What can be achieved by using Yamamoto New Scalp Acupuncture ...

Thomas Schockert 

What can be achieved by using 

Yamamoto New Scalp Acupuncture 

(YNSA)? 

Survey of Experts for the Journal “Deutsche Zeitschrift für Akupunktur” (DZA) 

Expert evidence 

Abstract 

Objective: 

In the survey of experts, therapists were asked what they regarded as the most important indication areas for YNSA 

and were also requested to describe their clinical experience. 

Method: 

Forty-two physicians from all over the world with special experience in applying YNSA were asked to respond to 

11 questions with respect to their experience with YNSA concerning indications, neck/abdominal diagnosis, choice of 

acupuncture points, Huneke phenomena (lightning reactions), personal preferences, literature, studies and case studies 

from their own practice. Twenty-nine responses were received. 

Results: 

The experts were in agreement in reporting that they had successfully applied YNSA for pain of the locomotor system, 

neurological syndromes, syndromes from internal medicine, for the relief of pain and for many other illnesses. 

YNSA abdominal diagnostics and neck diagnostics are regularly applied by the 29 YNSA therapists. All therapists 

observed Huneke phenomena (lightning reactions) in their work with YNSA. The experts’ responses emphasized the 

rapid and reliable action of YNSA. The basic points are the generally preferred points for YNSA. Side effects were 

observed by fourteen experts. Seven therapists identified contraindications for YNSA. 

Discussion: 

In spite of their very different preferences with respect to the points and somatopes used, the various therapists 

reached almost complete agreement on the good results of the treatment. The frequently observed Huneke phenomena 

(lightning reactions), and the rapid and reliable results of treatment are closely related to the use of abdominal and neck 

diagnostics, which are at the heart of YNSA. These diagnostic points enable the therapist to check the correct position of 

the needles with respect to basic points, Y points, brain and cranial nerve points. Since the therapy points can generally 

be located rapidly and reliably by considerable tenderness to pressure, the application of YNSA requires a very precise 

examination, a careful search for the points and a close exchange of information with the patient. 

Conclusions: 

The rapid and reliable effect of YNSA is emphasized in the experts’ responses. YNSA should find global application in 

integrative medicine. Further and more extensive studies on the effectiveness of YNSA are both necessary and desirable. 

Key words 

YNSA, pain relief therapy, stroke, paresis, abdominal diagnosis, neck diagnosis, extra points, somatopes, integrative 

medicine 

1

Introduction 

Yamamoto New Scalp Acupuncture was invented by the 

Japanese physician and scientist, Toshikatsu Yamamoto 

and first presented to the public in 1973. 

Starting from five basic points, YNSA [1] continues to be 

further developed and consists of various somatotopes 

and points distributed over the whole body. Numerous 

reports, studies and publications on the efficacy and 

systematics of YNSA have appeared in various media 

[2–34]. 

At the beginning of 2009, the questionnaire reproduced 

below was sent in German and English to 42 experts 

throughout the world who apply YNSA on a daily basis 

and some of whom have been intensively involved with 

YNSA for many years. Twenty-nine of them completed 

the questionnaire and the evaluation is presented here. 

Nineteen of the respondents contributed case studies. 

Questionnaire 

What is Possible with Yamamoto New Scalp Acupuncture 

(YNSA)? 

Survey of Experts for the Journal “Deutsche Zeitschrift für 

Akupunktur” (DZA) 

Object of the Survey 

For many years now, in its “Further Training” section 

DZA has taken the approach of seeking the opinion of 

specialists on a clinical issue or a clinical method. Since 

you are well known to me as an expert on YNSA, I would 

like to invite you to join the panel of experts on YNSA 

training in DZA. 

The survey has the aim of identifying what various 

practitioners regard as the most important indications 

for applying YNSA and what clinical experience they 

have gathered. 

Questionnaire 

1) How do you rate the efficacy of YNSA for the following 

syndromes? 

1.1) Pain of the locomotor system: e.g. gonalgia, coxalgia, 

dorsalgia 

1.2) Neurological syndromes: e.g. paresis and hemiparesis, 

Parkinson’s disease, MS 

1.3) Internal syndromes: e.g. asthma, gastritis, cystitis 

1.4) Pain relief: e.g. zoster neuralgia, intercostal 

neuralgia, migraine, toothache 

1.5) Other diseases: e.g. pollinosis, sinusitis 

Please assess these disorders according to the following 

evaluation scheme: 

a) Very worthwhile: over 50 % improvement for more 

than 70 % of the patients 

b) Worthwhile: over 50 % improvement for more than 

50 % of the patients 

c) Less worthwhile: 50 % improvement for only about 

25 % of the patients or an improvement of less than 

50 % 

d) Not worthwhile: little or no effect 

2) Are there one or more diagnoses where you 

immediately think of YNSA as a possible approach? 

3) Do you use YNSA abdominal or neck diagnosis? 

3.1) Abdominal diagnosis: 

A) never 

B) rarely 

C) often 

D) always 

3.2) Neck diagnosis 

A) never 

B) rarely 

C) often 

D) always 

4) Have you ever observed any lightning reactions 

(Huneke phenomena/immediate positive reaction) 

after YNSA? 

A) never 

B) rarely 

C) often 

D) always 

4.1) During the treatment of what disorders did these 

lightning reactions (Huneke phenomena/immediate 

positive reaction) occur most frequently? 

5) Do you use points from other YNSA somatotopes 

in addition to the YNSA basic points? 

5.1) Which points do you use most frequently? 

Basic points, Y points, brain points, cranial nerve points, 

extra points, pubic area somatotope, thoracic somatotope, 

dorsal somatotopes, C6-TH2 somatotope, master key 

points, sagittal midline somatotope, J and K somatotopes 

6) What do you regard as the particular strengths of the 

individual somatotopes? 

6.1) Your “favourite somatotope”? 

2

7) Do you combine YNSA with other naturopathic 

therapies? If so, how frequently and with what 

therapies? 

A) never 

B) rarely 

C) often 

D) always 

7.1) Do you combine YNSA with other acupuncture 

methods (body acupuncture, other microsystems)? 

If so, how frequently and with what methods? 

A) never 

B) rarely 

C) often 

D) always 

8) Have you observed any side effects with YNSA? 

9) Have you identified any contraindications for YNSA? 

