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Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
MPA Media Wins More Publishing Awards
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What are the Meridians?
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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
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Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Overuse Injuries in Young Athletes (Part 1)
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Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
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Traditional Chinese Herbal Medicine in Taiwan Hospitals
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Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The Professional and Practice Benefits of Political Activism
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International Congress on Integrative Medicine
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Are Probiotics Doing More Harm Than Good?
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Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
March, 2002, Vol. 02, Issue 03
The Korean Four Constitutional Types, Part I
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Most students and practitioners love looking at the different constitutional types in Chinese medicine and find it very useful in their practice. People who have studied Asian bodywork are familiar with the Five Element constitutional types.Many also know the European Six Division way of assessing fundamental characteristics, as popularized by Yves Requena. But unless your teacher was Korean or you had the good fortune of studying with Alex Tiberi at the Pacific College of Oriental Medicine, you probably are not familiar with the Korean constitutional types. Most of this information grew from seminars with Alex. I am sure you will find it useful in understanding more about your clients' nature and selecting which meridians on which to focus. I will talk about taiyin and taiyang (greater yin and yang) constitutional types in part one and then shaoyin and shaoyang (lesser yin and yang) in the following issue.
Taiyang -- Greater Yang -- Small Intestine /Bladder
When we think of taiyang, we consider our most external structure and protective framework. This is created by the Small Intestine and Bladder meridians, on the back of the shoulders and down the back. Strong musculature in this area of the body forms our armor, our protection. It's also the framework that creates our upright position and propels us forward. So that is what we consider in assessing whether an individual is taiyang or not -- strong structure and forward movement.
People who are taiyang are large and muscular. They are stocky and appear strong and sturdy. Their complexion is usually reddish or ruddy, appearing "thick-skinned." Their movement is always forward, allowing nothing to get in their way or distract them. For this reason, they are great people for starting companies. You will find that often they are ambitious entrepreneurs. They love to be in charge and noticed, and often display aggressive and outgoing personalities. Nothing is ever a problem for them, except for minute details that they will quickly glaze over as unimportant. Taiyang people never get sick or goes to a doctor. When they do get sick, it is usually sudden and serious. They'll be going along and then "blam"; they get hit with a heart attack or stroke that kills them. But we don't see them in our clinics often because they never admit to anything ever being wrong. They may be totally stressed out, but they just don't feel the impact like most people do.
Sometimes their partner will drag them into your office. (They won't come on their own because they always "feel fine!") You will give them a medical history to fill out, and they'll check nothing: name, address, signature at the bottom, that's it. So when you do the interview, you ask again, "any problems?" and of course they'll say no, even though the girlfriend who made the appointment said that he passed out from a bleeding stomach ulcer and is living on Tagamet. When you ask about it, they'll say, "Oh that? That's nothing." Treatment for taiyangs must include deep, strong work on the SI and Bl meridians. They will absolutely love it for one reason: it helps to relax the taiyang structure that has been propelling them forward their entire lives! You will find that Nuad Bo Rarn (Thai bodywork) is very effective for taiyang folks, as well as barefoot shiatsu. Taigyang people feel so good afterward, they often say that they didn't realize that they were not relaxed. Book another appointment right then and there, before they get back into their taiyang routine. You'll find that after a thorough assessment, they may have imbalances with the Kidney or Heart meridians, which after treatment will bring more long-lasting results.
Gradually suggesting lifestyle changes also will increase the efficacy of your treatments. Suggest that they take time off without their cell phones or laptops. Could they possibly find another favorite vegetable other than French fries? If they eat meat three times a day, maybe they could cut down to two? The more you work with them, the more likely they will trust and follow your advice.
Taiyin -- Greater Yin -- Spleen and Lung
The taiyin meridians, Spleen and Lung, both help regulate the water/fluids in the body. Remembering that for this type of person, these meridians are their greatest strength as well as their greatest weakness. You will notice that a taiyin person tends to have water buildup. Combine that with the extreme qualities of a "Spleeny Weeny" Earth person: one that ruminates obsessively and that of a stuck Metal element person with the inability to let go, and you have the classic taiyin constitutional type.
Taiyin people are large, like taiyang, but not as firm. They tend to be soft and flabby, kind of like big phlegmy yin balls. Their complexion is yellowish and their flesh feels mushy when you work on them.
Both taiyin and taiyang have "greater" in their name; they are people with "large" conditions. But whereas the taiyang person is excess in yang: motion - activity - energy, the taiyin person has excess of yin substance and stagnation. Taiyin people tend to have accumulations and blockages, such as cysts and tumors. They not only have stagnation in their bodies, they also have it in their lives. They will stick with a job as long as it takes to get it done, no matter how boring it is. They are great people to have working for you, because they are loyal and pay attention to details. But they get stuck in jobs that they hate, relationships that they hate, and living situations they hate for years and years. They always have a million excuses for why they couldn't possibly change! That is classic taiyin: the inability to let go, with the tendency to stagnate.
Interestingly enough, after receiving shiatsu for a few sessions with a focus on the taiyin meridians, they will start to shift. It will still usually take more work, but as you strengthen the Spleen and move through some of their phlegm, they will be able to see the possibility of change in their lives. Diet-wise, they probably need to cut down on sugar and dairy. Walking would be an appropriate form of exercise to suggest.
The Korean constitutional types are one paradigm among many! I always utilize it in combination with a more detailed assessment, using the tongue and pulse. I love the imagery used in this system; it's so easy to see parts of others and ourselves in these classic types. Enjoy!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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