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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.
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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
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.
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.
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.
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.
April, 2002, Vol. 02, Issue 04
The Korean Four Constitutional Types, Part II
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Editor's note: Part I of this article appeared in the March issue of Massage Today, available on line at www.massagetoday.com/archives/2002/03/07.html.
There are many different paradigms for assessing fundamental characteristics in Chinese medicine.No one pattern can fit the bill for all people. Whichever system you use, it is important to carefully consider your clients' nature to select the most effective meridians on which to focus.
Last month, I talked about two of the four Korean constitutional types: taiyang and taiyin (greater yang and yin). These are both excess types, as seen by the word "greater" in their names. So for taiyang, we are looking at large amounts of yang, such as a lot of energy, action, aggression and forward motion. For taiyin, we are looking at great amounts of yin such as a soft, fleshiness, tumors, growths and stagnation. (See MT, February, 2002)
This month, I will continue by describing the characteristics for shaoyang and shaoyin, (lesser yang and lesser yin) which are characterized by a relative deficiency.
Shaoyang -- Lesser Yang -- Gall Bladder and Triple Heater
The Gall Bladder and Triple Heater meridians are on the lateral aspect of the body: on both sides of the head and the middle yang meridians on the arms and legs. They move us in a side-to-side direction. Shaoyang helps us differentiate, "Should I go here or there?" Or as the Clash would say, "Should I stay or should I go?" Decision making, usually in the realm of the GB, can be supported with the TH because of their shaoyang relationship.
You are going to find that often shaoyang people have a small, wiry body type. They are very sinewy and always active. Their complexion has an olive tinge to it. They often have a bit of dark under their eyes from an underlying deficiency created by burning the candle at both ends.
The shaoyang person is always being pulled to the sides and all directions at once; they are interested in everything! This is the person that has something scheduled for every moment of their time. They work as well as take all kinds of classes, every night of the week: karate, Japanese, belly dancing, pottery, car racing, boating and on and on. Then they get real excited because they find out that there is a taiqi class Sunday mornings which they can fit into their schedule, oh boy! They are people that don't like to be bored, are looking for stuff new and exciting and take on way too much.
For that reason, their pattern is "burnout." They go and go and go, then get sick or injured and then collapse. But they rest only enough time to recover and then start back again into the same schedule. Most of the time they are on stimulants such as coffee to maintain their activity level.
Oftentimes, many of my students are shaoyang. They work full-time jobs, come to class weeknights and weekends, and still maintain their other varied interests. I don't see taiyang students often because they don't want to go to a shiatsu school, they want to start one. The taiyin person can't figure out how to get off work to take classes, and as I'll you'll see, the shaoyin person is too sick and tired to do anything.
Because of the shaoyang person's exhausting activity level, an important thing to tell them is that it is ok to take a break; that doing nothing is doing something! Suggest that they drink less coffee and eat less greasy and salty foods, eating more leafy green vegetables instead.
Definitely address the shaoyang meridians with this person, but you can probably guess that their Kidney meridian is shot as well. When they are tired and over extended, they will often get headaches on the side of their head along the shaoyang meridians, due to Liver Yang rising. This is a combination excess/ deficiency syndrome. If this is the case, be sure to incorporate local points such as GB 20, GB 8 and GB 13 and distal points such as Lv 2, GB 41, Ki 3 and Ki 6.
Shaoyin -- Lesser Yin -- Heart and Kidneys
The Heart and Kidney meridians form the fundamental core of our body: an axis created by fire and water. They are located at the most tender, medial, yin aspect of our arms and legs.
The body type of a typical shaoyin person is thin, weak and frail. Their energy level is very low and their skin and lips are pale. They are definitely a deficiency type.
The strength (and of course weakness) of this person is their sensitivity. They are great at doing any kind of energy work because they perceive more than most people. The problem is, though, that they feel too much and it is hard for them to differentiate and quantify. For example, they come into your office and you ask them if they have anything wrong and they pull out 50 typed pages. They have problems and pain everywhere and they perceive it all as equally horrible. They will go into details such as a twinge that they had last week in their right fourth toe and ask you, "What does that mean?"
A shaoyin person is the type to put themselves on a very strict limited diet. Not only will they only eat, for example, brown rice and sprouts, it has to be a certain kind of brown rice like short grain and not all sprouts, just a few types are ok. They feel the impact of everything so acutely. Whereas the taiyang person can eat fast food and junk all day long and feel great.
To contrast those two types again, a student's taiyang father was working on his car, broke his hand and continued to fix his car until he was done. He came into the house with his hand kind of dangling and twisted off to the side and his wife flipped out while he denied that it was a big deal. He only agreed to go to the hospital if he could drive. (And we are talking about a stick shift here!) I think everyone will agree that is a bit much but a true shaoyin person is just as extreme in the other direction. If they get a hangnail, it is so disruptive and upsetting, they will call in sick to work that day.
It can be fun working with shaoyin people because they can feel everything happening in their body and can give you great feedback. You will touch a point on their shoulder and they will feel it and trace the exact meridian down to their feet. The challenge, though, is they tend to exaggerate symptoms. You have to put a filter on what they say and quantify information. For example, if they come in with pain in their arm as their main concern (and it is always hard for them to find a "main" concern because it is all so horrible) and you ask them the next time they come in how it is, they tend to say, "Oh the pain is just awful!" whereas if you ask them to quantify the pain on a 1-10 scale each time, maybe it is actually 50% better, even though they still find it unbearable.
Start by trying to build the shaoyin person up. Tonify the Heart and Kidney meridians with gentle deep and penetrating pressure. Use moxa, particularly on Ren 4 and Ming Men. I have found that shaoyin people really appreciate subtle work such as Jin Shin Do® Bodymind Acupressure ™ as well. Encourage them to broaden their diet with more high calorie foods/ protein shakes. Encourage them to exercise more, maybe even try weight lifting.
The Korean constitutional types are one paradigm among many! Whenever I use it, though, 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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