Manipulations
Sitting or lying position is required. The hair is separated and the scalp is sterilized with the routine method. The filiform needles of No. 26 - 30 and 1.5 - 2.5 cun are selected and inserted quickly into the subcutaneous region or the muscular layer with an angle of about 30° and along the stimulating area to a corresponding depth followed by rapid twirling and rotation.
Method: The index finger in semi-flexion, the palmar surface of the thumb and the radial surface of the index finger hold the needle handle, twirl and rotate the handle quickly at the speed of approximately 200 times per minute for 1 - 2 minutes (or use electro-acupuncture to replace twirling and rotation of the needle), retain the needle for 5 - 10 minutes, repeatedly manipulate the needles for twice or 3 times and then withdraw the needle.
During the retention of the needles, the patient is advised to exercise the affected limb (or doing passive movement) to strengthen functional exercise. This treatment is given once a day or once every other day and 10 - 15 times make up one course of treatment. There is an interval of one week between two courses of treatment.

Cautions
Sterilize strictly to avoid infection. When with drawing the needle, press the punctured point with disinfected dry cotton balls to prevent bleeding. For the patients with cerebral hemorrhage, it is advisable to treat them with scalp acupuncture after the pathological condition and blood pressure are stable.