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Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
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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