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Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
September, 2001, Vol. 01, Issue 09
I'll Have a Mu-Shu Combo
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Does the above title remind you of a Chinese restaurant's lunch special, or the powerful mu-shu Asian bodywork technique? Maybe both, but in this month's article, I'll concentrate on the latter (egg roll and soup not included!).
Last column, I discussed the back shu points; in particular, the connection of the outer shu point with the five souls. (Editor's note: See "The Soul of Your Shus" in the July 2001 MT, available on line at www.massagetoday.com/archives/2001/07/13.html.) A way of making your treatment more potent using the shu points is to combine them with the front mu points. The combination of mu points with shu points enhances therapeutic results, providing a particularly strong treatment.
The mu points, called bo points in Japanese, are translated as collecting or alarm points, respectively. The name describes their function, in that qi tends to "collect" in the area of the points. They are located mostly on the chest and abdomen.
The mu points tend to be used more for treatment of acute conditions, but when combined with the shu points, they also can address chronic problems. The mu points can be used for assessment, in that if they appear tender spontaneously or with palpation, it is an indication that there is a problem in their associated Organ's orb of influence. I regularly check the mu points when I am working with someone, sometimes getting an, "Ow, what is that!" from my client. I then explain that particular mu points correlate physically and mentally, to which my client usually responds, "Well, that makes sense." Try it -- your client will think you have mystical powers!
Sometimes the mu points are sore without even touching them, indicating that treatment is necessary. For example, it is not at all surprising for a particularly irritable client to report pain on the rib cage, directly below the breast. The mu that is located there corresponds with the Liver (relating to anger), which becomes somaticized in that area.
To learn how to locate these points, reference the chart of the shu points from my last article in MT and use it together with the mu point diagram below. (Consider buying a copy of the Acu-Coloring Book as a learning tool and reference.) Get someone to plop down on your table or mat, clothes-on preferred.
Sit at the client's right side and put your left index and third fingers on the Lung shu, lateral to T-3, and your right index or third finger on the Lung mu, Lu1, about one inch below the acromio-clavicular joint. This combination can tonify the Lungs as well as eliminate external pathogenic factors, such as Wind-Cold or Wind-Heat. On an emotional level, this combination can be very powerful for helping to "let go."
Move down one vertebra with your left hand to T-4, the Pericardium shu, and move your right hand to the Pericardium mu, Ren17, on the sternum between the nipples. This combination is used to tonify and/or move qi in the chest. It is also indicated for use when there are warmth or intimacy issues in relationships.
Go down to the Heart shu, lateral to T-5, and move your hand straight down to the Heart mu, Ren14, ¼th of the way between the xiphoid process and the navel. Use this combination for any issues relating to the Heart, such as insomnia. If a person is anxious, this will help soothe the mind and spirit.
Skip 3 vertebrae to get to the Liver shu beside T-9, and combine it with the Liver mu at the 6th intercostal space, Lv14, directly below the nipple line. Here we are with that irritable client again! Be aware that this combination can initially make the client angrier. You may find it helpful in moving Liver qi, resolving stagnation, particularly when the Wood/Liver is overacting on the Earth/Stomach, causing morning sickness, belching and/or a sour taste in the mouth.
You'll find the Gall Bladder shu beside T-10 and it's corresponding mu, one intercostal space below the Liver mu at GB24. This combination has a similar action as the Liver one because of the Liver/ Gall Bladder's close relationship.
Move your left hand down to the Spleen shu, next to T-11 and then your right hand to its mu at the tip of the 11th rib, Lv13. This is an excellent combination to tonify the Spleen, and it can also help harmonize the Liver and Spleen.
The Stomach shu is beside T-12 and its mu is on the midline, halfway between the xiphoid process and the navel. This is my absolutely favorite combination to tonify Stomach qi and/or yin. It is also excellent for resolving Dampness, as it tonifies the Spleen, supporting its function of transportation and transportation of Fluids. Keep this in mind when you see signs of Dampness, such as heaviness in the limbs or a cloying headache with a heavy, muzzy feeling.
Go down to the Triple Heater shu beside L-1, and combine it with the TH mu about an inch below the navel, Ren 5. You'll find that this combo treats any Damp-Heat in the Lower Burner condition, such as edema in the legs and urinary problems.
Continue to the Kidney shu beside L-2. I find that when I hold the Kidney mu-shu combo, I have to switch my hands so that my left index and third finger are on the tip of the 12th rib, GB25, and the right heel of my hand and fingers press the Kidney shu points bilaterally beside L-2. Do whatever is comfortable for you. The emotion connected with the Kidneys is fear, so you may find there are some of these issues surrounding this area. You'll find that these points will help stimulate the spirit of initiative, resolving fear that may be holding your client back.
Skip a vertebra to get to the Large Intestine shu, which you can hold bilaterally in a similar way you did with the Kidneys. Hold the Large Intestine shu with the LI mu points, grasping them with your thumb and index finger beside the navel at St25. Not only will this mu-shu combo promote the function of the Large Intestine, it will also encourage the client to let go of the "waste" in his or her life!
Move your hand down beside S-1 to the Small Intestine shu and hold it with the SI mu, Ren4, 3/5ths of the way down from the navel. Even though I use Ren4 a lot more for tonifying yin, Blood and yang, when used in conjunction with the Small Intestine shu, it also helps support the SI function of separating "the pure from the impure." So if you have someone who is trying to "sort stuff out," this may be a good place to start.
The last shu is at S-2 and corresponds with the Bladder. Combine it with the Bl mu at Ren3, directly below Ren 4. I find this extremely useful in clients with Damp Heat in the Bladder, showing symptoms such as pain and difficulty on urination and an interrupted flow of urine.
I think you will find that even just locating these mu-shu combos, holding each set for a couple of minutes, you will have a relaxing, centering and balancing effect. There is no reason why you can't use this technique in any type of massage or bodywork treatment. Once you really grasp how to use them on a deep level, you have the extraordinary power of qi at your fingertips.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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