10) Please cite any literature, studies or reports that 

correspond to your experiences and that confirm 

your opinions. 

11) Would you please outline an example from your own 

practical experience, briefly stating your diagnostic 

and therapeutic approach. 

Evaluation of the Responses 

Tab. 1: Efficacy of YNSA 

Question 1 

How do you rate the efficacy of YNSA for the following syndromes? 

Name of expert Pain of the Neurological Internal Pain relief Others 

locomotor system syndromes syndromes 

Allam Hemmat, Egypt A B A A C 

China Carlos, Australia A B n.d. A n.d. 

Chuang I-Hsing Austria A B n.d. A B 

Eisele Gernot, D A A B A C 

Fischer-Sous Gerlinde, D A A A A A 

Gleditsch Jochen, D A A B A A 

Hager Stefan, D A B B B C 

Hegyi Gabriella, Hungary A A A A A 

Hein Alice, D B C B A C 

Helling Rudolf, D A B D A A 

Hemmann Roland, D A B B A B 

Inoue Yoshi, Australia A C C A B 

Jodlowski-Tan Karin, Australia A B A A B 

Katlun Heinz, D A A A A A 

Luserke Walter, D A B C A A 

Marek Mariusz, D A A A A A 

Marić-Oehler Walburg, D A C B B B 

Maul Beate, D A A n.d. A n.d. 

Müller Christiane, D A A n.d. A n.d. 

Pollmann Antonius, D A A A B B 

Qua Smith Im, Australia A B A A B 

Rotthoff Angela, Switzerland A A C B D 

Scheuer Andreas, Austria A B B A A 

Schirmohammadi Reza, D A A C A B 

Sharma Soorya, USA A A D A B 

Teo Emily, Australia A B A B A 

Willenbockel, D 

Johanna Christian A A n.d. A A 

Yamamoto Michiko, Japan A B B A A 

Yoshizumi Alexandre, Brazil A B B B C 

n.d. = no data 

3

Tab. 2: YNSA as a possible solution 

Question 2 Are there one or more diagnoses where you immediately think of YNSA as a possible approach? 



Allam Hemmat, Egypt Dorsalgia, gonalgia Asthma 

China Carlos, Australia 

Difficulty in 

swallowing 

after stroke 

Chuang I-Hsing Austria Paresis x 

Eisele Gernot, D Spinal syndrome Paresis, migraine x 

Fischer-Sous Gerlinde, D Cervical & lumbar 

spinal syndrome, 

gonalgia, coxalgia, 

omarthrosis Stroke Asthma x 

Gleditsch Jochen, D 

Pain and functional 

disorders of the 

locomotor system Paresis x 

Hager Stephan, D 

x 

Hegyi Gabriella, Hungary Gonalgia, coxalgia, 

dorsalgia Paresis Asthma X Pruritus, allergies 

Hein Alice, D 

Therapy for 

chronic pain 

Helling Rudolf, D 

Cervical, cervicobrachial 

syndrome, 

lumboischialgia 

Hemmann Roland, D 

Damage to the 

spine, pain of the Facial paralysis, 

major joints migraine x 

Inoue Yoshi, Australia 

Migraine, 

shoulder pain 

Jodlowski-Tan Karin, Australia x Immunological 

disorders, chronic 

fatigue, cancer 

Katlun Heinz, D Omarthrosis, Paresis Dyspnoea, 

cervical & lumbar 

asthma 

syndrome, 

gonalgia, coxalgia 

Luserke Walter, D 

x, excellent for 

block of the 

iliosacral joint 

Marek Mariusz, D 

Vertigo due to 

central or cervical 

spine 

Marić-Oehler Walburg, D Frozen shoulder, 

lumbago, cervical 

syndrome 

Maul Beate, D 

Coxalgia, gonalgia, 

dorsalgia 

Paresis 

Müller Christiane, D x x 

Pollmann Antonius, D 

Central paralysis 

after stroke, brain 

damage in early 

childhood 

Qua Smith Im, Australia 

Adrenal 

exhaustion = 

burn out, GERD 

Rotthoff Angela, Switzerland Spinal complaints, 

stiff neck, shoulderarm 

syndrome Hemiparesis 

Scheuer Andreas, Austria A B B A A 

4

Tab. 2: Continue 



Schirmohammadi Reza, D 

Cephalalgia, 

migraine 

Abdominal pain 

Sharma Soorya USA 

Stroke, neurol. 

disorders, 

Bell’s palsy 

Teo Emily, Australia Frozen shoulder, Damage associated Lymphoedema Cancer, breast 

dorsalgia in with cranial nerves cancer, faster 

pregnancy 

healing of wounds 

Willenbockel, D Cervical spine Tinnitus, vertigo, 

Johanna Christian syndrome hearing disorders 

Yamamoto Michiko, Japan X X X X X, for all illnesses 

Yoshizumi Alexandre, Brazil X X X X X, for all illnesses 

Tab. 3: YNSA abdominal and neck diagnosis 

Question 3 Do you use YNSA abdominal or neck diagnosis? 

Name of expert Abdominal diagnosis Neck diagnosis 

Allam Hemmat, Egypt Often Always 

China Carlos, Australia Never Always 

Chuang I-Hsing Austria Often Always 

Eisele Gernot, D Rarely Always 

Fischer-Sous Gerlinde, D Rarely Rarely 

Gleditsch Jochen, D Rarely Rarely 

Hager Stephan, D Rarely Rarely 

Hegyi Gabriella, Hungary Often Always 

Hein Alice, D Never Rarely 

Helling Rudolf, D Rarely Always 

Hemmann Roland, D Rarely Always 

Inoue Yoshi, Australia Rarely Always 

Jodlowski-Tan Karin, Australia Often Always 

Katlun Heinz, D Rarely Rarely 

Luserke Walter, D Rarely Always 

Marek Mariusz, D Often Always 

Marić-Oehler Walburg, D Always Often 

Maul Beate, D Never Often 

Müller Christiane, D Never Always 

Pollmann Antonius, D Often Often 

Qua Smith Im, Australia Never Always 

Rotthoff Angela, Switzerland Rarely Always 

Scheuer Andreas, Austria Rarely Often 

Schirmohammadi Reza, D Always Rarely 

Sharma Soorya USA Rarely Always 

Teo Emily, Australia Always Always 

Willenbockel, D Johanna Christian Rarely Always 

Yamamoto Michiko, Japan Rarely Always 

Yoshizumi Alexandre, Brazil Rarely Always 

5

Tab. 4: Lightning reactions 

Question 4 Have you ever observed any lightning reactions after YNSA? 

