resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
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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