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Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
March, 2003, Vol. 03, Issue 03
Yin and Yang Deficiency, Part VI
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
This is the last of the series of articles on yin and yang deficiency, By now, you should have a pretty good idea of the primary organs involved and how to differentiate between the two conditions.
Always remember: Before looking at details, go back to the larger picture.Yin is cool, dark, relaxed, quiet, reflective and receptive; yang is warm, light, restless, exciting, outgoing and relatively more aggressive. When comparing the two, yin has a more substantive nature, whereas yang is more energetic. Yin and yang are relative terms; neither exists in isolation. They are in constant dynamic balance.
So, if you keep that in mind, all you are doing when treating yin or yang deficiency is readjusting the relative balance of yin and yang in the body, which is more important than quantity. Depending on the time of day or the season, we all feel different yin or yang qualities, but sometimes we get noticeably out of whack. In the case of a yin deficiency, the opposite back to the body, and determining how yang became so depleted in the first place.
Characteristics of yin are present, i.e., a relative excess of yang. In the case of yang deficiency, look for symptoms you might consider yin, but are actually representative of a relative lack of yang. A person might feel cold day and night, summer and winter, not because of an excess of cool/yin, but because, for some reason, his or her yang has been depleted or damaged. In this case, the treatment plan would have to include adding yang.
Let's start by discussing how to treat yang deficiency with Asian bodywork therapy (ABT); Later on, we'll address lifestyle, diet and environmental changes. I find ABT is often better than acupuncture in the case of deficiencies, because it can be extremely nourishing, tonifying and relaxing. Often, needles can be depleting if overstimulated and left in too long.
General Yang Deficiency Treatment
Anytime there is a yang deficiency, the primary treatment principle involves using moxa or a TDP lamp to tonify and warm yang. Make sure you are correct in your assessment, because you don't want to do this if the person has any excess heat! I don't use heating pads, hot water bottles or hot rocks, because they have no herbal penetrating energetic quality.
A TDP lamp is a strange, expensive device I call a "Chinese magic lamp." I don't think the lamp actually has supernatural powers, and I really don't know why it works - but it does. And every Chinese acupuncturist that I respect uses one. It's a heating lamp made with mineral plates that have the same penetrating action as moxa. It actually adds something into the body energetically that other therapies don't. You can get TDP lamps at any acupuncture supply store, but shop around, because they can be pricy.
To use a TDP lamp, heat it up first, then place it over the point you want tonified. For any yang deficiency, I would place it over Du 4 and Ren 6 for at least 15 minutes each. Make sure not to put it too close for too long, or you will burn the patient. If he or she gets a headache afterward, or if sensory feedback is compromised in any way, stop using it. Common sense rules.
The same goes with moxa. I would caution you not to use any kind of moxa unless you have been properly trained. You can cause serious burns or misgauge treatment, which is not only bad for business, it's not great for your karma or your client's health, either.
A moxa box is easiest, but it's also the smokiest, which can be a problem if you are sensitive to smoke or share your office, particularly since it smells a bit like marijuana. People give me side glances after using it, and I have had police come to my door inquiring about the strange smell. It is a box with no bottom but a screen in the center. You fill it with crude moxa, light it, and set it over an area such as the abdomen or lower back.
A moxa pole is also fairly easy to use. You gently circle over the point, visualizing spiraling the energy into the person's body. Don't overheat it; we are talking tonification here, so, as you know from my previous articles, be gentle, gentle, gentle, like you are petting a cat. Encourage the qi to come to the area.
I am not crazy about big, fat cone moxa that you knock off when it is too hot. It's fine if you like that technique and are good at it, but try to remove the cone before the patient starts screaming.
Since I was trained in Japan, I prefer another way of using direct moxa. I use an ointment called shiunko: a sesame- to rice-grain-sized, super-refined gold moxa cone, lit with incense and burned down to the ointment. It is somewhat labor-intensive, particularly compared to a TDP lamp, but it is quite effective once you know what you are doing.
You can use any of these techniques to warm Ren 6 and Du 4. Using either the pole or direct moxa, warm all of the Du points from Du 2 to Du 14, going up the spine, repeating a few times (general back treatment protocol). This is a powerful technique for tonifying yang; people will jump off the table warm and full of energy. As the Sea of Yang, the Du meridian is the best place to start to access the yang of the body. Warming Du 4, Ren 6 and Du 14 are general ways to tonify and warm yang. Utilize them in any session in which you are using that treatment principle, adding the specific treatment protocols below.
Kidney Yang Deficiency
Start the session with the back protocol above. Po Sum On is an herbal ointment you can rub on the client's lower back and sacrum before hand so the warm feeling lasts longer. Moxa Ki 3, Ki 7 and Bl 52, while the patient is face-down, gently and repeatedly warming each point. Next, hold the lower back area at the level of Bl 23 and Bl 52 with your fingers and heel of your hand, in a "bye-bye" squeeze. As you are holding, gently thumb press up each Kidney meridian on the legs, concentrating on Ki 3 and Ki 7. I suppose you could do this on the table, but the way I do it is on the floor, sitting between the client's knees, supporting their leg up on my knee, working one leg at a time. Obviously, this is not a position you would use unless the client is fully clothed! When the person is supine, moxa Ren 6. At the end of the session, reach under and cup both Bl 23s as you hold both Ki 27s with thumb and forefinger for a few minutes (mu-shu combo).
