Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
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.
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