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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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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