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Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
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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