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How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
October, 2002, Vol. 02, Issue 10
Yin and Yang Deficiency, Part II
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
In the last issue of Massage Today, I discussed yang deficiency in general, and yin deficiency in greater depth. If necessary, you can refer back to that article at www.massagetoday.com/archives/2002/09/07.html.As previously mentioned, yin deficiency has heat symptoms, but milder than with a full-heat condition. All of the different syndromes listed below will have any of the general yin deficiency symptoms noted in the previous article.
Kidney Yin Deficiency includes any of the broad symptoms in the chart below (General Yin Deficiency) plus dizziness, vertigo, poor memory and/or tinnitus. This is because the Kidneys nourish the Brain, it being the Sea of Marrow in Chinese medicine. (Capitalization is often used in CM to differentiate between the Western anatomical names and the CM energetic interpretation of the internal landscape.) If there is not enough Kidney yin to nourish the Brain, then there is a gradual onset of dizziness and/or vertigo. Ears relate to the Kidneys in CM. Ear ringing that comes on slowly and is low-pitched implies a possible Kidney yin deficiency. Memory loss is hardly noticeable at first and more short-term, like walking in another room and forgetting why you went there.
Lower back pain is common for any Kidney imbalance, and when Kidney yin is deficient, it feels more "in the bones" than other deficiencies. This is due to the Kidney yin connection with marrow and bones. Kidney yin deficiency can manifest as gradual onset of a dull ache in the lower back, not necessarily connected to a previous injury.
The cause can be overwork over a period of years, particularly if activity is aided by stimulants. This includes always being on the go and overextended; burning the candle at both ends will burn up Kidney yin. Excessive sex, especially during the teenage years, can deplete Kidney yin. Heat from a severe illness can consume body fluids and Kidney yin. Chronic disease also can deplete Kidney yin, along with the yin of the Liver, Heart or Lungs. An extreme loss of blood, such as from endometriosis or fibroids, can exhaust Kidney yin. Last but not least, incorrect treatment is a cause of Kidney yin deficiency. This is not so much a problem with Asian bodywork therapy, but it is a matter of concern if the person is self-treating with herbs or going to an untrained herbalist. Many people use yang tonics from health food stores over long periods of time, which can create heat and damage Kidney yin. If you don't know what you are doing, don't play with fire!
One of Heart Yin Deficiency's key symptoms is a reddened tip of the tongue. (This is common in Heart Fire as well, but more pronounced, with a yellow coating on the tongue.) When emotional issues are involved, there could be a central crack that goes all of the way to the tip of the tongue. When the crack is shallow and the color of the body of the tongue is normal, it reflects a constitutional weakness of the Heart; when the crack is deeper, the tip more red and the tongue swollen, it indicates a more serious emotional/spiritual problem.
Palpitations are a common symptom of any Heart pattern. Some people describe them as a fluttering uneasiness in their chest or an awareness of their heart beating. Insomnia and fidgetiness for no apparent reason can be general yin deficiency symptoms, but if that is the client's predominant concern, it points more specifically to Heart yin deficiency. The Shen/Spirit-Mind is housed in the Heart and anchored by the Blood. Blood is considered yin, and anxiety and uneasiness will result without the Blood/yin substance to hold, calm and sooth the Shen.
Interestingly, the symptoms for Heart Blood deficiency are similar to those for Heart yin deficiency. Both feature palpitations, poor memory, insomnia and anxiety as main indicators. This is because you can't have one deficiency without having the other; Blood is yin -- a moist, nourishing substance. If yin is deficient, Blood will be deficient, and vice versa. You can tell which is predominant by the heat symptoms, or lack thereof. Heart yin deficiency is the main problem when the face is flushed; there is a feeling of heat; the pulse is rapid and thin and the tongue tip is red. Heart Blood deficiency is distinguished from Heart yin deficiency by a dull-pale face (sometimes described as "not shiny and new looking") a choppy pulse and a pale tongue.
As with any yin deficiency, the cause could be a busy, yin-depleting lifestyle. To nourish yin, you must spend an adequate amount of restful and rejuvenating time at home. Added to that, longstanding emotional problems such as worry and anxiety will disturb the Shen, creating heat and depleting yin.
It is also common to see Heart yin deficiency combined with Kidney yin deficiency. The yin-water from the Kidneys can't rise to cool and nourish the Heart resulting in empty-heat flaring up in the Heart. This is more common in middle aged or elderly people. In this case, you will see the Heart yin deficiency symptoms combined with lower back pain.
Liver Yang Rising is actually caused by Liver and/or Kidney yin deficiency. If the cooling yin of the Liver is depleted, the yang becomes hyperactive, rising upwards and causing headaches, dry eyes, dizziness and tinnitus. The heat also causes irritability and anger, emotions usually associated with the Liver. Key symptoms that will distinguish it from other yin deficiencies are irritability, headaches and a thready, wiry, rapid pulse. Keep in mind that this pattern is a combination of excess and deficiency, even though the symptoms of fullness may be more prevalent.
Liver Yang Rising is a fairly common pattern. Stress, frustration, anger and resentment build up over a long period of time, obstructing the free flow of Liver qi. This produces heat, which dries up yin. As described above, yin cannot control yang, which rises to the head. In contrast, the person could be relatively cool in the lower part of the body.
Lung Yin deficiency can include any of the general symptoms plus a dry, unproductive cough or a cough producing a small amount of sticky or blood-tinged sputum. The mouth is dry and the throat is tickly. The symptoms of dryness are of course due to inadequate yin/body fluids. This can be caused by a long illness that depletes the fluids of the Lungs, such as a cold or flu treated with antibiotics, causing the pathogenic factor to become locked in the Lungs. Lung yin deficiency can also be caused by having Lung qi deficiency over an extended period of time. Lung qi deficiency can result from a constitutional weakness, or from breathing being constricted by being hunched over a desk for long hours.
Stomach Yin Deficiency may present as any number of yin deficiency symptoms, but other problems related to the Stomach also may manifest. A Stomach yin deficiency causes a lack of appetite, or hunger but nothing sounds appealing to eat. There may be an achy, uncomfortable feeling in the Stomach and/or epigastric region caused by the Stomach's descending function being impaired from the lack of yin/moisture. The lips, mouth and tongue will be dry from the lack of yin. The Stomach creates the coating of the tongue, so if the Stomach lacks yin, the coating of the tongue has no root. This means the coating is patchy in places or is easily removed, particularly in the center of the tongue.
The most common cause of Stomach yin deficiency is eating late at night. Other bad eating habits will deplete Stomach qi and eventually Stomach yin, such as eating at irregular times; skipping meals; eating while working; or eating too quickly. It's best to sit, relax and chew your food well so the Stomach qi can go in the right direction: downward instead of up to your head!
This series of articles is about yin and yang deficiency, but since I've mentioned the symptoms of Full/Excess Heat for comparison, I've included them in the chart below to differentiate between three common Heat conditions.
At this point, you have enough information that if a client has any symptoms of a heat condition, you should be able to figure out if it is deficient or excess and determine which zangfu/organs are involved.
In next month's article, I will give you a general treatment protocol for yin deficiency, and specific treatments for the different types of deficiencies. I will also include food, lifestyle and environmental support/advice. After that, look for information on yang deficiency differentiation and treatment.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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