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Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
July, 2001, Vol. 01, Issue 07
Inside Aromatherapy -- How to Recognize and Offer High-Quality Aromatherapy
By Shellie Enteen, RA, BA, LMBT
Aromatherapy is a natural adjunct to the practice of massage, and one that greatly enhances the therapeutic experience. The demand for aromatherapy is booming. It has become a must-have modality at spas and salons, and essential oil companies are springing up everywhere.Most schools of massage have minimal training in aromatherapy, but massage therapists don't have the luxury of years of private research to become proficient in this modality. Because of this, and my love for the essences, I became a teacher of aromatherapy for massage therapists at the CEU level. It's my hope that the information and guidelines presented in this article, culled from over 10 years of experience, will help speed you in the right direction on your journey through the wonderful, welcoming and profitable world of essential oils.
Though relatively new to the U.S., the art and practice of aromatherapy are as old as our relationship with plants. Infused oils, pomades and plant resins were used from ancient times for healing, cosmetic and ceremonial purposes. References to the properties and uses for essential oils are found in manuscripts from China, India and Egypt dating as far back as 2800 BC. However, since most of these substances were rare and costly, they were employed mainly in the royal courts and temples, administered with ritual and invocation. Trade routes and methods of extraction were often closely guarded secrets.
A plant's "essential oil" is a liquid produced in small, gland-like pockets. The word "essential" refers to the fact that this liquid contains the imprint of the plant's specific qualities and acts as a protection for the plant itself. The volatile molecules of the essential oil communicate with the plant's environment, and with mankind, through aroma and vibratory rate.
In the 12th century, the introduction of the process of distillation in Europe made a large number of previously unobtainable plant essences available. Along with herbs and spices, these were the medicines of the time, and the primary ingredient of personal fragrances. Ironically, 19th century chemists, anxious to identify the active biochemical ingredients and their effects, laid the groundwork for synthetic derivatives, leading to the decline of essential oils and herbal medicine.
Modern scientific literature on essential oils began in the 1920s with the French chemist Gattefosse. He accidentally burned himself while working in his laboratory and instinctively plunged his hand into an open vat of lavender (a popular ingredient in the colognes and sachets of his day.) To his amazement, the burn healed without pain, blistering or scarring. Subsequent investigation into the sedative and regenerative properties of lavender led to scientific exploration and testing of other essences. A great deal of medical research on the effects of essential oils now exists, leaving no doubt that when the right oil is chosen, at the right time, wonderful things can occur.
However, there are also contraindications for essences, as well as possible sensitivities and dosage guidelines. Therapists who choose to use aromatherapy in conjunction with work on mind/body -whether in spas or private practice, as room diffusion or in massage -- need to be well-educated with regard to properties and effects and to treat essential oils with the respect they deserve as a powerful healing modality. Simply adding lavender to massage oil, or using the same commercially prepared blend for every client, isn't the way to go if you want to use these substances professionally and responsibly.
Many books and classes on aromatherapy are available, some for continuing education credit. As in other areas of our practice, opinions about therapeutic applications can vary, so try to read and listen to as many leaders in the field as possible so that you can form your own opinion. Also, because an individual's response to essences can differ from time to time, a good "sense" of which essence to choose can be as valuable as all the literature on properties. To develop this, familiarize yourself with different essences and the information conveyed through their individual aromas. Pay attention to "likes and dislikes," because it is thought that these responses communicate desirability of effects.
It is also important to realize that the most powerful aromatherapy treatment is simple inhalation. Molecules enter the brain and blood stream immediately via nerves, nasal membranes and the alveoli in the lungs. Essential oils are also said to pass the blood-brain barrier and studies indicate that some is absorbed directly into the lymph through skin contact. Realize, then, that you and your client receive the treatment at the same time. The greater your repertoire of essences, the more you can moderate your own exposure to certain oils. And it is advisable to use only therapeutic quality essential oils, which indicates a substance manufactured and grown with integrity and without adulteration or harmful additives. Therapeutic quality may cost more than fragrance grade, but it is definitely worth it, even for room diffusion.
True essential oils range in price from extremely expensive (like melissa, rose, jasmine,); to expensive (like frankincense, chamomile, sandalwood,); to moderate (like ginger, peppermint, basil); to inexpensive (like lavender, rosemary, orange.) "Bargains" are not always what they seem to be in this field. You should question whether therapeutic quality is present when a wide variety of essences are displayed in the same amount (usually 10 milliliters) for the same price. Think twice when an essence you know to be very expensive is offered in large quantity at a low price.
Many factors influence quality, including the method and expertise of extraction, and the region of growth. Also, a particular species of the same plant and/or extraction from certain parts of the plant may be considered better quality, and therefore more costly. (Quality standards may reflect both fragrance and levels of desired biochemical components.) For example, wild rose geranium from China may be almost twice the price of the farmed variety from Morocco. Orange blossom extracted from the flower and leaf can cost almost a third the price of that from the flower alone. And you'll pay more for silver fir (Abies alba) than for Douglas fir (Pseudotsuga menziesii.) As with crops, a shortage can push the price up. Occasionally, a price will come down, but usually not enough to take the essence out of its general price category.
In these and other ways, the essential oil business shares many characteristics with the wine industry: Many of the manufacturers of fine essential oils have been in business for centuries. Since plants are living organisms, they are affected by their environment and climate. Therefore, the same manufacturer can produce an essence that varies in aroma from year to year, so you can expect the same variance with true essential oils that you would from different vintages of wine.
Most distributors shop the manufacturers and repackage the essences, either singly or in blends, under their own label. Be wary if a distributor claims exclusivity on quality, but know that when distributors shop well, the results are good products that deliver fine fragrance and top therapeutic effect. Try distributors that are recommended by lecturers or referenced by authors of books on aromatherapy. Compare prices and samples. Experience will help you zero-in on the products you want to use in your practice.
The National Association for Holistic Aromatherapy is this industry's American Massage Therapy Association (AMTA). Offering conferences with international speakers, the organization promotes public awareness of true aromatherapy and standards for education and products. They can be reached at 1-888-ASK-NAHA or by email at .
Getting the information you need and finding the right products isn't really hard work. Attending lectures and sampling essences is both interesting and pleasurable - and it will bring tangible results. No matter how you choose to utilize essential oils in your practice, they will add a wonderful dimension to the therapeutic experience. Another benefit will be a growing respect and appreciation for the beauty, individuality and healing presence of our helpful neighbors in the plant kingdom.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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