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We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
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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