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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
April, 2001, Vol. 01, Issue 04
The Five Elements of Depression, Part I
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
In the last two issues of Massage Today, I have talked about headaches and other physical complaints. Pain relief may be the most common reason clients seek shiatsu and other Asian bodywork therapies, but it certainly is not the only benefit they can receive.A physical problem will bring a client in, like the woman's headaches in the example I use later on in this article. But we need to look beyond the physical manifestation at our client's emotional and spiritual climate, to explore and treat the person, not just the symptoms.
When we do any form of Asian bodywork therapy (ABT), we are working with Qi -- the vital force that moves us through the dance of life. Qi is not only involved in every emotional and physiological process of our bodies; it also binds us together as individuals and connects us spiritually, reverberating through every being on this earth. This awareness of the interconnectedness of all, along being present and compassionate, are more essential than ego-based, "clever" techniques.
Keeping this in mind, we are looking beyond any Western diagnosis our clients may have come to us with, to see the energetic relationships within themselves and to the world. An excellent paradigm for doing this is the Five Elements. The five elements are a poetic but scientific way of using natural phenomenon, like the changing of the seasons, to explore and treat our psyche, spiritual state, anatomy, physiology, and the dynamics of the disease process as a whole.
Often, clients come to us with the Western diagnosis of depression. A major depressive episode implies a prominent and relatively persistent (nearly every day for at least two weeks) depressed or dysphoric mood that usually interferes with daily functioning, and includes at least five of the following nine symptoms:
So what do we do with a diagnosis of depression? Is there a magic point that cures depression? Wouldn't that make it easy! The beauty of shiatsu and Asian bodywork therapy is that we have the tools to see people as a vortex of natural forces, as great works of art, with their life force as an integral part of that picture. We have to see the symptom of depression as part of a whole being, manifesting differently in everyone. The five elements allow us to look at the person's individual "climate." Depression could lie in any of the five elements; often, it's a combination of the dynamic relationship between two or more elements.
The Wood Element closely relates to the season of spring. The energy of the flowers pushing through the still frozen ground upward resembles the force of wood. It's a powerful, yang force within our bodies, responsible for moving the Qi upward. It has an energy that can flare up quickly and move rapidly, often like wind.
The wood organs, Liver and Gall Bladder, are related to the ease and flow of Qi and the emotions, particularly anger. Wood also gives us the ability to make decisions. Wood gives us flexibility in our tendons and sinews, which manifests on an emotional level as well. Someone who is very "woody" may be rigid, inflexible and have issues about being in control. Their anger will flare upward easily; they will hold themselves and others to a high standard of perfection. The eyes relate to the wood element -- not just physically, but in having a life vision and plan. When thwarted, their energy can get stuck or stagnate, causing resentment, repressed anger and, over a long period of time, depression.
Let me give you an example of a typical dark, moody, wood-type of depression. I had a client who was a single mother in her 40's. For years, she worked in a job that she didn't like, with a demanding boss. She got angry, but she always stifled it because she was afraid to lose her job. Her kids had a lot of behavior problems that caused her even more stress. She often spoke of how frustrated she was and how she felt like she had no control in her life. She felt as if she had no options. She would ineffectually explode at her kids and then get mad at herself for doing so. Her physical symptoms included menstrual cramps, PMS and temporal migraines. (Do you remember shaoyang headaches?) Her pulse was wiry and the sides of her tongue were red. Her doctor diagnosed her with mild depression and suggested that she try Prozac, but she wanted to wait a bit longer, trying shiatsu as a last resort recommendation from a friend.
Don't you hate it when you are a last resort? I'd much rather have seen her years before she got into such a desperate state! Luckily, she responded very quickly to shiatsu. Not only was that due to the wood element's easily changeable nature, she also realized that she was spiraling downward and she was committed to making changes in her life.
I focused treatments on the wood meridians, Lv and GB, and the shaoyang meridians, which are Gall Bladder and Triple Heater. I also supplemented the treatments with the Water or Earth meridians intermittently as a precaution. Point combinations that I used were Lv 3 and GB 34. I also held both GB 20s with one hand as I thumb pressed down the TH meridian, stopping and holding TH 6, then TH 5 on one side with Pc 6 on the other. I worked on the TH and GB meridians on the temples, around the ears, occiput and shoulders. In the side position, I worked on the ribs, hips, the outside and the inside of the legs, ending with work on the feet including GB 41 and Lv 3. I also included many meridian stretches.
I recommended that she take a yoga class, which she did. Stretching literally "cools you out" by opening up the meridians, allowing heat to be released. A wood depression due to stagnant liver Qi often starts to generate heat, which can cause irritability, restlessness and insomnia. The stretching not only helped her become calmer, but also more flexible at all levels.
I suggested that she cut out fatty, greasy and spicy foods. Due to her schedule, she relied far too heavily on fast food. She also cut back on coffee and alcohol, which previously had just added fuel to her fire.
She didn't quit her job, but she got better at not letting her boss get to her. She started communicating with her kids more effectively, and they responded by acting out less. Her moods improved, and her headaches and PMS symptoms became less frequent.
This woman's particular case was a straightforward, classic wood case with little complications from other elements. This is unusual. More often than not two or more elements are involved. Deficient water can cause a wood imbalance in the shen-growth cycle. Wood can overact in the ko-control cycle, causing the earth element to be affected and dampness to accumulate.
In future articles, I will give examples of how depression manifests in the other elements. I am hoping that this series will spark your interest in further study. Are you getting tired of hearing this yet? This is just a taste - it in no way takes the place of actual training!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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