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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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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."
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.
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.
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.
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.
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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
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.
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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