resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
December, 2002, Vol. 02, Issue 12
Yin and Yang Deficiency, Part IV
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
The first three installments in this series covered the general characteristics of yang and yin deficiency and yin deficiency in depth, including treatment. You can refer back to those articles online if necessary (www.massagetoday.com/columnists/esher/articles).
As you would imagine, a person with yang deficiency lacks yang's energizing, warming and transporting functions. Yang deficiency symptoms appear mostly cold, but of small magnitude. This is called Empty-Cold because the cold is caused not by excess yin, but by the relative lack of yang. So if you look at the figure below, you will see that it is only because there is less yang that the symptoms appear yin.
An Excess Cold condition will give you symptoms showing the cold is predominant, whereas the cold caused by Yang Deficiency will be fairly mild in comparison.
Notice that the horizontal line in the figure signifies "normal balance." In the yang deficiency diagram, the yin is not excess, meaning, above normal. Instead, there is only more yin because there is relatively less yang.
The figure below shows a true Full Cold condition -- yin consuming yang.
Chilliness and aversion to cold obviously are key symptoms of both yang deficiency and full cold, but you may find it more localized in a full cold condition like in a joint, the stomach, abdomen, intestines or testicles. Either way, when there is pain caused by cold or yang deficiency, heat will improve it. If it is a yang deficiency, touch will make it feel better; if it is a full cold, pressing will make it feel worse.
Both have symptoms of no thirst, but clear, abundant urination. With yang deficiency, urination can be more frequent, particularly at night, because the yang is not strong enough to hold the urine in the bladder for a long time. For the same reason, sweating with no exertion is a symptom of yang deficiency. The yang is so weak, that it can't hold the moisture in the skin. Since heat/yang is needed to transform food, either can have symptoms of loose stools. If it's an excess, getting rid of it will make you feel better, but if it is a deficiency and you are not getting the nutrients you need from the food, you will feel worse.
Again, think of yang as energetic in nature. If yang is deficient, the person doesn't have energy, and feels tired, listless, apathetic, and possibly unconfident. There may be no "get up and go" in the morning. Yang deficiency is common after people retire; they may feel they haven't accomplished anything important and that their lives have no purpose.
Symptoms such as a slow, deep pulse signifies cold if it's full, but if it's weak or empty, it indicates yang deficiency. The complexion is pale with both an excess cold and an empty-cold condition, but it tends to be brighter with the former and duller with the latter. The tongue is pale in both cases, but has a tendency to be swollen with yang deficiency. This is because the yang is unable to transport the fluids resulting in accumulation. The tongue coating is thick and white for a full cold, and wet, thin and white for an empty cold.
These are all symptoms of a general yang deficiency, but you certainly don't need all of them to be yang-deficient. Always look at the big picture to see what the overall predominant assessment is, and then look more deeply to find the involvement of the zang-fu and treat accordingly. In the next column, I'll differentiate between four common types of yang deficiency and three types of full cold, then discuss how to treat each one of them.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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