Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
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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