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Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
October, 2004, Vol. 04, Issue 10
Menopause, Part I
By Elaine Stillerman, LMT
After spending most of my career treating pregnant and postpartum women, I decided to explore the next stage of a woman's reproductive life for this first article: a topic near and dear to many of us aging (gulp!) female baby-boomers - perimenopause and menopause.
We are not alone.Every day in the United States, about 4,000 women start menopause. Its symptoms read like a Stephen King horror novel: irregular periods (when menstruation ceases for over a year, menopause has been firmly established), hot flashes, flushes and night sweats (although some women experience cold flashes instead), heart palpitations, vaginal dryness and decreased libido, weight gain - especially in the midsection - mood swings and depression, memory lapses, bone-density loss, elevated cholesterol levels, gastrointestinal distress, insomnia and fatigue, the list goes on and on. As if menstrual cramps and labor weren't enough, we now have to suffer this final insult to our gender. (If it's any consolation, men undergo their own changes, called andropause. It is caused by a decrease in male hormones, particularly testosterone, growth hormone and DHEA. Men often experience decreased libido, lack of energy, fatigue and muscle weakness accompanied with loss of muscle tone.)
Why all the "Sturm und Drang" associated with menopause? Because it is a time of bewildering physical, hormonal, emotional and spiritual changes in a woman's mind and body.
Menopause is a normal part of the aging process, which usually occurs naturally in 25 percent of women by age 47; 50 percent by age 50; 75 percent by age 52; and 95 percent by age 55. It can also be brought on earlier as a result of chemotherapy or other medical interventions, such as hysterectomy, which accounts for 30 percent of menopausal women in the U.S. over the age of 50. As part of the aging process, it happens when the woman's eggs cells, the oocytes, are used up and menstruation ceases. As menopause nears, the ovaries stop making estrogens; these low hormone levels cause most of the discomforts associated with menopause.
Estrogen is also called the "female hormone" since it is essential to the development and maturation of the female reproductive system. It is the hormone that gives us our feminine shape and prepares our bodies for the unique expression of pregnancy. It also stimulates skeletal growth and helps maintain healthy bones. Estrogen plays an active role in protecting the heart and veins by increasing HDL (high-density lipoproteins, the "good" cholesterol) levels. Estrogen influences the brain and is thought to be important in memory and healthy functioning of nerve cells in the brain.
Estrogen is not one hormone, however. There are at least three major estrogens of which 90 percent are predominantly produced in the ovaries, although small amounts are manufactured in the adrenal glands, liver and kidneys. This explains why there are still low measurable levels of estrogen in menopausal and postmenopausal women. Fat cells can also produce small amounts of estrogen. Women who are overweight tend to have fewer hot flashes and osteoporosis.
Estradiol, produced in the ovaries, is the leading estrogen found in a woman's body during her reproductive years. It helps relieve menopausal symptoms, protects against osteoporosis, heart disease and possibly Alzheimer's disease. Estradiol has been shown to enhance mental alertness and memory. It also increases serotonin and endorphin levels, so it is easy to understand how a decrease in this estrogen results in insomnia and mood swings.
Estriol, manufactured in large quantities during pregnancy, promotes urogenital health and has been shown to provide protection against the production of some cancer cells. (A study by Dr. H.M. Lemmon, reported in a 1966 issue of the Journal of the American Medical Association, found that higher levels of estriol correlated with the remission of breast cancer; in addition, women without breast cancer excreted less estriol in their urine than women with breast cancer. Dr. Lemmon also noted that women without breast cancer have naturally higher levels of estriol, compared with estrone and estradiol. Vegetarians and Asian women also produce higher levels of estriol and have a lower risk of developing breast cancer. Estriol has the most benefit to the vagina, cervix and vulva.
Estrone, the weakest of the three estrogens, is more prevalent in postmenopausal women, thus providing a modicum of estrogen's benefits. The body manufactures it from hormones stored in fat cells and it is comparable to estriol's function in the body but is not nearly as effective.
Editor's note: Part II of this article will appear in the December 2004 issue.
Click here for previous articles by Elaine Stillerman, LMT.
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