbness:
 equal
 tingling >numbness
 numbness>tingling
2. Pain: neuropathic pain. sharp pain, jabbing pain, throbbing pain, burning pain or cold pain
3. Extreme sensitivity to touch or insensitivity
4. Imbalance and clumsiness: poor balance, lack of coordination, falling, clumsiness with the hands
5. Feeling as if wearing gloves or socks on the hands and feet when not:
The motor nerves are affected
1. Muscle weakness or inability to move:
difficulty moving the toes, foot drop, hand weakness, weak muscles in the thighs, arms and elsewhere

2. Muscular atrophy:
in the feet, lower legs and hands

3. Muscle cramp:
The autonomic nerves are affected, there may be:
1. heat intolerance
2. Excessive sweating or not being able to sweat
3. Bowel, bladder or digestive problems: Bowel problems: constipation, diarrhea, incontinence; Bladder problems:
urinary retention, overactive bladder, incontinence; Digestive problems: gastroparesis, difficulty swallowing,
GERD
4. even a drop in blood pressure, causing dizziness, lightheadedness, etc.
5. Sexual dysfunction
❖ Most of the patients I have seen:
❑ Present numbness and tingling sensation in the hands and feet, with the symptoms primarily manifesting in the feet;
numbness in the fingertips is more common in the hands.
❑ The numbness and tingling sensation in the feet often affect the front 1/3 of the feet, toes, or soles, or a combination of
toes and the top of the feet.
❑ Some patients describe a sensation like wearing gloves or socks.
❑ There may be stabbing pain, jabbing pain, or burning pain, or cold pain in some cases.
❑ Poor balance in the lower limbs is observed, and there may be accompanying fatigue, although movement disorders are
rare.
❑ Patients may experience numbness and tingling sensation simultaneously, with the severity of both being comparable.
Symptoms may be dominated by either numbness or a tingling sensation, or there may be only numbness or only a
tingling sensation.
❑ Among the patients I treat, those with peripheral neuropathy induced by chemotherapy are the most numerous.
The preliminary data from my most recent 30 cases of peripheral neuropathy

Distribution of Age and Gender

Age

%
Gender 31-40 41-50 51-60 61-70 71-80 >80 Total
(n=30)

Female 1 5 3 4 7 0 20 66.67

Male 3 6 1 0 10 33.33

Total 1 5 6 10 8 0 30 100
The preliminary data from my most recent 30 cases of peripheral neuropathy

Distribution of Causes

Causes Chemo induced Diabetes Others Total

Female 18 2 20

Male 8 2 10

Total 26(86.67%) 4(13.33)

The preliminary data from my most recent 30 cases of peripheral neuropathy

Distribution of Symptoms

Tingling=Numbness Tingling > Numbness Numbness > Tingling Numbness Tingling Other Symptoms

Poor
Hand Feet Hand Feet Hand Feet Hand Feet Hand Feet Burning Pain Others
balance

Male 2 4 1 2 2 1 2 1 6

Headache 1
Female 6 11 3 4 1 2 1 1 2 3 2 14 Cold sensation
1

Total 8 15 4 6 1 4 1 3 1 2 4 2 20

N=45, T=N:51.11%; T>N: 22.22%; N>T: 11.11%; N only: 8.9%; T only: 6.7%; Feet: 66.67%; Hand:33.33%
❑ My understanding of peripheral neuropathy from TCM perspective
▪ TCM Name: Bi syndrome (痹症）, Wei syndrome （痿证）, Blood Bi （血痹）, Bu Ren (insensitivity，不仁), Ma Mu
(numbness， 麻木), etc.
• Peripheral neuropathy (PN) characterized by numbness, tingling, and pain falls within the scope of “Bi syndrome”. When
muscle weakness or atrophy occurs, it falls under the category of “Wei syndrome.”