Name of expert A) never B) rarely C) often D) always Comments 

Allam Hemmat, Egypt 

x 


x 

Chuang I-Hsing Austria 

X 

Eisele Gernot, D 

X 

Fischer-Sous Gerlinde, D 

x 


X 


X 

Hegyi Gabriella, Hungary 

X 

Hein Alice, D 

X 


X 


X 

Inoue Yoshi, Australia X Body feels lighter 

Jodlowski-Tan Karin, Australia 

X 

Katlun Heinz, D 

X 


X 


X 

Marić-Oehler Walburg, D 

X 

Maul Beate, D 

X 

Müller Christiane, D 

X 

Pollmann Antonius, D X X For all abdominal 

central paresis locomotor diagnoses, 

system 

see below 


X 

Rotthoff Angela, Switzerland 

X 

Scheuer Andreas, Austria 

X 


X 

Sharma Soorya, USA 

Teo Emily, Australia 


Johanna Christian 

Yamamoto Michiko, Japan 

Yoshizumi Alexandre, Brazil 

X 

X 

X 

X 

X 

6

Tab. 5: Frequency of lightning reactions 

Question 4.1 During the treatment of what disorders did these lightning reactions occur most frequently? 




Back, knee and 

neck pain 


X 

Chuang I-Hsing Austria Paresis, vertigo x 

Eisele Gernot, D Lumbar spinal Intercostal 

syndrome Paresis Thorax pain neuralgia 

Fischer-Sous Gerlinde, D Shoulder disorders 


Locomotor 

system cervical & 

lumbar spinal 

syndrome, knee 


X 

Hegyi Gabriella, Hungary Dorsalgia, knee Hemiparesis Asthma Zoster neuralgia, 

toothache 

Hein Alice, D 

Migraine 


Periarthropathia 

Humeroscapularis 


Lumbar spinal 

syndrome, knee 

Asthma 

Inoue Yoshi, Australia X X 

Jodlowski-Tan Karin, Australia Musculoskeletal pain 


Omalgia 

Luserke Walter, D X X 


Cervical & lumbar 

spinal syndrome, 

knee, shoulder-arm 

syndrome 

Marić-Oehler Walburg, D Acute disorders of 

the locomotor system 

Maul Beate, D X X 


Lumbalgia 


X, geloses after 

abdominal diagnosis 


Tinnitus 

Rotthoff Angela, Switzerland Spinal disorders, 

gonalgia, stiff neck 

shoulder-arm 

syndrome 


Acute pain 

syndrome 

Schirmohammadi Reza, D Lumbar spinal Cephalalgia Abdominal pain 

syndrome, gonalgia 

Sharma Soorya USA X X X X X 

Teo Emily, Australia Musculoskeletal pain X 


Cervical spinal system, 


especially movement 

disorders 

Yamamoto Michiko, Japan n.d. 


X 

7

Tab. 6: YNSA Treatment points and somatotopes 

Question 5 Do you use points from other YNSA somatotopes in addition to the YNSA basic points? 

(Y = yes – N =no, in column 1) 

5.1 Which points do you use most frequently? 

Name of expert Basic Y points Brain Thorax Pubic Cranial Sagittal J/K Extra, C6Th2, Master 

bone nerve midline tinnitus dorsal key 

Allam Hemmat, Egypt Y, X X X E X X 

China Carlos, Australia Y, X X X X X X X 

Chuang I-Hsing Austria Y, X X X 

Eisele Gernot, D Y, X X X X X X X 

Fischer-Sous Gerlinde, D Y, X X X X 

Gleditsch Jochen, D Y, X X X X 

Hager Stephan, D Y, X X X 

Hegyi Gabriella, Hungary Y, X X X X 

Hein Alice, D Y, X X X 

Helling Rudolf, D Y, X X X 

Hemmann Roland, D Y, X X X X E X 

Inoue Yoshi, Australia Y, X X X X X 

Jodlowski-Tan Karin, Australia Y, X X X 

Katlun Heinz, D Y, X X X X 

Luserke Walter, D Y, X X X 

Marek Mariusz, D Y, X X X X T 

Marić-Oehler Walburg, D Y, X X 

Maul Beate, D Y, X X X X X X 

Müller Christiane, D Y, X X 

Pollmann Antonius, D Y, X X X 

Qua Smith Im, Australia Y, X X x x E x x 

Rotthoff Angela, Switzerland Y, X x x E x 

Scheuer Andreas, Austria Y, X X X 

Schirmohammadi Reza, D Y, X X X X X 

Sharma Soorya, USA Y, X X X X E X 

Teo Emily, Australia Y, X X X X X X X E X, D X 

Willenbockel, D Johanna Christian Y, X X X X X E, T 

Yamamoto Michiko, Japan Y, X X X X 

Yoshizumi Alexandre, Brazil Y, X X X X X X 

8

Tab. 7: Strengths of the individual somatotopes 

Question 6 What do you regard as the particular strengths of the individual somatotopes? 

Name of expert 









Hein Alice, D 









Maul Beate, D 













n.d. 

Each one works different for different conditions, back pain or lower body I use Chest. I tend to 

use J and K frequently because they easily accessible, and are near to the other points in the head, 

therefore, doesn’t need much movement from the patient, and also no need to undress. 

n.d. 

Rapid and easy access 

Good efficacy 

Efficacy of basic points most reliable 

n.d. 

Rapid and reliable efficacy, even for seriously ill and severely handicapped children 

Basic points for pain of the joints and extremities, brain points for neuralgia and migraine, 

Y points for psychosomatic aspects of illnesses 

The strong point of somatope YNSA is the treatment of orthopaedic syndromes and paralysis after 

stroke 

Individual somatotopes can be easily combined, are safe to apply even with anticoagulation. 

If a somatotope cannot be used, e.g. due to head operation, other somatotopes can be used 

instead; CAVE overtherapy 

J and K and chest somatotope: most powerful 

Sagittal points for the lower back region. Great for SIJ pains. 

