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Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
November, 2010, Vol. 10, Issue 11
Essential Oil Quality and Education
By Shellie Enteen, RA, BA, LMBT
It is important to understand that since there is no regulation on essential oil production and sale in the U.S. and in many other countries, the buyer must find ways to assure to the best of their ability that the essences purchased are of good quality.And because this is important, there are also many claims made by certain companies that suggest exclusivity on quality which include misleading information about regulation. We'll examine some of those claims and discuss the best way to resource quality essential oils.
Claims and Misleading Information
The first "red flag" claim currently in use is the phrase "Therapeutic Grade". This idea is going to appeal very strongly to those in healing professions like massage. And, of course, it is best to work with essences that are of a high quality to get the effects desired. However, there is no grade system in the aromatherapy industry. An essential oil is either a pure product extracted from a plant in a traditional way ... or not. As leading aromatherapy experts point out, why would anyone want to purchase something that wasn't of high quality? Would there be a market for essential oils labeled grade B, C or D if that product actually existed?
It is true that essences grown in certain countries are considered more desirable. For example, lavender (Lavandula angustifolia) can be grown in many places but the oils from France, Bulgaria and England are preferred and lavender grown in high altitudes gives its enhanced chemistry created by growing conditions and lower temperatures used in distillation a "preferred" nod. Also, unlike most essential oils, ylang-ylang (Cananga odorata) can be purchased in four different qualities due to the distillation process itself, which pulls the oil at different stages. The first pull is called "extra" and has the most potent and pleasurable fragrance. Next is ylang-ylang I, which is slightly less expensive than the first pull but is still desirable for fragrance and properties. The two other distillation pulls, II and III, have had more heat exposure, are much less expensive, have a less impressive aroma and are used mainly to fragrance laundry powder and other cosmetic and cleaning products.
However, these two examples do not suggest there is a Therapeutic Grade in the aromatherapy industry. All of the lavenders and ylang-ylangs are either pure essential oil or they are not. The term "Therapeutic Grade" is a marketing term and nothing more. One company has advertising that includes the phrase "Certified Therapeutic Grade" but investigation reveals that is a trademarked logo. The Federal Trademark agency is not interested in the truth of the statement. One possibility that exists if the price of an essential oil is a lot higher than the average for the same product and there are exclusive and "Therapeutic Grade" claims for the essences, is that the claims are an attempt to justify the higher cost.
Another group of claims to watch out for is that the oils meet standards set by ISO (International Organization for Standardization) or AFNOR (Association francaise de normalisation) or the idea that the essence contains the sanction of being designated GRAS ("Generally Recognized As Safe") by the FDA. The details to clarify this would require more space than the Aromatic Message column can contain, but I will be happy to send that information to anyone who wishes to contact me.
The use of the gas chromatography mass spectrographic analysis (GC/MS) and the component profile it provides is employed by many companies to test for purity. It is reassuring to know that a supplier is taking the time and spending the money to have this testing done. However, it is helpful when the provider has the test done by an outside company and is willing to provide the result sheets for each essential oil. Still, because this is a test that depends on the skill, experience and knowledge of the individual who does the analysis, we should not rely on this to exclusion of the personal olfactory experience and knowledge of the intent and reputation of the company.
Guidelines for Good Quality
So then, how can one pick a company to resource essential oils? The following are some suggested guidelines to find a company providing good quality:
Despite the issues around finding good quality essential oils, I am happy to say that the industry contains many good companies sourcing their product from reputable growers and distillers. Some are even concerned with sustainability, some with sourcing organic oils. It may take some time, certainly helped along by having a quality education with a registered aromatherapist who is not motivated by selling their own oils, to find the company that will work best for personal and practice needs. It is time well spent.
Along with taking a course with a qualified and objective professional aromatherapist, becoming a member of an organization such as NAHA (www.naha.org) gives access to e-journals, e-newsletters, tele-seminars with a large number of reputable authorities in the field. Advertisers, authors and speakers are in alignment with quality standards. This access broadens both perspectives and resources and helps create the confidence needed to use this wonderful art and science in a safe and effective way.
Editor's note: Shellie is currently creating a Professional Aromatherapy online training that will qualify the student for Professional Membership in NAHA and to meet the requirements of the Aromatherapy Registration Council and their exam leading to the title, Registered Aromatherapist. Please contact Shellie for details.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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