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The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
November, 2007, Vol. 07, Issue 11
Topical Application of Essential Oils
By Shellie Enteen, RA, BA, LMBT
When working with essential oils in massage, it's helpful to understand the way they enter the body. Inhalation and the process of olfaction are well-documented and understood. However, the amount and action of essential oils absorbed in topical application is not as understood, nor can it be completely and accurately described at this time.
During inhalation, the volatile molecules of essential oils become a vapor and pass rapidly from the cilia lining in the nasal passage to the olfactory nerve, where they are transported to the olfactory bulb and into the brain.Here, they may enter the limbic region and, reaching the hypothalamus, continue on to either the ANS or the pituitary gland to stimulate hormone activity. Other molecules will pass into the cerebral cortex, stimulating memory, learning and emotional responses. Blood circulation is immediately accessed via the nasal mucosa and the alveoli in the lungs.
Dermal penetration presents a more difficult route, beginning with the fact that percutaneous absorption requires that the essential oil, in liquid form, enters the stratum corneum, the thin outer layer of the skin that is equipped to protect the body from invading organisms. Hair follicles, eccrine and apocrine glands, which account for only 1 percent of the skin's surface, provide easier access than the cells and keratin content of the stratum corneum. Thus, certain areas of the body are said to be more permeable: forehead and scalp, soles and palms, genitals, armpits and mucous membranes.
According to aromatherapist and educator, Salvatore Battaglia, if the essence is able to permeate the complex biological functions of the stratum corneum, a variety of things can occur. One potential is for the essential-oil molecule to remain in the skin itself, where it might be metabolized by cutaneous enzymes. (It is speculated that enzymes might convert some components, such as safrole, methyl-chavicol and carvacrol, into potentially harmful substances.) Another possibility is that the essence remains in the skin, forming a reservoir by binding to the stratum corneum or subcutaneous fat, where it may slowly be released into the capillaries. The best- case scenario is that all or part of the essential oil components will reach, and be completely absorbed into, the cutaneous micro-circulation.
Essential-oil components also might bind with proteins in the skin, which creates the sensitizing response of allergic contact dermatitis. Skin permeability might be increased by:
Following the idea of increasing circulation for increased permeability, it would seem that the extreme local hyperemia created by massage cupping also would enhance the absorption of whatever essences might be in the carrier oil used for "slip."
Research where the inhalation factor has been completely removed has not yet been accomplished, so these speculations about skin absorption rates have not been clinically proven. None of these studies or speculations takes into account the vibratory action of the essence when it touches the body. These effects can be experienced, if not measured.
Sylla Sheppard-Hanger writes, "Just because whole essential oils may not be absorbed into the bloodstream creating a systemic reaction, beneficial skin effects and certainly the mental effects (relaxation) are very much possible with essential oil treatments. ... Certainly the beneficial mental effects induced when using a pleasing fragrance cannot be denied."
The lack of full dermal penetration might be the very reason why Sylla concludes, "The safest and most pleasant method of delivery is the external use of essential oils (highly diluted), usually in the form of massage."
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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