resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
March, 2005, Vol. 05, Issue 03
Stay in Touch With...Ayurveda, Part I
By Karyn Chabot
"Stay in Touch With..." is a periodic column designed to provide an overview of a particular technique or modality. If you would like to contribute to this column, please e-mail .
When I was a student of Dr.Vasant Lad at The Ayurvedic Institute in Albuquerque, New Mexico, each class left me in awe as I learned more about the ancient, profoundly simple, biological and spiritual science of Ayurveda.
In the past, Ayurveda has been misunderstood, but now with the yoga craze, people are starting to see that it is a beautiful medical science that encourages people to live in harmony with the earth, the elements and the seasons. Ayurveda does not involve mandatory worship of mysterious deities. Instead, it embraces all forms of spirituality and recognizes the divine intelligence within all living things. It is the ancient healing science of India.
Ayurveda addresses the root of disease, rather than just alleviate symptoms. It doesn't assign a medical name to disease because when you name something, you indirectly assign power to it. Instead, Ayurveda views disease as an imbalance of the five great elements within the body. Some of the modalities used to restore this fragile balance include nutritional and lifestyle changes, bodywork, herbs, yoga, meditation, mantra, mindfulness, breath work, sound, color, crystal, aromatherapy and intuitive living. This ancient science was designed to empower people with the knowledge of self-discovery and self-healing.
Disease starts in the mind with thought. By cultivating the garden of your mind and generating positive thoughts, you can prevent disease. A thought is absorbed and assimilated into the body, just like food, right down to the smallest structure of the human cell. An Ayurvedic practitioner named Ryan Kurczak, LMT, once told me: "Many of the people I know who succeed in utilizing Ayurveda as an effective method of health maintenance implement moderate changes over a long period of time. They are not fanatics and don't get bent out of shape if someone offers them a piece of chocolate cake when they are supposed to be on a 'pure' Ayurvedic diet. When I asked my spiritual teacher about how strict I need to be with Ayurveda he said, 'Meditate, and be happy. Then adjust your diet as you need to.' One of the most powerful disease causing factors according to Ayurveda is a diseased mind. When the mind is peaceful, the body will be, as well."
We are the subatomic structure of God; we are microcosms of the macrocosmic universe. There are five great elements that exist on our planet: ether, air, fire, earth and water. Ayurveda classifies these five elements into three aspects. These aspects are referred to as doshas, a Sanskrit word meaning "biological principle," which generally refers to an imbalance due to excess of one of the elements within the body.
Although there are five great elements, there are only three doshas or biological principles. All five elements must exist within our bodies and within the universe in order for us to function properly. As soon as the sperm meets the egg, a unique combination of the five great elements is determined and the physical constitution is born. This constitution is called Prakruti.
Stress, negative thoughts, feeling disconnected from the divine within ourselves or the ones we love, wrong food choices, and lack of exercise are just some of the things that throw us out of balance. When the doshas are out of balance, it usually means they are in excess and have reached the first of six stages in the disease process called "accumulation." Restoring balance usually means reducing the dosha by making conscious choices regarding our lifestyle, food, mindfulness, exercise, breath, prayer, meditation and bodywork.
The three doshas are vata, pitta and kapha. Vata is a Sanskrit word meaning "what blows." Vata lives in the colon/large intestines and becomes excessive on cold, windy days during the fall and winter. When vata within the body is in excess, people tend to experience anxiety, panic attacks, insomnia, paranoia and loneliness.
Pitta means "what cooks" and lives in the small intestines. Pitta becomes excessive on hot summer days. When pitta within the body is excessive, people tend to experience self-condemnation, jealousy, anger, competitive thoughts, and aggression.
Kapha means "what sticks" and lives in the stomach. Kapha becomes excessive on cool, muddy days of spring and on cold, snowy days in the winter. When kapha within the body becomes excessive, people experience greed, lethargy, apathy and heaviness. The weather, the seasons, our genetic constitution, lifestyle choices and our thoughts have a direct affect on our health.
After careful observation of the majority of my clients and friends, I have concluded that the most common complaints are stress and anxiety, which consequently disrupts vata within the body. Living in a world where we are eating lunch while we are driving our car, or reading our e-mail while listening to our voicemail at the same time will naturally disturb vata within the body and mind. Multitasking and feeling like there is not enough time in a day will continually challenge vata. When the vata dosha is out of balance within the body, it can blow the other doshas (pitta and kapha) out of balance causing an overflow of the other doshas. Preventing all the doshas from becoming excessive is important, but remember that vata is the dosha that is critical to health and longevity. The ancient Ayurvedic texts say the earth is now in the vata stage of its evolution, so vata is high for everyone simply because we are so connected to our earth.
There are specific bodywork techniques and lifestyle choices that pacify and calm the vata dosha. Massage therapists are at risk for having excessive vata because of the nature of the job. Most massage therapists will tell you they are in constant physical motion on some level during a session. Massage therapists are movement-centered, energetic, and on the go. Since vata is the dosha responsible for motion within the body and the universe, massage therapists need to take extra care not to accumulate too much vata. Massage therapy can become a vata-provoking job, so choose a lifestyle that will soothe and balance your vata. Here are some easy vata soothing activities:
Editor's Note: Read part II of Karyn Chabot's article in the April 2005 issue.
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