Course on line. No 2. Aesthetic Overweight Pain. MAM and BMN.

Course on line. No 2. Aesthetic Overweight Pain. MAM and BMN.

Aesthetics: Face neck hands scalp. Obesity, overweight, cellulite, addiction, pain. Mesotherapy Acupuncture Mesopuncture or MAM. With/without needles, the BMN. 

The BMN, essential device for Mesotherapy Acupuncture Mesopuncture.

Since 1988, we have been producing the BMN, marked CE, for

MESOTHERAPY.

ACUPUNCTURE / MESOPUNCTURE.

Joining ACUPUNCTURE / MESOPUNTURE and MESOTHERAPY, in a single insertion into the skin.

• BMN is an acupuncture and Mesopuncture needle, as fine as for acupuncture, crowned by a deformable reservoir, filled and emptied as a count drops, with two fingers, disposable. (Distilled water, physiological serum, vitamins, homeopathy, allopathy, phytotherapy, trace elements ...).

The needle. Length, 13mm. External diameter 0.3mm.

The reservoir. Length 10-12mm. Volume 14 / 100ml.

 Each therapist chooses the drug, to deposit with iontophoresis or to inject with BMN, after having examined his Patient.

BMN allows the injection of a drug into the AP, or Mesopuntura, already stimulated by the metal of the needle or Acupuncture, of the BMN device.

Each Therapist chooses the insertion length of the needle, whether for Mesotherapy or Acupuncture.

In the dermis or superficial hypodermis, outside the AP, the BMN is a Mesotherapy device, complete, practical.

In the dermis, hypodermis, connective tissue, BMN is an Acupuncture / Mesopuncture, disposable needle.

http://www.mesopuncture.com

We propose, on this triple therapy or MAM, courses on the Internet with treatment options using or not a specific device, BMN.

*** We propose this triple therapy or MAM, in the form of Internet courses with treatment options with / without the BMN we produce.

Our courses, on-line

& FACIAL AESTHETICS of hands, neck and hairy leather.

& PAINS, RHEUMATISM, SPORTS

& Aesthetics of the body: 1- OVERWEIGHT AND REGIME. 2- CELLULITIS.

& OBESITY and CELLULITE, very complete.

& NERVOUS DISORDERS OF DAILY LIFE.

& ADICTION (Alcohol, Tobacco, Sweets.).

Structure of the course

** - * The APs to be treated are determined, according to the health or aesthetic alteration described in the course.

Schemes and legends help to choose and locate, on the skin, the active APs, location accessible to any Therapist, beginner or professional, in Acupuncture.

There are three classes of APs that need to be determined to conduct treatment in Acupuncture: APs of general, regional and local action.

If the location of the PAs does not pose a problem it is the implication of the APs, in the treatment, that implies the professionalism of the Therapist.

• The identification and location of APs of regional or general action are the result of a thorough knowledge of acupuncture. In these APs are inserted the usual acupuncture needles.

• APs of local action are much easier to employ by practitioners, including beginners, because they do not need extensive knowledge in acupuncture:

The APs of local action are located in the neighboring skin area or in front of the 'diseased' region of the body.

It is in this area that the MPs are created.

It is in the APs of local action that most BMNs are inserted, the BMN use  in this skin area is necessary and judicious.

Indeed, the APs already exist in this area and the MPs that can be created around these APs will be nearby or adjacent what allows to create the MPs, with the same needle of the BMN already inserted in the AP: indeed, without completely removing the needle from its insertion, the needle already inserted in the PA is directed, from the dermal portion of the pathway of the AP in the skin, to the dermis-hypodermis of all the around of the pathway of the AP, according to a star schema, to deposit into this layer of skin, micro-doses of the drug contained in the BMN reservoir, thus creating the PMs. It has therefore been done, with the BMN, in each Acupuncture Point_ AP, THE triple treatment Mesopuncture Acupuncture Mesotherapy_ MAM with a single and same insertion into the skin

In summary,

Treatment begins by questioning and examination of the patient followed by the treatment.

