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It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
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.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
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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