▪ TCM Causes:
• There are many factors that can cause this condition, such as diabetes, chemotherapy drugs, deficiency of vitamins and
nutrients, and so on.
• From the perspective of traditional Chinese medicine, the causes of this condition may include external and internal causes
such as qi deficiency, blood deficiency, yin deficiency, phlegm-dampness, blood stagnation, toxins, and so on.

▪ The basic TCM pathogenesis:

• Blockage in the meridians, obstructed flow of qi and blood, and deprivation of nourishment to the tissues
 TCM Pathogenesis
Qi def. Blood def.Yin def.Yang def.
Phlegm-dampness, Blood stasis, toxin

Numbness, Tingling Blockage in the Pain

meridians

Extreme sensitivity to touch or Failure of nourishment Feeling as if wearing gloves or

insensitivity of the tissues socks
Muscle weakness or inability to
Imbalance and clumsiness
move, muscular atrophy

Blockage in the meridians, obstructed flow of qi and blood, and

deprivation of nourishment to the tissues
❑ The Electroacupuncture Treatment of Peripheral Neuropathy

➢ Principles of Treatment:
❑ Regulate qi and blood, dredge meridians, improve tissue metabolism and circulation, and promote the repair of peripheral nerves damage.

➢ Principles of Acupoint selection:

❑ Focus on local acupoints, directly targeting the affected area.

❑ Select appropriate distal acupoints to regulate qi and blood.

❑ Select the calming the mind acupoints as many patients with peripheral neuropathy also experience symptoms such as anxiety, insomnia, or depression
➢ The selection of Acupuncture Points
I primarily choose local acupoints, distal acupoints and calming the mind points appropriately

❑ Lower limbs:

Ba Feng, LR3, GB42, SP3 or SP4, UB64 or UB65, ST41, KI6, UB62

SP6, GB34, ST36, SP10

❑ Upper limbs:

Ba Xie, SI3, LI4

SJ5, LI11, LI15

❑ Calming the mind:

Yin Tang, DU24, DU20, HT7, Ear Shen Men

❑ Lower limbs:

❖ Local points
 Toes:
Ba Feng, LR3, GB42
 Front 1/3 of the foot:
Ba Feng, LR3, GB42, SP3, UB65
 Front ½ of the foot:
Ba Feng, LR3, GB42, SP4 and UB64
 Whole foot including ankle：
Ba Feng, LR3, GB42, SP4, UB64, ST41, KI6, UB62, KI3
❑ Lower limbs:
❖ Distal points:
 SP6, GB34, ST36, SP10

o SP6:
1. Meeting point of the Spleen, Liver and Kidney channels
2. Tonifies the Spleen and Stomach
3. Resolves dampness
4. Harmonizes the Liver and tonifies the Kidneys
5. Calms the spirit
6. Invigorates blood
7. Activates the channels and alleviates pain
o GB34:
1. He-sea and Earth point of the Gallbladder channel
2. Hui-meeting point of Sinews
3. Ma Dan-yang Heavenly Star point
4. Benefit the sinews and joints
5. Activates the channels and alleviates pain

o ST36:
1. He-sea point, Earth point of the Stomach channel
2. Point of the Sea of the Water and Grain
3. Gao Wu Command point
4. Ma dan-yang Heavenly Star point
5. Supports the righteous qi and fosters the original qi
6. Tonifies qi and nourishes blood and yin
7. Activates the channel and alleviates pain
o SP10:
1. Sea of Blood
2. Invigorates the blood and dispels stasis
❑ Upper limbs:

❖ Local points
 Fingers including finger tips only:

Ba Xie (Da Du, Shang Du, Zhong Du, Xia Du—from the radial side to the ulnar side)
 Whole hand:

Bai Xie, LI4, SI3

❑ Upper limbs:
❖ Distal points:
 SJ5, LI11, LI5
o SJ5:
1. Activates the channel and alleviates pain
2. Opens the Yang Linking Vessel
o LI11:
1. He-Sea and Earth point of the Large Intestine
2. Sun Si-miao Ghost point
3. Ma Dan-yang Heavenly Star point
4. Regulates qi and blood
5. Activates the channels and alleviates pain
o LI15:
1. Meeting point of the Large Intestine channel with the Yang Motility vessel
2. Regulates qi and blood
➢ Electroacupuncture Treatment:
❑ Electroacupuncture has analgesic effects, improves blood circulation, adjusts neural function, has anti-inflammatory properties, and promotes tissue repair.
Therefore, electroacupuncture is suitable for treating peripheral neuropathy.