Acupuncture needles are inserted in all parts of the body except in the neighboring area or in front of the 'diseased' body zone.

• In the course, are described mainly the localized APs, in front or neighbors of the altered zone. Schemes and legends help to choose and locate, in the skin, the AP, location accessible to any Therapist, beginner or professional, in Acupuncture.

• At any point of the dermis in front of the altered area, separating this PA from the neighbor, the MPs are created by injection, with needle (classic Mesotherapy), some drops of drug in the thickness of the dermis or without injection by iontophoresis or Virtual Mesotherapy.

*-* Treatment options 

They are also two modes of application of the MAM:

 *- Non- invasive option:

It is performed:

Acupuncture by external stimulation: Massage, pulsed light, laser, heat, and more...

Mesotherapy and Mesopuncture by iontophoresis produced by the appliance of virtual Mesotherapy apparatus.

*- Minimally invasive option: BMN performs this triple treatment with the same and unique insertion in the skin of the same BMN.

The Knee Osteoarthritis and Acupuncture Mesopuncture

The Knee Osteoarthritis and Acupuncture Mesopuncture                                                                                                                                                 

Mesopuncture is a supplementary means from the classical acupuncture treatment for osteoarthritis in general and especially in the knee osteoarthritis.
It complements the classical acupuncture session.
As with the laser, it is an association, Chinese medicine and modern pharmacopoeia.

The BMN allows performing Mesopuncture Acupuncture Mesotherapy or MAM, with the same device inserted in the same Acupuncture Point_ AP.
It is the injection (or the passive deposition), in the AP of few drops of a liquid drug.
Let us remember that there are three categories of Acupuncture Points _ APs:  APs of general, regional and local action.
The Mesopuncture is preferentially applied to APs of local action.

**- In osteoarthritis of the knee, the PAs chosen are active on the various components of osteoarthritis

Mesopuncture is the injection (or passive deposition), in the AP of few drops of a liquid drug. The daily active dose is divided in several micro-deposits created into the various APs.

• Due to its intrinsic pharmacological properties it treats the knee osteoarthritis.

• Due to its physicochemical volume, it stimulates the AP.

The choice of the liquid drug used depends

On the ‘Acupuncture effect’, therapeutic effect in Acupuncture, produced by the AP stimulation.

On the ‘pharmacologic effect’, therapeutic effect known in the western pharmacology of the liquid drug.

      The ability to create Mesotherapy Points and to associate them to APs in the dermis around the AP with the liquid drug depends on the presence or absence of ‘pharmacological effect’ of this liquid drug.

it depends on the association or not of Mesopuncture to Mesotherapy
The liquid drug into the AP.

It is injection (or passive deposition), in the AP of few drops of a liquid drug. 
**-* The liquid drug has two actions, in the AP, both dependents on its physicochemical structure: 

Due to its physicochemical structure or volume, the liquid drug is a fluid stimulus of the AP, adding an energy dimension to the pharmacological treatment. The liquid drug keeps its intrinsic therapeutic properties, active on osteoarthritis in general and especially of the knee :  Pharmacological effect.

       Stimulates the AP creating a therapeutic effect: Acupuncture effect.

The duration of both actions of this injection, in pharmacology and acupuncture, also are dependent on the rate of resorption of the liquid drug, of its physicochemical structure. It often exceeds the stimulus duration of the classic metal needle.

       Generally, the pharmacological properties (pharmacological effect) of the liquid drug selected and injected into the AP are synergistic of the therapeutic properties resulting from the stimulation of APs (Acupuncture effect): Pharmacological and Acupuncture effects are synergistic and of same duration.

Two therapeutic possibilities:

--- Either the Pharmacological effect, of the drug used, is synergistic of the Acupuncture effect produced by the drug when injected into the dedicated AP. Duration of the Acupuncture effect due to stimulation of the AP is the same as duration of the pharmacological effect.

This liquid drug of dual effect pharmacologic and Acupuncture can also be used for creating MPs.

There is no in the pharmacopoeia active liquid drug in osteoarthritis, by both pharmacological and acupuncture effect, beyond 2-3 weeks.

