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Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
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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