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Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
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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