❑ Electroacupuncture comes in different wave patterns such as continuous wave pattern, dense-disperse wave pattern, and intermittent wave pattern, as well as
different frequencies including low and high frequencies. Different wave patterns and frequencies have distinct effects.

❑ Depending on the patient's symptoms, whether there is a combination of numbness and tingling, if numbness is predominant, if tingling is predominant, if there
is severe pain, or if there is only numbness or tingling, how to choose the appropriate wave pattern and frequency?
The characteristics and effects of different electroacupuncture wave patterns

 Continuous Wave Pattern:

Also known as adjustable waves, they are formed by
低频连续波
combining single pulses in different ways. The frequency ranges 高频连续波
from several tens of times per minute to several hundred times
Low Frequency
High Frequency
per second.
50-100 Hz
2-5 Hz
High-frequency continuous wave pattern: typically
occurring at 50-100 times per second, they easily inhibit Excite muscle
sensory and motor nerves, often used for pain relief, refrain from momently, refrain Chronic pain,
relieving pain,
sedation, and alleviating muscle and vascular spasms. excitement of tranquilization, from excitement of Wei syndrome,
sensory and relaxing muscles, sensory and motor injuries
nerves long time
motor nerves reducing spasm etc.
Low-frequency continuous wave pattern: typically
occurring at 2-5 times per second, they briefly stimulate
muscles and long-term inhibit sensory and motor nerves,
often used for treating chronic pain, atrophy (Wei
syndrome), various muscle, joint ligament, and tendon 25
injuries, etc.
 Dens-Disperse Wave Pattern：
It's a wave pattern where dense and disperse waves
alternate automatically. Each dense-to-disperse cycle promote
lasts about 1.5 seconds, overcoming the adaptability circulation
drawback of a single waveform. It has a stronger reduce
dynamic effect, with the excitation effect prevailing increase
swelling and
metabolism
during treatment. inflammation
sprain,
It can increase tissue metabolism, promote blood inflammation
circulation, improve tissue nutrition, and alleviate around joints,
sciatica, facial
inflammatory edema. It is commonly used for paralysis etc.
periarticular inflammation, nerve paralysis, disorders
of qi and blood circulation, sciatica, sprains, facial
paralysis, muscle weakness, etc.
26
 Intermittent Wave Pattern：
It's a waveform that rhythmically alternates between
on and off cycles. During the off cycle, there is no Intermittent
electrical output for 1.5 seconds, while during the on Wave Pattern

cycle, dense waves continuously operate for 1.5 Provide good

increase the
seconds. The intermittent waveform prevents the body stimulation for
excitability of
contraction of
muscle tissue
from adapting easily. skeletal muscles

Wei
It has a strong dynamic effect, increasing the
excitability of muscle tissue and providing good
syndrome,
stimulation for contraction of skeletal muscles. It is paralysis
commonly used to treat Wei syndrome and
paralysis.

27
The best frequency for pain management

 2 Hz： Enkephalin, Slow and

Acting on the hypothalamic Hypothalamic β-endorphin, long lasting
arcuate nucleus can trigger arcuate
the release of enkephalin, β- nucleus
Endomorphin analgesic
endorphin, and endomorphin,
achieving a relatively slow and
effect
long-lasting analgesic effect.

