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How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
January, 2004, Vol. 04, Issue 01
Introduction to the Sinew Meridians
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Many of you may not have had much training in the topography, physiology, psychology and treatment of what are commonly called the "secondary meridians," a term that refers to the sinew meridians, which I will discuss in this series of articles, as well as the Divergent meridians, the Luo vessels and the Extraordinary vessels.We usually do not find much in our texts or training on this subject. Even the name implies they are not as important as the 12 "primary" meridians of which we are more familiar. Indeed, all of the meridians in Chinese medicine are important and worth learning and utilizing. Hopefully, these articles will broaden your awareness of these meridians, and you can start integrating them into your practice.
The body and its meridians in general can be compared to a musical instrument like a guitar or piano. Where we place our fingers on the frets or keys - like pressing the acupoints - will adjust the song or melody, heard as the client's life music. But if the instrument is out of tune, we can't produce any lasting harmony. The client needs to be brought to a place where he or she can change the "tuning" and mind set that created the disharmony. We can work on or "play" the meridians and points that we believe will allow our clients to heal. But the same vibrations or consciousness that produced the disease will not heal it; we have to alter the client's perspective. A client must be willing to change his or her way of thinking to encourage healing.
Metaphorically and, even, literally, this can be thought of as the Chinese medicine concept of Wind. Wind brings change and can be thought of as the ability to change. Since Wind is called the "root of a hundred diseases," we can think of the inability to change as the cause of illness. Fundamental to Chinese medicine is the idea that everything changes, and the lack of a willingness to change causes disease.
All of the above meridians and vessels work together as an energetic network. They can be thought of as roadmaps of not only the terrain of the body, but of our lives. The body can be divided into three levels: the external-wei-defensive qi level, the internal-ying-nutritive qi level and the constitutional-jing essence level. In one sense they are literal, as seen in our charts and texts. They can also be used philosophically or metaphorically as pathways connecting to different aspects of ourselves. The external level of our body is where our wei-defensive qi circulates. Strengthening our exterior prevents us from getting ill, according to one paradigm. At this level resides concern for our physical appearance as well as what is going on in the politics of the world. The wei qi level is our extension into the world and our judgments about how the world should be. This is a somewhat defensive state - "me against the world" - but it is our attitudes that create our relationship to the world that lead to imbalances in that level. The sinew meridians' terrain is on this level, specifically conducting wei qi.
The internal level concerns our emotions and mind that nurture us physically, as well as emotionally. Our digestive system relates to this level. It's where we digest information as well as nourishment for the body. This is the blood level, where consciousness is anchored. We make conscious choices concerning our lifestyle, including diet and the emotions we choose to feel. The Luo vessels are specific to this level; conducting blood and developing additional networks, as needed.
The Primary meridians circulate both qi and blood, which go to both the external and internal levels. Though useful, they are not specific to an area where a person may be working in their life. It could be more helpful to directly target the place where they are primarily functioning.
The Extraordinary vessels relate to our congenital factors, our constitutional level. They represent what we are born with and form our physical blueprint and purpose in life - our curriculum. The Extraordinary vessels were considered beyond our reach until as recently as the Ming Dynasty when the opening/master points were developed. Interestingly, the same debates occurred then (as they do now) with the morality of genetic engineering. Working on the constitutional level with the Extraordinary vessels was considered altering our genetic code, and the ethics of that was questioned.
The Divergent meridians go from the exterior, right to the source - the constitutional level. They divert potentially dangerous pathogens away from the internal organs to the joints and bones. Damaging experiences that we may not process well, such as sexual abuse, can be diverted by these meridians away from our heart or other organs that can be damaged. Then the pathology goes to our joints, lodging there, sometimes manifesting as arthritis or other types of pain.
I suggest becoming more familiar with these meridians from the "inside, out" through self-cultivation. Traditionally, this would mean Dao Yin, now called Qigong, or the more internal martial arts, such as Taiqi. Meditation and yoga can also bring a conscious awareness to the meridians and their flow. It's one thing to see the meridians in charts, finding and palpating them; it's a whole other experience to become acquainted with them through inner knowledge - some would say this is crucial. It is through self-cultivation and reflection that we become aware of our own path in life; which meridians we are emphasizing; and where our own curriculum is leading us.
Carl Jung said, "Our vision will become clear only when we can look into our own hearts. He who looks outside, dreams. He who looks inside, wakes."
By exploring the depths of our lives we can extend the invitation to our clients. And how much more exciting, energizing and revitalizing can that be? The ultimate satisfaction is to be working with people on that level, with the unfolding and discovery of their lives.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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