J and K for musculoskeletal problems. J for ventral and K for dorsal surfaces. 

Cranial nerve points with the neck diagnosis. 

Rapid efficacy 

In addition to the basic points, I frequently use the J and K somatotope and also the master key 

points – excellent efficacy for acute block of the iliosacral joint 

n.d. 

n.d. 

Basic points: pain, frequently lightning reactions 

Cranial nerve points: generally regulating 

Impresses patients 

Simple access 

Good correlation with disorder and immediate effect 

J,K good for mechanical mx 

n.d. 

Rapid availability with a few needles, highly efficient 

n.d. 

Immediate response 

Basic points – good starters in all musculoskeletal problems. 

Y points – use following neck diagnosis to ‘normalise or align’ a patient. Also to correct any 

meridian dysfunction. 

J and K – useful in musculoskeletal problems, 

Chest somatotope – especially useful if patients complain of headaches or dizziness with 

scalp points. 

Sagittal somatotope – particularly useful in lumbar pain. 

Dorsal somatotope – Radiculopathy, neurological problems 

Pubic somatotope – musculoskeletal problems. 

Brain points – similar to homunculus, except in a small area. Useful in all neurological problems 

and in cases of chronic pain. 

n.d. 

n.d. 

n.d. 

9

Tab. 8: Favourite somatotopes 

Question 6.1 Favourite somatotopes 

Name of expert 


China Carlos 

Australia 







Hein Alice, D 









Maul Beate, D 













Thorax, pubic bone 

Basic points, thorax, J, K 

J, K, master key 

Basic and Y points 

Basic and Y points, C6-Th2 

Basic points 

Basic points 

Basic points 

Basic points 

Basic points 

Basic points, brain points, cranial nerve points 

Thorax, J, K 

J, K, cranial nerve points 

Basic and Y points, C6-Th2 

Brain points, Y points, K 

Y points 

n.d. 

Y points. 

Basic points 

UBS (upper back somatotope) 

Sagittal midline somatotope 

Brain points, cranial nerve points. 

Basic points, Y points 

Brain points, cranial nerve points 

Pubic bone 

n.d. 

Sagittal midline somatotope 

Thorax 

10

Tab. 9: Combination of YNSA with other naturopathic therapies 

Question 7 Do you combine YNSA with other naturopathic therapies? 

If so, how frequently and with what therapies? 


Allam Hemmat, Egypt X Food supplements, 

relaxation procedures 

China Carlos, Australia X Energy healing, 

spiritual medicine 

Chuang I-Hsing Austria X Bioresonance 

orthomolecular 

medicine 


X 


X 

Gleditsch Jochen, D X Neural therapy, 

humeral therapy 

colonic therapy 


X 

Hegyi Gabriella, Hungary X Cat-gut embedding 

Hein Alice, D 

X 

Helling Rudolf, D X Neural therapy 


X 


X 


X 


X 


X 


X 


X 

Maul Beate, D 

X 


X 

Pollmann Antonius, D X Homeopathy, 

phytotherapy, 

kinetotherapy 


X 

Rotthoff Angela. Switzerland X Homeopathy, Bach 

flower remedies 

Scheuer Andreas, Austria X Chirotherapy, orthomolecular 

medicine, 

(high-dose vitamin C 

therapy) 

Schirmohammadi Reza, D X Neural therapy, 

humoral therapy, 

colonic therapy, 

homeopathy, 

phytotherapy, 

nutritional medicine 


X 


X 



X 

Yamamoto Michiko, Japan X Glutathione infusions 

for Parkinson’s 

patients 

Yoshizumi Alexandre, Brazil X Chirotherapy 

11

Tab. 10: Combination of YNSA with other acupuncture methods 

Question 7.1 Do you combine YNSA with other acupuncture methods (body acupuncture, other microsystems)? 


Allam Hemmat, Egypt X In 60%: body, ear 


X 


X 

Eisele Gernot, D X Body 

Fischer-Sous Gerlinde, D X Mouth 

Gleditsch Jochen, D X Mouth, ear, TCM 


X 


X 

Hein Alice, D 

X 

Helling Rudolf, D X Body, ear after 

Nogier 

Hemmann Roland, D X Ear 


X 


X 


X 

Luserke Walter, D X Body, ear 

Marek Mariusz, D X ECIWO, TCM 


X 

Maul Beate, D X TCM 


X 

Pollmann Antonius, D X Body, ear 

Qua Smith Im, Australia X Ear 


X 

Scheuer Andreas, Austria X ECIWO, body, ear, 

Boel 

Schirmohammadi Reza, D X Ear, hand 

Sharma Soorya 

X 

Teo Emily, Australia X Ear 


Johanna Christian X Microsystems 

Yamamoto Michiko, Japan X 


Body, ear 

12

Tab. 11: Side effects, contraindications 

Question 8 Have you observed any side effects with YNSA? 

9 Have you identified any contraindications for YNSA? 

Name of expert Side effects Contraindications Comments 

Allam Hemmat, Egypt X None On one occasion hypotension 

China Carlos, Australia Rarely None Bleeding, vertigo 

Chuang I-Hsing Austria X None On one occasion unconsciousness, frequently vertigo 

Eisele Gernot, D No None Caution with patients with Qi deficiency! 

Fischer-Sous Gerlinde, D X Psychosis Needling pain 

Gleditsch Jochen, D Never X Palpable dehiscences on the skull 

Hager, Stephan No None 

Hegyi Gabriella, Hungary X None On one occasion massive circulatory dysregulation; 

on one occasion attack of convulsions 

Hein Alice, D No None 

Helling Rudolf, D No The usual contraindications for acupuncture are 

applicable 


Coughing, 

urge to sneeze Infections 

Inoue Yoshi, Australia X None Nausea 

Jodlowski-Tan Karin, Australia Very rarely Very rarely 

Katlun Heinz, D X Psychosis 

Luserke Walter, D X None Only on one occasion (fainting) 

Marek Mariusz, D No None 

Marić-Oehler Walburg, D No Pregnancy 

Maul Beate, D X X Side effects: on rare occasions headache, difficulty 

opening the mouth / difficulty in speaking 

Contraindication: refusal by the patient 

Müller Christiane, D No Yes 

Pollmann Antonius, D X None On one occasion overreaction in a case of shoulder 

pain. After applying the needle to the shoulder 

point in the temple the shoulder immediately 

became stiff and remained frozen even after the 

needle had been removed. The arm only became 

mobile again with hardly any pain – as expected 

with this treatment – after a needle had been applied 

to the shoulder point in the dorsal somatotope. 

