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Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
July, 2013, Vol. 13, Issue 07
Freeing the Heart: The Importance of the Vagus Nerves/Cranial Nerve X
By Dale G. Alexander, LMT, MA, PhD
In my clinical work involving clients who typically present with chronic somatic problems, it is truly a joy when markers emerge that reflect, "the means by which" their healing experiences occurred.Since beginning to write this series of articles on "Freeing the Heart," more and more of my clients are regaining their quality of life more quickly.
Additionally, for those clients who have progressions of degenerating physiological function, their bodies are expressing their symptoms in more classic medical ways allowing for clearer and more appropriate diagnosis and treatment. And, for those whose bodies have held sub-clinical infections, many for multiple decades, they are responding so fast that I am in true amazement.
My latest premise about human aging is that the vagus nerves, for many possible reasons, cedes the functioning of the digestive system to the enteric nervous system which is probably overseen by the celiac plexus. The ceding of this responsibility is proposed to be the result of the need for the organism as a whole to concentrate its efforts toward running of the heart/lung complex and its contributions to our ability to speak.
The progression of cardiovascular disease is an exceedingly subtle one until, it isn't. Let's be clear, our bodies are not that different from how we organize our lives. We prioritize and distribute our energies as the obvious needs present themselves, disregarding what we can and delegating to others what we must.
Consider this analogy: Life gets hectic in the family, more money is needed to make ends meet and one or both parents take on a second job to financially keep up with the expanding needs, wants and desires of their children. As a result, one or more of the children is assigned the cooking responsibilities or even does the shopping, planning, clean-up and taking out the trash to accommodate this loss of parental skill and supervision. Most everything gets done but without the finesse, organization or thoroughness of an adult. It's a crude analogy but, in the ballpark for our purposes.
So it is when our autonomic nervous system is evolutionarily focused on the higher priority of getting the next breath and pumping freshly oxygenated blood, digestion becomes a secondary priority. Thus, without the brain's monitoring the Gastrointestinal tract, digestion, assimilation of nutrients and waste removal all happens, but with less coordination and efficiency.
Two years ago, a former student of mine had sent me an article that referenced that the Vagus Nerves were composed of 90% afferent fibers and 10% motor nerves.1 This information was novel, but it floated by in my consciousness without me acting upon it. Then, more recently, I happened upon a book that validated much of what I have asserted over many years regarding the importance of the length and tone of the esophagus and also restated this 90%/10% ratio between sensory and motor supply inherent within the vagus nerves.2
It suddenly dawned on me that the style of stretching I had developed to vent pressure from the thorax might also be stretching the filaments of the vagal nerves. This technique was described in the "Equalizing the Pressure" article of this series (Massage Today, February 2012). Could it be that these gentle stretches might be stimulating the vagal afferent fibers such that the brain was again coordinating the body as a more unified organism? And, could it also be that the immune system was also being stimulated to wake up and began to recognize deteriorating physiological progressions and aggregations of bacteria and viruses that it previously had been too overloaded to notice? Admittedly, it is a curious idea yet, it has very significant positive implications.
Might this be "the means by which" such improvements for clients were being realized? It is a very possible therapeutic response to my constant mantra of the past few years, "if one can restore nerve and blood supply, then almost any healing can occur." Full credit is given to Dr. Richard MacDonald, DO, for presenting this maxim from his long Osteopathic teaching career when I assisted him in his Functional Anatomy courses in 1989 & 1990.3
Let's return to the notion of 90% afferent vagal fibers and 10% vagal motor fibers. Stimulating the afferent filaments is being proposed as a method to assist the central nervous system in re-engaging its full attention to coordinating physiological function inclusive of a more alert and responsive immune system.
The next proposal is that reducing the compressive forces upon the vagus nerves motor fibers is also a part of this re-engagement of normal vagal function. Based on my clinical experience with clients, the most frequent places in anatomy where this compressive force is most plausibly obstructed is where the vagus nerve exits the cranium through the jugular foramen and in the superior sympathetic ganglion immediately lateral to C1, C2 and C3 where there exists an intimate relationship between the sympathetic fibers and the parasympathetic vagal fibers.
The successful long history of upper cervical adjustments by osteopathic and chiropractic physicians in addressing a plethora of somatic and visceral dysfunctions bear testimony to the importance of these anatomical relationships. Then, when one adds myofascial stretching to the fibers of the esophagus and to the stretching of the pleural, pericardial and peritoneal sacs, this is how the proposed stimulation of vagal fibers as they descend into the abdomen is effected. I share these observations and ideas, not because of my certainty that they are absolute facts, but because I desire to stimulate other practitioners in our field to join with me and explore whether these ideas can be reflected in our choices of skill sets and techniques which collectively comprise our profession. Thus, producing more effective results for our respective clients. In doing so, anatomy is our common language.
It has long been my instinct that our profession can make a number of significant contributions to how healing may be realized. It is my prayer that this concept of "Freeing The Heart" may simply be one of many more to come.
Author's Note: Additional credit to John Upldeger, DO, developer of CranioSacral Therapy, for his healing paradigm of lowering sympathetic tone and assisting parasympathetic outflow; to Dr. Jean Pierre Barral, DO, for his premise about the importance of re-establishing normal pressure differentials between the body's three great cavities in its role toward enhancing normal circulatory efficiency; to Lansing Barrett Gresham, founder of Integrated Awareness® for his postulation that since the visceral organs are functioning well before the skeletal muscles are capable of moving the body in a coordinated fashion, that the tensional patterns of the visceral suspensory ligaments play a major role in the eventual range of motion for most of the body's joint structures; and finally to Frank Lowen, LMT, for his contributions as I have an indelible memory of his fascial stretching between the thorax and the abdomen in 1991 in West Palm Beach that I know was part of the inspiration to develop these techniques.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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