--- Or there is no synergy between the pharmacological effect of the drug and acupuncture effect, produced by stimulation of the AP, by this drug.

Is found in this group, liquid drugs whose pharmacological action, so-called comfort, is not synergistic of the acupuncture effect born from the AP stimulus by these liquid drugs.

This acupuncture effect is of long or even very long duration

This type of long-term stimulation is obtained with hyaluronic acid and its derivatives. The pharmacological effect although not valued is not to be neglected.

In conclusion: The knee osteo-arthritis of is managed by Mesopuncture Acupuncture Mesotherapy or MAM in a single therapeutic gesture with a single BMN inserted in each PA.

Around the AP, with the same needle and liquid drug, it is possible to create Mesotherapy points also of the same therapeutic action duration.
The liquid drug injected into the APs located in the skin, like in Mesotherapy, has an interesting therapeutic future: 

It reaches directly the weathered zone first, and then after passage into the blood and conjugation in the liver, it again reaches the altered zone: The liquid drug acts twice in the altered area.

Nota.
For the treatment of osteoarthritis, by Mesopuncture Acupuncture, we do not have, in our pharmacopoeia, active drugs for more than a few weeks. 
It is possible to use liquid drugs of long or even very long stimulus duration of the AP (Acupuncture effect) without synergistic pharmacological effect but with pharmacological effect, not harmful, rather dedicated to comfort or aesthetics, as hyaluronic acid, for example. This type of long stimulus of the AP is interesting because it is possible to space the Acupuncture sessions: Fear of needles, loss of time, financial concerns etc. or to use them for patients intolerant to anti-inflammatory drugs or wishing to avoid them....

Conclusion:  Osteoarthritis of the knee is treated by Mesopuncture Acupuncture Mesotherapy_ MAM. 
We can find, at the disposal of Therapists, the specific device to achieve, with a single needle insertion, Mesopuncture Acupuncture (and Mesotherapy eventually). 

Skin Care, Acupuncture Mesopuncture Points, Mesotherapy.

The skin is the vector that allows applying different types of treatments, with/without injections, in medicine, aesthetic or beauty care: Mesotherapy, massage, ointment, botox, hyaluronic acid, laser, beauty care, aesthetic medicine, etc.

Often, the treatment applied in this particular area of the body, activates jointly the Acupuncture Points _APs located in the thickness of the skin, in this same area. 

In effect, in the thickness of the skin of the same area, are located Acupuncture Points _ APs, of systematized anatomic landmarks described for millennia, easily recognizable after a basic training.

They can be imperfectly stimulated by the same mode of treatment already applied.

It is interesting for adding an energy dimension to the already instituted treatment, to replace the incomplete and imperfect, because involuntary, stimulation of the APs by the usual and codified Acupuncture stimulation modes, as below, taking into account the location of APs.

In effect, we distinguish:

·                    Stimulation by a needle or by an external way (laser, massage, Moxas, micro currents etc.) which adds an energetic dimension to the instituted treatment. The effectiveness of this type of stimulation is of short duration, a few days.

·                    Stimulation by injection (or deposit, without needle) of a liquid drug into the

AP of local action (or Mesopuncture), introduces also, an energetic dimension by stimulating the AP due either to the volume injected into the AP or the chemical structure of the liquid drug.

The role of Acupuncture has been strengthened by Mesopuncture, activation (stimulation) of the AP by a liquid drug, injected by the same acupuncture needle if it is hollow (or by a specific device) or deposited at the surface of the skin, crossing it by iontophoresis (virtual Mesotherapy).

All around the AP, into the dermis, using the same technique, with/without needle and the same liquid drug, Mesotherapy Points _ PMs can be created: Indeed, the AP is described as a well beginning in the subcutaneous connective tissue and ending at the epidermis around which, may be created into the dermis and star-shaped, small reservoirs of few drops of the same liquid drug, which are the PMs. PAs and PMs are so close that they can be adjacent and made with the same needle and the same liquid drug.

