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What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
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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