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What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
October, 2004, Vol. 04, Issue 10
Healing From the Core: A New Paradigm, Part II
By Dale G. Alexander, LMT, MA, PhD
Editor's note: Part I of this article appeared in the September 2004 issue (www.massagetoday.com/archives/2004/09/20.html).
Consider the esophagus.From the mouth to the anus, the human body is one long tube. That tube, the esophagus, is fascially suspended from the sphenobasilar junction of the cranium, which is directly behind the eyes. Hence, tension anywhere in the gut tube may be expressed by the esophagus pulling the head down upon the neck. Obviously, this can affect the craniosacral system's efficiency in circulating cerebrospinal fluid throughout the central nervous system.2
Less appreciated, too, is the anatomical fact that the esophagus is cradled behind the heart in front of the spine. When the esophagus shortens its resting length in response to highly emotional stresses or in response to whiplash-like biomechanical insults, the resulting contracture requires more effort from the heart.
In my clinical experience, the three most important intrinsic muscles are the esophagus, diaphragm and iliopsoas. This triad represents soft-tissue linking pins from the lower extremities through the trunk to the cranium. Thus, tensions overflowing from the viscera into these intrinsic muscles may exert an increasing amount of pull on the axial skeleton, activating and/or perpetuating the influence of the righting reflexes set in motion from traumatic incidents, winding the spring even more tightly. This entire process is layered and insidiously subtle for many.
The body endeavors to physiologically allocate its resources and to distribute the biomechanical strains until the "tipping point" of negative momentum is reached and an episode of dysfunction/pain or illness occurs, which allows the body to reset the resting length of these core muscles.
John-Pierre Barral, DO, developer of Visceral Manipulation, often referred to the diaphragm and iliopsoas as the body's "garbage muscles."3 It took a few years of study with him before I understood what he meant. In sum, the body builds charge in the form of tension, which eventually must be discharged. This notion was helpful in understanding how and why the body uses musculoskeletal episodes of pain and dysfunction to discharge this accretion of tension.
What this paradigm offers is this: There seems to be a logical order to this discharge process - one that offers each of us as massage therapists greater clarity of intention to our quality of touch. With your next client, allow your hands to relate to the basic physiological processes of the body. Seek to enhance your client's central circulation. Where do you sense the "kink" in the hose? Work from the inside-out.
The key question for us to consider is how one activates the homeostatic capacities inherent in the human body. The answer is to enhance the circulation of bodily fluids in all its forms. Consider these four aspects: how fluid is pumped; where its flow is resisted in the tissues; how it is filtered; and how it is re-constituted and/or excreted. The name of the healing game revolves around the central theme of "who gets the blood."
Many extraordinary teachers have influenced the evolution of the inside-out, including Lansing Barrett Gresham; Dr. John Upledger; Dr. Jean-Pierre Barral; Dr. Richard MacDonald; Frank Lowen, LMT; Jon Zahourek; Bill Williams, PhD; and Ellen Gregory, PhD. Read their works for more information.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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