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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.
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.
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.
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.
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.
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?"
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.
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.
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."
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.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
October, 2004, Vol. 04, Issue 10
The Significance Detector
By John Upledger, DO, OMM
CranioSacral Therapy (CST) relies on the therapist's ability to palpate subtle body sensations, particularly the rhythm of cerebrospinal fluid (CSF) as it pulses through the craniosacral system at about six to 12 cycles per minute.That rhythm is a key indicator practitioners use to locate and release restrictions in the membranes that surround the brain and spinal cord.
Another important way therapists use this rhythm is to gauge the significance of different types of internal physiological events. When a client's body is involved in a significant process, it has long been observed that the craniosacral rhythm will come to a sudden stop. We call this abrupt halt of the craniosacral rhythm the, "significance detector."
Unlike a "still point," in which the CSF seems to gently and naturally come to a rest, with the significance detector it feels as if the fluid has run into a solid obstruction. This sensation generally indicates that the client's body is going through some type of significant underlying event. It could be one of self-correction, practitioner-assisted correction, self-discovery or even practitioner- assisted discovery.
Whatever the case may be, as a CST practitioner, you can use the significance detector to determine when a client's physiological reactions are crucial to the therapeutic process and not merely resistance or a superficial distraction arising from the client's defense mechanism.
I take the significance detector to mean that something good is happening in the client's body, and whatever it is has either just arrived in the patient's conscious awareness or is just outside the boundary and about to enter. The instant I feel the craniosacral rhythm stop, I might ask the client, "What is in your mind right now?" I tell the individual not to worry about how silly it may seem, but ask them to tell me what was in their mind the instant I asked the question.
The client usually has some difficulty answering. It may feel like the thought was more like a dream, gone from awareness in a fraction of a second. It's a little like playing musical chairs. The music stops, and you awkwardly scramble for a chair. With practice, however, you get better. Soon, when the music stops, you know precisely where you are in relation to the chair. The same is true with clients and the significance detector. Initially, the client may not be able to tell you what is going on at the precise instant you ask, but with practice he or she can improve.
Often, when the craniosacral rhythm comes to an abrupt stop, it signifies that the client is in the same body position in which a physical trauma originally occurred. Again, it is common at this point for the client to begin receiving internal memories, visualizations, and even sounds.
When these therapeutic images occur, we offer them the chance to transmit their meanings by gently initiating dialogue with them. We do not use a demanding, questioning form of dialogue, but rather a friendly, conversational approach that allows the client's inner wisdom to lead the way. The stops and starts in craniosacral rhythmical activity then allow the practitioner to explore yes-and-no health-related questions in an effort to get to the root of the physiological problem.
Over the decades that I have used this system of exploration and verification, it has proven to be extremely reliable. It is also used and trusted by most practitioners of CST at the intermediate level and above. Clearly, the significance detector enables each client who receives CST to be a teacher to the therapist. Thus, the therapist experiences new adventures every day.
Click here for previous articles by John Upledger, DO, OMM.
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