The tangle of, topographical, technical and therapeutic fundamentals of Mesotherapy and Acupuncture/Mesopuncture, allows grouping them into one and the same treatment or MAM or Mesotherapy Acupuncture Mesopuncture, performed during the same visit. 

The Therapist can choose either to perform one of the components of MAM or the three components. In both eventualities it must be either:

·                    Entitled to inject liquid drugs. He can use a single and same needle, the BMN: Using a single needle insertion optimizes the needle insertion pain, it is an element of comfort for the Patient.

·                    Or not entitled to inject liquid drug: It must then use the iontophoresis that allows the liquid drug to cross the skin without using needles.

In summary, this triple treatment, the MAM, can be performed according two ways:

1.            Needle-free.
Moxas laser massage, etc. are used to perform Acupuncture and iontophoresis is used for Mesopuncture and Mesotherapy.

2.            With Needle (s).
Or a compact acupuncture needle and a hollow needle for injection in Acupuncture and Mesotherapy.
Or for carrying out the MAM, a specific device, the BMN, is inserted into the skin.

The BMN, what is?
The BMN is a disposable device performing the MAM, once its reservoir is filled with a liquid drug with/without therapeutic activity and its needle is inserted into the AP. With the BMN, in addition to Mesotherapy the Therapist can carry out Acupuncture and Mesopuncture and the Acupuncturist in addition to Acupuncture can achieve Mesopuncture and Mesotherapy. 

Therapeutic N°1, by injection into Acupuncture Points_ APs or Mesopuncture.

Therapeutic by injection into Acupuncture Points_ APs or Mesopuncture.

Two Parts. PART (1).

         

Therapeutic by injection into acupuncture points is a method of treatment developed on the basis of acupuncture, combining traditional Chinese medicine and Western medicine. It involves injecting drugs into the points or areas of positive reaction. By injecting a solute of drugs into the acupuncture point it will produce sensations due to the physical and chemical stimulation caused by acupuncture and drugs which allows regulating the body’s resistance and thereby achieving the healing of ailments.(1)           Palpation of the Points                                   

Palpation points aims to detect abnormal change of meridians points, i.e. their expressions of positive feedback, using the touch sense of fingers, which is the basis for the diagnosis and treatment.

To practice palpation, we first leave the patient take a comfortable and natural position according to the regions to be palpate and asked him to relax the muscles. And then we palpate carefully and with patience the regions selected using the thumb and forefinger.
We can leave the finger slide on the skin, massaging it, pressing it point-by-point, or depressing it to determine if there are abnormalities (manifestations of positive reaction) in the connective tissue of the dermis and subcutaneous and deep tissue.

For example there are perhaps at the level of the meridians points, cords and nodules, large or small, soft or firm of different shapes (round, spindle-shaped or flattened). Hypersensitive or painful points by pressure can be found and the same for impastos, muscular-cutaneous depressions and modification of muscle tone, the change of the skin color can be also observed.

The scope of palpation includes, paravertebral points (Huatuojiaji), Shu points of the back located on the dorsal lumbar region, Mu points in the thoracic & abdominal region, points of the four members meeting the condition to be treated as well as Ashi points (painful points by digital pressure).

(2)          Treatment technique

1.                 Choice of points.

a.             By palpation of the fingers, are chosen the points having the most remarkable reaction as key points for treatment.

We should know to avoid choosing too many points in a single session. It is important to accurately locate the selected points… If the positive reaction is not very clear, we can choose the corresponding meridian points.

b.             We choose the points as is done in regular acupuncture. But the points of the hand and foot as well as areas where there are not many soft parts are less-used. 

2.                Operative technique.

Prior to treatment should be explained to the patient characteristics of the therapeutic process and reactions that may occur when processing such as feelings of swelling, heaviness or weariness. 

Therapeutic N°2, by injection into acupuncture points or Mesopuncture.

Therapeutic by injection into acupuncture points or Mesopuncture.

Two Parts. PART (2).

Some patients may feel a sensation of heat.

