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Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
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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