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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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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