After usual disinfection of the determined point, we take a charged syringe and inserted its needle into the acupuncture point to a desired depth or until the appearance of a certain acupuncture sensation. Then, if by pulling slightly the piston, no trace of blood appears in the syringe, then we will be able to inject the drug into the AP.

Manipulations vary according conditions to be treated. In most cases the injection is made at an average speed. For debilitated patients with chronic disease injection should be slow and  more diluted medicinal solution, while that for  patients of strong constitution, injection should be fast with more concentrated solution.

3.                    Choice of medication

The drugs used must be easily absorbable and without side effects. In addition to pharmacological effects, they must still present some irritant properties to extend the effect of acupuncture.

The usual drugs are:

a. Placental extract: It is stated in common diseases. It is often prescribed in the treatment of chronic hepatitis, nephritis, gastric ulcer, allergy reactions, neurosis and certain gynecological disorders reactions.

b. The solutes of Vit.B1, Vit.B12 and Vit.C, are indicated in chronic diseases and elderly and debilitated people. The sensation produced by the Vit.B12 is less pronounced than that determined by the Vit. B1. The Vit.C is indicated in hem bleeding tendency and cardiovascular diseases...

c. Drugs responding to disorders such as penicillin, Streptomycin and sulfate of magnesia.

d. Some medicines of traditional Chinese medicine such as injectable aqueous extracts of Radix angelicae and Flos Carthami can also be used.

e. the intradermal injection of distilled water alone is painful and can provide a physical stimulation without side effects. It is suitable in certain diseases. Injection should be fast because the duration of produced acupuncture sensation is fleeting.

(3)          Remarks

a. Account must be taken of incompatibilities, of allergic reactions and side effects of drugs used. Skin Allergy tests should be performed prior to use drugs of antigenic properties. The injection will be made only when the test is recognized negative.

b. Carefully follow the dosage and concentration of injectable solutions. They vary depending on the disease state and regions to treat. In general for the region cephalo-facial (rarely chosen region), we would use medicated fluids at low concentration, less irritating, the dosage should be reduced with a slow injection. For regions of the trunk, drug solute must be more concentrated, stimulation may be stronger, the highest dose and rapid injection.

For Points of the four members we should not use drug solutes very concentrated or very irritating. But it is permissible to combine drug injection to acupuncture treatment..

c. In principle we retain to introduce solutes into articular cavities or blood vessels.

d. A large aseptic care will be taken to prevent any infections. For elderly and debilitated patients, are taken fewer points and for the first meeting, a smaller dose of solute will be injected.

e. Avoid the puncture of the viscera during injection into back points and more, precautions will be taken to avoid the needles discomfort, needles breaking and other potential accidents.
f. A session a day or every two days. A cure includes 7-10 sessions. The interval time between two cures is 4-7 days.

Translation of the published article, in French, in 1977 by Academy of traditional Chinese medicine in 'Précis  of Chinese Acupuncture ' Beijing. edition in foreign languages (French), Page 292. 

What is the interest of inserting the needle into the Acupuncture point,

What is the interest of inserting the needle into the Acupuncture point, for Acupuncture in general and facial aesthetics, in particular?

What is the interest in inserting the acupuncture needle into the #Acupuncturepoint, for acupuncture in general and #facial aesthetics, in particular?

There are some years in France, the Acupuncture_ point AP has been described as a well, beginning in the connective tissue and opened at the surface of the skin.

SOULIE de MORANT, the ‘inventor’ of acupuncture in the West, has attributed the sensitivity of the skin surface of the AP to the AP itself.

·                    Since short time, Pr. LANGEVIN, described the AP as a mass, a convergence of connective tissue cleavage planes. This mass corresponds, by careful palpation of the skin, to the anatomical details described by the Ancient, to assist in the localization of IPs: A slight depression, a hole, a node ... These anatomical details would, according to Pr. LANGEVIN, in reality, be an easy access to greater amounts of connective tissue…

According to the same source, we also know that the volume of connective tissue in the AP allows a stimulus of greater intensity, an acupuncture effect of 'higher intensity knowing that the needle inserted at any point of the skin also produces an acupuncture effect ', but of lesser intensity.