Qua Smith Im, Australia X None Pain, post treatment pain - rare 

Rotthoff Angela, Switzerland Rarely orthostasis Relative Low resistance, marked weakness, danger of retinal 

haemorrhage 

Scheuer Andreas, Austria Rarely None Headache, high temperature, haematoma where the 

needles are applied 

Schirmohammadi Reza, D Never Never 

Sharma Soorya USA No None 

Teo Emily, Australia X X Side effects: fuzziness and headache with head 

points. Bleeding. Drowsiness and lethargy, needling 

pain (very occasionally) 

Contraindications: obvious skin infection or skin 

excoriation, fontanel of babies, patients with a history 

of fits, patients with psychosis. Precaution is exercised 

for a wider range of problems, e.g. patients on 

aspirin or anticoagulant, very nervous patients, pregnancy, 

needling points on the chest somatotope. 

Willenbockel, D Johanna Christian X X Side effects: difficulty in sleeping 

Contraindications: as for acupuncture in general 

Yamamoto Michiko, Japan Never None 

Yoshizumi Alexandre, Brazil X None I observed that 4 patients had renal pain with the 

elimination of the stone of the kidneys the following 

day of the session. 

13

Tab. 12: 

Question 10 

Please cite any literature, studies or reports that correspond to your experiences and that confirm 

your opinions. 

Name of expert Textbooks, posters, DVDs by Dr. Yamamoto Other literature, comments 

Allam Hemmat, Egypt X, YNSA Springer Japan, [2,3,28,29] 


X, YNSA Springer Japan, YNSA VGM-Verlag, 

Portuguese translation [3,25,28,29,34] 

Chuang I-Hsing Austria X, YNSA VGM-Verlag and Chinese translation [32] 

Eisele Gernot, D X, Regular personal observations of Dr Yamamoto 

on the spot 


X 

Gleditsch Jochen, D X, Publications in DZA, books by Yamamoto, MAPS 

Hager, Stephan 

X, YNSA VGM-Verlag 

Hegyi Gabriella, Hungary X, YNSA VGM-Verlag [3,16,28,29,30,34] 

Hein Alice, D 

X 

Helling Rudolf, D X Yamamoto, Schockert, Gleditsch 

Hemmann Roland, D X, Personal reports and many seminars with 

Toshikatsu Yamamoto, Inoue Yoshi 

Australia 

X, YNSA Springer Japan 

Jodlowski-Tan Karin, Australia X, YNSA Springer Japan 


X 

Luserke Walter, D X, www.ynsa.net Notes from seminars, studies by Schockert [28] 

Marek Mariusz, D X Notes from seminars 

Marić-Oehler Walburg, D X YNSA Yamamoto, Marić-Oehler Chun-Jo 1991, 

[33] 

Maul Beate, D X, YNSA VGM-Verlag Notes from seminars [15-23,28] 

Müller Christiane, D X Courses in Japan with Sensei Yamamoto San 

Pollmann Antonius, D X Comments and studies by Yamamoto, studies by 

Aachen and Bonn Universities 

Qua Smith Im, Australia X, YNSA Springer Japan BIG PROBLEM not enough in English, [3,28,29,34] 

Rotthoff Angela, Switzerland X 

Scheuer Andreas, Austria X Gleditsch: MAPS 

Schirmohammadi Reza, D X, Studies by Aachen and Bonn Universities 

Sharma Soorya, USA 

X, YNSA Springer Japan 

Teo Emily, Australia X, YNSA Springer Japan 1. White A, Hayhoe S, Hart A, Ernst.E, Volunteers 

from BMAS and AACP. Survey of adverse events 

following acupuncture (SAFA): A prospective 

study of 32,000 consultations. Acupuncture in 

Medicine. Dec 2001;19(2):84-92. 

2. MacPherson H, Thomas K, Walters S, Fillers M. 

A prospective survey of adverse events and 

treatment reactions following 34, 000 treatment 

with professional acupuncturists. 

Acupuncture in Medicine. Dec 2001;19(2):93-102 


Johanna Christian X, DZA [27] 

Yamamoto Michiko, Japan X 

Yoshizumi Alexandre, Brazil X, YNSA VGM-Verlag, Portuguese translation [31] 

X = text books 

14

Question11 

Case studies 

Gernot Eisele, Wiesloch 

Female patient, 56 years old, after parotidectomy right 

postoperative facial paralysis right, no longer able to close 

right eyelid. Physical therapy did not have any effect, eye 

threatened to dry up. About six weeks after the operation 

clinic recommended sewing the eye up. Patient turned in 

despair to acupuncture. After thorough consultation 

YNSA recommended. First session: basic point A right and 

sensory organ point eye right. When requested to do so 

the patient was able to spontaneously close her right 

eyelid 2/3 shut. The third point Y kidney right (after neck 

diagnosis) did not bring about any further improvement 

but no deterioration either. This needle was left in place 

to stabilize other points. After two and a half months of 

YNSA therapy alone, twice a week, the patient was able 

to close her eyelid completely. 

Jochen Gleditsch, Bayerbrunn 

Treatment at basic points A and C ipsilateral to the pain 

for a patient with pain in the shoulder due to bursitis 

and severely restricted movement of the left shoulder 

eliminated the pain completely and permanently after 

the first application. 

Stefan Hager, Bad Kötzting 

a) Female patient with asthma could not breathe in 

properly, respiration was arrested at 4th/5th intercostal 

space. The E zone was sensitive to pressure 

on both sides. After applying needles to the E zone 

on both sides inspiration immediately improved. 

b) Patient with chronic shoulder pain. Enormous 

spontaneous improvement after 2 to 3 applications 

to the basic points alone. Sustainable improvements 

seemed miraculous to the patient after suffering for 

three years. 

Alice Hein, Nettersheim 

Female patient with migraine, 55 years old, family 

difficulties 

Attacks twice a month with vomiting, takes triptans. 