 100 Hz：
Acting on the parabrachial Immediate
nucleus of the pons Varolii Parabrachial
can cause the release of a Dynorphin analgesic
large amount of dynorphin nuclei
in the spinal cord, thus
providing an immediate
effect
analgesic effect.

28
The selection of wave patterns for the treatment of peripheral neuropathy
1. When numbness is predominant, or numbness only: use dense-disperse wave pattern
The cause of numbness is related to the interruption or abnormality of nerve signal transmission and adaptive changes in the nervous system, indicating meridian
blockage. Dense-perse wave pattern can increase tissue metabolism, promote blood circulation, improve tissue nutrition, eliminate inflammatory edema, and have
the effect of unblocking the meridians.
2. When a tingling sensation is predominant, or tingling only: use continuous wave pattern
The reasons for a tingling sensation may be associated with abnormal nerve activation, activation of inflammatory mediators, or stimulation of nerve endings,
abnormal nerve conduction, and increased excitability of neurons. In general, it is a state of abnormal neural excitability. Continuous wave pattern has the effect of
inhibiting sensory and motor nerves. Therefore, continuous wave pattern is more suitable for alleviating symptoms of a tingling sensation.
3. When numbness and tingling are equal: use dense-disperse wave pattern, if with pain, continuous wave pattern is also selected at times.
primarily to unblock the meridians, increase tissue metabolism, promote blood circulation, improve tissue nutrition, eliminate inflammatory edema, and facilitate
nerve damage repair.
4. When pain is severe (including hypersensitivity, with burning sensation): use continuous wave pattern
Continuous wave pattern has a better analgesic effect.
5. Muscle weakness is predominant: use intermittent or dense-disperse wave pattern
The selection of frequency
❑ Continuous wave pattern: use 2Hz or 100Hz
2Hz
❑ Stimulation of the hypothalamic arcuate nucleus can induce the release of
endorphins, β-endorphins, and enkephalins, resulting in a relatively slow Enkephalin,
and long-lasting analgesic effect. Slow and
Hypothalamic β-endorphin, long lasting
❑ A 2Hz frequency initially excites then inhibits nerves. Therefore, the arcuate
nucleus
Endomorphin analgesic
duration of use should not be too short;
effect
❑ I usually administer electroacupuncture for half an hour. However, the
analgesic effect of this frequency is relatively long compared to 100Hz.

100Hz
❑ Stimulation of the parabrachial nucleus in the brainstem can induce
the release of a large amount of dynorphin in the spinal cord,
Immediate
resulting in an immediate analgesic effect. Parabrachial
❑ The duration of the analgesic effect is relatively short. Dynorphin analgesic
nuclei
❑ The intensity of stimulation at this frequency is stronger compared effect
to low frequency
❑ It's important to control the intensity carefully. High intensity can
make patients feel very uncomfortable.
❑ I generally do not use it for initial electroacupuncture treatment.
❑ Dense-Disperse wave pattern:

❑A wave pattern in which disperse waves and dense waves automatically appear
alternately.

❑Disperse wave: dense wave=1:3 (majority)

❑The alternating duration of disperse and dense is about 1.5 seconds each

❑I often use 3Hz :10Hz

❑ Intermittent wave pattern:

❑I often use 2Hz—10Hz
The acupoints for electroacupuncture treatment:
❑ Lower limbs:
 Toes:
LR2 + GB43
 Front 1/3 of the foot:
LR2 + SP3, GB43+UB65
 Front ½ of the foot or whole foot:
LR2 + SP4, GB43 + UB64

❑ Upper limbs:
 Fingers including finger tips only:
Ba Xie (Da Du + Xia Du)
 Whole hand:
LI4, SI3
OPERATION OF ELECTROACUPUNCTURE