Another feature of APs is, according to Pr. LANGEVIN, the alignment of collagen fibers in the APs, after the stimulus.

Acupuncture is active also in the other component of the connective tissue, the extracellular matrix, which allows the signal produced by stimulus of the needle or liquid drug, to be transmitted from one AP to another AP and for production of the acupuncture effect as described in Chinese medicine.

Stimulus of the connective tissue to stimulate the skin trophicity is part of the essential objective of any aesthetic treatment, particularly in facial aesthetics. This is the acupuncture main role.

Stimulation by the needle insertion must be repeated after a short period: Two to three days.

The fluid stimulus duration by a commonly used liquid medicine is dependent on its physicochemical structure: Duration more or less identical to the needle stimulus.. But in facial aesthetics, stimulation by a liquid drug commonly used, can, besides its therapeutic role in aesthetic recognized by the pharmacopoeia, have also a stimulus role of the AP, lasting the duration of its elimination from the human body, that is to say several months, 

Acupuncture was the first science using stimulation of the connective tissue to treat various conditions, including aesthetics.

If the metal needle was the first stimulating mode, since the end of the last century, Chinese medicine proposes the stimulus by a liquid drug or Mesopuncture, also.

 Microneedling also known as collagen induction therapy and Mesotherapy in its classical or nappage version, have adopted this mode of stimulus initiated by Acupuncture, but we don't have found any mention of fundamental anteriority of for the connective tissue stimulation by needle or liquid drug proposed and used in Acupuncture.  

In facial aesthetics, what to do, with the remaining hyaluronic acid?

In facial aesthetics, what to do, with the remaining hyaluronic acid?

Activate, by micro doses the Acupuncture Points or Mesopuntura, of the face?

It should be remembered that, for the most part, the aesthetic treatments, of the face in particular, have as objective to consolidate the trophicity skin by stimulating the connective tissue: The fundamental substance as well as the elastin and collagen fibers.

Since decades, the therapeutic properties of Acupuncture on the different parameters of facial aesthetics are recognized internationally.

·                    According to classical acupuncture theory, 

Acupuncture points_ APs are interconnected in a network of meridians extended longitudinally along the surface of the body, connecting the peripheral tissues, between them and to the internal 'organs'.

APs, of systematized (sometimes random) location have specific therapeutic properties allowing to divide APs into three classes, depending on the extent of the therapeutic action, in APs of general, regional or local action. Only these last APs of local action, that do not require extensive knowledge in Acupuncture, are involved in this article.

Currently it is emphasized that the great similarity between on the one hand the connective tissue structure and on the other hand the meridians and APs network, allows involving the connective tissue, both in the components of acupuncture and the mode of action of acupuncture.

The meridians are considered to be cleavage plans of connective tissue and the APs heaps of connective tissue of privileged and easy access from the skin surface through APs, whose systematized location in the skin was described by the elder.

It is considered that activation of the APs, necessary for its efficiency, is in reality, activation of the peripheral and specialized connective tissue, performed by a path starting from the skin, the AP, giving a direct and safe access to the connective tissue,.

Activation is carried out by a needle or by a liquid drug. 

The 'Acupuncture' effect is notable, in all the connective tissue surrounding the AP, but is more evident at the level of the AP (5 mm diameter)... after the stimulation, is noted, microscopically, an alignment of collagen fibers in the AP.

By a needle inserted in the AP but the activation time lasts few days and implies a new needle insertion.

By a liquid drug injected (or deposited without needle): Duration of the activation depends on the elimination rate of the liquid drug from the body: It is of very long duration for hyaluronic acid delaying at the same time a new needle insertion.

For activation by other liquid drugs: Each liquid drug has a duration of action described in the Pharmacopoeia, corresponding to the duration of AP stimulation. The activation period is variable and depends on the physicochemical structure of the liquid drug with this characteristic proper to local injections of drug:

·                    The locally injected liquid drug first reaches directly the area of the altered skin without passing through the liver, and then in a second time, after passage in the liver and conjugation, reaches again the altered zone.