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East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
May, 2003, Vol. 03, Issue 05
Ancient Trade Routes
By Keith Eric Grant, PhD, NCTMB
By the end of the first century B.C., there was a great expansion of international trade involving five contiguous powers: the Roman empire, the Parthian empire, the Kushan empire, the nomadic confederation of the Xiongnu, and the Han empire.Although travel was arduous and knowledge of geography imperfect, numerous contacts were forged as these empires expanded-spreading ideas, beliefs, and customs among heterogeneous peoples - and as valuable goods were moved over long distances through trade, exchange, gift-giving, and the payment of tribute. Transport over land was accomplished using river craft and pack animals, notably the sturdy Bactrian camel. Travel by sea depended on the prevailing winds of the Indian Ocean and the monsoons, which blow from the southwest during the summer months and from the northeast in the fall.2
Cities along the silk, spice and incense trade routes are prime material for adventure and romance novels. Even the names of the routes conjure up visions and suggestions of exotic sounds, scents and textures. So great were the influences of ancient trade cities that even today, we can almost imagine the cries within their marketplaces. Cities such as Petra and Palmyra once grew rich providing services to merchants and acting as international centers of trade. They also became cultural and artistic centers, where peoples of different ethnic and cultural backgrounds could meet and intermingle. They were the commercial and intellectual hubs with links extending to touch every corner of the known world.
Interestingly, we are only now gaining full understanding of how pervasive such links and hubs are in our lives. In his recent book on networks, physicist Albert-László Barabási provides an overview of ongoing research into the laws governing the way connections form within networks as they evolve and grow.1 Common structuring seems to exist: from the number of chemical reactions linking key molecules together within a cell; to structures within our bodies for communication, transport and support; to associations between actors who have made films together; to ancient trade routes; to the links between the ever-increasing information nodes on the Internet. It has become apparent that, on all spatial scales of organization, the linking between nodes or sections is not random. There are patterns with small local clusters of linking, with few links per individual, and certain individuals or places that act as major hubs, with many connections leaping to distant parts and places.
One of the studies Barabási discusses found that job seekers more often succeeded through their acquaintances than through their closer friends. A person's friends were in the same "small world" cluster in which everyone basically shared the same information. One's acquaintances provided links to other clusters of people in which new opportunities were available. In marketing our practices, this concept of long-range links yields the insight that we should seek to find and develop connections with those who will be our gateways to other groups. As we become known for offering services that add to individual support networks, ameliorate stress, and resolve problems of body usage and history, our personal links will multiply, and our practices will prosper.
Several conceptual keys open doors to understanding and modeling what we observe in diverse worlds of interconnectivity. First, making the interconnections needs to be a dynamic process of growth and change. Second, when a new person or item in the network is added, key hubs already possessing many links will be favored to get the new link (literally a type of "the rich get richer" favoritism). Finally, a solution or place providing a better fit to the current need will preferentially attract links, even to the detriment of well-established key hubs.
This last point, in particular, explains how new trade cities might grow, and old ones decline, with the introduction of a newly discovered route or technology. It equally explains how, as an instance of adapting to strain in accordance with Davis's law, the fascia within our bodies will adapt to a change in posture and body usage following the start of a new activity, or following an injury.3,6 Our unifying webs of fascia grow from an embryological viewpoint and modify continually from a life usage viewpoint.3,5Tom Myers, particularly with his work on "anatomy trains," seems to have captured the aspects of our fascial webs as networks of communication.4
While it is true that 'everything is connected to everything else,' some bits are more connected than others. An extension of the pioneering work of Dr. Ida Rolf and her system of Structural Integration, these 'myofascial meridians' provide a map for postural compensation, which, when grasped, provide a model for 'tensegrity' balance of the myofasciae around the skeleton. Using this scheme, unexpected linkages lead to new 'whole body' strategies for manual and movement therapists.
The interconnectivity that Myers implies adds the perspective to our work that we are never, in truth, just engaging a local area but initiating a chain of communication and compensations that will spread over a client's entire body. As our fingers ply the ancient trade routes of our physical embodiment, we bring goods of comfort and relief that reach back to our beginnings as human beings and beyond. We are linked by many webs of connection.
Everything touches everything. - Argentinean author Jorge Luis Borges
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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