Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
I just got finished with a ...
resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
March, 2001, Vol. 01, Issue 03
Using the Six Divisions
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
The last article I wrote for Massage Today (www.massagetoday.com/mpacms/mt/article.php?id=10200) was a fairly simple explanation of differentiating and treating headaches using the six divisions.I actually don't think there is an emphasis on the six divisions in many bodywork programs. It would be useful to take a look at them. It's relatively easy to incorporate their principles into your practice. Their connection is one of similarity, rather than yin/yang opposites.
I really like that the Chinese are always figuring out ways of connecting things together, rather than separating them. There has been an emphasis in dissection in the West, so much so that I believe our culture suffers from "over-separation." The mind has been separated from the body; the interchangeable parts of the body are separated from the whole, and the pathology is taken from the larger picture of the disease process. The influence of Chinese medicine and philosophy today has been to reconnect us within our bodies, with each other and with the universe as a whole.
Because of the emphasis in Chinese medicine on making "connections," we find an enormous array of paradigms, all operating at the same time. Plus, the Chinese don't like to throw anything away if it works. They just kept piling many different theories up on top of each other, using whichever theory seems to fit best. This can be incredibly frustrating to Western students, who would like everything to be in black and white.
The yin/yang paradigm is a way of categorizing opposing forces. Yin and yang may be opposites, but they also control one another; are contained in each other; and are supported by and transform into one another. Even though it is common to think of men as yang and women as yin, each gender has a balance of both aspects of yin and yang in them.
The most commonly used meridian pairs in the West are yin/yang. For example, the Gall Bladder (GB) and Liver (Liv) meridians are opposite from each other on the body, and they flow one into the other using yin/yang principles. The GB is the middle aspect of the leg. The end of the GB meridian on the lateral side of the fourth toe connects and transforms into the Liv meridian with an internal pathway to the lateral aspect of the big toe. The GB organ itself is yang meridian, on the outside/yang aspect of the leg. The Liv is, for the most part, the middle yin meridian on the inside/yinyang by the fact that it is simple and hollow; the Liv organ is yin because it is complex and solid.
This is very useful in our practices because we know that, because of the Liv and GB's strong yin/yang relationship, they exert a tremendous influence on one another. Going back to my previous article, using the example of a shaoyang headache in the temple region of the head (GB and TH meridians), we also know that the Liv meridian is involved because of its strong relationship with the GB.
I had a Chinese teacher who would anthropomorphize the meridian yin/yang pairs by calling them "couples." The GB and Liv meridians have a very close relationship: they go everywhere together. You wouldn't think of having a party and inviting GB but not Liv. They seem quite harmonious together and often share chores, like headaches!
I like to take that analogy one step further and look at the six divisions as "couples" as well. The Heart (HT) and Small Intestine (SI) meridians form a pair, but frankly, I don't think they do much for each other. They are rarely involved in the same pathology, and they don't seem to have a very strong relationship at all. They may help each other out in a pinch, but to be honest with you, if the SI meridian has a problem, the Bladder (BL) is where it's going to go for help. The strength of the six divisions lies in their similarity. The SI/BL are a pair, very much a couple. They both are on the aspect of the back of our bodies. The bladder provides our armor down our backs; the SI gives us a similar protection in the back of our shoulders. The BL is on the, posterior lateral aspect of our leg; the SI is on the , posterior lateral aspect of our arm. Their function is also both in that they create our structure and move us forward. We saw in the last article that a headache is located in the back of the neck, so we work on both SI and BL points to treat it. This principle can also work for problems further along the meridian. When a client comes to me with knots between the shoulder blades (BL meridian points), I hold the most painful point () that feels like a "Gummy Bear," then palpate the SI meridian starting at SI 15 and working against the flow all the way to the little finger, SI 1. By the time I finish, the painful knot has usually melted away! We also saw in my previous article that a headache (located on the side of the head) can be treated with the GB and Triple Heater (TH) meridians. They have a relationship. The GB meridian is the middle meridian on the outside of the leg; the TH meridian is the middle meridian on the outside of the arm. They are both on the side of the body, and they move us from side to side. helps us differentiate, "Should I go here or there?"
As you might suspect, pain even further down the GB meridian, such as in the rib area, can also be relieved by palpating the TH meridian, particularly TH 5 and TH 6. When my mother had shingles, pressing TH points offered her a wonderful reprieve from the pain. These points were also much easier for her to do herself, rather than GB points on her feet.
The meridians connection, Large Intestine (LI) and Stomach (ST), is one of similarities as well, being located on the anterior lateral/ aspects of our arms and legs, respectively. is responsible for the action of reaching out to grasp. You'll remember that you this principle one step further in the example of treating constipation. You would think first of the LI meridian for this problem, but vigorously pressing sore/ points on the stomach meridian, particularly between the knee and ankle, tend to be even more effective for constipation.
When you are exploring the body, any connection can be useful, or, as folk singer Ani Difranco says, "There is strength in our differences and comfort where we overlap." We see in any relationship, a balance of commonalities and differences that compliment each other. This goes beyond gender and traditional roles. We also see a balance of similarities and polarities in both meridian pair models as well. Yin/yang meridian pairs are opposite but grouped under the same element. Six division pairs also have polarity, in the fact that one is always yin or yang in relationship to the other. For example, in taiyang, SI is fire, which is yang in relationship to the bladder, which is water. Of course, each meridian has a balance of yin, yang and the five elements within, much as we do as individuals.
There are of course three yin/yin meridian pairs that are also useful, not so much for superficial pain but for deeper, emotional or organ-related issues. There is a psychological aspect of the six division meridian pairs that could be the topic of a whole other article, if not an entire book. There is also an application of the six divisions in treating febrile disease. This is just a taste. Learn more.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.