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A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
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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