Precision Medical Diagnosis and Acupuncture Treatment for Parkinson's Disease

Study Overview
=================
Brief Summary
-----------------
This study integrates traditional Chinese medicine syndromes and pulse diagnosis, and uses laser vibration overlay and functional cerebral angiography to understand the efficacy of scalp acupuncture against Parkinson's Disease.

Detailed Description
-----------------
Traditional Chinese medicine does not have the term  Parkinson's disease. According to the symptoms of the disease, it is closer to the Liver wind, Vibration and Chatter in Chinese medicine. Scalp needle stimulation can increase the content of dopamine in the brain and improve mitochondrial function and reduce the death of substantia nigra. This study integrates TCM syndromes and pulse diagnosis, and uses laser vibration overlay and functional brain image to understand the effect of scalp acupuncture on Parkinson's disease. The project will be carried out in two phases: the first phase is the pilot study, and 200 patients with limb shakes were collected from the neurology clinic. After the laser vibration overlay test, 20 patients with mild tremors and diagnosed as Parkinson's disease were selected. , treated by Wen's scalp acupuncture. In the second phase, 80 Parkinson patients were enrolled, randomized to the treatment group and the control group, and the changes in TCM syndrome, pulse diagnosis and Parkinson scale were compared before and after treatment, and the fMRI and vibration overlay ratios were evaluated after scalp acupuncture.

Official Title
-----------------
Precision Medical Diagnosis and Acupuncture Treatment for Parkinson's Disease -The Evaluation of Scalp Acupuncture for Parkinson's Disease

Conditions
-----------------
Parkinson Disease

Intervention / Treatment
-----------------
* Other: Scalp Acupuncture
* Other: Body Acupenture


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Diagnosed as Idiopathic Parkinsonism by Neurologist Have taken first line drugs more than three months Did not take any acupuncture or rehabilitation Voluntary Exclusion Criteria: Taking anticancer drug now or diagnosed as depression, psychosis or other mental illnesses Medical history of stroke or dementia Taking anticoagulant now or having coagulation disorders Scalp infection Pregnant women Patient with irregular heartbeat, implanted artificial cardiac pacemaker or implanted cardioverter-defibrillator Belonephobia
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Therapy Group<br> | Other: Scalp Acupuncture<br>* Scalp acupuncture is a form of alternative medicine in which thin needles are inserted into the scalp. It is a key component of traditional Chinese medicine (TCM).<br>|
| Other: Control Group<br> | Other: Body Acupenture<br>* Acupuncture is a form of alternative medicine in which thin needles are inserted into the body. It is a key component of traditional Chinese medicine (TCM).<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Unified Parkinson's Disease Rating Scale | A comprehensive assessment of both motor and non-motor symptoms associated with Parkinson's. The Unified Parkinson's Disease Rating Scale is made up of 42 items. These items are divided into six sections which are separately evaluation of mentation, behavior, and mood, self-evaluation of the activities of daily life, clinician-scored monitored motor evaluation, complications of therapy, Hoehn and Yahr staging of severity of Parkinson's disease and Schwab and England ADL scale.The evaluation score for the first item to the 39th item is 0 to 4 points. The evaluation score for the 40th to the 42th item is 0 to 1 points.The higher score meand the worse condition. The sum of all the items'score is the score of the scale. Highr Rating Scales'scores indicate severe symptoms. | 2 Months | 
| Micro Vibration Scan | Discover early symptom before the onset. Recognize PD tremor pattern within 1 minute. Non-invasive, Non-radiation, and Low-cost medical device for daily tracking and treatment evaluation. | 2 Months | 
| SPECT | A type of nuclear imaging test that shows how blood flows to tissues and organs. | 2 Months | 
| PET/MRI | PET/MRI combines time-of-flight PET with 3-Tesla MRI for exceptional image quality, more conclusive diagnosis, and lower radiation in a single exam. The powerful combination of molecular, functional and anatomic information provides essential data for critical treatment decisions. | 2 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Constitution in Chinese Medicine Questionnaire (CCMQ) | Sixty items were applied to measure the nine constitutions: Neutral (a normal constitution), Qi-deficiency constitution, Yang-deficiency constitution, Yin-deficiency constitution, Phlegm-dampness constitution, Damp-heat constitution, Stagnant-blood constitution, Stagnant-Qi constitution, and Inherited-special constitution. | 2 Months | 
| Sphygmograph | Diagnoses patient's pulse change | 2 Months |