Operation of electroacupuncture treatment

1. Insertion of needles:
❑ Perform routine acupuncture needling on the selected acupuncture
points

❑ Perform acupuncture needling through on acupuncture points SP3 and

UB65, or SP4 and UB64 on the feet, SI3 and LI4 on the hands

❑ or Inserting 1.5-inch needles into SP3 and UB65, or SP4 and UB64 on the
feet, SI3 and LI4 on the hands respectively, with the needle tips facing
each other
2. Connection of the electroacupuncture:
Most patients have symptoms at the end of the lower extremities, so my electroacupuncture is
mainly connected to foot:
 Toes:
❖ GB43 + LR2
 Front 1/3 of the foot:
❖ Lateral side: GB43 + UB65
❖ Medial side: LR2 + SP3

 Front ½ of the foot or whole foot:

❖ Lateral side: GB43 + UB64
❖ Medial side: LR2 + SP4
If the tingling and numbness in the hand are equal to or greater than those in the foot:
 Fingers:
❖ Da Du + Xia Du
➢ Note: Ba Xia: Da Du, Shang Du, Zhong Du, Xia Du—from the radial side to the ulnar side

 Whole hand:
❖ LI4 + SI3 Xia Du

SI3 Da Du
3. Selection of wave patterns and frequency:
 Numbness is predominant, or numbness only: dense-disperse wave pattern
 Tingling is predominant, or tingling only: continuous wave pattern （2Hz or 100Hz)
 Numbness and tingling are equal: dense-disperse wave pattern, or continuous wave pattern if with
pain, alternatively
 Severe pain or with burning sensation：continuous wave pattern （2Hz or 100Hz)
 Muscle weakness is predominant: intermittent or dense-disperse wave pattern

4. Time for electroacupuncture:

 30 minutes
5. Frequency of treatment:
 1—2 times a week
ELECTRO-ACUPUNCTURE DEVICES I HAVE USED

Electrostimulator 8c.Pro ITO ES-160 37

(Milliampere electrical current + Microcurrent )
The preliminary data from my most recent 30 cases of peripheral neuropathy

Total effective rate

Duration (years) Total

%
Effective
(n=30)
<1 <2 <3 => 3 Rate

Much Improved 2 3 2 3 33.33

86.66%
Improved 6 3 2 5 53.33

Not Improved 2 2 13.33

Precaution
1. No electro-acupuncture for a patient who fears electric stimulation, or is unable to
cooperate
2. No electro-acupuncture for patient with pacemakers
3. No electro-acupuncture for patients who are drunk, exhausted, over hungry or
over fed, angary, terrified and nervous.
4. Due to the numbness of the feet, at the beginning, it is not sensitive to
electroacupuncture. The intensity of electroacupuncture should be controlled well.
Although the patient does not feel too much, the stimulation intensity should not
be too high
5. If there is hypersensitivity, the intensity of the electroacupuncture should be low
6. Patients can tolerate 2Hz better than 100Hz, so we do not use 100Hz on new
patients.
Besides electroacupuncture treatment for peripheral neuropathy, Chinese herbal medicine can also an important part of the treatment. For example:

➢ Chinese herbal medicine can be used for preventing and treating chemotherapy-induced peripheral neuropathy.
In Chinese medicine, this condition is considered as a syndrome of "deficiency of yang and obstruction of collaterals."
Preventive regimen:
❑ Huangqi Guizhi Wuwu Tang + Mecobalamin Tablets
➢ Huangqi Guizhi Wuwu Tang:
• Astragalus root (黄芪) 30g
• Cinnamon twig (桂枝) 9g
• Peony root (芍药) 9g
• Fresh ginger (生姜) 18g
• Jujube (大枣) 15g

 Effects: Tonifying qi, promoting circulation, and relieving numbness and pain
 Evidence: A systematic review and meta-analysis including 11 studies with a total of 761 patients compared the Huangqi Guizhi Wuwu Tang group with the chemotherapy-only group. The results showed that
RR=0.55, 95% CI: (0.48, 0.62), P<0.00001, indicating that the incidence of peripheral neuropathy in the Huangqi Guizhi Wuwu Tang treatment group was significantly lower than that in the control group.
Chen, S. S. . Systematic review and meta-analysis of Huangqi Guizhi Wuwu Tang in the prevention and treatment of oxaliplatin-induced peripheral neuropathy(D). Nanjing University of Chinese Medicine, 2018.

