resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
November, 2002, Vol. 02, Issue 11
Yin and Yang Deficiency, Part III
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
In the last two issues of Massage Today, I presented the general characteristics of yang and yin deficiency. As previously discussed, yin deficiency has heat symptoms, but milder than with a full-heat condition.You can fine-tune your assessment by determining which primary meridians are involved. This month's article, I'll try to answer the question you all have been e-mailing me about and patiently waiting for a response to: What can you do about yin deficiency? (Thank you, I appreciate hearing from you all!)
Generally speaking, you shouldn't use moxa with any yin deficiency, because of course, you don't add heat to heat. With deficiencies, use soothing, tonifying pressure that draws the yin to that meridian. A general yin treatment protocol is to hold your mother hand on Sp 6 and palm press up the three yin meridians on the legs until you reach Ren 4. Hold those two points together for a few minutes, breathing deeply and encouraging your client to breathe into the points. Then keep your mother (support) hand on Ren 4 as you palm press up the three yin meridians of the legs. Work slowly and deliberately, with the intention of drawing yin up from the earth and gathering it into the hara/belly/dantian area. Repeat on the other leg. Combine this treatment with the following more specific treatments.
In most cases, you can hold the yuan points with the shu points of the particular meridian that seems to be most affected. For example, to treat Kidney yin deficiency, have the patient lie face down and prop up his or her feet with a bolster. Hold Ki 6 and Ki 3, keeping your mother hand there as you gently thumb press into the Kidney meridian, going up the leg, stopping at Ki 9, Ki 10, ending at the Kidney shu points, Bl 23s, holding them bilaterally with your thumb and index finger. Hold this combination for a few minutes. Then keep your support hand on the lower back as you bring the other hand up, slowly thumb pressing the Kidney meridian to meet the hand holding the shus. "Kenbiki" (gently rock) the lower back, then hold your palms over the Kidney area with a vibrating motion. Repeat with the other leg.
For Heart yin deficiency, have the patient lie face down with his or her hands to the sides. Rub the center of the palms vigorously, then hold Ht 7 and Ht 6 together with one of your thumbs while you thumb press up the Heart meridian to the Pericardium and Heart shu points with your other hand. Hold both sets of shus bilaterally with your thumb and index fingers, then follow the hand holding the wrist points up to meet at the shu points. Hold the Heart and Pericardium shus together with both of your hands. Repeat with the other arm.
For Liver yang rising caused to Liver yin/Kidney yin deficiency, you want to subdue Liver yang and tonify Liver and/or Kidney yin. With the patient face-up, hold GB 2 bilaterally and press out to the temples to Taiyang. Still working bilaterally, press around the ears, especially GB 6, GB 8 and GB 9. Work on the neck and occiput, holding both GB 20s, pulling slightly toward you. Move to the patient's side, keeping one support hand on GB 20 and thumb pressing down the top of the shoulders, down the Triple Heater meridian on the arm until you reach TH 5. Hold GB 20 with TH 5. Repeat with the other arm. Do the general yin deficiency protocol on the legs. Have the person lie face down. Thumb down his or her shu points, then do the Kidney yin deficiency protocol. Press GB 38s bilaterally, then GB 41s and 43s, with the intention of grounding the yang to the feet. End by holding Ki 1s and Lv 3s together with your thumb and index fingers bilaterally.
With Lung yin deficiency, position the patient face-up. Hold Ren 12 with Ren 17 for a few minutes, then Ren 17 with Lu 1. Keep one hand at Lu 1 for support as you gently thumb press the Lung meridian, ending and holding Lu 9 with Lu 1 for a few minutes as you encourage slow, deep breathing. Rub Lu 10 vigorously with both of your thumbs to disperse the empty heat. Hold Lu 9 at the wrist as you thumb, press down the Lung meridian from Lung 1. Use Ren 17 and Ren 12 to slowly transition to the other side and repeat with the other arm. Make sure to hold the Lung shu points when you work on the back.
Treat Stomach yin deficiency after finishing the general yin deficiency treatment. Hold Ren 12 with one hand as you press from St 21 down the Stomach meridian to St 36. Hold these two points together. Continuing holding ST 36 with your mother hand as you thumb press with your hand from Ren 12, meeting at ST 36 and rubbing the point gently with your knuckles. Continue holding St 36 with one thumb as you press down the Stomach meridian with your forearm. Repeat with the other leg. End by holding Sp6s, St 41s then Sp3s bilaterally.
Of course, you will have to try to track down the behavior that caused the problem in the first place, like improving eating habits for Stomach yin deficiency. For any yin deficiency, suggest to the client that he or she may want to spend more time at home or make the home environment more relaxing and yin.
According to Hope Karan Gerecht, author of my favorite Feng Shui book, Healing Design:
Alex Tiberi suggests buying a pet to help tonify yin. A dog needs you to nourish and take care of it, more so than fish or other types of pets. There is nothing like the feeling of the unconditional love from a pet when you arrive home. Plus, you get the added benefit of gentle yin-tonifying exercise, by having to take it out for a walk regularly! This is particularly true of older people who don't exercise regularly or have the opportunity to care for anyone anymore.
Since people who are yin deficient are already depleted, they need to avoid stimulants that will cause them to use more energy than they have, such as alcohol, coffee and sugar. Pungent spices also should be avoided, as they will create more heat.
Daverick Leggitt writes in Helping Ourselves: A Guide to Traditional Chinese Food Energetics:
Foods that especially tonify yin are: apples, asparagus, cheese and milk (in moderation), chicken and duck eggs, clams and oysters, crab, cuttlefish, duck, honey (in moderation), kidney beans, lemon, malt, mango, peas, pears, pineapple, pomegranate, pork, rabbit, string beans, tofu, tomato, watermelon and yams. Another excellent reference is Leggitt's book, Recipes for Self-Healing.
Chinese herbs are also beneficial, used in conjunction with Asian bodywork therapy for supporting yin.
With such a focus in our culture on the value of yang -- doing rather than being, and going rather than relaxing -- you may find several of your clients suffer from some sort of yin deficiency, to put it mildly. Even if you forget all of the differentiation and treatments mentioned in this article, and just give your clients the space to receive, feel nurtured and renewed, you will be starting to address and treat their yin deficiency! One of the most enduring and valuable yin-supporting "techniques" is to be present and peaceful.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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