Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
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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