Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
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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