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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).
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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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