resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
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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