➢ Mecobalamin Tablets:
▪ Modern pharmacological research: This medication can effectively promote the formation of myelin sheaths and phospholipids in the nervous system, thereby providing strong stimulation for axonal
regeneration and promoting nerve growth.

❑ Indications: Used for patients undergoing or starting high-risk chemotherapy regimens.

Treatment regimen:
❑ Buyang Huanwu Tang:
• Astragalus root (黄芪生) 30g
• Angelica sinensis (当归尾) 12g
• Peony root (赤芍) 9g
• Earthworm (地龙) 3g
• Chuanxiong rhizome (川芎) 6g
• Safflower (红花) 6g
• Peach kernel (桃仁) 6g
 Effects: Tonifying qi, warming yang, promoting circulation, and activating meridians
 Evidence: A systematic review on the efficacy and safety of Buyang Huanwu Tang (BYHWT) in preventing oxaliplatin-induced peripheral neuropathy (OIPN) showed that, among 489
patients from 8 randomized controlled trials (RCTs), there were statistically significant differences between the BYHWT group and the control group in terms of the total incidence rate of
OIPN, the incidence rate of severe OIPN, and peripheral nerve conduction velocity. There were also statistically significant differences in the total incidence rate of OIPN and the incidence
rate of severe OIPN between the BYHWT group and the mecobalamin group. No adverse reactions related to BYHWT were found in any of the studies.
Wei, X. C., Wang, H., Zhu, L. Q., Wang, C. G., Deng, Q., & Li, X. . Systematic review of the efficacy and safety of Buyang Huanwu Tang in preventing oxaliplatin-induced peripheral neuropathy(J). Chinese Journal of Experimental Traditional Medical Formulae,2016,
22(22):186-190.

❑ Indications: Used for patients undergoing high-risk chemotherapy regimens who have already developed mild or moderate chemotherapy-induced peripheral neuropathy (CIPNP)
https://treasureoftheeast.com/
 Summery:
1. Electroacupuncture treatment of peripheral neuropathy can achieve a certain degree of effect, and some patients even have very good results.

2. Different electroacupuncture wave patterns and frequencies have distinct effects. Choosing the appropriate electroacupuncture wave pattern and frequency is crucial for
enhancing treatment efficacy, depending on the distinct characteristics of peripheral neuropathy symptoms
❖ Numbness is predominant, or numbness only: dense-disperse wave pattern
❖ Tingling is predominant, or tingling only: continuous wave pattern （2Hz or 100Hz)
❖ Numbness and tingling are equal: dense-disperse wave pattern, or continuous wave pattern if with pain, alternatively
❖ Severe pain: continuous wave pattern （2Hz or 100Hz)

3. No quick effect, both doctors and patients need patience

4. Slowly start to take effect, the patient gradually becomes sensitive to acupuncture and electroacupuncture. The area of numbness and tingling gradually gets smaller.
From no feeling to the texture of the floor carpet to feel the texture. The patient will tell you a surprise. Walking will gradually become more stable

5. The intensity of the electroacupuncture can be used as a preliminary judgment of the condition: at the first treatment, the intensity of the electroacupuncture is high, but
the patient feels low or even does not feel, indicating that the nerve damage is more serious and may require a longer treatment time. If the patient does not need high-
intensity stimulation during the initial treatment, the patient can feel the electroacupuncture, indicating that the patient's sensory nerve damage is not very serious.
Under normal circumstances, as the treatment continues, the patient's sensitivity to electrical acupuncture stimulation gradually increases, which can reflect the gradual
improvement of the disease.