Spleen Yang Deficiency
Start the session with the general back treatment protocol. Use bilateral thumb pressure on Bl 20, 21 and 22, gently sinking in and holding each point. When your client is face-up, you can use a moxa box or TDP lamp on Ren 6 while you moxa Sp 3, Sp 6, Sp 9 and St 36. If you are using pole or direct moxa, continue up to Ren 9, Ren 12 and St 28, then gently thumb press up the Spleen meridian, one leg at a time, focusing and lingering at Sp 3, Sp 6, Sp 9, using your mother hand on Ren 6. Hold St 36 with firm thumb pressure as you hold Ren 9, Ren 12 and then St 28 bilaterally. Do the same with the other side. End the treatment by cupping your fingers and the heel of your hand under the patient's back, holding Bl 20 and 21 with one hand and Ren 12 with the top hand. Hold for a few minutes. Keeping your bottom hand in place, holding each Lv 13. Again, by doing this, you are holding the Spleen and Stomach shu and mu points simultaneously.
Heart Yang Deficiency
With the client prone, moxa up the Du meridian, as noted in the general back protocol. Go back and moxa both Bl 14s and 15s. Repeat moxa on Du 14, as it is particularly indicated for Heart Yang Deficiency. With the client's palms up, moxa Ht 5 and Pc 6 on each side. Hold Ht 5 with your thumb as the "mother thumb," press up the Heart meridian, ending at Bl 15s, holding Ht 5 with Bl 15s for a few minutes. Go back and hold Pc 6 with your mother thumb, then gently press up the Pericardium meridian as far as you can go, ending as Bl 14s and holding this combination for a few minutes. Repeat these two meridians on the other side. When the person is supine, moxa Ren 6 and Ren 17. Palm press the yin aspect of the arms while holding Ren 17.
It's always a good idea to suggest ways clients can support their health between sessions. For example, if they repeatedly expose themselves to cold weather, yang deficiency may persist. Make sure you tell your clients to bundle warmly, particularly around the waist. In Japan, they wear haramakis, which means "belly wrap-ups," to protect against cold.
The exercise you might recommend for yang deficiency would be any self-cultivation techniques, such as qigong or taiqi. Either one is gently tonifying and warming. If the client has lower back pain caused by yang deficiency, recommend exercises, in addition to stretching, to strengthen the back. If the client participates in more vigorous exercises, such as aerobics or running, and feel tired afterwards, suggest that he or she think about cutting down, stopping or switching to a more gentle form of exercise. Yoga is great if done properly. Again, if the client feels awful afterward, he or she is probably overdoing it. It's not about how great you feel while in class, or how far you can stretch; it's about how good it can help you feel in your everyday life.
Besides exercise, challenges and accomplishments tonify yang. This is one reason many people who retire start to become yang-deficient soonafter. They need to find something else that gives themselves purpose and adds meaning to their lives. Having goals, outside stimulation and activity nourishes yang.
Having sex too often also can deplete yang, especially that of the Kidney; however, Felice Dunas notes that being sexually rejected repeatedly over a period of time will also deplete yang. Continuous rejection can decrease sexual desire to the point of impotency or frigidity, which are symptoms of yang deficiency. When I see a client with a pronounced yang deficiency, I ask if he or she (or the partner) is depressed, and if so, if it has affected their sex life. If either is the case, I highly recommend they seek counseling.
Feng Shui is sometimes referred to as "acupressure for the home." Hope Karan Gerecht, author of Healing Design, says:
Diet is a factor in yang deficiency. Repeatedly eating cold foods inhibits our body's warming function, eventually depleting yang. This includes ice cream and other frozen foods, iced drinks and an excess of raw foods and fruit. Antibiotics are also considered cold and can be damaging if taken over a long period of time.
According to Daverick Leggett, author of Helping Ourselves: A Guide to Chinese Food Energetics, cooking food longer will increase its warming function and will encourage the heat to penetrate deeper into the body. Don't make the mistake of thinking "the hotter, the better," however. Food that is too spicy will cause us to sweat and we will begin to cool off, illustrating how yin and yang transform into their opposite in extreme situations.
Yang tonics tend to be sweet, pungent and warming. Choose foods such as: basil; garlic; lamb; sage; cinnamon; dried ginger; lobster; raspberry; thyme; chestnut; clove; kidney; nutmeg; rosemary; shrimp; and walnut.
Finally, encourage your clients not to rely heavily on stimulants to create the fiery yang vitality in their lives. Eventually, their body's ability to generate yang will be depleted. It's hard to keep going and keep pace with the demands of life. Bringing balance into our lives with self-awareness and self-care allows us to rise to life's challenges when needed ... and take a well-deserved rest afterward!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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