Neck diagnostic: kidney, cervical spine, head, liver and 

heart positive 

Treatment: 

• basic point cervical spine / brain point / Y point heart 

& liver 

• plus body acupuncture (liver, gall bladder, governing 

vessel, Ex1 & Ex2, heart) 

• ear (head, vertigo line, liver, psychologically effective 

points) 

After 10 sessions and discussions with patient explaining 

psychosomatic situation only occasional attacks in a 

weaker form without vomiting. Patient stopped taking 

triptans. 

Rudolph Helling, Hamm 

My wife developed severe acute toothache in the upper 

right jaw one evening at about 11 p.m. Very sensitive 

to pressure above the roots of teeth 16 and 17 with 

considerable reddening and some swelling. Acupuncture 

of the mouth/jaw point on the same side with a needle 

permanently in position. Sudden complete disappearance 

of the pain for approx. 12 hours. After this period the 

toothache returned. The dentist’s diagnosis was acute 

pulpitis. 

Roland Hemmann, Seesen 

Overweight female patient with severe chronic knee 

problems and reliable diagnosis of pathological deformation 

for a planned operation. Only able to go up stairs 

intermittently and sideways. Previous orthodox medication 

– no morphine derivatives – not sufficient. After neck 

diagnosis, point combination Y lateral supplemented by 

knee point G on the opposite side. After acupuncture, the 

patient was able to go up and down the 15-step stairs without 

difficulty. Patient was very surprised by this success 

since she was initially very sceptical about the method. 

Karin Jodlowski-Tan, Australia 

My general approach is as a GP discussing full history and 

clinical examination including TCM diagnosis. Then talk to 

the person using nutrition, spiritual approaches and then 

do YNSA and general acupuncture as necessary. 

Heinz Katlun, Bergheim 

Status after stroke: hemiparesis of the left side: palpation 

of colon 4 to establish sensitivity to pain on the left or 

right revealed sensitivity to pressure on the right. 

Needles were then applied to the (female) patient on the 

opposite side to the paresis, later also to the paralysed 

arm. After three sessions she was able to raise her arm 

with increasing ease. Excessive reflex reactions of the 

left leg became progressively less. Performed in combination 

with mouth acupuncture. Neural therapy at cervicobrachical 

points in addition to YNSA. 

Altogether a worthwhile result of treatment. 

Walter Luserke, Elsfleth 

a) An unusual case that I found very instructive was as 

follows. A patient came to my surgery with acute 

thorax pain. The results of an ECG and a troponin 

quick test were negative. On the assumption of a 

block of the thoracic vertebrae, a needle was applied 

to the E point, which brought about complete and 

immediate pain relief. However, the patient’s condition 

deteriorated so that he was admitted to hospital 

with a suspected acute myocardial infarction, which 

later proved to be correct. 

On the one hand, this case demonstrates the extraordinarily 

strong effect of YNSA acupuncture, which 

by the application of one single needle was able to 

provide complete relief from the pain of an infarction 

that otherwise requires the administration of opiates. 

On the other hand, it also shows how important a 

well-founded conventional medical diagnosis is even 

for the application of acupuncture. 

15

) The patient came to my surgery with acute lumbar 

spinal pain and the clinical examination revealed a 

block of the iliosacral joint. By palpating the vertebral 

zone using neck diagnosis, it was found that the 

left side, contralateral to the pain, was sensitive to 

pressure. Needles were applied to the D point and the 

master key point on the left. The patient reported 

some but not complete relief from pain. The neck 

diagnosis revealed disturbances in the liver and kidney 

area. Needles were applied to the corresponding 

cranial nerve points and the correct positioning of the 

needles was verified by eliminating the sensitive points 

in the neck diagnosis. The needles were left in position 

for about 20 minutes. During this period, microwave 

radiation was applied as a supplementary treatment. 

Marius Marek, Hagenow 

A patient came to my ear, nose and throat practice 

complaining of tinnitus that had appeared quite 

suddenly. The patient was treated three times on the 

tinnitus line. In addition, needles were also applied to 

the brain points and the tinnitus master key point. 

The patient experienced complete and lasting relief. 

The tinnitus symptoms did not reoccur. 

Beate Maul, Düsseldorf 

Young patient with chronic pain syndrome in the shoulder 

and neck region. 

Obvious paleness and insufficient perfusion of one hand: 

imbalance between right and left. 

Sensitivity to pressure Hegu 

Neck diagnosis: obvious persistent muscle tension over 

several areas 

Patient experienced immediate relief of his muscular 

tension after the needles had been positioned. 

Primary application of YNSA with considerable pain relief. 

Antonius Pollmann, Hamburg 

Case study of female patient with cervical spine syndrome 

The patient sat on the examination couch while treatment 

was applied. I localized the basic points at the 

boundary between forehead and hair according to 

sensitivity to pressure and nature of the point. After 

the needles had been positioned I immediately checked 

whether therapy had been successful – reduction of pain. 

Extension of the range of movement. If no lightning 

reaction occurs I correct the position of the needle at 

the point of application, if necessary several times. 

If treatment has not been as successful as expected, 

I take further points into consideration. 

If necessary, I also include organ points according to the 

abdominal diagnosis. With the abdominal diagnosis, I 

consider the geloses in the corresponding organ zones – 

for the kidney zone sensitivity to pressure in the case 

of deeper palpation is the decisive criterion. I locate the 

Y organ points according to the results of my palpation. 

After the needles have been applied I expect that the 

geloses will be immediately reduced or that there will be 

complete relief from pain upon application of pressure in 

the kidney zone – otherwise I correct the position of the 

acupuncture needles until the lightning reaction occurs. 

It is very rare that treatment fails completely. 

However, the effect of the first application of acupuncture 

generally only lasts for a few hours of days so that a 

series of treatments has to be applied until the body has 

permanently regulated and compensated the dysfunction 

or pain. 

Im Qua Smith, Australia 

I use auriculomedicine 1 st then add YNSA. Then if needed 

body acupoints. 

I needle 75 % of the time - I feel I want to use more laser 

this year as it is underutilised for all I know abt laser acup 

now. 

