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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.
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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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?
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
August, 2003, Vol. 03, Issue 08
The "Secret" of Chinese Pulse Assessment, Part II
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Editor's note: This series of articles is based on information from Barbra Esher's forthcoming textbook, Shiatsu and Chinese Medicine.
Last time, I gave an introduction to taking the pulses using the information gathered within the context of Chinese assessment principles.In this article, you will find the method for taking the pulse and the correlations to the whole body.
Method for Taking the Pulse
If you want accurate readings, it is essential to decrease your variables as much as possible. I can't emphasize this enough! There are so many things that will affect your readings. Being consistent each time you take a pulse will enable you to better evaluate the information.
The best time to take the pulse is at the crack of dawn, which is considered a neutral time between yin and yang when you can get the most accurate reading. I don't know about you, but I am not ready to restructure my practice so that my clients line up at 6 a.m. to have their pulses taken! Instead, I give my clients a few minutes to settle down from the yang of rushing to get to their appointment (between the yang of the outside world and the relative yin of my office) and take their pulses at that time. Most of my questions are guided by what I feel in their pulses.
To start, make sure you are grounded: both feet on the floor if you are sitting, shoulders relaxed and your breath regular and natural. Traditionally, the pulse is compared to that of the healthy practitioner. You could always use a clock if you aren't in optimal shape! Likewise, the client needs to be relaxed: shoulders dropped, with nothing even slightly occluding the arteries. The hands need to be below their hearts, resting naturally on a pillow or their bodies. The client can be sitting or lying down, but be consistent with whatever way you do it.
Use your first three fingers to rest on the radial artery at the styloid process, with your right hand on the left wrist and your left hand on the right wrist. The first position is sometimes referred to as cun, or inch, and is on the wrist crease, just distal to the styloid process. The second position is called guan, or bar, and is right over the process; the third position, chi, or cubit, is just proximal to it. The pressure is fairly light at the superficial level, slightly deeper at the middle level, and just before the bone for the deepest level.
Pulse Position Correlations
It is common for the superficial and deep positions to be each associated with a meridian; there are three superficial and deep pulse positions on each hand, making a total of twelve pulse positions. Interestingly, the positions were described in the Nan Jing (Classic of Difficulties, written around the 2nd century CE) using six meridian terminology, such as Hand Taiyang and Hand Shaoyin for Small Intestine and Heart. This specifically relates to the meridians more than the organs - a distinction not normally made in English. That's why ABTs often use this pulse map, compared to later ones commonly used by herbalists.
The Nan Jing used and developed the Five Element theory more than other Chinese medicine texts, and you may notice those correlations within the positions. The elements associated with the positions on the left hand control or act on the positions on the right. Fire (SI/H) controls Metal (LI/Lu); Wood (GB/Li) controls Earth (St/Sp); and Water (Bl/Ki) controls Fire (TH/Pc). Thus, it is thought that the pulses on the left hand are stronger than the right, though often with people that are Blood-deficient, this is not the case.
Start taking the pulses using this map and write down how strong or weak the pulses are in each position. Group the pulses into the upper part of the body for the first position; the middle part of the body for the second position; and the lower part of the body for the third position. You will notice that the part of the body in which your client feels the most discomfort is the pulse that stands out as the most weak or strong, in relationship to the other pulses. You will refine this technique the more you practice!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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