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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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.
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%.
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.
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.
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.
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.
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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