Angela Rotthoff, Switzerland 

Shoulder-arm syndrome right: neck diagnosis cervical 

spine right full, thoracic spine moderately full and lumbar 

spine empty. Application of needles to the corresponding 

points, verification by neck diagnosis, needling of 

N. accessorius. Symptoms then reduced. 

Reza Schirmohamadi, Cologne 

When I came home one afternoon our 10-year-old 

daughter was doubled up with stomach ache and 

thrashing around in pain. After a brief conversation she 

was willing to try acupuncture. After an abdominal wall 

diagnosis, the stomach and triple warmer points proved 

to be sensitive to pressure and I applied two needles to 

the corresponding Y points on the scalp. After that her 

abdomen relaxed and the abdominal wall was no longer 

tense and she had no symptoms at all. A lightning 

reaction after Yamamoto. 

Soorya Sharma, USA 

Excellent results for new onset Bell's palsy. Recently 

treated 2 patients. Both had undergone extensive 

investigations and routine treatments including antiviral 

and steroids without any benefit. Excellent results with 

only 2 treatments. Used more than one needles at brain 

points. Now both patients are able to have normal functions. 

Moreover no need for eye patch, artificial tears or 

surgery. 

Emily Teo, Australia 

I am assuming that this question refers to safety and 

precaution in acupuncture, and not how I handle a 

typical clinical case. 

Female patient aged 43 with a history of valvular heart 

disease, on warfarin, and requiring antibiotic cover 

for any invasive procedures, presented with neck pain 

for acupuncture. No other relevant medical history. 

She works as a programmer in a computer company. 

Her task is stressful as the company deals with advertising 

for several big companies, and there are always deadlines 

to meet. 

Patient is asked to fill in a picturegram of her neck pain. 

She is also asked to complete a VAS scale for pain. 

Next, her neck is assessed for range of movement, and 

palpated for any trigger points. 

This is followed by palpation of LI 4 (Hegu) to determine 

which side to conduct a neck diagnosis. 

The patient is then asked to lie down for an abdominal 

diagnosis. 

16

The findings are used to guide the choice of points to 

reduce any stagnation in the meridians (I normally use 

Y points for this). 

The modality of treatment used in this case is an infra-red 

low level laser, because of the valvular heart condition, 

at a dose of 0.5 to 2 Joule per Y point, depending on 

what is required to neutralise the neck point. 

Once LI 4 (Hegu) is no longer tender, the patient’s range 

of neck movement is reassessed. Any residual symptoms 

are treated using the Basic points, and J and K somatotopes. 

Patient is sent home with advice on how to improve her 

work stress (physically and emotionally), and with SS ear 

pellets. (Patients with no contraindications may have 

SS press needles or ASP needles on chest somatotope 

instead). 

Michiko M Yamamoto, Japan 

Female patient in her 60s came with pain behind her 

right knee joint. The patient was convinced that she had 

a bad knee. X-ray of her right knee joint was normal. 

Lumbar X-ray showed osteoarthritis. I began diagnosing 

via neck diagnosis. Basic D point and F point were 

needled, and her pain was gone. 

Alexandre Yoshizumi, Brazil 

I verify the patient's main complaint, if the main 

complaint goes pain, I begin the treatment with the 

basic points and later I examine the neck diagnosis to 

identify which Zang Fu altered and I treat with the 

Y points or cranial nerve points. If the pain didn't get 

better more than 70% I use the thoracic somatotope 

to complete the treatment. 

If the main complaint is neurological alteration, 

beginning examining the neck diagnosis and I treat 

the sensitive points with the Y points or cranial nerve 

points, soon after I use brain points and basic points. 

In some patient I use the pubic area somatotope with 

the permanent needle. 

Discussion 

These responses from expert practitioners will arouse 

readers’ interest in YNSA and make those interested 

eager to apply the method. The wide range of applications 

and opportunities to apply YNSA put the treatment 

in a new light. 

Practitioners are unanimous in reporting the successful 

application of YNSA for pain of the locomotor system, 

neurological syndromes, internal syndromes, in palliative 

therapy and for many other illnesses (see Tab. 2, 

Question 2). 

YNSA is particularly characterized by abdominal wall 

diagnosis and neck diagnosis and is thus clearly 

distinguished from other acupuncture methods. 

All 29 YNSA therapists use neck diagnosis regularly and 

24 of them use abdominal diagnosis. Without exception, 

all practitioners observed lightning reactions during 

their work with YNSA. In their responses, the experts 

emphasized the rapid and reliable efficacy of YNSA. 

The diagnostic points enable the correct position of the 

needles to be verified with respect to basic, Y, brain and 

cranial nerve points. Since the therapy points can 

generally be identified rapidly and reliably on the basis 

of sensitivity to pressure, YNSA requires a very precise 

examination, a careful search for points and close 

communication with the patient. 

It should be noted that Dr. Yamamoto worked very 

successfully for twelve years solely with the five basic 

points A, B. C, D and E. Only subsequently were the 

other somatotopes and extra points discovered. 

Twenty-eight of the respondents (Question 7.1, Tab. 10) 

stated that they combine YNSA with all the other familiar 

acupuncture methods and with other naturopathic and 

integrative forms of therapy, Fourteen of the respondents 

observed side effects and 7 identified contraindications. 

A practical example will also show how a lack of response 

to YNSA should be critically evaluated. 

A 45-year-old patient called the emergency services one 

night due to back pain. When the doctor on emergency 

call arrived the patient was bathed in sweat and crying 

with pain. He complained of devastating pain radiating 

into his left leg. The neurological examination could not 

identify any reflexes in the right leg whereas the left leg 

reacted normally. 

On the basis of the diagnosis of acute lumboischialgia 

(differential diagnosis: due to an acute prolapse of an 

intervertebral disc), after YNSA neck diagnosis, needles 

were applied ipsilaterally to cranial nerve points, brain 

points, basic point D, F point, ipsilaterally to the point of 

the lower extremity combined with auricular acupuncture 

26A, lumbar spine and Jérome. In this case, there was no 

effect at all. Since the patient did not respond to the 

needles, an ampoule of Dormicum and an ampoule of 

Dipidolor were administered intravenously. This attempt 

to relieve the patient’s pain was also unsuccessful. 

On the way to hospital, no pulse at all could be located 

in the right leg. The diagnosis in the hospital after an 

emergency CT was: acute perforated thoracic aorta 

aneurysm. 

