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Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
June, 2003, Vol. 03, Issue 06
The "Secret" of Chinese Pulse Assessment
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
The little-known fact about Chinese pulse assessment is this: It's really easy. When I hear teachers go on and on about the need to take 500 pulses before it means anything, I roll my eyes.Yes, memorizing all 28 pulse qualities takes time; connecting the information to what you feel takes a little longer; and perfecting a more complex system, such as the one described by Dr. Shen in Leon Hammer's comprehensive and eloquent pulse diagnosis tome (800 plus pages), will take quite a bit of discipline, but immediately obtaining usable information you can trust takes only a few hours. These articles will give you an idea of how to complete a qualitative pulse assessment, judging whether qi is weak or strong in each of the 12 main positions. It takes longer to distinguish between the 28 pulse qualities, but when you get confident in assessing the relative strength or weakness in each position, you can start to describe the different qualities of the pulse waves.
Examination Approaches: East vs. West
Although the pulse can give you important information in developing a treatment plan, you must consider it in relation to other signs and symptoms. Actually, looking at the pulse in isolation is contrary to the spirit of Chinese medicine; rather, it must be viewed as an integral piece of a whole complex of symptoms. The Chinese medicine view is broader in scope than the subjective or objective data collected in Western medicine approaches, in which the signs and symptoms are considered directly related to the client's chief concern.
For example, a client presents with lower-back pain. A Western-based practitioner conducts a detailed intake in which he or she asks about the quality of the pain; what relieves and aggravates the pain; the severity of the pain; when the pain started; and how posture, lifestyle and attitude come into play. The practitioner may look at X-rays, MRIs, ROM and other physical exams. Most of this information is thought of as directly relating to the lower-back pain, which yields an assessment and treatment plan.
Suppose the same person with lower-back pain comes to see a practitioner of East-Asian medicine. Many of the results from the same type of examination are considered, but information that appears unrelated can be just as - if not more - important. For example, a weak pulse in the third position can be a tip-off to the presence of lower-back pain even before the client says anything. A slow and deep pulse points to its root cause as a Kidney Yang Deficiency (see corresponding article www.massagetoday.com/archives/2003/03/12.html), but there would have to be other symptoms present to confirm that assessment, such as getting up at night to urinate; cold feet; lack of motivation or will; impotence; and/or a swollen tongue with white coating. At this point, a clear, cohesive picture of the energetic balance of the client develops, including emotions and physical manifestations, so the practitioner can select treatment principles and a plan to obtain optimal results.
Back to pulses. If you are an Asian bodywork therapist (ABT), you gather the above information using the Four Pillars of Assessment, sometimes called the Four Examinations, which are pulses belonging to the "touching" category. Other examinations include looking, hearing, smelling and asking. There are so many strategies under each of these categories that you could spend all day doing an initial intake. I prefer to gather a little bit of information at a time because I find that people don't reveal everything right away anyhow, no matter how thorough the examination. I gather enough information to begin treatment; as clients open up in subsequent visits and I see how they have responded to their last sessions, I can adjust my approach (called "assessment by treatment").
The pulses are examples of how the microcosm reflects the macrocosm. Basically, any part of the body gives you a picture of the entire body. Microsystems developed for the ears, eyes, hands, feet, face and tongue have proved accurate and useful. I'm sure you could come up with a microsystem for elbow assessment and treatment if you were so inclined!
In my next article, I will give you the method for taking the pulse and a map with which to start. For "hands on" pulse instruction, visit www.aobta.org/schools.htm for a list of schools that offer in-depth programs in Asian bodywork therapy.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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