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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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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