In the case described above, acupuncture did not 

provide any relief of the symptoms. It should be discussed 

whether both the neck and abdominal wall diagnosis, 

as well as the reaction to the acupuncture therapy itself, 

should be included in considerations of the diagnosis 

and differential diagnosis. In the same way as in the case 

described by Mr Luserke, where severe thorax pain was 

relieved after needling, a failure to respond to acupuncture 

could also be regarded as an indication of a serious 

underlying cause of the illness. The diagnostic approaches 

provided by neck and abdominal wall diagnosis should 

be examined in more detail, also in clinical studies, with 

respect to the underlying illness. 

The very wide range of indications for which YNSA is 

used by the experts is both impressive and instructive 

(Question 2, Tab. 2). This should encourage readers to 

apply YNSA alone or as a supporting measure for “new” 

indications. 

17

In this further training measure, the various experts 

present their personal approaches in the case studies 

thus providing many new ideas for applying YNSA in 

one’s daily work. 

Particular significance should be attached to Mr Pollmann’s 

comment that the disappearance of sensitivity to pressure 

identified by palpating in the neck or abdominal wall 

diagnosis can be regarded as a lightning reaction. 

The possibility of verifying, correcting and optimizing 

the position of the needles with the aid of neck and 

abdominal wall diagnosis enables the good results 

obtained with YNSA to be further improved. Only if a 

previously palpated sensitivity to pressure completely 

disappears has the needle been positioned correctly. 

The practitioner’s own procedure and the correct position 

of the needle can thus be verified. 

YNSA is now being used throughout the world both 

for outpatients and also in hospitals. YNSA is also now 

included in the curriculum for teaching acupuncture at 

the universities. Acupuncture is also applied in emergency 

and military medicine [11,19,22,23,26,35]. 

Only in Brazil have the costs of YNSA, if applied by a 

physician, been reimbursed by the national health service 

since 2003. In Japan, on the other hand, health insurers 

do not reimburse the costs of YNSA. 

The following literature is available at the moment for 

learning YNSA and includes a list and correct graphical 

illustration of all currently known points, somatotopes 

and extra points: 

Yamamoto T, Yamamoto H, Yamamoto MM. YNSA, 

Verlag für ganzheitliche Medizin Dr. Erich Wühr, 

Bad Kötzting 2005 

Yamamoto T, Yamamoto H, Yamamoto MM, 

Schockert T. Poster, Verlag für ganzheitliche Medizin 

Dr. Erich Wühr, Bad Kötzting 2006 

Yamamoto T, Yamamoto H, Heuer W, Schockert T. 

YNSA, DVD. Verlag für ganzheitliche Medizin 

Dr. Erich Wühr, Bad Kötzting 

The dates of YNSA seminars organized by various associations 

and universities can be found at www.ynsa.net. 

Other more extensive clinical studies on YSA are desirable 

and necessary, especially in neurology, orthopaedics, 

rehabilitation and palliative therapy. 

Acknowledgements 

Sincere thanks are due to all colleagues whose responses 

to the questionnaire contributed to the success of this 

article. 

A debt of gratitude is owed to Dr. Toshikatsu Yamamoto, 

whose indefatigable further development and optimization 

of his YNSA therapy has provided so many patients 

throughout the world with rapid and effective treatment. 

Mention should also be made of Helen Yamamoto, whose 

unstinting support enabled Dr. Toshikatsu Yamamoto to 

develop YNSA in his work, research and teaching into 

the system that is now available to us today in all its 

complexity for application in our daily work. 

Conclusion 

In his editorial “The Spirit(s) of Healing” in issue 

No. 1/2009 of the American acupuncture journal 

“Medical Acupuncture”, the editor-in-chief Richard 

C. Niemtzow writes: 

Speaking of “healers,” our congratulations and thank 

you, Dr. Toshikatsu Yamamoto, for your gift to the world 

of Yamamoto New Scalp Acupuncture (YNSA) on this 

your 35 th year. May YNSA be spread all over the world 

to serve and support suffering patients even more in 

the future [36]. 

Authors 

This article is the sole responsibility of the author and was 

written on the basis of information supplied by 29 experts 

in response to a questionnaire and in personal and telephone 

conversations. 

Conflicts of interest 

None 

Financial support 

None 

References 

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Dr. med. T. Yamamoto M.D. Chun-Jo, Freiburg 1985 

2. Allam H, Eidine NG, Helmy G. Scalp Acupuncture Effect on 

Language Development in Children with Autism: A Pilot 

Study. J Altern Complement Med. 2008;14(2):109–14 

3. Boroojerdi B, Yamamoto T, Schumpe G, Schockert T. 

Treatment of Stroke Related Motor Impairment By YNSA. 

An Open, Prospective, Topometrically Controlled Study. 

Medical Acupuncture. 2005;17(1):24–28 

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18

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zurückgeholt. Naturarzt, Access Königstein 2003;2:31 

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2009;21(1):1 

Author 

Dr. med. Thomas Schockert 

Specialist for General Medicine, Acupuncture, 

Naturopathy, Sports Medicine 

Lecturer in Yamamoto New Scalp Acupuncture 

Witten/Herdecke Private University, Department of 

Chinese Medicine 

Alfred-Herrhausen-Strasse 50 

D-58448 Witten 

Germany 

Surgery address: 

Am Eisernen Kreuz 2c 

D-52385 Nideggen 

Germany 

Tel.: +49 (0) 24 27 / 90 24 24 

www.dr-schockert.de 

thomas-schockert@gmx.net 

www.ynsa.net 

Information on the author 

(STRICTA requirements) 

The author (born in 1966) studied medicine at RWTH 

Aachen University from 1987 to 1994. He has had clinical 

training in anaesthetics, surgery, internal medicine and 

naturopathy. He has undertaken several courses of 

training in acupuncture abroad, including China and 

Japan with Dr. Yamamoto. He received his diploma 

from the German Medical Association for Acupuncture 

(DÄGfA) in 2003. He completed his qualification as a 

specialist in general medicine in 1999. 

Additional specializations: acupuncture, naturopathy, 

emergency medicine, sports medicine. 

Since 2003 authorized to provide further training in 

YNSA, and since 2006 authorized to hold courses in 

naturopathy by the North Rhine General Medical 

Council. Since 2007 lecturer in YNSA at Witten/Herdecke 

Private University. Set up his own practice for integrative 

medicine eight years ago. Other areas of interest are 

YNSA research, emergency medicine and organization 

of YNSA seminars. 

19

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