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Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
June, 2001, Vol. 01, Issue 06
Road Maps of Our Lives: Navigating the Eight Extraordinary Vessels
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
More than pathways of qi, meridians are said to be roadmaps leading us to our destiny. The meridian/collateral system, called the jingluo, includes the major highways, which are the 12 main meridians you are familiar with from charts.Then there are the luo vessels, the lesser-traveled blue highways, which transversely connect the main roads, sometimes paralleling them. The detours are the divergent meridians, keeping pathogens from going deeper into the organs by rerouting them into the joints, thus manifesting as pathologies such as arthritis. There are also cutaneous regions and sinew meridians, connecting in same polarity yin/yin, yang/yang pairs.
Today I will discuss the Indian trails, which are there before any other roads, influencing how the whole system eventually develops. These are the eight extraordinary vessels (EEVs), our original blueprint formed in utero. These vessels circulate essence/jing, our potential. This essence includes not only our genetic make-up, but also the possibilities in our lives on a metaphysical level - namely, what we can be!
The essence contained in the eight extraordinary vessels is the precursor and generator of qi. Qi circulates in a daily rhythm, whereas essence moves much more slowly in cycles of 7-8 years, depending on gender. These cycles mark development points in our lives, such as puberty and the best time to bear children. Thus, essence controls our growth, development and reproduction.
The potential that essence contains can be compared to the packed, dense energy found in a sunflower seed. All of the possibilities, such as that big tall plant and huge beautiful flower, are all there contained in that seed. Just like us, that potential needs to be realized, cultivated and nurtured.
Since they also connect the main meridians, the extraordinary vessels also serve as a bridge between pre-natal and postnatal qi. As the root of yin and yang, essence transforms into qi and blood, which will anchor and support the shen or spirit. Intrinsic in the transmutation from essence to spirit is the knowing that all possibilities do in fact occur.
The extraordinary vessels are formed before any other part of the jingluo network. It is theorized that the Ren and the Du Mai evolve from the first split of the zygote (cell created from egg and sperm), creating the central axis and midline of the body on the front and back. The Chong Mai and the Dai Mai are formed when the cells split into 4. The Chong makes the internal vertical axis and the Dai forms an external, horizontal axis circling around the waist like a belt. When the cells of the embryo split into eight, then 16, the Yang Wei/YinWei Mai are formed, controlling the pathways traveling back and forth interiorly/exteriorly. The Yin Ciao/Yang Ciao Mai are formed at the same time, moving qi in an upward and downward direction.
The eight extraordinary vessels work together as form paired sets, as shown:
There are many different ways of treating the extraordinary vessels, but the most popular is to use the master/couple point combinations presented above. It is interesting to note that accessing them in this way is a relatively modern technique, originating in the Ming Dynasty. (1500s) Previously, it was thought that these vessels were inaccessible.* I personally would not recommend using them in this way until a certain amount of rapport is developed with your client and clarity has been cultivated in attention and presence. I also have a respect for these meridians and don't haphazardly call on their "special powers," unless the condition is serious and long standing.
(*Jeffrey Yuen, lectures from 1994-2001.)
Since you can't hold all four points bilaterally (unless you are Shiva) I recommend holding the master point of the meridian you would like to affect (beginning on the right for women and on the left for men) with the master point of the couple vessel on the opposite side. Then hold the two coupled points, then the opposite master/ couple, then the two masters, ending with the original pair, each time holding for about a minute until you feel a pulse. So for the Ren Mai, use this sequence on a woman:
Using this pattern of an infinity sign has a profoundly balancing affect on the meridian without depleting it. This is something you have to be particularly sensitive to with the EEVs because of the difficulty in replenishing our core essence.
Development and Clinical Uses
When clients come to us with congenital or childhood issues, these are the meridians we want to address. You will notice that Ren, Du and Chong Mai are the first to be activated, as the baby will bond to his or her mother along the path of the Ren Mai. The baby connects first with his or her eyes to Mom's eyes, mouth to Mom's nipples and chest/abdomen to Mom's. Pathologies along the Ren can manifest later in life depending on that initial bond. If the mother was "smothering" this is often seen resulting in asthma, commonly treated with the Ren Mai master point, and the coupled point which helps activate it. (Lu 7/Ki 6) If there was little or no bond, the person might spend their whole life trying to re-create it by nurturing and "treating" that pathway by connecting with others, over and over, from their lips down to their genitals.
The Du Mai becomes more activated when the baby lifts his or her head to look at the world, then moves towards stimuli. A lack of development of that channel will result in someone who, since childhood, holds themselves back, lacking the yang motivation to look around the world and move forward. There can also be an imbalance in the other direction, in someone who is more comfortable "doing" rather then "being." Yang propels them through this world at such a dizzying rate that the thought of stopping, even for a moment, is the most terrifying notion imaginable. Du Mai disorders are commonly treated with the SI 3/ Bl 62 combination.
I have to credit Jeffrey with love and gratitude, for much of what I teach and practice concerning the EEVs. Kiiko Matsumoto and Alex Tiberi have also contributed to this article through their lectures. Circling the waist, the Dai Mai is the "closet" of the body. That's where the injustices of our lives are stuffed until they can be dealt with later. Unfortunately, when the closet starts to bulge from being over full, the channel starts to expand as well, until we deal with the issues that are being kept there. This may manifest as a disproportionately large waistline or as "leaks" oozing dampness such as leukorrea. Treating GB 41/TH 5 helps open that closet and clean it out.
The Yang Wei/Yin Wei Mai link the different milestones in our lives. You may see clients that are investing a lot of energy in re-living those moments or living a fantasy of the future. Being out of the moment can be deeply depleting.
The Yang Ciao/Yin Ciao Mai create our stance in the world. If your client is not clear about where they stand or even worse, would rather be someone else rather than who they are, you may want to address these meridians. Jin ShinDo®
Another way to learn more and work with the extraordinary vessels is to study Jin Shin Do® Bodymind Acupressure. Because the intention is to release armoring, thereby opening blockages of qi, rather than to tap into or direct the jing (essence), there is not nearly as great a risk of exhausting these vessels with JSD. One of the functions of the EEVs is to balance the qi in the meridians. JSD uses local points in the areas of chronic tension with distal points along the related EEV. As the emotional holding patterns release, the EEVs carry the qi that was bound in that chronic tension back into the "natural" flow. By allowing the body to do what it needs to do, we can return to our original nature.
Author's Note: the five-element chart that appeared in my previous article (May 2001 Massage Today) was reproduced from the Acu-Coloring Book with the permission from Loren Nelson, (619)280.7786.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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