resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
December, 2001, Vol. 01, Issue 12
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Yin/yang theory can be understood and utilized on many different levels. I am sure that everyone reading this article has seen the yin/yang symbol: the black and white paisleys with a center of the opposite color, fitting together to create a circle.Some of you may even have seen a list of correlations: yang as male; light; day; action; and heat; yin as female; dark; night; rest; and cold. This type of information may be interesting, but taken out of context, it is not really useful to bodyworkers.
First mentioned in the I Ching, the Book of Changes (800 B.C.), yin and yang were based on observing natural phenomenon and applying it to the anatomy, physiology and pathology of the human body. Chinese sages observed the changing of the seasons and the cycles of people's lives, and noticed appropriate correlations. They saw the movement of day into night, then back, as yin and yang continuously transforming into one another. Yin and yang were conceived not only as opposing forces, but as complementary forces. They depend on each other, are contained in each other, and are continuously supported and consumed by each other.
Interdependence of Yin and Yang
Yin and yang are relative concepts: neither one can exist in isolation. A common question from beginning students is, "Is this yin?" and I have to say "In relationship to what? You can't have a 'jar' of yin" It may be yin in one instance, yang in another.
In the Tao Te Ching, Lao Tsu writes:
There has to be a reference point for defining anything as yin or yang.
I was in Manchester, England, visiting a friend one summer, and she kept on apologizing about the heat. She was fanning herself, saying, "Oh, it is so terrible that you had to arrive during such a horrible heat wave. It has been so hot! I can't believe this weather. I can't remember when it was so hot before." On and on she went. It was about 70 degrees. That was "hot" (yang) to her, as hot as it ever got. In Hawaii, when it drops to 70 degrees, it's just about time to get out the ski parka. That's cold (yin) for them -- winter weather. You need a point of reference. It's just not possible to have yin without yang.
Opposition of Yin and Yang
You may think, "Opposition, now that's the same as the Western concept of conflicting forces. That's easy to understand." Sorry, it's a bit different. It's the same in that we can use one to control the other, due to the yin/yang quality of opposition.
If someone has a condition that we determine is due to cold, we can use moxa over certain points to dispel the cold, because burning moxa is hot in comparison. That is referred to as the opposition of yin and yang. Hot/yang controls cold/yin and vice versa.
However, integral to the idea that yin and yang are opposite to one another is the fact that they are contained in one another. When you look at the symbol, it's the light circle in the dark side, and the dark circle in the light side that allows their conflicting aspect to remain in balance. Just as the moon is the yang within a yin dark night, the shadows are the yin within a bright yang day.
Some ask, "Am I yin because I am a woman?" Women and men are never completely yin or yang; there has to be a balance of both. Actually, when people are not in touch with both yin and yang aspects of themselves, and they use another person to create that balance, it is a potentially dangerous situation. What they create is just the black and white yin and yang paisleys, without the opposite circles inside keeping balance.
A study on domestic violence called "Love and Violence: Gender Paradoxes in Volatile Attachments" concluded that it is precisely when men and women conform to traditional gender roles most rigidly that abuse is likely to occur. From a yin and yang perspective, I find that fascinating. So within a couple that has exaggerated gender roles, there is no yin within yang or yang within yin.
Take for example, a traditional manly sort of person who always has to be strong and supportive and never shows emotion is coupled with a person who is totally submissive, weak and helpless. They are both sublimating their respective yin and yang sides, which is potentially dangerous, because it is the opposing aspects contained within each other that help maintain balance.
Yes, a woman's genitals are yin compared to a man's. They are moist, inside of her body, and in the dark, in contrast to a man's, which are dry, outside of his body and in the sunlight (sometimes?). There are certain qualities that women and men may have that can be contrasted as yin or yang aspects. But you will find that the healthier the person is, the more they have a good balance of both yin and yang! And you may find that helpful in considering your clients. You can see how bodywork can help them get in touch with their yin, more vulnerable side. Or vice-versa, bodywork can get your client in touch with their yang strengths.
Inter-consuming - Supporting Aspect of Yin and Yang
The functional yang of our body is dependent on the nutritional yin. The yin organs create and yin nutritional substances. They are able to do that only with the yang action of the yang organs. The yang organs on the other hand, need the nutritional substances from the yin organs to function. This is the core of Zang-Fu organ theory -the inter-consuming, supporting relationship of yinyang. Having a thorough understanding of this concept will help to fine-tune your bodywork sessions, making them much more effective. (However, that discussion is beyond the scope of this article.)
Another example of how yin and yang consume and support each other is the teacher/student relationship. A teacher is yang/active -- giving information; the students comparatively are more yin/passive -- receiving information. The students pay the school (which pays the teachers), with money, which in this instance, is a "nutritional substance." The teachers can then buy food so they have the yang/energy to keep teaching. The information that teachers gives the students then "supports" them: hopefully, they can use that information to go out and work, creating more money/ yin substances.
Transformation of Yin and Yang
Yin and yang continually transform naturally from one into the other, just as yin /Fall and Winter will transform into yang/ Spring and Summer. Day transforms into night, then night transforms into day, the darkest hour of night being right before the dawn. When you look at the yin/yang symbol, you see the largest part of the dark yin ball starting to flip over into the smallest part of the yang tail and then vice versa, as one changes into the other.
The transformation between yin and yang is a natural seamless process when we are in balance. But when we are tilted too heavily in one, we will flip over into the other, as extremes create their opposites. We can see it at times such as when someone drinks too much alcohol. They have a drink (yang) and they start to feel more yang - bubbly, warm and more outgoing. If they have a few more, they may start laughing and getting loud. If they keep on drinking, becoming more and more yang, at some point they are going to flip into a yin state. Maybe they will start crying about how their mother never loved them or maybe they will become even more yin, passing out cold! Regardless, they will feel quite yin the next morning, craving dark, quiet and possibly feeling rather depressed and miserable, swearing never to drink again! That's why the Chinese encourage moderation and balance.
It's also interesting that sometimes relatively yin people, (quiet, reserved, sensitive) will respond very well to yin treatment styles such as Jin Shin Do®. It seems to add more yin, which they are very receptive to, nudging them into a more yang/ energized state. Whereas outgoing, active and more armored/ yang people often respond well to styles of bodywork like Barefoot Shiatsu. Again adding more yang to them seems to flip them over into a more yin/relaxed state. This is of course a generalization, but is still an energetic phenomenon that is helpful to be aware of.
Infinite Divisibility of Yin and Yang
We can keep dividing yin and yang theoretically indefinitely. Our head is yang (closer to the Heavens) in relationship to our feet (closer to the Earth). But on our head, our nose is yang (bringing in air qi) in relationship to our mouth (bringing in food yinqi). And within our mouth, the front of the tongue is yang, representing the upper burner, while the back of the tongue is more yin, representing the lower burner. And on and on it goes.
Hopefully this discussion has enhanced your appreciation of the complexity of such a paradoxically simple, fundamental theory. Our primary goal as practitioners is to balance the yin and yang aspects of the body. How we do this is based on our awareness, training and connection of our own spirits with the ever-changing, constant ebb and flow of yin and yang within the universe.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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