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Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
April, 2011, Vol. 11, Issue 04
Methods: Inhalation and Topical Application of Essential Oils
By Shellie Enteen, RA, BA, LMBT
It's my hope that the information and guidelines presented in this and following articles on the basics of aromatherapy, culled from more than 20 years of experience, will help propel Massage Today readers in the right direction on a journey through the wonderful, welcoming and profitable world of essential oils.
When working with essential oils in massage, it is helpful to understand the way they enter the body. There are two basic pathways that we utilize in a massage practice: inhalation and topical application.
Inhalation and the process of olfaction are well documented and understood. During inhalation, the volatile molecules of essential oils become a vapor which contacts the sensory nerves in the nasal passage. Now, the vapor is converted to an electrical charge that is carried via the olfactory nerve to the olfactory bulb and into the brain. (At this point, there are several theories of how the charge is recognized.) However, it is then conveyed to the limbic region and reaches the hypothalamus, where it will 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 during inhalation via the nasal mucosa and the alveoli in the lungs.
Inhalation of essential oils is achieved through diffusion via machine or air sprays in the office or treatment room. It is also the most direct pathway of the aromatic blend or essence used during the massage. The therapist and other clients or office staff will also receive essences diffused into common areas via inhalation. Because of this, it's good to note that regarding true essential oils (versus synthetic fragrance), once the brain recognizes and transmits the information of the essential oil molecule, the sense of smell is satisfied and the fragrance may stop being detected -- unless we leave the room and re-enter, causing this to become "new information" for the olfactory nerve to deliver. However, the molecules remain active and in the air for hours.
Unless an air purifier is used between clients, the treatment room can become a muddled mixture of blends. This will tamper with the purity of the specific aromatic treatment. For example, if the goal is to relax a client, but stimulating essences are still in the room, the relaxing effect will be lessened ... and vice versa. The buildup can also become overpowering for the therapist. For these reasons, using an air purifier to clear the aromatic molecules in the room while the sheets are being changed is a very good idea. And because the constant diffusion of essential oils will also build up in the waiting room, a time release diffuser is preferable. It is best to use essences that are neither too sedative or stimulating, such as those from citrus and wood, for common areas. For greatest purity of experience, use no fragrance at all in the rest of the office or in the treatment room.
Unlike inhalation, the amount and action of essential oils absorbed in topical application is not as well understood, nor can it be completely and accurately described at this time.
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 may be metabolized by cutaneous enzymes. (It is speculated that enzymes may 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 be slowly 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 may also bind with proteins in the skin, which creates the sensitizing response of allergic contact dermatitis. Skin permeability may be increased by:
Research about skin absorption rates have not resulted in a clinically proven pathway to date. In addition, 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, even if not successfully measured.
Regarding the topical method, Sylla Sheppard-Hanger writes, "Just because whole essential oils may not be absorbed into the bloodstream creating a systemic reaction, beneficial skin affects 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 combination of inhalation, vibration and potential dermal penetration, coupled with the caring touch of the therapist could well be the reason 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 more information about Shellie Enteen, RA, BA, LMBT.
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