resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
May, 2001, Vol. 01, Issue 05
Depression and the Five Elements, Part II
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Last month in Massage Today, we started exploring the Western diagnosis of depression through the Five Elements. The five-element paradigm is particularly useful in looking beyond the physical manifestation, at our client's emotional and spiritual climate.
Even though we always focus on treating the whole person on all levels - not just the symptoms - sometimes it is helpful to give clients "homework" for symptomatic relief.It may not deal with the underlying cause of their problem as effective treatments would, but it could help them cope between sessions.
One type of homework you can give your clients to help ease their depression is self-moxa, if moxa use was included in your training. First, make sure the client doesn't have any obvious symptoms of heat invasion or empty heat, e.g., a red tongue and face, feeling of being too warm, or a rapid pulse. In those instances, moxa is contraindicated. Demonstrate on the client how to use moxa on bafeng/eight winds, located between the webbing of each toe, proximal to the margins of the webs (see illustration below). You can use a moxa pole, but a tiger warmer is better. It should take only about 5-10 minutes. Tell the client to use the moxa every morning, warming each point until just before it is too hot, then moving onto the next point, repeating two-to-three times. By the way, I have been advised by people knowledgeable in legal matters not to give my clients moxa because if they burn themselves, they can sue. It's best to have them purchase their own sticks at an Asian medical supply store.
Another caution that I need to repeat is that shiatsu or any other form of bodywork should not be used in lieu of professional medical treatment or psychotherapy. It works very well in conjunction with other therapies, but be very clear on what you can and cannot treat within your scope of practice.
In my last column, I gave a detailed case study of a client with a typical wood element depression. She was angry, frustrated and suffered with temporal headaches. I can't spend a whole article on each kind of depression but I can give you a basic idea of what to look for in each type so you know where to start working. Keep in mind that usually people will manifest as a combination of a few elements.
The meridians associated with the fire element are primarily the heart and small intestine. A person who has a fire element depression usually attributes "funks" to a broken heart or to relationship problems. This person invests a lot into relationships, losing the importance of the sense of self. When two hearts beat as one, usually it means one of the two people is dead! The "dead one" usually ends up being a woman. I have seen all of the other four types of depression in my male clients, but never a fire element depression. There must be a certain amount of acculturation that supports a woman who "sacrifices" -- whether she is involved with a man or in a same-sex relationship.
The season of the fire element is Summer, and the climate of this person is hot, passionate and joyful - when she is up! This person is optimistic and bubbly when she is in love. She has a lot of energy and focuses much of it on her partner. Every thought and dream is about being with the one she loves. She lives in her heart, finding pleasure in sublimating her own desires to make the one she loves "happy."
Unfortunately, the cost of this temporary bliss is dear. When she wakes up from the dream and finds herself alone, she is devastated, and often falls into a deep depression, until the next relationship that lifts her up again. She needs to eventually find herself worthy of the love that she lavishes on others.
The climate of an earth element depression is characterized by a sticky, cloying dampness. You can feel it in the muscles, which are weak and sometimes puffy filled with a soggy, muddy quality. When earth is weak, the water element backs up along the ko cycle, causing a debilitating swamp in the spleen and stomach meridians. This person obviously is going to have trouble moving through this kind of environment! Such a person may complain of being often tired with a heavy feeling in the limbs.
An earth element person will also have issues involving food, including binging and purging. This person will sometimes have uncontrollable sweet cravings, which are easily controlled by working spleen points. I had a client who would eat candy bars before her sessions because she knew she wouldn't feel like eating them afterward!
This illustrates the challenge of treating an earth element-type of person. Earth-element types are often stuck and are uncomfortable with transition and change. They sometimes have many excuses why they are depressed, and feel little gratitude for the blessings in their lives.
The metal element meridians are lung and large intestine. These meridians not only help us to let go of waste that we don't need anymore on a physical level; they also assist in that process on an emotional level. The climate that you see in a metal element depression is one of long-term grief and sadness. There is a deep and desperate inability to let go, causing disabling depression.
The physical symptoms that may accompany a metal element depression are asthma and allergies. You may notice, many children develop asthma after their parents divorce.
The last and most dangerous form of depression relates to the water element: the bladder and kidney meridians. Not only does the water element house our deep-seated fears -- it is also responsible for our genetic makeup. Therefore, often these are the types of depressions that run in the family.
This is the deepest and darkest of all depressions, and the one for which medication is most helpful (and often essential). People suffering with this type of depression are sometimes suicidal. One client of mine describes shiatsu as helping her "keep her head above water" through difficult times, juggling suicide attempts, ECT (shock) treatments, and ineffective medications with many side effects. Any off-the-cuff mention of "checking out" must be noted in your client's chart and reported to her/his therapist.
So you can see, depression is not something you want to work with without experienced professional support and a considerable amount of training yourself. Although it may be difficult at times, there is nothing more satisfying than helping people make significant and lasting changes in their lives!
For a list of schools that offers programs in ABT, go to www.aobta.org.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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