resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
February, 2003, Vol. 03, Issue 02
Yin and Yang Deficiency, Part V
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
If you've been following this series of articles, you're now familiar with the differences between yin and yang deficiency. At this point, you know yin deficiency in depth and have been introduced to yang deficiency.This article explains how to differentiate the different types of yang deficiency, so you can fine-tune your assessment and treatment. (Editor's note: Barbra's entire series of articles can be accessed online by clicking here.)
When evaluating yin and yang, always consider the big picture. Yin aspects are related to nourishment and substance; yang aspects are more energetic and functional. We need yin and yang; women and men contain both, or they cease to exist. In the first article in this series, I discussed the aging process as it relates to yin and yang. People naturally start to decline in yin, yang or both as they age. If yin wanes, people may have less of a desire to nurture or care for others, or they may become more outgoing or outspoken. Substance also declines - for example, bone density decreases. If yang declines, they may become more relaxed and accommodating to others, but they also may have sexual dysfunction and trouble holding urine throughout the night. (This is discussed a little more extensively in part I of the yin/yang series: www.massagetoday.com/archives/2002/09/07.html.)
Yang deficiency always has some cold symptoms in the pattern, but overall, it does not appear as an excess condition. Most people with yang deficiency present with at least a few of these symptoms:
When you determine there is a yang deficiency, the next step is to decide what organ is primarily involved. It could be Spleen, Kidney or Heart, (capitalized to distinguish the Chinese view of these organs as an orb of influence, rather than what we commonly think of in the West). Actually, yang deficiency could be a progression from qi deficiency, such that organ patterns look the same, but with the addition of cold symptoms. (Editor's note: See the General Full Cold Symptoms chart below).
Spleen Yang Deficiency includes any of the broad symptoms listed in the first chart (above), keeping in mind that there must also be cold symptoms because of the relative lack of yang. Various digestive problems also manifest, such as lack of appetite; a puffy, tired feeling after eating; or loose stools. This is an indication that the Spleen's transportation and transformation function is impaired. For the same reason, if the Spleen can't convert the qi in food to a usable form, a person feels tired, listless or has trouble waking up in the morning. Fluids also will build up, because they aren't being transported and distributed properly (another function of the Spleen).
Poor diet is the primary cause of Spleen yang deficiency. Eating excessive cold, frozen, raw or sweet foods will damage the Spleen. Irregular eating habits; under- or overeating; eating too quickly; or eating while working or driving all can damage the Spleen. Is it no wonder that this is such a common syndrome is our society! Taking too many Chinese herbs with a cold nature also can cause Spleen yang deficiency, so if the patient is taking herbs, make he or she is seeing a qualified herbalist.
To evaluate Kidney Yang Deficiency, check for at least a few of the symptoms in the chart above. There may also be problems with the lower back and/or knee pain, both of which can be relieved by warmth. The Kidneys are closely related to Ming Men Fire, which emanates from the area of the lower back. When it fails to warm the body, the lower back feels cold. Whenever there is cold, there is pain, as the cold contracts and obstructs the free flow of qi. In addition, Kidney yang gives strength and support to the bones of the back and knees, so a deficiency will cause weakness in those areas.
The warmth of Kidney yang is needed for sexual function and fertility so a deficiency causes problems such as impotence, infertility, premature ejaculation or decreased sexual desire. Kidney yang also enervates the zhi, which is the spirit housed in the Kidneys. A deficiency will cause lassitude and a lack of motivation or willpower. Patients with Kidney yang deficiency feel they don't have the energy to do anything, or that they have used up all of their reserves -- which indeed they have!
Kidney yang deficiency often develops from Spleen yang deficiency, so you see symptoms such as edema in the legs, caused by lack of fluid transformation. For the same reason, fluids build up in the tongue, causing it to become swollen.
Kidney qi actually holds the urine in place, but since a deficiency of Kidney qi is often a precursor of Kidney Yang deficiency, you will see symptoms of nocturia (getting up at night to go to the bathroom), dribbling after urination or incontinence (in severe cases).
The causes of Kidney yang deficiency include chronic, longstanding illness; excessive sexual activity; a constitutional deficiency; or a decline of the Kidneys with advancing age. Some medications, such as those used for high blood pressure, will also deplete Kidney yang.
When someone seems to have symptoms of a yang deficiency (especially if his or her hands get cold), suspect a Heart Yang Deficiency. The Heart meridian goes down the arms; if there is insufficient Heart yang, qi can't be transported to the extremities. The person may also have a stuffiness or uncomfortable feeling in the region of the Heart. A cardinal sign for any Heart pattern is Heart palpitations, often described as an awareness of the heartbeat, or a fluttering feeling. These symptoms are caused by insufficiency of the Heart yang in moving the qi in the chest.
Heart yang deficiency can develop from a Heart qi deficiency, so you will see symptoms such as shortness of breath, sweating with no exertion and listlessness. The causes are the same as for Kidney yang deficiency. Heart Yang deficiency can also be caused by a sudden or prolonged loss of blood, which causes a deficiency of Blood, qi and (eventually) Heart yang.
I am including a chart on the symptoms of some excess/full cold patterns (below), but I am not going to explain them in detail, because it's not within the scope of this series. Included are four fairly common syndromes you will see in your practice.
By this point, you should be an expert at differentiating a cold from a hot condition, or an excess from a deficiency. You should also be able to pinpoint the exact organ involved. To complete the picture, next month's article will detail treatment protocols for yang deficiency, addressing each of the zang-fu disharmonies. I'll also include dietary, lifestyle and environmental counseling. Until then, keep your yang-deficient clients warm!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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