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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.
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.
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?
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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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