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Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
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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