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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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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?
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.
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.
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?'
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.
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).
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.
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.
Code Connection: 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.
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.
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.
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.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
November, 2009, Vol. 9, Issue 11
Essential Oils for Pain Relief, Part 2
By Shellie Enteen, RA, BA, LMBT
Part one of this article discussed using analgesic and anti-inflammatory essential oils to relieve pain. Essential oils that treat the nervous system and bring down swelling may be only part of the picture when dealing with pain relief.Joint pain and muscle injury or chronic stiffness may also require bringing more circulation into the area and removing toxins. Essential oils that are considered detoxifiers and rubefacients and are known for their anti-rheumatic effects can boost even the best massage technique and help provide lasting relief. Part two explores the use of anti-rheumatic, detoxifying and rubefacient essences.
Anti-rheumatic properties provide relief for joint pain in conditions such as osteo- and rheumatoid arthritis and gout. They may be chosen for their anti-inflammatory action, as in the case of German and Roman chamomile, but detoxifiers and rubefacients, which increase circulation in the muscle tissue and skin, are frequently required. Detoxification is an important factor in conditions of chronic inflammation to help restore the immune system and help the body heal. Some essences known for their ability to detoxify are carrot seed (Daucus carota), sweet fennel (Foeniculum vulgare), juniper berry (Juniperus communis) and lemon (Citrus limon). Other essences that could be included are grapefruit (Citrus paradisi) and rosemary (Rosmarinus officinalis).
Carrot seed works with the liver and kidneys to help process and release toxins. It is said to purify the blood and help restore liver cells. Most commonly used for skin conditions where inflammation or ulceration is present, soothing carrot seed can also be added to blends to generally support the liver function and as a diuretic aid.
Sweet fennel has a long history as a digestive aid, but it is also a diuretic that assists in elimination of excess water and a lymphatic decongestant that relieves blockages and helps the body release toxins. Traditional aromatherapy cautions against the use of sweet fennel for people with epilepsy and during pregnancy. This may be due to the levels of the ketone, fenchone, and the estrogen-like action of trans-anthole. Some aromatherapists, such as Battaglia and Tisserand, feel that this would be true for ingestion, rather than a drop or two in a treatment blend.
Juniper berry is aromatherapy's most famous and commonly used detoxification essence. A powerful diuretic and decongestant for lymph, juniper is known to bring down uric acid levels, making it especially helpful for joint pain. The diuretic action includes some irritation of the renal epithelium and so it is best not to use juniper on a continuous basis or in cases where there is kidney infection or inflammation. It is also generally contraindicated during pregnancy.
Lemon is a mild diuretic essence which is considered cooling and recommended to clear heat, dampness and phlegm. As such, it is considered a helpful detoxifying oil. Expressed lemon oil is not used before prolonged exposure to sun due to phototoxic properties. Steam-distilled lemon oil does not have this contraindication.
Grapefruit is a lymphatic stimulant that is cleansing and decongesting for the liver, and rosemary, particularly Rosemary ct. verbenone, is a tonic to both the liver and gallbladder. A classic detoxifying blend (diluted into one ounce of carrier oil) for arthritis:
Juniper and rosemary also have rubefacient properties that increase circulation and bring a feeling of warmth to relieve stiffness. Other rubefacient oils are black pepper (Piper nigrum), ginger (Zingiber officinale), pine (Pinus sylvestris) and thyme (Thymus vulgaris ct. linalool). The rubefacient oils might not be used during the acute inflammatory onset of joint pain but are very helpful during chronic stages.
Black pepper warms as it increases circulation and also stimulates the spleen to produce new blood cells. It is recommended for muscle and joint stiffness. Ginger is a circulatory stimulant that is a tonic to the heart and recommended especially for poor circulation in hands and feet. Pine's stimulating effect on circulation has made it a familiar ingredient in liniments for joint pain and for muscle ache due to overexertion. It also has diuretic properties. Pine oil, if oxidized, can cause skin irritation so older pine essential oil must be used in high dilution. Thyme is a very warming oil that is said to remove blockages in joints and restore mobility to both joint and muscle tissues. It is particularly indicated for sports injuries. Thyme oil is also an immune-stimulant, as it increases production of white blood corpuscles. This helps strengthen the immune system where there has been repeated infection. A warming blend (diluted into one ounce of carrier oil) that promotes detoxification and pain relief:
Generally speaking, the subtle aromatherapy qualities of the warming, rubefacient oils bring courage and stamina which can be very much needed when dealing with both acute and chronic pain. The anti-inflammatory, analgesic essences relieve tension, anxiety and a feeling of anger about circumstances. The detoxifying oils clear the mind, remove a sense of burden, with juniper particularly helpful for clearing excess emotions and the citrus oils for creating optimism. Taking the client's mental and emotional state into consideration always helps indicate the right oils for a massage blend.
Editor's note: For more information on essential oils and treatment blends, log onto www.massagetoday.com and click on "Aromatherapy Central."
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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