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Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols and treatment Timing: A course of treatments should be performed over a period of 12 weeks if possible. Microneedling should be performed once every two weeks.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
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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