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The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
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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